Tuesday, June 19, 2012

Food Peer Pressure


I’ve been conducting my very own, very unofficial behavioral eating lab here at the house now that it’s summer.   And it all started with a question from my 8 year old, Hannah…

“Mommy, why don’t you buy those super processed, full of additives already- put-together lunches of meat, cheese and crackers?”  (OK, so she didn’t say that, but I can’t say the brand so you guess).  Me:  “Um, I like to make things for your lunch that is closer to the way God made them and those are not.”  Hannah: “Well, all my friends have them and I feel like I am the only one that doesn’t get to eat them.”  (Moment of silence while I was thinking about the best way to handle this situation.) Me: “How about we make our own, one-of-a-kind lunch kit?  We can do some meat, cheese and crackers, and even add some more good stuff to the mix.  It will be fun!”  Hannah: “OK, but can you make it look like the super-processed, full of additives already put together lunch (again, she said the brand name)?”  Me: “OK!”

I know I am not a mom on a deserted island here.  There are several families out there that are health-minded, committed to focusing on whole foods that have to deal with this type of scenario.  And unfortunately, other well-educated, well-intentioned parents are breaking down and choosing these lunch kits for convenience, but some even get them because of – well, let’s call it was it is - it’s food peer pressure.  Kids don’t want to feel like they are left out and parents will save them from feeling that way at all costs.  I get that.  But think of these types of situations as teaching opportunities for our children.  Just like anything in life, we need to resist the tendency to go with the flow just because so many others are doing something.  I see children as young as Hannah’s age getting smartphones!  Just because our family may be able to afford getting her a smartphone, doesn’t mean we will do it.  We need to stick with our principles in parenting.  This is no different.  It’s not always the easier road, but it’s the right road.

Kids are not the only ones that are affected by food peer pressure.  My husband has been the brunt of male co-worker jokes for eating healthy at a past employer.  They were all overweight and out of shape; and they ate what they thought was considered “men food” (greasy, high fat foods).   Luckily, Jeff didn’t care what they thought.  Now he works somewhere that has a much healthier environment.  They don’t commune for high fat group lunches, and there is a great gym that he goes and works out at regularly at lunch time.  What influences do you encounter at home or work, or even lunch with friends?  Are you undergoing positive or negative peer pressure when it comes to healthy eating?

Positive Food Peer Pressure

Back to my in-home behavioral eating lab.  Studies and experts say that kids eat healthier when they eat with their friends.  I have been studying it for myself.  There have indeed been many occasions where peer pressure has helped the group of kids eat better.  One time we were at our neighbor’s house having dinner and I was bragging to my neighbors about how Evan loves broccoli.  His friend overheard me bragging on him, and he said, “I love broccoli, too!”  The other kids chimed in one by one and said that they, too, loved broccoli.  It resulted in a competition of who could eat more broccoli at dinner.

Today, another situation occurred that reminded me I needed to make this blog post.  We had one of Hannah’s friends over for lunch and I presented a super colorful plate of raw vegetables in the center of the table along with some low-fat dip.  I said, “Hmm…I’m trying to figure out who likes super power foods more?”  All the kids chimed in, “Me!” “Me!” “Me!”  And they proceeded to devour the entire plate of veggies.  As they ate, I explained how they were making their bodies super strong and smart.  That seemed to encourage them more.  Hannah’s friend asked for more grape tomatoes so I had to refill the supply!

So you can use food peer pressure to your advantage.  Stay strong and encouraged to choose whole foods that can also be convenient and quick to prepare like the pre-packaged stuff.  Set a positive peer example for the sake of your children, family and friends!

Friday, June 1, 2012

Choose Your Own Colors Night: Empowering Kids To Make a Balanced Meal

Can you relate to this situation?  You work hard all day running the kids here and there, have a full day of work appointments and then rush to pick the kids up by the end of the day.  You get home and immediately start making a balanced meal for the family (instead of plopping on the couch with a glass of wine, which you would prefer!).  You’re working fast as you can because you know that your kids are very hungry.  Then the kids go, “Oh, mom!  I don’t like that.  Could we just have the Grab-Anything-You-Want night instead?”  You take a deep breath and wonder, “Why am I going through all this effort doing this while I am so tired at the end of the day and they don’t even appreciate it??”

I hear about these types of scenarios all the time in my office when meeting with families.  Many families just give up and let the kids have their way.  Although, this instance described above was actually in my home this time around.  We just exited a super hectic season of moving homes, and during that time, we cycled in a Grab-Anything-You-Want night and my kids have absolutely loved it.  The only real guideline when we started this was that they could not eat candy or dessert.  Both Hannah and Evan usually opt for a peanut butter and jelly sandwich and fruit, but sometimes Hannah gets her favorite basic bean burrito with a salad (which I suggest and she happily adds).  But is a Grab-Anything-You-Want night good for a long-term situation?  It depends.

