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A Healthy Heart for the Holidays Presented by: Megan Lasko, Samantha Romeo, Cassandra Lacko Sodexo Dietetic Internship Wednesday, December 21, 2016 St. Luke’s Cardiac Rehabilitation Program

A Healthy Heart for the Holidays · 2018-09-02 · Presentation objectives After this presentation, the audience will be able to: Describe the basics of a heart-healthy diet Develop

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Page 1: A Healthy Heart for the Holidays · 2018-09-02 · Presentation objectives After this presentation, the audience will be able to: Describe the basics of a heart-healthy diet Develop

A Healthy Heart for the Holidays

Presented by: Megan Lasko, Samantha Romeo, Cassandra LackoSodexo Dietetic InternshipWednesday, December 21, 2016

St. Luke’s Cardiac Rehabilitation Program

Page 2: A Healthy Heart for the Holidays · 2018-09-02 · Presentation objectives After this presentation, the audience will be able to: Describe the basics of a heart-healthy diet Develop

PRESENTATION OUTLINE● Heart healthy diet overview

● Healthy holiday eating tips

● Holiday recipe modifications

Page 3: A Healthy Heart for the Holidays · 2018-09-02 · Presentation objectives After this presentation, the audience will be able to: Describe the basics of a heart-healthy diet Develop

Presentation objectivesAfter this presentation, the audience will be able to:

● Describe the basics of a heart-healthy diet● Develop a plan for avoiding less healthy food choices

during the holiday season● List 1-2 ways to modify a recipe in order to make it more

heart-healthy

Page 4: A Healthy Heart for the Holidays · 2018-09-02 · Presentation objectives After this presentation, the audience will be able to: Describe the basics of a heart-healthy diet Develop

PART 1: HEART HEALTHY

DIET:The Basics

Page 5: A Healthy Heart for the Holidays · 2018-09-02 · Presentation objectives After this presentation, the audience will be able to: Describe the basics of a heart-healthy diet Develop

MyPlate your guide to healthy eating

Page 6: A Healthy Heart for the Holidays · 2018-09-02 · Presentation objectives After this presentation, the audience will be able to: Describe the basics of a heart-healthy diet Develop

Make at least ½ your grains whole grains

● High in fiber ○ Helps lower cholesterol○ Provides feeling of fullness○ Important for bowel health

★ Check the ingredient list○ 1st ingredient should be a whole

grain!

whole wheat brown rice oatmealquinoa rolled/whole oats whole ryewild rice popcorn whole grain barley

Page 7: A Healthy Heart for the Holidays · 2018-09-02 · Presentation objectives After this presentation, the audience will be able to: Describe the basics of a heart-healthy diet Develop

Choose lean proteinLimit saturated fats

○ High fat cuts of beef○ Sausage ○ Fried meats/poultry

Replace with unsaturated fats○ Olive/canola oils○ Nuts/seeds (unsalted)○ Fish

➔ Choose white meat & remove skin

➔ Use low-fat cooking methods

➔ Avoid processed meats (sausage, deli meats, etc.)

➔ Beans are a great plant-based protein

Page 8: A Healthy Heart for the Holidays · 2018-09-02 · Presentation objectives After this presentation, the audience will be able to: Describe the basics of a heart-healthy diet Develop

Choose low-fat dairyProvide Calcium, Vitamin D & Potassium

○ Bone health○ Blood pressure control

Fat Free 1% 2% Whole

Page 9: A Healthy Heart for the Holidays · 2018-09-02 · Presentation objectives After this presentation, the audience will be able to: Describe the basics of a heart-healthy diet Develop

Fill ½ your plate withFruits & vegetables

Fresh, frozen, or canned *If frozen-- avoid those with sauces/flavoring.

These have added sodium/fat!*If canned-- choose low sodium options & rinse*Fruits packed in water/juice, NOT syrup

Choose vegetables of different colors to receive the variety of nutrients they each offer

○ Fiber, potassium, folate, vitamin A, vitamin C, and much more!

