Have you found it difficult to balance a healthy diet with increased exercise or training?

Midtown Chicago’s Registered Dietitian, Jenny Maloney, is back to tell you how.

Spring is training season for many members. If you have a marathon, triathlon, 5K, or other athletic competition on the calendar, you’re likely exercising more and getting hungrier as well.

There is a fine line between fueling for your exercise or sport and overeating, which can result in weight gain despite an increased caloric burn.

The tendency after a hard workout is to eat twice as much as you normally would, and this can get you into trouble, so ensure that you are eating an overall healthy and balanced diet.  Are you consuming enough fruits and vegetables? Are you choosing whole grain versions of foods and lean protein?

Once you are eating a variety of healthy foods, then you can start to think about fueling for exercise.  Instead of eating two desserts after a hard workout, add an extra serving of fruit, vegetables, or protein, or add an extra healthy snack. For example, if your dinner is a chicken stir fry, add another ½ cup of brown rice and an extra ounce of chicken. If you are still hungry after dinner, you can always have a snack.

Make sure to eat before and after exercise so you are not starving when you are done. During the off-season or taper periods, cut down your portions but continue to eat healthfully. When you are in training or exercising more, you can eat more but make sure the food is still healthy.

What race(s) are you training for this spring?

As the obesity epidemic grows in scope, so too does the “blame game.” Lack of exercise, over-consumption of food, sedentary work environments, lifestyle choices, biological predispositions, genes…the list of possible culprits for America’s fatness goes on.

Fast food is a common target. Earlier this month, an advocacy group launched a campaign petitioning 26 hospitals across the country to remove a major fast food restaurant from their cafeterias with the aim of sending a “better message” to consumers.

Some of the reasoning behind the group’s initiative comes from a 2006 study published in the journal Pediatrics that concluded that allowing fast food centers to operate in hospitals not only affects guests’ consumption of fast food on the day of their visit, but also unintentionally boosts the perception of the “healthfulness” of fast food in general. Here’s more research that supports the initiative:

• The prevalence of obesity-related diseases has risen sharply over the past thirty years, and the number of fast food restaurants in America has more than doubled over the same period (The National Bureau of Economic Research).
• Studies have shown that “consumption of fast food among children in the US seems to have an adverse effect on dietary quality in ways that plausibly could increase risk for obesity.”
• Studies have shown that increased proximity to fast food restaurants is linked to an increase in obesity.

Courtesy of wagnerfpa.wordpress.com.

So being near to fast food increases the likelihood of obesity, but will removing fast food from hospitals (and other institutions and neighborhoods) help solve the problem?

Consider this:

• The New York Times recently reported that studies have shown that “there is no relationship between the type of food being sold in a neighborhood and obesity among its children and adolescents.”
• Restrictive “diets” and the “diet mentality” in general do not lead to long-term effective weight-loss. What does work, according to a recent study by the American Journal of Preventative Medicine, is eating less fat, exercising more, using prescription weight loss medications, or participating in commercial weight loss programs.
• Calling for removal of fast food from hospitals sends the message that fast food restaurants are “bad” and can be blamed for obesity, lessening personal responsibility for our own health.

Blaming fast food restaurants for obesity can place us on a slippery slope.  Should we remove buses from our streets to force people to choose the less convenient, but “healthier” walking or biking options?  After all, sitting for long periods of time is correlated with obesity, and most adults do not get the recommended level of exercise.

Similarly, while we should limit consumption of fast food, we can’t eliminate it from the American diet as long as there is a demand for convenient, inexpensive, and (arguably) tasty food.  We need to improve health through education and develop incentives that encourage healthy lifestyle decisions, proper nutrition, and exercise.

Perhaps a partnership between hospitals and Weight Watchers (or other proven commercial weight loss programs), or the establishment of walking groups or active events within hospital walls, could promote lasting change.

We won’t make any progress in the fight against obesity by playing the blame game at the expense of taking responsibility for our health into our own hands.

Courtesy of www.topnews.in.

What do you think? Will restricting fast food lead to a decrease in obesity? How can we as individuals, families, and institutions promote a healthier America?

Courtesy of eatright.org.

