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Editor's e-Note
Why the Breast Is Best

When I was pregnant with my son, I read several articles—and a book—about the plethora of nutrients, good bacteria, and immune-boosting substances in breastmilk, so I decided to breast-feed. I was determined. I read that breastmilk helped prevent various allergies, illnesses, and ear infections in infants, and helped establish a strong immune system that could last a lifetime. And I learned that breast-feeding provided health benefits to the mother. Needless to say, I was sold!

In this month’s E-News Exclusive, Today’s Dietitian (TD) discusses some of the important nutrients in breastmilk and the role they play in establishing a healthy microbiome in infancy. The components found in abundance in breastmilk that are highlighted are human milk oligosaccharides, which play unique roles in developing a healthy gut and preventing illnesses in infants.

After reading the article, visit TD’s website at www.TodaysDietitian.com to read the digital edition of the September issue, which includes articles on stroke prevention in younger adults, strategies for families to boost produce intake, the power of pulses, and our legendary, annual dining guide featuring a stellar line up of award-winning restaurants in Philadelphia—just in time for FNCE®. Make your reservations, pack your bags, and get ready to enjoy a delectable culinary experience!

Don’t forget to check out RDLounge.com where you can read and comment on blogs written by RDs for RDs. We’re welcoming new guest bloggers, so if you’re interested in writing, please contact me at the e-mail listed below.

Please enjoy the E-Newsletter and give us your feedback at TDeditor@gvpub.com, and don’t forget to like us on Facebook and follow us on Twitter.

— Judith Riddle, editor
e-News Exclusive
Breast-Feeding’s Role in Establishing the Microbiome in Infancy
By Sherry Coleman Collins, MS, RDN, LD

Developing a healthy gut begins at birth. In fact, the route of a baby’s birth impacts colonization of the infant body and gut in a significant and measurable way. Vaginal delivery ensures the baby is inoculated with the mother’s microbes and starts the process of developing a diverse microbiome, as compared with a less diverse and less robust microbiome after cesarean birth. Instead of benefiting from the mother’s microbes, the early microbiome of babies born via cesarean is mostly influenced by the environment. Further and ongoing colonization of the skin and gut continues with early feeding (eg, breast-feeding vs formula) and environmental factors (eg, pets), as well as the influence of genetics and medications (eg, antibiotics).1

When it comes to nutrition, most experts agree that breastmilk represents the ideal for infant feeding. With thousands of unique components, breastmilk provides the perfect ratio of macronutrients at just the right time during infant growth, adjusting to meet a baby’s needs. Current infant feeding recommendations encourage mothers to breast-feed exclusively for the first six months. It has long been understood that breastmilk confers short- and long-term benefits to both mother and baby. These benefits include reducing the risk of infections, potentially decreasing the development of type 2 diabetes and obesity in the breast-fed infant, and lowering the risk of breast cancer in the mother and possibly the risk of type 2 diabetes and ovarian cancer.2

Full story »
Field Notes
Diabetes May Increase Complications, Death in Heart Failure Patients

Type 2 diabetes affects the structure of the heart in heart failure patients and increases their risk of repeat hospitalizations and/or death, according to new research published in the Journal of the American Heart Association, the open access journal of the American Heart Association/American Stroke Association.

Type 2 diabetes frequently coexists with heart failure, and the prevalence of diabetes has increased worldwide. While diabetes and heart failure together have been extensively studied among Western populations, less is known about their collective impact among Asian populations. An international team of researchers analyzed data from more than nearly 6,200 heart failure patients participating in the ASIAN-HF Study.

Read more »
Continuing Education
Learn about the health benefits of apples in this month’s issue of Today’s Dietitian. Read the CPE Monthly article, take the 10-question online test at CE.TodaysDietitian.com, and earn two CEUs!

September CE Special

Now through September 30, we're offering 25% OFF all self-study courses, so you can earn more CEUs this month for less. For our full course catalog, visit CE.TodaysDietitian.com and use coupon code BACKTOSCHOOL25 at checkout after choosing the courses you want.

* If applicable, the additional discount for CE Club Members will be applied to the already reduced product price. This coupon cannot be combined with any other offers or promotions. Offer expires September 30, 2019, at 11:59 PM EDT.

Lifetime Membership — Limited Time Offer!

Now through September 30, you can gain access to our CE Learning Library for the rest of your life! For just $599, your Lifetime Membership includes unlimited access to every 2-credit self-study course and 1-credit webinar we offer...for as long as you live!* Lifetime Members will also receive a 25% discount on the then-published registration fee of any live event we produce, including our annual Spring Symposium! Click here to secure your membership today »

* Terms and Conditions apply. Offer expires September 30, 2019, at 11:59 PM EDT.

