Apr 29, 2010

April Veggie Scramble

One of the more interesting things about cooking foods in season is coming up with different ways to use them. Something you may have noticed is that there is not a lot of variety of fresh local produce available in early spring. Of course, we always have broccoli and cauliflower, root vegetables, and some early crops of green beans, tomatoes, and zucchini which aren’t always that flavorful. I bought strawberries the other day and nibbled into them occasionally to see how sweet they were while I was cutting them up for a fruit salad. They were sour. Unless they are coming from out of the country, this is just not their season.

So, how do you come up with creative ideas for the local produce in season that is available to you? Beyond basic side dishes at dinner, one needs to think about breakfast and lunch as well. With that in mind, I came up with a Veggie Scramble for our Alpha subscribers which uses either fresh or left-over greens. I actually prefer using left-over chards or spinach that has been sautéed with garlic from a previous night's dinner in this simple breakfast. The flavors are already there, you just need to add the eggs.

Egg and Veggie Scramble

serves:  2                    prep time:  10 minutes           

1 cup of cooked leafy greens such as chards, collards, or spinach, chopped finely
1 tablespoon olive oil
Two large eggs, stirred in a small bowl to mix the yolk and white. If you wish, you may use Egg Beaters or just egg whites.
Salt and pepper to taste

Heat the oil in a small skillet over medium-low heat for about a minute. Add the greens to the pan and reheat them gently. Add the eggs into the pan and gently stir until the eggs are cooked. Season to taste.

A healthy breakfast idea:
April Veggie Scramble
½ cup of fresh mango and pineapple fruit cup
A slice of toasted whole grain bread, use it to scoop up the eggs so you can avoid the butter on the toast.

Eat Tasty, Live Healthy!

-Kim Fielding

Apr 28, 2010

Effects of snacking on the weight.

The best snack is no snack at all. Everyone wonders about French paradox: how do French eat foie gras, chocolate, cheese, bread and lots of wine and stay slim? One of the answers to the French slimness is no snacking. So if one can eat three meals a day and stay away from a snack that is great as long as you don’t starve yourself and then jump at the food and eat a huge portion. Truly if the meals are nutritious and contain proportional amounts of carbohydrates, protein and fat then the person stays full for five to six hours until the next meal. A good example for French breakfast is a butter croissant and a cup of coffee with cream, simple and satisfying with 380 calories, 23g of fat, 6grams of protein and 37 g of carbohydrate.
There are two reasons for American love-story with snacks. One is based on hormonal changes, like surge of insulin and a subsequent drop of the blood glucose. There are several other gut hormones, like leptin, GLP-1, and ghrelin that are responsible for abnormal satiety and increased appetite in overweight people. These hormones are either over activated because the snack is too sugary or the person is already overweight. The other one is of Pavlovian origin (remember the bell) – you look for a snack at a certain time, just by habit. Most snacks are packaged brightly and contain some or many of the worst ingredients (refined sugars, partially hydrogenated fats, high fructose corn syrup, food coloring, etc.) that were chemically created and introduced into our food realm sometime after 1980s. So if you wish to be like French and thin, then you need to stop eating snacks and cut down the portions of the main meals and do another thing that French do - stretch the good meal, and stop eating when you are 80 percent full and not 135 percent. And don’t forget to enjoy a glass of wine. In the summary, it’s simple and clear - eat less food, and foods that do not make you eat more food. Michael Pollan, the author of “In Defense of Food” says “Eat less food, mostly plants.” That is quite brilliant though hard to do.

However, not all snaking is bad for you; just the ones that come from vending machines, middle sections of supermarkets and movie theaters. When you eat a big dinner and then go to a movie and get buttered popcorn and a slurpee that constitutes for both - hormonal and Pavlovian disaster.
There is also some smart snacking, sometimes even necessary snacking. There are several scenarios when snacks are good for you. First, is when you haven’t eaten for 3-4 hours and now you are heading to the gym - snacking would help you to build muscle versus breaking it (letting the glycogen ooze out). Before going to the gym have a banana and milk or soy milk, or peanut butter sandwich and a big glass of water.
There are also some people who would prefer to eat multiple small meals per day. If that fits better with your daily plan then you should be able to lose weight as long as you keep a negative calorie balance. Those people are called grazers. If you’re a grazer then you should have a breakfast, lunch and dinner around 300 calories each and then 3-4 snacks about 150 calories each. You should be able to lose the weight; it’s just not the French way.
Here are some examples of healthy snacks; raw vegetables (those you can eat at any time and in large portions), whole grain crackers (about six) and low fat cheese, Baby bell cheese, handful of nuts, dark chocolate, food bars (approved by Alpha-plan), plain yogurt with berries or other fruit, popcorn with little salt and no fats (Newman’s Own), oatmeal or chocolate chip cookie that is under 150 calories, an apple or any other seasonal fruit, pocket bread with hummus and any of your favorite food as long as it’s under 150 calories.

