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The Healthy Heart for Women, Research New Focus on Women

The Healthy Heart for Women, Research: New Focus on Women
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Research: A New Focus on Women

As you have read through this book, you may have noticed the recurring words: "more research is needed." This is true. Until very recently, men were the main subjects of heart disease research. We now know, however, that coronary heart disease is indeed a woman's concern. We know that we need to understand more about women's heart problems if we are to prevent and treat these problems successfully. As a result, a major, government-funded research projects called the Women's Health Initiative is now under way. It includes studies on:

* The effects of hormone replacement therapy on cardiovascular diseases, uterine cancer, breast cancer, and osteoporosis. Both estrogen-only treatments and estrogen-progestin combinations are being studied.

* The dosage of aspirin that can safely and effectively protect women from heart attack.

* The effect of a low-saturated fat diet on preventing coronary heart disease in women.

* Whether commonly used programs to encourage physical activity, weight control, and quitting smoking are successful for women.

* Possible links between stress, hormonal changes, and coronary heart disease risk in women.

These and other important research projects will give us new information and tools to better protect ourselves from coronary heart disease. They will also help doctors identify and treat women's heart problems more successfully. Where women's hearts are concerned, knowledge is power--the power to improve our health and enrich our lives.

The Heart of the Matter

Getting serious about heart health may seem like a huge project. Because it means making basic changes in health and living habits, for many it is a major effort. But it doesn't have to be an overwhelming one. Some people find it easier to tackle only one habit at a time. If you smoke cigarettes and also eat a high-fat diet, for example, work on kicking the smoking habit first. Then, once you have gotten used to life without cigarettes, begin skimming the fat from your diet.

And remember: nobody's perfect. Nobody always eats the ideal diet or gets just the right amount of exercise. Few smokers are able to swear off cigarettes without a slip or two along the way. The important thing is to follow a sensible, realistic plan that will gradually lessen your chances of developing heart diseases, or help you to control it.

Women are taking a more active role in their own health care. We are asking more questions and we are seeking more self-help solutions. We are concerned not only about treatment, but also about the prevention of a wide range of health problems. Taking steps to control and prevent cardiovascular diseases is part of this growing movement to promote and protect personal health. The rewards of a healthy heart are well worth the effort.

Meal Planning: a Change of Heart



Higher-Fat Diet (37% Fat) Lower-Fat Diet (30% Fat)


Breakfast

1 fried egg
2 slices white toast with
    1 teaspoon butter
1 cup orange juice
Breakfast

1 cup corn flakes with
    blueberries
1 cup 1% milk
1 slice rye toast with
    1 teaspoon margarine
1 cup orange juice
black coffee or tea
Snack

1 doughnut
Snack

1 toasted pumpernickel bagel
    with 1 teaspoon margarine
Lunch

1 grilled cheese (2 ounces)
    sandwich on white bread
2 oatmeal cookies
black coffee or tea
Lunch

1 tuna salad (3 ounces) sandwich
    on whole wheat bread
    with lettuce and tomato
1 graham cracker
tea with lemon
Snack

20 cheese cracker squares
Snack

1 crisp apple
Dinner

3 ounces fried hamburger with
    ketchup
1 baked potatoe with sour cream
3/4 cup steamed broccoli with
    1 teaspoon butter
1 cup whole milk
1 piece frosted marble cake
Dinner

3 ounces broiled lean ground beef
    with ketchup
1 baked potatoe with low-fat
    plain yogurt and chives
3/4 cup steamed broccoli with
    1 teaspoon margarine
tossed garden salad with
    1 tablespoon oil and vinegar
    dressing
1 cup 1% milk
1 small piece homemade gingermade
    with maraschino cherry and sprig
    of mint
Nutrient Analysis

Calories 2,000
Total fat (percent of calories) 37
Saturated fat (percent of calories) 19
Cholesterol 505 mgs
Nutrient Analysis

Calories 2,000
Total fat (percent of calories) 30
Saturated fat (percent of calories) 10
Cholesterol 186 mgs



