Nutrition

Embark on a Great Grain Adventure!

Meagan Mohammadione, RD/LD Emory Bariatric CenterPeople often say that eating healthy is boring but that couldn’t be further from the truth! Bring some adventure to your plate by incorporating grains from across the globe. Using multiple whole food sources to get your necessary nutrients provides many health benefits.

About a quarter of our plates should be filled up with starches, including whole grains. The world provides us with a plethora of great grain options to keep us healthy and provide variety. Travel the globe through eating grains that are native to other countries and banish the boring. Here are two grain options to start your adventure.

Teff – is a grass native to Ethiopia with small seeds which cook quickly. The teff flour is traditionally used to make injera bread and now is used as a grain side dish in cultures in Europe and the US. Teff is an adaptable grain, thriving in both drought and waterlogged soil environments.

Teff is a very nutritious grain being a good source of fiber, niacin, iron, thiamin, copper, magnesium, phosphorus, calcium and protein. Containing all 9 essential amino acids, it is considered a complete protein. It is also a gluten-free product so it can be eaten by people with Celiac disease.

Millet - Millet is the name given to a number of different small seed grains grown widely around the world. There are many varieties of millet with Pearl Millet being the most widely used variety. India is the largest producer of millet, with it often eaten as a popped snack, where as in the US, people often feed millet to birds! Americans are now giving millet a second look and seeing the value in consuming it themselves. Millet is a gluten-free grain and therefore can be consumed by people with Celiac disease. Millet contains high levels of magnesium, niacin, B6, calcium, iron, potassium, and zinc; however, millet needs to be roasted or germinated before boiling to get the most out of these nutrients. The protein in millet is similar to that in wheat. Millet is often cooked as porridge or with a stew and made into bread and crepes.

Pump Up the Variety of Your Protein

Protein SourcesMarch is National Nutrition Month! This year the theme is “Get Your Plate in Shape” by filling it with a variety of foods from each food group in the appropriate portions.  An essential part of your plate is protein-rich foods.  Protein allows our muscles to move, maintains fluid balance, transports nutrients in our blood and regulates our immune systems. Most Americans eat plenty of protein each day, but we may not be consuming it from the right sources or in enough variety. Most adults and older children need 5-7 ounces of protein each day.  Read on for more information about protein-rich foods.

Meat, poultry, fish, and eggs:   Animal products are excellent sources of complete proteins and essential vitamins and minerals such as iron and B vitamins.  When eating these foods, make sure they are lower in fat because they can be high in bad saturated fat.  Lower-fat sources of meat and poultry include chicken with no skin, ground beef ≥90% lean, and lean cuts of beef (sirloin side, top sirloin, top round, eye of round, and bottom round steaks all have ≤2 g saturated fat per 3.5 oz).  Fish like salmon, tuna, mackerel, herring, trout, and halibut not only have protein but also heart healthy Omega-3 fatty acids.  Try to include these fish on your plate at least 2 times per week.

Beans and peas, nuts and seeds, and grains:  Beans and peas are an excellent substitute for animal products and are a good source of fiber, iron, potassium, magnesium, folate, and zinc.  Aim to buy dry or frozen beans and peas instead of canned to reduce the sodium in your diet.  Nuts and seeds are also good sources of protein and essential vitamins and minerals such as B vitamins, vitamin E, potassium, and phosphorus.  Try to include a variety of unsalted nuts and seeds each day.  With all the research linking the nutrients found in nuts/seeds and good overall health, you could say “a small handful of nuts and seeds a day might keep the doctor away!”  And finally, many grains are an excellent source of protein.  Be adventurous and try a different healthy grain each week to increase your total intake.  Examples of protein packed grains are quinoa, amaranth, barley, buckwheat, oats, millet, rye, durum wheat, teff, and spelt.

Mindless versus Mindful Eating

Mindfull vs. Mindless Eating HabitsOvereating often occurs because we are not aware of how the environment around us affected our eating and what the quantities of food we consume are. Brian Wansink, PhD, a nutritional scientist at Cornell University, has written a book called Mindless Eating, in which he describes research studies that reveal how little awareness we often have about our eating and what influences it. Amazingly, even his students, who were PhD candidates in nutritional science, were unaware of how their environment influenced their eating. These are some of his findings:

  • The average overweight person underestimated his or her calorie intake by 30-40% (versus 20% for normal-weight people). The more they ate the greater percentage they were off in their estimates.
  • People ate 53% more popcorn if given a large container versus a small one, even though it was stale and they had just eaten.
  • Even PhD students in nutritional science ate 31% more ice cream at a party if their bowls were big rather than small.
  • When a candy dish at their desk at work was transparent, people ate 71% more candy versus if the dish was opaque, even with the same amount of candy in the dish.
  • If Hershey’s kisses were within reach at a secretary’s desk, he/she ate nine per day on the average, versus four if the candy was six feet away.
  • The more people are around us, the more we tend to eat; if we have 7 or more friends around us, we eat double the food than when alone.

