Food & Fitness After 50: Life is a Balancing Act

Food & Fitness After 50: Life is a Balancing Act

I completed this interview with Becky Dorner before COVID-19 changed our lives. Her work in long-term care is well known in the nutrition community and she has developed a web page with free information on what we need to know about food safety and the virus. While we hear about the caring nurses, doctors, and health professionals during this pandemic, there are thousands of food service workers who make sure people in places like hospitals, nursing homes, and assisted living facilities are well fed. Becky provides training for facilities to ensure they are safe, as are the people they care for.

Becky and family 2Running three businesses, caring for aging parents, parenting three children, doting over one precious grandchild, and volunteering for her professional organization, Becky does it all with grace and good humor.

Becky and I met years ago, sharing a cab on a cold, rainy Chicago day and we bonded over a mutual interest in healthy aging. But, while I came late to my interest in aging, Becky’s love of working with older adults started early. After graduating from the University of Akron in 1981, she did a clinical rotation in a nursing facility and fell in love with the residents. “I never had the opportunity to get to know my grandparents. This experience filled that void and I was able to help improve their health through better nutrition.”

A Novel Career Choice

Becky caught the entrepreneurial spirit when she was 11 years old, selling hand crafted dolls. “It was rewarding to create something that people valued. I realized early on that I wanted to work for myself, and was driven enough to make it happen.” A family history of heart disease led her to study nutrition and fitness.

When she finished school, Becky did two things that were not very common for dietitians in the early 1980s: she started her own nutrition business and focused on wellness. (Click here to visit her website, Becky Dorner & Associates.) “I’m inspired by young professionals who start new ventures – it’s not easy, but there is a lot of support available. When I started, we were non-traditional – and we were on our own. I learned a lot by trial and error, and found others who were willing to network, provide mentoring and support. It was tough, but what a great way to learn!”

Starting Small and Growing a Big Business

Becky and dogAfter starting her business, she discovered consulting in long-term care (LTC) facilities was stable, steady work. Within 6 months she had enough business to hire other dietitians. Thirty-seven years later, she employs 35 people, mostly registered dietitian nutritionists. Part of her business was developing materials and training for her clients. One day, her business coach suggested she sell these to other health professionals and her second business was born, publishing manuals and providing continuing education courses for health professionals. To date she has presented more than 500 programs for local, national, and international professional meetings in 5 countries and all 50 states, hosted more than 140  continuing education webinars, and published more than 300 health care articles, clinical manuals, and continuing education self-study courses. Her free monthly electronic newsletter goes out to over 35,000 health professionals.

Becky embraced Food & Fitness After 50 when it was published by inviting me to do a webinar, and has since developed a continuing education course on the book’s content.

Creating Balance

This leads us back to the title of this post…. balance. Since she has spent almost 40 years taking care of others, how does she take care of herself?

“Daily exercise is my go-to for stress relief and life balance,” she says. Diagnosed with high blood pressure at the age of 42, exercise, especially walking, helps control my blood pressure and provides some quiet time.” As for her diet, she is careful about monitoring sodium and saturated fat, and she embraced pescatarianism about 10 years ago. (Pescatarians eat a plant-based diet that includes fish.)

Becky defines healthy aging as “being able to do the things I want to do, including the work I love, but also making time for exercise, relaxation and fun. To find balance, I’ve cut back on my work travel and put more time in to developing online webinars and courses that I can do from home.”

Becky and familyAs we age, we all face challenges and when I asked Becky about her biggest challenge, she replied “Caring for the needs of elderly parents who have cognitive issues. It can be a long journey, but we try to provide as many moments of happiness as we can; and make sure that our parents get the best possible care.”

Becky’s 3 tips for healthy aging?

  • Create balance in your life and find joy every day.
  • Eat a plant-based diet; make vegetables, fruits, nuts, whole grains, and beans the center of your plate.
  • Keep an eye on your numbers. Know your blood pressure, blood lipids, and blood sugar levels and do all you can to keep them in an optimal range.

Balance can be thought of in the physical sense, which is important to healthy aging, but balance in the psychological sense is just as essential.

Chris Rosenbloom is a registered dietitian nutritionist and a nutrition professor emerita at Georgia State University in Atlanta. Along with Dr. Bob Murray, she is the author of Food & Fitness After 50.

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

Food & Fitness After 50: Has COVID-19 Changed Your Shopping and Cooking Habits?

1200px-Colourful_shopping_cartsAs we continue to stay close to home and practice social distancing, is COVID-19 having an impact on how we shop and cook? How has it affected you? A new survey from the International Food Information Council, asked about food purchasing, eating behaviors, and perception of food safety in this unique time. For the entire survey, click here.

I want to dig around the data to see what the over-50 adults are saying in response to some survey questions. The data are broken out into age groups of under 45 years, 45-64, and 65 and over, so I’ll focus on the 65 and over. While the 65 and over responses are close to the average for all groups, there are a few differences.

