Nutrition & Wellness for Life

There is always time for a quick, healthy breakfast...

When I was in grad school, I never understood why the student athletes I worked with would skip breakfast. Okay, I get the not wanting to go across campus to the cafeteria part. But, how about those kids who lived in apartments or sorority or fraternity houses that cooked food for them?  Breakfast really is the easiest meal of the day.

Try these 4 tips for fitting breakfast in:

1. Bring it with you. If you work in an office setting, you probably have a slew of emails to read every morning. If you bring something portable with you, you can eat while going through your emails and tasks for the day.

2. Choose a bar. If you are in the car and on the go, bring a nutrition bar with you and eat it when you stop.

3. Keep food at your desk. Every one of us has one of those days where we leave the house, get half way to our destination and notice we forgot our coffee and our food for the day.  To make life easy, keep a stash of food in your office desk (or fridge) including packets of oatmeal (bowls and spoons too – the throw away kind work well), yogurt, string cheese, dry cereal, English muffins and peanut butter all work well.

4. Know your fast food. Let’s face the facts – fast food is convenient and it can fit into a healthy diet. Take a look at the nutrition information for the places you pass every day so you know ahead of time where the healthiest choices are.  Most have a website that lists the nutritional values of their menu selections.

Now go and have a healthy breakfast!

 

Another reason to take a vitamin D supplement!

A study published this month found that 59% of the 90 females tested, aged 16-22 and residing in California, were deficient in vitamin D. That’s an astounding statistic considering that girls this age should be drinking milk or milk-based products and therefore getting a decent amount of vitamin D daily. Plus they live in a state that gets more sunshine then most other states in the U.S.! 

Not only were these girls deficient but, the ones with low vitamin D had more fat in their muscle.  This study found that serum levels of vitamin D were inversely related to the percent of fat in skeletal muscle.  Lower vitamin D levels = fatty muscle.  What’s the link between low vitamin D and more muscle fat?  At this time scientists don’t know. However, we do know that intramuscular fat isn’t good because it decreases muscle strength. In another study that measured strength in adolescent girls, blood levels of vitamin D were correlated to muscle power, force, velocity and jump height.

Combined, these studies show yet another function of vitamin D – it is important for proper muscle functioning.

References
J Clin Endocrin Metab 2010;95:1-7.
J Clin Endocrin Metab 2009; 94:559-563.


Try a liquid vitamin D3 supplement that is suitable for the whole family to take - easy to swallow and tastes so good that even teenagers will like it!  Buy Now!

 

Let's celebrate National Nutrition Month!

It’s National Nutrition Month - a month long nutrition education and information campaign created by the American Dietetic Association. Each year there’s a different theme that helps consumers hone in on good eating habits and physical activity. 

This year’s theme is “Nutrition from the Ground Up” – a fitting title that encourages people to start with the basics and build a healthy base for their diet. You can build your healthy nutrition foundation by focusing on adding more produce and whole grains to your diet. To find out what’s in season (and therefore typically on sale), check out the Produce for Better Health Foundation’s seasonal guide.

Diets rich in fruits and vegetables may help prevent some types of cancer and contribute to better overall health. And, because produce is so filling, it can help with weight management.  In addition to adding a variety of colorful fruits and vegetables (and their oils – such as olive oil), be sure to get a variety of whole grains in your diet as well.  Nutrition from the Ground Up is easy – just think about the foods that should be staples in your diet.

Nutrition from the Ground Up means less processed, more wholesome foods made at home. With the internet, food network and bookstores, there are no shortages of tasty recipes incorporating the staples into your diet.
 

In honor of both St. Patrick’s Day and springtime, start thinking green. Green foods include everything from collard greens to pistachios and avocados.  Here’s a look at some of the best green foods you can add to your diet:

• Asparagus – is low in calories and packed with good nutrition. One serving is a good source of potassium and also contains a decent amount of vitamin B6, B1, and fiber. For some creative recipes, click here. An easy recipe I love – lightly coat asparagus with sesame oil (you can use olive oil if you don’t have sesame oil though sesame oil has a unique, rich flavor) and roll the asparagus in sesame seeds – cook in a 400F oven for 10 minutes.

