Monday, March 1, 2010

Why Gluten-Free?
Gluten is a protein found in wheat flours and other grains, such as rye, barley, spelt, kamut, bulgar, semolina, triticale, matzo, farina, and durum. Gluten is harmful to all people with Celiac Disease (CD), which is an autoimmune disorder that creates a digestive condition, damaging the villi in the small intestine and causing malabsorption of nutrients from food. The villi are small, finger-like projections in the small intestine that absorb basic nutrients, such as carbohydrates, proteins, fats, vitamins, minerals, water and bile salts. When they are damaged, both chronic and life-threatening conditions can occur that are both nutrition and immune related, if CD goes untreated: iron-deficiency anemia, early onset of osteoporosis, vitamin K deficiency, vitamin and mineral deficiencies, pancreatic insufficiencies, neurological manifestations, gallbladder malfunction, among other autoimmune disorders. The exact cause of CD is unknown, however it can be triggered at any time during one’s life; severe emotional stress, trauma, surgery, viral infection and pregnancy can all cause CD to appear. Once triggered, CD becomes a lifelong digestive disorder causing bloating, abdominal pain, diarrhea, gas, among many other non-gastrointestinal-related conditions. The symptoms are very similar to Crohn’s disease, anemia, gastric ulcers and irritable bowel syndrome, so in order to determine if one has CD, a specific antibody blood test is used.

If one is found to have CD, the only treatment for this chronic disorder is lifelong adherence to a gluten-free diet. Once gluten is removed from the diet, the small intestines heal and overall health improves. When following a gluten-free diet, label reading becomes extremely important because gluten is found in many flours and grains. Although you need to avoid cakes, pies, cookies, crackers, cereals, breads, pastas, gravies and sauces, there is so much that can be eaten and many foods now have gluten-free options. Foods such as fresh meats, fish, poultry, vegetables, fruits, potatoes, rice and dairy are all naturally gluten-free. Safe grains and flours include: potato, rice, soy and corn flour, tapioca, cornstarch, teff, quinoa, amaranth, arrowroot, buckwheat, flax, potato and millet. Also, beans, legumes and nuts are gluten-free.

Even if you do not have CD, you can develop an intolerance to gluten, which causes an immune reaction in the small intestines, resulting in the same side effects as CD. Therefore, following a gluten-free diet can be beneficial to your health. Gluten is used in a lot of baked goods and processed carbohydrates, but it is also added as a stabilizing agent in products like ice cream and ketchup. Unidentified starch, binders, fillers, extenders, excipients, and malt all contain gluten. We do not need these manufactured products in our diet. It’s like the sludge that coats the inside of your car hoses or kitchen sink drain. We do not want anything like that blocking our intestines, preventing our body from properly digesting and absorbing the nutrients we need to live a healthy life. Removing the foods that contain gluten from our diet just make our bodies that much healthier. All of the naturally gluten-free products found in our grocery stores are more than sufficient to provide us with what we need. Do your body a favor and try removing those processed, unnatural products from your diet. Your gut will thank you!

For more information on Celiac Disease and foods that are gluten-free, try these resources:
www.celiac.org
www.giforkids.com
http://www.nlm.nih.gov/medlineplus/celiacdisease.html
http://www.csaceliacs.org/index.php
http://www.celiac.nih.gov/Default.aspx

Monday, February 22, 2010

Know About Diabetes

- In 2009, diabetes was the 6th leading cause of death in the United States.
- Diabetes can cause many other health problems.
- Getting treatment early is very important to stop any further damage caused by diabetes.

Warning Signs of Diabetes:
- blurred vision
- increased thirst or the need to urinate
- feeling tired or ill
- recurring skin, gum, or bladder infections
- dry, itchy skin
- unexpected weight loss
- slow-healing cuts or bruises
- loss of feeling in the feet or tingling feet

Major Health Problems Caused by Diabetes:
- stroke
- eye damage
- heart attack
- kidney damage
- impotence/difficulty passing urine
- numbness and reduced blood supply to the feet

What can you do?
- Watch your weight
- Choose healthful food choices
- Move (if able) as much as you can
- Be aware of the Warning Signs of Diabetes and act early!!!
- Remember: See your doctor and ask questions about your health!
- KNOWING is POWER!!!!

Monday, February 15, 2010

Nutrition and Cancer Prevention
- Eat a healthy diet, with an emphasis on plant foods (beans, nuts, peanut butter).
- Choose whole grains over processed (refined) grains (avoid white breads, sugary cereals and pastries; try whole grains, whole wheat, and lots of FIBER!).
- Eat 5 or more servings of a variety of fruits and vegetables every day.
- Limit intake of processed and red meats (avoid hot dogs and bologna; choose lean meat, chicken, turkey, fish over pork and beef).

