One Life

Quarterly Health and Lifestyle News with Commentary by
One Physicians and Clinicians at the St. Helena Center for Health
 

Fall 2006
Volume 1, Issue 2

 

FEATURES:
(please click on a title or scroll down to read articles)

 

TO YOUR HEALTH
Strong Bones as We Age

NUTRITION AND LIFESTYLE
Saturated Fat May Reduce the Protective Effect of HDL

EMOTIONAL WELLBEING
The Healing Power of Touch - A Key to Good Health
The Sleep and Stress Connection

FIT FOR LIFE
Managing the Munchies - Retaining Results

ET CETERA
An Orange a Day - Good for the Heart!
Adding Protein Powder to Evening Shakes Boosts Morning Alertness

FEATURED RECIPES – TOP 10 POWER FOOD SELECTIONS
Shredded Vegetable Burgers with Yogurt-Lime Sauce
Salmon Souvlaki
Citrus Salad with Flax and Olive Oil Dressing
Dr. Heather Peña's Energizing Shake


To help friends learn more about One: The Napa Valley Personal Health Experience™, simply pass on this link: www.onenapavalley.com or call 1-877-596-0664 or email onehealth@ah.org .

TO YOUR HEALTH

Strong Bones as We Age
In the previous OneLife publication, we took a look into one of the findings from the much publicized NIH Women’s Health Initiative study that claimed that low-fat diets don’t fight breast cancer or heart disease. When we looked a bit closer at the secondary information, where the real news was made, we saw that there was more to the story – and that our current recommendations to limit saturated fats is still extremely prudent.

The same type of controversy surrounds findings on the effect of calcium and vitamin D on bone health. Immediate headlines stated that taking calcium and vitamin D had no effect on hip fractures, bone density or colorectal cancer. Once again, the story here is a bit different when you drill down into the data.

The NIH trial of calcium and vitamin D sought to test the theory that regular use boosts bone density and lowers risk of fractures and colorectal cancer. Over 36,000 women were recruited for the trial and were randomly assigned to take 1,000mg of calcium and 400iu of vitamin D daily or a placebo. However, the study itself, in my opinion, was poorly designed and poorly executed. The bid to measure the effect of taking calcium and vitamin D suffered because a majority of test subjects, including those given a placebo, were allowed to take their own calcium supplements on the side. In addition, 41% of test subjects didn’t take the required pills consistently. This effectively ruined the usefulness of the control group and rendered the study inconclusive. Why didn’t they ask the participants to stop their supplements? Apparently there was some concern that it would be unethical to recommend that women stop taking something that the government already was recommending. They were also concerned that some women might drop out of the study.

Design problems in the trials mean the results don’t really answer the questions they were supposed to address. This lead to obvious widespread misinterpretation of results by the news media and the public. When you look at the subgroup of women who actually took the full dose of calcium and D, their risk of fracture was reduced by 29%. It was particularly important in women over 60.

Many eyes were on this study since Osteoporosis currently affects 42 million Americans in this country, as reported by the American Journal of Clinical Nutrition. And now it is not just women who should be concerned. “Until recently,” says Sherry Sherman, Ph.D, Director, Clinical Endocrinology and Osteoporosis Research, NIH, “Osteoporosis has been considered to be mainly a woman’s problem. We now know that older men experience considerable bone loss over time as well.” With people living longer than ever, increasing the intake of calcium and vitamin D is currently recommended and is thought to be an important lifelong strategy for both sexes.

Men usually reach their maximum bone mass by age 20 and maintain it until a slow decrease is seen starting at age 60, especially if they don’t have a bone healthy lifestyle. Women build bone until age 30, then potentially start decreasing bone mass after menopause. Teenagers are still building bone and it is especially critical for them to exercise and have good nutrition. The more dense your bones are as you reach adulthood, the less likely you are to suffer a fracture later in life.