Benefits
This scenario is not too unlike a leftover night, which is really what it is for my husband and I.  I see the benefits being that the kids have some choice in their foods at home.  As they age, you want them to make good choices on their own and homes are the preferred training ground.  The other thing I like about these nights is it gives the parents a little breathing room without having to go out to eat or order takeout.  Please know that this is far different than allowing this to happen every night.  And I don’t suggest turning this into a short order cook night either.  Exhausting and not recommended.  Cycling this type of wild card night may be a good option for some families with school-age children.  However, it’s important to stay committed to eating as a family even when you have this type of set-up.  Continue to turn off all technology and show your children that family mealtimes are important for everyone. 
Be sure to keep plenty of "always" foods in your
fridge and pantry.  Your children will eat what is
available.  It's amazing how that works!

Possible Issues and Opportunities
Let’s face it.  Kids don’t usually choose a well-balanced meal.  Your child may just choose to grab a bag of chips and call it a night!  If you do this type of scenario at your home, I suggest you do what I am doing to tighten up this wild card evening.  Change it to being called Choose Your Own Colors night.  This will teach them what makes up a good meal – lean protein, whole grains, a fruit, veggie and low-fat dairy – and it empowers them to do these on their own.  They could choose a combination of leftovers, or they could even cook up breakfast items for dinner.  My 8 year old daughter Hannah has enjoyed putting her own lunches together.  She’s been doing this on her own, but often asks me for suggestions.  We go through each of the components of a meal, and she happily chooses her preferences (example, for her dairy, Hannah was able to choose milk, a cheese stick or regular or Greek yogurt).  All we have to do is make them available in the kitchen!


I must note that this works best when you have several “always” foods for them to choose from.  Avoid the choice battles by keeping “sometimes” foods such as overly processed foods out of the home.  If the options are healthy, they will choose healthy.

I think our family is going to try this Choose Your Own Colors night for the time being and see how the kids do.  It will give me a night time off and will also help the kids learn some meal skills.  Summer is a good time to keep this going and tweak as needed.  I’d love to hear if you do something similar in your home and how successful you are! 

Thursday, May 24, 2012

Wholly Salsa® Memorial Day Recipes! And Last Giveaway!

I attended a super fun blogger event this week hosted by the kind folks over at Wholly Guacamole.  Jeff and I tend to make our own guac at our home, but it’s nice to know for us and all the rest of the super busy families out there that the entire line of products by Wholly Guacamole is preservative and additive free.  They do this by using a cold water high pressure processing (HPP) method to keep the food fresh.  But this particular event was less about guacamole and more about their new line of salsa including five “chef inspired” flavors.  All their salsa is made with all natural ingredients and is fat-free and gluten-free.  And for my Jewish friends, all their salsas are Kosher certified!  You can find their salsas in Kroger Food Stores and Target among other national grocers.  Take advantage of their $1.50 off coupon that is being offered through the Memorial Day weekend on their Facebook page. 

We made some incredible recipes, so I wanted to share a couple of them that I especially enjoyed.  Just in time for Memorial Day!
Roasted Tomato, Goat Cheese & Feta Bruschetta

Roasted Tomato, Goat Cheese & Feta Bruschetta

Ingredients:
equal parts feta and goat cheese
pinch of black pepper
French baguette, sliced and toasted
½t roasted garlic
1T Roasted Tomato Wholly Salsa®
1 basil leaf
balsamic glaze, to taste

Directions:
Mix the cheeses and black pepper together.  Rub bread with roasted garlic and top with the cheese mixture.  Add Roasted Tomato Salsa and drizzle with the balsamic glaze.  Add chopped basil on top and serve!
Tai Shrimp Nachos


Tai Shrimp Nachos
This recipe contains three mini recipes in it, but the taste is worth it!  Make these nachos on the weekend, or for a dinner party that your guests would absolutely enjoy.  Tip: Make some of these ahead of time to cut down on preparation time when it comes time to make them.  The slaw actually tastes extra good if you let it rest together for a day.  Pick out your favorite tortilla chips and get ready to lock and load!  Lower calorie tip: Use low-fat torilla chips and mayonnaise.

Step 1: Shrimp Marinade/Glaze
Ingredients:½ cup Pineapple Ginger Wholly Salsa®
1 lime, juiced
2 tsp sesame oil
¼ cup soy sauce
1 tsp sugar


Directions:  Mix all ingredients, then add to 1 lb devained and detailed shrimp, let marinate for 30 minutes.   Put in refrigerator while making the slaw and aioli.  Once ready to grill, spray non-stick spray on pre-heated grill.  Skewer shrimp and grill for 3 minutes on each side.  Spoon marinade on shrimp on each side at beginning of each grill period. 

Step 2: Napa Cabbage Slaw

Ingredients:1 head Napa cabbage, shredded
½ cucumber, julienne
½ red bell pepper, finely diced
1/3 cup green onion, biased cut
1/3 cup cilantro, rough chopped
2/3 cup Pineapple Ginger Wholly Salsa®
2 Tbsp rice wine vinegar
4 Tbsp soy sauce
1 tsp sesame oil
Directions:  Mix all ingredients together, and let rest for at least 30 minutes, and up to 5 days.

Step 3: Wasabi Aioli

Ingredients:
½ cup mayonnaise
1 Tbsp wasabi paste
1 tsp green onion, minced
1 Tbsp water
1 Tbsp cilantro, minced

Directions:  Mix all ingredients together.
Add one shrimp onto each unbroken tortilla chip.  Top with cabbage and then drizzle with aioli sauce.  Garnish with a lime wedge, chopped cashews along with white and black sesame seeds.  Serve and enjoy.

