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Ohio Northern University HealthWise Nutrition Edited by: Sarah Lance, Kaylee May, Steve Poothakary, 2017 PharmD Candidates March | 2017 Table of Contents Interpreting a Nutrition Label Page 2 Macronutrients Page 4 Hydration Page 5 Diabetes-Friendly Recipe Page 6 Taking Time for Reflection Nutrition Nutrition ONU HealthWise is committed to improving the health of our community. Since March is National Nutrition Month, we have gathered information to help you navigate nutritional topics. We have included information on how to interpret a nutrition label, the importance of being properly hydrated, and what macronutrients are and why they are important. We hope you find our newsletter helpful and informative! Page 7 1 Ohio Northern University HealthWise Next, move on to calories (red section). Calories give a measurement of energy provided from a serving of food and can help you manage your weight (lose, gain, maintain). This section also tells you how many of these calories are from fat which is a higher source of calories than protein or carbohydrates. You want to choose foods that have less calories from fat. In general, it is recommended to have a 2,000 calorie diet each day but this can vary based on individual needs. As an easy guide, a food low in calories contains 40 or less per serving and 400 or more calories per serving is considered high. Eating too many calories per day is linked to obesity which is a prevalent problem in the US today. Interpreting a Nutrition Label The first step to understanding nutrition and eating healthy is properly interpreting a nutrition label. This information is readily available on the packaging of all food products and can be used to calculate your daily dietary intake. When choosing food, you should look at the nutrition label to help you make an educated decision about what you are putting in to your body. Below you will find a step-by-step guide that breaks down each section of the nutrition label. Step 3: Limit These Nutrients The next section is gold and are nutrients that you should be limiting in your diet. This section includes: total fat, saturated fat, trans fat (not shown), cholesterol and sodium. All of which when eaten in excess can increase your risk for chronic disease such as high blood pressure, high cholesterol and heart disease. It is recommended that you keep you daily intake of these nutrients as low as possible. Total Fat: Is a macronutrient and encompasses both “bad” (saturated and trans) and “good” (monounsaturated and polyunsaturated) fats. As mentioned previously, fats are a higher source of calories compared to protein and carbohydrates (two other macronutrients) and cutting back on fat helps cut calories. Saturated Fat: Can raise your cholesterol and is recommended to only be consumed in small quantities (11-13 grams per day). Foods high in saturated fat include: beef, lamb, pork, poultry with skin, butter, cream and lard. Trans Fat: Raises your LDL (“bad cholesterol”) and it is recommended to choose foods with 0 grams of trans fat. Foods high in trans fat are typically Step 1: Start Here Start by looking at the serving size (green section) on the label. This is a recommended “serving” of that food. This section also tells you how many servings are found in each container. The serving size is written in standardized units such as cups or pieces and also in number of grams. The serving size influences the number of calories and other nutrients you consume. If you eat more or less than the recommended serving size, you need to adjust the amount of calories and nutrients consumed accordingly. Example: If you eat 1 cup of the above food product, you would double the calorie intake from 90 to 180 calories since you are consuming two servings. Step 2: Check Calories Nutrition 2 Ohio Northern University HealthWise high-fructose corn syrup and concentrated fruit juice. Protein: Protein is another macronutrient that provides our bodies with energy. Be careful when choosing foods high in protein because they are often also high in saturated fat such as animal meat. It is recommended to opt for fish, skinless poultry, low-fat dairy, nuts, seeds and beans as sources of protein. “prepackaged” and include: cookies, pies, cakes, microwaveable popcorn, frozen meals, donuts, refrigerated biscuits, margarine and foods made with “hydrogenated oils”. Cholesterol: It is recommended to consume less than 300mg per day to maintain a healthy cholesterol; less than 200mg is beneficial if you are at high risk for heart disease. Sodium: It is important to watch for foods with naturally-occurring and added salt, which is reflected in the ingredient list. Most people are recommended to consume less than 2,400mg of sodium (salt) per day. Step 6: Footnote The purple section, known as the footnote, is found identically on every nutrition label (if the packaging is too small the footnote might not be provided in its entirety). This section gives information on the recommended daily intake of each nutrient based on a 2,000 calorie and 2,500 calorie diet. This information is NOT per serving like the rest of the label; it tells you how much of each nutrient you need for an entire day. For example, this section recommends less than 65 grams of total fat per day and anything above that is considered excess. Step 4: Get Enough of These Nutrients The lavender section contains nutrients you want to eat more of and includes: dietary fiber, vitamins (i.e. A, B, C, D, K) and minerals (i.e. calcium, potassium, iron). Most Americans do not get enough of these nutrients in their diet but eating enough of them can actually improve your overall health. It is recommended to choose foods high in the nutrients from this section. Step 7: Quick Guide to % Daily Value The far right column of each nutrition label includes the percent daily value of each nutrient (blue section). This percentage is based on a 2,000 calorie daily diet and helps you determine if a food is high or low in a given nutrient. As a general guide, 5% or less is considered low (ideal in the fats, cholesterol and sodium) and 20% or more is considered high (ideal in fiber, vitamins and minerals). This percentage can be utilized as quick guide for choosing your meals throughout the day; if you have a snack with 15% of your daily fat, you still have 85% that you can spread out over your other meals. This prevents you from having to calculate the amounts yourself and thus saves time. A percentage is also easier to understand in terms of “high” and “low” versus just an amount such, as grams. Step 5. The non-highlighted nutrients (carbohydrates, sugars and protein) are ones you neither want to limit nor increase and thus do not fall under the gold or lavender sections. All three are sources of energy in the body and are used to fuel our bodies mechanisms. Carbohydrates: Carbs are converted into glucose, a type of sugar, in the body and are used as energy. It is recommended to eat foods with “good carbohydrates” such as whole grains, fruits and vegetables totaling at least 300 grams per day. Sugars: The number on the label represents both naturally occurring (i.e. sugar found in fruit and milk) as well as added sugars (i.e. sugar in candy and soda). It is recommended to avoid foods high in added sugars so look for words in the ingredient list such as: glucose, fructose, dextrose, maltose, Nutrition http://www.fda.gov/Food/IngredientsPackagingLabeling/LabelingNutrition/ucm274593.htm https://www.heb.com/recipe/recipe-article/reading-nutrition-labels/1392677043885 http://www.heart.org/idc/groups/heart-public/@wcm/@hcm/documents/downloadable/ucm_300468.pdf HR Corner For additional information, please see the following resources from: Anthem The American Heart Association 3 Ohio Northern University HealthWise Fats: Macronutrients There are three main macronutrients: carbohydrates, proteins, and fats. These are nutrients needed to give our body energy and allow us to function properly. Carbohydrates: Purpose: -Body’s main energy source -Broken down into glucose for energy now or stored to be used later -Important for central nervous system, brain, kidney, muscle, and intestinal health Sources: -Complex: Whole grains, Brown rice, Vegetables, Oatmeal -Simple: Candy, Syrups, Soft drinks, Fruits and fruit juices, Cereal Recommendations: -Choose complex carbs over simple ones to keep blood sugar more stable and feel full longer -Complex carbs should be ~ 45% - 65% of your daily calories Proteins: Purpose: -Body uses these for energy when carbs aren’t available -Necessary for growth, repairing tissues, immune system function, preserving lean muscle, and making other required molecules Sources: -Nuts, Seeds, Legumes, Grains, Meat, Poultry Recommendations: -Protein from animal and soy sources have the essential amino acids your body can’t make itself -Choose lean cuts of meat and unsalted seeds and nuts -Should be ~10-35% of daily calories Purpose: -Body uses this for energy - will be stored in fat cells for later use if not needed -Needed to absorb certain vitamins and maintain cell structure -Fats are often thought to be bad for you but healthy fats are vital to keep the body functioning properly Sources: -Unsaturated fats: Olive oil, Avocados, Nuts, Canola oil -Saturated fats: Butter, Cheese, Ice cream, Lard, Fatty meats Recommendations: -Unsaturated fats can decrease risk of developing heart disease -Saturated and trans fats can increase risk of developing heart disease -Unsaturated fats should be ~ 20-35% of daily calories Sources: 1) McCardle, Katch, Katch, Exercise Physiology. Philadelphia: Lea & Febiger, 1991. 2) Rosenbloom, C., ed. Sports Nutrition: A Guide for the Professional Working with Active People. Chicago: American Dietetics Assoc. 3rd ed., 2000. 3) Dietary guidelines for Americans 2015-2020. Office of Disease Prevention and Health. 8th ed.Dec 2015. Nutrition 4 Ohio Northern University HealthWise Hydration Water is essential to the body. In fact, in infants, the body is made up of 75% water and 55% in the elderly! Since water comprises over half of your body, it is pretty clear that proper intake of water is necessary for your health. Water helps your body function normally and is crucial to regulating body temperature, protecting organs, lubricating joints, removing wastes, and many other functions. It is recommended to drink between 9 to 13 cups of water depending on your age and weight. You also need to drink additional water to replace the fluids lost to perspiration. It is important to drink more water when you’re in a hot climate, exercising or when you are sick. Signs that you are not getting enough water includes feeling thirsty, feeling tired, having dry skin, feeling dizzy, headaches, and having dark or yellow urine. Many of us do not get enough water throughout the day. Here are some tips to help you increase the amount of water you drink: Carry a water bottle with you when you can. Keep additional water