The Fun of Asking Why

When it comes to different foods, each has its own makeup of nutrients. Historically, vitamin deficiencies were a lot more common in the United States than today, and many of the ways we prevent deficiencies today are so ordinary that we don’t even know we should ask why things are done a certain way. So let’s ask why!

Why is it important to cook rice until all of the water is absorbed?

The rice grain has different parts to it, including the bran, germ and endosperm. B vitamins are found in the bran and germ, which are removed during processing to create white rice. This means the B vitamins are lost; as a result, we add them back through a process called enrichment. Scientists considered two main points when creating the best way to enrich the rice: (1) B vitamins are water-soluble, and (2) rice is cooked with water.

These important factors led to putting the rice into a large, vapor-filled tub. The vapor contains B vitamins, which sticks to the outside of the grain.This is why it is important to allow all of the water to absorb into the rice grain when cooking…because the B vitamins get absorbed into the grain along with the water. If there is any extra water that is poured off at the end of the cooking process, some of the enriched B vitamins are washed away.

Why is milk not usually sold in clear containers?

Milk naturally contains a B vitamin called riboflavin, which is important for many various cellular reactions in the body. Riboflavin is sensitive to light, being easily broken down when exposed to UV light, sunlight and fluorescent lights. Thus, when milk is packaged, we find it in opaque plastic jugs at the grocery store and in small, paper cartons at schools.

Sometimes we just accept things as they are, but it’s fun to ask why things are the way they are, too.

Holidays with Diabetes

Holidays for Everyone with Diabetes: (Prediabetes, Type 1 or Type 2)

 

The holiday season does not need to be a minefield for persons with diabetes, no matter the type.  Keeping in mind what our goals are can open the door to this festive season.  Let’s look at the goals for each of these diagnoses.

Type 1 Diabetes is an autoimmune disease. It is characterized by the daily need for insulin replacement, usually in the form of multiple insulin injections per day or an insulin pump. The main goal is blood glucose control by balancing food, insulin and activity. Knowing how much carbohydrate one is consuming, whether food or drink, and how much insulin is needed for that amount of carbohydrate usually keeps blood sugars under control. When the primary goal is regulating blood sugars, there is some flexibility with the specific types of foods, as long as the food/carbohydrate is “covered” accurately by insulin. Calories are a secondary concern for those who are watching their weight.

With prediabetes, the overall goal is to prevent progression to Type 2 Diabetes.  The goals are usually to increase activity/fitness and to control or lose weight, both of which combat insulin resistance. Therefore, calorie intake is an important goal.  People with prediabetes often have difficulty with high blood pressure and/or cholesterol so watching amounts of sodium and saturated fats play into their game plan.

In Type 2 DM, people start with the same concerns as prediabetes and then add concerns about side effects from medications and/or insulin. It really depends upon where a person is in the progression of this condition. Calories usually continue to be a concern, along with health in general, so it is important to monitor sodium and fat intake while increasing physical activity. Moderate, consistent carbohydrate intake helps keep blood sugars balanced so the makeup of the meal continues to be important.  People with Type 2 who are on an insulin pump or are taking a long acting and possibly a rapid acting insulin have a little more flexibility with the types of foods they eat. However, they also need to keep in mind their other goals of controlling blood pressure, blood fats and weight.

Knowing what type of diabetes and the treatment goals help open up the mysteries of food, blood sugar control and the holidays.  Diabetes is not just one condition with the same goals, but several different ones with different treatments and goals.  The age lines are blurring today so just knowing “childhood onset or adult onset” doesn’t work anymore. Knowledge of each person’s condition is crucial in the game plan.  Overall, a goal for anyone, with or without diabetes, would be to enjoy this special time of the year with those who are important and loved, with the lights, decorations and food as a backdrop and not the main focus. Let our BN dietitians know how we can help!

-KM

How Time Has Changed the Definition of “Malnourished”

If you were asked to describe the term “malnourished”, what would you say? How would this person look? Are you yourself malnourished? More than likely, images of starved children in poor economic countries come to mind. But the question is, “what exactly defines the term malnourished?”

There used to be 2 terms that referred to malnourished: kwashiorkor and marasmus. Kwashiorkor refers to not eating enough protein while marasmus is traditional starvation. However, now malnourishment has a set of criteria composed of 6 characteristics of a person:

  • Weight loss
  • Reduced functional strength
  • Not eating enough calories to support the body
  • Swelling
  • Loss of fat under the skin
  • Loss of muscle mass

Notice that nowhere in these 6 factors is overall body weight or BMI mentioned. This means that even someone who is overweight or obese can be malnourished. It does not say that a person has to be less than 100 pounds or have bones prominently showing.

