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Do Plastic Containers Harm Kids?

August 7, 2015 by Kelley Leave a Comment

do plastic containers harm kidsFor years, I’ve read reports that certain ingredients in household plastic containers and bottles may be linked to health problems in children. But formal government and medical guidelines are scant, and objective, expert-sourced information can be hard to find. Plus, it’s not really something that comes up with the pediatrician. So I’ve continued to reheat and reuse a vast array of containers, mostly name-brand products but also those handy vessels that prepared foods often come in. After all, when you have three perpetually peckish, on-the-move young kids, is anything more convenient in the kitchen than lightweight, transparent, microwaveable containers—that are available in just about any size and shape your organization-hungry heart can possibly want?

But then I connected with Leonardo Trasande, M.D., an associate professor of pediatrics at New York University and one of the country’s foremost researchers on the effect of environmental chemicals on kids’ health. He led a 2012 study associating Bisphenol A (BPA), a common chemical used in household plastics, with obesity in children, and more recently, published a paper strongly linking two types of phthalates—another group of chemicals used in plastics manufacturing—with high blood pressure and diabetes in kids and teens. Ironically, phthalates have been added to some plastic products to replace other, seemingly more suspect chemicals in recent years.

What he told me has effectively changed the way I shop for, cook with, and even clean the plastic in my kitchen for good.

First, I asked Dr. Trasande what his big takeaway from his many years of plastic research. “Diet and a lack of physical activity are the main drivers of the epidemic of obesity and metabolic concerns we are seeing in children today,” he told me. “But this study adds further concern that chemicals in the environment are independent contributors.”

Then I asked him about his “rules” for using plastic food and drink containers. (He’s the dad of two boys, 7 and 5.) Here’s what he does; and advises others to do, too.

1. Look at the bottom of plastic containers before buying, and avoid ones with the recycling codes 3, 6, and 7.
A lot of companies now include “BPA-free” and “safe for microwave” on plastic container labels. But the real test, according to Dr. Trasande, is looking at the bottom of a bowl or bottle for its recycling code. Numbers from 1 to 7 indicate the chemicals used in the product, and some are more worrisome than others. “The number 3 means phthalates, which raises the possibility of contamination into liquid,” he says. He also advises families to avoid plastics with a 6 (polystyrene, often made in products meant to rigid) or 7 (a catch-all for miscellaneous “other” chemicals, including polycarbonate, which is produced using BPA).
I looked at the bottom of some of the containers in our house the other day. Most of our food storage containers had 5s and our beverage bottles were marked with 1s (relatively safer choices). But our Solo cups and lids were marked with 6s. And those styrofoam cups which hold endless cups of coffee and hot chocolate that are often reheated in the microwave? All marked with a 6. Our clamshell-shaped Chinese take-out containers, too.

2. Opt for wax paper or aluminum foil to wrap food whenever possible—and request that your deli and butcher counters do the same.
Most companies have eliminated BPA and phthalates from household wrap, but it’s harder to monitor what’s being used in products sold at the supermarket. Regardless, “using paper or foil reduces the amount of contact that (all) plastics have with food,” says Dr. Trasande. Plastic chemicals are especially likely to migrate into fatty foods like meats and cheeses.

3. Don’t microwave plastic.
This goes for any kind of plastic container or wrap, in Dr. Transande’s book, regardless of recycling code. “When you cook foods at these high heats, you’re inviting plastics to melt at a microscopic level and travel into your food,” he says. Stick with glass or ceramic instead.

4. Don’t wash plastic in dishwasher.
This is one I’d never thought of. “Use soap and water in the sink instead,” says Dr. Trasande. “Harsher detergents etch the plastic and increase absorption into liquids and foods.”

5. Pitch plastic that’s become scratched up.
Once plastic is “etched,” that increases the odds of chemical leaching, Dr. Trasande says.

6. Don’t reuse plastic drink bottles.
If plastic bottles were meant for single use, keep them that way, advises Dr. Transade. “Besides, reusing them raises the chance of bacterial contamination.”

Plastic may be ubiquitous these days, and keeping track of every odd container that comes from a store or restaurant may be futile. But making a few better choices at the kitchen and grocery store? That, I think I can do. For more information about Dr. Transande’s research, visit his page at NYU School of Medicine, here.

 

 

 

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How to Choose Kids’ Sunscreen

July 1, 2015 by Kelley Leave a Comment

how to choose kids' sunscreenStep into just about any pharmacy in America right now, and you’ll see an aisle filled with neon-colored sunscreen bottles—and a bewildered-looking mom or two standing in front of it. I’ve been there—just last week, in fact, when I realized that my boys needed to pack their own sunscreen bottles for camp. But what was supposed to be a five-minute stop at CVS turned into a 30-minute morning-spoiler, in which I alternately studied labels and scanned scary website reports about how listed ingredients might throw my kids’ hormonal development out of whack.

