Guest Blogger : Belly Fat and Your Risk of Chronic Disease

Watch Your WaistDo you have more than an inch to pinch? When you look down, have the tips of your toes disappeared? If so, you might want to measure your belly fat, which can increase your risk for chronic disease.

According to an article by Mayo Clinic staff; it is common for “belly fat,” also known as visceral fat, to appear after menopause due to low levels of estrogen. It is estrogen that influences where we store fat in our body. So let’s measure our risk! Determine your waist circumference by locating the top of your hip bones. Use a measuring tape from this point to pull snug, but not so much to compress your skin. Run the tape around your middle; take your final measurement when you exhale.

Now that we’ve measured our “belly fat,” let’s discuss why it may not “just be a cosmetic concern.” You should know that “belly fat” can increase inflammation and produce hormones that raise blood pressure, negatively change the balance of good (HDL) to bad (LDL) cholesterol and promote insulin resistance, a risk factor for developing diabetes.

As a registered dietitian, I encourage people to improve their health through good nutrition and physical activity. Shed those extra pounds to avoid complications associated with “belly fat” and the “bad stuff” it creates. Eat foods that help you feel full, such as whole grains and high fiber foods like peas, dried beans and lentils. To expand your antioxidant arsenal without adding extra calories from fat, enjoy fruit and non-starchy vegetables. Great choices are berries, cherries, apples, carrots, tomatoes and dark green, leafy vegetables!

We all need to consider the effect chronic disease has on our body, but people with a genetic risk for diabetes also need to worry about the damage high blood sugars can cause to the eyes, kidneys and feet. A decrease in “belly fat” may help to reduce these effects.Woman on Exercise Machine

Other concerns for those with diabetes
In addition to a healthy diet, be as physically active as possible. In general most of us should be at least moderately active. Moderate activity is defined as being physically active at least 150 minutes per week. This level of activity could be met by walking 30 minutes, 5 days a week.

Talk to your physician about the importance of maintaining adequate vitamin D levels. Low vitamin D is associated with a 30% to 50% increased risk for breast cancer. Remember, some of our best defense can be found in “super foods” such as broccoli, cauliflower, cabbage, cranberries and green tea. You could also add ground flaxseed to your cereal or have a moderate amount (1-2 servings a day) of soy or tofu. Did you know certain brands of mushrooms are a great source for vitamin D?

Please know, current literature is still mixed about the impact of plant estrogens in people with hormonally sensitive cancer of the breast, ovaries or prostate. Speak with your physician about this topic and practice caution with the use of phytoestrogen supplements, soy powders and capsules, as they could be linked to recurrence of cancer. As with all medical nutrition recommendations, individualization is essential. Speak with a registered dietitian today if you have more questions about healthy eating for disease prevention.

Schleder, Missy RD

Melissa S. Schleder
Registered Dietitian, Springfield Clinic Endocrinology
Resources:
http://www.nutritioncaremanual.org ; http://www.mayoclinic.com ;
http://www.aicr.org; www.aicr.org/foods-that-fight-cancer ; www.uptodate.com

Cholesterol Month – Part 3

heartexerciseThe final two factors of cholesterol: physical activity and weight.

Physical Activity

  • Daily physical activity helps reduce the risk of heart disease and can also help with weight management. It can help lower the bad cholesterol (LDL) and additionally boost your good cholesterol levels (HDL). Exercise helps speed up the rate that LDL molecules are sent back to the liver to be turned into bile salts or excreted. Aim for at least 30 minutes of physical activity on most, if not all days. Additional physical activity may be needed for weight loss/weight management. Any exercise is better than no exercise; however, research indicates that exercise performed at higher intensities may be more effective at lowering LDL cholesterol levels and additionally raising the good HDL levels.
  • Find an activity that you love, or even several activities so you can vary up your routine. A combination of strength-training and cardio exercises has shown to be very beneficial for reducing risk factors for heart disease (weight loss, lowering blood pressure and lowering cholesterol levels).
  • Exercise alone cannot guarantee one will not have high cholesterol. Diet and genetics also play very strong roles in determining one’s cholesterol levels. However, additional benefits observed from being physically active include bone strength, mood improvement, stress management and can decrease the risk of diabetes, cancer and stroke.  heartplate

Weight

  • Being overweight/obese is an additional risk factor for heart disease. Weight gain also tends to increase cholesterol levels. Losing weight can help decrease LDL, triglycerides and total cholesterol levels and help increase HDL levels.
  • Losing just 5-10% of body weight can show improvements in cholesterol levels. Consuming 500 less calories every day can help you lose 1 pound per week. You can even combine this with exercise by consuming 250 less calories every day additionally to burning 250 calories from exercise. Easy ways to cut down on calories include:
    • Eliminating soda, sweet tea, juice or other sugary-sweetened beverages.
    • Using one slice of bread instead of two.
    • Limiting cheese consumption.
    • Avoid snacking while at the computer/watching TV.
    • Swap your potato chips or pretzels for carrots, bell pepper slices and celery sticks.
    • Choosing a side salad instead of a side of pasta or potatoes.

