Practicing Prevention: Using Produce from a Farm Share

As someone who spent a lot of childhood summers on a dairy farm (my grandfather’s), I became accustomed to the (superior) taste of freshly picked fruit and vegetables and missed them when I made the move to the big city. I also believe in supporting family farms. When I was single, this meant trekking to farmers markets when I could, but weekends I was often on the road or otherwise occupied and couldn’t make it on a Saturday morning. Unfortunately, Wegmans (www.wegmans.com) hadn’t made it to any of the cities I was living in during my 20s and none of the stores I shopped at made it a practice of buying from local farmers the way Wegmans admirably has for years.

Thankfully, a colleague in Chicago introduced me to community-supported agriculture (CSA) (http://www.localharvest.org/csa/) and farm shares. Once we started having family dinners on a regular basis, it seemed that enough vegetables would be consumed in our family to support our participation, and we signed up.

Meal preparation is a bit different with a CSA. Instead of planning my meals and then doing shopping, I now start with what’s in the weeks’ box, find recipes that use those items up before they spoil (since they were picked ripe, my window is short for some items) and supplement with items from the grocery store. This process is made SUPER easy in the internet age as you can go to any number of recipe sites and enter your ingredient (e.g. zucchini) and get a long list of ideas – with something to meet everyone’s mood and taste preferences. Or, if you’re like me and have a rather large binder of recipes you’ve gathered and been meaning to try, you cull through piles of recipes as you watch the game/match to put meals together. Sometimes I improvise, substituting an item in the recipe for one I have. Our box comes on Thursday afternoons so I plan my menus on Friday night and go shopping Saturday morning. My main criteria in choosing a recipe are finding something that uses what comes from the farm, “healthy” and likely to be declared “yummy” by my family. This can be a challenge in a house where I think “yummy” means tasting the vegetables and other people think life would be grand eating Alfredo sauce every night! So there is a balance and some tweaking – we aren’t all about plain raw veggies!

Can you show me what you mean?

SURE!

This week, we had a few gorgeous zucchini in our box so I went looking for recipes that used zucchini in my pile. I found a yummy looking pasta dish I had ripped out of some magazine while on an airplane. It called for zucchini (check), onion (had some in the pantry), lemon (always have those), Parmesan cheese (always in the fridge), tiny frozen green beans (which I misread as tiny frozen peas, check) and heavy cream. The recipe mostly met the Your Disease Risk cancer prevention guidelines i.e. eat vegetables, limit red meat) but was a little heavier on the cream and cheese (i.e. limit saturated fats) than I’d like so I just scaled back a bit on those items. It came together quickly and easily.

Chop up a zucchini.

And an onion.

Grate some Parmesan cheese. (that looks like a lot in the photo but it was maybe 1/2 cup)

Thaw some frozen peas (because that’s what you have even though the recipe says green beans)

Zest and juice a lemon.
Saute the zucchini and onion together with a little olive oil, salt and pepper until tender.


Toss it together with the cooked pasta, a little cream, the Parmesan cheese, lemon zest and juice and a bit of the pasta cooking liquid.

Fast, easy and delicious.

And if you’re lucky like those of us who participate in the Yellow Wood Farms CSA, your weekly box sometimes contains mulberries! Mulberries (which apparently grow on trees not bushes) don’t transport well from what I’ve read so you won’t find them in stores. So unless you’re doing some urban foraging, you won’t find them… unless you’ve got a great farm share!

Pedal Power: Modest Amounts of Bicycling Show Big Benefits for Weight Control


Walking has long been the preferred mode of exercise for a good many people, but the results of a new study may have bicycling give it some competition. 

The large Harvard study published this week in the Archives of Internal Medicine (study) found that modest amounts of bicycling could help significantly stem weight gain in pre-menopausal women, particularly in those who are already overweight.

Weight gain is a huge battle for most people and simply slowing the regular weight gain most of us experience over the years can have huge health benefits, lowering the risk of cancer, heart disease, stroke, and diabetes.

The study - part of the Nurses Health Study II - followed  over 18,000 pre-menopausal women over six years and found that 30 minutes a day of bicycling and 30 minutes a day of brisk walking each had very similar and significant weight control benefits.  Yet, while lean women were much more likely to go on a brisk walk than overweight or obese women, both overweight and lean women were similarly likely to go for a ride on their bikes.

The real standout finding in the paper, though, was the weight control benefit of riding just five minutes a day.  While riding greater amounts had even more benefit, steadily riding just five minutes a day had a real impact on weight over the six year period.

Exercise can be a daunting challenge for many, but as this paper helps show, it really doesn't have to be.  Any amount of activity is better than none, and can even have big benefits.

Of course, to get the full health benefits of exercise, and to actually lose weight and maintain it, requires more effort - 30-60 minutes a day - and these are levels we should all shoot for.  But we don't need to get there in a single bound.  Five minute could be a good place to start.

Cell phone towers and cancer risk

A detailed analysis of some 1397 children with cancer between ages 0 and 4 evaluated the exposure of mothers to cell phone towers based on residence at birth of the child (see study). These children with cancer were compared to 5588 children born on the same day who were free from cancer. This detailed study compared exposures for a range of childhood cancers including brain, central nervous system, leukemia, non Hodgkin lymphoma and all cancers combined 1.

The investigators analyzed the data controlling for socioeconomic deprivation and the population density. The observed no significant relation between exposure and total cancer risk. Total output as well as power density from the transmitter were evaluated. In fact the overall association was null and showed little suggestion of any reliant for the subtypes of cancer. Further more there was no association between increasing levels of exposure and risk.

These reassuring data add further evidence that childhood cancer rates are not explained by this in utero radiofrequency exposure.

As the President’s Cancer Panel noted there is much concern in the community that increasing exposure to cell phone technology may adversely effect the risk of cancer in children. These data from a rigorous evaluation found no association between the exposure of mothers during pregnancy to radiofrequency from to cell phone base stations and risk of cancer in young children. A detailed review by the National Academy 2 of radiofrequency exposure reported no evidence for adverse effects at levels of exposure across a broad range.

How should one interpret this study of base station exposure in relation to other sources of radiofrequency? It has been estimated that one day’s exposure from a base station at an incident level of about 2-10mW/m2 corresponds to about the first 4 seconds of local exposure to the head and about 30 minutes of whole body exposure arising from the use of a mobile phone 3.  Theoretical concerns persist, however, about the effects on children. Given their size and the potential for exposure to add over a lifetime, it is still recommended that exposure of children to cell phones should be minimized.


1.            Elliott P, Toledano MB, Bennett J, et al. Mobile phone base stations and early childhood cancers: case-control study. BMJ. 2010;340:c3077.
2.            Committee to Assess Potential Health Effects from Exposures to PAVE PAWS Low-Level Phased-Array Radiofrequency Energy NRC. An Assessment of potential health effects from exposure to PAVE PAWS low-level phased-array raadiofrequency energy. Washington, DC: The National Academies Press; 2005.
3.            Regel SJ, Negovetic S, Roosli M, et al. UMTS base station-like exposure, well-being, and cognitive performance. Environ Health Perspect. Aug 2006;114(8):1270-1275.