Monday Motivation

I am not sure how your Monday has been, but I wanted to share with you some Monday Motivation to help keep you on track with your health goals.

We are going to jump right in. So have you been hitting your physical activity goals? Back up, wait a minute. Do you have a fitness goal? Everyone should. Whatever your goal is for yourself .... walk 20 minutes per day, strength train 3 days a week, run outside at least 3 days a week .... whatever that goal is for yourself, you should be moving toward it. 

http://tinyurl.com/z5ze8r3

http://tinyurl.com/z5ze8r3

Now that we have established, you should never skip a Monday work out here is why ... you are setting your week up for success. On Monday, you have the opportunity to set the tone for your week. 

http://tinyurl.com/z5ze8r3

http://tinyurl.com/z5ze8r3

Whatever your favorite form of exercise is ... do that! I got myself to the gym today. I was so proud of myself. I hadn't been in about 3 weeks due to being busy, gone on Spring Break, taking a class, evening activities, but today I told myself I had to go. It was gross and cold outside, so I got dressed in my work out gear, headed to the gym and lifted weights for 40 minutes. It was great, because I felt how much strength I had lost over those previous 3 weeks. I normally do 15 repetitions and 3 sets of each exercise - I was dying. That was good motivation to plan another day this week to spend some more time lifting weights to help build strength for my half marathon in May.

Get started today! There is still time to fit in some form of physical activity. I sat ALL day at work charting on babies and making phone calls. My afternoon has entailed as much movement as possible - walking the dog for 30 minutes, doing 40 minutes of lifting at the gym, standing in the kitchen to cook for 30 minutes and doing 30 minutes of yoga. Find ways to move more and meet those fitness goals that you have set for yourself! 

Childhood and Adolescent Weight Management Certificate Program

I had the opportunity to attend the Childhood and Adolescent Weight Management Certificate Program in Indianapolis last week. It had been a goal of mine for the last couple of years to attend that program when it was closer to where I live. They offer the 3 day program twice a year and they rotate the sights all over the country. This spring it was in Indianapolis! I just had to go, because it would have been cheaper and less travel compared to going to another state for this training. 

Now you might be wondering what this training is about. It is focused on combating the obesity epidemic in youth and the goal is for RDs to be able to learn more about this issue and be better equipped to work with patients to help them become healthier. To complete the certificate program you have to complete required readings, complete a pre-test (score minimum of 80%), attend the 2 1/2 day program and then complete a post-test (scoring a minimum of 80%). At the end of all this you get to claim this certified training on your resume and gain useful knowledge in this specialty area. 

So even if you aren't an RD, I did learn some interesting information that you might find interesting. 

  • Children ages 2-19 - 32% of them are obese and 21% of children ages 6-10 years are living in food insecure homes.
  • It is projected that by the year 2072 - 80% of everyone in the United States will be obese (BMI >30kg/m2). 
  • 60% of children 10-14 years old have a TV in their bedroom. Research has shown that kids gain 1 extra pound per year when they have a TV in their bedroom compared with children who didn't have a TV in their bedroom. 
  • Children are often the main target for intense and aggressive food marketing and advertising efforts. Often this is NOT for healthy, food options.

I know some of those statistics are depressing, but I think it helps to realize how big of a problem this is for children and this isn't a problem that goes away in adulthood. This weight gain trend often continues as the child gets older and continues to be a problem throughout the child's entire life. 

There are lots of things that we (as a community) can do to help our youth be healthier now and for the future. 

  • Make an effort with your children to limit screen time, get outside a move more and purchase healthy food for your home. 
  • Try to eat out less and make being healthy an entire family commitment. 
  • Support health/wellness initiatives in the local school systems. 
  • As a parent or caregiver, demonstrate healthy behaviors for your children. 

I wanted to share this video from the FNV Campaign (Food and Veggies) that is a partnership from the Healthier America and Let's Move Campaigns to help encourage healthier food marketing to Americans. I just wanted to leave you on that note and encourage you to make healthy choices for yourself and your children. 

Happy St. Patrick's Day ... Eat Your Greens!

Today is St. Patrick's Day! That means that you should be wearing something green and maybe eating some traditional Irish food. Or if you aren't one for cabbage or potatoes, then reach for some other wonderful green vegetables. Lots of times vegetables get over looked and some people don't even like them. 

Well I encourage you today to find some dark green veggies and incorporate them into your diet. Research as shown that dark green, leafy, vegetables are perhaps the most potent super food on the planet. The great thing about dark vegetables is that they contain high amounts of Vitamins A, C, E and K and well as some B Vitamins. They are great sources of calcium, magnesium, iron and potassium. All of those leafy greens provides lots of fiber and that is good for your digestive health. Vegetables are low in fat and carbohydrates. This is fantastic for weight loss and helps keep you feeling full and control your hunger. Fiber has been shown to help with elevated cholesterol levels as well and blood pressure control. If you have issues with blood sugar control then consuming more fiber can help to slow the absorption of carbohydrates into your bloodstream following a meal. These leafy greens also contain a fair amount of water and this helps to count towards your hydration needs for the day. 

There are so many positive effects from regularly consuming leafy greens, there is absolutely no reason why you should grab some from the store and starting using them in your meals at home. Enjoy this festive holiday and remember to eat some yummy leafy, greens as well!  Here are a couple recipe ideas to try ... 

