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Do You Want To Eat Delicious Food That’s Amazingly Healthy – and Manage Your Weight, Too?

July 18, 2012 By Penny Klatell, PhD, RN Leave a Comment

Sunday afternoon meal in Ancient Epidaurus, Greece

Eat Like A Greek . . .

or like others who live in Mediterranean countries. I was born and raised in New York City and grew up eating a Mediterranean-type diet at home. My father is Greek and I went to Greek day school so this type of eating pattern was what I knew. It was our way of life — not a studied, intentional choice. We ate lots of olive oil, fish, vegetables, and cheese — the mainstay was feta in brine from the barrel in the Greek grocer’s across the street from the Greek church. Olives came that way too, straight from the barrel, straight from Greece. And, we spent a lot of time eating with family – and friends of the family.

But, living in NYC and hanging out with my neighborhood friends, that healthy diet became infused with “staples” of the standard American diet. That infusion came in the form of food like bagels, butter for the bagels, burgers, English muffins, the occasional coca cola, egg creams, cheese Danish, movie theater candy, and Velveeta (for grilled cheese made with soft white bread). In NYC there was always the attraction of pizza (sold by the slice) and Good Humor trucks for that after dinner summer treat.  All in all, not too bad — in large part because, at that time, there wasn’t a fast food shop on every corner and eating between meals wasn’t a common (or acceptable) practice.

I just returned from a family trip to Greece and after eating food straight from the farm and fished from the sea, I’m convinced (and this is backed up by many research studies) that the diet I grew up on – the Mediterranean diet — is an extremely healthy dietary pattern and a very healthy way of life.

The Mediterranean Diet Is A Way Of Life

Dietary data from the Mediterranean region show that people who follow a Mediterranean dietary pattern have the lowest recorded rates of chronic diseases and the highest adult life expectancy. The health benefits are backed up by more than 50 years of epidemiological and experimental research.

The Mediterranean dietary pattern is not the type of restrictive program that we usually think of when we think “diet.” It’s a way of life – even the Greek word for diet, diaita, means way of life.

Traditional Mediterranean meals, the kind eaten for thousands of years by people who live in the countries bordering the Mediterranean Sea, are filled with fruit, vegetables, beans and legumes; bread, pasta, rice, semolina and other grains; nuts and seeds; copious amounts of extra virgin olive oil; lesser amounts of fish, poultry, eggs, and even smaller amounts of lean red meat; cheese and yogurt; and moderate amounts of wine, usually red.

The “Mediterranean diet” (very similar to the Dash diet for high blood pressure) doesn’t have a strict list of allowed/not allowed foods.  It’s a dietary pattern of lots of plant foods; small amounts of fish, dairy, and animal protein;  and very few saturated fats. Physical activity is a given as is leisurely dining with friends and family in pleasant surroundings with everyone taking pleasure in their meals. Even with plenty of healthy fats and some alcohol, weight problems are not common.

Why Is The Mediterranean Lifestyle A Good Choice?

The Mediterranean lifestyle – including foods, activities, meals with friends and family, and wine in moderation with meals — has been studied and called one of the healthiest in the world. It is also a dietary pattern filled with delicious and flavor-filled food and meals. The health benefits are not from diet alone but from the whole package.

According to the Mayo Clinic, a recent analysis of more than 1.5 million healthy adults showed that people who follow a Mediterranean diet have a reduced risk of overall and cardiovascular mortality, a reduced incidence of cancer and cancer mortality, and a reduced incidence of Parkinson’s and Alzheimer’s diseases.

Studies published in the medical journal BMJ and The New England Journal of Medicine showed that healthy people who follow a Mediterranean diet had a lower risk of developing type 2 diabetes and that a restricted calorie Mediterranean diet can be more effective for weight loss than a low fat diet.

An analysis of 50 studies linked the Mediterranean diet to lower odds of getting metabolic syndrome, a group of factors (high blood pressure, high blood sugar, unhealthy cholesterol levels, and abdominal fat) that increases the risk of heart disease, diabetes, and stroke.

