Maintaining a Healthy Weight On the Go - A Pocket Guide Aim for a Healthy Weight

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Maintaining a Healthy Weight On the Go - A Pocket Guide Aim for a Healthy Weight
Aim for a Healthy Weight

Maintaining a Healthy
 Weight On the Go
     A Pocket Guide
Aim for a Healthy Weight

  Maintaining a Healthy
   Weight On the Go
                         A Pocket Guide

NIH Publication No. 10-7415
April 2010
Introduction

Importance of Making                     metabolism, behavior, and environ-
Healthier Choices While                  ment. Maintaining a healthy weight
Eating On the Go                         requires keeping a balance. You must
                                         balance the calories you get from
According to the National Restaurant
                                         food and beverages (energy IN) with
Association, American adults buy
                                         the calories you use to keep your
a meal or snack from a restaurant
                                         body going and being physically
5.8 times a week on average. If you
                                         active (energy OUT).
are watching your weight, it’s hard to
always know what calories, fats, and               The same amount of
nutrients are in the dishes you order.         energy IN and energy OUT
The information in this booklet             over time = weight stays the same
provides tips on how to help you                   More IN than OUT
select healthier options while eating            over time = weight gain
“on the go” (i.e., dining out or                   More OUT than IN
bringing food in). Using the                     over time = weight loss
information provided on healthy
choices will help you maintain a         Your energy IN and energy OUT
healthy weight.                          don’t have to balance exactly every
                                         day. It’s the balance over time that
Why Is a Healthy Weight                  will help you maintain a healthy
Important?                               weight in the long run.
Reaching and maintaining a healthy
                                         For many people, this balance means
weight is good for your overall
                                         eating fewer calories and increasing
health. It also may help reduce your
                                         their physical activity. Cutting back
risk for developing several diseases
                                         on calories is a matter of choice.
and conditions. Maintaining a
                                         Making healthy food choices that are
healthy weight has many other
                                         lower in fats, especially saturated and
benefits, including feeling good about
                                         trans fats, as well as cholesterol,
yourself and having more energy to
                                         sodium (salt), and added sugar, can
enjoy life.
                                         help you cut back on calories, as can
A person’s weight is the result of       paying attention to portion size. This
many things: height, genes,              pocket guide will provide you with

                                                                                1
Maintaining a Healthy Weight On the Go—A Pocket Guide

information to make informed food           Healthy Eating Plan
choices, particularly when eating on        A healthy eating plan includes foods
the go, to help you maintain a healthy      from all the basic food groups. It is
weight.                                     low in saturated fat, trans fat,
How To Lose Weight and                      cholesterol, sodium (salt), and added
Maintain It                                 sugar. It contains enough calories for
                                            good health, but not so many that
We have all heard the facts . . . to lose   you gain weight. (For more
weight, you must eat less and move          information on the basic food
more. But this is often easier said         groups, go to www.MyPyramid.gov.)
than done. Many people make
repeated attempts, often using               A healthy eating plan:
different fad diets and weight loss          ■■   Emphasizes fruits, vegetables,
gimmicks, and are unsuccessful.                   whole grains, and fat-free or low-
                                                  fat milk and milk products
To be successful at weight loss, you
                                             ■■   Includes lean meats, poultry, fish,
need to adopt a new lifestyle. This               beans, eggs, and nuts
means making changes such as                 ■■   Is low in saturated fat, trans fat,
adopting healthy eating habits, being             cholesterol, sodium (salt), and
more physically active, and learning              added sugar
how to change behaviors.                     ■■   Controls portion size

