It’s back to school time for a lot of families and there’s a sense of getting back to routine for everyone. It’s a perfect time of year to get started on a healthy eating or fitness regime and I hope you’ll find plenty of interesting tips and information in this newsletter to get you motivated.

This newsletter introduces an exciting development for the treatment of functional gut disorders such as Irritable Bowel Syndrome (IBS) called the low FODMAP diet. The low FODMAP diet is a new dietary treatment to Ireland and you can read more about this dietary programme in this newsletter. We also look at the “5 a day” recommendation and what
that really means.

Read more in our “did you know” sections, where we examine sugar labels and highlight what to look out for on a label.

In the Exercise Corner we discuss the importance of weight-bearing and resistance exercise for bone health and reducing the risk of osteoporosis. We have a nice simple, healthy chicken stir-fry recipe that is also suitable for anyone with functional gut disorders such as Irritable Bowel Syndrome (IBS).

And fi nally, as always, we have some really inspirational people who would like to share their success stories.

Wishing you good health and energy for the winter months ahead.

elaine_signature

Categories : Uncategorized
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recipe-of-the-monthThis is a tasty simple recipe which is a low FODMAP recipe and suitable for those with IBS.

While following the low FODMAP diet, there are many ways to flavour your food by adding fresh herbs such as coriander, basil, parsley, rosemary or Soy, oyster and fi sh sauces are also suitable to use while following the low FODMAP diet.

Use these FODMAP vegetables and you have a very healthy low FODMAP meal.

Ingredients (serves 2-3)

  • 2 boneless, skinless chicken breasts (preferably free range or organic)
  • Grated zest and juice of 1 large lime
  • 5 fl oz (150ml) tinned coconut milk (can be low fat)
  • 1 green chilli, deseeded and fi nely chopped
  • 1 dessertspoon Thai fi sh sauce
  • 4 heaped tablespoons fresh coriander leaves
  • 4 spring onions, cut in to 1 inch shreds (just the green parts, not white part)
  • 1 bok choy, roughly chopped
  • 1 dessertspoon olive oil

Method

1. Chop the chicken into bite-sized pieces and place in a bowl with the lime juice and zest. Stir well and leave them to marinate for an hour.
2. When you’re ready to cook the chicken, heat the oil in the pan or wok over a high heat, add the chicken pieces and stir-fry for 3-4 minutes, until they’re golden.
3. Add the chilli, stir-fry for 1 more minute, and add the coconut milk, fish sauce and half the coriander, spring onions (green part only) and bok choy.
4. Cook for another 1-2 minutes, and then serve with white, basmati or brown rice and the remaining coriander and chopped spring onions (green part only) sprinkled over the top.

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You should not eat foods after their ‘Use By’ date, as they might not be safe to eat. Microbial changes take place in the
food after this time that can put your life at risk.

‘Best Before’ dates are slightly different. This is more to do with quality than safety. It means that the product is best eaten before this date. The flavour or texture may deteriorate after this date but it is not unsafe, with the exception of eggs.

‘Sell By’ or ‘Display until’ dates are used to help staff keepcontrol of stock – this is done by choice and is always in addition to ‘Use By’ or ‘Best Before’ dates.

Categories : Healthy Eating
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  • Sugar Free = No added or naturally occurring sugar
  • No Added Sugar = No extra sugar added
  • Reduced Sugar = At least 25% less sugar than standard product

Check the ‘Carbohydrates’ (of which sugars) figure in the nutrition information panel on the label.

Read the following guidelines:

  • A lot of sugar = 10g of sugar or more per 100g
  • Moderate Sugar = Between 2g and 10g of sugar per 100g
  • Low Sugar = Less than 5g of sugar per 100g
  • A little sugar = 2g of sugar or less per 100g

No Added Sugar

No added sugar doesn’t mean that the food is sugar- free or even low in sugar it may still be high in naturally occurring sugars such as those found in fruit, juices and milk.

Categories : Healthy Eating
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Oct
05

5 A Day- what does this mean?

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On average we eat 3 portions (or servings) of fruit and vegetables a day. Health experts recommend at least 5 portions for better health.

So, most of us need to eat more fruit and vegetables!

