Promoting a Healthy Heart

 

 

 

 

 

In celebration of National Heart Month I cannot resist reminding you about the significance diet and activity play in promoting a healthy heart. Heart disease is the number one killer of Americans and affects both men and women. Genetics do play a role, however a heart healthy diet and and regular activity can help minimize the effects and complications of heart disease. Whether you have heart disease in your family or not, it’s still good to follow a heart healthy eating plan. Highlights of the diet include:

  • Lots of fruits and veggies! I’m sure you already knew this one, but the benefits of getting your 5 a day servings of fruits and veggies are worth reminding you again. Most of us know this, the hard part is doing it. Try adding them to your meals, have fruit as a snack, get a double serving to help you reach this goal.
  • Fiber! Fiber is very beneficial in combating heart disease.  Incorporating more whole grains (and fruits, veggies, and beans/lentils) into your diet will increase your fiber and aid in heart health. Oatmeal, brown rice, wild rice, whole grain noodles, whole grain breads, and even popcorn are considered whole grains. Aim to get at least 25-35 g/day.
  • Choose lean proteins. Decreasing the amount of saturated fat in your diet will help reduce plaque buildup. Choose white meat poultry without the skin, 90% or greater lean hamburger, fish, beans, etc….stay away from processed meats! Fatty fish such as salmon, tuna, herring, and trout offer additional benefits as they are loaded with healthy omega 3 fatty acids.
  • Choose healthy fats. Incorporating more plant fats such as canola oil and olive oil into your diet and reducing your intake of saturated and trans fats has been shown to improve heart health. You want to choose foods that are lower than 5-8g of total fat per serving and <3g saturated and trans fat per serving. Choosing low fat dairy products will help reduce the amount of saturated fat in your diet as well.
  • Hold the salt! Excess sodium can increase blood pressure and cause heart failure. Aim to keep your sodium intake below 2400mg/day. You can do this by doing more home cooking, avoiding boxed or packaged goods, cooking with salt free seasonings, and not using table salt.
  • Exercise! At least 30 minutes of exercise a day has been shown to improve heart health. If you can do more, the better!

Making small changes or substitutions will help you have a healthier heart and reduce risk for disease. Reading labels is really essential to help you make good choices, so take some time in the grocery store and really examine the products to ensure you’re making healthy choices!

-Kelsey

STRIVE’s Tasty Treats

 

 

 

 

 

 

 

 

 

We had some excellent treats last night at STRIVE 2 Survive thanks to County Fair Foods. Both are very tasty and healthy! Be sure to give these a try!

Angel Lush (above picture)

1 can (20 oz) crushed pineapple in juice, undrained

1 pkg (1 oz) vanilla fat free/sugar free instant pudding

1 c thawed lite cool whip  topping

1 pkg (10 oz) round angel food cake cut into three layers

10 small fresh strawberries

Mix pineapple and dry pudding mix. Gently stir in cool whip. Stack cake layers on plate, spreading pudding mixture between layers and on top of cake. Refrigerate for one hour. Top with berries.

 

Chicken Veggie Wrap

Garden vegetable wraps

Cooked chicken breast

Garden vegetable 1/3 less fat cream cheese

Cucumbers

Tomatoes

Bell Peppers

Alfalfa sprouts

Lettuce

Dice chicken and vegetables. Spread cream cheese on wrap. Layer chicken and vegetables. Roll, slice, and enjoy!

The Scoop on Energy Drinks

 

 

 

 

 

 

 

Do you ever feel like you just don’t have any energy or can’t get your steam up to get that list done? I’m sure most of us have felt this way before! Many people turn to caffeine to help give them a boost…and that caffeine is found in a variety of sources from coffee, tea, pop, to energy drinks. Energy drinks have gotten very popular over the last few years and are more prominent in the younger generation. Recently, the FDA has cracked down on makers and suppliers of energy drinks as there have been several reports of adverse affects including 18 deaths related to consumption of energy drinks. Energy drinks have a lot of sugar and caffeine. Caffeine can act as a stimulant and cause a variety of adverse effects, which is why we recommend limiting your caffeine to 200-300mg a day. To put this in perspective, this would be equivalent to 2-4 cups of coffee. A can of Diet Coke has about 42 mg, Mtn Dew has about 55 mg, a latte about 150 mg, and a cup of green tea has about 24-40 mg. The energy drinks have have a lot more than these options. For example, Rockstar drinks can range from 80-240mg depending on the kind, a Red Bull has about 75-80 mg, 5 hr Energy has about 215-240 mg of caffeine.