We all know by now that sunscreen is essential for protecting our kids from skin cancer and future sun damage (after a childhood spent comparing sun blisters with my cousins every July 4th, I count this as major progress). But it remains frustratingly difficult to find straightforward information about what formulations, among the sea of choices at the store, we should be using (or avoiding). In search of some trustworthy advice, I reached out to Albert Yan, M.D., the chief of dermatology at Children’s Hospital of Philadelphia, with whom I’ve worked on articles about kids’ skin problems in the past. Thanks to insights from Dr. Yan and my friend Julie Karen, M.D., a mom as well as a dermatologist at CompleteSkinMD in New York City, I’ve come up with five facts every parent should know before stocking up on sunscreen for summer’s most scorching month.

1. Narrow your choices down to sunscreens with SPF 30 and “broad-spectrum” coverage.
Theoretically, the higher the SPF, the longer you’re protected against sunburn-causing UVB rays; but beyond SPF 30, especially, gains are negligible. “Broad-spectrum” sunscreens are essential for protecting skin not just from sunburn-causing UVB rays, but also dangerous UVA rays. Sunscreens that provide broad spectrum protection will say so on the label (the FDA monitors this), but you can also check for zinc oxide, titanium oxide, Mexoryl SX, or certain chemical combos (such as homosalate or octisalate with avobenzone) in the list of active ingredients. Don’t assume you have to buy ‘kids’ sunscreens: these formulas aren’t necessarily different than others.

2. Mineral-based sunscreen is ideal if your kids tolerate it, but chemical sunscreens are also safe for most.
Because titanium dioxide and zinc oxide work by providing a physical barrier on top of the skin rather than being absorbed into it, sunscreens made from them are great for those with sensitive skin (like babies and children with eczema). But many kids dislike titanium and zinc’s thick feel and the white-ish cast they leave on the skin—and as a result, they or their parents may apply formulations hastily, and resist reapplication. If this tends to be the case, and sensitivity isn’t an issue, Drs. Yan and Karen recommend chemical sunscreens instead. “Above all, I ask families to buy something that their kids will tolerate and be willing to use,” says Dr. Yan.
What about the chemical ingredient oxybenzone, which the recent Environmental Working Group (EWG) report on sunscreens was chiefly concerned about? “When administered at high doses to animals, it has shown to mimic the effects of estrogen, but the doses were extremely high and used over a long period of time,” says Dr. Yan. A recent editorial on the website of the Skin Cancer Foundation reported on a CDC study that found that oxybenzone is already prevalent in our bodies and “has not been associated with adverse health effects,” but did note that researchers called for more studies into the chemical’s effect on human bodies. For parents who are skeptical, Dr. Yan recommends sticking with zinc or titanium or choosing a chemical sunscreen that doesn’t contain oxybenzone. (Our current household favorite is Ocean Potion Protect & Nourish SPF 30, which spreads well, smells great—like lemon layer cake—and contains no oxybenzone.)

3. Sunscreen sprays can be used—with caution.
Sprays have gotten a bad rap lately, mostly over concerns that children might inhale aerosol particles when they’re being applied. The FDA is in the process of investigating the safety of aerosol sprays, but has yet to come out with definitive guidelines on their use. In the meantime, my doc sources say they like sprays for their ease of use and light feel, but with some caveats. Dr. Karen worries about how well they cover the entire body, so usually starts with a good lotion-based sunscreen on her kids, and relies on sprays for easy reapplication. When kids are in and out of water, Dr. Yan prefers the thicker coverage of a lotion or gel, but in other circumstances, gives parents the green light on sprays. To reduce the possibilities of inhalation when using on facial areas, he does suggest that people apply aerosol sprays to their own hands and then rub it on the face, or look into newer, non-aerosol sprays (they look like pump bottles).

4. Reapply more than you think.
When patients’ parents say their kids are burning even though they’re putting on sunscreen, Dr. Yan usually discovers they aren’t reapplying often enough. Diligent reapplication every 2 to 4 hours, especially during water-based activities, is key. And don’t skimp when it’s cloudy. According to the Skin Cancer Foundation, 70-80 percent of the sun’s rays—above all, UVA rays—go through clouds and fog.

5. Don’t rely on just sunscreen for sun safety.
Warwick Morison, M.D., chair of the Skin Cancer Foundation’s photobiology committee, calls sunscreen “just a part of a package of protection.” Hats, rash guards or tightly woven shirts, and frequent breaks from the sun can go a long way toward keeping kids safe and happy during a long day at the beach, park, or pool.

 

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Best and Worst Kids’ Drinks

February 24, 2015 by Kelley Leave a Comment

We’re told time and again that babies should get breastmilk (primarily) and teens need to steer clear of booze (obviously), but when it comes to kids in the middle, there’s very little talk about what they should drink, and how much. And yet, children’s beverage choices make a huge impact on how many calories and nutrients they consume in any given day.IMG_0031

Some recent research scarily spells this out. A 2014 report by the Yale Rudd Center for Food Policy & Obesity revealed that the typical 8-ounce “kids drink” marketed to children contains 16 grams of sugar, more than is recommended for some children in an entire day. And while I assumed that I was among the last generation of children who might discover an Orange Fanta in a lunchbox and not bat an eye, it turns out that today’s kids are drinking more sugary beverages than ever: From 1989 to 2008, calories from sugary beverages increased by 60% in children ages 6 to 11, and the percentage of children consuming them rose from 79% to 91%, according to a Harvard School of Public Health research review.

