School lunches - are they healthy?

Most children love buying lunch at school -- it is a very big step towards Independence once they begin Elementary school. (That is unless you have a very picky eater and send them to school with their lunch every day - as a dietitian, I find that sometimes allowing picky eaters to buy lunch at school once a week can help them break bad habits.) A study was recently conducted that looked at the healthfulness of school lunches. When comparing the nutritional intake of those who bought school lunch to those who brought their lunch, the results were surprising. Those purchasing lunch actually had higher vit A, C, B6, folate, calcium, thiamin, iron and phosphorus intakes. They also drank more milk and ate more vegetables and had fewer sweets, sweetened beverages, and snacks. On the flip side, although the number of calories were similar the amount of fat and saturated (bad) fat as well as sodium were higher for those purchasing lunch. So, the schools still have some work to do in improving their lunches. Bottom line: It is a good idea to balance bringing lunch and buying lunch. Let your children pick two days a week to buy their lunch and prohibit a la carte items (in many schools you can put a block on this). On the other days, pack a healthy lunch and have your child buy milk at school. Here is an example of a healthy sack lunch--
- whole wheat bread with either cheese and all natural lunch meat without preservatives or all natural peanut, almond or sunflower butter with all natural jelly.
- a fruit or two
- trail mix with high fiber cereal, almonds and semisweet choco chips
- milk - buy at school

Eat to lose weight

I just had a conversation with the nursing staff at my doctor's office yesterday concerning weight loss. They had been trying to lose weight and had successfully lost some weight but were now at a plateau. These women are educated and know what they should be eating, but they were not aware of how much and when they should be eating. This became obvious when I dug a little further and found that both went the whole work day without eating, so from 8-6pm they did not eat a thing. Additionally, one of them had not eaten yet, and it was already noon. This nurse in particular even made the comment that she used Weight Watchers to successfully lose the bulk of her weight and they made her eat all the time. After speaking with them the possible problem became clear -- in response to their baffling question of "why am I not losing weight" I was able to provide a simple answer...YOU MUST EAT TO LOSE WEIGHT! Going all day without eating will only sabotage your efforts at losing weight (and staying energetic and happy and let's not forget, healthy). In fact, the US weight loss registry shows that those who lose weight successfully eat breakfast at the same time every day. So, what does that tell us? We need to eat on a schedule. The body needs to know when to expect food, so that it does not try to conserve energy. We want the body to feel free to burn calories. Another important factor are all of the nutrients that are missing from their diets because of their limited food intake during the week. You also need key nutrients to help your body burn energy efficiently. Additional problems with not eating all day can also include overeating at other meals, feeling as if it is okay to eat higher fat foods since you did not eat all day, etc. (You know all the inner talking we do to rationalize unhealthy eating.) So, here is my advice...
1. Eat breakfast at the same time everyday to break your overnight fast -- make your body confident, so that it will burn energy efficiently.
2. If you do not have time for a sit down lunch during the day, that is okay, just make sure to bring healthy snacks with you and eat every 2-3 hours during the day.
For example,
-- if you eat breakfast at 7 am, by 10 am make sure and have a piece (or two) of fruit.
-- by 12 pm make sure and have an all natural peanut butter (2tbsp) sandwich with no added sugar jelly (1 tbsp) and whole wheat bread
-- by 2 or 3 pm have a homemade trail mix (high fiber cereal, handful of almonds, raisins and a few semisweet chocolate chips) and another piece of fruit
3. Make sure and eat a healthy dinner with at least two vegetables if you did not eat any veggies during the day.
4. If you are hungry before you go to bed, eat a high fiber cereal and skim milk as a snack.

Smell the coffee to melt away stress

A brand new study in lab rats shows that coffee may help relieve stress from not sleeping. After inhaling the aroma of coffee, more than a dozen stress-relieving genes turned on in the brains of sleep deprived rats. What is interesting, is that the smell of something can have such an effect on our brains, well in this case, rats. These types of studies are useful to set up human studies, but are not necessarily appropriate for making human recommendations. But, for now, it would not hurt to to inhale deeply while enjoying your cup of Java after a rough-night's sleep. Or, for those of you that do not drink coffee, breath deeply while purchasing your yogurt parfaits at Starbucks.

