Archive for the ‘Good habits’ Category

Portion Pitfalls Cause Weight Gain!

Thursday, August 12th, 2010

So many fond memories focus on food. Just ask someone about a recent party or holiday gathering that they attended, and watch his or her face light up as she describes the delicious mouth watering offerings that were gobbled up in a New York minute. Growing up I used to think that it was just my family that served  huge portions of food to guests. Not only were the portions tremendous, but if there were less than 10 choices, the meal was described as “thrown together”! After practicing as a registered dietitian for over 20 years, I’ve learned that my family is a typical “food is love” tribe, and that most people eat a lot more than they think they do!

Food portions have become enormous. We simply don’t understand what constitutes a serving size. Years ago an obviously smaller bagel was 140 calories. Now a bagel is about 350 calories! The 140 calorie bagel is considered a “mini-bagel”. 20 years ago a fast food serving of french fries was 2.4 ounces and 210 calories. Now a serving of fries is 6.9 ounces and a whopping 610 calories. And when you drive up to the window, the voice behind the clown will ask you if you want the “value meal” for another couple of cents. Although it seems like a bargain, don’t do it! You are just doubling your caloric intake! I strongly recommend viewing the movie “Super-Size Me”. It will give you a great visual. Try this portion distortion quiz by the National Heart Lung and Blood Institute. hp2010.nhlbihin.net/portion

Author and speaker James E. Painter PhD  RD, Chair of the School of Family and Consumer Sciences at Eastern Illinois University has done extensive research in the areas of weight gain and portion control. He  points out that we have very little understanding of portion sizes. We lose track of what we are eating due to quick restaurant service, increased recipe size at home, more visual food cues, increased size of containers and basic convenience of food. Dr. Painter has done several experiments which clearly prove that “”people who pour from larger containers eat more than those pouring from a smaller container”.  For example people will eat 45-50% more from extra large popcorn containers. And by the way, it doesn’t even matter if the popcorn is stale or fresh. Yuck!

There are now snack shops at gas stations where you can buy everything from a giant sugary soda to a hot dog or candy bar. Donut shops are opened 24 hours, 7 days a week, 365 days a year.  Inconvenience decreases food consumption. If food is made less available, we will eat less, and therefore weigh less.

Here are a few tips to help you avoid portion pitfalls:

1. Keep A Food Journal

We are responsible for what we eat. Writing down what you eat and how much you eat is very important. It’s also helpful to include the time you’re eating and feelings while eating (such as stress, boredom or anxiety). Writing down your food will increase your awareness of what you are actually putting in your mouth.

2. Be Aware Of Large Packages And Containers

The bigger the package, the more you will eat. NEVER eat out of the container. Always portion your food into a small bowl or plate.

3. Keep Healthy Food Choices Available

Simply keep healthier foods available. Cut up fruits and veggies so that they will always be available. Fill a candy dish with pretty potpourri or if you need to display food on the counter, put out fresh fruit. There is no reason to buy huge bags of candy or chips. If you do want to keep some of these foods in the house, buy smaller bags and keep them out of your direct eye sight. These are “sometimes” foods. If you start to become more aware of your portions, you can actually eat these special foods more often because they will be “portioned”.

4, Monitor Your Portions When Eating Out

Take control of your food destiny when eating out. Don’t be afraid to order an appetizer portion for your entree with grilled vegetables and a salad. Even try a child’s portion, take half of your food home or share an entree with your dinner companion.

5. Put Leftovers Into Smaller Containers

Putting leftovers into proper portion size containers will allow you to reheat  and eat them without overeating. You will be able to enjoy your next meal without extensive preparation.

6. Always Eat A Salad Or Raw Veggies Before A Meal

Unless you have a stomach issue which might prevent you from eating more vegetables, it’s a great idea to eat some fiber packed veggies before eating  a meal. This will take the edge off your hunger and allow you to control your portions.

7. Timing Of Meals And Snacks

Eat 5-6 times each day, every day. Spacing out your food will help stabilize your blood sugar and help you control hunger. If you are starving before a meal, you will most probably eat a lot more.

Portion control is a necessary key to weight control success. Along with diet and exercise we need to control our portions. Try following the tips outlined above. I’d be very interested in hearing your comments and tips about how YOU have controlled your portions. Remember if you eat a little less, and move more, you will lose weight and feel great.

Farmer’s Market Fun!

