Lifestyle Nutrition & Management
 
Stress comes at  us from all directions. It comes from the big and small events as well as the  positive and negative events we experience in our lives. Being under constant or chronic  stress leaves us feeling tired, worn out, gaining weight and unhealthy. Even  the most regular of your daily routines can become a struggle. These are main symptoms  of what we call adrenal fatigue or “blowout”. You may know the function of  adrenaline is to mobilize the body for action by increasing heart rate,  elevating blood pressure and respiration, and by increasing blood flow to the  body’s muscles. Adrenaline also promotes the burning of fat for energy, so  adrenal function can promote weight loss during short periods of physical or  even emotional stress.

Another hormone  produced by the adrenal glands during stressful times or from lack of sleep is cortisol. This hormone can promote weight gain as it  is related to the storage of fat in the lower abdomen. Unlike adrenaline, which  is produced for only short periods of time, the adrenal glands can produce  cortisol long-term. This means that any fat burning effects from adrenaline will  be overcome in the long run by the fat-storing effects of  cortisol.

From a  survival standpoint, cortisol serves the purpose of providing emergency storage  of fat for energy when the body is under stress for long periods of time. This  storage of fat in the lower abdomen will provide energy and keep a person alive  if he or she must endure long periods living under harsh and physically  demanding conditions. The problem is, mental or emotional stress will elevate  cortisol levels too, and for individuals who lead particularly stressful lives,  the continued high cortisol levels will likely stimulate lower belly fat  deposition.

But aside from  the life-critical job the adrenals play in activating your stress response and  supplementing healthy hormonal balance as we age, the hormone cortisol itself  has a powerful hand in so many other regulatory processes across all your  systems: protecting the body from stress by regulating blood pressure,  normalizing blood sugar levels, helping to regulate the immune and  inflammatory responses, and influencing mood, memory, and clarity of  thought.

Maybe this helps  explain why, when your adrenal reserves are depleted, you might feel a little  crazy and your sleeping and eating habits seem a little crazy  too!

What does that mean to you?
Well with  persistent stress, we become increasingly less grounded, which can increase  stress even more — and the constant demand for stress hormones means the  adrenals become depleted and ultimately exhausted. In return impairing weight  loss, and even causing weight gain and
excess belly fat, fatigue so now your'e both tired and frustrated from the weight gain, you begin to have cravings for salty, sweet and  fat laden foods, a need for caffeine or other stimulants just to stay awake  during the day, a lower immune system, and disruptive sleep patterns – like waking up  frequently in the middle of the night.

So  what can you do about it?
The first thing to do is to  identify the source of your stress. Your true sources of stress aren’t always  obvious, and it’s all too easy to overlook your own stress-inducing thoughts,  feelings, and behaviors. Sure, you may know that you’re constantly worried about  work deadlines but just because “it’s always so” doesn’t mean you’re not  stressed. To identify your true sources of stress, look closely at your habits,  attitude, and excuses. A stress journal can help you identify the regular  stressors in your life and the way you deal with them. Each time you feel  stressed; keep track of it in your journal. As you keep a daily log you will  begin to see patterns and common themes.

Next: What are your options when dealing with stress?
If your methods  of coping with stress aren’t contributing to your greater emotional and physical  health, it’s time to find healthier ones. There are many healthy ways to manage  and cope with stress, but they all require change. You can either change the  situation or change your reaction. When deciding which option to choose, it’s  helpful to think of the four A’s: avoid, alter, adapt, or  accept.

Pare down your  to-do list, Avoid hot-button topics, Take control of your environment, Avoid  people who stress you out, Learn how to say “no “and Learn some breathing  exercises. Since everyone has a unique response to stress, there is no “one size fits all” solution to managing it. No single method works for everyone  or in every situation, so experiment with different techniques and strategies.  Focus on what makes you feel calm and in control.

Next you need to improve your eating habits.
I know, I know,  it can be difficult to make good nutritional choices when we’re going through  periods of stress. Not only are our minds preoccupied with the stressor at hand,  but also our bodies are telling us they desperately need support, so we reach  for foods that provide quick energy. Particularly at the end of a stressful day  as the body is entering a period of recovery, overeating or making poor choices  can be easy to do.