Many times, a person may have a combination of an energy drinks and other caffeine sources such as coffee or pop, thus making their total consumption of caffeine very high. I encourage you to reflect on the amount of caffeine you take in and if you are getting over the 200-300 mg/day, you may consider switching to decaf or caffeine free products. If you are using caffeine to keep you awake, you may consider reflecting on your sleep habits as well and work at improving them to keep you more alert during the day! For more information on energy drinks and caffeine content, click the link for a complete list from the Natural Medicines Comprehensive Database: http://naturaldatabase.therapeuticresearch.com/ce/ceCourse.aspx?cs=&referer=EUPDATE201301&utm_source=default&utm_campaign=eupdate&pm=5&pc=13-900&utm_content=block1link5&utm_medium=012013eupdate.

-Kelsey

Raspberry Ketones…effective or not?

Thanks to the popular Dr. Oz show, raspberry ketones became a craze in the last few years as Dr.Oz discussed them as being helpful for weight loss. I was recently asked about them and if they’re effective so I thought I’d discuss this topic on the blog for everyone to learn the facts about this supplement. When we hear “raspberry ketones” we may think of the raspberry fruit, but in reality this is a supplement…not a fruit. Raspberry ketone is a chemical derived from red raspberries and is thought to increase lean body mass and increase metabolism.  Even though the very popular doctor and tv host promotes this for weight loss, it is important to note that there is no sufficient or reliable research indicating this is effective for weight loss. It’s also important to note that the supplement industry is not regulated by the FDA like prescription drugs are so many companies promote their products just to earn the big bucks, not necessarily telling you the truth about their products.  To date, there is no magical pill that aids in weight loss (whoever finds it will be rich I’m sure!). There are several new prescription drugs that may work, however the best way to speed up your metabolism and lose weight for good is a balanced, portion controlled diet with regular activity…which includes at least 30-60 minutes of aerobic activity most days of the week and at least 2 days of body resistance activities to aid in muscle toning. We are always looking for the quick fix and easy way out, but the best way to improve your health is making lifestyle changes that you can stick with rather than the quick fix. If you are ever wondering about a supplement, don’t hesitate to contact us as many supplements can interact with your medications and body and we can look them up for you and provide proper guidance and instructions for you!

-Kelsey

 

 

What an RD can do for you

 

 

 

 

 

With the obesity epidemic comes a push for healthy eating and wellness and this is ever more prevalent as we ring in the new year. You may get mixed messages about who to go to for your nutrition advice as every where you go it seems like someone is trying to promote their product or message….and if you search the internet, you will find just about everything you’d want to know, accurate or not! I am thrilled that our society has put more of a focus on health and wellness but I also get concerned that consumers are misinformed at times. Many of you who follow our blog know me and know what my work as a Registered Dietitian entails as well as my educational background, but many do not, so I decided to put today’s focus on discussing what I, as a Registered Dietitian can do for you!

The Academy of Nutrition and Dietetics recently had this description on their website and I really can’t put it any better way, so I am quoting them and you can view their website at the link below. This is a great description and explanation about what an RD can do for you.

“Here are just a few of the benefits of working with a registered dietitian:

The highest level of nutrition counseling: Anyone can call him- or herself a nutritionist, but only a registered dietitian (or RD for short) has completed multiple layers of education and training established by the Academy of Nutrition and Dietetics. In addition to holding a bachelor’s degree, an RD must fulfill a specially designed, accredited nutrition curriculum, pass a rigorous registration exam, and complete an extensive supervised program of practice at a health care facility, foodservice organization or community agency. What’s more, roughly half of all RDs hold graduate degrees and many have certifications in specialized fields such as sports, pediatric, renal, oncology or gerontological nutrition.” –A personal note here…In addition to holding the credential of Registered Dietitian, I am also licensed in the state of South Dakota with their Board of Osteopathic Examiners (the “LN’ behind my name means Licensed Nutritionist). The RD and LN are important to recognize when looking for nutrition advice.  In addition, I have my Master’s in Nutritional Sciences, completed the CDR Certificate of Training Adult Weight Management, and have done extensive research in wellness and weight gain prevention.