Sunday, August 1st, 2010

                                          By Guest Blogger     Susan Kalish, R.D.

“Farm Fresh” food has a whole new meaning when you actually go to the farm to pick out the food yourself! At farmer’s markets across the country, there are fresh foods available for your choosing.  Buying locally grown products  is a  wonderful way to enjoy some inexpensive family fun while supporting the local economy. Let’s look at some of the many reasons to support farmer’s markets.

1)  An Opportunity to Try New Things.  As a loyal farm stand shopper I must admit that nothing can compare with sweet fresh locally grown corn. However, my advice is to keep an open mind when selecting some of the more unusual varieties of produce. There are interesting fruit hybrids such as pluots, (which are plum/apricot combinations).  Try delicious variations on  more traditional fare such as juicy donut peaches. These tasty fruits are not fused with donuts, they just take on the cute shape. There are so many types of fruits, vegetables and fresh herbs to choose from that it makes most “foodies” want to experience new and exciting farm fresh offerings. Experimenting with new foods adds excitement to the entire fresh market experience. The friendly farmers are more than happy to advise you on how to use their products.  There is also a strong feeling of  community support when you purchase locally grown products.

2) Fresh, Seasonal Nutrition. If you believe as I do that we need to work with nature and support our environment, than shop locally and eat seasonally.  Seasonal fruits, vegetables and hybrids will be the main source of food available at your local farmers market.  Start treating yourself to foods which were meant to be grown, harvested and eaten at a particular time of year. Enjoy vitamin rich foods the way nature intended us to eat them.  

3) Economical Shopping. In these tough economic times, many people are looking for ways to save money.  What better way to support your local economy and community than to put your money towards local farmers fare.  Another way you will save money is by cutting out middlemen services. This food comes straight from the farmer to the consumer.  Consider purchasing gorgeous  fresh flowers at the market or homemade preserves with the money you saved by cutting out the unnecessary transportation services.  

4) Pick your Own. Selecting your own fruits and vegetables is a fun, inexpensive day out. Blueberries and peaches are ripe for the picking.  Shopping with your kids can teach them about healthy food choices and provide some much needed outdoor family fun.  

5) Wineries.  Although, not exactly a farmer’s market, locally grown grapes make delicious and affordable wines, some of which may even be available at your local farmers market. Check your local listings  during the summer as many wineries even offer live music on the weekends. Try some local, heart-healthy red wines (in moderation of course). So next time you’re considering bringing a bottle of wine to a friends house for dinner, remember your local grape growers! 

The produce in grocery stores can look and smell appealing, (and is still very nutritious), but  it often takes weeks to get foods from farms to the supermarket shelves.  Between international shipping and storage, our “fresh” food may actually be quite dated. Not only is the produce we purchase at supermarkets not as fresh as it could be, but it  may also lose several nutrients and sometimes flavor with age while being transported. The best time to take advantage of your locally grown farmer’s markets is now when the options are endless.  You  may be pleasantly surprised at how many varieties of your favorite foods are grown nearby.  Don’t despair city dwellers; many cities have farmer’s come in to local parks or churches on the weekend – just look for the signs! Keep an eye out for local listings for farmer’s markets, or wineries in your region or search online for pick-your-own options in your community at: http://www.pickyourown.org/. To truly get the farm fresh flavor and full benefit of your favorite fruits and veggies, stop by and support your local farmers markets.

Figuring Out Food Expiration Dates!

Saturday, July 10th, 2010

 Next time you open your refrigerator, please glance at the back of this essential kitchen appliance and pull out any “questionable” items that you might not have seen in the recent past. Perhaps you’ll find a yogurt you bought on sale (last month), or funky American cheese or unfamiliar salad dressing. Your first reaction is to possibly check the item for an “unpleasant odor” or “plant growth” and  you might glance at the expiration date of the item. Do not rely on your sense of smell when deciding whether or not to eat a particular “aged” food!

What most people don’t realize is that the expiration dates on most foods are  based on a “voluntary” food labeling system. Federal labeling laws regarding expiration dates are only required on infant formulas and some baby foods. Several states also require food markets to remove dairy items from store shelves based on expiration dates.

The expiration date refers to the last date a food should  be eaten. Basically, foods can be sold past the printed expiration date. My recommendation is to NEVER eat a product past the expiration date. What about other commonly used terms?