Apr 26, 2010

White Bean Picnic Salad

Beans are extremely easy to cook. They are high in fiber and protein and can be found year round in the stores. For a quick recipe, one can use canned beans. But an even better alternative is to use dried beans. They are inexpensive and take very little effort once you know how to cook them.

Empty your beans into a stew pot. Sort through them and discard any small stones or shriveled beans. Add water to the pot and cover the beans by 2 inches or so. To cook beans, there are two ways to get started: slow soak (overnight) or quick soak. 1) To slow soak your beans, let them sit in the water overnight or for at least 6-8 hours. Drain the beans and water in a colander. Place the beans back into the pot and add new water to cover by the same 2 inches. 2) To quick soak, boil the beans for about 15 minutes, let them cool on the stove, drain them and cover with more water. At this point, whether you slow or fast soaked your beans, you are now ready to actually cook them to tenderness.

Different beans take differing amounts of time to cook. Size makes a difference and sometimes variety does too. For small white navy beans, I cook them about 1 ½ hours or until they are soft enough but not mushy. Drain them and season to taste. The following recipe is a great picnic addition. It serves 12 people for a pound of beans. That’s a great deal!

White Beans with Garlic, Roasted Tomatoes, and Fresh Basil

1 pound bag of dried navy beans
1 head of fresh garlic, the top of which is sliced off to expose the cloves
8-10 Roma tomatoes
Olive oil
Sugar, salt and pepper
¼ cup chopped basil and a basil sprig for decor
Sea salt and pepper to taste

Slow soak or quick soak your beans and drain the beans and soaking water through a colander. Add the beans and the entire head of garlic back into the pot and add fresh water to cover by a couple of inches. Bring the beans to a slow simmer and cook until tender. Drain the beans and put them into a bowl. Squeeze the juices from the cooked head of garlic into the beans and discard the skins.

While the beans are cooking, slowly roast the tomatoes. Set the oven to 325 degrees. Wash the tomatoes and cut them into fourths lengthwise. Put them onto a baking sheet with a rim and drizzle with olive oil, a sprinkle of sugar, dash of salt and black pepper. Use your hands and toss the tomatoes to coat them with the seasoning and oil. Bake the tomatoes until they are almost carmelized, about an hour.

Add the tomatoes to the cooked beans with the garlic. Scrape in any juices from the pan as well. Stir in the fresh chopped basil, sea salt and pepper to taste. Stir thoroughly. Serve with the basil sprig on top.

One of the reasons I like this as a picnic dish is that it is delicious served at room temperature. Enjoy!

- Kim Fielding

Apr 24, 2010

TV and cardiovascular death.

Humans are not made to sit for a long time. Australian researchers who tracked the TV viewing habits of 8,800 people over a six-year span have some sobering statistics for people who love to relax in front of the TV for prolonged periods of time. If you watch TV more than two and up to four hours a day, your risk of dying from cardiovascular disease increases by 19 percent. If your viewing habit is more than four hours a day, your risk of death from cardiovascular disease skyrockets by 80 percent. In fact, every hour beyond two hours of sedentary viewing ups the risk by 18 percent. Obviously sitting in front of the computer is not any different. Same pertains to sitting in a train or airplane.
The Australians researchers from the Baker IDI Heart and Diabetes Institute in Melbourne, also found that even if heavy TV viewers routinely exercise 30 or 45 minutes a day, they are just as susceptible to the higher risk of cardiovascular disease. The reason why, the researchers think, is that humans are not built to sit for long periods. Prolonged inactivity affects how the body metabolizes fats and other substances that increase cardiovascular risks. The solution to the problem is to keep active within the period of inactivity. For instance,you can do laundry, or ironing while watching TV. Get up and walk, go up and down the stairs, jump rope or march in place -everything works. Just move and that seems to be beneficial in preventing cardiovascular disease. The study results were published in Circulation magazine.

Apr 23, 2010

Sweet Potato Fries

Simply peel the sweet potatoes and slice into wedges
Sweet potatoes are traditionally served at Thanksgiving, but we have discovered that we love to cook them year round. In the springtime, they pair well with Easter salmon or lamb, and in the summer they are a great addition to stir-fry or in rice salads. Sweet potatoes are distinctive with their bright orange coloring, indicative of lots of beta-carotene. Beta–carotene acts as a precursor to vitamin A in our bodies and some of it is used for antioxidant activity.

