Everyday Habits to Ease Inflammation


Too Much of a Sometimes-Good Thing

Too Much of a Sometimes-Good Thing

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Your body needs some inflammation to fight infection and speed healing. But too much for too long can push your immune system to attack healthy organs and tissues. This can lead to heart disease, diabetes, cancer, arthritis, and irritable bowel diseases. Luckily, there are ways to keep the flames at bay.

Catch Enough ZZZs

Catch Enough ZZZs

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When you don’t get the sleep you need, your body may kick inflammation up a notch. Your goal should be 7-9 hours every night. Aim for both quality and quantity. Go to bed and wake up at the same time every night and day, put your screens away well before you lie down, and sleep in a cool, dark, and quiet room.

Go for a Stroll

Go for a Stroll

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It takes as little as 20 minutes of moderate exercise, such as a brisk walk with your dog or a friend, to head off an anti-inflammatory response in your body. Health guidelines call for 30 minutes of physical activity a day, 5 days a week. If you currently don’t work out at all, 20 minutes is a great place to start. 

Spice It Up

Spice It Up

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Studies on turmeric, rosemary, cinnamon, cumin, and ginger show they may slow down processes in your body that lead to inflammation. Dial up the flavors in your dishes and give your health a boost by trying out some of these spices.

Try Fasting

Try Fasting

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Research shows intermittent fasting may be more than just a fad. Eating only during a fixed window of time each day can have anti-inflammatory effects. Long-lasting inflammation can raise your risk for conditions including heart disease, cancer, and diabetes. There are many ways to follow this eating plan. A common method involves only eating between 10 a.m. and 6 p.m. daily.

Get Your Greens

Get Your Greens

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Stock up on salad fixings. Greens such as collards, broccoli, kale, and spinach have antioxidants and other compounds that can help reduce inflammation and keep day-to-day damage to your cells to a minimum. The U.S. Department of Agriculture recommends that women eat at least a cup and a half of dark green vegetables every week. Men ought to eat two.

Try Yoga

Try Yoga

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This ancient Indian practice focuses on breathing. It also helps lower levels of the stress-related hormone cortisol. When yoga is a regular part of your routine, you may also feel less depressed, less anxious, and have fewer symptoms of inflammation, such as high cholesterol and unstable blood sugar levels.

Easy on the Alcohol

Easy on the Alcohol

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A glass of wine with dinner isn’t going to do much harm. But too much alcohol can raise toxin levels in your body. This turns on inflammation, which can damage tissues and organs. If you drink at all, do so in moderation. What does that mean? According to the CDC, it’s no more than one drink a day for women and two for men.

Upgrade Your Diet

Upgrade Your Diet

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Refined carbohydrates, red meats, and fried foods raise inflammation in your body. Swap out unhealthy foods for inflammation-fighting fruits, vegetables, nuts, beans, and fish. Plan your menu around foods such as tomatoes, blueberries, almonds, walnuts, lentils, and salmon.

Shed Extra Weight

Shed Extra Weight

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If you’ve got a few pounds to lose, getting rid of them could ease inflammation. Excess weight, on the other hand, can make it worse. That’s part of the reason obesity and overweight are risk factors for so many health conditions. Talk to your doctor about how you can get into a weight range that’s healthy for you.

Go for Green Tea

Go for Green Tea

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If a cup of joe is your morning habit, try green tea instead. It’s packed with compounds known as polyphenols that fight off free radicals. These molecules can promote inflammation in your body. You don’t have to kick your coffee habit altogether. Consider swapping out one cup a week for the green stuff.

Stop Smoking

Stop Smoking

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Smoking comes with a laundry list of harmful effects. Higher levels of inflammation is one of them. Decide to quit and pick a day to do it. You don’t have to go it alone, though. Your doctor can come up with a plan so you can kick the habit for good.

12 most nutritious fruits


1. Lemons

Lemons are a citrus fruit that people often use in traditional remedies because of their health benefits. Like other citrus fruits, they contain vitamin C and other antioxidants.

Antioxidants are essential for human health. These compounds mop up free radicals in the body that can damage the body’s cells and lead to diseases, such as cancers.

Researchers believeTrusted Source that the flavonoids in lemon and other citrus fruits have antibacterial, anticancer, and antidiabetic properties.

Citrus fruits, including lemons, contain active components called phytochemicals that benefit health. These include:

The juice from one 48 g lemon containsTrusted Source the following nutrients in grams (g) or milligrams (mg):

  • 10.6 calories
  • 3.31 g carbohydrate
  • 49.4 mg potassium
  • 18.6 mg vitamin C
  • 2.88 mg calcium
  • 0.1 g of fiber

Lemons also contain thiamin, riboflavin, niacin, vitamin B-6, folate, and vitamin A.

Read more about the health benefits of lemons and lemon water.

How to eat lemons

Use the juice of a lemon to flavor drinking water or squeeze over a salad or fish.

Try adding lemon juice to boiling water with a teaspoon of honey to help soothe a sore throat.

It is also possible to eat the rind of organic lemons. Some people use the rind in recipes.

2. Strawberries

Strawberries are a juicy red fruit with a high water content. The seeds provide plenty of dietary fiber per serving. Strawberries contain many healthful vitamins and minerals.

Of particular note, they contain anthocyanins, which are flavonoids that can help boost heart health. The fiber and potassium in strawberries can also support a healthy heart.

In one studyTrusted Source, people assigned female at birth who ate 3 or more servings per week of strawberries and blueberries — which are both known for their high anthocyanin content — had a lower risk of having a heart attack than those with a lower intake.

Strawberries and other colorful berries also contain a flavonoid called quercetin. This is a natural anti-inflammatory compound.

One cup, or 150 g, of strawberries provides the following nutrientsTrusted Source:

  • 48 calories
  • 11.5 g carbohydrate
  • 3 g of fiber
  • 24 mg of calcium
  • 19.5 mg of magnesium
  • 230 mg of potassium
  • 88.2 mg of vitamin C

Strawberries also contain thiamin, riboflavin, niacin, folate, and vitamins B-6, A and K.

Learn more about strawberries.

How to eat strawberries

Strawberries are a versatile fruit. People can eat them raw or add them to breakfast cereals or yogurt, blend them into a smoothie, or make them into jam.

Nutrition resources

For more science-backed resources on nutrition, visit our dedicated hub.

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3. Oranges

Oranges are a sweet, round citrus fruit packed with vitamins and minerals.

Oranges are among the richest sources of vitamin C, with one medium fruit providing 78%Trusted Source of a person’s daily value of vitamin C.

A 140 g orange also contains the following nutrientsTrusted Source:

  • around 65 calories
  • 16.5 g carbohydrate
  • 2.8 g of fiber
  • 60.2 mg of calcium
  • 15 mg of magnesium
  • 232 mg of potassium
  • 82.7 mg of vitamin C

Vitamin C acts as a powerful antioxidant in the body. This vitamin is also essential for immune system function. It boosts immune function by helping the body to absorb iron from plant-based foods.

The human body cannot make vitamin C itself, so people need to get this vitamin from their diet. Oranges also contain high levels of pectin, which is a fiber that can keep the colon healthy by binding to chemicals that can cause cancer and removing them from the colon.

Oranges also provide the following healthful vitamins:

  • vitamin A, a compound that is important for healthy skin and eyesight
  • B vitamins, including thiamin and folate, which help keep the nervous and reproductive systems healthy and help create red blood cells.

Learn more about the benefits of oranges.

How to eat oranges

People can eat oranges on their own as a refreshing snack or by drinking a glass of pure orange juice. Juice oranges at home or choose a brand of fresh juice whose label states it is not from concentrate.

People can also grate orange peel into a salad or yogurt, or as a cereal topping to add extra flavor.

4. Limes

Limes are a sour citrus fruit that provides a range of health benefits.

Like other citrus fruits, limes provide a healthful dose of vitamin C. They also have similar health benefits, including antibacterial and antioxidant properties.

The juice of one lime provides the following nutrientsTrusted Source:

  • 11 calories
  • 3.7 g carbohydrate
  • 6.16 g calcium
  • 3.52 mg magnesium
  • 51.5 mg potassium
  • 13.2 mg vitamin C

Read more about the benefits of limes and lime water.

How to eat limes

Limes work well in savory foods. Try adding the juice or grated peel of a lime to flavor salad dressings or rice dishes. Otherwise, juice a lime and add to hot or cold water for a refreshing drink.

5. Grapefruit

Grapefruits are sour fruits full of health-inducing vitamins and minerals. Grapefruits can be pink, red, or white.

