Do you eat vegetable and legumes?

While working in cardiac rehabilitation I regularly reviewed patients diets. One very consistent issue was lack of eating enough dietary fiber. Many do not get adequate intake of vegetables, legumes and seeds. It wasn’t uncommon for a significant other to shake their head and report their loved one never eats vegetables, or if they do it is only one or two types, such as corn, and carrots. When discussing intakes of legumes, you would see many look at you with that what is she talking about face.

Beans, dried beans, chick peas, soy beans, lentils, kidney beans.

All of these foods are chocked full of fiber and protein, and are loaded with nutrition including potassium, iron, magnesium, B vitamins. So how does one incorporate eating more legumes in their diet? Start slowly, to avoid gas issues, unless your house is full of teenagers who think it is hilarious to see who can produce the loudest and stinkiest farts.

Add chickpeas, black beans or kidney beans to salads. Mix lentils into your rice dishes. Throw a handful into soups. When making foods  such as sloppy joes, or tacos make with half the amount of meat and add in  a cup or two of pinto, black, white or navy beans.   Hummus is a great way to incorporate legumes. Use as a dip for vegetables, put on a Wasa or Rye crisp cracker.  Use beans as a base for casseroles. Soups are a great way to add beans and legumes.  If your beans are coming out of a can, rinse them first, this will reduce the sodium in them by almost half. Dried beans are very inexpensive, therefore try to get into a habit of one to two times per week soaking and cooking up a batch. A favorite snack may be roasted chickpeas. I like to season them up with olive  oil, cumin and chili peppers, but also use a Tuscon blend seasoning, or garlic and onion powder/salt.Lentils sprout very easily. Try putting a in a jar, cover with water, rinse with new water daily and in three days you will have lentil sprouts to add to your salads.  A side dish this week was roasted chickpeas, brussel sprouts and cauliflower. Roast each, but not until mushy, keep the crunch, then toss in a bowl with seasoning of choice and fresh parsley. Even the kids will eat this dish. How Fiber Works Infographic

Nuts, seeds, and legumes 3-4 servings per week for 1600 calorie diet 4-5 servings per week for 2000 calorie diet
  • 1/3 cup or 1 and 1/2 oz nuts
  • 2 Tbsp peanut butter
  • 2 Tbsp or 1/2 oz seeds
  • 1/2 cup dry beans or peas



 

 

 

 

 

There is very good evidence that eating legumes lowers the risk for heart disease.

Research by a group looking at almost 10,000 men published in November 2001 showed that even one serving of lentils or chick peas a week lowers the risk of heart disease. And the best part is that the more you eat, the lower the risk. Eating legumes 4 times or more per week reduces the risk of heart disease by as much as 22%.

The risk of developing diabetes or heart disease is lower when legumes are regularly eaten instead of protein foods that are high in fat, such as meats and cheeses and other whole-milk dairy produces, and refined carbohydrates that are low in fiber, such as baked goods made with sugar and white flour.

Some people avoid beans due to the intestinal gas or bloating they may produce. But if you gradually increase the amount of beans you eat over several weeks, you can overcome that concern. Soak beans for 8 to 12 hours, replacing the water every few hours, and this also helps. Slow cook them, to help reduce the gas-forming compounds. Adding a little baking soda will also help, or you can buy enzyme products at the drug store that break down the gas-forming parts of the bean. Note: Since legumes have high amounts of fiber, it is very important to drink plenty of fluids, especially water, to avoid constipation as you increase them in your diet.

 

legumes

Oh yeah I mentioned vegetable earlier didn’t I?

Well as I tell my kids I don’t care if they aren’t your favorite food, they are a very important part of a healthy diet.  Learn to like them. Branch out, try different vegetables. Fresh is best, followed by frozen, and lastly canned. We joined a CSA this year. This is a community sustained agriculture program where you own a share of the farm. You get a box full of vegetable every week. So when meal planning we start with what fresh vegetables are on hand? What needs to be used first and plan the meals around the vegetables. Now how many heart patients do this? Initially not many, but after suffering a heart problem many are open to trying it. Get on the web and look up recipes that include veggies you have on hand or are willing to use. Break out of the old cooking methods, try roasting, grilling, satisfying, steaming, fresh.  Again they might not be your favorite part of the meal, but such an important part. About half your plate should be veggies. When you are in need of a snack, make sure it includes vegetables.  Neufchatel cheese – mixed with your favorite spices, or veggies such as dried tomatoes and dried peppers, chives and garlic,  together with fresh-cut veggies are a good snack to always have on hand. Take one day to prepare a boat load of fresh veggies every week so they are on hand, and an easy go to snack item.