• Collard Greens – are only in season for one more month so be sure to include them in your diet now.  Collard greens contain an array of antioxidants and over 16 vitamins and minerals!  And that’s not all, collard greens are also packed with fiber.

• Pistachios – these little green nuts have more fiber and protein than other nuts and they contain heart healthy monounsaturated fats. They make a great snack.
 
• Avocados – contain nearly 20 vitamins and minerals per serving, heart healthy fats and antioxidants such as alpha and beta-carotene and lutein. There are a ton of things you can do with avocado including this unique one I found: Avocado hummus.

• Peas – contain a hefty amount of vitamins A and C, some iron and they are a loaded with fiber (about 9 grams per serving).

Eat Like the Irish!
The Irish are known for dark beer, Irish Stew, soda bread, handmade cheeses, cabbage and of course, potatoes. How can you eat like the Irish while watching your waistline this St. Patty’s Day?  Easy!  Just choose better recipes. 

For example, this Whole-Wheat Irish Soda Bread recipe  leaves out the butter that’s in so many soda bread recipes. And, by using whole-wheat flour, you’ll get some fiber and B vitamins naturally. Opt for low fat buttermilk to make it even lighter.  This website contains a healthy Irish Stew recipe. And if you are looking for a little potato 101, recipes and more, check out Potato Goodness.

 

Manage Blood Pressure
Every adult should have his or her blood pressure checked regularly. High blood pressure is often symptom-less but it can damage your heart, arteries and organs. When your blood pressure is high, blood is forced through your arteries causing microscopic tears in artery walls that can turn into scar tissue. This damage creates a good surface for plaque buildup and decreases the elasticity of your arteries. Arteries that are not elastic and also narrowed due to plaque buildup, don’t deliver enough oxygen to each organ. Plus, plaque buildup increases the risk of developing a clot which, when dislodged and stuck can lead to heart attack or stroke. The best steps you can take to prevent high blood pressure include:

• Eat a heart healthy diet (to limit plaque buildup)
• Avoid tobacco
• Manage stress
• Engage in regular physical activity
• Maintain a healthy weight
• Limit alcohol consumption

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Manage Triglycerides and Cholesterol
Triglycerides are the form of fat in the human body. High blood triglycerides increase the risk of heart disease in some people according to the American Heart Association. There are two main categories of cholesterol, LDL and HDL.  LDL, or low-density lipoprotein carries cholesterol in the blood. Too much LDL and cholesterol will deposit itself on artery walls. There are 4 types of LDL and very low density LDL is the most artery-clogging.  HDL, high density lipoprotein, is otherwise known as your “good cholesterol.” It carries cholesterol to the liver and may be protective against a heart attack.

The best way to manage both triglycerides and cholesterol is to eat a heart healthy diet {link to that section}, maintain a healthy weight {link to that section}, and cut down on alcohol consumption (which can increase triglyceride levels).

Keeping Blood Sugar Levels Stable
Keeping your blood sugar levels stable can do a few good things for your heart. First, it can decrease the likelihood that you’ll develop pre-diabetes or diabetes. Secondly, when your blood sugar levels are high, and you don’t need that sugar for energy (i.e. you aren’t off to go run a marathon), your pancreas will work overtime to release insulin to lower blood sugar and it does this by increasing triglyceride synthesis and storing triglycerides in fat tissue.

To keep blood sugar in check:

1. Lose weight
2. Watch your intake of sugar, white bread and starch (examine food labels and choose lower sugar versions of food)
3. Cut out partially hydrogenated oils
4. Exercise – this will use blood sugar so your pancreas doesn’t have to work so hard

 

The best diet for heart health incorporates foods that are rich in anti-inflammatory compounds, heart healthy fats and vitamin D. Here’s a look at some of the most heart healthy foods:

Nuts – all nuts contain heart healthy monounsaturated fats and a variety of vitamins, minerals and antioxidants. Nuts satiate your appetite and they have very little effect on blood sugar levels making them one of nature’s most perfect snacks! A serving size is approximately the size of a golf ball.

Olive oil – there’s more to olive oil than heart healthy monounsaturated fat. Olive oil also contains a variety of antioxidant compounds that promote good health and help decrease inflammation.  Choose extra virgin or virgin olive oil and keep it away from light and heat to maintain freshness and decrease rancidity. Pair it with aged vinegar (Italy is known for it’s aged vinegar) and you’ll add even more antioxidants to your meal!

