by kelsey | Nov 16, 2017 | Cooking Tips, Diet, Food, Holidays, Weight Management, Wellness/Health
I always overeat at holiday functions. Can you give me some tips to help keep me on track?
There are many ways to keep your calorie intake under control during the festivities. Try these tips and see which ones work for you:
• Survey the entire table before you take any food. Decide what foods are worth eating and what can be ignored, and then stick to that decision. Why waste calories on foods that don’t bring you pleasure?
• Eat a snack before you leave home. If you arrive at a party starving, you’ll be more likely to overindulge.
• Eat your calories instead of drinking them. Stick to lower calorie or calorie-free drinks (diet sodas, water, light beer, or wine spritzer) instead of punches, eggnogs, and mixed drinks that can have up to 500 calories per cup.
• Sip a large glass of water between every alcoholic drink or non-alcoholic punch or eggnog. This will help keep you hydrated and you’ll drink fewer calories by the end of the night.
• When you are the host or hostess, include nutritious and lower-calorie foods like fruits, vegetables, and lean meats on the menu. When you are a guest, bring along a lower-calorie dish to share.
• Try not to hang out near the food. Find a comfortable spot across the room and focus on people instead of eating.
• Watch your portion sizes. Don’t cover your plate completely with food. In most cases, especially when it comes to holiday sweets and alcoholic beverages, less is better. Use a smaller plate or bowl.
• Drop out of the “clean plate club”. Leave a few bites behind every time you eat, especially if you are eating something you don’t really care for.
• Enjoy your favorite holiday treats but take a small portion, eat slowly, and savor the taste and texture of the wonderful foods of the season.
• Skip the pie crust and go for the filling.
• Choose light meat over dark meat.
• Use home-made cranberry sauce over canned cranberries that are jam packed with added sugars.
-Kelsey
by kelsey | Nov 15, 2017 | Cooking Tips, Diet, Food, Holidays, Weight Management, Wellness/Health
Holiday time is quickly approaching and this is not normally the best time to adhere to a strict diet. The typical meals with turkey, dressing, rolls, potatoes with butter and whipped cream pie can contain a whopping 2,200 calories or more. For most of us, that is our typical daily caloric intake. If you are concerned about your weight, try some smart choices and substitutions to curb that caloric excess without the sacrificing the fulfillment of Christmas dinners with some dessert too. Here are some smart choices during the holiday season:
Choose white meat. A 6-ounce portion (about the size of a deck of cards or size of your palm) of white meat turkey without skin has 230 calories, while a mixed portion of white and dark meat with skin has about 345 calories.
Limit rolls and butter. An average roll has 80-85 calories but when you add the butter that number jumps to 120 calories instead.
Eat steamed rather than buttered vegetables. Buttered vegetables have about twice as many calories per cup as steamed vegetables. Even cutting back on the amount of butter you use on vegetables can be significant. Remember that every tablespoon of butter adds about 100 calories to a dish. Lemon juice or low-fat salad dressings are alternative ways to top vegetables if you’re craving a sauce.
Avoid eggnog. A cup of eggnog at 340 calories is a calorically dense aperitif. Try a glass of white wine or champagne (about 160 calories) instead and save calorie consumption for the main meal.
If you’re having appetizers, offer vegetables with low-fat dip instead of cheeses and crackers. With the rich meal to follow, you won’t feel deprived.
If you’re preparing the stuffing, omit some of the fat. A rich, buttery stuffing with sausage can top out at 500 calories per cup. Some suggestions for fat reduction include omitting sausage or meats and replacing that butter or oil with low-fat products. A cup of low-fat stuffing contains only 125 calories, well below that 500 calorie range.
Finally, enjoy that pumpkin pie. A piece of pumpkin pie has about 175 calories compared to a slice of pecan pie, which has 495 calories.
-Kelsey
by kelsey | Nov 14, 2017 | Etc.
Public Service Announcement:
A support group for people with Irritable Bowel Syndrome (IBS) will hold a meeting on Monday, November 20th at 6:30pm at Prairie Lakes Hospital’s West Conference Room. Attendees should use the west entrance. There is no advanced registration and no cost to attend. Everyone is welcome! To learn more contact Bruce Ford at 880-5213.
I spoke with this group a few months ago and it is a great group and support to those with IBS. If you are dealing with IBS, I encourage you to join them!
-Kelsey
by Dan | Nov 12, 2017 | Exercise, Family, Goals, Motivation, Wellness/Health
This first picture is our Halloween costume at a 5k race one of our years of residency…we went as doctors! How original!
But medical school was done, and it was time for our Family Medicine Residency! A time when we were finally referred to as a doctor! Sarah and I had just finished medical school, and it was off to residency for 3 years of training in Family Medicine. Intense does not really describe it. A new rotation every month, ranging from pediatrics, to OB, to internal medicine, to surgery, and back and forth. Every month was like starting a new job again. The hours at times seemed endless, but boy did we learn a lot. It was a good thing for us that we did not have kids yet…the time restraint would have really made this tough to accomplish. Running was our escape from all of it. It was a time to help maintain our sanity. It was time for us! Our residency also put on a recruiting effort in the Summer of every year where we would bike over different areas of the state over a 3 day weekend, and tour different areas of South Dakota. It gave us the opportunity to see little towns in SD, and see what medicine was like there, and for those people in those towns to see us. Watertown was one of those stops on one of those years. It helped solidify for us the fact that we wanted to come here. So activity promotion was a big promotion for our training in Family Medicine as well back then. We were not going to just tell other people they needed to exercise…we were going to do it as well. Well, two of our faculty doctors, Dr. Brechetsbaur, “Dr. B”, and our residency director, Dr. Kemp, and myself decided that we were going to train for our first marathon, Grandma’s marathon, in June of 1994…my last month of residency. Now, looking back, I would not recommend that to anybody else. Our time was so busy then as well, that to try and train for a marathon made it very difficult. Needless to say, out of all of the marathons I have done, I was the least prepared for this one. That, and the fact that I had no clue what it took to do a marathon. The longest I had run to get ready was a 17 miler, and that was once. By mile 19 of the marathon, I seriously thought that I was not going to finish this race, and I had 7.2 miles left to go! Dr. Kemp and I managed to run together to the finish though, and then I spent the next week trying to learn how to walk again. I had youth on my side yet at that point, and that is I think the only reason I even finished it. Here we are leaning against a boat by the finish line after.
