March 8, 2004
MAKEOVER -- ONE-MONTH MARK

Our three makeover candidates have logged four weeks on the six-month road to their weight loss and health goals. It addition to a physical journey, it has become an intellectual and emotional one as well. Each of them are building on their strengths and working on their weaknesses.

Frank has stepped up his already heroic workout routine -- but pizza is this superman's kryptonite. Amber is an accountability Amazon when it comes to keeping her food log -- but is in the process of overcoming weekend temptations. Janet is getting by with a little help from her friends -- but needs to find more time for the gym.

They're all making progress and have learned a few lessons that might teach you something as well.

FRANK JACOBS
Height: 5'7"
Starting Weight: 236 lbs
Current Weight: 227 lbs
Weight loss goal: 45 lbs
POUNDS LOST: 9

"For me I've found that burning the calories is the easy part -- it's avoiding them that's the hard part. I've always been a workout fanatic, but I've stepped up my exercise even more. Every day I do an hour of cardio: Half an hour on the step-mill followed by half an hour on the elliptical trainer, swimming or stationary bike. Then I also weight train most days. Finally, after my evening meal, I like to take a half-hour walk to get some fresh air and keep the metabolism going.

"Weekends remain my biggest challenge, which is no surprise -- it's how I gained the extra weight in the first place. During the week I do great -- my diet is primarily fruits, vegetables and lean proteins. But on the weekends I'll be at a party and have a couple of beers, or at home my roommate will order a pizza and the best of intentions can go right out the window! Also during the week I'm really focused at work so that keeps my mind off food -- but when I'm kicking back on the weekends watching football, I'm susceptible to mindless munching. It's a lifestyle change and that's something I'm still working on.

"All in all, I've made good progress and I'm encouraged. My immediate goal is to always have some fruit or a salad before my evening meal. I'm ravenous when I get home and fruits and vegetables can be my speed bumps so that I don't hit the dinner table at maximum velocity hunger."


AMBER SPAHR
Height: 5'1"
Starting Weight: 134 lbs
Current Weight: 131 lbs
Weight loss goal: 19 lbs
POUNDS LOST: 3

"I'm trying to change my food choices and my habits, so that if I'm hungry I go for the bowl of pineapple instead of the box of crackers. I do better during the week. One thing I've started doing is buying an extra Daily Dole lunch special to take home for dinner. It minimizes the chances of being thrown off track by temptation and laziness.

"Like Frank, weekends are a challenge -- but I still keep my food journal no matter what so I can't lie to myself. Also it keeps things in perspective by reminding me that, yes, most days I am meeting my targets on calorie reduction. My husband and I have a "date night" on the weekends and, instead of defaulting to dinner at a restaurant, I want to start trying different activities, like roller-blading, rock-climbing or walking on the beach.

"I'm working out with a personal trainer three times a week -- but I need to do more cardio and get to yoga. So far the scale hasn't really changed, and I know I need to do better with my eating on weekends and step up the exercise in order to see a real difference. But my husband says he sees improvement, and I'm seeing better definition and muscle tone, so I'm pleased with that."


JANET PICARELLI
Height: 5'5"
Starting Weight: 255 lbs
Current Weight: 244 lbs
Weight loss goal: 50 lbs
POUNDS LOST: 11

"I'm headed in the right direction. I feel more comfortable in my own clothes, I feel confident about the road and truly grateful for all the support. This journey is all about SUPPORT. I have gotten dozens and dozens of e-mails, many from people I didn't even know. Thank you -- they help, so keep them coming! The weekly support meetings with the Dole Nutrition Institute staff and my fellow D.E.W. candidates have also helped -- I've never thought of myself as needing a 'buddy,' but there's something about the group support that provides not only accountability but also encouragement.

My husband has also been tremendously supportive. In the past, we never discussed my eating habits and health was just not a concern. Now that I'm focused on the health consequences, I've asked him to be supportive by reminding me of my goals when I get tempted. My husband does all the cooking, so I lean on him for all my healthy meals at home. I know this sounds crazy but I actually told him to say NO to me -- only when I ask for _______ (insert any of several artery-clogging favorite greasy food choices!). I couldn't make it without him!

"The hardest part has been finding the time to get to the gym. Although I no longer have to drag myself to the gym, I am still having trouble finding the time to get there. My boss (Bob Brunner) suggested that I schedule the time as an appointment -- as I would with a meeting. See, it's little suggestions like this that help so much. I am not doing this alone -- it's all about support and guidance."