A Guide to Choosing Low-Fat, Low-Cholesterol Foods

Variety is the spice of life. Choose foods every day from each of the following food groups. Choose different foods from within groups, especially foods low in saturated fat and cholesterol (the Choose column). As a guide, the recommended daily number of servings for adults is listed for each food group. But you'll have to decide on the number of servings you need to lose or maintain your weight. If you need help, as a dietitian or your doctor.
Source: Dietary Guidelines for Americans, U.S. Department of Agriculture/U.S. Department of Health and Human Services, 1995; Second Report of the Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults, NHLBI, 1993
BREADS, CEREALS,
PASTA, RICE, DRIED PEAS
AND BEANS

(6 to 11 servings daily; serving size us 1 slice bread, half a bun, or bagel, 1 ounce dry cereal, 1/2 cup cooked cereal, rice, or pasta)
Choose

* Breads, like: whole wheat, pumpernickel, rye, and white; sandwich buns; dinner rolls; rice cakes
* Low-fat crackers, like: matzah, pita; bagels; English muffins; bread sticks, rye, saltines, zwieback
* Hot cereals, most cold dry cereals* Pasta, like: plain noodles, spaghetti, macaroni
* Any grain rice
Go Easy On

* Store-bought pancakes, waffles, biscuits, muffins, cornbread
Decrease

* Croissants, butter rolls, sweet rolls, Danish pastry, doughnuts
* Most snack crackers, like: cheese crackers, butter crackers, those made with saturated fats
* Granola-type cereals made with saturated fats
* Pasta and rice prepared with cream, butter, or cheese sauces, egg noodles

VEGETABLES

(3 to 5 servings daily; serving is 1 cup leafy raw, 1/2 cup cooked or chopped raw, 3/4 cup juice)
Choose
* Fresh, frozen, canned, or dried vegetables
Decrease
* Vegetables prepared in butter, cream, or sauce
* French fries





FRUITS

(2 to 4 servings daily; serving is 1 piece, 1/2 cup diced, 3/4 cup fruit juice or cocktail)
Choose
* Fresh, frozen, canned, or dried fruits

Go Easy On
* Avocado and olives
MILK, YOGURT, AND CHEESE

(2 servings daily; 3 servings for women who are pregnant or breast feeding, and teenagers and young adults to age 24; serving size is 1 cup milk or yogurt; 1 ounce natural cheese, 1 1/2 ounce processed cheese)

Choose
* Skim milk, 1% milk, low-fat buttermilk, low-fat evaporated or nonfat milk
* Nonfat or low fat yogurt and frozen yogurt
* Low fat and fat-free cheeses, string cheese, skim-milk buttermilk, low fat skim-milk, and fat-free cottage and ricotta cheese
* Nonfat sour cream

Go Easy On
* 2% milk
* Part-skim ricotta
* Part-skim or imitation hard cheeses, like: part-skim mozzarella
* "Light" cream cheese
* "Light" sour cream


Decrease
* Whole milk, like: regular, evaporated, condensed
* Cream, half-and-half, most nondairy creamers and products, real or nondairy whipped cream
* Cream cheese, sour cream, ice cream, custard-style yogurt
* Whole-milk ricotta
* High-fat cheese, like: Neufchatel, Brie, Swiss, American, mozzarella, feta, cheddar, Muenster

MEAT, POULTRY, FISH , DRY BEANS, EGGS, AND NUTS

(2 to 3 servings daily)


LEAN MEAT, POULTRY, FISH
(serving is 2-3 ounces of cooked lean meat, poultry, or fish)
Choose
* Lean cuts of meat with fat trimmed, like:
   Beef--round, sirloin, top, loin, extra lean ground beef
   Lamb--leg-shank
   Pork--tenderloin, leg shank sirloin, top loin
   Veal--shoulder, ground, cutlet, sirloin
* Poultry without skin
* Fish, most shelfish

Go Easy On
* Lean groung beef, flank steak
* Shrimp, abalone, squid

Decrease
* Fatty cuts of meat like:
   Beef-- brisket, regular ground, short ribs chuck roast

   Lamb--rib, chops
   Pork--spareribs, blade roll or roast
* Goose, domestic duck
* Organ meats, like: liver, kidney, sweetbreads, brain
* Sausage, bacon, frankfurters, regular luncheon meats
* Cavier, roe
DRY BEANS AND PEAS(serving is 1/2 cup tofu or cooked dry peas or beans - 1/2 cup cooked dry beans or 2 Tbsp of peanut butter or 1/3 cup of nuts counts as 1 ounce of lean meat)
Choose
* Dried peas and beans, like: split peas, black-eyed peas, chick peas, kidney beans, navy beans, lentils, soybeans, soybean curd (tofu)
Go Easy On
* Refried beans (read food label for fat content)



