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“10”

Monday, September 5th, 2011

A few weeks ago, on one of those beautiful Vermont summer nights,  I took my children to watch an outdoor viewing of the movie Gnomeo and Juliet.  For those of you not familiar with this movie, it is a newly released animated children’s version of Shakespeare’s classic story of forbidden love, Romeo and Juliet.  However, in this case,  it is two garden gnomes that fall in love despite coming from dueling backyards.

So, midway through, I was all set to give this movie a Siskel and Ebert style two thumbs up until it happened.  One line, one unnecessary and casually made line, that made me cringe as a mother to two girls and made the nutritionist in me snarl and gnash my teeth at the screen.  The line was this (told to Juliet by her nurse) – “he won’t like you once he find out how much you weigh.”

Seriously?  In a children’s movie? This comment represents the body image issues and dysfunctional relationships with food that plague too many Americans these days. Some may argue that this was only one innocent comment but many of my clients with eating disorders  may disagree as many can often trace the start of their struggles back to a single similar comment.  The comment plants the seed that is easily watered by image-driven media and fertilized nicely by societal pressures.    Shine some sunlight from the popular ultra-thin celebrity role models out there and watch that seed grow!

Empower yourself and your child against these negative influences by creating a list of 10 things you like about yourself that have nothing to do with appearance.  Share your list with your child and encourage them to create a list of their own.  Consider writing this list down and posting someplace visible as a daily reminder that who you are is not about what you look like.

“9”

Friday, August 19th, 2011

Nine – as in the number of calories, or energy, per gram of fat.  This is a significant tidbit of nutritional knowledge for anyone interested in gaining or losing weight.

Many theories abound about why the body gains weight (genetic predisposition, hormone imbalances, etc.) but one of the most basic and commonly accepted theories is of an energy balance.  In this theory, weight is in balance, or stable, when the energy in (calories eaten) equals the energy out (calories used by the body to function.)  Weight loss happens when more calories are used than are eaten.  When more calories are eaten than are used by the body, weight gain occurs.  It occurs because our ever thrifty body doesn’t like to waste anything so it stores the excess calories in the form of fat.

Carbohydrate, protein, fat, and alcohol all provide calories.  Carbohydrate and protein provide four calories per gram and alcohol provides seven calories per gram.  Fat, the big daddy of them all, provides the most amount of energy with nine calories per gram.   Thus, fat and fatty foods provide more calories when compared to other foods that don’t contain fat.

Bottom line – Those looking to gain weight should add some healthy fats to their diet to tip the energy balance towards gaining weight.  Those looking to lose weight have two choices – increase the calories used in the day by adding activity and exercise OR decrease the amount of calories eaten in the day, starting with any excessive calorie-rich fats.

“8”

Thursday, August 4th, 2011

Years ago, it was pretty much just the talk of athletes. Then, Dr. Atkins brought it to the forefront.  Now, everyone is asking for it.

What is this increasingly popular nutrient?  Protein. Protein is known as the basic building block of the body because it plays a role in virtually all structures and functions in the body.    A protein is made up from a set of 20 amino acids, of which 9 cannot be made by the body and must be supplied by the diet.

How much protein do most people need?  In general, most people after the age of 15 need 0.8 grams of protein per kilogram of their body weight.  For example, a 70 kg healthy woman needs 56 grams of protein daily (70 x 0.8 = 56).  Protein needs increase in situations of growth such as childhood, muscle building, and wound repair.   For example, a child aged 7-10 or a casual athlete would need 1.0 grams per kilogram of their body weight.

How much protein is in one serving of food?  On average, there are 7 grams of protein per egg, per serving of nuts and nut butters, per ounce of meat, pork, or fish, and per serving of cheese.  Tofu and beans deliver 8 grams of protein per serving.  Milk and yogurt also weigh in with a high protein content of 8 grams per servings but aren’t often classified as a protein because they contain a lower ratio of protein to carbohydrate and fat content.

A general rule of thumb for protein is to make a protein food comprise ¼ of your plate.  It is recommended to choose a plant-based protein at least twice a week and a fish at least twice a week as well.  And, be sure to include a protein with snacks.  Protein takes longer to digest and aren’t cavity-producing so protein-rich snacks will keep the stomach full longer and the teeth enamel stronger when compared to carbohydrate-only snacks.

