Welcome

Zoe Connor RD 2009

Me helping out at the BDA stand at The Clothes Show Live 2009

Hello, and thankyou for your interest in my blog.

Here I’ll be updating you on interesting and relevant food, nutrition and health news, as well as tips and signposting for improving your health or your relationship with food, or your feeding relationship with your child.

You can view my most recent blog posts below, and browse posts by categories or date using the links in the sidebar to the right.

You can subscribe to get new posts emailed straight to you by following this link or if you use an rss reader the link is here.  I welcome your comments and feedback, so please don’t be shy about posting comments, and if you want to suggest topics for new blogposts, my contact form is here.

All the best, Zoe

Useful low FODMAPs recipes

Following a low FODMAP diet can really help many people with IBS, but it can also feel restrictive.  Advice from a knowledgeable dietitian helps to widen your diet as much as possible.

Here are some websites I’ve found that have useful recipes:

Let me know if you find any more useful sites or books.

Study looking at the way mums feed their preschool children and risk of obesity

LUMENG JC, Ozbeki TN, Appugliese DP, Kaciroti N, et al. Observed assertive and intrusive maternal feeding behaviors increase child
adiposity. Am J Clin Nutr. 2012.link to abstract

Vegetarian sources of the omega 3 DHA

I’m sometimes asked about omega 3 supplements for vegetarians:

Flax seed and its oil is a good source of ALA, a type of omega 3 which is then converted in the body to the important omega 3s EPA and DHA. However, the body’s conversion of ALA to DHA is not brilliantly efficient.

Fish and fish oil are great source of DHA. For those who can’t eat or won’t eat fish, these some algae DHA supplements I found available in the UK online:

Healthspan Cerebrum – £12.95 for 90 capsules – 2 capsules per day to provide 200mg DHA (29p per day) link

Minami Nutrition Vegan DHA 280mg DHA per 2 capsules at £30 for 60 (£1 a day) link

Opti3omega provides 300mg EPA and 400mg DHA and costs £16.65 for 60 capsules (56p per day for 2 capsules) link

Study finding healthy eating useful for those with FTO obesity related gene

LAPPALAINEN T, Lindstrom J, Paananen J, Eriksson JG, et al.
Association of the fat mass and obesity-associated (FTO) gene variant (rs9939609)
with dietary intake in the Finnish Diabetes Prevention Study.
Br J Nutr. 2012.
link to abstract

Vitamins in bone health

A useful review – Vitamins and bone health: beyond calcium and vitamin D. Nutr Rev. 2011;69:584 link to abstract

Diet, inflammation and overweight

CALDER PC, Ahluwalia N, Brouns F, Buetler T, et al. Dietary factors and low-grade inflammation in relation to overweight and obesity. Br J Nutr. 2011;106 Suppl 3:S5-78.
link to abstract

Autism Central and some great toys and sensory resources for autism

I attended Autism Central in Birmingham yesterday – an event organised by Autism West Midlands and the Queen Alexandra College.

There were some great talks on all different aspects of autism, including talks from two very eloquent and charming young men on the autistic spectrum who attend QAC as to how their lives are affected. I manned a stand offering nutrition advice and had a steady stream of parents, professionals and service users wracking my brains on how to deal with underweight, overweight, gut problems, faddy eating, and my view on the gluten and milk free diet and other approaches.  It was great to meet everyone, and to offer some help.

Other stands that really caught my eye were:

  • The Timocco child development motion game – a sort of Kinetic or Wii option for any PC, specially made for children with special needs, and the omiVista interactive floor – which I’ve only seen before at the Science Museum – walk and stamp on a floor projection to interact with it – a great hit with some of the children who attended the day, not to mention the adults.
  • A Quiet Place – providing relaxing environments and emotional intelligence training in schools.
  • Kingkraft - providing weighted vests and blankets, and a fabulous big weighted beanbag that I took refuge in a couple of times in the day.  The products are not cheap but they hire them out for trial use – as they don’t help everyone, but for those they do help it tends to be significant.
  • Living Autism – a new directory of services and particularly living services for adults with autism.
  • Tough Furniture – from shatterproof mirrors to virtually unbreakable beds, desks and TV cabinets.
  • Sensory Direct – provider of weighted blankets, weighted compression vests, weighted belts, sensory toys, chewy toys and more.
  • Augmentative and alternative communication tools from Liberator.

Looking forward to more Autism Central events!

Calcium – am I getting enough?

Calcium is a mineral needed for the formation, growth and repair of healthy bones and teeth. It also helps the muscles and nerves to work properly, and helps to control weight and blood pressure.
Calcium deficiency is caused by a diet low in calcium or by malabsorption in gastrointestinal disorders such as Coeliac Disease or inflammatory bowel disease (IBD).
Signs of calcium deficiency include poor growth and poor quality bones and teeth.

Continue reading

Iron – am I getting enough in my diet?

Iron is a mineral which is an essential component of many of the proteins and enzymes that maintain good health in our bodies. It is involved in transporting oxygen to the body’s tissues and muscles and gives the red colour to our blood.

Iron deficiency Facts

Iron deficiency is caused by a diet low in iron or by blood loss e.g. in menstruation or illness. Deficiency is really common in the particular population groups of toddlers and teenage girls in the UK due to their high rates of growth and variable diets. Other people at risk of iron deficiency are:

  • pregnant women
  • premature and low birth weight babies
  • people with kidney failure
  • people with gastrointestinal disorders that affect their ability to absorb iron
  • long distance runners and other athletes who do regular intense exercise

Signs of iron deficiency include – feeling tired and weak, pale skin, breathlessness, decreased work and school performance, increased susceptibility to infections and decreased appetite.