EGGS
(no more than 4 egg yolks a week)
Choose
* Egg whites
* Cholesterol-free egg substitutes

Decrease
* Egg yolks
* Whole eggs



NUTS (serving is 1/3 cup)
Go Easy On
* Nuts and seeds
* Peanut butter

FATS, OILS, AND SWEETS

(use sparingly)


FATS AND OILS
Choose
* Unsaturated vegetable oils like: corn, olive, peanut, rapeseed (canola oil), safflower, sesame, soybean
* Magerine or shortening made with unsaturated fats listed above: diet and tub
* Low fat and fat free mayonnaise, low fat and fat-free salad dressings made with unsaturated fats listed above

Decrease
* Butter, coconut oil, palm kernel oil, palm oil, lard, bacon fat
* Margarine or shortening made with unsaturated fats listed above
* Dressings made with egg yolk, such as hollandaise sauce and Caesar salad dressing
* Regular salad dressing and mayonnaise
SWEETS AND SNACKS(Remember: fat-free and low fat choices may be high in calories)
Choose
* Nonfat and low fat frozen desserts, like: sherbet, sorbet, Italian ice, frozen yogurt, popsicles
* Low fat cakes, like: angel food cake
* Low fat cookies, like: fig bars, gingersnaps
* Low fat candy, like: jelly beans, hard candy
* Low fat snacks, like: plain popcorn, pretzels, graham crackers
* Nonfat beverages, like: carbonated drinks, juices, tea, coffee

Go Easy On
* Frozen desserts, like: ice milk
* Homemade cakes, cookies, and pies using unsaturated oils sparingly
* Fruit crisps and cobblers
* Potato and corn chips prepared with unsaturated vegetable oil


Decrease
* High-fat frozen desserts, like: ice cream, frozen tofu
* High-fat cakes, like: most store-bought, pound, and frosted cakes
* Regular pies and cookies
* Most candy, like: chocolate bars
* Potato and corn chips prepared with saturated fat
* Buttered popcorn
* High-fat beverages, like: frappes, milkshakes, floats, eggnogs
LABEL INGREDIENTS

(Choose foods lower in fat, saturated fat, or cholesterol, go easy on products that list first any fat, oil, or ingredients higher in saturated fat or cholesterol. Choose more often those products that contain ingredients lower in saturated fat or cholesterol.)
Choose
* Ingredients Lower in Saturated Fat or Cholesterol: carob, cocoa; oils, like: corn, cottonseed, olive, safflower, sesame, soybean, orsunflower; nonfat dry milk, nonfat dry milk solids, skim milk
Decrease

* Sources of Saturated Fat and Cholesterol:
animal fat, bacon fat, beef fat, butter, chicken fat, cocoa butter, coconut, coconut oil, cream, egg and egg-yolk solids, ham fat, hardened fat or oil, hydrogenated vegetable oil, lamb fat, lard, meat fat, palm oil, palm kernel oil, pork fat, turkey fat, vegetable shortening, whole-milk solids

Recipes for a Healthy Heart

These recipes come from various ethnic groups and include soups, entrees, side dishes, and desserts. They’re full of tast but lower in fat, cholesterol, and sodium.



MINESTONE
A cholesterol free class Italian vegetable soup brimming with fiber-rich beans, peas, and carrots.
¼ C
1 clove
1 1/3 C
1 ½ C
1 Tbsp
1 C
4 ¾ C
1 can
1 C
1 ½ C
1 ½ C
1 can
dash
11 C
2 C
olive oil
garlic, minced or 1/8 tsp garlic powder
coarsely chopped onion
coarsely chopped celery and leaves
chopped fresh parsley
sliced carrots, fresh or frozen
shredded cabbage
(1 lb) tomatoes, cut up
canned red kidney beans, drained and rinsed
frozen peas
green beans
(6 oz) tomato paste
hot sauce
water
uncooked, broken spaghetti

1. Heat oil in a 4-quart saucepan.
2. Add garlic, onion, and celery and sauté about 5 minutes.
3. Add all remaining ingredients except spaghetti, and stir until ingredients are well mixed.
4. Bring to a boil. Reduce heat, cover, and simmer about 45 minutes or until vegetables are tender.
5. Add uncooked spaghetti and simmer 2-3 minutes only.

