Food & Fitness After 50: To Eat Meat or Not to Eat Meat?

high_protein_diet_s4_steakI grew up eating beef. Meat was always at the center of the dinner plate, except on Fridays when we usually got fish sticks. And, when I say beef, I’m not talking about the lean beef that I encourage meat eaters to eat. Juicy meatloaf, fatty burgers, pot roasts, and roast beef were staples. Add to that, prepared meats, like bologna, hot dogs, bacon, and sausage were also in heavy rotation.

A couple of weeks ago several research papers were published that rocked the nutrition world. OK, with everything else going on in the world, it may not have made it to your newsfeed, but for dietitians it was a big deal. Basically, the studies published in The Annals of Internal Medicine seemed to reverse decades old advice that eating red meat is bad for your health. The media headlines were fast and furious casting doubt on all nutrition science and warning us that once again, nutrition researchers are flip floppers.

We dislike flip flopping….be it from a politician or a health professional.

A lot of the discourse focused on the research methodology used to conduct nutrition studies. Here’s the bottom line: it is hard to study nutrition in people. It is easy to use cell cultures (in vitro research) or animals, like mice, because you can control cells or mice. With humans, it is not so easy. (I always used to tell my students to count the legs on the research subjects before accepting the study results to apply to humans.) If you think about it, it makes sense. Let’s say I asked you to complete a very long questionnaire asking you what you ate and how often you ate it over the past six months. Most of us can’t remember what we ate yesterday, let alone over an extended period. To add to the mix, how the food was prepared is hard to recall….was the fish broiled, fried, battered, blackened, or frozen? And, what about the portion size…do you know how to distinguish a 3-ounce from a 5-ounce hamburger patty?

Another confounding issue with nutrition research is when we change our eating habits there is usually substitution involved. Let’s say you substitute ground turkey for lean ground beef in your tacos. Unless the ground turkey is ground turkey breast (which is usually more costly), the lean ground beef may have a better nutrition profile.

But, today, I don’t want to get into all the arguments for or against eating beef. Many others have written on the topic with clarity and insight. For a detailed analysis, I like this piece from Cara Rosenbloom of Toronto in the Washington Post (no relation, but we joke we are distant cousins).

Another good read on nutrition controversies, including eating meat,  comes from ConscienHealth, one of my favorite daily reads.

And, check out this post from friend and colleague, Dr. Keith Ayoob that includes a discussion of the environmental impact of beef…hint, it might be lower than you think.

What I do want to share are tips for those who choose to eat meat. And, it is a choice. I consider myself a flexitarian; I don’t eat meat every day and when I do eat meat I choose lean cuts and small portions. Here are some tips that work for me.

Lean-BeefChoose lean cuts. By definition, a lean cut has 10 grams or less of total fat and less than 4.5 grams of saturated fat in 3.5-ounce serving. A quick way to know if a cut of meat is lean is to look for the word “round” or “loin” in the name. Pork loin, ground round, eye-of-round, or sirloin are all lean cuts. A 3-ounce (size of a deck of cards) lean cut of beef or pork provides about 20 grams of high-quality protein and 10 essential nutrients. A scoop of protein powder might also give you 20 grams of protein but is devoid of other nutrients.

Honey-Mustard-and-Herb-Oven-Roasted-Pork-Loin-3Lean pork is also a high-quality meat. Yes, there are fattier cuts of pork (ribs, bacon, sausage) but pork chops or pork loins are lean and contain quality proteins, packed with vitamins and minerals.

While there several plant-based burgers on the market today (Impossible Burger, Beyond Meat) they are not nutritionally superior to lean beef burgers. Enjoy them if you want to choose less meat but don’t think they are the most healthful options.

Consider a beef-plant mixture for a burger. One of my favorite way to make burgers is to mix about 2-ounces of lean ground beef with about ½ cup of finely chopped mushrooms and form patties for the grill. The mushrooms add volume and moistness as well as sneaking in a serving of veggies.

Grill flank steak and slice and serve over a salad brimming with veggies.

thLook for healthy substitutions at the deli counter. I like Boar’s Head Pastrami Seasoned Turkey Breast; not pastrami turkey, but turkey seasoned with pastrami seasoning, as a substitute for fattier pastrami. Use the turkey to make a healthier reuben by adding sauerkraut, a slice of Swiss cheese, tangy mustard on a rye bread. ((I have no connection to Boar’s Head meats!)

Whatever you choose, remember it is the total dietary pattern that makes for good health. So, for meat eaters, keep portions in check, pile on the veggies, healthy grains, and delicious fruit to balance your meals.

