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Cooking with Pomegranates: An Introduction

Cooking with Pomegranates: An Introduction

For individuals looking to increase their antioxidant, fiber, and vitamin intake, can adding pomegranates to their diet help?

Cooking with Pomegranates: An Introduction

Pomegranates

Pomegranates can amplify various dishes, from breakfasts to sides to dinners, with their balanced blend of mild sweetness, tartness, and crunch from their seeds.

Health Benefits

The fruit has been found to be a healthy source of vitamins, fiber, and antioxidants. A medium-sized fruit contains:

Ways to use a pomegranate include:

Guacamole

Stir in some pomegranate arils before serving. They will provide an unexpected crunch that contrasts deliciously with guacamole’s smoothness.

  1. Mash 2 ripe avocados
  2. Mix in 1/4 cup diced red onion
  3. 1/4 tsp. salt
  4. 1 Tbsp. lemon juice
  5. 2 cloves garlic – minced
  6. 1/2 cup chopped fresh cilantro
  7. Stir in 1/4 cup pomegranate arils
  8. Serves 6

Nutrition per serving:

  • 144 calories
  • 13.2 grams fat
  • 2.8 grams of saturated fat
  • 103 milligrams sodium
  • 7.3 grams carbs
  • 4.8 grams fiber
  • 1.5 grams protein

Smoothie

Smoothies provide extra nutrition and a healthy snack.

  1. In a blender, mix 1/2 cup pomegranate arils
  2. 1 frozen banana
  3. 1/4 cup low-fat Greek yogurt
  4. 2 tsp. honey
  5. Splash of orange juice
  6. Pour into a glass and enjoy!

Nutrition per serving:

  • 287 calories
  • 2.1 grams fat
  • 0.6 grams of saturated fat
  • 37 milligrams sodium
  • 67.5 grams carbs
  • 6.1 grams fiber
  • 4.9 grams protein

Oatmeal

Enhance oatmeal as pomegranates bounce off other fruits, sweeteners, and butter nicely.

  1. Prepare 1/2 cup oats
  2. Stir in 1/2 of a medium banana, sliced
  3. 1 Tbsp. brown sugar
  4. 2 Tbsp. pomegranate arils
  5. 1/2 tsp. ground cinnamon

Nutrition per serving:

  • 254 calories
  • 3 grams fat
  • 0.5 grams of saturated fat
  • 6 milligrams sodium
  • 52.9 grams carbohydrates
  • 6.7 grams fiber
  • 6.2 grams protein

Brown Rice

Another way to use pomegranates is on rice.

  1. Cook 1 cup brown rice.
  2. Toss with 1/4 cup pomegranate arils
  3. 1 Tbsp. olive oil
  4. 1/4 cup chopped, toasted hazelnuts
  5. 1 Tbsp. fresh thyme leaves
  6. Salt and pepper to taste
  7. Makes 4 servings

Nutrition per serving:

  • 253 calories
  • 9.3 grams fat
  • 1.1 grams of saturated fat
  • 2 milligrams sodium
  • 38.8 grams carbohydrates
  • 2.8 grams fiber
  • 4.8 grams protein

Cranberry Sauce

Make a tangy and crunchy cranberry sauce.

  1. In a medium saucepan, combine 12 oz. fresh cranberries
  2. 2 cups pomegranate juice
  3. 1/2 cup granulated sugar
  4. Cook over medium heat – adjust if the mixture gets too hot
  5. Stir frequently for about 20 minutes or until most of the cranberries have popped and released their juice.
  6. Stir in 1 cup pomegranate arils
  7. Serves 8

Nutrition per serving:

  • 97 calories
  • 0.1 grams fat
  • 0 grams of saturated fat
  • 2 milligrams sodium
  • 22.5 grams carbohydrates
  • 1.9 grams fiber
  • 0.3 grams protein

Infused Water

A fruit-infused water can help reach proper hydration.

  1. Place 1 cup pomegranate arils
  2. 1/4 cup fresh mint leaves in the insert of a 1-quart infuser water bottle
  3. Mix lightly
  4. Fill with filtered water
  5. Refrigerate for at least 4 hours to let flavors steep
  6. Serves 4
  • Each serving will offer only trace amounts of nutrients, which depend on how much pomegranate juice infuses into the water.

For any questions about more specific nutrition goals or how to achieve them, consult the Injury Medical Chiropractic and Functional Medicine Clinic Health Coach and/or Nutritionist.


Healthy Diet and Chiropractic


References

FoodData Central. U.S. Department of Agriculture. (2019) Pomegranates, raw.

Zarfeshany, A., Asgary, S., & Javanmard, S. H. (2014). Potent health effects of pomegranate. Advanced biomedical research, 3, 100. doi.org/10.4103/2277-9175.129371

Boost Gut Microbes With Avocado for Optimal Health

Boost Gut Microbes With Avocado for Optimal Health

Individuals need to eat more fiber for optimal gut health. Can adding avocado to their diet help improve the gut microbe diversity?