  • Roasted Brussel Sprouts
    • Chop up brussel sprouts after you have washed them. 
    • Spray or drizzle with olive oil. 
    • Season with your favorite spices. 
    • Roast in the oven - broiler on high for ~10 minutes or grill on the grill. 
  • Italian Spinach and Pasta Soup
    • Ingredients: 
      • 2 cups dried pasta, cooked 
      • 4 cups low sodium vegetable broth 
      • 1 (15oz) can of no-salt-added kidney or great northern beans, drained, rinsed 
      • 1 (14.5oz) can diced fire-roasted tomatoes 
      • Italian seasoning to taste 
      • 1/2 teaspoon ground black pepper 
      • 4oz frozen or 4 cups fresh spinach 
    • Method: 
      • In a medium pot over medium-high heat, bring broth to a boil. When broth is boiling, add beans, tomatoes, Italian seasoning and pepper and bring to a simmer. Add spinach and cook until softened and bright green. 
      • Place pasta (about 1 cup per serving) into soup bowls, ladle soup over the top and serve.
    • Nutritional Information: 
      • Per serving - 210 calories (10 from fat), 1g total fat, 420mg sodium, 40g carbohydrates (9g dietary fiber and 6 g sugar), 10g protein 

Fueling Up For Your Next Half Marathon

I have had the pleasure over the last several years, to do a presentation at Tri-N-Run, in Lafayette, IN. This is a fantastic triathlon store just off from Purdue's campus. I have really appreciated being able to partner with Tri-N-Run and do nutrition presentations for them over the years. I enjoy being able to travel back up the Purdue and talk about something that I love, sports nutrition. If you live up near Lafayette and need any running shoes or triathlon gear, go check out their store! 

This past Monday, I had the opportunity to talk about fueling for your next half marathon. As many of you may know the Indianapolis Mini Marathon is coming up in May. It is a HUGE deal in Indianapolis. In fact is the largest half marathon in the United States of America and the 7th largest running event in America. So if you have signed up to participate in this amazing race, you might be wondering about what you should eat to prepare for this event. Your nutrition, during training, the night be before, during the race and afterwards has a huge impact in your performance. 

Obviously there is a lot of talk about when it comes to fueling for your race. If you want more in depth information, feel free to contact me and I would be happy to meet with you personally. I am going to share a few commonly asked questions that I get from people when they are thinking about fueling for an endurance event.

What should I eat during the race?

  • This is a common question and to answer it appropriately you need to go all the way back to metabolism. I know, stick with me. Your body utilizes the carbohydrates that you eat, changes it into glycogen, which is then stored in your muscles and liver. The goal during an endurance activity is to keep your body fueled enough to not dip into your liver and all your muscle storage of glycogen. If you use all the muscle glycogen you will dip into fat stores and you will start to feel like you have "hit a wall." Using a gel or another carbohydrate containing product will keep your body using that form of carbohydrate for energy and more gradually using your stored glycogen. 
  • There are lots of different types of gels and chews, the key is to find one that you enjoy and you can tolerate well. You want to practice with these products, because you might find that you tolerate certain ones better than other. I do well with a product called Huma Gels. This gel is made from chia seeds and doesn't contain maltodextrin (a common carbohydrate that can cause GI distress). I love the flavors and the texture (it is like applesauce). 
  • It is recommend that you consume these gels or chews every 45 minutes during your endurance activity. So that equates to 1 gel every 45 minutes you are running your race. Practice with this while training and see if you can tolerate that schedule. 

Do I need to carbo load prior to the race?

  • This is a common train of thought ... you need lots of carbohydrates the night before to fuel your race the next day. That is now an "old school" philosophy and not still recommended. What you eat 2-3 days prior to the race has a bigger impact on your body than what you eat the next before. If you want to eat pasta then do that 2-3 days prior to the race, not necessarily the night before. 
  • Make sure you stick with familiar foods 3 days prior to the race. Don't be adventurous and try new things. Stick with foods that you know you digest well and that you can handle prior to your race. 
  • Some people find that they have to limit the amount of fiber they had prior to the race. I personally do better with a large salad with protein the night before the race. I do normally eat a fair amount of fiber and I can tolerate that prior to a race. (It is about to get graphic .... you have been warned. If you don't want to read about bowel movements, skip to the next bullet point). It helps to facilitate GI movement and a a nice bowel movement the morning of the race. 
  • Make sure that you eat something the morning of the race as well. Whatever you tolerate best. I prefer cereal, milk and a banana. Some people like bagels with an energy drink. I know that I have to avoid anything with too much fat - like breakfast meats and eggs. 
My most recent race, back in February in Zionsville, IN - The Groundhog 7 Miler

My most recent race, back in February in Zionsville, IN - The Groundhog 7 Miler

Hopefully these have been some helpful recommendations as you gear up for your half marathon race. If you are racing in the Indianapolis Mini Marathon ... good luck and enjoy the training. You will do awesome! Remember to practice with your nutrition and find something that works well for you! 

Guest Blog Post: Journey

With this previous week being National Eating Disorders Awareness (NEDA) Week, I wanted to turn the spotlight on this topic and hopefully start some productive conversations. I hope you were able to read my Reality of Eating Disorders post. If you didn't take the time to read it, please jump over there, because it is a great segue into this post.