>> Last Giveaway on Mommy Dietitian <<
Wholly Salsa® giveaway includes the original salsa varieties of
mild, medium and hot.  But it also includes the new flavors, which
include avacado verde, guacamole & spicy pico, roasted tomato,
red pepper mango and pineapple.  Also comes with this cool
Wholly Salsa® cooler!

Here’s my last blog giveaway for a very long time, so I hope you participate!  We need to get more Mommy Dietitian Facebook fans.  So, for every person that shares our Facebook page with their friends, they get an entry!  All you have to do is tag us or let us know you shared by commenting on our page.  The contest runs through Memorial Day.  The winner will be selected using Randomizer.org on Tuesday, May 29, 2012.

Happy Memorial Day to everyone, especially those who have family members who have lost a loved one in the line of duty.  We honor them, and we honor their service!

Monday, May 14, 2012

Kitchen Decor May Help Family Nutrition!

Our family made a move to a new home on the other side of the same little town just last Friday.  One of the main reasons why I picked this home was because of the French privincial-style kitchen that is equipped with lots of cook space, modern appliances and cabinets for all my dishware and gadgets.  It’s a gorgeous kitchen!  However, it was up to me to put a personal touch that communicated how I wanted this space in the house to be used.  I knew that I wanted our kitchen to be a place where friends and family could gather together.  Food is wonderful, but eating together as a family is one of the many things that make a house a home.  It builds memories.  It creates traditions.  We laugh.  We share.  We nourish.  We teach each other.  I want our children to want to be there with us cooking and creating so I knew I need to add a whimsy touch as well.

So what would any girl do?  I went shopping!

I found this graphic that seemed to list my sentiments about what a kitchen should be.  If I could make it better, I would add "nourish," "health" and "nutrition."  But hey, it got most everything!



Here is my whimsy addition.  Meet Franҫois.  He is my new French assistant who announces the evening meal.  I got some mini Franҫois men (see one on the serving plate holding a sign that says, "Kiss the Chef!") that are sprinkled throughout the kitchen.  My daughter, Hannah, wrote the dinner menu last night.  As you can see, she is still working on her spelling!

What does your kitchen say to your guests?  To your family and children?  You don’t have to spend a lot of money to create a place where everyone wants to gather.  I got these items at Garden Ridge for very reasonable prices.  The key is to make your kitchen space inviting and decorate it in a way that encourages others to want to be there. 

Just as importantly as creating a place people want to gather, also create a kitchen space that you would like to be in more!  If you find cooking to be more of a chore than a pleasure, maybe you need to re-think your kitchen.  You don't necessarily need a complete redo, but maybe add some fun decor.  I know that my new kitchen reinvigorates my desire to play in the kitchen with more foods and flavors.  From our family to yours - Bon Appétit!

Wednesday, May 9, 2012

Death - Or Life By Chocolate?

Cacao trees are grown in tropical areas along
the equator throughout the world.  Pictured are
Arriba cacao grown on an organic plantation
in southern Equador.
Before being incorporated into wonderfully decadent chocolate treats, cacao was actually first used as medicinal agent for over 100 different ailments.  It wasn’t until it was exported to Europe that people experimented with combining cacao with milk and sugar.

I recently attended some very intriguing research sessions on the health benefits of cacao.  The benefits I had heard before, but I learned something that challenged what my dietitian colleagues and I have long recommended when it comes to using chocolate as a neutraceutical.  Contrary to popular belief, color (dark vs. lighter varieties) nor percent cacao (higher the better) dictate the level of health benefits.  It really depends on the active flavanols that are contained in the product.  You see, flavanols are very easily destroyed in the processing of cacao.  So even if it’s a dark chocolate that is 70% cacao, it may have been processed in a way that has destroyed the flavanol activity in the chocolate.
The problem is that you cannot put flavanol content on a food label of a piece of chocolate.  The tougher labeling laws in the U.S. prohibit a food product like chocolate cannot tout health benefits (listing the flavanol content) due to its high sugar and fat content.   

What Are Flavanols and What Are the Health Benefits?

Flavanols, specifically epicatechin, is a type of polyphenol (basically, it’s a compound that has multiple benefits to the body!) that is best known for promoting endothelial health (i.e., nice dilated arteries and veins) and help in maintaining normal blood pressure.  Some of the research presented looked at smokers that have pre-aged arteries due to the constriction effects of nicotine.  This group that was tested were otherwise healthy people according to baseline lab work, but they did endothelial function testing, their arteries were like 80 year olds.  When they gave them flavanol doeses of 176-185 mg per day, these smokers had significantly improved arterial function.  I don’t know about you, but I have many family members that smoke.  They just might benefit from higher doses of flavanols in these types of supplements.

So that begs the question.  Death or life by chocolate?  A beneficial dosage has not been established, although the study mentioned above was somewhere around 175-185mg of flavanols per day.  Most dietitians and other health professionals would conclude that the negatives would outweigh the positives to eat that much chocolate daily!  Companies such as Mars has developed a dietary supplements that contain potentially beneficial levels active flavanols that can have these benefits.  In populations such as smokers or people with a family history of cardiovascular disease, this supplement may be something to consider taking.

