Dietitians Tackle Food Myths for National Nutrition Month

Written by Melissa Romero

Top 13 Myths About Food and Nutrition

National Nutrition Month 2012Do carbs make you fat? Will eating tons of protein help you get Ahnold’s muscles? Health experts give us the cold, hard facts.

Happy Nutrition Month! To start it off the right way, we rounded up 13 of the most common and persistent myths about food and asked local dietitians and nutritionists to debunk them. Read on to find out the real deal—some of the answers may surprise you.

1. If you have diabetes, stay away from sugar and you’ll be fine

The truth: “All foods have different effects on blood sugar levels,” says nutritionist Robyn Webb. “While sugar is nutritionally devoid, it’s the total number of carbohydrates that may play a role in blood sugar management. So it’s important to monitor blood sugar even after eating whole foods such as fruit, vegetables, and whole grains.”

2. Fat makes you fat

The truth: Fat gets such a bad rap that we often forget there are such things as healthy fats, such as those found in nuts, olive oil, salmon, and avocados, says Nicole Ferring Holovach. Yes, fat grams do contain more calories than carbs or proteins, but fat is still an essential component of our diet. Adds Elise Museles: They “keep you satiated by slowing down the digestion process so you stay full for a longer period of time.”

3. Eating more protein will lead to bigger muscles

The truth: “A myth perpetuated in gyms!” Webb says. “While eating protein is important, eating more than you need is unnecessary. Resistance training and exercises in which you use your body weight as resistance, such as yoga, can lead to a more defined look. But eating a ton a protein is not going to lead to large muscular development.”

4. Muscle weighs more than fat

The truth: “Unless the laws of physics have changed, one pound is one pound is one pound,” says Elana Natker. “The difference is that muscle is denser than fat, so one pound of muscle takes up less space than a pound of fat.”

5. Egg yolks are bad for you

The truth: Don’t waste those yolks anymore—they’re a “goldmine of nutrition,” says Holovach. One yolk contains half of your day’s requirement of choline, which is an essential nutrient for the brain. Eggs for breakfast will fill you up with protein and fat and will keep you from overeating the rest of the day.

6. Eight glasses of water a day is the magic number

The truth: Just like with nutrients and calories, basic hydration needs varies for each individual, says Heather Calcote. How much water you need to drink daily depends on your exercise and activity level, and even the temperature of where you live. A person needs to learn to recognize thirst and drink water both with meals and in between meal times as needed. “Remember that things like tea, coffee, soup, and most fruits also contribute to water intake, but be mindful of added sugars, caffeine, and sodium.”

7. To lose weight, avoid indulging

The truth: “Healthy eating and healthy living is all about balance,” says Stephanie Mull, so there’s always room for most foods in one’s diet. “People who restrict too much create psychological connections to those forbidden foods, causing them to overeat when they do consume them.”

8. “Healthy” foods are bland

The truth: There are many ways to make natural foods tasty and nutritious at the same time, says Elise Museles. You just need to know the best foods to mix together. “Picture a simple smoothie made with all kinds of fresh fruits and vegetables; a colorful salad with deeply pigmented vegetables and some added protein (plant or animal-based); or a savory soup with butternut squash and a side of homemade kale chips.”

9. Eating after 7 PM will make you gain weight

The truth: “You don’t magically store more fat after 7 PM,” says Danielle Omar. “What and how much you eat will determine weight gain or loss.” To lose weight, try spreading out your calories throughout the day, so you’re not starving in the evening and end up overeating, she suggests.

10. Carrots are high in sugar, so you should avoid them

The truth: Carrots are more than 85 percent water, and one pound of cooked carrots only has three teaspoons of sugar. In fact, since they’re high in phytochemicals such as beta carotene and fiber, eating them will actually help lower blood sugar, Omar says.

11. Babies sleep better and longer if you give them formula before bed

The truth: It’s an old wives’ tale, says Natker. In fact, formula can cause an upset stomach in some babies, which would certainly keep them up at night. A good night’s rest really depends on a baby’s size, daily sleep patterns, and temperament.

12. Eating a product labeled gluten-free is healthy

The truth: Gluten-free is a hot trend in the world of nutrition, but it’s not for everyone, says Museles. While those who jump on the gluten-free bandwagon even if they don’t suffer from celiac disease often feel better, it’s most likely because they’ve eliminated processed foods from their diet. Eating naturally gluten-free foods such as quinoa, sweet potatoes, and millet is great, but gluten-free processed food is not necessarily a healthy choice.