Naturally low in calories & fat

Page 10: A Healthy Heart for the Holidays · 2018-09-02 · Presentation objectives After this presentation, the audience will be able to: Describe the basics of a heart-healthy diet Develop

avoid the salt shakerLimit sodium to 2000 mg/day

● Read food labels● Add more fresh foods; limit processed● Use herbs & spices for flavor● Choose “low-sodium” products

Page 11: A Healthy Heart for the Holidays · 2018-09-02 · Presentation objectives After this presentation, the audience will be able to: Describe the basics of a heart-healthy diet Develop

PART 2: Healthy Holiday

Eating Tips

Page 12: A Healthy Heart for the Holidays · 2018-09-02 · Presentation objectives After this presentation, the audience will be able to: Describe the basics of a heart-healthy diet Develop

Do you know......How many calories and grams of fat there are in the average holiday meal?

Page 13: A Healthy Heart for the Holidays · 2018-09-02 · Presentation objectives After this presentation, the audience will be able to: Describe the basics of a heart-healthy diet Develop

Answer: 3000 CALORIES

229 GRAMS OF FAT

Page 14: A Healthy Heart for the Holidays · 2018-09-02 · Presentation objectives After this presentation, the audience will be able to: Describe the basics of a heart-healthy diet Develop

HOLIDAY BURNTwo Turkey Legs with Skin

833 calories

26.5 g fat

8.2 g saturated fat

3 Hours, 51 Minute Walk!

1 Cup Mashed Potatoes with ¼ Cup Gravy

267 calories

10 grams fat

2.5 g saturated fat

1 Hour, 10 Minute Walk!

Page 15: A Healthy Heart for the Holidays · 2018-09-02 · Presentation objectives After this presentation, the audience will be able to: Describe the basics of a heart-healthy diet Develop

4 Chocolate Chip Cookies with 8 oz. glass Whole Milk

338 calories

17 g fat

8 g saturated fat

1 Hour, 34 Minute Walk!

1 piece Pecan Pie

503 calories

27.1 g fat

4.9 g saturated fat

2 Hour, 11 Minute Walk!

HOLIDAY BURN

Page 16: A Healthy Heart for the Holidays · 2018-09-02 · Presentation objectives After this presentation, the audience will be able to: Describe the basics of a heart-healthy diet Develop

2 Glasses of Red Wine

252 calories

1 Hour, 10 Minute Walk!

HOLIDAY BURN

Page 17: A Healthy Heart for the Holidays · 2018-09-02 · Presentation objectives After this presentation, the audience will be able to: Describe the basics of a heart-healthy diet Develop

DISCLAIMER:KEEP IT REALISTIC!

The holidays are a time to enjoy delicious, homemade foods. You don’t have to beat

yourself up for indulging a bit.

Making small, achievable changes to your normal holiday eating habits can go a long

way!

No one is perfect.

Page 18: A Healthy Heart for the Holidays · 2018-09-02 · Presentation objectives After this presentation, the audience will be able to: Describe the basics of a heart-healthy diet Develop

BUILDING A HEALTHY HOLIDAY PLATE GRAINS: ● Whole wheat rolls● Stuffing made with whole

wheat bread● Add whole wheat to your

cookies and baked goods● Make a side dish with

brown rice

DAIRY● Glass of 1% or skim milk● Make your own healthy egg

nog w/ skim or 1%!

PROTEIN:● Lean meats: turkey,

chicken - skin removed!● Choose white over dark

meat!● Extra lean roasted ham

FRUIT● Fruit salad● Fresh cut fruit● Homemade cranberry

sauce

Vegetables● Steamed or roasted with

olive oil● Tossed salad

Page 19: A Healthy Heart for the Holidays · 2018-09-02 · Presentation objectives After this presentation, the audience will be able to: Describe the basics of a heart-healthy diet Develop

HEART HEALTHY PLATE: EXAMPLE!

Vegetables: More than ½ the Plate!

● 1 Cup Salad w/ 2 Tbsp. Dressing

● Green Bean Casserole (see Cassie’s modified recipe!) w/ Almonds

● Sweet Potato Mash

Grains: ¼ of the plate● ¼ Cup Stuffing (made w/

Whole Wheat Bread!

Fruit● 2 Tbsp. Cranberry Sauce

Protein● 4 oz. White Turkey Meat

without Skin

Dairy● 8 oz. Skim or 1% Milk

OR● Healthy Homemade Egg

Nog! (Recipe will be provided)

Image Source: http://fitaffect.com/what-does-your-holiday-plate-look-like/

Page 20: A Healthy Heart for the Holidays · 2018-09-02 · Presentation objectives After this presentation, the audience will be able to: Describe the basics of a heart-healthy diet Develop

‘TIS THE SEASON FOR TEMPtATION!TIPS TO BEAT THE TEMPT

● Never Arrive Hungry● Friends and Family > Food● Pace Yourself● Portion Control● Be Smart with Dessert● Bring a Healthy Dish● Watch Your Alcohol Intake● Avoid Office Temptations● Keep the Holiday Active!

