Monday, October 29, 2012

Smart Food- Really?

Today I was in the mood for something a bit crunchy and did not have my usual bag of baby carrots on hand.  I picked up a bag of “Smartfood® Popcorn White Cheddar Cheese” in the cafeteria.  At a quick glance it looked healthy.  The front said “made with all natural ingredients.”  The back read like this
Is it really smart to let yourself fall in love with a snack?  OF COURSE IT IS!  Especiallywhen it           is Smartfood ® Brand.  We are talking about the fresh-tasting, light textured, AIR POPPED, popcorn…You know you want it. You know where to get it.  Now go out there and be SMART about it.  Smartfood® Popcorn, sign of an INTELLIGENT life.
Well the makers of Smartfood® must not think that we are intelligent at all.  It only took two seconds to glance at the nutrition fact label to see that this is really not smart food!  The company is relying on you to believe their packaging and hope you are not actually intelligent enough to read a food label. 
This “air popped” popcorn is 56% fat! Ninety of the bag’s 160 calories are from vegetable oils, cheddar cheese, and buttermilk.  It has a greater percent of calories from fat than a McDonald’s Big Mac (52% of calories from fat)!  There is not too much that is healthy or intelligent in this bag.  It is just portioned controlled junk food.
The lesson learned is to never let your guard down when it comes to packaged food.  The best bests are always fruits, vegetables and any other food packaged the way nature intended it.  No fancy marketing, labels or tricks.  Just pure SMART FOOD!
According to M. Pollan, "eat real food, mostly plants."

Thursday, October 25, 2012

Let's Get Ready for Some Football!

Football season is upon us once and that means tailgating, concession stands, and football game get-togethers. Most often, these activities come with high calorie high fat foods and beverages that can sabotage healthy diets. Here are some tips on how to navigate the football season.
  • If eating at a game, try and share a small popcorn or a pretzel with cheese
  • Foods to stay away from: brats, sausages, fries, large nachos, nuts and high calorie alcoholic drinks
  • If tailgating, you have some control over the food choices so try and pack chicken breasts or sirloin burgers with low calorie buns, and lower fat/calorie side items such as baked chips or Sun chips. Healthier side items could also include fruit or side salads.
  • If going out to a bar or restaurant to watch a game, watch the fried appetizers. Try and order a grilled chicken wrap or turkey club sandwich (minus the mayo!) and limit your fry intake. If pizza is being served, try and order veg

    gie or cheese and blot the top of the pizza with a napkin to save some of the fat calories.
  • Most of all try and limit the alcohol/soda pop intake as these beverages are high in calories and can add up. Try and limit yourself to 2 alcoholic drinks. Try and stay away from sodas and drink water or Crystal light lemonades instead.
Turkey and Bean Chili Recipe
  • 1 tablespoon canola oil
  • 2 cups diced yellow onion (about 2 medium)
  • 1 1/2 tablespoons chili powder
  • 1 tablespoon minced garlic
  • 1 1/2 teaspoons ground cumin
  • 1 teaspoon dried oregano
  • 3 (15.8-ounce) cans Great Northern beans, rinsed and drained
  • 4 cups fat-free, less-sodium chicken broth
  • 3 cups chopped cooked turkey
  • 1/2 cup diced seeded plum tomato (about 1)  1/3 cup chopped fresh cilantro
  • 2 tablespoons fresh lime juice  1/2 teaspoon salt
  • 1/2 teaspoon freshly ground black pepper
  • 8 lime wedges (optional) 
Preparation
  1. Heat oil in a large Dutch oven over medium-high heat. Add onion; sauté 10 minutes or until tender and golden. Add chili powder, garlic, and cumin; sauté for 2 minutes. Add oregano and beans; cook for 30 seconds. Add broth; bring to a simmer. Cook 20 minutes.
  2. Place 2 cups of bean mixture in a blender or food processor, and process until smooth. Return pureed mixture to pan. Add turkey, and cook 5 minutes or until thoroughly heated. Remove from heat. Add diced tomato, chopped cilantro, lime juice, salt, and pepper, stirring well. Garnish with lime wedges, if desired.
Jennifer Martinkus, Cooking Light , NOVEMBER 2006

Kelly Devine Rickert MS RD CSSD LDN
708-679-2717

Monday, October 22, 2012

Expectation and Success

Many of you who have worked with me have heard me say "fake it until you make it."    An interview published by Scientific American with G. Cook author of Mind Over Mind reiterated the importance of faking it untill you make it.  However, he calls it "expectations" and "bending reality." What does this really mean?

