Prioritizing your health through nutrition & exercise - 20 essential nutrition & exercise strategies for creating a lasting lifestyle change

What if the “things” that are supposed to nourish us and give us fuel for our day are actually making us sick? Metabolic diseases are the leading cause of death in the US. Heart disease and cancer are 1 and 2 on the list, and for the most part, these are completely preventable. This is where the biggest misconception lies, we can, to a great extent, prevent cancer and heart disease through nutrition and exercise.

As a personal trainer, I meet people everyday who want to lose weight and build muscle through exercise. Nutrition plays just as big a role in this process as exercise, if not larger. Exercise and building muscle in particular facilitate glucose uptake into the muscles and helps our bodies use the carbohydrate we consume rather than storing it as fat. This process of using glucose for energy is typically the process that is interrupted in individuals, struggling with weight gain. We need to be able to use fat and not just carbohydrate as an energy source. Overconsumption and a diet rich in ultra-processed foods (combined with too little physical activity or too little lean muscle mass) cause this disruption in our energy cycle, and later metabolic disease. Most individuals that have this disruption in their energy cycle, insulin resistance, are not even aware of it. Some symptoms of this are: not being able to go a few hours in between meals without crashing, fatigue, cravings, and feeling tired after eating.

So how do we take control of our health and change this cycle to prevent disease? On the nutritional side of the equation, we change what we put into our bodies in two fundamental ways: eliminate food-like substances (ultra-processed food) from our diets, and integrate whole, nutrient-dense food into our diets. And, on the exercise side of the equation, we increase the time spent doing physical activity: move more often, and decrease our time spent being sedentary.

Everything, I stated above might be obvious to most, and not at all revolutionary. The challenge, however, becomes how to make the necessary changes in one’s everyday life. We are busy: we don’t have time to make these changes; and we want fast and easy solutions. However, our health should take precedence over everything else. If we are sick, diagnosed with cancer, or have a heart attack, life changes really fast. All of those other things we are focusing on, at that point, don’t matter as much. So why not prevent this first, by slowly changing our lifestyle habits? As a bonus, we might just have more energy, feel better, have less injuries and aches and pains, eliminate medications, get sick less, sleep better, be more productive, and live healthier, longer lives.

So how do we accomplish all this? We start with small changes, and make bigger ones over time. And we do this with both nutrition and exercise.

Nutrition:

  1. Decrease consumption of and/or eliminate liquid calories like alcohol, soda, diet soda, juice, sports drinks, flavored milks, and sugar-filled coffee and tea drinks.

  2. Eat mostly whole foods and decrease those “ultra-processed foods.” If there is an ingredient listed that is not typically found in a common kitchen, it is considered “ultra-processed.” These atypical, non-food ingredients, are created to preserve shelf-life, improve the texture and taste of the food, and stimulate hunger. Most cereals, breads, chips, snack foods, and sweetened yogurts fall into this category. Even many canned sauces, beans, corn, and other foods can be ultra-processed when they contain added sugar, preservatives, and other non-food ingredients.

  3. Eat more vegetables, and eat them first.

  4. Eat meals, and not snacks in between. Doing so will reduce the amount of times your insulin spikes in a day.

  5. Try time-restricted eating, intermittent fasting, and not eating late at night. Give your body time (2-3 hours is ideal) to digest before going to bed. The benefits of time-restricted eating include: cell efficiency is improved, repairs mitochondria, gut repair, burns visceral fat around organs, autophagy (destroys damaged cells), & stimulates ketosis (fat burning energy system).

  6. Eat more protein and fiber-rich foods, and less simple carbohydrates. Natural carbs like fruits, starchy vegetables, legumes, and minimally processed, whole grains are the best sources of carbohydrates and stimulate a smaller glucose/insulin response in the body.

  7. Avoid high fructose corn syrup, and anything with sugar in the ingredient list. Sugar can be disguised as: cane sugar, artificial sweetener, agave, sucrose, fructose, coconut sugar, barley malt syrup, honey, brown sugar, dextrose, evaporated cane juice, or dehydrated cane juice.

  8. Avoid seed oils. These are super inflammatory to our bodies in large quantities and contain very high concentrations of omega 6 fatty acids (aka lineolic acid). Seed oils are: canola, sunflower, safflower, rice bran, soybean, grape seed, cottonseed, and soy oils. Check out the ingredient list in many of your packaged, canned, and boxed foods & plant milks, and you will be shocked to find how many seed oils (mainly soybean and sunflower) are hidden in our food.