I wanted to share my experience with an eating disorder with you, but this story isn't mine to tell. I was not the person struggling with this condition. I experienced an eating disorder, as an observer, and watched my younger sister fight this disease. I have asked her to share with you her experience. She agreed to write about her journey.  

Eating Disorder is an ugly term located somewhere on the spectrum of mental illnesses. For me, my eating disorder sat right next to Depression, tugged at its pigtails in class, didn’t do the reading and copied down answers during the exam.

I identified my depression long before placing a term to my struggles with food. And after identifying my depression, I realized that it had always been there. Thoughts of suicide, beginning at age seven or eight, had practically always been a part of my life. I considered it normal, as normal as the social isolation which played a huge part in my upbringing. Homeschooled until eighth grade, I consistently found it difficult to the point of physical discomfort to interact with others my age. Although I attended public high school and spent four years at a university, my social anxiety remained.

Much personal research over recent months has led me to realize myself as an individual with high functioning Autism, more commonly known as Asperger’s Syndrome. Those with an Autism Spectrum Disorder often possess intense singular interests or obsessions, becoming upset and disoriented if unable to pursue said interests or fulfill a routine built around them. Some of my clearest, recurrent memories from high school involve my parents, sister and myself in the car on the way to visit family or attend an event. I’m asking frantically, in classic broken-record fashion, what time we’ll be home. What time will I be able to go running? Can I take my running shoes? Will we be home before dark?

To say that my life revolved around Track and Field/Cross Country in middle school and high school would be a bit of an understatement. I never missed a workout. I arrived at school early to do sprints up and down the length of the building. Classes on meet-days were spent with my head on my desk, visualizing the race ahead of me. Lucky racing socks, sports bra, head band, pre-race songs, and of course food were essential for me to feel stable.

But high school doesn’t last forever.  A stress-fracture along with normal hormonal changes had dampened my athletic success, causing me to split my attention between running and art, my other stand-alone interest. Attending a university to study graphic design seemed like the best course of action. It was at this point that my internal identity was forced to change, exuding pressure to shrink the idea of myself as an athlete. Obsessive behavior has no on/off switch. There is no quick and simple way to transfer attention from one focus to another for an obsessive individual. As I put more effort and time into art school applications, less time was devoted to running and my comfort routines associated. This half of myself exploded into panic mode, bringing the full fury of an obsession scorned during the summer following graduation. I continued to run every day but felt directionless without a team. I needed a goal. A competition, in which I could show progress. My weight was the obvious answer.

I didn’t like how I looked. College Orientation had left me feeling misplaced, anxious about being in a new environment with totally new people with whom to build relationships. Numbers on a scale became, for me, direct indicators of my worth. Depression gave back-bone to a blossoming eating disorder, magnifying feelings of isolation and proposing a physical reason for my social anxiety. To assign responsibility for a life-time of social mal-ease not only to oneself but to physical appearance, is undoubtedly warped. However, depression possesses a tremendous ability to skew one’s perception of reality. The eating disorder presented a standard and an “attainable” goal towards which I could direct myself during a period of intense transition. Depression seized hold of my anxiety, guilt (in regards to my anxiety and when I failed to meet my disorder-induced goals) etc. and fed off of it, triggering extreme periods of apathy, frustration, increased thoughts of suicide.

Spring of my Senior year, my weight clocked in at roughly 170lb. Throughout the Summer and early Fall, it dropped approximately thirty pounds to just under 140lb. To be clear, as someone who ran every day, I had never been overweight. The weight lost was healthy weight. From mid-Summer until the Spring of my Freshman year of college, I never had a menstrual cycle. A body fat index test at the gynecologist’s office reported my body fat content to be roughly 13% with at least 19% necessary for a period to take place. I was proud of these numbers, having physically sweat and shrunk myself to reach them.

I would have continued to push myself to lose more and more weight. I wanted to drop below 130, 120, 110, however low I could get. Thankfully, my mother and sister encouraged me to meet regularly both with a dietician and a licensed counselor. It was well into the following year before the weight began to slowly come back and for my period to return to a regular rhythm.

Neither my struggles with mental stability (depression and/or eating disorder) nor my story as an occupier of the Autism Spectrum, especially not my rough transition into university life are unique. Eating Disorders are, as a spectrum unto themselves, all too common among young girls, boys, men and women of all ages. But they never exist in a vacuum. Understanding where they originate is a journey for the individual. After moving up to a healthy weight and repairing the direct damage done by the disorder, I was able to take a step deeper within myself and address it as a comorbid effect of my depression. In recent months, identifying my depression as an intense situational response to life-long social anxiety and misunderstanding as an Aspie (person with Asperger’s) has helped me to understand myself. There is nothing wrong with the way that I think or relate to people. It is different, yes and at times frustrating for everyone involved, but I need not feel shame in my personal habits, quirks, routines or obsessive urges. I relate to people best one-on-one and don’t need to feel guilty or uncomfortable about wanting to limit my social interaction, let alone compensate by attempting to mold myself physically in hopes of creating a more acceptable version.

