Chew the Facts™ Blog

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A Healthier Tex-Mex Layered Dip

Beans are good food. They are loaded with fiber and important B vitamins as well as magnesium, potassium and protein. A half cup of beans provides about 7 grams of fiber and 6 grams of protein. Canned beans are also really economical and easy to prepare.

I served this dip along with cut veggies, and a few sweet treats at a recent gathering.

This layered dip is a crowd-pleaser and super quick and easy to put together, even at the last minute. To make it healthier and high protein, I use vegetarian, fat-free refried beans (traditional refried beans use lard), non fat Greek yogurt (to save calories and add extra protein), and lots of chopped fresh peppers on top.

Enjoy!

Healthier Layered Dip

This easy layered dip is high in protein and low in fat. A crowd pleaser that can be put together quickly, travels well, and can be made ahead of time. Serve with tortilla chips and fresh veggies for dipping.
Prep Time20 mins
Total Time20 mins
Servings: 8 people

Ingredients

  • 1 15-oz can vegetarian, fat free refried beans
  • 1 cup nonfat Plain Green yogurt
  • 2 TB low sodium taco seasoning
  • 3-4 small avocadoes
  • 1-2 TB lime juice from 1-2 limes
  • 3 bell peppers, finely chopped use a variety of colors - red, orange, yellow, green
  • 2-3 plum tomatoes, finely chopped
  • 1 2.25 oz can black olives drained and rinsed
  • 1/2 cup shredded cheddar cheese you can also use a shredded Mexican blend
  • TB chopped cilantro if desired

Instructions

  • Open refried beans and put into a microwave safe glass 2-cup measuring cup. Microwave on high for 1-2 minutes, checking and stirring at 1 minute, until mixture is smooth.
  • Spread beans evenly onto a large oval platter.
  • Mix Greek yogurt with taco seasoning mix until completely blended. Dollop the yogurt onto the bean mixture, and gently spread over the beans, almost to the edge.
  • Mash the avocado, and add lime juice. Blend. Spread avocado mixture onto yogurt.
  • Sprinkle the shredded cheese on top of the avocado.
  • Combine the chopped bell peppers, olives and tomatoes in a small bowl. Sprinkle over the top of the bean mixture.
  • Finally, add the cilantro if desired. You can also add some jalapeno pepper slices, or add a few drops of hot sauce over the top for some heat.
  • Serve immediately, or refrigerate 2 hours or overnight. Serve with tortilla chips and cut vegetables.

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Keeping it Real for Father’s Day

Summer has arrived. For many, a cold beer never tastes as good as it does in the summertime. Since it’s Father’s Day weekend, there’s are a lot of articles about what to get dad, or what you can throw on the grill, but what do dads really want? 

Most likely: Peace, quiet, and their favorite beer.

My husband and I love beer. As with food, moderation is important. Health authorities recommend that while binge-drinking (defined as 5 or more drinks on one occasion) is an unhealthy habit, moderate intake (women can have no more than 1 drink per day, and men no more than 2 drinks per day) seems to have no harmful effects. In fact, a moderate intake of alcohol may even have some benefit.

To keep in mind –

  • Guidelines. You may choose to have 3 beers one day when celebrating a special occasion, and not have any on other days, and that’s probably okay. As Captain Barbossa from Pirates of the Caribbean says, “The code is more what you’d call guidelines than actual rules.” 
  • Calories count too. Calories in beer come from its alcohol content, so a higher the alcohol content, yields a higher calorie count. I personally would rather just have one good beer, than three light beers, but that’s up to you. Just don’t overdo it too often.

Sure, I want all dads to be as healthy as they can be, but I also want them to be happy. This means eating food you enjoy, but balancing it out with exercise, and balancing the splurge meals with lighter ones. As you enjoy a healthy spread of food this weekend (perhaps some grilled vegetables and a nice lean steak), allow yourself to enjoy a cold brew or two with it.

Here’s a review of some of my favorite picks (including % abv – alcohol by volume) for adventurous beer drinkers to try out:

  • Sierra Nevada IPA. My husband and I fell in love with this beer in 1991 when we went to visit a friend in Reno, Nevada. Nobody I knew in the East was drinking IPA then. It’s still one of my all-time favorite IPAs. We also love that it comes in cans, which is great for picnics, poolside or boat docks. It’s 5.6% abv.
  • Dogfish Head 60-minute IPA. I’ll admit right now, I’m partial to IPAs. We visited the Dogfish Head pub in Rehoboth Beach around 1999 and have been enjoying this beer ever since. Maybe the 6% abv does it?
  • Founder’s Centennial IPA. Founder’s brews some great beers. This IPA is piney and floral, with a lot of other complex flavors I can’t describe, with a 7.2% abv punch.
  • Fat Point Brewery is worth a stop if you’re anywhere on the Gulf coast of Florida (it’s brewed in Punta Gorda), offering a bunch of great beers that sound great for summertime. I love the Big Boca at 5.1%, and I’m looking forward to trying their Going Mintal – a wheat beer brewed with mint.
  • Southern Tier Goat Boy. Another confession: We’re partial to goats. Sort of. My husband is a cyclist and has competed in triathlons. A few summers ago he was out riding on country roads of Maryland, and a goat ran straight out into the road in front of him, putting him head over tin cup. He got scraped up pretty good, and hurt his shoulder. Ever since, he’s had a love-hate relationship with goats. So we admit, even before tasting a beer called Goat Boy – we liked it (labels can lure you in right? To boot, they put their goat on a bicycle when creating the logo, so what’s not to love?) This is a German style bock beer – an imperial weizenbok. Dark and malty. Fun fact – “Ein bock” is German for billy goat – for that reason bock beers often have goat references.
  • Voodoo Brewery is brewed right in my little Pennsylvania town (but you can find them all over), and their beers are delicious. They have standards, and then brew up specialty craft beers seasonally. Since I’m partial to IPAs, the Hoodoo is a fav, along with the Gran Met (especially lovely in “Met-mosa” form, topped with a big splash of orange mango juice).