-”Sell By date. The sell by date is a term which indicates how long to keep the product on the store shelf. The product should be purchased before the sell by date. My family always comments that I “reach back”, when buying items in the supermarket, and I never take the food item in front. That’s because I know that the sell by date is a way for the stores to continue to rotate items, and therefore the newer items are usually toward the back. Although foods might still be “edible” if they are sold after the sell by date, they are not necessarily fresh.

 -”Use By”  The manufacturer of the product, not the Federal Government determines the use by date. The use by date refers to the last date the product should be eaten or used for top quality. The use by date has nothing to do with the safety of the food being sold.

-”Guaranteed Fresh” date. Most baked goods have a guaranteed fresh date. Nothing is actually guaranteed here! Rather the guaranteed fresh date refers to when a product is most fresh. Baked goods obviously are on store shelves for a shorter period of time, so this date may not be “guaranteed” for long! That’s why “day old bread” or muffins are often on a reduced sale rack.

Food stays fresher longer if it is placed in the coldest part of the refrigerator (which should always be below 40 degrees Fahrenheit- 36-38 degrees is optimal). Try not to place uncooked meat or dairy next to the light bulb or on the door (which is opened often and therefore the temperature of the foods on the door is often higher). Always refrigerate perishable food items as soon as you get home!

Because expiration dates are voluntary, they are often not uniform and therefore very confusing. It’s important to remember that the dates on food products refer to “quality” and not food “safety”. Select foods carefully and store them properly. Please make sure your freezer and refrigerator are clean and functioning optimally. Don’t over pack your refrigerator, because air flow and temperature regulation are very important.

If you would like more information on food storage check out:

Cold Storage Chart:

http://www.pueblo.gsa.gov/cic_text/food/cooking4groups/8.htm

Refrigerated foods:

http://www.pueblo.gsa.gov/cic_text/food/cooking4groups/9.htm

Remember the motto ”when in doubt, throw it out”! If you have any concerns about a food item, don’t eat it! It’s best to keep an updated inventory of foods in your home. Make sure you buy foods that you plan on eating “soon”! And clean out your refrigerator, freezer and pantry. Toss foods that you think might be questionable. To avoid wasting money and throwing out food, try to purchase perishable and canned food products in smaller quantites. It will improve the freshness and quality of your food while reducing waste. Remember, enjoy what you’re eating, but stay safe!

 

 

 

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Get Going On Guiltless Grilling!

Sunday, July 4th, 2010

By Guest Blogger Susan Kalish, R.D.  

Summer has officially started and the grills and fireworks are being lit! July 4th celebrations are starting and this season, just because your social calendar is expanding, doesn’t mean your waistline has to as well. Here are a few tips and tricks to help you  enjoy those summer time BBQ’s without packing on  unwanted pounds.

Eat like a vegetarian, even if you aren’t one.  If you are vegetarian, or are considering a plant based diet (whether it is for your health, love of animals or the environment), it’s a great opportunity to explore the world outside of a typical high fat burger. Opt for a veggie burger, refreshing summer green or bean salad, grilled vegetables and or enjoy the crudités with fresh salsa (and skip the creamy dip).

Skimp on the sides. The side dishes are usually loaded with mayo and mystery sauces that are packed full of calories – such as potato salad, coleslaw and pasta salad. Try your own spin on the side dishes by bringing an accompaniment that tastes good and is good for you. Give my summer bean salad a try (recipe is below). Be creative and experiment with your own favorite vegetables and seasoning substitutes. It’s not to say you can’t have your old family favorites, but if you really want to have Aunt Ethel’s famous potato salad, remember to watch your portions!  

Go Back to Basics. When in doubt, stick to the tried and true. If you can’t bring your own options or they aren’t available at the party, just go back to basics. Chop up a large veggie based salad, grilled chicken or fish and include fruit for dessert. Remember not to embellish the salad with excess dressings or the burger with extra cheese! Take advantage of the beautiful weather and get moving outdoors! Beginners and experts alike can enjoy a nice walk or bike ride, especially on days where you know you might want to indulge. Just make sure you wear SPF and drink plenty of water to stay cool and fit!

Limit Alcohol. Empty calories in alcohol will add up fast. On top of the calories, you are at greater risk for dehydrating or making poor dietary choices. Fill up on higher fiber foods (especially seasonal fruits and veggies), which are lower in calories and will help you stay satisfied and healthy.