- Maintain a healthy weight and avoid excessive weight gain (EXERCISE!!)
- Limit alcohol and salt intake.

- Drink lots and lots of WATER!
American Cancer Society, Inc. The Complete Guide—Nutrition and Physical Activity, 2006. http://www.cancer.org/docroot/PED/content/PED_3_2X_Diet_and_Activity_Factors_That_Affect_Risks.asp?sitearea=PED

Monday, February 8, 2010

Heart Healthy Eating

You only have one heart. It is important to take care of it!! Here are some tips on a heart healthy diet and ways to keep your heart strong!

Fruits and vegetables should be a huge part of your diet! Try to eat 5 servings of fruits and veggies every day! That can include fresh, canned, frozen and dried!

Eat more whole grains and try to make most of your carbohydrate choices (bread, pasta, rice, cereal) 100% whole wheat. Also include whole grains such as wheat, rye, and oats.

Choose lean cuts of meat and limit your meat intake to 6 oz/day. Fish is a great source of good fats, so try to consume fish at least 2 times/week. Try cold-water fish such as: salmon, mackerel, herring, trout and tuna. Also, include peas, legumes and dry beans in your diet as sources of protein.

If you like milk, choose 1% or fat-free milk. Also try soymilk! When eating dairy, choose the low-fat or nonfat options in yogurt and cheese. Dairy is a great source of protein, so eat 2-3 servings/day. One serving = 1 cup milk, 8 oz yogurt, and 1 oz or 1 slice of cheese.

When using fats & oils, choose unsaturated vegetable oils: olive, canola, safflower, sunflower, corn, peanut and soybean oil. Try using non-stick spray that is nonfat and use fat-free salad dressings, mayonnaise, sour cream and cream cheese. Limit your intake to 6-8 teaspoons/day.

For dessert, try fat-free frozen desserts: sherbet, sorbet and fat-free frozen yogurt. Try fat-free cakes, such as angel food cake. Good cookies to try are graham crackers, animal crackers, ginger snaps and vanilla wafers. Avoid store-bought baked goods!

To take care of your heart, limit your salt intake and when cooking, try baking, broiling, steaming and grilling. Avoid saturated and trans fats and maintain a normal blood pressure. If you smoke, STOP! And participate in regular exercise to keep yourself at a healthy weight. All of these things will help keep your heart healthy and happy for a long time to come!!!

Wednesday, February 3, 2010

Exercise and Hydration Status

Water is essential to every day life. It has many important functions in the body such as:

Eliminating waste
Transporting nutrients
Lubricating and cushioning joints
Moisturizing skin and tissues
Regulating body temperature through sweat
Aiding in digestion
Helping to strengthen muscles

Since water is so important to a healthy lifestyle, being properly hydrated is crucial, especially during times of physical activity. What many of us do not realize is that thirst is not the best indicator of how much fluid we actually need! Especially as we age, thirst becomes an even poorer indicator of the body’s fluid needs. Therefore, we need to be aware of our fluid consumption, whether exercising or not. Proper hydration status helps regulate body temperature and consuming fluids before, during, and after exercise help to replace body fluids lost through sweat. Dehydration can result when athletes do not properly replenish fluids during exercise. Signs of dehydration include:

Muscle cramps
Dizziness and lightheadedness
Headaches
Nausea
Fatigue
Heat illnesses such as heat exhaustion or heat stroke

It is important to recognize certain situations that can alter fluid losses during exercise. High altitudes increase your fluid losses and therefore increases your fluid needs. Exercising in hot temperatures increases your sweating rate and therefore increases your fluid needs. Cold temperatures can make your fluid requirements deceiving. Exercising in the cold often makes it hard to identify your fluid losses and needs, so make sure to drink plenty of water, even if you’re not sweating as much. Everyone has a different sweating rate and if you sweat a lot, you are at a greater risk for dehydration. But just because you don’t sweat a lot, doesn’t mean you’re in the clear. Make sure you weigh yourself before and after exercise to monitor your fluid needs. Lastly, exercise duration and intensity may increase your fluid needs. Endurance activities require you to drink more frequently to avoid dehydration.

Optimal performance cannot occur when an athlete is dehydrated. And since sweat rates and fluid losses vary among individuals, it is near impossible to create guidelines on how much fluid to consume during exercise. Therefore, each person needs to monitor their own hydration using the following two methods:

Monitor urine volume output and color. If your urine is a dark color, it probably means you are dehydrated. Light-colored urine, along with frequent urination, probably means you are adequately hydrated.
Weight yourself before and after exercise. Any weight that is lost during exercise is probably due to sweating. You want to replace fluids at a rate close to or equal to your sweating rate.

