Nutrition Planning with GERD and an Unhappy Thyroid | QA

Nutrition Planning with GERD and an Unhappy Thyroid | QA

Question:

Hi, I was wondering if you would be able to help my girlfriend with her diet.  We’re both LA Fitness members.  She’s an avid swimmer and eats pretty healthy (usually eating far less than what I normally intake). She has a thyroid issue and suffers from GERD, acid reflux. She was swimming several times a week and doing weights, yet not really losing any weight. And, if she can keep food down it’s a good day for her. She takes stuff for GERD but stopped taking her thyroid medication as she wasn’t getting any change. She was going to try one of the app diets, but her mom passed away this year and canceled on that. So, I was wondering if there’s a diet you would recommend for her, to first get her stomach back on track and possibly help her to lose the weight she wants to drop. Thank you for your help. 

– John B 

Answer:

It’s imperative that your girlfriend follow up with her physician on an appropriate course of action regarding her thyroid condition since she stopped taking her medication. Thyroid function determines cellular metabolism and doctors test hormone levels, not body weight, to indicate medication effectiveness. 

I’ll assume she requested your assistance, otherwise advice offered by you regarding her diet and weight may not be accepted! (Always a good idea to be clear on a significant other’s intent in sensitive matters.) If she already eats healthy and has had a recent stress, then simply reducing portions may be reasonable versus following a structured diet plan.  

For gastroesophageal reflux disease (GERD), the International Foundation for Intestinal Disorders* recommends a diet that includes non-citrus fruits, lean proteins, complex carbohydrates, and vegetables except tomatoes and onions. Low-fat dairy foods, non-mint chewing gum, and small amounts of oils, avocado and nut butters are generally well tolerated. Avoid alcohol, caffeine, carbonated beverages and chocolate.  

There is no specific menu plan to follow for losing weight with acid reflux. If your girlfriend is absolutely ready to begin new eating habits, then she may resume her intention of using an app and make adjustments for GERD accordingly. Consumer Affairs recently posted their top 10 weight loss apps of 2019 based on user ratings. And last year Kaiser Permanente shared their reviews of 10 nutrition and diet apps of 2018. That’s twenty apps for her to choose from though not all offer meal plans. 

Best of luck to both of you for 2020 from Living Healthy! 

* https://www.aboutgerd.org/diet-lifestyle-changes/diet-changes-for-gerd.html Accessed 11/22/2019 

– Debbie J., MS, RD

This article should not replace any exercise program or restrictions, any dietary supplements or restrictions, or any other medical recommendations from your primary care physician. Before starting any exercise program or diet, make sure it is approved by your doctor.

Some questions have been edited for length and/or clarity.

Ask our Dietitian

Have a nutrition question? Our registered dietitian is ready to help!

Email nutrition@lafitness.com or submit your question below and it may be featured in an upcoming article!

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Your Guide to Creating Your Own Meal Plan

Your Guide to Creating Your Own Meal Plan

Any good workout plan needs a good nutrition plan. Over the years, we’ve learned a lot from our registered dietitian, Debbie James. Today, we’re compiling pieces of her best advice to help you construct your perfect meal plan. 

How to Build Your Own Meal Plan 

Many of our readers want to know what they should be eating for weight loss, for healthy weight gain, for muscle gain, and more. To help simplify your search for the right answer, look no further than the article: How to Create a Meal Plan. 

Here, you will find Debbie’s step-by-step process to construct a nutrition plan that meets your desired calorie count and macronutrient content. Because you’re making it yourself, you can easily tailor your “menu” to include only the foods you will actually eat. Paired with examples of how to follow each step, and tips for success, this article is a great place to start building your nutrition plan. 

If, before getting started, you’d like some general information on carbs, fats, and proteins, you can read her post: Let’s Talk About the Basics. 

Healthy Meal Options and Sample Plans 

As you put together your meal plan, you’ll be looking for ideas. What are examples of healthy pairings? Should you go for protein or complex carbs? What are healthy substitutions for foods you’re trying to cut-out? Fortunately, Debbie has explored these types of questions as well. 

In her post on Healthy Suggestions for Breakfast, Lunch, and Snacks, Debbie offers a breakdown of potential meals that are about 750 calories each.  

