Healthy Eating Tips – Choosing Nutrient-dense Foods

To eat well, it’s best to choose a mix of nutrient-dense foods every day. Nutrient-dense foods are foods that are high in nutrients but low in calories. Look for foods that contain vitamins, minerals, complex carbohydrates, lean protein, and healthy fats.

Plan your meals and snacks to include

plenty of fruits and vegetables
plenty of grains, especially whole grains
low-fat or fat-free milk and milk products
lean meats, poultry, fish, beans, eggs, and nuts
limited amounts of fats (saturated and trans fats should be as low as possible), cholesterol, salt (sodium), and added
sugars.

Fruits and Vegetables

Fruits, vegetables, and grains offer important vitamins and minerals to keep your body healthy. Most of these foods have little fat. They also have no cholesterol. Fruits, vegetables and grains are also a source of fiber, and eating more fiber may help with digestion and constipation and may lower cholesterol and blood sugar.

Fruits, vegetables, and grains and beans also give your body phytochemicals. Phytochemicals are natural compounds such as beta-carotene, lutein and lycopene. Like vitamins, minerals, and fiber, phytochemicals may promote good health and reduce the risk of heart disease, diabetes, and some cancers. Research is underway to learn more about these natural compounds.

Eat a variety of fresh, frozen, canned, or dried fruits every day. To make sure you get the benefit of the natural fiber in fruits, you should eat most of your fruits whole rather than as juices. Fruits may be purchased fresh, canned, frozen, or dried and may be eaten whole, cut-up, or pureed.

Also, eat a variety of colors and types of vegetables every day. Broccoli, spinach, turnip and collard greens, and other dark leafy greens are good choices. You might also choose orange vegetables, such as carrots, sweet potatoes, pumpkin, or winter squash. Vegetables may be purchased raw or cooked, frozen, canned, or dried/dehydrated. They may be eaten whole, cut-up, or mashed.

Grains

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Foods made from grains are a major source of energy and fiber. Include grains in your diet every day. Any food made from wheat, rice, oats, cornmeal, barley, or another cereal grain is a grain product. Grains fall into two main categories: whole and refined. When choosing grain foods, try to make half your grains whole. In other words, at least half of the cereals, breads, crackers, and pastas you eat should be made from whole grains.

Whole grains are better sources of fiber and nutrients than refined grains, such as white flour or white rice. Refined grains have had both the bran and germ removed and don’t have as much fiber or as many nutrients as whole grains. Most refined grains are enriched, with some B vitamins and iron added back in after processing. However, fiber is not replaced.

Whole-grain foods, such as whole-wheat bread, are made with the entire seed of a plant, including the bran, the germ, and the endosperm. Together, they provide lots of vitamins, minerals, antioxidants, healthy fat, carbohydrates, and fiber.

Try whole wheat pasta instead of regular pasta or use brown rice in a casserole in place of white rice. Look for “whole wheat” or “whole oats” rather than just “wheat” or “oats” on the ingredients list of packaged goods to make sure you’re getting whole grains.

Milk Products

Low-fat or fat-free milk and milk products should be among the foods you choose every day, too. These products provide calcium and vitamin D to help maintain strong bones. They also provide protein, potassium, vitamin A, and magnesium. Low-fat or fat-free milk, cheese, and yogurt are good options.

If you don’t drink milk, be sure to have other products that contain the nutrients that milk provides. Some cereals and juices are fortified with extra calcium and vitamin D. Salmon, sardines and mackerel are good sources of vitamin D.

If you avoid milk because of its lactose (milk sugar) content, you can get needed nutrients from lactose-reduced or low-lactose milk products. You might also drink small amounts of milk several times a day or take tablets with the enzyme lactase (available in most drugstores and grocery stores) before consuming milk products. Other sources of calcium include foods such as hard cheese, yogurt, boney canned fish like salmon or sardines, and calcium-fortified tofu or soy beverages.

Proteins

Protein helps build and maintain muscle, bones, and skin, and you should include some protein in your diet every day. Meats and poultry are sources of protein, B vitamins, iron, and zinc. When buying meats and poultry, choose lean cuts or low-fat products. They provide less total fat, less saturated fat, and fewer calories than products with more fat.

