PART 2 – On the Move! How to eat well, stay calm, fit, and healthy while packing and putting your life belongings in storage!
In the middle of this craziness having to find a new home, I had a couple of little breaks when I was working with Long Island Broadcasting radio stations WBAZ and WEHM in Water Mill, NY for advertising, consulting, and some live broadcasts. Although I was still red from the topical chemotherapy, I took the Cross Sound Ferry over from New London, CT to Long Island Orient Point, NY. An area I know well from Greenport to Shelter Island, and Sag Harbor through East Hampton to Southampton. The area has beautiful scenic views, and many great little food stores, shops, and restaurants to stop at while driving through! It felt great to break away for a day to be live on the BAZ show hosted by their broadcaster Jo. On-Air Joann Blog working with Kathy. The last stop recommended by Jo after the show before getting back onto the ferry was Kontokosta Winery in Greenport which is worth the trip alone for the gorgeous views! This was my first time at this winery, it was a fabulous way to end the day before the ferry trip back. More on the Hamptons, a long weekend in Montauk, and Kontakosta later. For now, it’s time to get back to the moving.
On August 25 I officially backed out of purchasing the house in Essex, Connecticut due to the bad inspection. The closing was supposed to be August 31 with my intentions to move the first week of September. My rental was being sold, but I was told at the time I could extend my lease until the end of September. Meanwhile, while searching for other homes to purchase thinking I had more time, I stopped packing and rescheduled my movers to a later date while I searched on for
Now for the first move, the food, the eating out, where to live, and “how to stay fit and calm” starts, and what about business, and when to find time to work and pack in one week? For one, no more groceries except my staples that included milk, yogurt, fruit and a few items for salads. With no time for real cooking or grilling, I decided the old Cuisinart Griddler I once loved had seen its day and went to the recycle center. It was time for quick healthy fixes on the run! I kept my home gym intact since most of this would be carried off with the movers. Both meditation and working out early in the morning kept me calm and at ease. It is amazing what food and activity can do for the mind. I went for one last early morning beach run on September first, the rest of the days were simple workouts, work, and packing.
I needed no mess easy clean up foods that included making mini veggie pizzas with store-bought whole grain pizza crust, organic pizza sauce, cut up broccoli, spinach, tomato, olives, onions, and whatever other veggies I had to use up along with shredded cheese mixed with 1% fat cottage cheese as toppings, and olive oil sprayed on top using my “Misto” spray pump. I then baked the pizza on foil for around 15-20 minutes and had it as a quick meal after work and in-between packing. Other fast meals were ready-made lobster cakes, ready cooked shrimp cocktail, and veggie burgers that were microwaved in 80 seconds. My breakfast and lunches were about the same as always as it is easy to make oatmeal, salads, wraps, and sandwiches. Most of my sandwiches are veggies that include spinach, tomato, Kalamata olives, red onion, cucumber, bell peppers, and cheese on whole grain bread, or when pressed for time I chose natural peanut butter with blueberry preserve with a glass of milk or organic soy milk, or kefir – all this works. As the last few days in my rental with most of the kitchen now packed, I only left out the minimal essentials to cook with, or I should say kitchens because of the second kitchen in my office. I purposely did not pack my blender to make my morning smoothies and left out one small frying pan for scrambled eggs I enjoy on the weekends and used foil for baking all other items. Everything else was packed except for my coffee maker, my favorite kni
I had a few sleepless nights while packing after work, but I knew this was temporary. Meanwhile, in-between work and packing I found two other homes, one in Essex that did not work out, the other one in Old Saybrook, Connecticut that needed a great deal of work and it was going to take 60 days to close on, but I was out of options within my budget so I made an offer. Now with less than one week to move, I continued searching everywhere for rentals from academic to bed and breakfast suites to Airbnb, and after a few applications explaining I only needed two months to rent, I found a beautifully furnished comfortable cottage in Old Saybrook, CT. The cottage was only five houses from the water, and I would be able to work out of it too! Only one glitch, I was told I could move in for the first five days, then I would have to move out for three or four days before returning as it was rented to someone else. Once returned I could stay until November eighth. I agreed to provide I could have a place to leave my large container plants and find a place to store over 20 bins filled with business machines, files, supplies, and personal belongings including clothes I would need in the cooler months to come. Fortunately for me, the woman who owned the cottage was delightful and accommodated me with an empty clean storage shed that was a former summer cottage for me to store all my belongings in. What a relief! From here, every day was a new adventure of the unknown, it was fast-paced, exhausting, and exciting at the same time!