About 50% of survey respondents say they are shopping less in person and that jumps to 55% for those over the age of 65. That makes sense as older adults are at high risk for contracting the virus and having more serious complications if they do get the virus. For those who are concerned about shopping in person, remember that many stores offer special, early morning hours for older adults and that is when the store is likely to be the cleanest. The hardworking grocery store workers restock and thoroughly cleaned the store before it opens. Wear gloves and a mask and take a list to limit browsing but be willing to make substitutions if your preferred item isn’t available.

hand washingWhen it comes to food safety, we all know hand washing is a key preventative behavior yet only 63% of those surveyed say they wash their hands after grocery shopping. The good news is that number jumps to 73% for those of us over the age of 65. In almost all the categories on food safety, older adults are practicing good behaviors; from minimizing touching surfaces to washing fresh produce. With age, comes wisdom!

As for eating habits, 24% of older adults say their eating habits have not changed yet only 6% say they are eating more healthful foods than they usually do. That is a number I’d like to see higher. Eating healthfully can support the immune system so now is a good time to evaluate the quality of the nutrition in the foods you eat.

While many us of are buying more packaged foods (sometimes called “processed” foods), good for the over 65 adults who recognize that these foods are part of a healthy diet. Foods like canned tuna, canned beans, and tomatoes, as well as frozen fruits and veggies, are healthy, staples that can be put to good use for nutritious home cooked meals.

Mix_Nuts-1-minAbout 1 in 5 older adults say they are snacking more than they did before stay at home orders took effect. Many of us turn to food when we are bored or out of our usual routine, but this is an opportunity to fill nutrient gaps in your diet by snacking on healthy foods. Apple slices with peanut butter, a handful of nuts like walnuts, almonds, pistachios, or peanuts, or a stick of string cheese with whole grain crackers are nutrient-rich snacks that are also filling to keep hunger away.

 

For more resources on food safety and healthy eating behaviors, check out these resources.

And, for an interesting commentary on how the pandemic is helping some of us create healthy habits, such as cooking at home and walking, click here.

Chris Rosenbloom is a registered dietitian nutritionist and a nutrition professor emerita at Georgia State University in Atlanta. Along with Dr. Bob Murray, she is the author of Food & Fitness After 50.

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

Food & Fitness After 50: Answering Your Questions about Food Safety and COVID-19

Just Running Water, No Soap or Detergents on Your Produce

We are also seeing many reports regarding the use of hand soap, detergents and household cleaning wipes being used to sanitize fresh produce. DON’T! These products have not been approved for use on foods. In addition to the CDC and FDA’s clear advice above, Dr. Don Schaffner, Food Science Professor at Rutgers University explained to USA Today: “Those soaps and detergents are designed for washing hands or for washing dishes and they’re not designed for washing food.” The Alliance for Food and Farming, April 1, 2020

Food-Safety-Hygiene

Older adults and those with chronic diseases are in the high-risk category for COVID-19. Considering that 85% of older adults have at least one chronic disease and 60% have at least 2 chronic diseases, that is more reason to protect yourself by practicing good food safety. To be clear, these food safety practices aren’t anything new; we should have been doing them all along, but let’s face it, we get lazy and don’t emphasize prevention. That is changing!

Here are some answers to questions you’ve been asking. I’ve provided links to resources for more information when available.

Question: Should I leave my groceries in the car or garage for 3 days before bringing them in the house?

chc-final-250x327No! There is more danger of pathogens growing in foods that need refrigerating or freezing than from the COVID-19 virus. While the virus can remain on surfaces for several hours to a few days common sense precautions should prevail. Wash your hands after carrying your groceries to the house and use one counter or table as your “dirty” area for unpacking. Put groceries away and rewash hands and then wash and disinfect the counter. There is no harm in washing cans before opening them, but it is probably unnecessary.

Question: What about reusable shopping bags? Are they safe?

Reusable bags should be cleaned between uses. Bacteria from raw fruits and vegetables can get into the bags so they should always be tossed in the laundry and washed with hot, soapy water between uses. (This is not new advice, but probably not something most people do!)

Question: Should I use bleach or dish detergent to wash produce?

In a word, no. There is so much misinformation circulating online, leading people to do dangerous things thinking it will protect them from the virus…gargling with bleach, using disinfectant wipes to wash produce, or scrubbing potatoes with dish detergent are not only wrong, but dangerous! Bleach, soap, and disinfectants are not meant for consumption. They are great for cleaning hands and kitchen surfaces but are not for ingestion.

Wash-Your-Fruits-and-Vegetables-450x900Question: What is the best way to wash produce?

The Alliance for Food and Farming has some good resources on food safety, but the recommendations from all government organizations have been consistent in advising that we should continue to do the following; note the word “continue” because these are things we should be doing all of the time!

  • Wash produce under warm or cold running tap water to help remove any dirt, bacteria or residues that might be on the product. This goes for conventional and organic produce whether from the grocery store, farmer’s market, or CSA.
  • When preparing fresh produce, begin with clean hands. Wash your hands for at least 20 seconds with soap and warm water before and after preparation. (According to one study, 65% of consumer don’t wash their hands before meal preparation…let’s change that sad statistic!)
  • Wash cutting boards, dishes, utensils, and counter tops with soap and hot water between preparing raw meat, poultry, and seafood and preparing produce that will not be cooked.
  • Cut away any damaged or bruised areas on fresh fruits and vegetables before preparing and/or eating. Throw away any produce that looks rotten.
  • Remove and discard the outer leaves of leafy vegetables, like lettuce and cabbage
  • Even if you do not plan to eat the skin, it is still important to wash produce first so dirt and bacteria are not transferred from the surface when peeling or cutting produce. I always scrub melons, cucumbers, avocado with a produce brush under running water before I slice into them. Dirt on the outside can be transferred to the inside through the knife.
  • According to the FDA: “Many pre-cut, bagged, or packaged produce items are pre-washed and ready-to-eat. If so, it will be stated on the packaging, and you can use the produce without further washing.”