Boost Gut Microbes With Avocado for Optimal Health

Avocado Gut Support

A diverse gut microbiome is beneficial to overall health. According to a recent study, eating one avocado a day can help maintain the gut microbes healthy, diverse, and balanced. (Sharon V. Thompson, et al., 2021) The researchers observed positive changes in gut bacteria and increased bacterial diversity in individuals who consumed an avocado every day for 12 weeks. (Susanne M Henning, et al., 2019)

Gut Diversity

The gut microbiome refers to the microorganisms living in the intestines. There are around 100 trillion microorganisms, including bacteria, viruses, fungi, and more, exist in the gastrointestinal tract. (Ana M. Valdes, et al., 2018) Having a diverse microbiome means that the body has a range of different organisms that offer various health benefits. Not having enough bacterial diversity has been linked to: (Ana M. Valdes, et al., 2018)

  • Arthritis
  • Obesity
  • Type 1 diabetes
  • Type 2 diabetes
  • Inflammatory bowel disease
  • Celiac disease
  • Arterial stiffness
  • Atopic eczema

Why Avocados?

  • The Institute of Medicine recommends a daily fiber intake ranging from 19 grams to 38 grams per day, depending on various factors like age. (Diane Quagliani, Patricia Felt-Gunderson. 2016)
  • Approximately 95% of adults and children do not consume the recommended amount of fiber. (Diane Quagliani, Patricia Felt-Gunderson. 2016)
  • Including foods like avocados in a healthy diet can help meet daily fiber requirements.
  • Fruit fiber like pectin, has been shown to promote a healthy gut microbiome as well. (Beukema M, et al., 2020)
  • Researchers suggest this could be because of pectin’s positive effect on beneficial probiotics.(Nadja Larsen, et al., 2018)
  • Although further research is needed fiber is believed to help protect the lining of the colon by increasing the bulk and weight of stool and expediting elimination.
  • Fiber also adds bulk to an individual’s diet and slows the speed of digestion, which makes the body feel fuller longer.

Improved Gut

Individuals can support a healthy microbiota by making small adjustments in their diet, including:

  • Eating a variety of fruits and vegetables with the skin, as this is where a majority of the nutrition is.
  • Fermented foods like yogurt, kombucha, sauerkraut, kimchi, and kefir.
  • Limiting consumption of processed foods, sugar, and artificial sweeteners.
  • More whole-grain foods.

Ways to eat more avocados include adding them to:

  • Smoothies
  • Salads
  • Sandwichs
  • Guacamole
  • If there are more avocados that can be eaten before they overripen, they can be frozen.
  • Peel and slice them first, then place them in freezer bags to have year-round.
  • They are rich in healthy fat, however, in moderation, they are not likely to contribute to weight gain.

Individuals can work toward having a diverse gut microbiome by paying attention to the foods they eat. Specific foods and dietary patterns can influence the different types of bacterial diversity which can support health.


Smart Choices, Better Health


References

Thompson, S. V., Bailey, M. A., Taylor, A. M., Kaczmarek, J. L., Mysonhimer, A. R., Edwards, C. G., Reeser, G. E., Burd, N. A., Khan, N. A., & Holscher, H. D. (2021). Avocado Consumption Alters Gastrointestinal Bacteria Abundance and Microbial Metabolite Concentrations among Adults with Overweight or Obesity: A Randomized Controlled Trial. The Journal of nutrition, 151(4), 753–762. doi.org/10.1093/jn/nxaa219

Henning, S. M., Yang, J., Woo, S. L., Lee, R. P., Huang, J., Rasmusen, A., Carpenter, C. L., Thames, G., Gilbuena, I., Tseng, C. H., Heber, D., & Li, Z. (2019). Hass Avocado Inclusion in a Weight-Loss Diet Supported Weight Loss and Altered Gut Microbiota: A 12-Week Randomized, Parallel-Controlled Trial. Current developments in nutrition, 3(8), nzz068. doi.org/10.1093/cdn/nzz068

Valdes, A. M., Walter, J., Segal, E., & Spector, T. D. (2018). Role of the gut microbiota in nutrition and health. BMJ (Clinical research ed.), 361, k2179. doi.org/10.1136/bmj.k2179

Quagliani, D., & Felt-Gunderson, P. (2016). Closing America’s Fiber Intake Gap: Communication Strategies From a Food and Fiber Summit. American journal of lifestyle medicine, 11(1), 80–85. doi.org/10.1177/1559827615588079

Beukema, M., Faas, M. M., & de Vos, P. (2020). The effects of different dietary fiber pectin structures on the gastrointestinal immune barrier: impact via gut microbiota and direct effects on immune cells. Experimental & molecular medicine, 52(9), 1364–1376. doi.org/10.1038/s12276-020-0449-2

Larsen, N., Cahú, T. B., Isay Saad, S. M., Blennow, A., & Jespersen, L. (2018). The effect of pectins on survival of probiotic Lactobacillus spp. in gastrointestinal juices is related to their structure and physical properties. Food microbiology, 74, 11–20. doi.org/10.1016/j.fm.2018.02.015

Discovering the Nutritional Benefits of Tomatoes

Discovering the Nutritional Benefits of Tomatoes

Tomatoes are low-calorie and nutrient-dense, what health benefits can individuals gain from their consumption?

