• food,  Health,  San Diego,  WorldWide

    It’s So Much More Than a Diet: How to Embrace the Mediterranean Lifestyle and Enjoy Stellar Health

    The popularity of the Mediterranean diet is no surprise. After all, it helps prevent diabetes, heart attacks, and strokes; reduces inflammation; lowers your risk of dementia; and may even extend your lifespan. Amy Riolo says if you want to get the most out of the Mediterranean diet—which was named Best Diet Overall for 2019—you must also adopt the Mediterranean lifestyle.

    “The Mediterranean ‘diet’ is more than the foods you consume; it’s also a way of life,” says Riolo, author of The Mediterranean Diabetes Cookbook, 2nd Edition: A Flavorful, Heart-Healthy Approach to Cooking (American Diabetes Association, May 2019, ISBN: 978-1-580-40702-1, $22.95). “The people in this part of the world live in a way that optimizes health. But to achieve the same level of wellness, you can’t just eat the foods of the region. You must also commit to its food philosophy and make lifestyle changes that feed your body, mind, and soul.”

    In the Mediterranean, people not only value the preparation and enjoyment of natural whole foods, but they participate in communal eating and make regular physical activity a priority. Together, these factors make them some of the healthiest people in the world. If you are one of the 25 million people in the U.S. with diabetes, you too will benefit from the Mediterranean way of life.

    These tips will help you enjoy the Mediterranean diet as part of a greater lifestyle where food is steeped in a rich tradition of community and activity.

    First, start thinking of food as an ally. To fully benefit from a Mediterranean-style eating pattern, you should adopt the belief that food is a friend—instead of something problematic. Throughout the region, food plays an important role. It is viewed not only as a traditional medicine, but also as a form of artistic expression, a social activity, a cultural relic, and most of all, a symbol of hospitality.

    Embrace the Mediterranean-style eating pattern. The great thing about this eating pattern is that there’s no “one-size-fits-all” daily intake list to stick to. It simply focuses on seasonal produce, fish and seafood, poultry, eggs, dairy, and smaller amounts of meat and sweets. To start following a Mediterranean-style eating pattern, plan your meals around plant-based foods including seasonal vegetables and fruit. Be sure to incorporate fish at least two to three times a week. Cook with olive oil. Enjoy dairy often, and consume meats and sweets only sparingly. Try to cook as much of your food as possible and incorporate the freshest, highest-quality foods you can find. NOTE: Please see the attached sidebar for a recipe from The Mediterranean Diabetes Cookbook, 2nd Edition.

    Tune into the eating process. “In the U.S., we tend to think of mealtime as something we have to do, instead of something we want to do,” says Riolo. “But the eating process is a big part of life in the Mediterranean. It’s a major topic of conversation, and people think about it all day. To emulate this in your own life, start finding ways to get excited about cooking and eating Mediterranean-style meals. Search for healthy and delicious recipes you’ll enjoy, make a meal plan every week, and schedule times when you’ll be able to cook. Then, find ways to make cooking fun. Host a themed dinner party or invite friends over to cook a meal together. When you’re finished cooking, sit down and enjoy the fruits of your labor.”

    Nurture strong social ties through communal eating. Every country and culture in the Mediterranean has its own way of encouraging people to eat together. (In fact, eating alone was once frowned upon throughout the region!) Restaurant dining is a rarity, and most meals are served family-style at home. This tradition has been linked to improved digestion and eating less overall. Further, eating with others contributes to overall well-being.

    “Even modern researchers have concluded that having at least three confidants whom you can call upon after a bad day plays a great role in longevity,” says Riolo. “Sharing the table with people you care about can be even more rewarding—it provides a sense of comfort, security, and stability. Strive to enjoy regular communal meals with your loved ones. Pencil it into your schedule, as you would any other activity, and when you can, include meal prep as part of the fun! In addition to having regular family dinners, enjoy lunch outings with coworkers and host a potluck dinner party with friends.”