2
Choosing
                            Healthier Foods
Foods That Make a                          which increases the risk of heart
Healthy Eating Plan                        disease.
A healthy eating plan is one that          ■■   Saturated fat is found mainly in
gives your body the nutrients it needs          fresh and processed meats,
every day while staying within your             high-fat milk products (such as
daily calorie limits. This eating plan          cheese, whole milk, cream, butter,
also may lower your risk for heart              and ice cream), lard, and the
disease and conditions such as high             coconut and palm oils that can be
blood pressure or high blood                    found in many processed foods.
cholesterol.
                                           ■■   Trans fat is found in foods with
Foods that can be eaten more often              partially hydrogenated oils, such
include those that are lower in                 as many hard margarines and
calories, total fat, saturated and trans        shortening, commercially fried
fats, cholesterol, and sodium (salt).           foods, and some bakery goods.
Examples of these foods include            ■■   Cholesterol is found in foods of
fat-free and low-fat milk products;             animal origin. Major dietary
lean meats, fish, and poultry;                  sources include egg yolks, organ
high-fiber foods such as whole                  meats, cheese, beef, pork, and
grains, breads, and cereals; fruits; and        shrimp. It also may be present in
vegetables. Canola or olive oils and            foods that contain an animal-
soft margarines made from these oils            based ingredient, such as eggs,
are heart healthy and can be used in            whole milk, or lard.
moderate amounts. Unsalted nuts
also can be included in a healthy diet,    It’s also important to limit foods and
as long as you watch the amount.           beverages with added fat and sugar,
                                           such as many desserts, canned fruit
Foods higher in fat are typically          packed in syrup, fruit drinks, and
higher in calories. Foods that should      sugar-sweetened beverages. These
be limited include those with higher       foods and beverages will add calories
amounts of saturated fat, trans fat,       to your diet while providing limited
and cholesterol. These particular fats     nutritional benefit.
may raise blood cholesterol levels,

                                                                                    3
Maintaining a Healthy Weight On the Go—A Pocket Guide

Fat Matters,                               However, eating fat-free or reduced-
But Calories Count                         fat foods isn’t always the answer to
                                           reducing your calories. This is
A calorie is a calorie is a calorie,
                                           especially true when you eat more of
whether it comes from fat or
                                           the reduced-fat food than you would
carbohydrate. Any calories eaten in
                                           of the regular item. Many food
excess can lead to weight gain. You
                                           companies produce fat-free versions
can lose weight by eating fewer
                                           of foods that have more calories than
calories and by increasing your
                                           the regular versions. For example, if
physical activity.
                                           you eat twice as many fat-free
Reducing the amount of total fat and       cookies, you have increased your
saturated fat that you eat is one way to   overall calorie intake. The following
limit your overall calorie intake. In      list of foods and their reduced-fat
fact, 1 gram of fat equals 9 calories,     varieties will show you that just
whereas 1 gram of protein or               because a product is fat free, that
carbohydrate equals less than half the     doesn’t mean it is “calorie free.” And
number of calories (4 calories each).      calories do count!
By reducing total fat intake, you help
reduce your calorie intake.

4
Choosing Healthier Foods

 Fat-Free or Reduced Fat                                  Regular
                                               Calories                                                 Calories
 Reduced fat peanut butter,                       187     Regular peanut butter,                           191
 2 Tbsp                                                   2 Tbsp
                                                                                                           142
 Cookies:                                         118     Cookies:
 Reduced fat chocolate chip cookies,                      Regular chocolate chip cookies,
 3 cookies (30 g)                                         3 cookies (30 g)
 Fat-free fig cookies,                            102     Regular fig cookies,                             111
 2 cookies (30 g)                                         2 cookies (30 g)

 Ice cream:                                       100     Ice cream:                                       104
 Fat-free vanilla frozen yogurt                           Regular whole milk vanilla
 (
Maintaining a Healthy Weight On the Go—A Pocket Guide

Lower Calorie, Lower Fat                   The suggested alternatives are not
Alternatives                               meant to be an exhaustive list. If a
The table that follows provides some       product’s package has a Nutrition
examples of healthier alternatives for     Facts Panel, we encourage you to
old favorites. When making a food          read it to find out just how many
choice, remember to consider               calories, vitamins, and minerals are
vitamins and minerals. Some foods          in the specific products you decide to
provide most of their calories from        buy.
sugar and fat, but give you few, if any,   Once you are comfortable identifying
vitamins and minerals.                     foods that are lower in fat and
                                           calories, you will be able to make
                                           healthier choices when eating
                                           on the go.