Question: With disinfecting wipes in short supply, what is the best way to clean my counter tops?

An easy and inexpensive solution is mixing 4 teaspoons bleach in 1 quart (4 cups) of water and pour into a spray bottle. After cleaning with soap and water, spray the bleach and water mixture on all surfaces and let sit for about a minute before wiping dry with paper towels or a clean dish cloth. Don’t forget to disinfect the high touch surfaces like faucets, drawer pulls, appliance handles, tables, counters, and sinks. For more tips on disinfecting your kitchen click here.

Question: Are there any supplements that halt the virus?

Unfortunately, no. But that hasn’t stopped unscrupulous people from selling supplements that make unsubstantiated claims. The Food & Drug Administration and the Federal Trade Commission continue to issue warning letters to companies for selling fraudulent COVID-19 products that claim to prevent or treat the virus. The latest warning letter was to NeuroXPF selling a CBD product with misleading claims. The agency says beware of products claiming to prevent, treat, or cure those infected with the virus. Remember, if it sounds to good too be true, it probably is!

I welcome questions so email me at chrisrosenbloom@gmail.com and I’ll do my best to respond. There are still some people who think all of the hand washing and food safety practices are overkill, but I’m in that high risk over 65 age group and have a chronic disease….so, I am playing it safe!

For more information on food safety in the time of COVID-19, continue to check with these sources:

For the response  to the virus and the safety of your foods from the retail grocery sector, check out information from The Food Industry Association.

For food safety information, check the Partnership for Food Safety Education.

For information on produce safety check out The Alliance for Food and Farming.

For information on food and nutrition and COVID-19, check out this new resource page from the Academy of Nutrition and Dietetics.

Dr. Chris Rosenbloom is a registered dietitian nutritionist and a nutrition professor emerita at Georgia State University in Atlanta. Along with Dr. Bob Murray, she is the author of Food & Fitness After 50.

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

 

 

Food & Fitness After 50: Tai Chi for Your Knees

Last year I interviewed Chris Cinnamon, owner and head instructor of Chicago Tai Chi™ and an American College of Sports Medicine (ACSM) certified exercise physiologist about the benefits of Tai Chi for older adults.  In the post, Chris answered your questions about Tai Chi for overall health, and we explored his path from Navy flyer to lawyer to Tai Chi expert and healthy aging advocate. To read the post, click here.

Tai Chi book coverToday I want to talk about his new book, Tai Chi for Knee Health, available at Amazon as a softback or E-book by clicking here.

The book is a comprehensive, step-by-step guide to performing this low impact exercise for preventing knee problems, treating knee issues, or recovering after a knee injury or surgery. Since knee osteoarthritis affects about 14 million adults it is likely that you, a family member, or friend have some issues with knee pain. Let’s start with a few observations about the book and then ask the author to elaborate.

The book is divided into 4 parts and 18 chapters, loaded with illustrations to make the content relatable.

The first part is devoted to getting to know your knees and establishing the reasons why Tai Chi is beneficial for knee health. This part is replete with illustrations of the knee and the many structures that support your knee…. bones, ligaments, tendons, cartilage, muscles, and the inner working of the knee itself. I’m sure you’ve all heard of people (or perhaps yourself) who have meniscus tears or ACL repairs. Chris’s clear explanations and accompanying illustrations will help you understand what these structures are, where they are located, and the functions they serve.

The second part focuses on the first three movements of the seven movement Tai Chi for Knee Health exercise system. The basic elements of the movements are discussed, and each step is illustrated, along with practice exercises to make sure you are doing the exercises in a manner that promotes knee health.

Part three presents the next two movements, reinforcing and building upon the lessons in Parts one and two. Part four guides you through the final two movements, then a complete set of movements 1 through 7.

Each chapter ends with a bulleted list of the content wrap up; I found it helpful to read this first and then read the chapter and ending with a review of the wrap up. (I like the bottom-line up-front approach to learning!)

The book includes links to online practice videos where Chris leads you through the exercises, providing helpful cues.  In addition, the book provides a wealth of references for further reading.

What I like most about the book is that is great for beginners, but also a useful tool for seasoned pros to take their practice to the next level.

Question: Can you explain your 3 objectives for writing this book?

I wrote the book for 3 main reasons:

  1. To help more people discover how Tai Chi-based exercises, when properly taught and practiced, can restore knee health, and improve, even eliminate, knee pain.
  2. To guide readers through a gentle exercise program, anchored in solid science, that gives people an alternative, or compliment, to more invasive, and risky, interventions for knee osteoarthritis and other conditions.
  3. To provide a clear, practical, no nonsense guide for knee pain sufferers so they can accomplish the 3 main objectives of the Tai Chi for Knee Health System because until now, these skills have rarely been taught in the west. The skills are to:
    • develop the sensitivity to feel inside your knees
    • develop the skill to precisely align your knees during dynamic movement, so you stop hurting them
    • learn to move in ways that stimulate physiological mechanisms that can restore knee health.