March is National Nutrition Month, and this year, the Academy of Nutrition and Dietetics is urging Americans to “Get Your Plate In Shape.” With the help of the “My Plate” model, which replaced the Food Pyramid in June 2011, the experts are giving us a reminder of the healthy nutrition goals we have heard before:

• Make half your plate fruits and vegetables
• Make at least half of your grains whole grains
• Switch to fat-free or low-fat dairy
• Vary your protein choices
• Cut back on sodium and empty calories from solid fats and added sugars
• Eat less
• Exercise more

According to Vegetarian Times, approximately 7.3 million Americans consider themselves “vegetarians” and 22.8 million more say they follow a vegetarian-inclined diet.  The American Dietetic Association supports this diet, citing appropriately planned vegetarian diets as healthful, nutritionally sound, and helpful in the prevention and treatment of certain diseases.

Think vegetarianism isn’t for you? It’s not as difficult as you might think, and the health benefits are significant.

Vegetarian diets are plant-based and consist of vegetables, fruit, grains, beans, nuts, and seeds. The diet is absent of animal products, including meat, poultry, seafood, fish (and sometimes dairy). While there are many varieties of this diet, these are its main categories:

• Vegan: No meat, poultry, fish, eggs, dairy products (or foods that contain these products)
• Lacto-vegetarian: The same as above, but dairy products like milk, yogurt, and butter are allowed.
• Lacto-ovo vegetarian: The same as above, but eggs are allowed.
• Flexitarian- or Semi-vegetarian: Primarily a plant-based diet, but small portions of meat, poultry, fish, eggs, and dairy—on occasion—are allowed.

Most vegetarians eat healthfully, which makes weight control easier for them. Doctors have long advocated that a healthy weight lowers the risk for disease.  This diet is also known to promote more physical activity and exercise, which also actively lowers the risk for disease.

A vegetarian diet includes colorful fruits and veggies, which are loaded with antioxidants, known to prevent many types of cancers.  Because it’s nutrient-dense and high in fiber, the diet lowers the “bad cholesterol” that causes heart disease.  The diet is also low in cholesterol and saturated fat, which helps to control blood lipid levels, an indicator of heart disease. What’s more, the plant-based protein in the diet lowers the risk of kidney dysfunction, kidney stones, and osteoporosis. Osteoporosis occurs when calcium is excreted in the urine from excessive protein.

Many vegetarians worry that they may not get enough of certain nutrients, but truth be told, meat-eaters miss many of these same nutrients, too.  Healthy options for a vegetarian include fruits, veggies, whole grains, beans, essential fats like olive oil, flax seeds, nuts and seeds, avocado, peanut and other nut butters.

The Vegetarian Food Pyramid can offer some guidance for those new to the plant-based diet.

People often become vegetarians to lose weight and eat “healthier.” Keep in mind, however, that one can still eat unhealthily on a vegetarian diet, so it’s worth taking the time and effort to reap its rewards. 

What’s your favorite vegetarian recipe? We’d love to read it!

It’s hard to exaggerate the important of heart health when almost 600,000 million Americans die of heart disease every year. Even individuals who are apparently fit and healthy can be caught unawares by a diagnosis, so let’s take a look at the steps you can take today to give yourself the best chance at a healthy heart now and in the future.

Courtesy of hometestingblog.testcountry.com

Step 1 – Know your numbers and risk profile: Schedule a doctor’s appointment and a blood test to learn the important numbers (risk factors) for heart disease, such as your blood pressure, cholesterol level, fasting blood glucose level, and BMI.

Having multiple factors for heart disease increases your risk exponentially, and some factors, such as age, gender, family history, and race, can’t be controlled.  However, knowing where you stand on the others will help you take the appropriate action; according Dr. Philip A. Ades of Eating Well, treating any one risk factor effectively halves your likelihood of developing heart disease.

Step 2 – Quit smoking (or better yet, don’t start): It’s easy for non-smokers to cite all of the negative effects of this habit as reasons to “just stop,” but they may not understand the seriousness of the lifestyle change required to quit. If it’s been a while since you have reviewed the risks associated with smoking, check them out here, and work with your doctor to develop a plan to quit.