If you think you might be iron deficient, ask your GP to do a blood test.

Our daily requirements for iron change with age and differ in men and women

According to government experts, these are our requirements:

  • 6- to 12-month-olds – 7.8mg (8 stars)
  • 1 to 3-year-olds – 6.9mg (7 stars)
  • 4 to 6-year-olds – 6.1 mg (6 stars)
  • 7 to 10-year-olds – 8.7mg (9 stars)
  • 11 to 18-year-old boys – 11.3mg (11 stars)
  • 11 to 18-year-old girls – 14.8mg (15 stars)
  • 19 to 50-year-old women – 14.8mg (15 stars)
  • 19 to 50-year-old men – 8.7mg (9 stars)
  • Adults older than 50 years – 8.7mg (9 stars)
  • Pregnant women – 14.8mg (15 stars)

NB – The stars can be used to count up how much iron from food you have a day in the table below – 1 star is approximately 1mg of iron.

SOURCES OF IRON IN OUR DIET

Iron is found both in foods that come from animals – meat, fish and eggs; and in plant foods such as green leafy vegetables, lentils, beans, dried fruit, nuts and seeds. White bread and breakfast cereals in the UK have iron added to them, and so are also good sources of iron. Iron from animal foods (haem iron) is absorbed by our stomachs more efficiently than that from plant foods (non-haem iron).

Newborns get an easily absorbed form of iron from breast milk, which is usually enough for the first 6 months of life. Infant formula contains iron too. Cow’s milk is very low in iron so is not a recommended drink in the first year of life.

Eating a varied and balanced diet based on the Eatwell Plate should ensure you get sufficient iron in your diet. The ready reckoner below can help you to ensure you are including some iron rich foods every day. Note that liver is not recommended during pregnancy due to high vitamin A levels

Iron Ready Reckoner:

Food Iron stars (1 star = 1mg – approximately)
Animal sources
Liver (chicken),2 slices (70g) 8
Liver (lamb), 2 slices (80g) 6
Liver pate, 1 serving (50g) 3
Kidney (lamb),1 kidney (35g) 4
Beef / lamb (roast), 3 oz (80g) 2
Pork / chicken (roast), 3oz (80g) 1
Black pudding, 1 portion 9
Corned beef, thick slice (50g) 1
Sardines, small tin (100g) 3
Pilchards, canned in tomato sauce (55g) 2
Herring, 1 medium fillet (120g) 2
Tuna, small can (100g) 1
Prawns, average portion (60g) 1
Mussels, average portion (40g) 3
Egg (boiled),1 average (50g) 1
Plant sources
Spinach, boiled (120g) 2
Fenugreek (methi) (25g) 4
Watercress, 1 bunch (80g) 2
Broccoli / peas, 2-3 tablespoons (80g) 1
6 Apricots or 3 Figs, dried (60g) 2
Raisins/ sultanas, 1 tablespoon (30g) 1
Bread, wholemeal, 2 slices 2
Bread, white, 2 slices 1
Bran flakes, 3 tablespoons (25g) 4
Fortified cereals, 3 tablespoons (25g) e.g. special K, cheerios, weetabix (2 biscuits) 3
Lentils (dahl), green/brown (100g) 3
Blackeyed/ kidney beans chickpeas (boiled), 4 tablespoons (100g) 2
Baked beans, Small can (200g) 3
Hoummus, 2 tablespoons (50g) 1
Tofu, fried (50g) 2
Nuts e.g. almonds, cashew, brazils (25g) 1
Seeds e.g. melon, pumpkin, sesame (30g) 2
Curry powder, 1 teaspoon (3g) 3
Plain chocolate, 1 bar (50g) 1

Foods rich in vitamin C increase the absorption of iron from plant foods:

Foods rich in vitamin C are oranges, lemons, grapefruits and limes; blackcurrants and strawberries; Kiwi fruit, mango, papaya and guava; fruit juices, or fruit drinks fortified with vitamin C; and fresh or frozen vegetables, eaten raw or lightly cooked. To maximise your iron absorption, drink fruit juice, or eat fruit or vegetables with meals that contain plant sources of iron.

Other foods decrease the amount of iron we absorb from plant foods:

  • Tannins: in tea or coffee – so avoid drinking with meals
  • Fibre: in high quantities – avoid unprocessed bran
  • Calcium: in high quantities – so avoid taking calcium supplements with meals

Should I be taking iron supplements?

Your doctor or dietitian will advise you if you do need to take iron supplements. It’s not wise to take iron supplements if you don’t have a medical need for them.

Links for more information:

Acknowledgements:

Some of this information was adapted from a diet sheet produced by dietitians at Ealing NHS PCT in 2004 with permission and thanks.

Iron content of foods sourced from the government publication McCance and Widdowson’s The Composition of Foods integrated dataset, 2002

Daily requirements sourced from the government publication Dietary Reference Values of Food Energy and Nutrients for the United Kingdom, published in 1991.

An introduction to autism – for dietitians

Nutrition – Part of the Puzzle?

Apple jigsaw - is nutrition part of the puzzleAs chair of Dietitians in Autism (a subgroup of the paediatric group of the British Dietetic Association, and part of the mental health group of the BDA too), I’m often asked ‘I’m a dietitian new to working with children or adults with autism – where do I start?’ I thought it might be useful to share my typical response – partly so I can direct enquiries to here rather than typing it out again and again, and also in case it helps dietitians from other countries or indeed other health professionals. Continue reading