While finishing my final days with clients who came until three days before I moved, I could not start packing the office until the end as I wanted to continue a comfortable atmosphere for them and managed to pack up everything in the office in two days.
My food choices came down to take out sandwiches, purchased store-bought smoothies, and NuGo Slim protein bars to get me through the final 48 hours including multiple carloads on moving day.
Less than 16 hours to go before the mover’s show, time was running out to pack! I never would have managed without the help of my friend Debbie who came to my rescue by driving ninety minutes the night before to help me to box up the final items for the movers arriving the next day! It was pizza delivery that last night and was great seeing Debbie who only recently relocated back to Connecticut with her husband from South Carolina a few weeks earlier. She too was exhausted and left late in the evening. As for me, I stayed up the night to make sure all was packed for the movers and finished loading my two cars with my bins and boxes. Come the morning of the eighth I grabbed one last smoothie before packing up my blender and made it just on time for the movers! I was moving less than 30 minutes away, but it took several car trips, and this time my realtor Deb, came to my rescue by helping me with the last loads of multiple large plants, and she drove me back to pick up my second car. I was now awake for a couple of days, it was already evening, it was dark out, and I was exhausted and hungry. My last stop was an eggplant sub, then to the cottage to unpack.
Stay tuned for PART 3 On the run! Fun times in the Hamptons, Montauk, Old Saybrook, and lots of great dining and food!
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PART 1 – Pre-Move – Staying Positive in Business, Health & Fitness During Unexpected Times.
It was the end of July 2018, what should have been a beautiful summer while living in a waterfront home on a private road with panoramic views of the Niantic River off Long Island Sound in Connecticut. A time not to be forgotten as I was finishing up topical chemotherapy treatment for pre-skin cancer on my face and hands, and one cancer spot on my foot. My face looked like a cooked lobster, only swollen, excoriated, my eyes were half shut, it was painfully excruciating, feeling like poison ivy on top of sunburn with no relief. I was unrecognizable to most people due to the red, raw skin.
Treatment was only twice a day for two weeks, then post-treatment for one week consisting of four treatments per day. During post-treatment, my skin became tight and cracked in areas, and every morning I awoke with blood spots over my entire face, but I had no complaints. I had no time for complaining, and my thoughts were this is temporary, many people have it much worse going through regular chemotherapy with a life-threatening diagnosis. Instead, I was too busy thinking about work to be on top of my game for clients, and I was thinking of food to heal myself. It’s my nature being a registered dietitian nutritionist and exercise specialist, I think about staying nourished, healthy and fit, therefore, I kept a positive attitude as I had to continue my life including not missing one day from work.
The treatment meant, no make-up, I usually like wearing at least a little lipstick and mascara, and the treatment prevented me from wearing my hair down, therefore, it was tied back for six weeks, while wearing large rim-hats when going outside. I wore long sleeve fleece shirts and gloves during 90-degree weather with a huge sunscreen hat that looked hysterical when I mowed the yard at sunrise or sundown as I was not supposed to be outside during the day because sunscreen could not be worn with treatment, and fleece was the only material that did not hurt my hands. My appearance also made me laugh, though I tried hard not to because laughing made my face hurt!
