Saturday, January 30, 2010

RECIPES FOR DAIRY-FREE and GLUTEN-FREE COOKING

                                                                                                                           JAPANESE FOODS

The Japanese have a long and beautiful tradition of healthy and delicious foods. From cold water fish, such as tuna and salmon,  high in Omega-3’s, to rice (opt for whole grain when you can) and soy-based tofu, seaweed, vegetables, ginger and that oh-so-irresistable green Wasabi paste- a Japanese horseradish.  I love the diet!  They do not herald carb-heavy breads or crackers or cakes in their menus, as with American and European diets. And other than a nod to ice cream, with green tea or ginger sorbet, they pretty much exclude dairy products. 

So if you are going dairy and gluten free, this countries designer style foods are an easy transition, requiring little thought.  Here are a few suggestions. You can find the ingredients in the ethnic aisle of your supermarket, a specialty health food grocery, or an Asian market. You will get used to the terms and names of things, so don’t shy away!

                                                                                                                                   MISO SOUP

INGREDIENTS

4 cups water                                                                                      

4 shitake mushrooms, sliced 

1/2 oz. Bonito dried fish flakes/granules   

6 oz.(1 small box) firm tofu, cubed

1 tbsp Sake’ (optional, but nice)

4 tbsp miso paste, or shiromiso

1 tbsp Tamari wheat-free soy sauce 

 2 scallions, sliced fine

1 nori (seaweed) wrapper, cut in strips

2 tsp white sesame seeds, toasted

DIRECTIONS

Add water to a pan, heat, and add bonito fish flakes. Stir in sake, soy sauce, and salt to taste, if desired. Add cubed tofu and sliced mushrooms, allowing to simmer gently for about 3 minutes. Now add miso paste and stir until it has dissolved. Turn off heat, add the sliced scallions, and divide between four bowls. Sprinkle 1/2 teaspoon of the toasted sesame seeds over each bowl, and serve!  Serves 4.

                                                                                                                       YAKITORI CHICKEN

2 chicken breasts, cut into 24 chunks

4 scallions, cut into 18 pieces

6 wooden skewers, soaked in water

1/2 cup yakitori marinade (see below)

DIRECTIONS

Soak the skewers in water for 20 minutes. This prevents burning! Meanwhile, make the marinade. Pre heat the broiler to high. Thread 4 chunks of  chicken and 3 pieces of scallion, alternately, onto each skewer. Brush the skewers with marinade, then cook under broiler for 4 minutes on each side, brushing again with yakitori when turning. Plate the skewers, sprinkling with the remaining marinade.  You may also choose to provide a small dipping dish of the yakitori sauce with each serving. Makes 6 skewers, for 2 or 3 servings, depending.

                                                                                                                                 YAKITORI SAUCE

 6 tbsp Tamari wheat-free soy sauce

 4 tbsp sake

 6 tbsp mirin (sweet rice vinegar)

 2 tbsp superfine sugar

Put soy sauce, mirin, sake and sugar in a small pan and bring to a boil. Reduce heat and continue to simmer for one minute. Remove pan from heat and cool. Reserve some of this sauce for drizzling over finished chicken. You may want to double the ingredients if you want to provide personal dipping sauces of Yakitori with each serving. 

                                                                                                                                       SUSHI ROLLS

Don’t be intimidated by the idea of rolling your own sushi!  I learned at home, with a friend, so the embarrassment of too large and loosely pressed rolls was spared me, and surpassed by the intoxicating flavor and taste of freshness. With practice, you just get better.  You will need a bamboo stick sushi rolling mat, and a wide wooden sushi rice spoon.  You can buy these affordably in sets in some specialty groceries or kitchen supply stores. Also, keep plastic wrap on hand for the inside out-rolls. Nori strips are those flat dark green sheets of pressed seaweed that are used to roll up your sushi. And if you can locate it, I prefer the tiny orange fish eggs, known as flying fish roe, for topping the cut pieces, or rolling the inside-out rolls in. This section begins with making sushi rice, then onto rolls. Compai!