You need a Steady flow of nutrient dense meals and snacks.
One thing I tell  my clients is to never allow yourself to get too hungry. Low blood sugar by  itself puts stress on your body and can tax your adrenals. You may not realize  that your body is in constant need of energy — even as you sleep. And the  primary adrenal hormone cortisol serves as a kind of moderator in making sure  your blood sugar between meals, especially during the night, stays adequate.  Long periods without food make the adrenals work harder by requiring them to  release more cortisol to keep your body functioning normally. Low Glycemic  Impact eating provides you with nutrient dense foods and not only is it superior  in inducing fat loss and maintaining lean muscle, but the reason it is superior  is because Low Glycemic Impact Eating supports healthy blood sugar levels. Your  blood sugar levels determine how full you feel throughout the day, energy you  have throughout the day, and how mentally clear you will be throughout the day.  So when you eat Low Glycemic you can also make a difference in  preserving, supporting, and restoring your adrenals.

Nutritional Support
If you decide to do nothing else  for your stress out body and taxed adrenals, I urge you to provide your body  with a strong nutrient supplement base. Like a good multivitamin, B-complex that  supports neuro-transmitters in the brain, such as serotonin, norepinephrine and  dopamine, Omega 3s - (these essential fats are important to the formation of  healthy neuro- receptors in the brain) and an adrenal support product to help  your body adapt to the ongoing stress. 

And lastly, Moderate Movement:
So often when we  are not seeing the weight loss results that we are looking to achieve, and  stress is the culprit, our mind set is that we need to up our game and workout  harder. This is a big no no, because it puts more stress on the adrenals. Avoid  all forms of high intensity cardiovascular exercise if you think you may have  adrenal and chronic stress issues. This includes running, elliptical machines,  spinning classes and boot camps. While it may provide a boost, in the long run  vigorous exercise further exhausts your body. People dealing with adrenal  fatigue need to reduce exercise, often to a minimum in order to conserve their  energy and allow their adrenals to rebuild. Exercise requires energy and adrenal  reserves that people in adrenal fatigue mode do not have.

So try moderate  Walking, Yoga, Pilates, and Aquatic exercises. These are perfect exercises for  people who are fatigued, because you can fine-tune your practice to suit the  amount of energy you have at any given moment. These not only help you get your  exercise in, but these are also known for reducing stress. The combination of  movement, deep breathing and a peaceful outlook gently releases tension and  stress from the body. Holding tension in the muscles and organs requires energy,  so when we release tension we have more energy to handle everyday  life.

Your adrenal  glands are tiny in comparison to many other organs. They are roughly the size of  a walnut, yet they have enormous responsibilities in your body. When they are  functioning at their peak, these small glands can help you feel energized when  you need to be and relaxed when it is time for rest. They contribute to the  production of estrogen, testosterone, progesterone and so much more. But life's  demands can slowly drain the balancing power of the adrenal glands. Even the  healthiest person’s adrenals, though evolutionarily equipped to handle periods  of stress, become fatigued under chronic, unrelenting  stress.

You have the  power to lessen the burden on your adrenals — and your whole body. It doesn’t  take much. The small choices you make in regards to your lifestyle, nutrition  and eating patterns will make a difference.

Yes, stress is a  part of life…so let’s try to deal with it the best we can. Recognize your stressors, evaluate your options, and take action to change your lifestyle to help you overcome the affects of stress. You'll be happy you did!

Healthy wishes,

Alissa Robertson, MS, RD
(802) 999-5684
lifestylenutritionvt@yahoo.com
 
 
These days, numerous menopause treatments are touted as the cure-all for menopause.  There are mega vitamin supplements, medicinal creams, and even aroma therapy treatments where you can spend lots of time and money trying to rid yourself of any and all menopausal symptoms. While many of these treatments can offer temporary relief, there is a more permanent and simpler solution to manage the associated discomforts. 

It all breaks down to the fact that "we are what we eat." Simply following a well-balanced diet can go a long way to help reduce symptoms caused by menopause. Below are a list of recommended foods to include and reduce in your diet to not only improve your symptoms, but ensure that you continue to feel great in the years to come.

What is Balance?
The key to truly managing your menopausal symptoms is to achieve a well-balanced diet. Focusing on nutrition and making sure to include all the food groups, will provide your body with the vitamins, minerals and nutrients it needs to keep your hormones in balance. Each day it is imperative that you include servings of whole grains, proteins and/or protein alternatives, low and non-fat dairy products, healthy fats, and most importantly, lots of fruits and vegetables. 

