Showing posts with label diet. Show all posts
Showing posts with label diet. Show all posts

"Can You Give Me a Good Diet?"

Saturday, May 9, 2015

If I had a quarter for every time I heard that question, I wouldn't need to work as a dietitian any more.


First off, I hate the term "diet". It is usually spoken in a negative tone and more often than not implies a short term restriction of calories or certain foods or food groups to aid in weight loss. 

The definition of diet as a noun: the kinds of food that a person, animal, or community habitiually eats; or a special course of food to which one restricts oneself, either to lose weight or for medical reasons. It can also be used as a verb: restrict oneself to small amounts or special kinds of food in order to lose weight. 

While all those definitions are true, the first is my favorite. Notice the word habitually. It implies a lifestyle, habits, choices made continuously. It conjures an image of a life designed around deliberate choices; choices made to reach a desired end. Most people who ask me for a diet do not have this definition in mind. They're thinking of the second. They want me to give them a quick answer, a magic pill, if you will, to help them lose weight. 

There is no magic pill. There are no special foods that will melt fat or burn calories because they "require more energy to digest than they contain". 

Second, nutrition is personal. Just like each and every person is different, the nutrition that is best for that person will be different. I can't - and won't - give them a calorie goal, "dieting tips" or any other nutrition advice without first having the chance to view a medical record for pertinent information or interviewing the person for lifestyle choices and daily habits. What works for one person might not work for all.

And, last but certainly not least, more than likely they don't want to hear what I have to say or have no intention of taking any of my advice or instructions to heart. 

In the early stages of my career as a dietitian, when I was asked that question, I was eager to answer. I wanted to help people. After all, that's why I wanted to be a dietitian. I would start out with, "Sure! Make sure to eat 3 meals a day, incorportate lots of fruits and vegetables and try to exercise." But as soon as I opened my mouth, the person asking the question would interrupt (or if they were nice would wait till I finished) and say, "I just can't do breakfast. It makes me sick to eat in the morning." or "I hate salads. I just can't do vegetables because I hate salads." 

It seems the minute they start to hear changes that have to be made or things they'll have to do that don't include a magic pill or food or some secret only a dietitian must have, they stop listening. 

An individual doesn't gain weight or become unhealthy or develop a disease overnight: chances are they won't lose weight, get healthier or suddenly be cured of a disease overnight either. No one seems to want to hear that. And I don't blame them. Waiting is hard. Change is harder. But a quick fix is just that:  a quick fix. It's not a solution. 

So please don't ask me if I know a good diet.

But if you would like personalized nutrition advice tailored to your specific height, weight, BMI, disease and/or health state, I'd be more than happy to make an appointment with you. Please be prepared to hear what you might not want to hear or be advised to make changes you may think at first to be too hard. But I promise to help you make changes that you can incorporate (and may have suggested yourself!) into your daily life. If you're unable to make an appointment with me, please seek advice from another Registered Dietitian. Use the "Find an Expert" tool on the Academy of Nutrition and Dietetics website. http://www.eatright.org/find-an-expert 

If you do ask me, please don't be surprised to hear, "I'm sorry, I don't. But I'm sure Dr. Oz does."

Surviving the Holidays

Tuesday, November 16, 2010

With the holidays quickly approaching, here are some ways to avoid that holiday weight gain or from blowing the diet you are following:

Develop a Strategy That Works For You:

  • Don’t go to a party on an empty stomach.
    • Have a small snack of protein food before you leave. Protein helps satisfy your appetite and helps you eat less.
    • Eat every 3-4 hours. Don't "save up" so you can eat more at dinner.
    • Always take a healthy snack with you.
  • Offer to bring a food item to a party that is low-fat, low-sugar or both.
    • Examples: cheese and crackers, cheese and fruit, deviled eggs, sugar-free desserts, etc
    • Consider the food options at a meal – pot luck, buffet – then decide what items will be the best options for you.
    • See recipes at the bottom of this post.
  • Never eat directly out of a box, bag, or bowl.
  • Decide what you’re going to have and make one small plate of food. 
  • Sit down and focus on the food.
    • Standing up and chatting, especially next to the food table, makes it easier to lose track of what and how much you have consumed.
  • Pace yourself.
    • Take very small bites.
    • “Savor the flavor” of each bite of food. (Remember Remy from Ratatouille?)
    • REMEMBER: make your mouth do all the work - chew each bite 25-30 times.
  • Stay away from the food table so you’re not constantly tempted to nibble and graze.
  • Drink water or other non-caloric beverages.
    • Coffee and tea, which are very low in calories, are staples at holiday parties and often come in festive flavors.
  • Chew gum.
    • Chewing sugar-free gum can satisfy your oral fixation and curb your appetite at a party.
  • Tweak your favorite recipes.
    • Replace full-fat items with low-fat or fat-free.
    • Replace sugar with Splenda or another sugar substitute.
  • Socialize.
    • Make your holiday about reconnecting instead of chowing down. Holidays are for family and friends, not food.
  • Give it away.
    • Don’t keep leftovers lying around. Donate the excess to a local homeless shelter or pack up doggie bags for family members and friends.
Take Time to Exercise During the Holidays:
Exercise is a great stress releaser and you have to do something to burn up those extra calories and help energize you!
  • Start new traditions.
    • Plan to take a walk or play touch football with relatives instead of having an extended happy hour.
  • What about a Wii?
    • Invite your family to play together – bowling, tennis, boxing, etc. It’s great fun and good exercise, too!
  • Park further away from the store, or take a couple laps around the mall before you really start shopping.
  • Buy yourself a pedometer.
    • Mark your steps on the calendar each day and try to increase the steps each day.
    • See if you can walk 10,000 steps in a day. When you do, give yourself a gold star!!
Here are some recipes I found. I haven't tried them out yet, but when I do, I'll let you know.

Low-fat Dressing or Stuffing
Ingredients:
1 pound whole grain bread, cubed
1 pound mushrooms, sliced
1 large onion, sliced
5-10 cloves garlic, minced
1 tsp dried sage
2 tsp dried thyme
Black pepper to taste
1/2 cup white wine
Non-fat chicken broth or vegetable broth
1 egg or egg substitute
Salt to taste

Preparation:
sauté mushrooms, onion, celery, and garlic in the white wine.
Add the sage, thyme, pepper to the vegetables as you cook.
Cook until tender—don't overcook the mushrooms.
In a large bowl, mix the cooked vegetables with the bread cubes.
Add the egg and broth until it is moist.
Use to stuff poultry or cook separately.

To cook separately: bake covered for 30 minutes at 350F, uncover and bake 15 minutes more.

“Mock” Garlic Mashed Potatoes


Ingredients:
1 medium head cauliflower
1 tbsp fat-free cream cheese, softened
1/4 cup grated Parmesan cheese
1/2 tsp minced garlic
1/8 tsp straight chicken base or bullion (may sub 1/2 tsp salt)
1/8 tsp freshly ground black pepper
1/2 tsp chopped fresh or dry chives, for garnish

Preparation:
set a stockpot of water to boil over high heat.
Clean and cut cauliflower into small pieces. Cook in boiling water for about 6 minutes, or until well done. Drain well; do not let cool and pat cooked cauliflower very dry between several layers of paper towels.
In a bowl with an immersion blender, or in a food processor, puree the hot cauliflower with the cream cheese, Parmesan, garlic, chicken base and pepper until almost smooth.
Garnish with chives and serve hot.

Sugar-free Cranberry Sauce


Ingredients:
1 bag of fresh cranberries (12 oz)
Sugar substitute equal to 1 cup sugar
1 cup water
1/4 teaspoon salt

Preparation:
1. Put cranberries in a pot on the stove, and pick through to remove soft and/or brown ones.
2. Add the rest of the ingredients, stir, and bring to a boil on medium-high heat.
3. Stir frequently. The cranberries will pop, and then release their "gel" -- and the sauce will come together like magic. Cook until the sauce is the consistency you want, about 5 to 10 minutes.