Roasting sweet potatoes in a moderate oven brings out their sweetness so there is no need to add extra sugars to this recipe.

serving size: about 6 slices     prep time: 10 minutes

Sweet potatoes (each potato may serve between 2-3 people)
Olive oil
Sea salt and black pepper

Preheat an oven to 350 degrees.

Peel the sweet potatoes and trim off the ends. Cut them into “steak fry” type wedges, about 4 inches long. Place them on a baking sheet and drizzle olive oil over them, about 2 tablespoons per potato. Using your hands, gently toss the potatoes to evenly distribute the oil over them. Lightly season them with sea salt and pepper. Toss the potatoes again.

Bake in the preheated oven for about 8 minutes. Take them out of the oven and turn them over on the pan. Return to the oven and continue cooking until they are tender, about 8 minutes more. If the wedges are larger, they will take longer to cook. Likewise if they are smaller in size, their cooking time will be less. You be the judge. You want them to be tender but not mushy.

A serving of sweet potato fries offers about 150 calories and 4 g fiber.

An easy midweek menu:

Roasted sweet potato fries
Tossed green salad with light vinaigrette
Pork Tenderloin, seasoned with garlic
powder, salt and pepper
Steamed green peas

- Kim Fielding

Apr 21, 2010

Simply Poached Asparagus

As I mentioned before, asparagus is full of great nutrients. In season, this vegetable is affordable (which it usually isn’t). Don’t be put off by the smell if you happen to be one of those that repeat the asparagus in your urine. It is natural and very temporary!
In our last blog, I mentioned snapping off the ends in the recipe. What this means is this: holding both ends of the asparagus in each hand, bend the stalk until it snaps. This is the point that determines where the woody part ends and the tender part begins. Most of the asparagus in your bunch should snap off at about the same point.

Although I previously gave you a great recipe to follow, this one is even easier!

serving size:  4-6 asparagus stalks per person     prep time:  10 minutes

Asparagus, snapped and rinsed
Water
Olive oil
Salt
Optional toppings, see Note below

Place the asparagus in a skillet and add enough water to cover them. Add about a spoonful of olive oil to the water. Set aside until almost ready to serve your meal.

About five minutes before you are ready to serve, set the skillet over medium to high heat on the stove. Allow it to come to a boil and reduce the heat to a simmer. Place a lid on the skillet but leave it slightly ajar so that the steam escapes. After about 3-4 minutes, check to see if they are cooked by gently poking one of the stalks with the tip of a sharp knife. If it goes into the stalk easily, the veggie is cooked. Skinny asparagus will cook really fast, fat asparagus takes a minute longer. Judge cooking accordingly.  Remove the asparagus from the heat and drain the water. Season to taste with salt and serve.

Note: Asparagus is great by itself, but sometimes we like to add flavors to complement a meal. Here are some suggestions for enhancing this side dish (although it doesn’t really need it!):

• A squeeze of lemon, a sprinkle of Tamari (a non-wheat soy sauce), and a sprinkle of sesame seeds
• Light vinaigrette and sliced scallions
• A drizzle of good olive oil, Balsamic vinegar, sea salt, and cracked black pepper

What is great about asparagus is that it can be served hot or cold. It is nice to have this option in the springtime when cooking several dishes or for a crowd such as on Mother’s Day, Easter, or Father’s Day.

-  Kim Fielding

Apr 20, 2010

How to enjoy your movie without packing on the pounds

Movies are notorious for the amount of calories consumed by oblivious movie goers. People come to a movie theatre to enjoy a movie, get distracted from their own issues and enjoy adventurous lives of the characters in the movie. The goal is certainly not to consume hundreds to thousand of calories but to enjoy the movie. Frequently it’s also a social event. But even going to restaurants, sometimes people get fewer calories than at a movie.
It is a part of American tradition – to get large buttery popcorn (that has gotten tremendously large over the last 20 years), a sugary drink and candy, right before getting comfortable for about two hours of complete immobility. Then the viewer forgets about their own problems, including weight, and dives into the realm of Hollywood problems. The only connection with the world remains the bucket of popcorn, the candy and the sugary drink to wash the fat and the salt down. The faster the pace of the movie, the faster people chew and get to another fistful of greasy popcorn or Milk Duds. People who buy all three best seller junk-foods at the theatre – popcorn, candy and soda usually consume about 1200-2500 calories, 60 grams of saturated fat, 2000 mg of sodium and 20-35 teaspoons of sugar.
But why put the body through such trauma? “Because when you go to a movie you always get popcorn and an icee!” was my son’s answer when he was ten.
But the main calorie consumers are not ten. Many are adults with already present pot-bellies. If you’re trying to eat healthy yet you go to movies and consume a large portion of calories, even if it is only occasionally, that still could be the cause of the weight not coming down or even growing weight.
Here is the solution – you can’t afford the American movie snack- tradition. Just get a small bottle of water (the large one will force you to spend some of the precious movie time in the bathroom) or chew gum. Why not unbuttered popcorn? Because at the theaters all the popcorn comes from packages, which have some oil, frequently, partially hydrogenated added to it. Buttered only means an additional butter added to it. So, here is a novel thought - just enjoy the movie without adding another task like eating or drinking.