6
Choosing Healthier Foods

                   Instead of . . .                    Replace with . . .
Dairy Products     Evaporated whole milk              Evaporated fat-free (skim) or reduced fat
                                                      (2%) milk
                   Whole milk                         Low-fat (1%), reduced fat (2%), or fat-free (skim) milk
                   Ice cream                          Sorbet, sherbet, low-fat or fat-free frozen yogurt, or ice
                                                      milk (choose lowest calorie variety)
                   Whipping cream                     Imitation whipped cream (made with fat-free (skim) milk)
                                                      or low-fat vanilla yogurt
                   Sour cream                         Plain low-fat yogurt
                   Cream cheese                       Neufchatel or “light” cream cheese or fat-free cream
                                                      cheese
                   Cheese (cheddar, American,         Reduced calorie cheese, low calorie processed cheeses,
                   Swiss, jack)                       etc.; fat-free cheese
                   Regular (4%) cottage cheese        Low-fat (1%) or reduced fat (2%) cottage cheese
                   Whole milk mozzarella cheese       Part skim milk, low moisture mozzarella cheese
                   Whole milk ricotta cheese          Part skim milk ricotta cheese
                   Coffee cream (half and half) or   Low-fat (1%) or reduced fat (2%) milk or fat-free
                   nondairy creamer (liquid, powder) dry milk powder
Cereals, Grains,   Ramen noodles                      Rice or noodles (spaghetti, macaroni, etc.)
and Pasta
                   Pasta with white sauce (alfredo)   Pasta with red sauce (marinara)
                   Pasta with cheese sauce            Pasta with vegetables (primavera)
                   Granola                            Bran flakes, crispy rice, etc.
                                                      Cooked grits or oatmeal
                                                      Whole grains (couscous, barley, bulgar, etc.)
                                                      Reduced fat granola (choose lowest calorie variety)
Meat, Fish, and    Cold cuts or lunch meats            Low-fat cold cuts (95% to 97% fat-free lunch meats,
Poultry            (bologna, salami, liverwurst, etc.) low-fat pressed meats)
                   Hot dogs (regular)                 Lower fat hot dogs
                   Bacon or sausage                   Canadian bacon or lean ham
                   Regular ground beef                Extra lean ground beef such as ground round or ground
                                                      turkey (read labels)
                   Chicken or turkey with skin, duck, Chicken or turkey without skin (white meat)
                   or goose
                   Oil-packed tuna                    Water-packed tuna (rinse to reduce sodium content)
                   Beef (chuck, rib, brisket)         Beef (round, loin) trimmed of external fat
                                                      (choose slelect grades)
                   Pork (spareribs, untrimmed loin)   Pork tenderloin or trimmed, lean smoked ham

                                                                                                                   7
Maintaining a Healthy Weight On the Go—A Pocket Guide

                      Instead of . . .                       Replace with . . .
                      Frozen breaded fish or fried fish      Fish or shellfish, unbreaded (fresh, frozen, canned
                      (homemade or commercial)               in water)
                      Whole eggs                             Egg whites or egg substitutes
                      Frozen TV dinners (containing more Frozen TV dinners (containing less than 13 grams of fat
                      than 13 grams of fat per serving)  per serving and lowest in sodium)
                      Chorizo sausage                        Turkey sausage, drained well (read label)
                                                             Vegetarian sausage (made with tofu)
 Baked Goods          Croissants, brioches, etc.             Hard french rolls or soft “brown ’n serve” rolls
                      Donuts, sweet rolls, muffins, scones, English muffins, bagels, reduced fat or fat-free muffins
                      or pastries                           or scones
                      Party crackers                         Low-fat crackers (choose lower in sodium)
                                                             Saltine or soda crackers (choose lowest in sodium)
                      Cake (pound, chocolate, yellow)        Cake (angel food, white, gingerbread)

                      Cookies                                Reduced fat or fat-free cookies (graham crackers,
                                                             ginger snaps, fig bars) (choose lowest calorie variety)
 Snacks and           Nuts                                   Popcorn (air-popped or light microwave), fruits,
 Sweets                                                      vegetables
                      Ice cream, e.g., cones or bars         Frozen yogurt, frozen fruit, or chocolate pudding bars
                      Custards or puddings (made with        Puddings (made with skim milk)
                      whole milk)
 Fats, Oils, and Regular margarine or butter                 Light-spread margarines, diet margarine, or whipped
 Salad Dressings                                             butter, tub or squeeze bottle
                      Regular mayonnaise                     Light or diet mayonnaise or mustard
                      Regular salad dressings                Reduced calorie or fat-free salad dressings, lemon juice,
                                                             or plain, herb-flavored, or wine vinegar
                      Butter or margarine on toast or bread Jelly, jam, or honey on bread or toast
                      Oils, shortening, or lard              Nonstick cooking spray for stir-frying or sautéing
                                                             As a substitute for oil or butter, use applesauce or prune
                                                             puree in baked goods
 Miscellaneous       Canned cream soups                      Canned broth-based soups
                     Canned beans and franks                 Canned baked beans in tomato sauce
                     Gravy (homemade with fat                Gravy mixes made with water or homemade with the fat
                     and/or milk)                            skimmed off and fat-free milk included
                     Fudge sauce                             Chocolate syrup
                     Avocado on sandwiches                  Cucumber slices or lettuce leaves
                     Guacamole dip or refried beans         Salsa
                     with lard
Source: Adapted from National Heart, Lung, and Blood Institute. (2005). Aim for a Healthy Weight (NIH Publication
No. 05-5213), pp. 10–11. Bethesda, MD: U.S. Department of Health and Human Services.

