Archive for November, 2007



Watch Martha’s Video on Weight Loss at New York Presbyterian Hospital

November 30th, 2007

I  lectured at New York Presbyterian Hospital  back in May 2007 . The title was  “I’m Tired of Weighting: New Treatments for Obesity“. I presented this lecture with Dr. Louis Aronne and Dr. Jonathon Waitman.

I lectured for 30 minutes then took part in a panel discussion. Here is an excerpt of the lecture (starting with discussing overweight dogs!):


Share This Tags:

Related posts



Bizarre Place to “Stash Food” on Nip/Tuck

November 28th, 2007
Posted in Wellness | No Comments »

City girls - looking for a new place to hide food from your boyfriend or husband? Nip/Tuck shows you a new location …. 

 Not a real informative post today… a rather ridiculous one (but I couldn’t resist!). Does anyone watch Nip/Tuck?  While I’m not a huge TV person, this is one of the shows I will watch if I’m home (on Tuesday at 10 pm and Sun 10 pm repeats on channel FX).  For those people who watch it, we are all well aware it is “over the top”.

I found last weeks episode (11/21) to be particularly bizarre with regards to the “food isssues” . Quick recap … Sean (one of the leading doctors pictured on the right) has a new girlfriend named Kate. She had a gastric bypass a while back and lost 150 pounds.  Patients who have had this surgery need to follow a  special that is higher in protein, very low in sugar and include multiple mini meals. However Kate has gone off the , has started to binge and is regaining weight. Sean found several peanut M&M’s in their bed. Kate confessed to eating “one” pack of M&M’s instead of dinner. Sean then proceeded to find 5 jumbo packs of M&M’s under the bed. Kate confessed to binging. 

 Sean wanted to help her avoid eating more junk food so he  asked her where her secret stash of junk food was kept so he could get rid of it. Kate directed him toward the tank on her toilet!  Sean pulled out a plastic bag containing Fluffernuter out of the toilet.                                          

Who else besides the writers on Nip/Tuck could have thought of such a hiding place?

On a more serious note, the show brought up some good issues of how hard it can be to stick to an appropriate eating plan. Kate mentioned that she thinks of crispy cream donuts all the time and has been giving into her cravings. I think most of us can relate to this on some level.


Share This Tags:

Related posts



Recover from Your Turkey Day Gorge

November 26th, 2007

1196088972_1196088952_dsc_0083.jpg1196088972_1196088952_dsc_0083.jpgHope everyone had a nice Thanksgiving! I must say that I didn’t follow 1196088972_1196088952_dsc_0083.jpgmy own Thanksgiving Day eating tips  - including “overeat in moderation”.  This girl from citygirlbites had too many bites, especially of desserts. Yes, that it is  a picture of me eating 4 desserts - 3 of them chocolate. Check out this post for more of my personal chocolate stories!

My feeling is that Thanksgiving is one day (or perhaps several days if you are home for the long weekend like me) of eating more than usual. This can cause some people to feel out of control. The key is to get back on track and not gain “eating momentum”. Take control before the holiday season really gets underway.

 Here are some tips to get back on track:
1. Don’t beat yourself up for eating more than you planned! This is the worst thing you can do as it usually leads to a hopeless feeling which will likely contribute to even more eating. Let it go and get back to your usual plan.

2. For those people who weigh themselves, it might be a good idea to avoid the scale for a few days. Even one day of overeating can cause a 2-3 pound weight increase on the scale. While part of this gain may be due to fat storage, the majority is fluid retention from the extra carbohydrates and sodium. You need to consume an extra 3500 calories on top on your maintenance calorie level (maintenance calorie level is ~ 1800 calories for the average women and 2100 for the average man).  Even if the scale showed a gain of 2 pounds over Thanksgiving, I would tend to doubt you consumed an extra 7000 calories in addition to your maintenance calories. This would mean 8800 calories for the average women and 9100 calories for the average man!                                                                          

3. Add in a few extra long sessions of exercise. Not only will this burn off some of the turkey day calories, it will help you feel better physically and psychologically.

