Food is Medicine: A Growing Belief

Despite its humble beginnings, the “food as medicine” principle that MANNA’s system is based on is finally beginning to be recognized and acted on by our policymakers. A fact sheet published in July by the Union of Concerned Scientists reports that the new Farm Bill includes a program that will use healthy food access to help prevent chronic illnesses and reduce medical costs.

The report comments that the American diet, typically high in meats, sugars, and processed foods and low in fresh fruits and vegetables, has led to the highest spending in health care of any country in the world. Most of our medical spending is on chronic illnesses, many of which could be prevented by improved diets. However, prevention and treatment is not as simple as just telling people to change their diets. The U.S. food system makes it very difficult for many people to access healthy foods, given that most low-income communities lack stores that sell fresh fruits and vegetables, and those that do often sell them at unaffordable prices.

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The 2014 Farm Bill begins to address this problem with a program called the Food Insecurity Nutrition Incentive (FINI), which offers grant funding to community organizations working to secure affordable access to healthy foods. FINI requires that organizations match these federal funds with contributions from other sources. The report by the Union of Concerned Scientists suggests hospitals supply the match, using The Affordable Care Act requirement for community benefit initiatives. FINI provides the opportunity for health care facilities and healthy food initiatives to collaborate, all in the name of improving health and reducing health care costs.

At MANNA, we support initiatives like this that break down the perceived barrier between health care and food. While MANNA is not a preventative service that would fit under FINI, we do work in the same realm, using food as an integral part of a treatment plan. Healthy food is critical to a healthy life and we hope to see more progressive legislation in the future that builds on the understanding that food is medicine.

This post is by Kelly McGlynn, rising senior at Brown University and former Advocacy & Health Policy Intern at MANNA.

Spreading Hope and Education

MANNA recently partnered with Camp Dreamcatcher for an education event. The event took place on August 19, 2014 at Camp Saginaw in Oxford, PA.  The week-long summer camp was created for youth infected/affected by HIV/AIDS.  This year, Camp Dreamcatcher invited MANNA’s Registered Dietitian, Alura Costa, to teach an interactive nutrition workshop.  Alura partnered with Carly Roop, a Registered Dietitian from Joan Karnell Cancer Center, to develop a class to educate the campers on healthy eating specifically focusing on diabetes and heart disease, two chronic illnesses that can be prevented and controlled through healthy eating and exercise.

Alura and Carly showed the campers how to read and understand important nutrition information on nutrition labels so that they can make healthy food choices for themselves.  They focused on healthy serving sizes, calories and sugars of foods that are commonly found in corner stores and how to find healthy options.  The campers then participated in making delicious, homemade yogurt popsicles using ingredients that you can easily find already in the home including greek yogurt and fruit.  At the end of the session, the campers were able to identify healthy food options and enjoy their delicious popsicles!

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Supporting Camp Dreamcatcher is important to MANNA since we started out as an HIV/AIDS organization and continue to serve and support that population.  As nutrition educators, we must take advantage of any opportunity to reach out to the youth in our community to provide them with the education and skills that they need so that they can lead a long and healthy life.  This year’s Camp Dreamcatcher event was a huge success!  To learn more about Camp Dreamcatcher and the children whose lives have been touched by HIV/AIDS please visit www.campdreamcatcher.org.

 

 

SUMMER FOOD SAFETY

Light up the grill – summer is officially here!   During these months of grilling fun, MANNA wants to help keep your family and friends safe from foodborne illnesses with these simple food safety practices.  Remember! Food safety is a TOP priority at MANNA because many of our clients have compromised immune systems.

  1. Practice good hygiene and wash your hands before eating, preparing food, or between foods that would cross contaminate such as red meat and fresh vegetables. Always wash hands with warm soapy water for at least 20 seconds.
  2. Marinate your food in the refrigerator to prevent bacteria from growing.   Always reserve a portion of unused marinade to brush on food while it is cooking. Never re-use marinade that was used to flavor raw meat, poultry or fish.
  3. Preheat your grill approximately 20-30 minutes before grilling. For charcoal grills, the coals should be just coated with ash.
  4. Use a food thermometer to ensure that food is cooked to the proper temperatures.
  5. Food should never sit at room temperature for more than two hours. Use chafing dishes, slow cookers, and warming trays to keep hot food hot. Keep cold foods cold by nesting them in bowls of ice or rotating items into the refrigerator/freezer.