Another post on Breakfast and Lunch Options on the Go offers some sample meals that come in at about 600 calories each. 

Depending on what your daily caloric needs are, you can add, remove, or swap items with healthy alternatives from the list you made in the first step of creating your meal plan. Keep in mind that sample meal plans are not meant to be repeated every day. The hope is that you will follow the structure but switch up your food choices so you can benefit from the nutritional content in your various food choices. 

Customizing Your Plan 

Vegan – For vegan meals, tasty options abound. Not only does Debbie talk about Vegan Breakfasts, she offers possible food combinations to give any meal more variety and provides readers with a list of the top vegan sources of protein. 

Vegetarian – What if your meal plan is leaning towards vegetarian? Here, Debbie lists some high protein and low carb vegetarian foods that you can work into your meal plan. You’ll also find her response to questions about How to Lose Weight on a Vegetarian Diet or How to Gain Healthy Weight on a Vegetarian Diet. 

Low-Carb – If you’re trying to go low carb, you might be interested in this piece on Cauliflower Substitutions, the most recent craze in terms of rice and dough alternatives. Or, perhaps you want to know about the Best Time of Day to Eat Starchy Carbs. Yup, there’s a piece on that too! 

Nutritious Snacks

Snacks are also on our radar when we’re structuring our food for the day. They keep us from getting too hungry before our next meal and can help keep us feeling full and energized throughout the day. What you choose to put on your snack list, however, is just as important as what goes into your meals. Debbie’s Super Snacking Guide offers a nice breakdown of what you should aim for when putting together your snacks. 

If you still need some more ideas or feel like your options are limited by your dietary restrictions, you may find her answer to this reader’s question helpful. It offers some insight into healthy substitutions for sugary and salty snacks. Other answers share which snacks will keep hunger at bay and which can help boost your energy. We haven’t forgotten about our readers with gluten sensitivities or intolerances. This list on Gluten-Free Snacks can help guide your decision-making as well.

TMI?

If this all sounds like just a little too much to read, you can listen to Debbie’s advice in many of our podcasts. Some relevant topics you might enjoy include:  

How to Never Fail at a Diet Again 

How to Meal Prep the Right Way 

What You’ve Been Wanting to Know About Fad Diets (Paleo, Keto, and More) 

How to Read a Nutrition Label 

Do You Have a Nutrition Question?  

Your nutrition questions are always welcome and Debbie is ready to help! Simply email nutrition@lafitness.com or submit your question online and it may be featured in an upcoming article! To access our monthly blog post highlights, subscribe to our newsletter, today! 

Juggling Protein and Fat-Burner Supplements | QA

Juggling Protein and Fat-Burner Supplements | QA

Question:

I am a pretty fit, over 50-year-old female. I eat anywhere from 1,200-1,400 calories per day. However, I’ve since learned my real issue is compulsive eating. I keep getting hungry and will crave sugary carbs (something I never really did when younger).   

I take Carnitine about twice to three times per day and one to two scoops of Lean 1 fat burning meal replacement per day. I take 1 scoop in the morning at times with 2 wheat bread slices, a banana at times.  I take another scoop again after a workout.  The Lean 1 is about 95 calories for one scoop (11g carb cal/ 2.2g fat cal /10g prot cal).  I started to use a post-workout scoop as a meal replacement generally. I must say the urge to overeat dramatically decreased doing all of this and my sugar levels and carb levels are more balanced in the day (protein and fat also)!  

Dinner is the heaviest meal and, by the time I eat, I’m hungry for it. I recently added a microcellular casein protein scoop at night after working or as a snack hoping it will help achieve a more muscular / defined. I tend to crave candies around 11pm and one reason I chose the Casein option as well as for other benefits. I wanted recommendations on how to incorporate these three items into my daily regimen if I’m not doing so appropriately.  

– Kina C.

Answer:

Kina, it sounds like your supplements have had the desired impact on your compulsive eating and carbohydrate cravings. Let me say that, although I normally promote whole food solutions to hunger and other dietary issues, I’m glad these are working for you. Still, I’m curious if you tried a solid option (like half an apple with peanut butter) after workouts to forestall the candy craving?  