Yield: 16 servings
Serving size: 1 cup
Each serving provides: 153 calories; 4 g total fat; 0 mg cholesterol; 191 mg sodium

ROCKPORT FISH CHOWDER
Low fat milk and clam juice are the secrets to the lower fat and saturated fat content of this satisfying super soup.
2 Tbsp
¾ C
½ C
1 C
2 C
¼ tsp
½ tsp
2 C
8
1
1 lb

¼ C
3 C
1 Tbsp
vegetable oil
coarsely chopped onion
coarsely chopped celery
sliced carrots
potatoes, raw, peeled and cubed
thyme
paprika
bottled clam juice
whole peppercorns
bay leaf
fresh or frozen (thawed) cod or haddock fillets, cut into ¾-inch cubes
flour
low fat (1%) milk
fresh parsley, chopped

1. Heat oil in a large saucepan. Add onion and celery and sauté about 3 minutes.
2. Add carrots, potatoes, thyme, paprika, and clam broth. Wrap peppercorns and bay leaves in cheese cloth. Add to pot. Bring to a boil, reduce heat and simmer 15 minutes.
3. Add fish and simmer an additional 15 minutes, or until fish flakes easily and is opaque.
4. Remove fish and vegetables; break fish into chunks. Bring broth to a boil and continue boiling until volume is reduced to 1 cup. Remove bay leaves and peppercorns.
5. Shake flour and ½ cup low fat (1%) milk in a container with a tight-fitting lid until smooth. Add to broth in saucepan with remaining milk. Cook over medium heat, stirring constantly, until mixture boils and is thickened.
6. Return vegetables and fish chunks to stock and heat thoroughly. Serve hot, sprinkled with chopped parsley.

Yield: 8 servings
Serving size: 1 cup each
Each serving provides: 186 calories; 6 g total fat; 1 g saturated fat; 34 mg cholesterol; 302 mg sodium Yield: 8 servings

BAKED TROUT
Try baking this fish with only a small amount of oil.
2 lb

3 Tbsp
1 medium
½ medium
3 Tbsp
½ tsp
¼ tsp
¼ tsp
¼ tsp
trout fillet, cut into 6 pieces ( or use any kind of fish)
lime juice (about 2 limes)
tomato, chopped
onion, chopped
cilantro, chopped
olive oil
black pepper
salt
red pepper (optional)

1. Preheat oven to 350oF.
2. Rinse fish and pat dry. Place in baking dish.
3. In a separate dish, mix remaining ingredients together and pour over fish.
4. Bake for 15-20 minutes or until fork-tender.

Yields: 6 servings
Serving size: 1 piece
Each serving provides: 230 calories; 9 g total fat; 2 g saturated fat; 58 mg cholesterol 162 mg sodium

MEDITERRANEAN BAKED FISH
This dish is baked and flavored with Mediterranean-style tomato, onion, and garlic sauce to make it lower in fat and salt.
2 tsp
1
1 can

1
1
1 C
½ C

¼ C
¼ C
1 Tbsp
1 tsp
½ tsp
½ tsp
½ tsp
to taste
1 lb
olive oil
large onion, sliced
(16 oz) whole tomatoes, drained (reserve juice) and coarsely chopped
bay leaf
clove garlic, minced
dry white wine
reserved tomato juice from canned tomatoes
lemon juice
orange juice
fresh grated orange peel
fennel seeds, crushed
dried oregano, crushed
dried thyme, crushed
dried basil, crushed
black pepper
fish fillets (sole, flounder, or sea perch)

1. Heat oil in large nonstick skillet. Add onion, and sauté over moderate heat 5 minutes or until soft.
2. Add all remaining ingredients except fish.
3. Stir well and simmer 30 minutes, uncovered.
4. Arrange fish in 10 X 6-inch baking dish; cover with sauce.
5. Bake, uncovered, at 375o F about 15 minutes or until fish flakes easily. Remove bay leaf before serving.

