by kelsey | May 2, 2018 | Cooking Tips, Diet, Food, Weight Management, Wellness/Health
We all know we are supposed to eat fruits and veggies…and more of them, but the actually doing it part we struggle with. Today’s post gives you some ideas on ways to get your 5 servings a day of fruits and veggies. Remember one serving is equal to 1 cup raw or 1/2 cup cooked. Fruits and veggies are loaded with vitamins and minerals and aid in disease prevention. Including more fruits and veggies in your diet doesn’t have to be a challenging task! Here are some suggestions to help you boost your intake.
1. Variety abounds when using vegetables as pizza topping. Try broccoli, spinach, green peppers, tomatoes, mushrooms and zucchini.
2. Mix up a breakfast smoothie made with low-fat milk, frozen strawberries and a banana.
3. Make a veggie wrap with roasted vegetables and low-fat cheese rolled in a whole-wheat tortilla.
4. Try crunchy vegetables instead of chips with your favorite low-fat salad dressing for dipping.
5. Grill colorful vegetable kabobs packed with tomatoes, green and red peppers, mushrooms and onions.
6. Add color to salads with baby carrots, grape tomatoes, spinach leaves or mandarin oranges.*
7. Keep cut vegetables handy for mid-afternoon snacks, side dishes, lunch box additions or a quick nibble while waiting for dinner. Ready-to-eat favorites: red, green or yellow peppers, broccoli or cauliflower florets, carrots, celery sticks, cucumbers, snap peas or whole radishes.
8. Place colorful fruit where everyone can easily grab something for a snack-on-the-run. Keep a bowl of fresh, just ripe whole fruit in the center of your kitchen or dining table.
9. Get saucy with fruit. Puree apples, berries, peaches or pears in a blender for a thick, sweet sauce on grilled or broiled seafood or poultry, or on pancakes, French toast or waffles.
10. Stuff an omelet with vegetables. Turn any omelet into a hearty meal with broccoli, squash, carrots, peppers, tomatoes or onions with low-fat sharp cheddar cheese.
11. “Sandwich” in fruits and vegetables. Add pizzazz to sandwiches with sliced pineapple, apple, peppers, cucumber and tomato as fillings.
12. Wake up to fruit. Make a habit of adding fruit to your morning oatmeal, ready-to-eat cereal, yogurt or toaster waffle.
13. Top a baked potato with beans and salsa or broccoli and low-fat cheese.
14. Microwave a cup of vegetable soup as a snack or with a sandwich for lunch.
15. Add grated, shredded or chopped vegetables such as zucchini, spinach and carrots to lasagna, meat loaf, mashed potatoes, pasta sauce and rice dishes.
16. Make fruit your dessert: Slice a banana lengthwise and top with a scoop of low-fat frozen yogurt. Sprinkle with a tablespoon of chopped nuts.
17. Stock your freezer with frozen vegetables to steam or stir-fry for a quick side dish.
18. Make your main dish a salad of dark, leafy greens and other colorful vegetables. Add chickpeas or edamame (fresh soybeans). Top with low-fat dressing.*
19. Fruit on the grill: Make kabobs with pineapple, peaches and banana. Grill on low heat until fruit is hot and slightly golden.
20. Dip: Whole wheat pita wedges in hummus, baked tortilla chips in salsa, strawberries or apple slices in low-fat yogurt, or graham crackers in applesauce.
Source: Academy of Nutrition and Dietetics: www.eatright.org.
http://www.eatright.org/nnm/handoutsandtipsheets/#.UyHnjs47Bw0
-Kelsey
by kelsey | May 1, 2018 | Cooking Tips, Diet, Food, Weight Management, Wellness/Health
Yesterday’s warm temps were perfect to enjoy a tasty frozen treat! Spring and summer bring warmer temps and the desire for more frozen treats! Smoothies are a great way to cool off and get some great nutrients while you’re at it!
Lately there has been an explosion in the media discussing smoothies for weight loss, athletic performance, and meal replacements. Since the supplement industry heavily promotes “quick fixes”, keep in mind that an overall balanced diet is the best way to maintain or improve your health. The goal of many supplement industries is not to fix the problem, but rather to create addiction and increase revenue. Supplements are not regulated by the Food and Drug Administration and claims made for them are not always accurate or proven. However, homemade fruit and vegetable smoothies are way to guarantee your 5-A-Day natural nutrients. Consumption of fruits and vegetables may help prevent chronic diseases such as cancer, heart disease, and diabetes while delivering fiber and vitamins. With a new season upon us, we are gifted with a wider variety of options to choose from when eating the rainbow. Contrary to the common belief, consuming the recommended amounts of fruits and vegetables can be inexpensive and in the long run will save you money in terms of medical bills.
