Homemade froyo…

In a few weeks my husband I will have been married 2 years. That’s a reminder to me that I have now had an untouched Cuisinart ice cream maker collecting dust for two years. I’m always tempted to pull it out but fear gluttonous homemade ice cream always in the freezer. Here are some tricks to lower fat, healthier froyo curtesy of the Bay Area Bites blog that I plan on putting to use soon – once I get the ingredients.

Frozen yogurt is going through a bit of a makeover. Soft serve that tastes like ice cream is out while creamy swirls that burst with the flavor of real yogurt are in. Shops serving cups of froyo that burst with yogurt’s innate natural tartness are opening everywhere. Forget my favorite college flavor of orange, which tasted more like creamy ice cream that had been melded with baby aspirin. Today’s frozen yogurt highlights sweet fruit flavors and is enticingly tangy.

After a few trips to some yogurt shops where four servings cost around $20 — because let’s face it, the new frozen yogurt chains are more expensive than the old ones — I decided to try making my own concoctions. I found that if you have an ice-cream maker (the kind where you pre-freeze the canister), frozen yogurt is remarkably easy to make. It’s also nice to be able to control your own ingredients. You can choose to use organic and nonfat yogurt, or luxuriate in a treat made with creamy whole milk. You can also opt to sweeten your dessert with sugar, or go for a healthier alternative like fruit juice or honey — it’s all up to you. Continue reading

Say Hello to the 100 Trillion Bacteria That Make Up Your Microbiome – NYTimes.com

This is an incredibly long, incredibly interesting read. Definitely recommend it! It takes a lot of studies that have come out recently and tries to patch them into something cohesive.

Say Hello to the 100 Trillion Bacteria That Make Up Your Microbiome - NYTimes.com

I can tell you the exact date that I began to think of myself in the first-person plural — as a superorganism, that is, rather than a plain old individual human being. It happened on March 7. That’s when I opened my e-mail to find a huge, processor-choking file of charts and raw data from a laboratory located at the BioFrontiers Institute at the University of Colorado, Boulder. As part of a new citizen-science initiative called the American Gut project, the lab sequenced my microbiome — that is, the genes not of “me,” exactly, but of the several hundred microbial species with whom I share this body. These bacteria, which number around 100 trillion, are living (and dying) right now on the surface of my skin, on my tongue and deep in the coils of my intestines, where the largest contingent of them will be found, a pound or two of microbes together forming a vast, largely uncharted interior wilderness that scientists are just beginning to map.

I clicked open a file called Taxa Tables, and a colorful bar chart popped up on my screen. Each bar represented a sample taken (with a swab) from my skin, mouth and feces. For purposes of comparison, these were juxtaposed with bars representing the microbiomes of about 100 “average” Americans previously sequenced.

Here were the names of the hundreds of bacterial species that call me home. In sheer numbers, these microbes and their genes dwarf us. It turns out that we are only 10 percent human: for every human cell that is intrinsic to our body, there are about 10 resident microbes — including commensals (generally harmless freeloaders) and mutualists (favor traders) and, in only a tiny number of cases, pathogens. To the extent that we are bearers of genetic information, more than 99 percent of it is microbial. And it appears increasingly likely that this “second genome,” as it is sometimes called, exerts an influence on our health as great and possibly even greater than the genes we inherit from our parents. But while your inherited genes are more or less fixed, it may be possible to reshape, even cultivate, your second genome.

Justin Sonnenburg, a microbiologist at Stanford, suggests that we would do well to begin regarding the human body as “an elaborate vessel optimized for the growth and spread of our microbial inhabitants.” This humbling new way of thinking about the self has large implications for human and microbial health, which turn out to be inextricably linked. Disorders in our internal ecosystem — a loss of diversity, say, or a proliferation of the “wrong” kind of microbes — may predispose us to obesity and a whole range of chronic diseases, as well as some infections. “Fecal transplants,” which involve installing a healthy person’s microbiota into a sick person’s gut, have been shown to effectively treat an antibiotic-resistant intestinal pathogen named C. difficile, which kills 14,000 Americans each year. (Researchers use the word “microbiota” to refer to all the microbes in a community and “microbiome” to refer to their collective genes.) We’ve known for a few years that obese mice transplanted with the intestinal community of lean mice lose weight and vice versa. (We don’t know why.) A similar experiment was performed recently on humans by researchers in the Netherlands: when the contents of a lean donor’s microbiota were transferred to the guts of male patients with metabolic syndrome, the researchers found striking improvements in the recipients’ sensitivity to insulin, an important marker for metabolic health. Somehow, the gut microbes were influencing the patients’ metabolisms.

via Say Hello to the 100 Trillion Bacteria That Make Up Your Microbiome – NYTimes.com.

