When I read Kelly Dorfman’s new book, What’s Eating Your Child, a few weeks back, I was stunned by the number and variety of child health problems that turned out to be related to diet. The book is a quick yet informative read, built from clearly explained case studies of children with health issues ranging from anxiety to Asberger’s, all of whom are significantly helped by her simple, effective nutritional fixes.
Here’s Dorfman’s compelling version of “we are what we eat:”
One basic law of physics says that you cannot make matter from nothing….In the case of the body, its ability to create must start from what it takes in or is born with. In other words, any growing, healing, development and functioning you accomplish must evolve from from what you come with, eat, drink or breathe. You are born with about seven pounds of matter that will expand into a hundred-something pounds….What one eats has bearing on mood, energy, susceptibility to illness, digestion, sleep, learning, healing capacity, and more.
The book centers mainly on Dorfman’s sensitive, case-specific assessments of the issues affecting particular families, and the tone is gentle and explanatory rather than judgmental. But it was nonetheless amazing to me that so many children in the book, living in a food-abundant society like our own, have such utterly crappy diets.
In many cases, though it should perhaps be obvious, diet is the last place it seems anybody looks for a solution, even for serious child health problems. The book is full of stories of families who have been to an elaborate pantheon of expensive medical specialists for their child’s health issues, and of drugged-up children taking medications more suitable for adults — medications that do little to address the problem, and carry a risk of serious side effects. All the while, the kids are snarfing down nothing but Twinkies, Wonder Bread and soda, yet no one apparently connects the dots until Dorfman gently suggests a vegetable or two might improve the situation.
Predictably, she puts it in a nicer way than I just did:
Few parents start out with the goal of feeding their children toaster pastries for breakfast and peanut butter crackers for lunch, yet an astounding number (if my practice is any indication) end up there. … The scenario of a typical diet gone bad starts at age two when a sleep-starved mother hands her red-faced, screaming toddler a cracker or cookie so he will just shut up.
She goes on to rightly label cookies and crackers for toddlers “like crack.” As someone who very recently violated every principle I hold dear to repeatedly stuff “Toppables” crackers into Maya in an attempt to get her to shut up for the duration at recent family memorial service, I can personally attest to their addictive, and seductively taming, properties for toddlers.
Even my own impertinent darling, despite our generally uptight dietary controls, asks for “biscuits” “crackers” and “cookies” daily and by name. While she only very rarely gets them, and the ones she typically does get are made of organic oats and taste like wallpaper paste, this has yet to cool her ardor. Toddler crack? I’d say more like heroine.
And past the toddler stage, things don’t look very bright either. Dorfman reports that most children over-consume salt, bad fats, and added sugar, adding:
An October 2010 study reported that the top sources of calories for 2 to 18-year-olds were  cookies, cakes, granola bars, pizza and soda. Nearly 40 percent of the total calories consumer were from empty-calorie foods.
Up against these odds, Dorfman is undaunted. To find the cause for a specific problem, she becomes what she calls a “nutrition detective,” putting the clues together either to figure out when a food is a harmful irritant, or to identify a deficiency might be causing the problem. Some of her conclusions are astonishing, as when she demonstrates that chronic ear infections may be related to milk allergy, or that speech delays in two children were likely caused by a lack of adequate essential fats in their diets.
She also points out that each of us has highly individualized nutritional needs, a factor called bio-individuality. This means that even within a family, the dietary needs of one child for a particular nutrient or mineral may be higher than for her sibling, a reality that unhelpfully may conceal the relationship between nutrition and that child’s health issues.
On the flip side, there are also linkages among family members due to genetics, as in the family in which a shared intolerance for gluten negatively affected the behavior of both parent and child, causing irritability, behavioral irregularities and distraction in both.
How a Nutrition Detective Clearly Links Child Health Back to Food
I highly recommend this book. I found its approach balanced, sensible and sensitive. When families and other doctors were skeptical about the contributions of nutritional factors, Dorfman explains how she would patiently allow them to exhaust the traditional medical diagnoses first, and then move in to restate the obvious. Her approach, overall, is both gentle and painstaking. And behavioral change is obviously harder than popping a pill. Still, at times I wished the book was a little more directive, as it lacks a chapter that summarizes all the dietary “do’s.”
Nonetheless, the overall message is obvious: sugars, highly processed foods and refined flour products tend to take over the diets of children, taking up space where real foods should be, and creating taste preferences that lead to “picky eater” syndrome. She suggests a method for insisting that picky eaters diversify their food preferences, and also takes this problem of a mono- (and nutrient-deprived) diet as seriously as it likely deserves.
For stiffer medicine, she also suggests that we not keep anything in the house that we don’t want our children to eat. This is harsh, but good advice. I know the day is fast approaching with Maya that “do as I say” won’t work anymore — and this rule of thumb seems right to me (and will push me into the final clean-up of my own dietary act, as it were. Ahem.).
In addition to emphasizing organic, whole foods and a wide range of fruits, vegetables, nuts and seeds, and highlighting the importance of a protein- and nutrient-rich breakfast (a few of my own ideas on that one are here), she recommends that children (and adults) take a multivitamin, and she touts the significant properties of cod liver oil for its essential fatty acids.
Since I have always been skeptical about the uptake of minerals and vitamins from supplements, her insistence that these additions are important to the diet, and her well-reasoned arguments in support of that idea, are causing me to do a rethink.