I had to remind myself what I tell my clients, one is there is always a solution to every problem, two is to look at the positives in your life. For me, it was a summer without kayaking mostly related to risking an infection, but I continued to maintain my lifestyle of health and fitness by managing some beach runs at 4:00 AM before the sun came up while wearing fluorescent green to be seen in the dark. A good walk or run is always uplifting especially along the shore, and four in the morning is not unusual for me, it is my normal time to work-out, and I continued my usual weekday weight training sessions in my home gym, along with daily meditation before work. On the weekends, I was able to relax on the patio overlooking the water and boats after sunset, therefore it was not all that bad. And, it was also a summer without the top down on my convertible until late summer when I would venture out for a night ride!
Fortunately, I have very high pain tolerance, and toward the end of three weeks, I took a couple of Aleve to ease the pain due to the tightness and wounds. Eating was tough but manageable. As the treatment continued, I had to hold back further from smiling or laughing because the corners of my mouth were cracking open and I feared to open another wound and scarring. My main thought was healing, eating frequently with the necessary nutrients, and this meant days of a liquid diet consisting of smoothies loaded with fruit, veggies, and protein powder because I could no longer open my mouth to bite into anything. At this point I did not care what anything tasted like, my only concern was my caloric and dietary needs for healing to get back to normal eating, cooking, and shopping! Stop & Shop Peapod delivery for groceries came in very handy rather than expose me to sunlight from driving to the store.
The food part – What to eat when you hurt too much to eat or open your mouth!
My go too food was my favorite unflavored whey protein isolate powder “
While this temporary way of living due to the topical chemotherapy was going on, little did I know at the time what was about to follow!
The great little waterfront home I was living in was a rental for a few years between home ownership that included an in-law apartment with a separate entrance I used for my office. It was a home I had the option to purchase, only it did not meet my personal needs, nor was the town of Waterford where I intended to settle down. I desired to move back to where I call home, that is either Essex or Old Saybrook, Connecticut where I previously owned houses. While actively looking for a home with my realtor, the house I was renting had a few open houses and multiple showings as soon as I was starting to heal, this meant once again quick food fixes and no messes in the kitchen, but at least I was able to eat solid food again. At his point, I opted for the indoor Cuisinart Griddler that I eventually wore out! What I loved about the grill is I could cook an entire meal of fish, veggies, sweet potato, or grilled sandwich, or any food in five to ten minutes including all the added fresh herbs, pepper, and lemon for flavor and seasoning. The best part was the easy clean-up since the grill plates could be removed to wash or put into the dishwasher.
As for myself finding a house, I knew time was running out, therefore I soon made an offer on a home in Essex, and the offer was accepted! The same day I gave notice to my landlord he told me he sold the house I was renting, I thought great, a win-win situation. After agreeing on a date for me to move, the house I intended to purchase did not pass inspection, and now nowhere to go! A bit of a difficult situation because I had to move both my home and office, only with no place to go, no place to see clients, no business phone, and no time to find a home to close on a mortgage in time. But the good news was I was feeling well, still a bit red, but healing as it was now mid to late August. Here is where the journey begins!
Stay tuned for – PART 2 on how to eat well and stay calm, fit, and healthy while packing and putting your life belongings in storage! Fun, food, activity and adventure in the Hamptons, NY and Old Saybrook, CT.
Meanwhile, here is my recipe to my High Power Smoothie many of my clients know all too well because it can go anywhere you have access to a blender and refrigerator, and it can be reduced or increased in portions to adjust to your caloric and protein needs. For me, I break it up in half for a pre and post-workout.
My Morning High Power Smoothie – Split in half for a for pre-and post-workout
539 Calories, 46g Protein, 74g Carb
2 Cups (16 ounces) Fat-free milk (I use lactose free)
1 scoop Whey protein isolate powder – unsweetened, unflavored preferred
2 tsp Cocoa nibs (unsweetened chocolate)
1-2 tsp Flaxseeds or mixed chia seeds
1 medium Banana
½ Cup Blueberries (or ¼ cup blueberries, ¼ cup cherries or berries)
½ Cup Baby Spinach
Blend all ingredients above together
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Winter Grilled Swordfish and Fresh Veggies with Squash and Carrots
Whether you are grilling indoors or outdoors, enjoying swordfish and fresh cut veggies are quick, easy, and nutritious!
