Seriously? …Seriously? (and pssst...a Giveaway!)

“What we're really talking about is a wonderful day set aside on the fourth Thursday of November when no one diets.  I mean, why else would they call it Thanksgiving?” -Erma Bombeck

I’m talking to my mom on my way to work this morning, requesting my favorite coffee creamer while she was grocery shopping. Mom just happens to mention, “Well, the store was out of pecan pies, so I got pecan pie cups. Good portion control, right?” Where do I begin with the wrongness of this all.

1. Pecan pie should be homemade.


2. Pecan pie cups? Give me a break. No pumpkin PIE is the equivalent of Christmas without a Christmas tree littering gifts beneath it.

I feel so shafted already. Pecan pie is a once-a-year-can’t-live-without-it STAPLE. 
Holds. Me. Together. All. Year. Treat.

As un-healthy as that little tantrum is, I could’ve verbally berated husband last night after he decided he NEEDED (yes, NEEDED) Buffalo Wild Wings. Let’s not be confused here, I love anything involving wing sauce -- it’s a guilty pleasure. Just look to the right there and you can see that SEVERAL of my “must-try” recipes contain wing sauce. However, BW3’s is 30 minutes away from home and I had a headache and a wonderful, healthy pad Thai dinner planned. But no, husband NEEDED wings. So, off we go at 8:30pm (had to wait til the game was on!), only to arrive and find that both the restaurant and inhaler-requiring bar were filled to capacity and there was a 40-minute wait. On a Tuesday. One would think they were GIVING AWAY $0.40 wings, my goodness! After flashing him a stink face and a blatant, annoyed eye roll, we left BW3’s for a silent 30-minute commute back home.

I am a man. I do NOT want to watch games (football, basketball, or otherwise) that I care about in a bar watching a TV without volume and obnoxious patrons taking away from my viewing experience. Which leads me to the acceptance of a sad truth: I am old. On a Tuesday evening after an 11-hour work day, I want to be a homebody. I want to be in my warm house, in my cuddly clothes, enjoying healthy, homemade food, watching and listening to my sporting pleasure! Last night being Fighting Illini men’s basketball.

Is anyone else a huge homebody, especially once the fall and winter seasons encroach?

My crankiness subsided this morning when I opened my office door to a package from Newman's Owns Organics (not to be confused with Newman's Own). I've heard a lot about Newman's Owns Organics (NOO's) and I was interested in sampling some of their products. Well, let's just say I received an early Christmas gift this year! Check out the loot...

Thank you, Newman's Own Organics!! <3

Food models, mess, lunch (upper right), Zevia (upper left)...and the loot, scattered! My office is atrocious!

 An array of cookies...chocolate, Arrowroot, and chocolate chip!

 Choooooooocolate! Need I say more? Note: that dark chocolate bar

on the left is opened...I wonder who did that!!

 

 Fat-free AND low-fat Fig Newmans...love the play on words : )

 

 Dried fruit...prunes, apricots, apples, and berry blend. The apples are delicious! They are completely all-natural in taste, not all pumped up with sugar!!

 

For my afternoon snack, I had 2 original Hermits. Um, DELICIOUS! They are so moist and rich in flavor...love them!! Favorite taste from Newman's Own Organics thus far!!

 

Mint rolls -- Peppermint, Wintergreen, Ginger, and Hot (not pictured, oops!)

 Newman's O's -- Chocolate and Mint!!

 

 There was a 3rd bag, but one of my patient's ate them. Thumbs up! Especially excited about the protein pretzels!

 

 Soy crisps! Can't wait to try!

 

 Hot, Wintergreen, Ginger (yum!), and peppermint mints. The ginger ones are delicious!!!

 

And Newman's Own Organics even sent something for the puppy -- dog treats! Lily gives the salmon and sweet potato treats a high-five (and my dog gives high-5's, no joke!)

And since 'tis the season to be giving...a GIVEAWAY for you all! And because that box weighs about 25 pounds!!! THANK YOU, NEWMAN'S OWN ORGANICS!!!

NEWMAN'S OWNS ORGANICS GIVEAWAY!!!!!!!

There will be 2 winners as there's plenty of goodies to go around...

Giveaway 1: The Cookie Monster

Newman's Own Organics Champion Chip Cookies (Chocolate)

Newman's Own Organics Ginger Hermits

Newman's Own Organics 54% cocoa Dark Chocolate Bar

Giveaway 2: The Smorgasbord

 Newman's Own Organics White Cheddar Soy Crisps

Newman's Own Organics California Prunes

Newman's Own Organics 54% cocoa Espresso Dark Chocolate Bar

How to enter? Lots of ways! 

