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Picky Eaters - Tips for Establishing Healthy Eating Habits

Picky eaters. We all know at least one, have a child that’s proud to be one, or heck, might have a history of being one (gulp). Every child is unique, hence the approach to picky eating needs to be highly individualized, but here I will outline some general tips on how to establish healthy habits for picky eaters!

The Basic Rules...

Tis The Season for Travel - Travel Food Tips

With the busiest long-distance travel period upon us, and my own upcoming 29 hour flight itinerary, I thought it would be an appropriate time of year to present my two favorite topics as one: travel foods!
Whether you are boarding an airplane or cramming into the car, providing the right fuel for your body can support an enjoyable travel experience and deliver you at your destination feeling energized and (physically) prepared for your visit.

Traveling by air

Nearly 90 million Americans already have digestive issues, so 35,000 feet up is not the time to exacerbate existing disorders or experiment to see if you can contribute to this statistic. Here are some general flight food tips to keep your tummy travelling well.

  • Carbonated drinks. Stomach gases already expand by approximately 30% when you reach flying altitude, hence why downing bubbly beverages can make you feeling like Mr. Clause by the time you are deboarding.
  • Alcohol and caffeine. Sure that Jack and Coke takes the edge off turbulence, but alcohol and caffeinated beverages contribute to dehydration. Besides irritated skin and eyes, this can also put you at greater risk for respiratory infections and DVT (deep vein thrombosis). After clearing security, fill or purchase a water bottle and bring onboard, sipping 8fl oz every hour onboard.
  • Avoid fried, fatty foods before flight. These foods are already taxing on the GI system (fatty foods take longer to digest), but when traveling at even higher altitudes can cause exaggerated complaints of heartburn and acid reflux.
  • Cruciferous vegetables. Wait, did the dietitian just say I don’t need to eat broccoli? These cruciferous vegetables (Brussels sprouts, cauliflower, broccoli, cabbage) contain a complex sugar, raffinose, which results in excess gas production in the intestines. Pre-flight is the only time you’ll catch me advising you to stay away from these nutritional powerhouses, as the decrease in cabin pressure results in expansion of stomach gases and a not-so-comfortable traveler. They get the thumbs up the other 360 something other days of the year.
  • Legumes. Skip the chili before you board. Beans have a high raffinose content, and are loaded with difficult to digest soluble fiber.
  • Dairy. Milk and dairy contain lactose, and many of us have a threshold as to how much we can tolerate as we need an adequate amount of the enzyme lactase to breakdown lactose before running into trouble.

Suggestions for in-flight meals:

Traveling by ground

Although you may have the option of stopping during your car trip, it may be smarter to pack your own foods to ensure your tummy remains a happy traveler. For the sake of your car-mates, I would advise avoiding most of the aforementioned flight foods above if you already struggle with these on the ground. I would also emphasize simple, ‘no-assembly required’ foods for car travel. You also have the option of packing a cooler to keep foods safe while en route.

Suggestions for car-trip snacks and meals:

  • Bars (Larabars, Odwalla): Select a bar with at least 3g dietary fiber and 5g protein.
  • Fresh fruit (wash before packing in the car): Avoid those with pits (cherries). Try single serve applesauce.
  • Easy-to-eat veggies: Pre-washed cherry tomatoes, baby carrots, broccoli florets served alongside a thick (no-drip) dip.
  • Yogurt and berry parfait: layer yogurt, fresh berries in traveling cup and seal with a lid).
  • Simple sandwiches: toast bread before adding spread to avoid soggy sandwiches.
  • Wraps: layer hummus, lettuce, veggies and seal in foil or saran wrap.
  • Homemade trail mix: chex mix (or low sugar cereal), toasted nuts, air popped popcorn, dried fruit packed in ziplock.
  • Instead of soda: Water, 100% vegetable or fruit juice (can be cut with seltzer water).

Whether traveling by air or ground, make sure you consider the foods pre-trip to ensure you are as comfortable as possible while traveling this season!

