Blog / Recipes

Test Your Sodium IQ

Split screen image of TV host Anne Marie Mediwake and dietitian Sue Mah

Cardiovascular disease is still the number one cause of death globally (1). Eating too much sodium is linked to high blood pressure which is a major risk factor for heart disease. Here are 5 questions to test your sodium IQ!

Watch Sue’s national TV interview on YouTube or click on the image below.

 

 

 

 

1. True or False: We need sodium to stay healthy.

True!  We do need some sodium to maintain our blood pressure and fluid levels in our body. Sodium is also needed to keep our muscles and nerves running smoothly. The problem is that most of us are getting too much sodium, which can lead to health problems such as hypertension (high blood pressure) and cardiovascular disease.

On average, we should stick to less than 2,300 mg of sodium a day, but we’re eating about 1½ times that amount (2). In fact, 3 out of 5 Canadians eat too much sodium (2). A report by Health Canada found that 72% of kids between the ages of 4 to 13 are eating too much sodium. And over 95% of males aged 19-30 are eating too much sodium (2).

Eating too much sodium today can lead to high blood pressure later in life. According to a report by the Heart and Stroke Foundation, about 20% of Canadians have high blood pressure or hypertension, and another 20% of Canadians have pre-hypertension (where their blood pressure is above normal but not quite diagnosed as high yet) (3).

2. True or False: Sodium is the same thing as salt.

False!  Salt and sodium are often used interchangeably, but they’re not exactly the same thing. Sodium is a mineral that’s found naturally in foods and / or added to foods. Salt or table salt is a combination of sodium plus chloride. Salt is the main source of sodium. Other sources of sodium include sodium bicarbonate (baking soda), sodium benzoate (a preservative) and monosodium glutamate (a seasoning).

3. True or False? Sea salt is healthier for you than table salt.

False!  The main differences between sea salt and table salt are the taste, texture and how they’re made.

Sea salt is made by evaporating sea water and can taste differently depending on where it’s from. There are some trace minerals in sea salt such as calcium and iron, but the amounts are very low. The sea salt crystals can be large.

Table salt is made from fine crystals mined from ancient dried up salt lakes, and then ground to give it a finer texture. You may find iodine in table salt – it’s a nutrient that’s added to lower the chances of developing an iodine deficiency.

Kosher salt is the same as table salt, but has larger crystals and no iodine. And Pink Himalayan salt is actually mined in Pakistan. The pink color is from the iron in the salt.

By weight, all of these types of salt have about the same amount of sodium as table salt.

By volume however, (i.e. if you’re measuring it with a teaspoon), sea salt, Kosher salt and Pink Himalayan salt will have slightly less sodium because they have larger crystals.

Whichever type of salt you prefer, use less to cut down on your overall sodium intake. Boost the flavour of food with sodium-free ingredients like herbs, spices, garlic, lemon juice or citrus zest.

4. True or False? You can tell which foods are high in sodium because they taste salty.

False!  Some foods such as bread and cereal don’t really taste salty, but they do contain sodium. Sodium can also be hidden in salad dressings, soups, pasta sauces, different condiments and baked goods like cookies and muffins. Read food labels and look for foods that generally contain less than 15% of the Daily Value (%DV) for sodium. Or look for foods that are specifically labelled “low sodium”.

The image below shows a Nutrition Facts table for crackers. You can see that 4 of these crackers contain 6% of the Daily Value (DV) for sodium. A %DV that is 5% or less is considered “a little” and a %DV that is 15% or higher is considered “a lot”.

Nutrition Facts table for crackers, showing 6% DV for sodium

Image source: Sue Mah

 

 

 

 

 

 

 

 

 

5. True or False? Most of the sodium we eat comes from the salt shaker.

False!  Only about 11% of the sodium we eat comes from the salt shaker when we add salt to our cooking or to our food at the table Almost 80% of the sodium we eat comes from packaged foods. The rest is from sodium found naturally in foods.