The importance of the remaining steps cannot be understated, as they directly impact all of the remaining heart disease risk factors:

Step 3 – Adjust your diet if necessary: Making a conscious effort to reduce intake of saturated and trans fats, added sugars and sodium, and excess calories in general greatly reduces your risk for heart disease.

Some of the best ways to do that? Eat less heavily processed and refined food and substitute with more whole grains, fruits and vegetables, and lean proteins (including fish, nuts, beans, and lean meats). Keep a close eye on portion sizes of snacks and meals to lower your chances of overeating, and drink alcohol in moderation. For more healthy diet and nutrition tips from Midtown, click here.

Step 4 – Exercise more (or at the very least, sit less): Losing weight (or lowering BMI) is just one potential benefit of regular exercise. Consistent daily and weekly efforts to get up and move will help you become healthier, stronger, and more energized, and just 10 minutes of activity here and there can make a big difference.

Courtesy of www.bbc.co.uk

Once you begin consciously moving more, try adding more traditional exercise to your routine a few days per week for just a few weeks. Experiment with different activities until you settle on one that works for you. Your body and mind may not react positively right away, but if you don’t give exercise a real chance (which means a consistent effort), you will never experience the real benefits.

Step 5 – Stress less: While we hold out hope that someone will develop a “magic pill” that will banish stress from our lives forever, managing stress remains one of the most difficult aspects of our lives. Work and family commitments alone are enough to overwhelm our calendars and our worry threshold for the month. You can try to sleep more, take more time for yourself, and clear your schedule, but it’s not always possible to do those things.

So what can you do? It may help to start by identifying the centers of stress in your life and how you feel about them.  Observe what happens to your mind and body when you experience stress. Knowing what causes your stress in the first place can help you gain new perspective and create coping strategies that will reduce stress and its consequences. It takes patience and practice, but you and your heart are worth it.

What are you doing to improve your heart health?

February is here and with its arrival comes the opportunity to evaluate the success of health-related resolutions. If you’ve resolved to lose weight in 2012, and find yourself struggling, here are three tips to set you back on track.

Start a Food Diary

One of the tips you hear most often to help you change your nutritional lifestyle is to start a food diary. But what does that mean really? And why is it helpful?  Won’t it be depressing to see everything you’ve eaten? 

Allow me to de-mystify it for you. Here’s why you need to keep one:

1. You become accountable for what you are putting in your mouth. I don’t ask my clients to write a food diary just to yell at them about everything “bad” they ate.  It’s not about “bad” and “good.”  It’s being honest about what you’re eating and seeing where you can make small changes in your everyday nutrition that will add up big at the end of the month and year. 

2. You recognize emotional triggers or habits that you’ve created.  I like to see why my clients are eating what they are eating.  This may sound silly but we don’t always eat for energy.  Maybe we snack in front of the TV at night or always order dessert when we have lunch with our mom.  These are habits and triggers that affect our better judgment when it comes to nutrition.

3. You realize why you are starving  before dinner and snack on chips while you cook.  It’s important to note what time you wake, eat, and go to bed.  How soon you eat breakfast, how often you eat, and when your last meal is before you snooze are important.  If you wait too long to eat your next meal you’ll be starving and end up snacking on an entire meal before you sit down for dinner.  Or you’ll stop at a fast food drive thru. Both habits are not good.

Here’s an example of a thorough food diary:

7:30 a.m. – Woke up

8 a.m. – 1 apple, 2 tbsp. peanut butter, 1 glass water, 1 cup coffee w/1 tbsp. cream (breakfast, hungry)

10 a.m. – 1 Kashi bar and water (140 calories) (a little hungry before workout)

12 p.m. – sandwich w/2 slices of 35 cal bread, low-fat mayo and reduced sodium turkey lunchmeat (3oz.), 1 serving fat-free pretzels and ¼ cup hummus, water (lunch, hungry)

12:30 p.m. – 8 Hershey kisses, water (needed chocolate )

2 p.m. – 1 cup grapes, 2 slices provolone cheese, water (snack, hungry)

3 p.m. – 1 apple, small bottle Coke Zero (hungry)

5 p.m. – spinach salad w/craisins, blue cheese, mushrooms, candied walnuts & balsamic dressing, water (starving, had to go to Whole Foods)

8 p.m. – one glass red wine, one small 96% lean hamburger w/o bun, one handful M&M’s (wanted wine and chocolate, hubby made dinner)

10 p.m. – bed

This was my food diary for a day and I was totally honest!  Times, exactly what I ate, why I ate what I did, and when I went to bed.  So try one for a week, even better two weeks, and see how you do.