I admit, I’m what some folks call a beer snob. Please don’t take offense. I also enjoy some light beers on really hot days, or times when I just wanter a lower alcohol beer (golfing). For those times, these are good summertime picks: 

  • Bud Light Lime. Beer Advocate rates this as “awful”, but if you’re not a serious beer drinker, you don’t like microbrews, and are just looking for something refreshing to drink on a hot day – this may be the beer for you. It’s only 4.2% abv, and has a light hint of lime
  • Amstel Light. This is a light, 100 calorie lager-style beer. 3.5% abv
  • Stella Artois. Belgium beers are really nice in the summertime, and Stella pretty much got the whole “beer can be poured into a cool glass” thing going (The “chalice”). 5.0% abv

Be good to your dad. Drink responsibly, and Happy Father’s Day.

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The Future of Nutrigenomics

I had the opportunity to attend a continuing education session about Nutrigenomics that was sponsored by Nutrisystems®. Dr Tim Church (Medical Director, Genetic Direction) and Courtney McCormick (a registered dietitian with Nutrisystem®, Inc) spoke about how nutrigenomics and personalized nutrition could become enhanced tools for weight loss.The following is my reflection of the information shared.

Current dietary guidelines are used established to assist policymakers, as well as nutrition and health professionals, to recommend a dietary pattern that supports health and offers reduced risk of disease. The guidelines are based on the current body of evidence from human nutrition research. Nutrigenetics, or nutrigenomics, may be able to help us create more meaningful advice by providing personalized dietary guidelines based on an individual’s genetic make up.

Nutrigenomics is the study of how genetics influences metabolism and dietary response and the role of nutrients and bioactive food compounds in gene expression.

Interest in this technology is growing by leaps and bounds. In 2017, the Direct-to-Consumer genetic testing market for tools such as Ancestry® DNA and 23andMe®, was 117 million dollars. It’s estimated that by 2026, this will rise to 611 million dollars. There’s also consumer interest in personal genetics and how what you eat specifically could impact any real risk of disease.

The quick growth in this area is partly due to the reduction in costs associated with genetic technology. This technology is much more available due to the huge reduction in costs over the past ten years. To put this in perspective, consider that in 2001 the “cost per genome” was 100 million dollars. It’s now less than one thousand, according to the National Human Genome Research Institute. A 2005 genotype sample may have cost 1500 dollars to produce, while a 2018 sample only cost 50 dollars.

Research has exploded in this area over the past twenty years as well. In 1995 there were about 100 publications per year on the topic of weight loss genetics. In 2015-1017 there were several hundred per year. Between the lower costs and the advanced science, we are going to continue to see more genetic testing applications in the future.

The Future of Personalized Nutrition

Nutrisystem® now offers a personalized dietary plan based on a your DNA (DNA Body Blueprint), and they sent me a free DNA Body Blueprint™ to try out earlier this year. Here’s how it worked:

  1. I received a packet in the mail required several saliva samples to send back.
  2. I created a profile at Nutrisystem.
  3. Once my DNA was analyzed I received a report and a personalized diet plan based on my DNA.

Several other dietitians I know also took the test, and they all agreed that it was pretty spot on. It included personalized nutrition, information about your body’s metabolism, food breakdown, fitness tips based on your DNA, vitamins and minerals in which you may not process well, and eating behavior tips based on your DNA profile.

The test uses a gene mapping system that only looks at certain parts of certain genes, in this case, genes related to obesity (in the ancestry type of analysis, the SNPs would determine genetic similarity to your parents and family). Scientists have analyzed these SNPs (Single nucleotide polymorphisms – “snips” for short) to determine which ones relate to what type of disease. The SNPs are variations in the DNA sequence. I am not a geneticist, so I don’t fully understand how this works, but I do know there is good science to support the process.

My results included my need for carbs.

In my case I was happy to know I am a carb-burner, but my body isn’t great at processing fat. I also learned that my body responds well to resistance exercise but doesn’t burn fat efficiently with cardio (I love weight lifting, and I’ve always been able to do push ups. In all the years I ran, I enjoyed it, but could never increase my speed much, and I’ve always had a higher body fat percentage, no matter my weight). It also told me what I suspected – I am not caffeine-sensitive! I process caffeine, normally, while others process it more slowly (yep, I’m one of those people who can drink coffee before bed and still sleep).

Of course I happen to be a dietitian, so I’ve prescribed myself dietary parameters over the years, and they look exactly like what my DNA says they should be. Which begs the question:

“Why not just go work with a registered dietitian for a personalized eating plan?”

The right formula for me.

What Will You Do with this Information?

Going forward, this kind of personalized information can support your goals to stay healthy, eat better, and avoid or put off, disease. But, even when you are armed with the best, and most personalized information – guess what? You still have to make changes and adopt healthier behaviors. That’s right – same old song: You’ll still have to do the work to plan, prepare and eat the right foods, and schedule regular exercise into your life.