Question: You make a pretty bold claim that Tai Chi can eliminate knee pain. How do you support this claim?

I appreciate your question. That may seem like a bold claim, but when you dig into the science, it’s entirely supportable.

Let me start with my own experience. In my late 40s, after a lifetime of high impact athletics, multiple knee injuries, and surgery, I endured chronic knee pain. It hurt to climb or descend stairs. It hurt to kneel. It hurt to sit at a desk. I took lots of ibuprofen and worried about my ability to stay active.

Then I received a diagnosis of osteoarthritis (OA) in both knees. Knee OA is typically degenerative, meaning it keeps getting worse. I didn’t like that. About that time, I discovered Tai Chi. I was soon hooked by its graceful, powerful, yet low-impact movements. Soon my knees began to feel better. As I continued to practice Tai Chi, my knees continued to improve. Today, my knees are virtually pain-free. And as the Head Instructor of the leading Tai Chi school in Chicago, I lead an active life.

I’ve guided hundreds of students and clients through my Tai Chi for Knee Health system. They learn the material, practice it, and consistently report a reduction in knee pain. All that is anecdotal, I recognize. But there is solid science to back it up.

Multiple research studies have tested Tai Chi as an intervention for knee OA. All of the studies show significant improvements in pain. Most of the studies show significant improvements in function. All without drugs or surgery. In short, Tai Chi for Knee Health works. (Note, there is a comprehensive list of references in the book.)

Question: How long and how many times a week should Tai Chi be practiced for knee health?

I recommend people practice my Tai Chi for Knee Health exercises 15 – 20 minutes per day for 4-6 days per week. A small investment of time for a big payoff in healthier knees and a more active life.

With one important qualification, however. If that amount of exercise causes discomfort, then the person needs to back off and do a lower volume and duration of exercise. Say 3 days per week for 10 minutes per day. Then gradually build from there.

As I explain in the book, you can’t reduce knee pain by moving in a way that hurts your knees. Especially when dealing with knee OA.

Question: You talk about the 70% rule…please explain that because everyone thinks you must give 100% to anything to make it successful.

The 70% Rule holds that we perform no movement or practice greater than 70% of our maximum.

For people like me, raised in a “No Pain, No Gain” society, that may initially seem bizarre.

But when it comes to healing your knees, the 70% Rule makes total sense. By moving within your 70% range, you reduce tension, allowing chronically tense tissue to relax. Relaxation of tissue improves circulation of fluids, which promotes healing. So, when healing is the goal, the 70% rules applies.

In the same vein, by moving within your 70% range (or less depending on your circumstances), you avoid a range of motion that irritates arthritic tissue and triggers pain. Viewed in this way, the 70% Rule helps you avoid hurting your knees while the gentle movements of Tai Chi for Knee Health promote healing.

Question: If you could explain the book in a tweet of 240 characters, what would you say?

My book Tai Chi for Knee Health will guide you, step-by-step, through a low-impact Tai Chi-based exercise system that will:

  • Transform your knee health
  • Eliminate pain
  • Get you moving again

Beyond the limit of 240 characters, The Tai Chi for Knee Health System provides an ideal exercise program for adults experiencing chronic knee pain from knee osteoarthritis, tendonitis, bursitis, patellofemoral syndrome, and other causes. It can be incorporated into prehab and rehab for knee surgery and knee replacement.

The Tai Chi for Knee Health System combines time-tested Tai Chi principles with cutting edge scientific research to deliver a step-by-step program that anyone can do. Richly illustrated, with access to online videos, Tai Chi for Knee Health delivers an ideal resource to help you take charge of your knee health, eliminate pain, and enjoy moving again.

Question: Would you like to add anything else?

I developed the Tai Chi for Knee Health System to help millions of knee pain sufferers experience the transformation I and hundreds of my students have experienced—from chronic knee pain to virtually pain free knees.

The response to the book has been outstanding. Readers across the US and 8 other countries are enjoying the program, checking in with questions, and reporting their progress.

There are lots of sore knees out there. Tai Chi for Knee Health can help many of them.

Chris Rosenbloom is a registered dietitian nutritionist and a nutrition professor emerita at Georgia State University in Atlanta. Along with Dr. Bob Murray, she is the author of Food & Fitness After 50.

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

Food & Fitness After 50: It’s a Good Time to Pass Along Kitchen Tips and Family Recipes

Keeping our social distance, my neighbor, Amy and I were talking (well, sort of shouting) across our yards and she said she had an idea for this blog. After listening to her ideas, I am posting a Q&A to share her great suggestions for passing along her favorite kitchen hacks and family recipes to the next generation. Thank you, Amy Clark!

fuel-nutritionMost of us value family meals and for good reasons. A recent systematic review confirms that family meals improve fruit and vegetable intake and improve family connectedness, communication, expressiveness, and problem-solving. And, sharing family heritage through cherished family recipes and teaching children some easy kitchen tips and tricks can improve the bond between the generations.

Question: What made you think about sharing recipes with your family at this time?