Apr 17, 2010

Alzheimer's disease and eating habits.

Researchers found that a diet rich in fruits and vegetables as well as omega-3 fatty acids may reduce the risk of developing Alzheimer's disease. The findings from researchers from Columbia University were published online in Archives of Neurology.
Analysis of data from more than 2,000 dementia-free adults ages 65 and older revealed that that the dietary pattern, characterized by eating more salads, nuts, tomatoes, fish, poultry, cruciferous vegetables, fruits, dark and green leafy vegetables and lesser quantities of red meat, organ meat, butter, and high-fat dairy products lowered the risk of Alzheimer’s disease. This pattern of diet, also known as Mediterranean-style diet, has been shown to lower heart disease and diabetes. It has been also shown that heart disease independent of strokes increases Alzheimer’s disease. The current study is based on questionnaires filled out by participants and can’t suggest definite proof, but eating healthy certainly can’t be bad and has many proven ways of improving the brain. Here’s what you can do:
1. By eating green leafy vegetables, people consume large amount of folate, which can reduce homocysteine levels, improving atherosclerosis.
2. Vitamin E rich foods, with strong antioxidant effects, like nuts, seeds and vegetable oils are shown to prevent the cognitive decline.
3. A diet rich in omega 3 fatty acids has been shown to improve heart and brain function through multiple mechanisms.
4. Eating less meat and saturated fat certainly will decrease the inflammation and prevent the progression of atherosclerosis.
While scientists are debating whether there is definite correlation or link between diet and Alzheimer’s disease, it just makes sense to eat a Mediterranean-style diet, or a diet that is rich in fruits, vegetables, whole grains and fish and poor in saturated fats, processed and fried foods. Farmers markets are opening everywhere and those are full of foods for brightening the brain.

Asparagus is Here!

Asparagus originated in the eastern Mediterranean regions but is now grown throughout the world. In North America, it signals the start of spring and is at its peak in April and May. While green asparagus is the most commonly seen, white and purple varieties are also grown.

Asparagus is a nutritional powerhouse and is an excellent source of vitamin K, folate, vitamins C and A, and many others. Asparagus has a natural diuretic effect due to its combination of high potassium, low sodium, and the amino acid asparagines and it promotes gut health. One cup of boiled asparagus contributes over 100% of our daily value of vitamin K and almost 70% of folate, 3 grams of our recommended daily fiber and only 43 calories!

Fresh steamed or grilled asparagus is a great side dish for lunch or dinner. It can be tossed with a vinaigrette, stir-fried, or mixed into pasta dishes or omelets. It is delicious in soups and pairs well with all meats and fish.

serves:  2                     prep time:  10  minutes

One reason I like this dish so much is that you can prepare it up to a day before and serve it at room temperature.

10-12 asparagus spears
¼ cup diced red pepper
1 tablespoon chopped walnuts
1 tablespoons olive oil
2 teaspoons balsamic vinegar
salt and pepper to taste
Optional: a tablespoon or so of chopped shallots mixed into the dressing

Snap off the bottoms of the asparagus stalks and cook in a skillet of simmering water about 5 minutes or until just tender. Cooking times will vary depending on the thickness of the stalks but as soon as you take the asparagus off the heat, cool them down immediately in cold water or they will continue to cook and get too soft.  While the asparagus is cooking, mix together the olive oil, balsamic vinegar, red pepper and walnuts in a small bowl. Add the shallots if desired. Season to taste with salt and pepper. Place the cooked asparagus on a platter and spoon the red pepper and walnut mixture over.

If you make this in advance – just store the asparagus and dressing separately. Spoon the red pepper mixture over just before serving.

Calories: 115 per serving

- Kim Fielding

Apr 15, 2010

Back to Collards - Lasagna

Recently I had the opportunity to learn how to use collards as a substitute for pasta noodles. Imagine using the large collard leaves instead of lasagna noodles in good old fashioned lasagna, or as an alternate to grape leaves as in dolmas.

The key to using the collards is to steam or poach them first. Trim the hard stem off the bottom of the leaf and rinse the leaves of any sand or dust. Set them aside. Half fill a skillet with water and place it on the stove. Bring the water to a simmer over medium heat and slip a collard leaf into the water. Allow it to soften for about 1-2 minutes, depending on the size of the leaf. Remove the leaf from the water and place it on a plate to cool.