    Get physically active. Americans don’t typically get the 30 to 60 minutes of physical activity we need daily. When this is compounded with an unhealthy diet, it causes weight gain that can lead to diabetes, clogged arteries, and other health problems. But in the Mediterranean region, the simple tasks of daily life—things like hanging clothes out to dry, shopping, and cooking—naturally require more activity and calorie expenditure. Nightly walks with family and friends, more walking due to limited parking, and the abundance of stairs also keep people healthy throughout the region. Try the following ways to incorporate exercise into your routine.

    • Play a team sport.
    • Garden.
    • Take the stairs and walk whenever possible.
    • Take walks after meals.
    • Sign up for exercise and/or dance classes.
    • Meet friends and relatives at parks, gyms, sports meets, or lessons, rather than at restaurants.
    • Invite people to walk and window shop while catching up instead of sitting down and talking.
    • Cook your own meals! Shopping for produce at markets, going grocery shopping, preparing food, and cooking are great ways to burn additional calories.

    “You’ll get the greatest benefit from the Mediterranean diet when you think of it as a part of a healthy lifestyle,” concludes Riolo. “The food you eat is important, but so is enjoying that food with a network of people you care about, and getting up and moving so your body stays strong and healthy. Together, these changes create lasting wellness and vitality.”

    About the Author: 
    Amy Riolo is the author of The Mediterranean Diabetes Cookbook, 2nd Edition: A Flavorful, Heart-Healthy Approach to Cooking (American Diabetes Association, May 2019, ISBN: 978-1-580-40702-1, $22.95). She is an award-winning, best-selling author, chef, television personality, and educator.

    A graduate of Cornell University, Amy is considered a culinary thought leader who enjoys changing the way we think about food and the people who create it. Amy is a food historian, culinary anthropologist, and Mediterranean Diet advocate who makes frequent appearances on numerous television and radio programs both in the United States and abroad, including FOX TV, ABC, CBS, NBC, the Hallmark Channel, Nile TV, the Travel Channel, Martha Stewart Living Radio, and Abu Dhabi Television.

    For more information about Amy, please visit www.amyriolo.com.

    About the Book:
    The Mediterranean Diabetes Cookbook, 2nd Edition: A Flavorful, Heart-Healthy Approach to Cooking (American Diabetes Association, May 2019, ISBN: 978-1-580-40702-1, $22.95) is available at bookstores nationwide and from major online booksellers.

  • Health,  Los Angeles,  New York

    Come to the Communal Table for Health and Happiness

    Sharing meals is a way of life in the Mediterranean region, but most people in the U.S. are missing out on this beneficial (and tasty!) tradition. Just in time for National No One Eats Alone Day on February 15, Amy Riolo shares insights about enjoying meals together and some delicious recipes too!

    I definitely enjoyed sharing foods with family and friends as I grow up in a traditional Chinese family. It brings a lot of happiness and interaction when you are eating. You know, it is not only about foods, but also a very great experience.

    Most of us treat mealtimes as an afterthought. We grab breakfast on the go, inhale fast food lunches at our desks, and squeeze in evening meals amid a flurry of activities. We’re lucky if we find time to sit down for Sunday dinner or meet friends for a midweek catch-up meal. But overall, communal eating is the exception, not the rule.  

    Best-selling author, chef, television personality, and educator Amy Riolo says this needs to change for the sake of our health and our happiness. And since February 15 isNational No One Eats Alone Day (an initiative to help middle school students feel included, valued, and accepted by their peers), now is the perfect time for us all to embrace more shared meals.

    “Eating alongside other people has many proven health and social benefits,” says Riolo, author of the American Diabetes Association’s The Mediterranean Diabetes Cookbook and its new and improved second edition, The Mediterranean Diabetes Cookbook, 2nd Edition: A Flavorful, Heart-Healthy Approach to Cooking (American Diabetes Association, May 2019, ISBN: 978-1-580-40702-1, $19.95). “Communal eating is a long-upheld tradition in Mediterranean communities, where people live longer and enjoy great health. Americans can greatly benefit from adopting these practices and enjoying the foods eaten in this region.”