Page 21: A Healthy Heart for the Holidays · 2018-09-02 · Presentation objectives After this presentation, the audience will be able to: Describe the basics of a heart-healthy diet Develop

Never ARRIVE HUNGRYDO NOT avoid eating all day to “save up” for your holiday meal.

Instead, eat a healthy breakfast, and if necessary, a small snack in between.

This will help you from over-stuffing yourself and over-indulging in desserts!

Page 22: A Healthy Heart for the Holidays · 2018-09-02 · Presentation objectives After this presentation, the audience will be able to: Describe the basics of a heart-healthy diet Develop

FRIENDS & FAMILY > FOOD!

Image Source: http://fitaffect.com/what-does-your-holiday-plate-look-like/

Make the holidays about the friends and family you don’t get to see very often.

Spend time sitting down and catching up with and old relative instead of going back for a second plate!

Remember: Out of sight - out of mind!

Page 23: A Healthy Heart for the Holidays · 2018-09-02 · Presentation objectives After this presentation, the audience will be able to: Describe the basics of a heart-healthy diet Develop

PACE YOURSELF!Take time to taste and enjoy each mouthful of food.

Chew slowly, and put your fork down between bites, taking the time to engage in conversation with surrounding friends and family.

Drink sips of water between every few bites.

It takes ~ 20 minutes for your brain to catch up with your stomach and detect that you are full. Wait it out before going up for seconds.

Page 24: A Healthy Heart for the Holidays · 2018-09-02 · Presentation objectives After this presentation, the audience will be able to: Describe the basics of a heart-healthy diet Develop

PORTION CONTROL

Remember: the MyPlate tips discussed previously can apply on the holiday, with all of your favorite dishes, as well!

Be mindful not only of the types of foods you are selecting, but the portions of each and how much room they take up on your plate, as well!

Choosing a smaller plate (i.e. a salad plate) for your main meal is instant portion control!

Page 25: A Healthy Heart for the Holidays · 2018-09-02 · Presentation objectives After this presentation, the audience will be able to: Describe the basics of a heart-healthy diet Develop

BE SMART WITH DESSERT!

Image Sources: http://diet.allwomenstalk.com/delicious-holiday-treats-under-200-calories/6/

http://www.webmd.boots.com/healthy-eating/ss/slideshow-healthy-eating-out

Choose smarter dessert options, like fresh fruit

salad.

Splitting a dessert with a family member is also

a good strategy.

Try a more healthful, modified version of a classic (see handout).

Even choosing to cut a smaller slice of pie is a

good start!

Page 26: A Healthy Heart for the Holidays · 2018-09-02 · Presentation objectives After this presentation, the audience will be able to: Describe the basics of a heart-healthy diet Develop

BRING A HEALTHY DISH!

*See handout for this healthy

recipe side dish!

● Vegetable and Dip Tray● Fruit Salad● Tossed Salad with a Homemade Dressing● Cracker and Cheese Tray (Whole Grain

Crackers, Reduced Fat Cheese!)● A Healthful Side Dish?

○ Maple Butternut Squash, Roasted Brussels Sprouts, Pumpkin Seeds, and Cranberries*

● A Healthy Dessert:○ Angel Food Cake topped with Fresh

Strawberries and Low Fat Cool Whip!

Image Source: http://juliasalbum.com/2016/10/maple-butternut-squash-roasted-brussels-sprouts-pumpkin-seeds-and-cranberries/

Page 27: A Healthy Heart for the Holidays · 2018-09-02 · Presentation objectives After this presentation, the audience will be able to: Describe the basics of a heart-healthy diet Develop

WATCH YOUR ALCOHOL INTAKE Calories from alcohol count, too - and they add up quickly!

If you do choose to drink - stick to:○ A small glass of wine (4-6 oz)○ A light beer○ A mixed drink with diet soda

or seltzer○ Wine +

Selzer=”Spritzer”...Less Calories!

See recipe handout for a link with low calorie cocktail recipes!

