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Easy Ways to Eat More Veggies

6/16/2021

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Eating more vegetables can help with weight management.  Vegetables may also reduce the risk of heart disease and diabetes (along with other supportive foods like whole grains, nuts, and seeds). This doesn’t mean just eating salads - check out these tips for getting more veggies by including them in the foods you already love.

  • Add a bag of baby spinach to your pasta - it wilts down when cooked and pairs well with most sauces.

  • Breakfast:  sauté bell peppers and onions to add to eggs.  

  • Don’t forget smoothies! Chop up frozen zucchini, then freeze it to add to a smoothie (you can also use it to replace some fruit). Zucchini helps to thicken smoothies without altering the taste.

  • Lunch: have a side of baby carrots, bell peppers, or cucumbers with your sandwich.

  • Dinner: tired of broccoli? Pick up a frozen stir fry blend and sauté with reduced-sodium soy sauce. Frozen cauliflower "rice" blends are a great alternative, as well.

REFERENCES
Dreher ML, Ford NA. A Comprehensive Critical Assessment of Increased Fruit and Vegetable Intake on Weight Loss in Women. Nutrients. 2020;12(7): 1919. Published 2020 Jun 29. 
Milenkovic T, Bozhinovska N, Macut D, et al. Mediterranean Diet and Type 2 Diabetes Mellitus: A Perpetual Inspiration for the Scientific World. A Review. Nutrients. 2021;13(4): 1307. Published 2021 Apr 15. 
Romagnolo DF, Selmin OI. Mediterranean Diet and Prevention of Chronic Diseases. Nutr Today. 2017;52(5): 208-222. 


By Brigit Hadam, MGH Dietetic Intern 
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Grilling with a Twist: Plant-based Burgers

5/12/2021

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Eating more plant-based protein is associated with lower rates of premature death and reduced risk of chronic diseases, such as heart disease and diabetes.
 
Most of the vegetable burgers found in grocery stores contain a protein source made from soy or peas and contain more fiber and less saturated fat compared to grilled meats, like hot dogs or hamburgers.
 
These plant-based burgers can also be a good way to include protein and fiber in your diet.  Protein and fiber play a role in satiety, helping to promote fullness.  They can also help with weight loss.
 
When looking through the aisles, opt for plant-based burgers that contain protein and fiber (select options with at least 3 grams of fiber per burger). Here are a few to consider:
 
  • BOCA BURGER
Where to buy: Walmart, Whole Foods, Stop & Shop
Contains: 12 grams of protein and 3 grams of fiber
 
  • TRADER JOE'S HI-PROTEIN VEGGIE BURGER 
Where to buy: Trader Joes
Contains: 26 grams of protein and 4 grams of fiber
 
  • DR PRAEGER'S SWEET HEAT BEET VEGGIE BURGER 
Where to buy: Target, Shaws, Star Market
Contains: 19 grams of protein and 7 grams of fiber
 
  • FRANKLIN FARM VEGGIE BURGER 
Where to Buy: Stop & Shop
Contains: 12 grams of protein and 3 grams of fiber

Note: MGH does not endorse or promote any specific brands - this list is for educational purposes.

REFERENCES:
Ahnen, RT, Satya SS, and JL Slavin, Role of plant protein in nutrition, wellness, and health. Nutrition Reviews. 2019; 77(11): 735–747.
Crimarco, A, et al. A randomized crossover trial on the effect of plant-based compared with animal-based meat on trimethylamine-N-oxide and cardiovascular disease risk factors in generally healthy adults: study with appetizing plantfood—meat eating alternative trial (SWAP-MEAT), The American Journal of Clinical Nutrition. 2020; 112(5): 1188–1199. 

By Caleigh Collamer, MGH Dietetic Intern
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Chia: A Seed of Strength

4/8/2021

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Chia seeds have a long history in Aztec and Mayan culture, touted for their ability to provide nutrition and sustainable energy. Quite fittingly, “chia ” is the Mayan word for “strength.”
 
Chia seeds are a versatile, nutrient-packed seed rich in fiber and a heart-healthy plant-based omega-3 fat called alpha-linolenic acid or ALA. They also are a source of minerals like magnesium and calcium, two nutrients necessary for strong bones. 
 
Chia seeds may help lower blood sugar and reduce heart disease risk factors. One study showed individuals with diabetes who ate about 3 tablespoons of chia seeds daily for 6 months lost more weight than those who didn’t. Other studies have linked chia seeds with a reduction in blood pressure.
 
