Posts Tagged: milk
At fast food and sit-down restaurants across California, kids' meals come with water or milk automatically. At least, that should be the case since state law requires restaurants to offer the healthy beverages by default to reduce the amount of sugary beverages served to children.
California Senate Bill 1192, authored by Sen. Bill Monning (D-San Luis Obispo), went into effect Jan. 6, 2019, but research by the UC Nutrition Policy Institute (NPI) has found that implementation has not been universal and more can be done. The results, along with results from a similar study in Wilmington, Del., were published Aug. 20 on HealthyEatingResearch.org.
Before the law, 10% of menu boards observed by the researchers in California listed only the healthy beverages. Data collected after the law went into effect showed 66% of menu boards list the healthy default beverages. The researchers also collected data on the proportion of cashiers who verbally offered only healthy beverages with kids' meals when orders were placed. This happened only 5% of the time before the law was enacted, and dropped to 1% after.
“Parents look at menu boards and kids look at menu boards, but it is likely that what the cashier says also influences which drink they choose,” said Lorrene Ritchie, NPI director and UC Cooperative Extension nutrition specialist. Ritchie was the lead researcher on the California portion of the study. “In our data collection, we would order a kids' meal and wait for them to offer a drink. But mostly they said, ‘What drink do you want?' instead of ‘Do you want water or milk with that?'”
The law doesn't specify whether the cashier must offer the default beverages, but the spirit of the law suggests they should, as it would likely have a greater impact on the selections that children and parents make, Ritchie said.
According to Gail Woodward-Lopez, an NPI researcher and co-investigator on the study, most restaurant managers expressed support for the legislation, but didn't know much about it.
“NPI in partnership with the California Department of Public Health is working with some local health departments to provide training and materials to help restaurants comply with the letter and spirit of the law,” Woodward-Lopez said. “Our next step is to measure whether this health department support is effective.”
The dire need to direct children away from sugary sodas is clear. Empty calories from soda and other sugar-sweetened beverages is the No. 1 cause of obesity in children, Ritchie said. Obese children are at least twice as likely as non-obese children to become obese adults. Obese children and adults are at greater risk for Type 2 diabetes, heart disease, stroke, high blood pressure, high cholesterol, certain cancers, asthma, low self-esteem, depression and other diseases. The Centers for Disease Control and Prevention names obesity as one of the conditions that increase risk of severe illness from COVID-19.
Many open questions remain, such as how drinks are portrayed on drive-thru signs and offered by drive-thru order takers. The COVID-19 pandemic has also altered the way Americans purchase food, with increased online ordering, delivery and drive-thru usage. In-store kiosk ordering is also growing in popularity.
“The role of default beverage policies in this context is important and not well understood,” Woodward-Lopez said.
Woodward-Lopez and Ritchie are working with colleagues around California and across the country to design follow-up studies of newer food technologies and beverage policies being passed elsewhere, to determine how government policies can protect children's health by steering them toward healthy beverage consumption.
The newly published research was funded by the Robert Wood Johnson Foundation and by the California Department of Public Health with funding from the United States Department of Agriculture.
New parents returning to work after the birth of a child face a lot of questions and uncertainties, particularly around breastfeeding. Should I continue to breastfeed? Will there be a space for me to pump milk in private? What will my boss and co-workers say? How many times should I pump when I am away from my baby?
Recognizing the importance of breastfeeding to the health of both parent and child, California recently passed AB 1976 to strengthen protections for working parents that want to continue to breastfeed and need to express milk (i.e., pump) at work. Starting on Jan. 1, 2019, employers must make reasonable efforts to provide a private area to pump that is not a bathroom or face fines and penalties. Prior to 2019, some employers would designate a bathroom as their lactation room, a practice that was technically “ok” so long as the toilet was behind a stall or other barrier. Now that practice is expressly prohibited and employers will need to find another space to accommodate lactating employees.