Self-isolation and family lock-down is a perfect time to teach kids some kitchen basics that they can use for a lifetime and help to instill the love of cooking. I also think that showing our children how to master simple tips can help making cooking more streamlined to save time in the kitchen. This can help them realize that cooking isn’t a daunting task.

Question: What are your top tips to engage younger kids in the kitchen?

For the younger kids, get them to help with some easy tasks. We probably all know that overly ripe bananas can be peeled and frozen and used in banana bread*, muffins, or pancakes, but another use for bananas is this trick that I use. Have kids peel ripe bananas and slice into ½-inch to 1-inch slices and lay them on baking sheet lined with parchment or wax paper. Slide the tray into the freezer for an hour or two and then transfer to a gallon-size freezer bag. I like to stack the layers on top of each other inside the freezer bag by reusing the parchment or wax paper. They don’t take up much freezer space and it prevents food waste of those tasty bananas.

The kids can pull out the slices when they want to make smoothies, put on cereal, or make pancakes. I like to use them for a breakfast bowl.

Amy’s Breakfast Bowl

½ cup uncooked oatmeal

1/3 cup pomegranate juice

1 Tablespoon of shelled, raw sunflower or pumpkin seeds

Handful of frozen blueberries

4 or 5 sliced frozen bananas

Mix together in microwave safe bowl and microwave for 40 seconds. Remove from microwave and stir and microwave for another 40 to 45 seconds.

LemonAnother kitchen hack that is easy to pass along to kids is how to save time by having lemon zest and juice at the ready. Wash lemons and grate the zest. Show kids how to use a cheese grater (carefully, of course!) by grating the lemons on the side of the grater with the smallest holes. If you have a zester, that works well, too. Wrap the zest/peel from each lemon in a piece of parchment paper and store flat in a sandwich-size freezer bag. Once zested, cut the lemons and squeeze the juice into a measuring cup, removing seeds in the process. Pour the juice into ice cube trays and freeze. (Your kids may have never seen an old-fashioned ice cube tray!)  Once frozen, remove the lemon cubes and store in freezer bags. One of my absolute favorite recipes for lemon zest and juice is a Lemon Dutch Baby, which the kids will love. If you’ve never tried it, search online and you’re bound to find several recipes using lemon juice and zest. Kids can easily help with this recipe. I like making it in a cast iron skillet because it crisps the crust and some of the iron from the skillet gets absorbed into the food, making it a richer source of dietary iron.

Question: You said that this is also a good time to pass down recipes from one generation to another. What treasured recipes do you have that you want to share with your sons?

I get concerned that some family recipes may be lost over time.  All three of my sons enjoy cooking and grilling but would rather come up with something on the fly or go online to look up a recipe. I want to not only share family recipes but teach them how to make them. My favorite recipes are those passed down from my husband’s grandmother, Estelle.  Grandma Estelle was an amazing woman and fabulous cook who lived to be 99 years old. Maybe she got her love of cooking because one of her first jobs was working at a dairy farm testing the milk for safety. My two favorite recipes are her amazing pie crust (for her famous Coconut Cream Pie) and chicken and dumplings. Both comfort foods to be sure, what we could all use a little comfort right now!

Homemade pie crust is easier to make than you might think. It is cheaper than buying a frozen or refrigerated crust and the taste and flakiness is unbeatable. Pie crust is a good recipe to make with your kids and watching them learn to use a rolling pin is priceless! The crust can be used for pies, of course, but also for homemade chicken pot pie. Once made, the dough can be frozen in individual balls until you are ready to thaw and roll out, which saves you time.

Chicken and dumplings
Amy’s version of Grandmother Estelle’s chicken & dumplings

Our family’s favorite is Estelle’s chicken and dumplings. To make the recipe a bit less daunting, I substitute a large rotisserie chicken for a raw broiler chicken. I remember watching her make it when she would visit us in the summer. I’m sure many of her generation cooked and baked the same way and trying to pin down the exact measurements was a challenge. She would say, “just use a little of this and splash of that.” But even though she didn’t measure a single ingredient, it always came out just right.

Even at 50+, I am still discovering unique family recipes that I can pass on. Last summer, when my husband Randy and I were visiting his parents, I saw his dad cutting up the entire rind of a watermelon. When I asked him what he was doing, he shared another family recipe I did not know about. My mother-in-law showed me how to cook the rinds down and create Watermelon Preserves. She learned how make the preserves from watermelon rinds when she was young from her mother-in-law! The preserves have a unique flavor and we really enjoyed it. When I got home, I made a batch and shared a jar with my son and his fiancé. (See photos below.) I told her the story and she was excited for me to teach her how to make them…another mother-in-law inspired recipe! I love how that recipe, which was created to use every part of the watermelon, is now something preserved (pun intended) and is being passed down by to another generation.

Question: What do you think is a good way to pass along the family recipes?

tgn_080918_nfmm_consumer_infographics_-14-outline_002Some of us have a little more time at home right now so it is a good time to clean up your recipe files and pass along your favorites to your kids…. you can create a recipe box, a recipe book, or more likely for this generation, a digital file shared on a flash drive! Along with each recipe, write a little history of the origin of the dish or why you like it. No matter which way you choose to share the family recipes, I think your kids will appreciate them for years to come.

