portland health and wellness news
........taking health and wellness to a whole new level
April/May 2008 - Vol 5, Issue 4
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Welcome to our monthly e-newsletter! We hope that you will find this and future issues helpful and relevant. We are very interested in hearing from you. Email us a topic (or more) you would like to see covered in future enewsletters and you will be entered for a chance to win a free cooking class.

Whether you receive services at ph&w, attend classes or workshops periodically, or read our monthly newsletters, we strive to support you on your path to good health.

Last month we focused on the core elements of a healthful diet. Now we're going to dig a little deeper and explore the relationship between food and inflammation. We will also offer some practical suggestions for how to minimize pro-inflammatory foods in your diet and how to pack your diet with tasty foods that do not produce inflammation. And don't forget to check out our next newsletter which will explore everything you have ever wanted to know about dietary fiber.

Our featured recipe is low on the inflammation scale, loaded with nutrients, and, of course, easy to prepare.

PH&W waiting room
Portland Health and Wellness is anything but your typical medical clinic. We offer health-based cooking classes, yoga classes, and group psychotherapy for individuals with eating disorders or food and body image issues. We continue to offer exceptional individual healthcare services, workshops and classes on various health topics, and our year-long comprehensive weight reduction program. Heather Rice offers small yoga classes, including yoga for larger bodies and yoga for depression. Heather is also available for individual instruction. Please call us to schedule an appointment with her.

Our clinical team is committed to providing cutting-edge healthcare services. Donald Altman, MA, in addition to being a counselor, is a former Buddhist monk and award-winning writer. He offers '12 Weeks to Mindful Eating' , a program he created to help individuals develop a healthier relationship with food, as well as workshops on stress management and mindfulness. He also offers 'Mindful Eating Boot Camp' ; this 2-day workshop allows people who struggle with food and time to focus on developing new skills that can have a profound impact. Christine Howard, PsyD continues to provide individual psychotherapy and is now offering group psychotherapy for individuals with bulimia or binge eating disorder. Marta Vaughn, RD, LD is a registered dietitian who provides individual nutrition therapy and offers workshops and cooking classes. She is passionate about the connection between food and health. Marcela Vinocur, MD serves as the director of PH&W's unique weight reduction program and maintains a psychopharmacology practice.

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  • May 10........diabetic cooking made easy
  • May 24........cooking 101: a class for kids and parents
  • June 7.........cooking with local spring produce
  • date tba......cooking 101: a class for women who hate to cook

  • We offer private cooking lessons for families and small groups. In addition, we offer corporate cooking classes, which provide organizations a unique opportunity for team building.

    Heather Rice teaches 'yoga for depression' on Mondays from 4:30 to 5:30pm, and 'yoga for larger bodies' on Mondays from 5:30 to 6:30pm. Please call us for additional information.

    For up-to-date information about our upcoming workshops and classes, please check our website or give us a call. Registration and payment in advance are required for all ph&w events and space is limited to 12 (cooking classes are limited to 6). We strongly encourage early registration.

    Most of us have become used to thinking about food in terms of calories and amount of carbs, fat, and protein. Some more sophisticated eaters might think about micronutrient content (did you know that a quarter of a medium-sized cantaloupe contains 100% of your daily requirement of vitamin A and 80% of vitamin C?). But did you ever think that what you eat may cause inflammation within your body, which can trigger a number of serious medical conditions, including heart disease? That's right - the typical American or "Western" diet, which consists of an abundance of highly processed foods and food products, no doubt plays a significant role in our health.

    Inflammation is a process that naturally occurs in your body when there has been some sort of injury or trauma. Remember how you developed redness, swelling and warmth after that cut on your thumb? This local immune response is your body's way of keeping away "invaders" and repairing damaged tissue. But systemic inflammation, or inflammation that affects your whole body, is a different story. There is research indicating that people can develop a constant state of inflammation that is completely unrelated to any external trauma. This, in turn, may increase the risk of heart attacks, strokes and possibly other forms of disease. Systemic inflammation is not caused by an "invader", but rather by certain foods, lack of physical activity, emotional stress and excess weight.

