As a registered dietitian and certified diabetes educator at UConn Health, every day I am educating patients on their diet for various reasons.
Perhaps it’s how to eat a lower-fat, healthier diet to lose weight, how to eat a consistent carbohydrate meal plan to achieve better glucose control, or how to improve gastrointestinal symptoms by making dietary modifications. Whatever it is, it involves change. As we all know, achieving change can be overwhelming.
Why is that? In the Fogg Behavior Model explained in the book Tiny Habits: The Small Changes That Change Everything, author B.J. Fogg explains that there is a relationship between three factors: motivation, ability, and prompt. He explains that motivation can be on a scale of 0 to 10, and the higher your motivation the easier it is to do something. However, we need something to prompt us to do something. These prompts or cues for me could be that before I go downstairs, I bring my running clothes and sneakers so it is easy to put them on and do my morning run.
Another important point is to have specific little habits that you do which will add up to losing weight versus having a goal of just losing weight. An example could be, every time I sit down to eat I am going to drink 2 cups of water. This will fill me up and help me to eat less at that meal, and help me stay hydrated. Perhaps feeling good about drinking those 6 cups of water will help you to then eat at least half of the plate of veggies. One good tiny habit leads to the other.
How many times have you heard to do a half hour of aerobic exercise every day? Perhaps if you try to do a five-minute walk at the same time every day, you will be successful at being consistent in that five-minute walk and gradually will increase your walk to 10 minutes and so on until you get to your goal of 30 minutes each day. Eventually, walking for a half hour and drinking two cups of water before each meal will become a habit.
So next time you want to make a change such as learn a language, lose some weight, or become a better listener, break it down and achieve one tiny habit at a time.
—Linda York M.S., R.D., CDCES
Linda York is a Sodexo dietitian who works in the outpatient clinic at UConn Health.
‘Changing the Way People and Patients Eat, One Plate at a Time,’ a perspective from UConn Health dietitian Linda York
You have seen them around – perhaps in the NICU, on the medical floors, in the cafeteria, at medical meetings, education seminars, in the outpatient cancer center or diabetes nutrition clinic. Who are they? They are the registered dietitians of UConn Health, employed by Sodexo. (Sodexo is a worldwide food service company for hospitals, companies and other venues and has been at UConn Health for several years.)
March is National Nutrition Month so our Sodexo registered dietitians will be in the cafeteria featuring a weekly theme and a delicious recipe from Sodexo. Chef Roland will prepare a sample of the recipe for you to taste.
Here is a summary of the weekly themes presented for National Nutrition Month.
Week 1: Kerry Coughlin, MSRD, kicks it off with “Smart Tips to Build a Healthy Salad.”
Week 2: Hannah Anctil, R.D., presents “Eating on the Run in 2021.”
Week 3: Erin McDonald, R.D., offers “Power Up Breakfast.”
Week 4: William Kelsey, R.D., features a cultural food theme.
The other Sodexo registered dietitians at UConn Health who are working behind the scenes for National Nutrition month are Erica Burdon, MSRD, Chris Carnright, MSRD and myself.
And who keeps us all organized? That would be Melissa Kelly, MSRD, Sodexo hospital clinical manager, who not only manages the R.D. staff, she also offers her clinical expertise and guidance in all areas of clinical nutrition.
Be sure to check Lifeline for posts featuring the weekly recipe/handout done by our Sodexo registered dietitians.
And next time you see one of us, please say hello. We are here for you!
As a registered dietitian and certified diabetes educator working from home providing nutritional and diabetes education, I have heard how some of my patients are gaining weight, eating more out of boredom or stress and exercising less during isolation. However, some of my patients are taking a can-do approach by walking more, eating better, trying more recipes and losing weight. In short, they are becoming healthier. This is a good thing because by improving our health, we can prevent many chronic diseases such as prediabetes, diabetes, heart disease, hypertension, hyperlipidemia and orthopedic injuries. Also, adopting healthy habits can reduce your risk of viral infections of any kind. So let’s take a look at some of these COVID can-do healthy habits.
Healthy Habit # 1: Physical exercise
Since the stay-at-home order was put in place, walking has exploded in popularity and everybody is outside. Let’s keep it up, and aim for whatever you can do. Depending on your level of fitness, it may start with a 10 minute walk a day with an increase by 5 minutes a week trying to get to a goal of 45 minutes each day. This will help you lose some weight and reduce stress. Being mindful of the beauty of nature that abounds surely helps. Hiking has increased, too. The “All Trails” app is a great tool for easy, moderate-to- hard trails (just get there early). If walking is difficult, perhaps chair exercises or stationary bike outside or in front of your favorite window is an option. For inside exercise, YouTube has many choices. Leslie Sazzone’s “Walking Off the Weight” video on YouTube or on DVD is a favorite of my patients.