For more tips on healthy food choices, check out Food & Fitness After 50, available from Amazon and other book sellers.

Copyright © 2019 [Christine Rosenbloom]. All Rights Reserved.

 

 

 

Food & Fitness After 50: Fish Oil Supplements

We’ve been exploring the benefits of seafood in the diet (for the previous posts click here and here). Today let’s answer your questions on fish oil supplements.

As a quick reminder, health organizations like the American Heart Association recommend at least 2 servings (a serving is equal to 3.5-ounces) of fatty fish twice each week to get the recommended 250-500 milligrams of omega-3 fatty acids of EPA and DHA (sometimes referred to simply as fish oils). But there is nothing simple about sorting through the many fish oil supplements on the market for those who don’t eat enough fatty fish. Add to that, trying to wade through the sea of health claims and understanding the label is even trickier. I checked in with Senya Joerss, Technical Manager for Trident Seafoods Corporation to ask about fish oil and omega-3 supplements.

While I don’t want this to turn into an organic chemistry lesson, this infographic can help explain the different types of omega-3-fats. While we tend to lump them together under the umbrella of omega-3s, what we are really after are the EPA and DHA, the two omega-3s that have been extensively studied to promote heart, brain, and eye health.

 

ALA-EPA-DHA-infographic

That leads to the first question on the various formulations on the market.

Question: Is salmon oil a better choice for a supplement than other omega-3s on the market?

Salmon oil contains a good amount of omega-3s but some fish contain more (sardines and mackerel for example). But, the omega-3 content of fish is dependent on what the fish eat. Salmon is one of the fattier fishes and therefore salmon oil is a good choice for a supplement due to its omega-3 content. As a consumer, that means you can take fewer capsules. Also, salmon oil is a natural form of the fats meaning better absorption, so it gets in to the blood stream more readily. Joerss responded this way, “Trident’s product, Pure Alaska Omega Wild Alaskan Salmon Oil delivers the same whole fat omega nutrition as eating two portions of cooked wild salmon per week; it’s the closest supplement option when you cannot eat fish for dinner.” And while the health benefits of EPA and DHA are what we are after, Joerss states that “fatty fish, like salmon, contain many other fatty acids and omega fats (examples: Omega-7, Omega-9, Omega-11 fatty acids) that are not as well researched as EPA and DHA fatty acids, but there is a plethora of evidence to support overall health for populations eating fatty fish regularly.” She believes there is a synergistic effect in consuming multiple fats together to provide balance. So, while eating fatty fish is the best way to get the health benefits, salmon oil is the next best thing.

Question: How do you read a nutrition label for fish oil. I find it confusing. For example, the front of the bottle says 1000 milligrams yet the supplement facts panel on the back of the bottle says 2 softgels contain 600 milligrams of omega-3s.

Joerss understands the confusion and says “it is challenging for the consumers to interpret fish oil labels because they all look slightly different.” For Trident’s product, what you are taking is “Salmon Oil” so that is the name of the product and the largest font callout on the front of the label. The 1,000 mg is the amount of Salmon Oil you get with each softgel. This is typically the way “Fish Oils” are marketed especially if the oil is not refined because fish oil contains more than omega-3 fatty acids. (Another example would be “Cod Liver Oil” softgel products, they list the amount of cod liver oil consumed per unit or per softgel on the front, so you know how much cod liver oil each unit/softgel delivers).

PAO_Salmon-Oil_Costco.com_v7FAThe suggested serving size for the Pure Alaska Omega Wild Salmon Oil is 2 softgels which is 2,000 mg (2 grams) of salmon oil per serving. The salmon oil omega-3 content, other fatty acid contents, vitamin content (A & D), and other fat-soluble compounds remain present in the same portions and amounts you would find in the lipid (fatty) portion of wild salmon.” Which is why the amount of EPA + DHA don’t add up to 1000 milligrams.

However, Joerss adds that “while there are some products that do not list EPA and DHA exclusively on the label all fish oils should include a total omega-3 value.” She explains that some products, like “whole omega” fish oil calls out only total omega-3s because it is a natural product.

Watch out for the claim that omega-3 supplements contain a certain percent of the Daily Value or DV.   This is a meaningless claim because there is no Daily Value set by the USDA or FDA for fish oils. You will find a DV for nutrients like vitamin D, but not for fish oil.

Question: What is astaxanthin and is that unique in fish oil products?