Page 28: A Healthy Heart for the Holidays · 2018-09-02 · Presentation objectives After this presentation, the audience will be able to: Describe the basics of a heart-healthy diet Develop

KEEP THE HOLIDAYS ACTIVEGo for a walk around your neighborhood before the holiday festivities begin.

Or, take a walk after you finish eating your meal. Not only will this burn off some of the extra dessert calories, but it is also a good strategy to keep your mind off of food!

And, of course, it is great for overall cardiovascular health, which is so important - even on the holidays!

Page 29: A Healthy Heart for the Holidays · 2018-09-02 · Presentation objectives After this presentation, the audience will be able to: Describe the basics of a heart-healthy diet Develop

AVOID OFFICE TEMPTATIONS!

Image Source: https://www.bustle.com/articles/54899-ranking-the-office-christmas-episodes-because-nobody-throws-a-party-like-michael-scott

There is Food...Everywhere!Pack your lunch and some heart healthful snacks to get you through the day without succumbing to temptations.

Inspire Your Co-Workers: Bring in a modified, healthful recipe of a favorite sweet treat. When you’re craving another office goodie, you can stick to the one you got to satisfy your sweet tooth without compromising your health.

Hydration is Key! Keep a bottle of water at your desk, as thirst often masks hunger during a busy work day.

Page 30: A Healthy Heart for the Holidays · 2018-09-02 · Presentation objectives After this presentation, the audience will be able to: Describe the basics of a heart-healthy diet Develop

PART 3: Healthy Holiday

REcipe Modification

Page 31: A Healthy Heart for the Holidays · 2018-09-02 · Presentation objectives After this presentation, the audience will be able to: Describe the basics of a heart-healthy diet Develop

Why modify recipes?● Making minor adjustments to recipes & the

Holiday menu can help to:○ Avoid Holiday weight gain○ Avoid increase in blood pressure ○ Avoid fluid accumulation/water weight○ Keep blood lipid levels in check

Page 32: A Healthy Heart for the Holidays · 2018-09-02 · Presentation objectives After this presentation, the audience will be able to: Describe the basics of a heart-healthy diet Develop

The Recipe Calls for… ButterSubstitute:

● Extra Virgin Olive Oil○ 1 cup butter= ¾ cup EVOO

● Unsweetened Applesauce○ Equal parts

● Mashed Banana○ Equal Parts

● Mashed Avocado○ Equal Parts

● Boiled Prunes○ 1 cup butter= ¾ cup Prunes + ¼ cup boiling water

Page 33: A Healthy Heart for the Holidays · 2018-09-02 · Presentation objectives After this presentation, the audience will be able to: Describe the basics of a heart-healthy diet Develop

The recipe calls for… White FlourSubstitute:

● Whole Wheat Pastry Flour or Whole Wheat Flour○ Equal Parts

● Almond, Oat, Coconut, Brown Rice Flour, Gluten Free Flour (if GF)

○ Equal Parts

● Black Beans (pureed)○ Equal parts

Page 34: A Healthy Heart for the Holidays · 2018-09-02 · Presentation objectives After this presentation, the audience will be able to: Describe the basics of a heart-healthy diet Develop

The recipe calls for... Sugar Substitute:

● Stevia ○ 1 cup sugar= ½ cup Stevia or Truvia

● Agave Nectar*○ 1 cup sugar= ⅔ cup Agave Nectar

● Honey*○ 1 cup sugar= ¾ cup Honey

● Vanilla Extract○ 1 cup sugar= ½ cup sugar + 1 tsp. Vanilla Extract

● Unsweetened Applesauce○ 1 cup sugar= ½ cup sugar + ¾ cup Applesauce (reduce other liquids)

*= lower baking temp by 25 degrees

Page 35: A Healthy Heart for the Holidays · 2018-09-02 · Presentation objectives After this presentation, the audience will be able to: Describe the basics of a heart-healthy diet Develop

The recipe calls for...EggsSubstitute:

● Eggs Whites○ 1 egg= 2 egg whites

● Chia or Ground Flax Seed○ 1 egg= 1 tbsp. Chia/Flax Seed

+ 3 tbsp water

Page 36: A Healthy Heart for the Holidays · 2018-09-02 · Presentation objectives After this presentation, the audience will be able to: Describe the basics of a heart-healthy diet Develop