8
Choosing Healthier Foods

Keeping an Eye on                                         Serving: A “serving” is a measured
Portion Size                                              amount of food or drink, such as one
                                                          slice of bread or 1 cup of milk. Some
Eating fewer calories is not just about
                                                          foods that most people consume as a
choosing healthier foods. It is also
                                                          single portion actually contain
about eating less food and paying
                                                          multiple servings (e.g., a 20-ounce
attention to portion size.
                                                          soda or a 3-ounce bag of chips).
What’s the difference between a
                                                          To see typical portions for various
regular portion and a serving size?
                                                          foods, refer to the images below.
Portion: A “portion” is the amount                        Also, check out the U.S. Department
of food that you choose to eat for a                      of Agriculture’s MyPyramid at
meal or snack. It can be big or                           http://www.myPyramid.gov to find
small—you decide.                                         out how these food portions fit into a
                                                          daily eating plan for your recom-
                                                          mended calorie level.

                 Strawberries                                       Whole-wheat cereal flakes
                 1/2 cup                                            1 cup
                 (1/2 cup equivalent of fruit)                      (1-ounce equivalent of whole grains)

                 Milk                                               Baked sweet potato
                 8 fluid ounces                                     1 large
                 (counts as 1 cup milk)                             (1-cup equivalent of orange vegetables)

Source: Adapted from the U.S. Department of Agriculture’s MyPyramid, online at http://mypyramid.gov.

                                                                                                              9
Dining Out/Take-Out:
                             How To Choose
General Tips for Healthy                       healthiest option before you go to
Dining Out and Take-Out                        the restaurant.
Whether you’re trying to maintain         ■■   General tips: Limiting your
weight or lose weight, you can eat             calories and fat can be easy as
healthfully when dining out or                 long as you know what to order.
bringing food in, if you know how.             Try asking these questions when
The following tips will help you move          you call ahead or before you
toward healthier eating as you limit           order. Ask the restaurant whether
your calories, as well as total fat,           they would, upon request, do the
saturated and trans fats, cholesterol,         following:
and sodium (salt) when eating                  –– Serve fat-free (skim) milk
prepared foods.                                   rather than whole milk or
                                                  cream
You Are the Customer
                                               –– Reveal the type of cooking oil
■■   Ask for what you want. Most
                                                  used
     restaurants will honor your
     requests.                                 –– Trim visible fat off poultry or
                                                  meat
■■   Ask questions. Don’t be intimi-
     dated by the menu—your server             –– Leave butter, gravy, or cream
     will be able to tell you how foods           sauces off the side dish or
     are prepared or suggest substitu-            entree
     tions on the menu.                        –– Serve salad dressing on the
■■   To reduce portion sizes, try                 side
     ordering a low-fat appetizer as           –– Accommodate special requests
     your main meal, or share an                  if made in advance by
     entree with a friend or family               telephone or in person
     member.
                                          Above all, don’t get discouraged.
■■   Avoid all-you-can-eat buffets.
                                          Most restaurants usually have several
■■   Review the menu online, if           healthy options to choose from.
     possible, and choose the

                                                                                  11
Maintaining a Healthy Weight On the Go—A Pocket Guide

Reading the Menu                          ■■   Fried
Choose lower calorie, low-fat             ■    Gravy
cooking methods. Look for terms           ■    Hollandaise
such as:
                                          ■    Marinated (in oil)
■■    Baked
                                          ■    Pastry crust
■■    Boiled (in wine or lemon juice)
                                          ■    Pot pie
■     Broiled
■     Grilled
                                          Specific Tips for
                                          Healthy Choices
■     Lightly sauteed
■     Poached
                                          Breakfasts
                                          ■■   Decaf tea or coffee with fat-free or
■     Roasted
                                               low-fat (1 percent) milk
■     Steamed in its own juice (au jus)
                                          ■    Fresh fruit or small glass of
Be aware of foods high in calories,            100 percent fruit juice
total fat, and saturated fat. Watch out   ■    Whole-grain bread, bagel, or
for terms such as:                             English muffin with jelly or honey
■■    Alfredo                             ■    Whole-grain cereal with fat-free
■     Au fromage                               or low-fat (1 percent) milk
■     Au gratin                           ■    Oatmeal with fat-free milk topped
■     Basted                                   with fruit
■     Béarnaise                           ■    Omelet made with egg whites or
                                               egg substitute
■     Breaded
                                          ■    Multigrain pancakes with fresh
■     Butter sauce
                                               fruit or apple butter
■     Casserole
                                          ■    Fat-free yogurt (try adding cereal
■     Cheese sauce                             or fresh fruit)
■     Creamed
                                          Beverages
■     In cream or cream sauce
                                          ■■   Water with lemon
■     Crispy
                                          ■    Flavored sparkling water
■     Deep fried                               (noncaloric)
■     Escalloped

