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, tcaffeinated 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 flashed 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 occurance 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), 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 attack, 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 basmasti 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
 
 
Omega‑3 Fatty Acids May Reduce Inflammation and Anxiety in Healthy Young Adults

A new study has provided the first evidence that omega‑3 fatty acids of the types found in fish oils may reduce anxiety in healthy people who have not been diagnosed with an anxiety disorder. Omega‑3 fatty acids also reduced inflammation in the study participants but did not affect depressive symptoms.

In this double-blind study, which was partly supported by NCCAM, researchers from Ohio State University gave 68 healthy young medical students (38 men, 30 women) a fish oil supplement containing omega‑3 fatty acids or an inactive placebo for 12 weeks. On several occasions, either on the day before a major exam or during lower-stress periods, the study participants provided blood samples and completed standard questionnaires that measured symptoms of anxiety and depression. The blood was tested for levels of substances indicating inflammation.

Anxiety symptoms were 20 percent lower and levels of a blood marker of inflammation (lipopolysaccharide-stimulated interleukin‑6 production) were 14 percent lower in the students taking fish oil than in those taking the placebo, but depressive symptoms did not differ between the two groups. The researchers could not assess effects of exam-related stress because the students did not show significantly higher levels of anxiety, depression, or inflammation before exams than at other times.

The results of this study suggest that increased intakes of omega‑3 fatty acids could be beneficial for young, healthy people by reducing anxiety symptoms and inflammation, a process that plays a role in many diseases. The lack of an effect on depression is consistent with a recent combined analysis of earlier trials, which concluded that omega‑3 fatty acids may reduce depressive symptoms in clinically depressed people but not in those with less severe depressed moods.

National Center for Complementary and Alternative Medicine

Reference:
 
 
Trans fats have been linked to depression, heart disease, infertility, high cholesterol, insulin resistance, and type 2 diabetes. 

Trans fats are also contributing to the obesity pandemic, mainly due to the fact that they have been shown to cause belly fat. Although your favorite snack food or light butter substitute my have fewer calories, if it contains ANY trans fat, your "eating healthy" efforts will suffer - and ultimately, so will your health!

Why are Trans Fats So Bad for Us?
Our bodies are unable to respond to trans fats in the same way they do to animal or plain, unaltered vegetable oils. In other words, trans fats are synthetic and our bodies are not able to break them down as quickly or sometimes even at all. This means that when we eat trans fats, they are literally floating around in our blood stream longer than they should. This leads to damage to our metabolic systems (starting in our cells), and leaves thick plaque layers in our vessels. 

Why are Trans Fats So Bad for Our Waistlines?
Trans Fats also don’t curb our appetites the way that real and healthy fats do. Therefore, we end up overeating and reaching for more. Because our bodies do not respond to trans fats in a normal manner, they make it harder for our bodies to use the glucose already in our blood stream causing insulin resistance. This impedes the use of fat reserves for energy, leading to the inability of our body to burn stored body fat = NO WEIGHT LOSS! 

IT DOESN'T TAKE MUCH TO DO A LOT OF DAMAGE:
Negative effects of trans fats have been documented at levels as low as1% to 3% of total energy intake: This is only 20-60 calories (2g-7g) for a 2,000 calorie diet. That can equate to the smear of light margarine on your whole grain toast!

Trans fats are so detrimental to health, that the World Health Organization and the American Heart Association recommend that less than 1% of daily calories should come from trans fats. (That’s less than 20 calories for a 2000 calorie diet.) I RECOMMEND WE GET ZERO TRANS FATS - WHY RISK YOUR HEALTH?

TRANS FAT IS STILL HIDDEN IN OUR FOOD:

A manufacturer can claim zero trans-fat on their labels if one serving contains less than 1/2 a gram. If you’ve ever noticed, the serving sizes of many foods are considerably smaller than the amount you actually eat, as much as four times—so you could be getting a significant amount of trans-fat, even when the package says “Zero Trans Fat!” on its label. This is why reading the ingredients is as essential as reading the nutritional facts.

If a package says zero trans-fat, read the ingredients, you may be suprised.

INGREDIENTS THAT CONTAIN TRANS FATS:
The primary source of trans fat is partially hydrogenated oil. Manufacturers can use just about any plant (also fish oil), but most often choose corn or soy because they’re inexpensive. Hydrogenation is a process where they alter the molecular structure of the oil to lengthen its shelf-life and/or to make it thicker, so it can be spread on toast for example. (Ex. I can’t believe it’s not butter)

So What Should You Look For?
HYDROGENATED or PARTIALLY HYDROGENATED + OIL (vegetable, soybean, corn, etc…)

Also avoid:
SHORTENING–this always contains trans fats

Use caution with:
FATTY ACIDS
MONO- AND DIGLYCERIDES OF FATTY ACIDS

These are modifications of fats and are produced as additives for use as emulsifiers and thickeners in foods like yogurt or whipped topping.

INTERESTERIFIED FAT (STEARIC ACID-RICH FAT)
This modified fat is also being used as a trans fat replacement, particularly in fast food restaurants. There is evidence that indicates that this fat may be just as harmful as trans fats. 

NOTE: If labeled “fully hydrogenated,” then the oil is safe and free of trans fats. But if it only says “hydrogenated” it may contain partially hydrogenated oil mixed in with it.

 
 
Patients with major depression who do not also suffer from anxiety disorders were found to respond very positively when omega-3 fatty acid fish oil supplements were used to help diminish the severity of the symptoms of this potentially devastating condition.

Source: The Efficacy of Omega-3 Supplementation for Major Depression: A Randomized Controlled Trial
 
 
For many different reasons the senior population suffers from higher than normal states of depression. Recently a study revealed that the B vitamins B6 and B12 were associated with being protective against depression over time, in this vulnerable demographic.

Vitamins B6 and B12 are essential nutrients required in the synthesis of many neurotransmitters including serotonin, melatonin, epinephrine, norepinephrine, and GABA, which are brain chemicals that help modulate mood, our emotional state and sleep.

Source: Longitudinal association of vitamin B-6, folate, and vitamin B-12 with depressive symptoms among older adults over time
 



Lifestyle Nutrition & Management