4. For those of you who really overdid it and want a little jump start after your Thanksgiving  gorge, try a lower carb low sodium for 2-3 days. This will help you shed water weight as well as some fat. While I usually don’t recommend rapid or really low carb diets, there is no danger in following this type of plan for a few days. It can be motivating to see the scale drop by several pounds. You would then ease into a more realistic eating plan.

Sample meals:                                                                

Breakfast (pick one):  egg whites with veggies or one slice of whole grain toast with 1 T. peanut butter or 1 cup cottage cheese with 1/2 cup fruit

Snack( pick one): 1/2 oz nuts such as 12 almonds, 20 pistachios. 14 peanuts, 9 cashews or a string cheese or a fruit

Lunch (pick one):  5 oz grilled chicken on a salad, 2 cups assorted veggies, 1 T. oil and unlimited vinegar or 5 oz grilled salmon or skinless poultry and steamed veggies or egg white omelet with veggies.

Snack(pick one): piece fruit, nuts as above, string cheese, nonfat yogurt, 1/2 cup cottage cheese

Dinner (pick one): 5 oz lean meat, fish or skinless poultry, grilled or baked plain, no sauce with unlimited veggies, preferably steamed plain.

In addition: Drink at least 10 cups of water. No alcohol. No bread or other starch (except as allowed on meal plan).


Share This Tags: ,

Related posts



Was It the Turkey That Made You Tired After Thanksgiving….

November 23rd, 2007
Posted in Wellness | No Comments »

or the 2000 calorie meal?!!!  Many people believe that it is the turkey that makes you tired after your hearty Thanksgiving meal. I also have clients who avoid turkey sandwiches at lunch because they think it makes them tired in the afternoon. Hmm … I wonder if you ate your usual large portions of stuffing, mashed potato, sweet potato,  gravy,  cranberry sauce, several woman-sleeping-on-couch.bmpwoman-sleeping-on-couch.bmpdesserts, wine, etc.,  BUT avoided the turkey, if you would be less tired? I doubt it … I bet the couch would still be calling your name.

Why does turkey supposedly make you tired?
Turkey is often cited the culprit in the fatigue that can occur after a meal. This is because turkey contains L-tryptophan, an essential amino acid. L-tryptophan is used by the body for the production of serotonin,  a neurotransmitter that exerts a calm feeling and helps to regulate sleep. So in theory it would make sense that turkey might ultimately make you sleepy.

Here is the catch..
L-tryptophan really needs to be taken on an empty stomach to produce feelings of sleepinness. This is because there are other amino acids in turkey. They all compete with L-tryptophan to get into the brain. Because of the competition, L-tryptophan has a more difficult time getting into the brain to “do its thing.”  It is also interesting to note that other foods contain as much or more tryptophan than turkey (0.333 g of tryptophan per 100 gram edible portion), including chicken (0.292 g of tryptophan per 100 gram edible portion), pork, and cheese. These foods also contain other amino acids so they also don’t make you tired.

So what does make you tired after your Thanksgiving meal?
Fatigue likely occurs from overeating, alcohol and relaxing after a good meal.

If turkey doesn’t make you tired, what foods do?
It is actually a carbohydrate rich meal versus a protein rich meal that increases levels of L-tryptophan, which in turn leads to serotonin synthesis and fatigue. This is because carbohydrates (i.e. bread, pasta, potato, rice) stimulate the pancreas to secrete insulin. When this occurs, some amino acids that compete with tryptophan leave the bloodstream and enter muscle cells. This causes an increase in the relative concentration of tryptophan in the bloodstream. Serotonin is synthesized and you feel that familiar sleepy feeling. Check out this link for a more detailed explanation.