Upcoming Live Webinars

Designing Powerful Presentations: Intentional, Inspiring, Impactful
To help fill the gap in nutrition professionals' education, Barbara J. Mayfield, MS, RDN, FAND, LD, and Sonja Stetzler, MA, RDN, CPC, on Wednesday, October 2, 2019, from 2–3 PM EDT, will discuss how to design a presentation that confidently and competently addresses audiences and achieves personal and audience-centered outcomes. Click here to register »

Update: What's New in the World of Carbohydrates
In this 1-CEU complimentary webinar, on October 10, 2019, from 2–3 PM EDT, Joanne Slavin, PhD, RD, professor, will provide an update on the recommendations for carbohydrates set by the Dietary Guidelines for Americans. Joanne will discuss the latest evidence relating to appropriate carbohydrate consumption by addressing professional practice gaps, including making better carbohydrate choices by consuming less added sugar and eating more plant-based foods that are high in fiber. Sponsored by Barilla. Click here to register »

Email Marketing: What Dietitians Need to Know
In this interactive webinar presented by Alissa Rumsey, MS, RD, CDN, CSCS, on Wednesday, October 16, 2019, from 2–3 PM EDT, learn how to get started with email marketing. Alissa will teach you how to build your list and use it to successfully grow your client base. She will help you create an irresistible lead magnet to quickly build an audience, and help you realize the benefit of having a sales page. Finally, Alissa will highlight case studies to show how dietitians like you successfully used email marketing campaigns to increase their income. Click here to register »

2020 Spring Symposium

We're currently offering our Advance Registration rate of $249 at TodaysDietitian.com/SS20. It’s a great opportunity to join us in a great American city and earn at least 15 CEUs at our 7th annual continuing education and networking event for dietitians and nutrition professionals! In the coming weeks, we'll be announcing more details about the event, including presenters, session topics, sponsors, networking opportunities, special events, and more. Register early and save!

Advance Registration Only $249 through October 31!
Gift Shop
From messenger bags and tote bags to apparel and journals, the Today's Dietitian gift shop has the perfect gift for long-time professionals, recent grads, or even the RD-to-be. Check out our secure online shop today or call toll-free 877-809-1659 for easy and fast ordering.
Ask the Expert
Have a dietetics-related question that you'd like our expert Toby Amidor, MS, RD, CDN, FAND, to answer? Email TDeditor@gvpub.com or send a tweet to @tobyamidor, and we may feature your query!
 
In this e-Newsletter
RD Lounge Blog
College Dining and Celiac Disease
Marlisa Brown, MS, RD, CDE, CDN

Sending children away to college is stressful for any parent, but when their young adult has a medical dietary restriction such as celiac disease, that anxiety is even more pronounced. Luckily for them, you as the RD are here to help new college students with celiac disease and their families prepare for this transition. Using the tips outlined below, RDs can guide parents and students in self-advocating for their needs and making safe gluten-free food choices on campus.

Knowing the new school’s foodservice and dining policies and procedures is paramount. Policies will vary, but most schools require students living on campus to pay for a meal plan during their first two years of school, usually to ensure that the school has enough funding to maintain foodservice operations and contracts.

Read more »
Other News
Teen Eating Mostly Potato Chips, Fries Loses Sight
As reported by NPR, the Annals of Internal Medicine published a shocking case study wherein a teenager who consumed a highly limited diet—consisting mostly of French fries, Pringles potato chips, white bread, and processed pork—for a few years developed optic neuropathy resulting in blindness.

Nutrition Interventions Could Save Millions of Lives
A new report from the World Health Organization estimates that, were countries to implement nutrition interventions including limiting sugar and salt intake and promoting and supporting breast-feeding, 3.7 million lives could be saved globally by 2025.
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In the October Issue

Vegetable-Based Pastas

The FDA’s New EPA/DHA Health Claim

Anorexia and the Gut Microbiome

Balancing Plant and Animal Foods for Optimal Health

Pain: The Role of Nutrition
Find solutions on our ToolKit Page
Tech & Tools
Food Guide for Kidney Disease
The American Kidney Fund launches the Kidney Kitchen, a website providing kidney-friendly recipes, tips for managing nutrients to be limited (eg, sodium and potassium), and guides for dining out and grocery shopping for patients with conditions such as chronic kidney disease and end-stage renal disease. Users can search for recipes based on meal type, difficulty level, and nutrient content. Learn more »

Stream Pilates On Demand
WundaBar Pilates, a chain of Pilates studios, introduces a streaming service, WundaBar Pilates On-Demand. Subscribers have access to 30-minute workouts led by WundaBar Pilates creator, Amy Jordan. The service launches with two initial packages from which subscribers can choose—“2 Weeks 2 Wunda” and “6 Weeks 2 Wunda.” Both packages offer a quick start guide, additional classes, a workout calendar, a food and nutrition guide, access to an exclusive Facebook group, and motivational e-mails. Learn more »
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Coming up in our October issue is our Fall Showcase. Email a sales representative to be part of this unique advertising opportunity.

AlliedHealthCareers.com is the premier online resource to recruit nutrition professionals. Post your open positions, view résumés, and showcase your facility's offerings all at AlliedHealthCareers.com!