Walk With the Doc
Saturday August 19th, 7:00 am


             Juice or Smoothies
                 Which is best?

      Concerns about the health effects from
sugary drinks have increased interest in
alternative beverages.  Much of this shift has
been toward juices and smoothies that are often
promoted as ‘natural’ with vaguely implied
health benefits. What could be wrong with a
fresh squeezed juice or a quick ‘all natural’
smoothie as an alternative to a sit down meal?

      Unfortunately the advantages promoted for
smoothies and freshly squeezed juices may not
measure up to the health advantages you
expect. While fresh juices may retain more
vitamins and minerals than bottled juices, they
are still high glycemic foods.  This problem can
often be corrected by minimizing the high
glycemic ingredients (sugars, fruit juices, etc.)
and maximizing ingredients like vegetables with
a lower glycemic index.  Granted, if you have
struggled to eat more vegetables this may not
sound like a winning idea. Fortunately there is
way it can work.

      A downside of turning fruits or vegetables
into juice is the loss of the pulp.  Fiber in the
pulp helps slow the digestive process and
lowers the glycemic index.  Removing the pulp
effectively reduces a nice fruit to a mostly sugar
food that’s hard to resist. If you have a little, you
will probably soon crave more. It’s the addictive
nature of sugar at work.  Of course, when juice
is added to a diet rather than substituted for
other calories, the net effect will be weight gain
along with the undesirable problems associated
with concentrated sugar foods (diabetes,
metabolic disorders, etc.)

      Smoothies can beneficially use the pulp
from pureed fruits and vegetables. Depending
on the recipe, fruit-vegetable smoothies may
also include dairy products, almond milk,
coconut milk, soy milk, herbs, spices, etc.  
While added ingredient can increase the
nutritional value, they may also increase the
calories.  Being aware of the calorie content
and the appropriate portion size is essential.  
Tasty foods are easy to overeat and smoothies
are no exception.

      In their favor, smoothies are an easy way of
getting more fruits and vegetables into your
diet.  For example, if you aren’t crazy about
leafy greens, blend them with fruits you like.  In a
smoothie, blending in berries or peaches helps
disguise a vegetable taste.  Over time,
gradually reduce the berries and you may
discover a growing fondness for vegetables.  
Acquiring a taste for a new food can be
challenging.  Best to remember that all taste are
acquired through repeatedly experiencing new
foods.  For best nutrition, work towards using
fruits to enhance taste and not as the main
ingredient in a smoothie.  

      A smoothie can be a quick alternative to a
salad.  For example, blending prewashed
spinach with frozen berries and nonfat plain
yogurt creates a healthy meal or snack. Of
course, without attention to added ingredients,
smoothies can easily pack in the calories.  High
calorie ingredients to avoid or at least minimize
include sugar, syrups, bananas, and honey. The
goal is to avoid high calorie and high glycemic
ingredients.

      As our country comes to grip with the
childhood obesity epidemic, it behooves
parents to remember that fruit juices are
concentrated fruit sugars and little better for
health than refined sugar.  The better alternative
is to make juices and smoothies from mostly
vegetables, and only a little fruit.  

      While fruit juices and smoothies can be
appealing, the best beverage is water.  If
something more refreshing is desired, make a
sugar-free "agua fresca" from ice water with a
squeeze of lemon or lime.  If needed as part of
helping acquire a taste, add a little sweetener or
chopped fruits.  As habits change and the new
taste is acquired, reduce the supplemental
sweetener.
                
      In your quest for better nutrition and in
particular better beverages, keep the following
points in mind.

      • Juices often contain more sugar than you
may expect
      • Juicing is not any healthier than eating
whole fruits and vegetables.
      • Juicing removes healthy fiber
      • Smoothies can provide a path to
increased vegetable consumption.
      • Water is the best beverage

      For a millennial ’s perspective, we asked
Dr. Elina Wells for smoothie ideas from her
culinary adventures.   Below are the smoothie
recipes and smoothie tips she offered.

      At the Wells’ home we love smoothies!
Here is our basic smoothie recipe for two
servings.

      • An overripe  banana (fresh or frozen)
      • Any frozen fruit (pineapple or mixed
berries if avaiable)
      • One cup yogurt (Oikos Zero Greek yogurt
for protein and fiber)
      • 1 cup milk (use almond milk for fewer
calories)
      • A handful of kale or spinach

The ripe banana provides texture and disguises
taste of kale.  Optionally add fiber and/or protein
shake mix.  We like to be creative and use
whatever's in the freezer or fresh at the store!

      My favorite recipe this week is a smoothie
recipe that tastes like a pina colada. The
ingredients include:

      • 1 cup Peach Oikos Zero Greek yogurt
      • 1 ripe banana
      • ½ cup frozen pineapple
      • Handful of spinach
      • 1 cup unsweetened almond coconut milk
      • Optionally add uncooked oatmeal or chia
seeds for lower glycemic index.

      In general, we find the “juicing craze” a little
silly and smoothies more practical and more
nutritious.                 

       Quick Fixes for Smoothie

      If Too Thick:  Add small amounts of water,
milk, or juice.

      If Too Thin:  Add frozen fruit (especially
bananas), add more ice, or add frozen yogurt.

      If Too Bitter:  Pineapple and oranges add
fruity sweetness. Banana often neutralizes bitter
flavors.  Alternatives include strawberries,
vanilla (bean or extract), agave, cacao, and
unsweetened cocoa powder.  If bitter taste are
not appealing, try baby greens or working up to
bitter greens by combining small amounts with
spinach. Then, adjust the ratio as taste buds
adapt.

      If Too Sweet:  Add a touch of lemon juice or
frozen lemonade concentrate. Then blend at
highest speed for 10-20 seconds. Use a
balance of sweet and citrus fruits. Sweet fruits
may be all the sweetener needed.

      If Not Sweet Enough:  Add honey, agave,
maple syrup, Stevia, dates, grapes, or a little
sugar. Using watermelon in place of water is
another way to sweeten a smoothie.

      If Not Creamy Enough:  Avocado is ideal for
adding creaminess to smoothies. As an
alternative, add ice cream, frozen yogurt, or
vanilla yogurt for more creaminess.

      Care to share your favorite smoothie
recipe? Just email it to me or tell me about it on
a Saturday morning walk.

      Nancy Neighbors, MD
 

          
                   Let’s take a walk

        Date:
Saturday, August 19h

   Location: Jones Family Park (see map)

  Time: 7:00 am (Meet in front of Yogurt Mt.)

Yogurt Mt. is the last store at the end of Valley Bend
Shopping Center).  If cloudy, bring an umbrella, we walk
come rain or shine.  



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