Making a party at your home is always the best way to ensure the foods you are eating work for your specific needs, whether the goal is calorie control, health promotion, or just to suit your preferences. When hosting a party at home, you can sneak in healthy choices for you that are also crowd pleasers for your guests. I prepare  traditional dishes  using low-fat dressings or mustard in place of mayonnaise, or use leaner meat (or vegetarian) selections for family parties. Even those who usually pride themselves on avoiding healthy choices might appreciate some more adventurous selections!  Friends and family members who are  calorie and health conscious,  will certainly note and appreciate your efforts.

If  you’re attending a party where there may not be healthy choices available, then bring your own creative entree  or dessert. You can be a gracious guest and be guilt free by bringing  the quintessential dessert, and my personal favorite, sliced watermelon. Juicy seasonal fruits are a  natural healthy treat! Remember, you can enjoy your entrée and everything before and after without the weight (literally or figuratively) of guilt on your shoulders this grilling season. Your hostess, guests, and certainly your figure will appreciate it!        

 

Summer Bean Salad

Ingredients:

  • 1 15 1/2 ounce can chick peas (garbanzo beans), drained
  • 1 1/2 cups grape or cherry tomatoes, halved
  • 1 ½ cups cucumbers, sliced or diced
  • 1/4 cup red onions, sliced or diced
  • 1 tbsp olive oil
  • 2 tbsp balsamic vinegar
  • Garnish with finely chopped fresh mint, parsley or cilantro
  • Seasonings (optional)

Preparation:

Combine all ingredients and mix well. Refrigerate.

 

 

Serves 6

Nutrition Analysis/Serving:

 150 calories, 4 g fat, 22 g carbohydrates, 6 g fiber, 7 g protein

nutritiondata.com

Why Do We Stress Eat!

Sunday, June 20th, 2010

A confrontation with co-workers, disagreements with your children, partner or parents or a seemingly unexplainable traffic jam can all cause your stress level to sky rocket. Most of us know what to eat. And even though we are often bombarded with “weight loss programs” we continue to gain weight as a society at least in part due to stress eating.  

Of course there are are some people who eat significantly less when they are stressed out. Certain people can’t eat or drink anything when their stress levels rise. But most people I counsel often eat to “stuff down emotions”. They know that it’s not healthy. It’s not a desired behavior. But it is very difficult to control.

So if we are not hungry why do we “stress” eat?

 We are social eaters

Even with the recent significant dip in the US economy, we still go out to eat often (or bring in “take out food”) and bond over food. Just turn on a TV soap opera or sappy movie and you’ll see a few friends sitting around digging into a gallon of ice cream or eating pre-cooked cake mix out of a bowl. Between dining out often (without regard for healthy choices) and crying together while sharing a can of frosting, a  social get-together can lead to consuming more calories than controlled eating at your kitchen table.

 Hormones

If you are very stressed out, you probably have an increased level of “cortisol” which is a stress hormone. The more stress you have (and lack of adequate sleep), the higher your cortisol level. Cortisol can cause an increase in “belly fat”, which in turn can increase insulin resistance and could result in an increased risk of developing problems like type 2 diabetes. Some reports even indicate that once cortisol levels are increased, so are cravings for salty and sweet foods.

 Boredom

Downtime is something we all need. But sometimes we don’t know what to do when we have five minutes of time to ourselves. Rather than doing something “positive” (like exercising, which would also increase “endorphins”, a feel good hormone), we simply eat. Think about the things you eat when you’re bored. Usually we go for a less healthy choice like a cookie or chip rather than a carrot or apple.

 Eating In Our Younger Years

When you did well on a report card, participated in a band concert or received a track ribbon your parents probably rewarded you with ice cream! Visiting your grandparents or a favorite aunt often revolved around the powerful aromas of sauces simmering or crumb cake baking. These positive food memories can translate into a way to control stress when we get older. So if you associate Aunt Betty’s home baked Lasagna with fond memories, you might crave it when you need some comfort. If you associate chocolate ice cream with sprinkles with being comforted for a scraped knee, you might desire that calorie rich creamy treat after a challenging day at work or school.

 Avoiding Emotions

Sometimes we eat rather than dealing with our emotions. Rather than confronting a problem, we eat. For a moment, we feel a little better. Food can be an inexpensive easily accessible drug. When a cup cake is stuffed down your throat, you are pushing down your emotions. The result is often weight gain, which will compound the original problem, but certainly won’t solve it.