  9. Try to eat a large variety of foods that include lots of spices and color, as well as good healthy fats. Olive oil, avocado and avocado oil, nuts and seeds, and omega 3 rich fish.

  10. Eat lots of probiotic and prebiotic rich foods everyday. This helps to heal and strengthen our microbiome. Examples include: unsweetened yogurts, krauts, kimchi, kefir, tempeh, garlic, onions/leeks, and leafy dandelion greens.

    Exercise:

  11. Activity is not exercise, and exercise is not activity. Both are good and we should do both daily. Think of activity as walking the dog, playing catch with your kid, or mowing the lawn. Exercise is a physical effort for a specific purpose of improving health and fitness. Aim to get both activity and exercise in your day.

  12. Our goal should be to move our bodies as much as we can within our lifestyle limits but with the purpose of being healthier. Take the stairs. Walk to an appointment, or to the store. Or just walk after dinner in your neighborhood.

  13. Try to get a variety of exercise in your weekly routine. Good examples include yoga/stretching, cardio, and strength training. Other examples might include, sports that interest you like golf, tennis, skiing, swimming, soccer, etc. Having different modes of exercise aids in injury prevention and combating boredom.

  14. Ensure accountability by scheduling your exercise. Make plans with friends/coworkers/family to go for a walk/run or bike ride. Sign up for a class. Or simply put it in your calendar, and be specific with the goal of what you will accomplish in that timeframe. For example, complete a specific distance, or certain number of reps doing push-ups, sit-ups, or squats in a specific time.

  15. Set an exercise goal. Sign up for a run/walk 5k that requires you to adhere to a training schedule to meet your goal; or choose a goal that motivates you to accomplish something within a specific timeframe.

  16. Use technology to track your progress. Technology like an apple watch or heart rate monitor can be useful to track your steps and monitor your heart rate within your exercise efforts.

  17. Pay close attention to breathing techniques while exercising. Use breath in cardio, strength, and stretching exercise to improve focus and mind-body connection. Breath exercise can help improve ventilation & respiratory muscles, reduce stress & anxiety, and improve digestion.

  18. Balance training. This can be as simple as standing on one leg while brushing your teeth-or correcting muscle imbalances by using your non-dominant side in a single chair sit. Balance exercises play a large role in preventing falls and subsequent injury and are more important to focus on with increased age.

  19. Utilize movement prep exercises prior to activity. Examples include- bands for stretching, foam rollers, and joint stability/mobility exercises. The rotator cuff and hips are a great example of joints that can benefit from these types of exercises.

  20. Finally, find a mode of exercise that you enjoy and makes you feel good. You are more likely to adhere to a routine if it brings you happiness. Take pride in the accomplishment & the effort, and over time, the challenge that exercise provides will hopefully become something to look forward to each and every day.

    Remember everyone has their own starting point. Prioritizing your health is the single best thing you can do for yourself. How you feel and how you perform can change your life. And if changing your lifestyle seems overwhelming, then break down the above strategies and check them off one at a time. Just start somewhere and involve others around you in this change, to create a healthier community of friends and family that will also provide encouragement and support.

    Never regret a workout- Teresa Spraggins

Recommended Reading/Listening materials - Be your own health advocate!!!

Fast Like a Girl - by Dr. Mindy Pelz

Podcast-The Resetter Podcast- Dr. Mindy Pelz

Podcast- The doctor’s pharmacy - Dr. Mark Hyman, M.D.

Podcast- The Drive - Dr. Peter Attia

Podcast - Everyday Wellness - Cynthia Thurlow, NP

Why We Get Sick - by Dr. Benjamin Bikman

The Obesity Code, The Diabetes Code - by Dr. Jason Fung

Metabolical - by Dr. Robert H Lustig

Podcast - The Rich Roll Podcast

Podcast- Dhru Purohit

Fat Chance - by Dr. Robert H Lustig

The Case Against Sugar - by Gary Taubes


IMPROVING OVERALL NUTRITION (a brief overview)

Insulin Resistance/Sensitivity | Intermittent Fasting | Food Choices

How Insulin Works & Insulin Resistance

Insulin is a hormone produced in the pancreas.  Insulin is essential to lower blood sugar levels and works by stimulating the uptake of glucose into cells to use for energy.  After a meal, insulin helps the cells use carbs, fats, and protein as needed, and stores the remainder as fat for the future.  Insulin resistance occurs when a cell stops responding to insulin and it becomes insulin resistant; cells need more insulin to do the same processes.  Many conditions can cause insulin resistance- but the biggest factor is a diet that is high in refined carbohydrates, & seed oils that are rich in highly processed omega-6 fatty acids.  Seed oils such as canola, soybean, sunflower, safflower, rice bran, corn, cottonseed, and grapeseed are in most packaged food items.  Consuming ultra-processed foods regularly contributes to a host of diseases including: diabetes, infertility, heart disease, obesity, cancer, Alzheimer’s, etc.