Grilled Vegetable Kebabs

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Ingredients:

  • 10 (12-inch) wooden skewers
  • 1/3 cup extra virgin olive oil
  • 1/4 cup white balsamic vinegar
  • 1/4 chopped fresh basil
  • 3 garlic cloves, minced
  • 1 teaspoon kosher salt
  • 1/2 teaspoon freshly ground black pepper
  • 1 red onion cut into 1-1/2 inch pieces
  • 1 yellow bell pepper cut into 1 ½-inch pieces
  • 1 pound Chinese or baby eggplant cut into ¾-inch slices
  • 3 small zucchini, cut into ¾-inch slices
  • 20 grape or cherry tomatoes

Directions:

-Soak the skewers in water for 30 minutes.

-Whisk together the olive oil, balsamic vinegar, basil, garlic, kosher salt, and black pepper.

-Thread vegetables onto skewers.

-Brush vegetables generously with marinade.

-Grill, covered with lid over medium-high heat. Turn occasionally. Cook 10-12 minutes or until tender.

AIDS Education Month

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Did you know?  The majority of AIDS cases in MANNA’s 9 county service area are in Philadelphia.

 
Did you know?  As of 2012 there are more than 19,800 Philadelphians living with HIV/AIDS.

 
Did you know?  HIV/AIDS ranks in the top 3 diseases of MANNA clients.

 

Nutrition plays a vital role for individuals who are infected by HIV. They may suffer from decreased nutritional status caused by poor nutrient intake, malabsorption, metabolic disturbances and side effects of medications. It is extremely important for people infected with HIV to maintain proper nutrition to keep their immune system strong, enabling them to better fight the disease. To prevent muscle wasting and weight loss, it is recommended that individuals diagnosed with HIV/AIDS increase their protein and calorie intake. A few examples of foods that are high calorie and high protein include peanut butter, eggs, dairy products, red meat and poultry. In addition, food safety is extremely important for individuals who have compromised immune systems. It’s imperative to avoid foods that are high-risk, including raw eggs, unpasteurized products, raw meat or fish and unwashed fruits or vegetables. A healthy diet combined with exercise may help with symptoms such as fatigue, metabolic abnormalities and maintaining a healthy weight.

This June, marks the 20th anniversary of AIDS Education Month (AEM), hosted by Philadelphia Fight.  MANNA registered dietitian Alura Costa will be speaking about HIV and nutrition at the 4th Annual Faith Leaders and Community Summit on June 7 from 8 AM to 2 PM at the Marriott Hotel located on 1202 Market Street. Workshops at this event include pastoral self-care, prayer as healing, women, faith and HIV, teen pregnancy and HIV and more.  Learn more about the events offered through AEM during the month of June at http://www.aidseducationmonth.org/about/.

Soups On!

There is no healthier and more delicious way to stay warm than with a hot bowl of soup! Soups are a great way to be adventurous and incorporate new and different, nutrient-rich vegetables and grains all in one bowl. Soup 2014

The history of soup dates back to the beginning of cooking. When food was scarce, combining various ingredients that were seasonally available into a bowl and heating it was a cheap way to provide for a quick, nutrient-rich meal.

Today, soups come in many different varieties: canned, microwave-ready, portable and even dehydrated. However, these convenient soups can often be high in sodium which can cause a serious health risk to those with high blood pressure and heart disease. Your first choice when purchasing canned soups should be brands that are low sodium.

MANNA nutritionists suggest reducing the sodium content in canned soups by draining a portion of the broth and replacing it with water before heating the soup. You can also try adding extra vegetables or grains to canned soups to increase the fiber and nutrient content. The best way to control the amount of sodium in soup is to cook your own from scratch.

Try to use seasonal ingredients such as kale, leeks, winter squash, potatoes, and parsnips.  Consider adding whole grains such as barley, bulgur and quinoa to provide flavor, fiber and nutrients. One cup of these grains can contain up to 6 grams of fiber, up to 10 grams of protein, and plenty of B vitamins and folic acid.