Not eating for Two

Pregnancy for many means, "yippee, I can eat what I want." For the sake of our waistlines, we need to change this thinking. Did you know that many women keep as much as 11 pounds from each pregnancy and some even more? I teach a prenatal nutrition class and I love the expressions I get when I tell everyone that in the first trimester you do not need any extra calories, you just need to make sure and eat really, really healthy** and take your prenatal vitamins. I also enjoy the looks of disbelief when I let the women know that in the second trimester they only need about 300-340 more calories. This is equivalent to about a bowl of Honey Nut Cheerios with 1/2 cup skim milk and an ounce of almonds. In the last trimester, the number jumps to an extra 450 calories total -- so, add a piece of whole wheat toast and jelly to your bowl of cereal and almonds and you are now at 450 calories. By making sure you eat healthy** during your pregnancy, you can set yourself up for easier weight loss after you have your bundle of joy.
**healthy defined -- to learn more about how many servings of foods from each food group you should be eating during your pregnancy, go to mypyramid.com and enter your information.

Healthy snacking idea for you and the kids

I love my pediatrician! He was mine as a child and now he takes care of my children. The other day we were discussing healthy snacking for the kids and he had a great idea -- put several healthy snacks in a plastic container with each child's name on it and after school let them go and choose their snack from their container. I love it! My kids are always trying to be more independent (they are 7 and 4), so this is right up their alley. Now, I have taken this a step further -- in an effort to increase my (and my husband's) fruit and nut consumption, we now also have a container in the fridge. Believe it or not, this little trick has increased my fruit consumption by two fruits a day. By the way, here is what is currently in our containers - it changes each week.
Baggies of pistachios, almonds with semi-sweet chocolate chips, apple slices, strawberries, cherries, and whole wheat crackers with all natural peanut butter.
Next week I will probably include, pretzels with hummus, banana slices with choco syrup, high fiber cereal trail mix (I just mix all bran with low fat granola, honey roasted sunflower seeds and dried cranberries or raisins), watermelon slices and (for the kids) whole wheat crackers with cheese slices.
Try it and let me know how it goes.

Sleep to lose weight

Are you getting at least 8 hours of sleep a night? If not, here is your excuse to get more zzz's. Studies show that people who sleep at least 8 hours tend to weigh less. Why? Because, sleeping actually helps your body produce less of the hunger hormone ghrelin and produce more of the fullness hormone leptin. Also, not sleeping enough may cause cortisol levels to go up which increase appetite and may even help add belly fat. In fact, a study from the University of Chicago showed that it only took a few sleepless nights to drop leptin levels by 18% and increase ghrelin by 28% causing cravings for starchy foods and sweets to jump by as much as 45%. So, mom's, for the sake of your figure...go to sleep.

Easy and Healthy Snack for you (and the kids)

On August 7th of last year, I shared with you a healthy and fun snack that my daughter and I discovered (see that post for the recipe). Well, we have added onto the original idea and thought I would share the enhanced version with you. What is great about this snack -- is that it's great for moms and dads! (As well as the kids).
1. Slice some fruit, any kind will do -- apples, strawberries, bananas, pineapples, cantaloupes, grapes (no slicing necessary), etc
2. In separate bowls put yogurt and all natural peanut butter -- this could get messy, but it is fun.
3. In a few more bowls add colored sprinkles, semisweet choco chips, granola, chopped nuts (find in baking section or chop yourself), colored sugar, etc.
4. Now, dip, dip and dip away. You may have to use a spoon or finger to smear the peanut butter if it does not stick.
5. Make sure to leave some for the kids.
I usually have everything sitting out and ready to eat and share when the kiddos get home from school. Try it!

Are you really hungry?

If it is not your typical meal time or if it is after dinner and you should not be hungry but find yourself wanting food, then you are probably not truly hungry. For most, we are no longer in tune with our hunger signals. We eat for all kinds of reasons beyond true physiological hunger. So, let's start today to identify if we are truly hungry. Start by asking yourself the following questions --

• Am I thirsty? -- If so, have a glass of water
  
• Tired? -- this can lead to craving carbs, instead take a nap or take an energizing walk
  
• Bored? -- find something to do other than eating
• When was the last time I ate – was it less than 3 hours ago? -- If not, you should not be hungry
  
• Can I wait 15 minutes before I eat again? Until the next meal? -- If so, leave the kitchen or put down the treat you picked up from the check out line and distract yourself until your next meal.
  