Vegetables

Eat a variety of colors and types
3-4 servings per day for 1600 calorie diet 4-5 servings per day for 2000 calorie diet
  • 1 cup raw leafy vegetables (about the size of a small fist)
  • 1/2 cup cut-up raw or cooked vegetables
  • 1/2 cup vegetable juice

Exercise Make it a habit

To make a lifestyle change takes time. Research tells us to make something a habit  it can take as little as one month – or twenty-eight days, to as long as sixty-six days. When it comes to exercise I firmly believe it often takes as long as six months. There are too many barriers that can divert the progress and then you are starting over again.

Wouldn’t that be nice!

Life throws constant curve balls at us and often the first thing to go is our physical activity or exercise.

It’s motivational to think of  this picture as your habit, but reality for many is it isn’t. Life throws all kinds of curveball at us. If you have stumbled on your road to a physically active lifestyle, getting started again and sticking with it gets back sometimes faster, sometimes slower but at least you are back to working to make it a habit or back to maintenance again. When we look at the stages of change model you see it takes doing the action for greater than six months to get to where it is maintenance. I would consider maintenance to be a habit. If you have ever embarked on changing a sedentary lifestyle to a physically active lifestyle you probably hit many stumbling blocks. A stumbling block could be access, weather, family support, time constraints, injuries, illness…etc.

Start today to build that habit.

Can you stay physically active for six continuous month?

The power of breath

░ Pause For A Few Seconds: Breathe ░

Turn off everything else, just for a couple of minutes if you can. An ideal time is after exercise, spend those few moments  to center your self. It takes practice and isn’t all that easy. Your mind quickly is thinking through the next task or issue.

Don’t listen to the brain, listen to the breath.

Healthy eating tips for heart patients

After heart surgery most patients have a very poor appetite for the first three months.

The first month the medical advice is to eat anything. This isn’t a problem as the body needs extra fuel for healing, but in reality many don’t eat much because food doesn’t taste the same or smell the same. This is thought to be an effect from anesthesia. Most of the time is takes 1-3 months for the taste and appetite to come back to normal. After the first month, patients are instructed to eat a heart healthy diet. That can be a little vague, and different health care practitioners have conflicting ideas of what a heart healthy diet is. In my career it was challenging as one physician  might promote a Dean Ornish vegetarian diet, and the next might promote a Mediterranean  diet, or American Heart Association, Dash diet etc. There are common nutritional principles that all heart patients should try to adhere to.

 

Tip #1: Know your Caloric needs.

How many calories do you actually need every day? Here are a couple of resources that will help guide you:

Tip #2: Enjoy your food, but eat mindfully

Take the time to fully enjoy your food while you’re eating it (instead of just devouring everything on your plate). Pay attention to hunger and fullness cues before, during and after meals. Be mindful of them and use them to tell you when you’re should be full. Remember it takes about 20 minutes for the food you heave eaten to signal your brain if you are still hungry. For this reason eating slowly, and being aware of the quantity, rather than listening for your body to say it is full. It is ok not to finish everything on your plate.

#3: Avoid oversized portions.

Learn what is the true portion size of the food you are eating. If you are going to overeat eat a larger portion of vegetables. Try using a smaller plate, bowl and glass.  When you’re eating out, try splitting a dish or take home part of your meal.

Tip #4: Foods to eat more often.

 These are all the foods you know are good for you: fruits, vegetables, whole grains, low-fat dairy, etc. Make them the basis for meals and snacks. Try getting 2 cups of veggies, 1.5 cups of fruit and 3 servings of low-fat dairy or lean protein each day.