For instance, 3 ounces of cooked, regular ground beef (70% lean) has 6.1 grams of saturated fat and 236 calories. Three ounces of cooked, extra-lean ground beef (95% lean) contains 2.6 grams of saturated fat and 148 calories.

Consider varying your sources of protein. Try replacing meats and poultry with fish or with bean, tofu, or pea dishes. These foods tend to be low or lower in saturated fats, and beans provide fiber. Pinto beans, kidney beans, black beans, chickpeas, split peas, and lentils are all healthy options. Look for ways to add nuts and seeds to your meals and snacks too, but keep amounts small since these foods can contain high amounts of fat.

Fats

Fats are a source of energy and help maintain healthy organs, skin and hair. Fats also help your body absorb vitamins A, D, E, and K. It’s okay to include some oils and fats in the foods you eat, but be aware that fat contains more than twice as many calories as protein or carbohydrates. Try to choose foods that are low in fat or fat free.

Some fats are better for you than others. Choose polyunsaturated and monounsaturated fats when possible. Sources of better fats include vegetable oils such as soybean, corn, canola, olive, safflower, and sunflower oils. Polyunsaturated fat is also in nuts, seeds, and fatty fish. Walnuts, flaxseed and salmon are examples of foods with polyunsaturated fat.

Even More Tips

Be sure to consume plenty of liquids, especially water. You need to replace the fluids you lose every day. You can increase your intake of water by eating fruits and vegetables, which have a high moisture content. This may help prevent constipation and dehydration. Other good choices are unsweetened tea, low-fat or fat-free milk, and 100 percent fruit juice.

Read the food labels on packaged foods and canned goods to learn what’s in the products you buy. All food labels contain a list of ingredients and nutrition information. Ingredients are listed in order by weight, which means that the ingredient present in the largest quantity is listed first and the ingredient present in the smallest quantity appears last. Nutrition information is found on the Nutrition Facts label.

The MyPyramid Plan from the U.S. Department of Agriculture, or USDA, can help you choose a mix of healthy foods that are right for you. This online tool at www.MyPyramid.gov suggests what and how much to eat from each food group. The amount depends on your age, sex, and activity level.

Another balanced eating plan is the DASH eating plan. DASH stands for Dietary Approaches to Stop Hypertension. It is designed to help prevent or manage high blood pressure, or hypertension. The plan suggests which foods to eat and how much to eat. Your doctor may recommend other eating plans to help manage health conditions that occur as you get older. For more information about DASH, contact the National Heart, Lung, and Blood Institute at 1-301-592-8573 or 1- 240-629-3255 (TTY)

Wholesome foods provide a wealth of vitamins, minerals, and other nutrients you need to stay healthy. Eating properly is the best way to get these nutrients. However, if you have concerns that you are not eating as well as you should, you should talk to your doctor about taking a multivitamin and mineral supplement.

So you can live a healthy life, start choosing more healthy foods today.

Senior Healthcare – Planning for Long-Term Care

You can never know for sure if you will need long-term care. Maybe you will never need it. But an unexpected accident, illness, or injury can change your needs, sometimes suddenly. The best time to think about long-term care is before you need it.

Planning is Good

Planning for the possibility of long-term care gives you time to learn about services in your community and what they cost. It also allows you to make important decisions while you are still able. You will need to make

health decisions
legal decisions
financial decisions.

Begin by thinking about what would happen if you became seriously ill or disabled. Talk with your family and friends about who would provide care if you needed help for a long time.

You might delay or prevent the need for long-term care by staying healthy and independent. Talk to your doctor about your medical and family history and lifestyle. He or she may suggest actions you can take to improve your health.

Healthy eating, regular physical activity, not smoking, and limited drinking of alcohol can help you stay healthy. So can an active social life, a safe home, and regular health care.

Planning for long-term care includes legal planning. That means creating official documents — often called “advance directives” — that state your wishes for medical care in an emergency and at the end of life. You can also decide who will make health care decisions for you if you cannot make them yourself.