There are endless smoothie recipes you can use to make a quick breakfast, after a workout, or for an afternoon snack. Adding an extra boost to your smoothie such as protein powder or Greek yogurt will additionally provide other valuable nutrients. Here’s a guide to help get started
Add Fruit/Vegetable
|
Add Liquid
|
Add Thickener
|
Extra
|
| Banana, Berries, Apple, Pear, Peach, Kiwi, Pineapple, Cherries, Mango, Orange, Spinach, Kale, Beets, Carrots |
Dairy, Soy, Rice, or Almond Milk, Fruit Juice, Water, Iced Tea |
Peanut butter, Yogurt, Frozen yogurt, ice cubes, or oats. |
Honey, Cinnamon, Protein Powder, Mint, Figs, Dark Chocolate, Flaxseed. |
| Choose 2-3 |
Add 1-2 cups of liquid |
Pick your consistency |
Your preference |
Here are some examples:
Green Smoothie: Mango Chunks, Banana, Kale or Spinach, Apple Slices, Water, Plain low fat yogurt
Carrot Smoothie: Carrots, Orange, Pineapple, Low-sugar Apple Juice, Ice Cubes, Cinnamon
Desert Smoothie: Banana, Apple Slices, Low Fat/Skim Milk, Peanut Butter, Top with Dark Chocolate Shavings
Enjoy!
-Kelsey
by kelsey | Apr 26, 2018 | Cooking Tips, Diet, Food, Weight Management, Wellness/Health
With spring finally here, we can get out the grills again and enjoy outdoor cooking!! Grilling is a fun and convenient way to cook, especially with the weather getting nicer. Cooking on the grill can also be a very healthy cooking method. Keep the following tips in mind to have a healthy and delicious grilling season.
- Go light on the sauces. Grilling and dipping sauces can be high in added sugar and/or sodium. Make your own sauce, add spices and herbs, or cut back on the amount of sauce used. Let the delicious flavor of grilling do its job
- Choose lean protein sources. Fish and skinless poultry taste great on the grill and are typically lower in saturated fat than red meats. Meat and pork can also be good choices—just opt for leaner cuts and watch the portions. Choose “loin” or “round” cuts and meats that are 90-95% lean. The recommended portion size of meat is 3 ounces, which is about the size of a deck of cards.
- Choose a whole-grain bun instead of white for added nutrients and fiber. If you’re watching your calorie or carbohydrate intake, go with half of the bun or use a lettuce wrap.
- Cut up colorful vegetables (like bell peppers, mushrooms, zucchini, onions, squash, potatoes, carrots, etc.) and grill them on kabobs or in aluminum foil. Toss the vegetable pieces in a little bit of oil to prevent them from drying out and sticking to the grill.
- Fruits can be grilled too! Cut up fresh fruit and put them on kebabs. Choose firm fruits like apples, peaches, pineapple, pears, or cantaloupe. These fruits are less likely to fall apart or become too mushy on the grill. Bananas can even be grilled—just keep it in its peel to protect the banana’s soft texture.
- Don’t forget to clean your grill regularly. Failing to do so can cause food to stick to the grades, uneven cooking temperatures, and shortened longevity of the grill.
-Kelsey Raml, MS, RD, LN
by Dan | Apr 19, 2018 | Diet, Exercise, Goals, Motivation, Wellness/Health
We have just received news that our dietitian, Kelsey Raml, has just been selected as the winner of the South Dakota Academy of Nutrition and Dietetics (SDAND) Young Dietitian of the Year for 2018! Great job Kelsey! She will formally be presented this award at the annual SDAND/SDAHO conference in September. She was nominated by a previous student that she had here at Brown Clinic. In her students words: “Kelsey is a tremendous role model in the South Dakota dietetics community. Not only does she work as an outpatient dietitian at Brown Clinic, but she also dedicates time to teaching for SDSU and consulting at Assisted Living facilities. I first met Kelsey as my Quantity Foods Instructor and then was honored to do most of my practicum hours with her. She is always willing to work with students to help achieve their practicum and internship hours. I remember coming home from the first day of my practicum and being excited for my future as a dietitian. Kelsey’s passion for dietetics is contagious. Fast forward a few years, Kelsey and I continue to stay in touch. She is always willing to answer any of my questions as a new dietitian and we often converse about emerging research. We have also been able to use each other for referrals with clients who have moved across the state. When thinking about who to nominate for this award, I cannot think of anyone more deserving of this than Kelsey!” Neither can we! Great job Kelsey, and congratulations!