“7”

Monday, July 25th, 2011

On NBC’s popular reality show, “The Biggest Loser,” contestants compete to lose the most amount of weight.  Each episode ends with a climatic weigh-in where contestants reveal the amount of weight they have lost since last week’s episode.  In these reveals, it is not unusual to see weight losses in the teens and even as high as twenty-odd pounds.   Hmmmm.  Are there any reality shows on television that are actually close to reality?

The reality is that in 7 days, the most amount of weight that should be lost is 1-2 pounds.  Any more than that is not only unhealthy, but it is also not “true” body mass but mainly fluid losses.  Furthermore, that degree of loss is usually achieved through extreme actions and changes in routine.  For example, exercising for 4+ hours a day or dropping caloric intake from 2200 to 1000 calories per day.  These changes are more often than not hard to sustain.  Thus, the actions or changes do not last and the weight is regained.

As this show climbs in popularity, I have noticed a trend in my clients to expecting similar results in their weight loss efforts.  They feel frustration and disappointment time and time again if they don’t lose more than ten pounds in a week.   I encourage these clients to do two things.  First, focus on the positive changes you feel as a result of the healthy changes made.  For example, are your pants more comfortable?  Are you sleeping better or feeling less short of breath?  Are you feeling more energy?  The second thing that I encourage my clients to do is change the station.   Television shows, such as The Biggest Loser, are not based in reality and create false expectations that lead to eventual disappointment in people trying to lose weight.

Plate it up

Thursday, June 9th, 2011

As mentioned last week, the Food Guide Pyramid has been replaced and the latest nutritional tool from the USDA is an image of a plate.  This diagram can be a useful and simple way to plan balanced meals.  The image chosen by the USDA is slightly different from the plate picture I teach and use myself in that vegetables and fruits make up half the USDA plate.  The plate format I teach has half of the plate filled with vegetables and a serving of fruit on the side.  Is one variation better?   The USDA possibly chose their version because having everything on one plate is simple and compact.  However, this model does underemphasize vegetables.  Bottom line is that both versions can be helpful building blocks for a healthy diet and this is a step in the right direction, a step away from the confusing pyramid.

Visit www.choosemyplate.gov for more information on the new USDA plate model.

The new and improved NON food guide pyramid

Wednesday, June 1st, 2011

On Thursday of this week, a new version of the food guide pyramid will be released – a version that is no longer in the shape of a pyramid. The food guide pyramid has long been criticized as confusing and not consumer friendly despite tweaks periodically over the years.  This new version, to be unveiled by Michelle Obama, will be in the shape of a plate and will likely match the plate discussed in VUES classrooms this year during national nutrition month. It is said to focus on a few key messages including enjoying food but eating less, choosing water over sugary drinks, filling half of your plate with vegetables, and choosing low fat dairy foods. Stay tuned!

“6”

Tuesday, May 31st, 2011

The significance of the number “6” can be found in the food guide pyramid and the six different colored sections that make up the pyramid.  Five of the six sections illustrate the five food groups – grains, fruits, vegetables, dairy, and proteins.  The final section, designated by the yellow color, is for oils.  Oils are not considered a food group; however, a certain amount of unsaturated fats such as canola oil and the oils in nuts and fish, is needed for good health.  This method of nutrition education is different from the “Basic 4” Food Groups that many of us adults were brought up on.  See if your child can explain the food guide pyramid to you.  Can they name the 6 food groups?  Do they know how much of each food group they should be eating?  If not, use this opportunity to slip in a little dab of nutrition education.  Don’t know the answer yourself?  Visit www.mypyramid.gov and find the answers together.

Here is a tip for helping your child hit all six food groups during the day.  With you child, count the number of food groups they have chosen for a meal.   Encourage them to choose a food from a different food group if they want to go back for seconds.

“5”

Wednesday, May 18th, 2011

Who said diamonds are a girl’s best friend?  You know what, the nutrition label is my BFF and it should be yours as well, especially at the grocery store.  As I’ve said before, it can be quite confusing to understand which foods are healthy when you are bombarded by fancy packaging  and claims.  Using the nutrition label can help guide your choices without adding more than 5 minutes to your shopping trip.
Here are 5 tips to using the label:
1.  The number of ingredients listed can indicate the level of processing and in general, less processing is better.  If there are more than 5 ingredients listed, consider an alternative food that is in a more natural state.
2 and 3. Usually, the % Daily Value is not helpful because it is based upon a certain caloric intake that may or may not be similar to your caloric needs. However, you can use the % when looking at certain nutrients.  Choose foods that have less than 5% Daily Value for fat and  cholesterol.  Choose foods that have more than 5% Daily Value for fiber, vitamins and minerals.
4.  If high fructose corn syrup, sugar (or derivative), partially hydrogenated oil, or MSG appear within the first 5 ingredients, put it back.
5.  Consider the big picture when evaluating claims.  For example, Ritz Whole Wheat crackers may brag about containing 5 grams of whole grain but that is less than 5% of the recommended intake of whole grains for the day.  Also, when you consider the serving size is only 5 crackers and they contain partially hydrogenated oil, this cracker isn’t much to brag about.