It is important to consider what you want before you need long-term care. Discuss the options with family members, a lawyer, and others. These discussions can be hard, but telling others your wishes ahead of time answers questions they might have later and takes the burden off your family.

Experts recommend creating three types of legal documents, or advance directives. These are

a health care power of attorney
a living will
a do-not-resuscitate order, if desired.

A Durable Power of Attorney

A health care power of attorney, also called a durable power of attorney for health care, is a legal document that names the person who will make medical decisions for you if you cannot make them yourself. This health care “agent” or “proxy” is your substitute decision maker. The person you choose should understand and respect your values and beliefs about health care. Talk with that person to make sure he or she is comfortable with this role.

A Living Will

A living will, also called a health care directive, is a legal document that records your wishes for medical treatment near the end of life. It spells out what life-sustaining treatment you do or do not want if you are terminally ill, permanently unconscious, or in the final stage of a fatal illness. For example, the document can state whether or not you want to receive artificial breathing if you can no longer breathe on your own.

A Do-Not-Resuscitate Order (DNR)

A do-not-resuscitate (DNR) order tells health care providers not to perform cardiopulmonary resuscitation (CPR) or other life-support procedures if your heart stops or if you stop breathing. A DNR order is signed by a health care provider and put in your medical chart. Hospitals and long-term care facilities have DNR forms that a staff member can help you fill out. You do not have to have a DNR order.

Get Professional Help

Lawyers and other professionals can help you create legal documents to ensure that your health care wishes are expressed. These experts understand state laws and how changes, such as a divorce, move from your home, or death in the family, affect the way documents are prepared and maintained.

Financial planning is another important part of long-term care planning. Government health insurance programs, including Medicare and Medicaid, pay for some long–term care services but not others. Most people do not have enough money to pay for all of their long-term care needs, especially if those needs are extensive or last a long time.

Think about your financial resources and how you feel about using them to pay for long-term care. These resources may include Social Security, a pension or other retirement fund, personal savings, and income from stocks and bonds. Your home is another type of asset that could be used if needed.

It’s a good idea to review your insurance coverage, too. Many health insurance plans provide little, if any, coverage for long-term care. Review any private health insurance, Medicare, and Medigap policies to learn exactly what is covered and what is not.

Civil Society and Social Media

The term “civil society” can seem almost as amorphous as the term “social media.” Yet the two are becoming ever more powerfully linked to the promotion of democracy and human rights in the modern world.

Civil society can encompass any collection of nongovernmental activists, organizations, congregations, writers and/or reporters. They bring a broad range of opinions to the marketplace of ideas and are considered critical to a vibrant, well-functioning democracy. Secretary of State Hillary Rodham Clinton has described a free civil society as the third critical element to democracy – the other two being a representative government and a well-functioning market.

Social media consists of forms of electronic communication – typically using Internet- and mobile-based tools – which allow the creation of online communities to share information and ideas.

Civil society increasingly relies on social media because it is accessible, fast, efficient and easy to use. Seeing how social media can buttress civil society, the Obama administration launched an initiative back in 2009 to help grassroots organizations around the world master and effectively use digital technology. Unfortunately, using borrowed money from the Chinese government.

In some countries with repressive governments that control traditional print, radio and televised media, social media may be the only access people have to unfettered discussions of issues. Philip Howard, an associate professor and author of the soon-to-be released book called “The Digital Origins of Dictatorship and Democracy,” says that for civil society in the 21st century, social media creates “a digital ‘safe harbor’ in which conversations can incubate.”

“Information infrastructure is politics,” Howard says. “In many nations, it also is far more participatory than the prevailing traditional political culture. As a result, the new technology-based politics democratizes the old, elite-driven arrangements. Every time a citizen documents a human rights abuse with her mobile phone, uses a shared spreadsheet to track state expenditures, or pools information about official corruption, she strengthens civil society and strikes a blow for democracy.”

Social media, of course, is a double-edged sword: it can be used for good as well as for ill. The question is: Will the good uses outweigh the bad? What do you think?