“Personally tailored advice: When you see an RD, the last thing you’ll get is one-size-fits-all diet advice. “A dietitian is like an investigator seeking to learn about your current and desired state of health,” says McDaniel. “At your initial visit, expect to do a lot of talking while the dietitian does a lot of listening.” After learning about your health history, favorite foods, eating and exercise habits, an RD will help you set goals and prioritize. Follow-up visits will focus on maintenance and monitoring your progress.

Help managing chronic diseases: If you have high cholesterol, high blood pressure, diabetes or cancer it can be hard to know what to eat. “An RD can review your lab results with you, help you understand your condition and provide education about the nutrients that affect it,” says Angela Ginn, RD, a spokesperson for the Academy of Nutrition and Dietetics. “Then, he or she will help you create an eating plan that includes all the important nutrients that can help you manage your condition.”

Guidance navigating food allergies, sensitivities and intolerances: When you suffer from conditions like celiac disease, food allergies or lactose intolerance, it’s easy to be overwhelmed by what you think you can’t eat. That can translate into a boring diet and may even lead to nutrient deficiencies. An RD can teach you how to read food labels so you’ll know which ingredients to avoid and a help you find substitutions to keep your diet balanced and tasty, too.

A weight-loss program that really works: Fad diets may sound like the quick ticket to weight loss but they rarely work for very long. A registered dietitian will partner with you to develop a safe, effective weight-loss plan that you can stick with for the long haul. To guide and motivate you, a registered dietitian will use creative and out-of-the-box strategies to help with meal planning, grocery shopping, food journaling and mindful eating.”

The direct link for this story is: http://www.eatright.org/Public/content.aspx?id=6442472620#.UPbLpazlDsc.

 

As you can see, there are a variety of services Registered Dietitians can offer you and the important thing to consider is that we have the educational background to provide you with evidence based and accurate medical nutrition therapy personalized for you.  We have extensive education in biology, chemistry, and physiology all of which your physician, pharmacist, and midlevel providers (PA, NP, etc) also have. These classes are challenging to take, but it does give us the proper education to understand nutrient metabolism to provide you with the most accurate and evidence based nutrition education. Whenever you are wanting nutrition advice or help, I encourage you to consider asking a Registered Dietitian as we are your expert in this field!

-Kelsey Raml, MS, RD, LN

How to pick a good cereal.

 

 

 

 

 

 

 

 

One of the most challenging aisles in the grocery store is the cereal and granola bar aisle as there are so many choices and it’s hard to know what’s good and what’s not! For those regular followers of our blog, you probably know by now that you should choose a whole grain cereal, but from there…how do you decipher which choice is better than another?! Well, let’s start with the basics…you want to avoid any of the real high sugar cereals such as Lucky Charms, Cocoa Pebbles, etc due to their high levels of white, refined sugars.

Here are some tips to help you make a healthy choices:
• 8 grams (g) of sugar or less/serving, if the cereal contains 3 g or less of fiber/serving
• 16 g or less of sugar/serving, if the cereal contains 5 g or more of fiber/serving
Note: raisin bran contains 20 g of sugar/serving and is the exception to the rule—still a great choice due to its higher fiber content)
• Instant hot cereals should contain no more than 100-150 milligrams (mg) of sodium/serving

In addition, be sure to fully read the nutrition facts label and not rely on the manufacturers marketing claims as they can often be misleading!

A way to make breakfast a more balanced meal is to add a source of protein and a serving of fruit to your meal. With the balance of protein, fiber found in your cereal, and some natural sugars, you are set to start your day off in a great way!

-Kelsey