Here are a few more tips from the MANNA kitchen to yours:
• Use a blender to puree beans, potatoes, or other vegetables to act as a thickening agent rather than adding cream which is high in fat and cholesterol.
• Use low-sodium broths if you are using broths purchased in a store.
• Looking for flavor? Try adding herbs and spices instead of salt.
• After preparation, the soup can be refrigerated to allow fat to harden and skimmed off the top to lower the fat content as well as calories.

MANNA will be kicking off Souper Bowl 2014 this month. We will be selling our Chicken Noodle, Creamy Corn Chowder and Minestrone – all made from fresh ingredients and cooked in our MANNA kitchen. Soups go on sale January 1st and will be available for pickup at MANNA. For more info, or to order, please visit www.mannapa.org

MANNA Pie – taking the Eagles to V-I-C-T-O-R-Y!

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Some have a lucky penny, a rabbit’s foot – the Philadelphia Eagles have MANNA PIE!  Gooey, sweet, delicious MANNA Pecan pie to be exact.   WIP’s Angelo Cataldi credits last week’s Eagles victory  to MANNA pies!  Pie Man visited WIP with the delicious treat that took the Eagles to victory over the Packers.  Every MANNA pie sold is a victory for the many critically-sick neighbor MANNA nourishes – each pie provides a neighbor with a bountiful Thanksgiving meal (enough to share!).

MANNA pies are selling fast!  Buy yours now to ensure that you have Greater Philadelphia’s WINNINGEST dessert on your Thanksgiving Table!

Pie, MANNA Pie! Get your pie at www.mannapies.org

YOU ARE NEVER TOO YOUNG FOR GOOD NUTRITION

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Over the last decade, the prevalence of childhood obesity has steadily increased. Today, one out of every three American adolescents is overweight or obese – nearly triple the rate in 1963. Childhood obesity has a huge impact on the health and well being of children, and often leads to serious physical and psychological issues. Children who are overweight or obese have an elevated risk of developing chronic diseases such as heart disease, high blood pressure, and type-2 diabetes earlier in life. The psychological effects that can accompany these health problems include low self-esteem, negative body image, and depression.  It is important to intervene with children who are overweight or obese in the early stages since overweight kids have a 70-80% chance of staying overweight into adulthood dramatically increase their risk factors for developing chronic illnesses.

The start of a new school year is the time to focus on creating a healthy, nutritional routine for your child.  Build a strong nutrition structure at home by serving regular, balanced meals and snacks, allowing children to use their own internal signals to indicate fullness, getting them involved in nutrition, and making family meals times a priority. Breakfast is an essential part of every day and is particularly important for school children. Research shows that breakfast eaters have higher school attendance, score higher on tests, concentrate better, and are better problem solve problems. Have your kids help pick what they will be eating, help you cook meals or grocery shop with you to pick out healthy foods for their school lunches and family meals. Family meals are great because they foster family unity as well as improve nutrition.

MANNA supports healthy nutrition in children by providing our home-delivered meal program and nutrition education services for adolescents.  While the majority of MANNA clients may not be children, there is no age restriction for the meal program. If a child is battling a serious illness, such as obesity, MANNA can assist with their healthy eating practices and weight loss efforts by providing our home-delivered meals.  MANNA also supports our adult clients who have dependent children under the age of 18 by sending meals for the entire family, ensuring that the client has the best chance of recovering from their illness.

On September 26th, MANNA will be hosting the Nourish Awards.  Established in 2010 as a way to celebrate the champions of health care and nutrition, this year MANNA will be recognizing the Einstein Healthcare Network, SHARE food program, and the Campbell Soup Foundation.  All three of these organizations have developed programs to better the lives of children across America while fighting childhood obesity at the same time and are worthy of this esteemed award.  For more information on the programs that they provide and on the Nourish Awards & Health Symposium, visit MANNA’s website at Nourish.

“MANNA gives me a peace of mind”

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“The physical and emotional health of an entire generation and the economic health and security of our nation is at stake” – First Lady Michelle Obama at the Let’s Move! launch on February 9, 2010.

According to Let’s Move!, childhood obesity rates in America have tripled over the past three decades and today, nearly one in three children in America are overweight or obese. Barring any changes,  one third of all children born this century will suffer from diabetes at some point in their lives. Many others will have to deal with obesity-related health problems like heart disease, high blood pressure, cancer and asthma.

