Tuesday, January 14, 2014

Try My Dietitian Approved Entree at Ella's American Bistro in Wayne, PA!


I've partnered with the chef at Ella's American Bistro to create a healthy and delicious meal for patrons to order for dinner. The dish is called "fish (of the day- fill in name here- examples: salmon, swordfish) a la maison" and will be 450- 600 calories on average (depending on the type of fish used). The fish is limited to a 5 oz serving, 1/2 cup of barley cooked with homemade no-sodium added broth, and wilted Swiss Chard with <2 tsp sesame oil.

The nutrition information for the entire dish is available upon request at the restaurant, but keep in mind the nutrients and calories will vary slightly for each fish. As far as healthy menu options go (especially for not being a salad!) this is a sure crowd-pleaser. This dish is very low in calories, sodium, calories, and fat compared to most out there. Be sure to order it and let me know what you think!

Note: The picture  shows an optionalside of Sriracha hot chili sauce which does not come with the meal- this will add about 5 calories and 100 mg of sodium per teaspoon to the dish.

Friday, January 10, 2014

Intermittent Fasting Can be a Good Way to Lose Weight & Improve Health

If you read health magazines or watch shows that discuss weight loss, you have probably heard the new craze of Intermittent Fasting (IF). Basically, there is no real definition for IF, and many health experts, doctors, and book authors define it differently. I, personally,  define fasting as not eating or drinking anything besides water for at least 24 hours.

I am okay with people fasting since I think it is a natural process that the human body is meant to deal with.  A lot of how our body stores fat and how the metabolism works is attributed to our genetic makeup tracing it back to our ancestors. These people typically went through days where they consumed adequate calories, then some days where they had very few calories. Therefore, the need to store fat and conserve energy was important for survival. So, IF seems like a sensible thing for dieters to try since we seem to be going against our own genetic makeup by eating all day 24/7. I also think it is good for people to experience hunger, and have your body go through all the anabolic and catabolic metabolic pathways (glycolysis, gluconeogenesis, lipolysis, etc.).


According to some studies, IF may accelerate weight loss, decrease inflammation, blood pressure, cholesterol, and decrease the risk for cognitive decline, heart disease, and certain cancers. However, improving insulin sensitivity seems to be a benefit that is seen across most of the IF study subjects.

My Recommendation: I only recommend IF for those people that don’t have diabetes, hypoglycemia, or any health condition that would contraindicate IF. I basically only recommend IF to those people that know they do not exercise 2 days out of the week and are unwilling to, and know that they can go long periods of time without eating and not pass out. I would rather people exercise every single day (yes, even on "off" days go for a brisk walk or do yoga!) and eat normally than be sedentary and only eat a few hundred calories. But, if you know you will not exercise on certain days, use those days for IF.

Furthermore, I only recommend IF for people who have strong willpower- the last thing I want is someone binging at night because they haven't eaten during the day and have such strong cravings that they end up eating a tub of Ben & Jerry's at night. I also don't encourage people to use IF as an excuse to eat crap during the days they are not fasting, because you will most likely not see the health or weight loss results you want. 

I, personally do not practice IF due to the fact that I am very active and it would be unwise/unhealthy to limit my calories to <600 on any given day. However, IF can be a great tool if you are trying to lose weight and have good self control. I recommend Dr. Michael Moseley’s approach which requires you to consume <600 calories two days out of the  week. If you are trying to lose weight and stick to a well-balanced 1500 calorie diet the other 5 days/week, you should technically lose about an extra half pound per week. On the days that you are eating <600 calories, I recommend loading up on fruits and vegetables since you can eat a high volume for few calories. It is also important to include lean proteins and whole grains and drink TONS of water. 600 calories can be a substantial amount of food if you are choosing the right foods! 

So, again, I don't really define this as fasting, I would say it is more Intermittent Extreme Calorie Deficit (IECD- you heard it hear first!). You can choose any two days out of the week you want, but those are the ONLY 2 days out of the week that you aren't getting a good workout in (being physically active is CRUCIAL to living healthy!).