In other studies we have seen improvements in bone density when intake of calcium and D are optimized. Even more important is that calcium alone isn’t enough. There are other nutrients essential to the prevention of osteoporosis. Researchers at the University of Surrey in England have identified several key micronutrients necessary for bone health. Vitamin D is needed to help the body absorb calcium and other necessary micronutrients include zinc, copper, magnesium, potassium, silicon, boron, manganese, and vitamins K, C, B6, and folate.

Since fruits and vegetables contain many of these bone-essential minerals and some additional protective nutrients, it is important that we consume the recommended daily servings not only for general health but bone health as well. A series of recent studies have revealed that people with a history of eating lots of fruits and vegetables have healthier bones than people who skimp on their servings. It doesn’t appear to matter which age group you look at, fruit and vegetable eaters have better bones.

Even though you may be programmed genetically for either high or low bone mass, other factors can influence how much bone you end up with. Risk factors for osteoporosis include smoking, excessive alcohol intake (especially in men), excessive intake of animal protein, caffeine and sugar. Certain medications can also increase bone loss: prednisone, aluminum containing antacids, dilantin, lasix, aldactone, and excessive thyroid supplementation.
You can lower your risk of osteoporosis with attention to certain lifestyle changes that will help build and maintain bone mass. Along with diet, a lifelong habit of weightbearing exercise, such as walking, helps build and maintain strong bone. The greatest benefit for older people is that physical fitness reduces the risk of fracture because better balance, muscle strength, and agility make falls less likely. Medications such as Fosamax, Actonel and Boniva can help reduce fractures, as can hormones.
The younger you start, and the longer you keep it up, the better. The next time you have a choice, reach for an apple and think of your bones.

- Heather Peña M.D., Medical Director, St. Helena Center for Health
 

NUTRITION AND LIFESTYLE

Saturated Fat May Reduce the Protective Effect Of HDL
Recent advances in research have brought more attention to the blood lipid (or fat) we often call “good” cholesterol, or high density lipoprotein (HDL). This “good” cholesterol doesn’t refer to the cholesterol we eat in food, but to the HDL cholesterol circulating in our blood. It is one of the blood fats measured in the lipid panel blood test doctors routinely perform. And it is the component you want more of, because increasing HDL helps lower your risk of heart disease.

Dr. Heather Peña, Medical Director of the St. Helena Center for Health which includes the One “super physical”, reminds us of an effective analogy to better understand the cholesterol perplexity: “Think of the LDL particles as “garbage”, and the HDL then acts as “garbage trucks”. In the ONE program we want to know more about the quality of a participant’s HDL so we also measure the subtypes of HDL.” She continues, “We are seeing the more powerful subfractions (HDL2b is the hardest working "garbage truck") increase significantly over time as people incorporate the ONE lifestyle into their lives.” “And,” she adds, “consistent exercise and careful food choices definitely make a big difference.”

Now, research has taken it even a step further. It may not be good enough to have received results that show your HDL is in the right range, says David S Celermajer, MBBS, PhD, senior author of this new study, “the quality of HDL can actually be changed by what you eat.” He continues, “our study has shown that eating alters the amount and behavior of cholesterol and its subfractions. What we're saying is that it's not just the amount of HDL, rather it's how active it is, or how good it is that’s significant. And its 'goodness' can be profoundly influenced by either a diet high in polyunsaturated fat, or in saturated fat."

As if there weren’t enough reasons already to minimize your saturated fat intake, here’s yet another reason to stay away from the Bratwurst and Double Cream Brie. In this study, volunteers were fed either a meal high in polyunsaturated fat (safflower oil) or saturated fat (coconut oil) and one month later, were fed the alternate meal. The HDL that was collected 6 hours after the saturated fat meal was accompanied by elevation in two markers of inflammation. After the polyunsaturated fat meal those markers were significantly lower.

The possibility of modifying HDL behavior should reinvigorate the field of HDL research, Dr. Celermajer says. "Now that we've established that the good cholesterol is not a fixed thing, it's a dynamic thing, it opens up a whole new area of study of what can influence the quality of HDL. Will different kinds of exercise make your HDL more protective, what is the best diet for your HDL, what do certain medications that we use frequently do to your
HDL?"

