Wise Health Consumer Month

Marci Anderson - Sunday, February 21, 2010
February is "Wise Health Consumer Month"  and I believe that becoming more involved in your own health care is essential. My sister-in-law was finally diagnosed with Celiac Disease after doing some research and convincing her Dr. to test her for it. 

The American Institute for Preventive Medicine developed a Top 10 list of ways you can become more involved in your own health care.

One way you can become a wise consumer in the grocery store is learning how to decipher your packaged and boxed foods.  Here are three simple tips to get you started.

1.) Ignore the words on the front and back of the box. Catch phrases like "antioxidants" "more fiber" "natural" are simply a sales pitch.
2.) Read the ingredient list.  You should be able to recognize the words you are reading.  Better yet, if it's a grain-based food (as many packaged items are) the 1st ingredient ought to be "whole grain..." 
3.) Check out the number of servings in a package.  It's often more than one.

I recently met with a client who wanted some nutrition counseling for PCOS (Polycystic Ovarian Syndrome). She had already made great strides with her diet and was seeing me for "fine-tuning." At our first session she brought in a food label of a Kashi bar she likes to eat.  She thought it seemed like a healthy way to take care of her sweet tooth and wanted my opinion.  So, we dissected the food label together (too see the nutrition facts, click on this link then click on the button that says nutrition facts).

Together we learned that the 2nd, 3rd, and 4th ingredients are all sugar!  By the looks of the wrapper, you'd think she was making a healthy snack choice.  Besides, Kashi has a reputation for selling pretty healthy foods.  But in reality, all of those highly processed sugars would actually do more harm to her PCOS than simply having a small serving of dark chocolate after dinner (which what she really wanted!).

So don't be fooled by your packaging.  It's the ingredients that count.  I have a simple handout called "Decoding the Ingredient List." If you'd like a copy, send me an email to marci@marciRD.com.

Marci Anderson: Pocast Interview

Marci Anderson - Saturday, February 20, 2010

I was recently contacted by a company called "Feed Your Career."  Feed Your Career is a career management site for food, nutrition, and culinary professionals.  They offered to conduct a interview with me for free and invited me to talk about myself as well as my nutrition consulting business here in Cambridge.  It sounded like a fun opportunity so I completed the interview a few weeks ago.

I have shared a  link to the interview if you are interested in learning more about me, my business, and my philosophies for the work the I do here in Cambridge.

Fitness Fact: Let's Move

Marci Anderson - Thursday, February 18, 2010

For this month's fitness fact blog post, I decided to highlight the new Let's Move website I mentioned on Monday's blog post.

Did you know that children need at least an hour a day of vigorous play and activity to stay healthy?  This may seem like a lot but consider the number of hours children spend sitting at school, watching TV, or playing on the internet.  Our society is built around stationary activities and getting enough healthy movement takes planning and effort.  The American of Child and Adolescent Psychiatry has an excellent article which delineates the harmful effects of excessive media consumption on our nation's kids.  

The Let's Move website provides a list of resources to help parents and other caretakers make sure kids get the 60 minutes of play they need as well as ideas of how to keep your kids active in your community.

One of my favorite pages on the website gives a whole list of ways that you can help make family time, play time.  As a person who does not yet have children of my own, I'm curious to know if any of these tips seem helpful or feasible.  I'm eager to hear about your own success stories that involve increasing play time together as a family.

Your dietitian in Harvard Square,
Marci

Michelle Obama: Tackling Childhood Obesity

Marci Anderson - Monday, February 15, 2010
For those of you who listened to President Obama's State of the Union address on January 27th, you likely heard him introduce his wife's initiative to tackle childhood obesity.

Interestingly, she received some criticism for sharing her own family's story and making explicit reference to her daughter's weight.  Many eating disorder experts fear that her blatant discussion about their weight is a set-up for disordered eating and preoccupation with their weight.  I have to admit, as a nutrition therapist who specialize in counseling people with eating disorders here in Cambridge, I was unhappy to hear her reference her daughters' weight on national TV.

Despite this criticism, I felt hopeful and excited while watching her YouTube video which unveils her project "Let's Move."  I'm thrilled at the prospect of nationally prioritizing our children's eating and exercise habits.  Creating healthy kids is essential for the success and health or our nation's future.