From agave nectar to coconut sugar, sift through the specs of so-called natural sweeteners before settling

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Jennifer Sygo | 13/05/14 | Last Updated: 13/05/14 9:36 AM ET
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Agave actually has higher concentrations of calories than sugar does. So using it as an "alernative" to sucrose? It can be tricky, if weight loss results are what you're after.

Ronaldo Schemidt/AFP/Getty Images filesAgave actually has higher concentrations of calories than sugar does. So using it as an “alernative” to sucrose? It can be tricky, if weight loss results are what you’re after.

In a world where nutrition trends are fuelled by celebrities and talk show hosts, the average person can feel like they’re in a fog when it comes to “the next big thing” in dietary advice. In that sense, the recent buzz about agave and coconut sugar is probably about as welcome as the return of fanny packs and acid-washed jeans. Can’t we just enjoy our flaxseeds and salmon for a while? Nope — because when it comes to the cult of health and wellness, the big wheels are always turning. So, to get you up speed on the lingo before your next lunch date with a Hollywood celebrity trainer, here’s a primer on some of the hot new sugar substitutes that are taking up shelf space in health food stores these days.

XYLITOL

Its story: Xylitol is a sugar alcohol, derived from plant products, especially corn cobs and hardwood.
Claim to fame: Xylitol is said to be as sweet as sucrose (table sugar), but with a third fewer calories. It also looks like sugar, and many feel it tastes like sugar. Xylitol and other sugar alcohols have a prolonged history of use in the diabetic community, since they do not trigger the same blood sugar spike or insulin response as other more common sugars. And heck, Gwyneth Paltrow uses xylitol in her new cookbook, It’s All Good, so it must be good, right?
The nutrition: A teaspoon of xylitol provides about 10 calories’ worth of energy, versus 15 calories per gram of sugar.
The downside: As with all sugar alcohols, xylitol is fermented in the large intestine. That means it can trigger gas, bloating, and diarrhea, especially at high doses.
The bottom line: With a 40-year history of use, xylitol has one of the better track records among sweeteners. Whether or not it actually triggers weight loss when substituted for table sugar is not known.

Sugar should be controlled like alcohol: report

Sugar is so toxic it should be controlled like alcohol, according to new report that goes so far as to suggest setting an age limit of 17 years to buy soda pop.

It points to sugar as a culprit behind many of the world’s major killers — heart disease, cancer and diabetes — that are now a greater health burden than infectious disease.

A little sugar “is not a problem, but a lot kills — slowly,” says the report to be published Thursday in Nature, a top research journal.

COCONUT SUGAR

Its story: Coconut sugar or coconut palm sugar is a granular sugar derived from the sap of the coconut tree, much like maple syrup is derived from a maple tree.
Claim to fame: Recently featured on The Dr. Oz Show, coconut sugar is said to be lower glycemic — meaning it causes less of a blood sugar spike and crash — than sucrose, which in turn suggests it could help to control cravings and reduce hunger — and, of course, help you to lose weight. Many feel it also tastes like traditional sugar and can be substituted in a one-to-one ratio for sugar in recipes, making it easy to use.
The nutrition: A teaspoon of most commercial coconut sugars provide the same number of calories (15) as table sugar.
The downside: The relationship between low glycemic index foods and weight loss isn’t black-and-white. Also, leaving people with the impression that coconut sugar is somehow “healthier” than regular sugar can result in the so-called “health halo” effect, meaning that we give ourselves permission to eat more of the food because we perceive it to be good for us. With few if any quality standards in place, it’s not clear if the coconut sugar obtained from different preparation methods, or from different types of trees, will produce the same kind of product.
The bottom line: It might have a lower impact on blood sugar, but coconut sugar is far too new a product to be able to provide any clear recommendations. For now, it’s simply a matter of buyer beware.  But quality aside, coconut sugar is still sugar, and needs to be used with as much caution as table sugar.

