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Eating for Energy Kaitlin Anderson, RD, LD Hy-Vee www.altmd.com/Specialists/Appetite-for-Health Outline • Define fatigue • Causes • Solutions http://www.treatingandbeating.com/cfscriteria_files/page6_1.jpg Definition: FATIGUE • Merriam-Webster’s dictionary – “weariness or exhaustion from labor, exertion or stress” • Perception – Lack of mental alertness, weakened muscles, and sleepiness Is this the norm for you?? Causes • • • • • • • Aging process Diseases Inadequate sleep Stress Lack of exercise Obesity Nutrient deficiencies FATIGUE Obesity & self-reported Fatigue • NHANES III: “Right now would you say you are feeling energetic, fresh, average, tired or exhausted?” 70 60 50 Energetic 40 Fresh 30 Average 20 Tired 10 Exhausted 0 Energy level Obesity & self-reported Fatigue • Relative to the fresh group: • Average 1.6 • Tired 1.9 • Exhausted 3.8 Times more likely to report insufficient physical activity *statistically significant* Lack of exercise Lack of Energy “Exercise is known to be a natural energy booster and mood lifter. Whether because of endorphins, increased fitness, enhanced oxygen consumption, or a combination, no one can argue that regular exercise is a powerful antidote for fatigue.” --Dina Aronson, MS, RD Today’s Dietitian, April 2009 Obesity & self-reported Fatigue • “This pattern was also observed for body mass index and waist circumference and persisted after adjustment for covariates and exclusion of individuals with depression.” • CONCLUSION: “In adults aged 20-59 years in the US, self-reported fatigue is associated with higher body mass index, higher waist circumference and a reduced likelihood of getting recommended levels of physical activity.” J Clin Sleep Med. 2006 April 15;2(2):163-9 Fine-Tuning Diet & Lifestyle Getting Enough Calories…and the Right Kinds • Skimping on calories ultimately decreases metabolic rate as the body tries to conserve energy. That is why “skimpers” feel lethargic. • To keep energy levels high and metabolism revved up, it is important for people to meet their daily calorie needs. Getting Enough Calories…and the Right Kinds • “Just as our cars need fuel to run efficiently so do our bodies; without enough fuel, either will putter out.” --Lisa Raum, RD R.D. to GO, LLC • Equally important, the car needs the right type of fuel: Don’t expect a standard car to run on diesel fuel. FUEL = 55% Carbohydrate, 15% protein, 30% fat Iron-deficiency anemia • Anemia: A condition in which the capacity of the blood to carry oxygen is decreased because of too few red blood cells in circulation or because of too little hemoglobin. • Hemoglobin: the oxygen-carrying pigment of red blood cells that gives them their red color and serves to convey oxygen to the tissues. • Inadequate iron intake low hemoglobin anemia fatigue • Solution: adequate iron intake (MFP) Other nutrient deficiencies • • • • • • • • • Vitamin B6 B12 folate Vitamin C Vitamin A Vitamin D Vitamin E Zinc Copper anemia Be sure to eat a variety of healthy foods to meet your daily nutrient needs. B Vitamins for Metabolism • B vitamins play a role in metabolism – Process your body uses to make energy from foods • Thiamin, riboflavin, niacin • Whole grains, meat • Make half your grains whole Breakfast • Jumpstart your metabolism! • Set the tone for a whole day of healthy eating. • To feel full longer, be sure to incorporate whole grains (carbs and fiber), protein and healthy fat. – EXAMPLES? – Oatmeal with walnuts and skim milk – 100% whole wheat English muffin/bagel with PB Eat at least 3 times per day • Getting a near-steady supply of food energy over the course of the day helps keep blood sugar levels in check and energy levels up • Discover the timing technique that works best for your lifestyle. • Remember: Snacking can be a good thing! Plan ahead! • Feel full longer with protein & fiber. Snack Ideas: Mix and Match Fiber Protein Whole fruit (banana, apple, etc.) String cheese Crackers Yogurt Cereal Egg Bread Hummus Dried fruit Almonds Vegetables Walnuts Granola Peanut butter Cottage cheese Milk Drink water! • • • • • • Dehydration can cause headaches and fatigue. Drink throughout the day. Carry a water bottle. Keep a full glass of water nearby at all times. Assess hydration If you don’t like water… Sugars Consume less than 10 percent of calories per day from added sugars Added Sugars “Syrups and other caloric sweeteners used as a sweetener in other food products. Naturally occurring sugars such as those in fruit or milk are not added sugars. Specific examples of added sugars that can be listed as an ingredient include brown sugar, corn sweetener, corn syrup, dextrose, fructose, glucose, high-fructose corn syrup, honey, invert sugar, lactose, malt syrup, maltose, molasses, raw sugar, sucrose, trehalose, and turbinado sugar.” --DGA, 2015 *Concern: add calories without nutrients Figure 2-9. Average Intakes of Added Sugars as a Percent of Calories per Day by Age-Sex Group, in Comparison to the Dietary Guidelines Maximum Limit of Less than 10 Percent of Calories Figure 2-10. Food Category Sources of Added Sugars in the U.S. Population Ages 2 Years and Older Added Sugars • 4 grams = 1 teaspoon • 4 calories per gram • 2,000 calories per day – 10% = 200 calories from added sugar – 200/4 = 50 grams – 50 grams = 12.5 teaspoons – 12 teaspoons = 4 tablespoons Caffeine • Advertising and marketing efforts that appeal to people’s desire for quick-fix energy can bombard consumers and potentially lure them toward addictive habits. • Short-term boost • Backfires! …results in exhaustion and hunger Sleep Change in daytime levels of leptin, ghrelin, appetite and hunger from 10-hour to 4-hour bedtimes in 12 healthy lean subjects after 2 days of curtailed sleep. Sleep Medical Review, 2007 Inadequate sleep Increased appetite Overeating Fatigue http://www.yourslimplan.com/alignlife/metatrim/images/bar-graph.jpg Summary Energy • • • • • • • • • • Be active! Maintain a healthy BMI. Eat an appropriate number of calories. Eat a variety of healthy foods to avoid nutrient deficiencies. Use MyPlate as a guide. Fuel your body with a balanced diet. Eat breakfast. Eat throughout the day. Stay hydrated. Don’t rely on sugar. Limit caffeine consumption. Make sleep a priority. Homemade Energy Bars All you need: 2 cups old-fashioned oats ¾ cup honey 1 cup natural peanut butter 1 cup ground flax seed 1 cup nonfat dry milk or protein powder ½ cup slivered almonds ½ cup chocolate chips 1 cup raisins All you do Mix all ingredients together using an electric mixer or food processor. Press evenly into an 8- or 9-inch pan sprayed with nonstick cooking spray. Refrigerate to firm bars. Source: Adapted from Hy-Vee’s Fit-for-You Bars. Kaitlin Anderson, RD, LD Hy-Vee Rochester Community Relations 507-289-0266 [email protected] “Making Lives Easier, Healthier, Happier…” References • Understanding Nutrition, Ninth Edition – Eleanor Rose Whitney & Sharon Rady Rolfes • “Eating for Energy,” Today’s Dietitian, April 2009 – Dina Aronson, MS, RD • Merck Manual • MyPyramid.gov • NHANES III : J Clin Sleep Med. 2006 April 15;2(2):163-9 • J Am Diet Assoc. 2007 Oct;107(10): 1792-6.