Other Foods Containing Flavanols
As a food therapist, I have to ask the question: why not try and eat these compounds in food throughout the day?  Foods that have decent amount of flavanols include green and black tea (especially Ceylon tea), red wine, sweet cherries, apples, apricots, purple grapes, blackberries, raspberries and broad beans.  (See here amounts in foods)

Bottom Line
Chocolate can be enjoyed and death will not occur if eaten in moderation, you are not “deathly” allergic and you are not certain animals like a dog or cat.  J  Flavanol content dictates the level of health benefit of the chocolate you eat, not the color or percent cacao.  Most dietitians and wellness professionals would probably agree that a piece of dark chocolate with a high percent cacao would still be the preferred chocolate since it generally has a lower content than milk and white chocolate and it has the potential of having the highest flavanol content.  But, you can also eat a wide variety of plant-based foods with high flavanol content to multiply your health benefits of those types of foods.

Tuesday, April 17, 2012

Tales of a Challenging Eater (My Son)

Happy Birthday to my sweet son, Evan, who turns 5 today!

As a practicing pediatric and family dietitian, many people have this picture of my children being perfect little eaters.  Here I am as the “Mrs. Cleaver” role getting a well-balanced dinner on the table with the kids eager to dig into the wholesome goodness that was prepared with lots of love.  Floral apron on.  Kids smiling and waiting for their colorful plates to be served.  Kids digging in and eating a variety of flavors.  Nope.  Not exactly my reality.

I truly believe that the good Lord has used my son, Evan’s eating habits to further increase my empathy for my patient families with challenging eaters.  I have blogged about him before, although I don’t know how much I detailed his apprehensions with food.  Evan has been much different than my daughter, Hannah, right from the beginning.  He is one of those kids that really challenge the repeated exposure rule on food acceptance.  His food preferences are milk, yogurt, cheese, bread/bagels and fruit.   I hear you, parents.  I do everything that is recommended and yet my son has been slow to progress.   
But there is good news!   Now that Evan is getting older, he is listening more about the positive effects of eating “super power” food.  You see, he started a new soccer team and he really wants to run fast, kick harder and well, score goals.  I explained to him that eating the same foods over and over won’t give him the power he needs on the soccer field.  In the last 6 months, he has started eating new foods that he had shunned for so long including salmon, salads and broccoli.  He even told me the other day that he wants to eat a big bowl of broccoli before he plays his soccer game so he can make sure he plays well.  No kidding!  I said, “Sure!  I can make that happen.”  As kids get older, their reasoning part of their brain also develops a bit more so it is important to keep a dialogue going with them.

So, let’s list just some key behaviors in feeding your little people that will set them up to be good eaters for a lifetime:
·         Serve a variety of foods and keep healthy food such as whole grains, fresh fruits, veggies, low-fat dairy and lean meats easily accessible at all times.

·         Eat as a family as often as possible.  Eliminate distractions and serve one meal.  Avoid short order cooking or serving their favorite foods over and over!

·     Serve your children what you are eating even if you think they will reject it.  Avoid thinking of certain foods as “kid’s food.”  This is so important.  Repeated exposure of a rejected food is key to promoting eventual acceptance of that food.

·       Avoid making blanket statements like, “My child doesn’t like (insert rejected food).”  Verbalizations can solidify those rejections longer than usual.  Instead, keep an open mind that your child may eventually like that particular food.

·       Discuss the positive aspects of eating healthy foods instead of talking about the negative aspects of less healthy foods.  Kids want to hear the “why” behind healthy eating.  They want to know that healthy foods will keep them from getting a cold, will help their runny nose or even help them run faster or jump further.  They respond to knowing how eating healthy will help them accomplish the goals that are important to them right now.

·       Create non-eating scenarios with food like visiting a pick-your-own food farm or taking a cooking class so your children can be more comfortable around food.

·       Last, but certainly not least.  Your child’s only responsibility at a meal is to eat or not eat.  It is your responsibility to make the healthy meal and eliminate the distractions for a pleasant eating scenario.  If your child does not like what you fix, that’s ok!  They do not have to eat.  Get it?  It’s that easy.  I promise - they won’t starve.  (But keep that plate just in case they get hungry - later because they will try and get their preferred snack afterward!)

I have not only found in my practice that all these things work, I have found it to work in my own home.  Consistency will eventually yield results.  So, take the pressure off yourself and your children.  Your kids will come around if you provide them a healthy feeding environment. 

Wednesday, March 14, 2012

Happy Registered Dietitian Day!

In honor of Registered Dietitian Day today, I want to highlight all my incredible colleagues all over that provide free, reliable nutrition information on their blogs and websites for consumers.  Make note of these names in this video and save them as your favorites!  There is so much misinformation in the world wide web about nutrition and these resources will set the record straight.  Special thanks to my Florida colleague Sandra Frank Ed.D, RD, LDN for putting this amazing video tribute together.  I couldn't have said it better myself, so here it is!