Yield: 4 servings
Serving size: 4 oz fillet with sauce
Each serving provides: 177 calories; 4 g total fat; 1 g saturated fat; 56 mg cholesterol; 281 mg sodium

SPAGHETTI WITH TURKEY MEAT SAUCE
Using nonstick cooking spray, ground turkey, and no added salt helps to make this classic dish heart-healthy.
As needed
1 lb
1 can
1 C
1 C
2 cloves
1 tsp
1 tsp
1 lb
nonstick cooking spray
ground turkey
(28 oz) tomatoes, cut up
finely chopped green pepper
finely chopped onion
garlic, minced
dried oregano, crushed
black pepper
spaghetti, uncooked

1. Spray a large skillet with nonstick spray coating. Preheat over high heat.
2. Add turkey; cook, stirring occasionally, for 5 minutes. Drain fat and discard.
3. Stir in tomatoes with their juice, green pepper, onion, garlic, oregano, and black pepper. Bring to a boil; reduce heat. Simmer covered for 15 minutes, stirring occasionally. Remove cover; simmer for 15 minutes more. (If you like a creamier sauce, give sauce a whirl in your blender or food processor.)
4. Meanwhile, cook spaghetti in unsalted water. Drain well.
5. Serve sauce over spaghetti.

Yield: 6 servings
Serving size: 5 oz sauce and 9 oz spaghetti
Each serving provides: 330 calories; 5 g total fat; 1 g saturated fat; 60 mg cholesterol; 280 mg sodium


CHICKEN ORIENTALE
With no added salt and very little oil in the marinade, these broiled or grilled kabobs made with skinless chicken breasts are lower in saturated fat, cholesterol, and sodium.
8
8
to taste
8
2
8
8
1
1 C
2 Tbsp
dash
2 Tbsp
¼ C
boneless, skinless chicken breasts
fresh mushrooms
black pepper
parboiled whole white onions
oranges, quartered
canned pineapple chunks
cherry tomatoes
6 oz can frozen, concentrated apple juice, thawed
dry white wine
soy sauce, low sodium
ground ginger
vinegar
vegetable oil

1. Sprinkle chicken breasts with pepper.
2. Thread 8 skewers as follows: chicken, mushroom, chicken, onion, chicken, pineapple chunk, cherry tomato.
3. Place kabobs in shallow pan.
4. Combine remaining ingredients and save ½ cup in another bowl; spoon the rest over kabobs. Marinate in refrigerator at least 1 hour.
5. Drain. Broil 6 inches from heat, 15 minutes on each side, brushing with reserved marinade every 5 minutes. Discard any leftover marinade.

Yield: 8 servings
Serving size: ½ chicken breast kabob
Each serving provides: 359 calories; 11 g total fat; 2 g saturated fat; 66 mg cholesterol; 226 mg sodium

CHICKEN AND RICE
Skinned chicken makes this dish lower in saturated fat and calories
6
2 tsp
4 C
2
½ C
¼ C
¼ C
1 medium
¼ C
½ C
¼ C
2 cloves
1/8 tsp
1/8 tsp
2 C
½ C
2 ounces
¼ C
chicken pieces (legs and breasts), skinned
vegetable oil
water
tomatoes, chopped
green pepper, chopped
red pepper, chopped
celery, diced
medium carrot, grated
corn, frozen
onion, chopped
fresh cilantro, chopped
cloves garlic, chopped fine
salt
pepper
rice
peas, frozen
Spanish olives
raisins

1. In a large pot, brown chicken pieces in oil.
2. Add water, tomatoes, green and red peppers, celery, carrots, corn, onion, cilantro, garlic, salt, and pepper. Cover and cook over medium heat for 20-30 minutes or until chicken is done.
3. Remove chicken from the pot and place in the refrigerator. Add rice, peas, and olives to the pot. Cover pot and cook over low heat for about 20 minutes, until rice is cooked.
4. Add chicken and raisins and cook for another 8 minutes.