Include a Fruit or Vegetable in Every Meal and Snack

These pure and clean foods add more vitamins and minerals with the least amount of calories than any other food. With all of the fiber, water and nutrients that occur naturally in fruits and veggies, you’ll feel fuller longer and will have better health overall.  Pair them with lean protein for a well rounded meal or snack.  Apples and peanut butter, pears and walnuts, broccoli and low-fat cheese, or baked potatoes and salsa all add up to feeling satisfied without a ton of fat and calories.

Pay Attention to the Calories You Drink

The calories in fancy coffees, pop, juice, protein shakes, smoothies, and alcohol are all included in your calorie total at the end of the day.  You can eat great, sticking within your calorie limit, but a Starbucks frappucino and two glasses of wine can add over 350 calories to your total. Over a week’s time, that’s ¾ of a pound.  In a month’s time you have almost three pounds!  Yikes! 

So stick with water, black coffee and tea, and diet drinks, and count those special drinks as a meal to stay on track.

Which of these tips has worked best for you?

Do you have a dress or suit you want to fit into this weekend?  Are you sick of that bloated feeling? 

With some easy changes to your every day diet, you can lose those last few stubborn pounds.

Jenny Maloney, Registered Dietitian at Midtown Chicago,  shares her expertise.

Eat Small, Frequent Meals

Instead of two or three large meals, eat smaller portions throughout the day to keep your metabolism working. This will allow you to burn more calories. 

Focus on Portion Control

Try to eat no larger than about a fist-size of each type of food on your plate. 

Choose Natural Fiber

Enjoy fruits, veggies, and whole grains, and avoid sugar and white flour. When presented with a choice in grains, opt for the whole grain version, such as whole wheat bread, brown rice, whole wheat pasta, beans, oatmeal, whole grain cereal, and whole grain crackers.  Fiber takes longer for your body to break down and will keep you satiated until your next meal or snack. 

Cut Out Processed Foods

Not only does processing take out the nutrients from many nutrient-rich foods, they often contain hidden sugar, salt, and fat. Try for all fresh foods instead. 

Limit Your Sodium Intake

Reducing sodium will eliminate bloating.  Sodium is found in most processed foods. Eating fresh fruits and vegetables cuts down on your salt intake.  Salt dehydrates and causes our body to retain water, giving you that bloated feeling.  Drink more water and less diet sodas and coffee, as these drinks dehydrate you. 

By following these nutrition tips, you’ll eat healthier, which can decrease bloating, give you more energy, and hopefully lose that extra water weight gained by eating heavy food and processed food.

When are you getting started?

Member blogger Kathleen Hermann talks about ways for families to engage in fun fitness activities during the holiday season.

We all have holiday traditions, from Aunt Linda’s green bean casserole to fireside carols to the annual donning of the matching sweaters.

However, a lot of our traditions around the holidays focus on heavy, fat-laden foods. And there’s nothing wrong with that. Traditions are important, and the holidays are a good time to indulge as long as we do not indulge to excess.

Still, it is a good time to assess whether your family has any healthy holiday traditions, namely involving physical activity. If not, then why not consider starting one?

Growing up, we watched my father every Thanksgiving morning amble through a Turkey Trot 5k. A former college basketball star measuring 6’8″ in height, he was by no means a runner and it was often humorous to watch him lurching down the final stretch. Nevertheless, he loved how running that race (which was, in fact, the only race he ever ran each year) made him feel on Thanksgiving Day.

As soon as we were old enough, us kids joined him, engaging in a friendly competiton with eachother for place and time. There was something special about knowing no matter the weather — and we had our share of unseasonably warm days as well as days with a foot of snow — we knew where we would be Thanksgiving morning. After an endorphin high of running a race like a Turkey Trot in a huge crowd of like-minded runners, the rest of the day was gravy (pun intended).