Recipe for Two
Swordfish 10 ounces
Zucchini – 1 medium – slice, julienne or cut into chunks
Yellow Squash – 1 medium – slice julienne or cut into chunks
Carrots – 2 – julienne
Olive Oil – 1.5 Tablespoons or place into a spray bottle and spray to flavor
Fresh Lemon to flavor
Pepper and Fresh herbs to flavor – marjoram, basil, or rosemary can be used
Cut all vegetables, and season with pepper and herbs
Season swordfish with pepper, lemon, and herbs to flavor
Use olive oil on grill and lightly spray on vegetables for non-stick and flavor
Grill swordfish and vegetables for around 10 minutes, every grill is different, therefore watch the food carefully.
The recipe makes 2 servings. Nutrition Data Per Serving.
Calories: 410, Carbohydrate: 17g, Protein: 36g, Fat 23g, Sodium 340mg, Potassium 1105mg
Recipe by Kathy LaBella
2 – Garlic Cloves, chopped
1 – Onion, white, chopped
6 Cups – Water
2 tsp – Olive Oil
½ tsp – Pepper, fresh, ground
2 – Carrots, sliced
1 – Zucchini, medium, diced medium
1.5 Cups – Broccoli florets, fresh, chopped
1 – Tomato, large, chopped
1.75 Cup – Kidney beans, dark red, canned (or 1 can, rinsed and drained)
1 Cup – Spinach, baby, loosely chopped
1 Tbls – Parsley, fresh, chopped
Chop garlic and onion. Chop and cut all vegetables.
Place garlic and onion into a large pot with olive oil to sauté for around 3-5 minutes. Add water (5-6 cups, more after if needed) and all vegetables except for beans, spinach and parsley. Add pepper and bring to a broil, then simmer for 25-30 minutes. Drain and rinse canned beans. Add parsley, beans, and spinach, cook for another 5 minutes.
Nutrition Facts Per Serving
Calories 190, Carbohydrate 30g, Fiber 10g, Protein 10g, Fat 3.5g,
Excellent source of vitamins A and C. Good source of Calcium and Iron
Kathy LaBella, RDN, CDN, CSSD, wwww.PeakPerformanceRD.com
Many people make New Year’s resolutions, aiming to make their lives better and improve their well-being over the next year. Sadly, most people give up on those goals within the first few weeks of the year. There’s no reason to wait until January 1st to start working towards your goals. In fact, winter provides ample opportunities to stick to your typical healthy routines while also developing new, healthy habits that will have you entering the New Year a healthier you.
Meditation is a growing trend among people from all walks of life, from busy professionals to self-development gurus, and everyday people like us. When you examine the benefits of a few minutes of meditation each day, it’s easy to see why. Just 15 to 30 minutes of meditation each day can change the way you approach life, give you more balance, and actually cultivate the development of new, positive connections and neural pathways in the brain while breaking down existing and less-beneficial connections.
Commit to a daily meditation practice, and you’ll develop greater empathy, be better able to manage your emotional response to situations outside your control, have less anxiety, and overall become more centered and less easily influenced by other people and events.
Meditation is sometimes viewed as a subset of personal development. While meditation alone can be helpful, there are other aspects of personal development that are equally beneficial for furthering your goals. If winter for you means more downtime, more time spent curled up in a blanket to stay warm, more time spent in idle traffic during snowstorms, or less opportunity to enjoy your favorite outdoor summer pastimes, then there’s no better time to kick your personal development efforts up a notch.