Enter up to 4 times by doing one, two, three...or all of the following:

1. Post a comment with your giveaway selection preference below (1 or 2, see above)

2. Tweet about this giveaway and leave a comment with a link back to your tweet, 
or follow me @PreventionRD

3. If you're a blogger, post about this Newman's Own Organics Giveaway with a link back to this post on your blog. Leave a comment below containing your blog/post link!

4. Email me a favorite, healthy recipe at Mrs.RD44@gmail.com

Entries will be taken through Sunday, November 29th at 12pm (Central Time) and the winners will be announced on my Sunday blog post!


Sampled thus far: 70% cocoa organic chocolate bar (super yum!) and organic dried apples. Mmm!


A patient this morning had to fast for a late lab appointment and by the time he made it over to my office for his nutrition appointment, he was so hungry he had a headache. I handed my country bumpkin of a patient Newman's Own Organics salted pretzels, and that country bumpkin chowed down. And believe you me, I'd have heard about it if he didn't love'em! Thumbs up, Newman's Own Organics!!

Looking forward to Pad Thai tonight and an early departure to Chicago tomorrow morning! If our flight is delayed, we’ll be missing Thanksgiving dinner. Wish us luck, O’Hare doesn’t have the best of records when it comes to flight delays.

Have a wonderful, safe, healthful, and relaxing Thanksgiving!

Diabetes, Cheerios, and Late Night Eating...

...you betcha, it's a smorgasbord today!

First up: a break-down of diabetes prevalence across the United States. Sorry the below map doesn't enlarge any bigger, but you can go here to see the enlarged version. Of course I found this interesting as I work with a largely diabetic population.

Among those 30 and older in the US, 13.7% of men and 11.9% of women have diabetes. A third of this estimated number are going undiagnosed. Colorado, Minnesota, and Vermont have the lowest rates of diabetes while the southeastern states have the highest rates -- Mississippi having the highest rates of all. Lead author and epidemiology research fellow, Goodarz Danaei at Harvard stated, "The Southern States have a very dangerous aggregation of risk factors for heard disease: obesity, high blood pressure, and diabetes [1]."

With more than 70,000 diabetes-related deaths each year, diabetes is the sixth leading cause of death [1]. You can clearly see that Oklahoma and Texas have much work to be done in diabetes prevention, especially among the men, compared to neighboring Arkansas, Missouri, Kansas, and New Mexico.

In other news, a federal court panel has ruled that five pending lawsuits against General Mills for claims touting the cholesterol-lowering benefit of Cheerios will be consolidated into one multi-district case. The FDA administered a warning to General Mills regarding their claims of Cheerios "lowering your cholesterol 4% in 6 weeks" and "clinically proven to lower cholesterol." A specific rate of risk reduction is not allowed, according to the FDA. Plantiffs states that General Mills made false claims which led them to eat the cereal as a way to lower cholesterol [2].

The FDA stated in May that eating Cheerios was "not generally recognized as safe and effective for use in preventing or treating hypercholesterolemia or coronary heart disease [2]. Shame, shame, Cheerios and General Mills!

Last up: light night eating produces weight gain. I found WebMD's take on evening eating and weight gain, which was in consensus with a post I made back in September. Similarly, recent research performed at Northwestern University found that eating at night led to twice as much weight gain, even when total calorie consumption was the same among mice. The science, however, is still unknown [3]s.

Kathleen Zelman, MPH, RD, and director of nutrition for WebMD recommends consuming regular meals, as well as consuming 90% of your daily caloric needs before 8 pm. Eating every three to four hours helps regular blood sugar and control hunger and cravings [3]. I concur, for what it's worth. :O ) 

And yesterday's diabetic diet...