Intermittent Fasting & Health Benefits

One of the easiest ways to improve our metabolic health is through a simple tool of intermittent fasting or extending our non-eating window.  Fasting of various lengths can produce many amazing health benefits.  One of the benefits is the release of stored insulin, and releasing stored insulin allows the body to burn fat and lower blood sugar levels.  While in a fasted state, the body can tap into its fat-burning system (ketosis) to make energy, and ultimately improve insulin sensitivity.  Research has widely shown that fasting also lessens inflammation, and can clear out toxins and damaged cells in the body.

Major takeaway:  When cells become resistant to insulin, it is harmful to our health.  Intermittent fasting is a tool that can be used to reduce insulin resistance and reduce risk of disease.

Best Food Choices

Best Fat Sources:

Olive oil

Avocado oil

Coconut oil

Grass fed butter

Ghee

Nuts/seeds

Organic eggs

Wild fatty fish

Avocados

Olives

Full fat organic dairy

Best Protein Sources:

Nuts/seeds

Beans/legumes

Organic lean, hormone-free meat

Organic eggs

Full fat organic dairy

Tofu & tempeh

Wild fatty fish

Best Carbohydrate Sources

All fruits and vegetables

Squashes & potatoes (Yams, sweet potatoes, russet)

Quinoa, Brown rice, Other whole wheat/grains, oats

Legumes (lentils, peas, soybeans, peanuts)

Common Nutrition Myths (that are untrue!!)

Calories in, calories out is a good way to balance our nutrition for health and weight management. TRUTH: The quality of the foods we eat and the timing of meals is the most important factor for weight loss or weight management and overall metabolic health

We have no control over whether or not we will become insulin resistant or develop Type 2 diabetes TRUTH: Our food choices and when we eat/how often we eat, determine our metabolic health and whether or not we develop TYPE II diabetes, have high blood pressure, elevated blood glucose, etc.

ALL Fats are bad for us and should be used in moderation TRUTH: There are many healthy fats that are necessary for good health, and fat is one food category that does not spike an insulin response in the body. Including healthy fats in our diets help our bodies perform many essential functions.

Seed oils (canola, sunflower, safflower, soybean) are healthy and they provide us a source omega-6 fatty acids. TRUTH: These super-refined, industrial, seed oils contain an unhealthy amount (typically 70-80%) of omega-6 fatty acids/lineolic acid that cause inflammation (via oxidation) and free radicals which both damage our bodies and create fat cells and excess fat storage in the body.

Snacking throughout the day & eating many small meals is a good way to keep your blood sugar stable. TRUTH: The less often we eat, the less often insulin is released, and our alternative fuel source of fat is used to provide energy. Eating at meal times or 2-3x per day and within a 6-12 hour eating window, allows our bodies to repair and utilize stored fats.

Vegan Banana Buckwheat Waffles

Ingredients:

1 cup buckwheat flour

1/2 cup oat flour (easily made by blending old-fashioned oats in a blender) *optional can add additional buckwheat flour instead

1/4 cup chopped walnuts (or can blend in blender as well) optional

2-3 Tblsp. chia seeds

1/8 tsp. salt

1/2 tsp. baking soda

1 ripe banana, mashed

1 Tblsp. pure vanilla

1 Tblsp. flaxseed meal

1 1/2 tsp apple cider vinegar

1 cup soy, almond, hemp, or oat milk (or more as needed for right consistency)

Instructions:

1. Make oat flour by putting oats in a blender or food processor, blend oats until soft and powdery.

2. Add all dry ingredients (flour, walnuts, chia seeds, flaxseed, baking soda, salt) to a large bowl

3. In a smaller bowl mash the banana, then add remaining wet ingredients (vanilla, apple cider vinegar, and plant based milk).

4. Mix wet ingredients into larger bowl with dry ingredients

5. Heat waffle iron (or skillet if making pancakes) over low-medium heat, if needed, spray pan with canola or coconut oil spray.

*if not making vegan, simply substitute 1 beaten egg and regular milk for apple cider vinegar and plant milk.

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Try this moist delicious, nutritious recipe for a new healthy breakfast option!