So, what happens when an employer cannot provide a permanent, private area due to operational or financial conditions? Many new parents might find themselves in just this position. Agricultural workers or field researchers may not work in a traditional office or they may find themselves at off-site locations for a large percentage of their work day. At UC Agriculture and Natural Resources, many employees travel across multiple counties delivering community health education lessons at various sites. AB 1976 includes provisions for setting up temporary lactation locations so long as the space is private, only used for that purpose while the employee is expressing milk, and otherwise meets the requirements of state law concerning lactation (again, it cannot be a bathroom).
Lactation locations when out in the field
To be compliant with state law, avoid fines and penalties and support the health of their employees, employers may need to set-up a temporary lactation station for their workers. AB 1976 specifically states that agricultural employers are compliant if they provide a “private, enclosed, and shaded space, including, but not limited to, an air-conditioned cab of a truck or tractor.”
One solution is to assemble a mobile lactation unit that employees can check out or reserve based on their pumping schedule. Mobile lactation stations can take many forms, however, some basics that should be included in a lactation unit are listed and itemized below.
Privacy screens and supplies
To be compliant, the space needs to be private and free from intrusion. When setting up the mobile station in a vehicle, you will need to have privacy screens that fit all vehicle windows front, back and sides. There are many options on the market ranging in price from $20 on up. When ordering window shades, you will need to know the make and model of the vehicle.
- Privacy screens for front, back and side windows (4 total, $21 each) = $84
- Signage and door locks to prevent intrusion or knocking
Food safety supplies
Remember, breast milk is food. Helping your employee keep their expressed breast milk safe for their baby will result in less illness and less time off work. Some basics:
- Sanitizing surface wipes: These will be used to sanitize the space including the seat, dashboard or other surfaces that may come in contact with the lactation equipment. Large container of surface sanitizing wipes = $5
- Hand sanitizing wipes: Unless there is always a sink in close proximity, your employee will want to wash their hands before and after pumping. If their hands are very dirty they will need to have a place where they can remove all dirt and debris before using the hand sanitizing wipes. Hand sanitizing wipes = $4
- Cooler bag, ice pack and thermometer for the employee to store the expressed milk safely. The cooler size and number of ice packs needed will depend on the conditions where the milk will be stored. A small cooler with one ice pack will heat up quickly on a hot day. The thermometer will give the employee peace of mind that the milk stayed below 40 degrees and is safe for the child. Leaving/storing a cooler with expressed milk in the trunk or interior of car will increase the temperature in the cooler more quickly. Instead, find a shaded location when possible. 1 cooler bag (approx. $15) + ice packs (approx. $8) + cooler thermometer (approx. $2) = $25
- Backpack or bag: To store these items when the lactation space is being used for other purposes (e.g., driving), you will need a backpack or bag. Costs can vary, however, the bag should be large enough to fully contain all of the items and ensure that they are not contaminated by other materials that may be placed around or near the supplies. You will want it to have a zipper and an easy-to-clean material on the outside and inside (e.g., vinyl or plastic-coated fabric). Cost is variable $5 to $150 depending on your style and budget needs.
- Closed trash receptacle for all used cleaning wipes. Approx. $5
Support for breastfeeding employees is not only a company perk, it's the law. Under certain circumstances, employers can set-up these mobile lactation stations for their field-based employees for under $150. What better way to promote employee health, avoid fines and penalties and support local families?
When it comes to nursing moms and their babies, an elegant web of cause and effect connects climate, breast milk, gut microbes and infant health.
That web was clearly illustrated by a recently published study involving 33 women and their babies in the West African nation of The Gambia. The research team, including scientists from UC Davis and UC Agriculture and Natural Resources, found that complex breast milk sugars called oligosaccharides helped protect nursing babies from illness and also influenced the mixture of microbes in the infants' guts.
The researchers also showed that changes in food availability from season to season could affect the composition of the women's breast milk and the protective quality of the babies' gut microbiota. And those changes, in turn, impacted the health and growth of the breastfed infants.
