Tag Archive for: dietitian

Fitness 101

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Fitness 101:

 

Exercising is a great way to relieve stress, improve your health, and gain self-confidence. There are many reasons why people might not want to exercise like: “I don’t have time”, “I am too out of shape”, “I don’t know what to do when I am at the gym”, or even “I don’t want to workout alone”. All these problems can be solved with a little effort and motivation. Working out does not have to take place anywhere specific either. You can workout in your neighborhood, your living room, a local gym or park. The hardest part is getting started, once you have a routine it is easier to keep it up and make time for yourself and your health. Here are a couple ways to get yourself started:

 

A little goes a long way. There is no need to start off your exercise journey spending hours in the gym every single day. Add a 15-20 minute walk or run into your routine a couple times a week then go from there. Starting small will better ensure that you don’t get burnt out and you stick to your exercise goals.

Stop making excuses. If you don’t like running or lifting weights, find something that you do enjoy. There are many options like yoga, dancing, or hiking. If you don’t believe you have the time, make the time. This is your life and your health, so make it a priority for yourself to set aside even 5 minutes of exercise.

Be kind to yourself. If it has been awhile since you’ve had any physical activity there is no better time to start than right now! Don’t beat yourself up if you don’t look like a body builder after a week of hitting the gym. Your exercise journey is about YOU and YOUR health. Focus on making yourself better and reward yourself for sticking to your exercise goals.

 

When you do decide to get back in the gym, get a good warm up and cool down with walking and some light stretching. Drink plenty of water before, during, and after your workout. It is time to put your health at the top of the list! Happy exercising ?

 

KM

Tele-health/Tele-nutrition Video Conferencing

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Have you been pondering an appointment with a dietitian to help you improve your diabetes management, food allergy or celiac disease issues, lipid challenges, improve your athletic performance, lose weight or once and for all heal from your eating disorder? Scheduling and keeping appointments are a hassle, sometimes inconvenient and an expense.

Beyond the actual cost of the medical nutrition therapy appointment there are additional costs. How much does it cost you to take off an hour early from work to schedule an appointment? Are you driving across town or from Clinton, Guymon, or Muskogee for an appointment? Gas is not cheap. If you are driving to the city from out of town you will likely have meal expenses involved also. Do you have to pay child care costs while you are at an appointment?

The additional costs and inconvenience can be eliminated with “tele-nutrition video conferencing” appointments.  Banister Nutrition now provides the option for you to schedule an appointment with one of our dietitians and you can be in your kitchen, office or favorite coffee shop, where ever you please. We have a HIPPA compliant software program that allows us to easily connect with you via an e-mail address you provide. We offer packages of 3-4 appointments at a reduced cost, payable at the time of purchase with credit card.

“If” you want your insurance to cover your medical nutrition therapy appointments, insurance companies have placed limitations on what they will cover. These restrictions include:

  • Your referring physician must be located in a medically deprived area of the state which of course means rural Oklahoma.
  • At the time of your video conference you must be sitting in your physicians’ actual brick and mortar office space.
  • Medicare will cover 3 appointments per year for diabetes and renal disease only.

 

To assist patients with insurance coverage, if you have a rural physician you would like for us to approach regarding making this service available to you please provide us with your physicians name, office address and phone number . We will contact your physician to try make these arrangements for you.

Our experience has been that both physicians and patients living in rural Oklahoma have been very pleased with having medical nutrition therapy available via video conferencing. Initially we all (physicians, patients and dietitians) thought video conferencing would be a little awkward, relationships would not be easily built, and nutrition therapy via this platform would not be effective.  We are pleased to say this has not been the case. Everyone involved has found this new, convenient resource to improve your health care has been very appreciated and helpful.