Tip #5: Decrease the unhealthy foods in the diet

Foods high in solid fats, added sugars, and salt (e.g. cakes, cookies, ice cream, pizza, fast food, sweetened drinks, etc.) should be cut back in the diet. Try to avoid these as part of your daily meal intake.

Tip #6: Hydrate with healthy fluids

Drink water, sparkling water mixed with a splash of juice, tea, or sparkling water instead of high calorie drinks. High calorie drinks include soda, alcoholic beverages, juices, energy drinks and sports drinks. If you are on a fluid limitation, poor the recommended amount of fluid in a container and use it to help you visualize the amount of liquid you should have each day.

Tip #7: Pay attention to added sodium in foods

 Read the labels and choose the lower sodium option for breads, canned goods, and soups. Choose packaged products with labels like “low sodium,” “no salt added,” or “reduced sodium.” Fresh, foods have the least sodium. If it comes from a box, a can, or is ready to eat, it is probably loaded in sodium. Water added usually means sodium added, this is common in poultry. 1500 mgs a day is the recommended amount for heart patients. I had one patient that lost 45 lbs, simply by tracking sodium and adhering to recommendations, it has so far saved him from the disabling CHF symptoms he was experiencing.

Sodium sources are not only food! The medicine cabinet is often an unrecognized source of sodium. Many prescription and non-prescription drugs, such as antacids, ibuprofen, sleep aids, heartburn relievers and cold medicines, have large amounts of sodium. Some antacids have upwards of 250 mg of sodium per tablet. Before taking any medication, it’s always best to consult a doctor, especially if you’re watching your sodium intake for health purposes.  

Most people are unaware of the amount of sodium that comes from our tap water. It varies significantly from state to state, but the public health department in any area should be able to provide information on the exact amount of sodium in the water. Even if a home employs a water-softening system, there’s still a certain amount of sodium in the drinking water, since many of these units use sodium as a softening agent. The amount is solely dependent on the type of system installed and the hardness of the water in that area. Bottled waters, especially mineral waters, can also contain significant amounts of sodium.

Tip #8: Keep your dairy low-fat 

Drinking whole milk is the equivalent of 3 pats of butter, 2% is 2 pats of butter, 1% is one pat of butter. And low-fat cheese is a good substitute for full-fat cheese, but if you are going to use regular cheese, try using a smaller quantity.

 

Tip #9: Get healthy fats in your diet every day

 When you’re cooking, choose oils high in monounsaturated fats like olive or canola oil. These are better choices, but don’t use large amounts, as oil is high in calories. A pump oil spray is a good way of adding a little oil and avoiding chemicals. Avoid products containing trans fats. Read the labels and avoid hydrogenated oil or shortening or partially hydrogenated oils. This is the same as eating shortening.

Tip #10: Get out of  your comfort zone

Many people won’t try new or unusual foods. They are stuck in a rut of eating the same foods, because it is what they know and like. Try new foods regularly. Especially try different vegetables. If you always cook your foods a certain way, challenge yourself, try sauteing, steaming, fresh, juicing, combining with other foods, adding nuts or seeds to foods.

Tip #11: Know your issues

Some heart patients have to be very aware of vitamin Kin diet, if they are on coumadinKeep your intake of foods rich in vitamin K about the same each day. For example, you may plan to eat only ½ cup of these foods per day. If you like these foods and eat them often, you can eat more, but be consistent. It is a common misconception for patients to think they have to avoid foods rich in Vitamin K, it is more important however to get these in the diet, but as mentioned be consistent and get the same amount each day.

Other’s need to be more aware of the potassium or protein contents of foods.  Certain diseases (e.g., kidney disease and gastrointestinal disease with vomiting and diarrhea) and drugs, especially diuretics (‘water pills’), remove potassium from the body. Potassium supplements are taken to replace potassium losses and prevent potassium deficiency. If you can meet with a dietitian to help you understand what the sources of these nutrients are. If you can’t meet with a dietitian do your research, but don’t ignore the recommendations as many can be life threatening if not adhered to.


http://www.cdc.gov/salt/pdfs/Salt-tistics.


http://www.vaughns-1-pagers.com/food/vitamin-k-foods.htm

 
http://www.livestrong.com/article/10349-identify-sources-sodium/#ixzz27lT6ptHG