Lifestyle Nutrition & Management
 
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
 
 
Infants born to pregnant moms who supplemented with a multi-vitamin early in their pregnancy demonstrated higher birth weights than those infants whose mothers were given a placebo, according to a recent study.

I recommend Isotonix Prenatal Multivitamin. Isotonix® Prenatal Multivitamin is an isotonic-capable supplement that supplies many of the Recommended Daily Allowance of key vitamins and nutrients needed for an expectant mother. Isotonix superior delivery and rapid absorption ensure you get the necessary vitamins and minerals for the normal growth and development of your baby and for a healthy pregnancy. Isotonix Prenatal Multivitamin promotes a healthy birth weight of the baby, helps maintain normal blood pressure during pregnancy and tastes great with a soothing lemon-lime flavor.



Source: Effect of multiple-micronutrient supplementation on maternal nutrient status, infant birth weight and gestational age at birth in a low-income, multi-ethnic population
 
 
After a careful and long search, I have chosen to become a health professional with NutraMetrix™ –Advanced Nutraceuticals. These are just some of the services I now offer: 


* A complete line of high quality nutritional supplements

* Isotonic or liquid supplements that provide maximal absorption

* A genetic test to determine what supplements are best for you based on your genetic variations

* Educational programs with DVDs and printed materials to keep you informed on the latest nutrition and health information

* The convenience of reordering your supplements from your home computer (or any computer with Internet access) via this nutraMetrix web portal. 


So, browse around. Discover how easy it is to order your individualized supplements on-line. Take the Nutri-Physicalan internet-based analysis tool that recommends a customized nutritional supplementation program. Feel free to contact me should you have any questions or if you would like more information.


Healthy wishes!

Alissa Robertson, MS, RD, LD
802-999-5684
alissacrobertson@yahoo.com
 
 
Did you know that you have different nutritional needs than the opposite sex? Discover the best foods for both men and women!!!

Foods for Men

1. Tomatoes!
Men who eat a lot of tomatoes, tomato sauce, or pizza with a lot of sauce may be protecting themselves against prostate cancer. Researchers at Harvard studied the eating habits of more than 47,000 male health professionals. They found that men who ate tomato sauce two to four times per week had a 35 percent lower risk of developing prostate cancer than men who ate none. A carotenoid called lycopene, which tomatoes contain in abundance, appeared to be responsible. But scientists were puzzled: tomato juice didn't seem to have the same protective effect. Other research showed why. For best absorption, lycopene should be cooked with some kind of fat. So pizza (in moderation) may be just what the doctor ordered.


2. Oysters?
Myth has it that oysters are the food of love. Science may agree. Just two to three oysters deliver a full day's supply of zinc, a mineral critical for normal functioning of the male reproductive system. Scientists are divided over reports that sperm counts have declined over the last 50 years and that environmental factors are to blame. Nutritional deficiencies do seem to be the cause of certain cases of low testosterone. Getting adequate zinc is sometimes the answer (11 mg per day is recommended for men; more than 40 mg can pose risks). In one trial, 22 men with low testosterone levels and sperm counts were given zinc every day for 45 to 50 days. Testosterone levels and sperm counts rose.


3. Broccoli :) 
A recent Harvard study finds that cruciferous vegetables, like broccoli, may protect against bladder cancer. It's one of the most common cancers in this country, and affects two to three times as many men than women. Scientists analyzed the diets of nearly 50,000 men and discovered that those who ate five servings or more per week of cruciferous veggies were half as likely to develop bladder cancer over a ten-year period as men who rarely ate them. And broccoli and cabbage were singled out as the most protective foods.


4. Peanut Butter...yum!
If you want a healthy heart, spread your morning toast with all-natural peanut butter. Heart disease is the leading killer of men and women, but men fall victim at an earlier age. Researchers from Pennsylvania State University compared the cholesterol-lowering effect of the American Heart Association's Step II Diet with a higher-fat diet based on peanuts. The AHA plan included more carbohydrates. The peanut regimen was 36 percent fat. After 24 days both diets lowered "bad" LDL cholesterol. But the peanut plan also caused a drop in blood fats called triglycerides and did not decrease HDL, the "good" cholesterol. The AHA diet raised levels of triglycerides and lowered levels of HDL.


