What STRIVE can do for you.

 

 

 

 

 

 

I send periodic updates to our staff about STRIVE 2 Survive.  I thought I’d share today’s update with you all. We ended our winter session a few weeks ago and have started our spring session. We will be taking a summer break and starting a fall session after Labor Day. As many of you know, our focus is to promote lifelong healthy habits and not just a quick fix. There are all kinds of fad diets out there that will give you the quick fix, but we are focused on your overall health (inside and out!) and want to give our participants the education and tools they need to live a long and healthy life. Below is a glimpse of the results we see. This female participant lost about 22lbs in the 12 weeks, 15% body weight and greatly improved her lab results, waist circumference, and fat composition…all with the help of our program.  She didn’t do anything crazy such as eliminate food groups, skip meals, only drink shakes, or over-exercise…she basically started watching her diet more closely and kept a food log of her intake, made healthier choices by reading labels and being more aware of the choices out there, and exercised about 30 minutes every day. Seeing her cholesterol elevated at the beginning of our 12 weeks was a motivator for her and she wanted to work hard to improve her weight and her cholesterol to prevent disease later in life.  When we were visiting about her results, the biggest thing that stood out to me was that she said she knows she can stick with this. She didn’t do anything drastic that she can’t keep up with the rest of her life. If you want to learn more about our wellness opportunities and our 12 week program, be sure to give us a call or email! We’d love to help you be healthier…that’s the best part of my job is making a positive difference in others lives!

Initial

Final

Weigh In

165.2lbs

143.4lbs

lbs lost

-21.8lbs

% lost

0

-15.2%

Lab Work Initial Post
Total Cholesterol

259

201

LDL

146.6

110.8

HDL

92

81

Triglycerides

102

46

Glucose

89

88

BP

128/80

122/82

Waist Circ.

33.5

29.5

BMI

28.8

25

% Body Fat

40.1

32.7

Fat Mass

66.2

46.8

Fat Free Mass

99

96.8

Water Mass

72.4

70.8

BMR

1377

1283

-Kelsey

 

 

Mmmmm, Fruit Cobbler

 

 

 

 

 

 

 

Does your sweet tooth ever get the best of you? Mine sure does! County Fair Foods had an excellent and very tasty sweet treat at our lecture on Tuesday. The recipe is easy and it’s very tasty, be sure to give it a try!

Fruit Cobbler

1-16oz bags of frozen fruit

1 boxed angel food cake mix

1 12 oz can diet 7up

Place fruit in bottom of a 9×13 pan. Pour angel food cake mix over the top and add 7up. Do not mix. Bake 1 hour.

Enjoy!

Kelsey

Adding Fish To Your Diet

 

 

 

 

 

 

Fish is not the most popular protein in our area since we are a land locked, northern state. Our mid-western diet typically includes proteins from beef, chicken, and pork…and fish often gets overlooked. During the Lenten season, it’s a good time to try out some new varieties and types of fish as they are better stocked and often times are better priced (ie- salmon, mahi-mahi, talapia, etc). The frozen bags of fish often have the filets in individual servings or two servings in a wrap so you can just take out as much as you need and then put the rest of the bag back in the freezer. Fish is a very lean and low fat protein so if you are watching your weight, it’s a good choice. Another benefit of some types of fish is the omega 3 fatty acids. Fatty fish such as herring, trout, tuna, mackerel, seabass, and salmon have these good fats. Our fresh water fish from around here such as walleye, northern, and perch, do not have these fats, however they are still lean proteins. It is recommended to incorporate two servings of fish into your weekly intake, so get into the habit of this during Lent and it could stick!

When we eat fish, we often think of it as breaded and fried, however that is not the healthiest choice. Instead of frying try these cooking methods:

  • Grill: Season the fish with herbs and spices and a little lemon juice (from real lemons!). Lightly brush the fish with a little olive or canola oil so it won’t stick to the grill and cook for 10-20 minutes.
  • Saute: You can saute any type of skinless fish. Again, season as desired and then heat a little olive or canola oil in the skillet on medium-high. Cook the fish for 2-3 minutes on both side.
  • Poach: Place the fish in a saucepan or deep skillet and add enough stock, water, or wine to barely cover the fish. Add your seasonings, herbs, or spices and bring the liquid to a simmer on medium heat. Simmer for 10 minutes or until the center is opaque. Then you can dress it up with a sauce if desired.
  • Bake: lightly coat a baking sheet with cooking spray and arrange the seasoned fish fillets on the sheet with seasoning. Bake for 7-10 minutes…you do not need to flip the fish. You can also put the fish filet in tin foil so the seasonings and herbs really flavor the fish.
  • Broil: season the fish filet and brush with olive oil. Place on a broiler pan rack and broil 4-6 minutes on each side.
  • If you choose to fry, try making it a little healthier by using an egg white to coat your filet, use canola oil to fry in, and instead of the white flour coating, try whole grain cracker or bread crumbs.
  • When your fish is opaque and flakes easily, your fish is fully cooked.

 

Give it a try…you may be surprised how much you like it!

-Kelsey

Fast Food Fish Comparison

 

 

 

 

 

 

 

 

Last night’s STRIVE 2 Survive sparked a hot topic about fish options. Many of you are eating more fish right now than you ever do due to the Lenten season. Jeff, with County Fair had some excellent choices of frozen fish that we reviewed and discussed, but it also brought up the topic of fast food fish choices. All of these fish sandwiches are breaded and fried, but how to do know what’s better than others? I did a little research for you to help you make better choices. When you look at the chart below, please take note of the calories, total fat, saturated fat, trans fat (the only place that has trans fat is Culvers), sodium (recommended to stay below 2400mg/day), and cholesterol (recommended to stay below 300mg/day). The carbohydrates are coming from the bun and a little from the breading and can easily be dropped by taking off half of your bun. Other important things to note is that holding the tarter sauce can save you about 100 calories and 5-10g of fat. Another healthy choice would be to get a side salad, instead of fries with the sandwich. And even better would be to make your fish at home like my picture of grilled shrimp above. We’ll discuss cooking methods tomorrow, so stay tuned!