Composition of breast-milk sugars and infant health
Oligosaccharides occur abundantly as more than 200 different chemical structures in human breast milk. It's been known for some time that these complex sugars contribute to infant health by supporting the growth of beneficial bacteria in the baby's gut. And these gut bacteria have been shown to play a key role in fending off infectious illnesses.
But little has been known about how changes in the composition of the breast milk sugars might affect the health and growth of infants, especially those living in areas where infection rates are high.
To explore that relationship, the researchers monitored the composition of the oligosaccharides in the mothers' milk and examined the infants' gut microbiota at 4 weeks, 16 weeks and 20 weeks after the babies were born. Then they analyzed the data, looking for possible relationships to the health and growth of the babies and the status of their gut microbes.
They found that two of the oligosaccharides, lacto-N-fucopentaose and 3′-sialyllactose, had a direct relationship to the babies' health and growth. High levels of the former were associated with a decrease in infant illness and with improved growth, measured as height for age, while the latter proved to be a good indicator of infant growth, measured by weight per age.
“Our findings provide evidence that specific human milk oligosaccharides can alter the composition of breast milk, making it more protective against infection and allowing the infant to invest energy in growth rather than fending off disease,” said the study's corresponding author Angela Zivkovic, an assistant professor of nutrition at UC Davis.
Influence of wet and dry seasons
The researchers also were curious how seasonal shifts in food availability, which significantly impact the mothers' diets, might be reflected in breast milk composition and infant health.
The Gambia has two distinct seasons, the wet season from July to October and the dry season from November to June.
The wet season is also known as the “hungry” season because it is the time of year when food supplies tend to be depleted, infection rates rise and the farming workload is highest. In contrast, the dry, or “harvest,” season is characterized by plentiful food supplies as well as significantly higher energy stores and less illness among the local people.
The researchers found that mothers who were nursing during the wet or “hungry” season produced significantly less oligosaccharide in their milk than did those nursing during the dry season.
In examining the makeup of the babies' gut microbiota, the researchers noted that most of the bacteria belonged to the Bifidobacteria genus. They also discovered that higher levels of Dialister and Prevotella bacteria were accompanied by lower levels of infection.
In addition, higher levels of Bacteroides bacteria were present in the infants' guts that had abnormal “calprotectin” – a biomarker associated with intestinal infections.
“We are very interested in which specific dietary factors influence the oligosaccharide composition of mother's milk,” Zivkovic said. “If we can find the mechanisms that change the composition of breast milk sugars, we may have a new approach for modifying the infant microbiota and ultimately influencing the health and vigor of the nursing baby.”
The study by Zivkovic and colleagues appears online in the journal Scientific Reports. The research is part of a long-running, cross-disciplinary project at UC Davis examining milk and its role in nutrition.
Funding for the study was provided by the National Institutes of Health, UK Medical Research Council, Bill and Melinda Gates Foundation, Alfred P. Sloan Foundation, and Peter J. Shields Endowed Chair in Dairy Food Science at UC Davis.
Robert Lustig, professor of pediatric medicine at UC San Francisco, said he believes drinking whole milk can lead to lower calorie intake overall because it is more filling than low-fat and non-fat alternatives.
A UC Agriculture and Natural Resources (UC ANR) expert shared a different viewpoint. Lorrene Ritchie, director of the UC ANR Nutrition Policy Institute, said low-fat or skim milk products are still preferable to whole milk because liquid calories are not as filling as equivalent calories from solid food. Nationwide, the goal for most people should be to reduce calorie intake.
"Until we decrease calorie intake on a population level, we are unlikely to see much reversal in the obesity epidemic," Ritchie said.
Before the end of 2015, the federal government is expected to release its revised Dietary Guidelines for Americans. According to the Guardian article, the guidelines are expected to tout vegetables, fruits, whole grains, legumes, nuts, seafood and "low- or non-fat dairy." The guidelines inform the USDA's dietary infographic, which at the moment takes the form of a plate half filled with vegetables and fruit, and the other half with a small portion of protein food and whole grains.