 

Healthy holiday eating and drinking tips

Happy (healthy) holidays! Here's a roundup of great tips, recipes, and videos to help you make decisions about what to eat or what to make & bring to holiday gatherings:

 

 

An Appetite for Autumn

Perhaps a recent flip of the calendar and a gentle drop in the thermometer has reminded you that it’s time to transition from the hassle-free and spontaneous raw meals of summer to the grounding and planned dishes autumn warrants. Despite claiming that we enjoy this season of change and appreciate the opportunity to readopt routines and schedules, most likely we will get lost in our obligations, stretch the limits of our clothing seams, let the darkness of the early setting sun bury our guilt for abandoning the gym, and then collectively and excitedly gear up for fabulous health resolutions when the clock strikes midnight on December 31. Kidding. In all seriousness, I hope you can utilize the following tips and suggestions for transitioning to fall foods while successfully avoiding the seamstress.

Fall Favorites

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Freaky Foods for Halloween

In celebration of Halloween, let me share with you some of the freaky foods finding their way into my kitchen!

Foods that go ‘boo’ – Kombucha (kom-BOO-cha)

“Whoa” shrieks the clerk as the checkout belt delivers a frightening surprise before him. “That’s absolutely disgusting. Is that a brain?” Since I couldn’t stop laughing to explain to this nauseated clerk what exactly was living in the glass jar in his hands, let me at least take a stab at convincing you that it’s really not that freaky, and in fact might be pretty good for you.

  • What it is: Kombucha is ....

Eliminating your risk for stroke

In the clinic, we work with stroke patients and their families to help them understand the risk of having a second stroke and what they can do to reduce their risk. Lifestyle and medical conditions determine your risk for a first, or second, stroke.

  • Do you have high blood pressure and/or high cholesterol?
  • Do you have diabetes?
  • Have you been diagnosed with atrial fibrillation?
  • Do you smoke?
  • Are you overweight?
  • Do you avoid exercise?
  • Has a close relative had a stroke?

If you answered yes to any of those questions, you’re at greater risk for having a stroke. If you’ve already had a stroke, your “yes” answers mean you’re more likely to have another one.

Your lifestyle can help you avoid a first or second stroke. And, because family history is a stroke risk factor, your entire family can benefit from a healthy way of life. Pledge to help each other stick to a routine that includes:

  • No smoking
  • Healthy eating
  • Regular exercise
  • Taking medications are directed
  • Losing weight if you are overweight or obese
  • Drinking alcohol only in moderation
  • Taking low-dose aspirin or a similar medicine (if recommended by your doctor)
  • Managing your blood sugar if you have diabetes.

Eating for Two? Nutrition in Pregnancy

You may have many questions when you find out that you are pregnant, but some of the most common concerns revolve around nutrition and food safety. These are some basic guidelines from the American College of Obstetricians and Gynecologists to get you started. As always, your situation may be different and so always discuss specifics with your provider.

How much weight should I gain?

This depends on your pre-pregnancy BMI (body mass index - a calculation from your height and weight). In general, however, if your pre-pregnancy weight is normal you should gain between 25 to 35 pounds. Most women stay within this goal with an increase of only 300 extra calories a day (equal to about 2 tablespoons of peanut butter and one slice of whole wheat bread). If you are underweight, however, you may need to gain more weight, and if you are overweight, less. Your doctor can help you to come up with a specific weight goal.

What foods can't I eat?

Alcohol, of course, is not recommended in pregnancy, but there are other restrictions. Other foods can put you at risk for listeriosis, a bacterial infection that causes miscarriage and stillbirth. Unpasteurized milk and cheese can put you at risk, as can raw or undercooked shellfish, meat, or poultry. Deli meats and hotdogs are okay if they are heated until they are steaming hot.

What about fish?

That depends on the fish! Certain large fish may contain too much mercury to be safely eaten in pregnancy. High levels of mercury exposure in pregnancy may lead to nervous system damage in the unborn child. If you are pregnant you should avoid eating Shark, Tilefish, Swordfish, and King Mackerel and limit your intake of albacore tuna to 6 ounces a week.

You may eat fish and shellfish that are lower in mercury, but no more than 12 ounces a week. If you want to eat fish caught by family or friends from local waterways check for local advisories first, and do not eat more than 6 ounces.

Do I need to take extra vitamins or supplements?

It is important to take ...

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