Breakfast:

1/2 cup old-fashioned oats (2 carbs)

1 cup skim milk (1 carb)

1 tsp turbinado (1/2 carb)

1 tsp Splenda brown sugar (1/2 carb)

1/2 ounce pecans, chopped (0 carbs)

cappuccino with 2 Tbsp sugar-free International Delight

     Total: 4 carbs

1 cup whole wheat pasta (3 carbs)

4 ounce chicken breast (0 carbs)

3/4 cup marinara (1 carb)

1 ounce Parmesean cheese (0 carbs)

     Total: 4 carbs

Snack:

12 baby carrots (0 carbs)

small apple (1 carb)

     Total: 1 carb

Dinner:

1 cup mashed potatoes (2 carbs)

3 fingerlings of Biggest Loser "Fried Chicken" (2 carbs)

     Total: 4 carbs

Snack:

3 graham crackers (1 carb)

1 1/2 Tbsp peanut butter (0 carbs)

     Total: 1 carb

[1]. Bakalar, Nicholas. Diabetes: A State-by-States Breakdown. The New York Times. October 13, 2009.

[2]. Scott-Thomas, Caroline. Lawsuits Against Cheerios Cholesterol Claims Combined. Food Navigator. October 13, 2009.

[3]. Zelman, Kathleen M.  Is Late Night Eating More Likely to Pack on the Pounds? WebMD.

Blog topic request: sleep and diet

Our friend Lena requested a blog topic: sleep and eating. She asked, "How does sleeping tie into what/how you eat? Is there really much of a connection?" Lena, I'm so glad you asked!

Yes! There most definitely is a connection between sleeping and what and how one eats. There has been a lot of recent research focused on sleep and diet/weight/nutrition with the ever expanding obesity epidemic.

What's the deal? There's lots of theories and ideas, let's discuss.

Scientifically speaking, hormones such as leptin, ghrelin, and cortisol can become out of whack with insufficient sleep. Leptin is the hormone playing a central role in fat metabolism; ghrelin is a hormone counterpart to leptin, which stimulates hunger -- increasing before meals and decreasing after meals; cortisol is a hormone commonly referred to as the "stress hormone", which helps the body use sugar (glucose) and fat for energy (metabolism). A lack of sleep triggers a wave of reactions in the body that begins with the hormones mentioned above. This results in the body waking up exhausted and craving fat and carbohydrates, says Dr. Joseph Koninck, director of the University of Ottawa's Sleep Research Laboratory. There is no doubt that the hormones which control appetite are effected by insufficient sleep [1]. So, sleep more!

Basic math would also lead any logical person to the conclusion of less hours awake leads to less hours of eating, and thus, less calories consumed. Makes sense, doesn't it?

Those staying up late to watch TV, catch up on emails, or surf the Internet are more often than not consuming high-calorie foods. When you eat late at night, Dr. Koninck suggests one's sleep is more fragmented due to the body's digestion process. Lack of deep sleep can also cause a drop in the "satiety hormone", leptin. This can cause excessive hunger the following day, even after eating. All the while, ghrelin, the "hunger hormone", is rising...setting one up to overeat [1].

Stanford University connected a lack of sleep to the rise in obesity back in 2004. Their 15-year study of 1,024 volunteers with sleep disorders found that individuals sleeping less than 4 hours a night were 73% more likely to be obese [1]. If you don't have time to sleep, you certainly don't have time to cook or eat properly, right?

Think YOU'RE getting enough sleep? Maybe not!

In 2006, University of Chicago researchers found that while adults may be in bed for 7.5 hours, the average woman slept for 6.7 hours, while men enjoyed a mere 6.1 hours of rest [1].

How much sleep does one need? Follow these steps to find out...

1. Set a bed time. Calculate back 7 1/2 hours from the time you need to get up to figure out what time that bedtime ought to be.

2. Go to bed 15 minutes earlier every day. Make note of what length of sleep leaves you feeling refreshed and awakening without the use of an alarm clock. This is your optimum length of sleep -- likely between 7 1/2 and 9 hours each night.

3. Keep a journal. Track when you go to bed, when you get up, any restless periods, when you ate and exercised before bed, whether or not you napped, and if so, for how long.

4. Keep on this schedule! Your body and waistline will thank you!

Key points to remember:
- exercise 30 minutes daily, but not within a few hours of your bedtime
- keep your bedroom a place for sleep and sexual activity only
- get into a pre-bed routine (i.e. bath, music, reading)
- DO NOT check email, watch TV, or play video games before bed -- it can leave you sleeping restlessly or unable to get to sleep
- cut out caffeine in the afternoon and evening hours
- DO NOT go to bed on a full stomach OR hungry
- use alcohol in moderation, and not as a sleep aid!

I have to say, I may ace this test. Mark and I climb into bed around 9:40 every night. My alarm goes off at 6:22 am, which is when I get up, so long as Lily has a restful sleep, too. Generally, I feel refreshed and ready for the day. While I still require one dose of caffeine and an alarm clock, I think we happily master the sleep routine.