Living in the United States, which has the highest obesity rate of any large country; it is easy to become overweight just following what others in our culture do. Our biggest weapon in being “counter-culture” is awareness: knowing what is in the food that we eat and how much of it we are eating. Wansink’s findings have some clear implications for people who want to lose weight:

  • Think of times when you tend to be least aware. Often these times occur when people are in social situations, when they are served food by another person, and/or when they are tired, bored or stressed. Come up with a plan for controlling eating in these situations.
  • Consider filling out a food diary during difficult times to make you aware of your eating habits and the number of calories you consume.
  • Think of how you can make a 100-calorie change in your eating or exercise per day. Examples would be: to cut out one can of a sugared beverage per day; skip one dessert per day, walk for 15 minutes daily; regularly take stairs rather than elevators, park further away from stores or other destinations, and/or walk while talking on a cell or portable phone.
  • Preplan how much you will eat during parties and social occasions and how you will control your food intake. An example would be to fill up one plate during a buffet, consume a preset number of chips at a Mexican restaurant, or decide to eat half a portion at a restaurant and to ask for a box before you start eating. Consider alternative activities with friends besides those associated with overeating.
  • Control your environment so as to make problem foods less available. Shop from a list and when not hungry so that problem foods are not in the house. Put any such foods in the back of the panty or refrigerator and store them in small containers.  (Many people find it helpful to put pre-measured meals or snacks aside.) Resolve never to take a big box or container in front of you and eat from it. Keep seconds away from reach and serving containers off the table.
  • Use smaller plates, bowls and glasses. For many people, their use saves many pounds each year.

Reference: Brian Wansink, Ph.D. Mindless Eating. Bantam Dell Publishers, New York, 2006.

Smart Strategies for Dining Out

Meagan Mohammadione, RD/LD Emory Bariatric CenterIt’s well known that we eat more calories when we dine out at restaurants than we would eating at home.  But, you don’t have to completely avoid restaurants when trying to manage your weight.  Here are some smart strategies to help control your calories.

  1. Don’t be afraid to ask for what you want. Have your server put high-fat condiments like salad dressing and mayonnaise on the side so you can control how much gets put on your meal.  Ask to substitute high-calorie side items like French fries for salad or steamed vegetables.
  2. Take half your meal home. Ask for a to-go box as soon as your meal comes to the table.  Put half of it away before you are finished eating.  Now you have two (or three) meals in one!
  3. Pass the bread. Save your calories for your main course!  Put the bread/chip basket on the other side of the table to resist temptation.   Better yet, ask your server to not bring it to your table at all.
  4. Fill up on low-calorie foods. Order a side salad (with light dressing) or a broth-based soup to help fill up your stomach when you are really hungry.  This will help you eat slower and eat less when your main course arrives.
  5. Go for an after dinner stroll. If you feel like you have eaten too much, it’s tempting to lie down.  This may actually make you feel more uncomfortable.  Instead, try going for a light 10-15 minute walk.  This will aid in digestion and help push food out of your stomach.

What else? Any other tips you have to add to this list? If so, please share them with us and our readers using the comments below!

How Quickly We Eat May Affect Our Weight

weight managementRecent studies have been examining whether the rate in which we eat influences our weight. In one study, researchers gave women pasta at two different times. The first time, they were told to eat quickly. The second time, they were encouraged to slowly chew each mouthful 15 to 20 times before swallowing. On average, women ate 67 fewer calories when they took time to chew their food. The authors of this study noted that cutting 67 calories at dinner translates into seven pounds of weight loss per year.

Another similar study focused on examining how the speed of eating changes appetite and the rate of which food (energy) in our bodies is used. A calorimeter machine was used to measure how much energy a person burns throughout the day. On the first day, women ate lunch in a total of 10 minutes, on the second day they ate lunch in 20 minutes, and on the third day they ate a 40 minute lunch. Although the results have not yet been published, researchers are hoping to find a link between the speed of eating a meal and how energy is processed and how a person’s appetite changes. If this research shows promise, simply slowing down the rate you eat dinner may result in decreased appetite leading to gradual, sustainable weight loss.

What do you think? Do you think there’s a connection between the pace of eating and weight loss/gain? Let us know in the comments below!

More info: http://www.bbc.co.uk/news/health-15447568

6 Tips for Controlling Your Weight During the Holidays

Healthy Holiday Eating TipsAll of us know that the holidays can be a perilous time for those who wish to lose weight, with all the parties, family gatherings and food around us. It is part of our culture to overeat from Thanksgiving through Valentine’s Day, and others around us are likely to do so. Moreover, the food consumed often is high in sugar and fat, and alcohol does not relieve hunger very well, and can cause us to be less in control and more inattentive.