Discovering the Nutritional Benefits of Tomatoes

Tomato Benefits

All varieties of tomatoes offer nutrients, including potassium and vitamin C, making them part of a balanced diet.

  • Raw tomatoes contain vitamin C, which brightens skin and fights inflammation.
  • Cooking tomatoes releases more antioxidants which are vital in small quantities such as lycopene, for maintaining heart health and preventing certain cancers.
  • Other benefits contribute to heart, prostate, and cognitive/brain health.

Various tomato recipes and products can offer a balance of nutrients. Variety is key and this applies to all fruits and vegetables. Try them raw, cooked, and steamed, as the different methods can offer different benefits.

Cooked and Raw Tomatoes

Tomatoes are low in calories and rich in nutrients. A raw, medium-sized tomato contains roughly 22 calories and less than 1 gram of fat. It is low sodium and low glycemic, with just 6 milligrams of sodium and 3 grams of sugar. They are an excellent source of hydration as a raw tomato contains about half a cup of water.

Nutritional Information

A medium tomato includes the following nutrients: (USDA: FoodData Central. 2018)

  • Protein – 1.1 grams
  • Fiber – 1.5 grams
  • Calcium – 12 milligrams
  • Magnesium – 13.5 milligrams
  • Phosphorus – 29.5 milligrams
  • Potassium – 292 milligrams
  • Vitamin C – 17 milligrams
  • Choline – 8.2 milligrams
  • Lycopene – 3.2 milligrams

Certain Antioxidants

  • Tomatoes contain several essential vitamins and minerals that support the immune system and the bones and blood.
  • Antioxidants help combat free radicals and unstable molecules that damage the body’s cells. (Edward J. Collins, et al., 2022)
  • Antioxidants like lycopene, lutein, and zeaxanthin, are better absorbed with cooked tomatoes.
  • Raw tomatoes contain small amounts of vitamins A and K, fluoride, folate, and beta-carotene.

Heart Health

  • Tomatoes provide a healthy serving of potassium.
  • Potassium and sodium are both vital for heart function.
  • Potassium is essential for relaxing the blood vessels.
  • One medium tomato contains around the same amount as a banana.
  • The heart needs these electrolytes to contract and expand.
  • Most individuals with high blood pressure can benefit from high potassium, fiber, and lycopene levels.
  • Studies have linked lycopene to lower heart disease risk and mortality. (Bo Song, et al., 2017)

Exercise Recovery

  • Electrolytes are essential for basic cell function.
  • Potassium, sodium, magnesium, and fluoride can help decrease muscle soreness and exercise fatigue after physical activity or workouts.
  • The anti-inflammatory properties come from the vitamin C.
  • Eating tomatoes before or after physical activity can help replenish magnesium which is essential for muscle contraction. (Edward J. Collins, et al., 2022)

Protection Against Dementia

  • Potassium provides power to the heart and has a role in body nerve function.
  • One recent study found that individuals who consumed more potassium and less sodium had improved cognitive function. (Xiaona Na, et al., 2022)
  • Another study analyzed how carotenoids/antioxidants that affect the color of vegetables affect long-term brain health.
  • Researchers found that individuals with increased blood levels of lutein and zeaxanthin, which are both present in cooked tomatoes had a lower rate of dementia. (May A. Beydoun, et al., 2022)
  • Lutein and zeaxanthin are also known for protecting eye health as the body ages.

Help Prevent Prostate Cancer

  • Cooking tomatoes compromises the vitamin C content, but increases the availability of several antioxidants that can protect against cancer growth.
  • Especially for men, lycopene is beneficial to help reduce prostate-related issues.
  • Studies have found that men who eat tomatoes, including raw, sauce, and on pizza have a lower risk of developing prostate cancer due to the total amount of lycopene absorbed, which is optimized in cooked tomatoes. (Joe L. Rowles 3rd, et al., 2018)
  • Lycopene and other plant pigments/carotenoids are believed to protect against cancer because of their antioxidant properties. (Edward J. Collins, et al., 2022)
  • Lycopene and other antioxidants in tomatoes can also benefit male fertility by improving sperm count and sperm motility. (Yu Yamamoto, et al., 2017)

Balance Blood Sugar

  • Tomatoes can help manage blood sugar in individuals with diabetes.
  • They have fiber that helps regulate blood sugar and bowel movements.
  • Fiber naturally slows digestion to keep the body fuller and longer and does not negatively impact blood sugar levels.
  • This is especially important given that 95% of the U.S. population does not consume the appropriate amount of fiber. (Diane Quagliani, Patricia Felt-Gunderson. 2016)

Healthy Skin, Hair, and Nails

  • Tomatoes contain chlorogenic acid, a compound that can encourage collagen production.
  • Vitamin C and A in raw tomatoes can help the appearance of skin, hair, and nails.