• On a scale from 1 to 10, what is my hunger? One represents not very hungry while 10 represents extremely hungry. If you rate yourself an 8, 9 or 10, it’s time to eat.

You may be surprised at how many "false" hunger signals we experience throughout the day.

Coffee is good for you?

You may have heard reports that coffee is the next miracle food. From decreasing the risk of developing diabetes to decreasing the risk of Parkinsons and even preventing cavities -- there is a new-found love of coffee. Starbucks, get ready! Here is a list of what drinking coffee might do for you --
decrease diabetes risk
decrease Parkinson's risk
cure your headache
improve your mood
help your workouts
make you more alert
help you on tests
decrease your cavities
(click here for more on the health benefits of coffee)
Coffee is a plant based food and thus contains antioxidants and other nutrients as well as caffeine that may provide health benefits. But before you go ahead and up your java intake or start the java habit, you need to be aware of the down-sides and how coffee may affect you as an individual. There are studies that show that coffee may increase your cholesterol levels. Also, a new study out of Duke University Medical school found that caffeine increased blood sugar levels in those with type 2 diabetes. Caffeine has also been shown to increase nervousness, anxiety and sleeplessness. So, bottom line -- if you currently drink coffee and do not experience any of the negative effects listed, then you are probably okay. For those of you who do not personally know "Joe"; drink it early in the day and take it slow to make sure you and "Joe" can be friends. Coffee is not necessarily for everyone -- if you have made it this far without coffee -- you are probably okay without it. You can get the health benefits listed above (and more) by eating your fruit (3), vegetables (3) and legumes (1/2 cup) daily.

2008 New Year Resolutions

Here is a quick list to add to your 2008 Healthier Eating New Year Resolutions.
-- Eat 1/2 cup serving of beans (eat all kinds including soy beans) and lentils every day - do not add any fat, instead add some garlic or other spices for seasoning.
-- Eat a handful, just a handful (1.5 ounces) of nuts a day. That is about 30 almonds, 21 walnuts, 42 peanuts, 67 pistachios, 27 pecans and 15 macadamias.
-- Eat at least 5 fruits and vegetables a day (or try for 10, which has been shown to decrease the risk for several cancers) -- count at the end of the day to make sure you hit your goal.
-- Drink water instead of calorie-laden drinks or drinks full of artificial sugars and colors. Or, at least swap water for another beverage twice a day.
-- Exercise, do something everyday. Even if it is just jumping in place to your favorite music. You can exercise in spurts - research shows that three 10 minute sessions of exercise a day can provide health benefits (and, not to mention, will help you maintain a healthy weight)!
Cheers to a healthy 2008!

Delish dish in just 10 minutes

It seems like my day has gotten shorter. Although I know that intuitively a day is still 24 hours as it always was, it just feels like I've lost a number of hours somewhere. (And when I say "somewhere" I mean changing diapers, doing infinite loads of laundry, cleaning up spills from under the high chair, fetching milk, water, yogurt, crackers, etc, playing game after game of Candyland, you know what I mean). When it comes time to make dinner I need things that are quicker to make than ever and more importantly, from ingredients that I have in the house. (If I have to run to the grocery store, forget it. I'll just order a pizza.) So, I am thrilled to share my newest recipe creation that takes - get this - 10 minutes! Here's what you'll need to buy in your weekly grocery shopping:
1/2 pound frozen or fresh shrimp
1 bag steam-in-the-bag veggies (Birds Eye SteamFresh Asian mix is what I used - any are fine)
1 bottle of Asian salad dressing (Ken's Sesame Ginger Light is what I used)
Boil-in-bag brown rice (5 or 10 minute)
1 bag frozen edemame or soybeans