Once you have cooked a bunch of collard leaves, now you can use them in your recipes. I typically halve each leaf and get two “pasta noodles” or “grape leaves” out of each collard leaf.  To make this vegetarian, swap out the turkey meat with tofu or chopped steamed veggies such as zucchini, fennel, cauliflower, leeks, root vegetables, or whatever you like!

Easy Collard Lasagna

serves:  6-8                    prep time: 30 minutes

One bunch of collards, stems removed, poached and halved (see instructions above)
Olive oil
One onion, chopped
Two cloves garlic, minced
One package of ground turkey meat
Large pinches of dried thyme, oregano, basil, and marjoram
Sea salt and ground black pepper to taste
One jar of organic marinara sauce
One small container of low-fat ricotta
One 8-ounce package of grated mozzarella
2 ounces grated Parmesan cheese

In a large skillet, add a splash of olive oil and set the stove top heat on medium. Add the chopped onion and minced garlic and cook for 30 seconds. Add the ground turkey meat and stir to break up the large pieces. Add the spices, sea salt and pepper and cook until the onions are soft and the meat is no longer pink.

In a 9 x 13” baking dish, spoon a couple tablespoons of marinara sauce on the bottom on the pan. Layer collard leaf halves to cover the bottom of the dish and sauce. Spread half of the cooked turkey mixture over the leaves, half of the ricotta in small spoonfuls dropped over the turkey, 1/3 of the mozzarella, and 1/3 of the marinara sauce over the other ingredients. Add another layer of the collard leaves, the rest of the turkey meat, the rest of the ricotta, 1/3 of the mozzarella, and 1/3 of the marinara sauce. Add a final layer of collard leaves, the rest of the marinara sauce, the rest of the mozzarella cheese and top with the Parmesan cheese.

Bake at 350 degrees for about 50 minutes or until bubbly.

Serve with a fresh green house salad. Yum!

- Kim Fielding

Apr 14, 2010

The Role of Lifestyle in Prevention of Diabetes


The major cause of common type of diabetes is lifestyle.  As the medical community gets excited about a new drug or discovery of a new gene, we are forgetting that we already know why most people have heart disease and diabetes.  And simple methods of prevention of this overwhelming illness can be accomplished with modest changes in the lifestyle.

Do not wait for a new drug or a discovery of a gene to blame for your weight or the diabetes.  The article published in Arch Intern Med.2009;169(8):798-807 is a testament of the importance of lifestyle-changing efforts.  In this article, the researchers followed about five thousand people around age 65 for ten years and evaluated the correlation between the development of diabetes and lifestyle. The lifestyles were defined on a base on 5 parameters and the so called low-risk lifestyle group had the following attributes:

  • Activity – above median, mostly walking and leisure time activity
  • Diet - higher fiber intake and polyunsaturated to saturated fat ratio, lower trans-fat intake and lower mean glycemic index.  This diet is mostly a whole grain, plant-based diet.
  • Smoking - never smoked or former smoker more than 20 years ago, or for fewer than 5 pack-years.
  • Alcohol use - predominantly light or moderate
  • BMI - waist circumference of 88 cm for women or 92 cm for men.

9 out of 10 cases of diabetes were attributed to these lifestyle parameters. After adjustment for age, sex, race, educational level, and annual income, each lifestyle factor was independently associated with incident diabetes.

Overall, the rate of occurrence of diabetes was 35% lower, for each additional lifestyle factor in the low-risk group.  Participants whose physical activity level and dietary, smoking, and alcohol habits were all in the low-risk group had an 82% lower incidence of diabetes. When the person was not overweight, in addition to the other 4 low-risk lifestyle factors, the incidence of diabetes was 89% lower.

Let’s not blame the genes given to us or unavailability of the perfect pill.  In the majority of cases, our health is in our hands. Eat healthy, exercise regularly and you will stay away from many illnesses.


Apr 13, 2010

Ode to Collards


These beautiful leaves are abundant in the winter months.
Collards are dark leafy greens that are part of the cruiciferous vegetable family. Although they are available year-round, they are at their best from January through April. Typically found in southern United States cooking, their popularity is spreading as people realize the wonderful health benefits they provide. (Plus they are delicious too!)

Collard greens are an excellent source of vitamins A and C, manganese, folate, dietary fiber and calcium. They are a powerhouse of many other nutrients such as omega-3-fatty acids, protein, and other vitamins and minerals. The collard’s phytonutrients have been scientifically proven to be involved in detoxifying our system and converted forms may be involved with containing cancer. One cup of boiled collard greens offers just 49 calories and over 100% RDA of Vitamin A and 5.3 % DV of zinc. These two in combination provide a huge immune boost. More than 5 grams of fiber and 226 mg calcium are two more excellent reasons to learn to cook these greens. Practical Tip: If you remember to enjoy at least 3 servings of leafy greens each day, you are much more likely to remember other things as well!