    You’ve likely heard of the Mediterranean diet, which was just named best overall diet of 2019 and is linked to preventing heart attacks, strokes, and diabetes; longevity; and reducing inflammation. This eating pattern focuses on seasonal produce, fish and seafood, poultry, eggs, dairy, and small amounts of meat and sweets.

    When combined with lifestyle choices like communal eating and physical activity, the Mediterranean diet is believed to contribute to remarkable longevity in the region. For example, residents in Sardinia are ten times more likely to live past 100 than people in the United States. Researchers attribute this to daily communal eating and the psychological security of being surrounded by loved ones. But every country and culture in the Mediterranean region has its own way of encouraging people to plan meals and eat together, and this tradition also has been linked to improved digestion and eating less overall.

     “It can be difficult given our demanding work schedules,” says Riolo, “but the benefits are truly worth the effort. Even when it isn’t possible to be with someone else (in my case, when I am writing at home and am alone), I will send a message to a loved one and arrange to call—often via Facetime or Skype with them when I’m eating. It has become a ‘thing’ with my family and writer friends—and it makes me feel great that I can both catch up with others and my work at the same time.”

    Starting your own tradition of eating with friends and family is easy to do. Here are a few simple ideas to help you enjoy more meals with others:

    Schedule meals with others into your weekly planning. Just as we plan going to the movies, working out, carpooling, the theater, or spectator sports with one another, we should also plan our meal times and physical activity. Even if you start with just one meal a week, it is worth it to pencil it into your schedule so you can plan accordingly.

    Remember, communal meals don’t have to mean dinner. Many people have the most interaction with others during their work day—so lunchtime is a great time to eat together. Ask your coworkers to join you for your midday meal or invite a friend to lunch. 

    Make breakfast the new dinner. You can bond just as easily over breakfast as you can over dinner. Busy couples and families are taking advantage of a communal breakfast to enjoy a bit of time together before their hectic days begin.

    Allow cooking to be part of the communal eating experience. Some people refrain from entertaining because they believe that they have to have everything “ready” for whomever they’re eating with, and busy schedules don’t allow for prep work. If you can relate, keep in mind that it can be fun and efficient to work as a team. Assign one person the responsibility to pick up the groceries—or order them online—and cook together. It allows for morecommunal time in the kitchen. 

    Now that you’re ready to sit down and enjoy a healthy and delicious meal with others, keep reading for a few of Riolo’s favorite Mediterranean recipes:

    Valencian Seafood Paella (Arroz en paella)

    Gluten-free

    Serves: 8

    Serving size: 1 cup

    Prep time: 10 minutes, plus 10 minutes resting time

    Cook time: 40 minutes

    Paella is known as arroz en paella in its homeland of Spain. Original paella recipes consisted of rabbit, chicken, snails, and beans. The paella pans were rubbed in ash and cooked over orange wood. This “party in a pot” is said to be a descendant of Arabian kabsah, a similar dish originating in the Arabian peninsula. Arabs introduced rice into southern Spain in the ninth century, along with spices like saffron. 

    2 Tbsp extra-virgin olive oil

    1 yellow onion, diced

    1/4 lb jumbo shrimp, peeled and deveined*

    1 lb baby squid, cleaned and sliced into rings

    1/2 lb boneless white fish fillets, such as cod or swai

    1 1/2 cups medium-grain Spanish rice

    1/2 lb frozen lima beans, thawed and drained

    Pinch high-quality saffron

    2 tsp sweet paprika

    1 clove garlic, chopped

    2 Tbsp fresh flat-leaf parsley, finely chopped

    5 cups Homemade Seafood Stock (p. 37)

    1/2 tsp kosher salt

    1/4 cup jarred pimiento peppers 

    Heat oil in a large, wide skillet over medium heat. Add onion and cook until golden brown (about 5 minutes). Add shrimp, squid, and fish to pan. Cook until barely opaque. Add rice and lima beans, and stir in saffron, paprika, garlic, and parsley. Pour the stock over the top of the mixture and add salt. Increase heat to high to bring to a boil, then reduce heat to low and stir. 

    Cook paella, uncovered, for 30–40 minutes or until all liquid is absorbed, stirring occasionally. When paella is done, allow to stand at room temperature for 10 minutes. Garnish with pimientos, and serve warm. 