AGAVE NECTAR

Its story: Agave nectar is a natural sweetener derived from the same plant as tequila.
Claim to fame: Like coconut sugar, agave is a low glycemic food, at least compared with sucrose.  Since blood sugar spikes and crashes are generally not desirable, agave has become a sweetener of choice for health foodies.
The nutrition: A tablespoon of agave provides about 60 calories’ worth of energy, which is about 15 calories more than an equal serving of sucrose.  On the other hand, since agave is a more intense sweetener than sugar, you should be able to use less of it.
The downside: Agave is actually very high in fructose; a recent analysis of 19 pure agave syrups found they contained an average of 84% fructose), a type of sugar that doesn’t convert to glucose, and therefore doesn’t raise blood sugar (also known as blood glucose levels). Since fructose, which also occurs naturally in fruit and honey, as well as in table sugar and high fructose corn syrup, is on the nutritional naughty list these days, agave has been kicked out of many kitchens, including that of health guru Dr. Andrew Weil.
The bottom line: The fructose story is a complex one. While some research suggests high fructose diets can contribute to insulin-resistance and high triglycerides, ultimately increasing our risk of developing heart disease and type 2 diabetes, there are a number of well-respected researchers who doubt the fructose-is-poison theory, at least significantly more so than other added sugars or refined carbohydrates. Regardless, agave is still a form of sugar, and is actually higher in calories than sucrose, so it needs to be used sparingly. As for clinical trials on agave? You’re out of luck.

—Jennifer Sygo, M.Sc., RD, is a registered dietitian and sports nutritionist at Cleveland Clinic Canada. Visit her on the Web at jennifersygo.com and send your comments and nutrition-related questions to her at info@jennifersygo.com.

Eggs or Cereal – Which Is a Better Breakfast for Weight Loss? – Livestrong.com

I wake up hungry every morning. Starving, to be honest. Sometimes I am actually awakened by my own growling stomach. Consequently, it should be no surprise that I always eat breakfast.

It’s difficult for me to comprehend how some people skip their morning meal. But, according to a 2011 NPD food market research study, 31 million Americans (one in ten people) skip breakfast. One of the top reasons people gave for skipping breakfast was, “they didn’t have time and were too busy.”

I understand what they’re saying about being busy. As the head of content for LIVESTRONG.COM, the third largest health and fitness website, every morning I am rushing to fit in a workout and then get ready for work (all the while reading the news on my phone, checking my email, and my twitter feed), I don’t have a ton of time to eat. Still, I never leave my house without eating breakfast.

Consequently, quick breakfasts are important to me.

I grew up eating cold cereal with milk as breakfast. Raised by a single working mother, cold cereal was the easiest breakfast for us kids to grab quickly (and safely – i.e. no stove or oven required) when we were little and woke up early in the morning in a rush to get ready for school. When you start eating cereal every day at 5 or 6 years old, you develop a habit. And I REALLY loved Golden Grahams. (Now that I know that it contains 20-30 grams of sugar when served with milk it’s all too clear why I loved it so much.)

By high school, college, and into my 20s, my cereal tastes had “matured” somewhat. I almost always ate a rather large (2 serving size) bowl of Kellogg’s Special K, Kellogg’s Product 19, Kashi GOLEAN Crunch, or General Mills Total cereal, and I was convinced that breakfast was my healthiest meal of the day. How could it not be when those cereals’ boxes bragged of being fortified with so manyadded vitamins?!

It never occurred to me that my breakfast of cold cereal might be the reason why I was always starving again several hours before lunchtime.

It wasn’t until I worked at Beachbody and participated as a member of the fitness test groups for RevAbs and LES MILLS COMBAT, the meal plan low carb/high protein. Cereal was not ever a breakfast option on this meal plan. Our breakfasts were always an egg dish of some sort. I thought it would get boring, but I found out that there were a ton of ways to eat eggs that I had never even tried. I lost several pounds in just a few weeks and eating eggs for breakfast was a big part of this. The best part: I was less hungry and more full than when I had been eating cereal for breakfast. No sugar crash to make me cranky.

Why Are Eggs a Better Breakfast Choice Than Cereal?