Collards can be enjoyed sautéed in a little olive oil and garlic, and can be added to soups, stews and pasta dishes. They become very soft when parboiled and can be used as a wrap for seafood, chicken, or dolmas.
Pasta with Sauteed Collard Greens and Pine Nuts

serves:  2                    prep time:  20 minutes                 

1 tablespoon olive oil
1 clove garlic, chopped
3-4 cups thinly sliced collard greens
Broth, if needed
1 cup cooked whole grain pasta (about 1/2 cup dry)
2 tablespoon pine nuts
1 generous tablespoon soft goat cheese
Optional: Parmesan cheese may be substituted for the goat cheese
Saute garlic in olive oil until fragrant about 30 seconds.  Don’t burn the garlic or it will become bitter. Add the collard greens and cook until tender. If the collards seem dry, add a small amount of broth into the vegetables. When they are cooked, mix greens into the pasta along with the pine nuts and cheese.

Calories: 149 per serving, 170 with either cheese

*A quick tip for preparing collards for cooking: after washing the leaves, hold the stem side up and wrap your hand around the base of the leaf. Slide your hand down the stem and strip the collards off of the stem. If you are cooking the stems and the leaves, be sure the start the stems first as they need more cooking time than the leaves do.

- Kim Fielding

Apr 12, 2010

What is the National Weight Control Registry?

The National Weight Control Registry is an archive in the US for people who are successfully losing weight. The registry includes people who had lost at least 30 lb in 1 year and maintained weight loss for an average of 5.5 years. Total weight loss ranges from 30 to 90 lb. There are more than five thousand people in the registry, proving that weight loss and its maintenance is possible.


Most subjects in the National Weight Control Registry are white women; men comprise only 20% of participants, and few minorities are represented. Most subjects are aged 44 to 69 years, but all are older than 18 years.

Successful weight losers claimed following changes:

  1. Ate low fat, low calorie meals averaging about 1000-1800 calories per day.
  2. Engaged in high-intensity physical activity equal to about 2700 calories per week, about 8,000 to 12,000 steps per day or about 26 miles per week.
  3. Weighed daily or at least weekly
  4. Limited TV viewing to less than 10 hours per week
  5. Ate breakfast daily
  6. Continuously controlled dietary restraints in regards to refined sugars. There was no benefit from types of diet (Atkins or low carbohydrate)
  7. Maintained dietary consistency; no holidays or vacation breaks.
  8. Limited the fast food to less than once a month
  9. Limited the variety of foods, eating what gives satiety.

Apr 11, 2010

Ode to Beets

Beets are a root vegetable and offer valuable phytonutrient pigments which can provide powerful antioxidant protection. They are an excellent source of folate which is important for a healthy heart and normal tissue growth. One cup of cooked beets provides a variety of other nutrients, over 3 grams of fiber and all for under 75 calories.

One typically sees dark red beets in the produce section, but they also come in a yellow variety as well as a pink or pink and white version. Beet greens can be used in stir-fries or sautee along with other dark leafy greens.

Larger beets are typically peeled before eating but tiny beets may not need it. Two easy ways to cook beets are steaming and roasting. To steam beets, prepare a saucepan with a couple of inches of water in the bottom and a steamer rack. Bring the water to a boil. Trim the tops and bottoms off of the beets and then wash the beets but don’t peel them. It is easier to peel them after they cook. Cut them into quarters and add them to the pan. Cover the saucepan with a lid and steam the beets for about 15 minutes or until they feel tender when poked with the tip of a knife. Let them cool slightly and remove the peel by rubbing with a paper towel. The following recipe is a delicious and quick way to enjoy beets.

Steamed Beets with Goat Cheese (serves 4)

One pound beets, steam according to directions above

Salad Dressing:
3 tablespoons extra virgin olive oil
2 teaspoons lemon juice
1 small clove garlic minced
Sea salt and ground pepper to taste

2 ounces of soft goat cheese, crumbled

Place the steamed and peeled beets in a bowl. Stir the dressing together and taste to see if you need to add more salt or pepper. Gently stir the dressing into the beets and allow the flavors to meld. To serve, sprinkle crumbled goat cheese over each serving.