Every time we engage in a situation we have expectations, thoughts and assumptions that precede the event.  These are, oftentime, rooted in previous experience.  They create a sense of comfort and guide us as we move through this world.  It is why we are not like children experiencing every thing with awe for the first time and not knowing what to do.  However, what we may not realize is that our expectations prior to and during the event actually will change the outcome for better or worse. 

For example, you are invited to a relative's home for a party. Typically these parties are boring and a waste of your time.  For two weeks prior to the event you complain about having to go.  When the party is over, you feel like it was boring and a waste of time.  If however, beforehand, you had thought "I will enjoy myself and make the best of it," you probably would have.   Our expectations become somewhat of a self-fulfilling prophecy.  Just as we can think negatively about a situation, we can also think positively, whether we believe it to be true or not.  

To change your experiences to be more positive and successful, your expectations or thoughts should reflect the desired outcome before as you prepare for the event or activity.  This can be a very powerful tool for lifestyle change.  Think about your thoughts regarding lifestyle change, especially if you have tried and failed many times.  Are they positive, negative or indifferent.  What about exercise?  When you change your thoughts you are more likely to achieve what it is you desire.  Whether or not you believe it, just think, say or write it.  Below are a few examples to get you going.  

  • Before you start exercising and during the exercise, say to yourself or out loud any of the following:
    • I am as light as a feather, this is easy!
    • I look forward to working out.
    • Exercise is going to make me feel great
    • I am physically fit and can do this.
    • There is nothing more important than my daily workout.
  • Before you eat, say to yourself one of the following:
    • This meal is going to satisfy me.
    • This meal is delicious and exactly what I wanted
    • I am going to enjoy this meal and be completely satisfied. 
    • A small amount of food is all I need. 
  • When you wake up, before your day gets started
    • This is going to be a great day
    • I am going to accomplish everything I desire today
    • There is no better day than today
    • Thank you for this wonderful day
  • Before and during a clothes shopping trip
    • I am beautiful and everything is going to fit me
    • I will find the perfect outfit for myself today
    • I will find exactly what I need
    • The perfect outfit is waiting for me
The bottom line is, negativity, hesitation, or doubt brings more negativity, hesitation and doubt.  Shoulding, cannot'ing, musting, doubting, and can't standing keeps us stuck and  often brings about more guilt, frustration and defeat.  Start by thinking in terms of can, will, and do.   

A few years prior this line of thinking may have been considered silly, but science has substantiated the power of thought and expectation on life outcomes.  Positive psychology is an up and coming field where we have learned how you can have a significant influence on the outcomes you desire. 

Friday, October 19, 2012

Trick or Treating

Halloween Tricks and Treats

From ghosts and witches to SpongeBob Squarepants, it’s hard to tell who will be knocking on your door this Halloween.  While all foods can fit into a healthy diet, overconsuming sugary candies and desserts can lead to unwanted weight gain.  Instead of overloading visitors with sugar-laden snacks, try offering more wholesome treats this year.  Kelly Devine Rickert, Registered Dietitian at St. James Hospital and Spokesperson for the Illinois Dietetic Association, offers these tips for a healthy Halloween. 

On the Table
Featuring fall produce like winter squash (pumpkin, acorn squash, etc.) is a healthy way to save money while offering maximum flavor.  According to the USDA’s www.choosemyplate.gov, including squash as part of a regular diet may reduce your risk of developing certain chronic diseases, including cancer, heart disease, obesity and type-2 diabetes.  “Since it is rich in potassium, squash may also lower high blood pressure, reduce your risk of developing kidney stones and prevent bone loss” Devine Rickert says.  She adds that squash is also naturally low in calories which can to help you achieve and/or maintain a healthy body weight.