 

CB

Easy Vegetable Lasagna Recipe

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Makes 8 Servings

YOU WILL NEED

14 lasagna noodles (2 extra for filling in holes)

2 tablespoons extra-virgin olive oil

1 cup (140 grams) chopped onion

1 tablespoon minced garlic, (3 cloves)

1/8 teaspoon crushed red pepper flakes, or more to taste

2 medium zucchini, cut into 1/2-inch pieces

2 medium yellow squash, cut into 1/2-inch pieces

One (12-ounce) jar roasted red peppers, drained and cut into 1/2-inch pieces, 1 heaping cup

1 (28-ounce) can crushed tomatoes

Generous handful fresh basil leaves, chopped

One (15-ounce) container ricotta cheese or cottage cheese

2 large eggs

2 ounces (60 grams) Parmesan cheese, grated, about 1 cup

8 ounces (230 grams) low-moisture mozzarella cheese, shredded

Salt and fresh ground black pepper, to taste

DIRECTIONS

COOK NOODLES

Bring a large pot of salted water to the boil then cook lasagna noodles according to package directions. (We add a couple teaspoons of olive oil to the water so the noodles do not stick together). Drain then lay flat on a sheet of aluminum foil.

MAKE VEGETABLE SAUCE

Heat the oven to 350 degrees Fahrenheit. Lightly oil a 13-inch by 9-inch baking dish or spray with non-stick cooking spray.

Heat the olive oil in a wide skillet with sides over medium heat. Add onion and cook, stirring occasionally until translucent, about 5 minutes. Add the garlic, red pepper flakes, zucchini, squash, and a pinch of salt then cook, stirring occasionally until softened but still with some crunch, another 5 to 8 minutes.

Stir in the roasted red peppers and crushed tomatoes. Bring to a low simmer and cook until the liquid has thickened and reduced by half, about 5 minutes. Add the basil and season to taste with additional salt and pepper.

MAKE CHEESE FILLING

While the sauce cooks, stir the ricotta cheese, eggs, and a 1/2 teaspoon of salt in a medium bowl until blended.

ASSEMBLE LASAGNA

Spoon just enough vegetable mixture into the baking dish to lightly cover the bottom (about 1 cup). Arrange four noodles lengthwise and side by side to cover the bottom. (If the noodles are short on one end, you may need to cut an extra noodle and place into dish to cover where the other noodles have not).

Spread about half of the ricotta cheese mixture over the noodles. Sprinkle with a third of the Parmesan cheese and a third of the mozzarella cheese. Top with a third of the vegetable mixture.

Add another layer of four noodles then repeat with remaining cheese and vegetables. Finish with a final layer of noodles, vegetables, Parmesan cheese and mozzarella cheese.

Cover loosely with aluminum foil and bake 20 minutes, uncover then bake 15 minutes until cheese is crusty around the edges. To make the cheese golden brown on top, slide under the broiler for 1 to 2 minutes. Let rest 10 to 15 minutes before serving.

KM

 

*Thank you for the recipe and picture https://www.inspiredtaste.net/22401/fresh-vegetable-lasagna-recipe/*

 

Fitness & Mental Health for Mom

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As moms we have many different hats that we wear. We play the role of chefs, nurses, cleaners, counselors and SO much more. Whether we stay at home or work outside of the home, we are all working moms. It’s a job that we have 24/7 and by far the most amazing job there is. Being a mother combined with everything else that we do can be stressful. As a mother of three small children, that also works, I can say this from experience… It can be challenging at times to consistently make time for myself and be mindful of how I can effectively manage stress in a positive and beneficial way.

Something I strive to do is focus on both mental and physical health. Exercising is a great way to relieve stress and anxiety. When we exercise endorphins are released. Endorphins are hormones that the body releases in response to stress such as physical pain or intense exercise. After these chemicals are released, they cause feelings of well being and euphoria. Finishing a workout gives a sense of accomplishment and boosts energy.

When paired with eating a balanced diet, there aren’t many activities that make you feel that good. The recommended amount of exercise each week is either 150 minutes of moderate aerobic activity or 75 minutes of vigorous aerobic activity. Exercise can be accomplished in a variety of ways. Here are some tips to make this a regular practice for yourself.

