Category Archives: Nutrition

The Costs of Hidden Sugar

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The average American eats about 5,000 tablespoons of sugar per year, amounting to roughly 152 pounds (or the weight of one person)[i].  That’s three pounds or six cups of sugar per week! Many of today’s health disparities are related to the increased consumption of added sugar and refined fats, including the rise of diabetes, hypertension and childhood obesity[ii].

Unlike naturally occurring sugar – such as the sugar found in milk or fresh fruit – added sugars are those that do not naturally occur in the food themselves. Rather, these sugars are added to a food or beverage during processing or preparation before packaging. Added sugars appear in many forms and often crop up unexpectedly, along with added fats and other harmful ingredients. We consume them so frequently that our bodies begin to crave them, deteriorating our health while boosting the packaged and fast food industry’s profit margins.

You may have experienced the power of a sugar craving and chalked the urge up to your “sweet tooth.” But you may not be aware of how addictive these sugars actually are. Studies have shown that Oreo cookies are more addictive than heroin[iii].  The brain views sugar as a reward, so the more we eat it, the more we want. Since the 1970s, added sugar intake in the United States has risen dramatically. The increased consumption of High Fructose Corn Syrup (HFCS) – the prevailing sweetener used to flavor popular beverages in the United States – has been found to mirror the growth of the obesity epidemic.

Finding ways to cut down or eliminate added sugar from your diet can be tricky if you don’t know what to look for (not all sources are as obvious as Oreos). Here are a few facts and FAQs to help you uncover hidden sugars and make more informed decisions.

Added sugars hiding out on your food labels go by different names. Here are just a few to look out for (there are more!):

Anhydrous Dextrose Molasses
Brown Sugar Nectars (e.g., Peach Nectar, Pear Nectar)
Confectioner’s Powdered Sugar Pancake Syrup
Corn Syrup Raw Sugar
Corn Syrup Solids Sucrose
Dextrose Sugar
Fructose White Granulated Sugar
High-Fructose Corn Syrup (HFCS) Cane Juice
Honey Evaporated Corn Sweetener
Invert Sugar Crystal Dextrose
Lactose Glucose
Malt Syrup Liquid Fructose
Maltose Sugar Cane Juice
Maple Syrup Fruit Nectar
Agave Allulose

Know the foods that often have sugars added to them. Again, there are more! Be sure to read the labels to look for the aliases above.

Peanut Butter Ketchup
Salad Dressing Yogurt
Granola Bars Frozen Meals
Spaghetti Sauce Dried Fruit
Fruit Juice BBQ, Sauces and Marinades
White Wine Canned Fruit and Vegetables
Applesauce Breakfast Cereal
Protein Drinks (including Ensure or Boost) Soups
Breads & Crackers Baked Beans
Pastries (Cake, Pies, Cookies, Muffins) Energy Drinks (Monster, Red Bull)
Candy and Ice Cream Electrolyte Drinks (Gatorade, Powerade)
Beverages (Soda/Coffee/Vitamin Water) Flavored Potato Chips


Know how much sugar is recommended and safe to consume.
Dietitians and other health experts recommend getting ten percent or less of your daily calories from sugar. This equals 13.3 teaspoons of sugar per day if you’re consuming 2,000 calories. Beware, the average 12-ounce soda contains 16 teaspoons of sugar! Just one soda per day could lead to a weight gain of 15 pounds in a year.

Sugar does not provide any additional vitamins or minerals that assist the body in its daily functions to promote energy and a healthy lifestyle.  For example, a two-ounce chocolate bar has 30 grams of sugar and the same calories as three medium bananas. Bananas are low in fat and high in vitamins, minerals and fiber. Despite containing natural sugar, bananas will satisfy your sweet craving while helping you feel fuller longer. Natural sugars found in whole fruit don’t affect the body the same way due to their naturally occurring fiber.

So, are artificial sweeteners a better swap?
Artificial sweeteners may seem like an appealing substitute for the taste of sugar without the calories, but they come with some not-so-sweet trade-offs. Per the Food and Drug Administration (FDA), artificial sweeteners that have been approved for use and are Generally Recognized as Safe (GRAS) include sucralose, saccharin, acesulfame, aspartame and neotame. However, studies have shown that frequent consumption of artificial sweeteners may lead to increased weight gain and overall increase in body mass index (BMI)[iv] . The perception of saving calories from artificially sweetened snacks or sodas may lead to replacing those calories through other sources. In other words, you may give a slice of cake the greenlight because you feel like you’ve made a healthy choice by drinking a diet soda with your lunch. Additionally, artificial sweeteners may alter the way we taste food due to their intensity, which can make less sweet foods – such as fruits and vegetables – undesirable[v].