Yield: 6 servings
Serving size: 1 cup rice and 1 piece chicken
Each serving provides: 448 calories; 7 g total fat; 2 g saturated fat; 49mg cholesterol; 352 mg sodium

GRILLED CHICKEN WITH GREEN CHILE SAUCE
The secret to this dish is marinating the meat, which makes it tender without adding a lot of fat.
4
¼ C
juice of 2
¼ tsp
½ tsp black pepper
¼ C
10-12
½ medium
2 cloves
2
2 Tbsp
¼ tsp
¼ C
skinless, boneless chicken breats
olive oil
limes
oregano
½ tsp black pepper
water
tomatillos, husks removed and cut in half
medium onion, quartered
garlic, finely chopped
serrano or jalapeño peppers
cilantro, chopped
salt
low fat sour cream

1. Combine the oil, juice from 1 lime, oregano, and black pepper in a shallow glass baking dish. Stir. Place the chicken breasts in the baking dish and turn to coat each side. Cover the dish and refrigerate for at least several hours or overnight. Turn the chicken periodically to marinate chicken on both sides.
2. Put water, tomatillos, and onion into a saucepan. Bring to a gentle boil and cook uncovered for 10 minutes or until the tomatillos are tender.
In a blender, place the cooked onion, tomatillos, and any remaining water. Add the garlic, peppers, cilantro, salt, and the remaining lime juice. Blend until all the ingredients are smooth. Place the sauce in a bowl and refrigerate.
3. Place the chicken breast on a hot grill and cook until done. Place the chicken on a serving platter.
4. Spoon a tablespoon of low fat sour cream over the chicken breast. Pour the sauce over the sour cream.

Yield: 4 servings
Serving size: 1 breast
Each serving provides: 192 calories; 5 g total fat; 2 g saturated fat; 71 mg cholesterol; 220 mg sodium

BAKED PORK CHOPS
These spicy and moist pork chops are made with no added fat, egg whites, evaporated skim milk, and a lively herb mixture that contains no salt.
6
1
1 C
¾ C
¼ C
4 tsp
2 tsp
¾ tsp
½ tsp
½ tsp
1/8 tsp
1/8 tsp
½ tsp
as needed
lean center-cut pork chops, 1/3-inch thick
egg white
evaporated skim milk
cornflake crumbs
fine dry bread crumbs
paprika
oregano
chili powder
garlic powder
black pepper
cayenne pepper
dry mustard
salt
nonstick spray coating

1. Trim all fat from chops
2. Beat egg white with evaporated skim milk. Place chops in milk mixture and let stand for 5 minutes, turning chops once.
3. Meanwhile, mix together cornflake crumbs, bread crumbs, spices, and salt.
4. Spray a 9X13-inch baking pan with nonstick spray coating.
5. Remove chops from milk mixture. Coat thoroughly with crumb mixture.
6. Place chops in pan and bake in 375oF oven for 20 minutes. Turn chops and bake 15 minutes longer or till no pink remains.
Note: If desired, substitute skinless, boneless chicken, turkey parts, or fish for pork chops and bake for 20 minutes.

Yield: 6 servings
Serving size: 1 pork chop
Each serving provides: 186 calories; 5 g total fat; 5 g saturated fat; 31 mg cholesterol; 393 mg sodium.

BAVARIAN BEEF
This classic German stew is made with lean trimmed beef stew meat and cabbage.
1 ¼ lb
1 Tbsp
1 large
1 ½ C
¾ tsp
½ tsp
1/8 tsp
1
¼ C
1 Tbsp
½
¼ C
lean beef stew meat (trimmed of fat), cut in 1-inch pieces
vegetable oil
onion, thinly sliced
water
caraway seeds
salt
black pepper
bay leaf
white vinegar
sugar
small head red cabbage, cut into 4 wedges
crushed gingersnaps

1. Brown meat in oil in a heavy skillet. Remove meat and sauté onion in remaining oil until golden. Return meat to skillet. Add water, caraway seeds, salt, pepper, and bay leaf. Bring to a boil. Reduce heat, cover, and simmer 1 ¼ hours.
2. Add vinegar and sugar, stir. Place cabbage on top of meat. Cover and simmer 45 minutes more.
3. Arrange meat and cabbage on a platter and keep warm.
4. Strain drippings and skim off fat. Add enough water to drippings to yield 1 cup of liquid. Return to skillet with gingersnap crumbs. Cook and stir until thickened and mixture boils. Serve with meat and vegetables.