The recipe calls for… Heavy CreamSubstitute:

● Low-Fat or Fat Free Evaporated Milk○ Equal Parts

Page 37: A Healthy Heart for the Holidays · 2018-09-02 · Presentation objectives After this presentation, the audience will be able to: Describe the basics of a heart-healthy diet Develop

The recipe calls for… Chocolate ChipsSubstitute:

● Cacoa Nibs○ Equal Parts

● Carob Chips (caffeine free!)○ Equal Parts

Page 38: A Healthy Heart for the Holidays · 2018-09-02 · Presentation objectives After this presentation, the audience will be able to: Describe the basics of a heart-healthy diet Develop

The recipe Calls for… SaltSubstitute:

● Herbs & Spices● Lemon Juice● Balsamic or other Vinegars

Page 39: A Healthy Heart for the Holidays · 2018-09-02 · Presentation objectives After this presentation, the audience will be able to: Describe the basics of a heart-healthy diet Develop

Let’s Modify some recipes!

Page 40: A Healthy Heart for the Holidays · 2018-09-02 · Presentation objectives After this presentation, the audience will be able to: Describe the basics of a heart-healthy diet Develop

Modify: Baked ham with brown sugar ham glazeIngredients:

● 8-10 pounds smoked ham● 1 cup brown sugar● 1/2 cup granulated sugar● 1/2 cup brandy● 2 tablespoons whole grain mustard● 1 tablespoon cornstarch● 1 tablespoon ground cumin● 1 tablespoon ground coriander● 1 teaspoon allspice● 1/2 teaspoon cayenne pepper● 6 teaspoons salt

Page 41: A Healthy Heart for the Holidays · 2018-09-02 · Presentation objectives After this presentation, the audience will be able to: Describe the basics of a heart-healthy diet Develop

Modify: Honey Butter RollsIngredients:

● 1 cup whole milk, warmed to about 110°F1● 2 and 1/4 teaspoons yeast● 1/2 teaspoon granulated sugar● 1/4 cup honey● 1 large egg + 1 egg yolk● 1/4 cup salted butter, melted and slightly cooled● 1/2 teaspoon salt● 3 and 1/2 cups bread flour

Topping● 1/4 cup salted butter, very soft● 2 Tablespoons honey

Page 42: A Healthy Heart for the Holidays · 2018-09-02 · Presentation objectives After this presentation, the audience will be able to: Describe the basics of a heart-healthy diet Develop

Modify: Green Bean Casserole Ingredients:

● 1 can Condensed Cream of Mushroom Soup

● 3/4 cup milk ● 1/8 tsp. black pepper ● 4 cups cooked cut green beans or 2

cans any style Del Monte® Green Beans, drained

● 1 1/3 cups FRENCH'S® Crispy Fried Onions

Page 43: A Healthy Heart for the Holidays · 2018-09-02 · Presentation objectives After this presentation, the audience will be able to: Describe the basics of a heart-healthy diet Develop

Modify: Pecan PieIngredients:

Dough:

● 1 1/4 cups all-purpose flour● 2 teaspoons sugar● 1/8 teaspoon salt● 1/2 cup cold butter (1 stick),

diced● 1 large egg, lightly beaten● Flour, for rolling the dough

Filling:

● 5 tablespoons unsalted butter● 1 cup packed light brown sugar● 3/4 cup light corn syrup● 1/2 teaspoon fine salt● 2 cups chopped toasted pecans● 1 to 2 tablespoons bourbon● 2 teaspoons pure vanilla extract● 3 eggs, lightly beaten

Page 44: A Healthy Heart for the Holidays · 2018-09-02 · Presentation objectives After this presentation, the audience will be able to: Describe the basics of a heart-healthy diet Develop

EVALUATION METHOD: VERBAL QUIZ1. What foods are important to incorporate into your heart-healthy diet?2. What types of foods should be avoided on a heart-healthy diet?3. Name 2 tips for beating holiday food temptations.4. Explain 2 components of a healthy holiday plate.5. Give 1 reason to make heart-healthy substitutions to a recipe.6. What is one heart-healthy substitution you can make while cooking one of

your favorite holiday dishes?

Page 45: A Healthy Heart for the Holidays · 2018-09-02 · Presentation objectives After this presentation, the audience will be able to: Describe the basics of a heart-healthy diet Develop

Thank you & Happy Holidays!