"Peanut butter is a little higher in fat," says Penny Kris-Etherton, Ph.D., the lead author of the Penn State study. "But it's the type that's good for you -monounsaturated fat." Researchers have predicted that the peanut diet could reduce heart-disease risk even more than could the AHA diet. Just don't go nutty plastering on the tasty spread, since it is high in calories!

5. Watermelon. 
Up until the age of 55, more men suffer from high blood pressure than do women. Research suggests that foods rich in potassium can reduce the risk of high blood pressure and stroke. The evidence is so convincing that the Food and Drug Administration recently allowed food labels to bear a health claim about the connection between potassium-rich foods and blood pressure. "There isn't a dietary requirement for potassium," says Kathleen Cappellano, nutrition-information manager at Tufts University in Boston. "But a good goal is about 2000 milligrams or more a day." Watermelon, a rich source of this mineral, has more potassium - 664 mg - in one large slice than the amount found in a banana or a cup of orange juice. So cut yourself another slice and enjoy the taste of summer.


Foods for Women

1. Papaya.
This tropical fruit packs about twice the vitamin C of an orange. Add it to your arsenal against gallbladder disease, which afflicts twice as many women as men.


After analyzing the blood of over 13,000 people, scientists from the University of California, San Francisco, found that women who had lower levels of vitamin C were more likely to have gallbladder illnesses. One medium papaya (about ten ounces), with its 188 mg of vitamin C and a mere 119 calories, is a refreshing source of the vitamin. The once exotic fruit now can be found in most supermarkets.

2. Flaxseed (one of my favorites!)
Bakers use this nutty-flavored seed mainly to add flavor and fiber. But scientists see the tiny reddish-brown seed, rich in estrogenlike compounds called lignans, as a potential weapon against breast cancer. An exciting report at last year's San Antonio Breast Cancer Symposium showed that adding flaxseed to the diet of women with breast cancer effectively slowed tumor growth. You can flavor your muffins with flaxseed, but the easiest way to get the beneficial lignans is to sprinkle a few tablespoons of ground flaxseed on your morning cereal or over a salad. Look for the seeds in health food stores or in supermarkets on the flour aisle. They're easy to grind in a blender or coffee grinder. But get seeds -- there are no lignans in the oil.


3. Tofu (give it a try!)
Foods high in soy protein can lower cholesterol and may minimize menopausal hot flashes and strengthen bone. Isoflavones, plant chemicals in soybeans that have a structure similar to estrogen, may be the reason. Though animal studies form the bulk of the evidence, a human study found that 90 mg of isoflavones was beneficial to bone (specifically the spine). And two other studies suggest that 50 to 76 mg of isoflavones a day may offer some relief from hot flashes. A half-cup of tofu contains about 25 to 35 mg of isoflavones.


4. Buffalo Meat (sooooo good!!) 
Due largely to menstruation, women tend to be anemic more than men. And low iron levels in blood can cause severe fatigue. To get a good dose of iron, try bison. Bison, or buffalo, meat is lean and has what diet-conscious women want - lots of iron and less fat than most cuts of beef. "The iron content is about 3 milligrams in a 3 1/2-ounce uncooked portion," says Marty Marchello, Ph.D., at North Dakota State University. "That portion contains less than 3 grams of fat." Buffalo meat can help boost energy and lower weight. You can pick it up at many supermarkets including our local Price Chopper. Choose the Buffalo medalions (steaks) over ground, as the fat content is a lot lower. You will find it packaged in a blue and red box containing two - 4 ounce steaks!


5. Collard Greens.
This humble vegetable may help fight osteoporosis, which afflicts many women late in life. In addition to getting adequate amounts of calcium and vitamin D, some studies suggest that vitamin K may have a bone-protective effect as well. Based on data from one of the largest studies of women, the Nurses' Health Study, researchers discovered that women who ate enough vitamin K-rich foods (at least 109 micrograms of the vitamin daily) were 30 percent less likely to suffer a hip fracture during ten years of follow-up than women who ate less. Researchers point out that dark-green leafy vegetables - Brussels sprouts, spinach, broccoli - are all good sources of the vitamin. But collard greens, with about 375 micrograms per half-cup, are among the best.


So there you go...five of the best foods for both men and women. Making these foods part of your weekly dietary intake are sure to keep you well fed and healthy too!
 

Lifestyle Nutrition & Management