There are, in fact, many different ideas for holiday traditions involving fitness, with  new opportunities forming each year. It’s not important what you do as long as you do your best to mix the holiday, family and friends (or even pets) with fitness. Here are some ideas for healthy traditions you may not yet have tried:

1. Run a Turkey Trot Next Year
Did you know that the first “Turkey Trot” was started right near us in Buffalo during Thanksgiving of 1896? Back then it had only six runners, but today that same Buffalo race regularly has over 10,000 participants. Now there are Turkey Trots all over the country, of differing lengths and terrains. If running bores you, look for a Turkey Day challenge obstacle-like race. The feeling of having accomplished something will make the food taste that much better.

2. Backyard Touch Football
This is a fun, special tradition that many families have already incorporated into their holidays for generations. Instead of sitting on the couch in a food-induced coma, head out for your own friendly-family or neighborhood competition. Children especially will cherish watching adults take part in a fun family game with them.

3. Take a Holiday Walk
There’s no sweeter image to me on holidays than when I see entire generations of a family out walking down the road in a big pack. The sight of an elderly grandmother pushing a stroller, uncles and aunts engaging in jesting banter, and mixed-age children running ahead just seems to be one of the best ways to unite as a family. Even if it is only you and your dog celebrating this year, take a special walk -perhaps on a nature trail- and enjoy the time to reflect on the holiday and giving thanks.

4. Engage in a Seasonal Activity
The holidays are a great time to let your inner child run free. Whether there are young ones with you or not, there’s no reason you can’t go tobogganing, ice skating, or build a large snowman. All of these activities will  have you sweating off enough calories for that pumpkin pie you ate.

Holiday traditions don’t have to be focused only on sugar cookies and stuffing. Embrace a tradition involving physical activity and your holiday will combat stress, lift your mood, and make the time richer and brighter. More importantly, you may not end the holiday season five pounds heavier and feeling like a sloth. It is never too late to start a new tradition!

Does your family have a healthy holiday tradition or story?

Ahh, the holidays. Such a joyous time: themed parties, family get-togethers, surprise presents. 

But all of these “fun” times can wreck havoc on waistlines. So how do you stay within your happy weight range and still have fun through the new year?  Here are a few tips to help you stay an active and smart party-goer!

Purchase Halloween Candy on October 30th

This holiday is fast approaching and the biggest temptation is not the candy your kids get when they trick-or-treat, but the candy you buy to give out!  

The stores advertise their HUGE sales weeks in advance, so not only are you tempted to buy candy at these stores, but you’ll buy it, eat it all, and have to buy more. So wait until the last minute and it won’t be sitting in your cupboard calling your name when you sit down to watch that DVR’d episode of Parenthood.  I promise, it will still be on sale.

If you must have a few pieces, steal them from your kid’s loot.  Just don’t tell them I told you to do that.

Buy Opposite Your Taste Buds

Another idea is to buy candy you don’t really enjoy. Nerds and Smarties just don’t do it for me so I’m not going to eat half a bag before the doorbell starts ringing. If you buy candy you’re not crazy about, you’re less likely to pig out when you’re giving the candy away. 

Use this tip throughout the season. If you stock-up on hostess gifts such as boxes of candy or tins full of nuts just in case you have a last-minute event to attend, buy treats that you won’t eat by the handful. If you’re not a popcorn person, buy three-flavor tins of popcorn for hosts, or if you prefer red wine, buy a few whites to have in your stockpile. You’ll be less likely to open one of these “gifts” if you don’t like them.

Plan Your “Cheat” Meals

So now Thanksgiving is drawing near followed by Hanukkah, Christmas, and New Year’s. Your calendar is filling up with parties to attend and you can already feel your pants getting tighter. 

How do you enjoy your friends and family without having to buy new clothes next year?  Your first step is to check your calendar every Sunday for the upcoming week and see what function(s) you’re attending.  Plan your “cheat” meal to be that event.  That way you’ll have something to look forward to when you’re eating ”good and clean” all week. 

