June 2010 Blog Review

Most all of us had similar responses to each of the questions posed in this month's journal blog.

Although we all agree that self-reported data comes with errors, we all agree that it is probably the best method for obtaining data in a sample size this large. Other methods such as reviewing medical records or weighing the participants is not cost effective nor a good use of time management. Liz made a good point - changing the wording of the question may elicit more accurate responses. Instead of asking, "How much did you weigh before you were pregnant?" one could ask, "What is your current weight? How much weight have you gained during your pregnancy?" and determine the pregravid weight status that way.

There were many excellent suggestions of cost effective healthier foods to eat during pregnancy, as well as during periods of stress. A brief review of these foods include: whole grains, popcorn, in-season fruits and vegetables, skim milk versus 2% or whole milk, frozen fruits/vegetables and meats, preparing meals that they would have purchased pre-packaged (i.e. making spaghetti versus buying a can). Some other suggestions included utilizing coupons from the local paper or online, and providing education on how to prepare foods at home.

A point that was made by many individuals was to find the root-cause of stress, and address it. Eating as a method to cope with stress is unhealthy no matter what foods are consumed. Sarah U. made a great suggestion of using physical activity as an outlet rather than 'emotional eating.' Educating clients on their triggers for stress, and helping them explore other methods for handling stress was a common suggestion.

No one was surprised by the paradoxical relationship between weight status and food insecurity. The point was made that overweight individuals are often malnourished. Malnutrition is more of a problem for this population than low weight status. Some of the reasons highlighted include: cheaper foods are typically poor quality nutrition, food insecure individuals eat what they can, when they can; individuals in this demographic are often of lower education, and their nutrition knowledge does not support healthy choices; restricted access to food is better described as restricted access to healthy foods; individuals may overeat because they may not know when they will get to eat next.

Bethany made a great point - healthy foods are not always more expensive! We as a profession need to change this mentality, and provide examples of inexpensive healthy options.

Great job on this month's blog!