195 calories per serving

- Kim Fielding

Apr 8, 2010

Sleep and weight gain

It’s proven that sleep makes a great difference in weight management. Turns out that Americans have been sleeping about 2 hours less than 40 years ago and that also contributes to the epidemics of obesity. A survey by American Cancer Society found that average American was sleeping 8 and 9 hours per night in 1960 that dropped to 7 hours by 1995. Today, about 30% of adults sleep less than 6 hours a night. Sleep deprivation influences the weight through several mechanisms. The most obvious mechanism is that the longer you are awake, the hungrier you get and eat more. Others are more scientific:
• During sleep we have a change in most hormones, including the ones that influence the satiety and the appetite. During sleep the satiety hormone leptin goes down and goes up when people are sleep-deprived, then hunger increases.
• Sleep-restricted people crave mostly carbohydrates, sugars and calorie-dense foods.
• Sleep deprivation leads to insulin resistance and that helps you build-up the fat around your stomach.
• Sleep-deprived beta-cells (these are cells that produce insulin) of the pancreas do not respond to increased insulin resistance and eventually in predisposed people diabetes develops.

A minimum of eight hours of sleep is shown to maintain a healthy weight, keep you happy and prolong longevity. Develop a healthy habit: turn off the computer and the TV no later than 11pm. Reading a non-fiction book in bed will help to fall asleep easier than you think. Dr M

Apr 7, 2010

Mangoes

I was in the grocery store today and saw the first signs of fresh mangoes. The Champagne mango, grown in Mexico, has hit the shelves and are a tremendous bargain because they are plentiful and in season.

I like the Champagne mango because it doesn't go bad right away. In fact, I can actually keep them on my counter or in the refrigerator for up to a week.

The typical mango is a good source of vitamins A, C, and E, fiber, and healthy phytonutrients. At about 65 calories for 3-1/2 ounces, it is easy to add to a weight-conscious diet.

Mangoes are eaten raw, used in smoothies, and in a variety of other ways around the world. Mango salsa is a favorite over salmon or other fish.

The mango has one large pit in it and the best way to get to the fruit is to cut the mango in half lengthwise along the pit. Either peel the flesh off and slice the fruit, or cut it into cubes for salsa. Enjoy!

Mango Smoothie (serves 1)

1 mango, peeled and seeded, cut into cubes
1 vanilla or tropical flavored yogurt, no artificial ingredients please!
Crushed ice, enough to chill the smoothie

Puree the ingredients in a blender and enjoy.

270 calories

- Kim Fielding

Apr 6, 2010

Alcohol and weight.

Alcohol is relatively high in calories and naturally may cause weight gain. But epidemiological studies haven't provided consistent evidence of that relationship, particularly when studies looked at moderate drinking.
A recent study, published in Archives of Internal Medicine showed that normal-weight middle-aged to older women who drank from 5 to 30 grams of alcohol daily (the equivalent of a glass or two of wine), gained less weight and had a lower risk of becoming overweight or obese compared with those who didn't drink or drank too much.
Seeing many women with obesity in my practice, I agree with this trend. Most overweight and obese women do not like alcohol at all or claim to have only several drinks in a year year.
In the same study, the same wasn’t true for men. Hallelujah! For a change, something was better for women compared to men! Could this stem from the way men and women metabolize the alcohol? The more likely explanation is that men add alcohol to their daily dietary intake, while female drinkers substitute alcohol for other foods without increasing total energy intake, the researchers said. Women who drank alcohol had a lower energy intake from non-alcohol sources, particularly carbohydrates. In regards to calories, one glass of red wine has the same amount of calories as the 100% grape juice and about 20 calories more than apple or orange juice. It is certainly not just the amount of calories.
But for now, if you’re a middle age or older woman and are enjoying a glass of wine, do not have a guilt feeling in regards to calories from the wine. Mild to moderate drinking was previously shown to benefit the heart and prevent diabetes, but this is the first study showing the benefit in regards to weight. Cheers!
Dr M

Apr 5, 2010

Ode to Kohlrabi

Kohlrabi is a cultivar of cabbage and is a member of the Brassica family along with cauliflower, broccoli, kale, collard greens and Brussels sprouts. The taste is similar to the broccoli but sweeter and milder. There are several varieties but most commonly seen in our stores are the light green and purple varieties. The leafy greens can also be eaten. Some cultures eat this every day. A one-cup serving of kohlrabi has about 30 calories and offers almost 4 grams of fiber. In addition, it is an excellent source of vitamin C.

This vegetable may be eaten raw or added to soups or stews.

A quick and delicious appetizer, peel the kohlrabi and then slice it thinly. Eat it plain or with with creamy white bean dip or hummus.

- Kim Fielding

Apr 4, 2010

Why and how much Vitamin D do you need to take?