The Healing Diet to Combat Inflammation


References

USDA: FoodData Central. Tomatoes, red, ripe, raw, year-round average.

Collins, E. J., Bowyer, C., Tsouza, A., & Chopra, M. (2022). Tomatoes: An Extensive Review of the Associated Health Impacts of Tomatoes and Factors That Can Affect Their Cultivation. Biology, 11(2), 239. doi.org/10.3390/biology11020239

Song, B., Liu, K., Gao, Y., Zhao, L., Fang, H., Li, Y., Pei, L., & Xu, Y. (2017). Lycopene and risk of cardiovascular diseases: A meta-analysis of observational studies. Molecular nutrition & food research, 61(9), 10.1002/mnfr.201601009. doi.org/10.1002/mnfr.201601009

Na X, Xi M, Zhou Y, et al. Association of dietary sodium, potassium, sodium/potassium, and salt with objective and subjective cognitive function among the elderly in China: a prospective cohort study. (2022). Glob Transit. 4:28-39. doi:10.1016/j.glt.2022.10.002

Beydoun, M. A., Beydoun, H. A., Fanelli-Kuczmarski, M. T., Weiss, J., Hossain, S., Canas, J. A., Evans, M. K., & Zonderman, A. B. (2022). Association of Serum Antioxidant Vitamins and Carotenoids With Incident Alzheimer Disease and All-Cause Dementia Among US Adults. Neurology, 98(21), e2150–e2162. doi.org/10.1212/WNL.0000000000200289

Rowles, J. L., 3rd, Ranard, K. M., Applegate, C. C., Jeon, S., An, R., & Erdman, J. W., Jr (2018). Processed and raw tomato consumption and risk of prostate cancer: a systematic review and dose-response meta-analysis. Prostate cancer and prostatic diseases, 21(3), 319–336. doi.org/10.1038/s41391-017-0005-x

Yamamoto, Y., Aizawa, K., Mieno, M., Karamatsu, M., Hirano, Y., Furui, K., Miyashita, T., Yamazaki, K., Inakuma, T., Sato, I., Suganuma, H., & Iwamoto, T. (2017). The effects of tomato juice on male infertility. Asia Pacific journal of clinical nutrition, 26(1), 65–71. doi.org/10.6133/apjcn.102015.17

Quagliani, D., & Felt-Gunderson, P. (2016). Closing America’s Fiber Intake Gap: Communication Strategies From a Food and Fiber Summit. American journal of lifestyle medicine, 11(1), 80–85. doi.org/10.1177/1559827615588079

A Guide to Food Substitutions: Making Healthy Choices

A Guide to Food Substitutions: Making Healthy Choices

“For individuals looking to improve their quality of life, can substituting healthy meal ingredients be a simple step toward better health?”

Food Substitutions

Food Substitutions

Eating well does not mean having to give up favorite foods. Part of the enjoyment of home cooking is putting one’s own style on each dish. Individuals soon discover they prefer healthy food substitutions to the original high-fat, high-sugar, or high-sodium ingredients. Healthy swaps can be introduced gradually to allow the taste buds to adapt. It is possible to reduce:

  • Calories
  • Unhealthy fats
  • Sodium
  • Refined sugars

Simply making smart swaps that replace some ingredients with more beneficial ones.

Ingredients for Healthier Meals

Recipes are the sum of their parts. A dish made with multiple ingredients adds its own nutrition for healthy or unhealthy. Ingredients high in calories, saturated fat, added sugars, and/or sodium can make a dish less nutritious. By making strategic food substitutions, individuals can transform a high-calorie, high-fat, sugary dish into something more nutritious. When done regularly this adjustment leads to long-term healthy behavior changes. Making small adjustments leads to improvements in weight management, heart health, and risk of chronic diseases.

Substituting Unhealthy Fats and Oils

  1. Instead of baking with butter, try using applesauce, mashed avocados, or mashed bananas.
  2. These plant-based alternatives don’t overload the body with saturated fat.
  3. Try using half butter and half an alternative to cut calories and fats.
  4. For cooking, try sautéing, roasting, or pan-frying in olive or avocado oil.
  5. Both contain healthy monounsaturated fats.
  6. These oils can be used for dipping bread with dinner or for a quick snack.
  7. Fresh herbs or a dash of balsamic vinegar can add flavor.

Refined Sugars

Enjoying sweets can be healthy, but the objective is to be mindful of how much-refined sugar is consumed. Sweet flavors send signals to the reward centers in the brain, increasing positive associations with sugar. However, eating high amounts of sugar can lead to:

Try to control how much sugar goes in.

