Karen Handy, MPH

I originally published this entry last year as a way to help folks keep their Super Bowl Sunday from turning into a calorie blow-out (and we 49er fans may need to have our collective guards up against emotional eating to soothe our disappointment …). Enjoy!

Any idea how far you’d need to walk to work off one, measly M&M (and we’re talking plain here, not the peanut, pretzel, double-stuffed/whatever variety)? Believe it or not, you’d have to walk the entire length of a football field for something that’s not even a full bite of food!

Speaking of football and calories and bites, Super Bowl Sunday has been reported to be the second highest day of calorie consumption after Thanksgiving! Maybe not so surprising when you think about that, for many fans, the “event” is not just about the X’s and O’s of the game, it’s about the accompanying food fiesta (or frenzy, as the case may be). Even a game of touch football at half-time will not be enough to counteract the 1,200 calories the average Super Bowl viewer will consume in snacks alone that day – and that’s not even including the meals yet.

So, how to defend against your own calorie blow-out this Sunday? Here are some basic ideas to help you have an enjoyable event and delicious things to eat, while keeping a focus on your healthy eating goals:

  • Consider having a “potato bar” with russet, Yukon gold and sweet potatoes and a variety of low-calorie toppings, such as salsa, chopped onions or scallions, non-fat sour cream and vegetarian chili (my favorite on top of a sweet potato with salsa and sour cream!).
  •  If you can’t imagine following the action without something to dip, how about a variety of hummus dips with veggies and/or whole wheat pita triangles.
  •  Like to nosh with something crunchy? Edamame (Japanese soybeans) warmed in the microwave and lightly salted are very satisfying and fun to eat as you take them out of their shells (this process will slow down your overall eating as well to help keep calorie consumption under control).
  • A refreshing change of pace might be to make some rolls with crunchy veggies and perhaps some shrimp in translucent spring roll wrappers. Pair with a low-calorie dipping sauce of low-sodium soy sauce, lime juice and a bit of chili sauce for a kick, or a low-fat ginger sesame salad dressing.
  • Strawberries dipped into plain non-fat Greek yogurt and then into a bowl of brown sugar for a light dusting, make for a tantalizing combination of tangy, sweet and juicy.
  • Think “substitute and modify.” Become a fat and calorie “detective” and look to where you can eliminate higher calorie fatty foods and substitute with lower calorie versions.
    • Think veggie pizza instead of the fully-loaded, all-meat variety.
    • Make dips with non-fat sour cream or something like a non-fat ranch dressing
    • Bonus points if you substitute veggies or a leaner meat choice for the Buffalo wings.
  • If you’re really concerned about your calorie consumption, have a pre-game plan to take the edge off your hunger before you go by having a healthy pre-event meal or snack.
  • Make it a plan to load up on fruit and veggie offerings first. The head-start on all that fiber will help you feel full before you even get to the higher calorie choices and thus, provide some built-in portion control.
  • To avoid mindless eating, physically situate yourself well away from the chips, dips and assorted snacks on the coffee table and definitely keep the buffet table out of your peripheral vision. If you see it, you will eat it, so to speak.
  • Want to stick to a set calorie intake? Use the “bite method” where you count every “bite” of typical Super Bowl fare as 75 calories per bite and then stop when you’ve hit your limit. A 500-calorie tally, for example, would be about 6 bites and change. Fruit and veggies, on the other hand, tend to be more along the lines of 10 calories per bite. When you look at it that way, you may have good incentive to follow some of the above advice to lower your average calorie per bite so you can have more than a meager few.

As football pundits are fond of saying, the best defense is a good offense. So head into your Super Bowl get-together with a solid game plan of strategies, supportive choices and substitutions. The more you plan ahead, the better prepared you will be to deal with calorie/healthy eating choices and consequences — and the better able you will be to enjoy!

This blog post contributed by Karen Handy, MPH, a behavioral health educator and manager of nutrition and diabetes education at the Palo Alto Medical Foundation.

 

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One of the best things about being a pediatric orthopedic physician is “getting kids back to being kids,” says Jaclyn Wey, M.D., who works at the Palo Alto Medical Foundation’s Fremont Center.

A Bay Area native, Dr. Wey feels at home in her community and treats her patients like she would her family and friends.

“One of the most rewarding things I do is to help my patients understand medicine, making sense of something that may be scary and foreign to them,” she says in this video, which is part of a series highlighting the diverse voices of PAMF physicians.


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MyLifeStages.org is one of the few places online where you’ll find Northern California practicing physicians answering questions, blogging and talking about the very topics that matter most to you.

What is MyLifeStages? It’s Sutter Health’s wellness portal that connects women and their families with Sutter-affiliated doctors for health information, tools, expert tips and more, all for free. Serving more than 360,000 visitors in 2011, this site is loaded with its interactive features and health resources designed to support women on their journey toward good health at every stage of life.