The following are some ideas to consider to help you control your weight during the holidays:

  1. Remind yourself that our culture at large does not have to be your personal culture.
  2. Make sure that your thinking and attitude are healthy.  Think of moderate eating during the holidays as a step toward better health and function, and not as “deprivation.”  Avoid berating yourself for any lapses; however, do not gloss over them, and use them as a cue to set goals for the next time you are in a similar situation.
  3. Plan an overall strategy in advance of the holiday season. Consider what problems you have had in the past and think of ways to address these problems successfully.
  4. Go to a social event with a plan for eating. Compensate for any planned increase in eating with reduced eating and/or increased exercise before the event.  If possible, avoid going to the event when overly hungry or tired.  While there, eat slowly to help control the quantity of food consumed.
  5. Avoid having leftovers or high-calorie food sitting around in your environment without a plan for them.
  6. Don’t forget exercise, which easily can be neglected with busy schedules and colder weather.

What else? Do you have tips and tricks that you use to control your weight around Thanksgiving and other holidays? If so, please share them with us and our readers in the comments below!

Related Resources:

 

Helping You Overcome the Exercise Shoulda, Coulda, Wouldas

Exercise excusesReasons we are not Exercising and Strategies to Overcome all of the Excuses

Weight loss is not an easy task to accomplish.  Often times it involves a lifestyle change in which we are forced to change habits we have developed over a lifetime. Many of us have trouble incorporating physical activity into our daily routines and come up with a number of excuses as to why we are not going to do it.  It is time to combat these excuses with pre-contemplated strategies so these excuses cannot hold us back.

With that said, these are the top 5 excuses we hear most often for not exercising and tips to help you overcome excuses:

1) I’m Too Tired

  • Wake up 30 minutes early and work out.  It will increase your energy for the rest the day!
  • Choose to do an activity you enjoy instead of “working out.” Garden in the spring or ice-skate in the winter to burn away the calories.
  • Start small; exercise will increase your energy.  Try going on a 5-minute walk and see how you can progress each day!

2) I Don’t Have Time

  • Utilize your lunch break.  Walk outside, or try going up and down the stairs for a challenge!
  • While watching your favorite TV show, do crunches or push-ups during the commercials!
  • Schedule time to exercise in your calendar, phone, etc the same as you would for a meeting or your child’s play date.

3) I’m Too Sore from My Last Work Out

  • Exercise a different part of your body.  If your legs hurt from walking, focus on your upper body.
  • Stretch!  This can help to improve flexibility and reduce the tension in your muscles.

4) Exercise is Boring

  • Experiment! Try swimming or Zumba — find something you enjoy!
  • Bring a book, magazine, or iPod to entertain you while you exercise.
  • Bring a friend!  Ask someone to join you to chat and the time will fly by.

5) I Hate to Sweat

  • Exercise in the pool! Join a water aerobics class or just kick your feet while holding onto the side of the pool.
  • Walk indoors! Ladies try a walk around the mall, and men try a sporting good store to workout and cool off.
  • Try resistance exercises.  Not all exercise makes you sweat.  Try this website for some great strength training suggestions!

So now it is time to stop with all of the excuses, and get moving.  Incorporate one or all of these strategies into your workout routine to keep you focused and motivated on your long-term goals.  It is not always easy, but when you feel the excuses escape your lips, recall these strategies to keep active!

Looking for even more ways to incorporate effective weight management techniques into your daily life? Tomorrow, Meagan Mohammadione, Registered Dietitian from the Emory Bariatric Center, is hosting a free web chat to discuss healthy recipe modification tips to boost the nutrition of your Thanksgiving menu, while lessening the guilt! There’s still time to sign up and join her!

Cut Empty Calories from Your Thanksgiving Holiday Recipes

Holiday Recipe Nutrition Cutting CaloriesLet’s be honest. We all know we can overindulge during the holidays. Around Thanksgiving, especially, we’re so enticed by the variety of dishes and their endless quantities that we often forget what we’re really focusing on, our loved ones. In the spirit of the health and wellness of you and your family, we’re sharing with you a few ways you can cut unnecessary calories from your Thanksgiving menu, without cutting the flavor or fun!

Cutting Calories from Turkey & Meat Recipes

Your turkey doesn’t need a coating in a full tub of butter to be moist, nor does it require brining days in advance for flavor. The traditional turkey recipe packs in about 400 calories per serving.

If you swap out the brining process for a bit of white miso paste, and use a rub made mostly of olive oil, lemon juice and garlic, you’re looking to save about half the calories, but still maintain that savory depth of flavor.