In fact, the top 6 sources of sodium in are diet are:

  • Bakery products (e.g. bread, muffins) – salt is added to baking, and even though the food doesn’t taste very salty, but we tend to eat a lot of these foods, so the sodium adds up
  • Appetizers and entrées (e.g. pizza, frozen meals)
  • Processed meat
  • Cheese
  • Soups
  • Sauces and condiments

Fast food / restaurant meals also tend to be higher in sodium. Sodium is added to foods to act as a preservative and also to bring out the flavour of foods. To cut back on sodium, enjoy more wholesome fruits and veggies because they’re essentially sodium-free. If you’re making a recipe, try cutting down on the ingredients which contain sodium. If you’re eating out, ask for sauces, salad dressings and gravy on the side so that you can control the amount of sodium that you eat.

 

References:

1) World Heart Foundation (no date). World Heart Day is celebrated every year on 29 September. Retrieved September 20, 2020 from https://www.world-heart-federation.org/world-heart-day/about-whd/

2) Health Canada (no date). A salty situation. Retrieved Sept 20, 2020 from https://www.canada.ca/content/dam/hc-sc/documents/services/publications/food-nutrition/infographic-salty-situation/26-18-2058-Sodium-Infographic-eng-08.pdf

3)  Heart and Stroke Foundation (2014 August). Position statement – Dietary sodium, heart disease and stroke. Retrieved September 20, 2020 from https://www.heartandstroke.ca/-/media/pdf-files/canada/2017-position-statements/dietary-sodium-ps-eng.ashx?rev=29762d89e1e3446084fa988ac9b0c3d7&hash=6523A0B22CEB23AC5B87207DB5C00E8C

 

Understanding the Most Confusing Words at the Grocery Store

Person pushing a grocery cart with overlay text of title

 

Natural versus organic. Free run versus free range. Made in Canada versus Product of Canada. These terms can be oh-so confusing! We decipher these terms so that they all make sense!

Watch my TV interview on this topic (and see a few food examples) or read the details below.

Dietitian Sue Mah speaking to TV host Lindsey Deluce

Whole grain versus Multi-grain

Whole grain means that you’re getting all three parts of the grain kernel or grain seed. The three parts are:

  • Bran – this is the outside layer of the grain and contains most of the fibre as well as B vitamins and some protein
  • Endosperm – this is the middle layer and it’s the bigger part of the whole grain. It’s mostly carbohydrates with some protein
  • Germ – this is the smallest part of the grain kernel and is rich in B vitamins, vitamin E and minerals

On the other hand, multi-grain simply means that the product contains more than one type of grains, and they may or may not be whole grains.

Choose whole grains when you can for extra fibre and nutrition. Some examples of whole grains are oats, barley, corn, rye, brown rice and quinoa.

Grass fed versus Grain fed

These are terms that are sometimes used to describe the beef you can buy. All cattle eat grasses and forages which includes grasses, clover and alfalfa.

Grass fed beef means that the cattle was only fed grass or forages their entire life.

Grain fed beef means that the cattle were raised on grass or forages for most of their life and then grain finished. This means is that about 3-4 months before going to market, the cattle are fed a diet that is mostly grains like corn or barley. The grain helps to produce a more marbled quality grade of beef

When it comes to nutrition, both grass fed and grain fed beef are excellent sources of protein, iron and vitamin B12. Grass fed beef is leaner than grain fed beef, and may have slightly higher amounts of omega-3 fat and vitamin K. Some say that grass fed beef has a slightly different taste too.

Free range versus Free run

These are terms that are used to describe the eggs you buy.

Free run eggs come from hens that roam the entire barn floor, and some of these barns may have multi-tiered aviaries.

Free range eggs come from hens that also roam the entire barn floor. And when the weather permits, the hens go outside to pasture. So in the winter when it’s cold, access to outside may be limited.

From a nutrition point of view, there are no differences in the nutritional content of these eggs compared to regular eggs. All eggs are a super source of protein, iron, vitamin B12 and vitamin D.

Made in Canada versus Product of Canada

Made in Canada means that a Canadian company was involved in some of the food preparation.

Product of Canada means that all or nearly all of the food and processing used to make the food is Canadian. In other words, “Product of Canada” foods were grown or raised by Canadian farmers, and prepared / packed by Canadian food companies.

