theLighter Side of Lancaster
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theLighter Side of Lancaster
the Lighter Side of Lancaster Traditional Recipes Made Healthier 717-544-3138 www.LancasterGeneral.org Wellness Center Contents Notes to Readers ................................ 2 Fruits & Veggies ................................. 25 Introduction ......................................... 3 Main Dishes Modifying Recipes Chicken Pot Pie .................................................... 28 Why modify recipes ................................................. 4 Meatloaf................................................................. 29 Which recipes to modify ......................................... 4 Shepherd's Pie ....................................................... 30 How to modify a recipe ........................................... 5 Stuffed Peppers ...................................................... 31 How to reduce saturated fat content ....................... 7 Turkey Noodle Casserole....................................... 32 T How to reduce sugar content .................................. 8 Unstuffed Cabbage ................................................ 33 How to reduce sodium content ............................... 9 Money & Time-Saving Ideas ............. 34 Recipe modification example: Baked Oatmeal ..... 10 Desserts Breads & Buns Apple Dumplings .................................................. 37 Cinnamon Buns .................................................... 12 Apple Fritters ........................................................ 38 Morning Glory Muffins ......................................... 13 Berry-Apple Crisp ................................................. 39 Pumpkin Bread ...................................................... 14 Shoo-fly Cake ........................................................ 40 Zucchini Bread ...................................................... 15 Whoopie Pies ........................................................ 41 Healthy Food Staples ........................ 16 Healthy Dining Out ........................... 42 Soups & Side Dishes Additional Resources ........................ 43 Chicken Corn Soup .............................................. 18 Navy Bean & Ham Soup....................................... 19 Baked Corn Casserole ........................................... 20 Corn Fritters .......................................................... 21 Potato Pancakes .................................................... 22 Potatoes Supreme .................................................. 23 Sweet Potato Soufflé ............................................. 24 The Lighter Side of Lancaster: Traditional Recipes Made Healthier 01 Lancaster General Notes to Readers Cookbook Contributors The information in this cookbook is geared toward the general public of adults and children over age two. It is not intended as a substitute for consulting with your physician or other qualified health professional. Erma Yoder The nutrient analysis for the recipes was done by a registered dietitian using FoodWorks Version 9.0 copyright 2007. Nutrient values were rounded according to federal rounding rules for declaring nutrients—the same rules used for food labeling. Please consider the nutrient values as estimates with some degree of variation possible depending on the specific brand names of ingredients used. Optional ingredients were not included in the analysis. Where two or more ingredients are suggested, the first was used in the analysis. Also, when the number of servings for a recipe appears as a range (for example, 4 to 6 servings), the nutrient analysis applies to the per person portion for first number (i.e., per person for 4 servings). Joanne Yoder Please direct any questions about this publication to: John Yoder Jacqui Zimmerman, RD, LDN, Wellness Center, (717) 544-3869, [email protected] Bev Brubaker Mirian Butz Jan Kristensen, MS, RD, LDN Rosemary Search, RN, BSN Vi Soper Pat Thorpe Jacqui Zimmerman, RD, LDN 02 The Lighter Side of Lancaster: Traditional Recipes Made Healthier Wellness Center Introduction Lancaster County is widely known for its traditional cooking. Items such as shoo-fly pie, chicken corn soup, and apple dumplings can be found on the menus of many local restaurants as well as in the recipe collections of many local cooks. These recipe favorites are often hard to give up, even if we know that they are not healthy by today’s standards. In fact, one of the most common reasons why people don’t follow dietary recommendations is their belief that they will have to stop eating all of their favorite foods. With some rather simple changes in ingredients, method of cooking and/or portion size, many of these traditional “comfort foods” can still be part of a healthier lifestyle. Recipes can be modified to improve the nutritional content of the product without sacrificing flavor and appeal. The purpose of this cookbook is to provide a collection of Lancaster County favorite recipes, modified to better suit today’s healthy eating guidelines, the Dietary Guidelines for Americans 2005. The Dietary Guidelines for Americans 2005 provides “science-based advice to promote health and to reduce risk for major chronic diseases (such as cardiovascular disease, type 2 diabetes, high blood pressure, osteoporosis, and certain types of cancer) through diet and physical activity.”¹ These guidelines define a healthy diet for the general public over the age of two as one that “emphasizes fruits, vegetables, whole grains, and fat-free or low-fat milk and milk products; includes lean meats, poultry, fish, beans, eggs, and nuts; and is low in saturated fats, trans fats, cholesterol, salt (sodium), and added sugars.”² The guidelines also recommend eating a daily variety of foods, eating all foods in moderation, being physically active every day, and handling/preparing food safely in order to reduce risk of food borne illness. This cookbook also provides ideas to help you modify your own recipes along with general tips for healthy eating. References 1. http://www.health.gov/ dietaryguidelines/dga2005/document/html/ executivesummary.htm 2. http://www.mypyramid.gov/ guidelines/index.html The Lighter Side of Lancaster: Traditional Recipes Made Healthier 03 Lancaster General Modifying Recipes Why modify recipes A major reason to modify recipes is to improve the nutritional content of the product– that is, to lower the amount of some nutrients (like total fat, saturated fat, cholesterol, sodium, and calories) and increase the amount of other nutrients (like vitamins and minerals) and fiber. Many recipes traditional to Lancaster County contain ingredients that are rich in saturated fat. These ingredients include butter, lard, whole milk, whole fat cheeses, and fatty cuts of meats. Saturated fat is the major dietary factor that contributes to heart disease, which is the leading cause of death in the United States and in Lancaster County. Thus, when modifying recipes, a major goal is to lower the saturated fat content. Many traditional foods in Lancaster County are rich in calories because of the amount of fat and sugar used in recipes. Recipes can be modified to lower the calorie content, which is important for weight management. Overweight and obesity are growing health concerns, and many experts believe they are a result of eating too many calories and not getting enough physical activity. Which recipes to modify You might not need to modify all of your favorite recipes in order to eat a healthier diet. Start by asking yourself the following questions: 1) How often do you prepare and eat this food? If you have a recipe that you make only once a year or for special occasions, then you may not need to be too concerned about changing it. Instead, focus on recipes that you prepare on a fairly regular basis since these are the foods that contribute the most to your overall eating pattern. 