Fatty Fish – the omega 3 fats in fish (EPA and DHA) decrease risk of abnormal heart rhythm (arrhythmias) which can lead to sudden cardiac death, they also are tied to a dose dependent decrease in triglycerides (though you should talk to your doctor if you want to take more than 1 gram/day), a slight decrease in blood pressure and they slow the growth rate of atherosclerotic plaque. Try salmon, mackerel, herring, halibut, lake trout, sardines, shad, smelt and anchovies.

Milk or other Vitamin D rich foods.  Studies have shown that Vitamin D is good for the heart and low vitamin D levels puts you more at risk for heart problems. 

Fruits and Vegetables – one of the best things about fruits and veggies are the plethora of antioxidant compounds they contain. Choose a variety so you get an array of these compounds. And, be sure to include deeply colored red, blue and purple produce. The dark pigments in produce are loaded with antioxidants.

There are plenty of delicious, heart healthy foods you can choose from. However, there are also some foods you should limit. The worst foods contain partially hydrogenated oils. These man made trans fats wreck havoc on your heart decreasing your good cholesterol (HDL) and increasing your bad cholesterol (LDL). Next, cut down on the amount of sugar and simple carbohydrates you consume (white bread, white flour products; sourdough bread is okay though). These will boost your triglycerides and small dense LDL (the most artery-clogging cholesterol). Replacing these simple carbohydrates with fat will decrease triglycerides and increase your HDL cholesterol. Plus, sugar and simple carbohydrates boost insulin, insulin is a storage hormone (helps you store fat if you aren’t actively burning off the extra carbohydrate calories).

And finally, saturated fat should be limited (saturated fat is hard at room temperature – butter, the fat on meat etc.). The saturated fat story is complex because it isn’t definitively harmful the way man made trans fats are. However, replacing saturated fat with liquid forms of fat (oils, nuts, seeds etc.) is better for your heart.

 

Heart Disease and Smoking
If you are reading this, I probably don’t need to tell you that tobacco is not healthy.  In addition to increasing one’s risk of several lung problems including lung cancer and chronic obstructive pulmonary disease, smoking increases plaque buildup in the arteries.  Think of your arteries like a garden hose. When your hose is clogged with dirt or damaged, the water can’t get through very well. For more information on Smoking and Your Heart, click here. But, instead of preaching about what you probably already know, I’m going to tell you about several free resources to help you quit smoking. Think about it like a journey.  If you are driving your car from NY to FL you will have to stop for gas, you may get stuck behind traffic, experience bad weather or have to stop because you are tired. On your journey to quit smoking, perseverance is key. If you quit then start back, just keep your eyes on the goal and you will succeed for good!

Great resources:
• Smokefree.gov
• American Cancer Society
• AHRQ
• You Can Quit Smoking

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Step Up Your Fitness
Whatever you are doing now to stay physically fit, I want you to step it up to the next level. Keep track of your exercise program online or on a calendar (a wall calendar that you can see daily works well) and find a way to increase the intensity or duration of some of your exercise sessions or, just add different forms of exercise to your routine (or try all three!).

If you’d like to increase the intensity of some of your exercise sessions, try measuring your Rating of Perceived Exertion (how hard you feel like you are working), measure your heart rate or wear a heart rate monitor so you can see changes in heart rate throughout exercise. To bump up the intensity, train with someone who can help push you to work harder or try intervals.

If you want to focus on duration first, increase this up to 10% per week. So, if you typically walk 10 miles over the course of a week, bump this up to 11 miles next week.  And finally, adding different forms of exercise is easy!  Try a local rock climbing gym, go for a hike (with hills of course), take tennis lessons or rent a bike for a day.  By altering the exercises you are doing, you’ll stay motivated and workout different muscles with each different form of exercise.
 

It’s Heart Health month – a topic I am absolutely passionate about!  Why? Because cardiovascular disease (CVD) is the number one cause of death in both men and women in the U.S. In fact, it kills more women than the next five causes of death combined!  But, here’s the part I love - there are many steps you can take to prevent CVD and reverse existing CVD. 

