Gifts that Keep On Giving

'Tis the season of giving, and many of us are trying to find the perfect gifts for our friends and families. Before you choose gift baskets loaded with wine, chocolate, and other delicious goodies, though, stop and think. Is this the right gift for your friend who is struggling with her weight or your brother who has high cholesterol and "borderline" diabetes? Well, maybe not, but hey, it's the holidays, right? Doesn't everyone deserve a little treat? And they LOVE chocolate...

Well, yes, I agree that everyone deserves a treat, but is it really a treat if we're giving them something that harms their bodies or works against their health goals? If your friend is fit and healthy, knock yourself out with edible treats with a clear conscience. BUT... if they are NOT, why not focus on gifts that encourage health? Mind you, I'm not suggesting sticking a bow on a bag of carrots, either. How about fun workout socks or a new top? Buy matching pedometers for you and a buddy or two for some friendly competition or at least mutual encouragement. How about a gift certificate for a massage or manicure or pedicure? Or a new healthy cookbook? Out of money (and who isn't?) Make a gift certificate for a outing to a park or walk around the lake or a bike ride. Be creative!

I would be remiss if I also didn't put in a pitch for charitable giving this year. In this tough economy, our non-profits are struggling, too, so consider them as an alternative if you have friends or business associates with whom you typically exchange gift baskets. Our local Hospice, for example, has a program where you can purchase an angel ornament for $25- your gift recipient gets the ornament, Hospice gets the funds, and everyone gets the spiritual health gift of helping others! (http://www.hospiceaustin.org/site/pp.asp?c=bdJPITMyA&b=1556229) Or Meals on Wheels, where $25 provides ten meals plus services. There are so many wonderful charities who can stretch your donation dollars!

BOTTOM LINE: Think twice before sending out edible treats to ALL your friends and family this year, and show you really care by giving gifts that promote physical, mental or spiritual health! Happy Holidays!

World’s Best Mother’s Day Present (Even After the Fact)

What if I told you it was possible for you to give a present to your mother (or arrange for your kids to give a present to their mother) for Mother’s Day that had four characteristics: (1) it costs only a few pennies, (2) it takes little effort for most people to create it, (3) it had a high probability of making her cry (in a good way) and (4) it would be one of the things she’d be sure to grab in the (hopefully unlikely) event of a house fire? Interested? Well that gift is to write her [or arrange for your kid(s) to write her] a gratitude letter.

Gratitude letters are usually around 300 words in length, but can be as long as you’d like. (Kids in elementary school might write briefer letters and/or draw pictures instead.) The letter is in the first person (i.e., “you are so loving in how you treat me when I am sick” not “my mom is so loving when I’m sick”). To be more personal, write it out by hand. The letter should express only positive thoughts and feelings and should not include direct or indirect statements regarding your mom’s failings or opportunities for growth.Try to include examples of specific things that your mom has done or said that cause you to feel gratitude; these examples can be recent or from a long time ago. When it’s time to share the letter it’s best to read it to her (kids might rotate doing this one-on-one on Mother’s Day); don’t chicken out and hand it over for her to read. You may start to tear up or get emotional. That’s okay (you'll probably find you're not the only one). When you’re finished give it to your mom. Allow the positive moment to linger as long as she’d like (i.e., some of us, though we enjoy it, may start to feel a little uncomfortable with the intimacy that can emerge); in other words, your mom should decide when to end the moment or change the topic. (If you are reading this after Mother’s Day don’t let that stop you from trying it!)

You can also find a lot of satisfaction in writing gratitude letters for others, in your family or otherwise, towards whom you have unexpressed gratitude, be it ancient or recent. The experience is usually very positive, and often to a surprising degree.

BOTTOM LINE: Surprise your MOM or ANYONE you love with a "gratitude letter", and I'll bet YOU will be delighted as well. Thanks to Dr. Palmiter for today's guest blog entry.

Dr. David Palmiter is a practicing clinical psychologist and psychology professor in Scranton, PA. He is also the President-Elect of the Pennsylvania Psychological Association and the author of Working Parents, Thriving Families: 10 Strategies that Make a Difference His blog can be found at www.hecticparents.com.