General guidelines have been created for fluid needs during exercise. Most people can use these guidelines as a starting point and then modify them according to their activity level and need. Two to three hours before exercise, consume 15-20 fl oz of water and 10-15 minutes before exercise, consume 8-10 fl oz of water. During exercise, it is important to drink 8-10 fl oz every 10-15 minutes of exercise. Those requirements will increase with exercise intensity and when exercising longer than 90 minutes. In that case, you may need to supplement your water consumption with a sports drink. After exercise, weigh yourself to determine your fluid losses (remember to weigh yourself before you start, as well). For every 1 lb lost, drink 20-24 fl oz of water. You may also want to consume a 4:1 ratio of carbohydrate to protein within the first 2 hours after exercise to replenish glycogen stores. Obviously not the topic of this article, but glycogen is the fuel your muscles use when exercising, so it’s important to replenish those stores, along with your fluid losses!

The next question that arises is whether sports drinks are necessary in replenishing fluid losses and can they be used instead of drinking plain water. Sports drinks are not necessary with normal training. During normal exercise, you do not need to replenish your electrolytes (sodium and potassium) because it is unlikely that you will deplete your body’s stores. However, high intensity exercise for more than 60 minutes or extreme exercise conditions such as a marathon may require supplemental calories and electrolytes from a sports drink for continual performance. Remember that some sports drinks are high in sugar and calories, which often defeats the purpose of every day exercise. Water is sufficient in replenishing fluid losses from exercise and will not provide any unneeded calories!

Remember, whether you are an avid exerciser or not, keep drinking water! Just because you are not thirsty, does not mean you are adequately hydrated. If you struggle getting in your 8-10 glasses of water a day, try keeping a water bottle on your desk. If it’s there, you’ll drink it!

References:

Quinn E. 2009. Proper Hydration for Exercise – Water or Sports Drinks. About.com. http://sportsmedicine.about.com/od/hydrationandfluid/a/ProperHydration.htm

Quinn E. 2007. ACSM Clarifies Indicators for Fluid Replacement. About.com. http://sportsmedicine.about.com/cs/hydration/a/022504.htm

Exercise and Fluid Replacement. 2007. ACSM Position Stand, American College of Sports Medicine. Medicine and Science in Sports & Exercise.

Institute of Medicine. 2005. Dietary Reference Intakes for Water, Sodium, Chloride, Potassium and Sulfate. National Academy Press 73-185.

Johnson M. Fluids and Hydration. University of Minnesota Extension Service. http://www.extension.umn.edu/family/W00031.pdf

Hunter JG and Cason KL. 2009. Fluid Needs. Clemson Cooperative Extension. http://www.clemson.edu/extension/hgic/food/nutrition/nutrition/special_needs/hgic4151.html

Tuesday, January 12, 2010

New Year, New You, AOMT Blog Year Two!
Hello to all our America on the Move in Tennessee members! We have a new America on the Move website that has been completely re-vamped. If you haven't checked it out yet, please do. It offers recipes, daily tips, articles on stress management, chronic disease management, life balance, etc. It has links to other blogs and a great "Manage Weight" section.
When we started our blog a year ago, I asked for comments and feedback on our blog and how we can better serve you. Please let us know how we can help your quest for a healthy life, diet and level of physical activity. Whether it's certain tips on exercise or healthy eating, information on events in your area, recipes, etc. We are here to help you!
Now that we are embarking on a new year and new decade, make 2010 your year to shine! Do the things you've always wanted to do. Try new things. Take that trip you always wanted to take. Don't let your jobs/responsibilities hold you back from getting active and getting healthy! You deserve it!

Monday, November 23, 2009

Thanksgiving Day Road Race


*Get in some exercise and burn some calories before the feasts begin!!! Enjoy the weather and company of your family! Guaranteed to be a great time of giving thanks!

BlueCross Autumnfest 8 K Road Race & 2 Mile Fun Walk
(walk is on Neyland Greenway)

Nov 26th 8:30 AM
Ruth's Chris Steakhouse Parking Lot
Ticket Info: Kristy Altman 865-805-2008

Mercy Hot-to-Trot 5K/10K/Fun Run

Nov 26th 7:30 AM

Turkey Creek Shopping Area on Parkside Dr. This years event focuses on an active lifestyle with proceeds benefiting the local community.
Contact Info: Melissa 865-675-3338; hottotrot09@fleetfeetknoxville.com