From this personal weight loss experience, it seemed to me that eggs were a superior breakfast choice than cereal to achieve fullness throughout the morning and weight maintenance or weight loss, but I wanted to understand the science better of why.

By reading labels on cereal boxes and looking online (and tracking a few of my favorite breakfast cereals in MyPlate), I found out that boxed cereal contains a high amount of sugars. A breakfast of one cup of Kashi GOLEAN cereal and one cup of milk contains 26 grams of sugar (13 grams in the cereal and 13 grams in the milk). That’s about 6 teaspoons of sugar!

No wonder I was experiencing a sugar crash and hunger spike halfway through my morning.

Continue reading

No Benefit Seen in Sharp Limits on Salt in Diet – NYTimes.com

No Benefit Seen in Sharp Limits on Salt in Diet

No Benefit Seen in Sharp Limits on Salt in Diet - NYTimes.com

By GINA KOLATA

Those levels, 1,500 milligrams of sodium a day, or a little more than half a teaspoon of salt, were supposed to prevent heart attacks and strokes in people at risk, including anyone older than 50, blacks and people with high blood pressure, diabetes or chronic kidney disease — groups that make up more than half of the American population.

Some influential organizations, including the American Heart Association, have said that everyone, not just those at risk, should aim for that very low sodium level. The heart association reaffirmed that position in an interview with its spokesman on Monday, even in light of the new report.

But the new expert committee, commissioned by the Institute of Medicine at the behest of the Centers for Disease Control and Prevention, said there was no rationale for anyone to aim for sodium levels below 2,300 milligrams a day. The group examined new evidence that had emerged since the last such report was issued, in 2005.

“As you go below the 2,300 mark, there is an absence of data in terms of benefit and there begin to be suggestions in subgroup populations about potential harms,” said Dr. Brian L. Strom, chairman of the committee and a professor of public health at the University of Pennsylvania. He explained that the possible harms included increased rates of heart attacks and an increased risk of death.

The committee was not asked to specify an optimal amount of sodium and did not make any recommendations about how much people should consume. Dr. Strom said people should not eat too much salt, but he also said that the data on the health effects of sodium were too inconsistent for the committee to say what the upper limit of sodium consumption should be.

Until about 2006, almost all studies on salt and health outcomes relied on the well-known fact that blood pressure can drop slightly when people eat less salt. From that, and from other studies linking blood pressure to risks of heart attacks and strokes, researchers created models showing how many lives could be saved if people ate less salt.

The United States dietary guidelines, based on the 2005 Institute of Medicine report, recommend that the general population aim for sodium levels of 1,500 to 2,300 milligrams a day because those levels will not raise blood pressure. The average sodium consumption in the United States, and around the world, is about 3,400 milligrams a day, according to the Institute of Medicine — an amount that has not changed in decades.

But more recently, researchers began looking at the actual consequences of various levels of salt consumption, as found in rates of heart attacks, strokes and death, not just blood pressure readings. Some of what they found was troubling.

One 2008 study the committee examined, for example, randomly assigned 232 Italian patients with aggressively treated moderate to severe congestive heart failure to consume either 2,760 or 1,840 milligrams of sodium a day, but otherwise to consume the same diet. Those consuming the lower level of sodium had more than three times the number of hospital readmissions — 30 as compared with 9 in the higher-salt group — and more than twice as many deaths — 15 as compared with 6 in the higher-salt group.

Another study, published in 2011, followed 28,800 subjects with high blood pressure ages 55 and older for 4.7 years and analyzed their sodium consumption by urinalysis. The researchers reported that the risks of heart attacks, strokes, congestive heart failure and death from heart disease increased significantly for those consuming more than 7,000 milligrams of sodium a day and for those consuming fewer than 3,000 milligrams of sodium a day.

There are physiological consequences of consuming little sodium, said Dr. Michael H. Alderman, a dietary sodium expert at Albert Einstein College of Medicine who was not a member of the committee. As sodium levels plunge, triglyceride levels increase, insulin resistance increases, and the activity of the sympathetic nervous system increases. Each of these factors can increase the risk of heart disease.

“Those are all bad things,” Dr. Alderman said. “A health effect can’t be predicted by looking at one physiological consequence. There has to be a net effect.”