Banana bread

 

*One of Chris’ favorite recipes for banana bread comes courtesy of California Walnuts, Old Soul’s Banana Walnut Bread. After baking and cooling the banana bread, it freezes well. I have a loaf in my freezer right now! Click here for the recipe.

 

Chris Rosenbloom is a registered dietitian nutritionist and a nutrition professor emerita at Georgia State University in Atlanta. Along with Dr. Bob Murray, she is the author of Food & Fitness After 50.

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

Food & Fitness After 50: What I’ve Learned About Obesity

I’ve been a registered dietitian for 45 years and I still have a lot to learn about the disease of obesity.

I had the chance to meet and interact with medical experts in the field of obesity medicine at a recent sponsored conference and through a webinar on World Obesity Day (March 4, 2020) on changing the narrative on obesity by addressing weight bias and stigma.

Here are the big takeaways:

  • Obesity is a disease. That’s right, obesity is a disease and was classified as such in 2013 by the American Medical Association , but most of us were slow to catch on. “Obesity is a disease of abnormal or excessive fat accumulation that may impair health.” This from Dr. Gabe Smolarz, Diplomat, American Board of Obesity Medicine. “Obesity is a chronic disease and is marked by progressive weight gain over many years.”
  • Because obesity is a disease the words we use matter. You wouldn’t call a person who has cancer by her disease (“she is cancer”) yet we routinely say, “she is obese.” Changing the way we talk about obesity can help chip away at the bias and stigma surrounding the disease.
  • Obesity is underpinned by genetics. Seventy percent of obesity is determined by genetics. Yet many, including health care providers, still think obesity is a lifestyle choice. “Eat less and move more” might be the only medical care that a person with obesity receives from his or her doctor.
  • Personal choice is important but should be viewed in the context of the disease. As Ted Kyle, founder of ConscienHealth puts it, “genetics sets the table and the environment serves it up.” We should all be eating a healthy diet and getting regular physical activity, but we wouldn’t tell a person with serious heart disease or advanced cancer to only eat well and exercise. We would provide quality medical care to address the underlying disease while helping them modify their lifestyle. And, another myth is that exercise is the cure for obesity. To be sure, it is crucial for good health, but a “cure?” No.
  • Bias towards those with obesity is strong. Explicit bias towards weight (the things people say) is going down, yet implicit bias (Ted Kyle describes this type of bias as the “knee jerk” reaction we have to an issue) is going up. We have many demeaning stereotypes of people with obesity as shown on this slide from Ted Kyle.

Ted's slide

In a recent episode of the Hulu series, Shrill, starring Aidy Bryant as a young journalist who lives in a larger body, her character has an emotional conversation with her roommate. This honest scene really touched me and brought to life all the demeaning stereotypes listed on the slide. Her character Annie says, “You don’t think I know that the whole world isn’t constantly telling me I’m a fat piece of s__ who doesn’t try hard? Every magazine and commercial and weird targeted ad telling me to freeze my fat off and at this point I could be a licensed nutritionist because I’ve literally been training for it since the 4th grade.” (To hear an interview with Aidy Bryant on NPR’s Fresh Air, click here. It’s worth a listen.

Shrill

  • Weight bias and stigma leads to stress which can make the disease worse and people sicker. To recognize this a Joint International Consensus Statement for Ending Stigma of Obesity was recently published in Nature Medicine calling on health professionals, the media, and basically all of us to think about our actions to end the stigma surrounding obesity. In addition, a campaign and pledge to end obesity stigma was started and you can click here to lend your support by taking the pledge. I did.
  • For a video on stigma and obesity, watch this one from Ted Kyle.

And, stay tuned for a PBS Nova special, “The Truth About Fat,” airing April 8 at 9 PM. I’m set to record!

Thanks to the experts, Dr. Gabe Smolarz, Dr. Matthew Hutter, Dr. Robin Blackstone, and Ted Kyle for their insightful presentations.

Chris Rosenbloom is a registered dietitian nutritionist and a nutrition professor emerita at Georgia State University in Atlanta. Along with Dr. Bob Murray, she is the author of Food & Fitness After 50.

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

Food & Fitness After 50: Eating Well in the Time of Coronavirus

keep-calm-and-eat-healthy-125Coronavirus is everywhere…on the news, in our social media feeds, on our minds, and, most worrying in the air! Good nutrition and feeding your family is never old news but now might be a good time to plan to:

  1. clean out your pantry, freezer, and fridge to use up those hidden gems or toss those that have gone bad,
  2. manage your supplies so you don’t have to run to the grocery store,
  3. think about what staples you should have on hand in case things get worse before they get better.

refrigerator-22592466Let’s start with #1. Many of you are food hoarders. I don’t mean that in a bad way, but you might have more food hiding in the cupboards or the freezer than you realize. I am sure we’ve all bought cans of tuna on sale only to realize that we had plenty of it on hand. So, start with a thorough inventory of what you already have. I like this comprehensive approach from Real Mom Nutrition, registered dietitian, Sally Kuzemchak. She has tools to help you inventory and organize everything from your pantry to your freezer. While you are taking everything out of pantry, fridge, and freezer, take time to clean the spaces. We are concerned about the spreading the coronoavirus, we often forget basic food safety practices, including cleaning food storage spaces. Toss anything that is old (I found a box of granola that had a 2017 date; clearly time to toss!)