2) Is the recipe already fairly healthy? That is, is it reasonably low in saturated fat, cholesterol, sodium, and added sugars, but a good source of protein, vitamins, minerals, and/or fiber? To help you answer this question, you might want to review the ideas for modifying recipes first. That way, you will know which ingredients to reduce and which ones to increase in your recipes and eating pattern. 3) How much of this food do you eat? Perhaps instead of modifying the recipe, you could eat a smaller portion. Consider cutting a pie or casserole into smaller pieces. Or maybe serve the item as a side dish, rather than as a main course. Balance is important, so when you do serve a high fat or high calorie item, offer plenty of healthy accompaniments, like fresh vegetables and fruit. 04 The Lighter Side of Lancaster: Traditional Recipes Made Healthier Wellness Center Modifying Recipes (cont.) How to modify a recipe Step I: Determine if you can change the cooking method. Can you use a nonstick skillet and minimal amount of oil, or a fatfree liquid to cook something rather than use a deep-fryer? Can you bake something instead of frying? Step 2: Determine which ingredients to modify. To do this, you need to know which ingredients contribute to the nutrients of main concern: calories, total fat, saturated fat, trans fat, cholesterol, sugar, sodium, and fiber. Calories are an energy source for our bodies. If you want to lose weight, you need to eat fewer calories or burn off more through physical activity. Protein, carbohydrates, alcohol and fat are the only nutrients that provide calories. Fat is the most concentrated source of calories. Total fat is the sum of all types of fatty acids found in one serving of a food. All fats are made up of a mixture of three main types of fatty acids: saturated, monounsaturated, and polyunsaturated fatty acids. Some fats also contain trans fatty acids, or trans fats. The amount of each type of fatty acid varies in different foods. The Dietary Guidelines for Americans 2005 recommend that adults get 25 to 35 percent of their calories from fat, i.e., 56 to 78 g total fat for an adult who eats 2,000 calories per day. Saturated fats are found mostly in animal products, but are also found in coconut, coconut oil, and palm kernel oil. Ingredients such as whole milk, cream, cheese, butter, meat, and poultry skin are rich in saturated fat. A diet high in saturated fat can raise blood cholesterol levels and thereby increase the risk of heart disease. Limit saturated fats as much as possible. Trans fats are often in foods that contain partially hydrogenated vegetable oil. They are found in stick margarine, solid shortenings, crackers, and store-bought baked goods. Read food labels to find products that are trans fat free. Trans fats raise blood cholesterol levels and increase risk of heart disease and possibly other diseases. Limit trans fats as much as possible. Monounsaturated fats are found in olive oil, canola oil, peanut oil, and avocados. Some tub margarines contain these fatty acids. Choose foods rich in this type of fat in place of foods rich in saturated and trans fats. Polyunsaturated fats are found in liquid vegetable oils like sunflower, safflower, corn, soybean, and cottonseed. Some margarines and many packaged foods contain mostly polyunsaturated fats. Polyunsaturated fats include a family of fatty acids called omega-3 fatty acids. Three main omega-3 fatty acids are alpha-linolenic acid (ALA), eicosapentaenoic acid (EPA), and docosapentaenoic acid (DHA). Major sources of ALA are flaxseeed, canola oil, walnuts, and soybeans. Major sources of EPA and DHA are fatty fish/seafood and marine algae. Experts recommend eating more omega-3 fatty acids as healthier alternatives to saturated and trans fats. Cholesterol is found only in animal products. Sources of cholesterol include meats (especially organ meats), egg yolks, butter, cheese, cream, and whole milk. The Dietary Guidelines for Americans 2005 recommend a limit of 300 mg cholesterol per day. Sugar contributes to carbohydrate content and calories of foods. Types of sugars that are added to foods include white and brown sugar, corn syrup, honey, maple syrup, and molasses. Unsweetened fruits, milk and yogurt contain natural sugars that are not as much of a health concern for the general public. Be aware that even when a food has “no sugar added” it may still contain carbohydrates. The Dietary Guidelines recommend that we cut back on foods rich in added sugars and the amount of sugars we add to foods. The Lighter Side of Lancaster: Traditional Recipes Made Healthier 05 Lancaster General Modifying Recipes Sodium: Table salt is the main contributor of sodium. Condiments like bouillon, seasoning salts, and soy sauce; cured meats; canned vegetables, soups, and sauces; jarred sauces; cheese; and salad dressings are ingredients that increase the sodium content of recipes. A high sodium diet can raise blood pressure. The Dietary Guidelines for Americans 2005 recommend a limit of 2,300 mg sodium per day for the general (cont.) public and a limit of 1,500 mg sodium per day for those with high blood pressure, blacks, and middle-aged and older adults. Fiber is naturally present only in foods of plant origin. It is found in varying amounts in whole grain breads and cereals, nuts, dry beans and peas, fruits and vegetables. Adequate fiber intake is important for proper bowel function. Adequate dietary fiber can also help achieve and maintain healthy blood cholesterol levels and body weight. Eating foods with fiber helps us feel satisfied. Foods with fiber generally add bulk without an abundance of calories. Most Americans do not eat enough fiber. The Dietary Guidelines recommend a fiber intake of 14 g fiber per 1,000 calories eaten, which translates to 21 to 38 g fiber per day for most adults. Step 3: Change one or more ingredients. Your main options are the following: 1) Reduce the amount of the ingredient 2) Eliminate the ingredient, or 3) Substitute a healthier ingredient Keep in mind that many of the ingredients that you might modify contribute to the flavor, texture and tenderness of a product. Your modified product will likely not be exactly the same as the original. Try to keep an open mind. You might find that now, or over time, you prefer the modified product. The next section (after Step 4) offers specific ideas for making recipes healthier. Step 4: Decide if you would prefer to eat a smaller portion or eat the product less often - instead of, or in addition to, doing the previous steps. Resources Revitalize your Recipes for Better Health, adapted from a publication by Christina Stark, MS, RD. Division of Nutritional Sciences, Cornell University, April 1988, revised 2004. 06 The Lighter Side of Lancaster: Traditional Recipes Made Healthier Wellness Center How to Reduce Saturated Fat Content When your recipe calls for: Ground beef Try one of these instead: • Extra-lean ground beef or ground sirloin • Ground skinless chicken or turkey breast • Textured vegetable protein (sodium content varies) • Meatless crumbles (sodium content varies) • Cooked legumes, such as kidney beans, black beans, chick peas, etc. Whole milk • 1% low-fat or fat-free (skim) milk or soy milk Evaporated milk (canned) • Evaporated skimmed milk (canned) Hard, regular cheese • Reduce the amount or omit it Replace ½ the amount with reduced-fat or low-fat cheese • Strong-flavored reduced-fat or low-fat cheese • Whole milk ricotta cheese • Light or heavy cream • Part-skim ricotta or fat-free ricotta Evaporated skimmed milk For cream soups, try cooked, pureed vegetables (like carrots, potatoes, peas, or winter squash) to give a creamy texture • Sour cream Fat-free sour cream Plain, fat-free yogurt Note: T Too prevent curdling if you plan to heat the fat-free dairy product (as you would in making stroganoff), mix 1 tablespoon cornstarch into 1 tablespoon of the dairy product, then mix in the remaining dairy product. Remove the hot food from the heat source or turn heat to low and gradually stir in the cornstarch/dairy mixture. • • Cream cheese • • Butter for sautéing • • Minimal amount of vegetable oil or spray oil Use a nonstick pan and fat-free