Check out her website Let's Move and watch her video clip.  Makes me wonder what we can all be doing at a community level to help support this initiative. What do you think?

Is Sugar Addicting?

Marci Anderson - Sunday, February 14, 2010
Is sugar addicting? I recently received an email from a friend who had this question. She felt that she was completely addicted to sugar and wanted to know my recommendations on how best to detox her system.  Little did she know, she was asking a question that researchers and scientists seriously debate.  Just google the term "sugar addiction" and you'll see a litany of results and no real consensus.

According to a Wikipedia article on the topic, the real issue is that no one can actually agree on a definition for the term "addiction."  I did find a pretty decent article from Penn State on sugar addiction.  If you're interested in the topic, I highly recommend you read it. It's only a page.

But on a more practical level, many people do feel as if they are totally addicted to sugar.  So if you fall in to that category here are a few bits of information and some strategies that may be helpful to you.

  • The physiological consequences of eating candy, chocolate, and other high sugar foods are a rise in serotonin and endorphins which make you feel good.  This sensation doesn't last long and may be part of what encourages you to want to eat more of it.
  • Consider the company you keep while eating high sugar foods. An encouraging companion, alcoholic beverage, or social occasion will encourage you to eat more.
  • Create a healthy environment.  If you find that once you start eating sweets you just can't stop, consider what you keep stored at home.  Rather than a jumbo bag of M&Ms, go out and buy a small pack when a craving hits.
  • If you find yourself reaching for sweets after every meal try skipping your sugary treat just once.  Distract yourself after your meal and check in a few hours later.  How do you feel?
  • Try to eat chocolate mindfully with this exercise

These are just a handful of basic suggestions. If you feel like you have a serious addiction to sugar, consider working with a dietitian that has experience working with binge eating, emotional eating, compulsive eating, or disordered eating behaviors. A little structure, support, and guidance may be helpful.

So on this Valentine's Day select a small portion of your favorite treat, sit back, relax, be present, and enjoy.

Jillian Michaels: Sued

Marci Anderson - Thursday, February 11, 2010
According to the Associated Press:

Jillian Michaels has been sued for alleged false advertising by a woman who claims she was duped into buying a diet supplement endorsed by the celebrity trainer.

Christie Christensen of Lake Elsinore, Calif., is seeking class-action status for the case she filed Tuesday in Los Angeles. Michaels is a hard-charging, no-nonsense trainer best-known as one of the stars of NBC's hit reality show, "The Biggest Loser."

Christensen's lawsuit claims she bought a product called "Jillian Michaels Maximum Strength Calorie Control" last month and that it has failed to lessen her appetite or cause her to lose weight as advertised.

Michaels' picture and endorsement appear on the packaging, touting her as "America's Toughest Trainer." The product and a Web site advertising include the claim, "Two Capsules Before Main Meals and You Lose Weight ... That's It!"

"Ms. Michaels knows better - taking two pills before eating does not miraculously cause weight loss," the lawsuit states.


Not that I'm defending Jillian, but duh!!!  I'm amazed at the number of false and flat out ridiculous claims that supplement makers advertise.  Unfortunately, the supplement industry is unregulated so false advertisers may get punished after the fact, but most get away with it.  Jillian Michaels just happens to be high profile enough.  But in my opinion, lawsuits for false advertising doesn't have enough.

The dieting industry is a money-making system. What I'm curious to know is why do Americans continue to pour their hard earned dollars into it?  According to Business Week the diet industry raked in 80 billion dollars in 2008.

If you want to invest in your health buy more produce, buy new walking shoes, hire a registered dietitian for a couple of nutrition counseling sessions but don't throw your money away for useless weight loss supplements!

Product Showcase: Kashi 7 Whole Grain Pilaf

Marci Anderson - Wednesday, February 10, 2010
Since it's Heart Month, I thought it would be appropriate to highlight a whole grain food product I absolutely love.  A few months ago I found Kashi's 7 Whole Grain Pilaf in the hot cereal aisle.  It looked interesting so I bought it.  And to my delight, it is an absolutely scrumptious grain that cooks a lot like brown rice.  Warning, it does take 25 minutes so you may want to make it ahead of time.  Because it is plain, I recommend consulting Kashi's website for recipe ideas or get creative and spice it up on your own.