References:
Proc Natl Acad Sci U S A. 2003 May 13;100(10):6216-20. Epub 2003 Apr 30.; http://www.bbc.co.uk/programmes/b01lxyzc
 Med Hypotheses. 2006;67(2):209-11. Epub 2006 Mar 10.
 J Nutr. 2003 Jun;133(6):1921-9.

Friday, January 3, 2014

Learn Where Extra Calories Are Sneaking Into Your Diet!

You don’t need to go on a radical diet to lose weight. I encourage people to eat more vegetables, eat only whole grains (i.e: not refined grains), nonfat or low-fat dairy, fresh fruit, and lean sources of protein, and incorporate exercise into your daily routine. However, if that is too overwhelming for you at this point in your life, just cutting out a few things from your diet can have a huge impact. It is estimated that 3,500 fewer calories will cause you to lose 1 pound. So, if you cut out 250 mindless calories each day, you can theoretically lose a pound in 2 weeks. If you consciously change your eating to healthier choices and add on exercise, you will lose weight much quicker. Below are some common food items I see that contribute tons of calories to people’s diets without them even knowing:

·         Oils & Fats
o   1 tbsp of olive oil has 130 calories- so go easy on the oil and add water to help sauté foods
o   1 tbsp of peanut or almond butter has about 100 calories. These are healthy fats but not fantastic sources of protein, so if you are eating nuts you can probably do without nut butters in your diet.
o   1 tbsp of mayo has 100 calories
o   1 tbsp of butter has 100 calories

·         Alcohol
o   5 fl oz of wine has 130 calories- if your serving size is slightly larger than that and you decide to have 2 glasses each night that could be contributing 300 extra calories each day!

·         Juices
o   I always say it is better to eat a fruit than drink the juice. Whole fruit is more filling and you will get more antioxidants, phytonutrients, and fiber through eating the real thing. 1 cup of fruit juice typically has 100-140 calories… even if it is 100% fruit juice and “no sugar added”, it will still be loaded with sugar and calories.

 ·         Cheese
o   1 oz or 1 slice of cheese, on average, has 100 calories. If you put 2 slices of cheese on your sandwich for lunch, that can be adding 200 calories each day to your diet. Also be conscious of those cheese cubes at cocktail parties- each 1” cube is 100 calories too! Monitor your cheese consumption!

·         Nuts
o   Yes, nuts are very healthy. However, the calories add up quickly. 3 tbsp of peanuts has about 200 calories, and ½ c almonds have about 260 calories. Nuts are definitely a snack you don’t want to just grab handfuls of, because you could be adding hundreds of calories to your diet without even thinking about it.

·         Calorie-dense cereals
o   Many people think granola is a healthy choice for breakfast. While it may contain whole grains and nuts and seeds, it typically contains a lot of added sugar and oils. One cup of granola can easily pack 400-500 calories per cup. Similarly, cereals like muesli or any mixed cereal with dried fruits and nuts will typically be very calorie dense. Always read the label and watch your portion size!

·         Proteins

o   For some reason, many people believe they can eat as much “protein” as they want and it won’t make them gain weight. Extra protein calories will just be converted to fat if not used, so you need to watch your protein intake just as you do carbs. A standard “serving” is 3 oz of boneless skinless chicken breast, which contains only 140 calories. However, most people eat larger than 3 oz servings, and the meat will typically be fattier than boneless skinless chicken breast, and/or fat will be added, contributing many more calories, especially in a restaurant setting. Also be conscious of protein powders… if 1 scoop is 100 calories and your body doesn’t need that extra protein, those extra calories will basically just be adding to your waistline ;-)

If you want to be successful at losing weight, the best thing you can do is be aware of the foods and calories you are consuming! If you can decrease the quantity of some of the foods above, you should lose weight (as long as you don't replace those calories with something else...)
Information on Insurance reimbursement for Nutrition Counseling:

INDEPENDENCE BLUE CROSS and AMERIHEALTH Members: Personal Choice, Keystone Health Plan East, AmeriHealth, or Independence Administrators members may receive 6 free nutritional counseling sessions each year with Kelly!
*Note: Medicare and Blue Cross/Blue Shield plans are not covered & specific IBC plans may not be covered
AETNA Members: Aetna reimbursement depends upon your specific policy. Many plans do offer 100% coverage for up to 10 visits per year!