Showing posts with label heart health. Show all posts
Showing posts with label heart health. Show all posts

Saturday, August 8, 2009

Label Tricks

I become increasingly frustrated with producers of supplements and meal replacements as well as producers or manufacturers in general as they tout their wares as health promoting and essential when they can be anything but…

There are dozens of reasons why vitamins and minerals added to products, liquid or otherwise, can be a waste of money. Here are a few:

1) Research often doesn’t support the health claim in THAT form
2) Products don’t have enough of the said ingredient to make a difference
3) The product may have fillers that counteract the positive health effect
4) The label is misleading
5) The product is contaminated or has unclaimed ingredients that cause harm

In many ways, all we get for our dollar is expensive pee.

More so, I want to educate consumers. Labels on our foods can be misleading. Recently I discussed why buying foods with omega three fatty acids was misguided, but many other health claims or label facts can trip you up as well.

Fat free, trans fat free, sugar free, calorie free – most of the time means that there is a trace amount of the item per serving size.. depending on how the nutrient is measured it could be .49 grams of 4 calories.

Serving size is another issue. Recall my ice cream dessert video on you tube… ½ c is the serving size on the box and not only do most of us have a cup.. the weights are different on almost every box.. it is calorie per gram that the consumer would be best to consider.

Recently I wrote that the FDA/USDA did not define the term “natural” and I was mistaken. They do, only in the sense of a policy, not a regulation. Both FDA regulated products and USDA regulated meats and poultry labled "natural" are encouraged to be minimally processed and not contain artificial flavorings, colorings or preservatives.

Many times a product will claim itself to be hormone free when the law prohibits hormones in the first place, i.e. poultry and hog products.

My favorite was when all sorts of things that never ever had carbs began to have labels claiming they were carbohydrate free… like WATER.

Added fiber? Try getting it the old fashioned way.. the way research says is helpful.. in a food that contains it from the beginning.

It will nearly always behoove the consumer to read the ingredient list of baked goods, like bread, to be sure, no matter what the label implies, or screams at you, “multi grain”… that the word before the grain is WHOLE. Did you know that there was something called the Whole Grain Council and that they have a label for whole grain products.. indeed… if the package has their black and yellow stamp you CAN be assured that the serving size has at least 8 grams of whole grains.

Another label to be trusted is the USDAs certified organic. Unfortunately, a recent research study found no health benefit to eating organic foods. I myself do not eat them. BTW, the organic label does NOT apply to any USA raised or caught seafood and according to an article in Runner’s World this month, that label on food sold here would be from another country and may lack any clear and consistent definition or practice. In fact, one would be better off eating wild Alaskan salmon which is apparently regulated here and farmed arctic char which is also supposed to be healthy and safe.

Another trick noted from the same Runner’s World article was putting 100% juice on a label under the drinks name, like pomegranate, but only 20% of the juice is of that type. Anyways, fruit juice is not the best beverage to spend your money on whether it is 100% or not.

Lastly I want to say that you do not have to shop at Whole Foods to eat whole foods and eating whole foods; fruit, vegetables and grains is health promoting.

Saturday, August 1, 2009

Graze Ways

This post should be relatively short and simple with no scientific study or google searching required. I want to make a statement about "grazing" in order to encourage a healthful eating pattern not an unhealthful one... Or is it healthy and unhealthy... either way...

I don't like the word grazing but I think it was meant to take the place of snacking.. as snacking is generally thought of as eating "fattening" foods between meals. Grazing however makes me think of near constant eating, and that isn't good either.


The way that our body best responds to and uses energy is in small doses over time. Thus, eating frequent small meals is the healthful option. As I was having a conversation the other day, I realized that "small" is not the right word either because small doesn't mean low in calories, it just means small.


Imagine eating a donut or candy bar or even a peanut butter and jelly sandwich.. Small meals in the context of "frequent small meals" is meant to mean low in calories not necessarily small visually. A salad can fill a plate and have 50 calories where as a piece of cheese may not fill your hand and have 200.