Want to include more chia seeds into your diet? You can start by:
  • Mixing them into yogurt or oatmeal
  • Adding them to smoothies
  • Using them as a thickener for soup
  • Adding some ground chia seeds to the breading of homemade chicken tenders
  • Mixing them into baked goods like muffins and breads. For a vegan substitution, soak 1 tablespoon of chia seeds in 3 tablespoons of water as a substitute for an egg.
 
REFERENCES:
Ho H, Lee AS, Jovanovski E, Jenkins AL, Desouza R, Vuksan V. Effect of whole and ground Salba seeds (Salvia Hispanica L.) on postprandial glycemia in healthy volunteers: a randomized controlled, dose-response trial. Eur J Clin Nutr. 2013; 67(7): 786-8. 
Toscano LT, da Silva CS, Toscano LT, de Almeida AE, Santos Ada C, Silva AS. Chia flour supplementation reduces blood pressure in hypertensive subjects. Plant Foods Hum Nutr. 2014 Dec; 69(4):392-8. 
Vuksan V, Choleva L, Jovanovski E, Jenkins AL, Au-Yeung F, Dias AG, Ho HV, Zurbau A, Duvnjak L. Comparison of flax (Linum usitatissimum) and Salba-chia (Salvia hispanica L.) seeds on postprandial glycemia and satiety in healthy individuals: a randomized, controlled, crossover study. Eur J Clin Nutr. 2017;71(2):234-238. 
Vuksan V, Jenkins AL, Brissette C, Choleva L, Jovanovski E, Gibbs AL, Bazinet RP, Au-Yeung F, Zurbau A, Ho HV, Duvnjak L, Sievenpiper JL, Josse RG, Hanna A. Salba-chia (Salvia hispanica L.) in the treatment of overweight and obese patients with type 2 diabetes: A double-blind randomized controlled trial. Nutr Metab Cardiovasc Dis. 2017; 27(2):138-146. 
Vuksan V, Jenkins AL, Dias AG, Lee AS, Jovanovski E, Rogovik AL, Hanna A. Reduction in postprandial glucose excursion and prolongation of satiety: possible explanation of the long-term effects of whole grain Salba (Salvia Hispanica L.). Eur J Clin Nutr. 2010; 64(4):436-8. 
Vuksan V, Whitham D, Sievenpiper JL, Jenkins AL, Rogovik AL, Bazinet RP, Vidgen E, Hanna A. Supplementation of conventional therapy with the novel grain Salba (Salvia hispanica L.) improves major and emerging cardiovascular risk factors in type 2 diabetes: results of a randomized controlled trial. Diabetes Care. 2007; 30(11): 2804-10. 


By Sydney Duong, Dietetic Intern 

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Matcha - Powerful Green Tea

3/4/2021

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Japanese matcha is a type of finely powdered green tea made from dried tea leaves. With its vibrant green color and vegetal taste, matcha may offer a variety of health benefits. 

  • HIGH IN ANTIOXIDANTS
Matcha is rich in catechins, plant-based antioxidants that may prevent or slow cell damage that contributes to the development of chronic diseases.  Some studies have shown matcha has high antioxidant potential compared to even other tea types. When you drink matcha, you may get up to 3 times more catechins than regular green tea. 
 
  • STRESS REDUCTION
Matcha contains L-theanine, an amino acid that may offer stress-reducing properties.
Matcha typically contains both L-theanine and caffeine. While caffeine can enhance alertness, in certain people it can also make it more difficult to feel calm. L-theanine may help to reduce this effect.  
 
New to matcha? 

Mix 1 teaspoon of the powder with 1 to 2 tablespoons of warm water to form a paste.  Add it to a cup of hot liquid, like water or warmed milk (or try a plant milk, like oatmilk). Flavor this drink as you would a cup of tea. Or add the paste to your morning smoothie.
 