13. Ground turkey and chicken are always better for you than ground beef

The truth: Ground turkey and chicken can be made of any parts of the bird, including the higher-fat dark meat and skin, says Claire LeBrun, senior nutritionist at GW Medical Faculty Associates. Ground beef comes this way, too, but it’s labeled with the percentage of fat. In fact, 95 percent lean or “extra lean” ground beef is much lower in fat than most ground turkey. Lebrun says for the leanest meat, look for packages labeled “ground turkey breast.”

Source: http://www.washingtonian.com/blogarticles/health/wellbeing/23053.html

Are You a Mindless Eater?

Distracted Dining, by Jon Vredenburg, MBA, CSSD, RD, LD/N

Quick – What did you have for dinner last night?

If you are like most people, uncovering that answer in your brain probably took some time. Multi-tasking has gone main stream and has blunted the overall awareness of our most fundamental activities. If you are looking to get a handle on the distractions in your life, then your nutritional health will stand to benefit.

Distracted Dining‘Distracted Dining’ can be simply defined as diverting focus from your dietary intake. The source of distraction can take many forms. It is a challenge for an individual to eat healthfully if they are not focused on the task at hand. After all, if a person is not fully aware of what they are doing – then how can they be sure if they are doing it right?

The end result for most distracted diners is an unsatisfying calorie surplus. “When our brain is distracted during eating we are unable to fully register what we are eating and how much we are eating,” states Sally Clifton, a Registered Dietitian with Shands Jacksonville’s Employee Wellness Program. “It is like multi-tasking – even though we think we can do it, we are never really able to fully devote attention to one task.”

Recent research has measured how food intake is impacted when the brain is concentrating on something else besides a fork and spoon. Researchers in Great Britain looked at how playing a computer card game during a meal influenced a person’s eating behavior. The test subjects were given a prepared lunch and then 30 minutes later were questioned about the meal and were also offered a “taste test” snack. The study showed that the distracted eaters ate twice as much during the subsequent taste test in comparison to those without the diversion. The individuals who were playing the computer card game also reported being less satisfied with their lunch meals and also had difficulty remembering what they just ate.

It is clear that overconsumption is the primary problem when multi-tasking becomes part of meal time. Clifton suggests using smaller plates and portioning food in single-serve containers or sandwich bags to help cap calorie intake if your attention has to be diverted. Establishing ground rules is the key. “No eating in front of the television, no eating on the couch and no eating in the car,” advises Clifton. “You can lose focus on your senses since [attention] goes to your eyes and ears and that can lead to overeating.”

Another common trap for distracted diners is the tendency to eat food at a rapid rate. By doing so, the enjoyment of the meal is lessened while caloric intake is heightened. “It takes a while for our brain to actually compute satiety. When we are shoveling the food in we tend to take in more calories than we would have if we slowed down and were mindful about our eating. Let your body respond to the food and increase satiety,” states Jill McCann, a Registered Dietitian with Preferred Nutrition Services. It takes about 20 minutes for food to be digested enough to influence hormones and impact blood sugar so savoring the meal and enjoying each bite helps on multiple levels.

Becoming fully engaged in what you are doing sounds more like a life lesson, than nutritional advice, but it is important nonetheless. The concept of ‘mindless eating’ is fairly new, but it has become part of America’s nutritional lexicon. McCann coaches clients on techniques to fight mindless eating. “Distracted dining is one of the biggest driving forces against anyone seeking weight management or overall wellness,” states McCann.

McCann uses the acronym H.A.L.T. to help her clients curtail their tendencies towards mindless eating. “H.A.L.T. stands for Hungry, Angry, Lonely or Tired,” states McCann. “Before taking that first bite, you should HALT and ask yourself if you are actually hungry or if you responding to other emotions.” It is quite normal for feelings of hunger to be present anywhere from 4 to 5 hours after eating. Anything inside of that window would require taking an emotional inventory.

Stressful situations, like those that trigger feelings of anger, can lead many people towards food. “I see emotional hunger a lot of times in the afternoon or nighttime as people are stressed out when they get home from work,” states McCann. “Food becomes a comfort for them.” In those circumstances McCann suggests simple deep breathing techniques before even opening the kitchen pantry.