Astaxanthin is an antioxidant or carotenoid found in bacteria and algae. It gives the pink color to shrimp and salmon and other crustaceans. Joerss explains that “astaxanthin is present in wild fish that eat and feed freely on algae and other fish in nature. Salmon oil that is cold-pressed, similar to extra-virgin olive oil, uses an extraction process that preserves the astaxanthin that is present in the wild salmon – so that is unique compared to most other fish oils which remove this as part of the refining/concentration process.” However, Joerss points out that astaxanthin in Trident’s salmon is oil is small when compared to products that add this carotenoid to their fish oil supplement.

Question: Is there a fish oil for vegans?

Algal oil is a good option for vegans. Algae is where fish get their EPA and DHA so oil made from algae can supply omega-3s to plant-based eaters. Algal oil is more costly than other fish oils but can meet the needs of vegans.

Question: Many people complain of a fishy aftertaste when taking fish oil…any tips for reducing the after taste (i.e., taking with meals, taking at a certain time of day, refrigerating the capsules?)

Some people do complain with the “fish burb” or aftertaste, but Joerss recommends taking the supplement at the beginning of a meal and a substantial meal, like lunch or dinner would be best. “Some people report taking it with orange juice, but I do not think oil and seafood typically pair nicely together with OJ!” She adds that “we do not recommend freezing or refrigerating the capsules because that will prolong the rupture time of the softgel. If the softgel does not rupture soon after being swallowed that is less time for your body to absorb the nutrients within each softgel.

For more information and resources for omega-3s, check out Trident’s brand, Pure Alaska Omega and also the website for the Global Organization for EPA and DHA Omega-3s or GOED.

For more information on eating well in your 50s, 60s, 70s, and beyond, check out Food & Fitness After 50.

Disclosure: I was a guest of Trident Seafoods, Women of Seafood, to learn more about wild Alaska fishing. However, I was not asked to write this post or compensated to do so.

Copyright © 2019 [Christine Rosenbloom]. All Rights Reserved.

 

 

Food & Fitness After 50: Answering Your Questions

Slide openingI enjoyed talking to an engaged and inquisitive audience of about 100 older adults in Asheville, North Carolina on my favorite topic, Food & Fitness After 50. There were so many good questions that Dr. Bob and I will answer a few of them in this post. For some of the questions, we will refer you to some older posts that covered the topic in greater depth.

Question: What is the best oil to use…I am confused about so many choices?

The cooking oil aisle has become as crowded as the yogurt dairy case! With so many choices, brands, and health claims it is a challenge to sort it all out. In my opinion (based the nutritional properties of the oils) and the oils I use in my kitchen I recommend extra virgin olive oil for sautéing, salad dressings, and drizzling over roasted veggies and pasta. I like some flavored olive oils, too, like lemon, Tuscan herb, and garlic. For everyday cooking, I use a neutral-tasting canola oil. Both have a high percentage of monounsaturated fats with low levels of saturated fats. I also use peanut oil for stir-frying because it has a high smoke point, meaning that it can be heated to a high temperature without setting off the smoke detector. In addition, I use a dash of sesame oil at the end of stir-frying to give the meal a distinct flavor. The other factor in recommending these oils is economic. They are affordable compared to some of the new kids on the shelf.

Here’s a chart of the various oils; choose the oils with the yellow and blue bars and limit the ones with red bars.

oil-comparison-chart

Question: What is the difference between extra virgin olive oil (EVOO) and light extra virgin olive oil?

Light extra virgin olive oil is more refined than regular EVOO, making it lighter in color, giving it a neutral taste and a higher smoke point. It is not lighter in calories or fat.

Question: Is vitamin K good for bone health and what foods is it found in?

The fat-soluble vitamin K works as a co-factor for making proteins important in blood clotting and bone metabolism. Deficiency of vitamin K is rare in the U.S. and it is unclear if supplementation will reduce the risk of osteoporosis, but this is a robust area of research, so stay tuned for more information as it becomes available. For now, your best bet is to eat plenty of leafy green veggies, one of the richest food sources of vitamin K. Collard and turnip greens, spinach, kale, and broccoli are all excellent sources. Also, canola and soybean oils contribute to our vitamin K status. You will probably find vitamin K in your multi-vitamin supplement as well as some calcium supplements touting bone health.

Contrary to popular belief, people on warfarin (Coumadin®) don’t need to eliminate vitamin K, but they do need to maintain a consistent intake of the vitamin so as not to interfere with the drug’s action. For more information of vitamin K, check out this fact sheet from the Office of Dietary Supplements.