All of the fruit, vegetables, whole grains, nuts, beans, seeds, fish, olive oil, and some alcohol in the Mediterranean eating pattern provide an astounding number of micronutrients, antioxidants, vitamins, and minerals which, in combination with the Mediterranean lifestyle, produce health benefits that can’t be obtained from supplements.

Keys To The Mediterranean Way Of Eating and Living

Fruits, vegetables, nuts and grains: 
The majority of food is from plant sources: fruit, vegetables, potatoes, breads and grains, rice, pasta, beans, nuts, and seeds. Greeks eat little red meat but average nine servings a day of fruit and vegetables – which may explain why the Mediterranean diet is associated with lower levels of LDL (“bad”) cholesterol. The majority of food should be a variety of minimally processed, locally grown (if possible), seasonal fruit and veggies (7 to 10 servings a day). Focus on whole-grain bread and cereal, rice, and pasta. Bread is important but is eaten plain or dipped in olive oil. The majority of grains are whole grains like wheat, oats, rice, rye, barley, and corn, best eaten in whole, minimally-processed forms.

Nuts:
 Nuts are part of a Mediterranean lifestyle. They are high in fat — around 80% of their calories come from fat — but most of it isn’t saturated. Because nuts are high in calories, try not to eat more than a handful a day.

2500 year old olive tree in Nea Epidaurus, Greece

Healthy fats:
 Olive oil, a monounsaturated fat that can help reduce LDL cholesterol levels, is the principal fat. “Extra-virgin” is the least processed and contains the highest levels of antioxidant protective plant compounds. Use olive or canola oil for cooking, too. The Mediterranean diet doesn’t focus on limiting fats, but on making smart choices. It does discourage eating saturated and trans fats (hydrogenated oils), which contribute to heart disease. Total fat should range from less than 25% to over 35% of calories with no more than 7 to 8% saturated fat.

Wine:
  According to some research studies, alcohol, in moderation, is associated with a reduced risk of heart disease. The Mediterranean diet includes a moderate amount of wine, usually red — no more than 5 ounces daily for women (or men over 65), and no more than 10 ounces daily for men under 65 (unless there are reasons not to drink). If you don’t drink alcohol, you don’t have to start. Purple grape juice might have some similar benefits (although it is high in sugar).

Dessert and Sweets:
  Eat sweets in small portions. Fresh fruit is the usual daily dessert and the typical way to end a meal. Desserts and sweets with a significant amount of sweetener, usually honey, should be eaten only a few times a week.

Herbs And Spices:
  Herbs and spices add flavor and aroma and reduce the need for salt and/or fat. They also contain a broad range of health-promoting antioxidants.  They’re used liberally and contribute to the dishes that differentiate the various Mediterranean cuisines.

Fish and Poultry:
Have moderate amounts of fish and poultry once or twice a week (fish is favored over poultry). Healthy choices include cold-water fish: fresh or water-packed tuna, salmon, trout, mackerel and herring. Eat your fish grilled or sautéed, not fried, in a small amount of olive oil.

Meat: 
Eat lean red meat only a few times a month – no more than once a week for animals with four legs. Substitute fish and poultry for red meat. Poultry is a good source of lean protein without the high levels of saturated fat found in some cuts of red meat. Keep meat portions small (about the size of a deck of cards) and avoid sausage, bacon, and other high-fat meats. With ground meat, choose 90 percent lean/10 percent fat.

Low fat dairy:
Eat cheese and yogurt daily, but in low to moderate amounts. The calcium in cheese and yogurt is important for bone and heart health. Limit high fat dairy products like whole or 2% milk and full fat yogurt, cheese, and ice cream. Switch to non-fat, skim, and 1% products when possible.

Eggs: 
A good source of high-quality protein, eat up to seven eggs a week – this number includes those used in baking and cooking.