Cooking Authentic Pad Thai with To

A few weeks ago I told my workout groups about making Pad Thai for my family and how delicious it was. My client, To, from Laos, was quick to suggest that my recipe was not the traditional way she would make Pad Thai and offered to show me with a hands-on cooking lesson. I quickly jumped at the opportunity, and this weekend learned a very great recipe from a native expert in this type of cuisine.

Begin with fresh ingredients, most of which can be purchased at any asian grocery store

Begin with fresh ingredients, most of which can be purchased at any asian grocery store

Ingredients:

4-5 garlic cloves, chopped fine

3-4 whole shallots, sliced thinly

Olive oil

Tamarind (wet, seedless, in package)

Dried shrimp (tiny, in package)

Grated palm sugar 2-3 Tblsp (or more to taste)

Salt, pepper, paprika 1 Tsp each

Fish sauce 2-3 Tsp

Pad Thai Style Rice Noodles (vacuum packed & soft, just need to be rinsed)

Eggs (2)

Choice of protein (Prawns, Tofu, or Chicken)

Bean sprouts

Chives

Garnish with fresh squeezed limes and roasted, shelled, ground peanuts

Saute the garlic, and shallots first in the olive oil, then add rinsed and drained, dried shrimp

Saute the garlic, and shallots first in the olive oil, then add rinsed and drained, dried shrimp

Prep the dried shrimp, by soaking them in a bowl of water for at least an hour. This takes some of the saltiness out of the shrimp. When you are ready to add the dried shrimp to the garlic, shallots and olive oil, make sure to drain and rinse them well.

Prep the tamarind as well, by placing in a bowl of water. When ready to make the tamarind sauce, you will strain the tamarind through a small strainer and just use the liquid that is left, discarding the thick paste.

Also, prep the packaged noodles by taking them out and placing them in a colander and rinse them under water to separate, set them aside until they are needed later in the recipe.

Peanuts can be roasted ahead of time and skins taken off prior to crushing. We did this using a pestle and mortar, and crushing the fresh peanuts.

To begin the sauce, heat a few Tblsp of olive oil over medium heat. Add the finely chopped garlic cloves, and thinly sliced shallots. Next, stir in the drained and rinsed dried shrimp. When most of liquid is absorbed, add the tamarind juice to pan. Next, you will add a tsp of salt, pepper, and paprika. Add the fish sauce last, using only 2-3 tsp.

Set the sauce aside, and heat a larger wok or dutch oven to prep the noodles and protein. Begin with a few tsp of olive oil. Add the protein (we used raw, cleaned, prawns) and cook until done, then remove to bowl and add eggs to pan. Cook eggs in oil, then add protein back to pan, add noodles and sprouts slowly, adding a little bit of water at this step also helps the noodles not to stick. Only use as much as you are wanting to plate for the meal. Add spoonfuls of sauce to the noodles and protein, then add sprouts and chives. Stir together, making sure sauce and noodles are well mixed. Plate the dish and garnish with fresh lime wedges and crushed roasted peanuts.

The meal is delightfully, fresh and full of flavor. Use more salt and sugar, and crushed red peppers to taste at the end to get the end result just right.

Up next, on my cooking lessons with To, will be green papaya salad! Yum!!!





How to make a "Bomb Kale Salad"

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One of my favorite perks of being a trainer, is getting to meet new and interesting people everyday.  I'm fascinated to learn about client's professions and hear about their interests and hobbies.  A more recent trainee, Joel Gamoran, is the national chef for Sur La Table and has his own series Scraps on the FYI network.  I asked Joel during a recent workout what the secret to making a great kale salad at home was.  I struggle with finding a recipe that I enjoy making at home, but always like kale salads at restaurants and pre-made from fresh local markets.

 He had some great tips, and this is what I learned.

It starts with using a good, fresh, bunch of leafy, organic kale.  Separating the leaves from the stalks, and then chopping the leaves to desired size for salad.  Making the dressing is the next step.  Begin with a good olive oil, fresh lemon juice, and Joel says the key when using lemon is to include the zest, & it will give it a much stronger lemon flavor.  Fresh minced shallots and a little sugar & pepper are then added.  Massage the dressing with your hands into the kale leaves and then let it rest for at least 20 minutes.  The final touch is to top with freshly grated parmesan, toasted breadcrumbs, and salt.  This recipe is simple but works, and is a great healthy salad you can make at home with a few easy ingredients.  

Ingredients:

1 large bunch of leafy, organic kale

4 Tblsp. olive oil

2 Tblsp. fresh lemon juice

zest of lemon

2 tsp. minced shallots

1 tsp. honey or sugar

Freshly grated parmesan

Toasted breadcrumbs

Pepper & salt to taste

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