To find a Registered Dietitian in your area that can customized healthy nutrition plans for you and your family, go to The Academy of Nutrition and Dietetics (formerly the American Dietetic Association) RD finder at: http://www.eatright.org/programs/rdfinder/.

Tuesday, March 6, 2012

Eat Right to Boost Immunity – National Nutrition Month

I don’t know about where you live, but there are lots of nasty illnesses going around - from the flu to strep to this weird stomach ache that is nicely paired with a low grade headache and an all-over achy body.  Our family was lucky to have the stomach cluster issue all last week, but have (so far) warded off the other stuff.  Don’t be surprised when I tell you that our eating patterns can help protect or put us at risk for all the nastiness out there.  Good nutrition is essential to keeping your immune system strong.


March happens to be National Nutrition Month, and every March we encourage everyone to get back to the basics of healthy eating.  This year’s theme, “Get Your Plate in Shape,” is a perfect reminder in using food as a weapon against a variety of illnesses from the minor to the major.  So many people turn to popping supplements that they forget the power that food has in doing the trick better!  The USDA’s MyPlate is a great visual of how we should build our plates. 
Here are some ways to “Get Your Plate in Shape” and also boost that immune system:

·        Make half of your plate fruits and vegetables: Eat a variety of vegetables, especially dark-green, red and orange varieties. Add fresh, dried, frozen or canned fruits to meals and snacks.  Fruits and vegetables are loaded with immunity-boosting capabilities including key nutrients such as vitamins A and C (especially orange and yellow varieties).

·         Make at least half your grains whole: Choose 100 percent whole-grain breads, cereals, crackers, pasta and brown rice. Check the ingredients list on food packages to find whole-grain foods.  Whole grains including fortified cereals and breads contain zinc has been a key player in maximizing immunity.

·         Switch to fat-free or low-fat milk: Fat-free and low-fat milk have the same amount of calcium and other essential nutrients as whole milk, but less fat and calories. For those who are lactose intolerant, try lactose-free milk or a calcium-fortified soy beverage.  High in protein and vitamin D, these are also two things that help ward off illness.  Some research suggests that vitamin D may help reduce the incidence of the flu.  And if they happen to get the flu, it is important to have adequate levels to fight off the illness. 

·         Vary your protein choices: Eat a variety of foods from the protein food group each week, such as seafood, nuts and beans, as well as lean meat, poultry and eggs.  Keep meat and poultry portions small and lean. And be sure to choose seafood as the protein at least twice a week.  Lean meat, poultry, beans and nuts are all good sources of zinc.  Non-meat sources of protein include beans, nuts and tofu.  Protein is the basic building block of immune cells, so it is vital for both the prevention and treatment of illness.  

·         Cut back on sodium and empty calories from solid fats and added sugars: Compare sodium in foods and choose those with lower numbers, and season your foods with herbs and spices instead of salt. Switch from solid fats to healthy oils like olive and canola oil. Replace sugary drinks with water and choose fruit for dessert.   High sugar foods have a tendency to have less nutrients to fuel that immune system.

·         Enjoy your foods but eat less: Avoid oversized portions. Use a smaller plate, bowl and glass. Cook more often at home where you are in control of what’s in your food. When eating out, choose lower calorie menu options.  Overeating and being overweight can stress your body out, which can lead to a variety of illnesses including cancer.

·         Be physically active your way: Adults need at least 2 hours and 30 minutes of physical activity every week. Choose activities that you enjoy, and start by doing as much as you can.  Exercise has been shown to fight off infections, although they aren’t fully sure how.  Some theories include flushing bacteria through the lungs, temporarily increasing body temperature to kill bacteria and decreasing stress hormones.

Other ways to keep immunity boosted nicely is to get plenty of sleep and keep stress levels to a minimum.  I know this is easier said than done sometimes, so make sure you have people around you to encourage and support you in this thing we call “life.”
Throughout the month of March, I will discuss other practical ways to "Get Your Plate in Shape."  What are your barriers to eating healthy?  I would love to hear from you!  We can address them together.
For more information on National Nutrition Month, head over to the Academy of Nutrition and Dietetics webpage to check out some fun nutrition games and practical food suggestions by topic.

Tuesday, February 21, 2012

School Lunches Are Getting Healthier

As a pediatric dietitian and mom of school-age children, I am continually encouraged by the improvements to the National School Lunch and SchoolBreakfast Programs.  First Lady Michelle Obama has been a champion for childhood obesity, and continues to make great strides in making school lunches healthier under the Healthy, Hunger-Free KidsAct.  New school food guidelines are coming to all schools that participate in the National School LunchProgram.  You should see changes by the second half of 2012.

Instead of weeding through all the USDA releases, I have highlighted the changes here:
School meals sample menu -before/after
(click to enlarge)
·         Double the amount of fruits and vegetables being offered, up from just ½ cup combined to a minimum of ¾ cup veggie and plus a minimum of ½ cup of fruit per lunch.
·         Weekly requirements of dark green, red/orange and beans/legumes, as opposed to no specific requirements before
·         Specific amounts of protein requirements by age group with younger children having smaller portions; as opposed to one set portion across the board for every age
·         Half of all grains must be whole grains, as opposed to them being “encouraged”
·         Milk must be fat-free (flavored or unflavored) or 1% (unflavored), as opposed to no guidelines before
·         Now, sodium levels set by age as opposed by no sodium levels established before
·         Minimum and maximum calorie levels set by age ranges
·         No trans fat in any food, as opposed to no limits before

If you want to read all about the changes including the press release, changes to the School Breakfast Program, new meal patterns and specific timeline rollout, go to the USDA’s page on Nutrition Standards forSchool Meals.
If your child attends private school, or if your child attends public school with a high socioeconomic distribution then your school may opt out of the National School Lunch Program.  Ask your school foodservice administration for their child’s school nutrition standards.