Serves 2. (Double ingredients if you want to serve 4.)
First put the water on to boil for the rice. Run 1/2 pound of shrimp under cold water to defrost (or use fresh). Put a saute pan on medium-high heat for the shrimp. Put a bag of rice in the boiling water - when there's five minutes left on cooking the rice throw 2/3 cup edemame into the boiling water with the rice bag. Pop the veggies in the microwave for 5 minutes. Peel the shrimp and throw in the heated pan with 1-2 Tbs of the salad dressing. Cook about 2-3 minutes until shrimp are no longer pink. Everything should be done at the same time. Drain the water from the rice bag and edemame. Divide among two bowls: the rice, the veggies, the edemame, and the shrimp.
Voila - dinner's done in 10 minutes! It's really healthy, too - you've got veggies, whole grains, fish and legumes with just a touch of sodium from the dressing. The portions are a good size - my husband was definitely satisfied with the meal. This one is definitely being added to my rotation.
Gotta run - just heard the cereal bowl being thrown from the high chair!

Thanksgiving Healthy Tips

I am looking forward to eating all of my favorite foods at my Mother-in-law's house tomorrow. As is tradition when we eat at her house, I will not be allowed anywhere near the kitchen. It is the one time of the year (we handle all other holidays differently), that no one in my extended family wants to think about healthier versions or portion control or moderation. So, I have to keep my mouth shut. Her cooking methods are very different than mine. She cooks what we in Texas call "down-home" meals. She still uses an iron skillet and Crisco. Although, I do not think she saves the left-over grease anymore - I do need to state that her food is absolutely amazing. Okay, fine, I can work with that, I have a plan (for those of you who are facing the same situation, maybe my plan will work for you).
--wake up and work out before the feasting begins,
-- eat low-fat healthy foods all day, such as fruit and oatmeal in the morning, broth-based soup and salad with lots of veggies at lunch about 3 hours before our Thanksgiving meal (do not make the mistake of starving yourself),
-- and after the meal, I will make sure everyone goes outside and throws the football.
For those of you who have the opportunity to make some healthier substitutions, here are some of my favorite tips for the typical Thanksgiving fare,
- leave the skins on and use skim milk in the mashed potatoes, oh and add pressed garlic,
- eat your sweet potatoes, they are full of nutrition. Make a maple syrup sauce separately and let everyone drizzle on their own potato,
- use spray butter on your rolls,
- eat lots of greens in a salad and add a lot of color with fresh veggies and fruit,
- make your own cranberry relish rather than eating cranberry sauce -- it will have less sugar and whole, fresh cranberries,
- for dessert, just pick two with a portion size equal one serving combined,
- if you drink alcoholic beverages, alternate with water in between.
We hope you have a happy and healthy Thanksgiving

Best 100% Juices

I just ran across an interesting study about 100% fruit juices. The researchers looked at the nutrient density (amount of nutrients or good stuff per calorie) of popular 100% fruit juices. Nutrient density is a good way to make sure your calories count. For example, a prune and a piece of hard candy may have the same number of calories but the prune will be healthier because of the nutrients found in the prune. Out of the seven juices tested, which included apple, grape, pink and white grapefruit, orange, prune and pineapple, two were found to have the most nutrients. Orange juice and pink grapefruit juice were the winners in terms of more good stuff/calorie. Click here to read more about the study.

Fresh, Whole Foods Challenge Menu

OK, I did it. I really had to focus on the foods that I ate and at times had to stop myself and reach for something "fresh." I definitely had to pay attention and think about what I was eating, beyond what I normally think (given my love of food and health, I think about what I eat all the time in terms of balancing foods and what I and my family may be missing). But, yesterday I had a different focus and I ended up eating very healthy. Here are the foods I ate and the nutrition results for the Fresh, Whole Foods Challenge from yesterday's blog --
Breakfast

• oats and skim milk -fresh
• orange juice
• egg - fresh
• grapes - fresh

Snack

• raw almonds (fresh) and dark chocolate chips

Lunch

• light tuna in water and two pieces whole wheat bread
• spinach salad (fresh) with feta, onions (fresh), pressed garlic (fresh), oil and vinegar

Snack

• apple (fresh)

Dinner

• lentils with stewed tomatoes and pressed garlic (fresh)
• chicken breast, all natural (fresh) made with onions (fresh) olive oil and basil (fresh)
• steamed brown rice (fresh)
• skim milk

Out of 23 foods and beverages (I did not count oils/dressings), I ate 16 fresh, whole foods (based on the definition from yesterday's blog). So, about 70% of my food intake was fresh. Here is the analysis of what I ate --2150 calories, 44% carbs, 20% protein, 35% fat (44% of it was monounsaturated fat - the healthy kind), fiber 34 g (the recommended intake is 25 g). All in all, I did really well. Also, my analysis shows that I met or exceeded most nutrients. There were a few that fell below the recommended value but that is OK, because I will make up for those nutrients throughout the week.