Even though I have moved beyond my active struggle with disordered eating, the mindset remains, like a dormant virus. It has no discernable effect from the onlooker’s perspective but is always present. It has influenced large and small decisions about how I live my life. I no longer run but walk as a means of enjoyment and transportation; there are no scales in my home and never will be; I shut my eyes at the doctor’s office when they take my weight; and I remember the mindset is still present when I look in the mirror and instinctively turn to the side to check the profile of my stomach. The mindset is here to stay. It is a part of who I am. All I can do is learn to understand where it comes from, what gives it power. Taking the power away from my anxiety/disordered thinking and assigning it to myself is a daily process. But there is no battle more worth fighting than the one for your own happiness and quality of life.  

The Reality of Eating Disorders

This week is National Eating Disorders Awareness Week (#NEDAwareness). Now you may be thinking - I don't have an eating disorder, I don't know anyone who has struggled with an eating disorder, I will never struggle with my relationship with food?! Well you would most likely be wrong ... food issues do not discriminate. Eating disorders are a complicated condition that can affect all aspects of your life and affects people who are close to you. This is struggle that faces men and women, young and old, and those who are overweight or thin.

These statistics break my heart. All of our young girls and boys need to be viewing themselves in a positive light and not having a negative viewpoint about their body image. Forget all the stereotypes about eating disorders and embrace these statistics. More people struggle with their body image and self confidence then ever before and we need to help meet this problem head on. 

So what can you do? Start with this screening tool from the National Eating Disorders Association (NEDA) and see if your are viewing yourself, your weight, your issues with food need some additional help and support. CLICK HERE for the survey. Remember that eating disorders affect all types of people, so please don't judge people based on how they look. All of us struggle at times with your self-image. Be supportive of one another and if you have concerns about a loved one's relationship with food, talk with them and be that safe person for them to confident within. Overcoming this condition is a challenging and something that is never fixed. It is a constant struggle and that love and support is always needed. 

Stay tuned for my next blog post (hopefully later this week). I have a special surprise that hopefully you all will find insightful and enjoy reading. Stay tuned! 

The Power of Yoga

I love yoga. I have been doing yoga since I worked at the National Institute for Fitness and Sport in Indianapolis back in 2010. That was my first real exposure to a yoga class and I liked it. It was quite challenging and I am not flexible, but I loved the way that I felt afterwards. I felt like the "kinks" were all working out in my body. I know that sounds kind of silly, but it was true. Now that I have learned more about yoga I am convinced that it is helpful in restoring balance, flexibility and decreasing stress levels. As we all are aging our bodies are breaking down and we are becoming less flexible. Older people tend to be prone to falling or having back pain. All of this is due to not taking care of your body. Yoga helps to restore that physical balance and flexibility which can be very helpful. There was an article that was published on the NIH (National Institutes of Health) website about Americans who practice yoga report a better well being. 80% of people doing yoga reported lower stress levels. 2/3 of these yoga participants also were more motivated to exercise.

If you are new to yoga or never tried it before then I encourage you join a class or get on YouTube and try some poses out. I absolutely love the channel Yoga with Adriene. She has great videos and this Yoga Beginners Video is great if you are just starting out. 

If you have been wondering about trying to work more yoga into your life I would encourage you to do a series of yoga classes or YouTube videos. Doing a little bit each day is a great way to increase your flexibility, decrease your stress and create a healthy habit. I highly recommend Yoga Camp with Adriene. 

Take the time this week and pull out your mat and do some yoga. Start slow and just work out the kinks and reduce that stress. You can even do yoga with your loved ones or your animals. Einstein is a huge fan of yoga and loves stretching out after a long day. Enjoy! 

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New Facebook Page! Like it! Love it!

I wanted to write a little blog post about my NEW and updated Facebook page. I have made a separate Facebook page for RDAnna and all my nutrition related posts. I have been posting nutrition information to social media for years, but I thought I would create a separate page to make things a little more professional. 

Take a minute and LIKE my RDAnna Facebook page and follow me so that you can continue to get awesome nutrition information, updated blog posts and some videos in the future. I am starting a new project that will be helpful to RDs in NICU formula rooms around the country and I am eager to share those on social media as well. Thanks for the "likes" and the love! 

Joining a Gym and Strength Training

Strength training time as arrived! Raise your hand if you are excited .... ok I wasn't really either. Going to the gym and actually lifting weights is something that I kind of dislike. It is not my favorite thing to do, but it is so important. I am getting ready for another marathon in the fall. That means that I need to start strength training now! 

I joined a gym across the street from the hospital where I work so that I could stop by on my way to/from work. That way I would be more likely to actually go to the gym + it was really cheap. Win and win! 

So why is it important to strength train before an endurance event? Excellent question ... one that I asked myself. Lots of times we think of strength training as putting on lots of muscle, but the main goal is to build some muscle and strengthen the muscle you do have. This strengthen muscles allows it to work more efficiently when you doing endurance activities. For example, strengthening your hip flexors will help to make sure that extra stress isn't placed on your quads/hamstrings which could cause knee pain with continued endurance activity. Getting your body stronger in general will help to prevent injuries. That was my main purpose in hitting the gym ... avoid future injuries. 