Even Dr. Church, who works with a company that develops DNA lifestyle plans said that “genetic testing results aren’t going to solve all of our problems”, it’s simply a better tool for the toolbox. Despite the interest in genetics and personalized medicine and nutrition, we aren’t anywhere near using it as a “solution” to obesity or disease.

However, for many who choose something like the Nutrisystem® DNA Body Blueprint™ program, it’s a helpful guide (especially if you’ve received bad dietary advice in the past) that can point you in the right direction for weight management. Even if it simply affirms what you may already have known (as in my case), make help with motivation. Knowing that your genetic profile says you have “below average” weight loss ability, doesn’t make it any easier to lose weight, but you might be empowered to understand why. Other aspects of the test (such as the vitamin mineral information) may be useful in supporting future weight loss too.

It certainly confirms what registered dietitians have known for decades – there is no one diet that suits everyone. But as Dr. Church suggests, these data sets are just another tool. As they become more affordable, you’ll likely see more of them. The science is there – the results are valid – but you are still the one that has to make behavior changes, or in some cases for instance, accept that your genetics limits your idealistic body image. The more we learn, the clearer it is that we can’t always fight our genes, but it may be useful to know specifically what we can control, and what we can’t.

 

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Easy Zucchini Rollatini

Summer months are a great time to add more vegetables to your diet. I have found that most adults who say they don’t like vegetables have had very limited exposure to them, or maybe have only had them prepared one way. Let’s say you grew up being offered only boiled vegetables – chances are you are not a veggie lover. This is why it’s always great to keep an open mind about continuing to try new foods, prepared in new ways, throughout your lifetime!

Zucchini is a summer squash variety and can be prepared a variety of ways. It’s not only a tasty veggie, it cooks quickly, is really low in calories, loaded with vitamin A, some vitamin C and a good source of fiber. If you haven’t tried any in a while, it’s easy to find fresh zucchini from your farmer’s market or grocery store.

I wanted to share this super-simple recipe that I created, inspired by visits to a French restaurant. They didn’t give me the recipe, but I re-created it for myself as best as I could –  I sometimes will “cheat” and use a jarred tomato sauce instead of their homemade tomato coulis to save time, but the end result is about as yummy as theirs! Even my teenage son tried this and liked it. This dish makes a great first course or side dish and is so easy and delicious! If you’re looking for something to bring to your next picnic or barbecue, this dish is it.

Easy Zucchini Rollatini

This easy appetizer or side dish is a great way to add more veggies to your diet and use up your garden zucchini.
Prep Time30 mins
Cook Time5 mins
Total Time35 mins
Servings: 4 servings

Ingredients

  • 1 medium zucchini sliced thin longways, 1/8 inch thickness
  • 1-2 TB olive oil
  • sea salt
  • 4 ounces Boursin Cheese or another soft herb cheese
  • 3/4 cup tomato sauce jarred basil, or homemade marinara

Instructions

  • Heat Grill on medium-high
  • Wash zucchini and gently scrub skin. Slice zucchini, long-wise, carefully with knife, or use a mandoline slicer (tips for kitchen tools in our DASH Diet For Dummies® cookbook). Drizzle olive oil onto zucchini. Use pastry brush to evenly coat each slice. Lightly salt slices.
  • Place zucchini slices onto hot grill using tongs. Watch closely and turn when black lines appear and vegetable becomes translucent. Continue cooking on other side for a few more minutes. Remove to plate.
  • Allow zucchini slices to cool slightly.
  • Spread tomato sauce lightly onto medium serving plate.
  • Spoon 1-2 teaspoons of the herbed cheese onto one end of a slice of zucchini. Roll zucchini up, place onto serving plate coated in sauce.
  • Continue step 6 for each zucchini slice and refrigerate until ready to serve.
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Can a Healthy, Budget-friendly Diet Include Processed Food?

You may have read several news pieces about the recent study comparing two small groups of people who were offered the same amount of calories of either “ultra-processed food” or “whole foods”, but only the ultra-processed food group gained weight. The authors then conclude:

“Limiting consumption of ultra-processed foods may be an effective strategy for obesity prevention and treatment.”

How can this be you ask? Well, the subjects were presented with three daily meals and were instructed to consume as much or as little as desired. Twenty people (with BMI around 25-29, stable weight, yet slightly overweight) were placed into two groups – one that offered ultra-processed food, the other offered whole foods. Both groups were offered the same amount of calories, but different food. The group offered the ultra-processed food ate more of their ration (about 500 calories more daily), and therefore gained weight over the 2-week observation period.

It’s frustrating to me when anyone wants to water down the complexity of obesity. It’s not that simple. Lifestyle, medical history, genetics, stress levels, age, activity – all impact body weight.

I don’t think this study was a revelation to any registered dietitian who’s spent years interviewing clients, taking diet histories, and counseling people. The 1970’s marketing campaign of “you can’t eat just one” potato chip, still rings true when it comes to salty or sweet snack foods.

For example, let’s compare eating potato chips (“ultra-processed potatoes”) and baked potatoes (whole food). Most people could easily eat 300 calories (2 ounces) of potato chips in one sitting (and still be “hungry”). They may have a harder time eating the same amount of calories of whole potatoes (2 medium-sized baked potatoes) in one sitting. You could also wolf down the 300 calories in chips much more quickly than the 2 whole potatoes.

A Comparison of Extremes

Popular diet advice seems to be stuck in a mentality of extremes. You’re not told to just “reduce carbs” you have to go “ultra low carb”.  You can’t just add a little bit more healthy fat or protein into the diet, it has to be high fat and high protein. I have never subscribed to this all or none philosophy. It doesn’t work for most people long-term, and it’s often completely unnecessary.