Dr. Celermajer also suggests that ongoing research should evaluate HDL
behavior when meals are being digested. "Almost all of the studies of cholesterol and fats are done in people after an overnight fast. Those of us who live in countries like the US or Australia spend about half our lives in the post-absorptive state — the
three or four hours after we've eaten something. In order to understand the relationship between cholesterol and heart health better, we now know we need to start to look at what cholesterol looks like, not just after an overnight fast, but after we eat."

Pearls:
Limit Saturated fats -- those from dairy: whole milk, cheese, butter ; meat fats: beef, pork, chicken skin, lard duck/goose fat; coconut, palm and palm kernel oils. In addition, hydrogenated oils (check the ingredient label) are saturated and produce trans fat. These are found most frequently in commercial baked goods, crackers, and deep fried fast foods.

Choose instead: fats from vegetable oils – especially olive and canola oils, nuts, avocado, olives and fish. Look for baked goods that have changed their formula to use oil instead of partially hydrogenated oils.

- Vicki Saunders, MS, RD, Nutrition Educator


EMOTIONAL WELLBEING

The Healing Power of Touch – A Key to Good Health
With our very busy lives we often overlook the simple things that sustain us. A very important component of wellbeing is the quality and quantity of touch in our lives. It grounds and soothes us, and it also increases a sense of connection to another . . . all important for our physical, emotional and spiritual health. (Steve)

“The relationship of touching to health was noted as far back as the thirteenth century,” says Dr. Dean Ornish in his book, Love and Survival, The Scientific Basis for the Healing Power of Intimacy. “Lack of human contact can lead to profound isolation and illness – and even death. Many studies have proven that humans need touch to survive. Infants cannot survive long without it.” As a matter of fact, we now see that even premature newborns benefit through gentle massages by gaining weight faster and often leaving the hospital days sooner than the previous average.

Massage, as one form of touch, “is one of the oldest healing arts,” writes Carol Sorgen of WebMD. “Chinese records dating back 3,000 years document its use. The ancient Hindus, Persians, and Egyptians applied forms of massage for many ailments, and Hippocrates wrote papers recommending the use of rubbing and friction for joint and circulatory problems.” And today we are very aware that massage can make a difference; it can reduce anxiety, decrease pain, enhance the immune system, heighten self esteem, enhance athletic performance and reduce stress. And the list goes on.

Says Dr. Ornish, “There are hundreds of studies demonstrating the healing value of touch. It has been found to be useful in treating asthma, autism, back pain, cancer, depression, developmental delays, dermatitis, diabetes, eating disorders, heart disease, irregular heart beats, juvenile rheumatoid arthritis, posttraumatic stress disorder, and a variety of other conditions.”

Despite the research, we do not touch each other very much in the United States when compared with other parts of the world. Cited in Dr. Ornish’s book, Psychologist Sidney Jourard observed and recorded how many times couples in cafes casually touched each other in an hour. It went from 180 times an hour in Puerto Rico to 2 times in the U.S. to none in the U.K. Quite a staggering difference.

One reason for our lack of touch in this country may be our own hesitancy in dealing with such a diverse population, a melding of many cultures. Says Patricia Benner, RN, PhD, “in regard to the nursing profession, nurses are taught the art of gentle touch and comfort measures, such as being present in a reassuring manner. But with culturally diverse patient and nurse populations, there can be cultural confusion and even barriers to the nursing tradition of comforting practices such as touch and being present.” She goes on to say, “Touch itself may be endangered by concern for crossing cultural boundaries. There is also the technological imperative of providing more technical interventions such as medications for pain and nausea or tranquilizers. Such “ordered” and charted interventions remain expected and highly visible therapies.”

“When we understand the healing power of touching, we can look for ways of increasing our contact with other people while respecting their boundaries.” Says Dr. Ornish. “Awareness is the first step to healing. Intimacy is healing. Touching is intimate.”

With a renewed awareness of the healing power of touch, look for opportunities to make contact as you go through your day.