I cannot tell any of you how many calories you should consume in a day but I can tell you that if it is 1800 then spread them out! It doesn't have to be even, but it can be.

Mine usually go like this;
50 cals to wake up
150-200 for breakfast

75-100 snack

150-200 lunch

100 snack

75-100 snack

300 dinner and dessert

200 snack

200 popcorn..

and another couple 100 spread around in there :)

Those are consumed from 7am to 10pm.. every two to three hours...


It is not wise to eat two 900 calorie meals or even three 600 calorie meals.. meals that high in calories are often that way because of high fat or sugar content. Heavy meals increase the heart's work load, effect metabolism negatively and often make the eater feel sluggish.

So - eat low calorie meals OFTEN.. and move more too!

Saturday, July 25, 2009

Do You Have Cankles?

Well, I cannot believe that I am doing this post, but alas I am. Cankles are ankles that lack definition. They are firstly caused by obesity, but other causes can include a genetic inclination to store fat in the lower leg, chronic achilles tendinitis and other less common situations. According to an article I read in the WSJ, the average circumference of an ankle is 11 inches. Women have become increasingly concerned about the look of their legs as clothing styles can accent the calf and ankle. (you can Google the word in case you don't know the look)

In fact, there are exercise programs designed to target that area so that the ankles can be slimmed. And you know, I am not sure that I have mentioned this in the last year or two, but you cannot control where exactly you will gain or lose your weight. It just doesn't work that way. I would suggest that one way, perhaps the best way, to prevent fat ankles is to not be fat. Albeit, there are exceptions as there always are...sometimes things just happen.

Funny thing, I HAVE tendinitis right now. When the doctor was looking at my achilles and ankle area yesterday and recommending ultrasound for healing, he actually said that he thought the treatment would work well as I did not have much adipose tissue there. I measured just now, having read the article, and my ankle is 8 inches around.

I also read in the same article, by Amy Chozick , that some counselors were worried that focusing on "cankles" would lead more girls to develop eating disorders. Really.. are you kidding me? Here is an issue to worry about...

childhood obesity

Indeed, I saw a boy at the Farmer's Market today with his Mum... he was very overweight, drinking a soda. Sweating in the sun. He was swollen everywhere, no doubt his ankles too but I didn't look.. instead I was looking at this 8 to 10 year old boy with BOOBS and thinking that really ought to count as child neglect.

Thursday, July 23, 2009

Teaching Moments

We have a new employee where I work and she is only now getting to know me. I say this because what she said was so funny being said to ME. Her story was priceless and a wonderful teaching moment, then and now.

And do let me say.. I am NOT making fun of my coworker, nor judging her nor overtly trying to change her. I am subtle but open while at work. I eat the way I eat and when people ask me about my food or lifestyle I share information, ideas, recipes, and products. I LOVE doing that. I recall saying this before but it is worth repeating. People won't eat junk food if it isn't around, and people WILL eat good food if it is.

So not really knowing me that well, Sally (not her real name :)) began her story this way,
"This morning when I stopped at McDonald's..." Before she could finish her sentence, I said, "McDonald's???!!" and she continued, "Yeah, I always get a steak bagel (500+ cals)." To which I think I said, "Oh my." I believed she acquiesced that it wasn't so healthy and then added, "But today I decided to get the combo (with hash browns and coffee) because it is cheaper." I was very animated and dramatic while she talked, telling her she was killing me.. that my arteries were clogging as she spoke.... I was joking and educating at the same time. She did ask me when I last went to McDonald's and it was in the early 2000s when they released the Go Active meal with the water and pedometer. Anyway, the point Sally was trying to make, though I hardly let her finish, was that the coffee spilt in the bag and when she got out of the car the bag broke and her food fell on the ground... see, she was not meant to eat all that fat!