Not only is it popular with patients, this vibrant site has received a gold award for “Best Overall Internet Site” from the prestigious eHealthcare Leadership Awards for three years running. An independent panel of judges familiar with health care and the Internet evaluated nearly 1,200 national entries for 13 categories, ultimately selecting Sutter’s My Life Stages as a gold winner in the Consumer General Health category, which also included popular consumer wellness sites hosted by The Mayo Clinic and WebMD.com.

A key element to the site’s appeal is the authenticity of voices and diversity of the contributors. The physicians and staff of the Palo Alto Medical Foundation (PAMF), part of the Sutter network of care, are frequently interviewed for MyLifeStages health education articles and videos. Some are featured bloggers. Two PAMF medical professionals have are featured My Life Stages bloggers since the site’s launch:

 

Karen Handy, MPH

Karen Handy, MPH, a health educator and manager of nutrition and diabetes education and the HMR Weight Management Program at PAMF, regularly writes about healthy weight management. Here are a few of her engaging “how to” blog posts:

 

 

Frank delaRama, R.N., MSN

Frank delaRama, R.N., MSN, an oncology clinical nurse specialist and nurse navigator, who works with cancer patients at PAMF, writes a blog called Prostate Cancer: A Family Affair. He shares his expertise with this prevalent disease, treatment options available, and the impact of prostate cancer on the men who discover it – as well as their families. His experience and empathy are evident in his posts: 

MyLifeStages offers a variety of free, valuable resources that you can customize so you receive health topics posts of most interest to you. Features include:

We hope you’ll explore My Life Stages and enjoy this free, online community health resource!

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For Ron Sinha, M.D., an internal medicine doctor at the Palo Alto Medical Foundation’s Redwood City Center, a good physician-patient relationship is in many ways like a good marriage — where there is open communication, honesty and mutual trust between both parties. For him, personalized care means treating the patient as a person, not just their illness.  “What is really rewarding to me is when you make that connection to the patient and you motivate them to make a change that’s really important to them,” says Dr. Sinha.  

Co-leader of PAMF’s South Asian Wellness Task Force, Dr. Sinha takes care to learn about a patient’s cultural and ethnic background, and family history, before recommending lifestyle changes.  “Each patient has a unique culture, a unique background or family history,” he says.  “I have to make sure I give them advice that will fall within the context of their life.”

In this video, Dr. Sinha shares his thoughts on personalized care.


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Doctors Amy Lin, Sandra Wong, Vivian Tsai (l to r)

As with many holiday celebrations, it may be tempting to overeat during Chinese New Year.  However, there are ways to eat healthier and still feel satisfied.  Even small, simple changes can lead to a healthier you. 

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Did you know that 12 percent of patients who call the Palo Alto Medical Foundation their medical home are of Chinese descent?  In honor of them and the Chinese New Year, PAMF would like to share some nutritional information to help you make good dietary choices. Start the Year of the Dragon off right by eating healthy and paving the way to a long life by improving your diet.  Gung Hay Fat Choy!

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For Nancy Pham-Thomas, M.D., an Obstetrics and Gynecology doctor at PAMF’s Dublin Center, patients are not appointment times or diseases – they are first and foremost people in her community.

“I live a few minutes from work…I see my patients at the grocery store, at the parks and the farmer’s market,” she says. “My children will probably go to the same schools.”

Find out why she enjoys being a part of the lives of her patients during “some of the most joyous times” in this video, which is part of a series highlighting the diverse voices of PAMF physicians.


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Soccer practice, ice skating lessons, piano recitals, birthday parties, a full homework load and several school projects on the horizon – our kids’ lives can make the busiest Silicon Valley exec’s schedule look manageable. In today’s competitive environment, where kids feel they need to excel at so many different things, it’s easy to become overwhelmed. Although stress is part of our daily lives, parents shouldn’t feel powerless. One of the most important things you can do is to help your child learn to manage stress effectively, so that he or she can live a healthy, balanced life – and as a parent of a child with activities, you can, too.

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Jim and Barbara Black

Longtime PAMF patient Jim Black, 73, takes good care of himself. He leads an active life and his health was always something he could rely on, until one Friday when his health took a dramatic turn for the worse.

“My first symptom was a tremendous fainting spell, and I literally collapsed on the floor,” says Jim. “I was able to reach a telephone and call 911. That triggered the entire response from the paramedics to El Camino Hospital in Mountain View and to PAMF vascular surgeon Robert Mitchell, M.D., to whom I owe my life.”

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One in eight women in the Bay Area is diagnosed with breast cancer. Runi Chattopadhyay, M.D., knows how overwhelming the news of a new diagnosis can be.

A PAMF surgical oncologist at the Palo Alto Center with special training in breast cancer surgery and a regular volunteer at Breast Cancer Connections, Dr. Chattopadhyay says she feels very fortunate to be able to guide women through a difficult time and provide support and counsel.

“There are different choices the patient has to make but we can make those decisions together.” she says in this video, which is part of a series highlighting the diverse voices of PAMF physicians.


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