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A Piece of My Mind
January 5, 2016

Thinking Outside the (Lunch) Box

Author Affiliations
  • 1Department of Family and Social Medicine, Albert Einstein College of Medicine, Bronx, New York
JAMA. 2016;315(1):27-29. doi:10.1001/jama.2015.15971

I am a family physician in the Bronx, New York. My patients are predominantly lower-income minorities who face many obstacles to healthy eating. During patient visits, I have seen Coca-Cola in baby bottles and french fries as infant food. A common theme in my patients’ diets is a paucity of whole foods and a preponderance of ultraprocessed products.

Certainly, education plays a role; my patients generally have lower levels of schooling and lower health literacy. Part of my job as a physician is to educate. Given that nutrition impacts general health and wellness and the management of virtually all disease states, I find myself counseling on diet at most patient visits.

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