REFERENCES
Dietz C, Dekker M, Piqueras-Fiszman B. An Intervention Study on the Effect of Matcha Tea, in Drink and Snack Bar Formats, on Mood and Cognitive Performance. Food Research International. 2017; 99:72-83.
Dietz, C and M Dekker. Effect of Green Tea Phytochemicals on Mood and Cognition. Current Pharmaceutical Design. 2017; 23(19): 2876-2905.
Dodd FL, Kennedy DO, Riby LM, Haskell-Ramsay CF. A Double-blind, Placebo-controlled Study Evaluating the Effects of Caffeine and L-theanine Both Alone and in Combination on Cerebral Blood Flow, Cognition and Mood. Psychopharmacology (Berl). 2015; 232(14):2563-2576.
Farooq S, and A Sehgal. Antioxidant Activity of Different Forms of Green Tea: Loose Leaf, Bagged and Matcha. Current Research in Nutrition and Food Science Journal. 2018;6(1):35-40. doi:10.12944/crnfsj.6.1.04
Giles, G et al. Caffeine and Theanine Exert Opposite Effects on Attention Under Emotional Arousal. Canadian Journal of Physiological Pharmacology. 2017; 95:93-100. 
Jakubczyk K, Kochman J, Kwiatkowska A, et al. Antioxidant Properties and Nutritional Composition of Matcha Green Tea. Foods. 2020; 9(4):483.
Kimura K, Ozeki M, Juneja LR, Ohira H. l-Theanine Reduces Psychological and Physiological Stress Responses. Biological Psychology. 2007; 74(1):39-45.
Komes D, Horžić D, Belščak A, Ganić KK, Vulić I. Green Tea Preparation and its Influence on the Content of Bioactive Compounds. Food Research International. 2010; 43(1):167-176.
Unno K, Fujitani K, Takamori N, et al. Theanine Intake Improves the Shortened Lifespan, Cognitive Dysfunction and Behavioural Depression that are Induced by Chronic Psychosocial Stress in Mice. Free Radical Research. 2011; 45(8):966-974.
Unno K, Hara A, Nakagawa A, et al. Anti-stress Effects of Drinking Green tea with Lowered Caffeine and Enriched Theanine, Epigallocatechin and Arginine on Psychosocial Stress Induced Adrenal Hypertrophy in Mice. Phytomedicine. 2016; 23(12):1365-1374.
Weiss DJ, Anderton CR. Determination of Catechins in Matcha Green Tea by Micellar Electrokinetic Chromatography. Journal of Chromatography A. 2003; 1011(1-2):173-180. 


By Heather Hu, MGH Dietetic Intern
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The Bolts on Nuts

2/5/2021

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Nuts are a fantastic source of healthy fats, vitamins, and minerals. There’s a variety out there and each type offers slightly different nutrients, so aim to eat an assortment. 
 
A little goes a long way: 1 ounce (roughly one handful) of … 

  • ALMONDS provides 6% of the recommended daily dose of calcium, a mineral necessary for healthy bones and teeth, and 48% of vitamin E, an antioxidant that helps protect against damaging compounds, like smoke and ultraviolet sunlight 
 
  • WALNUTS supplies over 100% of the recommended amount of plant-based omega-3 fats, which support a healthy heart and immune system
 
  • BRAZIL NUTS yields 25% of the recommended amount of magnesium, a nutrient necessary for muscle function and blood pressure regulation (just 1 Brazil nut satisfies daily need for selenium –another beneficial antioxidant – but high doses can cause health problems, so eat Brazil nuts in moderation)
 
  • PEANUTS offers over 100% of the recommended dose of niacin, a nutrient that’s necessary for converting food into energy

References:
FoodData Central. USDA: Agricultural Research Service. Accessed January 2021.
Nutrition Facts Labeling Requirements. FDA. Accessed January 2021.
Omega-3 Fatty Acids. NIH: Office of Dietary Supplements. Updated October 1, 2020. Accessed January 2021.
Vitamin and Mineral Supplement Fact Sheets. NIH: Office of Dietary Supplements. Accessed January 2021.
By Rebecca Joy Thompson, MGH Dietetic Intern
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Frozen Fruit: How Healthy is It?

1/22/2021

 
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Fruit is full of vitamins, minerals, and heart-healthy fiber. There is concern that frozen fruit is of lower quality and not as nutritious as fresh. Worry not: studies have found frozen fruit can actually have more vitamins, like immune-supportive vitamin C.

When fruit is frozen soon after it's picked, it helps preserve nutrients. More benefits: frozen fruit can be cheaper and more convenient. It comes pre-washed, prepped, and can stay in your freezer for months.

Only about 10% of American adults eat the recommended 11/2 to 2 cups of fruit a day, so grab an extra bag of fruit next time you're in the frozen food aisle. 