You manage to juggle all of your responsibilities at work and at home. Your husband Adam, and 2 year old son Corbin, keep you incredibly busy at home, and we always have projects for you to work on at the clinic. You are a great asset to our team at Brown Clinic. You not only continue to work on teaching our patients healthier ways to eat, but also help with our diabetes teaching, our Strive to Survive program, and blog, and our Medicaid Home Health program, which you have helped create the template for the rest of the state to follow. We at Brown Clinic are incredibly proud of you, and proud to have you on our staff, and team.
You are always involved with helping to promote Brown Clinic and what we do overall in primary care. Teaching dietetics is fundamental to the overall care of our patients, and can also be one of the most difficult and challenging obstacles to get patients involved in. We appreciate your continued efforts on all of this, and understand how difficult this can be.
I want to especially Thank You for all of the work and effort you help out with in our Strive to Survive program. The two of us make this program go. We both spend a lot of time teaching, and I think complement each other very well. You do the nutrition teaching, and I work on the promotion of exercise/activity. I personally have learned a lot from you over these past 5+ years with our teaching of this program. I always thought I could outrun a bad diet. Not anymore! I have listened to you talk to our patients signed up for this program more times than I can count, and I learn something new every time. It just goes to show that you can’t just hear something once and think you are going to get it. Nutrition is such a huge part of our health, and often times is one of the things that we neglect the most. It takes continued effort working on this, and you help to remind us all to keep working on this as well. I appreciate your efforts with all of this. I like to think we make a good team with our Strive to Survive program, and want to take this opportunity to congratulate you on being bestowed upon this great honor. You are truly deserving of this award, and I am proud to have you working at Brown Clinic. I appreciate all you do! The rest of our team of doctors and staff appreciate all you do. And most importantly…our patients truly appreciate you! Thank you for being a part of Brown Clinic! Congratulations on winning this most deserving award! The South Dakota Academy of Nutrition and Dietetics definitely got this one right!
Keep moving everybody…and when you get tired, go see Kelsey and learn how to do better with your diet/nutrition plan!
Dr. Dan
Consecutive Exercise Day #: 3844
by kelsey | Apr 18, 2018 | Diet, Food, Weight Management, Wellness/Health
I often get asked about meal replacements such as Boost, Atkins, Slim Fast, Ideal Protein, etc. Are they good? Should I use them? What kind? etc…
The Academy of Nutrition and Dietetics does approve the use of meal replacements for weight loss efforts: “Several studies comparing isocaloric diets have shown an equivalent or greater weight loss efficacy with structured meal replacement plans, compared to reduced calorie diet treatments. One or two daily vitamin- and mineral-fortified meal replacements, supplemented with self-selected meals and snacks, may be a successful weight loss and weight maintenance strategy for overweight and obese adults who have difficulty with self-selection of food and portion control.” (http://www.andeal.org/topic.cfm?cat=2886&conclusion_statement_id=250237&highlight=meal%20replacements&home=1).
The key words are one or two replacements/day, not your whole day and paired up with a well-balanced, calorie reduced diet. I typically recommend the use of these for the meal when the individual is on the run the most. Sometimes you are rushed in the morning to get to work or school and don’t have time for breakfast, in this case, a meal replacement may be a good idea…or maybe it’s lunch as you only get a short break and a meal replacement might fit in well here. The biggest thing to remember is you are drinking your meal, not eating it. Some people are truly satisfied this way and others are not. Personally, I do not use meal replacements because I know I need to “eat” my food to be satisfied rather than “drink” them…when I drink something, I feel like I still need to eat thus a meal replacement would only add more calories! Another reason why I don’t do meal replacements is I prefer real food. I would rather eat whole food than drink a supplement….but that’s just me. 🙂 One more thing to consider is they are typically around 150-200 calories. This may not be enough for a meal, so you may consider adding a piece of fruit, salad, or yogurt to it to give you a little more substance.