So now that I had a place to lift weights I had to actually decide what I wanted to do. I really enjoy classes, but this gym doesn't have classes so I have to lift on my own. Thankfully they have machines that I can use to work the upper body, chest, and legs. The big thing that I have been focusing on is getting a total body workout for 45 minutes on the various machines. That way I work arms and legs and hips too. This should help to prevent future injuries from running, which is the main goal! 

Now you might be wondering what in the world would you for exercises at the gym for ~40 minutes? I found myself in that exact same predicament. I started with a goal. I wanted to get a total body work out in the time that I had available (~45 minutes).  I started with the machines at the gym and developed a routine. I alternate how I begin my time at the gym - between legs and arms first.  I started with 2 sets of each exercise and completed 12 repetitions. The goal was start to build a base strength, because I knew that it would be helpful for endurance activity. Now I have worked up to 3 sets of 15 repetitions each. 

  • Bicep curls 
  • Tricep extensions 
  • Deltoid pull downs 
  • Sled press 
  • Hamstring curls 
  • Quadricep extensions
  • Hip adductor and abductor exercises 

I recommend that if you have been thinking about getting out that and joining a gym. You should do it! I normally dislike gym establishments, but I have been impressed with the results that I have started to see. I have gotten stronger and I think this training will help my marathon training starting this summer. If you head out to join a gym, make sure that you pick a place that meets your criteria, will help you accomplish your goals and is on our normal route of travel. You are much more likely to actually go to the gym if you are already driving past it each day. Happy lifting! 



Food-Borne Illnesses

Chances are that you or someone you know has gotten sick from food. Every year, one in six American's get a food-borne illness. Some times it can be tricky to correctly identify the food culprit. Normally raw foods of animal origin are most likely to be contaminated. This could be something like a raw meat, poultry, raw eggs, unpasteurized milk or raw seafood. 

I wanted to touch on some basics of food-borne illness, what foods to watch out for and how to properly handle these food items. If you think that you have gotten a food-borne illness you might want to think about a food item that has been mixed together. For example - bulk raw milk, pooled raw egg or ground beef are food items that are coming from multiple animals and being combined into one product that you are purchasing. This means that it is more challenging to pin point the infected or sick animal in food chain. If you think about that ground beef is containing meat from hundreds of cows or a single restaurant omelet may contain eggs from hundreds of chicken (if it is a liquid egg product). There are lots of places in this food chain where contamination could have occurred. 

Commonly we are hearing about fruits and vegetables carrying food-borne illness. These food items do not normally have these organisms in them, but when they are transported or how they are grown could influence their exposure to bacteria/other organisms. The only way to help prevent getting a food-borne illness from your produce is to make sure you wash it well. Now this may not get rid of all the contamination, but it is what we (as consumers) can do to minimize our risk of getting sick. 

So now that you are terrified to eat animal products and produce you are probably thinking ... what is safe to eat? Well all of these food items can be safe if you take the time to prepare them in a safe manner. Make sure your animal products are cooked the appropriate temperatures (160F for beef/poultry and 145F for fish), you drink only pasteurized milk and you avoid raw shellfish. For produce, wash it well when you get home/before using (even if the label says pre-washed). 

For more information on food-borne illness check out the following links: 

CDC website

Food poisoning resources


Being a clinical dietitian in the NICU

I have been thinking about writing a blog post about my job as a Registered Dietitian in a Neonatal Intensive Care Unit. I know some people have no idea what I do on a daily basis and even some of my family may be confused. 

But to start off this explanation we need to go back to high school. I met with a Dr Fadley who was a therapist of sorts. He meets with people, has you take a test and that then determines future occupation based on your interests/skills. He told me that I could go into dietetics, but it would be tough (and it was), but I would be best suited for special education and being a teacher. I kind of blew him off and thought that was ridiculous. 

Well here looking back about 10 years later ... I think Dr Fadley spoke some truth. I have a passion for helping those that can't always help themselves. I love working with people who have faced challenges in their lives - mental, emotional or physical. I have a special place in my heart for being that care giver and helping people. Looking back I can see that displayed in many ways, but I think in my current job it helps to sums up what I do every day. I help to provide care for the littlest of babies who aren't suppose to be born yet. All of us in the neonatal world, work to help them beat the odds and have a chance at life. Being able to be part of that team, who works to give each of these babies a fighting chance is amazing. I love it! 

My specific role as the dietitian is to calculate the nutritional needs for our neonates. I work with a team of neonatologists, speech therapists, nurses and dietary technicians to make sure that our babies are getting the best recipe for feedings to meet their  unique needs.  More goes into these calculations than just crunching numbers. As the dietitian, I have to be aware of various medical conditions that could have an impact on their nutrient absorption/metabolism. This can be a complicated process if you have a baby with renal failure, a cardiac condition or a GI issue. Each of our patients, is like a puzzle that we are working on figuring out during their hospital stay. 

In addition to charting on each of these patients, I help to oversee the formula room. This is the place in our hospital where all the feedings are made by dietary technicians. We make 24 hours worth of feedings for all of our patients and we help to make sure that these techs are doing their job right. These techs are valuable part of our team and help ensure that the nutrition plan the dietitian comes up with is put into action. 

I wanted to share my job with you, because it is different. Hopefully this is a helpful little snap shot into the world of neonatology through the eyes of the dietitian. It is an amazing place to be and I enjoy being able to play a small role in so many children's lives. 