Next step, rotate food by “use by dates”, just like they do in the grocery store. Then, get creative. Find recipes or assemble meals based on what you have on hand. Today I am making a lighter version of sweet and sour chicken in the crockpot because I had a couple of chicken breasts, a red bell pepper, half an onion, and 2 carrots that I wanted to use. I added some chicken stock, low-sodium soy sauce, Worcestershire sauce, and Thai chili paste for the sauce. I will stir in some pineapple juice mixed with cornstarch to thicken the sauce and serve it over steamed rice for dinner. If you struggle with meal assembly, go online to any of the hundreds of websites to help you find a way to use the foods you have on hand.

Managing your supplies means keeping track of what is in your fridge, freezer, and pantry to plan meals. I know, planning sounds like a lot of work, but many of us have a little more free time right now and planning saves you money and reduces food waste. Did you know that up to one-third of all of world’s food is wasted? That food could feed 3 Billion people….or the equivalent to 10 times the population of the USA! 

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Lastly, if you do need to restock, consider keeping these staples on hand (personalize as needed for preferences, allergies, etc.)

1389969431643For the pantry:

  • Canned beans, black, kidney, garbanzo, baked beans (I am partial to Bush’s Beans because they keep their texture in soups, stews, etc.)
  • Chicken, beef, and vegetable stock
  • Canned soup
  • Pasta
  • Rice and rice mixtures
  • Canned tomatoes and/marinara sauce
  • Canned tuna and salmon
  • Dry lentils and split peas
  • Dried fruit
  • Nuts
  • Peanut butter
  • Jelly or Jam
  • Crackers
  • Breakfast cereals
  • Oatmeal
  • Shelf-staple milk
  • Potatoes
  • Olive oil
  • Canola oil
  • Flour
  • Sugar
  • Yeast

For the freezer:

  • Chicken (whole, parts, breasts, etc)
  • Lean ground beef and turkey
  • Pork loin
  • Lean beef (flank steak, strip steaks, top round, Tri-Tip roast)
  • Fish fillets
  • Shrimp
  • Frozen vegetables (I prefer bags to boxes)
  • Frozen fruit
  • Veggie patties (I like MorningStar Farms Spicy Black Bean Burger and Original Chick Patties)

For the fridge

  • Cheese
  • Yogurt or kefir (good for gut health!)
  • Milk
  • Eggs
  • Apples, Oranges, Mandarins
  • Onions
  • Celery
  • Carrots

This isn’t meant to be a comprehensive list, just the basics with longer shelf life in case you aren’t able to get to the store. Take some time to learn some new culinary skills…I plan to learn to perfect pizza dough (hence, the yeast on this list) instead of the cardboard crusts found in most grocery stores and take out pizza!

For more tips on eating well check out Food & Fitness After 50.

 

 

Food & Fitness After 50: Lessons from a Late Blooming Ballroom Dancer

FoxtrotNYDF20
Chandra and Ian Folker doing Foxtrot

At the age of 55, Chandra did something that not many of us would do. Sure, we might take up weight training or pickleball, but ballroom dancing? That is exactly what Chandra did and ten years later she is competing in smooth ballroom dances…waltz, foxtrot, tango, and quick step. “Ballroom dancing is the ultimate full body and mind exercise,” she says.

A Valentine’s Day Surprise

It started with social dancing with her husband and he surprised her with ballroom dance lessons one Valentine’s Day. While he “retired” from dancing, she went full steam ahead. After working with a few different dance teachers, she found the ideal teacher, Ian Folker, and they have been dancing together for the past three years. “Ian has helped me meet my goals and competing was one of those goals. Ballroom dancing is like other sports…first you have to learn the fundamentals and then improve on that skill set with practice and repetition.”

FoxtrotNYDF20bJPG
Foxtrot

Chandra practices 4 to 5 times each week and competes on a regular basis. “Competing is intense, as intense as any sport!”  She also practices restorative yoga to help her dance movement and finds it mentally and physically therapeutic.

Functional and Integrative Nutrition

Least you think that this is her full-time job, it is not. Chandra has a private nutrition practice and has gravitated toward functional and integrative nutrition as a wholistic way to help clients reach their goals. (To learn about her nutrition practice, click here for her website, Nutrition in the Now. Prior to starting her business, she worked in clinical nutrition research at Emory University. “While running clinical trials on the role of different diets in treating breast, lung and colorectal cancer, the medical director wanted everyone working on the project to try the diets. I did and found the lower fat diet felt good for me.” The goal of functional nutrition is to identify the foods and nutrients that function to keep your body healthiest.  Chandra reminds her clients that “Food Is Your Medicine.”

Using Foods to Manage Disease

TangoNYDF20c
Tango

Chandra, the mom of 2 girls, was diagnosed with pre-eclampsia during her first pregnancy which is a form of high blood pressure. “I basically had pre-hypertension.  I was later diagnosed with Mitral Valve Prolapse.  Given these pre-cardiovascular disease conditions, I understood how important lifestyle was in managing my disease risks. I have learned to understand the way sodium and salt affect me and I am very attuned to reading labels to look for the hidden salt.” She eats a whole foods diet with minimal processing, as salt is a main ingredient used to process and preserve foods. Her favorite meal is fresh seafood; something she can readily find when she spends time in Florida or California. “Walking to the docks and buying fresh seafood as it comes off the boat makes for the perfect meal.”