- Steve Wood, MA, MFT, Behavioral Therapist
 

The Sleep and Stress Connection
Recently, there has been a lot in the news about the link between getting the proper amount of sleep and successful weight loss and weight maintenance.  Another area that may often be overlooked, and as simple as it may sound, is the relationship of sleep to stress relief.   A good night’s sleep, something that alludes all of us at one time or another, has been shown to serve many purposes, among those, says Helene A. Emsellem, MD, medical director of the Center for Sleep and Wake Disorders, “a good night’s sleep allows you to tackle the day’s stress more easily.”

“Stress is our response to daily life,” says Dr. Emsellem. “It affects us emotionally, physically and behaviorally. The right amount of stress can be a positive force that helps us to do our best and to keep alert and energetic.”  “Too much stress, however,” she adds, “can make us tense, anxious, and can keep us up at night.  And, conversely, when you’re tired, you are less patient and easily agitated which can increase stress.”  It is a viscious cycle.

>The quality of sleep is important too.  “Disruption of the quality by episodes of breathing disturbance, reflux, joint pain, the cat in the bed, can all affect and negatively impact how you feel the next day,” says Dr. Emsellem.  “You may wake up tired and achy; you will likely also be less mentally sharp and more irritable.”

For those who think they are at their best with less than the recommended amount of sleep a night, take note:  “Most adults require seven to nine hours of quality sleep per night in order to wake up feeling their best,” reports Dr. Emsellem.  “Many people will say that they only need five to six hours of sleep per night, and they may well be able to function adequately.”  “The key is,” she emphasizes, “that studies have repeatedly shown that we need a minimum of seven hours of sleep per night in order to function optimally.”

We can definitely survive compromised on less sleep. But the toll it takes on our physical and mental well-being is huge. Dr. Emsellem believes that if those same people who don’t believe they need the requisite amount of sleep would take a two- or three-week period and allow themselves the pleasure and opportunity to get enough sleep, they would appreciate an enormous improvement in their well-being. 

In order to wake up in the morning feeling well rested, you not only have to sleep an adequate amount of time, but you need to “cycle through the five stages of sleep in an orderly sequence and to spend enough time in each stage,” says Emsellem.  There are many, many things that can affect sleep patterns, among them are Aging and Psychological Stressors.  In regard to aging, says Dr. Emsellem, “Sleep patterns change after people reach the age of 40. There are many more nocturnal awakenings as people age which will affect sleep quality and the likelihood they will awaken with a feeling of not being rested.” 

Stimulants should also not be overlooked,” says Emsellem.  “They can stay in the body as long as 14 hours and can increase the number of times you awaken at night, decreasing your total amount of sleep time.” Avoiding caffeine is obvious but lesser known is nicotine’s effect, when consumed in high doses, are similar to those of caffeine.  Alcohol is often overlooked in this category since it is technically a depressent.  “Alcohol may initially sedate you, making it easier to fall asleep,” says Dr. Emsellem.  “The downside is that as it is metabolized and cleared from your system during sleep, it causes arousals that can last as long as two to three hours after it has been eliminated. “

And when we're under stress, we have trouble initiating sleep.  After a stressful day it's not only hard to unwind mentally, but we may be tense and it may be hard to unwind physically enough to initiate sleep.   One of the biggest problems I see with those who have difficulty falling asleep is the fact that we have very busy lives and we don't always allow a wind-down time.

It is beneficial for people to develop some kind of pre-sleep ritual to break the connection between stress and bedtime. Some people find it helpful to make a list of all the stressors of the day, along with a plan to deal with them. In addition, periods of relaxation (meditating, yoga, stretching or taking a hot bath) can help a person relax and get to sleep."

It is a good idea to set aside at least a half an hour -- and preferably an hour -- of relaxing activity in the evening which doesn’t necessarily mean watching TV.   It is important to protect some time for yourself so you can transition from your busy days and evenings into sleep. If you're in a family situation, I think it's important to engage the family and explain what you're doing, so your wind-down time can be respected.