Medical and public health experts responded to the new assessment of the evidence with elation or concern, depending on where they stand in the salt debates.

via No Benefit Seen in Sharp Limits on Salt in Diet – NYTimes.com.

Dannon Cuts Sugar, Carefully, in Children’s Yogurt – NYTimes.com

The Trek to a Yogurt Less Sweet

Dannon Cuts Sugar, Carefully, in Children’s Yogurt - NYTimes.com

Joshua Bright for The New York Times

Thierry Saint-Denis, the director of research and development at Dannon, managed to reduce sugar by 25 percent in in Danimals Smoothies.

By STEPHANIE STROM

 Dannon yogurt had a secret it didn’t want you to know. Until recently.

Its Danimals Smoothies, a line of yogurt drinks in Technicolor packaging for the pint-size set, have gotten a little bit healthier. Since February, Dannon has been selling the smoothies with 25 percent less sugar. And hardly anyone seems to have noticed — just as Dannon had hoped.

Deciding not to trumpet a healthier-for-you move might be puzzling at first, until you consider this: “One thing I have learned is that the main driver of yogurt sales above all is taste,” said Sergio Fuster, senior vice president for marketing at Dannon. “You do not want to send any signal to the consumer that might lead her to believe the taste has changed because she will simply pick up another yogurt — and it may not be ours.”

The margin for error in the realm of taste is small. A mistake could be financially deadly.

Yogurt sales are among the fastest-growing of all food products as a wave of new brands challenges the shelf space allotted to more traditional ones like Dannon, Yoplait and Stonyfield. And Chobani, which is posting sales of more than $1 billion less than 10 years after it was founded, and the other upstarts are aggressively promoting their products for children.

Dannon clearly regards its decision to make such a big reduction in the product’s sugar content — to 10 grams, from 14 — as a way to get ahead in the game. The only indication is in the fine print on the nutrition label, which shows its sugar content is slightly lower than for similar products by its competitors.

“Kids are not into nutrition profiles, but moms are,” Mr. Fuster said. “We want to shift the discussion away from the quantity of calories, although they are impacted with this change, to talking about the quality of the calories in yogurt, like how much protein it delivers.”

Kathleen M. Zelman, a registered dietitian who is director of nutrition for WebMD, took a look at the nutrition labels for the product before and after sugar was cut and said it was a step in the right direction, though she wished it delivered more protein.

“There’s no nutritional payback from sugar, so any time you can cut it and still enjoy nutritional goodness like that found in yogurt, I’m thrilled,” Ms. Zelman said. “There’s a lot of pressure on sugar these days because of the obesity trends, not that I’m saying it’s the culprit, but we eat too many calories in general and it’s easy to overconsume sugar calories.”

Dannon has reduced sugar in a handful of products before, but never by more than 5 to 10 percent. Reductions of that size merely require subtracting sweetener in small amounts.

But when the company was looking for ways to underscore its commitment to enhancing the healthiness of its products, it decided it needed to do something more dramatic. “We set a target of 25 percent, even though a lot of people said that was too much,” said Thierry Saint-Denis, director of research and development at Dannon.

Reducing sugar by 5 percent is relatively simple, Mr. Saint-Denis said, because milk and other components in yogurt can mask the missing sweetness. Such a change has little impact on yogurt’s viscosity and other characteristics.

But eliminating one-quarter of the sweeteners has much bigger consequences, wreaking havoc not only on taste but on texture, acidity and other aspects. “We decided to do it because it would force us to do something we had never done if we were to meet that target,” Mr. Saint-Denis said.

To explain the complex science of ingredient mix, Mr. Saint-Denis did a little demonstration at the company’s American headquarters in White Plains, involving cups of two different unsweetened yogurts and big syringes filled with liquid sweetener. At the start, one yogurt was tart and acidic, the other more bland — and it quickly became clear that it would take markedly less sugar syrup to arrive at a sweet taste with the bland flavor than with the tart and acidic one. So one crucial factor to less sugar is lower acidity.

via Dannon Cuts Sugar, Carefully, in Children’s Yogurt – NYTimes.com.

Aromatics: A healthy alternative to fat, sugar and salt | GoErie.com/Erie Times-News

Aromatics: A healthy alternative to fat, sugar and salt | GoErie.com/Erie Times-News

Ginger. Leeks. Chili Peppers. Brazilian Refogado.