    *If possible, use fresh (never-frozen) shrimp or shrimp that are free of preservatives (for example, shrimp that have not been treated with salt or STPP [sodium tripolyphosphate]). 

    Choices/Exchanges

    2 1/2 Starch, 2 Lean Protein

    Calories                      280

    Calories from fat        40

    Total fat                      4.5 g

    Saturated fat               0.8 g

    Trans fat                     0.0 g

    Cholesterol                 145 mg

    Sodium                        240 mg

    Potassium                   360 mg

    Total carbohydrate      39 g

    Dietary fiber                  3 g

    Sugars                            1 g

    Protein                         20 g

    Phosphorus                220 mg

    Corsican Prawns with Chickpea Cream

    Gluten-free 

    Serves: 8 

    Serving size: about 1/3 cup purée plus 3 shrimp

    Prep time: 5 minutes

    Cook time: approximately 5 minutes

    Prior to becoming a French island, the beautiful Corsica was ruled by Italy for centuries. By combining both Italian and French country-style cooking with local specialties, Corsica developed a cuisine as awe-inspiring as its scenery. Traditionally this recipe is made with fresh langoustines, which are shellfish that resemble miniature lobsters. In this recipe, colossal or jumbo shrimp can be used.

    2 1/2 cups cooked chickpeas, or canned no-salt-added chickpeas, drained and rinsed

    1/4 cup fresh lemon juice

    2 cloves garlic, minced

    1/4 cup extra-virgin olive oil, divided

    1 1/2 lb colossal or jumbo shrimp, peeled and deveined*

    Dash crushed red pepper

    2 tsp freshly chopped rosemary

    1/2 tsp kosher salt

    1/4 tsp freshly ground black pepper

    Place chickpeas, lemon juice, garlic, and 2 Tbsp olive oil in a food processor. Purée, adding 1/4 cup water, or enough to make the purée smooth.

    Heat remaining 2 Tbsp olive oil in a large skillet over medium-high heat. Add prawns or shrimp, crushed red pepper, rosemary, salt, and pepper. Cook, uncovered, for 2 minutes per side or until prawns or shrimp turn pink.

    Evenly spoon chickpea purée onto small plates. Flatten with the back of a spoon. Place prawns or shrimp on top and serve immediately.

    *If possible, use fresh (never-frozen) shrimp or shrimp that are free of preservatives (for example, shrimp that have not been treated with salt or STPP [sodium tripolyphosphate]).

    Choices/Exchanges

    1 Starch, 2 Lean Protein, 1/2 Fat

    Calories                      190

    Calories from fat        70

    Total fat                      8.0 g

    Saturated fat               1.1 g

    Trans fat                     0.0 g

    Cholesterol                 90 mg

    Sodium                      180 mg 

    Potassium                 290 mg

    Total carbohydrate     15 g

    Dietary fiber                 4 g

    Sugars                             3 g

    Protein                        16 g

    Phosphorus               200 mg 

    Lamb, Kale, and Pomegranate Salad

     Gluten-free

    Serves: 8  

    Serving size: 3 oz lamb with 1 1/2 cups vegetables

    Prep time: 5 minutes, plus overnight marinating time and 15 minutes resting time

    Cook time: 25–35 minutes 

    This colorful salad looks as good as it tastes. The addition of lamb lends a “special occasion” feel to this otherwise straightforward dish, while the pomegranate amps up the flavor.

     Marinade 

    1 1/2 cups pomegranate juice

    3 Tbsp extra-virgin olive oil

    3 cloves garlic, chopped

    1 Tbsp ground ginger

    1 Tbsp organic Ceylon cinnamon

    2 tsp cumin

    1 tsp unrefined sea salt

    1/2 tsp freshly ground black pepper

    1 (4-lb) leg of lamb, deboned, butterflied, and trimmed of visible fat

    Dressing

    2 tsp Dijon mustard

    2 Tbsp pomegranate balsamic vinegar

    1/4 cup extra-virgin olive oil

     Salad

     5 cups baby kale

    2 bulbs fennel, thinly sliced

    1/2 cup pomegranate seeds, or sliced red grapes

    4 cups blanched green beans

    2 Tbsp crumbled gorgonzola cheese

    1/4 cup walnut halves, toasted

    Combine marinade ingredients in a large resealable plastic bag. Add lamb and place in refrigerator for 8 hours or overnight.

