Sixty Five Roses

Cystic fibrosis is the most common fatal genetic disorder in North America. The disorder produces thick, sticky mucus secretions that may seriously impair the function of multiple organs in the body. Most notably, these organs are the pancreas and lungs. Just a few decades ago, an infant born with CF seldom survived to adulthood. Today, the outlook is much brighter, with adults reaching their 30’s, 40’s, and some even into their 50’s.

Cystic fibrosis has three major consequences: chronic lung disease, pancreatic insufficiency, and abnormally high electrolyte concentrations in the sweat. Chronic lung disease develops because the airways in the lungs become congested with mucus, causing breathings to be strenuous. As the thick mucus stagnates in the bronchial tubes, bacteria multiply there. Lung infections are the usual cause of death in people with cystic fibrosis.

Cystic fibrosis causes some degree of pancreatic insufficiency in all cases, with about 90% of cases serious enough to require enzyme replacement therapy. With aging, damage to the pancreas deteriorates. The thick mucus obstructs the pancreatic ducts and interferes with the secretion of digestive enzymes, pancreatic juices, and pancreatic hormones. Eventually, the pancreatic cells are surrounded by mucus and are gradually replaced by fibrous tissues. Malabsorption of many nutrients including fat, protein, vitamins, and minerals often leads to malnutrition. Additionally, the secretion of insulin may be affected resulting in glucose intolerance and diabetes.

The therapy of cystic fibrosis aims to promote appropriate growth and development and prevent respiratory failure and complications. Treatment includes respiratory, diet, and drug therapy.

Nutrient losses through malabsorption, frequent infections, rapid turnover rate of protein and essential fatty acids, high protein catabolism, and high basal energy expenditures raise energy needs for people with cystic fibrosis to between 120%-150% of the RDA for gender and age. Extra energy is needed simply to breathe. RDs estimate individual energy requirements based on basal metabolic rate, activity level, pulmonary function, and degree of malabsorption.

Obtaining enough energy can be complicated, but because people with CF frequently experience a loss of appetite that is aggravated by repeated infections, emotional stress, and drug therapy. Coughing to clear the lungs may trigger vomiting or reflux of foods from the stomach. Thus the person with cystic fibrosis finds it difficult to take in enough food energy, protein, and other nutrients to meet needs.

NIH- Cystic Fibrosis

Cystic Fibrosis Foundation

cysticfibrosis01cystic-fibrosis-cfcystic-fibrosis

Chain Restaurants Impact on Kids’ Meals and their Health

Kids Meals Get an “F” in Nutrition at Chain Restaurants

Nearly all of the meal possibilities offered to kids at America’s top chain restaurants are of poor nutritional quality. A report released today found that fried chicken fingers, burgers, French fries, and sugar drinks continue to dominate kids’ meal setting, with 97% of the nearly 3,500 meal possibilities not meeting CSPI‘s nutrition criteria for 4- to 8-year-olds.

And if you don’t believe CSPI, ask the National Restaurant Association (NRA): 91% of kids’ meals at America’s major chains do not even meet the nutritional standards of the industry lobbying group’s Kids LiveWell program.

One out of every three American children is overweight or obese, but it’s as if the chain restaurant industries didn’t get the message. The Institute of Medicine (IOM) released “Accelerating Progress in Obesity Prevention” and addressed these health concerns for further research and studies to use in the fight against childhood obesity.

Two-thirds of adults and almost one-third of children in the United States are overweight or obese, representing young and old, urban and rural, and majority and minority populations. This epidemic of excess weight is associated with major causes of chronic disease, disability, and death. Obesity-related illness is estimated to carry an annual cost of $190.2 billion.

Most chains seem stuck in this time warp, serving the same dated meals based on chicken nuggets, burgers, macaroni and cheese, fries, and soda. I know that they can come up with healthier, cost-effective, nutritionally beneficial meals that are more current than these.

One chain that has gotten the message is Subway. All eight of Subway restaurants’ Fresh Fit for Kids meal combinations met CSPI’s nutrition criteria. Subway is the only restaurant chain that does not offer sugar drinks as an option with its kids’ meals, instead including low-fat milk or bottled water along with apple slices with all of its kid-sized subs.