Seriously though, we have real life example of two things I have said recently. One is that it is significantly easier and cheaper to eat too much than to eat the right amount.
And the other, an example of someone who doesn't know which foods are health promoting and which are not. She often brings a microwave meal for lunch and eats all of what is meant to be three servings, but she may not even know that. I believe that her eating and her health will improve because her coworkers are great role models.... I being just one.


Wednesday, July 15, 2009

Heart Disease odds and ends

I may have said this before, but I get weekly updates from Web MD's Medscape. I will just quote their own description to explain. "Medscape offers specialists, primary care physicians, and other health professionals the Web's most robust and integrated medical information and educational tools."

Many topics are in each alert that I receive and today I chose to read one on chest pain. The article was actually meant to help physicians determine when to refer a person to a specialist or an emergency room based on symptoms, history and clinical exam. While reading the article I came across many terms or conditions that were new or somewhat new to me. So the article had me searching the web for MORE info, I do enjoy doing that.

Here are some neat things that I learned.

Well, firstly, this as an article for physicians and I was very happy to see a section on lifestyle factors that said every patient should be advised to not smoke. It was said there that the number one most important and preventable risk factor for both heart attack and stroke is SMOKING.

The clinicians are encouraged to measure height and weight, waist circumference, blood pressure, pulse, check heart sounds and extremity pulses.. all this should be done before any blood work is ordered. One condition that came up here that was 100% new to me -

xanthelasma or tendon xanthomata : they are actually similar in meaning and I will tell you what they are, but I am going to post a link to some pictures as well and I would be surprised if that doesn't get your attention. These conditions are what doctors are told to look for on the body to indicate if the person has hyperlipidemia or high blood fats, including cholesterol. The xanthelamsa are puffy, oval like, yellow pockets of fat, just under the skin. They can be on the face or on tendons and ligaments. See below:
http://www.visualdxhealth.com/adult/xanthelasmaPalpebrarum.htm
p.s. I did not vet this website, so any health info should be validated by you!

Other terms that I learned more about today:

Angina is pain in the chest due to a lack of blood supply, but not considered fatal.

Aortic stenosis involves a valve that releases blood from the left ventricle of the heart into the aorta where it can then go to nourish the cells, tissues and organs of the body. In aortic stenosis the valve does not open all the way and blood can back up into the ventricle and lungs. It is not related to lifestyle.
HCOM or hypertrophic obstructive cardiomyopathy is a combination of things really. Myopathy is any number of muscle diseases that affect proper functioning. Cardiomyopathy refers to a diseased heart muscle. You may have heard about atrophy.. meaning the wasting away of something, of muscles, like when you cannot use them. Hypertrophy is the opposite and in this case is an enlarged heart muscle. This is a dangerous condition and is said to be the main cause of instant cardiac death, often in athletes.
Substernal refers to behind the sternum. Doctors check for substernal pain when assessing angina.
Coronary Heart Disease is the same as coronary artery disease. The disease is marked by a lack of blood flow or decreased blood flow because the arteries are clogged and narrow and brittle. It is in large part due to lifestyle. CHD is the number one killer of both men and women in the USA.



And there was one thing that did not sit well with me. In addressing the issue of chest pain in a person with a risk of heart disease greater than 20 percent, an aspirin a day is recommended. (75mg) This is true and well researched, but these authors suggested that a PPI med be used if there was a high risk of stomach or gastric upset. OH NO... that was yesterday's post....











Saturday, June 27, 2009

The Grocery List

I feel that I have to say something about the recent deaths of three celebrities and it is this:

Mr. McMahon died in old age, though not a very active old age. Mr. Jackson died of a heart attack at way too young an age and apparently in correlation to being over medicated, not unlike much of this country. Ms. Fawcet, again, too young to die of natural causes, her illness is one that can often be prevented and if not prevented then treated. Screening for disease may have helped all three. Not knowing any of their life styles, that is all I can really say.

Now: If you have been getting into any of the You Tube cooking videos you may be ready to indeed "try this at home". Here are (quite) a few things that I would suggest you add to your shopping list. Remember, for the most part I chose foods that have more nutrients than calories per gram. I try to stay away from processed foods, but am a one a day diet soda drinker, so obviously I sneak some things in.