My advice is to become aware of what causes you to “stress” eat. There is no easy way to stop eating due to stress, however it is very important to realize that it might be an issue in your life. Future articles will focus on the importance of exercise, maintaining a food journal, and good nutrition in the battle against stress eating. Please send along your comments on how you deal with eating and the stress in your busy life!

Ending Childhood Obesity! But How?

Wednesday, March 17th, 2010

Packaged food lies in a vending machine.

At the beginning of the school year in elementary school, parents are instructed to send in only “healthy snacks”. Cut up veggies, fresh fruit snacks and low fat string cheese for example. The list forbids candy and excessive amounts of cookies and baked goods. I always marvel at how the rule doesn’t apply to the bi-weekly birthday parties (when kids bring in cupcakes decorated with candies or donut holes).  When my boys reached middle school, the cafeteria oozed with chips,  vending machines (pictured here), and ice cream treats. In high school, fund raising included candy sales and bake offs. The teenagers were given the freedom to eat lunch off campus. This often meant drinking a soda with a bagel or a slice of pizza (everyday for a month) or skipping lunch and pocketing the money. So I am very interested in following Michelle Obama’s campaign to end childhood obesity. Where will this process lead?

At a meeting this past week of the Grocery Manufacturers Association (which includes Coca Cola Co., Kraft, Del Monte Foods Co. and General Mills), Mrs. Obama strongly recommended  that food manufactures “step it up” and put less fat, salt and sugar in their products. She was quite direct in her statements: ” We need you not to just tweak around the edges but entirely rethink the products you are offering, the information that you provide about these products, and how you market those products to our children”. Let’s not forget that in 2005 President Bill Clinton along with the American Heart Association tried to campaign against childhood obesity. His efforts did not seem to be met with the same enthusiasm as Mrs. Obama’s.

This push towards combating childhood obesity is coming at a time when the Food and Drug Administration is also considering stricter guidelines on food labels. The Nutrition Facts Labels (on food products) can be very confusing, and often misleading.  Portions sizes are not uniform (look at the cereal boxes in your pantry). In New York State, there is also a proposed tax on “soda” and “sugary drinks”.  Whatever your point of view on the soda tax, it will discourage children (on a tight budget) from purchasing these non-nutritious beverages due to price.

Michael Lynton, the chairman and chief executive officer for Sony Pictures recently suggested that movie theaters offer healthier snacks “to help fight obesity”. He backed up his suggestion when he told theater owners that a survey by the studio at 26 U.S. theaters found that 2/3 of moviegoers say they would purchase healthier snacks if they were available. Maybe there will be a time where we don’t have to carry large bags full of sliced apples, air popped popcorn, low fat granola bars unsalted nuts and peanut butter on celery sticks into movie theaters! And guess who offered to help advise the movie theater concession efforts? You guessed it… former President Clinton and the American Heart Association. (Maybe they should have a nutritionist on that panel this time around). The point is that from food manufacturers to company executives, the need to address childhood obesity is evident.

I can only hope that the battle against childhood obesity becomes a true group effort. As a Registered Dietitian and  Certified Diabetes Educator I have given many talks, and participated in many educational programs in school districts, Scout Troops, and foster care programs to offer suggestions on how to improve a child’s nutritional health. But our children’s nutritional health needs to be a joint effort, and it is very difficult to battle food companies and junk food promotion  in the media. The campaign to fight childhood obesity is also promoting increased physical activity for our children.  If food and snack choices in schools are actually appealing to kids, I believe given the choice (and with adequate education for children and parents or caregivers), we can begin to successfully fight childhood obesity and help prevent many cases of Type 2 diabetes. Let’s feed our children well. After all, they are our future!

All Champions Eat A Nutritious Breakfast. So What’s A Nutritious Breakfast?

Sunday, March 7th, 2010

cereal_and_fruitWe are constantly bombarded with conflicting nutrition and diet information.  In the 1990′s researchers were sure the answer to all our health concerns was to eat “low fat” foods. In the decade that followed “low carb” was the way to go. While these points can be argued, there is one nutrition tip that has stays constant. EAT BREAKFAST!

Mom told us to eat breakfast because (say it together) “it’s the most important meal of the day”. Starting off the morning with a nutrient rich breakfast will help set you up for a great day of healthy eating. If you are not hungry in the morning, I’ll bet you ate too much the night before.