Listen to a podcast in the car or on the train on your way to and from work each day. Choose a few personal development books to enjoy in front of the fireplace in addition to your favorite fiction novels this winter. Sign up to take an online course to further your career or explore something new.
Those comfy, bulky sweaters many people wear in the cooler months certainly help to keep you warm, but they also help to hide an extra inch or two around the waistline. If you’re normally a healthy eater, don’t sacrifice your usual habits just because it’s winter.
Think ahead to the goals you’ve set for the spring or summer. Planning on taking a cruise this spring? Heading to Jamaica in early summer? Keep these goals in mind through the winter, but don’t deny yourself the occasional indulgence.
If your diet hasn’t been quite up to par, use your downtime this winter to make some positive changes, develop some clean eating habits, and experiment with cooking some healthy alternatives to your usual not-so-healthy fare.
There’s truly no better time than to spend some time or resources giving back to your community or to a worthy cause than over the holiday season. When you’re taking time to think about the many things you’re thankful for, think about ways to help out those less fortunate.
From donating and wrapping gifts for children in need to raising funds, assembling care packages for military personnel serving overseas over the holidays, helping to prepare holiday meals for the homeless, donating ready-to-cook meals to families in need, and much more, there’s no shortage of possible ways you can contribute to the greater good this winter. Plus, you’ll get to experience the good vibes and positive energy that come from performing selfless acts.
Winter makes it easy to skimp on your workouts. Shorter days mean less sunlight, thus less Vitamin D, and subsequently less energy (for many people). Plus, snow storms can put a bit of a damper on your plans to hit the gym.
You only need a few items to equip a home gym of your own and eliminate excuses that get in the way of reaching your goals. Buy a few dumbbells or kettlebells, resistance bands, a yoga mat, and perhaps a balance trainer and pull-up bar, and you have everything you need for a total body workout in the comfort of your home. There are even workouts that rely entirely on body-weight resistance, no equipment needed.
If you’ve been thinking of making some changes in your life, your season of renewal can begin today. There’s no need to wait for the New Year or for spring to start making a difference in your own life and in the lives of others. Start developing healthy habits that you’ll stick with all year long.
Image via Pixabay by langll
Jennifer Scott is an advocate of mental and overall health who has used her experience to inspire others that they too can maintain a healthy body and mind. More about Jennifer and her blog can be seen at Spirit Finder http://spiritfinder.org
While many love the flavor and color, I like the fact one serving adds up to more than 10 percent of vitamin A, and 25 percent of vitamin C for the day. Vitamin A is essential for our vision, skin, bone formation, and immune function. Vitamin C is an antioxidant to protect body cells from damage, it is also involved with our collagen formation, nervous system, and it helps to enhance iron absorption into our bloodstream. In addition, this recipe contains eight percent of our iron needs, and the allyl sulfur compounds from the garlic and onion may help to protect against stomach and colon cancer, and cardiovascular disease. Tomatoes are also rich in potassium, and lycopene. Potassium is necessary for muscle contraction, and helps to reduce blood pressure. Lycopene, a carotenoid, is a phytochemical (natural plant chemical) that is known to help reduce the risk of prostate cancer. Lycopene is better absorbed when tomatoes are cooked, and this recipe can either be made with raw or cooked tomatoes depending on how you like your bruschetta to be served up. Either way, it’s always a perfect dish to have at your summer gathering, or to bring to your next party.
Tomato Bruschetta Recipe Number of Servings: 10
6 Plum tomatoes, cut small
4 Medium vine ripe tomatoes or garden fresh, cut small
½ Cup red onion, chopped
2 Garlic cloves
½ Cup fresh basil, chopped
2 Ounces balsamic vinegar
1-1/2 Tsp olive oil
¼ Tsp fresh ground black garlic pepper (or regular pepper)
15 Slices of 100% whole grain bread or homemade grain bread
Chop tomatoes. Finely chop onion, garlic, and basil. Mix all ingredients together in a bowl. Mix in balsamic vinegar, olive oil, and pepper – add more for flavor.