The List:
Red, green, yellow and orange bell peppers
Fresh mushrooms
Lettuce (any kind really, I like the leaf lettuce with red edges)
Sweet Potato
Onions
Tomatoes
Butter Nut Squash
Summer Squash
Eggplant
Shredded cabbage (use it in simmer fries)
Lentils
White Beans
Canned baby corn
Cauliflower
Broccoli
Wax Beans
Canned Pumpkin
Canned tomato
Vegetarian Broth
Greens, frozen or fresh
Swiss Chard

Oranges
Apples
Peaches and Plums
Grapes
Berries
Cantaloupe
Watermelon
Apricots

Lean Meats (?) you are on your own here
Fish such as salmon, tilapia, grouper, mahi mahi
Clams, mussels, oysters
Canned light tuna (not tuna steak and not albacore tuna) in water
Smucker's all natural peanut butter
Light Tofu
Eggs or Egg beaters
Vegetarian lunch meat and veggie strips
Quorn
Shirataki noodles
Morning Star or Boca Crumbles, sausage, bacon, etc
Hummus (2 tbsp should have 50 cals or less - read your labels!)
Sugar and fat free yogurts (80 - 110 cals)
Skim Milk (I like lactose free, others like Over the Moon)
Sugar and fat free ice cream (watch the label 1/2 cup yes, but what is the serving size weight? compare your brands by weights)
Sugar and fat free jello and puddings (use skim milk and water if you make your own)
Sargento 2% cheese slices
Laughing Cow (skinnies) 35 calorie cheese wedges
Wanton wrappers

Whole wheat flour and bread
Soy and Quinoa flour
Wassa crackers
Mini Toasts
Mini Stoned Wheat Thins
Jacobsens Snack Toast (cinnamon, raspberry, etc.)
Marinela Suavicremas (my favorite sugar wafer cookies!)
Kedem tea biscuits (chocolate or vanilla)
100 calorie pre made snacks (for emergencies)

All bran original and Kashi Go Lean Cereals
Cream of Wheat
Loose Oat bran and wheat flakes
Air Popcorn

Walden's Farms
syrups, dips, salad dressings
Polaner Sugar Free jelly
Olive Oil (for topping)

Vitamin D and Fish Oil Supplements, based on research from Drs. Willett and Cooper.

Well, this is not all inclusive.. I am sure I left off a ton of things, but you get the idea!

Tuesday, June 9, 2009

Cheers, alcohol and you

A little bit about alcohol and health

According to the 2005 Dietary Guidelines for Americans, the American Heart Association and Harvard's Nutrition Source, among others; one drink a day for women and no more than two drinks a day for men, can be health promoting. There are two, no three, very important caveats to that statement however.
1) a drink is the equivalent of 1.5 ounces of liquor, 12 ounces of beer, 4 ounces of wine... I challenge you, urge you, measure your wine if nothing else, because almost everyone drinks more. In fact, I almost always choose beer or the whiskey sour below, why? Well, because I apply the volumetrics concept to my alcohol too!
2) we, as a people, are notoriously bad at controlling the intake of things that make us feel good, food for example. There is a very fine line between health promoting and disease causing alcohol consumption. Here is the blurb for Walter Willett and Harvard:

Moderate drinking for many people can have real health benefits, but it's not for everyone. Those who don’t drink should not feel that they need to start. For more information, read "Alcohol: Balancing Risks and Benefits."

and 3) alcohol has calories! If you add the drink and do not take something away, in a month or two the pounds will begin to accumulate. It is the same with any recommendation you hear. If you are of a healthy weight and wish to maintain it, you cannot add new foods without compensating. So add something good and take away something less good.

Here is a little video about a sugar free tasty alcoholic beverage.