Breakfast Tips:

1. Drink a tall glass of water in the morning (avoid the juice). Just dropping the juice can take off 100- 200 calories from your morning menu! Some people enjoy warm water with lemon. Or try a nice glass of ice water. Can’t live without juice? Just add a splash of juice to your water. Better yet squeeze a little lemon or lime into your water. Great way to get your system up and running!

2. Include protein in your morning meal. Egg whites and veggies with a little low fat cheese and some blueberries or sliced melon on the side is fantastic! If you can’t stand just egg whites, have one whole egg with a couple of whites. You should always enjoy what you are eating!

3. Have you tried steel-cut oatmeal? High in fiber (keeps you fuller longer) and it can also help to lower your cholesterol. Add a few unsalted crushed walnuts or almonds with a sliced apple. Top it off with some cinnamon and you have a delicious (and yes nutritious) breakfast.

4. Try whole grain bread with some natural peanut butter or almond butter. Have some sliced strawberries or a banana on the side for a scrumptious, on the go meal.

5. Cottage cheese or Greek yogurt with fresh pineapple and sliced almonds is simple and nutritious. The taste combination is satisfying, yet calorie controlled.

6. In the mood for some crunch? Try some whole grain rye crackers with low fat cheese! Have an orange on the side (which will give you some vitamin C).

7. Sometimes we need a little comfort food to get going in the morning. Enjoy a whole wheat English muffin with melted low fat cheese, topped off with tomato. Try eating each half separately to make it last just a bit longer. Still hungry? Enjoy a half of a grapefruit with your breakfast.

8. I really enjoy brown rice cakes and hummus. Have some Greek yogurt or a glass of low fat milk with it to give you a calcium boost.

9. Try a bowl of high fiber cereal with unsalted almonds, berries, low fat milk and a dash of cinnamon. Simple and tasty!

10. How about trying something really different. Tuna or salmon on rye crackers or brown rice cakes for breakfast! It’s a fun protein packed meal. Top it off with some lettuce and tomato. This breakfast combination will get you through the morning.

Notice none of these tips include fast food menus, bagel shops or donut stops. If you make your own breakfast, you will start off your day with a calorie controlled healthy meal that will set the tone for your day! So here’s to better concentration, more energy and a metabolism that is rearing to go.

High Blood Pressure? Stop The Salt Before It Stops You!

Sunday, February 21st, 2010

P6260308saltshaker

As a nutritionist and Certified Diabetes Educator I am constantly looking at ways to help people battle obesity, heart disease, hypertension and diabetes. As we continue to deal with our expanding waistlines, we need to add sodium to our list of dietary concerns.

Even the politicians are jumping on the salt cutting band wagon. New York City Mayor Michael Bloomberg asked restaurants to voluntarily reduce the sodium content of foods by 25 % over the next five years. Not to be outdone by the east coast,  San Francisco Mayor Gavin Newsom (who already suggested his city reduce sugar consumption) is looking into ways to apply Mayor Bloomberg’s suggestion on salt reduction. I believe it’s time we start paying close attention to salt and its effects on health.

High blood pressure (aka hypertension) is very common among people with diabetes. Blood pressure (which is the force of blood against the artery walls) is measured in millimeters of mercury. Systolic pressure (heart beats) over diastolic pressure (the heart relaxing between beats), defines blood pressure.  If your blood pressure reading is above 140/80mm Hg, you are considered to have hypertension. Actually if you have diabetes the recommendation is to reduce your blood pressure below 130/80mmHg. Elevated blood pressure can increase your chance of developing a stroke, heart attack, coronary artery disease and nephropathy.

Sodium is a mineral (just like potassium and calcium). Although we do need a little bit of sodium in our diets (it can help maintain fluid balance in the body), we get way too much sodium (usually in the form of salt) and not enough of other very important minerals. 1 teaspoon of salt contains 2,400 milligrams of sodium. Foods that have 140 mg of sodium or less per serving are considered to be  ”low sodium” foods. The average American consumes about 4,000 mg of sodium per day while the American Heart Association recommends that healthy adults limit sodium to 2,300 mg per day, the National High Blood Pressure Education Program suggests less than 2,400 mg per day and the World Health Organization recommends less than 2,000 mg daily. That means there is no room for using your salt shaker. Toss it out!!