Half a grapefruit (154 g) contains the following nutrientsTrusted Source:

  • 64.7 calories
  • 164 g carbohydrate
  • 2.46 g fiber
  • 33.9 g calcium
  • 13.9 g magnesium
  • 208 g potassium
  • 48 g vitamin C

The flavonoids in grapefruits can help protect against some cancers, inflammation, and obesity.

A review study suggests the compounds called furanocoumarins found in grapefruits can help protect against oxidative stress and tumors, and they may support healthy bones.

Some research from this review suggests that grapefruit furanocoumarins may have anticancer properties, which may be especially effective against breast cancer, skin cancer, and leukemia. However, researchers still need to carry out more studies to confirm these properties.

People may wish to contact a doctor before adding grapefruit to their diet, as it can interact with certain medications.

Learn more about grapefruit benefits.

How to eat grapefruit

Try adding grapefruit slices to a fruit salad, or squeeze the juice into water to make a drink.

People can also buy pure grapefruit juice from the supermarket.

6. Blackberries

Like other berries, blackberries contain health-boosting anthocyanins.

Blackberries contain many seeds, so they have a high fiber content. This means they can help improve gut health and heart health.

Half a cup cup (75 g) of blackberries contains the following nutrientsTrusted Source:

  • 32.2 calories
  • 7.21 g carbohydrate
  • 3.98 g fiber
  • 21.8 mg calcium
  • 15 mg magnesium
  • 122 mg potassium
  • 15.8 mg vitamin C

Learn more about blackberries.

How to eat blackberries

People can eat blackberries fresh, add them to yogurt for breakfast or dessert, or add frozen blackberries to smoothies.

7. Apples

Apples make a quick and easy addition to the diet. Eat them with the skin on for the greatest health benefits.

Apples are high fiber fruits, meaning that eating them could boost heart health and promote weight loss. The pectin in apples helps to maintain good gut health.

Research has shown that there is a link between eating apples regularly and a lower risk of cardiovascular disease, certain cancers, and diabetes.

Apples also have high levels of quercetin, a flavonoid that may have anti-cancer properties.

One study found that people who ate whole apples were 30%Trusted Source less likely to have obesity than those who did not. This can help lower the risk of diabetes and heart disease.

One medium apple with the skin contains the following nutrientsTrusted Source:

  • 94.6 calories
  • 25.1 g of carbohydrate
  • 4.37 g of fiber
  • 195 mg of potassium
  • 10.9 mg calcium
  • 8.37 mg vitamin C

Learn more about apples.

How to eat apples

Raw apples make a great snack, and combining them with almond butter helps balance protein and fat intake.

People can also add raw or stewed apples to yogurt, or use applesauce in cooking.

8. Pomegranate

Some people consider pomegranates to be a ‘superfood.’ They are high in antioxidants and polyphenols, which help to combat the oxidative stress that can cause disease in the body.

A review study about the health benefits of pomegranates suggests that they have anti-inflammatory effects and may help protect against brain-related diseases, such as Alzheimer’s disease and Parkinson’s disease. This may be because pomegranates contain particularly high levels of polyphenols.

Research discussed in this review also suggests that pomegranates may restrict the growth of human prostate cancer cells.

One raw pomegranate (282 g) contains the following nutrientsTrusted Source:

  • 234 calories
  • 52.7 g of carbohydrate
  • 11.3 g of fiber
  • 666 mg of potassium
  • 28.2 mg calcium
  • 28.8 mg vitamin C

One pomegranate also contains 46.2 micrograms (mcg) of vitamin K. This vitamin is essential for strong bones and healthy blood cells.

Learn more about the benefits of pomegranate juice.

How to eat pomegranate

Pomegranates can make a great addition to salads, or to couscous or rice dishes.

Pomegranates are sweet, so people can also add them to yogurt and fruit salads.

9. Pineapple

Pineapple is an exotic fruit that may helpTrusted Source reduce inflammation and promote healthy bowel movements.

Pineapple contains an active compound called bromelain, which many people take as a dietary supplement because of its potential health benefits.

The National Center for Complementary and Integrative HealthTrusted Source states that bromelain may help with reducing nasal inflammation or sinusitis, though more research is necessary.

Pineapples aTrusted SourcelTrusted SourcesTrusted SourceoTrusted SourceTrusted SourcecontainTrusted Source manganese, which the body uses to build bone and tissue.

A slice of pineapple (166 g) contains the following nutrientsTrusted Source:

  • 83 calories
  • 21.7 g carbohydrate
  • 2.32 g fiber
  • 181 mg potassium
  • 79.3 mg vitamin C
  • 21.6 mg calcium
  • 1.54 mg manganese

Read more about the benefits of pineapple and pineapple juice.

How to eat pineapple

People can enjoy fresh pineapple by itself or in fruit salads. They can also use pineapple to make tropical salsa or add it as a topping on fish tacos.

Try adding frozen pineapple to smoothies.

10. Bananas

Bananas are well known for their high potassium content. One banana (126 g) containsTrusted Source around 451 mg of potassium. Potassium helpsTrusted Source the body control blood pressure.

Bananas are also a good source of energy, with one banana containing 112 calories and 28.8 g of carbohydrate.

The 3.28 g of fiber in a banana can also help with regular bowel movements.

One banana also contains the following nutrients:

  • 1.37 g protein
  • 6.3 mg calcium
  • 34 mg magnesium
  • 11 mg vitamin C

Learn more about bananas.

How to eat bananas

A banana is an excellent fruit to use to thicken a smoothie. People can also use them in baking as a natural sweetener or to make banana bread or pancakes.

11. Avocado

Some people refer to avocados as a superfood because of their healthful qualities.

Avocados are rich in oleic acid, a monounsaturated fat. Monosaturated fats can help lower cholesterol levels. The American Heart AssociationTrusted Source notes that maintaining healthy cholesterol levels with healthful fats could reduce the risk of heart disease and stroke.

Like bananas, avocados are rich in potassium. They also contain lutein, an antioxidant that is importantTrusted Source for healthy eyes and skin.

One avocado (201 g) contains the following nutrientsTrusted Source:

  • 322 calories
  • 4.02 g protein
  • 17.1 g carbohydrate
  • 13.5 g fiber
  • 24.1 mg calcium
  • 58.3 mg magnesium
  • 975 mg potassium
  • 20.1 mg vitamin C

Avocados also contain folate, vitamin A, and beta-carotene.

Learn more about avocados.

How to eat avocado

People can add avocado to salads, or mix with lime, garlic, and tomatoes to make guacamole.

Add avocado to smoothies or hummus, or use avocado instead of other fats in baking.

12. Blueberries

Blueberries can provide many health benefits.

Like strawberries, blueberries contain anthocyanin, which is a powerful antioxidant. Because of this, they might protect against heart disease, stroke, cancers, and other conditions.

Blueberries also containTrusted Source pterostilbene, a compound that may help prevent plaque from collecting in the arteries.

Half a cup of blueberries (75 g) provides the following nutrientsTrusted Source:

  • 42.8 calories
  • 10.9 g carbohydrate
  • 1.8 g fiber
  • 4.5 mg calcium
  • 57.8 mg potassium
  • 7.28 mg vitamin C

Learn more about blueberries.

How to eat blueberries

Fresh or frozen blueberries are a great addition to breakfast cereals, desserts, yogurt, or smoothies.

Frequently asked questions

What is the healthiest fruit in the world?

Berries are among the healthiest fruits to eat. They have high antioxidant levels, averaging nearly 10 times the antioxidants of other fruits and vegetables.

Berries have many health benefits. Research findings suggest eating berries regularly can:

What fruits are extremely healthy?

All fruits have health benefits, but people should eat a wide variety of fruits and vegetables to gain the most benefit. The colors in fruits and vegetables reflect their phytonutrient or antioxidant content. Eating a rainbow-colored selection will ensure people get the full spectrum of antioxidants.

Examples of phytonutrients and the fruits containing them are as follows:

  • Beta-carotene: Mango, papaya, cantaloupe, apricots
  • Lycopene: Pink grapefruit, watermelon, guava, avocado
  • Anthocyanidins: Blueberries, strawberries, plums, cranberries

Summary

Different fruits have different health benefits. For the best results, add a variety of fruits to the diet.

By eating fruit, a person is providing their body with key vitamins, antioxidants, and dietary fiber. This can have significant benefits for heart health, digestion, weight management, and skin health.

People can enjoy a wide variety of fruits to improve their health and lower the risk of inflammation, heart disease, cancer, obesity, and diabetes.

Stay Mindful! 5 Sneaky Winter Foods That Could Lead to Unnoticed Weight Gain


Winter weight gain is a real thing, and here are a few unexpected food options that may contribute to it.