I would encourage everyone to take time for sleep. It's a process that restores us physically and mentally.  Sleep is a vital part of our lives. We just need to take the time to do it.  Give sleep a chance.

-  Lisa D. Hinz, Ph.D
 

FIT FOR LIFE

Managing the Munchies – Retaining Results
The connection between the belly and exercise is obvious for some people; some are trying to shrink it, others are trying to firm it up, still others are trying to lose it altogether! And we all know what you put into your belly has a great effect on whether it stays or goes - but how many people know how and when to do that effectively?

I hear people proclaim all the time, "I am starving after I workout!" Of course they are, they've basically run out of fuel and the system's gas gauge is flashing red. A sweaty workout depletes the stores of fuel (called glycogen) in your muscles. The critical moment is the choice that is made to refuel – hopefully no one winds up face down in a carton of Haagen Daas. It is important to learn to refuel the body without sabotaging your fitness.

So replenish those stores by chugging some OJ or eating half a bagel – or even better if you have a little bit more time, remember to go for color and smooth consistency post work-out: six ounces of yogurt and a cup of fruit contains the carbohydrates and protein your body craves ( Melon, Strawberries, or blueberries are great) and if you put the whole thing in a blender with half a cup of non-fat or vanilla soy milk along with a handful of ice cubes, you will have a snack that is high in water content and has volume – both re-hydrating and squelching the need to graze at mealtime. (To jumpstart your day, also see Dr. Pena’s shake recipe that follows.)

And the key to replenishing is to do it quickly. Studies show your body makes new glycogen most readily in the 15 minutes after exercising. If you miss the window, you might not be as strong for our next workout. To get an extra glycogen boost, throw in some protein, too – like peanut butter on crackers or a few slices of turkey on wheat bread. Protein also helps repair and build y our muscles after strength-training. And remember to drink plenty of water to replace what you sweat out.

The way you work out also has bearing on how hungry you get. A University of Ottawa study looked at 13 women who exercised both vigorously and then at a lower intensity. On high intensity days the women had a tendency to eat back all the calories they lost (more in some cases). On lower intensity days, they were still hungry but averaged a 177 calorie deficit for the day. To preempt the desire to overeat post-workout, have a pre-workout snack. A small bite a half-hour to an hour before a workout will give you staying power but won’t weigh you down. “It takes the edge off hunger and gives your body some calories,” says Judith J.Wurtman, PhD. Author of Managing your Mind and Mood Through Food. “But keep it small,” she says. “You don’t want to be uncomfortable because your body is using all of its resources to digest.” Choose a carbohydrate with a little protein particularly on vigorous days: a cup of oatmeal stirred with a teaspoon of peanut butter or yogurt and a few whole grain crackers if you have an hour or more before the workout; half of a banana or 6 ounces of orange juice if you have less time, because they turn into energy (glucose) faster.

Finally, learn to recognize thirst versus hunger: a simple trick is to drink water before you eat. Researchers at the University of North Carolina found people who drink about 7 cups of water a day eat about 200 calories less a day than those who neglect staying hydrated. Whether you’re headed to Spinning or Yoga, drink some water before class and bring a bottle to stay hydrated. If you workout regularly, water is key to your success!

- Russ Melgar, CPT, FT Fitness Coordinator


ET CETERA

An orange a day – good for the heart!
Don’t forget the apple, but grab an orange too! According to a recent study at London’s University College Medical School, an orange a day may help keep the cardiologist away. Researchers compared daily vitamin C intake to two markers of arterial inflammation, C-reactive protein (CRP) and tissue plasminogen activator (t-PA) in 3,258 men. Those whose diets met or exceeded the 90 milligram daily recommended intake of vitamin C were seven times less likely to show any signs of inflammation than men whose daily intake of vitamin C was lower. Researchers believe that the antioxidant effect of Vitamin C may help control inflammation in arteries, reducing the risk of cardiovascular disease. Other Vitamin C-rich foods are bell peppers, broccoli, papayas and strawberries.