According to the American Heart Association, controllable risk factors include:

• Maintain a healthy weight
• Don’t smoke
• Exercise regularly
• Eat a heart health diet
• Manage blood pressure
• Manage blood lipids including triglycerides and cholesterol
• Keep blood sugar at health levels

Maintain a Healthy Weight
There are no “quick fixes” when it comes to weight loss. Every weight loss surgery comes with it’s own set of complications and risks.  And, prescription drugs for weight loss also have side effects, some of which are very serious. So what’s the bottom line? Exercise and a sound, healthy diet are the best tools you can use for weight loss and, they are a lot cheaper than any other weight loss method. 

One of the top predictors of success with weight loss is your attitude. You have to believe that you can do it and surround yourself with others who also believe and are there to cheer you on. Once you have this mindset, it’s time to create a road map detailing how you are going to get there.  You can use a one-size-fits all approach like Weight Watchers or something individually tailored to meet your needs. And, you don’t have to stick with the initial program you start with. If it isn’t working, don’t be afraid to explore other ways to reach your goal.

Get creative, explore what motivates you and take advantage of the change in seasons to try a variety of outdoor activities.  Whatever path you take, its important that you believe you can do it and you persevere through all minor setbacks and detours.

Continued in next post...

Are you continually dieting off and on with your weight roller-coasting up and down?

I’ve met a number of women who have been dieting for decades, yes decades! And when I sit down with each one and ask her what particular program has helped keep the weight off the answer is always “none.” And so the next obvious question is – “why have you dieted now for 3-4 decades?

That is a lot of time spent focusing on counting points, calories and fat grams with little long term progress to show for it.” When something isn’t working it’s time to either try something else out or figure out why it isn’t working. But, more importantly, my goal is to make these women (and for some reason it’s always women who are the perpetual dieters) think about life as a whole and not about food. Because sometimes the act of dieting has very little to do with weight and food.

Some people diet in an attempt to control one area of their life because other areas are so out of control. I’ve met women who are hooked on dieting and weighing everyday because their husband is an alcoholic, son has a drug habit, they take care of their elderly parents, they have a boss who reprimands them daily about anything and everything and various other issues.  If you are a perpetual dieter, and it isn’t working, take a step back and look at your life. Is there anything you would like to change but feel you have little control over? If the answer is yes, start chipping away at that part of your life. Drop dieting for now, fix those areas of your life that need fixing and I bet some of the weight will drop off.

Ditch Dieting and Still Lose Weight
Dieting isn’t the only way to lose weight, and in fact the word diet has a negative connotation to it. To keep the weight off and keep it off permanently, you need to make changes you can live with for life. And, if you eat for non-food reasons and do so often (all of us do at some point), it’s time to take a more intuitive approach to eating. Intuitive eating means paying attention to your hunger and satiety cues and feeding your body when you are physiologically hungry. It also means feeding your body emotionally when that is what you need – crying, getting mad, asking for a hug or any other expression of emotion.

How do you eat intuitively? Give yourself permission to eat when your stomach is growling or you feel unfocused due to lack of food. And stop when you are full. Start paying attention to when you reach for food and food isn’t the answer. Using a food mood journal can help. In a food mood journal you record what you eat, your hunger level and how you felt at the time (mad, sad, glad, bored etc.). By keeping this journal, and you can do so in a spiral notebook, you’ll see patterns – when you are eating but you aren’t really hungry.

For more information on intuitive eating see: www.intuitiveeating.org

Taking vitamin D and calcium supplements can help in maintaining a healthy weight.  Vitamin D levels in the body at the start of a low-calorie diet predict weight loss success, a new study found. The results, which suggest a possible role for vitamin D in weight loss, were presented at The Endocrine Society's 91st Annual Meeting in Washington, D.C
 

Did you skip a day of exercise?  Did one day turn into two and then a whole week and you are left wondering if you should go back? There are 4 things you should do right away to help achieve your goals.

1. Believe That You Can – believing that you can reach your goal is the number one determinant of success. Kevin Plank, the founder of Under Armour said it best, “The game is already won or lost by the way you approach it.” You have to believe before you can achieve. So what if you are having a tough time picturing the changes you desire? Well then it’s time to pull out the “fake it till you make it” mentality.