Scan and Plan

When you arrive at the event, scan the party for the entire spread before you start noshing.  Pick one or two treats that you’ll indulge in (such as mini beef wellingtons or chocolate chip cheesecake) and fill the rest of your plate with vegetable-based appetizers, shrimp cocktail, and anything without puff pastry. 

Drink Smartly

Pick a lower-calorie beverage such as wine (100 calories per 4 oz. serving), or a light beer; preferably one that has the amount of calories in the name, such as Budweiser Select 55 or MGD 64, so you can easily track your alcohol calories.

It’s also best to stop after one alcoholic beverage, not only for the calorie count or to be a safe driver, but because the more tipsy you get, the more your inhibitions go down and the more mindlessly you’ll end up eating. You don’t want to ruin your entire week’s worth of workouts on a whole bottle of wine and in turn eat the entire bowl of chips! 

Get Grooving

Lastly, if there is dancing at any of these events, then bust a move!  Getting some cardio in will help you burn off your extra treat pounds so when 2012 comes, you can slip back into your skinny jeans just like it’s 2011.  Or maybe 2001 if you REALLY break it down!

So what are your holiday healthy tips?  Do share!

The summer is winding down and it’s time to get back into the habit of bringing lunch to work.

The proverbial turkey sandwich, apple, and Doritos might be well-established and slightly boring staples in your brown paper bag. But cheer up! Taking your lunch to work or school packs a benefit punch you might not have imagined.

Here are 3 ways a bagged lunch beats lunch out any day of the week:

     1. Money-Savings

Brown-bagging it saves approximately half what you would spend eating lunch out.  So, if you’re currently spending $10 a day on lunch and switch to packing your own , that’s a savings of $1,300 per year! You can then put that money towards personal training at the club and reaching your fitness goals.

     2. Portion Control and Immediate Gratification

Yes, the sandwich, apple, and even some Doritos can be healthier than eating out. When you pack your lunch, you are in control of what you eat. You’re also prepared when hunger strikes. Ideally, you are packing a lean meat (probably in sandwich form on whole wheat bread), some fruit, a snack, and maybe a small sweet treat. The portion sizes are controlled, and you can eat as soon as you get hungry.

If you’re like many, this scenario should sound familiar.  It’s nearing noon. You realize you are hungry, drive to a restaurant, realize you have moved beyond “hungry” and into “starving” territory, wait some more for the server to take your order and then order too much food. You scarf it all down to return to the office on time, and end up feeling lethargic and way too full.

Everyone’s been there, but you don’t have to go there again. If you had your lunch packed, you could walk to the bench just outside your office, eat slowly while people-watching, and even have time for a lap or two around the block.

Which brings us to benefit number three. 

     3.  More Time for Exercise

 If you burned even 100 extra calories per day each lunch hour, that adds up to a loss of 7.5 pounds in a year. And with all of the calories you’ll save just by bringing your lunch, it could be even more. I know I would enjoy being 10 pounds lighter by next September!

So, how do you stay clear of the same old boring bagged lunch?

     1. Try not to bring the same exact thing every day or you will start to dread your lunch.

Rotate between lower-sodium turkey breast, roast beef, or chicken breast lunch meat, tuna salad, maybe a bean salad or lettuce salad one day, and of course, leftovers.

     2. Remake your leftovers if you don’t like eating the same exact thing.

Mix-in whole wheat pasta and some tomato sauce, serve over brown rice, or wrap it up in a flour tortilla with some low-fat cheese. Add in carrots, celery, zucchini, red/green pepper, or cucumber slices and a low-fat dip.

Toss in a few pieces of fruit (apples, bananas, cherries, and cut-up melons are all great, mess-free options), a “snack” item, such as baked chips, low-fat pretzels, or popcorn (remember to stick to the one-ounce serving size!), and a treat such as a fun-sized candy bar, one ounce of dark chocolate chips, or a serving of gummy bears, and you’re all set!

You should also add in a few items for your mid-morning snack and your afternoon snack. And to make it all much more fun, buy yourself a new insulated lunch box while you’re back to school shopping! Your co-workers will be green with envy when they see your Superman Thermos in the fridge.

How do you keep your bagged lunches interesting?