The most common mistake women make when it comes to their diet is going long periods of time without eating. Are you eating within a 1/2 hour of waking? If not, this is a great place to start. Breakfast means "breaking a fast." When we don't eat breakfast first thing in the morning, we prolong the fasting period, typically leading to low blood sugars, overeating, and body fat storage. Coupling this with skipping meals during your day is a sure way to cause an imbalance in your hormone levels and the higher likelihood of overeating the next time you sit down for a meal. In order to keep yourself satisfied and healthy, eat at least 3 meals a day, with some nutritious snacks in between, to keep you energized. This will mean you should be eating something every 3 hours or so. Don't become obsessed with calories, but instead, focus on portion sizes.  This will keep your weight at a healthy level.  And don't forget to include the occasional treat.  Sweets can be part of a healthy diet too!

Foods to Manage Menopausal Symptoms
Hot flashes, mood swings, weight gain. Do these sound familiar? These are typical symptoms of going through menopause, which I don't have to tell you are not fun! On a positive note, you may be happy to hear that many of these symptoms can be managed by eating (or avoiding) specific foods. 

Managing Hot Flashes
Hot flashes and night sweats can be a very real and frustrating symptom for women experiencing menopause. Waking up at night sweaty makes it almost impossible to get a good nights sleep. Some women experience hot flashes at work as well, making it extremely challenging to focus and work productively. Want to ease or eliminate these uncomfortable sweats? 

Try reducing your intake of coffee, caffeinated tea, alcohol, colas, and spicy foods.  Many women find these to be triggers for hot flashes. Refined sugars also tend to increase the number of hot flashes women suffer, so try to avoid corn syrup and other sugars found in highly-processed foods.

Experiencing hot flashes frequently? Increase the amount of water you drink to at least 8 - 8 ounce glasses a day. Also, try to include foods that contain phytoestrogens.  Phytoestrogens are plant estrogens that can bind to estrogen receptors in your body, relieving you of many of your symptoms.  Foods that are rich in phytoestrogens include beans, legumes, seaweed, yams, apples, potatoes, and carrots.  Foods rich in soy such as edamame, tofu, soybeans, soy yogurt, etc. are also a very high source of phytoestrogens.

Curtail your sleeping habits. Try going to bed and waking up at the same time each day. Strive to get between 7-8 hours of sleep per night. Avoid eating too close to bed time - no closer than 2 hours beforehand as the digestion process can prevent a sound night of sleep. Avoid drinking alcohol or caffeine or smoking tobacco 3-4 hours before bed time as the stimulants can lead to disruptive sleep. Avoid watching t.v. or working on the computer in bed - the stimulation right before bedtime can prevent a restful night of sleep.

Feeling Moody? 
Due to a fluctuation of hormones in your body, mood swings are a common occurence in menopausal women. It is not uncommon for you to feel joyful and happy one moment, but suddenly find yourself feeling depressed and lonely the next. Don't fret. A tweak in your diet can boost your mood and help you to feel on top of the world yet again.

Research has shown that a lowered level of serotonin, a chemical in the brain, is often associated
with depression.  Eating foods rich in carbohydrates can help to raise your levels of serotonin, thereby alleviating that depression. This is why so many individuals turn to sugary and carbohydrate-laden foods when they're feeling down. It's a physical body response - not just in your head! To healthfully raise your levels of serotonin, reach for whole grains such as a sandwich on whole grain bread, whole grain cereal such as oatmeal or Kashi Go Lean, quinoa, brown rice or even some whole grain crackers with all-natural peanut butter or cheese. Again, remember your portions.

Taking time for you is also in order. Take time to practice mindfulness whether it's taking time to eat a yummy meal - savoring the flavors, taking in the smells, chewing your foods and enjoying conversation; going for a walk - taking in your environment, the sounds, the smells, the crisp air on your face; or practicing meditation - deep breathing exercises, listening to relaxation cd's or downloads, progressive relaxation or yoga. Mindfulness can be extremely helpful in body balance, leading to the better management of stress, mood swings and the day-to-day trials and tribulations.

Weight Gain?
I can't tell you how often I hear women tell me how after a certain age they cannot seem to get their excess weight off. Unfortunately, weight gain and menopause often can go hand in hand if a woman is not following a balanced diet. This is due to a decrease in estrogen levels, which leads to a distribution of fat around the stomach and a decrease of fat around the hips and breasts.  This will, over time, lead to a decrease in muscle mass, a slowing of your metabolism (because muscle dictates your metabolism), and the result is unwanted weight gain.