                                                                                                                                            SUSHI RICE

1 1/2 cups sushi rice, or short to medium grain rice

2 tbsp rice vinegar

1 1/2 cups water  

1 tbsp sugar, 1/4 tsp salt combined

Rinse rice under cold water until the water runs clear. Strain, then place in pan with water (or use a rice cooker and follow directions). Cover pan and bring rice to a boil. Reduce heat, and simmer for 10 minutes. Remove from heat, let stand for another 15 minutes,  do not remove the lid!

Turn rice into a wide, flat-bottomed, non-metal bowl. Pour over the sushi rice seasoning (rice vinegar, sugar & salt, combined). Using quick, cutting strokes, cut the seasoning into the rice, fanning it as you work. You can do this in front of an actual fan, of hold the spoon up high and let the rice drop down into the bowl.  DO NOT STIR as this may break the grains. Keep cutting and fanning until the rice is room temperature and looks shiny.  Keep it covered with a cloth, and use immediately.  It is reccomended you do not refrigerate mixed sushi rice.

                                                                                                                                 PHILLY ROLL

Ingredients:

2 oz. fresh, sushi grade salmon, cut into  1/2 ” strips   

2 sheets nori (seaweed wrapper)

1  cup sushi rice  

@2 oz. Tofutti/dairy free cream cheese

Wasabi paste, soy sauce, pickled ginger, as garnish

 Directions:

Lay a sheet of  nori wrapper flat on top of your rolling mat. Divide the rice into 2 equal portions. Wet your hands, and spread one portion of rice over the nori, as evenly as you can. Re-wet your hands as often as needed. Leave a 1/2 inch border at the top edge, for sealing the roll.

Dip a finger into your wasabi paste, and drag it across the length of the rice/wrapper. Place a line of the sliced salmon strips, then another thin strip of the cream cheese above that.

Pick up the nearest edge of the rolling mat. Slowly roll the mat away from you, to wrap the nori over and around the fillings. Use light pressure, lifting the mat out of the way as you roll. Press the roll into the bare border of nori. To seal the roll, it helps to dip a finger in water, run it over the edge of the seaweed wrapper, roll and press to seal.

Transfer your roll onto a cutting board or smooth surface. Taking a very sharp knife, wet it under running water, shake off the excess, and cut the roll in half.  Wet again, if neccessary, between slices, and cut each half into 3 equal pieces. Repeat with the second half, for 6 pieces. Repeat, making another roll, cut into 6 more pieces.

Arrange your Philly salmon roll pieces on a plate (preferably a square, japanese style plate, for visual effect!). Serve with a shallow dipping dish of soy sauce, a dollop of wasabi paste, and a pinch of pickled ginger.  Enjoy!

                                                                                                                                     CALIFORNIA ROLL

Ingredients:

@ 1 cup sushi rice 

 2 nori sheets

1/2  avocado, sliced thin    

2 long slices cucumber, seedless

2 lengths of crab leg  or imitation crabmeat                                       

Flying fish roe or toasted white sesame seeds

Tamari wheat-free soy sauce, wasabi paste, pickled ginger

Directions:

Divide sushi rice in half.  Place a sheet of nori wrapper on top of your rolling mat. With wet fingers, spread half the rice evenly over the wrapper, leaving at least 1/2 inch border at the top. Dip a finger in wasabi paste, and drag it across the length of rice on the bottom of the roll.

Lay a line of avocado strips, followed by a strip of crabmeat, and thin strips of cucumber sticks, de-seeded.               

Pick up the nearest edge of the rolling mat, and slowly roll away from you, gently pressing as you wrap the nori around the filling.  Lift the mat  out of the way as you roll. Take a wet finger and run it across the end border of the nori, and finish rolling, pressing the edge against the finished roll to seal it.

Transfer the roll to a cutting board, seam side down, and cut in half with a very sharp, wet knife. Cut again, for four larger pieces. Turn onto a plate, flat side up, and spread the tops with flying fish roe or toasted sesame seeds. Transfer to a presentation platter, adding a dollop of wasabi, a fat pinch of pickled ginger, and serve soy sauce in shallow dipping bowls.