The Web is full of tons of great recipes, try searching for thanksgiving turkey recipes with miso for some good ideas to start.

Cutting Calories from Mashed Potatoes & Side Recipes

In preparation for our healthy holiday eating web chat, we shared with you a post on modifying your mashed potato recipe with cauliflower. (Check out the post & recipe for more). If you don’t like the idea of mashed cauliflower, we have a few more options for you:

  • use your normal mashed potato recipe, but swap half the potatoes for cauliflower. With this method, you’ll keep that potato taste, but lighten up the recipe from both a texture and calorie standpoint.
  • cut extra fat by cutting half the butter. If you swap out at least half the butter of your normal recipe and swap it instead for low-fat sour cream, plain yogurt, or a combination of the two, you’ll eliminate extra fat and calories but keep that creamy texture you love!

Other Thanksgiving meal sides have room for substitution as well. Try incorporating long grain rice, nuts, and dried fruit into your stuffing recipe in exchange for some of its bread base. This is a great way to make the texture and flavor of your stuffing more interesting.

Cutting Calories from Pumpkin Pie & Dessert Recipes

Pumpkin pie is a Thanksgiving favorite, and rightfully so. It’s a great seasonal recipe and a go-to Thanksgiving comfort food. What’s not so comforting, however, is the amount of bad fat in most pie crusts. Whether you’re using a store bought crust or a “standard” recipe, you can cut calories with just a few modifications to your pie crust.

There are lots of pie crust recipes online (like this one) that you can use, but try searching for crusts that replace the butter with low fat plain or vanilla yogurt instead of butter. You can also try adding some extra cinnamon to the mix for added flavor.

Beverages

Our best advice when it comes to Thanksgiving and your beverage selection? Unless it’s millk, don’t drink your calories. Eggnog and other similar heavy seasonal drinks add hundreds of calories to your menu. If you want room for dessert, skip the fancy drinks.

Chat with Us!

Holiday Nutrition Web Chat
Join Registered Dietitian from the Emory Bariatric Center, Meagan Mohammadione, on Thursday, November 10th, for an online chat about healthy holiday eating. She’ll be sharing lots of substitution ideas, recipe tips and ideas to help you enjoy your holiday favorites without all the guilt. You can ask Meagan as many or as few questions as you’d like and participation in the chat is completely free!

Choose My Plate – A Better Guide to Eating Well

Does the original, triangular food guide pyramid confuse you? Do you find its design to be archaic and unhelpful in maintaining a healthy diet? If so, you’re in luck! This past June, the United States Department of Agriculture along with Michelle Obama, created a new nutritional guide. They abandoned the outdated pyramid model, and introduced the modernized, circular “MyPlate”. In hopes of further combating obesity, Mrs. Obama stated that the MyPlate is a “quick, simple reminder for all of us to be more mindful of the foods that we’re eating”.

The MyPlate design is significantly different than those of past food guides. Split into four sections, the MyPlate provides a space for fruits, vegetables, grains and protein. At the top corner of the plate sits a smaller circle, providing a space for dairy products. The concept is simply this: If a plate of food resembles the circular MyPlate symbol, then it is a healthy, acceptable meal.

According to officials, the plan to introduce and explain the new dietary guidelines to consumers will involve numerous campaigns. The first half of the campaign will push consumers to consume “half-a-plate size” portions of fruits and vegetables, and to enjoy their meals but eat less. As time progresses, officials will slowly begin to educate people about the negatives of oversized portions, and the importance of drinking water.

Only time will tell how consumers will receive the MyPlate campaign and the nutritional values that support it. With a refined model that is more straightforward and easy to understand, MyPlate will hopefully encourage people to think about the food they are eating, and improve their diet. While the new guidelines are not perfect, they are a significant improvement to the past two food pyramids. So next time you are struggling to find a healthy meal, think back to the new food chart, and make yourself a MyPlate.

Interested in learning more about MyPlate? Visit www.choosemyplate.gov for more information.

 

Emory University Hospital Midtown Receives Level 1 Reaccreditation for Bariatric Surgery

Congratulations to Emory University Hospital Midtown for being granted “Full Approval” Level 1 Reaccreditation by The American College of Surgeons Bariatric Surgery Center Network (ACS BSCN)

Accreditation from The ACS BSCN is given to facilities in the United States that have undergone an independent, voluntary, and rigorous peer evaluation in accordance with nationally recognized bariatric surgical standards. Bariatric surgery accreditation symbolizes institutional commitment and accountability for safe, high-quality surgical care, proven by performance and the measurement of outcomes.

ACS BSCN would like to “again, commend the staff at (Emory University Hospital Midtown) for providing high-quality care to your patients undergoing bariatric surgery.”