Friday, April 10, 2009

wellness weekly

The News:

Triglycerides: Having high triglycerides can be an independent risk factor for heart disease. Heart disease can of course lead to premature death. Unfortunately, there is a growing prevalence of this condition in America which is associated with the obesity problem that we have. There has been a push by some, I am guessing the pharmaceutical industry, to use statin therapy to lower triglycerides, but a recent study does not support that recommendation. Instead, when a person’s level of this blood fat is between 150 and 500, known as hypertriglyceridemia, changes in diet and activity level should be recommended by the treating physician. This is a serious issue. I have not had blood work since 2005, but I had it today! So stay tuned for the present. My last level was in the 80s.
What? With sales slumping at most clothing stores, eclectic boutiques are looking for ways to get customers in and to keep them around for a while. I read in the WSJ last week that several were offering beer, wine and cocktails. My first and continued reaction is this, the LAST thing I want to do before I try on a pair of jeans is drink a beer!
High or Low Fat,Carbs,Protein: Instead of a randomized clinical drug trial, researchers who published their study in a peer reviewed journal, Cardiosource, placed over 800 overweight and obese persons into 3 separate diet groups. What they found was weight loss occurs when less calories are consumed (everyone sure hates to hear that), but cholesterol levels were lower in the group that ate less saturated fat.
Garadasil: One of my list serves contained an article on recommendations for this vaccine. Because Gardasil is new and in my opinion controversial, I read the article. There were a few points that I would like to iterate. There are 4 strains of HPV addressed by this vaccine. Two of them are responsible for 70% of the HPV that can lead to cervical cancer and two are responsible for 90% of the strain that may lead to genital warts. If a person has been exposed to part of these four strains (there are many more strains) but not all, there may be some therapeutic benefit from getting the vaccine. There is no benefit if a person has been exposed to all four. Thus the vaccine is best for persons not yet sexually active. HPV is the most common of the sexually transmitted diseases with current prevalence at about 26%. The article that I read was written by pharmacist Laurie Briceland. BTW, vaccine or no, Pap Smears can prevent cervical cancer.
Readmissions: The Government and it’s Centers for Medicare Services or CMS, did some research into costs of care for its Medicare recipients. Of concern is readmission to the hospital within 30 days of discharge. The study found that billions of dollars could be saved if this rate of readmissions could be lowered from the current 20%. What is considered the main cause of these unplanned readmissions is lack of adequate follow up care. Discharge planning was one of my roles in a past career and at my hospital every patient had to be scheduled with their PCP after discharge. Many patients did not keep their appointment and the cause of that warrants further investigation. Some issues of which I am aware is availability of doctors, long wait times, transportation issues, and Medicare visit costs. I must add that at many hospitals there is pressure to “get the patient out of there.”
Obesity Epidemics Main Cause: I have seen this before but when I saw it on Sunday I thought, you know, that is it right there. Electric Bicycles. No not mopeds, bicycles with engines. Now General Motors, whom I thought could not make any more mistakes, wants to expand its relationship with Segway Co. A new vehicle is being produced that can pretty much obviate walking. This new rideable device will be called PUMA. That stands for Personal Urban Mobility and Accessibility. I cannot swallow this. We are overweight and our environment is polluted for one very significant reason… we do not walk anywhere. So for those of us who are able to walk, i.e. not paralyzed, here is the personal mobility device I would like to promote; LEGS.



Okay, let’s do some cooking.


Whole Wheat Pancakes:

Spices: cinnamon and sugar free vanilla syrup
Grains: 56 g of whole wheat flour, ¾ cup of loose oat bran
Liquid: ¼ cup no sugar added apple sauce, eighth cup egg beaters, ¼ cup skim milk
Sweetener: ¼ c splenda
Other: Baking Powder
Topping: Walden’s Farms Sugar/Calorie Free Syrup

(this recipe has 420 calories, on the video i mistakenly say 400 at one point)
Non fat spray and water is also needed.

Calorie content explained in video. BTW, whole wheat flour is a protein source!

Live Well
Deirdre