Loneliness is another emotion that can influence a person’s attraction towards food. The act of eating increases serotonin levels in the brain which can elevate mood and provide a distraction from feelings such as isolation. Visiting with friends or family is the more healthful way to address this emotion. The consensus among nutritional therapists is that the emotions we may experience are controlled by outside forces, but how a person responds to that emotion is completely under their control. “Being healthy involves standing up for yourself and having confidence in the choices you are making,” states Clifton.

Fatigue is the last feeling in the H.A.L.T. tool and it is a common foe in weight loss efforts. The relationship between weariness and weight gain are driven by the two hormones that regulate hunger: gherlin and leptin. Gherlin is a hormone made in the stomach that tells the brain when it is time to eat. Conversely, leptin is the hormone that sends a signal to the brain that you are full. Leptin is released by the fat cells in our body. Researchers have found that people who regularly get less than seven hours of sleep have higher levels of gherlin and lower levels of leptin. It is easy to see why this hormonal one-two punch can lead to weight gain.

One common technique for battling the struggles of mindless eaters is food journaling. Clifton uses it as a tool with many of the clients in her wellness programs. “The journaling allows them to know where they stand with every single thing that they eat,” states Clifton. The method used to journal, whether online or hand-written, depends on the needs of the individual but either method creates much needed awareness. The cell phone, which is a weapon of mass distraction in most cases, can actually be a valuable ally for tracking intake. Clifton recommends fitday.com and myfitnesspal.com since they have meal tracking applications that are compatible with most smart phones. These websites help the user identify specific calorie goals and have a wealth of food items stored in their databases. “Sparkpeople.com is another good resource since it has a social media component which can be a source of additional motivation by being part of a community,” states Clifton. Best of all, they are free. Your bank account will appreciate that mindfulness.

At the end of the day Disturbances during meals are sometimes inevitable. The fact that your senses may be pulled in different directions while you eat does not mean it is unhealthy. However, if the television, desk or steering wheel is frequently at arm’s length during meals it may be time for a change of scenery. Maybe by this time tomorrow you will remember what you had for dinner.

Article shared from The HealthSource: http://healthsourcemag.com/distracted-dining/

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Dysphagia – Overview & Helpful Handouts

Source: RD411.com

Dysphagia: What Is Dysphagia?

I recently was diagnosed with dysphagia. What does that mean?

dysphagiaDysphagia means difficulty swallowing. Often people complain that food “gets stuck” in the throat. This leads to a diagnosis of dysphagia.

Swallowing is a complex process that involves more than 50 pairs of muscles and many nerves. Food is moved from the mouth to the stomach in three stages. In the first stage, food is prepared for swallowing as it is moved around the mouth by the tongue. The second stage begins when the tongue pushes food or liquid to the back of the mouth. The third stage begins when food or liquid enters the esophagus. Dysphagia can occur in any of these three stages.

What causes dysphagia?

Some people are born with swallowing problems, but in many cases they develop as a result of a physical illness or medical condition. Dysphagia has many causes, including stroke, Parkinson’s disease, multiple sclerosis, other neurological disorders, and muscular disorders, such as myasthenia gravis or muscular dystrophy. Cancers of the head, neck, and mouth and/or cancer treatment also may cause dysphagia.

Why should I worry about dysphagia?

In some people, dysphagia is serious. If you are unable to consume enough food and fluids to stay healthy because you cannot swallow, weight loss or nutritional problems can result. In the worst cases, dysphagia can result in aspiration pneumonia. This occurs when food enters the lungs instead of the esophagus, causing bacterial infection, pneumonia, and occasionally death.

How is dysphagia treated?

Speech and language pathologists are skilled at using medical tests to determine the scope and severity of dysphagia. In some cases, dysphagia is treated with surgery or medication. In others, treatment might involve muscle exercises or using special eating techniques. Some patients must change the texture of the foods and fluids they eat to make swallowing easier. When dysphagia is severe, eating and drinking orally is not recommended. In these cases, providing nutrition via a feeding tube is recommended.

A speech and language pathologist can determine what course of treatment is best for you.

What types of fluid modifications are recommended for dysphagia treatment?