liquids: Defatted stock or low-sodium bouillon, fruit juice, mixture of fat-free liquids Replace half the amount with applesauce, (in baked goods) pureed prunes, mashed banana, canned pumpkin. • Replace with vegetable oil, but use only ²⁄ the amount. For example, if the recipe calls for 1 cup butter, butter, use ²⁄ cup oil Butter, shortening or stick margarine • Whole eggs • • Commercial cracker or bread crumbs Reduced-fat or fat-free cream cheese Yogurt cheese (homemade): Drain low-fat or fat-free yogurt (use a brand without gelatin) in a yogurt cheese funnel or strainer lined with cheesecloth. Refrigerate for several hours. With much of the liquid drained off, the thickened yogurt has the consistency of cream cheese. • • Use 2 egg whites in place of 1 whole egg. Use ¼ cup cholesterol-free egg substitute in place of 1 whole egg Oat bran, cornmeal, Matzo meal Crushed fat-free cereal or crackers The Lighter Side of Lancaster: Traditional Recipes Made Healthier 07 Lancaster General How to Reduce Sugar Content When your recipe calls for: Fruit canned in heavy syrup Try one of these instead: • Fruit canned in unsweetened juice, water, or extra light syrup • Drain off the heavy syrup • Rinse the fruit with water in a colander Granulated white sugar or brown sugar • Honey or other liquid sweeteners (molasses, corn syrup, etc.) • 08 Reduce the amount by ¼ or ¹⁄³ and add or increase the amount of vanilla extract, ground cinnamon, or dried fruits to sweeten baked products • Use only 1 teaspoon of sugar per cup of flour in yeast breads • Use 1 tablespoon sugar per cup of flour in muffins and quick breads • Replace some of the sugar with Splenda® (sucralose), a heat-stable, caloriefree sugar substitute In muffins and quick breads, reduce the amount by ¼ and be careful not to over bake The Lighter Side of Lancaster: Traditional Recipes Made Healthier Wellness Center How to Reduce Sodium Content When your recipe calls for: Try one of these instead: Salt Sea salt • Garlic salt • Fresh garlic or garlic powder (start with half the amount of garlic salt in the recipe; add more as desired) Onion salt • Onion powder (start with half the amount of onion salt in the recipe) Celery salt • Celery seed Seasoned salt • Salt-free herb-spice blends Baking powder • Use only 1¼ teaspoon per cup of flour in biscuits, muffins or waffles. Use only 1 teaspoon per cup of flour in cakes Reduce the amount or omit Note: Some sodium is desirable in making yeast breads, but the minimum amount needed to control the action of yeast is ¼ teaspoon salt per cup flour • Regular canned broth • Low sodium broth or other low sodium/sodium-free liquid, like water, fruit juice, low sodium vegetable juice, homemade stock without salt Foods canned with salt (like tuna, vegetables, legumes) • Foods canned with no added salt or high sodium ingredients (see below) Drain and rinse with water to remove at least ¹⁄³ of the sodium Salted snack foods foods (pretzels, nuts, crackers) • Unsalted or reduced-sodium foods Regular soy sauce • Low sodium soy sauce • Sodium-containing ingredients which do not contain the word "salt" or "sodium" in the ingredient name: Baking powder Baking soda Brine Broth Bouillon Hydrolyzed vegetable protein Kelp Miso Soy sauce The Lighter Side of Lancaster: Traditional Recipes Made Healthier 09 Lancaster General Recipe Modification Example: Baked Oatmeal Yield: 4 servings In this recipe, we replaced some of the oil with applesauce, reduced the sugar and salt, used egg whites to replace whole eggs, and used skim milk instead of whole milk. We also added cinnamon to give the final product more flavor! By modifying this recipe, we saved a total of 170 calories and 16 g of fat! Nutritional Comparisons Original Recipe Serving size 1 Calories 440 Total fat 22 g Saturated fat 3g Trans fat 0g Cholesterol 60 mg Sodium 800 mg Total carbohydrate 55 g Dietary fiber 4g Original Modified ¹⁄³ cup cooking oil ½ cup sugar cooking spray 1 large egg, beaten 2 cups uncooked oats ¹⁄³ cup unsweetened applesauce ¼ cup light brown sugar 1½ teaspoon baking powder 2 large egg whites 1 teaspoon salt 2 cup uncooked old-fashioned rolled oats ²⁄³ cup whole milk 1. Combine oil, sugar, and egg. Add oats, baking powder, salt, and milk. Pour into greased 8-inch baking dish. 2. Bake at 350° for 30-35 minutes. Modified Recipe Serving size 1 Calories 270 Total fat 6g Saturated fat 0.5 g Trans fat 0g Cholesterol 0 mg Sodium 380 mg Total carbohydrate 46 g Dietary fiber 5g 10 The Lighter Side of Lancaster: Traditional Recipes Made Healthier 1 tablespoon canola oil 1½ teaspoons baking powder ¼ teaspoon salt 1 teaspoon ground cinnamon ²⁄³ cup skim milk 1. Use cooking spray to “grease” bottom and sides of 8-inch square baking dish. 2. In a medium-sized bowl, mix together 1 tablespoon oil, applesauce, brown sugar and egg substitute. Add remaining ingredients; mix. Pour into greased dish. 3. Bake at 350° F for 25 minutes. Wellness Center Breads & Buns The Lighter Side of Lancaster: Traditional Recipes Made Healthier 11 Lancaster General Cinnamon Buns Okay, these cinnamon buns are not nearly as rich as traditional ones, but that’s why you can feel good about eating these on a more regular basis. We switched from traditional use of solid shortening or butter to a type of margarine with much less saturated fat and no trans fat. We also switched from white flour to whole wheat for more fiber. And to keep calories in check, we cut back slightly on sugar and nuts. Cinnamon Bun Filling ½ cup packed light brown sugar ½ tablespoon ground cinnamon ¼ cup chopped walnuts ½ tablespoon canola oil ½ cup raisins, soaked in warm water to plump Nutrition Facts Serving size Calories Total fat Saturated fat Trans fat Cholesterol Sodium Total carbohydrate Dietary fiber 12 1 bun 120 3g 1g 0g 10 mg 75 mg 21 g 2g Yield: 24 buns Basic Sweet Dough ¼ cup white granulated sugar ¼ cup no trans fat margarine suitable for baking ½ teaspoon salt ½ cup skim milk, scalded (180° F) 1 large egg, beaten or ¼ cup cholesterol-free egg substitute 3 to 3-½ cups white whole wheat flour (or traditional whole wheat flour) ½ cup lukewarm water 1 packet Rapid Rise yeast 1. Put sugar, margarine, and salt in a small mixing bowl. Pour in scalded milk and whisk to blend. Set aside to cool slightly. 2. Dissolve yeast in lukewarm water in a large bowl. Add beaten egg. 3. When milk mixture has cooled to lukewarm, add to it the water/yeast/egg mixture. Add 3 cups flour gradually, beating well. Use an electric mixer with a bread dough attachment if available. Add only enough extra flour to form a soft batter. 4. Turn batter onto floured board and knead lightly, working in just enough flour so you can handle the dough. Place dough in a medium-large oiled bowl, cover and let stand in a warm place until double in bulk (about 1 hour). Meanwhile, use a fork to mix the ½ cup brown sugar, ½ tablespoon cinnamon, and ¼ cup chopped walnuts in a small bowl; set aside ¼ cup of the mixture. 5. Roll dough into a rectangle ¼ inch thick. 6. Brush with canola oil and sprinkle evenly with brown sugar mixture (from step 4) and raisins. 7. Roll like a jelly roll, starting at one wide end and rolling tightly toward the other wide end. Use a sharp knife to cut the log into 24, ½-inch slices. Place 6 slices, cut side down, into each of four tin pie pans sprayed with cooking spray (5 around the edge, 1 in center). Use reserved brown sugar mixture to sprinkle over top the slices. Cover and let rise in a warm place about ½ hour. 8. Bake at 400° F for 18-20 minutes. Keep in pans to cool on wire rack. To store, put each pie tin into a gallon-size zip-lock freezer bag. Best if eaten the same day. To store, freeze in zip-lock freezer bags. The Lighter Side of Lancaster: Traditional Recipes Made Healthier Wellness Center Morning Glory Muffins Yield: 18 muffins The whole wheat pastry flour in this recipe boosts the fiber and nutrient content without making the muffins heavy and dense. We lowered the fat content by using applesauce to replace half the fat, egg substitute to replace whole eggs, and coconut extract to replace shredded coconut. We also used less sugar and salt. Yet, these muffins are deliciously sweet and moist! 