Toast bread on one side under broiler, then cut the bread in half. Serve cold bruschetta on top. Serve on a platter or individual plates.
- Spray bread with a light coating of olive oil, rub with garlic, and broil tomato mixture with mozzarella cheese on top. Note this adds calories to the stated amount below.
- Use tortilla chips in place of bread, and use bruschetta topping as a dip in place of salsa.
Calories: 150-170 depending on the size of bread. Average Carbs: 28g, Protein 7g, Fat 4g, Fiber 7g
Vitamin A 10%, Vitamin C 25%, Iron 8% based on percent of daily values for a 2,000 calorie diet.
Kathy LaBella, RDN, CDN, CSSD, ACE-CMES/CPT
Beetroot juice is no fad, and I’ve been drinking it myself for couple of years on and off while reading the research studies that prompted me to start recommending it to many of my clients. Why beetroot juice? In addition to being a good source of vitamin A, C, iron, fiber and carotenoids; carotenoids
can be converted into vitamin A, they are an antioxidant with many health benefits, and carotenoids provide the pigment of the plant, but the main reason why I recommend beetroot juice is for the nitrates. Nitrates naturally occur in vegetables, and are abundant in beets, spinach and other leafy greens. There are two reasons why I recommend nitrates, and especially those found in beetroot juice; one is the increased amount of nitrates found in beetroot juice lowers blood triglycerides and blood pressure, and two it increases athletic performance and energy because it helps with the blood flow by opening up the arteries, and it may improve the blood flow to working muscles. Beetroot juice is also really easy to consume without any preparation.
The scientific name for beets is Beta vulgaris, and to date there are several studies on the benefits of beets, beetroot juice, and nitrates.
Considering beetroot juice is positively documented to help with athletic performance, and I too have noticed the benefits in my beach runs, I do recommend it to active performers, and it may be most beneficial to musicians and vocalists who are frequently on stage or touring. This is because nitrates are converted to nitrites and later nitric oxide in our body that helps to regulate blood flow, and in turn help maximum oxygen uptake or consumption known as VO2 max for short; V meaning volume, O2 for oxygen and max for maximum. So what is this and why is it important? VO2 max is how much oxygen can be consumed when we are running at our maximum rate or speed usually measured as aerobic capacity on a treadmill. We can increase our VO2 max with aerobic training, and with nitrates such as those abundant in beetroot juice. As for the importance while performing, active musicians can often use a bit more oxygen intake, a little more stamina. I often think of a drummer who gets fatigued, hitting the wall like a runner (for more information on drummer’s fatigue please read my blog http://www.peakperformancerd.com/preventing-drummers-fatigue-with-nutrition/) or vocalists and opera singers who have to put out a lot of energy in every performance, often several times per week. A higher VO2 max improving your respiratory system increases your vocal or playing abilities on stage means less fatigue and higher output in your performance. This also comes in handy when you have to perform at higher altitudes over 1,500 meters that is just under a mile above sea level or equivalent to a mountain around 5,000 feet high.
As for studies with musicians, I don’t know of any to date, all of the information here is based on my findings and expertise as a sports dietitian who works with musicians to improve health and performance through diet, fitness, and nutrition. And if by chance you don’t find much of a physical difference with beetroot juice, know that your arteritis and heart will know a difference, not only from the nitrates, but from the many other heart healthy antioxidants including quercetin and resveratrol.
As for taste, well, you may not exactly like it unless you really like beets, and I do like beets, but not necessarily straight beetroot juice. I recommend chilling it, and you may want to try diluting it, or camouflaging it by mixing it into a smoothie. As for the amount, some studies used high volumes up to 500mL equivalent to 16.7 ounces, that’s a lot of beetroot juice! I usually recommend 4 ounces prior to performance, and if you really want to increase your VO2 max aim for at least 4 ounces per day. An actual serving size is 8 ounces (240mL) for 110 calories, 3g protein, and 24g carbohydrate. Along with the beetroot juice, consider regular aerobic activity such as running or cycling, and push yourself to the limit by singing while exercising, all will continue to improve your VO2 max and performance!