The Nutrition Policy Institute has been advocating for the addition of water on the MyPlate icon to reinforce its position that plain tap water is the best choice for quenching thirst.
Cementing its place as California's most important agricultural commodity by farm revenue, California farms sold about $9.4 billion worth of milk while the dairy industry contributed approximately $21 billion in value added to the gross state product in 2014, according to a California Milk Advisory Board (CMAB) study conducted by the Agricultural Issues Center, a statewide program of UC Agriculture and Natural Resources. Including sales of inputs to dairy farms and milk processors along with raw milk and wholesale milk product sales, the dairy industry contributed $65 billion in total sales to the California economy in 2014. The growing demand for dairy products like cheese and yogurt as well as strong dairy exports accounted for 189,000 jobs that are dependent on the state's milk production and processing.
“The dairy industry's contributions are vital to California's economy, from creating jobs to stimulating local and regional economies to providing nutritious and enjoyable products to consumers everywhere,” said John Talbot, CEO of the California Milk Advisory Board. “A large number of California residents depend on the dairy industry for employment and these jobs would not exist without it.”
The $21 billion to California's gross state product included $7.4 billion as income to industry workers and owners and $13.4 billion through related, outside industries such as feed, veterinary and accounting services used for dairy production and electricity, packaging, equipment and trucking services used by processors. The tax revenue generated from these jobs supported important statewide initiatives to improve education, healthcare, roads, community services and the environment.
Overall, 189,000 jobs in California are associated with the dairy industry. Of this amount, approximately 30,000 jobs are on the farm and 20,000 jobs represent dairy processing. For every dairy farm job, there are several more jobs that are tied to the business and create a linked chain of economic impacts.
Additionally, the induced effect of the dairy industry also creates jobs in the community to support the area's dairy workers and their families, such as school teachers and local bus drivers.
California Holds Rank as Nation's Dairy Leader
California leads the nation in dairy production and dairy continues as the top commodity in the country's top agricultural state. It has been the nation's largest milk producer since 1993 and is also the country's leading producer of butter, ice cream, nonfat dry milk and whey protein concentrate. California is also the second largest producer of cheese and yogurt.
Farm milk sales generated $9.4 billion gross revenue in 2014. Wholesale dairy product (cheese, fluid milk, ice cream, butter and other dairy) sales hit $25 billion in 2014.
Dairy Farmers Improve Business Performance
As an essential part of California's farming heritage, dairy farmers understand the importance of protecting the land, water and air for their families, their communities and future generations. In 2014, California dairy farmers produced more milk with fewer resources. Talbot credits “improved dairy practices and management adopted by farmers” for the increased business efficiencies. The pounds of milk produced per cow increased to 24,000 pounds in 2014 from 15,000 in 1984. Farmers are applying 23 percent less water to their fields than they did in the early 1980s and have seen their average crop yields increase by more than 40 percent despite using less water.
Beyond the economic impacts calculated in the report, California dairy farmers and employees are active participants in their communities and contribute to social, environmental and other broad public goals.
Study Leaders and Methodology
The study was conducted by a team of researchers at the UC ANR Agricultural Issues Center (AIC). Daniel A. Sumner, the director of AIC who holds the Frank H. Buck, Jr. Chair Professorship in the Department of Agricultural and Resource Economics at UC Davis, led the study. Josué Medellín-Azuara, a project scientist at the UC Davis Center for Watershed Sciences, and Eric Coughlin, a junior research specialist at AIC, were part of the research team. They measured myriad impacts using dairy-specific data for 2012 and projections for 2014 and a database and model of economic linkages (IMPLAN).
About the California Milk Advisory Board
The California Milk Advisory Board (CMAB), an instrumentality of the California Department of Food and Agriculture, is funded by the state's more than 1,450 dairy families. With headquarters in South San Francisco and Modesto, the CMAB is one of the largest U.S. commodity boards. It executes advertising, public relations, research and promotions on behalf of California dairy products, including Real California Milk and Real California Cheese. For more, visit RealCaliforniaMilk.com.