The DASH program (Dietary Approaches to Stop Hypertension) was developed based on findings by the National Heart, Lung, and Blood Institute (NHLBI) and emphasizes an eating plan rich in  fruits, vegetables, lean protein, unsalted nuts and whole grains. The DASH program limits simple sugars and is rich in potassium, magnesium, calcium, lean protein, low fat dairy products and fiber. By increasing fruits, veggies and unsalted nuts the overall nutritional density of the diet is improved, promoting better health while encouraging weight control (which is key in controlling blood pressure). In my opinion people with diabetes should closely consider their carbohydrate intake on the DASH diet (or any other program) to help properly manage blood sugar levels. As always, it’s a balancing act.

In order to control your blood pressure, please consider making some important lifestyle changes:

1. Achieve and maintain a healthy weight. Contact a registered dietitian  to begin a safe weight reduction program.

2. Increase your physical activity level! Start moving. Find something you enjoy doing physically (find a buddy and start walking today). Swim, try an cardio workout DVD, ride your bike… but start moving! Remember, if you have not been physically active in a while, you must consult your doctor before starting an exercise program.

3. Reduce the amount of sodium in your diet. Eat out less. Cook more! Buy less processed foods.

4. Reduce your consumption of alcoholic beverages.

5. If your doctor prescribed medication for your blood pressure, please take it as recommended.

6. Read food labels. Many foods contain hidden forms of sodium such as;  MSG (monosodium glutamate), baking soda, seasoned salts, salty marinades and of course canned and many frozen processed foods. Remember that sea salt and kosher salt still contain salt.  The list goes on and on!

7.  Drink water. Yes plain water. Reducing the salt, increase the water and the fiber and watch the pounds melt off!

8. Try to choose lower sodium foods when possible. Remember fresher is usually better (less sodium and more nutrition). If you do buy canned foods (such as canned tuna or beans), please rinse off the product with cold water.

9. Uses spices instead of salt. Since I already convinced you to throw out the salt shaker, buy all new spices and herbs. Squeeze fresh lemon on your fish and chicken to seal in the natural flavor. Enjoy the full flavor of your food!

10. Limited foods which are cured (such as bacon) or packed in a brine (such as pickles or olives) or smoked. Canned soups are also packed with salt.  These are super salty foods! Use them only for special occasions.

11. Choose fruits and vegetables instead of salty snack foods. Natures snacks provide you with  much needed potassium, which will help keep your blood pressure in check.

Please don’t be overwhelmed when trying to reduce the amount of sodium in your meal plan. Try to incorporate one or two good habits at a time. In a few weeks you will see a significant reduction in your weight and sodium intake. It is also important to increase your potassium intake while improving your  physical activity level to help achieve a normal blood pressure. Habits that were developed over many years can’t be changed in an instant. So talk a walk today, throw out the salt shaker and snack on a few raw veggies. Let me know how you are doing in a few weeks. Remember, good health happens one habit at a time.

We Knew It All Along! Men Make Women Fat!

Sunday, January 17th, 2010

fatWoman2_xenia_antunes

Who amongst us thinks it was necessary to conduct a scientific study in order to prove that a woman gets fatter when she lives with a man?  A recent 10 year study of 6,000 Australian women  (published in the American Journal of Preventative Medicine) showed that if you are a female who wants to stay thin the answer is to stay single and childless. According to this recent research  you don’t even have to be married to gain weight, you can simply just live with a man and gain a significant amount of weight. To be fair, men who live with a woman or are married put on poundage as well.

According to the study a childless woman with no partner gained 11 pounds over 10 years while a woman with a mate but without children gained 15 pounds. And finally a woman with a mate and children gained 20 pounds over that same time frame. Wow, what a significant difference being with a man makes in terms of poundage. But why? Why does a woman with children gain so much more weight than the single gal who resides without a male mate?

Perhaps the weight gain is related to women eating more when they live with men. Men may tend to eat more than women in general. Bigger portions. More servings. Maybe the average male makes less healthy food choices. Or is it possible that when eating together men and women just tend to make less prudent food selections?  When men and women begin to live together do women care less about physical appearance?

Women often try unhealthy (and often unorthodox) methods of weight loss while they are being courted and certainly before impending nuptials. The pressure to be a “svelte” bride can be overwhelming. The expectation to look “perfect” on the big day or waif- like in pictures (just like the photograph of the model in the bridal magazine) can cause all sorts of food restriction issues. It makes sense that after the pressure is “off” that a woman would want to eat right along side her man.