So does this mean I should avoid all carbs if I want to stay alert?
Not at all! Your body (including your brain) needs some carbs for energy production. Have you ever tried to do a long run at the end of a day without eating any carbs? You probably don’t feel like the energizer bunny. However I would not recommend consuming jumbo portion of carbs when you want peak energy levels,   especially if the carbs are processed and eaten alone without protein. For example, a large bowl of pasta with a few pieces of bread isn’t the best lunch choice. The chances are pretty good that you will feel an afternoon slump in energy levels. Check out this link for more energizing eating tips.


Share ThisNo tag for this post.

Related posts



Even Nutritionists Have Bad Eating Days…

November 20th, 2007

mm.bmpI am always telling my clients “don’t wait too long to eat … eat something every few hours … once you get low blood sugar (or too hungry), it is likely you’ll overeat not-so-healthy foods”. 

I had a client in my office this week who has a crazy schedule. She’s having a difficult time eating on a regular schedule and ends up going too long between meals. This in turn, contributes to some unhealthy dinner choices. She knows I work long hours and asked me how I did it. I told her I usually plan snacks to eat every few hours on my long days. However I shared the following story with her to show what can happen if I don’t follow my own advice!

The sequence of events are as follows…
- I was traveling to Chicago to give a lecture.
- Ate my usual healthy breakfast (Total yogurt, fruit, cereal) around 7:30 am.
- Running late and barely made the flight so had I no time to pick up food at the airport. Didn’ t eat anything on the plane.
- Got to the hotel at 4:30 pm. By that time, I felt quite lightheaded, irriatable and had trouble concentrating. Not a great position to be in sandwhich-and-fries.bmpwhen you had to give a lecture to 100 doctors in an hour.
- So I ordered in room service from the hotel. I was so hungry that I didn’t make an “appropriate” food selection. A oversized tuna sandwich with a large portion of fries arrived at my door. I know that overeating leads to fatigue, so I told myself I would eat only 1/2 of the sandwich … and no fries of course. However once I started eating, I couldn’t stop. 1200 calories later, I had finished the whole meal.
- Now the food coma started. I had to have several cups of coffee to come out of it.

The story continues…
- Dinner was served to the attendees while I spoke. I wasn’t able to eat dinner after the lecture as I was part of a panel discussion (was able to drink some red wine though!).
- So now it’s 10 mm.bmppm -  no dinner, 2 glasses of wine. I thought it was too late to order room service dinner. So what did I do …  went to the gift shop and got a jumbo bag of M&M’s. For some reason, after I have a drink or two, all I want is chocolate.

So that is my “confession”! Even nutritionists are human and don’t always follow their own advice. The point of my little story is to show what can happen if you go too long without eating. Taking the time to plan healthy snacks for in between meals can help to prevent low blood sugar. Not only will this increase your energy levels, it will also help you make healthier meal choices.


Share This Tags: ,

Related posts



Let’s Talk Turkey

November 17th, 2007

turkey2.bmpturkey2.bmpThanksgiving will be here in less than one week.  Some of you may be looking forward to spending time with your family and/or friends and enjoying a good meal. Others may be looking forward to a day of overindulging. Thanksgiving  gives us many of us the green light to gorge.  Just the word “Thanksgiving” conjures up thoughts of overeating. For those of you who are trying to watch your weight, you may be feeling a little anxious as how to handle this food filled day.

Here are some tips to trim your turkey day:

1. First of all, I want to say that Thanksgiving is not the day to . Expect to go off your eating plan. I tell my clients to allow themselves to “overeat in moderation”. Telling yourself that you have to stick to your eating plan 100% will only set you up for failure.

2. Eat the foods you really like.  No need to take a helping from every plate that gets passed. If you don’t like Aunt Mary’s creamed green beans (or whatever that dish is called with green beans, cream of mushroom soup and onion rings),  skip it. Why eat the dinner roll when you can eat rolls anytime?