“Nourish” is defined as “to sustain with food or nutriment; to supply what is necessary for life, health, and growth.” Even when not referring to food, someone could say, “This lotion left my hands feeling nourished and smooth.”

Why do dietitians push for vegetables over candy? The nutrients. They both provide energy, but they don’t provide the same profile of nutrients. Calories are essential, but nutrients nourish. For example, if someone was overweight, we regularly don’t describe them as malnourished…but let’s say they were only consuming Cheetos, donuts, and Coke for their meals. This type of diet can lead to malnutrition because while calories might be sufficient, nutrients to help the body repair itself and keep things functioning properly are lacking.

Any size of person can be malnourished. Malnourishment often becomes apparent in the context of a medical diagnosis. This is not to say that everyone who is overweight/obese is malnourished, but the premise is that malnourished isn’t always what we have seen historically when food wasn’t as abundant as it is now. The bottom line: eating a diet focused on nutrient-rich foods helps prevent malnourishment. Choose nutrients over calories.

-WW

The Specific Carbohydrate Diet

In the 1950s, Dr. Sidney Valentine Hass was treating patients with gastrointestinal disorders.  One of those patients was a young girl with ulcerative colitis.  Dr. Hass led to her remission in about 2 years time through diet and fermented foods.  The young patient’s mother, Elaine Gottschall, then went on to write a book titled Breaking the Vicious Cycle, Intestinal Health Through Diet to share this information with the world.  This diet is now commonly referred to the Specific Carbohydrate Diet or SCD.

 

The SCD eliminates grains, starches, and most dairy and sugars to minimize the amount of incompletely digested carbohydrates in one’s diet.  This can help the gut flora be more health-promoting and minimize the amount of irritants entering the gut.

 

The diet has been shown to be quite effective in people with ulcerative colitis (UC), Crohn’s disease (CD) and other GI or inflammatory diagnoses.  Many pediatric studies have shown the remission of their UC, normalized weight and height, and a resolution of symptoms.  The diet can be used as a tool to “heal” the gut and then foods can be added back in as tolerated.

 

As you can imagine the diet is rather time consuming.  Some study participants spent an average of 10.5 hours a week preparing food.  If this sounds interesting to you, check out some of the following websites.  Besides the time and effort there are no side effects to this therapeutic option.  You will be healthier and hopefully free of flare ups.

-MK

References:

www.Scdlifestyle.com

http://www.breakingtheviciouscycle.info/

http://www.todaysdietitian.com/newarchives/0617p42.shtml

Deal or No Deal

Working in a place of foodservice gives me some great insight into some of the food mannerisms of the average American. People in the United States emphasize the value of the dollar. This is everyday life, and we likely fail to realize how much we place value on how big our meals are with respect to how much we pay for it. It is easily reflected when you examine restaurant promotionals like “2 for $20” or “large pizza for the price of a medium!”

 

A common order I receive is “light ice” or “no water.” While these requests may enhance the flavor of a drink and seemingly provide you with more product for your money, are you really winning the game? One pound of fat equals roughly 3,500 calories. This means that if you consume an extra 100 calories each day of the year (100 kcal x 365 days) that your body doesn’t need, you will gain ~10 lbs each year (36,500 kcal ÷ 3,500 kcal/lb). One hundred calories don’t seem like much, but it can have a negative impact on your health if this is kept up over the years. An extra 100 kcal would roughly be the size of one piece of bread or less than half of one regular bag of M&M’s. With this in perspective, this scenario of a little bit extra could play out as easily as someone at work bringing in a sweet snack for the office to munch on.

 

These small mouthfuls can lead to serious, unwanted health changes. In the end, if we order something slightly altered so that we get more food/drink for the amount we are paying, are we really winning when this results in excessive weight gain and subsequent higher medical bills? Maybe that menu deal is really no deal at all.

-WW

Changes Need a Place to Begin

There have been some recent changes to kids’ meals in fast food places. Panera Bread just recently came out that they were targeting kids when they began to offer the entire menu in smaller portions. The CEO of Panera Bread called out the other big names in fast food (Burger King, McDonald’s, and Wendy’s) to make changes to their kids’ menus. A McDonald’s rep stated they had already started to do this in the past when they started offering apple slices, clementines, and yogurt; replaced soft drinks with fat-free milk and apple juice; and decreased the size of french fries.

