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October 30, 2018 By Richa Athavale 22 Comments

How to include proteins to your Breakfast?

179739-curd

All of us are well aware that breakfast is the first important meal of the day. The second most important thing is to have frequent meals to keep our metabolism high. Our body goes into the rest mode for almost 8 to 10 hours after dinner when we are sleeping through the night. Hence, it becomes essential to eat a good, balanced meal which has the right proportion of carbohydrates, protein, fats, vitamins, minerals, fibres, anti- oxidants etc.in the morning. More often than not it is a difficult task to incorporate all these nutrients in the morning breakfast due to our rush to get to work.But, one can always try to incorporate as many nutrients as we can out of the above if not all.

It is advised to include proteins in every meal. The inclusion of proteins to your breakfast becomes a challenging task especially if you are a vegetarian. Lacto- Ovo vegetarian breakfast can easily get proteins through the milk and eggs. The tough task is for vegetarians and vegans (those who limit dairy products).

Common Indian breakfast items are Poha (cooked Puffed Rice with some veggies), flat breadsUpma, Idli and Dosa (steamed Rice pancakes), flatbreads(Chaapti), Rice, Porridgeetc. Today, I am going to tell you how we add proteins in our 1st meal of the day – breakfast.

Whenever we have options like steamed rice pancakes (Idlisambhar) or bread omelette we’re obviously getting proteins from the dish.  When we have options like Cooked Puff Rice, Upma, rice, cooked Wheat Flat breads (Chappati)  etc. without any side dish we need to add some proteins to it.

Here are few items which you can add:

  1. Peanuts/ Groundnuts: A humble source of proteins and MUFA (mono unsaturated fatty acids) will add to proteins in breakfast. We can use in different forms as peanut butter, chutney etc. spread it on your bread or chapatti. Excellent to be added in pre workout meal.
  • 100 g of Dry roasted peanuts will give 24-26 g of proteins.
  1. Roasted Chana: Simple, easily available and can be stored. Just add a handful of black (Kabuli)or brown Chana to your plate or have it on the go post breakfast. If you couple it up with peanuts it will be even better.
  1. Mixed Sprouts: This one will need some preparation. Soak the sprouts for 6-8 hours, then drain the water and tie in the cloth for sprouts to come. Add handful of it either raw or steamed. Raw will give you good enzymes as compared to cooked ones. Whereas steamed will be easier to digest. Following are the rough values for sprouted and steamed sprouts.
  • Moong/ Green gram 2-3 g
  • Matki/ Moth bean 8 g
  • Chana/ Chick peas 9 g
  1. Green peas: It is very to incorporate peas in any dish. Add it to your upma, poha, rice liberally. They will taste good as well as increase the protein value. Its green colour also add to the visual effect.
  • 100 g of fresh green peas contain 5 g of protein
  1. Nuts like (almond, walnut, cashew nut): Again a very handy option. Just adding them to your bowl of breakfast is very easy. They are rich in minerals like calcium, good fats like MUFA, omega 3 fatty acids. Don’t forget to soak and peel almond to avoid anti nutritional factors in the peel.
  • Almond 21.2 g
  • Walnut 15.2 g
  1. Sesame, flax, sunflower, pumpkin seeds: Dry roasted seeds can serve as a protein quotient of the meal. You can easily stock it in cool and dry place. You can have them as it is or grind to make into chutney. Dips like tahini can be made from sesame seeds.
  1. Milk: You can just add a glass of milk to complete the protein quota of the meal. It goes well with roti, chapati, bread, cereals etc. It is better to go for low fat milk. If having cow’s milk make sure it is Desi cow’s milk. Make sure you’re not having it with salty or savoury as milk and salt is not recommended to have together.1 cup of milk gives you 8 g protein on an average.
  1. Curds/ Yogurt: Add a bowl of curds or yogurt to make your breakfast not only protein rich but yummy. We can mix poha, rice with it to give a better texture and taste. Fruits with yogurt can be another hit option and light still complete meal. 1 cup gives you 10-11 g proteins on an average.
  1. Buttermilk: It is the best bet in summer. Having it post breakfast will help in digestion. It has good water content and therefore it will not be a concentrated source. Unlike milk it can be coupled with salty and savoury options as well.
  1. Cheese: I am yet to come across a person who doesn’t like cheese unless of course you are a vegan. We can add it with breads, chapatti, pancakes etc. You can use different varieties like cheese spread, cubes, and slices or just grate some cheese on your dish. People who are targeting weight gain can have it on regular basis. Those who are trying to lose weight should limit it once or twice in a week. 100 g will give approx. 20 g of proteins.

October 23, 2018 By Trishala Chopra Leave a Comment

Do you really need a multivitamin?                  

                                                      

Multivitamins

The topmost questions on the mind of all my patients are “I am getting so tired these days, doctor do you think that I should take a multivitamin?” and “I am taking these multivitamins which I got from the US, do you think it’s good enough for me to have?”

These are just 2 such questions but trust me, I get loads of such questions on Multivitamins. Based on these questions, I decided I should talk about it in my blog and present the facts on the matter.