 

  1. Do something you enjoy: This looks different for everyone. If you find it challenging to figure out how to incorporate it into your schedule, think outside the box.
  2. Workout ideas for your moms:
    1. Take your kids out on a walk or jog around the neighborhood while pushing the stroller.
    2. For those of you that have kids that are a little older, make it a fun family challenge and workout together at home. Physical activity doesn’t require you to go to the gym or a fitness class, you can do workouts at home too.
    3. If you’re a stay-at-home mom, try to exercise early before the kids wake up or during nap times.
    4. If you don’t work from home, take advantage of lunch breaks or any time that you have before or after work.
    5. Your workouts can be spread out in multiple mini sessions throughout the day instead of one longer session. It’s perfectly fine and still counts if you do two 15 minute sessions a day or three 10 minute ones. It all adds up and will make a difference.

 

SAMPLE AT HOME WORKOUT: INTERVAL TRAINING:  A workout I like to do at home, when I can’t make it to the studio to train, is interval based training. This is accomplished by establishing a set amount of time to perform the exercise(s) followed by a set period of time to rest and repeating the sequence. I like to choose at least 1-2 upper and lower body exercises, 1-2 core exercises and at least one cardio intensive exercise and end it with some stretching. This method helps keeps my intensity higher and lets me accomplish more in less time.  For example, do 4 rounds of squats, push-ups, lunges, bicep curls, jumping jacks, and a plank hold. The work : rest ratio for this would be 30 seconds on : 60 seconds off. 

 

Whether it be Zumba, Yoga, weight training or a great walk with the kids, just keep moving. In order for us to continue all that we do and have peace of mind, we HAVE to take care of ourselves and make it a priority. Your kids will be so motivated and inspired by this.  So the next time you feel anxious and stressed, remember that you are only one workout away from a good mood!

UC

How Does Your Bar Add Up?

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As a Dietitian, I always recommend real food over meal replacements, shakes or bars. In a perfect world, we would sit down and eat a balanced meal three times a day. However, if you are in a time crunch, having a nutrition bar is better than skipping a meal. So that leads us to the big question – “how do I choose the right bar?”  Choosing the right bar for you can be very challenging. Several bars on the shelves are full of sugar with similar nutrition content as a candy bar. Here are a few guidelines and things to look for when choosing a nutrition bar:

 

  • Carbohydrates: Complex carbohydrates are a great source of sustainable energy, so look for bars that have fiber content. Also, look for bars that contain natural sources of sugar, like fruit. Try to limit added sugars.

Rule of thumb: 2 gm or more of fiber and 8-10 gm or less of total sugar content

 

  • Protein: Protein is needed to help you feel full and keep you feeling full between meals, so this is an important one. Your body can only absorb a certain amount of protein in one sitting, so getting a bar with 30-40 gm protein is not helpful.

Rule of thumb: 8-20 gm protein content

 

  • Fat: Look for a bar that contains healthy sources of fats (monounsaturated and polyunsaturated fats) and avoid bars high in saturated or trans fats.

Rule of thumb: less than 3 gm saturated fat content

 

Here is a list of bars that meet the guidelines above:

  • Kashi GOLEAN Plant Powered Bars: Salted Dark Chocolate and Nut; Crunchy Peanut Butter
  • KIND Breakfast Protein Bars: Dark Chocolate Cocoa; Almond Bar; Maple Cinnamon; Peanut Butter Banana Dark Chocolate
  • KIND Sweet and Spicy Bars: Roasted Jalapeno; Thai Sweet Chili; Sweet Cayenne BBQ
  • CLIF Whey Protein Bars: Mint Chocolate Almond Flavor
  • CLIF Mojo Bars: Honey Srirocka
  •  CLIF Luna Bars: Lemonzest; Chocolate Peppermint Stick; Sea Salt Caramel; Nutz Over Chocolate; White Chocolate Macadamia; S’mores; Chocolate Cupcake
  • POWER Bar Plant Protein Bars: Dark Chocolate Almond Sea Salt
  • EPIC Bars: Chicken Sesame BBQ; Turkey Almond Cranberry
  • Nature Valley Protein Chewy Bar: Honey Peanut Almond
  • Think Thin Protein + Fiber Bars: Pumpkin Spice
  • KIZE Bars: Cocoa; Peanut Butter; Vanilla Almond; Cinnamon Roll; Pumpkin Seed; Peanut Butter Crunch with Pumpkin Seeds