I looked around briefly for products that would fit the parameters in the book, and they were hard to find. For vitamins, she recommends one with a good variety of minerals, and the full set of B-vitamins (which gummy vitamins are typically missing), and not more than 2,500 IUs of Vitamin A.
For cod liver oil, she indicates that we need more than 1,000 mgs total of the active ingredients of EPA and DHA. We were already taking a popular brand of fish oil capsules, but a closer reading of the label revealed we’d need choking hazard-levels of 15 pills per day each to get that amount of active EPA and DHA! (She also recommends probiotics — the more live bacteria the better, and chewable ones should be avoided because they are too low in live cultures.)
So I wrote to Dorfman to ask for recommended brands for vitamins and for high-potency fish oil that had been cleansed of mercury, PCBs or other pollutants found in fish. And wonder of wonders, she actually wrote me back, of course with some very helpful answers. Noting that it would have been far more dicey for her to officially recommend particular products in her book, she said:
With [cod liver oil], it is tough to stabilize the potency so to get the higher amounts of EPA/DHA you may have to get regular fish oil. Nordic Naturals has a patented process for purifying fish oils and are good. They are available widely. Their Ultimate Omega (which is also available with vitamin D) comes in a bottle as a liquid. I recommend it a lot. However, their products have a strong fish flavor. If you need a neutral tasting clean product, consider 2 tsp. of Omega Cure. It mixes easily with other foods.
As far as a well balanced multiple, check out these wafers. Two per day contain 15 mg of zinc.
We’ve ordered both products, but they have not yet arrived. I’ll just note that the Omega Cure site also includes fish oil chocolates and cookies, thereby introducing significant cognitive dissonance into my nutritional wanderings. I’m so curious about whether these are tasty or not that I’m sure to break down and order some eventually… if you’ve tasted them, please let me know how they are! Fish oil chocolates, mmmm!
One more note: Given the frightening lack of any real regulation of food supplements, you may want to check the products you are using against the testing being done by the only private group to fill in doing what the government should be.
Unfortunately, you’ll have to pay for the privilege. The group is called Consumer Lab, and membership is $33/year. They do regularly find problems with supplementation products, so if you spend a lot of money on these kinds of things, it would easily be worth it to join.
You also can and should look for labels on supplements that indicate that they adhere to Good Manufacturing Practices (GMP), the highest sanitation, process validation and quality standards that are voluntary standards from the federal government. Especially if you are feeding the supplements to children, this level of compliance with basic health standards is a no-brainer.
This book may be for you if…
Because Dorfman’s book presents nutritional solutions to such a wide range of child health problems, below I provide a list of issues with her accompanying suggestions so that readers grappling with these issues in a child’s or their own health will see that this book may offer some useful insights, or at least some avenues to try as an alternative to prescription drugs or mere desperation.
If you are dealing with any of these issues, the list below by no means should replace your review of all of the information in the book, which includes detailed case studies, full descriptions of the problem and methodology and a candid discussion of how well the nutritional solutions worked. Dorfman is also available for consultations and is based in Northern Virginia.
Health Conditions Addressed by Nutritional Changes, by Issue, Cause and Solution
Frequent nosebleeds/stomach pain — Gluten intolerance (despite negative test for Celiac disease)
Lyme disease symptoms not addressed by antibiotics — High Iron levels in Prenatal Vitamins (brief mention)
Very picky eater, upper respiratory and ear infections — milk (casein) allergy or other food allergy
Serious reflux (GERD) — Milk allergy, addressed by alternative formula (not soy-based), probiotics and zinc carnosine
Near-constant stomach pain, craving wheat-based foods, eczema, anemia, severe mood swings and/or behavior issues — Gluten intolerance (again, despite negative test for Celiac)
Very picky eater, deficient growth, lack of hunger — Zinc deficiency
Constipation, Eczema — Milk allergy, addressed with pro-biotic supplements, Liquid-L Carnitine
Rash or “chicken skin,” dry hair, lack of thirst — Essential fatty acids deficiency, addressed with fish oil supplement
Insomnia — Melatonin, in small doses (caution about drug interactions with SSRIs); other practical advice, such as increasing exercise and decreasing sugar/caffeine
Hyperactivity, Aggression, Moodiness — Decrease sugar (she notes that a small subset of sugar-reactive children do get hyperactive from sugar, despite more general findings of no link between hyperactivity and sugar); increase magnesium; DMAE supplements (sardine oil nutrient)
Anxiety — fish oil supplementation to increase amino acids, protein and nutrient-rich diet
Ear infections linked to ADHD — Eliminate common allergenic foods (dairy, wheat, soy and/or eggs); address with probiotics; evaluate auditory processing
Autism with behavioral deterioration from some foods and sudden rash, or Itchiness or red cheeks or rashes from certain foods — Pesticides on strawberries (my note: likely methyl iodide or methyl oxide) or other foods, such as fruit
Hives (after all food allergens and contaminants are removed) — Allergy to genetically modified corn and soy
Dyspraxia, or speech delays — Deficiency in essential fats, addressed with Fish oil supplementation, Vitamin E complex, and Choline supplementation (one child also needed Taurine supplementation in addition). The book also helpfully contains a guideline by which to measure speech delays in toddler development, and highlights the developmental urgency in addressing this issue as early as possible.
Hyper-sensitivity (Sensory Processing Disorder, or SPD) — Deficiency in fatty acids, vitamins and minerals, addressed with fish oil, and mineral and vitamin supplementation