Question: Is Tai Chi helpful for arthritis?

older-adults-tai-chi-outside-e1505160556655I asked Tai Chi expert, Chris Cinnamon, founder of Tai Chi Chicago, and he gives Tai Chi an enthusiastic “yes” as a good exercise for those with arthritis. A recent review of research on the health benefits of Tai Chi reveals that the strongest evidence is for reducing fall risk and reducing pain from knee osteoarthritis. To learn more about the benefits of Tai Chi check out this interview with Chris from our blog.

Question: I love to swim and is swimming the only exercise I need, or do I also need to some strength training?

Swimming is a fantastic whole-body exercise that can help build and maintain muscle strength, improve stamina, and spark weight loss.  As with all types of exercise, we get out of it what we put into it.  In other words, we can’t expect great benefits if we constantly swim at a casual pace.  We need to push ourselves in the water so that our lungs and our muscles are frequently taken out of their comfort zones.  Isolating the legs with kicking exercises and doing the same with the arms by using a pull buoy can add variety and challenge to your swimming.  Out of the water, if you can make time for additional exercise—even if that’s only an extra 5 minutes a day—then briskly walking stairs or jogging or weight lifting or calisthenics are good ways to place stress and strain on your bones to help keep them strong, something that swimming does not do.

Question: Can you recommend specific exercises for fall prevention?

Falls can have devastating health consequences, especially in older adults.  We are all going to fall from time to time, so our goal should be to minimize the number of times we fall, along with the damage that occur when we do fall.  Improving our balance is just one aspect of fall prevention because on those occasions when we find ourselves off balance, we need the leg and core strength, along with quick reactions, to prevent ourselves from toppling over. Happily, there is good scientific evidence—coupled with common sense—to indicate that staying fit through a variety of different activities is a great way to reduce the risk of falling. Balance exercises such as standing on one leg for at least 20 seconds can help improve balance, but that shouldn’t be surprising.  More useful are exercises that require stepping over obstacles to mimic walking through a crowded attic or tiptoeing through a garden.  Exercises that increase leg and core strength are helpful, as are activities that improve agility—our ability to change directions quickly and accurately.  Dancing of all sorts, tennis, team sports, pickle ball, and handball all fit that bill.

Question: Can I get enough quality protein on a plant-based diet?

Absolutely. According to the Plant-Powered Dietitian, Sharon Palmer. “There are many examples of high-quality plant protein foods—similar to the quality of animal protein. The star plant protein is soy—it is similar in quality to animal protein. In addition, pulses (beans, peas, and lentils) are high in quality, too. The important point is that if someone consumes a balanced plant-based diet, with adequate sources of a variety of plants—pulses, soy foods, whole grains, vegetables, nuts, seeds—they can get the all of the amino acids needed by the body from those foods. It’s not necessary to “combine” or “complement” proteins at each meal. However, it is important to make sure you are selecting a variety of protein-rich foods at each meal to ensure adequate protein intake. One note: vegans may need slightly more protein daily to accommodate for digestibility—the high fiber nature of many plant foods means that the proteins are not quite as digestible. So, it’s a good idea to get servings of protein-rich foods at each meal and snack. And don’t forego soy needlessly—this is a really important plant protein source for vegans.”

For more on plant proteins, here is an interview with Sharon and be sure to check out her website for terrific tips, recipes, and lots of other great stuff.

Question: Can you recommend some online sites or videos for exercises designed for older adults?

There are plenty of websites and YouTube videos that focus on exercises for older adults.  Here are four examples:

1) National Institute on Aging has educational materials and videos targeted at getting older adults more active through basic exercises that can be done at home.

2) Fitness Blender offers a wide variety of at-home workouts of varying durations and difficulty.

3) For those interested in yoga, Yoga with Adriene is a good place to start.

4) For older adults who desire challenging strength training, along with an understanding of the science behind it, take a look at videos from Athlean-X.

All of these resources provide great ways to get started with new activities, all of which can be modified to suit individual needs and interests.

To learn more about foods and physical activity for those in the 50s, 60s, 70s, and beyond, check out, Food & Fitness After 50 , available at Amazon (both as a soft-back or an E-book) or other booksellers.

Copyright © 2019 [Christine Rosenbloom]. All Rights Reserved.

Food & Fitness After 50: Cruise Control: Tips to Enjoying Great Food and Maintaining Your Weight on a 2-week Cruise

2017_Viking_Homelands_956x690_tcm13-15581We just returned from a 2-week Viking Ocean Cruise, visiting 7 countries and 10 cities in Scandinavia and on the Baltic Sea. It was a trip of a lifetime and before we left we heard the same thing from friends who are serious  cruisers….”the food is fabulous, with loads of options and endless buffets.” All that is true, and it made us pledge to enjoy the food but set the intention to not gain weight.