  1. Consider incrementally scaling back on sugar in baked goods by adding three-fourths or half of the sugar.
  2. Try using fresh fruit as a natural sweetener.
  3. Mashed dates add caramel-like flavor without spiking blood sugar like white sugar.
  4. Maple syrup is another alternative.
  5. Experiment with options and combinations to keep refined sugars to a minimum.
  6. For soda or other sweetened beverages, consider going half with sparkling water and soda or juice.
  7. Sweeten water with fruit by steeping it in an infusion pitcher or bottle.

Sodium

Salt is another common excess in an individual diet. Sodium contributes to high rates of elevated blood pressure, heart attack, and stroke.

  • The CDC offers tips on how reducing sodium can improve health. (Centers for Disease Control and Prevention. 2018)
  • An array of other herbs and spices can amplify the flavor of meals.
  • Purchase or create various flavor blends.
  • For example, cumin, chili powder, oregano, and red pepper flakes can spice up a dish or a blend of thyme, paprika, garlic powder, and onion powder can add savory notes.
  • A study found that adding lemon juice to recipes could reduce sodium content and add tanginess. (Sunkist Growers. 2014)

Whole Grains

Individuals don’t have to choose brown rice or whole wheat pasta for every meal but try to select whole grains half of the time. Food substitutions that can help achieve the halfway point include:

  • Popcorn or whole wheat crackers instead of refined flour crackers.
  • Whole wheat pizza crust instead of regular crust.
  • Substitute brown rice for white in stir-fries or casseroles.
  • Oatmeal instead of refined grain cereal.
  • Whole wheat pasta for spaghetti and meatballs or other pasta dishes.
  • Quinoa as a side dish instead of white rice or couscous.

More whole grains equals more fiber and B vitamins to help sustain energy, prevent blood sugar spikes, and promote digestive health. Eating more whole grains has been linked with a reduced risk of heart disease (Caleigh M Sawicki, et al. 2021) and a lower risk of colon cancer. (Glenn A. Gaesser. 2020)

Finding the right combination of each of these substitutions takes time. Go slow and taste often to see how each substitution affects a recipe’s taste and texture.


Boost Metabolism


References

Zong, G., Li, Y., Wanders, A. J., Alssema, M., Zock, P. L., Willett, W. C., Hu, F. B., & Sun, Q. (2016). Intake of individual saturated fatty acids and risk of coronary heart disease in US men and women: two prospective longitudinal cohort studies. BMJ (Clinical research ed.), 355, i5796. doi.org/10.1136/bmj.i5796

American Heart Association. Saturated fat.

Harvard T.H. Chan School of Public Health. Different dietary fat, different risk of mortality.

Faruque, S., Tong, J., Lacmanovic, V., Agbonghae, C., Minaya, D. M., & Czaja, K. (2019). The Dose Makes the Poison: Sugar and Obesity in the United States – a Review. Polish journal of food and nutrition sciences, 69(3), 219–233. doi.org/10.31883/pjfns/110735

Harvard Health Publishing. The sweet danger of sugar.

American Heart Association. How much sugar is too much?

Centers for Disease Control and Prevention. How to Reduce Sodium Intake.

Sunkist Growers. Sunkist Growers and Chefs from Johnson & Wales University Release New S’alternative® Research.

Sawicki, C. M., Jacques, P. F., Lichtenstein, A. H., Rogers, G. T., Ma, J., Saltzman, E., & McKeown, N. M. (2021). Whole- and Refined-Grain Consumption and Longitudinal Changes in Cardiometabolic Risk Factors in the Framingham Offspring Cohort. The Journal of nutrition, 151(9), 2790–2799. doi.org/10.1093/jn/nxab177

Gaesser G. A. (2020). Whole Grains, Refined Grains, and Cancer Risk: A Systematic Review of Meta-Analyses of Observational Studies. Nutrients, 12(12), 3756. doi.org/10.3390/nu12123756

Food Condiments and Overall Health

Food Condiments and Overall Health

For individuals, does knowing about food condiments nutritional values help with overall health?

Food Condiments and Overall Health

Food Condiments

Condiment options go beyond the standard mayonnaise, ketchup, and mustard. Today there are various options to use as toppers, to marinate, tenderize, increase flavor, and add an appeal to the dish. Most condiments don’t provide much nutrition, but some do contain healthy ingredients like herbs, spices, ​heart-healthy fats, and antioxidants.

Healthy

The food condiments that are made the healthiest are those that are low in calories and unhealthy fat and they are made with less or no processed additives and quality ingredients that provide health benefits.

Pico de Gallo

  • This is a low-calorie, low-fat, nutrient-dense salsa that can zest up any meal.
  • It is made with tomatoes, onions, jalapeños, and lime.
  • Easily make your own to control sodium levels.
  • Top salads, vegetables, or protein with the salsa to add flavor.
  • Use as a dip for fresh raw vegetables as a snack.