This study used the definition of ultra-processed food as  “formulations mostly of cheap industrial sources of dietary energy and nutrients plus additives, using a series of processes.” It compared two very different extremes – a diet that is filled with ultra-processed to an ultra-idyllic diet of fresh, whole foods. Neither of those scenarios is realistic or necessary to achieve a healthy dietary pattern. Furthermore, the study’s implication that if you avoid ultra-processed food and start eating whole foods, and cooking more, you won’t gain weight and you’ll be healthier – is a stretch.

At the surface, this statement is partly true – Over consuming ultra-processed food isn’t healthy choice, but the notion that simply eliminating them from your diet is a solution to weight control, completely minimizes the time, skill, and effort it takes to shop for ingredients and cook food on a regular basis. It also doesn’t address how overall dietary patterns impact health.

Dietary Patterns 

And that’s the thing – there is a different between what you eat at one meal, in one day or in one week or month. Your dietary pattern includes the foods you consume over weeks and months. Not single meal conveniences.

My concern is the details of the definition of processed food will get lost in the headlines from this recent study. The study suggests there’s one ideal, but there are actually many ways to create basic, balanced meals, and some processed foods can be used to do it.

Many processed foods (canned beans, vegetables, rice, pasta, frozen meal kits) provide great nutrition for healthy inexpensive meals you can prepare easily at home. For example, it’s also a myth that canned or frozen foods is associated with poor diet quality. Canned and frozen fruits and vegetables are processed, but not “ultra-processed”. There’s research showing that diet quality can actually be enhanced by including canned fruits and vegetables.

Idealistic meals also don’t address other socioeconomic issue such as “food deserts”.  People who don’t have access to the grocery store, or other markets with fresh food, are at a disadvantage. They may not have transportation or a corner store is their only choice. They may prioritize paying rent or the gas bill over food. They may have not only very limited food choices, but may not have a kitchen, stove, or cooking utensils available to them. They may also be in a socio-economic situation where a dollar “meal” consisting of a candy bar and a sugary drink is what they can afford in that moment to survive.

In other less extreme (and perhaps more widespread) instances however, it’s not the food desert or lack of choice, but a lack of skill or failure to prioritize the value of nutrition and its role in health and well-being. Dietitians who work in community nutrition settings are always working toward helping people make the most of their food budgets and resources; working together to help people understand nutrition basics and get exposed to new foods and flavors.

But even then, it’s going to take more than just “eat less ultra-processed food” messages to improve health and diet quality of a growing population. Taste preferences, food exposure, cultural influences – all impact what people eat. If one is brought up on ultra-processed food, they are not going to accept a piece of grilled salmon salad overnight (as the figure below from the recent study suggests). We need real solution to “better” choices that are reasonable, not “ideal” ones.

Downloaded from: https://www.cell.com/cell-metabolism/fulltext/S1550-4131(19)30248-7

Back to Basics with Budget-friendly Meals

To get better meals to more people we need to start talking about meal planning in simple terms. Not fancy food, but simple basic meal planning. You don’t have to shop at a Whole Foods® market, use fancy ingredients, “buy local”, or have farmer’s market access to eat a less-processed diet.

There are many resources available about healthy nutrition and planning healthy budget-friendly meals. The challenge is, getting this information to folks who need it, and helping them learn both cooking and nutrition basics. This process can start in schools with the school lunch program (which exposes children to new foods they may not otherwise be exposed to at home), home economics curriculums, or in the community at local farmer’s markets and grocery stores where recipes and cooking demos may be available.

Simple, healthy diets can be planned from basic unprocessed foods (meats, dairy, grains, vegetables and fruits). Agricultural organizations such as the Beef Checkoff and Pork Checkoffs have always provided free nutrition information, recipes, cooking tips, and doable meal planning ideas for all budgets. The National Dairy Council also provides budget-friendly ideas for adding nutrition to the diet. On the plant front, the Grains Foods Foundation provides simple recipes for grain-based meals, the Produce for Better Health Foundation provides ways to add more plants to your diet and choose the least expensive produce, and the Canned Food Alliance offers facts about how canned foods can add inexpensive protein, fiber and vitamins and minerals to your diet.

Nutrition and health care professionals (and journalists) need to come together and agree that better, or decent, nutrition is an admirable goal. The longer we hold up this “salmon salad on fresh field greens” or the “flax seed green smoothie” or “the plant forward diet”, as “ideal” nutrition for everyone, the further away we’ll be from improving diet quality for those who really need it.

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The Mighty Microbiome: Four Quick Tips to Feeding Your Gut

In a session sponsored by Beneo earlier this year, I learned more about how certain fibers interact with the gut’s flora. I was not compensated to write this post, and the thoughts expressions are my own. This post includes affiliate link to Regular Girl® products, I am not affiliated with any of the other product ideas linked in this post however. 

If you do a search for “microbiome, health”, you’ll find over 10 million hits. Scholarly articles hit at about 165,000. Study of the human microbiome is relatively new science, and interest in this area is rapidly growing for good reason. The microbiome is the beneficial microbes and pathogens that exist throughout our body, with the largest community found in our guts.

Research theorizes that the health of gut bacteria can impact whole body systems, and possibly impact obesity, heart health, neurological status, immunity and other aspects of human biology.

There’s no question that diet plays a role in gut health, and we’ve known this for years. Diet (both nutrients and non-nutrients like fibers) have an impact on the physiological function of our guts (digestion, absorption, transit, excretion) and also impacts our immunity and endocrine secretion. The food we eat then in turn also impacts those beneficial microbes in our guts. Essentially what we eat “feeds” those healthy microbes, for better or worse.

