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Diet
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whole fruits, total protein, and greens and beans. They scored lowest — a failing grade — on eating adequate whole grains and fatty acids, and lower on dairy products. On the moderation side, they scored a lower grade on sodium intake and saturated fats than on added sugars and refined grains, though there were no high scores.
The message of the study? “Healthcare needs to change, to be more comprehensive. And right now, that’s not our model,” Siega-Riz said. “Policymakers and prenatal care providers need to understand that even pregnant women need support and guidance to be able to change their dietary habits for the better.”
In a related PEAS study published in the Journal of Nutrition, Siega-Riz and her team performed a genomic analysis of the gastrointestinal microbiome of participants during the second trimester of preg- nancy after collecting fecal swabs.
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“Healthcare needs to change, to be more comprehensive. And right now, that’s not our model. Policymakers and prenatal care providers need to understand that even pregnant women need support and guidance to be able to change their dietary habits for the better.”
“We wanted to look at the relationship between diet and what’s in the microbiome, and then also how the microbiome might be at interplay with what’s hap-
Q: When should bariatric surgery be considered?
A: It should be seriously considered when sus- tained efforts at dieting and exercise have failed, and a doctor thinks it is the next step for a patient. Ours is a comprehensive program that will take patients anywhere from six months to one year to complete. Patients need to know that this is not something that can be done overnight. Weight-loss surgery is a tool that can be very helpful when employed the right
pening in utero that the fetus ends up being imprint- ed by,” she said.
The researchers found an association between
a diet with higher saturated fat and added sugar and the composition and function of the microbi- ome during pregnancy. But they don’t know yet what that means. They will continue to examine both the parent’s and the child’s microbiome in ongoing and future research.
“Although the results provide an initial landscape of microbial factors that are associated with spe- cific dietary components, such as dietary sugar, fat, and dairy, the story is complicated and evolving, and we hope that these findings will be a foundation for future hypothesis-driven research and investigation,” the paper concludes. BW
way and only works well in coordination with calorie- burning exercise, substantial behavioral changes, and a firm commitment to eating a better diet.
Weight-loss surgery is an option for people who are severely obese (about 100 pounds over your ideal body weight and a BMI of 35 and above) and cannot lose weight with diet and exercise alone. Improving your lifestyle, eating right, and staying active is still important. BW
  Weight
A: Most of us know very little about how to eat correctly, and what we are taught in schools is inac- curate, unhelpful, and, for those of us in our 40s or older, has been debunked. Dietitians can teach many things about hunger, appetite, and making good food choices. For example, do you read the labels on the food products that you buy? You should, but very few people do so.
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 30 FEBRUARY 3, 2025
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