Wednesday, February 8, 2012

Keys to Cooking Healthy + Tasty + Quick with Cindy Kleckner, RD, LD

I went to the most awesome cooking class a couple weeks ago at the Cooper Fitness Center at Craig Ranch.  Aptly named Sizzling Simplicity: Asian Wok Cookery, it was a class on preparing quick, sweet or savory variations of Asian dishes using a wok.  Our chef immediately drew us in with her passion for playing in the kitchen with different tastes and flavors, as she casually discussed her love for food and nutrition.  We learned how to cook – and got to taste firsthand – 3 different dishes.  The aromas of these different dishes filled the room and tantalized our palates even before the food hit our mouths!  I left inspired to cook more Asian dishes, and I also left very impressed by our instructor.

The chef was Cindy Kleckner, RD. LD.  Cindy is a Registered and Licensed Dietitian who has worked in the Cooper Clinic Nutrition Department for over 10 years specializing in weight management, cardiovascular health, corporate wellness and nutritional culinary events.  Cindy has contributed to several books authored by the reknown Dr. Kenneth Cooper.  But just recently, she co-authored the Hypertension Cookbook for Dummies with Roseanne Rust, MS, RD, LDN.  I picked up a copy of the book and was blown away by all the great advice (and recipes!) that Cindy and Roseanne included in this book.  Regardless of whether or not you have hypertension, this book is a must-have for your kitchen cookbook library.
Cindy Kleckner, RD, LD
Recently, I had the opportunity to do a one-on-one interview with Cindy.  We got to talk about her food and cooking philosophy, her book and the cooking classes and on-on-one nutrition counseling she offers here locally:

1.  What started first - your love for nutrition or your love for cooking?   
Funny, even as a kid I had an interest in  food.....coming from an ethnic family (Polish) we had very strong   traditions.  My father died of a massive heart attack at age 33 so we focused more on prevention even though we didn't realize it at the time.  Nutrition and dietetics was such a great fit for me. My beloved Easy Bake oven was a fave back in the day!!

2.  Many people associate healthy cooking with less flavor.    How do you cook healthy without sacrificing taste?    Healthy cooking and taste can co-exist by utilizing all the wonderful   herbs and spices, aromatic vegetables such as shallots, garlic, onions, flavored vinegars, specialty oils like walnut oil and sesame oil and using a variety of cooking methods such as roasting that bring out the natural   caramelization in food.   The ingredients just mentioned provide not only wonderful flavor, but also a   health component by adding antioxidants and phytochemicals.

3.  I get people in my office that just seem resistant to explore recipes, or even try to cook.  What can you say to get a mom or dad cooking even when they declare that they are not a cook?   
It is THE BEST gift you can give to future generations to   spend some time exploring in the kitchen, taking a field trip to the farmers market and modeling that food IS indeed an important part of  our   health.  There are classes offered for families which make an exciting, family activity.  It is also a good way to reign in the food budget by learning how to cook fresh food fast.

4.  Families are busier than ever right now, and making meals at   home is a tall order.  I am a big proponent of increasing family meals  because they have benefits that go beyond nutrition.  What are some key things that you think would help the average family get home cooked meals on   the table without too much fuss? 
Techniques such as foil pouch dinners (just like girl scout camp outs) which can be prepared   ahead of time and placed in the oven or on the grill -  and done in no  time.  Both Stir fry and crock pot cookery are also excellent ways to get food on the table fast.  Recipes are included in our cookbook. We've seen a decline in culinary literacy to the point  that most people are lost without packaged food and take-out   containers.  I guarantee that a few sessions in my demo kitchen will help families gain confidence to get cooking the healthy way.

5.  People want recipes that are not only for one healthy,   but two, are tasty and three, easy to prepare.  I call it the difficult trifecta!  What things does someone look for in a recipe and/or   recipe book that can give one insight into hitting these three items?    
If it’s an old family favorite, ingredients can be substituted to reduce fast, sugar and salt such as substituting canned evaporated skim milk for whole milk or cream.   Wholesome, high quality  ingredi
ents   (whole food) need only simple cooking techniques - such as a piece of   deliciously grilled wild salmon served with a squeeze of a grilled half lemon,  or rubbed with  some smoked paprika, cinnamon,   thyme  and orange zest........a real party in your  mouth!
6.  I love your new book, Hypertension forDummies.  You and   Roseanne rust, MS, RD, LDN did a phenomenal job. This is so much more than a high blood pressure cookbook!  You have so many tips and   suggestions along with tons of recipes categorized by meal type such   as breakfast, lunch, dinner and even a host of vegetarian dishes.  I love your section on meal planning. What are the best features you think might   be especially helpful for families?