 

What do these things have in common? They are all aromatic vegetables that can be used to bring enhanced flavor to soups, sauces, stews and almost any kind of recipe.

 

Aromatics deliver deep, delicious flavor and aroma when crushed or heated. Other aromatics include garlic, onions, shallots, scallions, carrots, celery, peppers, parsnips and many more.

 

The best part of aromatics is that they add flavor without the use of unhealthy fat, sugar or salt.

 

Don’t underestimate the nutritional value of aromatic vegetables. Here are just a few examples of aromatics that can benefit both your recipes and your health:

 

Scallions can be used raw in grain or potato salads and salsas or cooked in pastas, stir-fry dishes or omelets, provide fiber, potassium and vitamin A.

 

Pungent, delicious garlic can actually reduce the risk of stomach colorectal and prostate cancers.

 

You can grill leeks in pasta dishes, and they are the main ingredient in vichyssoise soup. They are also a natural source of inulin — a soluble fiber — and provide vitamin A and C, folate and manganese.

 

Ginger is rich in antioxidants and believed to reduce nausea and symptoms of vertigo. It also provides vitamin C, magnesium and potassium and rocks an unmistakable savory flavor in many types of dishes.

 

Celery can be used as a crunchy low-calorie snack or a substantial ingredient in soups and salads. It provides Vitamin A, C and K and potassium, as well as quercetin — a flavonoid with antioxidant, anti-inflammatory and heart-protecting properties.

 

Here are some tips for the use of aromatics in your recipes.

 

- Always use fresh aromatics for the best, freshest flavor and texture.

 

- Let the taste and aroma of these vegetables work. Don’t weigh down your recipe by cooking them in fats and oils. Saute or sweat them in small amounts of oil, broth, juice or water.

 

You can sweat vegetables by cooking them in a tightly covered pot. The vegetables will soften without browning.

 

- Chop veggies for even cooking, making sure heartier ones — like carrots and parsnips — are cut smaller so that they can cook through at the same rate as onions and garlic.

 

 

Barbara Parks is a registered dietitian at Saint Vincent Health Center.via Aromatics: A healthy alternative to fat, sugar and salt | GoErie.com/Erie Times-News.

To Motivate Patients to Change, Doctors Stop Scolding – WSJ

Health-care providers are helping patients kick bad habits and start new regimens by turning the tables on the traditional doctor-patient relationship.

They are using a technique called motivational interviewing, which was developed and used effectively in the 1980s in substance-abuse and addiction counseling. It has since been adapted for chronic-disease management, medication adherence, smoking cessation and weight-loss counseling by health systems and companies including Aetna AET +3.72% and Weight Watchers International Inc. WTW -0.31%

Instead of telling patients what to do and scolding them when they don’t do it, clinicians ask the individual what changes he or she is willing and able to make, and then promote patients’ desire, confidence and commitment to following through.

Doctors who lecture or give scary warnings can cause patients to become defensive and disengage, says Stephen Rollnick, a professor of health-care communication at Cardiff University, in Wales, and a founder of the nonprofit Motivational Interviewing Network of Trainers, whose members provide training, coaching and consultation in 35 countries. “When people are struggling, they don’t like to be told what to do, and they dislike being labeled and blamed,” Dr. Rollnick says. Motivational interviewing “can bring patients back on board and empower them to consider difficult changes.”

In workshops and courses, doctors, nurses and health coaches are trained to collaborate with patients on treatment decisions, offering choices rather than prescriptions and avoiding terms like “must,” “should” and “have to.” They might ask patients why they think they aren’t losing weight or taking their medications properly, and they elicit goals from patients, such as being able to dance comfortably at a wedding.

While one aim is to resolve the ambivalence of patients who aren’t ready to cooperate, clinicians also learn a technique known as “roll with resistance,” which encourages small initial steps toward a goal the patient sets, such as cutting down on sweets or cigarettes a little at a time. Some programs incorporate the motivational interview into interactive online tutorials for patients at home.

Mona White had back surgery in 2010 and began to gain back weight she had lost after a 2009 lap band procedure. “The desire to change has to come from within and you get a much better result if a person is involved in setting goals for their own recovery,” she says.