Mustard

  • Mustard is a very low-calorie – 5 calories in 1 teaspoon, low-carbohydrate, and fat-free condiment that can increase the flavor of food by adding a sweet, sour, or spicy kick.
  • Most traditional mustards – yellow and spicy – are made with mustard seed, distilled vinegar, garlic powder, onion powder, salt, spices, and turmeric.
  • This means that mustard contains little or insignificant calories, fat, protein, and carbohydrate in one serving.
  • Studies have shown that turmeric can provide health benefits from a compound called curcumin.
  • Preclinical studies suggest that curcumin can act as an antioxidant and has anti-inflammatory, anticancer, and neuroprotective properties. (Abrahams S, et al., 2019)
  • Flavored mustards, like ​honey flavor, can contain added sugars, therefore, it is recommended to read the label before eating.
  • According to the USDA, 1 teaspoon of spicy mustard contains 5 calories, 60mg sodium, and no fat, carbohydrates, fiber, protein, or sugar. (FoodData Central. U.S. Department of Agriculture. 2021)

Vinegar

  • Balsamic, red or white wine or apple cider vinegar can be used on side dishes, salads, sandwiches, and to marinate.
  • This condiment ranges from 0 calories to 10 calories per tablespoon and contains no sodium.
  • Studies have shown that apple cider vinegar can reduce fasting blood sugar in individuals at risk for type 2 diabetes. (Johnston CS, Quagliano S, White S. 2013)

Hot Sauce

  • Hot sauce is made from red chili peppers.
  • Top eggs, vegetables, or whole grains with a few dashes.
  • Studies suggest that adding spice can help satisfy hunger, help curb appetite and possibly speed up metabolism. (Emily Siebert, et al., 2022)
  • Read labels as sauces can contain added sugars.

Ketchup

  • Because of its carbohydrate and sugar content, ketchup is a condiment that needs to be portion-controlled, especially for individuals with diabetes who are following a modified nutritional plan.
  • Ketchup contains 17 calories, 5 grams of sugar, and 4 grams of carbohydrates in one tablespoon. (FoodData Central. U.S. Department of Agriculture. 2020)
  • Individuals are recommended to stick to one portion and choose a ketchup that is not made with high fructose corn syrup.

Unhealthy

Unhealthy food condiments are high in calories, sodium, fat, and/or sugar in a single serving.

Creamy Salad Dressing

Mayonnaise

  • Mayonnaise can be extremely high in calories for a small portion.
  • Despite being made from whole ingredients like egg yolks, olive oil, and vinegar,
  • One tablespoon is 94 calories and 10 grams of fat. (FoodData Central. U.S. Department of Agriculture. 2020)
  • Although much of the fat is unsaturated/healthy type, it can be hard to portion control this food condiment, which can result in excess calorie intake.

Barbecue Sauce

  • Barbecue sauce is moderate in calories, around 60 in two tablespoons, but it can contain a large amount of sodium and sugar.
  • Most brands can contain 10 to 13 grams of sugar/equivalent to 3 teaspoons and 280 to 350 milligrams of sodium.
  • The recommended serving size is two tablespoons.
  • Individuals trying to watch calorie and sugar intake are recommended to stick to one serving.

Sour Cream

  • Sour cream contains 60 calories and 6 grams of fat in two tablespoons.
  • About half of the fat in sour cream is saturated. (FoodData Central. U.S. Department of Agriculture. 2020)
  • Regularly consuming saturated fat has been linked with heart disease, high cholesterol, and diabetes.
  • A healthy substitute for sour cream can be a tablespoon or two of low-fat or non-fat plain Greek yogurt.

Regardless of the healthy or non-healthy food condiments, it is recommended not to drown the food in them and stick to the recommended serving sizes.


Benefits of Healthy Diet and Chiropractic Care


References

Abrahams, S., Haylett, W. L., Johnson, G., Carr, J. A., & Bardien, S. (2019). Antioxidant effects of curcumin in models of neurodegeneration, aging, oxidative and nitrosative stress: A review. Neuroscience, 406, 1–21. doi.org/10.1016/j.neuroscience.2019.02.020

Spicy brown mustard. FoodData Central. U.S. Department of Agriculture.

Johnston CS, Quagliano S, White S. Vinegar ingestion at mealtime reduced fasting blood glucose concentrations in healthy adults at risk for type 2 diabetes. J Funct Foods. 2013;5(4):2007-2011. doi:10.1016/j.jff.2013.08.003

Siebert, E., Lee, S. Y., & Prescott, M. P. (2022). Chili pepper preference development and its impact on dietary intake: A narrative review. Frontiers in nutrition, 9, 1039207. doi.org/10.3389/fnut.2022.1039207

Ketchup. FoodData Central. U.S. Department of Agriculture.

Caesar dressing. FoodData Central. U.S. Department of Agriculture.

Vinaigrette. FoodData Central. U.S. Department of Agriculture.

Mayonnaise. FoodData Central. U.S. Department of Agriculture.

Sour cream, regular. FoodData Central. U.S. Department of Agriculture.

