Dietitian Talks Health-DTH

Dietitian Talks Health-DTH As Clinical Dietitian, we'll be bringing U accurate nutrition-related pieces of info for ur health.

06/08/2025

WORLD BREASTFEEDING WEEK(WBW), 2023 Get link Facebook X Pinterest Email Other Apps Dickson O.,RDN, LD, mDAN, mICDA Wholesome Dietetics (Dtn.Dickson O.O., RDN, LD, mDAN) August 05, 2023  WORLD BREASTFEEDING WEEK (WBW), 2025.Welcome again to the 2025 global week of awareness for breastfeeding.THEME: ...

14/01/2024
24/08/2023

BM the life wire of neonates

WORLD BREASTFEEDING WEEK, 2023.Welcome again to the 2023 global awareness for breastfeeding.Breastfeeding of newborns re...
02/08/2023

WORLD BREASTFEEDING WEEK, 2023.

Welcome again to the 2023 global awareness for breastfeeding.

Breastfeeding of newborns remains part of their fundamental human rights, and Exclusive breastfeeding is encouraged no matter the perceived difficulty.

Exclusive Breastfeeding entails giving a newborn only breast milk(BM) till at least 6 months of age before incorporating other foods (Complementary foods), while continuing the breastfeeding to 1-2yrs based on capacity & other factors.

There are a lot to talk about here, but i would like this piece to be short & comprehensive.

Why Do we discourage/restrict administration of water to newborns other than breast milk?

Why do we encourage emptying one breast first before feeding the other?

Just patiently read to the end, I'll remember to answer these two questions & maybe more in your mind, satisfactorily.

First of all, let's briefly delve into breast milk components.

Duet to changes in appearance & Nutrient composition of breast milk(BM) during the months of breastfeeding, BM could be categorized into three: Colostrum, Transitional milk & Mature Milk.

1.) COLOSTRUM:
This BM category flows from delivery to about 6 days. It is thick & yellowish. It's as well rich in nutrients, antibiotics, immune system cells & enzymes.

The nutrient content of Colostrum is about 5x that of the Mature milk; high vitamin A & antibodies for fighting infections as the baby's immune system is still immature. An instance is immunoglobulins(Igs) & Lactobacillus bifidus factor(which grows the L. bifidus). These bacteria inhibits the growth of some pathogenic organisms in juvenile guts of the newborns. Also, Igs are not absorbed but wage war against pathogens that enter the juvenile gut.

Some people especially in the olden days, ignorantly discard this milk category(colostrum) because of its colour & consistency. This is absolutely wrong & should be discouraged, as this milk is rich in Human milk Oligosaccharides (HMOs), which strengthens the intestinal health of breastfed newborn.

2.) TRANSITIONAL MILK:
As the name sounds, this is when the milk is trying to change (transit) from colostrum to Mature milk.

This milk flows from the 7th day of delivery to the 10th day. It is just a period of transiting to mature milk.

The nutrient content & concentration of this milk category is lower than colostrum, but higher than mature milk.

3.) MATURE MIK:
As the name implies, this is the category of milk that is mature & is expected not to undergo further drastic change(s).
Mature milk starts coming up from 10th day of delivery till the cessation of breastfeeding.
Mature milk can be further categorized into 3 as: Fore Milk, Intermediate milk & Hind milk.

a.) Fore Milk:

This is the first aspect of mature milk that flows out while breastfeeding with mature milk. It is about 60% of the milk volume.
It is watery, resembles skimmed milk(fat-free milk) & satisfies the baby's THIRST. This is the answer to the first question i asked earlier. With fore milk, there is no need for water while breastfeeding; since all the water needed by the baby is naturally imbedded in the fore milk of the BM. Giving water can deprive the newborns of more nutrients as their little stomach will be occupied with the water & the lowly nutritious fore milk. No other space to accommodate other.

b.) Intermediate Milk:

This is similar to full cream milk. It contains high proportion of fat.
It starts flowing out immediately after the fore milk & supplies the baby with energy. It is far more nutrient dense than fore milk.

c.) Hind Milk:

As the name implies, this is the last category of mature milk. It is the last to flow out during breastfeeding.
Hind Milk is highly creamy & concentrated, satisfying the hunger of the newborns.

Hind Milk, which starts being released from 10-20 minutes into feeding, is the highest energy & nutrient dense category of Mature milk.

By implication, the newborns are expected to be nursed long enough to be able to access this hunger-satisfying Hind Milk.