Your intake of the meal replacement and protein powder total around 300 calories, which is a considerable portion of your day. Not knowing which foods these replaced and if they subsequently added or reduced intake from your previous eating habits, it’s difficult to comment on their use. Plus, “fat burning” supplements have other non-caloric components such as caffeine or other stimulants.  

My feedback would also be to follow each products’ limits for use. Know that protein utilization at one time is rather limited (about 30 grams per meal), thus you may not be getting the most out the fat-burning meal replacement shake and micellar casein protein scoop if taken together after your workout. Perhaps moving one to an afternoon snack before dinner is in order. Sounds like your day is relatively low-fat and low-calorie leading up to dinner, therefore it’s no surprise you’re hungry enough to eat a ‘heavy’ meal. 

Also, I’d advise sticking to your vegetables and protein dinner, and consider adding a half-cup of brown rice on your workout evenings. Don’t forget to search the Living Healthy blog for related inquiries! Read our previous answers regarding cravings and hunger for more advice.  

– Debbie J., MS, RD

This article should not replace any exercise program or restrictions, any dietary supplements or restrictions, or any other medical recommendations from your primary care physician. Before starting any exercise program or diet, make sure it is approved by your doctor.

Some questions have been edited for length and/or clarity.

Ask our Dietitian

Have a nutrition question? Our registered dietitian is ready to help!

Email nutrition@lafitness.com or submit your question below and it may be featured in an upcoming article!

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Strength Training for Aging Bodies

Strength Training for Aging Bodies

There seems to be this idea that, as we age, frailty and loss of energy are inevitable. However, these can be symptoms of something that is highly preventable: muscle loss.1 What is the primary cause of muscle loss? Inactivity! 

Everyday activities like climbing the stairs, carrying groceries, playing with the kids or grandkids, or cleaning the house don’t have to become more difficult! Strength training is the answer to this common problem, and no, it’s not just for the gym buffs. 

We’ll be taking you through the many benefits and some sample exercises with the help of Tufts University’s book on the Growing Stronger exercise program. The book is a completely free, accessible, and research-driven guide that can help you regain your strength and your independence.  

Because the exercise program offered in Growing Stronger has been tested in its entirety, this article should not serve as a replacement. It simply highlights many key components of the program to showcase how fitness can be an easy and progressive addition to your lifestyle regardless of age 

The Physical Benefits of Strength Training for Older Adults 

Strength training can help alleviate the symptoms of many chronic conditions and diseases.1 Seguin and colleagues identify the following benefits for several common conditions: 

Arthritis: Reduces pain and stiffness, and increases strength and flexibility 

Diabetes: Greater control of your blood sugar levels 

Osteoporosis: Builds bone density and reduces the risk of falls 

Heart Disease: Reduces cardiovascular risk by improving lipid profile and overall fitness.  

Obesity: Increases metabolism, which, in turn, burns more calories and aids long-term weight control.  

Back Pain: Strengthens back and abdominal muscles. As a result, stress on the spine is reduced. 

Safety Tips and Recommendations

As with any new exercise program, it is important to consult with your doctor to make sure that your exercise plan is safe for you and that it aligns with your other health goals. Once you are sure you can proceed, there are still some safety recommendations the Growing Stronger authors would like you to consider: 

  1. Shoes with good support are a must. The recommendation here is that you choose rubber soles that aren’t too thick because thick soles can cause you to trip. 
     
  2. The weights you use are another important consideration. You don’t want to start with anything too heavy. The numbers may not look impressive, but it is the safest way to transition from body-weight exercises to exercises that involve weights. The authors recommend pairs of dumbbells in the following weights: 

Women 

Men 

2 pounds 

3 pounds 

3 pounds 

5 pounds 

5 pounds 

8 pounds 

They also advise that you choose adjustable ankle weights because you will be able to more freely alter what you’re working with. 

3. Store your weights on the ground or at ground-level storage. This eliminates the possibility of the weights falling on you if you are attempting to reach them from a high storage location. You can even leave them in a wheeled cart for easier access.