What time is your bedtime? Are you often tired? What gets in your way of getting more sleep?

[1]. Beun, Chown, Julie. Dozing to diet: Sleep as a diet aid works, research shows. Canwest News Service. September 18, 2009.

Food Stamps for Pounds!

A 14-year nationwide study shows the U.S. Food Stamp Program may help contribute to obesity among its users. The average BMI of a Food Stamp participant was found to be 1.15 points higher than nonusers. Specifically, women's BMI rose with food stamp usage, while men's did not [1].

People's BMI's increased faster when they were on food stamps than when they were not, and also increased the longer they participated in the Food Stamp Program. While the Food Stamp Program is intended to increase food security and combat hunger, there may be unintended consequences, such as obesity [1].

Based on these findings alone, the Food Stamp Program may have a significant impact on America's obesity rate with nearly 1 in 11 U.S. residents receiving food stamps in 2008. Because poverty and obesity are linked, the study accounded for income and a variety of other factors, including race and education [1].

Is this trend worsening? Yes. While Food Stamp Program participant BMI's have increased in the past, the rate is increasing. The average food stamp user's BMI rose 0.4 points per year on food stamps, compared with 0.07 points the year before they were receiving food stamps and 0.2 points the year after they no longer received food stamps [1].

While 2002 was the last year included in the study, participants were then receiving a mere $81 in food stamps per month. The study co-author of the study, Jay Zagorsky states, "I think it would be very difficult for a shopper to regularily buy healthy, nutritious food on that budget...Modifying the Food Stamp Program to include economic incentives to eat healthier might be an important tool for fighting obesity." It is true that calorie-dense, high-fat, processed foods tent to be less expensive and the least healthy of the available options out there [1].

So, the Food Stamp Program needs some tweeks. Maybe they should consult with WIC which recently removed juice (yes, even 100% juice) from their program. Just like with soda, juice is now being linked to excess weight gain among American's, and specifically among children.

Any thoughts on ways to better the Food Stamp Program? Should certain foods be excluded from the program due to their nutritional content...or lack thereof? Weigh in! Tax dollars making our nation more unhealthy should be concern for us all!

[1]. Food Stamp Use Linked to Weight Gain. Today's Dietitian. Source: Ohio State University. September 4, 2009.

Protein Power

After a week of training for work that left me without a refridgerator, freezer, and microwave for a week...I was ready for some new, healthy items to take with me to work next week. As much as I adore Fiber One bars, I'm getting sick of them...and as much as I love string cheese, I'm also getting sick of it. On our Sam's Club run today, I got a little protein crazy: unsalted almonds and EAS Whey Protein Powder. I came home and put into baggies individual portions of each.

Compose

Why these foods? They're healthy, of course. Protein tends to be much more filling than carbohydrates alone, which many snack foods are.

Almonds are high in fiber, vitamin E, magnesium, copper, and several other phytochemicals. Almonds are also heart-healthy and contain high levels of antioxidants. Nutrition nerds, you may want to go here and read about Oxygen Radical Absorption Capacity (ORAC) -- it's interesting stuff! There's new research showing prebiotic effects of almonds, aiding in immunity and proper gut function. They are, however, high in calories (160 calories an ounce), as they contain 13 grams of mono and polyunsaturated fatty acids (the good stuff!). A recommended serving of almonds is 3 tablespoons, one ounce, or 23 almonds to be exact! Above all tree nuts, almonds are highest in protein, fiber, calcium, vitamin E, riboflavin, and niacin.

And what's the deal with this EAS Whey protein powder? Well, firstly, it's made by Abbott Nutrition. This tells me that 1) it's quality-controlled, and 2) it's the real deal. You can find prepared and individually packaged EAS protein drinks for around $2 each. ::jaw hits the floor:: (I know). The 76-serving package from Sam's Club, however, was $29.95 -- $0.34 a serving. Talk about savings...props, self. So you just add the protein powder to cold water, and for a mere 130 calories, you're consuming 23 grams of high-quality protein. The biological value of the EAS whey is 104 (egg protein being 100, the gold standard of BV). The protein digestability (PD) score of the EAS is 100 -- the same as casein and milk proteins with the net protein utilization* (NPU) coming in at 92 -- higher than both casein (76) and milk protein (45-86). It'll be a great thing to have at work for after my lunch break workouts and to stave off hunger during the afternoon hours.

*NPU = BV x PD