Stay Mindful! 5 Sneaky Winter Foods That Could Lead to Unnoticed Weight Gain

Embracing the winter season often means indulging in comforting foods, but these hidden seasonal delights might be silently sabotaging your weight loss efforts. Due to cold weather the level of physical activity decreases, secondly, our metabolism slows down, and thirdly we eat more than usual to stay warmer. In this article, we will discover 5 food options that are mostly linked with weight gain.

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WEIGHT LOSS: 5 UNEXPECTED FOOD OPTIONS IMPACTING YOUR WAITSLINE

  1. Creamy Winter Soups: While winter soups are comforting, some creamy varieties can be high in calories and saturated fats. Opting for homemade soups with plenty of vegetables is advisable to keep your winter soup choices weight-loss-friendly.
  2. Winter Sweets: Gajar ka Halwa, til laddoo, gulab jamun, and Christmas cakes are all high in calories. So, you need to be careful while indulging in these winter delicacies. Have dessert once and in a limited quantity. Also, have homemade winter treats and try to use healthy ingredients to prepare them.
  3. Excessive Nut Consumption: Nuts are a nutritious snack, but they are also calorie dense. So, make sure you have them in moderation as excess nut consumption can contribute to weight gain in winter.
  4. Sugary Hot Beverages: Warm beverages like hot chocolate and flavoured coffees are high in sugar and calories. So, consider opting for unsweetened options and instead choose alternatives like herbal teas to stay warm without the added calories.
  5. Parathas: Hot stuffed parathas loaded with butter and paired with pickle or chutney are winter’s special treat.  To manage weight, make it a healthier option, be careful about the amount of ghee or butter you add to it. Relish these delicious parathas in moderation for weight management.

Supermarket Diet Advice Improves DASH Adherence: SuperWIN


People who received personalized nutrition education in a series of sessions at their regular grocery store significantly improved adherence to a healthy diet, in a new “first-of-its-kind” study in which scientific researchers partnered with a large supermarket company.

In the SuperWIN study, participants were given individualized advice from supermarket-based dieticians using data on their own buying habits recorded on their supermarket loyalty cards. This was associated with an increased adherence to the DASH (Dietary Approaches to Stop Hypertension) diet, which emphasizes vegetables, fruits and whole grains while limiting foods that are high in saturated fat, sugar, and sodium and has been shown to lower blood pressure and low-density lipoprotein cholesterol.

One group of patients also received additional education about healthy eating and meal planning through online technologies, and this group showed even better adherence to the DASH diet.

The study was presented at American College of Cardiology (ACC) 2022 Scientific Session by Dylan Steen, MD, adjunct associate professor of medicine at the University of Cincinnati College of Medicine in Ohio.

“The SuperWIN study provides evidence for the benefit of delivering healthy-eating interventions at modern supermarkets and retail-based clinics,” Steen said. “It demonstrates the efficacy of dietary interventions harnessing the physical environment of the supermarket, the retail-based dietitians working within the store, and the purchasing data captured on the store’s loyalty cards,” he added.

The study was conducted in partnership with Kroger, the largest supermarket chain in the United States, which also operates a large chain of pharmacies and health clinics.

Steen said the study was addressing one of the biggest public health problems — unhealthy eating — with an innovative approach. “We need to think about how we can extend the reach of modern healthcare systems into communities and better deliver services right where people are; meet them where they live,” he said at an ACC press conference.

Commenting on the study ay the press conference, Eileen Handberg, PhD, professor of medicine at University of Florida, Gainesville, and immediate past chair of the ACC Cardiovascular Care Team Council, said, “I am amazingly excited about this. There is so much potential here. We have never really taken advantage of the current explosion in retail-based healthcare before.”

Handberg suggested the study had major implications for the primary prevention of cardiovascular disease. “Little kids go shopping with their parents, so you have the ability here to change behavior from children on up if you can change the dynamic of the choices they make in the grocery store,” she said.

In his presentation, Steen noted that despite many longstanding guidelines on healthy eating, about 75% of Americans still have a poor-quality diet. This trial was conducted to see if a new approach could improve that situation. “If we change the environment in which we deliver dietary education, we can make a difference,” he said.  

The SuperWIN trial was conducted in 13 Kroger stores in Ohio and Kentucky. The study enrolled 267 people with at least one cardiovascular risk factor from a primary care network who regularly shopped at one of the study stores. All participants also had to be willing to follow the DASH diet, which was taught at each educational session in the trial.

All participants received one “enhanced” medical nutrition therapy that was guided by the individual’s own dietary intake analytics.

They were then randomly assigned to one of three arms. The control group received no further education. The strategy 1 group received six additional teaching sessions in the supermarket aisles over a 3-month period. Each session was guided by updated individualized purchasing data provided to the dietitian and the participant. 

The strategy 2 group received the same six additional teaching sessions as strategy 1, but they also had some additional teaching on healthy eating and meal planning from a variety of online shopping tools, and nutrition and healthcare apps.  

“The supermarket analytics were automatically collected so the dietitians could tell what each person liked to eat, how much of each product they were buying and how much they were spending,” Steen explained.

COVID hit halfway through the trial, and 20 participants were withdrawn for their own safety as they could no longer visit the stores, but the trial continued with the rest of the participants with enhanced safety precautions. The overall analysis cohort was 247 participants.

The average age of the participants was mid-50s, around 70% were female, and most did not have a history of cardiovascular disease.

Eating habits were assessed by three 24-hour dietary recalls assessed at the start of the study and at 3 and 6 months. The DASH score, which is a measure of adherence to the DASH diet, was calculated from this information. The score can range from 0 to 90, with an increased score showing increased adherence.

In one analysis, the researchers compared the DASH scores from the two intervention groups together with the control group, and in a second analysis they compared the scores in the strategy 2 group with those in the strategy 1 group.

Before the pandemic there was “near 100%” attendance for the six visits over the 3-month study period, which Steen said he thought was “remarkable.” During the pandemic, attendance came down to around 80%.

Results showed that the DASH score increased in all three groups at 3 months, with stepwise increases corresponding to the intensity of the intervention. DASH scores increased by 5.8 points in the control group, by 8.6 points in the strategy 1 group, and by 12.4 points in the strategy 2 group.    

DASH scores significantly differed between the two intervention groups and the control group (P = .02). “This shows that purchasing data–guided in-store tours do increase the efficacy of dietary education,” Steen said.  

The difference in scores between the strategy 1 and strategy 2 groups was also significant (= .01). “This shows online enhancements increase adherence to the DASH diet even further,” Steen commented

By 6 months, the scores had dropped off a little but were still increased from baseline: by 4.4 points in the control group, 6.6 points in the strategy 1 group, and 8.4 points in the strategy 2 group. “There was again a stepwise increase as the intervention intensified, but there was no longer a significant difference between the interventions and control,” Steen noted.

Secondary endpoints included blood pressure and body mass index. Systolic blood pressure decreased slightly in all three groups: by 2.8 mm Hg in the control group, 6.6 mm Hg in the strategy 1 group, and 5.7 mm Hg in the strategy 2 group. BMI was reduced by 0.2, 0.4 and 0.8, respectively, but the between-group differences were not significant.

Steen noted that this is the first study of its kind to date in which  scientific researchers collaborated with a large supermarket chain. He explained they also involved a primary care network so that healthcare utilization information will be available.

“We can the integrate retail-based healthcare information with traditional healthcare information. And we can start to look at downstream healthcare utilization and cost outcomes as well, which will be important as we start to think how to evolve the healthcare system,” he commented.

“The hope is that we can get more scientists working with more retailers to really drive the evidence to shape the evolution of our healthcare system,” he added.  

Challenges Ahead

Handberg pointed out there would be challenges in reaching the underserved population who do not shop at the major supermarkets. “We need to figure out how to get partnerships across the whole spectrum of grocery stores.”

She also noted that 3 months (the duration of the study intervention) was not much time to change the eating habits of a family. “Interventions may have to be a bit more intensive to get the change in blood pressure and weight that we would want to see.”

She added that she hoped the major grocery store companies will see the opportunities in this approach. “Changing behavior is very complicated, and the key will be how to make people stick with the changes. But grocery stores are smart. They have got us going to their pharmacies, so getting us to see a dietitian is not that much of a stretch.”   

Moderator of the ACC late breaker session at which the study was presented, Pamela Morris, MD, from the Medical University of South Carolina, who is also ACC Annual Scientific Session chair, asked whether the approach could be sustained.  

“I am thinking back to the barber shop study of blood pressure treatment and to my knowledge those PharmDs are no longer in those barbershops, taking blood pressures, counseling patients, and prescribing antihypertensives. So is Kroger maintaining a long-term commitment to providing this education, or how can this be financed over the long term?” she asked.