In addition to diet, other factors impact the microbiome. Antibiotic medications generally have a negative impact, and probiotics a positive one. You probably have heard all of these terms (“microbiome”, “probiotic”, “prebiotic”), but it can get confusing, so let’s differentiate them.

What are Probiotics?

Probiotic foods introduce good bacteria into the gut. They are found in naturally in some fermented foods (like kefir, buttermilk, lactobacillus milk, yogurt, aged cheese, or kimchi). Not all fermented foods contain probiotics however. Also, some foods that claim to contain “live, active cultures” may not have the right bacterial strain, nor an adequate amount. Probiotics can also be found in supplement form (pills or powders, and more recently some refrigerated snack bars).

Probiotics in yogurt for instance, can even improve any lactose intolerance you may experience. And, including probiotics in your diet will improve gut function overall, leaving you with less gas, bloating, diarrhea or other belly troubles.

Prebiotic Fiber

All types of fiber (soluble and insoluble) are good for you, but not all fibers are prebiotic fibers. Prebiotic fibers are a type of fiber that provides nutrition to good (probiotic) gut bacteria. We get soluble fiber (oat bran, barley, beans, nuts, some fruits) and insoluble fiber (wheat bran, whole grains, vegetables) in our diet, but prebiotic fibers have a unique impact on the gut microbiome. Prebiotic fibers are found in onions, garlic, asparagus, bananas, whole wheat, and artichokes.

Inulin and oligofructose are two supplemental prebiotic fibers of particular interest. These “functional fibers” nourish the bacteria in your colon. These fibers are used as functional food ingredients in products such as yogurt, beverages, infant nutrition products, snack/sports bars or other baked goods.

Inulin is a prebiotic fiber that has many potential benefits:

  • Digestive health: Improves the balance of intestinal flora
  • Weight management: This fiber helps you stay full, reduce food intake
  • Strong bones: Increases calcium absorption

Oligofructose is naturally extracted from chicory root, and a subgroup of inulin. Both inulin and oligofructose stimulate the growth of intestinal bifidobacteria. Bifidobacteria are friendly bacteria and helpful to our guts. The exact molecular mechanism of how these bacteria have these positive impacts isn’t completely clear yet.

Bottom Line: What to Eat Today

This is a really exciting area of nutrition. We will continue to see more research, and more applications of these functional food ingredients. While the research grows, what we know so far seems like a pretty positive case to include probiotic foods or supplements, and prebiotic fiber in the diet. So how can you act now?

Here are my tips:

  1. Eat a diet rich in a variety of fruits and vegetables (Bonus: DASH Diet supports this habit!). The variety matters too, because every plant offers different nutrients that have different functions. Include the foods I mentioned that have prebiotic fibers (onions, garlic, asparagus, bananas, whole wheat, and artichokes).
  2. Eat a diet that includes natural probiotics. Enjoy yogurt daily, or a fermented food like sauerkraut or kimchee with a meal. Personally I think low fat yogurt is the easiest and tastiest way to include a daily probiotic, and you have the added benefit of yogurt fitting into a heart healthy DASH Diet plan. Choose a yogurt that includes probiotics on the label, and choose the ones that specify the bacteria strain (will include numbers with the bacteria name on the ingredient label). As an affiliate for Regular Girl®, I attest to the acceptability and ease of use of the product – which provides both prebiotic fiber and a probiotic (Bifidobacterium lactis), so that’s also an option.
  3. Enjoy whole grains and cereals to provide a variety of soluble and insoluble fibers to your diet.
  4. Add a prebiotic fiber like inulin to your diet. Supplements should never replace healthy eating, and you don’t have to use a daily supplement, but adding a supplement during the week may be prudent. The initial research seems very promising to me, so I recommend including some foods that use inulin or chicory root. You’d have to eat 200 bananas to get the dose of inulin you’d get from a snack bar supplement. You can choose to either use a supplement powder, or you can choose foods that include inulin on the ingredient list (like cereals or bars).

 

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May is High Blood Pressure Month – Get Checked!

May is High Blood Pressure Month – a time to bring awareness to your blood pressure. Have you had yours checked?

It’s normal for our blood pressure to fluctuate during the day, but consistent high blood pressure (called Hypertension) causes wear and tear on your heart, kidneys and brain. It’s important to know what your numbers are, and to treat it if it’s too high. You can have your blood pressure checked at most pharmacies. If it’s high see your doctor as soon as possible.

High blood is a risk factor for stroke, heart attack, congestive heart failure, and heart rhythm disorders. Since it typically doesn’t have symptoms, it’s often called the “silent killer”. This is a shame because it can be easily treated with medication, diet and lifestyle. Once you are diagnosed with high blood pressure, you should see your doctor for a yearly exam.

Do this for High Blood Pressure Month:

  • Have your blood pressure checked this week
  • See your doctor if it’s high
  • Adopt a DASH Diet eating plan
  • Start or modify a daily exercise program with your physician’s approval
  • Drop a few pounds if you are overweight

Homemade Chicken Fajitas are DASH Diet friendly! This sautéed chicken (with low sodium spices) and veggie mix of roasted corn, red, yellow and green bell peppers, onions (with olive oil) create a delicious meal and is great for leftovers.

How can DASH Diet help?