Yield: 5 servings
Serving size: 5 oz
Each serving provides: 11 g total fat; 3 g saturated fat; 56 mg cholesterol; 323 mg sodium

NEW ORLEANS RED BEANS
This vegetarian main dish is cholesterol free, virtually fat free, and chock full of vegetables.
1 lb
2 qt
1 ½ C
1 C
4
1 C
3 Tbsp
3 Tbsp
2 tsp
1 tsp
1 tsp
dry red beans
water
chopped onion
chopped celery
bay leaves
chopped green pepper
chopped garlic
chopped parsley
dried thyme, crushed
salt
black pepper

1. Pick through the beans to remove bad beans, rinse thoroughly.
2. In a large pot combine beans, water, onion, celery, and bay leaves. Bring to a boil; reduce heat. Cover and cook over low heat for about 1 ½ hours or until beans are tender. Stir. Mash beans against side of pan.
3. Add green pepper, garlic, parsley, thyme, salt, and black pepper. Cook, uncovered, over low heat till creamy, about 30 minutes. Remove bay leaves.
4. Serve with hot cooked brown rice, if desired.

Yield: 8 servings
Serving size: 1 ¼ cup
Each serving provides: 171 calories; less than 1 g total fat; less than 1 g saturated fat; 0 cholesterol; 285 mg sodium

SWEET & SOUR SEASHELLS
Draining the marinade before serving keeps the fat and sodium low in this cold pasta salad.
1 lb
2 Tbsp
¾ C
½ C
½ C
½ C
3 Tbsp
to taste
2 oz jar
2 small
2 small
18
uncooked small seashell macaroni ( 9 cups cooked)
vegetable oil
sugar
cider vinegar
wine vinegar
water
prepared mustard
black pepper
sliced pimentos
cucumbers
onions thinly sliced
lettuce leaves

1. Cook macaroni in unsalted water, drain, rinse with cold water, and drain again. Stir in oil.
2. Transfer to 4-quart bowl. Place sugar, vinegars, water, prepared mustard, pepper, and pimento in blender. Process at low speed 15-20 seconds, or just enough so flecks of pimento can be seen. Pour over macaroni.
3. Score cucumber peel with fork tines. Cut cucumber in half lengthwise, then slice thinly. Add to pasta with onion slices. Toss well.
4. Marinate, covered, in refrigerator 24 hours. Stir occasionally.
5. Drain and serve on lettuce.

Yield: 18 servings
Serving size: ½ cup
Each serving provides: 149 calories; 2 g total fat; less than 1 g saturated fat; 0 mg cholesterol; 33 mg sodium

VEGETABLES WITH A TOUCH OF LEMON
Lemon juice, herbs, and a small amount of oil make this sauce as tasty as it is healthy.
½ small head
2 C
2 Tbsp
1 Tbsp
1 clove
2 tsp
small head cauliflower, cut into florets
brocoli, cut into florets
lemon juice
olive oil
garlic, minced
fresh parsley, chopped

1. Steam broccoli and cauliflower until tender (about 10 minutes).
2. In a small saucepan, mix the lemon juice, oil, and garlic, and cook over low heat for 2 or 3 minutes.
3. Put the vegetables in a serving dish. Pour the lemon sauce over the vegetables. Garnish with parsley.

Yield: 6 servings
Serving size: ½ C
Each serving provides: 22 calories; 2 g total fat; less than 1 g saturated fat; 0 mg cholesterol; 7 mg sodium

GARLIC MASHED POTATOES
No added fat or salt is used or needed in this tasty potato dish.
1 lb
2 C
2
½ tsp
(about 2 large) potatoes, peeled and quartered
skim milk
large cloves garlic, chopped
white pepper

1. Cook potatoes, covered, in a small amount of boiling water for 20-25 minutes or until tender. Remove from heat. Drain and recover.
2. Meanwhile, in a small saucepan over low heat, cook garlic in milk until garlic is soft, about 30 minutes.
3. Add milk-garlic mixture and white pepper to potatoes. Beat with an electric mixer on low speed or mash with a potato masher until smooth.

