Eating Better for Better Health

Post Polio Syndrome is a chronic medical condition. It is in our best interests to eat as well as possible. There doesn't seem to be one best dietary plan for people with PPS. Some are not eating enough necessary nutrients, such as protein. Some are not eating enough calories, and others feel they need to lose weight. All of us need a good basic dietary plan that includes the proper amounts of protein, carbohydrates, and fats.

Nutrition 101: All nutrients are provided by the natural foods on the food guide pyramid. To simplify things, I am going back to just four food groups by keeping fruits and vegetables together in just one category.

GRAINS:
(6 to 11 servings a day)
Try out different kinds of whole grains, breads, flours, rices, and pastas. These foods are an important source of complex carbohydrates. Look for cereals that are made with whole grains (oatmeal, shredded wheat, and others), no added sugar, and try using fruit to sweeten them. If you eat other cereals, be sure to read the label, and try to find a cereal less than 6 grams of sugar per serving. Try making your own cereal, like granola.

FRUITS and VEGETABLES:
(5 or more servings a day)
Fresh fruits and vegetables provide vitamins, minerals, and fiber. The more different fruits and vegetables you eat, the more nutrients your body will get. You need to get a good source of Vitamin C daily from foods like citrus fruits, tomatoes, or broccoli. You also need to include a good source of Vitamin A (broccoli, carrots, etc.) Most vegetables also contain some protein (just a nice little bonus). The potato, for example, contains a lot of the nutrients our bodies need. But, for optimal health you need as much variety in foods as you can handle. Keep juice to a minimum as it has little fiber and is more calorie dense than eating a whole fruit.

LEAN MEATS, and PROTEIN ALTERNATIVES
Fish, Poultry, Eggs, Soybeans and Legumes
(2 or 3 servings a day)
There are animal and vegetable proteins. Animal proteins are generally complete protein (containing all essential amino acids). You might want to try eating some good vegetable proteins which have little or no fat. Soybeans are also a complete protein. Tofu (which is made from soybeans) can be cut up and added to foods, like tuna salad. Tofu, by itself is rather tasteless, and you need some good, tasty recipes for it. Textured vegetable protein (TVP) is dry soybean granules that need to reconstituted to use, but works nicely in recipes that use ground meat (substitute TVP for all or some of the meat).

DAIRY and other calcium sources:
(2 or 3 servings a day)
Low fat milk, cheese, yogurt provide necessary calcium and vitamin D, as well as some protein. If you can't eat dairy, then be sure you get plenty of other calcium-rich foods: dark green vegetables, broccoli, soybeans, tofu and other soy products, as well as calcium-enriched orange juice. If you want to eat some dairy products but they don't digest well, try the lactose-reduced dairy products. If you are not getting enough calcium, you need to take a calcium supplement.

Maintaining a Healthy Weight: We are all different body types, and if you need to lose a lot of weight, you need to see a professional. Checking your Body Mass Index (BMI) is a good place to start, because it will tell you whether or not you are at risk for diseases caused by overweight. There are lots of weight loss programs that don't work, aren't based on facts or research, and will just cost you money. The Mayo Clinic Web site has a lot of information and reiterates that slow and steady weight loss (1 to 2 pounds a week) is what is best. It is then a lifestyle change that you do for life. It is not about denial, but in choosing nutritious foods (at least most of the time).

When choosing a healthy food plan:

A healthy dietary plan will not require you to eliminate certain foods while suggesting that you can eat all you want of other foods. It will not depend on supplements, book, or tapes that you need to buy. Be very careful how you spend your money.

A dietary plan that uses exchanges, which are groupings of similar foods, is similar to the Diabetic Dietary Plan or the Hypoglycemia Dietary Plan can be very useful in planning and adjusting what you need to eat to maintain, lose, or even gain weight. Weight Watchers is a program that works for many people and is based on good nutrition information.

According to Susan Creage, a research fellow at the Post Polio Institute: "When we put polio survivors on a hypoglycemia diet, that requires eating protein at breakfast and small, non-carbohydrate snacks throughout the day they had a remarkable reduction in nearly all symptoms of post-polio fatigue."

Making lifestyle and food changes is not easy, but you can eat and live better if you make one small change at a time rather than trying to do it all at once. Be sure to keep the taste and the fun in your foods. If you can't make changes in a favorite food to make it more healthy, then just try to eat it less often. When you decide to eat something less nutritious, don't feel guilty. Enjoy a small serving of a favorite food! I feel food must taste good, so I strive to keep all the taste while trying to eat well, but we are all human and don't always make the best choices. So be it. Tomorrow is another great day.

If you have a condition that restricts the foods you can eat even more, you will have to tailor your diet to meet your needs. There are a lot of organizations that have websites to help you find a support group or to swap recipes. These are some resources for you to try:

Not sure where to start? Try reading "10 Steps to a Healthy 1998" for some good ideas. Try a basic, easy to read book, like Jane Brody's Nutrition Book. A once overweight Jane Brody said that if she couldn't lose weight she was at least determined to be healthy. So, she gave up dieting, starving, and bingeing. She ate wholesome meals and snacks, and exercised regularly. Today she is 35 pounds lighter than when she gave up dieting 25 years ago. Read a USDA booklet about the Food Guide Pryamid online. Get a water filter for your drinking and cooking water. Look up one nutritious, tasty recipe to use in place of something less nutritious. Take one small step at a time. But most of all, be good to yourself: you are worth it!

Links to other articles on PPS and Nutrition:
Polio Network News, Winter 1998
Nutrition and Post-Polio by Lauro S. Halstead, MD

Post-Polio Health, Summer 2003
Foods that Shut Down STRESS

This information is not intended as a substitute for consulting with your health care professional.
You can find a Registered Dietitian by calling: 1-800-366-1655
or at the American Dietetics Association Web Site.


This page was researched and compiled by Janice Hartman.
My background includes a BS in Home Economics Education and Nutrition.
Former Assistant Nutritionist and Lactation Specialist for a Federal Supplemental Food Program,
Former International Board Certified Lactation Consultant (IBCLC)
and Polio survivor now living with Post Polio Syndrome since 1989.

©2004 JKH
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