In Food & Fitness After 50 we advise four principles of a healthy diet for older adults:

  • Include all the energy-containing (calorie) nutrients of carbohydrate, protein, and fat
  • Choose nutrient-rich foods (foods packed with vitamins, minerals, and healthy plant-compounds)
  • Consider your risk for chronic disease when choosing foods
  • Enjoy food and mealtime

IMG_274120190922_072005 (1)

On a cruise it is easy to focus solely on the enjoyment of food and mealtime. I’m not about to tell anyone to wear blinders when choosing their meal, but with these tips you can enjoy it all and still fit into your clothes when disembarking the ship.

Before you decide where or what to eat (ships have many options from intimate small dining to endless buffets to white table cloth fine dining, as well as specialty restaurants) check them all out. At the buffets, do a walk through before filling your plate, focusing on the regional cuisine and vow to sample one food that is new to you every day. Since Viking is a Norwegian cruise line the seafood options were endless; salmon, crab, lobster, shrimp, halibut, and cod were our staple proteins. In a previous post I wrote about smoked salmon and lox. I tried another variation….gravlax, a Nordic dish of salmon cured in salt, sugar, and dill. It has a sweeter taste than the lox or smoked salmon than we eat in the U.S. My husband had kippers one morning for breakfast; a whole herring, butterflied and hot-smoked. The taste (and smell) was too strong for me!20190915_113831 (1)

Ask for smaller portions; yes, it is possible! Ask for a one-egg omelet instead of 3 eggs and load it up with spinach, peppers, and onions (a good definition of a nutrient-rich meal) and request entrée portions be scaled back. I often opted for a “sampler platter,” trying a small portion of many foods on one plate. Yes, it sometimes made for odd combinations, but it was fun to try so many foods without feeling stuffed at the end of the meal.

Fill up on foods with a low-energy density; that means foods lower in calories but with high volume to keep you full. Soup is a great way to start a meal and I often found that the soups were so delicious that one bowl of soup was all I needed to eat for lunch. Fruit is also low-energy density and the fruit options were plentiful and tasty.

IMG_3151And, back to smaller portions, what about dessert? The pastry chef turned out beautiful, decadent desserts and many were right-sized but there is opportunity to go overboard at the gelato station! Ask for one scoop of gelato to enjoy the sweet taste without blowing your food budget. I always tell folks that the second half of the dessert tastes just like the first half; so, no need to eat a big piece of cake, pie, or a cookie the size of a man hole cover!

IMG_3142Talk to the chef and take a galley tour. These tours are not advertised but ask guest services if you can get a look behind the scenes. I was impressed with how organized, efficient, and clean everything was in the kitchen. I enjoyed talking to the Chef de Cuisine, Ivan Paineman, about how he delivers high quality, delicious food for the many restaurants on board, as well as room service. We also took part in a special “Chef’s Table” meal one evening, featuring a regional cuisine 5-course meal with wine pairing and got to talk to the chef about how he decides which cuisines to feature.

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Don’t abandon your exercise routine; no need to do so with a world-class gym on board and indoor and outdoor swimming pools. (My favorite was the infinity pool at the back of the ship….feels like you could go over the ship and right into the ocean.) We spend some time in the gym, but we got most of our exercise on walking tours of the cities. Guided walking tours were included in most cities and we got lots of steps in while seeing the sights of Stockholm, Copenhagen, Berlin, Aalborg, Tallinn, and Bergen. It doesn’t feel like exercise when listening to a knowledgeable, engaging guide showing off his or her favorite city. Most days, we got over 15,000 steps.IMG_2739

I’d be remiss if I didn’t bring up alcohol as it pours freely at lunch and dinner on-board. No need for a drink package on Viking unless you want to add breakfast drinking! Alcohol adds extra calories and loosens your resolve to eat healthy. We certainly enjoyed the wine with meals but breakfast, mid-morning, mid-afternoon, and late-night imbibing is something that no one needs! But, when in Germany, I couldn’t resist a local beer! For more on alcohol and health, click here.IMG_2969

Thanks to Viking for delicious food, charming cities, luxurious accommodations, and attentive staff. We met our goal of not gaining weight, but it was hard to transition to land lubber status and making my own meals and cleaning my house!

Copyright © 2019 [Christine Rosenbloom]. All Rights Reserved.