Let us first understand

What is multivitamin?

If I just try to understand the word in literal terms, a multivitamin is a supplement that contains more than one vitamin. But is it just vitamins? Certainly not. Multivitamin is a supplement that contains many vitamins and essential minerals which helps you fight against different nutritional deficiencies and their symptoms.

Who actually needs a multivitamin?

  1. You need a multivitamin if you are not able to get adequate nutrition from your diet.
  2. You need a multivitamin if you are severely deficient in different nutrients as detected in your blood reports
  3. You need a multivitamin if you are looking for micronutrients for specific symptoms.

Apart from this, there are other population groups as well which might need a multivitamin in addition to a variety of foods in their diet.

  1. Pregnant women
  • During pregnancy, consumption of multivitamins reduces the risk of birth defects in the foetus.
  • There are different kinds of research which are done taking multivitamins into consideration but since multivitamins consist of various vitamins and minerals, we don’t exactly know which nutrient is giving the maximum benefits.
  • Folic acid perhaps is the most important micronutrient but doctors anyways give it in a completely separate form so talk to your healthcare professional before starting on any multivitamin.
  1. Senior citizens
  • People over the age of 65 are generally low on B- vitamins, vitamin D, iron and magnesium.
  • Supplementing senior citizens with a multivitamin can definitely help in reducing their nutritional deficiencies to a great extent.
  1. People who are on different food restrictions
  • People who are on a gluten-free diet are usually low on calcium, iron, magnesium, zinc, folate, vitamin B12 and vitamin D.
  • Vegan people are usually low in calcium, iron, zinc and vitamin B12.
  • People who are on low carb diet are usually low in calcium, copper, magnesium, potassium and vitamin E

Multivitamin in these cases will help in overcoming these nutritional deficiencies.

  1. People who have undergone bariatric surgery
  • During bariatric surgery, size of the stomach is reduced which reduces nutrient absorption which can further lead to nutritional deficiencies.
  • Even after taking a multivitamin, nutrient absorption is not very high but this will be much better than not taking a supplement and remain extremely nutritionally deficient

The above is related specifically for people with some health issues. Let us now look at the general population! Does the general population need a multivitamin and what can be the possible benefits?

  1. Multivitamins can help in increasing the quality of life
  2. Multivitamins can help in reducing mood swings
  3. Multivitamins can help in reducing complications related to eyes

These are some points which researches have come up with however nothing is claimed so far.

Normally what I have seen is that when people are taking multivitamin they are okay to substitute it for a balanced diet but a multivitamin is a SUPPLEMENT and not a SUBSTITUTE.

Let’s understand about how to select a multivitamin for you.

Your healthcare professional can suggest you one but, you should always know how to pick up one for yourself!

Consider the following points when you buy a multivitamin

  1. Choose a multivitamin that contains close to your recommended dietary allowance (RDA) of vitamins and minerals. Sometimes a particular multivitamin crosses much more than your RDA per day.

For example:

  • Excess of potassium at one go on an empty stomach can lead to elevated potassium levels in the body which can affect your heart rhythm that is why your potassium in a multivitamin should always be limited to 99 mg.
  • Magnesium in your multivitamin should be limited to 350 mg because higher doses of magnesium in the body can lead to diarrhoea and other stomach issues.
  • Excess of calcium in your multivitamin might increase the risk of kidney stones, and too much total calcium can result in hypercalcemia in the body.

B. If a multivitamin supplement is only having vitamins and minerals then its fine to pick it up but usually this doesn’t happen. A single multivitamin is full of special ingredients which can put a body into negative balance hence avoid taking multivitamins which has too many extra ingredients.

C. I have seen my patients doing this a lot that they get confused between the pill and serving.

For example: A multivitamin pack might mention that it contains 300 mg of vitamin C per serving. When it is said so, please understand that a serving does not necessarily mean that 1 pill equals 1 serving. Serving completely depends upon how the company is depicting it. It could mean a whole pack is 300 mg.

D. I have seen this quite often that many people are usually only deficient in one or 2 nutrients in such cases taking a multivitamin is not a very good option. Pick up those nutritional supplements only which are on the lower side.

Hence, it is always good to take Vitamins after you speak to your doctor. Do not indulge in self- medication.

You might need a multivitamin but, it is not necessary that everyone might need it.

 

 

August 22, 2018 By Payal Choudhury Leave a Comment

“Binge Eating”- Its effects on our health

how-to-stop-binge-eating

Nothing Feels as “Good as being healthy!!!”.

We all overeat from time to time—taking an extra helping at an ‘Anniversary or Birthday’ dinner or having dessert when you’re already full. But, for binge eaters, overeating is regular and uncontrollable. We use food to cope with stress and other negative emotions, soon after a while we feel worse for overeating. With the right help and support, one can learn to control their eating and develop a healthy relationship with food.

Eating disorders are associated with a wide range of adverse psychological, physical, and social consequences. A person with an eating disorder may start out just eating smaller or larger amounts of food, but at some point, their urge to eat less or more spirals out of control. Severe distress or concern about body weight or shape, or extreme efforts to manage weight or food intake, also characterizes an eating disorder.