Plan ahead.  Falling to plan is planning to fail in the way of shopping, cooking and eating healthier.  When it comes to feeding a family -   exposure to new foods - don't' fall prey to the usual chicken nuggets and mac and cheese.  Take the opportunity to educate young palates with a variety   of different foods.  If you get the whole family involved in the process they will "buy into the program!"

7.  High blood pressure does affect everyone of all ages these  days.  What are some important things to know about eating to lower blood pressure?
It’s not always about "giving up" but rather what to add to make your diet healthier.  Besides being conscious of sodium intake, it is very important to substitute plant protein, add fruits,  vegetables and more whole grains to the diet to add potassium, magnesium and calcium. Here is a cheat sheet I created that will help your readers:  Cindy’s hypertension cheat sheet.

8.  I absolutely love watching you in action at your cooking  classes.  They are chocked full of super practical cooking tips that make people want to get into   their kitchen and get cooking.  Tell me about the cooking classes you offer, and what someone would learn in   them.  Thank you Angela.  My philosophy is as follows:

- > Cooking wholesome, "real" food in combination with nutrition education can help motivate positive behavior change by making food more exciting and satisfying.
-> Promote healthy relationships with food, healthy respect for food and an appreciation for sustainable agriculture and seasonality which help to exercise more restraint.

-> Help clients get back to the basics with selection and preparation of food.  Often the biggest barrier to modify diet is lack of skills in the kitchen.
-> My goal is to educate, inspire, build confidence and help make the kitchen a more user-friendly place while having fun!

9. What other services do you offer at Cooper Fitness Center at Craig Ranch?
All of the nutrition services are OPEN TO THE PUBLIC! No membership required to experience nutrition at Cooper!  Currently, I offer:
- Private Nutrition Consultations to help people achieve long-term  nutrition goals.

-  4-week Hands-On Kitchen Boot Camp that provides participants with the arsenal to help win the kitchen battle with quick and easy tips to get fresh food on the  table fast. Success comes with reviewing basic nutrition information, meal planning, writing menus, stocking pantry, knife skills  supermarket tips, healthy cooking tips, recipe rehab and learning fundamentals of flavor building. There is an emphasis on actual food preparation in this class.
- Monthly themed culinary demos at the state-of-the-art demo kitchen offer unique and memorable education experience.   Themes vary every month based on health related such as "Heart month"  or Chinese new year or Kentucky Derby, Mardi Gras  etc.  During these informative classes, you observe the preparation of the food, taste samples and interact with group for a lively discussion.

- Worksite Wellness Programs
- Culinary Tem Building Events, a unique and effective way to build team spirit, break down office stereotypes  where clients chop, dice and sauté their way to better communication, sales and management skills.

To find out more about the services that Cindy Kleckner, RD, LD offers, contact the Cooper Fitness Center at Craig Ranch at 214-383-1000.

Thursday, February 2, 2012

Product Review: Plum Amazins (Dried Plums)

One of the perks of being a dietitian is that I randomly get food sent to me to sample.  Sunsweet sent me their new product that they call "Plum Amazins," which are dried plums.  They are very good! As compared to raisins and cranberries, Plum Amazins contain:


  • 50% More Fiber
  • About Half the Sugar
  • 53% Better Glycemic Index
  • Fewer Calories
  • Whole Fruit Antioxidants
  • No added sugar or preservatives


  • I will be honest.  I brought them home for my 4 and 6 year old to try and told them that they were a different kind of dried fruit like raisins.  Their evaluation: they are "ok." After trying them, they proceed to the pantry and pulled out our raisin supply. :-)  But if you're a person like me that gravitates toward a less sweet, slightly sour taste, check out the Plum Amazins!  I liked them very much.

    The Sunsweet Plum Amazins website has a lot of different recipes that you can try them in.  I have my eye on the Quinoa, Grape and Dried Plum Salad recipe.  You can easily substitute these dried plums with any recipe you currently have that contain raisins.  Check them out!

    All opinions in this post, and in every post on this blog are my own - and are not paid endorsements.

    Thursday, January 19, 2012

    Dangerous vs. Postive Messaging for Girls & Women

    This week has been Healthy Weight Week, and today is the 19th annual Women's Healthy Weight Day.  No, it's not a reminder to start that next diet!  It is designed to remind us to strive for a healthy weight for our specific bodies, and for the purpose of good health; NOT to endlessly long for an unrealistic body shape.  I get too many mothers, often with young girls, coming into my office wanting to lose that unrealistic 10-15 pounds - when their bodies are already in the healthy range already.  They eat healthy and exercise regularly, all labs are normal - yet they are plagued by wanting to be just a bit thinner.  What does that teach our girls?  I found this video last week on Dietitians-Online and thought it was perfect to run on women's healthy weight day today.



    Shocking, right?!  My little Hannah loves all things girly, and it's fun to be that with her.  So, I don't think that we need to avoid all things feminine.  And we cannot shelter our children from all of the media expsoure that is found in magines at the grocery store line or television commercials or endless weight loss commercials.  However, we can limit the amount that they are exposed to, and we can balance any negative influences out with positive messaging.  It is so important that we work hard to build healthy self-esteems in our young girls.