3. White meat turkey is the perfect “” food (not that I love the word “”). Fill up your plate with turkey and veggies. Take smaller portions of the higher caloric foods such as stuffing, gravy, potato, cranberry sauce, etc.

4. Eat slow. Watch your family and friends overindulge.

5. If you are going to a friends home for Thanksgiving, ask if you can bring a dish. Bring something healthy. If you are cooking the meal, include some dishes that are lower in fat, salt and sugar. Tasty food doesn’t have to be loaded with fat and/or sugar. I’m sure your other guests will appreciate some lower calorie dishes.

6. Be careful with the appetizers before dinner.  A few handfuls of wine-cheese-crax.bmpnuts,  some cheese and crackers and a glass or two of wine can add up to over 800 calories.

7. Keep in mind that the alcohol calories add up quickly. Not only does alcohol contain “empty calories”, it also can lower your resolve to watch what you eat.

8. One of the major problems with Thanksgiving is not the actual meal itself, but the lingering leftovers (stuffing, gravy, desserts). This is a problem for those people who are having Thanksgiving in their home as well as for those people who are going home for the long weekend. I would suggest that you give your guests doggie bags that include the fattening leftovers. Save the white meat turkey and veggies for yourself!

9. Thanksgiving is not just about the food - try to focus on family and friends.  

10. If you end up eating a lot more than you planned, don’t beatwoman-eating-cake.bmp yourself up. Just get back on track the next day (or at least by Monday!). Remember the real damage is not done in one or two meals woman-eating-cake.bmpbut by the mentality of “well I overdid it, so I might as well continue”.

Here are calories of foods we typically eat/drink on Thanksgiving:

Food / Serving Size Calories            
   
**Beverages  
Wine, 5 oz 100
Regular beer, 12 oz 150
Apple cider, 4 oz 60
   
**Hors D'oeuvres  
Mixed nuts, 10 100
Cheese, 1 oz 100
Plain crackers, 5 50
Chips, 10 100
Pretzels, 1 oz 110
Olives, 5 50
Shrimp, 4 medium 50
Caviar, 1 T. 50
Dips, 2 T. 100
Stuffed mushrooms, 2 100
Clams, oysters, 3-4 50
   
**Typical Holiday Menu  
Roast turkey, 3.5 oz  
- white meat, no skin 160
- dark meat, no skin 190
Mashed potato, 1/2 cup (made with butter and milk) 110
Turnips, 1/2 cup (no added fat) 25
Creamed spinach, 1/2 cup 100
Gravy, 1/4 cup (made from meat drippings) 165
Stuffing, 1/2 cup 200
Candied sweet potato, 1/2 cup 175
1/2 medium potato (white or sweet, plain) 100
Steamed broccoli, 1/2 cup 25
Creamed onions, 1/2 cup 100
Cranberry sauce, 1/2 cup 200
Dinner roll, 1 medium 100
1 T. butter 100
   
**Desserts  
Mincemeat pie, 1 slice 450    
Apple pie, 1 slice 400            
Pumpkin pie, 1 slice 350    
Cheese cake, 1 slice 400
Chocolate candy, cream center 100            
Pecan pie, 1 slice 450

 

pecan-pie.bmp


Share This Tags: ,

Related posts



Chef Rick Tramonte’s Farro Recipe and Marinated Swordfish Recipe

November 14th, 2007

rick-cooking2.bmp I am posting the recipes for  two of the dishes that Chef Rick prepared at the Novartis meeting in Chicago. They were delicious, healthy, low in fat, sodium and calories … and easy to prepare. I had heard of farro before but had never tasted it.  Farro is a whole grain that is high in protein and fiber. It takes about 40 minutes to cook. I would recommend you try it as it’s much tastier and healthier than white rice or white pasta.