Binge eating disorder (BED) is an eating disorder characterized by binge eating without subsequent purging episodes.

One of the most common reasons for binge eating is an attempt to manage unpleasant emotions such as stress, depression, loneliness, fear, and anxiety. When you have a bad day, it can seem like food is your only friend. Binge eating can temporarily make feelings such as stress, sadness; anxiety, depression, and boredom evaporate into thin air. But, the relief is only very fleeting.

Binge Eating Disorder can be physical, psychological and behavioural. It is possible for someone with Binge Eating Disorder to display a combination of these symptoms.

Physical signs:

  • Feeling tired and not sleeping well

Psychological Signs:

  • Pre-occupation with eating, food, body shape and weight
  • Depression, anxiety or irritability

Behavioural Signs:

  • Increased isolation and withdrawal from activities previously enjoyed
  • Self harm, substance abuse or suicide attempts

Here are the four reasons why we binge?

  1. We skip meals or restrict our calories.
  2. We deprive ourselves of what we really want to eat.
  3. We eat mindlessly to avoid situations.
  4. We turn to food when strong emotions and uncomfortable feelings arise.

Binge eating disorder is characterized by compulsive eating in which people consume huge amounts of food while feeling out of control and powerless to stop. The symptoms of binge eating disorder usually begin in late adolescence or early adulthood, often after a major diet.

Binge eating disorder, as the name implies, is characterized by uncontrollable, excessive eating, followed by feelings of shame and guilt. Unlike those with bulimia, teenagers with binge-eating disorder typically do not purge their food. However, many teenagers who have bulimia also have binge-eating disorder.

Teenagers with binge-eating disorder typically are overweight or obese and most victimized. Teenagers feel like they have no control over their behaviour, and eat in secret and when they are not hungry. Teenagers may hide food. Excessive amounts of food containers and wrappers are also evidence of binging. There are some other signs like

  • Eating in secret
  • “Grazing” continuously without feeling satiated
  • Eating when stressed or when feeling uncertain how to cope
  • Feeling unable to control how much they eat
  • Experimenting with different diets.

Binge eating disorder can be successfully treated in therapy. These therapies helps in teaching us how to fight the compulsion to binge, exchange unhealthy habits for newer healthy ones , monitor our eating and moods, and develop effective stress-busting skills.

Breaking the old pattern of binge eating is hard. This is where the support of others can really come in handy. Family, friends, and therapists can all be part of the support team. We may also find that joining a group for binge eaters is helpful. Sharing one’s experience with other compulsive eaters can go a long way towards reducing the stigma and loneliness one feels.

Binge eating may be comforting for a brief moment, but then reality sets back in, along with regret and self-loathing. Binge eating often leads to weight gain and obesity, which only reinforces compulsive eating. It becomes a vicious cycle: eating to feel better, feeling even worse, and then turning back to food for relief.

August 7, 2018 By Anusha Subramanian Leave a Comment

Is Organic a strict requisite? Not really

        cover pic

There is always this debate on what is organic and oh organic foods are so expensive? in the third and last blog of the series on how we consume foods that can be hazardous to our health due to various reasons, in today’s blog we talk of is organic food a strict requirement to eat healthily?

Please keep in mind that we are in no way trying to say that consuming organic food is not necessary. This blog here is purely intended to give you an insight into those fruits and veggies that you don’t necessarily have to buy organic if you are planning to cut down on your expenditure. It is no secret that organic food is expensive, with a steady rise in demand for organic produce, the prices are hiking relatively. We live in a world where almost every conventionally produced food item comes adulterated with many chemicals and pesticides. The silver lining is that there are still some edibles out there which are least likely to be contaminated with pesticide residues. So if budget is a concern, you can buy the conventional production of these food items.

  1. Avocados

IMG-5886

For all the guacamole lovers out there, rejoice. Avocados have very little pesticide residue on it. This makes avocados a safe conventional product to consume.

  1. Sweet Corn

IMG-5890

Worried of pesticides? Sweet corn is a very safe option to choose from among conventional produces. It is one of the cleanest foods you can buy.

  1. Pineapples

IMG-5891

My personal favourite, we all love Pineapples, don’t we? The thick skin absorbs most of the pesticides residues used on pineapples. Don’t let your budget shadow your love for pineapples. Buy them conventionally.

  1. Papayas

IMG-5887

It’s hard to imagine your fruit salad without papayas. That would be like The Beatles without McCartney. You need not worry, a large percentage of papaya generally come with no pesticide residues in them. And hence, it is a very safe option to choose from conventional foods.

  1. Cabbage

IMG-5888

I’m surprised to find cabbage in the list. Their leafy exterior is bound to have pesticide residue, but that isn’t the truth. Apparently, the leafy exterior tends to leave a very little residue, making cabbage a safe conventional produce to consume.

  1. Onions

IMG-5895

As we all know, cutting an onion literally brings you to tears. Cultivators tend to use fewer pesticides on Onions because not a lot of pests try to mess with onion due to their lethal defensive mechanism.

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