2 cups whole wheat pastry flour ¾ cup sugar 2 teaspoons baking soda 2 teaspoons ground cinnamon ¼ teaspoon salt ¾ cup cholesterol-free egg substitute ¹⁄³ cup canola oil ²⁄³ cup unsweetened applesauce Quick Tips For longer storage, freeze muffins in zip-lock freezer bags. Defrost in the microwave or thaw at room temperature. 2 teaspoons vanilla extract 1 teaspoon coconut extract 2 cups grated carrots 1 cup peeled, grated apple (1 medium-large apple) 8 ounce can crushed pineapple in 100% juice, drained (reserve juice for drinking or other use; yield of drained pineapple is ²⁄ cup) ½ cup raisins (or dried cranberries) ¼ cup chopped walnuts (or pecans) Nutrition Facts 1. Preheat oven to 350° F. Spray standard muffin tins with cooking spray. Serving size 1 muffin Calories 170 Total fat 6g Saturated fat 0.5 g Trans fat 0g Cholesterol 0 mg Sodium 200 mg Total carbohydrate 28 g Dietary fiber 3g 2. In a large bowl, mix the flour, sugar, baking soda, cinnamon and salt. 3. In a medium-large bowl, mix together egg substitute, oil, applesauce, and flavoring extracts. Stir in carrots, apple, pineapple, raisins, and nuts. Add this mixture to the flour mixture, stirring gently to combine. 4. Scoop batter into muffin cups, filling each about ²⁄³ full. Bake 18 to 20 minutes or until toothpick comes clean. Allow muffins to cool in pan 10 minutes, then transfer to a cooling rack to cool completely. The Lighter Side of Lancaster: Traditional Recipes Made Healthier 13 Lancaster General Pumpkin Bread Yield: 9x5-inch loaf (12 slices) A great way to enjoy vitamin-rich, fiber-rich pumpkin year round! Serve this as a sweet alternative to breakfast pastries, as a snack, or as dessert. Or, wrap some up as a healthy, homemade gift for friends and family. 2 cups whole wheat pastry flour (or 1 cup sifted whole wheat flour plus 1 cup sifted all-purpose flour) 2 teaspoons baking powder ½ teaspoon baking soda 2 teaspoons pumpkin pie spice blend 1 cup solid packed canned pumpkin ¾ cup packed light brown sugar ¾ cup skim milk 2 large egg whites (or ¼ cup cholesterol-free egg substitute) ¹⁄³ cup raisins, dried cranberries, or chopped dates (optional) ¹⁄³ cup chopped pecans or walnuts (optional) Quick Tips Cut loaf in half – enjoy half now and freeze the rest. Nutrition Facts Serving size 1 slice Calories 140 Total fat 0g Saturated fat 0g Trans fat 0g Cholesterol 0 mg Sodium 160 mg Total carbohydrate 31 g Dietary fiber 3g 14 1. Preheat oven to 350° F. Use cooking spray to lightly oil a 9 x 5-inch glass or metal loaf pan. 2. In a large bowl, mix together flour, baking powder, baking soda, and spice blend. 3. In a medium bowl, mix together remaining ingredients. Add this mixture to the flour mixture. Mix gently, but thoroughly to combine. Pour batter into prepared pan and spread evenly. 4. Bake in 350° F oven for 50 minutes or until toothpick inserted into center comes out clean. Cool bread in pan on rack for 10 minutes before removing from pan and cooling completely completely. Wrap in foil to store at room temperature for up to three days or freeze wrapped loaf in zip-lock freezer bag. The Lighter Side of Lancaster: Traditional Recipes Made Healthier Wellness Center Zucchini Bread Special Note Flaxseed is a rich source of alpha-linolenic acid (ALA), an omega-3 fatty acid. Omega-3 fatty acids are a family of polyunsaturated fats that may help protect against heart disease and offer other health benefits. Flaxseed also contains fiber and phytoestrogens, plant compounds that may help protect against certain cancers. Look for vacuumsealed packages of ground flaxseed in the health section of the supermarket or purchase whole flaxseed and grind it in a mini food processor or coffee grinder. Store ground flaxseed in an airtight container in the refrigerator or freezer. Nutrition Facts Serving size 1 slice Calories 170 Total fat 6g Saturated fat 0.5 g Trans fat 0g Cholesterol 20 mg Sodium 110 mg Total carbohydrate 26 g Dietary fiber 2g Yield: 9x5-inch loaf (12 slices) The nutrient and fiber content of this recipe gets a little boost with the use of whole wheat flour, wheat germ, and ground flaxseed. Cinnamon, vanilla, and raisins help keep this bread sweet with less sugar than most traditional versions. 1½ cups whole wheat pastry flour (or ¾ cup whole wheat flour and ¾ cup all-purpose white flour) ½ cup toasted wheat germ ½ cup light brown sugar ¼ cup ground flaxseed 1 teaspoon baking powder ½ teaspoon baking soda 1 teaspoon ground cinnamon 1 large egg (or 2 egg whites, or ¼ cup cholesterol-free egg substitute) ¼ cup canola oil ¼ cup skim milk 1 teaspoon vanilla extract 1½ cups packed, unpeeled, grated zucchini ¹⁄³ cup raisins 1. Preheat oven to 325° F. Spray a 9-inch x 5-inch glass loaf pan with cooking spray or lightly oil it. 2. In a large bowl, gently whisk together the dry ingredients (flour through cinnamon) in a large bowl. 3. In a medium bowl, combine remaining ingredients. Add to dry mixture and stir gently until all ingredients are moistened. Batter will be thick. Spread batter into prepared loaf pan. 4. Bake at 325° F for 50 minutes or until toothpick inserted into center comes out clean. Cool in pan on wire rack for about 10 minutes, then remove loaf and cool completely. Wrap in foil to store at room temperature for up to three days or freeze wrapped loaf in zip-lock freezer bag. The Lighter Side of Lancaster: Traditional Recipes Made Healthier 15 Lancaster General Healthy Food Staples Keep your kitchen well stocked with “staples” that can be used to throw together a meal in a pinch. Stock your pantry: • Whole wheat pastas, couscous, brown minute rice, or bulgur wheat Whole grain bread, pita, English muffins, or bagels • Old fashioned or quick oats, and ready to eat whole grain cereals • Whole grain crackers, baked chips, or pretzels (look for ones low in fat and sodium) • Spaghetti and pizza sauces (look for ones low in fat and sodium) • • Low sodium soy sauce • Salsa Canned beans, like garbanzo, pinto, kidney (no saltadded preferred) • Canned vegetables, like stewed tomatoes, diced tomatoes, corn, and peas and carrots (no salt-added preferred) • • Stocks (reduced-sodium preferred) like chicken, vegetable, and beef; or low sodium bouillon powder or cubes • Low sodium vegetable juice • Canned meats, like chicken, tuna fish, and canned salmon • Peanut butter or soy nut butter • Herbs and spices, including salt-free seasoning blends • Cooking oil low in saturated fat, like canola or olive oil • Cooking oil spray • Vinegar such as clear, red wine, white wine, or balsamic • • 16 Dried fruit and canned fruit (packed in water or unsweetened juice) Potatoes, onions The Lighter Side of Lancaster: Traditional Recipes Made Healthier Stock your refrigerator: • Skim or 1% fat milk • Fresh seasonal fruits and vegetables • Soft corn or whole grain flour tortillas • Plain, nonfat yogurt • No trans fat soft margarine • Low-fat salad dressing • Eggs and/or cholesterol-free egg substitute Stock your freezer: • • • • Home-frozen or store-bought frozen fruits and vegetables (plain types without butter and sauces preferred) Meats, poultry, and fish/seafood in portions ready for one meal Shelled nuts Whole wheat flour (especially if used infrequently or if room temperature exceeds 70° F) Special Note A stand-alone upright or chest freezer can be a money saver over time, allowing you to stock up on frozen foods on sale and giving you plenty of space for storing homegrown vegetables and homemade soups, stews, casseroles, breads, etc. Wellness Center Soups & Side Dishes The Lighter Side of Lancaster: Traditional Recipes Made Healthier 17 Lancaster General Chicken Corn Soup Yield: 18 cups soup (Twelve 1½ cup servings) We made a delicious low fat broth using skinless chicken breasts rather than using a whole chicken. This allowed us to skip the step of defatting, i.e., chilling and skimming the fat from the broth. 