If it’s weight loss you are after, spend time envisioning your body smaller, shopping for new clothes (heck, buy something you like that is too tight right now and put it within your sight), fitting into an airplane seat with plenty of room to spare. Use your mind to daydream and see yourself where you want to be. Also put things within your sight that are reminders of the success you will have. See yourself kicking that winning goal.

2. Enlist the Help of Others Who Believe in You – some people want you to succeed and really believe that you can do it. Others will be envious of your success and determination. Surround yourself with a support team (personal trainer, dietitian, friends, family, coworkers) who believe that you can do it and are cheering you on the entire way!

3. Ditch the All-or-Nothing Thinking. If eating a cookie makes you feel like your weight loss efforts are falling apart, it’s time to readjust your mindset. Missing a week of working out doesn’t mean you should give up. Having a day where you completely blow your diet does not mean that you’ll gain 5 lbs back. Realize that you don’t have to be perfect all of the time to achieve your Health Goal. Forgive yourself, forget it and look forward not backward.

4. Write it Down. There is something about having a visual reminder that makes you change your behavior.  If you want to workout 3 days a week, keep a calendar up on the wall where you see it often, and write down your workouts on each day you complete one. And, do the same thing for diet – write down what you eat every day and just the act of writing it down will help you make better choices.


Also, don't forget to take your calcium supplements for good bone health and glucosamine and chondroitin for joint health.  It's important to make sure you get the right amount each day.

 

Are you achieving them or were they too hard to begin with?

We are more than a month into 2010 and many people have already given up on their New Year’s resolution to get fit and healthy.  Some have decided to put off today what they can do tomorrow. Others think they’ll hit that ready stage when their baby is potty trained, their first child is off to college or {insert life event here}.

If you are among the many people who have tossed their hopes of better health to the wayside, ask yourself why.  What has gotten in the way of putting your own health first?  Instead of making promises to yourself that you can’t keep (for me that would be something along the lines of getting up at 5 am to workout), try looking at your goals a little differently.

Focus
Think of each goal like a 10-mile trail run.  There will be twists and turns along the way, you may feel tired or sore at times, face an uphill battle, feel like quitting, have to jump over fallen trees that are blocking your path or take a detour along the way. But, if you keep your mind focused on making it through one-half mile or one mile at a time and your eyes focused on the next 15 feet at any given time (instead of the top of the hill), you’ll make it to the finish. 

We all face different life events that knock us off course from time to time. And none of us will finish that 10-mile run without a few scrapes; sweat dripping down our cheeks and our body feeling at least a little tired (or beat up and exhausted!).  To reach our goal, we must endure and realize that we aren’t perfect and a detour doesn’t mean we should give up. Get back on track and finish that run. You can walk, jog or sprint – just persevere toward the finish line.

If your painful joints are slowing you down, try taking a gluocosamine and chondroitin supplement for joint health and flexibility.  It may help you go that extra mile and help you stay on track to reach your goals.
 

Just because it is cold outside that doesn’t mean you can’t stay fit this winter.

Though gyms (home gyms and those you pay a membership fee to go to) are fantastic, you don’t necessarily need a full gym to get fit. You can walk indoors at the mall (bonus – good sightseeing), or exercise at home with DVDs, simple equipment or Wii Fit.

If you are having a tough time getting motivated, buddy up with a workout partner, or hire a personal trainer to help you develop a plan. Also, try putting your gym bag in your car so you don’t go straight home after work but instead hit the gym, yoga class or dancing, tai chi or any other form of exercise. Or, join a league. There are many adult leagues that include people of all levels including masters swimming, walking/running, softball and much more!

Exercising at Home
There are many exercises you can do at home to stay in shape and most if not all require very little equipment (other than a good pair of shoes). If you don’t want to invest in fitness-related DVDs. Jumping jacks, walking the stairs, dancing and jumping rope will all get your heart rate up. 

Push-ups, leg lifts, crunches, squats and lunges (only if you know good technique and don’t have knee problems) will also raise your heart rate a bit and increase your strength.  You can also use light free weights and bands to get a great workout in. For a great guide to exercises that work specific body parts, click here.