12
Dining Out/Take-Out: How To Choose

■■   Juice spritzer (half fruit juice and                       ■■   Look for terms such as “baked,”
     half sparkling water)                                           “broiled,” “steamed,” “poached,”
■    Unsweetened iced tea                                            “lightly sauteed,” or “lightly
                                                                     stir-fried”
■    Tomato juice (reduced sodium)
                                                                ■    Ask for sauces and dressings on
■    Fat-free or low-fat (1 percent)
                                                                     the side
     milk
                                                                ■    Limit the amount of butter,
Breads                                                               margarine, and salt you use at the
While many yeast breads and                                          table
breadsticks are low in calories and
                                                                Salads/Salad Bars
low in fat, the calories add up when
you add butter, margarine, or olive                             ■■   Lettuce, spinach, and other fresh
oil to the bread. Also, eating a lot of                              greens
bread in addition to your meal will                             ■    Fresh vegetables—tomatoes,
fill you up with unwanted calories                                   mushrooms, carrots, cucumbers,
and not leave enough room for fruits                                 peppers, onions, radishes, and
and vegetables.                                                      broccoli
                                                                ■    Chickpeas, kidney beans, and
Appetizers
                                                                     other beans
■■   Broth-based soups
                                                                ■    Skip the nonvegetable choices:
■    Steamed seafood                                                 deli meats, bacon, egg, cheese,
■    Shrimp* cocktail (limit cocktail                                and croutons
     sauce—it’s high in sodium)                                 ■    Choose lower calorie, reduced-fat,
■    Melons or fresh fruit                                           or fat-free dressing; lemon juice;
■    Bean soups                                                      or vinegar
■    Salad with reduced-fat dressing                            Side Dishes
     (or add lemon juice or vinegar)
                                                                ■■   Vegetables and whole-grain side
Entrees                                                              dishes (brown rice, whole wheat
                                                                     pasta, etc.) make good additions
■■   Poultry, fish, shellfish, and
                                                                     to meals and also can be
     vegetable dishes
                                                                     combined for a lower calorie
■    Pasta with red sauce or with                                    alternative to higher calorie
     vegetables (primavera)                                          entrees
* If you are on a cholesterol-lowering diet, eat shrimp in moderation.

                                                                                                        13
Maintaining a Healthy Weight On the Go—A Pocket Guide

■■    Ask for side dishes without butter   popularity. Supermarkets often
      or margarine                         provide a wide selection of foods
■     Ask for mustard, salsa, or low-fat   from various cuisines. Use the
      yogurt instead of sour cream or      suggestions in each of these catego-
      butter                               ries to guide your decision. One
                                           thing to keep in mind is portion size.
Desserts and Coffees                       Take-out portions can be just as large
■■    Fresh fruit                          as restaurant portions. For more
                                           information on portion sizes, refer
■     Fat-free frozen yogurt
                                           to Portion Distortion at
■     Sherbet or fruit sorbet (these are   www.nhlbi.nih.gov.
      usually fat free, but check the
      calorie content)                     Chinese
■     Try sharing a dessert                Choose More Often . . .
■     Ask for fat-free or low-fat          ■■   Zheng (steamed)
      (1 percent) milk for your coffee
                                           ■    Gun (boiled)
      (instead of cream or half-n-half)
                                           ■    Kao (roasted)
Tips for Healthy Eating                    ■    Shao (barbecue)
On the Go
                                           ■    Poached
If you’re dining out or bringing food
                                           ■    Lightly stir-fried in mild sauce
in, it’s easy to find healthy foods.
Knowing about typical American             ■    Cooked in light wine sauce
dishes, as well as other ethnic            ■    Hot and spicy tomato sauce
cuisines, can help make your dining        ■    Sweet and sour sauce
experience healthy and enjoyable.
The following list includes healthy        ■    Hot mustard sauce
food choices (lower in calories and        ■    Reduced-sodium soy sauce
fat) and terms to look for when            ■    Dishes without MSG added
making your on-the-go selections.
                                           ■    Spinach or broccoli
Supermarket                                ■    Fresh fish fillets, shrimp, scallops
Choose More Often . . .                    ■    Chicken without skin
Bringing prepared food home from           ■    Lean beef
the supermarket is growing in              ■    Bean curd (tofu)