Are fat-free snacks better?
No. Typically foods are flavored three ways: with fat, sugar and sodium. So, if one of the item is removed then other two are likely increased. Fat-free cakes, cookies and ice cream can have up to twice as much sugar than the regular serving.  Looking at the food label ingredient can help determine if that food item is a smart choice.

How to read the ingredients list.
Names of ingredients are listed in the order of the amount that the food contains, from the most to the least. For example, the Kellogg’s Raisin Bran Crunch ingredients list begins with whole grain wheat, sugar, raisins, and rice. The most abundant item found is whole grain wheat, the second most abundant is sugar, then raisins and so forth. Brown sugar syrup, glycerin, corn syrup, molasses and honey are also on the list (sources of added sugar). This one cereal contains five different types of sugar or sugar-like substance. Not quite as healthy as you may have thought.

So, what can I eat?
Practice small swaps to help you see progress, such as exchanging your lunchtime soda for twelve ounces of water (sparkling water is a healthy bubbly alternative), or packing fresh fruit and nuts rather than heading to the vending machine during your mid-day slump. Weaning yourself off of sugar isn’t easy, but you can find balance by integrating more complex carbohydrates (such as whole grains) into your diet and allowing yourself a small portion of a sweet treat every once in a while rather than quitting “cold turkey.”

Sugar takes a toll on the body and mind, with the slump following a sugar rush possibly accelerating mood disorder symptoms. It’s also been shown to negatively impact memory. With excess sugar leading to short-term impacts, such as weight gain, and long-term impacts that can shorten your lifespan, such as diabetes, it’s increasingly important to pay closer attention to what you eat. For more information, check out the healthy eating resources at Navy & Marine Corps Public Health Center, NOFFS Fueling Series and eatright.org.

LT Pamela Gregory, OPNAV N17 Nutrition Program Manager, is a Registered Dietitian with nine years’ experience in counseling a wide variety of clientele on nutrition and health-related diseases/ topics. LT Gregory uses a functional nutrition approach to assist clients in their treatment phase.

 

[i] http://www.dhhs.nh.gov/dphs/nhp/documents/sugar.pdf

[ii] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2892765/

[iii] http://www.sugarscience.org/the-growing-concern-of-overconsumption/#.WJit4Gq7pIB

[iv] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3210834

[v] http://www.health.harvard.edu/blog/artificial-sweeteners-sugar-free-but-at-what-cost-201207165030

Five Small ACTs to Strengthen your Mental Health

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Promoting mental health involves a combination of strategies supporting psychological, emotional and social well-being. While mental health is often discussed in relation to mental illness, it is defined as “a state of well-being in which the individual realizes his or her own abilities, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to his or her own community.” [1]

In honor of Mental Health Month (May), try incorporating these five small ACTs into your daily routine to build strength from the inside out:

  1. Practice self-care.
    Whether you’re navigating life’s daily stressors or are working through ongoing challenges, self-care is an important mental health tool. Journal writing is a self-care technique that can help you relieve stress, find meaning during adversity, and process thoughts and emotions in a healthy manner. To build this habit, seek a quiet place and aim to write for a few minutes at the same time each day (set a reminder on your smart phone if you need a nudge). Pick a format that’s most accessible and comfortable for you, such as a notebook or computer. If you’re ready to go but feel a bit of writer’s block coming on, try starting with phrases like “I am most grateful for…” or “I believe in myself because…” to get you going. Our partners at the Real Warriors Campaign have more tips on journaling and other self-care tools, such as practicing mindfulness.
  1. Fuel with nature’s best.
    When it comes to optimizing physical or mental health, the benefits of drinking water are a “no-brainer.” Moderate dehydration can elevate cortisol levels (one of the body’s fight or flight hormones) leading to feelings of anxiousness and stress. Just a two percent decrease in weight due to fluid loss has been shown to impair both mental and physical performance, including memory function [2]. The Navy Operational Fitness and Fueling System recommends drinking at least 0.5 to one fluid ounce of water per pound of body weight daily to promote physical and mental performance. Be sure to pair your H2O with nutrient-packed fruits, vegetables, whole grains and lean protein. Research shows that people with diets high in whole foods have a lower risk of depression than those who consume mostly processed food [3]. For more tips on fueling with your physical and mental health in mind, click here.
  1. Maintain a physical fitness regimen that you enjoy.
    What can you do to improve your mood, get better sleep, increase endurance, navigate stress, boost energy and stay mission (and PFA) ready? Exercise. Physical activity has been proven to do all of the above, in addition to potentially reducing the symptoms of anxiety and depression, and boosting cognitive function [4]. Round up a few shipmates and go for a run around the flight-deck, try a group fitness class on your installation, sweat it out on the yoga mat or get fit with interval training. The objective is to find a physical activity you enjoy that strengthens your body and mind! Aim for a minimum of two hours and thirty minutes of moderate physical activity per week, strength training all major muscle groups. Short on time or space? Try this workout.
  1. Have a plan to navigate stress—and put it in ACTion.
    Challenges are inevitable, and sometimes determining where you can turn for help can be a challenge in itself. A Stress Navigation Plan can help you identify your physical, emotional and social reactions to stress; note helpful coping strategies; and determine who and where your resources are before you need them. Your plan is a reminder that no matter the situation, you don’t have to navigate it alone. Personalize your Stress Navigation Plan today and keep it in a safe, easily accessible place. Key resources such as the Military Crisis Line, Military OneSource and Navy Chaplain Care are already populated in the plan for your convenience.
  2. Practice kindness, 1 Small ACT at a time.
    Performing a kind act stimulates “emotional warmth,” which promotes release of oxytocin in the brain [5]. Whether you volunteer to be an on-call designated driver for your shipmates, tell a loved one how much they mean to you, or simply hold the door for someone, you’re contributing to your own feelings of connectedness, purpose and belonging. These are important aspects of social and emotional well-being that build mental health. 1 Small ACT not only makes a difference to others—it makes a difference to you.