If you have on demand cable or satellite, there are not many fitness channels you can watch whenever you want on anything from yoga to ab workouts.  It's convenient and you don't have to buy any workout DVD's that you only get bored with after using a few times.  There are also a lot of videos available online now as well on YouTube and others.  Just do a Google search on "fitness videos" or on specific exercises. 

Most important - Have Fun!

This is the 3rd post in my Digestion Series.  Also see article on Prebiotics and Digestive Drugs 

Americans typically fall short on meeting their dietary fiber needs. We need about 14 grams of fiber for every 1,000 calories we consume yet, most Americans get just 15 grams per day! Fiber plays an important role in digestive system health, alleviating constipation and it may help reduce your risk of developing heart disease and diverticular disease.

Types of Fiber
There are two types of fiber and both are vital to good health.  Soluble fiber is found in a variety of foods including oat bran, oatmeal, beans, pears, apples, lentils, nuts, seeds, peas, bran, citrus fruits and barley. It can help decrease LDL cholesterol (the kind associated with an increased risk of cardiovascular disease) and make your stools softer so going to the bathroom isn’t so painful.

Insoluble fiber intake is also associated with a decreased risk of cardiovascular disease. In addition it provides “bulk” which means it can help slow the rate at which food moves through your digestive system keeping you full for a longer period of time and increasing stool bulk thereby alleviating constipation.  Foods high in insoluble fiber include whole-wheat products, the skin from fruits and vegetables, brown rice, wheat bran and seeds.


Tips for Increasing Your Fiber Intake
If you think you need to increase your dietary fiber intake, always do so slowly at first so your body adjusts. Try these steps to slowly boost your fiber intake:

1. Swap out the “whites” in your diet for high fiber foods. White foods include regular pasta, white bread, white rice and white flour products. Start looking for whole grain or whole-wheat versions of these foods.

2. Add fruits and/or vegetables to every meal and consider adding these to snacks as well.

3. Substitute dishes made with legumes for some of your meat-based dishes.

4. Eat whole fruits and vegetables instead of drinking juice.

5. Try new grains that you don’t normally consume including bulgar, quinoa, and barley.

6. Sprinkle high fiber cereals such as Fiber One and All Bran in your dishes.

7. Try a fiber supplement (some of the unflavored ones can be added to your food or taken separately).


 

Walking is one of the most underrated forms of exercise.

It’s convenient, low impact (not hard on your joints), can help you manage your weight, blood pressure and blood sugar levels and, walking can decrease your risk of developing some chronic diseases. And the best part about walking?  It requires little equipment and people of all fitness levels can benefit.

Get Proper Shoes
If you want to take up walking or if you walk now, the most important equipment you’ll need is a good pair of walking or running shoes. Go to your local running shoe store (these stores tend to have employees trained in fitting you for walking, jogging and running) and get a good pair of shoes.  Read more on shoes here

Next, consider your attire. Though you don’t need special attire to walk, having comfortable workout clothes, reflective tape (if walking at night) and the necessities to walk outside in the winter (gloves, a hat, face mask if it is very cold) will make your experience both more enjoyable and safe.

Warm Up and Stretching
Always remember to warm up slowly and stretch if you need to (stretching is especially important after you are finished exercising). And, monitor your technique - your head should be held up, eyes looking forward, chin parallel to the ground, shoulders relaxed and arms bent and swinging naturally with each step. With each step, your foot should strike the ground in front of you and push off for the next step on the balls of your feet.

Once you feel very comfortable with walking, try varying your routine by walking hills, walking faster and changing your route. Also, a few simple tools will help you get the most from your workouts – a pedometer, the Wellesse walking challenge and a heart rate monitor. A pedometer will measure how many steps you get each day and a heart rate monitor can ensure that you are exercising at a good pace so you make the most of your workouts.

If you are experiencing painful joints from walking try a liquid glucosamine and chondroitin supplement for improved joint health and flexibility and for muscle and joint pain.


Have you signed up for the Wellesse Walking Challenge yet?  It's a great way to stay motivated to walk and you can win prizes too including a $500 Wellness Package!  Join today!

As a continuation on my series of blog posts on healthy digestion, I'd like to talk about Prebiotics and how they affect digestion.