2015-2020 Dietary Guidelines for Americans

Every 5 years there are new Dietary Guidelines that released from the U.S Departments of Health and Human Services (HHS) and of Agriculture (USDA). The last set of guidelines were released in 2010 and so this year it was time for the update. The guidelines are designed for health professionals to help individuals consume a healthy and nutritionally adequate diet. Previous editions of the dietary guidelines focused on individual dietary components - such as food groups and nutrients. With these new guidelines, released yesterday, the focus is now on combination foods and the total diet forms one's overall eating pattern, because people do not eat just food groups and nutrients separately. This was a big change and took the guidelines in a slightly more general direction. 

So let's get to it .... listed below are the 2015-2020 Dietary Guidelines for Americans: (for more information check out health.gov)

  1. Follow a healthy eating pattern across the lifespan. All food and beverage choices matter. Choose a healthy eating pattern at an appropriate calorie level to help achieve and maintain a healthy body weight, support nutrient adequacy and reduce the risk of chronic disease. 
  2. Focus on variety, nutrient density and amount. To meet nutrient needs within calorie limits, choose a variety of nutrient-dense foods across and within all food groups in recommended amounts. 
  3. Limit calories from added sugars and saturated fats and reduce sodium intake. Consume an eating pattern low in added sugars, saturated fats and sodium. Cut back on foods and beverages higher in these components to amounts that fit within healthy eating patterns. 
  4. Shift to healthier food and beverage choices. Choose nutrient-dense foods and beverages across and within all food groups in place of less healthy choices. Consider cultural and personal preferences to make these shifts easier to accomplish and maintain. 
  5. Support healthy eating patterns for all. Everyone has a role in helping to create and support healthy eating patterns in multiple settings nationwide, from home to school to work to communities.  

One new thing that was added to the guidelines in this release was a specific number given for recommended amount of added sugar. The goal is to keep added sugar consumption to <10% of your total daily calorie intake. In the 2010 edition recommendations were given to limit your consumption of added sugar, but no hard and fast value was given. 

As you can read these guidelines are broad and are applicable to all people. For a more personalized interruption of these guidelines, speaking with a health professional or a Registered Dietitian would be helpful! 

Certified Specialist in Pediatrics

I got the letter. I have been waiting to hear how I did on the Academy of Nutrition and Dietetics National Board Exam for the Certification in Pediatrics. I took the exam back in November, just prior to Thanksgiving. I had been waiting while they graded all of the exams and determine who passes. I felt better about this exam and after reviewing some flashcards for the exam I felt like I had a better handle on the material. 

For those of you that may be confused about what this means ... the accreditation body for the dietetics profession is the Academy of Nutrition and Dietetics. They have several certification exams that you can take in a variety of speciality areas - for example Nutrition Support, Diabetics, Pediatrics, Sports Nutrition, etc. To be eligible to take these exams you must complete a set number of practice hours. For the Certification in Pediatrics it was 2,000 contact hours with pediatric patients. You also must have at least 2 years of experience as a Registered Dietitian. Once these requirements are met you are eligible to sit for the exam. Once you pass the exam you can place these certification letters after your name. I have been wanting to obtain these credentials for several years, ever since I developed a love for pediatrics and working with families in a nutrition setting. 

I got my letter this past week, congratulating me on passing this exam. Now I can sign my name Anna Busenburg, RD, CSP. It is quite exciting to see all the hard work, hours of studying, finally pay off!

 


Setting New Year's Goals

This is the time of year when everyone makes resolutions. You hear the phrase "New Year, New You!" That is true it is a new year and if you want to make a change, now is as good a time as any, but the big question is ... will your change stick?! For most  people that answer is no! 

Instead of thinking about New Year's Resolutions ... I like the idea of New Year's Goals. What do you want to accomplish this year. Often I take a look at the calendar and I try to decide what type of races I want to participate in for the year. I look at when they are scheduled in the upcoming year and think through what training for those races might look like. I map out a plan of how I see myself accomplishing those races and then I sign up for them. Those same steps that I think through for races, can be applied to any goal that you might have. 

  1. Determine the goal you want to achieve. 
  2. Develop a time line or a game plan. 
  3. Start looking at what changes you will have to make to reach that goal. 
  4. What will your "training" schedule look like. 
  5. Think about what obstacles might get in the way of your meeting that goal. 
  6. Sign up or commit to that goal! 

Last year I completed my first marathon. It was tough, but I did great and I absolutely want to run another. I knew that I couldn't train for more than one in a year, because it took so much time and I kind of got burned out. I have decided that in 2016 - I want to run another marathon. I have decided that I want to run in the Mill Race Marathon in Columbus, IN. So what does look like? Well it starts with picking a race, determining a training schedule, building a strong strength training base and then logging lots of miles. I will keep you posted about my training plan. Set up will be sign up for the race and then plan how to do some strength training prior to the race training, which will start in May. I am looking forward to setting out to run another marathon in 2016! 

What goals do you have this year and how do you plan setting out to accomplish them?

Merry Christmas!