Motivational interviewing can help patients control blood pressure and diabetes, lose weight, start exercising and quit smoking, recent studies have found. A large federally funded study with sponsors including the American Academy of Pediatrics is looking at the effectiveness of motivational interviewing by pediatricians who are helping parents of obese children make progress toward a healthier diet and weight loss.

“Many doctors struggle finding the right balance between supporting patient choice and autonomy, and meeting their obligations to make informed recommendations,” says Ken Resnicow, a University of Michigan health-behavior and education researcher who is leading the pediatric study. He owns Academic Assistance, a for-profit provider of motivational health-care training based in Ann Arbor. Generally, Dr. Resnicow says, these techniques are most effective with patients “who have low energy for change and a high level of resistance.”

A major goal is to help patients resolve their own lack of commitment—such as the person who wants to quit smoking but enjoys it too much to give it up, says Chet Fox, a professor of family medicine at the University at Buffalo in New York, who works with the American Academy of Family Physicians on motivational interviewing courses.

Hummus Is Conquering America – WSJ

By DAVID KESMODELand OWEN FLETCHER

CLOVER, Va.—Prodded by the largest U.S. hummus maker, farmers in the heart of tobacco country are trying to grow chickpeas, an improbable move that reflects booming demand for hummus.

The humble chickpea is having a heyday. But while demand for chickpeas and hummus is high, farmers are preparing themselves for a potential shortage. David Kesmodel has details. Photo: AP.

Sabra Dipping Co., a joint venture of PepsiCo Inc. PEP -0.30% and Israel’s Strauss Group Ltd., wants to cultivate a commercial crop in Virginia to reduce its dependence on the legume’s main U.S. growing region—the Pacific Northwest—and to identify new chickpea varieties for its dips and spreads.

For Sabra, which makes hummus at a plant near Richmond, Va., a secondary source of supplies could help protect the company if a chickpea shortage occurred because of crop failures in Washington or Idaho. Sourcing chickpeas locally also would lower its shipping costs. But the Virginia effort carries risk, because experts say the state’s high summer humidity could prove a significant obstacle to its viability.

“We need to establish the supply chain to meet our growing demand,” says Sabra’s chief technology officer, Tulin Tuzel. “We want to reduce the risk of bad weather or concentration in one region. If possible, we also want to expand the growing seasons.”

Long a staple of Middle Eastern cuisine, hummus is earning a growing following among Americans seeking more-healthful snacks. The chickpea dip is low in fat and high in protein. Sales of “refrigerated flavored spreads”—a segment dominated by hummus—totaled $530 million at U.S. food retailers last year, up 11% from a year earlier and a 25% jump over 2010, according to market-research firm Information Resources Inc.

Related Video: Hummus Recipe

Watch Denize Hazime of the popular online series “Dede’s Mediterranean Kitchen” share her recipe for hummus.

The growth has caught the attention of big food companies like PepsiCo, which bought a 50% stake in Sabra in 2008, and Kraft Foods Group Inc., KRFT -0.73% which owns Athenos, another big hummus brand. Sabra on Tuesday is expected to announce an $86 million expansion of its hummus plant near Richmond to help meet demand. It expects to add 140 jobs to the facility, which currently employs about 360, over the next few years.

Sabra doesn’t disclose financial data, but IRI data show its hummus sales were about $315 million last year, up about 18%. And because some retailers, including Costco Wholesale Corp., COST -0.53% don’t provide information to IRI, the figures understate Sabra’s retail sales.

Sabra, based in White Plains, N.Y., has helped introduce more Americans to hummus through huge sampling events in major cities in which it has handed out 10,000 2-ounce packages a day. Sabra began its first national television advertising campaign earlier this year.

“Most of the consumers out there still don’t know what hummus is,” said Adam Carr, chief executive of Tribe Mediterranean Foods Inc., a Sabra rival. “We think that there are going to be lots of new users coming to the category.”

Growing demand for hummus has pushed up prices for chickpeas, spurring farmers to increase production. The average price that farmers received for chickpeas was 35 cents a pound last year, a 10-cent increase over the mid-2000s, according to the U.S. Department of Agriculture.

Though chickpeas are a tiny crop compared with corn or wheat, last year’s U.S. harvest totaled a record 332 million pounds, up 51% from the previous year, according to the USDA. The value of the U.S. chickpea crop hit a record $115.5 million last year, USDA data show.