4. A commonly cited piece of advice (but one still worth mentioning) is that you should aim to exercise every other day to allow your muscles to rest. You can also alternate muscle groups (legs one day, upper body the following day) to avoid overworking a single muscle group. 

5. Perhaps the best thing you can do is to be attentive to the aches and pains in your body. Don’t work out if your muscles feel strained or if you feel unable to safely exercise.  

Effective Exercises to Start Rebuilding Strength

The book offers a detailed breakdown of multiple exercises and even plans them in stages. Once you have completed the first stage (about 2 weeks), you will be able to move on to a more difficult set of exercises. Here are just a few of their recommended exercises divided by difficulty level. 

Stage 1 Exercises

Stage 1 exercises should be performed for 2 to 3 weeks before moving on to Stage 2. For each exercise, perform 2 sets of 10 repetitions with a 1-minute rest period in between sets. 

Squats

You may already know how to do a basic squat; it is essentially the act of sitting down, without actually sitting down. This exercise is great for strengthening the hips, thighs, and glutes. 

Placing your body weight into your heels (as opposed to you leaning into your toes), lower into a seated position and rise back up to your standing position. Be careful not to let your knees come forward past your toes. You can choose to actually sit on a sturdy chair as you perform this exercise and to use your hands to guide your motion until you get stronger. 

Wall Push-ups

These are just like regular push-ups except your feet are planted on the ground and you are pushing off the wall. This is still a great way to strengthen your arms, chest, and shoulders, without having to get down on the ground. 

Toe Stands

Also known as calf raises, this exercise strengthens your calves and restores your balance. Stand tall and with your feet flat on the ground. Using the back of a chair (or another stable surface) for balance, rise onto your toes and settle back down. 

Stage 2 Exercises

Stage 2 exercises should be performed for 2 to 3 weeks before moving on to Stage 3. For each exercise, perform 2 sets of 10 repetitions with a 1-minute rest period in between sets. If you find yourself able to complete 10 repetitions easily, and with proper form, consider increasing the weight of the dumbbells or ankle weights for your next set

Bicep Curl

The biceps curl is a great strengthening exercise that also helps improve your grip strength. Using your lightest set of dumbbells, lift the weights by bending at the elbow and bring the dumbbells towards your shoulders. Your palms should be facing you. You may do this from a seated or standing position. 

Overhead Press

This exercise works the muscles in your arms, upper back, and shoulders. It simplifies tasks like reaching for items in high locations. From a standing or seated position, hold a dumbbell in each hand and bring the weight up towards your shoulders (as though you just did a bicep curl). Rotate your wrists so that your palms face away from you. This is your starting position for the Overheard Press.  

With controlled movement, push the dumbbells up above your head until your arms reach full extension. Then return the dumbbells to your shoulders. Do not actually rest the weights on your shoulders.  

Side Hip Raise

The muscles in your hips, thighs, and glutes are putting in the work with this exercise. Not only can the Side Hip Raise shape your lower body, it can also strengthen your hip bones which are more vulnerable as you age. 

Using a stable surface for balance, stand with your feet slightly apart and your toes facing forward. You may have ankle weights added to increase the difficulty. Without locking your knees, lift your leg out to the side, pause for a moment, and lower your leg back to the floor.

Stage 3 Exercises

For each exercise, perform 2 sets of 10 repetitions with a 1 to 2-minute rest period in between sets. Again, if you find yourself able to easily and properly complete 10 repetitions, consider increasing the weight of the ankle weights. 

Knee Extension

The muscles along the front of your thigh are the target of this exercise. It helps strengthen weak knees. 

With your ankle weights fastened, sit all the way back in a sturdy chair with your toes pointing forward. Your feet should barely touch the ground. Flex one foot and extend your leg until your knee is straight. Then, lower your foot back to the ground. After you complete 1 set of 10, do a set with the other leg. Then start over to complete a second set for each leg. 

Knee Curl

If you strengthen the front of the muscle you should really strengthen the back as well. This exercise targets the hamstrings (the back of the upper leg) and pairing it with the knee extension can make walking and climbing stairs easier. 

With your ankle weights fastened, stand behind a stable surface for balance with your feet just less than shoulderwidth apart. Keep your foot flexed as you bring your heel towards your butt and pause for a moment before lowering it back to the ground. Do 1 set of 10 with each leg before starting on your second set. 