It is that time of year. "The stockings are hung by the chimney with care in hopes that Saint Nicholas soon will be there." It is hard to believe that Christmas is only 3 days away. I don't know about you all, but we have been busy around our house baking Christmas goodies, wrapping presents, shopping for food for holiday meals and trying to fit time in with family and friends. I wanted to make sure that I shared with you what I am planning on making for Christmas day. We are hosting about 9 people total over at our house for Christmas. 

Christmas Menu

Cheese ball and Black bean dip for appetizers

Pork loin prepared with rosemary and garlic 

Mashed potatoes 

Salad 

Green beans 

Fruit salad 

Rolls 

Yule log and Ginger bread treats for dessert

As  you can see, it is totally possible to plan ahead and make a delicious and healthy holiday meal. Make sure to make a list of the items that you will need so you don't end up at the grocery store multiple times. Then don't be afraid to delegate some of the cooking to those who are coming over. Thankfully our friends and family are all bring a couple of dishes so I am responsible for the the pork, the green beans and the cheese ball. Also try to include multiple food groups in our holiday spread - we have a lean meat option, 2 vegetables, 1 fruit, and some starch or carbohydrate in the potatoes and rolls. Enjoy this time of year with family and friends. Take the time to not stress about all the fixings, but make memories with those you care about. Merry Christmas and Happy Holidays!

Enjoy time with your family and friends this Christmas and remember "everything in moderation!"&nbsp;

Enjoy time with your family and friends this Christmas and remember "everything in moderation!" 

Burning off those calories

Thanksgiving was last week and it is time to think about what you are doing for physical activity to help you burn off some of those extra calories. Hopefully you had a delicious and some-what healthy Thanksgiving feast. We had lots of vegetables at our gathering and they were delicious. My mother prepared some roasted squash, peppers and onions and I made a salad. It was a great first course of our dinner. Now if your Thanksgiving was filled with lots of carbohydrates and not enough movement then let's take a look at what you can do to help be active this time before Christmas. 

If you are still eating some Thanksgiving leftovers, then take note of those exercise recommendations for the various Thanksgiving staples we all have consumed.*

*Suggestions from Daily Burn website

  • Apple Pie (1 slice) = ~400 calories and to burn that off you would need to run 3.5 miles or for about 35 minutes. 
  • Pumpkin Pie (1 slice) = ~300 calories and to burn that off you would need to do yoga for 60 minutes. 
  • Buttered Roll (1) = ~200 calories and to burn that off you would need to play flag football for 20 minutes outside. 
  • Sweet Potato Casserole (1/2 cup) = ~200 calories and to burn that off you would need to take a spin class for 18 minutes. 
  • Turkey Breast (6oz) = ~200 calories and to burn that off you would need to ice skate for 50 minutes. 
  • Stuffing (1/2 cup) = ~200 calories and to burn that off you would need to run the stairs for 10 minutes. 
  • Red wine (60z) = 150 calories and to burn that off you would need to walk for 35 minutes. 

Keep these exercise suggestions in mind as we head into the December and the Christmas season. Staying active, despite the holiday craziness is important. As I was writing this blog post, I stumbled across this great article from Runner's World about staying active during the holidays. CLICK HERE for a link. 

Watching out for Added Sugar!

The Food and Drug Administration (FDA) released a recommendation on a daily cap for added sugar. This is the first time this has happened. The guidelines are that Americans should not be consuming more than 10% of their total calories for the day from added sugar. This equates to about 12.5 teaspoons or about 50 grams per day. Now if you are wondering what 50 grams of added sugar might look like, think of a can of regular soda. The regular, sugar sweetened soda contains about 50 grams of added sugar. Other common food items were added sugar can be found would include any type of sweet treats (food or beverage). 

Photo by OcusFocus/iStock / Getty Images

There are some foods that contain sugar naturally - like fruit, dairy, honey, etc. These items are NOT included in the added sugar recommendation. The dairy and fruit contain other nutrients (vitamin and minerals) as well has fiber in the fruit and protein in the dairy. This makes these naturally sweet food items, great and healthy picks. The honey or agave are good sweeteners, but they will contain the same amount of calories, just the source of the sugar will be different. 

You may not have thought about this, but there are some food items that contain "hidden" sugar that we perceive as "healthy." For example, yogurt with added fruit, granola, bread, ketchup, canned fruit, canned coups, salad dressing and pasta sauce. Now, none of the items are inherently bad, but we do need to make sure we are aware of the sugar that is added to them and maybe limit our intake of them if the sugar is a problem (for example, with diabetic individuals).

  • To make your yogurt healthier, get the plain or the vanilla and add your own fresh fruit to it.
  • Watch out for granola because it not only has added sugar, but also fat. Eat this in moderation or add a little to plain yogurt.
  •  Bread does have some sugar added to it, but normally this is a small amount and I wouldn't worry too much about it. 
  • Condiments can have a lot of added sugar, especially the low/non-fat dressings. They have removed the fat and added sugar in its place. I would also choose a regular fat dressing and just use it sparingly. 

Hopefully these tips and tricks have been helpful when it comes to trying to abide by the recommend of keeping added sugar to 10% or less of our total calories each day! 

Having a Healthier Holiday Season

I know that is just now the beginning of November, but in case you haven't noticed Thanksgiving is in 16 days and then Christmas is in 45 days. That means that there are lots of celebrations, family gathers and time spent around food in the next 1 1/2 months. 