14
Dining Out/Take-Out: How To Choose

■■   Moo shu vegetables, chicken, or                           ■■   Sun-dried tomatoes
     shrimp                                                    ■    Red sauces—spicy marinara sauce
■    Steamed rice                                                   (arrabiata), marinara sauce, or
■    Lychee fruit                                                   cacciatore
■    Hoison sauce* with assorted                               ■    Light red sauce or light red or
     Chinese vegetables: broccoli,                                  white wine sauce
     mushrooms, onions, cabbage,                               ■    Light mushroom sauce
     snow peas, scallions, bamboo                              ■    Red clam sauce
     shoots, water chestnuts, asparagus
                                                               ■    Primavera (no cream sauce)
■    Oyster sauce* (made from
                                                               ■    Lemon sauce
     seafood)
                                                               ■    Capers
French                                                         ■    Herbs and spices—garlic and
Choose More Often . . .                                             oregano
■■   Dinner salad with vinegar or                              ■    Crushed tomatoes and spices
     lemon juice (or a reduced-fat                             ■    Florentine (spinach)
     dressing)                                                 ■    Grilled (often fish or vegetables)
■    Crusty bread without butter                               ■    Piccata (lemon)
■    Fresh fish, shrimp, scallops,                             ■    Manzanne (eggplant)
     steamed mussels (without sauces)
■    Chicken without skin                                      Middle Eastern
■    Rice and noodles without cream                            Choose More Often . . .
     or added butter or other fat                              ■■   Lemon dressing, lemon juice
■    Fresh fruit for dessert                                   ■■   Blended or seasoned with Middle
Italian                                                             Eastern spices

Choose More Often . . .                                        ■■   Herbs and spices (parsley,
                                                                    rosemary, basil, dill, etc.)
■■   Lightly sauteed with onions                               ■■   Mashed chickpeas
■    Shallots                                                  ■■   Fava beans
■    Peppers and mushrooms                                     ■■   Smoked eggplant
■    Artichoke hearts
* Hoison and oyster sauces are high in sodium (salt). Choose versions that are lower in sodium, or limit the quantity,
particularly if on a low-sodium diet.
                                                                                                                   15
Maintaining a Healthy Weight On the Go—A Pocket Guide

■■    Tomatoes, mushrooms, green           Indian
      peppers, and cucumbers               Choose More Often . . .
■     Spiced ground meat
                                           ■■   Tikka (pan roasted)
■     Special garlic sauce
                                           ■    Cooked with or marinated in
■     Basted with tomato sauce                  yogurt
■     Garlic                               ■    Cooked with green vegetables,
■     Chopped parsley and/or onion              onions, tomatoes, peppers, and
■     Couscous (grain)                          mushrooms
■     Rice or bulgur (cracked wheat)       ■    With spinach (saag)
■     Stuffed with rice and imported       ■    Baked leavened breads
      spices                               ■    Masala
■     Grilled on a skewer                  ■    Tandoori
■     Marinated and barbecued              ■    Paneer
■     Baked                                ■    Cooked with curry, marinated in
■     Charbroiled or charcoal broiled           spices
■     Fresh fruit for dessert              ■    Lentils, chickpeas (garbanzo
                                                beans)
Japanese                                   ■    Garnished with dried fruits
Choose More Often . . .                    ■    Chickpeas (garbanzo) and
■■    House salad with fresh ginger and         potatoes
      cellophane (clear rice) noodles      ■    Basmati rice (pullao)
■     Rice                                 ■    Matta (peas)
■     Nabemono (soup/stew)                 ■    Chicken or shrimp kebab
■     Chicken, fish, or shrimp teriyaki,
                                           Mexican
      broiled in sauce
                                           Choose More Often . . .
■     Soba noodles, often used in soups
■     Yakimono (broiled)                   ■■   Shredded spicy chicken
■     Tofu (or bean curd)                  ■    Rice and black beans
■     Grilled vegetables                   ■    Rice (particularly brown rice)