Steen replied that he believed sustainability to be one of the key strengths of this model. “Retail-based healthcare is exploding in the US. The number of retail outlets offering a comprehensive list of services is going up all the time. These programs exist regardless of whether this trial was conducted or not.”

But Steen stressed that having an evidence base will be critically important.

“Validation is an enormous part of this evolution in retail-based healthcare — not only to figure out what works but also to engage payors and others in the process of supporting these interventions. I think the sustainability is there — it is sort of baked into the model — but research will be a huge part of cementing this in and helping us to understand what we should do.”

The World’s 3 Healthiest Diets in 2024 Have One Crucial Thing In Common


Healthy eating and weight loss aren’t synonymous.

Mediterranean food: woman dressing fresh Caprese salad on a toasted bread

fcafotodigital/E+/Getty Images

Every January, we reliably see a surplus of resolutions revolving around dieting and weight loss. But this idea of striving for the smallest weight possible undermines what a diet really is: whatever you choose to eat. Thus, a healthy diet shouldn’t really have anything to do with weight. In fact, what some experts have deemed the healthiest diets in 2024 have nothing to do with weight loss at all.

Today, for the fourteenth year, the U.S. News and World Reports published rankings of the best diets based on the opinions of 43 experts, including medical doctors, registered dietitians, and epidemiologists. Experts based these rankings on nutritional completeness, health risks and benefits, long-term sustainability, and evidence-based effectiveness.

And that’s telling of what a healthy diet is really meant to do after all: Provide nutritionally balanced and satisfying meals that sustain our bodies.

No. 1: The Mediterranean Diet

For the seventh consecutive year, this regimen associated with a dream vacation takes the top slot as the best overall diet. A Mediterranean diet focuses on whole grains, plentiful fruits and vegetables, healthy fats such as nuts and olive oil, and few processed foods. Crucially, eating this way maximizes all the nutrients we need as well as taking pleasure in eating.

The new report also lands the Mediterranean diet in the lead for best diets for diabetes, best heart-healthy diets, easiest diets to follow, best diets for bone and joint health, best family-friendly diets, and best diets for healthy eating.

Numerous studies done over the years looking at the effects of following the Mediterranean diet have shown it improves our health. A 2019 review in the journal Nutrients found that when strictly followed, the Mediterranean diet is associated with a 30 percent lower chance of developing colorectal cancer for men and a 45 percent lower chance for women. The same review found that groups who most strictly followed a Mediterranean diet had a 34 percent lower risk of developing bladder cancer and a 78 percent lower risk of developing prostate cancer.

The Centers for Disease Control (CDC) also emphasizes that this lifestyle reduces the risk of heart disease and stroke because it limits sodium and saturated fat intake, both of which can damage your cardiovascular system in the long term. Since it prioritizes fresh produce over processed meals, the Mediterranean diet is also a solid option for managing diabetes because it helps reduce insulin resistance and keeps your blood sugar lower. A 2015 meta-analysis in the British Medical Journal concluded that the Mediterranean diet promotes lower-fat foods, resulting in lower cholesterol levels and better heart health. Another study published in 2020 in the journal Nutrients found that olive oil — the Mediterranean diet’s preferred cooking fat — shows anti-hypertensive properties in people with and without heart disease.

A crux of the Mediterranean diet is its flexibility and ease of use. A May 2022 study published in The American Journal of Clinical Nutrition compared the Mediterranean diet to a high-fat, high-protein, no-carb keto diet in 40 participants with either prediabetes or type 2 diabetes by having them trial both diets for 12 weeks each. The study found that three months after the study’s end, participants’ eating patterns more closely followed those of the Mediterranean diet than the keto diet.

Crucially, what the Mediterranean diet is lacking is strict rules or calorie counting. While it limits some processed and high-fat food groups, this way of eating doesn’t call for an acetic life. The eater is free to enjoy veggies roasted or cooked in olive oil, along with whole-grain bread, juicy fish, and poultry. And this diet, first and foremost, promotes holistic health rather than weight loss.

No. 2: The DASH Diet

For the DASH diet, which stands for dietary approaches to stop hypertension, the goal is in the name: Prevent high blood pressure. The diet itself is, unsurprisingly, not all that different from the Mediterranean diet. It focuses on lean protein, lots of produce, and whole grains, and it limits added sugar and saturated fat. What makes it unique, though, is that it limits the amount of sodium consumed each day to 2300 mg, which is what the Food and Drug Administration recommends, though many Americans go over that limit.

Does it work? When you limit salt intake, studies show that this seems to have a positive benefit on your blood pressure. A meta-analysis published in 2020 in the journal Advances in Nutrition found that a DASH diet lowered blood pressure significantly in participants with and without hypertension. That same 2020 study in Nutrition concludes that olive oil fits neatly into the DASH diet because of how well it helps keep blood pressure lower. Another study looking at sodium intake shows that moving from a high-sodium intake to an intermediate one and then to a low-sodium intake consistently slashed hypertension. And, a 2018 study comparing the typical DASH diet to a high-fat version found that while both lowered blood pressure to the same extent, the former was associated with much lower levels of low-density lipoprotein, or bad cholesterol. All this is to say that so far, evidence shows the DASH diet contributes to stopping hypertension and keeping your heart healthy.

Blood pressure is also a key indicator of health and longevity. High blood pressure could indicate that your blood vessels are partially blocked or hardened with plaque, which restricts blood flow. This means your heart must work harder to pump the same amount of blood throughout your body. A forthcoming study in the Journal of Hypertension also underscores blood pressure as a key indicator for frailty later in life, showing that this single health factor is a key to many others. Maintaining a healthy blood pressure, then, is at least as important as maintaining a healthy weight.

No. 3: The MIND Diet

This diet, which stands for Mediterranean-DASH Intervention for Neurodegenerative Delay, is a mashup of the two previously ranked diets, this time targeting neurocognitive decline.

While studies show that both the Mediterranean diet and the DASH diet improve our overall health, the evidence on whether this combo diet slows cognitive decline or staves off dementia requires further investigation. It’s possible that the conflation of lifestyle factors — the likelihood that someone who would partake in this diet also exercises regularly and refrains from smoking, for example — contributes to cognitive health. In other words, researchers still aren’t certain that health benefits come exclusively from food.

It’s easy to forget that there’s more to health than weight. Other people can’t see our cholesterol or blood pressure and are quick to make assumptions about how appearance correlates with overall health. These diets have a lot in common, not least of all that they prioritize a sustainable way to feed yourself.

Being Healthy Is About More Than Just Eating Right


Learn more about how healthy behaviors occur together. (Dreamstime/TNS)

Learn more about how healthy behaviors occur together.

People who follow a healthy lifestyle do more than just manage their diet and make good food choices. They also tend to get regular exercise, keep alcohol in check, don’t smoke, and manage their weight. In fact, research shows that these health behaviors actually tend to cluster together.

Clustering is a prevalent pattern of health behaviors that affect disease risk. Positive clusters like those mentioned, have a beneficial impact on both physical and mental health, and produce a synergistic effect. But, not all cluster behaviors are good.

Negative actions can also cluster together, which is why people who smoke often tend to drink more heavily, have poor diets, and get little exercise. Being aware of how certain behaviors cluster together and interact can not only help improve your health, they can also have significant effects on your diet.

Recognizing Your Cluster Behavior

Grace Derocha, a private practice registered dietitian and national spokesperson for the Academy of Nutrition and Dietetics based in Detroit, Michigan, often sees these cluster behaviors in her practice. “On the negative side, it could be that you went to bed too late the night before, then couldn’t wake up in the morning, so you missed your workout. Then you don’t have time to eat breakfast, and you don’t make and pack your lunch,” says Derocha. “Or maybe you’ve had a stressful day and you have a drink, then one drink turns into two or three, then you go to bed, you are dehydrated and you don’t sleep well. It turns into a cycle.”

On the other hand, creating positive habits and behaviors often starts with one simple change. “When you start exercising even a little, then it’s easier for you to drink more water. From there, maybe you increase your exercise and begin adding more fruits and vegetables to your diet, then add (more) high-fiber foods—and you sleep better too. You begin treating your body right, so you feel better and you want to do more,” notes Derocha. “It takes time, but that’s when the magic happens.”

Get Moving

While sleep habits and stress management are certainly important, when it comes to improving your health and diet, studies show the most influential and motivating factor is physical activity. Plenty of data shows regular exercise can help you control when and how much you eat, preventing weight gain, and reducing obesity, but several studies suggest physical activity can impact the type of food you eat, too.

Consider this U.S. study published in the International Journal of Obesity, which evaluated dietary patterns via a diet questionnaire of over 2,000 sedentary college students before and after a 15-week exercise intervention.