While you’re working these small ACTs into your daily routine, don’t forget to find the funny in life. Laughter can help thwart the release of stress hormones, trigger production of feel-good hormones and promote relaxation. Just don’t take it as far as Jonesy (pictured above, courtesy Julie Negron)!

For more small ACTs to strengthen your mental health this month and throughout the year, follow Operational Stress Control on Facebook and Twitter at @NavStress.

 References:

[1] Mental Health Basics. (2013). Retrieved April 2, 2016, from http://www.cdc.gov/mentalhealth/basics.htm

[2] Department of the Navy, Morale, Welfare and Recreation. (n.d.). Navy Operational Fitness and Fueling System. Retrieved April 3, 2016, from http://www.navyfitness.org/_uploads/docs/NOFFS_Nutrition.pdf

[3] Akbaraly, T. N., Brunner, E. J., Ferrie, J. E., Marmot, M. G., Kivimaki, M., & Singh-Manoux, A. (2009). Dietary pattern and depressive symptoms in middle age. The British Journal of Psychiatry, 195(5), 408-413. doi:10.1192/bjp.bp.108.058925

[4] Sharma, A., Madaan, V., & Petty, F. D. (2006). Exercise for Mental Health. Primary Care Companion to The Journal of Clinical Psychiatry, 8(2), 106.

[5] Acts of Kindness can make you Happier. Retrieved March 01, 2016 from http://health.usnews.com/health-news/new/articles/2013/01/24/acts-of-kindness-can-make-you-happier

Savor the Flavor of Eating Right during Navy Nutrition Month 2016

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There are a variety of factors that influence our food choices, from childhood experiences to current hunger levels, the food around you, emotions and more. Our perceptions of “healthy” versus “unhealthy” food can be shaped by as many factors, including confusing labels, clever marketing and fad diets. March is Navy Nutrition Month and this year’s focus follows the Academy of Nutrition and Dietetics National Nutrition Month campaign theme: Savor the Flavor of Eating Right. This theme encourages you to explore the different ways to follow a nutritious and balanced eating plan packed with tasty foods, while taking the time to enjoy and appreciate the many flavors and social experiences food adds to our lives.

Eating right and maintaining regular physical activity can be stressful in today’s busy world.  This year make mindfulness a priority at mealtime by focusing on:

  • Enjoying the sight, sounds and good memories associated with eating;
  • Making half your plate fruits and vegetables;
  • Trying one new food from each food group every week; and
  • Having a basis of 3 meals daily with healthy snacks to hold you over when there’s more than 4-5 hours between meals.

A solid foundation within these concepts will help to achieve and maintain a healthy weight, reduce the risk of chronic disease and promote overall physical and psychological health. You’ll also be well on your way to building new nutrition habits that can help take the stress out of healthy eating.

Remember, what you eat is only half of the focus – how you eat is equally as important. Engage all your senses when you eat – observe the shape and color of your food, savor the fragrant aroma, eat slowly, taste the different flavors and pay attention to every bite. Make every meal an experience to enjoy the full benefit of your food!