“Our goal has always been to provide the most nutritious, balanced kids meals in the industry and we are proud to be recognized by CSPI for achieving that goal,” said Lanette Kovachi, corporate dietitian for the Subway brand.

To meet the CSPI’s nutrition criteria, kids’ meals must be at or below 430 calories, no more than 35% of calories from fat, or no more than 10% of calories from saturated plus trans-fat. Meals that meet CSPI’s criteria cannot have more than 35% added sugars by weight or more than 770mg. of sodium. The criteria require meals to make a proactive nutritional impact either by providing at least half a serving of fruit or vegetable, including an item that is 51% or more whole grain, or including specified levels of vitamins or fiber. CSPI’s criteria exclude sugar drinks in favor of water, juice, or low-fat milk. The NRA’s standards are quite similar, though they allow more calories.

Here are some of the least healthy kids’ meals available at chain restaurants:

–        Applebee’s Grilled Cheese on Sourdough with Fries and 2% Chocolate Milk has 1,210 calories with 62g of total fat (46% of kcal), 21g of saturated fat (16%), and 2,340mg. of sodium. That meal has nearly three times as many calories, and three times as much sodium, as CSPI’s criteria for four-to eight-year-olds allow.

–        Chili’s Pepperoni Pizza with Homestyle Fries and Soda has 1,010 calories, 45g of total fat (40% of kcal), 18g of saturated fat (16% of kcal, and about as much saturated fat as an adult should consume in an entire day), and 2,020mg. of sodium.

–        Denny’s Jr. Cheeseburger and French Fries has 980 calories, 55g of total fat (50% of kcal), 20g of saturated fat (18%) and 1,110mg. of sodium. Denny’s does not include beverages with kids’ meals.

–        Ruby Tuesday’s Mac ‘n Cheese, White Cheddar Mashed Potatoes, and Fruit Punch has 860 calories, 46g of total fat (48% of kcal) and 1,730mg. of sodium. Ruby Tuesday’s does not disclose saturated or trans-fat content on its menus or website.

–        Dairy Queen’s Chicken Strips, Kids’ Fries, Sauce, Arctic Rush (a Slushee-type frozen drink) and Dilly Bar has 1,030 calories, 45g of total fat (39% of kcal), 15g of saturated fat (13% of calories), and 1,730mg of sodium.

At 19 chain restaurants reported on, not a single possible combination of the items offered for children met the CSPI’s nutrition standards. Out of these restaurants, 9 (that included McDonald’s Popeye’s, Chipotle, and Hardee’s) not a single kids’ meal met the National Restaurant Association’s Kids LiveWell standards. At Wendy’s, only 5% of 40 possible kids’ meals met the CSPI’s standards. Most of these items were either too high in sodium or saturated fat. At Burger King, just 20% of the 15 possible kids’ meals met CSPI’s criteria.

The last time the CSPI reviewed the nutritional quality of kids’ meals at chain restaurants, in 2008, it is reported that these restaurants have made little progress. In 2008, just 1% of kids’ meals met the CSPI nutrition standards, compared to only 3% in 2012. Only one-third of the chains had at least 1 meal that met the nutritional standards in 2008. This number scaled to 44% in 2012- good, but not great improvement.

While the CSPI report recommends that companies consider several changes, it also encourages the chains to participate in the NRA’s Kids LiveWell program. For these restaurants to do so, they would need to restructure their kids’ meals to meet these standards. The bottom line is that these restaurants should offer more fruits and veggies, and to offer these fresh options as an alternative side to French fries. Whole grains should be offered more, as well as removing soda or other sugar sweetened beverages from the kids’ menus. And just because Subway was the only chain restaurant to meet CSPI’s criteria for all kids’ meals, it should increase the whole grain content of its breads and continue to lower sodium.

The long-term problem I see in this article is that the chain restaurant industry is conditioning children to accept a really narrow range of food options. More chains are adding fruits and veggies at this point, but realistically- a lot more could offer these options. And given the childhood obesity epidemic that America is currently attempting at combating- you would think that more restaurants would want to take action in the health of their future consumers.