Now, back to my 2nd question above.
I always encouraged parents in postnatal clinic to always try emptying one breast before going to the other. I discovered that many mothers routinely feed both breasts halfway to maintain postural balance (according to most of them I interviewed).

Not emptying one before going to the other means depriving the newborns access to part of intermediate milk & then Hind Milk.
It means giving the newborns double access to fore milk once, which is more water with very little milk. It won't be long and this child will start looking for more food.

Some accuse some children of sucking too much, but in this case it is not their fault but yours; let me be their jury for now.....Lol.

Even when an adult is hungry, rather than eating food, if this adult fills his/her GIT with only water, the brain could be temporarily deceived into stopping hunger hormone signalling, but won't last long.

Moreover, apart from energy & essential fatty acids, part of intermediate milk & Hind milk is where the HMOs & nutrients(especially fat-soluble vitamins) are stuffed.

When a child, while breastfeeding, starts feigning sleep, scratching the occipital region in style, raising legs up & down, etc, know it that the child is actually accessing part of the intermediate milk & especially the hind milk. The satiety nature of the creams (fat) accounts for this.

Summarily, Exclusive breastfeeding is highly recommended as there are numerous advantages to both children & their mothers.

Meanwhile, the mothers should be given optimum support by spouses and others, to achieve Exclusive breastfeeding.

© Okereke, Dickson O.,RDN, LD, mDAN.

INYANKIRI/INYAARIIn those days as a teacher, one day I went to one of the senior classes to teach Biology & something un...
20/07/2023

INYANKIRI/INYAARI

In those days as a teacher, one day I went to one of the senior classes to teach Biology & something unusual happened. On entering the class & even before the students could even audibly tap the table to accord me the routine greeting, I couldn’t withstand the odour from the class.

The odour was superlatively foul; comparable to when a Swarm/Cloud of this grasshopper below are forcefully crushed together in a small non-ventilated enclosure.

On further immediate investigation, I discovered that this awful slightly pungent smell was emanating from what the students referred to as “NEW SWEET IN TOWN”; of which greater percentage of the class were momentarily & adventurously feasting on.

Why any human should accept that foul-smelling so-called “New-sweet-in-town” for free, talk more of purchasing it, hitherto, baffles me.

But as students, I know it’s what it is.

Meanwhile, the arthropod below is called Inyankiri or Inyaari in most Igbo dialects in Ebonyi State, especially the southern flank.

The English man refers to it as variegated grasshopper, probably because it has generalized conspicuous bodily spots.

In zoological taxonomy, it is assigned a binomial nomenclature as Zonocerus variegatus. It feeds mainly on cassava leaves(Manihot spp) and cereal foliages.

The repugnant foul-smelling secretion from this animal is pheromone, basically to attract partners for mating & as well to ward off predators to prevent being ingested.

Now, the big question is, can this pheromone totally prevent predation? Of course No!

The likes of those my students enjoying their “New-sweet-in-town”can enjoyably devour this insect when turned to delicacy, irrespective of the volume of alkaloidal pheromones secreted.

Entomophagy is the term for insect consumption. It could also be referred to as Insectivory. Insects remain one of the living multicellular organisms with highest species. They are simply numerous. In fact, Food & Agricultural Organization(FAO) said in 2005 that there are some two billion insect consumers worldwide eating varied species; They were as well suggesting that eating insects is a possible solution to environmental degradation caused by livestock production.

In as much as insects fall under non-conventional foods, it is actually good and nutritious to be consumed if you can.

Best method of Preparation

1) Pull the heads to remove guts; remove wings as well.

2) Wash thoroughly with plenty water.

3) Blanch (like vegetables); the reasons for blanching include: to brighten the colour, to slow or prevent loss of vitamins and other nutrients, to slow further enzymes action thereby preventing loss of flavour, etc.

4) Fry with oil(preferably palm oil), salt & healthy spice of choice till it is partially or totally crunchy. At this point, it is ready for consumption

Apart from human consumption of arthropods (arthro-entomophagy), they could as well be used to supplement various animal feeds.

Insects can be processed into a variety of forms, including pastes, powders, and meals, which extends their shelf life and allows them to be easily substituted in cooking and baking with no change in flavour, texture, or appearance. Insects can also be used to separate nutrients including vitamins, minerals, lipids, and proteins, allowing them to be used as nutritional supplements. In Africa, insects are basically consumed whole.