Regular Physical Activity: 
Daily physical activity is important for overall good health. This includes strenuous exercise like running and aerobic activity as well as slower-paced activities like walking, housework, yard work, and taking the stairs instead of the elevator.

Seaside tables in Gythio, Greece

Meals with Family and Friends:
A key component of the Mediterranean lifestyle is sharing and enjoying meals with family and friends of all ages. Don’t rush through meals but sit and enjoy both the food and the company.

Make It your Own

There’s no single Mediterranean diet. Countries and regions customize the basic diet by taking advantage of locally available food and the cultural preferences of that geographic region.

The Mediterranean diet is a prescription for good health. Aside from all of the other health benefits, there might be a weight advantage because being physically active and eating a nutritious diet of mostly filling and satisfying whole foods can help with weight management.

The Mediterranean diet is a healthy, enjoyable lifestyle and dietary plan that is easy to follow, flexible, and best of all, good for you.  It doesn’t matter where you live.  Locally sourced foods are best, but if your only choice is to buy more plant-based foods and fish in the supermarket, that’s still a step in the right direction. Try making small changes – each change is incremental and starts to add up.  Just don’t forget to eat delicious fresh food, move around, eat leisurely, and share your eating experience with friends and family.

 

Filed Under: Calorie Tips, Healthy Eating, Food Facts, Eating with Family and Friends, Manage Your Weight Tagged With: eat out eat well, food facts, fruit, Greek eating patterns, health benefits of the Mediterranean diet, healthy eating, Mediterranean diet, Mediterranean lifestyle, olive oil, vegetables, weight management strategies

Peanuts, Cracker Jacks, and Cotton Candy

June 29, 2012 By Penny Klatell, PhD, RN Leave a Comment

It’s summertime.  Baseball season is in full swing and so are visits to amusement parks.  What do you usually do at these places – other than watch the game and ride the roller coaster? EAT, of course!

Oh, the food!  Oh the calories! Trust me — this post isn’t about ignoring the good time food.  There are always healthy food options:  you can bring your own or be scrupulous in making healthy choices. But honestly, do you think that most people really want to eat low calorie foods when they’re at a ballgame or amusement park? No way.

So what do you do when you’re at these places with food vendors about every 20 feet hawking dogs, ice cream, and beer?

There Are Ways And Then There Are Ways

If you’ve got a will of iron, I guess you could ignore the food and drinks.  But if you’re like most people and you’re tempted at every turn, you can try to minimize the damage without taking away the fun.  If you know you’re going to be having a stadium or food court meal, do some thinking, planning, and sleuthing.  The best choices are not always the obvious ones.

Do you need both peanuts and popcorn?  Can you make do with a regular hot dog instead of a foot-long?  Can you keep it to one or two beers instead of three?  Can you choose the small popcorn instead of the jumbo tub? Can you ditch the soda — or maybe the second one — and replace it with water?

Make Your Best Choice

Here’s some info to help you make your best choice.  Just a heads up – we’re not talking about the most nutritious choice because given these foods, quality nutrition is not front and center.  You can, however, enjoy your day and make the best caloric choice (with a nod to fat and sugar content) and still enjoy traditional ballpark and amusement park food.