Healthy Habit # 2: Manage Stress
This is easier said than done with so many people laid off from work. However, there are free online yoga classes. I have taken several which can range from gentle to Vinyassa – which is more advanced. If you’re new to yoga, try gentle yoga with meditation. You can find meditation on YouTube as well. Practicing meditation and breathing are helpful tools. Isolation can increase stress. Reach out to someone by telephone, email or an outdoor visit. During the COVID pandemic, there has been an increase in alcohol intake so be mindful of your drinking. One 5-ounce glass of wine has 120 calories, which adds up calorie-wise.
Healthy Habit # 3: Healthy Diet
As usual, a plant-based, Mediterranean, low-fat, portion-controlled diet using the plate method is recommended. Go to myplate.org. For every meal, try to make half of your plate fruits and vegetables, a quarter of your plate as lean protein and a quarter should be complex carbohydrates that are high in fiber and less topical fats and sugars. Now may be the time to try and eat more vegetarian meals. Why? Vegetarian meals provide more fiber which help promote healthy gut bacteria, provide less cholesterol and/or saturated fat, and are rich in antioxidant/fiber rich fruits and vegetables. By adding more fiber, we drop the amount of calories we consume because high-fiber foods fill us up more. Also, vegetarian ingredients are easy to find and stock up on during COVID time when going to the supermarket less and meat availability is less. Purchase staples such as beans, legumes, peas, nonfat plain yogurt, eggs, bread, frozen, fresh, canned fruits or veggies, canned plum tomatoes, pasta, potatoes, nonfat milk, onions, carrots, cauliflower, chicken, tofu, salmon, shrimp and oatmeal are all great to have to make the recipes below.
Since many of us have more time to cook, try something new such as baking whole wheat bread like batter (no-knead bread) or traditional bread. It’s fun, and really all you need is time and some yeast (sometimes hard to come these days.)
Healthy Habit # 4: A Good Night’s Sleep
Practice good sleep hygiene by going to bed at the same time each night, drinking less wine or alcohol before bed and putting cell phones and devices in another room. Room blackening shades may be helpful.
Here are some recipes (some from patients), that I have been making with the staples above. I hope you enjoy them:
Aromatic Carrot Soup
Ingredients: Combine 2 tablespoons butter and olive oil with 2 medium chopped onions, ¼ teaspoon ginger, 1/8 teaspoon mace, 10 medium peeled and sliced carrots, 8 cups chicken or vegetable broth, 1 tablespoon grated orange zest, 1 cup fresh squeezed orange juice with salt and pepper to taste.
Process: Melt butter and oil in large sauce pan over low heat. Add onions and cook stirring until wilted, sprinkle ginger, and mace then stir for 1 minute. Add carrots, broth and orange zest. Bring to a boil, reduce heat, and simmer partially covered 20 minutes and cool. Then puree in food processor or Magic Bullet, stir in orange juice, salt and pepper. Serves 8.
Cauliflower Fried Rice Bowl
Ingredients: 3 cups raw grated cauliflower, ½ cup frozen peas, ½ cup thinly sliced carrots, 3 or 4 garlic cloves, ½ cup diced onion, ½ tablespoons. olive oil, 2 eggs scrambled and 3 tablespoons soy sauce.
Process: In large pan, sauté garlic and onions in olive oil on medium heat until onions become soft and transparent, Next add in peas, carrots and cook until carrots soften and peas are heated through for 3 to 4 minutes. Next stir in scrambled eggs, cauliflower and soy sauce cooking for 5 to 7 more minutes. Now add in your favorite protein and vegetable like broccoli, cabbage, bok choy, chicken, tofu, and salmon.
Made with apples, berries, cinnamon, oatmeal, ½ cup margarine, and brown sugar. Put fruit on bottom and add mixture to top and bake at 350 for a half hour.
Green Veggie Shake
Blend in magic bullet 1 carrot, 1 cup spinach, 1 apple, and 1 cup broccoli with 1 teaspoon ginger with 1 cup nonfat yogurt or 1% milk (a great way to get all your fruits and veggies for one day). If cold out, heat it up as a soup, if hot out drink it as a shake.
Ingredients: 3 tab butter, 4 garlic cloves, 1 ½ tablespoons ginger, 1 chopped onion, 2 tablespoons curry powder, ½ teaspoon turmeric powder, ½ teaspoon cayenne pepper, 1 ¼ teaspoons salt, ½ teaspoons pepper, 1 cup dried lentils, 14 ounces of milk, 14-ounce can diced tomatoes, 3 cups water.
Process: Sauté onion, with butter, garlic and ginger. Cook stirring until onion is gold. Cook off spices of curry powder and turmeric for 1 ½ minutes, add all rest of ingredients and stir. Bring to a simmer then place lid on and adjust heat to low for a gentle simmer for 30 minutes, then remove lid and simmer for another 10 minutes. (Lentils should be soft, sauce thick and creamy.) Serve with rice and nonfat Greek yogurt. Top with chopped cilantro.