Farro with Vegetables
Serves 4

¾ cup finely diced onions
1 cup uncooked whole-grain farro
2 quarts chicken or vegetable stockfarro.bmp
freshly ground black pepper

Vegetables:
 1T olive oil
1 tablespoon slivered garlic
12 pearl onions, blanched
½ cup diced fennel
½ cup sliced slender green beans (also called French beans)
1/3 cup diced zucchini
1/3 cup corn kernels (about 1 ear)
16 red and yellow cherry tomatoes, halved
½ cup Kalamata olives, pitted and quartered
¼ cup julienned fresh basil
Kosher salt and freshly ground black pepper
½ cup freshly grated Parmigiano-Reggiano cheese
3 tablespoons unsalted butter
1 tablespoon sherry vinegar
 1T extra virgin olive oil
1 tablespoon chopped fresh flat-leaf parsley

1. To prepare the farro:  heat the olive oil over medium-high heat in a large saucepan and cook the onions for 2 to 3 minutes, until softened but not colored.  Add the farro and stir until lightly toasted and evenly coated with butter and onions.
2. Meanwhile, in a separate saucepan, heat the stock over medium-high heat until simmering.  Adjust the heat to keep it at a low simmer.
3. Reduce the heat under the farro to medium and in three additions (similar to cooking risotto), slowly stir the stock into the farro until it absorbs the liquid and is cooked through.  This will take 35 to 40 minutes.  Reserve any stock you don’t need.  Season to taste with salt and pepper.  Cover to keep warm and set aside.
4. To prepare the vegetables:  Heat the olive oil in a large sauté pan over medium-high heat and sauté the garlic for about 30 seconds.  Add the onions, fennel, beans, zucchini, squash and corn and cook for 3 to 4 minutes, or until the onions soften.  Add the tomatoes, olives and basil and cook for 1 to 2 minutes.  Season to taste with salt and pepper.
5. Stir the vegetables into the farro.  Set the saucepan over medium heat and add the grated cheese, butter and vinegar.  Stir gently and season with salt and pepper to taste.  Add more stock if needed to produce a creamy, risotto-like consistency.
6. Divide the farro among 4 plates or small individual copper pots or other small bowls.  Finish with fresh parsley.

Marinated Swordfish with Mint and Preserved Meyer Lemon
Serves 4

1 pound center-cut swordfish, bloodline removed (you can use another fish if you like)
1 cup diced plum tomatoes
1 cup shaved plain artichoke heartsswordfish.bmp
Juice of ½ lemon
2 teaspoons grated lemon zest
2T extra virgin olive oil
1 tablespoon chopped fresh mint
1 tablespoon chopped fresh chives
1 teaspoon pink peppercorns, crushed
½ teaspoon ground star anise
Freshly ground black pepper
1tsp kosher salt

1. Slice the swordfish paper-thin or as thin as possible and arrange the slices on a platter so they overlap slightly.
2. In a small bowl, mix the tomatoes, artichoke, lemon juice and zest, olive oil, mint, chives, pink peppercorns, and star anise.  Season to taste with salt and black pepper.
3. Pour the marinade over the swordfish.  Refrigerate for 10 – 15 minutes and serve.  (Do not leave the fish for longer or the acid in the marinade will start to “cook” the fish.)

 This swordfish dish is a great alternative for you sashimi lovers (me!) as it contains much less sodium. One tsp. of soy sauce has 800 mg of sodium. This dish is much lower in sodium.

*Keep in mind that pregnant women shouldn’t consume raw fish. Make sure you buy your fish from a reputable store.
 


Share This Tags:

Related posts



Minimize Your “Muffin Top”

November 11th, 2007

muffin-top.bmp

You work out and have toned thighs and butt … however you have an annoying little (or big) roll of fat that hangs over your skin tight Seven jeans. Not a welcome sight for a city girl. This fat is  informally known as a muffin top. I heard this term for the first time several years ago when the really low rise pants came out. My girlfriend A. C. (full name not to be posted) was complaining about her muffin top. I had no idea what she was talking about. She educated me on this term. While A. C. certainly doesn’t have a muffin top,  I can see the resemblance of fat spilling over pants to the top of a muffin.