So what does 5 a day actually mean?

    • eat 5 portions of fruit every day or
    • eat 5 portions of vegetables (includes salad) every day or, best of all
    • eat a mix of fruit and vegetables (includes salad) such as 2 fruit and 3 vegetables, every day.

Remember that frozen, tinned and dried fruit and vegetables count, as well as fresh.

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Oct
05

Exercise Corner: Get Moving

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exercise-tipsOsteoporosis means porous bones. It is a silent disease that is usually not diagnosed until a fracture/s, the Irish Osteoporosis Society it is estimated that 300,000 people in Ireland have osteoporosis. One in 5 men and 1 in 2 women over 50 will develop a fracture due to osteoporosis in their lifetime. The disease can even affect children.

Exercise is an essential part of keeping bones healthy and strong. President of the Irish Osteoporosis Society, Professor Moira O’ Brien recommends 30 minutes of daily weight bearing exercises for all age groups, including senior citizens.

Weight bearing exercises includes any physical activity where you have to support the weight of your own body such as dancing, running, walking, tennis, squash and football. Walking which is the preferred exercise of many people is a weightbearing exercise, however it is important to change your pace intermittently.

Some activities can be done in many places, and can be included in a busy daily routine, for example;
Stair climbing is good for your spine and hip but should only be done by those who are steady on their feet and using a rail. Ten times up and down an average flight of stairs (10-12 steps) are a third of your daily weight-bearing
requirements.

Intermittent jogging is great for people who f nd running or jogging too strenuous. Walk for a few minutes and then jog for 30-60 seconds. This helps to increase bone density (strength) in the spine and hips but your doctor should
medically clear you.

Resistance exercises are also good for bone health, these are exercises, which involve lifting weights with your arms or legs. Children should be encouraged to do 60 minutes of moderate-high impact exercise daily (30 minutes weight-bearing and 30 minutes for overall general health). This is especially important prior to puberty as bone strength can be significantly increased to reduce the risk of osteoporosis in later life.

Exercises that become part of your lifestyle routine are always best. The advice of the Osteoporosis Society is to pick an exercise that you enjoy doing and you’re more likely to continue with this. Doing a mix of different exercises is ideal. Check out the Irish Osteoporosis Society website for further information www.irishosteoporosis.ie

Categories : Exercise Tips
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“Over the years, I’ve tried all kinds of diets – wheat-free, gluten-free, highfibre, low-fi bre – and thought I had finally identified the triggers for my lingering IBS.

I thought I knew what caused the bloating, discomfort and pain, but I was wrong. In my wildest imagination, I never thought that a simple, healthy food like an apple could be a problem until Elaine told me about a dietary therapy
for IBS called the low FODMAP diet.

Researchers have pinpointed a number of molecules in food (called FODMAPs) which are poorly absorbed in people with IBS. The list of my trigger foods included some of my favourites – onions, garlic, apples, honey– and under Elaine’s supervision and guidance, I tried rationing some and eliminating others.

I kept a food diary and, within four weeks, all my symptoms had improved. And the improvement was lasting. Occasionally, I’ll let the diet slip or will feel a little off after eating out or indulging during a holiday, but it’s easy enough to get back on track.

I miss my apple a day – and the onions and garlic – but the low FODMAP regime has not been very difficult to follow. I have cut out pasta and most bread, but find that I get away with a little wheat at breakfast and, best of all for this sweet-toothed person, some chocolate and ice cream.

There is still plenty of choice at mealtimes: meat, fish, eggs, tofu, basmati rice and potatoes, plus a carefully chosen selection of fruit and veg. For me, coffee is an irritant too, but I still haven’t succeeded in kicking the early-morning
caffeine habit.In the meantime, though, I find the low FODMAP diet very helpful, and refreshingly easy to follow.”