CBS News Clip

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This is a standard Subway Kids’ Meal option

Southern Grocery Shopping

Southern Grocery Cart

It’s easy to throw healthy eating habits out the window when you’re away from home and your regular routine. Andrea D’Ambrosio, RD talks about ways to create a healthy winter routine while staying on a budget.

Plan ahead and stick to a list
Being prepared before you grab your grocery cart will help you avoid impulse purchases. It also gives you time to look at flyers, find sales and clip coupons. Try taking advantage of no-name products and avoiding shopping while you’re hungry.

Shop in season and avoid being wasteful
Buy in-season foods from local farmer’s markets, which is cheaper, and be resourceful with leftovers, using up excess food before it goes to waste, she says.

Consider vegetarian alternatives
If you study your grocery bill, meat products are often among the most expensive items. Consider planning meals with vegetarian alternatives like lentils, beans and soy. Check out vegetarian websites for heart- and budget-healthy meal ideas, she suggests.

Here are 5 friendly foods and the reasons you should add them to your grocery list:

  1. Fresh, seasonal fruit: A favorite snack to boost energy levels between meals if you feel a little hungry (power of carbs) and allows you to benefit from vitamins, minerals and antioxidants.
  1. Low-fat (1 percent) or non-fat milk: In order to maintain our bone density, we need to consume adequate dairy to receive calcium, phosphorous, magnesium and protein, which are all essential for bone growth and development.
  1. Whole grains: According to the Journal of Nutrition (2011), oats, barley, rice and quinoa all lower risk of chronic diseases such as coronary heart disease, diabetes and cancer, as well contribute to body-weight management and gastrointestinal health. Try buying whole-grain pasta and remember to look for the words “whole grain” on the label.
  1. Almonds: But just a handful a day, and make them unsalted! A portion-controlled (quarter cup) serving of almonds is excellent for lowering cholesterol because of the unsaturated fats, making them a heart-healthy choice. Almonds are high in vitamin E, a powerful antioxidant, and are naturally high in fiber and a good source of protein!
  1. Edamame: Green soybeans, made popular in Japanese cuisine but available in grocery stores, add a nice nutritional punch. These tasty soybeans can be added as a side dish, steamed in the pod or consumed as a snack or appetizer. Nutritionally speaking, they are another heart-healthy source of protein, fiber and vitamins.

http://www.thestar.com/specialsections/snowbirds/article/1301135–fill-your-southern-grocery-cart-with-healthy-foods

http://www.dieteticdirections.com/

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Not Your Typical Pumpkin Season

Good for more than just delighting trick-or-treaters, the pumpkin is related to the squash and melon family and packs a nutritional antioxidant punch. The pumpkin is an autumn favorite, but you don’t just have to think about using one for decorating or pie.

What’s in Pumpkin: One cup of cooked, unsalted pumpkin has 49 calories and is a great source of the antioxidant beta-carotene. Pumpkin seeds have protein, healthy fats, minerals and a small amount of omega-3 fats.

Choosing: Pumpkins intended for carving don’t always taste as good as sugar (also called baking or pie) pumpkins. Choose pumpkins that are firm, smooth and brightly colored and, when possible, with the stem still attached.

Storing: Pumpkin “pulp” can be frozen or canned. You can store whole pumpkins in a cool, dry place for up to three months. Once sliced, keep the pieces in the refrigerator, wrapped in plastic for five to seven days. Place cooked pumpkin in an airtight container in the refrigerator for a week or in the freezer for three to six months.

Using Pumpkin this Season: Besides the iconic pumpkin pie, try your hand at pumpkin muffins, pumpkin rolls or maybe even pumpkin soup. You cook pumpkin like you would any other winter squash — peel it, slice it and remove the seeds. Then roast, boil or steam the pieces until tender. You can dice the cooked flesh into bite-sized pieces or puree them in a food processor.

You can also use the seeds. They’re easy to roast and are nutritious and flavorful.

So many ways to utilize seeds after carving pumpkins this season!