Sweet Potato-Pecan Casserole


Ingredients:
Cooking spray
3 1/2 pounds sweet potatoes (about 5 medium), peeled and cut into 1-inch chunks
1/3 cup honey
1 large egg
1 tsp ground cinnamon
1/4 tsp ground nutmeg
1/8 tsp ground ginger
Kosher salt
1 tbsp packed dark brown sugar
1/3 cup finely chopped pecans

Preparation:
Preheat oven to 350F. Mist an 8-inch square baking dish with cooking spray.
Bring a few inches of water to a boil in a pot with a large steamer basket in place.
Put the sweet potatoes in the basket, cover and steam until tender, 20 to 25 minutes. Transfer the potatoes to a bowl and let cool slightly.
Add the honey, egg, 1/2 tsp cinnamon, nutmeg, ginger and 1/2 tsp salt; whip with an electric mixer until smooth. Spread the sweet potato mixture in the prepared baking dish.
Mix the brown sugar, pecans and remaining 1/2 tsp cinnamon in a bowl; sprinkle over potatoes.
Bake until hot and beginning to brown around the edges, 40-45 minutes.

Devilish Eggs


1 dozen eggs
2/3 cup silken tofu, drained
1 tbsp low-fat mayonnaise
1 tbsp Dijon mustard
1/2 tsp hot sauce, plus more to taste
2 tsp prepared horseradish
2 tbsp chopped chives
Salt
Freshly ground black pepper
1/4 tsp paprika

Place the eggs in a large saucepan and cover with water. Place over high heat and bring to a boil. Reduce the heat to low and simmer for 9 minutes. Remove the eggs from water and run under cold water for 1 minute or until cool enough to touch. Peel eggs under cold running water.
Slice the eggs in half lengthwise. Scoop out the yolks and discard 6 of them or save for another use. Set aside the whites.
Place the remaining yolks in a medium bowl and mash with the tofu, mayonnaise, mustard, hot sauce, horseradish, and chives. Season with salt and pepper.
Spoon the mixture into the corner of a plastic bag and snip off the end. Pipe the yolk mixture into the egg whites. Arrange on a platter and sprinkle with paprika

Crustless Pumpkin Pie


Ingredients:
1 (15 ounce) can pumpkin puree (NOT pie filling!)
1 (12 ounce) can evaporated skim milk
3/4 cup egg whites
3 tsp pumpkin pie spice
1 tsp vanilla
2/3 cup granular Splenda
Pam cooking spray

Preparation:
Preheat oven to 400F.
Combine all ingredients.
Spray 9” pie plate with Pam.
Pour mixture into pie plate.
Bake at 400 F for 15 minutes.
Reduce heat to 325 F and continue baking for about 45 minutes or until a knife comes out clean.

Ricotta Cheesecake with Fresh Raspberries


Ingredients:
Cooking spray
1 (15 ounce) container part-skim ricotta cheese
1/2 cup low-fat sour cream
4 ounces fat-free cream cheese, softened
3 large eggs
3/4 cup Splenda
1/4 cup all purpose flour
1 tsp vanilla
1 tsp finely grated orange zest
1/4 tsp salt
1/4 cup all-fruit seedless raspberry jam
1 tbsp orange liqueur or water
2 (6 ounce) containers fresh raspberries

Preparation:
Preheat oven to 325 F.
Coat a 9 inch springform pan with cooking spray.
Place ricotta in a food processor and process until smooth and creamy. Add sour cream, cream cheese, eggs, Splenda, flour, vanilla, orange zest and salt. Process until well blended.
Pour into prepared pan and bake until the center is just set, 50-55 minutes. Transfer to a wire rack to cool and then cover and chill in the refrigerator for at least 3 hours.
In a small saucepan, bring the jam and liqueur or water to a boil, stirring constantly until smooth. Remove sides of pan. Brush the tart with the jam mixture and top with raspberries, flat-side down.