Microwave Directions
 
Scrub potatoes, pat dry, and prick with a fork. On a plate, cook potatoes, uncovered, on 100% power (high) until tender, about 12 minutes, turning potatoes over once. Let stand 5 minutes. Peel and quarter. Meanwhile, in a 4-cup glass measuring cup, combine milk and garlic. Cook, uncovered, on 50% power (medium) until garlic is soft, about 4 minutes. Continue as directed above.
Yield: 4 servings
Serving size: ¾ cup
Each serving provides: 141 calories; less than 1 g total fat; less than 1 g saturated fat; 2 mg cholesterol; 70 mg sodium.

CRUNCHY PUMPKIN PIE
This pie uses only a small amount of oil in the crust and skim milk in the filling to make it heart-healthy.
For the Pie Crust
1 C
¼ C
¼ C
2 Tbsp
¼ tsp
3 Tbsp
1 Tbsp



quick cooking oats
whole wheat flour
ground almonds
brown sugar
salt
vegetable oil
water


For the Pie Filling
¼ C
½ tsp
¼ tsp
1
4 tsp
1 C
2/3 C

packed brown sugar
ground cinnamon
groung nutmeg
salt
egg, beaten
vanilla
canned pumpkin
evaporated skim milk

1. Preheat oven to 425°F.
2. Mix oats, flour, almonds, sugar, and salt together in small mixing bowl.
3. Blend oil and water together in measuring cup with fork or small wire whisk until emulsified.
4. Add oil mixture to dry ingredients and mix well. If needed, add small amount of water to hold mixture together.
5. Press into a 9-inch pie pan and bake for 8-10 minutes, or until light brown.
6. Turn down oven to 350° F.
7. Mix sugar, cinnamon, nutmeg, and salt together in a bowl.
8. Add eggs and vanilla and mix to blend ingredients.
9. Add pumpkins and milk and stir to combine.
10. Pour into prepared pie shells.
11. Bake 45 minutes at 350°F or until knife inserted near center comes out clean.

Yield: 9 servings
Serving size: 1/9 of a 9-inch pie
Each serving provides: 177 calories; 8 g total fat; 1 g saturated fat; 24 mg cholesterol; 153 sodium

RICE PUDDING
This delicious dessert reduces the fat and calories lby using skim instead of whole milk.
6 C
2
1 C
3 C
2/3 C
1/2 tsp
water
cinnamon sticks
rice
skim milk
sugar
salt

1. Put the water and cinnamon sticks into a medium saucepan. Bring to boil.
2. Stir in rice. Cook on low heat for 30 minutes until rice is soft and water has evaporated.
3. Add skim milk, sugar, and salt. Cook for another 15 minutes until it thickens.

Yield: 5 servings
Serving size: 1/2 cup
Each serving provides: 372 calories; less than 1 g total fat; less than 1 g saturated fat; 3 mg cholesterol; 366 mg sodium

WINTER CRISP
Only 1 tablespoon of margarine is used to make the crumb topping of this tart and tangy fruit dessert that is cholesterol free and low in sodium.
For the Filling

1/2 C

3 Tbsp
1 tsp
3/4 tsp
5 C
1 C




sugar
all-purpose flour
lemon peel, grated
lemon juice
apples, unpeeled, sliced
cranberries


For the Topping

2/3 C
1/3 C
1/4 C
2 tsp
1 Tbsp
rolled oats
brown sugar, packed
whole wheat flour
ground cinnamon
soft margarine, melted

1. To prepare filling, in a medium bowl combine sugar, flout, and lemon peel; mix well. Add lemon juice, apples and cranberries; stir to mix. Spoon into a 6-cup baking dish.
2. To prepare topping, in a small bowl, combine oats, brown sugar, flour, and cinnamon. Add melted margarine; stir to mix.
3. Sprinkle toppin over filling. Bake in a 375°F oven for approximately 40-50 minutes or until filling is bubbly and top is brown. Serve warm or at room temperature.

Note: For a summertime crisp, prepare as directed but substitute 4 cups fresh or unsweetened frozen (thawed) peaches and 3 cups fresh or unsweetened frozen (unthawed) blueberries for apples and cranberries. If frozen, thaw peaches completely (do not drain). Do not thaw blueberries before mixing or they will be crushed.

Yield: 6 servings
Serving size: 1 3/4-inch by 2-inch piece
Each serving provides: 282 calories; 6 g total fat; 1 g saturated fat; 0 mg cholesterol; 56 mg sodium


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