National Nutrition Month

I realize I’m a little late in the game (like, 18 days late) for this, but it’s National Nutrition Month!

The Academy of Nutrition and Dietetics (AND) celebrates NNM each March and uses it as a campaign to educate anyone who will listen about healthy eating.  For those who don’t know, it is AND (through their accrediting arm) that ‘registers’ dietitians.  I’m a member now as a student, and will be an RD in just a few short months!

I actually wrote a blog post for the Buffalo News Refresh section (spoiler alert–I was going to write a separate blog post about that–it will be forthcoming), which will go live tomorrow.  Again, better late than never.

Below is what I wrote, but be sure to check out the Buffalo News Refresh blog (toward the bottom) to see my post.  I’ll have more soon on my blogging opportunities as well.

Also, be sure to check out the New York State Academy of Nutrition and Dietetics’ first Public Service Announcement promoting Registered Dietitians here!

Bite into a Healthy Lifestyle

Every March since 1973, the Academy of Nutrition and Dietetics has dedicated time to increase awareness about making healthy choices and increasing physical activity. It began as a week-long campaign and lengthened to a month in 1980. Registered Dietitian Nutritionist Day, also in March, recognizes RDNs as nutrition experts who are uniquely qualified to provide nutrition services to the public.

This year, National Nutrition Month’s theme is ‘Bite into a Healthy Lifestyle,’ which encourages everyone to adopt eating and physical activity plans that are focused on consuming fewer calories, making informed food choices and getting daily exercise in order to achieve and maintain a healthy weight, reduce the risk of chronic disease and promote overall health.’ Read on for easy, simple ways to incorporate healthier choices into your lifestyle!

Consume Fewer Calories

Weight gain, while influenced by multiple factors, does come down to simple math: if you take in more calories than you burn, you’ll gain weight. Prevent that by finding ways to decrease your calorie intake.

-Consider counting your calories. If you don’t know how much you’re eating, it’s easy to go overboard. Click here to access MyPlate’s Super Tracker.

-Decrease your portion sizes.

-Drink a glass of water before meals and snacks. Often, we think we’re hungry when we’re simply thirsty.

-Start meals with broth-based soups, salads or veggies so you’ll have less room for the higher-calorie options.

-Eat fruit for dessert and keep cut-up veggies in the fridge for snacking.

-Don’t drink your calories. Switch from whole to 1% or skim milk, cut out sodas and other sugar-sweetened beverages. Opt for fruit instead of juice when possible.

Make Informed Food Choices

Knowledge is power. Take charge of your health by being proactive about what you eat.

-Read food labels. Note serving size, calories and fat in each, and limit yourself to that serving size.

-Go the extra mile and learn what carbohydrates, fats and proteins are. Go to ChooseMyPlate for more information about each nutrient and the amounts recommended for you.

-Prepare your meals and snacks in advance so that you’re never caught without a healthy option on-hand to grab when you’re in a rush.

-Look at online menus before going out to eat to find healthier options at your favorite restaurants.

Get Daily Exercise

It’s recommended that adults get at least 30 minutes of exercise most days of the week, and 60-90 minutes to prevent weight gain.

-Get a pedometer to track your steps; aim for 10,000 each day. For fun, team up with friends and compete to get the most steps.

-Have a dog? Get out and walk. Other good excuses to get outside include yard work and playing with your kids.

-Take the stairs instead of the elevator.

-Park your car at the far end of the parking lot to increase your steps each day.

-Find an activity you enjoy and do it. Not everyone enjoys running; your strength may be a Zumba class or spinning.

-Meet friends for a walk instead of coffee.

-Winter isn’t an excuse to stay inside—find an activity you enjoy. Snow shoeing, skiing, ice skating and even sledding burn calories, increase your heart rate and are fun ways to take advantage of the season.

For more information about National Nutrition Month, click here.  Interactive quizzes and games are available online here.

ECMC

Welp, my first rotation has come and gone, and I’m just now getting to blog about it.  Can we say BUSY much?!