Patient Story: Ciara Millar,
Ir ritable Bowel Syndrome (IBS) -
dietary success
“Growing up in my teens I suffered from problems with my
stomach and my bowel. I suffered from vomiting, burping
after eating and intense stomach cramps and bloating after
eating. The symptoms of these problems got extremely
worse in my mid 20’s when I started my career. Stress
aggravated the problems. My life became centred around
these problems because I found it hard to make plans to go
out on a night out, to go on fl ights and to go out for dinner.
In my mid-twenties my symptoms had become so severe
that I made an appointment via my G.P. to attend a
Gastroenterologist and I had a colonoscopy procedure to
check my bowel and a g astroscopy procedure to check my
stomach. I was diagnosed as having chronic irritable bowel
syndrome. I was also diagnosed as having refl ux. I am now
31 and since I fi rst had these procedures I have had them
twice since then. I always tried to manage my symptoms
by eating more healthy, not eating takeaways, cutting out
white bread, cutting out and down on certain alcohol and
exercising. I always tended to be worse when I went on
holidays and blamed it on the fl ights.
In the last few months I was almost afraid to eat because
everytime I did eat the symptoms of refl ux would return
and the cramps I was experiencing from my bowel became
intolerable. My symptoms were so severe this year that I
was vomiting a lot at night and in the morning, suffering
from stomach cramps every time I ate. I no longer
socialised because I was afraid of being sick when I went
out with friends. I missed days in work because of what
I was experiencing. My mood swings also changed and I

“Growing up in my teens I suffered from problems with my stomach and my bowel. I suffered from vomiting, burping after eating and intense stomach cramps and bloating after eating. The symptoms of these problems got extremely worse in my mid 20’s when I started my career. Stress aggravated the problems. My life became centred around these problems because I found it hard to make plans to go out on a night out, to go on flights and to go out for dinner.

In my mid-twenties my symptoms had become so severe that I made an appointment via my G.P. to attend a Gastroenterologist and I had a colonoscopy procedure to check my bowel and a g astroscopy procedure to check my stomach. I was diagnosed as having chronic irritable bowel syndrome. I was also diagnosed as having reflux. I am now 31 and since I first had these procedures I have had them twice since then. I always tried to manage my symptoms by eating more healthy, not eating takeaways, cutting out white bread, cutting out and down on certain alcohol and exercising. I always tended to be worse when I went on holidays and blamed it on the flights.

In the last few months I was almost afraid to eat because everytime I did eat the symptoms of reflux would return and the cramps I was experiencing from my bowel became intolerable. My symptoms were so severe this year that I was vomiting a lot at night and in the morning, suffering from stomach cramps every time I ate. I no longer socialised because I was afraid of being sick when I went out with friends. I missed days in work because of what I was experiencing. My mood swings also changed and I wasn’t the happy go lucky person I always had been.

I was advised by my gastroenterologist to attend Elaine McGowan. That day I met with Elaine, she was sympathetic to what I had been going through all these years and she said that she would help me. My family and friends had been telling me for months that I couldn’t continue to put up with the problems that I had been having for years.

Elaine introduced me to the low FODMAP diet and explained it to me in detail. This particular diet lists out certain foods that you can and can’t eat. Within two days of using this diet I noticed an enormous change. I have been on this diet now for over two months and I can honestly say that is has changed my life.

I can still eat a lot of the food groups that I have always loved. I just had to make certain changes. The symptoms of both reflux and chronic IBS have disappeared completely. I now realise that it is normal not to get cramps or feel nauseous every time I eat. I am happier in myself, the dark circles are gone from under my eyes, I am sleeping better and I have more energy than ever before because of the foods I am now eating on this diet.

Thank you Elaine so much for helping me have a normal life again.”

Oct
04

What are the FODMAPs?

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FODMAPs are found in
the foods we eat. FODMAP
is an acronym referring
to Fermentable, Oligosaccharides,
Di- saccharides,
Mono-saccharides and
Polyols (FODMAPs).
The major FODMAPs
are fructose, fructans,
galactans, polyols and
lactose. In people with
gastrointestinal symptoms,
a diet high in FODMAPs
can cause diarrhoea and/or
constipation, bloating, wind,
nausea and abdominal pain.
Removing foods high in FODMAPs
from the diet is effective in
improving symptoms of people with
functional gut disorders like IBS.
Low FODMAP information
Please be aware that the low
FODMAP diet is a new dietary
treatment option to Ireland. The
majority of information on low
FODMAPs available in books and
on the Internet may be out of date
and inaccurate.
FODMAP-trained Dietitians
Elaine specialises in the low
FODMAP diet and fi nds it a most
effective treatment for functional
gut disorders particularly IBS.
Elaine is one of few dieticians
trained in the low FODMAP diet in
the Republic of Ireland.
The diet is most effective when
FODMAP-trained dietitians
provide dietary advice. It has been
shown that patients that had seen
a FODMAP-trained dietitian
reported signifi cant improvement in
symptoms after being on the diet.
To make an appointment for the
low FODMAP dietary programme
please contact your nearest Elaine
McGowan Dietetic Clinic (contact
numbers listed on the back of this
newsletter) or please go to
www.emgdc.ie