  • Cotton Candy: Nothing but heated and colored sugar that’s spun into threads with added air. Cotton candy on a stick or wrapped around a paper cone (about an ounce) has around 105 calories; a 2oz. bag (common size) has 210. A lot of sugar, but not a lot of calories – albeit empty ones.
  • Cracker Jack (officially cracker jack, not jacks): candy-coated popcorn with some peanuts. A 3.5oz stadium size box has 420 calories but does have 7g  protein and 3.5g fiber.
  • Hamburger:   6oz. of beef on a bun has about 490 calories — without cheese or other toppings — which up the ante.
  • Grilled Chicken Sandwich, 6oz.:  280 calories – not a bad choice.  6oz. of chicken tenders clock in at 446 calories.  Barbecue dipping sauce adds 30 calories a tablespoon.
  • Hot Dog: Most sold-out baseball stadiums can sell 16,000 hot dogs a day. A regular hot dog with mustard has about 290 calories: that’s 180 for the 2oz. dog, 110 for the bun, zilch for regular yellow mustard. Two tbs. sauerkraut adds another 5-10 calories, 2 tbs. ketchup adds 30, and 2 tbs. relish another 40. A Nathan’s hot dog racks up 320 calories; a foot-long Hebrew National 510 calories. Hot dogs are usually loaded with sodium.
  • Pizza: Stadium pizza is larger than a usual slice, about 1/6 of a 16-inch pie (instead of 1/8) making it about 435 calories a slice.
  • Super Nachos with Cheese: A 12oz. serving (40 chips, 4oz. cheese) has about 1,500 calories!!! Plain French fries look like a caloric bargain by comparison.
  • French Fries: A large serving has about 500 calories. A serving of Hardee’s chili cheese fries has 700 calories and 350 of them come from fat.
  • Potato Chips:  One single serving bag has 153 calories (94 of them from fat).
  • Peanuts in the Shell: What would a baseball game be without a bag of peanuts? Stadiums can sell as many as 6,000 bags on game days. An 8oz. bag has 840 calories; a 12oz. bag has 1,260. Yes, they have some protein and fiber.  But wow on the calories.
  • Soft Pretzel: One large soft pretzel has 483 calories – giant soft pretzels (7-8oz.) have about 700 calories.
  • Draft Beer: A stadium draft beer, 20oz. cup, the usual size, has about 240 calories. A light draft saves you 60 calories.
  • Coca Cola:  A 12oz can: 140 calories –- and close to 10 tsp. of sugar.
  • Helmet Ice Cream: Your team’s mini-helmet filled with swirly Carvel, 550-590 calories.
  • Souvenir Popcorn: At Yankee Stadium a jumbo size has 1,484 calories and a souvenir bucket has 2,473 calories.

Filed Under: Calorie Tips, Healthy Eating, Food Facts, Food for Fun and Thought, Manage Your Weight, Snacking, Noshing, Tasting, Takeout, Prepared Food, Junk Food, Travel, On Vacation, In the Car Tagged With: amusement park food, ballpark food, calorie tips, calories in amusement park food, calories in ballpark food, cotton candy, cracker jack, eat out eat well, food facts, food for fun and thought, hot dogs, vacation food, weight management strategies

5 Tips To Make Your Grilled Meat Healthier

June 26, 2012 By Penny Klatell, PhD, RN Leave a Comment

Grilled meat tastes good (of course you have to like meat).  Unfortunately, two types of cancer causing compounds can increase or form in some foods that are grilled or cooked at high heat.

Two Dangerous Compounds

Heterocycline amines (HCAs) increase when meat — especially beef — is cooked with high heat – not just by grilling but by pan-frying, too. HCAs can damage DNA and start the development of cancer.  Most evidence connects them to colon and stomach cancer, but they may be linked to other types of cancer, too.

Polycyclic aromatic hydrocarbons (PAHs) increase with grilling because they form in smoke and can get deposited on the outside of meat.

Five Things You Can Do

Here are five things you can do to decrease the formation of HCAs and PAHs:

  1. Cook or fry at lower temperatures to produce fewer HCAs.   You can turn the  gas down or wait for the charcoal’s low-burning embers.
  2. Raise your grilling surface up higher and turn your meat very frequently to reduce charring — which is highly carcinogenic. Grilling fish takes less cooking time and forms fewer HCAs than beef, pork and poultry.
  3. Marinate your meat.  According to the American Institute for Cancer Research, marinating can reduce HCA formation by as much as 92 to 99%. Scientists think that the antioxidants in marinades help block HCA formation.
  4. Add some spices and rubs. Rosemary and turmeric, for example, seem to block up to 40% of HCA formation because of their antioxidant activity. A study by Kansas State University found that rubbing rosemary onto meat before grilling greatly decreased HCA levels.  Basil, mint, sage, and oregano may be effective, too.
  5. Select leaner cuts of meat and trim excess fat to help reduce PAHs. Leaner cuts drip less fat – and dripping fat causes flare-ups and smoke which can deposit PAHs on your food.

