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“Eat Less, Eat Better”…is it that simple? Rethinking our message about healthy eating and obesity

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Will we solve the obesity crisis by simply telling people to “eat less and eat better”? A one-day health professional forum was held in Toronto to rethink our messages about food and obesity. The event featured key leaders in obesity research/treatment and health communications: Dr. Ayra Sharma, Ted Kyle and me! Here’s what the experts were saying.


Dr. Ayra Sharma – Chair for Obesity Research and Management, University of Alberta
• Obesity is a complex chronic disease.
• Simplistic messages about obesity are misleading, can promote unhealthy weight obsession and promote bias and discrimination.
• Prevention and intervention strategies should focus on improving health behaviours rather than on just changing body weight.


Ted Kyle – Founder, ConscienHealth
• Use respectful, people-first language that is free of bias and stigma – e.g. “unhealthy weight” or “high BMI” instead of “fat” or “morbidly obese”.
• “Obese” is a harmful label. “Obesity” is a disease.
• Shift the conversation from “being obese” towards health.


Sue Mah – President, Nutrition Solutions
• “Eating better” means cooking, eating together and enjoying food.
• Consumers are bombarded with food/nutrition messages that simply don’t “have the scientific muster to present as fact” (quoting Dr. Oz here!)
• Health and nutrition communications needs to be creative to capture consumers’ attention.
• From celebrities and chefs to dietitians and politicians, everyone has a role in being a champion for change.

Would you pass the breakfast test?

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In a recent TV interview with CBC National News, I had the wonderful opportunity of meeting award-nominated journalist Heather Hiscox and rate her favourite morning meal. As the anchor for the national morning news, Heather starts her day at 5:30 am with “a handful of Shredded Wheat, some bran buds, half a banana and 2% milk.” It’s been her breakfast for the past ten years, and it tides her for at least four hours.

In rating her breakfast, I used the following five-point criteria:
1. Variety – does the breakfast contain foods from at least three of the four food groups in Canada’s Food Guide? Bonus points if veggies are included at breakfast!
2. Fibre – is there at least 4 grams of fibre?
3. Protein – is there about 20 grams or more protein?
4. Healthy fats – do any of the foods provide healthy fats?
5. Whole grains – are the choices whole grain?

So did Heather pass the breakfast test? Well, her breakfast included foods from three food groups; the meal contained at least 4 grams of fibre, thanks to the cereal and bran; and her cereal choice was a whole grain. When it came to protein though, Heather’s meal was shy of the 20 grams of protein that’s often recommended to help with satiety. Including a sprinkle of nuts or seeds would not only pump up the protein, but also add some healthy fats to the meal.

My overall grade for Heather’s breakfast: A-

It’s time to teach our kids how to cook – sign the petition now

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Kudos to the Ontario Home Economics Association (OHEA)! The association is spearheading a petition to mandate at least one food and nutrition course in high school.

According to Mary Carver, Professional Home Economist and member of OHEA, “all children need to have the basics of nutrition and some cooking skills so that they know how to make food from scratch and don’t reach out so often for fast food or prepared entrées that are readily available.”

I couldn’t agree more. As a dietitian and chef’s daughter, I know first hand the benefits of eating a wholesome, home cooked meal. Teaching kids to cook not only gives them confidence in the kitchen, but also a life skill that boosts their food literacy.

Food literacy, the latest buzzword, is defined as the knowledge and skills (planning, budgeting, shopping and cooking) that help people make healthy, tasty and affordable meals for themselves and their families. It’s about getting involved with food – at the grocery store choosing locally grown foods, in the kitchen trying a new recipe, or even going on a family outing to an apple orchard.

Please take a minute to sign the OHEA petition asking for at least one mandatory food and nutrition course in Ontario schools. The goal is to attain 2,000 signatures by October 31st. You’ll be glad you did.

Tell Health Canada what you think about the proposed new food labels

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Health Canada recently announced proposed new changes to the Nutrition Facts table and ingredients lists with the goal of improving nutrition information on food labels.

Some of the key proposed changes include:
– listing Calories in a bigger and bold font
– using consistent serving sizes on similar foods
– increasing the Daily Value for fat and calcium, and decreasing the Daily Value for sodium
– adding information about added sugars by including a % Daily Value for sugars as well as showing the amount of added sugars in the product
– removing vitamins A and C, but adding potassium and vitamin D to the label
– grouping nutrients that we should limit (fat, sodium and sugar) at the top half of the label
– grouping nutrients that we need to get enough of (fibre, vitamins, minerals) at the bottom half of the label.