Natural versus Organic

Natural means that nothing has been added or removed. The food does not contain any added vitamins or minerals or artificial flavours or food additives. The food also has not had anything removed or significantly changed.

Organic refers to the way foods and ingredients have been grown and processed. For example, organic chicken means that the chickens were raised with a certified organic feed that contains no animal by-products or antibiotics. Organic also means that there are no artificial colours or flavours, no preservatives or sweeteners. The “organic” logo, shown below, can be used only on products that have 95% or more organic content.

logo for organic products; logo is top half of a red maple leaf above a green field

Foods to Manage Stress

icons of bread, leafy greens, fish and cup of tea to accompany bulleted text

Can you believe that we’re into week 7 of physical distancing and the COVID quarantine? If you’re feeling stressed, you’re not alone.

In fact, a recent poll by Angus Reid found that 50% of Canadians say their mental health has worsened, feeling worried and anxious.

First of all, please know that there are many support resources available online to help you manage stress and anxiety during these tough times. Regular exercise, meditation and other healthy stress busting behaviours can help. Talk to a health care professional if you need some support.

As a dietitian, here are 5 key nutrients and foods to add to your plate which can help you manage stress.

Watch my TV interview here!

TV host Lindsey Deluce speaking to Dietitian Sue Mah, shown on a split sceren

 

 

 

 

 

 

 

OR watch my 1-minute video clip below.

 

 

Carbs, especially whole grain carbs

Carbs help trigger the production of serotonin. This is the feel good chemical in the brain (a neurotransmitter). Serotonin is made in brain from the amino acid tryptophan. This is a small amino acid and has a tough time getting into the brain.

When you eat a meal that’s mostly carbs, it triggers the insulin to clear the bigger amino acids from your bloodstream, allowing tryptophan to get into the brain and make serotonin. Overall, serotonin helps you to feel calm.

Some good whole grain carb choices are:

  • brown rice
  • whole wheat bread, whole wheat pasta
  • quinoa

Vitamin B6

Vitamin B6 also helps our body make serotonin. This vitamin is found in a wide range of foods, so it’s important to eat a variety of foods. Some of the best foods for vitamin B6 are:

  • chicken, turkey, meat, fish like salmon
  • chickpeas, pistachio nuts, sunflower seeds
  • potatoes, bananas, avocados

Magnesium

When we are stressed, our body (adrenal glands) releases cortisol which is a stress hormone. Cortisol actually depletes the body of magnesium. So we need to make sure we’re getting enough magnesium when you’re feeling stressed.

Some of the best foods for magnesium are:

  • leafy greens like spinach, kale and Swiss chard
  • nuts and seeds like almonds, pine nuts and sunflower seeds
  • whole grains like whole wheat bread (Fun fact: whole wheat bread contains 4x more Mg than white bread)
  • dark chocolate (a 30 g serving offers 15-20% of your daily requirements for magnesium!)

Omega-3 fats

You may already know that omega-3 fats are good for our heart health. But did you know that the animal sources of omega-3 fats also help to boost our mood!

Some of the best sources of omega-3 fats are:

  • fatty fish like salmon, trout, arctic char, sardines. Try to eat fatty fish at least twice a week.
  • omega-3 enriched eggs

Tea

Tea contains a special amino acid called L– theanine. This actually triggers the release of another neurotransmitter in the brain (called GABA or gamma-amino-butyric-acid) which gives you a relaxed feeling. Black tea, green tea, white tea and oolong tea all contain this special amino acid.

Stay well and stay safe. We are all in this together to get through the COVID-19 crisis.

 

 

Simple Ways to Boost Your Fibre

Dietitian Sue Mah talking to TV host about fibre

With the start of the new year, one way to eat better is by eating more fibre!

We need 25-38 grams of fibre every day, but most of us are only getting about half of that amount! There are generally 2 main types of fibre:

  • Soluble fibre – this is the type of fibre that can help lower blood cholesterol and control your blood sugar. It’s found in foods like apples, oranges, carrots, oats, barley, beans and lentils.
  • Insoluble fibre – this is the type of fibre that helps you stay regular. It’s found in fruits, veggies, whole grains and bran.