The 15-week program consisted of aerobic exercise training three days per week. Despite being told not to change their dietary patterns, researchers found many participants started eating more nutritious foods like fruits, vegetables, lean meats, fish, and nuts, and fewer fried foods, soda, and snack foods. In fact, the more they exercised, the healthier their diet became.

Other research also shows exercise motivates people to improve their diet. In fact, Derocha has seen this domino effect firsthand. “People who begin to work out and want to see muscle definition or lose weight quickly realize diet does make a difference,” she says. “It’s a matter of nourishing your body and being your best self.”

Being your best self, however, doesn’t happen overnight. It takes time, consistency (repetition), and patience. It also means understanding what is important to you and what drives you, and also what’s doable for you.

Here are a few other ways to stay on track:

Be realistic.

Food is part of our family traditions, cultures, and social network. Oftentimes it represents “love,” particularly around the holidays. Enjoy eating and sharing meals with family and friends, but don’t go overboard. Track portion sizes and stay hydrated, especially if drinking alcohol.

Make easy swaps.

Instead of reaching for a candy bar, try having a handful of nuts or seeds. Choose fruit over a cookie, or consider having one vegetarian or vegan meal a week, in place of meat. When dining out, think about ordering from the mocktail menu and skipping the alcoholic drink.

Match the messages.

Thinking about changing both your diet and physical activity? Consider matching the actions. A meta-analysis study looking at health-behavior research found people are more likely to achieve their goals if the action is the same. For example, increasing exercise, fruit, and vegetable intake is more effective than increasing exercise and decreasing fat intake.

Keep good company.

Find a supportive friend or exercise buddy to keep you accountable and help you get through tough times. Health-conscious friends can be inspiring and motivating role models.

Give yourself a break.

Living a healthy lifestyle doesn’t have to be an all-or-nothing deal. If you miss an exercise workout or don’t eat right, just make it up the next time. For example, if you eat a high-calorie, high-fat breakfast, don’t give up on the day; have a lighter lunch or dinner of grilled vegetables and salad.

Following a healthy lifestyle is more than just changing your diet. Multiple health behaviors like sleep patterns, physical activity, and stress management all play a significant role. Understanding how these behaviors interact, influence, and motivate you is key to your success. “Most people know what they should be doing,” says Derocha. “It’s just a matter of motivating them to want to do it and empowering them to apply the knowledge they already have.”

KIDNEY STONES AND DIABETES


type 1 diabetes and kidney disease

Kidney stones, according to some patients, can rival the pain of childbirth. And for those individuals who have both given birth and had a kidney stone, some will tell you that the kidney stone was worse.

So, what causes kidney stones and how might having diabetes, specifically type 2 diabetes, put individuals at risk for developing these bothersome stones?

To start, kidney stones are, according to the Cleveland Clinic, “hard mass[es] of crystallized minerals that form in the kidneys or urinary tract.”

When one of the half a million people who present themselves annually at emergency rooms across the nation, those individuals are often exhibiting the telltale signs of kidney stones, according to the Mayo Clinic:

  • Severe pain in the side and back, below the ribs
  • Pain that radiates to the lower abdomen and groin
  • Pain that comes in waves and fluctuates in intensity
  • Pain on urination
  • Pink, red, or brown urine
  • Cloudy or foul-smelling urine
  • Nausea and vomiting
  • Persistent need to urinate
  • Fever and chills if an infection is present
  • Urinating small amounts

It is important to note that if you or a loved one are experiencing one of the following signs or symptoms, you should seek medical attention immediately:

  • Pain so severe that you can’t sit still or find a comfortable position
  • Pain accompanied by nausea and vomiting
  • Pain accompanied by fever and chills
  • Blood in your urine
  • Difficulty passing urine

The presence of kidney stones, however, can also be especially vexing for people with type 2 diabetes, whose urine can be more acidic, especially if individuals have consistently high blood sugars. While kidney stones often do not have one easily discernible cause, it is important to understand how those with type 2 diabetes can reduce their risk for kidney stones through hydration, diet, and achieving or maintaining a healthy weight.

Uric acid makes up one type of kidney stone. The substance can be created in the urine when blood sugar is too high, and may lead to these painful stones. In addition to uric acid stones, there are three other types of kidney stones: calcium stones (calcium oxalate or calcium phosphate), struvite stones, and cystine stones.

While it is true that one out of 10 people will have a kidney stone at some point in their lifetime, most notably after the age of 30 years, there are proactive steps individuals can take to reduce their risk of developing a kidney stone. Reducing risk is especially important because once an individual develops a kidney stone, the likelihood of future stones occurring increases.

Who’s at Risk for Developing Kidney Stones?

To understand how to reduce one’s risk for kidney stones, let us first explore some of the basic risk factors for developing one. According to the American Kidney Fund, some behaviors, medical conditions, and genetics may influence the formation of these dreaded stones:

  • Having kidney stones previously and/or having a family history of kidney stones
  • Not drinking enough water on a consistent basis
  • Following a diet high in protein (Hello, keto and low-carb lifestyles!), sodium, and/or sugar
  • Being classified as overweight or obese
  • Having had gastric bypass or another intestinal surgery
  • Having polycystic kidney disease or a related cystic kidney disease
  • Having any condition that causes your urine to contain high levels of calcium, cystine, oxalate, or uric acid (such as type 2 diabetes)
  • Having a condition that causes swelling or irritation in your bowel and joints
  • Taking certain medications or pills, such as water pills (diuretics), calcium-based antacids, or high doses of calcium — such as pre- or post-natal vitamins

Important to note, men are often much more likely to develop kidney stones during their lifetime — 19 percent —  than women, who are about half as likely. White, non-Hispanic men, per the American Kidney Fund, are much more likely to develop kidney stones than people of other ethnicities.

The sobering news for why prevention is paramount? The National Kidney Foundation reports, “Those who have developed one stone are at approximately 50% risk for developing another within 5 to 7 years.”

How Do I Reduce My Risk for Kidney Stones?

There are many lifestyle changes that may delay or even prevent kidney stones and the resulting pain. Some of those changes may even help prevent the development of kidney disease, a common and very dangerous complication of diabetes.

The Mayo Clinic recommends some of the following guidelines for anyone at risk of developing kidney stones:

  1. Stay hydrated throughout the day by drinking plenty of water. For people with a history of kidney stones, doctors recommend passing 2.5 liters of urine a day. If you live in a hot and humid climate and/or exercise a lot, drink even more water.
  2. Choose a diet low in salt and animal protein. This can be tricky for those observing a ketogenic or low-carb diet, especially if you depend on meat to curb cravings. But consider balancing your sodium and red meat intake with lower-carb vegetables whenever possible.
  3. Continue to eat low-fat, calcium-rich foods, but skip the calcium supplement.
  4. As the National Institute of Diabetes and Digestive and Kidney Diseases points out: “Studies have shown that the Dietary Approaches to Stop Hypertension (DASH) diet can reduce the risk of kidney stones.” To learn more about the DASH diet, click here.

Conclusions

While having type 2 diabetes may put certain people at greater risk of developing kidney stones, especially as they age, there are many potential steps one can take to diminish the risk of hurting one’s kidneys further. Diet and water intake can help moderate your risk, as well as maintaining a healthy weight and blood sugar.

References

“6 Easy Ways to Prevent Kidney Stones.” (2019). National Kidney Foundation.

Carbone, A., Al Salhi, Y., Tasca A3, Palleschi, G.., Fuschi, A., De Nunzio, C., Bozzini, G., Mazzaferro, S., & Pastore, AL. (2018). “Obesity and Kidney Stone Disease: A Systematic Review.” Minerva Urol Nefrol. 70(4): 393-400. doi: 10.23736/S0393-2249.18.03113-2.

“Eating, Diet, and Nutrition for Kidney Stones.” (2017). National Institute of Diabetes and Digestive and Kidney Diseases.

“Is there a Connection between Diabetes and Kidney Stones?” (2019). Next Generation of Clinical Research.

“Kidney Stones.” (2019). Mayo Clinic.

“Kidney Stone Risk Factors.” (2019). American Kidney Fund.

Sorensen, M.D. (2014). “Calcium intake and urinary stone disease.” Translational Andrology and Urology, 3(3): 235–240. doi: 10.3978/j.issn.2223-4683.2014.06.05.

The 17 Healthiest Chinese Food Takeout Options, According to Registered Dietitians


Yes, you would like to place an order for pick-up, please and thank you.
15+ Chinese Takeout Orders That Are R.D.-Approved

Ordering Chinese takeout is easy. Ordering healthy Chinese takeout takes a little more thought. But finding the healthiest food from your favorite Chinese restaurant shouldn’t be hard—hi, that defeats the whole purpose of ordering in—so we’ve put together something of a healthy Chinese food options cheat sheet for you. We asked registered dietitians how they navigate the menu when there’s just no way they’re cooking tonight. The themes we heard over and over again? Watch out for sauces that go overboard on the sodium, steamed is healthier than fried (duh), and load up on veggies.