Filed Under: Calorie Tips, Healthy Eating, Food Facts, Food for Fun and Thought, Shopping, Cooking, Baking Tagged With: barbecue, eat out eat well, food facts, food for fun and thought, grilled meat, HCAs, heterocycline amines, outdoor grill, PAHs, polycyclic aromatic hydrocarbons

Some Lower Calorie Alternatives If You Like Your Ice Cream With Toppings Rather Than Naked

June 12, 2012 By Penny Klatell, PhD, RN Leave a Comment

Some people like their ice cream without any embellishment, and for others, the more the better.  Sometimes there’s nothing better than an ice cream sundae or a waffle cone with a bunch of toppings.

Ice cream can be topped with just about anything can be made with just about anything and I freely admit that for me, the best part is choosing what goes on top of ice cream, not the ice cream itself.

So Many Choices

You can put just about anything on ice cream  — and most likely — someone, somewhere in the world has chosen some pretty random and unique toppings to put on their plain old vanilla or some esoteric flavor that they love.

Toppings Can Add A Mountain Of Calories

The problem is, of course, that the standard fare:  toppings like hot fudge, whipped cream, peanuts, walnuts in syrup, crushed heath bar, caramel sauce – can all add hundreds of calories and not much nutrition to your sundae or cone.  It is likely that nutrition is not your first thought when visions of ice cream dance in your head, but calories (and perhaps nutrition) might be.

Here’s the nutrition in some common ice cream toppings:

  • Smucker’s Spoonable Hot Fudge Topping:  2tbsp, 140 calories, 4g fat, 24g carbs, 2g protein
  • Smucker’s Spoonable Ice Cream Topping Pecans in Syrup Topping:  1tbsp, 170 calories, 10g fat, 20g carbs, 1g protein
  • Regular Redi Whip:  2tbsp, 20 calories, 2g fat, 1g carbs
  • Cool Whip, extra creamy:  2tbsp, 32 calories
  • Regular M&M’s:  10 pieces,103 calories, 5.2g fat, 12.1g carbs, 1.9g protein
  • Peanut M&M’s:  about 16 pieces, 200 calories, 10.15g fat, 23.48g carbs, 3.72g protein
  • Peanuts (1oz): 160 calories, 14g fat, 5g carbs, 7g protein

Some Stand-bys That Are Lower In Calories

  • Rainbow Sprinkles (Mr. Sprinkles):  1 tsp, 20 calories, 0.5g fat, 3g carbs, 0g protein
  • Chocolate Sprinkles (jimmies):  1 tbsp, 35 calories, 0g fat, 6g carbs, 0g protein
  • Smucker’s Spoonable Ice Cream Topping, Light Hot Fudge, Fat Free:  2 tbs, 90 calories, 23g carbs, 2g protein
  • 10 mini marshmallows:  22 calories, 0 fat, 5.7g carbs, .1g protein
  • 18 gummi bears: 140 calories, 0 fat, 43.5g carbs, 0 protein

Think Outside The Box For Lower Calorie Choices

If the world is your oyster in terms of toppings, why not think about fruit, cereal, or a crushed up 100 calorie pack of anything?

Here are some other suggestions:

  • Smucker’s Spoonable Pineapple Topping:  2 tbsp, 100 calories, 0g fat
  • Regular Redi Whip:  2 tbsp, 20 calories, 2g fat, 1g carbs
  • Fat Free Redi Whip:  2 tbsp, 5 calories, 0g fat, 1g carbs
  • Cool whip, light:  2 tbsp, 16 calories
  • Cool Whip, fat-free:  2 tbsp, 15 calories, 43.5g carbs, 0 protein
  • 1 mini box of raisins (.5 oz):  42 calories, 0.1g fat, 11.1g carbs, 0.4g protein
  • One medium banana: 105 calories, 0 fat, 27g carbs, 1g protein
  • One cup strawberry halves: 49 calories, 0.5g fat, 11.7g carbs, 1g protein
  • Sugar-free Jello pudding:  60 calories
  • One cup Froot Loops:  118 calories, 0.6g fat, 26.7g carbs, 1.4g protein
  • One cup blueberries:  83 calories, 0.5g fat, 21g carbs, 1.1g protein
  • Crushed pretzel sticks, 1 oz:  110 calories, 1g fat, 23g carbs, 3g protein