DASH Diet can help you lower your blood pressure by adding more foods high in potassium to your diet – fruits, vegetables and low fat dairy – and less salt and sodium. Potassium works in opposition to sodium and may have beneficial effects on the tone and health of your blood vessels (lowering blood pressure itself helps out there too). The diet plan also supports adding more foods with healthy monounsaturated fats and omega-3 fatty acids to your diet, and removing some of those high in saturated fats.

DASH is designed to help people with pre-hypertension too, so if you have a family history of high blood pressure (hypertension) then you should consider adopting the DASH Diet as well. Even if it doesn’t completely prevent high blood pressure, it will help you control it and likely allow you to be on less medication, should you develop hypertension. Plus it’s just an all-around healthy diet, so it’s win-win.

DASH Diet is also great for lowering blood cholesterol levels – another potential risk factor for heart disease. Since DASH includes plenty of fiber, antioxidants, and is low in saturated fat, plus is low in simple sugars – it will keep triglycerides and other blood lipids (fats) in check.

It’s not really a “Diet”

When people hear the word “Diet” they usually think “weight loss”. When I talk about “Diet” I’m talking about “what your eat”.  DASH Diet can promote weight loss if calories are controlled (and weight loss does lower blood pressure), but it is not a “weight loss diet”, it’s an eating plan for life. After all, temporary over-restrictive dietary changes don’t generally result in life-long weight loss. Adopting a healthy diet that you can maintain, will.

DASH stands for Dietary Approaches to Stop Hypertension, and is based on several research studies that showed this eating plan to lower blood pressure (even the study that modified sodium to a higher 3000gm per day, lowered blood pressure with the added fruits and veggies; and while the study that omitted low fat dairy did not result in as great a decrease in blood pressure, it was still lower).

By adopting the DASH eating style, you will gradually set goals to include more vegetables and fruit into your daily meal and snack intake, less saturated fat and high calorie foods, and less sodium and processed food. Try it and let me know how it goes!

 

NOTE: Try our Food Journal to help you track your progress with new diet and exercise goals.

 

 

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Waste Not Want Not

Some estimate that one third of the world’s food is wasted. We have a food waste problem going on in our country. It’s time to consider how each of us contribute to this, and find solutions to this problem.

When I was growing up my mother would often say “Waste not want not”. By this, she meant that if you limit waste (whether is was food or other resources) you will need less. Think about your own kitchen. How much food do you throw away every week? How can you do better? Here are some easy ideas.

  • Make a list and stick to it. This isn’t just good for your waistline but it can help cut down on food waste by not stocking your pantry with items that you may never open. Don’t get sucked in by those end caps or front-of-the-store displays. Resisting an impulse-buy is one way to be sure you are only buying what you will be able to consume.
  • Consider what’s in your pantry or freezer before you stock up on more items from the grocery store.
  • Don’t throw away food because the “best by” or “use by” dates are passed. Foods such as bread, rolls, rice, pasta, cake mixes, and canned goods are still safe to eat even if the “best by” dates are passed. The quality in some cases, may be less than perfect, but safety isn’t an issue.
  • Get creative. Restaurants are famous for reusing ingredients. If there’s ham or grilled chicken leftover from a large party or holiday, it’ll get repurposed into soup or tacos the following day. You can do the same. If you have a half a loaf of bread at home in your breadbox that’s passed the Best By date, make a French Toast casserole, bread pudding, or bread crumbs with it.
  • Sour cream is two days expired? Bake it into a cake, quick bread, or muffins.
  • Store foods correctly. We all get busy and forget about the yogurt cups that get pushed to the back of the fridge. Check your fridge every week, and do your best to keep it organized.

  • Learn more about use by and sell by dates.  Sell By and Best By only indicate that the food is at highest quality by that date. It does not mean you should throw away the food, or that the food will no longer be safe to eat after that date. So if you have a package of buns, a box of rice, or a condiment, in which the “Sell By” or “Best By” date is passed, you can still consume it.
  • The “Use By” date, however, may be indicative of food safety (in products such as milk or meats for instance), so it’s a good idea to pitch any food that’s passed the “Use by” date.

Consider how much food you waste. Do your best to avoid over-buying, use what you have on hand wisely. Come up with a few simple strategies to plan better, re-use ingredients, and only pitch food that has far passed the “Use By” date. Thanks for doing your part to waste less food.

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The Critical Window of Early Feeding

Did you know that the first 1000 days in a child’s life (conception to age 2) are critical to a child’s health, and potentially his future? What a mother and infant eat during these days can impact the child’s behavior, neural development, and even food preferences. In addition, proper feeding during this period can improve school-readiness and risk of chronic disease later in life. I attended a sponsored session earlier this year, presented by research dietitian Keli Hawthorne discussing the important nutrients of concern and how meat can be a first food once baby is weaned.

Meatballs are a perfect first food for baby.

Nutrition During Pregnancy

What you eat, and how much, are both important during pregnancy. As soon as you know you are pregnant you’ll want to pay extra attention to your diet. First off, no alcohol. If you smoke, now is the time to get support to quit.

Fifty percent of all women gain too much weight during pregnancy! You may sometimes hear “You’re eating for two!”. False! You are not eating for two. In fact, weight gain should be managed during pregnancy, with a recommended weight gain of about 25-35 pounds. Gaining too much or too little can be harmful for the baby and for mom. This can vary from woman to woman, and women who are overweight at conception should try to limit weight gain to 20 pounds. If you’re underweight, a 30-40 pound weight gain is okay. Of course if you’re pregnant with multiples, you’ll gain more. Talk to your doctor about what’s appropriate for you.