Sometimes when a person has dysphagia, it is necessary to thicken liquids to make swallowing them easier. Liquids are thickened to the consistency of honey, nectar (such as apricot nectar), or pudding. If thickened liquids are recommended, it is necessary to have every liquid consumed, including water, coffee, juices, and milk, of the recommended consistency.

How are liquids thickened?

Speech and language pathologists recommend using a commercial thickener, which is a powder that is mixed into beverages to thicken them. Many health care facilities purchase prethickened water, milk, coffee, and juice to take the guesswork out of thickening fluids. For home use, you can purchase thickening powder at drug stores.

What types of texture modifications are recommended for foods?

The National Dysphagia Diet recommends three levels—dysphagia pureed, dysphagia mechanically altered, and dysphagia advanced.

Dysphagia pureed diet: Foods are pureed and homogenous, with all foods, including meats, vegetables, and breads, of pudding-like consistency.

Dysphagia mechanically altered diet: Foods that are moist, soft textured, and easily formed into a food bolus for swallowing are allowed. Foods are well cooked and soft. Meats are ground or minced.

The dysphagia advanced diet: Foods are of nearly regular texture, but very hard, sticky, or crunchy foods are not included.

A registered dietitian or speech-language pathologist can provide specific information about what foods are allowed on each diet.

Helpful Handouts:

Dysphagia: Scoop It, Mold It, Pipe It—Rice and Pasta

Dysphagia Level 1 Diet (dysphagia pureed)

Dysphagia Level 2 Diet (mechanically altered)

Dysphagia Level 3 Diet (dysphagia advanced)

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Preventing Medical Errors in Nutrition & Dietetics

Preventing Medical Errors in Nutrition & Dietetics

Click on image to view course webpage

Course Abstract:

This new online continuing education course addresses the impact of medical errors on today’s healthcare with a focus on root cause analysis, error reduction and prevention, and patient safety in the practice of nutrition and dietetics. Real life stories, ethical considerations, health literacy and growing health consumerism are addressed. Also included are tips for distinguishing scientific from pseudoscientific treatment claims and for improving communication with patients. Printable hand-outs, a glossary and online resources are provided. This course satisfies the requirements of the Florida State Legislature mandating a 2-hour course relating to the prevention of medical errors as part of the licensure and renewal process for health professionals. Course #20-10RD | 2011 | 31 pages | 15 posttest questions

 

Learning Objectives:

1. List 3 potential medical errors in the practice of nutrition and dietetics
2. Describe the process of identifying and analyzing an error to prevent reoccurrence
3. Distinguish between an ethics code violation and a medical error
4. Identify 5 strategies you can use to prevent medical errors in your own practice
5. Name 10 strategies patients can use to improve their own safety in medical care

 

About the Author(s):

Susan Mitchell, PhD, RD, LD/N, FADA, is co-author along with Dr. Christie of three books, Fat is Not Your Fate, I’d Kill for a Cookie, and Eat to Stay Young. She serves as the nutrition expert for ThirdAge.com. Dr. Mitchell is a contributing author to Macmillan Reference USA’s Guide to World Nutrition and Health and has been an expert witness in medical malpractice cases. A Registered Dietitian, Certified Nutrition Specialist and Fellow of the American Dietetic Association, Dr. Mitchell earned her Ph.D. from the University of Tennessee and taught nutrition and health science at the University of Central Florida for over 8 years. 

Catherine Christie, PhD, RD, LD/N, FADA, is co-author along with Dr. Mitchell of three books, Fat is Not Your Fate, I’d Kill for a Cookie, and Eat to Stay Young. A Licensed Nutritionist, Certified Nutrition Specialist and Fellow of the American Dietetic Association, she earned her Ph.D. from Florida State University. Dr. Christie is Nutrition Program Director and MSH/Dietetic Internship Director at the University of North Florida. In her 17 years of clinical practice, Dr. Christie consulted with many facilities and individuals in all areas of medical nutrition therapy. She has given over 1000 seminars to health professionals across the country.

Accreditation Statement:

Professional Development Resources is a CPE Accredited Provider with the Commission on Dietetic Registration (CDR #PR001). CPE accreditation does not constitute endorsement by CDR of provider programs or materials. Professional Development Resources is also a provider with the Florida Council of Dietetics and Nutrition (#50-1635).