                                                                                                                                    INSIDE-OUT ROLLS

Inside out rolls reverse the ingredients of a sushi roll, with the green nori sheet being rolled up backwards and inside the roll, rice on the outside.  Lay down your nori sheet on the sushi mat, and spread with rice, as described above.  Now cover the rice with a sheet of plastic wrap.  Lift and flip the wrapper over, so that the plastic covered rice surface is now pressed against the mat, and the green nori wrapper is facing up.  Spread with a thin line of wasabi, and add your ingredients, as above.

 Now you begin to roll away from you, lifting the plastic covered mat away from you as you go.  Press the nori border into the rice as you finish, giving the roll one final gentle squeeze to hold its shape.  Pull up the remaining plastic to reveal your inside out roll.  Sprinkle sesame seeds over a wide plate, and roll the rice covered sushi roll in this, coating it with sesame. Transfer to a cutting board, and cut in half, then in half again, for four pieces.  Repeat, with the remaining ingredients, for another roll.  Plate these, and garnish with the usual dollop of green wasabi paste, pickled ginger, and serve with soy sauce.

[Via http://autismrox.wordpress.com]

Saturday, January 23, 2010

Treat the Risk, Not the Cholesterol: Study Challenges Current Cholesterol Recommendations

Here’s a very important – maybe paradigm shifting - press release on a study that challenges the current, broad-based recommendations for people to lower their cholesterol. My highlights. – Ilene

Treat the Risk, Not the Cholesterol: Study Challenges Current Cholesterol Recommendations Increasing Obesity Figures Cause Health Concerns

ANN ARBOR, Mich., Jan. 22 /PRNewswire-USNewswire/ — A new study by the University of Michigan Medical School and VA Ann Arbor Health System challenges the medical thinking that the lower the cholesterol, the better.

Tailoring treatment to a patient’s overall heart attack risk, by considering all their risk factors, such as age, family history, and smoking status, was more effective, and used fewer high-dose statins, than current strategies to drive down cholesterol to a certain target, according to the U-M study.

While study authors support the use of cholesterol-lowering statins, they conclude that patients and their doctors should consider all the factors that put them at risk for heart attack and strokes.

The findings will be released online Monday ahead of print in the Annals of Internal Medicine.

"We’ve been worrying too much about people’s cholesterol level and not enough about their overall risk of heart disease," says Rodney A. Hayward, M.D., director of the Veterans Affairs Center for Health Services Research and Development and a professor of internal medicine at the University of Michigan Medical School.

The National Cholesterol Education Program recommends harmful LDL cholesterol levels should be less than 130 for most people. High risk patients should be pushed even lower — to less than 70.

The U-M study took a different approach, called tailored treatment, which uses a person’s risk factors and mathematical models to calculate the expected benefit of treatment, by considering:

  –  A person’s risk of a heart attack or stroke without treatment;

  –  How much a statin decreases the risk; and

  –  Potential harms from the treatment

"These are the three factors that determine the net benefit of a treatment. Our fixation on just one factor, LDL cholesterol, is leading us to often treat the wrong people," Hayward says.

In the recent study, U-M physicians who worked with Yale University School of Medicine used data from statin trials that included Americans ages 30-75 with no history of heart attack.

Study authors evaluated the benefit of five years of treatment that was tailored, on coronary artery disease risk factors such as age, family history, diabetes, high blood pressure, smoking status, and recently CRP, C-reactive protein.

The tailored approach was more efficient (more benefit per person treated) and prevented substantially more heart attacks, strokes and cardiovascular deaths than the currently recommended treat-to-target approaches.

The tailored strategy treated fewer individuals with high-dose statins and saved 500,000 more quality-adjusted life years.

"The bottom line message — knowing your overall heart attack risk is more important than knowing your cholesterol level," Hayward says. "If your overall risk is elevated, you should probably be on a statin regardless of what your cholesterol is and if your risk is very high, should probably be on a high dose of statin," the U-M physician says.