Between ‘working’ at one of our local hospitals and keeping my gym schedule, I was doing 12-hour days all week.  So this is what a real job is like…

As a re-cap, I’m in my LAST semester of my LAST year, (PTL) which is broken into three month-long rotations.  My first rotation was my ‘senior practicum,’ in which I shadowed a Registered Dietitian.  Many of my fellow students chose specific areas of practice, such as pediatrics, long-term care or Bariatric Surgery.  I chose to work with one of our existing preceptors at Erie County Medical Center in a more general hospital setting.  Because I’m not planning to work full-time in acute care, I wanted to make sure I got some clinical experience before graduation.  I worked with Jennifer Oswald, RD, on her medical and surgical floors, as well as some ICU work with another RD.

A typical day started with Jennifer giving me 4-5 patients who needed new assessments or follow-up assessments.  Because there aren’t extra computers in the nutrition office, I usually wandered up to one of the floors and grabbed a computer at the nurses’ station, where I looked up each patient in the Electronic Medical Record and began charting.

After beginning their assessments, which included information such as their diagnosis, past medical history, lab values, medications and current diet order, I would track each patient down in their rooms and ask them a few questions.  Most of the time, I discussed their allergies, GI function, last bowel movement, nausea, vomiting, diarrhea, constipation and intake prior to admission.After I saw each patient, I’d go back to a computer and finish writing up the assessment and provide a recommendation, such as:

“Recommend Heart-Healthy diet with Ensure supplement 2 x day.  Monitor: PO  (by mouth) intake, weight, labs/lytes, skin, BM, hydration.”

On one of my last days, I did a test tray from the kitchen.  ECMC is beginning to implement an ‘on-call’ system for the kitchen, which is like having a short-order cook instead of set meals that go up on trays at specific times.  I ordered an egg salad sandwich with chips and fruit.  I checked the temperature of the hot and cold items, and filled out a questionnaire about taste, texture, appearance, etc…While at ECMC, I accompanied Jennifer to her outpatient counseling sessions on Wednesdays.  I really like outpatient counseling, which allows you to go much more in-depth with each person and individualize the session to their needs.  I also made a ‘craft’ to display nutrition labels for teaching:Overall, I was very pleased with my rotation.  I was able to get a lot of clinical experience with both general medical and surgical patients, as well as those in the ICU and on tube feeds.  Additionally, I was able to get some outpatient counseling experience.  I absolutely HATED getting up and out in time to drive into Buffalo in the mornings (in the worst weather EVER), which just solidified the fact that I do not want a full-time, in-Buffalo, hospital job.  It’s just not for me.  I hated being away from the house ALL day long.  I did, however, surprise myself with how much I liked the clinical atmosphere and the ICU.  I could see myself working 1-2 days a week in a clinical setting to keep my skills sharp, but not full time.

To Paleo, or Not To Paleo?

The not-so-simple answer: Yes.

Yes, go ahead and go Paleo.  Andrew and I found it was shockingly easy to ‘give up’ grains and dairy and continue to eat very healthy, flavorful and satisfying meals.  We felt great, dropped a few pounds and cut out much of the mindless munching that goes on when pretzels and candy lurk in the pantry.  Many of the important vitamins and minerals and nutrients found in grains and dairy–such as calcium, B vitamins, phosphorus and fiber–are abundant in fruits, vegetables and meat as well.  While relatively ‘fad-ish’, eating Paleo can be quite healthy and works for many people.

Both grains and dairy have natural sugars (like fruits and vegetables) and make up large portions of the American diet, so cutting out those two food groups will undoubtedly lead to weight loss and ‘feeling better’ by decreasing your intake of sugar.  If most Americans were eating plain yogurt, kefir and whole wheat breads and NOT eating dairy and grain products packed with added sugar, salt and preservatives, I don’t know if Paleo would be quite so popular!  Unfortunately, the ‘standard American diet’ is made up largely of highly processed convenience items, such as Hamburger Helper, Cheeze-Its and yogurts with more sugar than ice cream.  I know I feel better when I don’t eat as many ‘grain’ carbs (even too much whole wheat pasta makes my tummy bloated) and opt for lots of veggies and protein.  And don’t avoid fat!  We need it to absorb lots of vitamins and minerals, it helps keep us full and rounds out our meals.  Ditch the no-fat and fat-free imposter products and stick to real or sometimes low-fat versions.