Nutritional Benefits Of Insectivory

Edible insects have relatively high amounts of elements that are important in the human diet, and it is believed that, depending on the species, edible insects contain up to 80% of all required nutrients. In terms of carbohydrates, calories, saturated fat, and sodium, edible insects like the house cricket have been found to be much more nutritious than traditional diets like beef and chicken.

Insects have long been a source of food for roughly 2 billion people around the world, and they are still a part of many people's diets. Many components that are important to human nutrition are found in insects, including lipids, proteins, fibre, vitamins, and minerals. Many edible insects have nutritional profiles that are comparable to those of other commonly consumed animal and plant diets. Most edible insects meet daily calorie and nutrient requirements, since they contain polyunsaturated and monounsaturated fatty acids, essential amino acids, zinc, iron, and fibre. They may also be used as a protein substitute for other animal proteins such as chicken, beef, and fish. Most insects, particularly crickets, consume enough histidine, isoleucine, leucine, lysine, threonine, tryptophan, and valine to meet or exceed adult requirements for most important amino acids.

The protein content of the edible insects is higher than that of soybeans, a common plant protein source. Chitin, which is found in the exoskeletons of a variety of insects, is also a good source of fibre & calcium and may help the immune system. Micronutrients such as B vitamins, zinc, and iron are abundant in many insects.

Moreover, incorporating edible insects into human meals has the potential to benefit the environment as well as human health. Resources such as land and water may be conserved, greenhouse gas emissions could be decreased, and food security challenges might be addressed by substituting edible insects for other animal and plant feeds. Edible insects like the house cricket have a nutrient profile that includes enough essential amino acids, unsaturated fats, fibre, minerals & vitamins, such as vitamin B12, iron, zinc, and calcium, to make them a viable alternative to plant & animal foods like pork, chicken, and beef in human diets. Edible insect’s nutrient composition may allow them to boost human health through intake by enhancing gastrointestinal health, increasing immunological function, lowering the risk of bacterial infection, and even reducing chronic inflammation linked to cancer and cardiovascular diseases(CVDs).

Edible insects have a wide range of potential nutritional and environmental benefits; although additional researches into their use in human diets are still ongoing.

Edible insects can be used as potential meat substitutes or dietary supplements, as has been alternatively used in many African countries & other continents during famines resulting from civil unrests or wars.

Any Disadvantage(s) Of Insectivory?

Apart from being a crop-destructive pest, there are few disadvantages of ingestion of certain insects, precisely Z. variegatus.

1.)Pathogenicity

Many insects are vectors(carriers of pathogens). High rejection of Z. variegatus by it’s supposed predators due to awful unpleasant smell emanating from high body alkaloids makes people question it’s safety when consumed. Some people believe Z. variegatus, precisely, has the capacity to poison other animals and human species. Others believe it’s toxicity level should be ascertained first, to help quantify recommended daily allowance(RDA).

Meanwhile, certain pathogens such as E. coli and Campylobacter have been found in living insects.

2.)Allergenic

According to FAO, there is high tendency of developing serious allergic reactions from insect consumption. Owing to that, people that do experience sea food allergy are advised to avoid insect consumption.

3.)Chemical

Most insects are eaten whole.Owing to this, they are vulnerable to chemical contamination. Pesticides, toxic metals & dioxins are specific chemicals of concern in insect consumption.

4.)Physical

Insects can have choking properties due to their hard body parts which include stingers, wings, spines & rostrum(sharp mouthparts).

Note

As some people customarily or culturally do, eating insects raw is totally inadvisable.

©Okereke Dickson O.,RDN, LD, mDAN, mICDA.

As Clinical Dietitian, we'll be bringing you accurate nutrition-related pieces of information for your health optimizati...
28/06/2023

As Clinical Dietitian, we'll be bringing you accurate nutrition-related pieces of information for your health optimization.

Including the relationship between some diseases (especially non-communicable forms)and nutrition; the benefits of nutrition in such ailments, as well as how best to prevent and manage them to reduce their escalations & minimize incessant drugs use.

These pieces of information will be coming in both written (concise), pictorial, & video forms.

Nutrition is very vital in all facets of life (either in health or disease), and only expert RDNs/RDs have the professional prowess to rightly educate or counsel you regarding food quality & quantity with respect to your nutritional requirements/needs.

Please follow us patiently & keenly here as we organically progress; please subscribe, share and like, as DIETITIAN(s) will always TALK HEALTH here.

Thanks immensely, as we anticipate your engagements.

Dickson O.O.,RDN, LDN,
mDAN, mICDA.

(Clinical Dietitian).

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Enugu

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