    In addition to the advertisements, children are influenced by:

    • Having mothers concerned about their own weight
    • Having mothers who are overly concerned about their daughters' weight and looks
    • Natural weight gain and other body changes during puberty
    • Peer pressure to look a certain way
    • Struggles with self-esteem
    Now the good news is that there are so many things that we can do to build a healthy self-esteem.  One big way is to have a healthy self-esteem as their mothers.  Let's start with ourselves!  Other ways we can off-set negative influences are:

    • Make sure your child understands that weight gain is a normal part of development, especially during puberty.
    • Avoid negative statements about food, weight, and body size and shape.
    • Teach your children about a balanced approach to eating which excludes calling foods "good" or "bad" but instead seeing them more as "sometimes" and "always" foods.
    • Allow your child to make decisions about food, while making sure that plenty of healthy and nutritious meals and snacks are available.
    • Compliment your child on her or his efforts, talents, accomplishments, and personal values.
    • Restrict television viewing, and watch television with your child and discuss the media images you see.
    • Encourage your school to enact policies against size and sexual discrimination, harassment, teasing, and name-calling; support the elimination of public weigh-ins and fat measurements.
    • Keep the communication lines with your child open.
    For more information on healping to build self-esteems within yourself and your daughters, visit womenshealth.gov and girlshealth.gov.  Kudos to organizations such as Fed Up, Inc. for putting such powerful videos together (such as the one in this post) to get all of us to stop, think and act. 

    Happy Women's Healthy Weight Day!

    Wednesday, January 4, 2012

    Calories Are a Good Thing!

    My last post that encourages people to Get Off The 'Sick Cycle Diet Carousel' in 2012 has identified with a lot of people on Facebook and Twitter judging by the retweets and shares.  I wanted to dedicate some of the next handful of posts on expanding upon aspects of the diet carousel.

    Let’s discuss the pink elephant in the room when it comes to weight control.  When was the last time that calories were discussed in a positive light?  Everywhere you look – you see articles written about how to minimize, decrease, eliminate and avoid extra calories.  We were saturated with it over the holidays.  I completely understand the general premise behind these suggestions.  Adults and children are more obese than ever due to calorie imbalance, so the logical recommendation is to find ways to decrease extra calories for weight management.  But what does the constant bombardment of painting a negative light on calories do for our society?  I will tell you what it does – it makes most people fearful of calories and too much fear has never helped anyone.  I see it every day in my private practice.  We need to put calories in perspective, and we need to see the potential of what we can do with quality calories.


    Calories, or kilocalories in the biochemistry world, is a measure of energy needed to increase the temperature of one gram of water by one degree Celsius.  It is literally the way your body maintains energy to survive.  Without calories, our bodies would die.  It is an obvious statement, but it’s important to remember that calories are actually a good thing.  Too many calories taken into the body without sufficient calories expended will yield weight gain.  On the other hand, not enough calories taken in as compared to energy expended will yield weight loss.  In dietetics, I work with many children and adults that are not taken in enough calories – and their health is negatively impacted as well.  With children, inadequate calorie intake will stunt their growth so it is essential to get them back on track.

    Now here is the fundamental problem that I have with many people these days.  Many health-minded adults have been groomed to be afraid of calories.  If you do not take in sufficient amount of calories, these things may occur:

    ·         Inability to build lean muscle, which is what drives the rate at which you burn calories

    ·         Lack of motivation to be very active

    ·         The body may not have enough energy to support basic functions such as fighting off illness or infection

    ·         Fatigue, irritability, insomnia that can confused for depression (seen frequently)

    ·         Inadequate intake of vitamins and minerals (resulting in other negative symptoms and issues)

    For those of you that know me, you know I am a huge promoter of a very active lifestyle.  I encourage regular vigorous activities most days of the week, and believe in fighting to maintain muscle by breaking it down through strength training 3-5 days per week.  Muscle requires calories to build and/or maintain. It’s the wellness cycle that I discussed in my earlier post.

    The next time you go to the grocery store, don’t just look at total calories of a food.  Look at the quality of those calories – i.e., how much nutrients your body will receive for the calories in that food.  A good example of this is comparing a piece of white bread with a piece of whole grain bread.  In general, whole grain bread will be higher in calories.  Why?  It is because there are many more wonderful nutrients in whole grain bread.  You literally have the whole grain.  White bread has been stripped from many of those nutrients and that removes calories.  There are many higher calorie foods that contribute excellent nutrients and health benefits including nuts, avocado, fatty fish and heart healthy oils like canola and olive oils.  Take in the quality calories and use those calories to lead an active lifestyle. 
    If you need to figure out how many calories your body needs, go to the Daily Food Plans on the ChooseMyPlate.gov website.  Keep in mind that these are only general recommendations and that each person may differ slightly.  Your local Registered Dietitian can help you tailor a very specific number customized for you.  The key is to get the right amount throughout your active day and choosing quality calories specifice to your lifestyle.  Bottom line: do not fear calories, but instead balance them appropriately with an active, adventurous lifestyle.  We need to get this right in order to be on the right cycle of wellness.