However, NOT giving up grains and dairy is OK, too.  I don’t buy into much of the ‘philosophy’ of the Paleo movement, and therefore don’t think the processing (such as milk pasteurization and turning wheat into flour) is as evil as they say.  Giving up grain ‘junk food’ like Doritos is one thing, taking away my whole-wheat flour and homemade (and quite healthy) baked goods is quite another.  Same with dairy; omit the ‘fruit on the bottom’ yogurt and keep the plain.  I don’t know that ‘eating like a caveman’ really applies in today’s society; we aren’t cavemen and it’s clear our gastrointestinal tracts are able to digest both gluten and lactose and all the other ‘evils’ devout Paleo-ers avoid like the plague.

In short, eating a ‘Paleo-type’ diet 80-90% of the time is probably a good approach.  In the weeks since our ‘primal challenge’ ended, Andrew and I have continued to eat many Paleo meals and love it.  As I meal-plan, I’ve been relying on protein sources and produce, with some grains and dairy items sprinkled in.  For example, I might have a veggie omelet with sides of sausage and fruit three or four mornings a week, and a homemade pancake or waffle with hard-boiled eggs the other two or three mornings.  Or, I might add cheese to things here and there.  It’s easy to go Paleo at dinnertime–simply omit the bread/rice/pasta and replace it with a starchy veggie, like sweet potato, or maybe use a spaghetti squash for noodles.

Going forward, I think I’d like our default setting to be ‘pretty Paleo’ (small amounts of cheese and dairy, beans are OK, mainly produce and veggies, almond and coconut milks) with grains and dairy appearing a few times a week, rather than a few times a day.  We’re still going to eat pizza and yogurt and such, just in smaller amounts.  And really, things like pizza (at least the take-out kind), should be a once-in-awhile treat, not every week.

Here’s a sample ‘strict Paleo’ day:

Breakfast: 2 eggs with salsa and avocado, sausage links, orange

Snack: 2 T nuts and some dried fruit

Lunch: 5 oz. cooked fish and 2 C veggies (with some sort of dressing/sauce)

Snack: apple and 1 T almond butter

Dinner: Beef stir-fry with cauliflower ‘rice’

Here’s a sample ‘pretty Paleo’ day:

Breakfast: Homemade burrito (small whole-wheat tortilla, black beans, sweet potato, egg, cheese, salsa), orange

Snack: cottage cheese and pineapple

Lunch: spinach salad topped with veggies and chicken, dressing, fresh fruit

Snack: pre-workout ‘energy’ muffin (homemade with oat flour; recipe from #runningonveggies)

Dinner: Chili (meat and beans), topped with avocado and a dollop of plain yogurt, salad

I might snack on a couple squares of dark chocolate at night, too.

Here are some recent dinners we’ve had since ending the Primal Challenge:

Stuffed peppers (Practical Paleo) and salad with pear and dried cranberries:

IMG_9563

Roast chicken with roasted sweet potatoes and salad:

IMG_9570

Turkey cranberry sausage (Trader Joe’s) with mashed sweet potatoes and green beans with almonds

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Breakfast Burrito:IMG_9572

Salmon with steamed broccoli and whole-wheat couscous with curry dressing and dried fruit:IMG_9574

See?  Paleo isn’t really very weird at all; it’s a diet packed with nutrients and REAL food.  While I don’t think it’s necessary to be quite so restrictive with the grains and dairy, it’s important they not make up the majority of your diet.  Fruits and vegetables and quality protein should be the foundation, with smaller amounts of grains and dairy mixed in for variety and flavor.

If you want more information, check out these blogs, websites and books:

Practical Paleo

Balanced Bites

Mark’s Daily Apple

Primal Blueprint

Well Fed

The Clothes Make the Girl

Taylor Made it Paleo