 

Note: The above recommendations are for healthy adults. If you have a chronic disease, please talk to your Dietitian to see if there are any other specific recommendations for you to look at. The bars pictured were found at Crest Foods and Target.

 

LN

I Hate My Food Intolerances

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“I hate my food intolerances!”

If you have said this before, this blog post is for you. I have been living with food intolerances myself for years and let me tell you, it has been a journey to acceptance. My intolerances began after my first pregnancy and it has taken years to figure out my new normal.  I have dealt with all the feelings: anger, frustration, annoyance, sadness, and down right feeling sorry for myself. Even after all this time, there are days that are really hard. And it is OK. So how do you get through it?

The first step is truly identifying what foods affect you. For years I thought my intolerances were from gluten and after eliminating wheat/gluten products I felt better, but not 100% normal. I took a Pinner test and the results were shocking. A staple food in my life was the main culprit to my poor gut health: eggs. This was incredibly difficult to accept. When I eliminated them from my diet, I noticed a world of change and quickly found reasonable substitutes to give my body a chance to heal. The bloating, pain, fatigue and a host of other symptoms have slowly gone away and what is left is… nothing. A lack of symptoms and a feeling of normal that I didn’t think I could feel.

Going forward, I ask a million questions at restaurants, buy new products, and try alternate recipes with the goal of keeping my body symptom free and completely satisfied. Remember folks, there are thousands of foods out there, so there is no need to focus on the few items that you can’t have.  So find out what you are actually intolerant/allergic to and make the adjustments to your pantry so you can be comfortable in your kitchen again. Please feel free to contact us to find out more information on our Pinner tests and set an appointment to start your path down the road to eating with confidence again. MU

Food Allergies

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Prevalence and Severity of Food Allergies Among US Adults – Article Review

A new study was published looking at the prevalence of food allergies among adults in the US. Since most studies are centered around childhood food allergies, this information is greatly welcomed. Food allergies continue to be a relevant topic as they pose a threat to many people’s health and well-being. Adults can either develop food allergies later in life (example: fin fish and shellfish) or continue to react to food allergies from childhood. This study set out to provide comprehensive, national representative estimates of the distribution, severity, and factors associated with adult food allergy in the United States.

Surveys were administered to a sampling of US households, age 18 and above, by NORC at the University of Chicago from 10/9/2015 – 9/18/2016. The primary outcome measures for the study were the prevalence and severity of overall and food specific convincing adult food allergy.  Criteria were set to distinguish between convincing and non-convincing food allergies: severity of reactions and organ systems involved. Statistical analysis was done to compare relative prevalence and other assessed food allergy outcomes by participant characteristics.

Overall 10.8% of US adults were estimated to have 1 or more convincing food allergies, suggesting that at least 12 million adults have adult – onset food allergies and 13 million have experienced 1 or more severe reactions. The data suggests 1 in 10 US adults are food allergic and 1 in 5 adults believe they are food allergic.  The most common allergies seen were: shellfish, peanut, milk, tree nuts, and fin fish. Half of the participants reported a diagnosed allergy and peanuts tended to be the FA with the highest rate of physician diagnoses. A history of severe reactions was more commonly reported by participants with peanut and tree nut allergies. 8.6% of participants reported 1 or more ER visits within the last year. Rates of females with convincing FA were higher than those of males and younger adults (age 30-39 years) were higher than participants 60 years or older. Food allergies continue to be a prevailing topic in health care and as shown in this study, are extremely common in the United States.