Now, challenge yourself and see how you do -- remember, strive for at least half of your food intake to be fresh.

Eating Fresh, Whole Foods Challenge

We need to eat fresh, whole foods -- I know, they are not convenient and they go bad if you do not eat them in time. However, it is important to teach our families and ourselves how to eat fresh, whole foods vs. relying heavily on processed foods (which typically have several of the good nutrients stripped out as well as added ingredients that we do not need). For example, new research shows that as produce ripens there is an increase in powerful antioxidants from the break down of chlorophyll, which could be beneficial for health. These are compounds that are found in the whole fruit. By only eating processed foods that are enriched or fortified to make up for the stripped-out nutrients, you can miss out on eating a set of nutrients that need to work together in the whole food to protect your health. There are several nutrients that come in bundles and work together, such as vitamin A and the carotenoids like lutein and zeaxanthin that take care of our eyesight; or vitamin E and the tocopherols that work together as antioxidants.
Teach yourself and your families to rely on fresh, whole foods and only use processed foods occasionally. This does not mean you should give up your canned fruits and veggies. Although, these are somewhat processed, they are an easy and convenient way to reach the desired 5-10 fruits and veggies a day. Just make sure you are also including fresh, whole foods in your daily diet. And, based on the new study, make sure your produce is ripe. Try this today, count how many processed foods you and your kids eat vs. the number of fresh, whole foods. Try to make sure that at least half of your food intake is fresh and whole. I am going to join you in doing this -- I will write down everything that I eat today and run a nutrient analysis on my foods and will report back tomorrow. I will post what I ate, count the number that were fresh and whole, plus add the nutrition information for my day's menu.
There is no formal definition of "fresh, whole foods," so, for the sake of this challenge, we will include minimally processed whole grains, natural dairy and meats as fresh as well as whole fruits and vegetables. If you are like me, you may be concerned with pesticide contamination or added hormones and antibiotics, if so, make sure to choose the all natural, and organic varieties.

Anti-aging and Dr. Oz on Oprah

Did you happen to catch Oprah today? I happend to hit the gym at 4pm today and caught Dr. Oz on Oprah talking about staying young -- that is a topic of interest as I am starting to look very tired in the mornings, even with a good night's sleep. He just put out a new book and was detailing some of his strategies for staying young -- I loved the recommendations for keeping your house free of toxins. I can't wait to tell my husband that I am not crazy when I ask him to take his drycleaning out of the plastic bags right away and drive with the windows down to air them out. He also had recommendations on diet, he recommended vit D supplements, and high antioxidant foods. The vit D supplements may make sense given that new research finds that there is vit D deficiency in many of the elderly who live in the North -- for those of you in sunnier states, direct sunlight for 15 minutes a day takes care of your vit D needs. Also, eating high antioxidant, fresh foods is a great way to take care of yourself -- luckily, Mother Nature loves antioxidants and if you eat your 5-10 veggies a day, you are probably getting a good amount of antioxidants. Great antioxidant foods include -- berries, citrus fruits, grapes, nuts and seeds, dark green veggies, onions, garlic, whole grains, and yes, cocoa and chocolate. Dr. Oz also talks about calorie restriction as a way to slow aging, although there is some research on this subject, we do not know all the possible effects of essentially starving your body. For most moms not eating enough food can have a detrimental impact on your mood, energy level, and ability to think clearly, as well as modeling good eating behaviors for your kids. Also, most people when cutting down on calories, may cut out several important foods needed for long-term health. If you determine that calorie restriction is something you want to try -- talk to your physician and get a referral to a dietitian so they can help you do it in a healthy way.
My advice on staying young, aside from not smoking, using sunblock and exercising, is to eat a healthy, balanced diet everyday with --
- 10 servings of fruits and veggies,
- only whole grain carbs,
- at least one serving of beans and nuts a day,
- only low fat meats and low fat dairy,
- and very important --- leave lots of room for laughter and play time with your family and friends.
If you want to read more about Dr. Oz's recommendations or take his stay young quiz, click here.