MARCH IS NATIONAL NUTRITION MONTH

How to celebrate? The American Dietetic Association has two words for you: Eat breakfast! The ADA is using this year's National Nutrition Month to remind people that breakfast is the most important meal of the day.

Unfortunately, more than one-quarter of adults skip breakfast -- as do one-third of adolescents. Skippers aren't "aye, aye," at all -- in fact, those who miss breakfast often feel tired, restless and irritable in the morning. They may be fooling themselves into thinking they're controlling calories but, in fact, eating breakfast is a mainstay of any successful diet plan. It jump-starts your metabolism: Research shows breakfast-eaters burn an extra 200 to 300 calories a day. That gives them an advantage over non-breakfast eaters when it comes to obesity. A study published in the Journal of Epidemiology found that those who skip breakfast are 4.5 times more likely to be obese than those who ricochet past the first repast.

Higher metabolism isn't the only benefit of a morning meal. Research shows that eating breakfast boosts brain power for better memory.

Another reason we're big on petit dejeuner is that keeping a regular date with the morning plate may help prevent tooth decay among young children, according to the American Dental Association.

Grownups need that first meal of the day as well to make sure their tissues are able to absorb the glucose in the blood stream that enables them to function. A study at Northwestern University also showed that adults who ate breakfast were 37% to 55% less likely to develop insulin resistance syndrome (often the precursor to diabetes) and less likely to become obese.

Breakfast is a great way to set a healthy, calorie-conscious tone for the rest of the day. Here are two of our favorite breakfast recipes: Pineapple Berry Smoothie and Egg White Omelet.

Feed your mind as well as your body by taking the ADA's National Nutrition Month Quiz. Are you a nutrition numbskull or a wellness wizard? Find out by clicking here.

THE ASTOUNDING ARTICHOKE

Journey to the center of this leaf-plated, labor-intensive, but oh-so-luscious (and low cal!) vegetable on March 16, Artichoke Hearts Day. Eating an artichoke is like opening a gift to yourself. It provides a good dose of potassium, vitamin C, folic acid, magnesium and phosphorus -- all for just 60 calories. But the biggest health bonus artichokes have to offer is fiber -- all six, insoluble grams of it, which may help lower serum cholesterol levels and prevent disease.

Amazingly, California produces nearly all of the artichokes in the U.S. -- and consumes almost half of them! Store them in the vegetable bin in plastic bags to prevent dehydration. Stand artichokes upright in three inches of water, cover and boil gently for 40 minutes or until a center petal can be pulled out easily. Or for something different, try this Baked Artichoke recipe (click here). Either way, enjoy with a favorite dip -- click here for ours.


Jennifer GrossmanHOW TO BE A RED-BLOODED AMERICAN
by Jennifer Grossman

March may be National Nutrition Month -- but, hey, here at the DNI, we celebrate nutrition every month, and every day of the year! It also happens to be American Red Cross Month -- and an opportunity to do the right thing by scheduling an appointment to donate blood.

Every two seconds someone needs blood. In the early part of 2004, blood banks dwindled to dangerous levels as this year's flu sidelined many potential donors. Harsh winter conditions in many parts of the country have further hampered collection efforts -- so let's make the early spring a time to restock the nation's supplies!

At the DNI we believe in donating regularly: My colleague, Cheryl Walsten, and I make a point of scheduling advance appointments on the calendar every 56 days, the requisite waiting period between donations. So as nutrition professionals we asked ourselves: How might frequent donations affect the body's health -- and how can diet help ensure healthy blood?

Since nearly two-thirds of your body's iron is found in hemoglobin, loss of blood -- whether from blood donations, menstruation or injury -- depletes iron stores, and if this depletion isn't adequately compensated by your daily dietary iron intake, then iron deficiency can occur.

Iron deficiency is the most common nutrient deficiency in America -- affecting an estimated 10% of the population. Globally, the problem is even more serious: The World Health Organization estimates that more than 30% of the world's population is iron deficient. Pre-menopausal women, pregnant women and toddlers are at highest risk of a deficiency because of their higher iron needs.

As iron is integral to both oxygen transport and the body's metabolism, its deficiency may express itself in a lack of energy, decreased work and school performance, difficulty in maintaining body temperature and impaired immune response. Among pregnant women, iron deficiency may result in premature deliveries and low birth weights.