What if your favorite dish doesn’t make this list? Well, there are a couple ways to think about it. If you’re ordering out of sheer convenience and determined to make the healthiest choices possible, use this advice as a guide to meet this goal. If you’re ordering because you’re seriously craving something in particular…order it, enjoy the hell out of it, and don’t waste your time feeling guilty about it.

These 17 healthy Chinese food options are what registered dietitians order for themselves, and we have to admit, we’re getting hungry just looking at them. Let this list inspire your next takeout order. Who knows, you might even discover a new favorite.

1. Shrimp and Vegetables With Black Bean Sauce

“You get lean protein from the shrimp, and lots of antioxidants, fiber, and even a bit of water from the veggies,” says Keri Glassman, M.S., R.D., C.D.N., and founder of Nutritious Life in NYC. She always orders her sauce on the side, so you can control how much is on there.

TheCrimsonMonkey / Getty

2. Beef and Broccoli

This classic dish gets a thumbs-up for its filling power. “I like beef and broccoli with brown rice,” says Rebecca Scritchfield, R.D. “You don’t need too much beef to feel full.” Chicken and broccoli is a good option, too.

3. Mixed Vegetables

You’re probably not surprised that vegetables made the list. Patricia Bannan, M.S., R.D., recommends ordering steamed or even lightly stir-fried veggies on the side—the more, the better.

4. Extra Vegetables

Rather than ordering a separate dish, see if the restaurant will bulk up your current order with extra veg. “Ask for extra broccoli, carrots, or snow peas in any dish,” suggests Sarah-Jane Bedwell, R.D., L.D.N. “These are three veggies that Asian restaurants typically have on hand.” This tactic is one of her favorites for filling up her plate.

Daniel Frauchiger, Switzerland / Getty

5. Moo Shu Vegetables

Maxine C. Yeung, a registered dietitian, personal trainer, and wellness coach, and owner of The Wellness Whisk, likes to order this dish, which is typically served with hoisin sauce and thin pancakes for wrapping. “This dish is majority vegetables—a mix of diced egg and vegetables, such as cabbage, mushrooms, carrots, water chestnuts, bamboo shoots, and sometimes cashews, flavored with scallions, ginger and garlic,” she says, adding, “It’s low in carbohydrates if you limit the number of pancakes or substitute with lettuces for wraps.”

6. Moo Shu Chicken

Glassman goes for the chicken version for the lean protein it provides. “But make sure to ask for light sauce,” she says. “It’s most likely high in sodium and (unhealthy!) fat.” Yeung also points out that the hoisin adds unnecessary sugar.

7. Steamed Anything

“I usually ask for my dish steamed with the sauce on the side,” says Scritchfield. “Steamed helps to reduce the oil in the dish, making it lighter in calories and possibly a bit easier to digest. You can get most any dish steamed.” This works for veggies, lean protein, rice, you name it.

Karen Beard / Getty

8. A Small Soup

Eating a broth-based soup first can help you eat less later on, explains Alissa Rumsey, R.D. She prefers hot and sour soup, while Bedwell goes for wonton. Keri Gans, R.D., always orders egg drop soup. “A one cup serving is only 66 calories, so even though your serving from a restaurant is larger, the calories are still in check. It also provides around 3 grams of protein and 1 gram of fiber per one cup serving.” It’s high in sodium, thought, which is something to keep in mind if you’re trying to watch your intake.

9. Moo Goo Gai Pan

Entrees that come with plenty of veg are always good options, says Rumsey. “Moo Goo Gai Pan typically consists of stir-fried chicken with mushrooms and other vegetables, providing a balanced meal with just a light sauce. It comes with a lot of vegetables, so they are the main part of the meal, not just an afterthought.” This is a favorite of Bedwell’s, too: “It’s flavorful and lean with chicken, mushrooms, and other mixed veggies and is not as high in sugars and fats as many other dishes.”

10. Chinese Eggplant With Garlic Sauce

“I like Chinese eggplant in spicy garlic sauce because it’s all vegetable! In addition to the eggplant, it usually comes with broccoli too,” says Scritchfield.

Victoria Pearson / Getty

11. Steamed Dumplings

“If you want an appetizer, [go for] a vegetable dumpling that is steamed and not fried,” says Gans. You might also recognize these as potstickers—either way, they get top marks when they haven’t been fried in oil and they’re filled with veggies.

12. Brown Rice With a Scrambled Egg

Scritchfield has a simple, healthier swap for fried rice: Order brown rice and ask for a scrambled egg on the side. “Most takeouts have eggs for the fried rice, and they are willing to do this for you,” she explains. “Brown rice has a lower glycemic index as compared to white rice, which helps reduce insulin spikes.”

Richard Jung / Getty

13. Shrimp or Tofu Entrées

While Gans herself typically prefers broccoli and garlic sauce, “If it is a higher-end restaurant I might opt for some shrimp,” she says. Bedwell adds that steamed shrimp is a great way too add lean protein to your meal—if you’re a vegetarian, she recommends grilled tofu instead.

14. Kung Pao Chicken

Bring on the spice. Order Kung Pao chicken instead of sweet-and-sour chicken, sesame chicken, and General Tso’s chicken, says Bedwell. “It comes with abundant vegetables, sans the fried chicken!”

15. Buddha’s Delight

“If I want to do a vegetarian meal, I’ll go for Buddah’s Delight since it is a flavorful dish that is primarily steamed veggies with a little tofu for protein,” says Bedwell. This is a personal favorite of Rumsey’s, too.

16. Chicken Lettuce Wraps

Glassman calls this “an obvious choice to get veggies and protein all in one.” Plus, they’re fun to make and eat.

17. Sauce on the Side

This tip came up again and again. “By getting it on the side you can better control the amount you eat,” says Rumsey. “Often I take two or three tablespoons of the original sauce and mix it with low-sodium soy sauce.” Bannan adds, “For comparison, one tablespoon of low-sodium soy sauce has 22 percent of your days’ worth of sodium and one tablespoon of regular soy sauce has about 38 percent of your days’ worth of sodium.”

The Evening Meal


 

Mix-and-match dinner components for healthy, relaxing meals, featuring slow-roasted salmon, rotisserie chicken, zucchini spaghetti, and more!

Dinner is a mystery to me. It is definitely my favorite meal to eat – but being in charge of getting it on the table can be kind of dispiriting. It just comes around and comes around, and even though you just made dinner last night, it is time to make more of it, to make it again and again, whether or not you are out of ideas and whether or not you have family members milling around like a school of hungry sharks.

Dinner prep can be especially tricky if you’re trying to lower your overall carb intake since easy, comfortable favorites like spaghetti and meatballs, mac and cheese, or even breakfast for dinner have to be tinkered with. That’s why my recipes are meant to be the meal equivalent of practical wardrobe separates: you can make them as stand-alone recipes, or you can mix and match them into complete meals. They are generally low-carb, nutrient-dense, and also fairly straightforward and quite delicious. Plus, you can add whatever seasonings you like to make them even more interesting for yourself or the people you’re feeding – in other words, you can dress them up, dress them down, serve them with jeans, etc. Or that’s the hope.

I want to say here, in the interest of full transparency, that lots of people at diaTribe, including our own Adam Brown and me, are increasingly convinced that lowering carbohydrate intake substantially helps stabilize blood sugars and makes people feel better. But then we’re not completely avoiding carbs, and we don’t want to assume that you are. (Although if you are, that’s great!) We are thinking of some of these foods – the quinoa, for example – as better options than the ones like bread or pasta that have lots of carbs that go in fast. But please feel free to tell us what you’re thinking, what you’re wanting to cook more or less of at home. Because we really want to know!

Click to jump down to a recipe:

1 Store-Bought Rotisserie Chicken / 10 Meals

Okay, that’s a kind of inaccurate headline because you’re not really making 10 entire meals from a single chicken. It’s more that I’m giving you 10 different meal ideas for when you’ve bought a rotisserie chicken from the supermarket, but you don’t really want to have just the plain chicken (again). I love supermarket rotisserie chickens because they’re inexpensive and they’re tasty – and because they lend themselves to such a lovely range of meals, without the fuss of first prepping and cooking the chicken. (Plus, nobody will know that you peeled off and ate the entire bronzed chicken skin while you were cooking. Chef’s prerogative!)