Enlarge Image

David Kesmodel/The Wall Street Journal

Last year’s U.S. chickpea harvest jumped 51% from the previous year. Above, Virginia farmer James Brown is testing the legume.

U.S. farmers are expected to plant a record 214,300 acres of chickpeas this year, up 3% from last year and a fivefold increase over a decade ago, the USDA said. Demand for the U.S. crop from Spain, Turkey and Pakistan also has led farmers to plant more.

In Walla Walla, Wash., farmer Pat McConnell, 51, said he intends this spring to plant about 950 acres with chickpeas, more than double his crop last year. “They’ve become a pretty lucrative option,” he said. “I really think chickpeas are going to continue to grow in popularity.”

Virginia officials are eager to develop new crops in a state where tobacco farming has shrunk dramatically since the 1990s because of declining cigarette sales.

Sabra has provided financial support for chickpea research at Virginia State University, and this spring, Virginia State recruited farmers to plant chickpeas in on-farm trials.

But Virginia’s summer humidity and heat could make chickpeas more susceptible to a fungus known as Ascochyta blight that long has threatened chickpea crops in the U.S.

Virginia State University agronomist Harbans Bhardwaj is working on identifying a variety more suited to the climate, that could potentially be planted months earlier than most chickpeas. Mr. Bhardwaj thinks Virginia farmers may be able to grow the crop on a commercial scale within three years.

James Brown, a 72-year-old tobacco, corn and soybean farmer in Clover, Va., said he knew nothing about chickpeas when an extension agent from Virginia State called him several months ago and asked if he would plant the legume.

He said he jumped at the opportunity because he is looking for ways to make his roughly 300-acre farm more profitable.

Mr. Brown planted four acres with chickpeas in mid-April. That week, his wife served him the first chickpeas he’d ever eaten. “They tasted pretty good,” the farmer said.

via Hummus Is Conquering America – WSJ.com.

Bill Introduced in House and Senate to Require Labeling of GE Foods | Food Safety News

BY HELENA BOTTEMILLER | APRIL 25, 2013

Following state-level initiatives on the West Coast, Senator Barbara Boxer (D-CA) and Representative Peter DeFazio (D-OR) on Wednesday introduced legislation that would require the U.S. Food and Drug Administration “clearly label” all genetically engineered (GE) foods, including foods that are made from GE grains and GE salmon, if it is approved by the agency.

The bill, dubbed the Genetically Engineered Food Right-to-Know Act, has ten co-sponsors in the Senate, including Sens. Lisa Murkowski (R-AK), who represents a big salmon state and is supportive of labeling GE salmon, Kristen Gillibrand (D-NY), and Bernie Sanders (I-VT), and nearly two dozen co-sponsors in the House, including Reps. Don Young (R-AK), also a vocal supporter of labeling GE salmon; Chellie Pingree (D-ME); Louise Slaughter (D-NY) and Jim McDermott (D-WA).

While polls have found that nine in ten Americans support labeling, a high profile proposition, Prop. 37, which would have mandated labeling in California failed last year. Washington state is set to put a similar initiative on the ballot next election.

“Americans have the right to know what is in the food they eat so they can make the best choices for their families,” Senator Boxer said in the announcement Wednesday. “This legislation is supported by a broad coalition of consumer groups, businesses, farmers, fishermen and parents who all agree that consumers deserve more – not less – information about the food they buy.”

Rep. Polis said the bill is about “empowering consumers: consumers can chose to eat or not eat GMOs, or to pay more or less for GMOs.” He said he believes consumers have a right to know what they are eating.  I believe consumers have a right to know what they are eating so they can make their own informed food choices. I am proud to be working toward more informative food labels.”

More than 60 countries have some form of mandated GE labeling for foods, but in the U.S. labeling has been on a voluntary basis, with a hodge podge of “GMO-free,” or genetically modified organism-free, certifications and independent labels. In the early 1990s, the FDA determined that GE foods were not materially different from their non-GE counterparts and so there was no need to mandate labels, but 20 years later a movement has been built to pressure legislatures to reverse course.

via Bill Introduced in House and Senate to Require Labeling of GE Foods | Food Safety News.