So how can you make sure that your blood is iron-rich -- not just when it comes time to donating blood and replacing the lost hemoglobin, but also in terms of optimal immune function and oxygenation of your body's organs and tissues?

Although many different foods and supplements contain iron, the fact that iron is not easily absorbed can vary the body's ability to make use of it. Part of this absorption or availability factor is determined by whether the iron is derived from animal or primarily plant sources -- the latter being less easily absorbed by the body than the former.

My fellow frequent blood donor Cheryl and I provide a case in point. Cheryl eats a balanced diet that includes animal proteins such as beef that provide the highest and most easily-absorbed sources of iron. At the Red Cross when they do the pre-donation screening for anemia on her blood, the droplet sinks like a stone (meaning high iron). I eat a balanced diet derived mostly from plant sources -- lower and less easily-absorbed sources of iron. When I get my anemia screening test done, the droplet hovers for a moment, sinking more slowly.

In the end, I always pass and do not suffer from an iron deficiency. But the point is that if you're a vegetarian -- especially a vegetarian pre-menopausal woman -- you need to be smart about how you get your iron, and you need to be vigilant to ensure you're getting enough.

Because of the low-absorption rate of plant-derived iron, vegetarians have higher iron RDAs. Vegetarian women need to shoot for 33 mg a day, and vegetarian men, 14 mg. The iron needs of women like Cheryl are still significant: 18 mg a day, whereas carnivorous men and post-menopausal women require only 8 mg daily.

The best animal sources for dietary iron include: Beef liver, beef round and flank cuts, chicken liver, pork loin chops and dark meat turkey.

The best plant-derived sources for dietary iron include: cooked spinach, blackstrap molasses, dried figs and apricots, and beans (kidney, baked, garbanzo and soy).

As the body can only absorb between 2% and 20% of iron contained in vegetarian sources, eat a vitamin C rich fruit or vegetable (such as kiwi, pineapple, oranges, red bell pepper or broccoli) with each meal. Cooking in cast iron pots and pans will significantly increase the iron content of food, especially when cooking acidic foods like tomatoes. And finally, if you are concerned about your iron levels, don't drink coffee or tea with meals, as their tannins bind to iron and make it less absorbable. (Click here for more.)


Tempeh Chili

(with permission, "The Enlightened Kitchen," John Wiley & Sons, Inc.© Marie Oser, 2002)

Chili Con Carne means peppers with meat, and is traditionally made with beef, slow cooked with chile peppers, and other spices. Not in "The Enlightened Kitchen," where heart-healthy, chewy tempeh replaces unhealthy ingredients typically used in this popular dish.

8 Servings

2 (8 ounce packages) tempeh, cubed and steamed
2 teaspoons olive oil
1/4 teaspoon crushed red pepper
4 cloves garlic, minced
1 medium red onion, chopped
1 red bell pepper, chopped
6 ounces portobello mushrooms, diced
2 (14 1/2 ounce cans) Mexican Stewed Tomatoes, diced
2 (15 ounce cans) chile beans with chipotle peppers
2 tablespoons chile powder
1 teaspoon dried basil
1/2 tablespoon dried Mexican oregano

Cube tempeh and steam over boiling water for 20 minutes. Set aside. In a 5-quart saucepan, heat olive oil and crushed pepper over medium high heat for 1 minute. Add garlic, onion and bell pepper and saute 3 minutes, stirring frequently. Crumble steamed tempeh into the pan and add the diced mushrooms. Cook for 5 minutes, stirring occasionally. Add stewed tomatoes, chile beans, chile powder and Mexican oregano. Reduce heat and simmer for 15 minutes.

Enlightened Tempeh Chili
Nutrition Analysis per 1 1/2 cup serving
Protein:20 g
Carbohydrates: 33 g
Fiber: 8 g
Fat: 5 g
Cholesterol: 0 mg
Calcium: 173 mg
Sodium: 722 mg
Calories: 227 (Calories from Protein: 32%, Calories from Carbohydrates: 52%, Calories from Fat: 17%)

Traditional Chili
Nutrition Analysis per 1 1/2 cup serving
Protein: 19 g
Carbohydrates: 30 g
Fiber: 8 g
Fat: 26 g
Cholesterol: 56 mg
Calcium: 108 mg
Sodium: 1,122 mg
Calories: 410 (Calories from Protein: 18%, Calories from Carbohydrates:29%, Calories from Fat: 54%)




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Dole Nutrition Institute       |
Lead Editor:            JENNIFER GROSSMAN  
 

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