Teresa Ambroz
speaker
57 appearances
1 recordings
1 series
first heard Mar 2024
last heard Mar 2024
Teresa Ambroz’s voice in public audio — every appearance, attributed to the second.
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Great question, Stan, because we know that overly restricting a child's diet will, it's not good. It's actually, you know, it's counterproductive. They're more likely to have eating problems or even eating disorders. Like we do not want to do that. As a dietician, you know, I would, be very obvious. I love chocolate chip cookies. You know, it's not a horrible thing.
It's good for your mental health to be enjoyed. And it's how often and how much not giving like special meaning or feeling like they're bad foods. But focusing on just enjoying food and, and, you know, having a whole foods diet and role modeling, you know, so that it's not the norm to just have pizza and soda for every party.
You know, if you're planning a school party for your kids, you can make really fun fruit kebabs. Kids can love, love those kinds of things and enjoy it. So it's not making, you know, one food good or bad, but just putting more high quality foods in the environment and role modeling.
Great question, Stan. The U.S. is seeing growing rates of both obesity and type 2 diabetes and in children, some alarming rates, especially in African-American youth. Minnesota's actually, you know, overall has slightly lower rates of diabetes and lower rates of obesity because there's a lot of really good things happening in our communities. Our community are stepping up.
Um, there's efforts to, to get healthier, um, kids restaurant meals where every kid's meal isn't a fried food and a sugary drink. Um, you know, we can make those kinds of policies as communities, um, And there's a lot of work going on with the statewide health improvement partnership. Some of our hospitals and care systems and organizations are working at the community level to make changes.
There's a lot of community groups that are really concerned about this, trying to make it easier for people to make the healthy choice. So by influencing little P policies, like will our faith-based organizations you know, serve some fruit when we kind of congregate or, you know, there's a lot of different efforts going on.
Yeah. Everybody kind of assumed that, but the studies are showing that it really affects your metabolic health. So when we're talking about obesity or too much weight for height, what we're really concerned about is health. People come in all shapes and sizes and we want to avoid weight stigmatism or weight bias. But when we're looking at trying to
address it and make healthier choices and reduce the sugar in our diets, turning to sugary drinks, even artificially sweetened sugary tasting drinks seems to affect our hormones, our gut microbiome. And we see higher metabolic health issues and the associations with chronic conditions, but especially for kids, they're growing, they're smaller bodies. We don't want to expose them to, um,
chemicals that we really don't understand the long-term effects of. So it could give them a preference for sweeter foods and make them more likely to over-consume sweets. So really focusing on water and low-fat or skin milk is really the approach.
Yeah, definitely. If you have a family member who has had type 2 diabetes, you're going to be at higher risk of developing type 2 diabetes.
At any age. So, yeah.
Yeah, definitely is hitting the African-American community and, um, our American Indian community exceptionally hard. Um, other communities like Latinx community, um, and people of color in general. Asian communities sometimes will have like, will experience diabetes with less body weight. So at a lower body weight, they seem to be at higher risk.
So there are definitely differences, but a lot of the differences are also associated with social determinants of health, where you live, work, learn, play that back to that toxic environment.
You know, we look at our Minnesota student survey, people of color, communities of color, children of color are drinking more sugary drinks, a lot more, but that's not because, you know, it's more environmental and there's a lot more advertising targeted to people of color. African-American children see twice as many ads on TV.
If you drive through certain communities, you'll see billboards and fast food restaurants for unhealthy foods. So I'll pause there. I see Gary.
Yes. So in my previous role as a nutritionist, I work with corner stores. We worked with local public health to try to increase access to healthy foods in corner stores and neighborhoods. Those food deserts are a real problem. Food insecurity is associated with obesity and type 2 diabetes. So we do need to address that. And we need to make sure people get good quality food.
So there's a super shelf initiative that's really worked across the state with getting healthy, good quality food into food shelves. So when people visit, the first thing they see are fruits and vegetables. It's not taking away choice. It's encouraging. It's just making good, appealing foods easier. and accessible for everyone.
So, you know, checkout lanes, we've all had that experience of seeing or having our own children nag us at the checkout lane. They want that treat. That's marketing. Marketing is product price, placement, promotion. They're putting it everywhere we are. And so we can have policies to try to limit that or work with stores to ask them to not have
Some of those things at the checkout lane or at least have some healthy choices there too. It's hard because there's a lot of economic forces working against that. Julie, I'll let you add what you want.
Yeah. There's so many things. And back to, you know, what Dr. Bain said as well, Clarence, and what you're saying is, you know, there's a childhood experience. obesity interventions cost-effectiveness study that Harvard has led.
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