The consultation period is now open, and all consumers and stakeholders are invited to provide input on the proposed changes. Please take the time to have your say and share your feedback in shaping this important nutrition labelling regulation.

Health Canada has developed fact sheets on: Nutrition Facts table and Ingredient List, Serving Sizes and Sugar Content as well as an Executive Summary of the proposed changes. Consumers can provide their feedback through a 10 question online survey.

For food and health professionals, there is also a series of five technical consultation documents which explain the rationale for the proposed changes: Format Requirements, Core Nutrients, Daily Values (%DV), Reference Amounts and Serving Sizes. You are also invited to provide feedback to each of these consultation documents.

All comments must be submitted to Health Canada by September 11, 2014.

Get cooking for National Nutrition Month!

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As the daughter of a Chinese chef, I’m a huge fan of cooking – and eating – delicious, wholesome meals! After all, when you cook from scratch, you can choose healthier ingredients and experiment with different flavours.
Get the kids involved too. Cooking helps to build their confidence in the kitchen and is an important life skill. Plus research shows that eating meals together as a family helps kids eat better and have healthier weights. So to celebrate Nutrition Month, here are some of my favourite tips to help you get creative in the kitchen.
• Pick a theme ingredient or cuisine for the month. Then flip through magazines, pick up a new cookbook or surf the Internet for recipe ideas. Me? I’m always looking for easy and nutritious fish recipes. So I’m planning to try this Becel Maple Mustard Salmon recipe. It uses ingredients that I always have on hand and it’s ready in less than 15 minutes – perfect for my busy weeknights!
• Stay organized. To save time, prep your ingredients in advance – chop the veggies, marinade the meat, and make the salad dressing the night before so that everything is ready to go as soon as you get home.
• Cook once, and eat it twice. I’m planning to take any salmon leftovers from tonight’s dinner and toss it into a salad with red onions, green leafy lettuce, orange peppers and avocado. Leftover cooked beans, meat or pasta will instantly perk up a soup or stir-fry.
• Make a few swaps. Do you love to bake? Use milk or yogurt instead of water to give muffins or banana bread a calcium and protein boost. Bake with an unsaturated fat such as soft non-hydrogenated margarine instead of butter, shortening or lard. Swap out some of the sugar with dried fruit or grated sweet veggies like carrots or beets – it’s a great way to add fibre to the recipe too.
• Share it. We eat with our eyes, so don’t forget to take a snapshot of your finished dish. Tweet it or post it on Pinterest, Instagram or Facebook. Share the actual recipe too and give it a rating out of five stars. Who knows – you might just inspire someone else to get cooking too – and that would be a wonderful thing!

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What’s in store for 2014?

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Happy New Year! Here’s a line-up of some top food and nutrition trends for the coming year.

Cauliflower. 2013 was the Year of the Vegetable, and the trend continues with cauliflower surpassing kale as this year’s most wanted veggie. What I love about cauliflower is its versatility – you can mash it boil it, roast it and even grill it. My fave recipe these days is quinoa salad with roasted cauliflower, sunflower seeds, diced avocado and avocado oil.

Foraging. Last summer, I was on a wilderness hike where the guide showed us how to identify and pick edible berries and leaves. It was an introduction to foraging! Our country’s backyard is a natural bounty for foraging. Think berries, fiddleheads, wild leeks, dandelion leaves and mushrooms (just make sure you know your mushrooms since some can be poisonous!)

Kañiwa. Say hello to quinoa’s cousin – kañiwa (pronounced “kah-nyee’wah). Also known as “baby quinoa”, kañiwa is a tinier grain than quinoa (ok, technically both are seeds), offers protein and grows in the Andes Mountains too. Cook kañiwa the same way you would quinoa. One difference is that kañiwa doesn’t contain saponins, so you don’t have to rinse it before cooking.

Mashups. It all started with the cronut – the hybrid croissant and donut. What’s next? Reportedly, we can look forward to ramen burgers (buns made from fried ramen noodles), macaroon ice-cream sandwiches and kale coladas!

Spices. On the radar is a range of spices inspired by Asian cuisines. First off is a Japanese “salt and pepper” spice called shichimi togarashi. It’s a blend of seven spices. Another biggie is gochujangi, a Korean condiment made from hot chili paste and fermented soybeans. I can taste the heat already!

HIghlights from the Grocery Innovations Show 2013

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From water and protein tea to baobab fruit smoothies and enriched flours, here’s what caught my eye this year.

