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Osteoporosis

From exercise to diet, find out how you can reduce your risk of osteoporosis.

You can reduce your risk of osteoporosis by making several changes in your lifestyle. Osteoporosis prevention relies primarily on a healthy, calcium-rich diet, adequate vitamin D intake, weight-bearing exercise, and other healthy habits. Making the right choices now can significantly impact your level of osteoporosis risk later in life.
lifestyle changes for osteoporosis prevention
Prevention is the key word that we don’t say enough. We talk about what needs to be done once someone has been identified to be in an early stage of the disease. Folks need to be very conscious of their own behaviors,” advises Lenard Kaye, PhD, director of the University of Maine Center on Aging. Kaye and his colleagues recently completed a series of national focus groups with women and health professionals to assess priorities and awareness surrounding osteoporosis prevention and management. He highlights several lifestyle choices that have been shown to help reduce the risk of bone loss and osteoporosis:
    1. Increase your calcium intake. Both calcium and vitamin D are essential for bone health. You can make sure that you're getting the daily recommended doses of each by taking a daily calcium supplement — adults require about 1,000 mg of calcium per day — and by getting 15 minutes of sunlight (since vitamin D is made naturally in the body during sunlight exposure). Vitamin D supplements of 400 IU can also help with calcium absorption.
    2. Engage in weight-bearing exercise. “The importance of weight-bearing exercise in osteoporosis prevention can’t be overstated. We recommend beginning early,” says Kaye. Regularly engaging in weight-bearing exercises, like running, walking, strength training, aerobics, jumping rope, and yoga — anything that requires your bones to support your weight — will help strengthen the integrity of your bones.
    3. Revamp your diet. Calcium, vitamin D, and magnesium are important, but you also need to have the energy and ability to remain active. Kaye says this means that for some women, a low-calorie diet may be needed to control obesity so they can be active and engaged. A diet high in salt or caffeine may also contribute to bone loss. Talk to your doctor or a dietitian if you are not sure about the overall quality of your diet.
    4. Maintain a healthy body weight. Your bones have the best shot at long-term health if you are neither over- nor underweight.
    5. Toss the soda. Carbonated beverages have been shown to contribute to bone loss. This may be because the carbonation affects calcium levels in bones, or it may be because if you are drinking soda or sparkling water, you are not drinking a more nutritious beverage such as milk or fortified orange juice, which can help build stronger bones.
    6. Stop smoking. There is an association between smoking and an increased risk of osteoporosis.
    7. Monitor your alcohol intake. While some studies suggest that the occasional glass of wine could strengthen bones, alcohol abuse has been shown to contribute to bone loss. Women should have no more than one alcoholic drink a day and men should limit themselves to two drinks.
    8. Talk to your doctor about medications that might negatively affect your bones. If you are taking corticosteroids long-term for asthma or an autoimmune condition such as lupus or rheumatoid arthritis, talk to your doctor about what you can do to protect your bones from the negative side effects of these medications.
    9. Get screened. If you believe that you are at risk for osteoporosis, talk to your doctor or nurse about getting a bone density screening. The majority of health plans pay for these tests, which are not invasive, lengthy, or painful.

“Some folks have a rather pessimistic view of osteoporosis and other conditions. They either have the fatalistic view that it’s unavoidable or they continue to delude themselves into thinking they are invincible. Either perspective is flawed. What you want is for people to take on a realistic view of themselves and their capacity to prevent a wide range of chronic illnesses,” says Kaye, and osteoporosis is no exception.

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10 Healthy Breakfast Ideas

Take a fresh look at what makes a nutritious breakfast and what foods are good to eat at the most important meal of your day.