Food Energy Density: EP Back Clinic

Food Energy Density: EP Back Clinic

The brain and body need macronutrients that include carbohydrates, fats, and protein in the right amounts to energize the body. About half of the calories should come from carbohydrates, 30% from fat, and 20% from protein. Food energy density is the amount of energy, represented by the number of calories, in a specific weight measurement.

Food Energy Density: EP's Functional Chiropractic Team

Food Energy Density

Energy density is determined by the proportion of macronutrients – protein, fat, carbohydrates, fiber, and water.

  • Energy-dense foods are high in calories per serving.
  • Foods with large amounts of fiber and water have a lower density.
  • Foods high in fat have an increased energy density.
  • An example of a high-energy-density food is a donut because of the high-calorie count from the sugar, fat, and small serving size.
  • An example of a low-energy-density food is spinach because it only has a few calories in a whole plate of raw spinach leaves.

Energy Dense Foods

Energy-dense foods contain a high number of calories/energy per gram. They are typically higher in fat and lower in water. Examples of energy-dense foods include:

  • Full-fat dairy
  • Butter
  • Cheese
  • Nut butter
  • Fatty cuts of meat
  • Starchy vegetables
  • Thick sauces
  • Nuts
  • Seeds

Less nutrient-dense foods include:

  • Sweets
  • Deep-fried foods
  • French fries
  • Pasta
  • Crackers
  • Chips

Foods like soups and beverages can be either high or low energy density depending on the ingredients. Broth-based soups with vegetables usually have low density while creamed soups are energy-dense. Non-fat milk is less dense than regular milk, and diet soda is less dense than regular soda.

Low Energy Dense Foods

  • Foods with low energy density include high-fiber green and colorful vegetables.
  • Foods with low energy density are often nutrient-dense, which means they have plenty of nutrients per serving size.
  • Many fruits, berries, and vegetables are low in calories, high in fiber, and packed with vitamins and minerals.
  • Foods high in water content like citrus fruits and melons are usually less energy-dense.
  • Low-calorie foods often have a low energy density, but not always.
  • It’s important to read nutrition labels to know how many calories are being provided daily.

Weight Management

  • Weight management is about watching how many calories are taken in and how many calories are burned.
  • Filling up on foods with low energy density will cause the body to feel satisfied while eating fewer high-density calories.
  • Plan all meals so they include foods with a low energy density and high in nutrients.
  • However, the opposite can happen if individuals eat mostly low-energy-dense foods, will need a larger volume of food to fill up, and as a result, will take in more calories.
  • This is not ideal for losing weight, but it could be helpful if trying to gain weight.
  • High-energy-dense foods that are nutritious include avocados, nuts, and seeds.

Adjustment Recommendations

Add More Fruits and Vegetables To The Plate

  • At least half of a plate should be covered with low-calorie fruits and vegetables.
  • Berries are sweet and delicious and provide antioxidants
  • Leave a quarter of the plate for the protein, and the remaining quarter can hold a serving of starchy foods like pasta, potatoes, or rice.
  • Eating more fruits and vegetables will partially fill the body leading to eating less high-energy-dense foods.
  • Picky eaters should try various recipes, sooner or later, they will discover something they enjoy.

Start With Salad or a Bowl of Clear Broth Soup

  • Soups and salads will fill the body before the main energy-dense course like pasta, pizza, or another high-calorie food.
  • Avoid heavy cream-based salad dressings and creamed soups.
  • Water has zero calories and drinking a few glasses can help suppress the hunger until the next meal, or a low-density snack.

From Consultation to Transformation


References

www.cdc.gov/nccdphp/dnpa/nutrition/pdf/r2p_energy_density.pdf

Fernandez, Melissa Anne, and André Marette. “Potential Health Benefits of Combining Yogurt and Fruits Based on Their Probiotic and Prebiotic Properties.” Advances in nutrition (Bethesda, Md.) vol. 8,1 155S-164S. 17 Jan. 2017, doi:10.3945/an.115.011114

Horgan, Graham W et al. “Effect of different food groups on energy intake within and between individuals.” European Journal of Nutrition vol. 61,7 (2022): 3559-3570. doi:10.1007/s00394-022-02903-1

Hubbard, Gary P et al. “A systematic review of compliance to oral nutritional supplements.” Clinical nutrition (Edinburgh, Scotland) vol. 31,3 (2012): 293-312. doi:10.1016/j.clnu.2011.11.020

Prentice, A M. “Manipulation of dietary fat and energy density and subsequent effects on substrate flux and food intake.” The American Journal of clinical nutrition vol. 67,3 Suppl (1998): 535S-541S. doi:10.1093/ajcn/67.3.535S

Slesser, M. “Energy and food.” Basic life sciences vol. 7 (1976): 171-8. doi:10.1007/978-1-4684-2883-4_15