(Serving size and carb counts will depend on individual preparations, but I’m indicating what the source of carbs is below)

  • Lettuce Wraps (The carrot will add up to 3 grams of carbs per serving)

Butter or Boston lettuce leaves + shredded chicken + slivered carrots and/or cucumbers + basil and/or mint + a simple peanut dressing made by whisking together 2 tablespoons peanut butter (try to get the no-sugar ones), 1 tablespoon balsamic or rice vinegar, 2 tablespoons soy sauce, ½ teaspoon garlic powder, ¼ teaspoon cayenne, and enough warm water by the spoonful to make it creamy and drizzle-able

  • Chicken Caesar (The chickpeas will add up to 15 grams of carbs per serving; feel free to omit them)

Cut-up Romaine lettuce + shredded chicken + grated parmesan + Caesar dressing + chickpea croutons (below). Adam’s Brown shared his Caesar dressing recipe, one he’s modified from The Keto Diet book: In a blender or food processor, whiz together 1 cup olive oil, ½ cup mayonnaise (use full-fat; look for Best Foods or Hellmann’s; otherwise, check that there are 0 grams of sugar per serving), one small tin of anchovy fillets, 6 tablespoons lemon juice, 2-3 tablespoons Dijon mustard, 4 cloves of garlic (or 2 teaspoons garlic powder) and a grind of black pepper until creamy and smooth. This makes enough to dress 10 large plates of salad.

  • Green Noodles with Chicken (The red pepper will add up to 3 grams of carbs, the zucchini noodles around 6 grams)

Sautéed zucchini noodles (see below) + pesto + shredded chicken + red bell pepper + toasted pine nuts + grated parmesan cheese

  • Ginger-Miso Chicken Salad (The miso will add 2 grams of carbs, the almonds or peanuts up to 2 or 3 grams)

Cut-up Romaine lettuce + shredded chicken + sliced celery and/or cucumbers + toasted sliced almonds or roasted peanuts + miso-ginger dressing made by whisking together ¼ cup white miso + ¼ cup rice vinegar + 2 teaspoons finely minced ginger + 1 teaspoon soy sauce + 1/3 cup vegetable oil + 1 tablespoon warm water

  • Chicken Burrito Bowl (The beans will add up to 10 grams of carbs, the avocado up to 3 or 4 grams)

Shredded chicken + black or pinto beans + shredded cheddar or Monterey Jack cheese + sour cream + salsa + diced avocado

  • Buffalo Chicken Salad (The blue cheese dressing might add a gram or two of carbs)

Cut-up Romaine lettuce and/or mixed greens + shredded chicken + sliced celery + blue cheese dressing + a few shakes of Frank’s Red Hot or Louisiana hot sauce

  • Mexican Chicken Soup (The tomato will add up to 5 grams of carbs, the avocado up to 3 or 4 grams)

Chicken broth + shredded chicken + canned tomatoes + sautéed onion and garlic + oregano and chili powder + lime juice + avocado + sour cream

  • Cobb Salad (The tomato will add up to 4 grams of carbs, the avocado up to 3 or 4 grams)

Cut-up Romaine lettuce + shredded chicken + hard-boiled eggs + cooked bacon + diced avocado + chopped tomatoes + crumbled blue cheese + vinaigrette dressing

  • Chicken Quesadizza (detailed recipe here) (The tortilla will add up to 3 grams of carbs, the broccoli 3 grams, the salsa 1 gram)

Low-carb tortilla + grated Monterey Jack cheese + salsa + shredded chicken + leftover roasted broccoli (below)

  • Vietnamese Chicken Salad (The carrots will add up to 3 grams of carbs, the Sriracha or hot sauce up to 1 gram)

Slivered napa cabbage + shredded chicken + grated carrots + chopped mint and/or cilantro + lime vinaigrette made with 3 tablespoons lime juice + 3 tablespoons fish sauce + 3 tablespoons vegetable oil + 1 clove minced garlic + Sriracha or other hot sauce to taste

Zucchini Spaghetti

Makes: 2 servings

Total carbohydrates: 6 grams per serving

Hands-on time: 5-15 minutes (depending on whether you’re spiralizing yourself)

Total time: 5-15 minutes

So, yes, oodles of zoodles and all that – it’s true that spiralizing vegetables, i.e. slicing them into spaghetti-shaped strands, is kind of a food trend. But zucchini noodles are light and delicious, naturally low in carbohydrates, and naturally high in fiber and nutrients. Plus, if you give them the spaghetti treatment – sauce and cheese, a spoonful of pesto, or even simply a little pat of melting butter – you just might convince any squash-wary family members that they’re worth tasting.

A note on gadgets: I have a super-simple double-sided pencil-sharpener type spiralizer, and I find it quite easy to use. I would also recommend the SpiraLife Vegetable Spiralizer ($13.99), a hand-held no-bells-and-whistles model that I like because it’s a) relatively inexpensive and b) entirely mechanical, which means you don’t need to plug it in and it won’t break.

However, you can invest in a more efficient gadget if you anticipate eating this a lot (Adam really likes this one) or you can even buy your veggies already-spiralized in some places if you want to pay a little more.

Ingredients

1 tablespoon olive oil

1 pound zucchini noodles (also called zoodles) or 1 pound zucchini (about 2 medium), spiralized

Salt

Instructions

  1. Heat the oil in a wide skillet (ideally nonstick) over medium-high heat.
  2. Add the zucchini and sauté, tossing gently with tongs as it cooks, until it is just barely tender. This will take around 3 minutes, and you should stop before you think it’s completely cooked because it will keep cooking and you don’t want it suddenly sitting in a flood of water. Likewise, don’t salt it until you’re done cooking it, since the salt also will pull water from it.
  3. Salt and sauce as you like.

Perfect Slow-Roasted Salmon

Makes: 4 servings

Total carbohydrates: less than 1 gram per serving

Hands-on time: 5 minutes

Total time: 20-30 minutes

This is my very favorite way to cook salmon (or cod or striped bass, for that matter): the fish ends up meltingly tender, with a velvety texture and a very fresh, mild flavor. Don’t expect it to brown (alas), and don’t expect it to look the way you might expect cooked fish to look, since it won’t turn pale pink and opaque. It’s perfect as a regular main course, or atop a salad for a leafier meal.

Ingredients

1 ½ tablespoons olive oil (divided use)

Grated zest of 1 lemon (quarter the lemon after zesting it)

1 clove garlic, smashed, peeled, and minced

1 teaspoon fresh thyme leaves, chopped, or another herb of your choosing (optional)

4 pieces of thick salmon fillet (ask for center-cut), 1- 1 ½ pounds total

Salt and freshly ground black pepper

Simple tartar sauce, below (optional)

Instructions

  1. Heat the oven to 275° F. Cover a baking sheet with foil, then brush or rub it with the half tablespoon of olive oil.
  2. In a small bowl, stir together the lemon zest, garlic, and remaining tablespoon of oil.
  3. Put the fish on the baking sheet, skin side-down. Sprinkle it with salt and pepper, then drizzle the lemon-garlic oil evenly over the fillets.
  4. Roast for 15 to 25 minutes, until the flesh is just beginning to flake when you press a fork into it, and you can separate the fish from its skin. It might look different from the way you’re used to cooked fish looking – rosier and less opaque. That’s okay!
  5. Serve with the lemon wedges, warm, at room temperature, or cold.

Simple Tartar Sauce

Whisk together ½ cup mayonnaise (use full-fat; look for Best Foods or Hellmann’s; otherwise, check that there are 0 grams of sugar per serving), 1 tablespoon coarsely chopped capers, 1 tablespoon chopped parsley, 1 tablespoon lemon juice, and ½ teaspoon salt. Feel free to add finely chopped cornichons (mini sour pickles) or dill pickles, and/or chopped dill.

Quinoa

Makes: 6 servings

Total carbohydrates: 20 grams per serving

Hands-on time: 5 minutes

Total time: 20-30 minutes

Quinoa is a wonderful grain… or seed… or superfood of the Andes. Whatever it is, it’s somehow simultaneously tender and crunchy, and also nutty and delicious. Plus, it’s gluten-free, high in fiber, and super-high in protein. Try swapping it into any dish or meal that you’d typically use rice for, since it offers so much more nutritional value. And if you’re serving the quinoa as a plain side dish, try stir in the juice and grated zest of half a lemon. Yum. (But also, if you’re aiming for fewer carbs, try making something like cauliflower “rice” instead, which you can find in some frozen vegetable aisles – Trader Joe’s has great options.)