Why does fat get stored in this manner?
The location of fat storage is often due to genetics. Some women store excess body fat in their legs or hips while others store it in the abdominal area. Does your mother, grandmother, aunts or sisters have fat in this area? If so, it is likely that you will too. Other causes of abdominal fat can be due to stress (which causes an increase in cortisol levels) or high insulin levels (found in medical conditions such as PCOS and type 2 ).

Dangers of  fat in the abdominal area
Women tend to carry their excess body fat in their hips, thighs, butts, legs and maybe arms (wings!), while men usually gather fat in the abdominal area. That being said, there are women who hold onto fat in the abdominal area.The most dangerous abdominal fat is the kind you can’t see - the fat inside the abdominal cavity that surrounds your internal organs. Chances are that if you can see abdominal fat on the outside, you also have it on the inside surrounding your organs. . Here are some of the dangers associated with excess abdominal fat:
- Increased risk of
- Increased risk of heart disease
- Psychological distress (not a “medical” risk - but upsetting!)

Tips to minimize your muffin top 
1. Studies have shown that aerobic exercise can help get rid of overall body fat, including fat in the abdominal area. I would recommend aerobic exercise (biking, spinning, running, speed walking, eliptical machine, stairmaster, swimming, etc.) at least 4 times a week for 45 minutes. In addition, try to walk as much as possible during the day.

 2. Spot reducing doesn’t work. While doing abdominal exercises can help to tighten muscles under your fat, it will not get rid of the fat.

3. Newer studies, including one by Kathryn Schmitz of the University of Pennsylvania School of Medicine,  have shown muffin-top2.bmpthat strength training may prevent you from building belly fat. Check out this link for more details on the study.

Highlights of the study:
- She assigned 164 overweight or obese women aged 25-44 to one of two groups. One group did strength training sessions for one hour twice a week for the first year and for 45 minutes twice a week for the second year. The second group was simply given a brochure that recommended aerobic exercise.
- After two years the strength training group lost more body fat (3.7 percent) than the control group (0.1 percent) and gained less deep abdominal fat (7 percent) that the control group (21 percent)

4. Of course, you will also need to be careful with your . If you are consuming more calories than you burn off, you will continue to store body fat. I would recommend food records to keep tabs on your caloric intake. Check out my previous post on food records.

5. Eat a healthy that is low in refined sugars and processed grains. These foods can raise insulin levels which can contribute towards belly fat in some people. Focus on vegetables, lean protein, moderate amounts of heart healthy fats, fruits and whole grains. More about your caloric needs in a later post.

 Bottom line: Weight training is important to help lower your bodyeliptical-machine.bmp fat, especially fat in the abdominal area. I see a lot of city girls at my gym spending tons of time on the eliptical machine (which seems to be a favorite) without getting great results. You would be better off adding in some weight training along with the cardio.


Share This Tags: , , ,

Related posts



Martha’s Lecture on Diet and Hypertension for Novartis in Chicago

November 9th, 2007

logo-novartis.bmpI just got back from Chicago where I lectured on to lower blood pressure. The lecture was held at the Swissotel and was sponsored by Novartis. The program was called Recipes for Hypertension Management.

Check out the invitation.

The program was great! Both the participants as well as the presenters really enjoyed the evening. I don’t know of any other program sponsored by a pharmaceutical company that includes a lecture on /lifestyle, a cooking demonstration by a famous chef, a great meal as well as education on a new medication. Most pharmaceutical companies have educational programs that include a talk by a physician (and a meal of course) … but I’ve never heard of a program that included a and a chef!