Tips for eating Halloween candy

Here are some tips to cut down on eating too much candy --
-- Dump the candy on the floor with the kids and create a pile of your favorites (both you and your children).
-- Throw away (or donate to your child's daycare treasure box or good manners award chest) all candy that does not make it into your favorite piles.
-- Keep 5 pieces of your favorites for yourself -- again, either throw away or donate the rest of your pile.
-- For the kids, give each 5 Ziploc bags and let them put three pieces in each bag (this assumes the candies are snack size - if they are full size, then just one per bag).
-- Each day (for a total of 5 days, they do not have to be consecutive days) they can enjoy a bag -- Make sure they balance the treat with something healthy like nuts or fruit (that also goes for mom).

New product at The American Dietetic Assoc. meeting

I just came back from the American Dietetic Association Annual Conference in Philli, PA where over 10,000 dietitians from around the U.S. came together to hear the latest science in nutrition and health as well as see the new healthier products that are hitting the grocery store shelves. My favorite pick were the new PopTarts -- they taste great.

Whole wheat PopTarts -- it is about time. Kids and parents love PopTarts and they are so easy in the morning, the only problem is, they are unhealthy. I do not remember the ingredient list entirely as there were so many ingredient and nutrition facts panels that I reviewed while I was there (my head is still buzzing), but I believe they did not have high fructose corn syrup and that the fiber content was pretty good (I am waiting on Kellogg to answer my nutrition and ingredient questions about this new product, but they are slow). We will have to keep an eye out to make sure that the product is, indeed, healthier. According to the reps, the product should start hitting grocery store shelves now.
As soon as I get my notes together, I will share some additional product information and nutrition and health outcomes that were discussed during the scientific sessions.

Eating like my kids results

Here is the result of Monday's trying to eat like my kids. First as a reminder, here are the foods we ate --
B-fast - oatmeal, drinking yogurt
Snacks - sunflower seeds, mandarin orange cup, banana
Lunch - sunflower butter and all natural jelly on whole wheat bread, raw almonds, natural fruit leather, skim milk
Snack - baked Cheetos, grapes, skim milk
Dinner - Cooking light recipe, Sept. issue, p. 172 Chicken Pot Pie and Skim milk
Here are the results (I have also included the percentage of hitting my recommended intakes based on my gender, age, and activity level).
-- 2176 calories which is 97% of my recommended amount of 2245 calories
-- my macronutrient breakdown was -- 51% carb, 21% protein, 29% fat (all within the optimal
ranges of 45-65% carb, 10-35% protein, 20-35% fat)
-- my omega 3's intake was very low at only 20% of the recommended 1.1 grams
-- my fiber was 100% at 25 grams
-- cholesterol was 45% of the ok amount of 300 mg at 135 mg
-- my folate and iron were low
This is not bad for one day. We typically do not evaluate a diet on just one day of eating but instead look at the entire week. So, if you have a bad day it is ok, because you can make up for it. To improve my eating this week, I will increase my omega-3 intake by eating salmon, walnuts and flaxseed bread over the next few days. Also, I will add orange juice to breakfast to help increase my folate intake as well as a serving of beans with dinner to help increase my iron (and folate intake).
I said I would do this the whole week, so I am still eating like my kids. So far, I have really enjoyed taking the time to sit down and eat breakfast with them.

Most Women Feel Fat

I have friends and lead weight loss groups of women that are not happy with their bodies. Most are moms that just never lost the baby fat or they lost the fat but are not back to their pre-baby shape. And now, with their hectic lives directed by their children, are finding it hard to fit in a healthier diet, not to mention exercise. Well, they are not alone, in a new survey of 2000 women sponsored by SlimFast, 78% of women said they are larger than they want to be, with more than half wanting to be a size 8 or smaller -- today the average size is 12. Ok moms -- we need to slow down and figure out a way to take care of ourselves. Our negative body image can be passed onto our children. For their sake, let's eat healthier and feel good about ourselves!!! Read my post on August 14th for some quick tips. Click here to read more about the survey.