Overview
If you’ve ever seen inulin, oligofructose or fructooligosaccharides on product packages, you are probably wondering what on earth these food ingredients are and why they are were added to your food or supplements. Inulin, oligofructose and fructooligosaccharides are all prebiotics – food ingredients that are not digested by the human body but boost the growth and/or activity of the friendly bacteria in our gut, especially bifidobacteria and lactobacilli. Most prebiotics are a type of soluble fiber.

Prebiotics are added to foods to enhance the nutrition profile of the food and improve certain characteristics of the food. Inulin can replace some of the sugar in food while adding sweetness, replace fat, improve mouth feel and texture of certain foods.

Inulin for Good Health
Inulin is a versatile non-digestible prebiotic fiber. In other words, it is an ingredient added to food or dietary supplements to boost your health. The form of inulin (inulin-type fructans) used in food and supplements is not digested or absorbed to any extent. Inulin-type fructans are metabolized by bacteria in the colon, increasing the growth of the healthy bacteria – bifidobacteria.

Unlike other types of carbohydrate, inulin does not raise triglycerides and has a minimal effect on blood sugar. And, a thorough look through the research by a team of scientists at the University of Parma in Italy found that inulin-type fructans can reduce serum triglycerides. Inulin can cause gas and bloating in people who are not accustomed to eating a high fiber diet or inulin. These effects should go away after becoming accustomed to inulin (most Americans eat far below the dietary recommendations for fiber – 14 grams for every 1,000 calories consumed).

Prebiotics and Nutrient Absorption
Some prebiotics may improve the absorption of some minerals by changing the environment in the colon and transferring water into the large bowel thereby increasing the volume of fluid minerals can dissolve in. In human studies, inulin and oligofructose have been found to increase the absorption of calcium.  Rat studies have found these prebiotic fibers increase the absorption of calcium, magnesium and zinc.

Why is this important? Results from the largest national nutrition examination survey (NHANES 2005-2006) show that as we age, we are less likely to take in enough calcium.  Just 58% of men aged 31-50 years of age are meeting their calcium needs. And, a mere 26% of men aged 51-70 and 14% of men over 71 years of age are taking in adequate amounts of calcium.  These numbers are even more dismal for women!  Thirty-three percent of women ages 31-50, 8% of women 51-70 and 7% of women over the age of 71 are taking in enough dietary calcium needed for bone health.

A liquid calcium supplement with 1000 mg of Calcium and 1000 IU of Vitamin D3 is a great way to get the calcium needed each day to help prevent and in managing osteoporosis.
 

• Thanksgiving shouldn’t be synonymous with “all you can eat Buffet.” Keep the primary focus on the company around you and the football games on TV.
• Remember that pumpkin pie, fat-backed greens, gravy and stuffing are available year-round in this country so you don’t need to stuff yourself in one day.
• Eat breakfast on Thanksgiving Day. If you skip out on eating in the morning to “save calories” for your evening meal, you are setting yourself up for a binge.
• Eat slowly and stop when you are full. Does another bite of pie really matter or did you already experience that taste and mouth-feel you were looking for?
• Drink water throughout the day especially if you are drinking alcoholic beverages, alternate them with water.
• Instead of cutting out certain foods or denying yourself dessert, concentrate on portion control. By allowing yourself to have small portions of your favorite holiday foods, you will not feel like you are being deprived (try using a smaller plate for your main meal – a salad plate for instance).
• Eat slowly and savor every bite. Really experience the flavors, textures and smell of each food you are eating.
• Skip the seconds or wait until others have gone up for seconds. By waiting, more of the fattening foods are likely to be finished already.

Managing arthritis can be difficult during the holidays.  As you start to decorate and do lots of shopping, make sure to not over exert yourself.  It can be easy to get caught up in the excitement and do too much.  Don't forget to take your nutritional supplements even when you go shopping at 4 am on Black Friday!

Have a Happy, Healthy Thanksgiving!

This is a repeat of a previous post, but with the increasing importance of vitamin D, I thought it would be appropriate to post again.

When it comes to nutrition, the media often finds an ingredient, supplement or product that steals the spotlight for a period of time.  Sometimes the ingredient is lambased to the point where it becomes an outcast at warp speed, this happened with partially hydrogenated oils (man made trans fats).  Other times, the news is good.   And this is what has happened with vitamin D.  This vitamin has gone from the kid at the back of the class to center stage in a short period of time. 