Sometimes, diet and lifestyle are not enough to lower your cholesterol levels to a safe range. Your doctor may prescribe a cholesterol-lowering medication. Always take these medications as prescribed. Additionally, consult with appleheartfruityour physician if you are considering taking an herbal supplement to decrease your cholesterol levels. In many cases, the safety of these supplements has not been proven since their dosage amounts are unregulated.

Click here to see parts 1 & 2 of this blog series.

Apples to Apples

Apples are one of the most iconic fruits of the fall season. Fall marks back to school themed apple decor and the fun tradition of bobbing for apples. Apples serve as a symbol for healthy eating. Many families use apples in theirapples everyday diet from a snack to an apple pie.  In fact, most are familiar with the saying, “An apple a day keeps the doctor away”. But is there any truth behind this old proverb? This happens to be one saying worth repeating.

  • Apples under the microscope:
    • Quercetin, a flavonoid found in apples has been studied for its possible protective benefits against prostate cancer.
    • Researchers at Cornell University showed that nutrients found in the skin of apples inhibited the reproduction of colon cancer cells by 43%.
    • The National Cancer Institute released a statement saying that the flavonoids, like the ones found in apples, may reduce the risk of lung cancer by as much as 50%.
    • Other studies have shown that apples can also help reduce the risk of asthma and possibly type 2 diabetes.
    • Apples contain pectin, which is a valuable source of soluble fiber (1.0 gram per medium-sized apple). Soluble fiber can help reduce cholesterol levels and possibly help control blood sugars. The average apple contains 3-5 grams of total fiber, which can help support digestive health.
  • Choosing your perfect apple:
    • Apples come in many varieties. They can be sweet, tart, crisp, soft, red, yellow, green; the combinations are endless! I personally love a sweet, crisp apple so I tend to stick with Gala, Fuji or the Honeycrisp varieties. Picking the perfect apple can depend on your usage of the apple. Different varieties are recommended if you’re simply snacking or using apples for cooking/baking purposes. Below is a list of apples, their profiles and recommended uses. appleVarietiesChart

    Eating an apple a day can definitely be part of a healthy diet. The phytochemicals and antioxidants found in apples help our bodies defend itself from oxidative stress. However, processed apple products, such as juice, typically do not retain these nutritious properties. When choosing an applesauce, opt for the no-sugar added variety. You can naturally sweeten it with cinnamon, if needed. For a balanced snack, combine an apple with 1-2 Tbsp of peanut butter or a low-fat cheese stick. Apple chunks can be added to salads, cereal and make creative slaws and salsas! Apples are so versatile; everyone can enjoy the fruit of the season!

 

 

Cancer Nutrition Series: Calorie and Protein Intake During Treatment

Cancer and its treatment can lead to a variety of side effects and discomforts. But, through proper nutrition, these effects can be alleviated. Amanda Figge, MS, RD, LDN, registered dietitian with Springfield Clinic, discusses the ways to maintain the proper caloric and protein consumption while undergoing cancer treatment.

For more information go to: www.SpringfieldClinic.com/Nutrition

http://www.youtube.com/watch?v=BA0hQHOy_fI&feature=share&list=PLulrbdIofujuMdvOeLh3VuUfhU7mPUjCK

Cancer Nutrition Series: Food Safety for Neutropenia – Springfield Clinic

Cancer and its treatment can lead to a variety of side effects and discomforts. But, through proper nutrition, these effects can be alleviated. Amanda Figge, MS, RD, LDN, registered dietitian with Springfield Clinic, discusses the ways to eat properly while dealing with cancer.

In this video, Amanda discusses eating with food safety for patients on a neutropenia-safe diet during cancer treatment. Food Safety for Neutropenia

www.SpringfieldClinic.com/Nutrition

 

Cancer Nutrition Series: Dealing with Mucositis (Sore Mouth)

Cancer and its treatment can lead to a variety of side effects and discomforts. But, through proper nutrition, these effects can be alleviated. Amanda Figge, MS, RD, LDN, registered dietitian with Springfield Clinic, discusses the ways to eat properly while dealing with cancer.

In this video, Amanda discusses eating with mucositis, or mouth sores resulting from cancer treatment.

http://youtu.be/a5p-B44R8CA

www.SpringfieldClinic.com/Nutrition