Start enjoying more frozen fruit by:
  • Adding peaches to oatmeal
  • Blending mango into smoothies
  • Mixing berries into yogurt
  • Baking fruit-filled desserts

REFERENCES:
Boeing H, et al. Critical review: vegetables and fruit in the prevention of chronic diseases. European Journal of Nutrition. 2012; 51(6): 637-663. 
Bouzari A, Holstege D, Barrett DM. Vitamin retention in eight fruits and vegetables: a comparison of refrigerated and frozen storage. Journal of Agricultural and Food Chemistry. 2015; 63(3): 957-962. 
Dahl WJ, Stewart ML. Position of the Academy of Nutrition and Dietetics: health implications of dietary fiber. Journal of the Academy of Nutrition and Dietetics. 2015; 115(11): 1861-1870.

Popova A. Comparison of vitamin C content of commercially available fresh fruits. Asian Food Science Journal. 2019; 13(2): 1-6. 
U.S. Department of Health and Human Services and U.S. Department of Agriculture.  Dietary Guidelines for Americans 2015–2020 8th Edition. Accessed December 30, 2020. 

By Katherine Mitchell, MGH Dietetic Intern

Can Supplements Combat COVID-19?

12/31/2020

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As COVID-19 infections continue to rise, many have turned to supplements to boost immunity.  Though eating a balanced diet high in nutrients (like vitamins) can support a healthy immune system, there are many false claims that exaggerate benefits of supplementation.  Here’s a summary of the evidence for common supplements associated with COVID-19:
 
  • VITAMIN D:
There is no conclusive evidence that vitamin D affects COVID-19 risk or severity of infection, though some research trials are underway.  While low levels of the vitamin have been found in COVID-19 patients, deficiencies are common in high-risk groups disproportionately hit by the virus, like the elderly.

If you are interested in taking vitamin D, aim for 400-1000 IU (international unit) daily from a USP-verified supplement.  Do not take more than 4000 IU a day, unless advised by a medical professional.  Taking high doses can result in elevated levels of calcium in the blood, which can cause heart and kidney problems.


  • VITAMIN C:
There is no strong evidence that vitamin C can prevent or treat COVID-19.  If you take vitamin C supplements, do not take more than 2000 milligrams daily.  This can result in uncomfortable side effects such as abdominal pain, diarrhea, and cramps. 

If you’re interested in vitamin C, add foods such as strawberries, peppers, oranges, and broccoli to your diet. 


  • ADAPTOGENS: 
Adaptogens are substances derived from plants believed to improve the body’s resistance to environmental and emotional stressors.  Adaptogens, such as ashwagandha and astragalus, have not been shown to prevent or treat COVID-19. 

Pregnant women should avoid using these adaptogens. Ashwagandha may cause miscarriages and there is concern astragalus could be toxic for both moms and babies.


  • ELDERBERRY:
There is no solid evidence to support the claim that elderberry can prevent or treat COVID-19.  

  • OLEANDER:
Oleander is poisonous and should not be taken as a dietary supplement.  There is no data to support using oleander as a treatment for COVID-19. 
 
Important things you can do to support your immune system:
​
  • Eat a balanced diet (need tips? start here)
  • Exercise regularly
  • Get enough sleep 

Also, don't forget to follow COVID-19 prevention protocols.  Taking a supplement is nowhere near as important as wearing a mask and practicing social distancing.

REFERENCES (subscription necessary to view):
Don't Rely on Natural Products and "Immune Boosters" for COVID-19 Prevention.  Natural Medicines Research Collaboration.  Accessed December 2020.
What to Tell Patients About Vitamin D.  Natural Medicines Research Collaboration.  Accessed December 2020.
Why Ashwagandha & Adaptogens Are Growing in Popularity. Natural Medicines Research Collaboration.  Accessed December 2020. 


By Kylie Sakaida, MS, RD, LDN
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Plant-based Swaps for Wintertime Classics

12/3/2020

 
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Research shows plant-based diets containing vegetables, whole grains, fruits, nuts, seeds, soy, and beans are beneficial for your heart and weight. But you don’t need to go vegan to reap the rewards. The key: eating plants most of the time, over time. 
 
Making the switch to a plant-powered diet is a lifestyle. Start on a festive note with these comfort food swaps:
 
  • SWAP HIGH FAT DAIRY WITH SOY MILK
 
Creamy, slightly sweet, and a source of protein and heart-healthy omega-3 fats, soy milk makes an excellent dairy alternative. Instead of leaning on heavy cream in rich drinks, like eggnog, try swapping in soy milk.  Use this recipe for inspiration or look for soynog at the grocery store.
 
  • SUB IN BAKED TOFU AS THE PROTEIN IN HEARTY SOUPS AND STEWS
 
You can find pre-baked tofu in most grocery stores to reduce prep time. Add baked tofu to these protein-packed, portion-controlled pot pies.
 