Breakfast really is the most important meal of the day. This is especially true for dieters who will find it easier to manage their weight and stay on track with a start to the morning that’s high in nutrition. The trick, however, is making smart choices.
Healthy Breakfasts
“A healthy breakfast should be a variety of foods like whole grains, low-fat protein or dairy sources, and fruit,” says Andrea Gorman, MS, RD, manager of clinical nutrition at Rhode Island Hospital/Hasbro Children’s Hospital in Providence. “All these food groups provide complex carbohydrates, protein, and a small amount of fat. This combination of nutrients can delay hunger symptoms and keep you feeling full throughout the day.”
Healthy Breakfast Ideas
Here are some ideas to get your day started right:
  1. Build on a healthy cereal. Top a high-fiber cereal with a sprinkle of granola, bananas, and low-fat milk or plain yogurt. This combination provides good fiber and protein intake, plus calcium and potassium.
  2. Get off to a berry good start. Another possibility for breakfast is berries and low-fat Greek-style yogurt with a drizzle of honey and a sprinkle of toasted sliced almonds. These foods are high in protein and volume, which can help you feel full longer.
  3. Take your nutrition to go. Smoothies are another smart choice when made with Greek-style low-fat yogurt, berries, and a touch of sugar. It’s a meal that’s high in protein, dairy, and volume, and it’s very portable if you’re in a hurry.
  4. Get a good “warm-up.” Susan B. Roberts, PhD, author of The Instinct Diet and professor of nutrition at the USDA Nutrition Center at Tufts University in Boston, recommends hot cereal: Microwave 1/4 cup each of instant oatmeal and coarse wheat bran with a cup of 1 percent milk. Served with berries and a little maple syrup, it’s the perfect start to the day with plenty of fiber and volume.
  5. Don’t skip the eggs. Hot breakfasts extend the range of possibilities. Scrambled eggs — one whole egg and one egg white — along with a piece of whole-wheat toast, lightly buttered, and some fruit on the side are high in protein and volume and make a great combination.
  6. Wrap up some burritos. Breakfast burritos can spice up your morning meal. Use the same scrambled egg recipe as in No. 5 as the filling for a low-carb, whole- wheat (for extra fiber) wrap along with some salsa, low-fat sour cream, and a sprinkle of cheese.
  7. Call on cottage cheese. Cottage cheese along with fruit or nuts can be a good breakfast choice that’s high in protein plus some calcium. Look for cottage cheese brands that offer extra fiber.
  8. Ham it up. Even ham and eggs can be healthy when using one whole egg and one egg white in the scramble and two slices of lean Canadian bacon. Add half a grapefruit on the side and it’s a meal full of protein, fiber, and vitamin C.
  9. Don’t rule out a.m. vegetables. You can enjoy veggies with breakfast if you add them to some eggs. Dr. Roberts suggests cooking one and a half cups of sliced button mushrooms or one cup of lightly steamed vegetables (like broccoli or spinach), two beaten eggs, salt, and freshly ground pepper in a non-stick pan with one-half teaspoon of tub margarine. Add a dollop of ketchup, if desired.
  10. Think whole grain. Whole-grain English muffins with peanut butter or another nut butter and sliced fruit like apples or pears, along with a glass of milk, can be filling while providing protein and calcium. 

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Grilled Greek Chicken Salad Recipe

Prep Time: 30 mins
Cook Time: 12 mins
Rest Time: 4 h
Total Time: 42 mins


Ingredients

  • 4 chicken, breast, skinless, boneless halves
  • 1 tablespoon lemon juice
  • 1 tablespoon oil, olive
  • 1 tablespoon oregano, fresh, or 1 teaspoon dried
  • 2 clove(s) garlic, minced
  • 1/4 teaspoon pepper, black ground
  • 3 medium cucumber(s), seeded and coarsely chopped
  • 2 medium tomato(es), red or yellow, coarsely chopped
  • 1/2 cup(s) onion(s), red, sliced
  • lettuce, mixed greens
  • 1/3 cup(s) dressing, reduced-calorie creamy cucumber
  • 1/2 cup(s) cheese, feta, crumbled
  • 1/4 cup(s) olives, Kalamata, pitted

Recipe Tip:

Marinate 4 to 24 hours.

Preparation

1. Place chicken in a resealable plastic bag set in a shallow dish. For marinade, in a small bowl, combine lemon juice, oil, oregano, garlic, and pepper. Pour over chicken. Seal bag; turn to coat chicken. Marinate in the refrigerator for 4 to 24 hours, turning bag occasionally.

2. Meanwhile, in a medium bowl, toss together cucumbers, tomatoes, and red onion.

3. Drain chicken, discarding marinade. Place chicken on the rack of an uncovered grill directly over medium coals. Grill for 12 to 15 minutes or until tender and no longer pink (170°F), turning once.

4. Transfer chicken to a cutting board; cut into bite-size pieces. Toss with cucumber mixture. If desired, serve on salad greens. Drizzle salad dressing over. Sprinkle with feta cheese and olives.

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