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Coach on Call
Getting Enough Calories
Do you or a loved one have trouble getting enough calories to stay at a healthy weight? Perhaps one of the
reasons below makes eating a challenge:
•Aging. The senses of taste and smell decline with age. This can make it harder for older adults to
enjoy food. Feeling depressed or lonely can also cause poor appetite in seniors.
•Dental problems. Examples are dentures that don’t fit, jaw pain, missing teeth, or mouth sores.
These and other problems can make it hard to chew and swallow.
•Some medicines. Certain drugs cause nausea, changes in the way foods taste, or poor appetite.
Others can speed up metabolism, so that the body needs more calories than before to stay at the
same weight.
•Depression or anxiety. Some people respond to feeling depressed or anxious by eating less.
•Cancer. Tumors tap into the body’s energy supply to grow. They may increase the body’s metabolism
as well. Also, many cancer treatments cause nausea, vomiting, poor appetite, or a change in food
likes and dislikes.
•Other diseases and illness. For example, in COPD (chronic obstructive pulmonary disease), the
effort of breathing uses extra calories and may lead to being underweight. So can serious infections,
some food allergies, AIDS, hyperthyroidism (an overactive thyroid gland), and poorly managed
diabetes.
Not getting enough calories can cause muscle loss and
weakness. It can make it hard to fight infection.
In children, it can cause problems with growth and
development.
Always tell your doctor about unexplained weight loss.
Losing more than 5% of your weight (about 7.5 pounds for a
150-pound person) over 6 to 12 months without trying may be a
sign of a serious health problem.
A healthier life is on the line for you!
CMN10-1018-3
UPMC _11_593
Copyright 2010 UPMC Health Plan, Inc. All rights reserved
C on C WM Get Cal C20100909-12 (MCG) 12/20/11 PDF
Page 2 of 4
Getting Enough Calories
Healthy Ways to Add Calories
First take care of any medical condition. Then, with your doctor’s okay, try these tips for improving your
appetite and adding calories to your meals and snacks:
Are you taking a medicine that affects your appetite? Talk with your doctor about switching from
medicines that may cause a loss of appetite. Or you may be able to add a medicine that can boost appetite.
Eat more often. Eat five or six smaller meals throughout the day instead of three large meals. Include
snacks between meals and before bed.
Choose nutrient-rich foods. Calories are important, but the nutrition provided by the calories is more
important to your health. Include whole grain breads, cereals, rice, and pasta; fruits; vegetables; and oils,
nuts, and seeds.
•Eat a good source of protein at every meal. Protein helps rebuild and repair tissues. Choose lean
sources of protein, such as nonfat and low-fat milk, yogurt, and cheese; fish; poultry without the skin;
low-fat meats; and dried beans and peas.
Include “calorie boosters” at every meal and snack. These foods are high in calories for their volume:
•Vegetable oils
•Tub or liquid margarine
•Mayonnaise
•Avocado
•Olives
•Dried fruit
•Low-fat cheese
•Nonfat dried milk
•Granola
•Honey, sugar, or syrup
•Jam or jelly
•Nuts
•Sweetened low-fat yogurt or frozen yogurt
Make a habit of serving healthy foods with calorie boosters. For example :
•Serve whole-grain bread or crackers with tub or liquid margarine, peanut butter, and jam or jelly.
•Add oil or margarine to rice, pasta, and vegetables.
•Sprinkle low-fat cheese on soups, casseroles, and vegetables.
•Add nonfat dried milk to mashed potatoes, soups, and stews.
•Serve fruit with sugar, honey, syrup, nuts, granola, or frozen yogurt.
A healthier life is on the line for you!
Page 3 of 4
Getting Enough Calories
Try new foods and new tastes. A health condition or the treatment of one may have changed your
food likes and dislikes.
Experiment with sweet, sour, salty, and spicy foods, even if you haven’t liked their taste before.
•Choose nutrient-rich drinks that are higher in calories. Don’t fill up on coffee, tea, or diet
drinks. Instead, drink healthy shakes or smoothies. Simply blend nonfat or 1% milk, yogurt or
frozen yogurt with fruit, and 100% fruit juice (fresh or frozen). Add a favorite syrup if you like.
•Drink fluids 30 minutes before or after a meal, not with it. You may also find it best to avoid
broth-based soups and plain raw vegetables with meals. These foods contain a lot of water
and few calories.
•If you like salads, top them with calorie-dense foods such as chicken or tuna.
•Try cold foods instead of hot ones. Foods that are served hot tend to have stronger aromas.
Do the smells of foods take your appetite away? Try a cold sandwich or salad instead.
•Talk with your doctor about using liquid meal supplements. Examples are Ensure, Boost, and
instant breakfast drinks. These can make up for some of the nutrition you miss when you can’t eat
a meal. But use these only if you’ve done your best to eat regular meals.
•Limit foods that are high in saturated fat or trans fat. Fat is calorie rich. But these two kinds of
fat increase the risk of heart disease. Examples of foods to eat only in small amounts are:
ƒƒWhole or 2% milk
ƒƒButter
ƒƒCream
ƒƒCream cheese
ƒƒSour cream
ƒƒIce cream
ƒƒRegular cheese
ƒƒTropical oils (coconut or palm oil)
ƒƒFrench fries
ƒƒMany fast foods
ƒƒDoughnuts
ƒƒCookies
ƒƒCake
ƒƒPiecrust
ƒƒPoultry skin
ƒƒFatty meats
Instead, choose nonfat dairy; low-fat sources of protein such as dried beans/peas/lentils, fish, poultry
without skin, and lean meats; and unsaturated fats such as vegetable oils and liquid margarine.
A healthier life is on the line for you!
Page 4 of 4
Getting Enough Calories
Take Action
Choose one or two of the tips above that you would be willing to try this week. Record them below.
1. 2. A healthier life is on the line for you!