Meal replacements do have a place in our society for helping people manage their weight, but there are many kinds so it’s important to check out the ingredients, nutrients, and prices. If you notice a really long ingredient list, there is more “stuff” added to the product and then you need to consider if you really need all of that extra “stuff.” Some ingredients can affect your body in certain ways, so you may need to check with your physician, pharmacist, or dietitian to ensure it is safe to consume. Costs also makes a difference. You have to remember that these companies are trying to make money off of you, so consider cost and value when you make your selection. In addition, it’s important to consider that a well balanced, portion controlled, healthy meal of real food can be cheaper than some supplement drinks! Below is a chart former SDSU Dietetic Student Alex Loes, made for me to compare the various choices. I hope this helps you, but if you have any specific questions regarding choices, selections, or even disease states and the use of these, don’t hesitate to contact me. I’m here to help you as your credible and reliable nutrition information source!
-Kelsey Raml, MS, RD, LN
| Brand (oz/serving) |
Price/oz |
Calories |
Protein (g) |
Carbohydrates (g) |
Fiber (g) |
| Boost Calorie Smart (8) |
0.20 |
190 |
16 |
16 |
4 |
| SlimFast (10) |
0.11 |
190 |
10 |
29 |
5 |
| Shakeology (12) |
0.36 |
160 |
17 |
17 |
6 |
| Atkins (11) |
0.17 |
160 |
15 |
5 |
3 |
| Special K (10) |
0.14 |
190 |
10 |
29 |
5 |
| Ideal Protein (10) |
0.40 |
210 |
26 |
14 |
5 |
| Advocare (9) |
0.36 |
220 |
24 |
24 |
5 |
| Sanford Profile (9-12) |
0.25 |
100 |
15 |
7 |
0 |
by kelsey | Apr 5, 2018 | Diet, Food, Motivation, Weight Management, Wellness/Health
According to the Boston Medical Center, approximately 45 million Americans diet each year and spend $33 billion on weight-loss products in their pursuit of a slimmer body. However, over a third of American adults are obese.
Fad diets usually help people lose weight quickly; however, the pounds usually come right back when quitting the diet. In the end, such diets are unsuccessful because they do not promote healthy eating habits and behaviors that can be incorporated into an individual’s everyday life.
Here are a few things to look for to help you identify a fad diet. Beware of diets that…
- Omit or restrict food groups or macronutrients (i.e. cutting out all carbs or foods from the grains food group, eliminating meats, dairy, eggs, etc): The main food groups are vegetables, fruit, protein foods (lean meats, eggs, beans, nuts, lentils), grains, and dairy. We need a balance of these foods as each provide the nutrients our bodies need to function properly.
- Are very low in calories (i.e. less than 1000 calories a day): Severely restricting calories will cause a person to lose weight, but they will likely miss out on essential nutrients and become lethargic from the lack of energy intake. Plus, very low-calorie diets are not sustainable over the long run and can actually make you eat more later on. It can potentially put your body into “starvation mode” where the body hangs on to all calories coming in and doesn’t allow you to lose weight.
- Promise quick weight loss (i.e. more than 2 pounds a week): A realistic and healthy weight loss goal is ½ – 2 pounds a week. Slower but more apt to keep it off!
- Make you purchase a specific company’s products (i.e. pills, shakes, meal replacement bars, etc.) ; Oftentimes meal replacements can be included in a healthy diet and help you lose weight. However, people often struggle when they stop consuming those products because they did not learn how to make healthy food choices.
- Do not have evidence based science to back them up: Fad diets usually have claims without evidence to back them up. Instead, they use endorsements and testimonials to entice people. These endorsements lack credibility as they could be from paid actors or diet coaches trying to make money by selling their products.
- Doesn’t allow you to enjoy your favorite foods every once in a while: Food should be enjoyable! The key is portion size and moderation. When told to give up certain foods, people tend to overindulge on “cheat days” or once they reach their weight loss goal.
- Doesn’t promote physical activity: To lose weight, a person must create a negative calorie balance by burning more calories than they consume. Engaging in physical activity will aid in weight loss and help keep the pounds off. Not to mention the many other benefits of regular exercise!
Bottom line: if it’s too good to be true, it probably is! Focus on balance, moderation, and mindfulness for success long term!
-Kelsey