FODMAPs are found in the foods we eat. FODMAP is an acronym referring to Fermentable, Oligosaccharides, Di-saccharides, Mono-saccharides and Polyols (FODMAPs).

The major FODMAPs are fructose, fructans, galactans, polyols and lactose. In people with gastrointestinal symptoms, a diet high in FODMAPs can cause diarrhoea and/or constipation, bloating, wind, nausea and abdominal pain.

Removing foods high in FODMAPs from the diet is effective in improving symptoms of people with functional gut disorders like IBS.

Low FODMAP information

Please be aware that the low FODMAP diet is a new dietary treatment option to Ireland. The majority of information on low FODMAPs available in books and on the Internet may be out of date and inaccurate.

FODMAP-trained Dietitians

Elaine specialises in the low FODMAP diet and finds it a most effective treatment for functional gut disorders particularly IBS. Elaine is one of few dieticians trained in the low FODMAP diet in the Republic of Ireland.

The diet is most effective when FODMAP-trained dietitians provide dietary advice. It has been shown that patients that had seen a FODMAP-trained dietitian reported significant improvement in symptoms after being on the diet.

To make an appointment for the low FODMAP dietary programme please contact your nearest Elaine McGowan Dietetic Clinic  or please go to www.emgdc.ie

Categories : FODMAPs
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Vitamin D – The Sunshine VitaminWe have known for many years that vitamin D helps to absorb and utilize calcium in the body which is important for bone health and the prevention of osteoporosis. New evidence is also emerging to show that low vitamin D status could contribute to a range of chronic diseases such as hypertension, cardiovascular disease, diabetes and some inflammatory and autoimmune diseases.

The majority of vitamin D is synthesized in our skin when we are exposed to ultraviolet light from the sun. However, due to our Northerly latitude, the sun is only strong enough to achieve this transformation during the summer months. So in Ireland we may not get enough exposure to sunlight to synthesize enough vitamin D. Prevention of skin cancer with protective sun creams and clothing has contributed towards less vitamin D.

Health authorities are now in a quandary as to how to approach the subject, attempting to strike a balance between avoiding the increased risk of skin cancer through sun exposure and achieving suffi cient sunlight exposure to produce enough vitamin D.

Foods high in vitamin D are salmon, mackerel, tuna and sardines, but be aware that these need to be eaten three times a week in order to make an impact on vitamin D status. Small amounts of the vitamin are also found in beef, liver, cheese and egg yolks.

Elaine also recommends foods fortified with vitamin D. If you do not get adequate vitamin D from your diet and/or not enough exposure to sunlight, you may need to take a supplement that contains vitamin D.

Categories : Vitamins
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About Elaine

Elaine graduated from Trinity College with a B.Sc., (Hons) in Human Nutrition and Dietetics. She gained wide experience working as clinical nutritionist in several hospitals prior to establishing her first private dietetic clinic in 1992.

Private Practice Experience
Elaine has gained vast experience specialising in providing private individual dietetic consultations for her clients in her clinics for the past 17 years. In recent years, her main areas of interest are weight management, obesity, diabetes, heart disease and nutrition and gastro-enterology.

Elaine is an active member of the INDI and was chairperson of the Irish Nutrition and Dietetic weight management interest group from 2005 to 2007.

Dietetic and Nutrition Consultancy
Elaine has provided dietetic consultancy to a wide range of industries including private hospitals, hotels and catering companies. She has designed, piloted, implemented and coordinated workplace wellbeing programmes for several prominent companies and large international corporations.