The evening consisted of:

1. Cocktails and dinner at a beautiful hotel.  Hotel Executive chef, John Seagro prepared a delicious meal for the attendees.
2. My lecture on Nutrition/Lifestyle for Hypertension Management. (I think it went pretty well if I do say so myself!).
3. Lecture by well known physician Dr. George Bakris (who was also very entertaining) who discussed Novatis’s new medication for hypertension called Exforge
4. Cooking demonstration by well known chef, Rick Tramonto . rick.bmpCheck out his new book that just came out yesterday - Fantastico. His farro, ceci bean salad and marinated fish dishes were delicious!  I will be posting these recipes in a day or so. His sous chef, Chris Pandel also did a great job with the preparation.
5. Lastly, there was a Q & A panel discussion.

Novartis is piloting this program”Recipes for Hypertension”  in LA and NYC next week. I will be participating in the NYC program on Nov. 15 at the W Hotel in Union Square. Hopefully the program will be worthwhile for them to continue. It’s a great (and fun) way to educate physicians on the importance of lifestyle as well as medication when it comes to treating . It also shows them that tasty meals can be healthy and low in sodium. 


Share This Tags: , , ,

Related posts



A 3,000-Calorie Dinner? Belly-ssimo!

November 4th, 2007

spaghetti-and-meatballs.bmp

We know Italian food can be fattening - especially the obvious dishes such as Fettuccini Alfredo or Lasagna.  But who knew that spaghetti and meatballs could be 2400 calories? As is pointed out in the following article, you would have to run a marathon or walk briskly for 11 hours to burn these calories off. And this is not counting the bread, salad, wine and dessert that we would also likely order. Unfortunately, many of the dishes we order in restaurants are jumbo sized and are packed with calories and fat. This is one of the reaons for our expanding waistlines. |

The Center for Science in the Public Interest  is a great “watchdog” for the of Americans. They come out with various exposés on calories in foods we commonly eat. In the past they have reported calories/fat in movie theatre popcorn, Chinese food, Mexican food, etc. Check out the archives in their website.

The following article was taken from Center for Science in the Public Interest (CSPI) Inspects Olive Garden & Romano’s Macaroni Grill. This link also shows a video of these fattening dishes.

WASHINGTON—Nothing’s more American than “Italian” entrées like lasagna, ravioli, and spaghetti with meatballs. And Olive Garden and Romano’s Macaroni Grill, with 568 and 238 units in the United States respectively, are selling a combined $3.4 billion worth of fried calamari, chicken marsala, and other foods each year. The Center for Science in the Public Interest—the nutrition watchdogs who famously called fettuccine Alfredo a “heart attack on a plate” when they first looked at Italian food in 1994—commissioned independent lab tests (for Olive Garden) and examined company-provided data (for Macaroni Grill). Their picks and pans are published in the November issue of the group’s Nutrition Action Healthletter.

“If you wanted to enjoy the benefits of the traditional Mediterranean , you’d eat mostly fruits, vegetables, beans, whole grains, and fish,” said CSPI nutrition director Bonnie F. Liebman. “But the heaping portions of meat, cheese, pasta, and cream sauces served up at Italian-style American chain restaurants are about as far from the ideal Mediterranean as you can get.”

The bottom line is that just about every plate of pasta at Olive Garden or Macaroni Grill is piled with more than 1,000 calories, according to CSPI. Only a few dishes—like grilled chicken or salmon with a side of vegetables—keep the calories down around 500. But some virtuous-sounding chicken or veal dishes at Macaroni Grill hover in the 1,200-calorie range and provide at least a day’s worth of saturated fat, sometimes two days’ worth. In most cases, you’re getting an meal that’s roughly equal to a 16-oz. trimmed T-bone steak with a sour-cream-topped baked potato and a Caesar side salad at a typical steak house. Some of CSPI’s pans (and picks) include:

OLIVE GARDENolive-garden.bmp

• Lasagna Classico. 1,060 calories and 28 grams of bad fat (saturated plus trans fat— but the trans fat at both chains is naturally occurring and minimal). It’s like eating a BK Quad Stacker from Burger King, which has four beef patties, four slices of cheese, and eight strips of bacon.