Kids’ ballooning packaged beverage consumption has a lot to do with the incredible number of choices they have—and the insidious marketing that targets them. Sodas are still in heavy rotation in many kids’ diets—despite worrisome new evidence out of Johns Hopkins showing that the cosmetic caramel color in colas and other dark drinks are carcinogenic to animals and may pose a risk to humans, too. They are also exposed to more types of juices than ever, as well as sports drinks and caffeinated “energy drinks.” Lately, it’s the latter group that’s really gotten doctor’s attention. In 2013, one-quarter of the sugary beverage ads viewed by preschoolers and children specifically promoted energy drinks, which the American Academy of Pediatrics says has no place in children’s diets, period. Some energy drinks have up to 400 milligrams (mg) of caffeine per serving (about 4 times the amount in a cup of coffee), For children under 12, as little as 2.5 milligrams per every 2.2 pounds of body weight (that’s just 75 milligrams for a 66-pound 7- or 8-year-old) can pose a danger, say University of Michigan pediatric researchers. It’s no wonder that emergency rooms around the country are reporting an uptick in cases of cardiovascular problems and seizures in people, including young children, who’ve consumed energy drinks.

While I know this is sounding like a finger-wagging screed against fun drinks, I’ll admit here that juice is on our grocery list, prompted mainly by my 3-year-old, who would happily subsist on apple cider and orange juice if given the option. (I try to limit him to a cup of either a day. Not always successful.) My other two boys are mainly water- and milk-drinkers, but my oldest son has recently acquired a taste for Sprite, which I allow him on occasion, and if hot chocolate drinking was a competitive sport, my middle child would be a champion. Gatorade, for all of them, pretty much represents an elixir from the Gods. Which is why I’m writing this post: I’d like some more clear-cut advice about what’s okay to serve on occasion, and what to keep out of the house, period. With thankful nods to the AAP, Nemours Foundation, other health policy researchers, and my always trusty advisory board, here’s what I’ve come up with.best and worst kids beverages

 

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Environmental Health Doctor’s Wish List

January 28, 2015 by Kelley Leave a Comment

environmental health kidsThis post is part of a “Wish List” series in which I ask experts in different kid-related fields—medicine, education, etc.—what they really want parents to know and do better. Interested in hearing from a certain type of expert? Please make a suggestion here.

For this installment of the expert “Wish List” series, we’re honored to share the wisdom of Jerome Paulson, M.D., a professor of pediatrics at George Washington University School of Medicine and Health Sciences and chair of the executive committee of the Council of Environmental Health for the American Academy of Pediatrics. Here, he tells us the five things he wishes every parent knew or did to help all kids—your own and future generations’ —consume healthier air, water, and food.

1. Consuming a variety of fresh, whole foods is more important than eating organic. We know that produce is full of antioxidants and other nutrients that help protect kids from all sorts of problems. But many people will be surprised to learn there’s actually no documented long-term health benefit of eating organic foods. Eat organic if you want to, but don’t limit your child’s intake of fresh fruits and vegetables, calcium-containing foods, and whole grains if buying organic makes these choices too expensive. If you want to be choosy about organic purchases, look at the Environmental Working Group’s Dirty Dozen and the Clean 15, here. They have an app that will allow for quick reference at the grocery store.

2. Take steps to be more energy conscious. Climate change is one of the major health problems facing the globe. Any parent concerned about the future of their children and the planet should make an effort to use public transportation and carpools whenever possible, buy the most fuel efficient vehicle consistent with safety and their budget they can find; conserve energy at home; and encourage their elected officials to change local, state, and national policy so the U.S. can contribute to climate change mitigation where possible and adapt to climate change where it must.

3. Avoid toiletries and cosmetics that include endocrine disrupting chemicals. Certain chemicals common in household products are thought to possibly interfere with many chemical processes in growing bodies and are known to have adverse health effects in animals. Err on the side of caution and avoid buying soaps, lotions, and makeup for your kids that contain triclosan, phthalates, parabens and certain other ingredients (for a full and helpful list, check out the EWG’s Skin Deep page, here).

4. Keep indoor air free of pollutants. Polluted indoor air is a big asthma risk. Don’t allow people to smoke in your home—ever—and work with your local school district to take steps to keep the school’s indoor air clean by avoiding air fresheners and keeping humidity down to inhibit mold growth. Moms Clean Air Force and the American Lung Association have great tips on their websites.

5. Take your shoes off when you enter the house. You’d be amazed by how much bad stuff is tracked in on the soles of shoes—pesticides and harmful chemicals, just to name a couple. Make a designated spot by the door where everyone in the family can stow their boots and sneakers, and get everyone into the habit of removing their shoes when they come into the house.

Photo credit: Odin Thomas via Photo Pin, cc

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