 

Do these changes mean that kids will automatically start eating salads and a bunch of greens instead of mac’n’cheese? Maybe not, but we’re moving in the right direction. Competition by these food chains is good not only for their business, but also in terms of improving nutrition. Health has never been such a focus for the public before now, and the more that nutrition science grows, the better off we will likely be in our physical health.

 

These changes are not only good for kids, but they can also make for suitable, smaller-sized meal options for adults, too. Just like with adults, kids need slow changes when it comes to eating healthier. Small steps often lead to lifelong changes. Giant, aggressive leaps often lead to rapid, failed attempts. The option for healthier choices need to be present before the healthier choice can be made. Let’s appreciate the progress.

 

Below is a link to an article on Panera’s changes.

http://www.npr.org/sections/thesalt/2017/09/26/553533712/more-healthful-kids-meals-panera-ceo-dishes-out-a-challenge

 

-WW

Nutrition and Cancer Prevention

Everyone hears that a proper diet and exercise regimen can help prevent chronic disease such as cancer. How does that work exactly? A complex topic that can be understood a little bit easier by looking back at basic cell biology. Cells replicate and divide in order to be renewed and function at their best. The body has natural protective mechanisms that ensure this replication process starts and stops appropriately. Cancer develops when cells replicate uncontrollably, and the “stop” button is missed.

 

Fruits/vegetables play key roles in keeping cells healthy and dividing in a controlled fashion. How? Compare candy and broccoli for a second. They both provide energy (calories) for your cells to use; candy only provides energy, while broccoli provides energy plus vitamins/minerals/phytochemicals to help keep cells repaired and healthy, minimizing the chances that cell renewal will go rogue. This doesn’t mean chocolate causes cancer; it means it simply doesn’t provide nutrients that emphasize cell repair and health. Broccoli also has fiber, which promotes more frequent stools. This bowel movement helps get foodstuff out of the intestines faster to reduce contact time that intestinal cells have with cancer-causing agents. Diets high in fruits/vegetables (esp. non-starchy) are associated with lower risks of colon cancer.

 

Another diet component to consider is alcohol consumption. While regular foods/drinks have specific places in the GI tract to be absorbed, alcohol is unique in that it can be absorbed at any point in the GI tract once consumed. When alcohol is absorbed, it also denatures parts of the cells and speeds up cell division. This increases the chances of cell division controls being disrupted, which can lead to the uncontrolled cell replication that causes cancer. Thus, this is one reason moderate alcohol consumption is encouraged, among other things.

 

Proper nutrition does not necessarily prevent cancer, but it can certainly help protect against it. BN dietitians are able to help with nutrition for cancer and can help you set up a diet that will help protect against a cancer diagnosis in the first place.

 

-WW

What the Health

What the Health is a recent Netflix documentary that attempts to link the cause of chronic diseases to meat, eggs, and dairy products. Kip Andersen and Keegan Kuhn produce a convincing film, and it can be tempting to believe every word. However, to conclude that all animal products produce detrimental effects on human health and are the cause of all chronic diseases is a hefty conclusion. Indeed, those who eat plant-based diets typically experience fewer health issues. However, these people also tend to adopt healthier lifestyles overall.

 

Eggs, meat, and dairy products are certainly part of the MyPlate message (as the documentary indicates) because they provide many quality nutrients like complete proteins and calcium. Too much of anything is generally harmful so instead of eliminating nutrient-rich foods, it is much more advisable to adopt a healthy lifestyle.

 

The filmmakers and featured doctors in the film are all either vegans or animal rights activists. With this being said, it is important to know who is making the health claim. Are they qualified to be making such statements? Are they academic experts on the topic or avid activists rolling with the next popular trend? Andersen and Kuhn are filmmakers, not medical professionals, much like the representatives on the phones at the American Diabetes Association and American Cancer Society were secretaries, not dietitians. While some of the featured individuals in this film are highly-educated physicians, they still make up a very small portion of the accredited doctors in the U.S. The chances of only a handful of qualified professionals knowing the solution to ending all chronic diseases is slim.