Our bodies convert ultraviolet B rays into Vitamin D. But, most people, except for residents of Florida and Hawaii, do not get enough sun exposure. Lack of exposure to sun due to sun screen usage, skin pigmentation, higher latitudes, clothing , spending many hours at home and pollution has created a wide spread vitamin D deficiency. Even in sunny Northern California, more than 80% of our patients had lower than normal levels of vitamin D. Vitamin D deficiency has been linked to many chronic illnesses, such as depression, heart disease, multiple sclerosis, diabetes and cancers. A lack of vitamin D is also notorious for causing rickets. Remember when we were forced to take cod liver oil every day as kids? Yuck! Since then, milk has been fortified with vitamin D and the practice of the force-feeding of the stinky cod liver oil been rendered obsolete.

Food sources of vitamin D are fish liver oil, the flesh of fatty fish, the fat from seals and polar bears (yummy!), and fortified milk. Unfortunately, many people do not drink enough milk and avoid eating polar bears, plus it’s not clear that even if you do, you’ll get a sufficient level in the blood. So, it’s obvious that we need to supplement vitamin D but then how much?

The official recommendation is 200 to 600 units per day, depending on age. However, most people who take that much vitamin D still have levels below normal. While officials of the US Advisory Board are waiting for more data to support increasing the recommended dosage, we suggest people take at least 1000 units, and up to 2000 units in the winter months. It is cheap and safe and those doses do not have any side effects. In the last several years, the market for vitamin D skyrocketed from 50 million to 250 million. Clearly, I’m not the only doctor who recommends taking adequate vitamin D daily to normalize its level in the bloodstream.

I know this advice can be confusing. For years, we were told that going under the sun unprotected would give us skin cancer, and now we’re hearing that protection will give us a vitamin D deficiency. The best solution is to continue with the precautionary measures, but to take supplements with meals.
--Dr M

Apr 3, 2010

Simple Healthy Easter Dinner

Easter Week evokes thoughts of fresh in-season vegetables and Spring Lamb. Easy to make and nutritious too, the following menu will hopefully inspire you to cook.

Grilled Leg of Lamb
Steamed Green Beans and Asparagus
Roasted New potatoes with herbs
Tossed Green Salad with tangerine slices,
sliced almonds, scallions and a light vinaigrette
Fruit Sorbet for dessert

Allow about 4-6 ounces of lamb per person. Purchase bone-out leg of lamb. Have your butcher "butterfly" the lamb so that it cooks evenly. To butterfly a meat means to cut the meat so that it lays with even thickness in one piece.

Once the meat is butterflied, flatten it out with your hand and season the lamb with sea salt, pepper and garlic powder. Grill on a barbecue or broil in the oven until cooked, about 10 minutes per side depending on the thickness of the meat. Remove from the heat when cooked and cover with foil until ready to serve. Thinly slice the lamb "against the grain" and serve.

If you are not sure about steaming, you can poach the vegetables in a skillet. Fill a skillet with water and bring it to a simmer over medium-low heat on the stove. Trim the ends off the green beans and asparagus. Cook the green beans first in the simmering water for about 3-4 minutes or until just tender. Remove them from the water and set aside. Now cook the asparagus in the same water for 2 minutes or until tender. Remove them from the water and serve with the green beans. These may be seasoned with sea salt and pepper, or even a squeeze of lemon.

For the potatoes, allow 3-4 small potatoes per person. Rinse and cut them into pieces all the same size. Place in a baking pan and pour about a tablespoon or so of olive oil over. Toss well to lightly coat the potatoes. Season with sea salt and pepper and cook for 20 minutes at 350 degrees. About halfway through the cooking, remove the potatoes from the oven and turn them over on the pan. Place back in the oven to finish cooking. Depending on the size of the potato pieces, you can cook them longer if need be.

For the salad and to make things simple, use pre-washed lettuce from the store. A light vinaigrette may be made using 2 parts canola oil and 1 part rice wine vinegar, salt, pepper, and a pinch of sugar. Taste the dressing and adjust with more oil if you want a milder salad dressing.

Purchased fruit sorbets are a simple and elegant way to finish this meal.

-  Kim Fielding

Apr 1, 2010

Chocolate, heart attack, stroke and diabetes.

German investigators looked into the association of chocolate consumption with blood pressure (BP) and the incidence of cardiovascular disease (CVD). They questioned about twenty thousand people. The results were excellent for both, chocolate makers and lovers. Chocolate consumption appeared to lower CVD risk, in part through reducing BP. Chocolate eaters had less strokes than non-eaters. That correlation was even stronger for strokes than for heart attacks.
The researchers concluded that dark chocolate may hold more benefit over all other types of chocolate, because it is particularly high in flavonols. These compounds may improve endothelial function by improving the elasticity of blood vessels, Dr Buijsse, the principal investigator said. The article on benefits of chocolate was published in the recent European Heart Journal.
What about diabetes? If you eat too much of milk or dark chocolate then you might get diabetes, so eat but don’t overeat your piece of dark chocolate every day.