There are also some nutrients that become extra important, and you do need about 250-300 more calories per day. That’s not a lot. It basically means just adding one or two healthy snacks per day. Here are a few examples of high-calcium snacks that can provide those extra calories. Choose two:

  • One string cheese with an apple
  • A cup of low fat or non fat yogurt with fruit
  • A glass of milk and 6 crackers with peanut butter
  • Half a turkey sandwich on wheat with a glass of milk
  • 1 cup low fat cottage cheese with fruit
  • A strawberry-banana smoothie (banana, 4 ounces milk, 4 ounces plain yogurt, 1/2 cup strawberries)

Folic acid and iron are two nutrients that are important during pregnancy, as well as calcium (if you don’t take in the calcium, the baby robs it from your bones and teeth). Your doctor will prescribe a prenatal vitamin-mineral supplement to take daily, in addition to eating a balanced diet. You can learn a lot more about exactly what to eat from my colleague Elizabeth Ward. 

Breast or Bottle

Whether a woman chooses to breast or bottle feed, it’s important to pay attention to the baby, and track her growth and weight gain. While breast milk is highly nutritious and may support immune strength, some women and their babies have a more challenging time than others. That’s okay! It’s her choice to do what she can, and what’s comfortable for her.

I do encourage moms to give it a go however. Some research has shown there’s a 4% reduction in childhood obesity for each month a baby is breastfed, so even if you only breast feed for a month or two, it’s all good. And whether you breast feed or not, babies age birth to 12 months should only be drinking breast milk, infant formula, or water. There’s no need for other beverages. After age 1, cow’s milk can be introduced as a beverage, and I encourage milk with meals, and water in between. Your child can enjoy soda or juices occasionally when she is a teenager, small children don’t need them (neither do teens, but that’s another story).

Introduction of Solid Food: Baby Led Weaning

The American Academy of Pediatrics recommends introducing solid foods at around 6 months of age, and the World Health Organization recommends the same, with meat, poultry, fish or eggs eaten daily or as often as possible. From age 6 to 18 months, a critical period of growth happens, which is why it’s so important to understand how to offer solid foods. Iron is often a nutrient of concern and breastfed babies should be supplemented with iron at age 4 months, but they often aren’t. The 6-18 month window is also an opportunity to instill healthy eating habits by introducing a variety of foods.

Consider these statistics: Twenty percent of 1-2 year olds eat no fruit, and 30 percent eat no vegetables. Worse, 75% of 12-month olds are drinking sugar sweetened beverages daily. This is not a good trend!

“Provide nutritious foods starting at 6 months of age that are high in iron and zinc such as meat. The iron in infant cereals like rice cereal is not as well absorbed by your baby’s body compared to the iron from meat, and some cereals don’t contain any iron at all. 1 in 4 toddlers don’t get enough iron in their diet which is important for brain development.” says dietitian Keli Hawthorne. 

Even though vegetarianism and veganism are trendy right now, infants will have a much more difficult time meeting nutrient needs by eating a vegetarian diet without proper supplementation. So if you aren’t already vegan, offer a variety of foods, including meats, to your infant. Using recipes that the whole family can enjoy makes meal time easier.

Wait. Meat? When I had my children, iron-fortified cereal was a typical first food, and it was common advice to “offer veggies first” so that they will “accept them”, and then fruit, and later meat. First foods were pureed. We now know there is really no evidence to the order of introducing foods to baby, and since meats are nutrient dense – beef in particular is an excellent source of iron and zinc (two important nutrients for infants and toddlers) – it’s a healthy first food.

Hawthorne says, “Most parents don’t start meat until about 9 months of age, but the recommendations are to actually start them much earlier, at 6 months of age, because of the important nutrients they contain. There’s no evidence that foods should be offered in any certain order – including starting with rice cereal or vegetables before fruits. However, all foods should be introduced individually for at least one time to monitor for any signs of reactions or allergies.”

You may choose to use processed baby food for convenience, and that’s fine. Parents can puree beef and other meats when first staring solids if they like. Or you may choose to try  “baby-led weaning”. This technique simply encourages parent to offer the same foods that they are eating, and allow the infant to self-feed. Hawthorne suggests that those who want to do baby led weaning can skip purees and offer meatballs, a short rib, or chicken drumsticks – something that the baby can grasp easily at 6 months of age (of course babies and toddlers should be monitored for choking when eating).

Dietitian and author of Born to Eat, Wendy Jo Peterson, says, Baby Led Weaning (BLW) is a good fit for your family if you prefer to eat with your child, share the same family foods, and embrace the messiness of exploring foods. Here are her tips for success:

“To kick start the BLW journey it’s vital to understand the difference between gagging and choking and identify proper textures that support success with BLW foods. Most families are nervous initially, but once they see their baby navigate whole foods from their first bite they gain confidence in their baby’s abilities. Blenders have not existed for very long, and babies have thrived long before electricity. Have confidence that this is a viable choice that many families have done for centuries.”

There’s no one right way to feed your baby, but you do need to include wholesome nutritious foods daily. It’s still fine to choose to purchase packaged baby food, however, as with other packaged foods at the supermarket, marketing tactics and facts don’t always match up. In the case of baby food, some brands use “stages”, and there’s really no evidence for that. They may also include the ages on the package labeling. For instance, the ‘stage 1’ foods often don’t include meat. Rather than allow the food labels to educate your choices, ask your pediatrician if you can meet with a dietitian, or find a book written by a registered dietitian (RD or RDN).