 

If a health claim leads you to make drastic, life-altering decisions, it’s time to pause and ask questions. The link below features a review of the film by a vegan dietitian. She has some wise words to review her own specialty.

https://www.vegan.com/posts/vegan-dietitian-review-what-the-health/

 

-WW

Nutty Nutrition Facts

Nuts have been a “nut”ritional trend for a while now.  It’s widely known that they have many health benefits, including being anti-inflammatory and an antioxidant, which are both important for heart and blood vessel health as well as muscle and tissue repair.  Satiation, or feeling satisfied or “full”, is one of the other important benefits of nuts.  So when looking at nuts, which ones are healthiest or the best choices?  It really matters when looking at the details of nuts and what we are trying to accomplish.

As a protein source, almonds, pistachios and cashews rank in that order, with almonds coming in at 6 grams per oz, which is almost as high as an animal source protein, having 7 – 8 grams of protein per oz.

For fiber, almonds top the list again at 3.5 grams per oz, followed by pistachios, then pecans and hazelnuts tying for third.

In looking at calories, almonds are lowest at 163 calories per oz, and macadamia nuts the highest at 204 calories per oz.

Healthy fats, such as monounsaturated fats, have macadamia nuts as highest at 16.7 grams per oz., followed by hazelnuts and pecans.  Walnuts are highest in polyunsaturated fats.  Vitamin E, a powerful antioxidant that may protect against Alzheimer’s, is highest in almonds, followed by hazelnuts.  To decrease saturated fats, we could limit Brazil nuts followed by macadamias, and almonds being the lowest.

Many people are attempting to increase their magnesium intake, so Brazil nuts are highest in this nutrient.  For calcium, almonds are highest at 75 mg per oz.

So we see that as in most issues, it depends on what our health goals are and the fact that there are “no perfect foods,” but nuts in general are such a good choice to add fiber, mostly healthy fats and many other nutrients.  They are very easy to add to salads, have as a snack or as a “butter.”  For many of us, the challenge seems to be limiting our portion to that one oz.  For a more complete breakdown, look on the USDA’s National Nutrient Database.

https://ndb.nal.usda.gov/ndb/search/list

Can Convenient Be Healthy?

Can Convenient Be Healthy?

Yes!  Recently there has been an influx of healthier convenient foods and this can serve as your guide with reviews from a dietitian.  More convenient meals do usually mean more cost when compared to cooking from scratch, but similar in cost to take out of similar quality foods.

 

Meals in a Box:

 

Several companies will allow you to choose 2-3 meals weekly and send you the items and detailed instructions to make the recipes in 30 minutes or less. Pros include less grocery shopping, helps with meal planning, and assist with teaching youth or adults to cook.  Cons include cost about $10/meal, still must grocery shop other meals.

Blue Apron: I like it for their variety of adventurous recipes. Recipes are more difficult/involved compared to others. Average calories are 700-800 and not enough veggies. I recommend this product, but for most people I would supplement with more veggies and serve 3-4 people instead of 2.

Hello Fresh: This is my favorite for organized simple meals. Recipes seems easier and the box is more organized with pictured step by step directions.  Most recipes are correctly balanced and average 500-700 calories.

 

Home Chef: This is my favorite option for a family of 4.  Simple, kid friendly meals that are a little starch heavy. This plan could mean leftovers, and we do supplement an additional serving of fruit or veggie. Average calories are 700-800, but one recipe I had was 900.  This service is more food allergy friendly and allows you to pick recipes with peace of mind.

 

Not your Mama’s TV dinners:

Ready to microwave meals are making a comeback, but now some have never been frozen. There are some national and local options that or great.

KIZE meals: A local OKC company that offer meals to order for pick up or delivery. Delicious, simple options that are healthy! They also give back—1 meal ordered feeds 2( 1 in Oklahoma and 1 in Haiti.) https://squareup.com/store/kize-meals

 

 

Freshly: Very convenient. Order online and it will be shipped ready to heat up within a few days. Calories seemed a little high ranging from 500-850/meal, but some would like that compared to the usual puny diet frozen meal.

Provencal Kitchen: A local, excellent option, but only 1 location and no delivery. I love that most ingredient come from a farm just outside the city and ingredients and calories are clearly listed.

Trader Joe Salads: LOVE THEM! 20 + varieties, not boring, $3.50-$5.50/meal, and 350-550 calories.

 

Hope this was helpful. Eating healthy and convenient is improving if we know where to look! I plan to continue to try more options here in Oklahoma City and will update you.

-MVC