Filed Under: Calorie Tips, Healthy Eating, Food Facts, Food for Fun and Thought, Manage Your Weight, Restaurants, Diners, Fast Food, Snacking, Noshing, Tasting, Takeout, Prepared Food, Junk Food Tagged With: calorie tips, eat out eat well, food facts, food for fun and thought, healthy eating, ice cream, ice cream cone, ice cream sundae, ice cream toppings, lower calorie ice cream toppings, weight management strategies

What To Do When Your Mouth’s On Fire From Red Hot Chili Peppers

May 29, 2012 By Penny Klatell, PhD, RN 3 Comments

Recently, I was in a restaurant that specializes in chili – hot, hotter, and hottest.  Four large thirtyish guys were sitting at the table next to mine. One guy ordered, “hottest,” with a swagger.

Shortly after this big, burly guy dug into his chili – with gusto, I might add, he was sitting glassy eyed, rivulets of sweat dripping off of his bald head, practically unable to speak.  The waitress, obviously having seen this reaction before, came running over with a glass of milk with orders to, “Drink up.”

Have you ever had this reaction to very spicy food — maybe even from a dish from your own kitchen when you got a little too zealous with the chili powder? Or perhaps, like this guy, from being a little too macho and ordering “hottest” after assuring everyone that you love really hot and spicy food.  Perhaps when you accidentally grabbed the wings known as red hots at a recent party.

What Causes The Burn?

Capsaicin is mostly responsible for the “heat” in chili peppers.  To stop the mouth flames you need to neutralize the burning heat from the capsaicin that binds to your taste buds. Capsaicin is soluble in both alcohol and fat so full fat dairy and alcohol are possible solutions.

What To Do To Tame The Flame

What do you do as your mouth is sending a five-alarm signal, your face is on fire, and you are sweating enough to water every plant in the room?  Here are some solutions that are easy – even when you’re in a restaurant or at someone else’s home.

  • The most common flame relievers are full fat dairy, acid, and sugar – although some people also swear by nut and seed butters  (peanut, almond, tahini).  They may all have some degree of effectiveness.
  • Ice and water will feel pretty good, but only temporarily. The burning pain will come roaring back. Because capsaicin is soluble in alcohol and fat, sometimes beer is suggested as a solution. The alcohol helps neutralize the capsaicin molecules.  But beer is about 95% water and won’t really neutralize the capsaicin clinging to your tongue.
  • High fat dairy products like milk, cheese, sour cream, yogurt, and ice cream coat your mouth and can break the bonds capsaicin forms with the nerve endings – and, since they’re cold, they feel pretty good, too. Now you have an explanation for why spicy Mexican food is often served with sour cream.
  • Sugars bind to pain receptors more readily than capsaicin so sweet things might work, too.   Sugar, fruit, honey, molasses, even carrots have all been used.  Highly sweetened non-carbonated drinks may work.  Try some sweet tea.   Hoisin may work for Asian dishes or Lassi (sweet and dairy combination) if you are in an Indian restaurant.
  • Acid can cut through the heat so use vinegar, lemon or lime juice, or anything acidic that doesn’t mess with the taste.  Gives beer with lime new meaning, too, doesn’t it?

Filed Under: Food for Fun and Thought, Shopping, Cooking, Baking Tagged With: capsaicin, dairy to neutralize capsaicin, eat out eat well, food facts, hot chili peppers, spicy food, taming a burning mouth

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