Winter squash can be added to your menu in a variety of ways. 
·         Incorporate pumpkin by adding it to your favorite baked good recipes instead of oil.  Fresh pumpkin pureed with water or canned pumpkin (not pumpkin pie filling) can be used in a 1:1 ratio instead of oil.  For example, if the recipe calls for ½ cup oil, use ½ cup pumpkin instead. 
·         Fold canned pumpkin with fat free whipped topping and enjoy alone as a creamy dessert or paired with angel food cake. 
·         Swap pasta noodles for spaghetti squash.  Simply cut a whole spaghetti squash in quarters, pour ¼ cup water in a microwave-safe dish, place squash cut-side down in dish, and microwave for 7-10 minutes or until soft.  Simply remove the “noodles” with a fork and enjoy!  (Source:  Hungry Girl at http://www.hungry-girl.com/newsletters/raw/666)

At the Door
Treats come in all shapes and sizes.  Devine-Rickert suggests consumers think outside the candy isle and choose healthier alternatives to sugar-packed candies.  According to Devine Rickert, “fruit and nut bars, cheese and cracker packs, and peanut butter crackers are great choices because they offer a balance of carbohydrate, fiber and protein without sugar overload”.  Cereal bars can also be used in place of candy, but avoid those dipped in a candy coating as these may pack as many calories as a candy bar!  Or skip the sweets all together and offer bags of fat-free microwave popcorn. 

Alternatives to Food
Small toys or other items can be handed out in place of candy on Halloween.  Young children will like them just as much as candy, possibly more since toys will last long after the candy has been eaten.  Consider plastic spider rings, temporary tattoos, beaded necklaces, bracelets, bouncy balls, or even character band aids.  Mini coloring books or activity pads from discount stores also make great treats for school aged children. 


Festive Pumpkin Trifle

1 angel food cake, prepared
2 cans (15 oz each) solid pack pumpkin (not pumpkin pie mix)
1 container Cool Whip Free
¾ tsp pumpkin pie spice
1 package sugar free/fat free vanilla instant pudding
¼ cup walnuts

Cut prepared angel food cake into 1 inch cubes.  Set aside.  In a medium mixing bowl, prepare the pudding mix according to package directions.  Stir in ½ cup of solid pack pumpkin & the pumpkin pie spice.  Gently fold in the whipped topping.

To assemble the trifle:
In a trifle or large clear bowl, layer 1/3 of the cake on the bottom.  Top with 1/3 of the filling mixture
Sprinkle lightly with walnuts.  Add another layer of cake, filling and walnuts, and continue to repeat until all ingredients added (suggest last layer be the cream filling).  Garnish with walnuts.  Serves 18.

Nutrition Facts:  97 calories, 1g fat, 20g carbohydrate, 2g fiber, 3g sugar, 2g protein, 83g sodium.

Kelly Devine Rickert MS RD CSSD LDN
708-679-2717
Outpatient Dietitian, St. James Hospital

Tuesday, October 16, 2012

Obesity cancer risk could reverse gains from less smoking

Today CBS posted an article providing an overview of obesity and increased cancer rates worldwide.e.  Last year we discussed this in support group, however I am not sure all of our patients are aware of the connections between weight and cancer. 

To anybody who has taken the first step towards weight loss, congratulations.  The majority of our patients come to us to treat or prevent diabetes, heart disease, increase the ability to move, or to improve quality of life.  But CANCER? 

According to this article

-  In 2008, an estimated 168 million healthy-life years were lost to cancer around the world

-  Obesity and inactivity increase the risk of colorectal, post-menopausal breast, liver, kidney and pancreatic cancers

-  As developing worlds obtain more resources and wealth, the intake of processed/junk food increases fueling the obesity pandemic

How can weight affect cancer?