Vitamin D
When it comes to bone health, many of us automatically think of calcium and milk/dairy.  However, calcium alone can't do its job without adequate vitamin D.  Think of vitamin D as the gatekeeper to bone tissue, it aids in the absorption of calcium.  Vitamin D may also decrease our risk for certain types of cancer.  Most notably, colon, prostate and breast cancer.  And, a deficiency in vitamin D can lead to osteopenia, osteoporosis, chronic pain, muscle weakness, fractures and autoimmune diseases.
 
Vitamin D is manufactured in the skin upon exposure to sunlight.  Past recommendations have indicated that just a little exposure - say 15 minutes a day, will give us all the sunlight we need to make vitamin D.  However, recent studies have shown that many of us fall short.  Even people living in climates sunny throughout the year like southern Arizona.  How can this be the case?  Individuals with darker skin and older individuals just don't produce vitamin D as well as fair-skinned, younger people do.  And, people who live in less than sunny climates simply aren't exposed to the sun's rays often enough.  Lastly, many people have had skin cancer (basal and squamous cell carcinoma is on the rise) and are avid sun block users and therefore don't manufacture adequate vitamin D.
 
Calcium
Now, on to calcium. Aside from its role in bone health, calcium also aids in:  muscle contraction, blood vessel contraction and expansion, hormone secretion, heartbeat regulation, conducting nerve impulses and blot clotting.  And, all of these functions are considered more vital than keeping our bones strong.  So, when we fall short on our calcium intake our body leaches it from our bones. If this process occurs frequently, over time we end up with weak, porous bones, osteopenia and osteoporosis.
 
How to Get It
It's clear we need to take in adequate levels of calcium and vitamin D daily.  Calcium is more easily obtained from foods, especially dairy foods.  Greens like spinach are often noted for their calcium but, this calcium is bound to the oxalic acid present in these greens and therefore, not readily absorbed.  The same thing goes for calcium that is fortified into grain products - it is bound to phytic acid and not easily absorbed in the body.  Vitamin D is a bit harder to find in foods.  Salmon, mackerel, canned tuna, canned sardines, and milk are your best options.  If you don't drink 4 glasses of milk a day or a combination of other dairy and the fish mentioned above, try a liquid calcium and vitamin D supplement.

 

Digestive issues effect 55% of U.S. households including heartburn, indigestion, IBS (Irritable Bowel Syndrome), ulcers and more.

Drugs include antacids, anti-nausea, laxatives and more.  Many of which are now available over the counter such as Prilosec, Mirolax and Zantac.

Most drugs have one or more side effects associated with their use. Some even come with a number of risks as well. Therefore, as a consumer it’s important to weigh the risk versus benefits from consuming any medicine or combination of medicines, read the small print on the package insert and talk to your pharmacist and physician about all of the medicine and supplements you are taking. Even medicines that are generally considered safe, such as acid-suppressing drugs, have risks associated with their use. In this example, research indicates that acid-suppressing drugs come with side effects.

So how do you know if your prescription or OTC is more helpful than harmful?  Follow these steps:

1. Talk to your physician about all drugs and supplements you are taking
2. Read the fine print on the patient information sheet you obtain from your pharmacist
3. Discuss the risks and side effects of the drug you are taking
4. Tell your doctor about any side effects you are experiencing from the medicine
5. Always use your prescription as directed and talk to your physician prior to changing your dose

Antacids may not always be necessary, and they can have serious consequences if used improperly. Frequent and prolonged use can cause irreparable harm to your heart, kidneys, or bones. Even if used occasionally and in moderation, antacids can cause problems for people with special medical conditions.

Prevention is key
Prevention is by far the best medicine for indigestion.  A low fat diet and exercise can go along way in having fewer digestive issues.  Fatty foods take longer to digest and overeating can cause heartburn and or acid reflux.  Eating smaller meals more frequently can help.

Minimize use of coffee, tea, alcohol, and soda drinks that are highly acidic may be helpful.  Eat at least two hours before going to bed to give your food a chance to fully digest and if possible, take a walk after dinner.

Probiotics, prebiotics, fiber and aloe are all natural ingredients that may be a safer alternative to a healthier digestion and a happier tummy.