-Kelsey

 

Nutrient Comparison

References: restaurant’s websites, calorieking.com, and myfitnesspal.com.

Nutrition Facts
Food Item Calories Total Fat Sat. Fat Trans Fat Cholesterol Sodium Total Carbs Fiber Sugar Protein
McDonalds Filet of Fish 380 18g 3.5g 0 40mg 610mg 39g 2g 5g 16g
*McDonalds Filet of Fish-No Tarter 290 9g 2g 0 30mg 530mg 38g 1g 5g 15g
*McDonalds Fish Bites (snack size) 280 13g 2g 0 25mg 420mg 21g 1g 0 11g
McDonalds Fish Bites (shareable size) 740 39g 5g 0 70mg 1260mg 63g 4g 1g 33g
Burger King Fish Sandwich 590 31g 5g 0 45mg 1480mg 57g 3g 8g 21g
Burger King Fish Sandwich-No Tarter 410 12g 2g 0 30mg 1240mg 53g 3g 6g 21g
*Taco Johns Fish Taco 280 14g 4.5g 0 35mg 1160mg 29g 2g 3g 10g
Arby’s Fish Sandwich 570 25g 4g 0 45mg 1010mg 64g 2g 9g 21g
Arby’s Fish Sandwich-No Tarter 450 15g 2.5g 0 35mg 730mg 59g 2g 6g 21g
Culvers Cod Filet 663 40g 7g 1g 76mg 979mg 47g 1g 5g 31g
Culvers Cod Filet-No Tarter
553 27g 5g 1g 58mg 877mg 46g 1g 5g 31g
Culvers 3 piece Cod Dinner 1929 132g 22g 2g 196mg 2444mg 108g 8g 18g 75g
Culvers 3 piece Cod Dinner-No Tarter 1553 96g 16g 2g 148mg 2172mg 106g 8g 18g 75g

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

Chores: Exercise & Eating Healthy

 

 

 

 

 

 

 

 

 

 

 

Since it’s Farm Show week here in Watertown, I decided to focus my blog topic today on the challenges farmers and ranchers face to stay well. Many of my patients are farmers and ranchers and much of our consultations are spent discussing ways to eat healthier and exercise with their lifestyle.  This is also a frequent conversation in my own household as Adam, my husband, is a farmer and rancher. The picture above is from a few months ago when I helped move the cattle home. I enjoy helping and being in a warm pickup tailing the group makes it more enjoyable…unlike the guys who are on 4-wheelers and bundled up!

Farmers and ranchers spend their days in the fields, working with their cattle or livestock, fixing equipment, etc…all essential parts of their contribution to the food chain. They work hard and long days to help put food on our tables. Many are typically up before the sunrise and come into the house after the sun sets….which greatly affects their eating and exercise habits. Their workload has changed over the years due to technology and many are not getting as much activity as they once did…however they still may be putting in long days, thus  the last thing on their list is a jog or bike ride. In addition, many eat supper late and go right to bed or sit in the chair watching tv the rest of the night. It truly is a challenge to practice healthy eating habits and get regular activity, however it is essential to build this into your lifestyle!

Adam gets to listen to my pep talks of eating healthy and exercising regularly (I’m sure he blocks me out sometimes as I probably sound like a broken record!).  He was asked last week how he does it living with me being a dietitian and his response was “we compromise” ….and he’s exactly right…we compromise with foods, meals, activity, etc in order to practice healthy habits with our chosen lifestyle. The first step is understanding the importance of wellness and making a commitment to adjust your lifestyle to be healthier. The second step is figuring out what changes need to be made to help you do this.

Farmers and ranchers typically are no too thrilled about going to a gym to exercise because they live in the country and it’s just one more thing to do, so having a few pieces of equipment at home or using your driveway or road as your gym becomes more convenient. We recommend at least 30 minutes of moderate exercise a day but it may be more convenient to split that up until 10 minute increments: 10 minute walk in the am, 10 minute walk at noon, and 10 minute walk before supper….there’s your 30 minutes right there! We have a treadmill and a bike in our home that makes it more convenient to exercise. In the summer, I prefer to jog outside as there’s nothing better than wide open spaces and a gravel road to clear my mind while staying fit.

In regards to eating habits, I recommend to follow a balanced diet with healthy choices. An afternoon snack or “lunch” as Adam calls it is very important! It will help you not be as hungry for supper time which will result in you not eating as much before bed. Practicing mindful eating is also helpful….think about how hungry you are and recognize when you are full. Eating fast and not paying attention to your hunger cues typically results in overeating.

Most of all, focus on a few things at a time. When you tackle it all at once, it’s hard to stay focused and motivated and typically results in giving up. Baby steps will add up to big steps in the end! Incorporating healthy eating and activity will give you more energy to get through the day while promoting health and longevity.

There was a recent article posted in the USA Today about this topic and one of our very own SD dietitians is quoted so be sure to check it out!

http://www.usatoday.com/story/news/nation/2013/02/02/farmers-weight-gain/1884589/

Also- this topic was targeted towards farmers and ranchers but really applies to all who have a busy lifestyle!

Motivation is what gets you started, habit is what keeps you going!

-Kelsey