It is critical to watch what we feed our children, but what if you did not have the energy, money or time to cook healthy meals because you were sick? That is where MANNA steps in!  With aggressive treatments and medications making MANNA clients feel weak, they are sometimes unable to provide meals to their children. Other clients may choose to divert their meals to their children, further endangering  their nutritional status. To ensure the health of the MANNA client as well as their children MANNA provides 3 meals a day, 7 days a week to their dependents.

Meet Desiree, a MANNA client, breast cancer survivor and mother of four young children (13, 6, 4 and 2 years old). She knows the struggle of providing healthy meals to her children while ill, “It was a relief! That’s what I feel. When your family needs you, you can’t think about being sick or tired, you have to respond to them, but I had no energy to help myself or them. I started to not be able to remember a time when I wasn’t sick – and I wondered when things would return to normal. When we sit down as a family for dinner, that means ‘normal’ is coming back to my family!”

“MANNA gives me peace of mind. And the kids know the delivery schedule better than I do…the 4 year old will say, “Mommy isn’t today when we get the food?” They love the fruit cups!”

Help provide peace of mind and nourishment for our clients and their children by donating. 

Your Body Knows Best!

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MANNA is all about nutrition and health.  And we take ourselves seriously.  This is why we want to keep you – our loyal readers – safe by sharing these everyday symptoms that people often neglect, but which could be a sign that something IS wrong.  You should always see a doctor for the following:

1. Unexplained weight loss:   Shedding pounds without trying could be a side effect of several medical conditions including; an overactive thyroid, diabetes, depression, liver disease, cancer, or malabsorption disorders.  A loss of 10% of your body weight in a six month period of time is considered significant.

2. Persistent or high fever:  Having a fever can actually be a good thing, it can aid in fighting infections.  However, speak with your doctor if you have had a fever for greater than three days or a high fever of 103 F or higher.  This could be a sign of a hidden infection such as an UTI or something more serious like cancer.

3. Shortness of breath:   Being unable to catch your breath or gasping for air should result in immediate medical attention.  If you are having persistent problems with breathing or feel breathless when lying down it could be a sign of chronic obstructive pulmonary disease, chronic bronchitis, asthma, pneumonia, or heart and lung problems.

4. Unexplained changes in bowel habits: Every person’s bowel movements are different, if you notice a change in your bowel habits it could be a sign of bacterial, viral, or parasitic infections, irritable bowel syndrome, or colon cancer.

5. Confusion or personality changes: Infections, anemia, low blood sugar, and dehydration can all cause symptoms of confusion and changes in personality.  If you become suddenly confused about time or place or develop sudden problems with concentration or memory, seek immediate attention.

6. Feeling full after eating very little: If you develop early satiety or are eating less than normal, it could be a sign of GERD, irritable bowel syndrome, or in serious cases pancreatic cancer.  Contact your doctor if you suddenly develop early satiety, nausea, vomiting, unintentional weight loss, bloating or fever.

7. Flashes of light: Sudden flashes of light or bright spots could be a sign of a migraine headache or it could be something more serious such as retinal detachment.  Both warrant seeking immediate medical care from your physician.

Your body knows best!  Be sure that you stop and listen to the sometimes subtle messages it is sending to prevent what could become a major complication.

Delivering Health & Hope ALL Summer!

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Even in the 100 degree temperatures, Mike Breslin is on the road again! As a faithful volunteer driver, Mike logs miles every week delivering nourishing meals to MANNA clients who are too sick to shop and cook themselves.

“I see how difficult life is for some people. It makes you realize how important your health is,” Mike acknowledged. “And I like that MANNA is not income based – it is just about HEALTH.”

This summer, MANNA drivers will deliver over 200,000 meals. Volunteer drivers like Mike are an essential part of this workforce. Not only do they help provide crucial MANNA services, but they are often a lifeline of support to clients too sick to go out. They deliver hope, encouragement and love.

One of the MANNA clients Mike delivered to has summed it up this way: “When I got sick, I gave up part of my identity. I lost the ability to go out, to connect in the community. MANNA brings that back to me.”

When Mike retired, volunteering was one of the goals he set for himself. MANNA’s many clients are thankful he did! Not everyone has time to deliver meals – there are other ways to help MANNA deliver 200,000+ meals this summer. We got a ton a ideas – click here to find out how you can help!  #FoodisMedicine