It is time to put together a plan so that you are prepared to have a healthier and hopefully happier holiday season. I absolutely love fall and celebrating Thanksgiving, but with this time of year comes lots of delicious food and often less physical activity. I have included with tips that might help you actually make some healthy choices over the next 1 1/2 months. 

  • Don't skip breakfast! Starting off your day with a healthy breakfast will help you to eat less and make sure you are focused on making healthy choices. The key is to start that process of putting healthy foods into your mouth at the beginning of the day. 
  • Aim for 3 meals a day with snacks. Think about it as eating every 3-4 hours. Eating these small meals/snacks more frequently will help with keeping your blood sugar and energy levels steady throughout the day. Also if you have a party to attend, you can avoid arriving famished and eating everything in sight. This will equip you to have more self-control. 
  • Stay hydrated. make sure that you are consuming low calorie beverages and not just filling up on alcoholic drinks. That can be tempting with holiday parties, but those alcoholic drinks can be loaded with extra calories. Sometimes making a trade off can be helpful to limit your empty calorie intake. Promise to do 30 minutes of physical activity for every drink you consume. This can be a good way to motivate yourself to be active and still enjoy a delicious mixed drink in moderation.
  • Portion your plate. Make sure to keep the MyPlate in mind as you fill your plate at the next holiday gathering. Try to fill 1/2 your plate with fruit and vegetables, limit your protein to about 1/4 of the plate and the other 1/4 for grains. Filling up on the vegetables, provide nutrient dense and low calories options for meals. Save a small part of your plate for your favorite dessert or treat, because it is the holiday season and everyone loves a treat. 

Check out the MyPlate Holiday Handout below for some other great recommendations about making healthier holiday substitutions. 

Teal Pumpkins

Halloween is on Saturday. That means there will be lots of sweet treats being purchased and given to children dressed in costumes. For most kids this is a super fun event that they look forward to all fall, but for others it can be a stressful time. For kids with food allergies it can be overwhelming and kind of disappointing that they can't eat all the candy that other kids are eating. 

For the last couple of years there has been a push to have people give out non-food treats for children with food allergies. The Teal Pumpkin Campaign has been raising awareness about food allergies and encouraging families to put out a teal pumpkin if they have non-food related treats to pass out. The Food Allergy and Research Education (FARE) organization has some great recommendations on their website for non-food treats. 

  • Glow sticks, bracelets or necklaces 
  • Pencile, pens, crayons or markers 
  • Bubbles 
  • Halloween erasers or pencil toppers 
  • Mini slinkies 
  • Whistles, kazoos or noisemakers 
  • Bouncy balls 
  • Finger puppets or novelty toys 
  • Spider rings 
  • Vampire fangs
  • Stickers 

For more great idea make sure to check out their website and read up on what you can do to help provide safe Halloween treats for kids in your neighborhood. So paint a pumpkin teal or put  up this sign and make a kids night by passing out special treats for kids with food allergies! 


Fitting back into the pants ...

I wanted to share some encouragement for you if you reached into your closet and found that some of the pants you have aren't fitting quite right. That exact thing happened to me back in August. I went to put on a pair of olive green dress pants to wear to work and they were SO tight. Oh  my goodness, they would button and snap, but they looked like spandex and like I was trying really hard to fit into them. That is when you know you put on a few pounds and those are no longer acceptable to wear those particular pants in public. 

That was the moment that pushed me into counting my calories. I love those green dress pants and I have worn them a lot last year. I wanted to be able to wear them again. I dusted off My Fitness Pal app and decided I was going to make this commitment. 

I want to share this with you, even though it is personal, because I want to show you that it is possible to make some small changes in your life and see positive outcomes. I hope that you are encouraged to try a food tracker app and work to be more active. There are lots of options out there these days and I encourage you to find something that works for you!  It can be that simple, own what you put in your mouth and work towards your goals, whatever they are. 

Well I am happy to report that today I am wearing those olive green pants and they fit perfectly! I have been counting calories and exercising for the past 2 months and I have been able to lose 7 pounds. I know that doesn't sound like much, but it has been just enough to get me back into my favorite pants. 

Please note the 130lbs line from July through the beginning of August - I didn't use My Fitness Pal for a long time until ~August 14th.&nbsp;

Please note the 130lbs line from July through the beginning of August - I didn't use My Fitness Pal for a long time until ~August 14th. 

I also wanted to show you the calories and physical activity that I have been doing. My calorie goals have been 1500 calories per day. At first that was rough, because I was definitely eating way more than that and I spent a couple of days kind of hungry. I chose more fruits/vegetables, because they are filling and fewer calories. There were even a couple of days that I missed and a few days where I totally rocked out ~3000 calories in one day. I owned each of those days and tried to make better choices the next day.

calorie chart.jpg

I know the idea of tracking your activity and what you put in your mouth can be challenging, but I would you encourage to try it. Take it one day at a time and next thing you know you will find your a couple of weeks into a healthier lifestyle and making healthier choices. 

Hopefully, sharing my green pants story with you will help motivate you to find what goal you want to set. Make it a measurable goal (like getting back into clothes that don't fit) and set off on your own adventure towards attaining that goal. Good luck and have fun being active!