Adding protein powder to evening shakes boosts morning alertness
Instead of counting sheep, have a shake to ensure a good night’s sleep. A study published in a recent issue of the American Journal of Clinical Nutrition finds that consuming a shake “spiked” with the amino acid tryptophan at night may help improve mental acuity the next morning. Led by a researcher from the Netherlands, results from the study showed that consuming alpha-lactalbumin (A-LAC) protein powder “sharpened certain participants mental acuity by improving their sleep.” Fourteen men and women with mild sleep problems, and 14 others with no trouble sleeping, participated in two trials on different nights; on one night, participants drank a “tryptophan-fortified milkshake” with dinner and later for a snack.. On the other night, they drank a milkshake without the protein powder. Scientists found that patients with sleep problems who consumed A-LAC performed better than patients who did not take the supplement on a mental-alertness test the next morning, but there was no significant difference in outcomes for patients without sleep disorders. While the researchers say that A-LAC appears to “regulate sleep-wake rhythms,” they note that “the magnitude of the influence is not clear” and say that additional research is warranted before prescribing the supplement to patients with sleep problems.


FEATURED RECIPES – TOP 10 POWER FOOD SELECTIONS

 

Shredded Vegetable Burgers with Yogurt-Lime Sauce
By now we have all heard that adding more vegetables and fruit to your diet is the cornerstone of the optimal health. Here is a way to add not only vegetables, but other good-for-you ingredients, in a tasty burger that even the most finicky eaters will easily enjoy.

Beets, an ingredient your diners will never suspect is included unless you tell them, contain powerful nutrient compounds and antioxidants that help protect against heart disease, birth defects and certain cancers, especially colon cancer. Carrots are an excellent source of antioxidant compounds as well and the richest source of the pro-vitamin A carotenes which help protect against cardiovascular disease and cancer – and also promote good vision, especially night vision. And zucchini, although not as potent as root vegetables like garlic or onion, has been found to have anti-cancer type effects and among other attributes, promotes prostate health; the nutrients it contains have also been shown to be helpful for the prevention of atherosclerosis and diabetic heart disease.

All of these fiber-rich foods help to keep cancer-causing toxins away from cells in the colon. And the antioxidants, vitamin C and beta-carotene also have anti-inflammatory properties. Getting your daily servings of vegetables is sounding better all the time!
Makes 6

Yogurt-Lime Sauce

½ cup plain nonfat yogurt
2 teaspoons fresh lime juice
Coarse sea salt
Spritz of olive oil

Vegetable Burgers

2 shallots, finely chopped
½ teaspoon freshly ground pepper
1 teaspoon Thai curry paste (or ½ teaspoon curry powder)
1 Tablespoon peeled, grated fresh ginger
2 medium-sized carrots, peeled and finely shredded in food processor (1 cup)
2 small golden beets, peeled and finely shredded in food processor (3/4 cup)
1 medium-sized zucchini, finely shredded in a food processor and squeezed between paper towels to remove excess liquid (1 cup)
1 ½ cups cooked long-grain brown rice
1 can low-sodium chickpeas (garbanzo beans), drained and rinsed
1 ½ cups fine, fresh, whole wheat breadcrumbs

For serving:
6 whole wheat burger buns
Sliced Tomatoes
Leaf Lettuce

Stir together yogurt, lime juice, and a pinch of salt in a small bowl. Refrigerate sauce, covered, until ready to use.

Heat oil in a medium sauté pan over medium heat. Add onion, garlic, pinch of salt, and pepper. Cook, stirring, until onion is translucent, about 5 minutes. Stir in curry and ginger; cook a few seconds more. Add carrots, beets, and zucchini; cook, stirring often, until vegetables are just tender, about 2 minutes. Remove from pan and let cool.

In a food processor, pulse rice, chickpeas, and half of the vegetable mixture in a food processor until it forms a coarse paste. Transfer to a medium bowl. Stir in remaining vegetable mixture and the breadcrumbs. Season with salt and pepper.