• Five Cheese Ziti al Forno. 1,190 calories and 26 grams of bad fat. You might as well just order two McDonald’s Quarter Pounders with Cheese or two Pizza Hut Personal Pan Pepperoni Pizzas.

• Spaghetti & Meatballs. You can expect 1,260 calories and a day’s worth of saturated fat (19 grams). That’s equal to the calories in three McDonald’s Quarter Pounders. If that seems like a lot to swallow, it’s half what you’d get in Macaroni Grill’s version.

• Olive Garden Picks: CSPI’s lab tests found 790 calories in the Linguine alla Marinara—more than the 550 calories the chain reports. Capellini Pomodoro, pasta with tomatoes, garlic, basil, and olive oil, also had more calories that the company stated (990 as opposed to 640). But both dishes had only 2 grams of saturated fat. “Garden Fare” items such as Venetian Apricot Chicken (450 calories), Shrimp Primavera (690 calories), and Pork Filettino (if ordered with vegetables, not potatoes, just 340 calories) are among the best choices.

ROMANO’S MACARONI GRILL

• Fettuccine Alfredo. Macaroni Grill’s version lives up to the “heart attack on a plate” reputation with 1,130 calories and 53 grams of fettacini-alfredo.bmpsaturated fat—more than 2½ days’ worth. (Olive Garden’s version had a few more calories but “only” 1½ days’ worth of bad fat.) People who wouldn’t dream of eating a pound of prime rib might not guess that Fettuccini Alfredo is roughly equivalent.

• Spaghetti & Meatballs with meat sauce. The following nutrition numbers are not typos: Romano’s rendition of this classic dish provides more than an entire day’s calories (2,430) and nearly three days’ worth of saturated fat—an astonishing 57 grams. If you like meat, you could eat two Macaroni Grill Tuscan Rib-Eye steak dinners and inflict less damage. Or you could eat six Quarter Pounders for the same effect on your waistline.

• New York Cheesecake or Tiramisu. Order a 1,000-calorie slice of cheesecake or tiramisu and you might as well finish off your meal with an untrimmed 16-ounce T-bone steak with five pats of butter. The cheesecake and tiramisu each have about 2 days’ worth of saturated fat; the deep-fried “Dessert Ravioli” has 1,630 calories and 1½ days’ bad fat.

• Romano’s Macaroni Grill Picks: Two grilled entrées—Pollo Magro “Skinny Chicken” and Simple Salmon—come with broccoli and asparagus and have a modest 330 and 590 calories, respectively. Each is deemed “Sensible Fare” on the menu.

“Keep in mind that these numbers don’t include any of Macaroni Grill’s peasant bread or Olive Garden’s unlimited breadsticks and salad,” said Liebman. “Nor do they include 1,000-calorie appetizers like fried calamari. If you want pasta, go with tomato sauce instead of cream sauces or anything stuffed, and take home at least half for tomorrow. If it’s not under a layer of cheese, grilled chicken or fish with a side of veggies is a good choice.”

Consider a hypothetical couple who dines at Romano’s Macaroni Grill: They share the calamari and the complimentary peasant bread. He orders the Penne Rustica; she the Chicken and Shrimp Scaloppine. They split the tiramisu. The damage? They’ve each had more than three days’ worth of saturated fat and sodium. And they’ve each had on the order of 2,800 calories—about a day-and-a-half’s worth. And those aren’t even the unhealthiest choices on the menu.

“You’d have to walk briskly for 11 hours or jog an entire marathon fat-stomach.bmpto burn off 2,800 calories,” said Liebman. “But frankly, the only activity most people can devote that kind of time to is sitting in front of a television or computer. No wonder so many Americans are now the shape of a meatball.”


Share This Tags: ,

Related posts