Get Cooking! (Another Summer Suggestion)

In our BORED list earlier this week, I didn't have space to include COOKING. Summer is a wonderful time to encourage your kids to participate in the family meal plan, as well as learning to cook. It's easy to fall into the routine of hot dogs, burgers, fries, and pizza, if you are not paying attention. Kids in general love to cook, and with no homework to tie them up, they're free to help out in the kitchen. Teach them how to safely chop up vegetables, or create a salad (even if they don't like salads yet, they can pitch in during the preparation.) Supervise them tossing ingredients into a slow cooker in the morning, and then they are proud they prepared dinner.

Another summer suggestion is to make sure every day's diet includes five to ten servings of fruits and veggies. Fruit smoothies are delicious, and especially refreshing in the summer. Toss a banana in the blender, add in a cup of yogurt and a handful of frozen berries, and you're all set! Right there, you've got a couple fruit servings.

Grab some melons- I'll bet a watermelon will disappear in a heartbeat! I challenge everyone to set out a platter of cut up melon, strawberries and grapes in front of some teens and see how long it takes for them to inhale it. Add some cheese and whole wheat crackers, and you've got a healthy lunch.
BOTTOM LINE: Include the kitchen in your summer fun!

The Perfect Diet- What Healthy Seniors Know

After doing 24-hour food histories on my patients for over 15 years, I have seen many different consistent patterns. The "unhealthy vegetarian" one that I shared earlier this week is a classic example that was a surprise to me when I first began this practice. The one I'd like to share today is my personal goal. The majority of my healthy, active "seniors" (usually 60+years old) patients fit this pattern. Of course, there are variances, but a few common themes dominate:
1. A BIG breakfast- eat your largest meal first, then a smaller lunch, and smallest portions at dinner.
2. Very little processed foods of any type
3. An afternoon snack, typically including nuts
4. A dinner that includes primarily vegetables
5. Dessert (often just a piece of rich chocolate) and/or a glass of red wine

What does this look like specifically?
Breakfast- Egg or egg-white vegetable omelette (peppers, onions, mushrooms, tomatoes +/- cheese), beans, a bowl of mixed berries, whole wheat toast, and sometimes a slice of bacon or piece of sausage, juice or milk and coffee
Lunch- chicken breast, asparagus, carrot sticks, brown rice and WATER
Snack- an ounce of cashews or almonds (often they'll tell me a number- 22 almonds, or some fixed amount) and a sliced apple and water
Dinner- a large green salad with tomatoes and other veggies and a small portion of fish, completed with a glass of wine and a chocolate truffle

Notice there are not lots of chips, no fast food, and plenty of water.
BOTTOM LINE: While there is no "perfect" diet, look at the mature people around you who radiate health and energy, and ask them to share their dietary pattern with you. Let me know what they say!

Unhealthy Vegetarian?

How can you be a vegetarian and NOT have a healthy diet? Take a look at this 24-hour dietary recall:
Breakfast: Chocolate Cheerios (yes, they exist!) with milk, coffee
Snack: Poptart
Lunch: Lean Cuisine Manicotti & Diet Coke
Snack: Microwave popcorn & tea
Dinner: Cheese quesadilla, refried beans and chips with a margarita & water
Dessert: Vanilla ice cream

Okay, we don't need to break out our calculators to add up the daily servings of fruits and veggies! This is a very typical example of an unhealthy vegetarian diet. What did I ask this person to do?
Primarily to ADD IN fruits and vegetables. Add some berries or slice a banana on those Cheerios; skip the poptart and substitute an apple; add a salad or carrot sticks to the lean cuisine entree; consider a taco salad; make it a banana split (use more banana and less ice cream!) ANY of those suggestions would improve the quality of this day's nutrition.

BOTTOM LINE: Remember that VEGETARIAN does NOT automatically = Healthy!

VEGETARIAN does NOT equal HEALTHY!

How can eating "vegetarian" not be healthy? Is this a trick question? Absolutely NOT. When I see patients in the office, I frequently do a 24-hour dietary recall, which means I ask them to tell me every item (food and drink) that they put in their mouth the day before our visit. You'd be amazed at how often people are embarrassed (but honest!) with their replies.
What I have found is that many people who don't eat meats believe by default that their diet is healthy. However, chips, queso (cheese dip), sodas, french fries, pop tarts, and almost every dessert you can name are ALL "vegetarian"! You easily can go an entire day as a vegetarian withOUT eating a single fruit or vegetable.
BOTTOM LINE: Don't kid yourself that giving up meat makes you healthy- focus on eating FRUITS and VEGGIES to improve the quality of your diet!
PS. It's a new month, so CHANGE YOUR AIR FILTERS (See 2/1/10 blog entry)!