Water. With an increasing trend on healthy hydration, a couple of Canadian products caught our eye. Seva Maple Water, a slightly sweet tasting water is sourced from Quebec’s sugar maple trees. One cup (250 mL) contains 25 calories, 30 mg sodium and 5 g sugar.


Happy Water, awarded among this year’s top ten innovative products, is a blend of natural spring water and mineral waters from British Columbia. In a two-cup (500 mL) serving, the water offers o calories, 15 mg sodium and 0.1 ppm of lithium, an element that is often used in medicines to treat mood disorders.


Bluedot Protein Tea. I’ve been forecasting and watching the protein trend for years now. Combined with a rising interest in beverage innovations, these green and white teas feature whey protein isolate and inulin (a prebiotic fibre). Each flavour offers 12 g protein and 6 g fibre per 473 mL serving. The calories range from 60 to 140, depending on whether the drink is sweetened with stevia or cane sugar.

Baobab Smoothies. Touted as the new superfruit, baobab (pronounced “BEY-oh-bab”) is filled with antioxidants and vitamin C. It’s an African fruit that tastes like a blend of pineapple and melon, and was approved for European markets last year. These smoothies are made with the Baobab fruit pulp and range from 140-160 calories with 6 grams fibre and 22 grams of sugar per 300 mL bottle.

Robin Hood Nutri Flour Blend – Omega-3 and Fibre. “Baking is back,” says Stephen Kouri, VP Sales & Trade Marketing at Smuckers Foods of Canada Ltd. The company’s Nutri Flour blend includes a gluten-free offering as well as a new omega-3 and fibre blend (it’s made with whole wheat flour and flax seeds). We just think there’s definitely something comforting and relaxing about home baking, not to mention the satisfaction in posting your delectable creations on Instagram or Pinterest.

Menu labelling – would you like 90 minutes of walking with that?

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The conversations about menu labelling continue. Dr. David McKeown, Toronto’s Chief Medical Officer of Health supports mandatory menu labelling of calories and sodium, while some researchers wonder whether “physical activity equivalent” labelling is a more effective strategy.

McKeown urges the province to enact its own law, but if the province doesn’t do so by September, he plans to develop a Toronto-specific bylaw for chains with more than 15 restaurants. Critics say that calorie and sodium counts alone don’t allow consumers to make informed choices. A Diet Coke for example, has fewer calories than a glass of milk, while a bagel might have more sodium than a cookie.

Stephanie Jones, the Ontario VP of the Canadian Restaurant and Foodservices Association endorses British Columbia’s voluntary Informed Dining program, in which participating restaurants post nutrition information in a brochure or poster, rather than on the main menu.

And here’s another POV. Preliminary research shows that consumers may be more motivated to choose foods with fewer calories when restaurant menus show how much exercise is needed to burn off those calories. For example it would take 90 minutes of walking to burn off the calories in this hypothetical ham sandwich. It’s an interesting concept, indeed!

Sodium – what now?

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Bill C-460, a Private Members Bill introduced last November by NDP MP Libby Davies, was recently defeated by a vote of 147 against versus 122 in favour. The Bill would have called for warnings on foods that exceeded Health Canada’s Sodium Reduction targets. Meanwhile, the Institute or Medicine (IOM) raises questions about the benefits of very low sodium consumption.

According to a new report by the IOM, studies support recommendations to lower our sodium intakes from the 3000+ mg currently consumed daily by Canadians. However, the evidence does not seem to support sodium intakes to below 2300 mg per day. Lowering sodium intake too much may adversely affect certain risk factors such as blood lipids and insulin resistance, and thus potentially increase the risk of heart disease and stroke.

So, what now? Based on the sodium reduction strategy experience of the UK, it will realistically take years for us to reduce our average sodium consumption to 2300 mg. As dietitians, we continue to recommend that consumers read nutrition labels to choose lower sodium foods. Cooking from scratch will also empower consumers to use low or no sodium ingredients and seasonings. Get more sodium reduction tips from Health Canada.

Highlights from SIAL 2013

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The annual SIAL food and beverage tradeshow was held in Toronto. Here’s what caught my eye this year:

• Avocado oil – high proportions of monounsaturated fat and high smoke point
• Wild rice flour – gluten free flour, made in Canada
• Sea buckthorn tea – builds on the health potential of the super sea buckthorn berry
• Bison meat – lean protein choice coming soon to grocery stores
• Pea protein chips – vegan offering with 15 grams of protein per serving
• Mycryo – pure cocoa butter for cooking, 90 calories and 10 g fat (of which 6 g is saturated fat) per 5 tsp

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