One More Thing

You also may be concerned about food allergies when introducing foods. According to Hawthorne, more research has been done lately on reducing allergy risk. “We used to think we should delay introduction and even completely avoid potential allergy foods like peanuts, but more current science shows the opposite. It’s better to introduce foods even as early as 6 months of age just like any other food as the best strategy to reduce later food allergy risk”. Peanut allergy is an example. New research now shows that early introduction of peanut products in infants actually reduces future allergy.

There is a lot to know about the first 1000 days, and early feeding – prepare yourself with the facts, and find support to give your baby a good head start in life.

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A Toxicology Lesson for Dietitians

I attended a really interesting session about pesticide residue at my state’s annual nutrition meeting, titled, “Organic and non-organic foods and pesticide residue: Important information for nutritionists and dietitians”, presented by Amir Golmohamadi, Assistant Professor at the Department of Nutrition at West Chester University of Pennsylvania. I’m sharing some of his slides here.

History of Farming

Amir began by sharing some of the history of farming and the Green Revolution. He described agriculture of both past (primitive) and present (modern and industrialized) as an “artificial situation” – man manipulating soil, moving plants, cross breeding and selecting seeds, fertilizing soil, irrigating, etc., in all cases, to increase the yield and quality of food. The output increased significantly with virtually the same inputs from the 1940s to 2016.

In 1990, the Organic Food Production Act was passed in the US. This defined standard organic farming practices and acceptable organic production inputs. This led to the agricultural certification – USDA Organic. This farming method means that the food was produced without genetically modified organisms (GMOs), without synthetic pesticides, and without irradiation. There’s been significant growth in the sale of organics foods over the past 16 years. Interestingly, consumer demand for organic food seems to outweigh the availability of land.

Pesticide and Herbicide Use

Many people who are concerned about GMOs (genetically modified organisms), are also concerned about glyphosate.  Some GM plants involve the use of glyphosate (“Round-up Ready” plants like corn, soybean, cotton and alfalfa), but others do not. Yet public perception about the link between this herbicide and GMOs is strong. Glyphosate is an herbicide that controls broadleaf grasses and weeds. Farmers use Round-up Ready seeds for crops to help them control weeds. There is also bt-corn (corn engineered to naturally ward off the pesky corn borer). While these herbicide resistant crops initially decreased the use of herbicide application, there’s some question whether this affect lasts. Of course as more acreage is grown, more herbicide may be used overall, but in general, these advances have allowed farmers to plant more crops per acre, using less resources.

Farmers take care to protect themselves and their workers when these chemicals are applied.Pesticides and insecticides are dangerous substances and need to be handled carefully. They also follow strict rules in terms of amounts used. As any toxicologist will tell you, “the dose makes the poison”, and this is important to understand when we are discussing pesticide residues on food.

What is a PPM and Inherent Toxicity

A part per million (PPM) is equivalent to 1 milligram of a chemical substance per liter of water. This would also look like one second in eleven and a half days. Or one single grain of sugar among 273 sugar cubes. According to Dr. Golmomahadi, the EPA uses risk assessment to characterize the nature and magnitude of health risks pesticides may pose to humans. This includes assessment of how much of a chemical is present in an environmental medium (e.g., soil, water, food), and how much contact (exposure) a person or ecological receptor has with the environmental medium. This helps determine the inherent toxicity (hazard) of the chemical. Hazard is the property of a chemical having the potential to cause adverse effects with exposure. Risk however, is the probability of the adverse effect occurring. So for instance, if you do not work on a farm, your risk is much lower than the worker who applies the pesticide applications each year (yet also takes care to do so safely).

So What About Our Food?

Consumer lists, such as the “Dirty Dozen” promoted by the Environmental Working Group (EWG) use flawed methodology to determine residue, and also don’t match the residue to human tolerance levels. Luckily there are science-based risk assessments. In the above slide, the red zone is the absolutely highest tolerable level of a pesticide where no effects have been identified (No Observable Adverse Effect Level). According to Dr. Golmomahadi, crops found to have this level are removed from market. The orange and yellow areas show acceptable daily intakes (ADI – a toxicological safety limit that specifies the amount of a substance can be ingested every day over an entire lifetime without harm – this is usually hundreds times less than the NOAEL). In this case, crops may be assessed on a case by case basis, and prevented from getting to market if necessary.  Finally, the green area is the Maximum Residue Levels (MRL).

Dr. Golmomahadi gave the example below of pesticide residue in strawberries (since they often top the “Dirty Dozen” list). You would have to consume 1100 pounds of strawberries per day to potentially pose a risk from pesticide residue!

Take Away

The takeaway here is that some pesticide residue does not equal “toxicity”. Testing is done to determine upper safety levels and the approved tolerance levels (or maximum residue levels, MRL) are hundreds of times lower that the levels determined not to cause issues. Very specific testing is done to determine the upper levels where there is no observable adverse effect (NOAEL), and then the safety levels are set way below them. Ninety nine percent (99%) of the products have lower level of pesticide than the Tolerance Level (TL).

Dr. Golmomahadi stressed that there is no pesticide risk to worry about from food. There is other types of risk in terms of pesticide exposure through direct exposure however (for instance, not following protocol when applying the pesticides, heavy pesticide exposure through the air). He also points out that pesticide residues are found in both organic and non-organic foods. He also feels that over-dependence on pesticides is not sustainable, and farmers and scientists should explore all options. He reassures –

“The US food system is one of the safest in the world. EPA and USDA routinely check the pesticide residue in all foods.”

Should you worry about pesticide residue from your food? No. It’s always good practice to wash your fruits and vegetables (dirt, manure, or other residues can also be present). You are at no more risk eating non-organic fruits and vegetables than you are eating organic fruits and vegetables.

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