How can you get enough? As a regular dietitian expert featured on Your Morning, I shared a few simple tips for boosting fibre at breakfast, lunch and dinner.

Take a peek at the before and after meals below, and watch the TV interview here!

Send me a comment and let me know how YOU get more fibre every day!

 

original breakfast plus breakfast with fibre boost

original lunch plus lunch with fibre boost

original dinner plus dinner with fibre boost

[Images: @YourMorning]

 

Spot the Sugars

New food labels are coming and for the first time, you’ll see a Daily Value (DV) for “Sugars”. Health Canada has set a DV of 100 grams for total sugars. This includes sugars naturally found in foods such as fruits, veggies and unsweetened milk products, plus the sugars added to foods and the sugars found in foods like honey and maple syrup. Packaged foods with a Nutrition Facts table will now show the “Sugars” content as a percent of the 100 grams Daily Value (%DV).

Nutrition Facts table showing % Daily Value for sugars

But do most Canadians know where the sugars are in their foods?

Watch Sue’s fun TV Interview with Ben Mulroney (Co-host of Your Morning) to spot the sugars in different foods or find the interview here.

My Chat with Canada’s Minister of Health

Sue + Minister of Health Ginette Jan 23 2019 - 1

I had a serendipitous meeting with the Honourable Ginette Petitpas Taylor, Canada’s Minister of Health! She was entering the TV studio green room just as I was about to leave. We were both being interviewed (separately) about the new Canada’s Food Guide.

Here’s a note from our conversation.

Canada’s Food Guide is about the food experience – cooking and eating together, and enjoying food. “When I think about food, I think about family,” said the Minister. As the youngest of 9 kids, she remembers waking up to the smell of fresh bread baked by her mom.

I shared my own experiences. As a daughter of a chef, I grew up eating together with my family. We used our prized Chinese bowls and celebratory red chopsticks every day. We ate everything from apples and bok choy to ice cream and lobster. Food was delicious, wholesome and enjoyed without guilt.

Food unites us! The new Canada’s Food Guide reminds us to enjoy food, eat mindfully and eat with others. I like that message!

Written by: Sue Mah, MHSc, RD, PHEc

The new Canada’s Food Guide is coming soon – Here’s what you can expect

There’s been quite a buzz lately about the new Canada’s Food Guide, which should be released soon this year!

I recently shared my expert insights and answered consumer questions on CBC Morning Live national news. Check out my two interviews to get the full scoop!

Watch Interview Part 1

Watch Interview Part 2

Here are just a few expected highlights of the new Canada’s Food Guide:
– Recommendations on HOW to eat, not just what to eat or what not to eat.
– Recommendations to limit the 3 “S” – sugars, saturated fat and sodium.
– A focus on plant-based foods such as whole grains, vegetables and fruit.
– A new “protein” group which includes a variety of protein-rich foods such as beans, nuts, seeds, soy products, tofu, eggs, fish / seafood, lean red meats, lower fat milk and yogurt, and cheeses lower in sodium and fat.
– Consideration of other factors that affect our food choices such as food accessibility, food affordability and cultural diversity.

Interested in learning more? Contact me to book a Lunch and Learn presentation or seminar.

5 Heart Healthy (and Affordable) Kitchen Gadgets

February is Heart Month! So it’s a good time to get into the kitchen and cook up some healthy meals with these 5 simple and affordable kitchen gadgets. Watch my interview on CTV Your Morning!