4 split chicken breasts halved, skin removed 1 teaspoon oil 3 quarts water 2 bay leaves Special Note To make perfect hard-boiled eggs, completely cover eggs with cool water in a small saucepan. Bring water to a boil; cover, and remove pan from heat. Allow to stand 20 minutes. Place eggs into ice water to cool. Omit the hardboiled egg to make this soup lower in cholesterol. Nutrition Facts Serving size 1½ cups Calories 300 Total fat 6g Saturated fat 2g Trans fat 0g Cholesterol 150 mg Sodium 670 mg Total carbohydrate 20 g Dietary fiber 3g 18 1½ teaspoons salt, divided 2 cups celery, chopped 1 medium onion, chopped 4 cups fresh or frozen corn 2 eggs, hard boiled and chopped 1 large egg, beaten 1 cup whole wheat pastry flour (or ½ cup whole wheat flour and ½ cup allpurpose flour) Freshly ground pepper (optional) 1. Heat oil in a large stock pot or Dutch oven over medium-high heat. Add chicken breasts and cook until no longer pink on the outside and slightly caramelized. Reduce heat to low, and cover. Allow to stand until chicken releases its juices, about 20 minutes. 2. Add water, 1 teaspoon salt and bay leaves, and increase heat to medium high. Allow water to just come to a boil, then reduce heat to medium-low, and cover. Simmer for about 20 minutes. 3. Remove chicken breasts and set aside to cool. Strain stock into a large bowl and set aside. Add celery, onions, and remaining ½ teaspoon salt to pot and cover. Cook vegetables over medium-low heat until slightly softened, keeping them covered between stirring. 4. When vegetables are tender, add strained stock back to the pot, along with the corn. Shred chicken and add to soup. Bring soup to a boil. 5. Meanwhile, mix beaten egg and flour with a fork until crumbly. Rub mixture between fingers to form small lumps of dough; slowly drop lumps into boiling soup. Add hard boiled egg, season with freshly ground pepper (if desired), reduce heat, and simmer 5 minutes. The Lighter Side of Lancaster: Traditional Recipes Made Healthier Wellness Center Navy Bean & Ham Soup Yield: 8 cups (8 small or 4 main-dish servings) This thick, hearty soup is sure to beat the winter chill! Serve it as a main course with whole grain rolls, navel orange wedges, and a glass of skim milk to round out the meal. No one will miss the ham hock and salt that we omitted from a traditional soup recipe. 1 pound dry navy beans 12 cups water, divided 1 cup chopped carrots ½ cup chopped celery 1 cup chopped sweet or yellow onion 1 teaspoon minced garlic Quick Tips To save time, use 5 cups rinsed and drained canned navy or Great Northern beans in place of dried beans. Rinsing the beans with water removes some of the salt used in canning. Start at step 2, reduce cook time to 30 minutes. Nutrition Facts Serving size 1 cup Calories 170 Total fat 3g Saturated fat 1g Trans fat 0g Cholesterol 25 mg Sodium 600 mg Total carbohydrate 20 g Dietary fiber 5g 1 teaspoon dry mustard powder 2 bay leaves 2 cups (10 ounces) chopped, lean, reduced-sodium smoked ham ground pepper, if desired 1. Rinse the beans and sort out any discolored ones or foreign particles. Place beans in a large pot. Add 7 cups hot water. Bring to a rapid boil; boil 2 minutes. Remove from heat, cover and let stand for one hour. Drain off water, rinse beans, drain again. 2. Return pot of soaked, drained beans to burner. Add 5 cups water and next 6 ingredients (carrots through bay leaves). Bring to a boil; reduce heat and simmer, partly covered, for 1 to 1½ hours, stirring occasionally. 3. Scoop out 2 cups of beans (being careful not to get bay leaves) and puree in a food processor or blender until smooth. Return puree to the pot. Add ham. Cover and cook on low at least another 15 minutes. 4. Remove bay leaves and season, as desired, with pepper, before serving. The Lighter Side of Lancaster: Traditional Recipes Made Healthier 19 Lancaster General Baked Corn Casserole Yield: 15 servings This is just as sweet and delicious as traditional baked corn casserole but with fewer calories and much less fat, saturated fat, cholesterol, and sodium. ¼ teaspoon canola oil 2- 15¼ ounce cans no salt added whole kernel corn, undrained (or 3 cups plain cooked fresh or frozen corn plus 1¼ cups water) 1- 14¾ ounce can no salt added sweet corn cream style ½ cup cholesterol-free egg substitute 8 ounce fat-free sour cream 6½ ounce package corn muffin mix (for 6 muffins) ½ teaspoon salt 1. Use oil to grease a 9-inch x 13-inch glass baking dish. Quick Tips 2. Mix all remaining ingredients together in a large bowl and pour evenly into baking dish. 3. Bake, uncovered, at 350° F for 55-60 minutes. Let sit for 5-10 minutes before serving. If you cannot find no salt added canned products, use the regular (canned with salt) and omit the ½ teaspoon salt. Nutrition Facts Serving size 1 Calories 140 Total fat 2.5 g Saturated fat 0.5 g Trans fat 0g Cholesterol 0 mg Sodium 330 mg Total carbohydrate 27 g Dietary fiber 2g 20 The Lighter Side of Lancaster: Traditional Recipes Made Healthier Wellness Center Corn Fritters Yield: 18 corn fritters Beating the egg whites helps to keep these fritters light and fluffy! The original recipe says to fry these in butter or lard which are both high in saturated fat. Using just a small amount of oil in a non-stick pan helps to keep these lower in fat. ½ cup all-purpose flour ¾ cup whole wheat flour or white whole wheat flour 1½ teaspoons baking powder 1 cup skim milk 1 large egg yolk 2½ cups cooked corn (or drained, no salt added canned corn) Quick Tips This is a good recipe for using leftover cooked corn on the cob; simply cut corn off the cob; no need to reheat it. Freeze these fritters in a single layer in zip-lock freezer bags and warm up in the microwave for a quick snack or meal accompaniment. 3 large egg whites ½ tablespoon canola oil 1. Combine flours and baking powder in a large bowl. 2. Combine milk, egg yolk, and corn in another bowl. Add to flour mixture and mix well. 3. In a third bowl, beat egg whites with electric mixer until soft peaks form. Gently fold beaten egg whites into batter. 4. Add oil to a nonstick skillet or electric fry pan. Preheat oiled skillet to medium (350° F) heat. 5. Use a ¼-cup measure to portion batter into pan. Cook until nicely browned on bottom side and batter appears dry around the edges; flip, cook on other side. Nutrition Facts Serving size 1 fritter Calories 70 Total fat 1g Saturated fat 0g Trans fat 0g Cholesterol 12 mg Sodium 60 mg Total carbohydrate 13 g Dietary fiber 2g Serving suggestion: Serve plain, spritzed with zero calorie butter flavored spray, or topped with a sprinkle of shredded reduced-fat cheese and/or salsa. The Lighter Side of Lancaster: Traditional Recipes Made Healthier 21 Lancaster General Potato Pancakes Yield: 8 small pancakes A great recipe for using leftover baked, steamed, or boiled potatoes. Instead of frying these in a layer of oil, we used cooking spray. Cutting back on fat puts potato flavor in the spotlight. Serve plain or top with unsweetened applesauce, salsa, or a dollop of plain nonfat yogurt or fat-free sour cream. 2 cups grated cooked, peeled white all-purpose potatoes (2 medium-sized potatoes) 2 egg whites, beaten ¼ cup + 2 tablespoons all-purpose flour (i.e., 6 tablespoons) ¼ cup skim milk Quick Tips • For additional flavor, experiment with adding fresh chopped or dried herbs such as parsley, cilantro, chives, basil, dill weed, or tarragon. 2 tablespoons grated onion ¼ teaspoon salt 1. Mix all ingredients together in a bowl. 2. Lightly coat a nonstick skillet with cooking spray and heat over mediumhigh heat. Use a ¼ cup measure to portion batter onto the heated skillet and flatten each pancake lightly (to ½-inch thickness) using the bottom of the measuring cup or fork tines. Cook a few minutes on each side, until nicely browned and cooked through. • Make an extra batch and freeze them in zip-lock freezer bags. When ready to use, simply reheat in the microwave. Nutrition Facts Serving size 1 pancake Calories 60 Total fat 0g Saturated fat 0g Trans fat 0g Cholesterol 0 mg Sodium 90 mg Total carbohydrate 12 g Dietary fiber 1g 22 The Lighter Side of Lancaster: Traditional Recipes Made Healthier Wellness Center Potatoes Supreme Yield: 4 to 6 servings Another great recipe for using leftover baked potatoes. Reduced-fat and fat-free dairy products help lower the calories, total fat, and saturated fat. Double this recipe for a lighter way to entertain guests! 