Stay tuned to Kathy LaBella for news and programs about nutrition and health for musicians. And as always, individual counseling sessions are available and covered by many insurance plans, please visit http://www.peakperformancerd.com where you can also connect onto social media.
Clients’ who work with me know there is not one food or one day of eating that can make it or break it. That is, if you are eating well most days of the week, and you are consistent with a healthy lifestyle five to six days a week, then there is no reason why you can’t have fun with food and enjoy a little extra pleasure; it’s the same as you do with taking a break from your exercise routine. Breaks are important from the mundane, especially if you are focusing on losing weight because you also have to realistic. Allowing yourself a bit of pleasure food is important to prevent you from “dieting” or becoming too strict where you eventually crash, give up, and then overindulge. Eating well and living life is not about becoming a fanatic who is too focused on trying to be perfect with everything you put into your mouth, or exercise to a point where you forget how to enjoy some of the simple pleasures of life that is essential for overall wellbeing.
One of my favorite things to do almost weekly is to have an appetizer night, wwhether I’m out with friends in a restaurant, or dining at home alone. Appetizer night is way of having some of your favorite foods along with incorporating higher nutrient rich foods that include fruits,vegetables, and protein for the benefits of vitamins, minerals, and phytochemicals. Small plates or tapas are often less time consuming to make, yet more enjoyable to eat. If you work weekdays, opt for a Friday or Saturday evening for an appetizer night to help you wind down from the week while granting yourself the time to taste your food.
Some simple quick fixes can include a salad with shrimp cocktail, oysters, fruit, cheese and crackers, or a slice of bakery multi-grain bread dipped in olive oil and balsamic vinegar. Purchasing some pre roasted meats or fish can help as well with less cooking, or explore by making homemade mini pizza’s with fresh grated cheese and sliced veggies. Whatever it is you choose for appetizers, have fun with food for wellbeing by making the moment memorable and relaxing to rejuvenate.
Gastroesophageal reflux disease known as GERD is both uncomfortable and dangerous for anyone,
and especially for those who use their voice as a profession, or for musicians who play wind instruments. This is because with GERD the gastric contents of the stomach reflux back into the esophagus by way of the lower esophageal sphincter known as the LES. Under normal circumstances the LES has high pressure that prevents the backflow of stomach acid, mainly hydrochloric acid back into the esophagus, but with GERD the LES has low pressure, it’s weak and remains open allowing backflow of stomach acid that can lead to inflammation of the esophagus known as esophagitis. Erosion and ulcerations can occur, and at times strictures of the esophagus narrow the opening, and there is a higher risk for esophageal cancer. When people have GERD they often complain of heartburn after eating or after laying down too soon. For musicians, it is not only the discomfort, but the physical attributes leading to decreased vocals and performances because this can also damage the larynx. In addition to GERD there is laryngopharyngeal reflux, this is acid reflux into the larynx that can cause laryngitis, or a sore throat, or mucous, and in some cases reflux in general can make swallowing difficult.
There are several causes of GERD, one being a hiatal hernia; other common causes are excessive alcohol and smoking that irritate or exacerbate the condition of GERD by lowering the pressure of the LES. Additional irritants include increased amounts of coffee and tea due to the acidity, high fat foods, calcium, chocolate, spearmint, peppermint, citrus foods, and nicotine in general. Years ago I would often have people avoid many spices including pepper, cloves, and chili, today I often recommend spices as tolerated, but depending on the individual, the major offenders through my years of experience is excessive alcohol, coffee, smoking, and chocolate, and to a lesser degree spearmint and peppermint.