The first time I used the pilaf I tried the recipe on the side of the box for Mediterranean Pilaf. It's incredibly easy and makes for fantastic leftovers.  With my busy schedule I'm constantly looking for recipes that I can serve for dinner, then eat for lunch the next couple of days.  I cut this recipe in half and it was great.  You may want to add in a can of black beans for more protein.

Mediterranean Pilaf

Ingredients
2 packets Kashi® 7 Whole Grain Pilaf
1 cup pine nuts (to reduce fat content, use ½ cup pine nuts)
2 cloves organic garlic, minced
6 tablespoon extra virgin olive oil
3 tablespoon balsamic vinegar
½ teaspoon lemon zest
1 teaspoon crushed red chili flakes
1 teaspoon salt
2 bunches fresh basil, coarsely chopped
1 organic red bell pepper, diced
1 organic yellow bell pepper, diced
fresh ground black pepper to taste

Directions
1. Cook pilaf according to package instructions.
2. In a small skillet, dry toast the pine nuts over medium high heat, stirring continuously until they are golden brown and aromatic. Remove nuts from heat and set aside.
3. In a small mixing bowl, whisk together the garlic, olive oil, balsamic vinegar, lemon zest, chili flakes, salt, basil, pepper and set aside.
4. In a large mixing bowl, combine cooked Kashi Pilaf, pine nuts, bell peppers and sauce mixture. Mix well and serve.  

And for any of my readers that don't like or think they don't have time to cook...

One of the most common questions I get when helping my nutrition clients plan meals is:
What frozen foods (if any) do you recommend?  

My response: a frozen Kashi meal isn't a bad option.  I like them because the base of the meal is whole grains and they are fairly balanced in terms of carbohydrate, protein, and fat.  My suggestion is to serve with a side salad and a piece of fruit to round out your meal a bit. My personal favorite is the Black Bean Mango. It's awfully encouraging to read the ingredient list: whole grains, beans, water, veggies are the first 6 ingredients.  Cool.

February is American Heart Month

Marci Anderson - Saturday, February 06, 2010
Most of us associate February with Valentine's Day.  And we all know what that means- chocolate.  But February isn't just for celebrating love and candy.  The American Heart Association has deemed the month of February American Heart Month.

Heart disease is the #1 killer in the United States yet it is one of the most preventable chronic diseases. The American Heart Association has a fun interactive quiz that will help you identify your risk for developing heart disease along with personalized recommendations to help you improve your heart health. 

One of the important components of a healthy heart is a healthy cholesterol profile.  The numbers below are for an ideal cholesterol profile:
*Total cholesterol <200
*LDL cholesterol (this is the bad stuff) <100
*HDL cholesterol  (this is the good stuff) > 60 

Aside from genetics, one of the only effective ways to increase your HDL or good cholesterol is through exercise.  And you can decrease your LDL or bad cholesterol quite dramatically through diet.

1.) Increase the amount of fruits and veggies you eat.
2.) Increase the amount of whole grains, beans, and legumes in your diet.
3.) Decrease the amount of animal products you consume especially high fat meats and dairy
4.) Avoid tobacco and keep alcohol intake to a single serving a day

Oats are a super-stellar food for helping to reduce unhealthy cholesterol.  It's high in soluble fiber, the gummy stuff that helps bind cholesterol circulating in your blood stream.  As a nutrition therapist in Cambridge, all of my clients are on the go and have a hard time fitting in a balanced breakfast.  Cooking up a batch of oatmeal and topping it with dried fruit and nuts it's a great way to start your day.  So, here's a simple way to add a tasty breakfast to your week that is both heart and budget friendly.