Ingredients

Salt

1 ½ cups quinoa

3 tablespoons butter or olive oil

Instructions

  1. Bring a medium or large pot of water to a boil over high heat and salt it heavily. It should taste as salty as the sea, so we are talking a fair amount of salt.
  2. Add the quinoa and stir, turn the heat down to medium-high and cook it for 10-15 minutes, uncovered, until it is just tender and the grains have spiraled open a bit. It will continue to cook as it steams, so don’t cook it until it’s soft at this point – just fish a little out with a fork to test.
  3. Drain it really, really well in a fine sieve – I mean, really shake it around to get the water out – then put it back in the pot, stretch a doubled dish towel over the top of the pot, and put the lid back on. Leave it to steam for 5 to 10 minutes.
  4. Stir in the butter or oil and serve.

The Best Roasted Vegetables

Makes: 4 servings

Total carbohydrates: around 10 grams per serving

Hands-on time: 15 minutes

Total time: 25-35 minutes

Ingredients

1 large head broccoli or cauliflower, or 1 ½ pounds Brussels sprouts

3 tablespoons extra-virgin olive oil

1 teaspoon kosher salt (or half as much table salt)

Optional: ½ teaspoon of sugar

Note: If you feel weird adding sugar to your vegetables, please feel free to leave it out. That seems completely reasonable to me, and the vegetables will still be totally good! However, because it helps the vegetables brown, because it only adds only a 1/2 gram of carbs per serving, and because this has, for years, been the best recipe I have for getting vast quantities of vegetables into the bodies of my children, I include it.

Lemon wedges, for serving

Instructions

  1. Adjust an oven rack to the lowest position, place a large rimmed baking sheet on the rack, and heat the oven to 500 degrees.
  2. If you’re using broccoli, peel the thick stems with a sharp paring knife as best as you’re able. Then cut the stem into long ½-inch-thick pieces and the rest into long, narrowish florets. If you’re using cauliflower, trim out the core with a sharp paring knife, then cut it up into florets, ideally cutting each in half so there’s a flat side. For Brussels sprouts, trim off the bottoms and any discolored leaves, then cut them in half.
  3. Put the vegetables in a bowl, drizzle with the oil and toss well until evenly coated. Sprinkle with the salt and sugar, and toss to combine.
  4. Remove the baking sheet from the oven, then dump on the veggies, spreading them in an even layer and placing flat sides down wherever possible.
  5. Return the baking sheet to the oven and roast until the stalks are well browned and tender and the vegetables are lightly browned: about 10 minutes for broccoli; 15 minutes for cauliflower; 15-20 minutes for Brussels sprouts. Transfer to a serving dish and serve immediately with lemon wedges.

Chickpea Croutons

Makes: 1 cup (4 servings)

Total carbohydrates: 15 grams per serving

Hands-on time: 5 minutes

Total time: 25-20 minutes

I love these so much more than traditional croutons and they are better for you! They’ve got all the crunch, flavor, and saltiness you expect, but then they also add a ton of protein, fiber, and vitamins to your Caesar or green salad. Use a nonstick or well-seasoned pan, if you’ve got one.

Ingredients

2 tablespoons olive oil

1 (15-ounce) can chickpeas, drained and spread to dry on a double thickness of paper towels

Salt to taste (use plenty)

Garlic powder (optional)

Instructions

  1. Heat the oil in a medium pan over medium heat until it is medium hot.
  2. Add the chickpeas in a single layer, salt them liberally, and leave them for a few minutes, unpestered by you and your spatula, so they can start to turn a bit golden on the bottom. Now start flipping and turning them every so often, shaking the pan around, until the chickpeas are as crisp and brown as they could be without burning. This will take 10-15 minutes.
  3. Add a sprinkle of garlic powder, if you’re using it, then taste for salt and remove the chickpeas to a paper-towel-lined dish to cool a bit before their introduction to the salad.

How Much Protein Do You Really Need?


It’s important food for your cells, but is it possible to overdo it?
Protein-You-Really-Need_Feature

With so many protein bars, shakes, and supplements on the market, it’s kind of been hammered into our heads that protein is the wonder nutrient.

It is an important building block for our cells, essential to repair old ones and build new ones. Which is why we think about it most commonly as a post-workout muscle-builder. Recent compelling studies have shown that a higher-protein diet may potentially help with weight management—particularly by helping us feel more satiated, and helping burn fat mass and maintain lean muscle. It also may have benefits for your heart. But the research is small and far from conclusive.

So how much protein should you eat? And can you ever eat too much? We talked to nutritionists and scoured studies to find out how much protein is healthy to pack into each day.

First of all, there’s no easy one-size-fits-all recommendation on how much protein you should get.

The current USDA Dietary Guidelines recommend protein make up somewhere between 10 and 35 percent of your daily calories (but some nutrition experts think 35 sounds really high). A lot of people automatically think of 2,000 calories a day as the standard, but that might not be right for you—you may be eating more or less depending on your weight, fitness level, weight loss goals, and if you’re pregnant.

“Your [ideal amount of protein] will vary based on caloric needs and whatever else you have going on,” Kristen F. Gradney, R.D., director of nutrition and metabolic services at Our Lady of the Lake Regional Medical Center and spokesperson for the Academy of Nutrition and Dietetics, tells SELF. “For example, if you work out and lift weights three or four days a week, you’re going to need a little more than somebody who doesn’t. It varies.”

You can also use the calculation from the Institute of Medicine, which says the Recommended Daily Allowance (RDA) of protein for adults should be 0.8 g/kg body weight. To calculate it, divide your weight in pounds by 2.2, then multiply by 0.8. “So for a 130-pound woman, that would be 47 grams of protein,” explains Jessica Fishman Levinson, R.D., founder of nutrition counseling company Nutritioulicious. For an even more personalized look at your protein needs, use this handy USDA nutrient calculator, which also takes into account your height and activity level.

Let’s be honest: all of the different calculations make it a bit confusing. But in the end, you’ll get a very similar result no matter which way you think about it. Just remember that your recommended grams means grams of protein in your food, not the serving size. So for example, a 4-ounce piece of sirloin steak has 24 grams of protein.

Complicated math aside, chances are you’re getting the right amount of protein without even thinking about it.

According to the 2015 USDA dietary guidelines committee, most people are getting just about (or just under) the recommended amount of “protein foods,” meaning meat, poultry, and eggs. Here’s the rub: “protein foods” doesn’t include dairy, soy, or grains, so if you’re eating those things (which you probably are), it’s likely you’re right in the middle of the recommendations without really trying.

Research published in the American Journal of Clinical Nutrition following a protein summit of over 60 nutrition experts found that the average American currently gets 16 percent of their daily calories from protein, but that we could eat more than that. The suggestion to increase protein intake isn’t widely accepted though, and more research needs to be done to determine if the benefits are enough to make sweeping recommendations.

There is a chance of overdoing it, and over time that can lead to some adverse health effects.

“You can always have too much of anything,” Levinson says. “But [overloading on protein] is more common in athletes and body builders, especially those who use protein powders multiple times a day in addition to the other protein they’re getting from their diet,” Levinson explains.

Most nutrients have a certain level that the average person can eat in a day before experiencing negative effects, called the “tolerable upper intake level.” Right now, there isn’t one that’s known for protein because we don’t have enough research to show what it would be.

Eating too much protein over time (months or years, depending on genetics) can lead to kidney problems, though. “Protein is a very big molecule that your body has to break down,” Gradney explains, so overloading puts unnecessary pressure on the kidneys. If your protein sources are animal-based, eating too much can also mean eating too many saturated fats, which can affect your heart and weight negatively.

Other downfalls of eating too much protein: “If intake of protein is more than needed, it won’t be burned and instead will be stored in the body and can lead to weight gain,” Levinson says. Also, eating too much protein might make you eat less of other important nutrients, making your diet unbalanced. If you’re replacing carbs, which your body burns for fuel, your body may start to burn protein instead, which can lead to bad breath, she adds. It can also, weirdly, make your sweat smell like ammonia—it’s one of the by-products when the amino acids in protein are broken down.

In the end, the types of protein you eat (and when) matters the most.

In general, according to the 2015 Dietary Guidelines, we’re eating enough protein. However, Levinson says, we’re not necessarily getting it from the best sources. Many people (especially boys and men) are getting too much of it from meat, poultry and eggs, and not enough from seafood and legumes, which count as both a protein and a vegetable.

Eating a variety of proteins will also ensure you’re not missing out on the other nutrients your body needs, or going overboard on calories. And it’s pretty much impossible to overeat protein on a plant-based diet, so it’s more likely you’ll naturally stay within your ideal intake range versus if you’re only getting protein from red meat and poultry.

Spacing out your protein intake throughout the day may help enhance protein’s effects on your muscles. “Research is showing that protein should be spread out throughout the day rather than the majority being consumed at one meal, which is usually what people do when they eat most of their protein at dinner,” Levinson says. She suggests getting no more than 30 grams in one meal.