16
Dining Out/Take-Out: How To Choose

■■   Served with salsa (hot red tomato      ■■   Napa, bamboo shoots, black
     sauce)                                      mushrooms, ginger, garlic
■    Served with salsa verde (green         ■    Bed of mixed vegetables
     chili sauce)                           ■    Scallions, onions
■    Covered with enchilada sauce
                                            Steakhouses
■    Topped with shredded lettuce,
     diced tomatoes, and onions             Choose More Often . . .
■    Served with or wrapped in a corn       ■■   Lean broiled beef (no more than
     or whole-wheat flour (soft)                 6 ounces)—London broil, filet
     tortilla                                    mignon, round and flank steaks
■    Grilled                                ■    Baked potato without added
■    Marinated                                   butter, margarine, or sour cream
                                                 (try low-fat yogurt or mustard)
■    Picante sauce
                                            ■    Green salad with vinegar or
■    Simmered with vegetarian chili or
                                                 lemon juice (or a reduced-fat
     tomato sauce
                                                 dressing)
Thai                                        ■    Steamed vegetables without added
Choose More Often . . .                          butter or margarine (try lemon
                                                 juice and herbs)
■■   Barbecued, sauteed, broiled,
                                            ■    Seafood dishes (usually indicated
     boiled, steamed, braised, or
                                                 as “surf ” on menus)
     marinated
■    Charbroiled                            Fast Food
■    Basil sauce, basil, sweet basil, or    Choose More Often . . .
     basil leaves
                                            ■■   Grilled chicken breast sandwich
■    Lime sauce or lime juice                    without mayonnaise
■    Chili sauce or crushed dried chili     ■    Single hamburger without cheese
     flakes
                                            ■    Grilled chicken salad with
■    Thai spices                                 reduced-fat dressing
■    Served in hollowed-out pineapple       ■    Garden salad with vinegar or
■    Fish sauce                                  lemon juice (or a reduced-fat
■    Hot sauce                                   dressing)

                                                                                 17
Maintaining a Healthy Weight On the Go—A Pocket Guide

■■    Low-fat or fat-free yogurt          for making healthy choices eating out
■     Fat-free muffin or cereal with      without overspending:
      fat-free or low-fat (1 percent)     ■■   To reduce costs, start by eating
      milk                                     out one less time per week.
Deli/Sandwich Shops                       ■    Many restaurants provide
                                               portions that are large enough to
Choose More Often . . .
                                               make two meals out of one entree.
■■    Fresh sliced vegetables in               Bring half of your meal home for
      whole-wheat pita bread with              the next day, or if dining with a
      low-fat dressing, yogurt, or             friend or family member, order
      mustard                                  one entree to share.
■     Bean soup (lentil, minestrone)      ■    If you often meet a friend or
■     Turkey breast sandwich with              colleague for lunch at a restau-
      mustard, lettuce, and tomato             rant, try bringing your lunch
                                               instead and meeting outside in
■     Fresh fruit
                                               the park when the weather
Saving Money While                             permits.
Eating Out
Another expense of eating out is its
effect on your budget. Try these tips

18
Foods in the Fast Lane

When you eat on the go, you don’t                low-fat frozen yogurt or low-fat
have to give up eating fast foods                milkshake.
completely. You can eat right and           ■■   Order salad. Use vinegar and oil
still eat fast foods if you select               or a low-calorie dressing.
carefully. Here are some tips on fast
                                            ■    Create a salad at the salad bar.
foods to choose:
                                                 Choose any raw vegetables, fruits,
■■   Order from the dollar or value              or beans. Limit toppings high in
     menu; the portions are often                saturated fat, such as cheese, fried
     smaller than the regular size.              noodles, and bacon bits, as well as
■    Order a small hamburger instead             salads made with mayonnaise.
     of a larger one. Try ordering a             Also, limit salad dressings high in
     hamburger without cheese and                saturated fat and cholesterol.
     extra sauce.                           ■    For sandwiches, try whole-wheat
■    Order roast beef for a leaner               bread topped with lettuce, tomato,
     choice than most burgers.                   onion, mustard, and ketchup
                                                 instead of toppings high in
■    Order a baked potato instead of
                                                 saturated fat, such as cheese,
     french fries. Be careful of high-fat
                                                 bacon, special sauces, or butter.
     toppings like sour cream, butter,
     or cheese.                             ■    Order thin-crust pizza with
                                                 vegetable toppings such as
■    Order grilled, broiled, or baked
                                                 peppers, mushrooms, or onions
     fish or chicken.
                                                 instead of extra cheese, pepper-
■    Order fat-free or low-fat milk              oni, and sausage.
     instead of a milkshake. Or try the