Nutrition prevention for GERD include foods that increase the pressure to keep the sphincter closed and the esophagus comfortable include higher protein content from lean sources other then fatty meats, or dairy due to the calcium content. Lean protein can include fish, skinless turkey or chicken, a lean roast beef, or vegetable protein. Consuming smaller frequent meals, decreasing weight as necessary if overweight, and waiting a couple of hours after eating before laying down, or propping yourself up with a pillow to prevent contents coming back up from the stomach. Consume plenty of fluids, preferably water, and avoid tight clothing. There are antacids, however I am not a personal fan of antacids because they decrease necessary hydrochloric acid needed to absorb B12, therefore I prefer to correct the problem rather than cover it up. In some instances, your physician may prescribe a proton pump inhibitor such as Prilosec or Nexium that unfortunately may have some long term side effects, therefore it is up to each individual to discuss this with his or her physician, and weigh out the options, or start with medication to ease the pain to stop the reflux pre-performances, and then work on diet to omit or decrease the medication as able.
For more information on healthy ways to include calcium, preserve bone health, or consume your favorite foods with GERD – stay tuned to Peak Performance RD as new programs about nutrition and health for musicians will be available soon! And as always, individual counseling sessions are available and covered by many insurance plans, please visit http://www.peakperformancerd.com Nutrition for Musicians.
“Savor the Flavor of Eating Right” is this year’s theme for National Nutrition Month® that is focusing on cooking at home, following your traditions, and expanding your tastes by trying new adventures with food.
Eating right and eating healthy can be made simple with a little planning, especially now that spring is here and local fruit and vegetables stands are opening up all over. Eating right can actually save time and money with simple quick meals made at home or packed daily for your lunch and snacks.
Fruits and Vegetables – I encourage many fruits and vegetables for their abundance of nutrients, fiber, and antioxidants, as well as the ability to be a quick fix we can grab on the run from bananas and apples, to berries and grapes, to carrots, celery and peppers to take on your way out the door. Whether you opt for weekly shopping or daily stops along small markets, adventure out to try something new by adding a variety to prevent boredom. While at home, bring on the flavor and add a little cinnamon or nutmeg to your cut up fruit. And be sure to enhance your vegetable dishes with sautéed or grilled garlic, onion and herbs!
Nuts and Grains – Incorporating nuts and seeds are easy to pack along in a small container, or spreading peanut butter on whole grain bread for the road is simple while providing protein, and fueling your body with carbohydrates and healthy fats for the energy to get you through a few hours. In the evening making long grain rice only takes 30 minutes while you prep the rest of your meal or cut vegetables. If you have no time for rice, try thinly slicing a sweet potato for indoor grilling combined with your other vegetables and sprinkled with pine nuts; it only takes about 10 minutes to grill up a healthy meal. Another simple quick fix is adding nuts and seeds to a salad mixed with fresh herbs for dinner, combining taste, color and nutrients.
Protein – There are many choices today for protein that you can add into your day from Greek yogurt or soy yogurt to protein packed smoothies for a quick nutritious breakfast or a snack while at work that will keep you full without all the calories. Pack lunch the night before by adding lean fish, poultry, or beans in with a salad for lunch consisting of dark greens such as spinach with cut up broccoli, tomatoes, peppers, cucumbers, and a few olives topped off with a touch of olive oil and balsamic vinegar, or pack leftovers from your dinner to take to work or school the next day to ensure you’re eating well. Top off your meats and seafood with rosemary, oregano, pepper, fresh squeezed lemon or orange for flavor.
Savoring the Flavor – Take the time to enjoy your meal! It does not take any more time to put your food onto a nice plate, add a little flavor with your favorite spices and herbs, and pour yourself a cold water in a nice glass with a lemon wedge, or add fresh chocolate mint leaves to green tea. Use a cloth napkin, light a candle, relax and enjoy your meal. It doesn’t have to take long, only long enough to enjoy and savor the flavor.