Having children, maintaining a meaningful relationship, pursuing a career and caring for aging parents can take its toll on women. Many times we lose the ability to put ourselves first, or even second or third. If we only have an hour of “down time” at the end of the day, it rarely is spent on physical activity. I’ve seen so many clients make wonderful family dinners, yet they don’t sit down and eat with the family! Many ladies with small children eat while standing up and sometimes even eat  leftovers while cleaning up. Eating without a plan can cause very poor nutritional habits as well as additional and unwanted calories. I’m not suggesting dieting!  Food restriction (and eventual binging) is not the answer, but rather part of the problem. As women we need to adopt and stay with healthy habits. We are the trend setters in our families. Start with yourself and show those who care about you that you are important. Your health and your weight will make a difference in how you feel and therefore how you are able to deal with life in general.

Women truly need to outline a healthy eating, exercise and stress reduction plan in order to fight impending weight gain. Piling on the pounds as we get older can increase our chances of developing diabetes, certain types of cancers and heart disease. Of course it is very difficult to balance our complex lives, but we can’t lose sight of our health because we feel secure in our relationships. Wait a minute, the study didn’t say anything about being “secure” in a relationship. So remember, living with a man in and of itself doesn’t make us complete.  We  should always find a way to maintain healthy habits.  So start with yourself! Your family will thank you for being healthy and happy as the years go by. No doubt the man in your life will support your quest for better health. After all, that’s what being together is all about!

Snowfall Shouldn’t Cause Weight Gain!

Sunday, December 20th, 2009

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Today many of us woke up to a winter wonderland of the snow covering our streets and walkways. And it’s Sunday (that’s right…. football will be on TV  in a few short hours). What is the first thought that pops into your mind? Hot chocolate (with marshmallows and whipped cream)? Trying out grandma’s chocolate chip cookie recipe? Perhaps some sort of cheesy appetizer for the big game? Instead make this the winter you achieve your fitness goals. Let’s think of a few ways to get through the bitter cold days of snowy football season without packing on the pounds. Remember, if you gain 1 lb a month, that’s 12 lbs you’re up for the year. And the math says if you gain 3 lbs a month, that’s a whopping 36 lbs in just 1 year! Not this season folks.

When the  inclement weather announcement is flashed on  TV and repeated all day long on the radio, people seem to rush to the grocery store (for fear of running out of food). While it’s great to have “supplies” at the ready, please make sure your food inventory is of the “healthy” variety. Fill your refrigerator with healthy fruits and veggies. Strive to eat a minimum of five servings of fresh fruits and vegetables each day. Seasonal produce like sweet potatoes, pumpkin and squash are very nutritious. They also have the added bonus of increasing “serotonin” levels. Serotonin is the “feel good” chemical in the brain, which can decline in cold dark winter months.  Keep whole grain cereals and steel cut oatmeal in the pantry. Try a new homemade turkey chili or lower salt vegetable soup recipe.  Have raw unsalted almonds and walnuts on hand. Apples are wonderful this time of year, as are oranges and grapefruits (and they are rich in immune boosting vitamin C). Please avoid buying brownie mix and raw cookie dough just because they are on sale. Tempting yes! But you’ll be very sorry tomorrow.

As I mentioned in an earlier article, keeping a food journal is essential, especially when you are curled up on a couch on a cold blustery winter day. Write down everything you eat (and drink). Yes EVERYTHING!  A bite here and a nibble there always adds up. Everytime you get up from the sofa (during a commercial break) does not mean you have permission to eat a little something out of the refrigerator!

Find a way to exercise. If you are in good health, shoveling snow is terrific. If you are overweight, sedentary and over forty years old, today is not the day to start shoveling  snow for 2 hours in the freezing cold! (Let’s avoid injury)! If you don’t have exercise equipment at home (such as a treadmill, exercise bike or cross trainer), try to walk in place in front of the television or even dance to some music! Try an exercise DVD. If it is unsafe to drive, find something to do inside, but don’t let the day go without some much needed physical activity.

Avoid the winter weight gain blues. Enjoy the beautiful snowfall and some family time. Just plan to keep your meals and snacks healthy. Get moving! It’s the perfect time to keep eating well while staying fit. Spring is just around the corner. Today is the perfect day to begin your new in house fitness routine. Just look outside, it’s snowing!