"However, if your LDL cholesterol is high, but your overall cardiac risk is low, taking a statin does not make sense for you," Hayward says. "If your cholesterol is your only risk factor and you’re younger, you should work on diet and exercise." 

Research has increasingly emerged questioning the value of cholesterol targets and which of statins mechanisms is most important to preventing cardiac events. Cholesterol-lowering drugs work by blocking a key enzyme linked with LDL cholesterol production, but they initiate other changes in the body.

"Statins also affect inflammation on the inside of our blood vessels which is often what causes heart attacks and strokes — it’s not just a matter of cholesterol alone," he says.  

Additional authors: Harlan M. Krumholz, M.D., Yale University School of Medicine, and Donna M. Zulman, M.D., Justin W. Timbie, Ph.D., and Sandeep Vijan, M.D, all of the VA Center for Health Services Research and Development, VA Ann Arbor Health Care System.

Funding: VA Health Services Research and Development Service’s Quality Enhancement Research Initiative and the Measurement Core of the Michigan Diabetes Research & Training Center of the National Institutes of Health.

 

Resources: University of Michigan Medical School http://www.med.umich.edu/medschool/ VA Center for Health Services Research and Development http://www.annarbor.hsrd.research.va.gov/ VA Ann Arbor Health System http://www.annarbor.va.gov/ National Cholesterol Education Program http://www.nhlbi.nih.gov/about/ncep/index.htm

This news release was issued on behalf of Newswise(TM). For more information, visit http://www.newswise.com/.  

Source: University of Michigan Health System

 

[Via http://philsbackupsite.wordpress.com]

Thursday, January 21, 2010

Prevalence of Abnormal Lipids in 12-19 Year Olds

This is not good.

Prevalence of Abnormal Lipid Levels Among Youths — United States, 1999–2006

In 1999–2006, 20.3% of youths aged 12–19 years had abnormal lipids. A total of 32% were overweight or obese, making them eligible for lipid screening under American Academy of Pediatrics (AAP) guidelines based solely on their BMI.

[Via http://underwritingsolutionsllc.com]

Sunday, January 17, 2010

Lighten Your Load 2010

     Today was the first day of the weigh-in for everyone participating in Ripon Medical Center’s “2010 Lighten Your Load & Focus on Wellness Program“.

     When I arrived at the out-patient side of the hospital, there were already several people there before me. The hospital had set up a table greeting those participating in the program and had those of us competing (if you could even call this a competition) fill out some more consent forms before we headed back to get weighed and measured.

     After finishing the paperwork, I picked up some more info on the classes that would be offered during this 13-week program and then headed with the volunteer to the back. They checked my blood pressure first: 156/80 with a pulse rate of: 54. I then proceeded to the next room, where they measured my height: 75″ (6′3″ – I think I shrunk an inch somewhere…who knows.) and my weight: 404 pounds. Finally, I was led to the room where they drew a vial of blood for a lipid panel (cholesterol check) – results of which I will probably not get back for a couple of more weeks.

ABOUT 1 Yr Ago:

     TOTAL CHOLESTEROL          = 198   (ideal under 200)

     LDL (bad) CHOLESTEROL    = 110   (ideal under 130)

     HDL (good) CHOLESTEROL = 39     (ideal under 40)

     TRIGLYCERIDE LEVELS =      243   (ideal under 150)

     BLOOD SUGAR (fasting) =        106   (ideal under 70 to 99)

     Then they took us for a tour of the Rehabilitation/Work Out facility we have access to. I look forward to getting this program started and my life turned around.

[Via http://surrenderedvictory.wordpress.com]

Saturday, January 16, 2010

Fish, Cholesterol and Children asking lots of Questions

What a strange combination. Fortunately there is no combination between these topics.

I just came across very interesting input from these 3 areas during the last 2 weeks.

And indeed, this input can be perfectly transferred into the App-World for iPhone and iPod.

The content will receive some enrichment using the functionality of both devices.

I am already discussing with the (let’s call them) “Content Owners”. And fortunately I was able to raise their interest.

[Via http://mobileresources.wordpress.com]