She has also learned to appreciate the role of nutrition in treating disease through her yearly visits to Germany. Her daughter, a neuroscientist, introduced her to a European way of treating disease. “They rely much less on medications, as we do in the U.S., but use herbs (botanicals) and spices and food as restorative, healing agents. That approach may take longer, but they use significantly less drugs than we do and have good results.” We agreed that most Americans are quick to take a drug but slow to change their lifestyle.

Challenges to optimal aging

When I asked Chandra to identify challenges to healthy aging, she said that she is trying to live a life as stress-free as possible. Spending time with her daughters and four grandchildren makes her realize that what is important is relationships, not things. “I am really trying to declutter…we have so much but want more and more and living with less can help reduce stress.”

Chandra’s tips for healthy aging include:

  • Have a vision for your life.
  • Have a support system to help you reach your vision.
  • Live the best you can live and aim for inner peace.

And, while she didn’t name laughter as a tool for healthy aging, we laughed a lot during this interview!

P.S. The photos in the post are from Chandra’s most recent ballroom competition. “The competition was so exciting as well as overwhelming.  It was the largest US Ballroom competition this year.  For a beginner, I was pleased; of course, a little nervous, however, once I began dancing, I had to remember all my coaching instructions.  I competed from 8:30 am and my last competition was at 6:30 pm.  I was completely exhausted, hungry and so out of energy. My lesson learned, I have to be sure and fuel the night before and during!”

WaltzNYDF20b (2)

 

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

Food & Fitness After 50: What is Clean Eating?

A funny meme circulated among my dietitian friends. The first woman says, “I can’t eat that, I’m trying to eat clean.” The second woman (probably a dietitian) replies, “It’s banana bread, Susan, not heroin.”

clean eatingIt’s funny and sad at the same time. Many people limit delicious, healthful foods (banana bread) because they don’t fit into what they consider “clean” eating. Some people rely on the front-of-pack “free-from” claims to judge if a food is worthy…. free from sugar, white flour, gluten, additives, colors, GMOs, and on and on.  Which leads us to the concept of clean eating. Most dietitians don’t like the term because the opposite of clean is dirty and no one wants to say they are eating “dirty.”  Saying you eat clean implies a certain moral superiority to the rest us who are microwaving a frozen meal.

But it doesn’t matter if I like it or not, the term clean eating is here to stay. I counted over 70 books for sale on Amazon with “clean eating” in the title.

At a recent conference, I learned from Kris Sollid, a registered dietitian and senior director of nutrition communications at the International Food Information Council, that clean eating was the the number 1 diet trend in 2019. Some people think clean eating is diet of whole, unprocessed foods. Some people are OK with processed foods if they don’t contain artificial coloring or flavors with hard to pronounce ingredients. Other think foods labeled organic tick the clean eating box, while some ascribe a vegan diet as the only way to eat clean.

2019 Diet Trend for CR

But, when it gets down to the definition of clean eating, it depends on who you ask. “The bottom line is that while the definition isn’t clear, ‘clean’ is often used as a proxy for ‘healthy’” adds Sollid.

Hand-in-hand with clean eating is a trend in the food industry to develop “clean” labels. Many food manufacturers are reformulating products to limit the number of ingredients to satisfy consumer demand.  In many cases this is a good thing; finding ways to reduce salt by using fewer sodium-based ingredients or lowering sugar by finding the sweet spot of less sugar without changing taste are all good moves. But, when a product simply replaces sugar from sugar beets with “pure cane sugar” and makes you think it is healthier, well, sugar is sugar and just because the word “pure” is front of cane sugar it doesn’t make it a healthy ingredient.

So, instead of focusing on eating clean, let’s just focus on healthy eating. Some ways to do that are:

  • Focus on the positives in a food, not the negatives. Choose foods with nutrients that you need, like vitamins, minerals and fiber instead of focusing on sugar or fat content. Sugar and fat are important but take a wider view when choosing foods. For example, as we age, we still need bone building nutrients: calcium, vitamin D, vitamin K, and magnesium. Look for foods with those nutrients and keep in mind that not all dairy foods or plant-based alternatives to dairy contain vitamin D.
  • Ignore the buzz words like “all natural,” “real ingredients,” or “minimally processed.” They don’t mean anything.
  • Recognize the value of processed foods, like frozen berries, canned tomatoes, or ready to eat breakfast cereal. These foods provide big nutrition for little money. Amy Cohn, a registered dietitian with General Mills reminds us that cereal is the number 1 source of whole grains, fiber, B-vitamins, iron and zinc for all Americans at breakfast. And, when paired with milk, the “average bowl of a Big G cereal is about fifty cents.”
  • Don’t be afraid of words you can’t pronounce on list of food ingredients: pyridoxine hydrochloride may sound strange, but it just the chemical name for vitamin B6.

For more tips on healthy eating, check out Food & Fitness After 50, available at Amazon and other booksellers.

Disclosure: I attended a sponsored conference where both Kris Sollid and Amy Cohn spoke, but I was not asked to or compensated to write this post.