                                                                                    19
Maintaining a Healthy Weight On the Go—A Pocket Guide

 Fast Food Choices
 Let’s see how small changes can add up to big changes with the following sample fast-food meal:

 Typical Meal                                            Lower Fat Choice
 Cheeseburger                                            Hamburger
 (313 calories)                                          (265 calories)
 Large french fries                                      1/2 small french fries
 (487 calories)                                          (112 calories)
 12-ounce cola                                           12-ounce cola
 (136 calories)                                          (136 calories)
 1/2 cup vanilla ice cream                               Low-fat ice cream cone
 (137 calories)                                          (146 calories)

 Total saturated fat (g)                         13      Total saturated fat (g)                            6
 Total dietary cholesterol (mg)                  71      Total dietary cholesterol (mg)                    42

 Total fat (g)                                   46      Total fat (g)                                     20
 Total calories                                1,073     Total calories                                    659
Source: Adapted from National Heart, Lung, and Blood Institute. (2005). Aim for a Healthy Weight (NIH Publication
No. 05-5213), p. 24. Bethesda, MD: U.S. Department of Health and Human Services.

20
Other Resources

More information on maintaining a                            We Can!® (Ways to Enhance
healthy weight, and on overweight
                                                             Children’s Activity and
and obesity, is available from the
                                                             Nutrition)
National Heart, Lung, and Blood
Institute (NHLBI) Web site at                                Science-based information for
www.nhlbi.nih.gov (under Health                              parents and communities to help
Information for the Public). Also see                        children maintain a healthy weight
the following resources.                                     http://wecan.nhlbi.nih.gov
                                                             1–866–35–WECAN (1–866–359–3226)
Aim for a Healthy Weight
Web Site                                                     To Learn More
Information for patients and the                             Contact the NHLBI for information
public as well as health professionals                       and publications on healthy eating
http://healthyweight.nhlbi.nih.gov                           and overweight and obesity.
                                                             Available publications include the
Diseases and Conditions                                      “Aim for a Healthy Weight Patient
A–Z Index                                                    Booklet,” “At a Glance: Facts About
A quick and easy way to get complete                         Healthy Weight,” “Aim for a Healthy
and dependable information about                             Weight: Keep an Eye on Portion Size
heart, lung, and blood diseases and                          Z Card,” and more.
sleep disorders                                              NHLBI Health Information Center
www.nhlbi.nih.gov/health/dci/                                P.O. Box 30105
Keep the Beat™:                                              Bethesda, MD 20824–0105
                                                             Phone: 301–592–8573
Deliciously Healthy Eating
                                                             TTY: 240–629–3255
Web Site                                                     Fax: 301–592–8563
Heart healthy recipes professionally                         E-mail: NHLBIinfo@nhlbi.nih.gov
developed for the NHLBI, along with                          Web site: www.nhlbi.nih.gov
other healthy eating information
http://hin.nhlbi.nih.gov/healthyeating

™ Keep the Beat is a trademark of the U.S. Department of Health and Human Services (DHHS).
®
  We Can! Ways to Enhance Children’s Activity & Nutrition, We Can!, and the We Can! logos are registered trademarks
of DHHS.
                                                                                                               21
Notes
D
          ISCRIMINATION PROHIBITED: Under provisions of applicable
          public laws enacted by Congress since 1964, no person in the United
          States shall, on the grounds of race, color, national origin, handicap, or
age, be excluded from participation in, be denied the benefits of, or be subjected
to discrimination under any program or activity (or, on the basis of sex, with
respect to any education program and activity) receiving Federal financial
assistance. In addition, Executive Order 11141 prohibits discrimination on the
basis of age by contractors and subcontractors in the performance of Federal
contracts, and Executive Order 11246 States that no federally funded contractor
may discriminate against any employee or applicant for employment because of
race, color, religion, sex, or national origin. Therefore, the National Heart, Lung,
and Blood Institute must be operated in compliance with these laws and
Executive Orders.
For More Information
                  NHLBI Health Information Center
                           P.O. Box 30105
                     Bethesda, MD 20824–0105
                       Phone: 301–592–8573
                        TTY: 240–629–3255
                        Fax: 301–592–8563
                   E-mail: nhlbiinfo@nhlbi.nih.gov
                         www.nhlbi.nih.gov

NIH Publication No. 10-7415
April 2010
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