I really am leaning up against this boat just to help keep me upright. This next picture is Dr. Kemp and myself running by at about mile 7…we are right in the middle of the picture, wearing red shirts advertising our residency.
Shortly after that, the shirts had to go. It was already up to 90 degrees that day, and we were not prepared for that heat. One half of me got sunburned pretty good that day, so that did not help matters either. This next picture says it all!
This one is of me waiting for Sarah to find me after the finish line. I managed to sit up right then, but prior to that was curled up in a ball under a tree to get some shade, trying to figure out what all just happened! We finished though! It definitely taught me this race is not one to take lightly. You have to prepare for it. My preparation now is much different these days…but, I also at least have more time available to do it compared to those days of residency.
We had our fun times too! Our residency each year would have a Halloween party, and our third year, Sarah and I dressed up as a “polyester couple” from the 50’s. I bought this suit at the salvation army, and Sarah is wearing one of her mom’s polyester maternity outfits she wore when she was pregnant with Sarah. Of course, we had to make Sarah look pregnant then (because she was not yet!)
So, this was the Halloween of 1993, and then a few months later, she was pregnant…with our twin daughters! We graduated from residency at the end of June 1994, and moved to Watertown, and she delivered our twin daughters Sept 22 of 1994. I can always remember their birthdate, because we had “2 on 22”! And here I thought residency was busy! But this will be the beginning of some of the next stories going forward. I did have to add one picture of Sarah actually pregnant, at least during residency, and this was taken in May of 1994.
Our life had changed a lot prior to that, but little did we know how much it was going to change after another 4 months! Staying active then was always a part of our lives, and remains so to this date. Always active, and leading by example for our kids as well. Again, more on that to come. Just remember, if it is important to you, you will find a way to make time to be active, and enjoy life along the way. If not, you will just make another excuse. Be in charge, and strive to survive!
Keep moving everybody!
Dr. Dan
Consecutive Exercise Day #: 3700 ( I made up the 3 days I missed over the years not counting leap year…before I started writing on the blog!)
by kelsey | Nov 9, 2017 | Etc.
Our Pharmacist Deidra VanGilder talked at our recent STRIVE 2 Survive lecture. She always does a great job addressing the hot topic of vitamins and minerals. Thus I thought we’d share some of her information on the blog for those of you interested in this topic! If you have any individual questions, please email us at strive2survive@brownclinic.org.
There are many different kinds of multivitamins and it’s hard to know which one is best for you. We always prefer you to get the vitamins and minerals from real food over supplements, so striving for a well balanced diet that is rich in fruits and vegetables, whole grains, low fat dairy, and lean proteins is the first step. If you are cutting calories to lose weight, you have a health condition that needs additional vitamins or minerals, or you just want to stay healthy and aid in disease prevention, a MVI may be for you. There are two types of vitamins: fat soluble and water soluble. Fat soluble vitamins include vitamins A, D, E, and K and can be stored in our bodies. Water soluble vitamins such as the B vitamins and vitamin C cannot be stored in the body, which means we can only store so much and when excess is consumed, they are excreted out. This concept is very important to understand as often times, you may be wasting your money on a supplement if you are already getting adequate amounts through your diet.
Below is Deidra’s take on the various kinds of supplements:
- Basic: contains essential vitamins from vitamin A to Zinc
- Women’s- more Calcium and Vitamin D to help support breast and bone health
- Men’s- more Lycopene for prostate health
- Silver (50+)- Supports eye health, bone health, and B vitamins for energy…Deidra recommends the Centrum Silver as an excellent one for this population.
- Prenatal- More folic acid, iron, and DHA (omega-3) to help support child growth
- Performance/Energy/Metabolism- Contain some herbals thought to help increase energy as well as extra B vitamins…be sure to ask your health care team about these before taking them as they may interact with your meds or contain extra caffeine.
- Cholesterol/Cardio- Contain phytosterols to help lower cholesterol
** Vitamins vary in the levels of vitamins/minerals they contain
** Look at the amount of calcium and vitamin D in each vitamin
** Some multivitamins don’t contain iron
** Grocery store generic vitamins are ok to buy
As you can see there are many different types of vitamins. Overall, we recommend just a basic multivitamin such as One a Day or Centrum Silver to help fill the gaps that your diet is not fulfilling (a multivitamin should NEVER replace real food included in a well balanced diet!). If you have a specific health need such as a woman being pregnant or you are over the age of 50, then you can take that specific vitamin to fit your needs. The supplement industry is not regulated by the FDA like prescription drugs are…thus it is essential to consult your health care provider before taking supplements to ensure it is appropriate for you.
-Kelsey