-  There is an increase in consumption of meat with greater societal and personal wealth.  The American Cancer Society recommends trimming all visible fat from meat.  Many carcinogens, cancer-causing substances, are fat-soluble, residing in the fatty tissue of the animal meat we consume.  Think of meat as a "condiment," to the meal, not the main course. 

-  Similarly, human fat can become a depot for fat-soluble carcinogens.

-  Typical indigenous diets are high in fruits, vegetables and fiber which are all known cancer prevention substances.  When junk food increases, the intake of less processed, more natural foods decreases.

-  Weight gained in the midsection, "belly fat," can undermine the immune system and allow for cancers to grow.

-  Inactivity decreases as we gain weight.  Exercise enhances the immune system and it's ability to be an accurate radar for cancer growth to eliminate it from the body before it has a chance to take hold. 

Monday, October 15, 2012

The 100 calorie pack lie!

Have you become prey for the 100 calorie pack or low calorie portion craze?  A few years ago small calorie controlled packs, bars or even ice cream products hit the market with a vengeance.  A few examples are 100 calorie oreos, skinny cow bars or 90 calorie Special K Bars.  Companies did a great job marketing these products as a "healthy" part of our daily diet.  But what are the facts? 

The majority of food in the United States is not real food.  Grocery store shelves are full of food-like products.  Highly processed ingredients that do not resemble the food it was derived from put together and sold as “food.”  This is not the ideal diet that our body desires. However, these foods tend to be what the mind “craves.”  Take a moment to think about what you crave.  Is it pizza, pasta, ice cream, fast food, nachos, cookies?  Or is it broccoli, apples, chicken, tuna, eggs?  Probably not the latter.  Why don’t humans crave these foods?  In a nutshell they are not processed food like products.  They are real foods that do not overstimulate the brain and body. 

Despite advances in food innovation and development, as a country we are fatter, sicker and experience a lower quality of life, especially as we age.  Is the solution to this really calorie-controlled cookie packs and low calorie ice cream?  I doubt it. 

No matter how it is marketed, an Oreo is an Oreo no matter how they package it or portion it.  It is refined flour, sugar and fat.  Ice cream is still ice cream.  The top ingredients in many popular "fiber" bars are sugar, corn syrup, sugar, and high maltose corn syrup.  It is manufactured fibers covered by sugar.  And it is marketed as healthy?

Wednesday, October 10, 2012

Recipe - Acorn Squash

Last night I made my first acorn squash.  I purchased it for $1.30, a good price compared to other sides and vegetables.  At first I was hesitant, thinking it was difficult to cook.  However, to my surprise, it was as easy as microwaving a baked potato and was ready to eat in less than 15 minutes.  I served it with BBQ chicken breast and a side of sauteed spinach with mushrooms.  The entire meal from start to finish was less than 20 minutes.  It cost less than $4 per person. 

Squash will replace your typical carbohydrate (rice, pasta, or potato) at the meal. It is a good source of vitamin C, fiber, beta carotene (yellow/orange color) potassium, magnesium and phytonutrients. Also it has a lower glycemic load compared to other carbohydrate sources. 

I started with this recipe, but made some alterations.

-  Choose light butter/margarine instead of full fat regular butter - saves you 100 calories per tablespoon
-  Used  Agave Syrup instead of Honey - agave syrup still contains the calories, however is a slower release carbohydrate that is  kinder on your blood glucose levels
-  Added a good dash of cinnamon to each squash half

Thursday, October 4, 2012

An apple a day lowers level of blood chemical linked to hardening of the arteries

COLUMBUS, Ohio – Eating an apple a day might in fact help keep the cardiologist away, new research suggests.

In a study of healthy, middle-aged adults, consumption of one apple a day for four weeks lowered by 40 percent blood levels of a substance linked to hardening of the arteries.
Taking capsules containing polyphenols, a type of antioxidant found in apples, had a similar, but not as large, effect.

The study, funded by an apple industry group, found that the apples lowered blood levels of oxidized LDL -- low-density lipoprotein, the "bad" cholesterol. When LDL cholesterol interacts with free radicals to become oxidized, the cholesterol is more likely to promote inflammation and can cause tissue damage.