bottles in convenient places like in your office or car. Replace one cup of coffee or can of pop with a bottle of water. When going out to eat at a restaurant order water. Get an app for your phone to remind you to drink water. Nutrition 5 1. Water & nutrition. Centers for Disease Control and Prevention (CDC). Updated Oct. 5 2016; Accessed Mar 3, 2017. Available from https://www.cdc.gov/healthywater/drinking/nutrition/ 2. Water: how much should you drink every day? Mayo Clinic. Accessed Mar. 3, 2017. Available from http://www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthyeating/in-depth/water/art-20044256 Ohio Northern University HealthWise Diabetes-Friendly Pulled Pork Sliders Provided by Professional Association of Women in Science (PAWS) Directions Ingredients • • • • • • • • • • • • • • • • • • 1. Trim fat from meat. If necessary, cut meat to fit into a 3 1/2- or 4-quart slow cooker. In the cooker combine onion and sweet pepper. Add meat; sprinkle with thyme and rosemary. Pour broth over meat. 2. Cover and cook on low-heat setting for 9 to 10 hours or on high-heat setting for 4 1/2 to 5 hours. 3. Meanwhile, for barbecue sauce, in a medium saucepan combine vinegar, ketchup, brown sugar, honey, Worcestershire sauce, mustard, black pepper, salt, and garlic. Bring to boiling; reduce heat. Simmer, uncovered, for 20 to 25 minutes or until slightly thickened, stirring occasionally. 4. Transfer meat to a cutting board. Using two forks, pull meat apart into shreds; discard fat. Strain vegetable mixture, discarding liquid. Return shredded meat and strained vegetables to cooker. Stir in barbecue sauce. If using high-heat setting, turn cooker to lowheat setting. Cover and cook for 1 hour. Serve meat mixture in buns with coleslaw and pickles. 2.5-3 pound boneless pork shoulder roast 1 cup chopped onion (1 large) 3/4 cup chopped green sweet pepper (1 medium) 1 teaspoon dried thyme, crushed 1/2 teaspoon dried rosemary, crushed 1/2 cup reduced-sodium chicken broth 1 cup balsamic vinegar 3/4 cup ketchup 1/3 cup packed brown sugar 1/4 cup honey 1 tablespoon Worcestershire sauce 1 tablespoon Dijon-style mustard 1/2 teaspoon black pepper 1/4 teaspoon salt 1 clove garlic, minced 20 cocktail-size hamburger buns or small round dinner rolls, split and toasted 5 cups deli coleslaw 1 1/4 cups coarsely chopped sweet or dill pickles Nutrition 6 Ohio Northern University HealthWise simplicity, which speaks eloquently of the life of simplicity claimed by St. Francis and his followers. Take Your Time, Go Slowly: Pausing for Reflection as a Way Toward Spiritual Health The “San Damiano Song” is a reminder to me of the necessity of slowing down, taking time, and not getting ahead of the problems and obstacles of life. Just as St. Francis and his followers had to rebuild San Damiano stone by stone, over a long period of time, so our spiritual selves are built, piece by piece, over the entire course of a lifetime. There are no quick fixes or shortcuts to spiritual growth. What is necessary is to simply be--to take one’s time, and to experience life in all its fullness. As James W. Fowler, United Methodist minister and developmental psychologist once wrote, “Faith is…our way of finding coherence in and giving meaning to the multiple forces and relations that make up our lives. Faith is a person’s way of seeing him- or herself in relation to others against a background of shared meaning and purpose.” 2 The best way to develop in one’s faith, then, is to be curious about one’s own experiences, and the experiences of others, and to notice how all of the pieces of these various perspectives fit together to make a cohesive whole. The Christian season of Lent, which leads up to the celebration of Easter, is an apt time for reflection on life and faith. Even those who do not practice the Christian faith, or those who claim a non-religious worldview, can benefit from taking time out of the day-to-day in order to reflect, be at peace, and seek to be centered. The sense of centeredness that comes from taking one’s time— going slowly—allows one to be able to achieve a balance not only in spiritual, but temporal matters as well. Find some time to carve out space for reflection each day, or at the very least, once or twice a week, and you will find yourself experiencing balance and spiritual growth that leads to health and wholeness. Rev. David E. MacDonald, D.Min University Chaplain If you want your dream to be, build it slow and surely. Small beginnings, greater ends, Heartfelt work grows purely. If you want to live life free, Take your time, go slowly. Do few things, but do them well. Simple joys are holy. Day by day, stone by stone, Build your secret slowly. Day by day, you’ll grow too, You’ll know heaven’s glory.1 These words, from the “San Damiano Song” by Scottish folk singer-songwriter Donovan, were featured in the English version of Brother Sun, Sister Moon, Franco Zeffirelli’s film that tells the tale of St. Francis of Assisi. The beauty of the lyrics is underscored by a gently haunting tune--sung by Donovan, his willowy voice accompanying the scene of Francis and his followers rebuilding Chapel of San Damiano. The first time I watched the film and heard this song, I was struck by its Donovan. “San Damiano Song.” From Brother Sun, Sister Moon by Franco Zeffirelli, 1972. 1 Nutrition Fowler, James. W. Stages of Faith: The Psychology of Human Development and the Quest for Meaning, San Francisco: Harper & Row, 1981. 2 7 Ohio Northern University HealthWise