  • GIVE JACKFRUIT A TRY IN PLACE OF SHREDDED MEAT
 
Say what? A fiber-containing fruit with a neutral flavor and meaty texture that shreds like pulled meat? Yup. With the right amount of moisture and seasoning, jackfruit can make for an excellent plant-based swap for shredded beef, pork, or chicken. Rinse, drain, shred and season one 20-ounce can for your next taco night or check out this recipe. 
 
REFERENCES:

Medawar E, Huhn S, Villringer A, Veronica Witte A. The effects of plant-based diets on the body and the brain: a systematic review. Translational Psychiatry. 2019; 12;9(1): 226. 
Sofi F, Macchi C, Abbate R, Gensini GF, Casini A. Mediterranean diet and health status: an updated meta-analysis and a proposal for a literature-based adherence score. Public Health Nutrition. 2014; 17(12): 769-82. 
Turner-McGrievy G, Harris M. Key elements of plant-based diets associated with reduced risk of metabolic syndrome. Current Diabetes Reports. 2014;14(9):524. 
Yokoyama Y, Levin SM, Barnard ND. Association between plant-based diets and plasma lipids: a systematic review and meta-analysis. Nutrition Reviews. 2017; 75(9): 683-698. 

By Ayten Salahi, MS, MGH Dietetic Intern

Healthier Holiday Treats

11/12/2020

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Research has shown that, on average, adults gain 1 to 2 pounds between Thanksgiving and the start of the new year. No need to panic. Here are some tips on how to treat yourself while staying on track: 

  • Try fresh fruit (orange slices, strawberries, or bananas) dipped in melted dark chocolate and topped with chopped pistachios or peanuts. Fiber from the fruit, plus the fat and protein from nuts, will help prevent overeating and keep you full.
 
  • Make mini versions of cupcakes or slice brownies into small bite-sized squares for built-in portion control.
 
  • Choose pies made from pumpkin, sweet potatoes, squash, berries, or apples, which have fiber and disease-fighting nutrients. When possible, opt for open-faced versions. Since they are made with less crust, they are lower in saturated fat (the type linked to heart disease).
 
  • Substitute half of the cream cheese in cheesecake with 1% cottage cheese for less saturated fat and more protein - whip or blend the cottage cheese until smooth before adding it in.

REFERENCE
Díaz-Zavala RG, Castro-Cantú MF, Valencia ME, Álvarez-Hernández G, Haby MM, Esparza-Romero J. Effect of the Holiday Season on Weight Gain: A Narrative Review. J Obes. 2017;2017:2085136. 


By Rosanne Walsh, MGH Dietetic Intern
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Tapping Into Tofu

9/25/2020

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With several new meat alternatives coming to market in recent years, tofu has taken a backseat.  However, tofu remains a good source of protein and, unlike more processed meatless products, it typically contains few additives and is low in sodium.

Tofu also contains more isoflavones, plant compounds with potentially protective properties.  Research shows eating tofu may lower the risk of heart disease and could help protect against breast cancer. 
 
The amount shown to be beneficial ranges from eating it at least once a week to consuming a serving (1/5 of a block of tofu) at least 3 to 4 times per week.
 
Not sure how to incorporate tofu into your diet?
  • Try marinating and baking it – then add it to sandwiches and salads (try this recipe)
  • Use firm or extra-firm tofu as your protein for a stir-fry
  • Blend silken tofu into soups or smoothies

REFERENCES:
Bhagwhat S, Haytowitz DB, and JM Holden. USDA database for the isoflavone content of selected foods: release 2.0. USDA Nutrient Database Laboratory Beltsville Human Nutrition Research Center. 2008; 1-69.
Ma L. et al. Isoflavone intake and the risk of coronary heart disease in US men and women: results from 3 prospective cohort studies. Circulation. 2020; 141(14):1127-1137.

Messina V. Tofu’s many faces. Today’s Dietitian. 2015;17(4):22-26.
Nechuta SJ. et al. Soy food intake after diagnosis of breast cancer and survival: an in-depth analysis of combined evidence from cohort studies of US and Chinese women. The American Journal of Clinical Nutrition. 2012; 96(4):123-132.
Wu AH, Lee E, and C Vigen. Soy isoflavones and breast cancer. American Society of Clinical Oncology Education Book. 2013; 13: 102-106.

By Meredith Berman, MGH Dietetic Intern

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