“4”

Wednesday, May 11th, 2011

Given the arrival of spring sports, this quick bite focuses on “4”, as in the number of hours to eat before exercise to fuel up the body and enhance performance.    This is only a general rule and just as the muscles need to be trained, so does the athlete need to train their GI tract before the main event.

Carbohydrates are an important fuel, providing energy to the muscles and the brain.  A carbohydrate-based pre-event meal has been shown to improve performance in athletes.  Keep in mind, however, that the majority of people eat carbohydrates in excess and do not need to “carb load” as much as they might think, particularly for the more casual and less active athletes.  Remember, carbohydrates are found in breads, rices, pastas, fruits and fruit juices, starchy vegetables, dairy foods, sugar, honey, and other sweeteners.  So, keep the T-baller to a regularly balanced meal but consider a meal with 2 cups of pasta, a double serving, and a cup of milk for the competitive soccer player the day before game day.

Early morning games or events pose additional consideration for the athlete.  After an overnight fast, the blood sugar and energy levels are low.  If it is possible to wake up and eat 4 hours beforehand,
do so.  Choose carbohydrate-based foods, such as bagels, fruit, or fruit juice, or a yogurt.  Adding a little fat and protein, such as light cream cheese or peanut butter may help maintain energy levels
longer.   If there is not time to eat before the event, plan ahead with a slightly bigger low-fat dinner.  Add a bedtime snack as well to try and lessen the drop in energy level in the morning.

Some athletes may also benefit from an additional snack just before the exercise or even during the exercise.  In events of longer duration (>1 hour) and as long as the intensity is moderate (the pace can be maintained for at least 30 minutes), the body can digest fuel during exercise.  In these instances, a light carbohydrate snack, such as medium banana or 8 oz low fat milk, may be beneficial.

If the pace is more intense, such as in sprinting, the body must direct blood flow to working muscles instead of the stomach.  Eating during these types of events may cause discomfort or nausea.  Therefore, it is best to stick to the 4 hour beforehand fuel-up and allow adequate time for the stomach to empty.

Here’s the bottom line: Fueling up with a carbohydrate-based meal 4 hours prior to exercise has been shown to improve performance.  An additional carbohydrate-based snack just before the event and possible during the event may also be beneficial.  The level of intensity and duration of the event play a large role in how much, when, and what fuels to consume.  For all athletes, the key is to experiment with different foods and different timing during training to find the best eating plan for the main event.

“3”

Wednesday, May 4th, 2011

Today’s theme is “3” – as in the location of a double bond in the chemical structure of omega-3 fatty acids.  Omega-3s, as they are more commonly known, are a nutritional buzzword but how much do you actually know about them?

Omega-3 fatty acids are a specific group of polyunsaturated fatty acids (PUFAs).  PUFAs have multiple double bonds in their chemical structure, as compared to monounsaturated fatty acids, which have only one double bond, and saturated fatty acids, which have none.  The names of the omega-3 fatty acids  are alpha-linolenic acid, eicosapentaenoic acid, docosahexaenoic acid (say those five times fast.)

These fatty acids are considered essential because the human body can not make them –you must get them through food.  They are found in oily cold-water fish, such as salmon, trout, halibut, herring, and albacore tuna.  Other sources include flaxseed and flaxseed oil, walnuts and walnut oil, and canola/rapeseed oil.

Time for the “so what” answer.  Omega-3s have been repeatedly shown to be an important part of a healthy diet.  Research shows that they reduce inflammation and may reduce risk of heart disease,
cancer, arthritis.  Furthermore, these fatty acids are concentrated in the brain and may play a role in memory, cognition, and behavior.  Sounds good to me.

The current recommendation of enjoying fish at least twice a week is a great way to boost your omega-3s.  Also, before dashing off for a supplement, be sure and talk to your physician or dietitian.