Shape into 6 patties. Refrigerate, covered, until cold, at least 30 minutes.

Preheat grill to medium heat (for charcoal, grill is ready when you can hold your hand about the heat for 5 or 6 seconds). Brush grill with oil. Grill burgers, flipping once, until slightly charred and heated through, approximately 3-4 minutes a side.

Grill buns until lightly toasted. Serve burgers on buns with lettuce and tomato; top with yogurt-lime sauce.

Nutrition Facts
Per serving: 387 Calories,14 g Protein, 71 g Carbohydrate, 6 g Fat ( 1g Saturated Fat),
15 mg Vitamin C, 0.6 g Cholesterol, 780 mg Sodium, 12 g Fiber


Salmon Souvlaki
This take on a traditional Greek preparation – with tomatoes and olives – is a quick and easy way to put Salmon on the table on a weeknight! One of the 10 “Power Foods” recommended by Center for Health Medical Director, Dr. Heather Peña, Salmon contains Omega 3 fatty acids which have a broad array of beneficial cardiovascular effects: they decrease platelet stickiness, decrease triglycerides and LDL (bad) cholesterol, and are linked with lower rates of heart disease. In addition, they promote anti-aging in the brain and skin, better cognitive function and less inflammation in the body.

In the area of food and phytonutrient research, nothing has been hotter in the last few years than studies on the lycopene in tomatoes. This carotenoid found in tomatoes (and everything made from them) has been extensively studied for its antioxidant and cancer-preventing properties. The antioxidant function of lycopene - its ability to help protect cells and other structures in the body from oxygen damage - has been linked to the protection of DNA inside of white blood cells and prevention of heart disease. Tomatoes are also an excellent source of vitamin C, and vitamin A.

Olives are a very good source of monounsaturated fats and a good source of vitamin E. The stability of monounsaturated fats translates into a protective effect on the cell that, especially when combined with the antioxidant protection offered by vitamin E, can lower the risk of damage and inflammation. In addition to vitamin E, olives contain a variety of beneficial active phytonutrient compounds including polyphenols and flavonoids, that also appear to have significant anti-inflammatory properties.

Serves 4

Preparation:

4 pieces whole wheat flat bread or pitas
2 heirloom tomatoes, cut into wedges
½ small red onion, thinly slides
3/4 cup crumbled, low-fat Feta
¼ cup Kalamata olives, pitted, halved

1 Tablespoon fresh oregano
1 Tablespoon fresh thyme
Freshly ground black pepper
1 Tablespoon red wine vinegar
2 Tablespoons fresh lemon juice
1 Tablespoon water
2 Tablespoons extra virgin olive oil

4 ea. 5 oz., center cut, pieces of Salmon
½ cup plain, non-fat yogurt
1 medium cucumber, peeled, seeded and diced
2 Tablespoons minced fresh dill

Heat oven to 200F. Wrap the flat bread in foil and place in oven. In a medium bowl, combine the tomatoes, onion, Feta, and olives.

In a large bowl, combine the oregano, thyme, pepper, 2 teaspoons of the vinegar, and the lemon juice. Slowly add 2 Tablespoons plus 2 teaspoons of the oil in a steady stream, whisking constantly until incorporated. Pour 3/4 of the vinaigrette over the tomato mixture, toss, and set aside. Pour the remaining vinaigrette over the salmon, toss and set aside.

In a separate bowl, combine the yogurt, cucumber, dill, and the remaining vinegar. Refrigerate until ready to serve.

Heat the remaining oil in a large skillet over medium-high heat. Transfer the salmon but not the liquid to the skillet and heat, turning occasionally, until cooked through, about 3-5 minutes.

To serve, spread the warm bread with some of the yogurt sauce and top with salmon. Add the tomato salad and fold. Enjoy!