Sue spiralizer

1. Silicon of stainless steel steamer.
Steaming your food is one of the best ways to retain its nutrients, colour and flavour. For example, when you boil broccoli, you can lose up to 50% of its vitamin C content. When you steam broccoli, you may only lose about 10% of the vitamin C content. There’s no need to buy a special steamer pot. Instead, look for a silicon or stainless steel steamer that is adjustable and can fit a pot that you already have. You can use your steamer for veggies, fish, and dim sum dumplings!

steamer crop


2. Herb scissors

Eating too much sodium / salt can lead to high blood pressure which is a risk factor for heart disease and stroke. One of the best ways to cut back on salt when cooking is to season your food with fresh herbs. Herb scissors are so easy to use and don’t require any special knife skills. When cutting fresh herbs, make sure the herbs are dry or semi-dry.

herb scissors

3. Zester or Microplane Grater
Using citrus is another fantastic way to add flavour without salt. A zester and microplane grater are two other kitchen gadgets that can help you make the most of your citrus. A zester gives long, thin strips of the citrus peel. A microplane grater has smaller blades than a zester, so you’ll get a smaller, finer gratings. You can also use a zester or grater for garlic, ginger, chocolate and cinnamon.

zester grater

4. Spiralizer
This has been one of the trendiest kitchen gadgets. Because the spiralizer typically has different blades, you can create a variety of different shapes with veggies like these zucchini ribbons which are a nice alternative to pasta. This is a great gadget to have on hand or those picky eaters in your family. Try it with zucchini, carrots, cucumbers, beets and sweet potatoes. It can make eating veggies a lot more fun.

spiralizer

5. Sheet pan
This is like a baking sheet or cookie sheet with a rim around all four edges so that any juices won’t spill out. The great thing about a sheet pan is that you can cook your protein and veggies all on the same pan (which means just one pan to wash!) Roasting veggies brings out their natural sweetness. The fat from the protein on the sheet pan actually adds moisture and flavour to the veggies around it.

sheet pan

What A Dietitian Eats

Sue Kelsey

As one of my monthly segments on CTV Your Morning, I thought it would be fun to do a little show and tell of my meals in a day. So here we go…this is what a dietitian eats!

Watch the interview here!

Breakfast – Veggie and cheese omelet

breakfast omelet

For breakfast, I try to make sure that I’m getting protein and veggies, so an omelet is perfect! Eggs are a great source of protein and the egg yolk is filled with nutrients such as lutein, omega-3 fat and choline. I add a slice of whole wheat toast for wholesome carbs and fibre. If I know my morning will be super busy, then I’ll make the omelet the night before and just heat it up in the morning for a quick breakfast.

Lunch – Lentil Shepherd’s Pie

lunch lentil shep pie

I love lentils! This is a fantastic vegetarian, plant-based lunch and a lighter version of your typical Shepherd’s Pie. Find the recipe here. Again, I’m looking for protein and veggies in my meal – lentils provide the protein and iron; carrots and stewed tomatoes count towards my veggies. The mashed potato topping is actually mixed with some cottage cheese to boost the calcium count. I pair this meal with some fresh fruit such as strawberries and kiwi – the vitamin C in the fruit improves the iron absorption from the lentils. My plan is to make this recipe on the weekend and re-heat it for a fast and nutrition packed lunch.

Afternoon Snack – Coffee, peanuts and fresh fruit

coffee snack

My mornings start at 6 am, so by mid afternoon, I’m feeling like I need an energy boost. A little bit of caffeine and some protein help me stay alert. Coffee is a treat for me – with double cream and double sugar! I aim to eat at least one green veggie and at least one orange veggie or fruit every day – I’m choosing a peach which is in season now. Peanuts are great for protein and they also contain magnesium which helps to fight stress.

Dinner – Baked salmon with quinoa arugula salad

Dinner salmon

I try to eat fish at least twice a week. Salmon is my go-to for heart healthy omega-3 fats, and it’s super easy to cook in the toaster oven. This is an Asian inspired recipe with a soy sauce and sesame oil marinade. I make a batch of quinoa ahead of time and use it in different ways throughout the week. Here, I’ve tossed some quinoa with arugula and added in some roasted beets and corn kernels. I set a goal to include at least 2 types of veggies at dinner time and make half my plate veggies.


Dessert – Fresh fruit salad with a small piece of dark chocolate

I usually have fresh fruit for dessert. Sometimes I’ll pair the fruit with a piece of dark chocolate. I love to bake, and never turn down a homemade cookie or slice of apple pie with ice cream!

Love to learn? Love to eat?

Sign up for my free nutrition news, tips, trends, recipes and fascinating food facts!