Specter, S E et al. “Reducing ice cream energy density does not condition decreased acceptance or engender compensation following repeated exposure.” European Journal of clinical nutrition vol. 52,10 (1998): 703-10. doi:10.1038/sj.ejcn.1600627

Westerterp-Plantenga, M S. “Effects of the energy density of daily food intake on long-term energy intake.” Physiology & behavior vol. 81,5 (2004): 765-71. doi:10.1016/j.physbeh.2004.04.030

Walking Energy Snacks: El Paso Back Clinic

Walking Energy Snacks: El Paso Back Clinic

Walking is a great physical exercise activity that requires endurance. When walking for two hours or more, refueling energy stores can be done with portable walking energy snacks. These are foods that can be taken along and eaten while on the move. This includes fruits, vegetables, energy bars, trail mix, energy gels, and sports drinks that can replenish the body. However, depending on when an individual goes for a walk, they need to think about breakfast or lunch nutrition before engaging in the walk. This will help to get the most benefits from the snacks, as well as, what to have after the workout for recovery.

Walking Energy Snacks: EP's Functional Chiropractic Clinic

Walking Energy Snacks

Individuals walking for a long time will want a snack – before, during, and after. There are various options to choose from. Individuals may want to experiment with various snack and drink options to find the right balance of carbs, fat, and protein so that the body gets the energy it needs without feeling weighed down or hungry soon after. The ideal walking energy snacks should be healthy, full of energy, and easy to eat on the move.

Fruit Snacks

  • Fruit snacks are great for the all-natural carbohydrate burst.
  • Bananas are great for potassium.
  • Apples, oranges, and raisins are also recommended packable snacks.
  • For certain individuals, the fiber in some fruits can get digestion moving, requiring a restroom, so plan ahead.
  • Some individuals can eat fruit regularly but may have an upset stomach during walking, which is why experimentation may be necessary.

Energy Bars

  • Nutrition bars can provide vitamins and minerals and protein but can be high in calories.
  • Check the labels to choose the balance of ingredients that’s best for you.
  • Energy bars offer a healthy combination of carbohydrates, protein, and fat.​
  • They are convenient for a snack when on a walk.
  • Most products utilize peanuts/other nuts or soy for protein.
  • Individuals may want to avoid chocolate-covered bars, as they can melt.

Trail Mix

  • Trail mixes are the original energy bar.
  • Individuals can mix their own, buy in bulk, or pre-packaged.
  • Trail mix contains nuts for protein, raisins or other dried fruit for carbohydrates, and chocolate or carob for taste.
  • The salted varieties can help replace electrolytes.
  • Be aware of portion control, as trail mix is often high in fat and calories.

Energy Gels

  • Energy gels provide a carbohydrate boost designed for individuals doing endurance events and activities.
  • Energy gels need to be taken with water for carbohydrate digestion.
  • There are some that can be taken without water but may not provide as much energy.
  • For individuals that walk fast and breathe hard, energy gels can be safer than chewing and possibly choking.
  • Newer brands are trying to be natural and less sweet.

Energy and Sports Drinks

  • Water is not enough to keep the body hydrated on long walks.
  • Sports drinks with sugar and salt replenish H2O and electrolyte levels more thoroughly when walking for more than an hour helping to prevent dehydration and hyponatremia/low salt levels.
  • It is recommended to avoid:
  • High-caffeine energy drinks in small cans, as they have too much caffeine and not enough hydrating water.
  • Sports and energy drinks with additives and herbs, which do not help on walks, and look for those with salt and carbohydrate replacement.

Ankle Sprain Recovery


References

Francois, Monique E et al. “’Exercise snacks’ before meals: a novel strategy to improve glycaemic control in individuals with insulin resistance.” Diabetologia vol. 57,7 (2014): 1437-45. doi:10.1007/s00125-014-3244-6

Islam, Hashim, et al. “Exercise Snacks: A Novel Strategy to Improve Cardiometabolic Health.” Exercise and sport sciences review vol. 50,1 (2022): 31-37. doi:10.1249/JES.0000000000000275

Marangoni, Franca, et al. “Snacking in nutrition and health.” International Journal of food sciences and Nutrition vol. 70,8 (2019): 909-923. doi:10.1080/09637486.2019.1595543

McCubbin, Alan J et al. “Sports Dietitians Australia Position Statement: Nutrition for Exercise in Hot Environments.” International Journal of sports nutrition and exercise metabolism vol. 30,1 (2020): 83-98. doi:10.1123/ijsnem.2019-0300

Moore, Daniel R et al. “Walking or body weight squat “activity snacks” increase dietary amino acid utilization for myofibrillar protein synthesis during prolonged sitting.” Journal of applied physiology (Bethesda, Md.: 1985) vol. 133,3 (2022): 777-785. doi:10.1152/japplphysiol.00106.2022

Njike, Valentine Yanchou, et al. “Snack Food, Satiety, and Weight.” Advances in nutrition (Bethesda, Md.) vol. 7,5 866-78. 15 Sep. 2016, doi:10.3945/an.115.009340