3 medium-sized chilled, leftover baked or boiled all-purpose potatoes (1 pound) 2 tablespoons skim milk 1 cup shredded, reduced-fat cheddar cheese ¼ teaspoon salt ¹⁄8 teaspoon pepper ¼ cup green onions, including tops (1 scallion) 1 tablespoon chopped fresh parsley (or 1 to 2 teaspoons dried parsley flakes) 1 cup fat free sour cream Quick Tips To cut prep time in half, use precooked, pre-shredded potatoes – found among refrigerated convenience items in the produce section. Omit milk and bake at 350° F for 20-30 minutes. Nutrition Facts Serving size 1 Calories 240 Total fat 6g Saturated fat 3.5 g Trans fat 0g Cholesterol 20 mg Sodium 475 mg Total carbohydrate 30 g Dietary fiber 2g Paprika as desired 1. Preheat oven to 350° F. Spray a 1-quart baking dish with cooking spray. 2. Peel and coarsely shred potatoes into a medium-sized mixing bowl. Yield should be about 3 cups shredded potato. Save potato skins (in airtight container for up to 24 hours) for Savory Potato Skins recipe below. 3. Add milk, cheese, pepper, salt, pepper, onions and parsley to potatoes; mix well. Fold in sour cream. 4. Spoon mixture into baking dish. Sprinkle with paprika. Bake, uncovered, at 350° F for 35 minutes. Savory Potato Skins: Heat ½ teaspoon canola or olive oil over medium-high heat in a nonstick skillet. Add potato skins and salt-free herb seasoning of your choice. Stir and cook until potatoes are nicely browned. Alternatively, broil seasoned potato skins. The Lighter Side of Lancaster: Traditional Recipes Made Healthier 23 Lancaster General Sweet Potato Soufflé Yield: 12 servings Beaten egg whites give this soufflé such a light, melt-in-your-mouth texture, that you won't even miss the added sugar and fat! Applesauce adds just the right amount of sweetness and lets the natural flavor of the sweet potatoes shine through. This beautiful dish is great for entertaining! 5 cups sweet potatoes, peeled and cubed (about three large) 1 cup applesauce 1 large egg yolk ½ teaspoon salt 1 teaspoon vanilla extract ½ teaspoon ground cinnamon 2 large egg whites Quick Tips This recipe can be made up to 24 hours in advance. Just cover and refrigerate potato mixture, without topping. When ready to bake, uncover, sprinkle with topping mixture, and bake at 350° F for 45 minutes. Nutrition Facts Serving size 1 Calories 170 Total fat 1.5 g Saturated fat 0g Trans fat 0g Cholesterol 20 mg Sodium 155 mg Total carbohydrate 37 g Dietary fiber 4g 24 Topping: ½ cup packed brown sugar 2 tablespoons all-purpose flour 1 tablespoon soft margarine with no trans fat, melted 1. Cook potatoes in boiling water until tender, about 15-20 minutes. Drain well and set aside to cool. 2. Preheat oven to 350˚ F. Blend applesauce and sweet potatoes in a food processor until smooth. add egg yolk, salt, cinnamon and vanilla and process until smooth. Pour into a bowl and set aside. 3. Beat egg whites with an electric mixer until stiff peaks form. Gently fold egg whites into potato mixture, ½ at a time. Spoon mixture into a 1½ quart soufflé dish coated with cooking spray 4. Combine topping ingredients and sprinkle over top. Bake at 350° F for 35 minutes or until set. The Lighter Side of Lancaster: Traditional Recipes Made Healthier Wellness Center Fruits & Veggies Fruits and vegetables are an important part of a healthy diet. They contain many nutrients, including fiber, vitamins, potassium, and phytochemicals (plant compounds that promote health and protect against certain diseases). A diet rich in fruits and vegetables - as part of an overall healthy diet - may help protect against heart disease, stroke, type 2 diabetes, certain cancers (such as mouth, stomach, and colon-rectal cancer), and kidney stones. Fruit and vegetable servings can come from fresh, frozen, canned, dried, or 100% juice. In general, the best choices are those without added salt, sugar, and fat. Fruits and vegetables that are fresh, plain frozen, or canned without added fats and sugars are low in calories. Also, in these forms, their fiber and water content help you feel full without many calories. This makes fruits and vegetables good for weight management. Unfortunately, most Americans do not eat enough fruits and vegetables. That’s partly why the Produce for Better Health Foundation developed and sponsors a national nutrition education and marketing program called “Fruits and Veggies - More Matters™.” The goal of this program is to get Americans to eat more fruits and vegetables. Here are some tips for getting the whole family to eat more fruits and vegetables, because More Matters™! • Keep plenty of fruits and vegetables on hand. Stock your refrigerator, pantry and freezer with various types. • Wash, cut, bag and refrigerate fruits and vegetables for ready-to-eat snacks. • Add extra fresh, frozen or canned (preferably without salt) vegetables to casseroles, spaghetti, macaroni and cheese; etc. • Include a salad with your meal and vary the veggies that you use. Think color! • Add cooked, pureed vegetables to foods like spaghetti sauce and soups. Add canned pumpkin to pancake batter or use it as a partial fat substitute in quick breads. • Add grated or finely chopped raw vegetables to muffin batter, meatloaf mix, grains, or chicken, tuna, and pasta salads. • For an alternative to raw vegetables, cook firm vegetables until tender-crisp and chill in ice water. You will find these easier to chew and perhaps more appealing. • Buy fresh fruits in season when they are least expensive and taste best. Buy extra to freeze so you can enjoy them year round! Wash, drain, and freeze fruits in zip-lock freezer bags. This works well for all types of berries, peeled pineapple and mango chunks, peeled peach and banana slices, and seedless melon balls. The Lighter Side of Lancaster: Traditional Recipes Made Healthier 25 Lancaster General Fruits & Veggies (cont.) • Add berries, mashed bananas, or applesauce to pancake and muffin batter. • Mix fresh or slightly thawed frozen berries into nonfat yogurt and top with low-fat granola or toasted wheat germ. • Add fresh berries or thin slices of fruit like apples, pears, or bananas to peanut butter sandwiches instead of adding jam. • Add chopped apple or pear, crushed pineapple, mandarin oranges, halved grapes, raisins, dried cranberries, or other fruit to vegetable salads, tuna salad, chicken salad, cooked brown rice, stir-fry dishes, pita bread sandwiches, or tortilla wrap sandwiches. • Use fresh, frozen, or even canned fruit to make smoothies. In a blender, puree together your choice of fruit(s) and skim milk or nonfat yogurt. Add flavoring extract (like vanilla or almond) and sweetener, if desired. • Instead of a high fat dessert, serve fruit…fresh, canned, dried, slightly thawed frozen fruit, poached, stewed or baked.. • Use fresh or slightly thawed frozen berries as a topper for low-fat pudding, angel food cake, or low-fat frozen yogurt. To learn more about “Fruits & Veggies - More Matters™, visit the website http://www.fruitsandveggiesmorematters.org/ 26 The Lighter Side of Lancaster: Traditional Recipes Made Healthier Wellness Center Main Dishes The Lighter Side of Lancaster: Traditional Recipes Made Healthier 27 Lancaster General Chicken Pot Pie It wasn’t hard to lighten up this Lancaster favorite. We used the leanest cut of poultry, added carrots for color and omitted the potatoes since the noodles already provide some starch. The whole wheat flour noodles make this recipe even more filling then the original. For the dough, we made some simple substitutions to lower cholesterol and boost fiber. 