To see the study in its entirety visit: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2720064

MU

The Jungle of Eating Disorders

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Monsters in the eating disorder jungle: Anorexia Nervosa, Bulimia Nervosa, Binge Eating Disorder, Rumination Disorder, Avoidant/Restrictive Food Intake Disorder (ARFID), Night Eating Syndrome, Orthorexia, Diabulimia,

How much time do you spend daily thinking about your food, weight, body size/shape, comparing yourself to others, and thinking if you weighed less you would be happy? Be honest – do you spend enough time thinking about these things that it interferes with your peace, fun, and social activities? Be brave – consider you might be dealing with an eating disorder or at least the beginning of one.

Eating disorders appear as food issues but are actually mental health disorders with food as the tangible resource to manipulate. Frequently, “control” is at the root of the disorder. When life feels overwhelming, painful, or insecure and you think you have no “control” over these feelings, the one thing you can always control is what you choose to do with your food. The style of food control or manipulation you choose does provide you with a degree of temporary relief from the painful feelings. A few minutes or hours pass, the painful feelings return, and you have layered on top of these feelings shame, guilt and frustration with another declaration “I just want to be normal, eat normally.”

The American Psychiatric Association defines the following eating disorders:

Anorexia Nervosa: Severe food restriction leading to low body weight-intense fear of gaining weight-unable to see how thin they are – very reliant on their body weight and shape for self-esteem- on occasion weight may be restored but the individual still suffers from an anorexic food controlling mind.

Bulimia Nervosa: Recurrent episodes of binge eating within a 2-hour time period, hiding all evidence this behavior occurs- strong feelings one cannot control or stop the excessive amount of food intake—binge eating is followed by trying to get rid of (purge) the calories consumed by vomiting, excessive exercise, laxatives, diuretics- very concerned about their weight/shape – typically of normal weight or slightly overweight.

Binge Eating Disorder: Recurrent episodes of eating large amounts of food with an overwhelming feeling of lack of control – eating rapidly, eating until feeling uncomfortably full, eating large amounts of food when not hungry, the overeating is typically always alone because of embarrassment, feeling disgusted, depressed and guilty.

Rumination Disorder: Re-chewing, re-swallowing or spitting out food occurring over a month. Frequently the individual wants to taste the food but does not want to swallow the calories.

Avoidant/Restrictive Food Intake Disorder (ARFID): An eating or feeding disturbance leading to inadequate nutritional and energy intake- ARFID may arise from a texture, tactile, visual, or taste disturbance.

When you meet some of the criteria for an eating disorder, but not all, you may be in the category of Other Specified Feeding or Eating Disorder (OSFED):

Purging Disorder: No binging but purging occurs via vomiting, excessive use of laxatives, suppositories, diuretics, exercise. You may try to justify the purging declaring your stomach is always upset or you are always feeling constipated.

Night Eating Disorder: 25% of intake occurs after dinner, bedtime snack and/or waking up during the night to eat.

Orthorexia: Eating in the name of good health – many food rules and food restrictions based on the individuals personal ideas of what they have decided must be consumed or restricted to be healthy.

Diabulimia: A person with insulin dependent diabetes restricts their insulin medication as a method to eliminate calorie absorption and lose weight – very dangerous!

Have you decided or been told you do not have an eating disorder because you are not under-weight?  You can be underweight, normal weight or overweight and suffer from an eating disorder. Eating disorder patients at Banister Nutrition have been from 10 y/o – 73 y/o, males and females. Males and females of all ages consume food which makes everyone a possible candidate to have a ship wreck with their food relationship. Listen to your body and your feelings, if you think you might have an eating disorder then something is askew and worthy of a conversation with a dietitian (RD/LD) who is experienced working with eating disorders. Don’t postpone your health care or self-care, there is only one you!

CB