Don’t think healthy foods can taste good? Think again! It is a common misconception that whole foods—such as vegetables, fruits, whole grains, beans and legumes—are boring, bland or tasteless.  In fact, these foods have more inherent natural flavor than their fried, sugary, or heavily-salted processed counterparts. The great thing about preparing a dish with fresh and wholesome ingredients is that you can season to your taste and give the dish your own personal flare. By using herbs such as thyme, bay leaf or rosemary and spices like cumin, allspice or paprika, you can create savory dishes with minimal effort. Experimentation with spices will lead you to discover new and satisfying options for healthy foods.  Visit the Academy of Nutrition and Dietetics Library of Recipes to find great-tasting options using easily accessible ingredients.

Savoring the flavor of eating right begins with having access to the right resources to help increase your knowledge of how to choose and prepare good foods that are good for you.  Visit the Academy of Nutrition and Dietetics website for tips, meal ideas and more!  Also, check out the recently published Dietary Guidelines for Americans for the most up-to-date evidence based information on how to eat for optimal health.

A balanced diet is an essential part of preserving our mission readiness and ability to thrive in our personal lives and careers. Lt. Cmdr. Amit Sood, the OPNAV N17 Nutrition Program Manager, is a Registered Dietitian and a Certified Specialist in Sports Dietetics. He has nearly 10 years of experience in counseling thousands of service members and their families on nutrition and health-related issues, having delivered close to 600 nutrition-related lectures to more than 20 commands and institutions across the DoD.  Check out more of his healthy eating tips on NavyNavStress, like this post on Healthy Eating Barracks Style. For additional Navy Nutrition resources, visit http://www.public.navy.mil/bupers-npc/support/21st_Century_Sailor/navynutrition/Pages/default2.aspx.

Eat Together to Live Better

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The dinner table has long been a cherished icon of American culture, signifying connection, communication and shared experience. While mealtime with loved ones and friends may be a staple of the holiday season, the frequency often decreases dramatically during the rest of the year. Work schedules, family commitments and the daily churn may make regular “sit-down-dinners” seem nearly impossible. However, the advantages of enjoying a meal with others far outweigh the excuses.  As you gear up for a healthier year, take a look at a few ways that sharing meals can benefit your physical and psychological health.

You’re likely to eat smarter. According to Stanford University, Americans consume one out of every five meals in the car [1]. It’s no secret that when eating alone on the go, you’re likely to make less nutritious choices and eat hurriedly without stopping to consider whether you’re still hungry. Sitting down to share a meal with others is an opportunity to slow down the pace, as you’re likely to pause between bites to engage in conversation. These pauses are chances to listen to your body and be mindful of signals that you may not have room for more. As an added bonus, frequency of shared meals is associated with higher intake of fruits and vegetables [2]. Try practicing mindful eating to reap the full benefits of engaging with others while focusing on your meal.

Mealtime can foster community. Gathering around the table to enjoy meals with shipmates or family helps to promote connectedness and belongingness, protective factors against suicide and the negative effects of stress. Mealtime is an opportunity to bond and engage with others by sharing experiences, offering support and improving communication. To encourage interaction, optimize your mealtime environment by turning off the television and ensuring that mobile devices are out of sight.

Likelihood of risk-taking behavior may decrease. Sharing meals together, especially as a family, has been linked with decreased risk-taking and destructive behaviors. This includes lower likelihood for alcohol misuse, illegal drug use, as well as suicide related behavior [2]. One study indicates that youth who ate a meal with their family five or more days a week were half as likely to consider suicide. Additionally, those who experienced depressive symptoms within the previous year who regularly shared meals with others were also less likely to consider suicide during that timeframe [3]. Actively engaging with others during mealtime can enable early recognition of distress, providing the opportunity for proactive support and care.

Don’t think you have enough time to sit down and eat with your shipmates and loved ones? Start by committing to achievable goals, like setting aside thirty minutes one day per week to build a routine. Get everyone involved in the decision-making process, and remember, any meal can be a shared meal (not just dinner on a weeknight!). Plan your meals in advance to minimize stress and spending while maximizing nutrition. To promote connection among shipmates, organize a regularly occurring potluck within your unit or association.

Make your mealtime an opportunity to step away from your hectic day and connect with others on a personal level. Fostering engagement is 1 Small ACT that can help you be there for Every Sailor, Every Day.

Sources:

  1. What’s for Dinner? (n.d.). Retrieved December 18, 2015, from http://news.stanford.edu/news/multi/features/food/eating.html
  2. Oregon Shared Meals Initiative. (n.d.). Retrieved December 18, 2015, from https://public.health.oregon.gov/PreventionWellness/Nutrition/SharedMeals/Pages/index.aspx
  3. Utah Health Status Update: Risk and Protective Factors to Youth Suicide. (2015, February 1). Retrieved December 23, 2015, from http://health.utah.gov/opha/publications/hsu/1502_Suicide.pdf