1 split chicken breast, (2 halves), skin removed 2 quarts water 1 teaspoon oil 1 teaspoon salt, divided 2 bay leaves 2 cups celery, chopped Yield: 8 servings Pot Pie Dough 2 cups whole wheat pastry flour (or 1 cup whole wheat flour and 1 cup all-purpose flour) plus additional flour for work surface ¼ teaspoon salt 2 cups carrots, chopped ½ cup cholesterol-free egg substitutes 2 cups onion, chopped 1 tablespoon cold water Freshly ground pepper, optional ¼ cup all-purpose flour and ¼ cup water for thickening (optional) 1. Heat oil in a large stock pot or Dutch oven over medium-high heat. Add chicken breasts and cook until no longer pink on the outside and slightly caramelized. Reduce heat to low, and cover. Allow to stand until chicken releases its juices, about 20 minutes. 2. Add water, ½ teaspoon salt and bay leaves, and increase heat to medium high. Allow water to just come to a boil, then reduce heat to medium-low, and cover. Simmer for about 20 minutes or until stock is flavorful. 3. Remove chicken breasts and set aside to cool. Strain stock into a large bowl and set aside. Add celery, onions, carrots and remaining ½ teaspoon salt to pot and cover. Cook vegetables over medium-low heat until slightly softened, keeping them covered between stirring. Add strained stock back to the pot and bring to a boil. Nutrition Facts Serving size 1 Calories 290 Total fat 4g Saturated fat 1g Trans fat 0g Cholesterol 50 mg Sodium 750 mg Total carbohydrate 39 g Dietary fiber 8g 28 4. Meanwhile, make pot pie dough. Mix flour and salt in a large bowl, and make a well in the center. Add egg and water and mix together. Place ball of dough on a floured surface and work in more flour as needed to make a stiff dough. Knead about 10 minutes. Roll out dough very thin and cut into 2-inch squares. 5. Shred chicken and add back to stock. Drop noodles one by one into boiling soup. Reduce heat and simmer until dough is thoroughly cooked, about 15-20 minutes. Mix flour and water for thickening and add to soup, if desired. Stir occasionally to prevent noodles from clumping. Add fresh ground pepper if desired. The Lighter Side of Lancaster: Traditional Recipes Made Healthier Wellness Center Meatloaf Yield: 6 servings In this recipe, lean ground turkey replaces higher fat ground beef, and fresh bread crumbs lend some extra moisture. Your family will rave about this great tasting meatloaf that is lower in fat and sodium but big on flavor! 1½ pounds ground turkey breast ¾ cup chopped onion (½ large) 1 slice whole wheat bread 1 tablespoon ketchup 2 teaspoon Dijon mustard ¼ teaspoon salt ¼ teaspoon fresh ground pepper ¹⁄8 teaspoon ground nutmeg ¹⁄8 teaspoon Worcestershire sauce 2 egg whites or ¼ cup cholesterol-free egg substitute 1 clove garlic, finely chopped ½ cup spaghetti sauce (optional) Quick Tips Variation: Make mixture into 6 patties and grill or broil. Nutrition Facts 1. Preheat oven to 375° F. Spray an 8½-inch x 4½-inch loaf pan with cooking spray spray. 2. Place slice of bread in food processor with steel blade attachment and pulse until fine crumbs, or tear bread by hand into small pieces. 3. In a large bowl, mix bread crumbs and remaining ingredients, except spaghetti sauce. Put mixture into prepared pan. If desired, pour spaghetti sauce over top. 4. Bake in 375° F oven for 45 minutes, or until thermometer inserted into center reads at least 165° F. Serving size 1 Calories 200 Total fat 10 g Saturated fat 2.5 g Trans fat 0g Cholesterol 90 mg Sodium 310 mg Total carbohydrate 6g Dietary fiber 1g The Lighter Side of Lancaster: Traditional Recipes Made Healthier 29 Lancaster General Shepherd’s Pie Yield: 4 to 6 servings Using extra lean ground beef and reduced fat cheese helps to cut back on the saturated fat in this recipe. Low sodium bouillon helps lower the sodium. 1 pound extra lean ground beef 1 small onion, chopped (1 cup chopped) 3 cups frozen mixed vegetables ¾ cup low sodium beef bouillon (¾ tsp. bouillon in ¾ cup boiling water) 3 cups mashed potatoes (made with 1¾ cups instant potato flakes, 1¾ cups water, ¾ cup skim milk, ¼ tsp. salt or leftover potatoes) ½ teaspoon canola oil ¾ cup (3 oz.) shredded reduced fat extra sharp cheddar cheese 1. In a medium-sized skillet, brown beef until cooked through; transfer to a bowl. Quick Tips Use leftover mashed potatoes— preferably ones made without a lot of added fat and salt. 2. Return skillet to heat, add onions, frozen vegetables and ¼ cup broth. Cook over medium-high heat, until tender, about 7 minutes, stirring often. Add extra broth as needed to keep moist. 3. Return browned meat to skillet; mix. 4. Use oil to grease an 8-inch square baking dish; add mixture; top with mashed potatoes, then cheese. 5. Cover loosely with foil and bake in a preheated 350° F oven for 30 minutes. Nutrition Facts Serving size 1 Calories 365 Total fat 9g Saturated fat 4g Trans fat 0g Cholesterol 74 mg Sodium 490 mg Total carbohydrate 38 g Dietary fiber 6g 30 The Lighter Side of Lancaster: Traditional Recipes Made Healthier Wellness Center Stuffed Peppers Yield: 6 servings We lowered the total fat, saturated fat, and calories of a traditional recipe by using ground turkey breast instead of ground beef and pork. We also replaced white rice with whole grain brown rice. 6 green peppers, medium-sized 1 pound ground turkey breast 1½ cups cooked brown rice ½ cup fat-free, cholesterol-free egg substitute Quick Tips To save time, microwave steam the peppers for one minute to soften instead of boiling them. Variations: Try using a different whole grain – like quinoa, whole wheat couscous, or soaked bulgur wheat - instead of rice, and use low sodium spaghetti sauce instead of canned soup and water. ¼ teaspoon salt ½ to 1 teaspoon salt-free garlic-herb blend (or 1 teaspoon Italian herb blend + ¹⁄8 teaspoon garlic powder) 1- 10¾ oz. can 98% fat-free, reduced-sodium, condensed tomato soup ½ cup water 1. Rinse and cut a thin slice from the stem end of each green pepper. Remove white fiber and seeds. Rinse cavities. Drop into boiling water (not salted) to cover and simmer 5 minutes. Remove peppers from water; invert and set aside to drain. 2. Mix together lightly the turkey, rice, egg substitute, salt and herb seasoning. Lightly fill peppers with turkey mixture. Put into baking dish. 3. Blend the tomato soup and water. Spoon one tablespoon soup over each filled pepper and pour remaining soup around peppers. Bake at 350° F for 45 to 50 minutes or until meat thermometer reads 165° F. Nutrition Facts Serving size 1 Calories 230 Total fat 7g Saturated fat 2g Trans fat 0g Cholesterol 60 mg Sodium 350 mg Total carbohydrate 23 g Dietary fiber 3g The Lighter Side of Lancaster: Traditional Recipes Made Healthier 31 Lancaster General Turkey Noodle Casserole Yield: 4 to 6 servings A great way to use leftover turkey! The whole wheat noodles make this dish higher in fiber, and the reduced-fat soup, skim milk, and reduced-fat cheese help to cut back on the fat. Using a strong flavored reduced-fat cheese allowed us to decrease the amount of cheese without compromising flavor. 4 ounces uncooked yolk free, whole wheat blend noodles (2½ cups uncooked, almost 3 cups cooked) Quick Tips Add 1 teaspoon salt-free herb seasoning blend of your choice to vary the flavor. Add chopped sweet red pepper, or substitute a colorful vegetable mixture for the peas. Try using other whole grain pasta such as rotini or penne instead of noodles. For less sodium, use sodium-reduced, 98% fat-free cream of mushroom soup and fresh peas (because most frozen peas have salt added). ¼ teaspoon canola oil 3 cups (12 ounces) frozen peas, thawed 1½ cups (8 ounces) cubed, cooked turkey breast 10¾ ounce can 98% fat-free cream of mushroom soup ½ cup skim milk ¾ cup (3 ounces) shredded extra sharp reduced-fat cheese 1. Cook noodles in plain boiling water until just tender (see package directions for cooking time), drain and rinse with cool water. 2. Use oil to grease a 2-quart baking dish. 3. In a large bowl, mix together peas, turkey, soup and milk. Gently stir in noodles. 4. Add ½ of meat mixture to baking dish. Sprinkle with half the cheese. Repeat layers. 