    Remove lamb from marinade, pat dry, and set on tray. On gas grill, turn all burners to high, close lid, and heat until hot, about 15 minutes. Scrape grates clean and brush with oil.

    Grill lamb, fat-side down, over medium-high heat for 25–35 minutes total depending on desired doneness, turning halfway through cooking. Aim for an internal temperature of about 145°F for medium-rare and 160°F for medium. Remove from grill and loosely cover with foil. Let rest about 15 minutes, then thinly slice. While resting, prepare salad.

    In a large bowl, whisk together all dressing ingredients. Season with salt and pepper (if desired). Add kale, fennel, pomegranate seeds or grapes, and toss to coat. Arrange dressed salad on platter and top with sliced lamb, green beans, gorgonzola cheese, and toasted walnuts.

    Choices/Exchanges

    1/2 Carbohydrate, 2 Nonstarchy Vegetable, 4 Lean Protein, 2 1/2 Fat

    Calories                      380

    Calories from fat        190

    Total fat                      21.0 g 

    Saturated fat                 5.1 g

    Trans fat                       0.0 g

    Cholesterol                    95 mg

    Sodium                        240 mg

    Potassium                   830 mg

    Total carbohydrate       16 g

    Dietary fiber                   5 g

    Sugars                                         6 g

    Protein                          32 g

    Phosphorus                 295 mg

                “Even though it can be difficult to arrange more shared meals, it’s totally worth it when you think about all you will gain,” concludes Riolo. “So, plan a group brunch for you and your friends, or invite the whole family to your place for dinner and a movie, or help your kids plan a fun and healthy food-themed party. You’ll be starting your own tradition and gaining a lifetime of health and happiness.”

    About the Author:

    Amy Riolo is the author of The Mediterranean Diabetes Cookbook, 2nd Edition: A Flavorful, Heart-Healthy Approach to Cooking (American Diabetes Association, May 2019, ISBN: 978-1-580-40702-1, $19.95). She is an award-winning, best-selling author, chef, television personality, and educator.

    A graduate of Cornell University, Amy is considered a culinary thought leader who enjoys changing the way we think about food and the people who create it. Amy is a food historian, culinary anthropologist, and Mediterranean Diet advocate who makes frequent appearanceson numerous television and radio programs both in the United States and abroad, includingFOX TV, ABC, CBS, NBC, the Hallmark Channel, Nile TV, the Travel Channel, MarthaStewart Living Radio, and Abu Dhabi Television.  

    For more information about Amy, please visit www.amyriolo.com.

    About the Book:

    The Mediterranean Diabetes Cookbook, 2nd Edition: A Flavorful, Heart-Healthy Approach to Cooking (American Diabetes Association, May 2019, ISBN: 978-1-580-40702-1, $19.95) will be available at bookstores nationwide and from major online booksellers.

    About the American Diabetes Association:

    Nearly half of American adults have diabetes or prediabetes; more than 30 million adults and children have diabetes; and every 21 seconds, another individual is diagnosed with diabetes in the U.S. Founded in 1940, the American Diabetes Association (ADA) is the nation’s leading voluntary health organization whose mission is to prevent and cure diabetes, and to improve the lives of all people affected by diabetes. The ADA drives discovery by funding research to treat, manage and prevent all types of diabetes, as well as to search for cures; raises voice to the urgency of the diabetes epidemic; and works to safeguard policies and programs that protect people with diabetes. In addition, the ADA supports people living with diabetes, those at risk of developing diabetes, and the health care professionals who serve them through information and programs that can improve health outcomes and quality of life. For more information, please call the ADA at 1-800-DIABETES (1-800-342-2383) or visit diabetes.org. Information from both of these sources is available in English and Spanish.