The Complete Guide

If these exercises were exactly what you’ve been needing, the complete Growing Stronger guide contains even more. Let us know in the comments below if you try it out! If you’re ready to step things up, come check out our Silver Sneakers program. In this group class, you’ll work on total-body conditioning in an instructor-guided setting where you can still go at your own pace.  

For more information on healthy living in older adulthood, read our registered dietitian’s answer to this question on Protein Advice for Seniors. Or, for a boost of motivation, read Paul and Karen’s success story who say the gym is like their fountain of youth! To access our monthly blog post highlights, subscribe to our newsletter, today! 

Sources 

  1. Seguin, Rebecca A., et al. “Strength Training for Older Adults: Growing Stronger.” Www.CDC.gov, Tufts University, 2002, www.cdc.gov/physicalactivity/downloads/growing_stronger.pdf. 

Vegan Foods to Increase Bone Density | QA

Vegan Foods to Increase Bone Density | QA

Question:

I would like to increase my bone density. Do you have any suggestions for me regarding the best vegan foods to eat?

Very respectfully,

– Brenda H.

Answer:

Congratulations on providing the first bone density inquiry to Living Healthy! Your answer follows. First, here’s a brief primer on bone mineralization for the rest of our audience: Bone is actually a living tissue with blood supply to the marrow and cells that are adding tissue (osteoblasts) while others remove it (osteoclasts). The main structural compound is hydroxyapatite, made from the minerals calcium and phosphorus. Bone also contains small amounts of magnesium, sodium and bicarbonate. Density refers to the mass of the bone mineral material in a certain volume. Peak bone mass occurs around age thirty years. Keeping bones strong and avoiding loss of the matrix helps to prevent a porous condition later in life called osteoporosis.  

How to Increase Bone Density 

Diet and physical activity are controllable lifestyle factors that account for 10–50% of bone mass and structure. Physical activity stresses the bone to adapt and strengthen. Maintaining an adequate weight allows optimal pressure from gravity against the ground. Not smoking and avoiding heavy alcohol use prevents mineral loss due to tobacco products and drinking. 

A well-balanced diet is important for bone health throughout the lifespan though notably significant are calcium and vitamin D. As mentioned previously, calcium is a major mineral component of bone structure while vitamin D assists in calcium absorption and utilization. The majority of the body’s phosphorus and magnesium are found in the skeleton. Other micronutrients that appear to play a positive role in bone health include vitamins B12, C and K, and minerals copper, manganese, zinc, potassium and iron. 

Vegan diets abundant in whole grains, legumes, fruits, vegetables, nuts and seeds that are not excessive in sodium or caffeine can promote optimal bone density, but may need to be supplemented in certain areas. The strongest plant sources of the aforementioned nutrients are dark green leafy vegetables, cabbage, broccoli, beans, mushrooms exposed to light, almonds, blackstrap molasses, okra, calcium-set tofu, fortified nut milks, nut butters, brown rice, dried figs, chia seeds, potatoes, citrus fruit, strawberries, tomatoes, dried coconut and cocoa. Supplements of vitamin B12 are advised for vegans since it is not found in plant foods. 

Sources: 

  1. Office of the Surgeon General (US). Bone Health and Osteoporosis: A Report of the Surgeon General. Rockville (MD): Office of the Surgeon General (US); 2004. 6, Determinants of Bone Health. Available from: https://www.ncbi.nlm.nih.gov/books/NBK45503/ 
  2. Sharon Palmer. Protecting Bone Health Among Vegans. Today’s Dietitian, February 2016; 18 (2): 24. https://www.todaysdietitian.com/newarchives/0216p24.shtml Accessed 11/22/2019 

– Debbie J., MS, RD

This article should not replace any exercise program or restrictions, any dietary supplements or restrictions, or any other medical recommendations from your primary care physician. Before starting any exercise program or diet, make sure it is approved by your doctor.

Some questions have been edited for length and/or clarity.

Ask our Dietitian

Have a nutrition question? Our registered dietitian is ready to help!

Email nutrition@lafitness.com or submit your question below and it may be featured in an upcoming article!

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