1.) Cook a batch of quick cooking oats according to package directions.  Store leftovers in the fridge for up to a week but save time by cooking a bigger batch at once.
2.) If you want, use milk or orange juice to thin out your oatmeal and add a little flavor or creaminess.
3.) Sprinkle with cinnamon and nutmeg.
4.) Top with walnuts or almonds and dried fruit
5.) Enjoy

A Little Spice in Your Life

Marci Anderson - Tuesday, February 02, 2010
Did you know that this week is National Salt Awareness week?  Weird, but true. If you're interested in learning about the effects of a high salt diet, check out this link. Salt is usually a guilt by association kind of ingredient. It tends to be excessive in highly processed and packaged food items. On the flip side, it tends to be low in minimally processed whole grains, fruits, and veggies.

But another way to reduce salt in your diet without sacrificing flavor is experimenting with an array of spices and seasonings.  The biggest mistake people when trying to reduce their salt intake is forgetting to substitute with other delicious flavors.

I recently received a packet in the mail from McCormick spice company. They are advertising their big "McCormick Spice Institute" campaign "Spices for Health." The McCormick Spice Institute website focuses on the research and science while the Spices for Health website is more practical application with recipes and tips.  

Tonight I made the Ginger Honey Glazed Salmon and it was absolutely scrumptious.  I made a couple of modifications, which I've noted.

Ginger Honey Glazed Salmon

Marinate then brush salmon with a mixture of honey, ginger, soy sauce and orange juice to give it a flavorful glaze. 

Makes 4 servings.
Prep Time: 5 minutes
Cook Time: 14 minutes
Refrigerate Time: 30 minutes

1/4 cup orange juice
1/4 cup reduced sodium or regular soy sauce
2 tablespoons honey
1 tablespoon McCormick® Ginger, Ground (I used fresh grated ginger)
1 teaspoon McCormick® Garlic Powder (I used fresh garlic)
1 green onion, chopped
1 pound salmon fillets

1. Mix orange juice, soy sauce, honey, ginger, garlic powder and green onion in small bowl. Reserve 2 tablespoons of the marinade. Place salmon in large resealable plastic bag or glass dish. Add remaining marinade; turn to coat well.

2. Refrigerate 30 minutes. Remove salmon from marinade. Discard any remaining marinade. 
(Marci's note: I lined a baking dish with aluminum foil and actually baked the salmon in the marinade.)

3. Grill over medium-high heat 6 to 7 minutes per side or until fish flakes easily with a fork, basting occasionally with reserved marinade.
(Marci's note: I cooked at 375 degrees for about 15 min.)

Your Cambridge Dietitian,
Marci

Client Spotlight: Honesty as a Tool for Change

Marci Anderson - Saturday, January 30, 2010















Today I'd like to highlight a client I'll call Tricia. I've been working with Tricia for nearly 8 months.  She's battled bulimia for years, but her recent breakthrough is a lesson that applies to anyone looking to make positive change in their life.

In short, Tricia decided to become transparent with me, her therapist, and most importantly with herself.  She decided that in order to make any progress, she needed to be 100% honest and aware of her internal dialogue as well as her actions. As a result, she's made unbelievable progress. 

So I invite all of you to take a transparency check:
1.) Keep a thought log. Write down anything and everything that you think and feel about food in the course of a day. You will learn some fascinating information.
2.) Do you entertain thoughts that are half-truths in order to soothe, coddle, or distract yourself from reality?
3.) Are you honest with other people in your life as it relates to food?

Here are some examples of sugar-coated thoughts which stand in the way of progress:
  • I don't need to make dinner tonight. It's been a rough day and I really deserve something indulgent.
  • Another helping really isn't going to hurt. Even though I'm full, I had a good work out!
  • I know I eat a lot of chocolate but it really does help me feel better. 

Note: all of the examples I gave reflect our tendency to meet our emotional needs with food. There is nothing inherently wrong with having some chocolate. The problem I'd like to highlight is the tendency we have to persuade ourselves that soothing, calming, and treating ourselves with food is ok.  The real problem is when these habits became frequent and deeply ingrained. Suddenly, food is our antidote for all of our emotional needs and none of those needs are getting met in a healthy way.

The first step to improving your relationship with food is honesty with yourself. Becoming more honest and aware of your thoughts and feelings, strengthens feelings of self-esteem and self-worth. This is incredibly empowering and takes you one step closer to positive change.