Nutrition Facts
Per serving: 494 Calories,40 g Protein, 37 g Carbohydrate, 20 g Fat (4 g Saturated Fat),
13 mg Vitamin C, 86 g Cholesterol, 666 mg Sodium, 6 g Fiber


Citrus Salad With Flax and Olive Oil Dressing
Green leafy vegetables, among the top 10 “Power Foods” recommended by Center for Health Medical Director, Dr. Heather Peña, are an excellent source of folate, lutein, fiber, antioxidants and calcium. In addition to making this a delicious first course, the other stars in this salad – grapefruit, orange, avocadoes, sunflower seeds and flaxseed oil (another top 10 “Power Food”) – have many added health benefits.

The citrus in this salad, grapefruit and orange, sparkles with health promoting compounds that may help fight cold symptoms, prevent certain forms of cancer and prevent heart disease. Citrus is an excellent source of vitamin C, a vitamin that helps to support the immune system, may help reduce cold symptoms or severity of cold symptoms—and, in its role to help control inflammation of the arteries, is beneficial to promoting cardiovascular health.

It has also been shown to reduce blood levels of LDL (bad) cholesterol.
Avocados, many are surprised to learn, are an excellent source of potassium – even higher than a medium banana. Potassium can help to guard against circulatory diseases, like high blood pressure, heart disease or stroke. They also contain oleic acid, a monounsaturated fat that may help to lower cholesterol.

While not only adding flavor and crunch, this salad’s topping, sunflower seeds, are an excellent source of vitamin E – the body's primary fat-soluble antioxidant and prevents cell damage, helps maintain proper function of the thyroid gland and has been shown to be significant in cancer prevention.
Serves 6

Ingredients

1 ruby red grapefruit
1 orange
12 large leaves red leaf lettuce, washed
1 avocado, cubed
3 tablespoons sunflower seeds, unsalted, toasted

Dressing
2 tablespoons extra virgin olive oil
1 tablespoon flaxseed oil
1 tablespoon balsamic vinegar
2 teaspoons lemon juice
2 tablespoons capers
salt and freshly ground black pepper to taste

Preparation:
Peel the grapefruit and orange and separate the segments, removing any seeds; cut the segments into chunks. (Retain the membrane for extra fiber and nutrients.) Combine in a large bowl.

Tear the lettuce into bite-sized pieces. Add to the fruit mixture; stir in the avocado.

In a small bowl, whisk together the olive oil, flaxseed oil, vinegar, lemon juice, and capers. Season with salt and pepper.

Drizzle the dressing over the salad and toss lightly to combine. Transfer the salad to 6 plates and sprinkle 1 teaspoon of toasted sunflower seeds over each serving. (You can also use toasted pumpkin seeds.)

Nutrition Facts
Per serving: 164 Calories, 2 g Protein, 11 g Carbohydrate, 13 g Fat (1.6 g Saturated Fat),
31 mg Vitamin C, 0 g Cholesterol, 190 mg Sodium, 4 g Fiber


Dr. Heather Peña’s Energizing Shake
A great “get up and go” in the morning for those who don’t have time for a sit down breakfast. This shake also makes a great quick lunch for those on the run or late afternoon energy booster!
Serves 1

Ingredients

1 cup skim milk or low fat soy milk
½ cup blueberries, fresh or frozen without sugar
½ cup strawberries or raspberries, fresh or frozen without sugar
1 medium banana
¼ cup raw oatmeal
3 ea. Walnut halves
1 Tablespoon protein powder*
1 Tablespoon flax seed (for women only)
¼ cup orange juice or 1 teaspoon orange juice concentrate

Preparation:
Place all ingredients in a blender and add water to desired consistency. Blend and enjoy!


Nutrition Facts
Per serving: 466 Calories, 22.8 g Protein, 42.4 g Carbohydrate, 11.8 g Fat (2.5 g Saturated Fat), 391 mg Calcium, 54 mg Vitamin C, 5.7 ATE Vitamin E, 13 g Fiber

* 1 Tablespoon Naturade® Vegetable Protein Powder contributes 15.3 mg isoflavones
(8.7 mg genistein, 5.3 daidzein, 1.3 mg glycitein)


©2006 St. Helena Center for Health. All rights reserved


 
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