How can you combat this? Focus on eating healthy fats, reducing your intake of saturated fats, and eliminating any trans-fats from your diet. Healthy fats include olive oil, canola oil, flaxseed oil, avocado, unsalted nuts and seeds, unsweetened coconut, ground chia and flax seed, all-natural nut butters, and fatty fish. Saute vegetables in olive or canola oil, use olive oil and vinegar-based salad dressings (or make your own with olive oil, vinegar and spices), add nuts and seeds to your salads or have an ounce as a snack with a piece of fruit, or put chia and flax seed in a pepper grinder and sprinkle over salads, mix into oatmeal or any foods served at the dinner table. Avoid frying your foods. Try broiling or grilling them instead.  Increasing the amount of water you drink will also help you lose any water weight that you could be retaining, as well as helping your metabolism kick in. It is recommended that you include anywhere from 2-4 healthy fat servings per day for the greatest benefit.
 
Foods to Prevent Chronic Disease
A number of chronic diseases are associated with menopause that can also be prevented or treated through your diet.  Lowered estrogen levels put menopausal women at a higher risk for heart disease and stroke.   Menopausal women also tend to lose bone mass at a higher rate than
other women, increasing their risk for osteoporosis.  Here are some ways that your diet can help protect you from these diseases.

Preventing Heart Disease
Heart disease, including high cholesterol, clogged arteries, heart attacks, and stroke, are more likely to hit a woman after menopause.  It is important to engage in preventative measures in order to
decrease your risk of heart disease. Changing you diet and becoming more physically active are simple ways to decrease your risk.

Try to increase the amounts of fruits and vegetables that you eat - in particular mushrooms, onions, berries, beans, dark green leafy vegetables and seeds.  This will help cleanse your arteries as well as provide beneficial vitamins and nutrients to your system.  Include oily fish, such as salmon and mackerel, a feature in your diet at least twice per week.  These fish contain Omega-3 essential fatty acids, which help the body to circulate oxygen and blood efficiently. Reduce the amounts of saturated fats in your diet, which can clog your arteries and increase you cholesterol levels. Saturated fats are primarily from animal-based sources such as meats, full-fat dairy products, processed foods and baked goods. Limit your intake of meats, striving to include lean meats and poultry only. Choose low and non-fat dairy products and only have baked good on occasion - making sure to read the labels and to avoid any including trans-fats (partially hydrogenated oils). Try to avoid processed flours and focus on whole grain breads and cereals, grains and brown or basmati rice instead.

Preventing Osteoporosis
More than 50% of women will be affected by osteoporosis in their lifetimes.  After menopause, as
estrogen productions decreases, more and more bone mass is lost in the body.  This causes bones to become brittle and can even cause them to fracture or break.  It is important to include sources of calcium in your diet and to include weight bearing exercises to guard against osteoporosis.

Menopausal women should be getting between 1200 and 1500 mg of calcium every day.  Adding low or non-fat yogurt, milk, or soy milk is a good way of meeting this target.  Other foods that are rich in calcium include cheese, sardines and salmon (with bones), prunes, figs, and leafy green vegetables.  Avoid taking in too much caffeine, as caffeine causes the body to not absorb calcium properly. Strive to include some form of exercise each day. It could be going for a walk, bike ride, run, doing an exercise class, or any other physical activity you enjoy. Incorporating strength training into your schedule 2-3 times per week will also greatly reduce your risk of osteoporosis and prevent the reduction in bone mass. Exercise has also been shown to positively impact your mood, and further promote the balancing of your hormones.

Following these nutrition, physical activity and mindfulness tips will enable you to better manage your menopausal symptoms and get you back to leading a happy and healthy life.

Healthy wishes,
Alissa C. Robertson, MS, RD

Resources:
- Super Nutrition for Menopause by Ann Louise Gittleman
- The Ultimate Nutrition Guide for Menopause: Natural Strategies to Stay Healthy, Control Weight, and Feel Great by Leslie Beck
- LiveStrong.com: Menopause & Nutrition
 
 
Ingredients:        
4 cups Kale (can use any greens preferred), de-stemmed and torn into bite-sized pieces
3 Tbsp Olive Oil
1 Tbsp Garlic, crushed
1 Sweet Potato (may substitute butternut or acorn squash if preferred), cut into bite-sized cubes
½ tsp Sea salt
1 can Cannellini Beans

Directions:

  1. Cut sweet potato into bite-sized cubes and place on a baking sheet sprayed with olive oil. Sprinkle with ½ tsp sea salt. Bake at 375 for 35 minutes.
  2. Heat oil in a large sauté pan. Once heated, add greens and garlic and cook approximately 2 minutes until greens begin to shrink down and soften. Set aside.
  3. Add cooked baked potatoes (or winter squash) and can of cannellini beans to Kale. Sauté for 2 minutes. Serve warm.
 

Lifestyle Nutrition & Management