    So what is all the buzz about inflammation? Systemic inflammation can occur chronically and may result in damage to the lining of blood vessels, therefore increasing the risk of plaque build-up and, ultimately, heart attacks. It may answer the question of why some people with normal levels of cholesterol have heart attacks. Foods that lead to a rapid and pronounced rise in blood sugar and lipids (fats) produce a transient increase in free radicals, or oxidant stress as it is known. This increase in free radicals triggers inflammation and a variety of other changes that promote the formation of plaques on artery walls. And unlike localized inflammation, which you can see and feel, this internal or systemic inflammation can go unrecognized for years. Fortunately, there is a simple blood test which can determine the degree of inflammation in your body. This test is called CRP, or C-reactive protein and should be measured when you are not suffering from a cold or other type of infection.

    Inflammation is a natural response to injury, but it can also be triggered by foods that produce a sharp spike in blood sugar and lipids. Potential culprits are highly processed foods that are loaded with saturated fats and trans-fatty acids such as candy bars, fries, sodas, dense desserts, etc. Not by coincidence, these are the same foods that are loaded with calories and nutrient deficient. The good news is that there are foods that do not promote inflammation and can produce favorable changes. The traditional Mediterranean diet, consisting of minimally processed, high-fiber foods, has been found to reduce inflammation and cardiovascular risk. These foods include vegetables, fruits, whole grains, legumes, and nuts. Lean proteins, especially fish, vinegar, tea, cinnamon, and small amounts of alcohol may also be beneficial.

    Incorporating anti-inflammatory or Mediterranean foods everyday is more important than incorporating them for a week and then reverting to your old lifestyle and food choices. This might mean adding a serving of dark green vegetables everyday or having two meals per day instead of one. Simple steps in food choices generally make big impacts on overall, long-term health.

    Besides making dietary changes, there are other ways to reduce inflammation. Research findings suggest that physical activity is linked with a decrease in systemic inflammation. As little as thirty minutes of activity can curb inflammation and reduce oxidative stress. Although how physical activity reduces inflammation is unclear, there is strong evidence supporting its anti-inflammatory role.

    Omega-3 fatty acids also play a role in reducing systemic inflammation. This type of fat is consumed in only small quantities in our typical Western diet, unlike the over-abundance of unhealthy fats many of us consume. And unlike saturated fats or trans-fats, Omega 3s have a protective effect against oxidation. Research has found that eating cold water fish, or taking fish oil supplements, can modify the inflammatory response in your body by reducing the "chronic inflammatory responders". Not surprisingly, fish is part of the Mediterranean diet. Salmon, tuna, herring, and sardines are good sources of omega-3 fatty acids. Non-fish sources, although less potent, include ground flaxseeds, walnuts, soybeans, or oils from these foods.

    In sum, the choices that you make on a daily basis (do I eat that donut... do I go for a walk...) can have a profound impact on your health. While some of us might benefit from a complete overhaul of our diet, even a few simple changes to the foods you eat or a longer walk around the block may be just what your body needs to reduce inflammation. For individual recommendations, you may want to consult with your physician or a registered dietitian.

    by Marta Vaughn, RD LD
    spinach salad

    This tasty salad is very easy to prepare. It tastes great and is a nutrition powerhouse. The vinaigrette may be prepared in advance, but it should be mixed in with the salad shortly before serving. Makes 4-6 servings.

    1 to 2 cups baby spinach leaves, washed; 2 tablespoons walnuts, chopped; 2 red onion rounds, sliced thinly; and 1 tablespoon feta cheese, crumbled.

    For balsamic vinaigrette: 2 tablespoons extra-virgin olive oil; 1 tablespoon flax oil; 2 tablespoons balsamic vinegar; 1 teaspoon Dijon mustard; and fresh ground pepper to taste.

    In an large bowl, place spinach leaves, walnuts and onion and TOSS gently. In a separate mixing bowl, MIX together ingredients for the vinaigrette. When fully mixed, ADD vinaigrette to the salad and TOSS together gently. GARNISH with feta cheese and serve promptly.

    Recipe adapted from: "Feeding the Whole Family" by Cynthia Lair.

    copyright 2008 portland health and wellness

    We are very interested in your comments and suggestions. Please let us know if you have a topic you would like to see covered in future newsletters. We look forward to hearing from you.

    Sincerely,


    the staff of
    Portland Health and Wellness

    phone: 503.236.4506