"When LDL becomes oxidized, it takes on a form that begins atherosclerosis, or hardening of the arteries," said lead researcher Robert DiSilvestro, professor of human nutrition at Ohio State University and a researcher at the university's Ohio Agricultural Research and Development Center. "We got a tremendous effect against LDL being oxidized with just one apple a day for four weeks."

The difference was similar to that found between people with normal coronary arteries versus those with coronary artery disease, he said.

The study is published online in the Journal of Functional Foods and will appear in a future print edition.
DiSilvestro described daily apple consumption as significantly more effective at lowering oxidized LDL than other antioxidants he has studied, including the spice-based compound curcumin, green tea and tomato extract.

"Not all antioxidants are created equal when it comes to this particular effect," he said.

DiSilvestro first became interested in studying the health effects of eating an apple a day after reading a Turkish study that found such a regimen increased the amount of a specific antioxidant enzyme in the body.
In the end, his team didn't find the same effect on the enzyme, but was surprised at the considerable influence the apples had on oxidized LDL.

For the study, the researchers recruited nonsmoking healthy adults between the ages of 40 and 60 who had a history of eating apples less than twice a month and who didn't take supplements containing polyphenols or other plant-based concentrates.

In all, 16 participants ate a large Red or Golden Delicious apple purchased at a Columbus-area grocery store daily for four weeks; 17 took capsules containing 194 milligrams of polyphenols a day for four weeks; and 18 took a placebo containing no polyphenols. The researchers found no effect on oxidized LDLs in those taking the placebo.

"We think the polyphenols account for a lot of the effect from apples, but we did try to isolate just the polyphenols, using about what you'd get from an apple a day," DiSilvestro said. "We found the polyphenol extract did register a measurable effect, but not as strong as the straight apple. That could either be because there are other things in the apple that could contribute to the effect, or, in some cases, these bioactive compounds seem to get absorbed better when they're consumed in foods."

Still, DiSilvestro said polyphenol extracts could be useful in some situations, "perhaps in higher doses than we used in the study, or for people who just never eat apples."

The study also found eating apples had some effects on antioxidants in saliva, which has implications for dental health, DiSilvestro said. He hopes to follow up on that finding in a future study.

The study was conducted as a Master's thesis by graduate student Shi Zhao, and was funded by a grant from the U.S. Apple Association/Apple Product Research and Education Council and a donation from Futureceuticals Inc. of Momence, Ill.

Also involved in the study were associate professor Joshua Bomser and research associate Elizabeth Joseph, both in the Department of Human Nutrition, which is housed in the university's College of Education and Human Ecology.

Written by Martha Filipic, (614) 292-9833; Filipic.3@osu.edu

Tuesday, October 2, 2012

Book Review: The Power of Habit by C. Duhigg

When did fast food become a staple?  Why does toothpaste foam?  How did Febreeze become a best seller?  Did you know that the coupons you get in the mail from Target are different from your neighbor's coupons? All of these answers are explained in The Power of Habit by Charles Duhigg (2012). 

I was asked to review this book for fellow dietitians.  Oftentimes, continuing education reading material can be boring and tedious, however this book quickly caught my interest and was engaging from beginning to end.  Whether you are a health care professional or someone interested in changing habits, this book is a good read with many tips for personal application.

Each of us engages in habits each and every day from the moment we wake up until we go to bed.  According to Duhigg, about 40% of all our actions during the day are habitual, decisions that do not require much mental effort.  Without our consent habits form, whether choose them or not.  However, once they take hold, breaking "the habit loop" can be difficult.  Regardless of the habit you are trying to break or create, this book has a very simple plan that starts with understanding exactly what you are trying to change.  It even offers short cuts to change multiple health-related behaviors by way of "keystone" habits. 

The Power of Habit takes readers through a journey of making small simple changes, to the inside workings of successful corporations and even human rights campaigns.  It is thought provoking and insightful. Readers will not be disappointed.