Health benefits of Pumpkin

  • It is one of the very low calorie vegetables. 100 g fruit provides just 26 calories and contains no saturated fats or cholesterol; however, it is rich in dietary fiber, anti-oxidants, minerals, vitamins. The vegetable is one of the food items recommended by dietitians in cholesterol controlling and weight reduction programs.
  • Pumpkin is a storehouse of many anti-oxidant vitamins such as vitamin-A, vitamin-C and vitamin-E.
  • With 7384 mg per 100 g, it is one of the vegetables in the Cucurbitaceae family featuring highest levels of vitamin-A, providing about 246% of RDA. Vitamin A is a powerful natural anti-oxidant and is required by the body for maintaining the integrity of skin and mucus membranes. It is also an essential vitamin for good visual sight. Research studies suggest that natural foods rich in vitamin A help a body protects against lung and oral cavity cancers.
  • It is also an excellent source of many natural poly-phenolic flavonoid compounds such as α, ß carotenes, cryptoxanthin, lutein and zea-xanthin. Carotenes convert into vitamin A inside the body.
  • Zea-xanthin is a natural anti-oxidant which has UV (ultra-violet) rays filtering actions in the macula lutea in retina of the eyes. Thus, it helps protect from “age-related macular disease” (ARMD) in the elderly.
  • The fruit is a good source of B-complex group of vitamins like folates, niacin, vitamin B-6 (pyridoxine), thiamin and pantothenic acid.
  • It is also rich source of minerals like copper, calcium, potassium and phosphorus.
  • Pumpkin seeds indeed are an excellent source of dietary fiber and mono-unsaturated fatty acids, which are good for heart health. In addition, the seeds are concentrated sources of protein, minerals and health-benefiting vitamins. For instance, 100 g of pumpkin seeds provide 559 calories, 30 g of protein, 110% RDA of iron, 4987 mg of niacin (31% RDA), selenium (17% of RDA), zinc (71%) etc., but no cholesterol. Further, the seeds are an excellent source of health promoting amino acid tryptophan. Tryptophan is converted to GABA in the brain.

    Pumpkin rolls are delicious year round

Key Health Benefits of Pumpkin Seeds

  1. Promotes Prostate Health

For you men over 50 helping carve pumpkins this Halloween, be sure to save those seeds.  Pumpkin seeds help promote a healthy prostate and minimize the issues such as urination problems due to an enlarged prostate.  Prostate problems are most common in men over fifty.

  1. Better Bones

Although it is the season for scary ghosts and skeletons, I’m not talking about a great looking skeleton with good bones hanging on your door for the “trick or treaters”.  I’m talking about your bones.  Pumpkin seeds are high in zinc and are a great natural resource for this much needed nutrition.  Low levels of zinc are one of the links to osteoporosis.

  1. Arthritis Relief

In a recent study pumpkin seeds showed the same anti-inflammatory benefits as the non-steroid drug indomethacin.  The good news on these results is that the pumpkin seeds did not have the same negative effect of damaged fats (lipid peroxides) in the lining of joints like the anti-inflammatory drug.  Okay, so this study was conducted on animals, but the healing benefits of pumpkin seeds for arthritis relief is a potential benefit to humans.

  1. Lower Cholesterol

Another known benefit of pumpkin seeds is their ability to help lower LDL “bad” cholesterol.  That is because the seeds have phytosterols, a compound that not only helps lower cholesterol but helps protect against certain cancers.  In addition to pumpkin seeds, many other nuts and seeds have the phytosterol compound including pistachios, sunflower seeds, sesame seeds, English walnuts and Brazil nuts.

Making Pumpkin Seeds

Although you can buy pumpkin seeds already dried and seasoned, baking your own seeds is a less expensive and much more fun.

  • Scoop out the seed from inside the pumpkin
  • Using a paper towel, lightly pat the seeds and remove any pulp
  • Spread seeds evenly on a paper bag and dry them overnight
  • Preheat the oven to 160 – 170 degrees F
  • Place them in a single layer on a cookie sheet
  • Bake for 15 to 20 minutes

You can add seasoning like garlic powder, onion powder or salt and pepper for extra flavor.

By baking at a low temperature, you are more likely to preserve the essential oils and get all the health benefits of your pumpkin seeds.  You can add your seeds to your favorite salads, sprinkle in your soup or chili, add to your sautéed veggies or just eat them as is.

Pumpkin can be used for breakfast too!