5. Bake uncovered in a preheated 350° F oven for 25-30 minutes. Nutrition Facts Serving size 1 Calories 320 Total fat 4g Saturated fat 2g Trans fat 0g Cholesterol 54 mg Sodium 710 mg Total carbohydrate 39 g Dietary fiber 7g 32 The Lighter Side of Lancaster: Traditional Recipes Made Healthier Wellness Center Unstuffed Cabbage Yield: 4 to 6 servings If you like stuffed cabbage but dislike the time it takes to make it the traditional way, you will appreciate this simple, time-saving, and healthier variation. ½ pound coarsely chopped green cabbage (3 cups) ¾ pound extra lean (96% lean) ground beef or ground turkey breast ¼ cup chopped sweet onion ¼ cup chopped celery 1- 14.5 ounce can stewed tomatoes, plain or Italian-style 1 cup tomato sauce or crushed tomatoes, low sodium 1 cup instant brown rice Quick Tips For a vegetarian dish, replace ground beef with meatless crumbles or 1 to 2 cups rinsed, canned beans (such as cannellini, garbanzo, black, or Great Northern). For even less sodium, use no salt added canned tomato products. Nutrition Facts 1 cup water 1. Put cabbage and ¹⁄³ cup water into a microwave-safe baking dish. Cover with wax paper and microwave on high for 6 to 8 minutes, or until tender.* 2. Meanwhile, brown beef in a large nonstick skillet. Drain in a colander. 3. Return skillet to burner. Add celery, onions, and 1 tablespoon water. Cook over medium-high heat until vegetables soften. Add stewed tomatoes (coarsely chop or break up tomatoes, if desired), tomato sauce, and 1 cup water. Bring mixture to a boil. Stir in rice, return to a boil. Add cabbage and beef, cover, reduce heat and simmer 5 minutes. Stir again, move skillet off of the burner, cover, and allow to stand for 5 minutes. • A 1650-watt microwave oven was used for this recipe. More time might be needed if using a lower wattage microwave oven. Serving size 1 Calories 240 Total fat 5g Saturated fat 2g Trans fat 0g Cholesterol 55 mg Sodium 470 mg Total carbohydrate 28 g Dietary fiber 4g The Lighter Side of Lancaster: Traditional Recipes Made Healthier 33 Lancaster General Money & Time-Saving Ideas Planning and preparing healthy meals at home does not require costly ingredients and hours of grocery shopping and cooking. In fact, using the tips below, along with some basic knowledge about healthy food choices and cooking methods, can not only help you save money and time, but also promote good health. • Plan ahead: Plan your meals and snacks for the week before you go shopping so you know what and how much to buy, and you can avoid extra trips to pick up items you forgot. Use the grocery store circular when creating your menu. Plan meals around items that are on sale and in season. Also consider items that you already have on hand, or think about items that can do double duty. For example, if you have chicken and mashed potatoes for dinner one night, make extra mashed potatoes to use for shepherd’s pie later in the week. Plan some meals that use legumes (dried or canned) as a nutritious, low cost substitute for, or partial replacement for, animal protein sources (like meat, fish, and poultry). Some examples of legume-based entrees are meatless chili, our Navy Bean and Ham Soup, Unstuffed Cabbage made with great northern beans instead of ground meat, and black bean and vegetable fajitas. Include “planned leftovers” on your menu to save time cooking. Plan to cook extra at one meal to use for other meals and/or snacks. For example, make extra chicken breasts to use in tossed salads, sandwiches, soup, or a casserole for another meal. Plan to use leftover chili from dinner as a topping for a baked potato at lunch the next day. Use leftover gently steamed vegetables from dinner in an omelet the next morning. • Be wise about coupons: Clip and organize coupons that you might be able to use. Use coupons that give you a true savings. Sometimes the price of a brand name item after the coupon discount is still higher than that of the store brand. Circle items on your grocery list for which you have coupons so you don’t forget to use them. • Make a grocery list: Check your cupboards, refrigerator, and freezer so you know what you already have on hand and how much room you have for storage. Use the menus and a printed store directory (often on display at the entrance or available at customer service) to make your grocery list. List items in the order in which you walk through the grocery store. For food safety reasons, plan to pick up fresh seafood, deli items, dairy, and frozen foods last. If you have plenty of freezer space, plan to buy enough ingredients in order to double a recipe and freeze half for another week. Many casseroles, like our Shepherd’s Pie, can be assembled, and then frozen to cook another day. You might even be able to cook some foods straight from the freezer by doubling the cooking time. Be sure to use Y containers that can safely go from freezer to oven. • Special sales: For “buy one, get one free specials,” ask a friend or neighbor to split the deal with you if you want one, not two of the item. You pay half the total price, she pays half. Do the same for good values on large packages. Split the package and cost. 34 The Lighter Side of Lancaster: Traditional Recipes Made Healthier Wellness Center Money & Time-Saving Ideas (cont.) • Know your supermarket: Know the best days and times for shopping for the freshest produce, for well-stocked shelves, and for the fewest crowds. • Stick to your grocery list: Plan to go to the grocery store after a meal or snack. Hunger can trigger unnecessary buying. Avoid temptation to buy things you do not need. For instance, end-of-aisle displays feature items that are not necessarily a bargain. Keep in mind that the less time you are in the store, the less likely you will spend extra money. • Choose products wisely: Compare unit prices (often given as price per pound, per ounce or other unit of measure). Sometimes store brands are less expensive, sometimes they are not. Unit prices are generally lower for larger packages. Buy the largest size package if you know you have room to store the item and can use it (or freeze it) before it spoils. For bags of produce, like apples and potatoes, check the package to make sure items aren’t bruised or spoiled. One rotten apple can ruin the whole bag, so choose another bag or get rid of the rotten apple when you’re home. Check expiration dates of fresh meats and poultry, dairy, and eggs. Consider if you have time to use the item before it spoils. Buy frozen vegetables in bags instead in boxes. From bags, you can take out only what you need for a meal and return the rest to the freezer for later. • Buy fewer processed foods: Y You pay more for convenience, for someone else to do the work. Boneless, skinless chicken breasts cost more than split chicken breasts with skin on that you de-skin and de-bone. Beef pre-cut for stew or stir-frying costs more than beef you cut yourself. Ready-to-eat baby carrots and salad greens cost more than carrots you peel and heads of lettuce that you clean yourself. However, sales on convenience items make them much more affordable and worth purchasing, especially if they are healthy choices and you have very limited time to do any prep. Keep in mind that convenience items are often still more economical than dining out. • After you shop: Store foods promptly and properly to prevent spoilage. Check your receipts for price errors. Some stores give a full refund for overcharged items. If you realize that you purchased more than you can use, freeze the extra, if possible. This works with meats, fish, poultry, bread, rolls, vegetables (like onions and bell peppers which can be washed, chopped, bagged and frozen raw), and fruit (especially berries and peeled, sliced bananas). • Think ahead and prep ahead: Whenever you have a little extra time, perhaps in the evenings, think about what you can do to get a jump-start on preparing for future meal(s). For example, chop onions and store in an air-tight container in the refrigerator for a couple of days. Make turkey noodle casserole or meatloaf the night before and refrigerate, ready to cook the next day. (You might simply need to cook it a little longer since it will be cold going into the oven. Use a food thermometer to make sure the internal temperature is at least 165° F for meats and meatcontaining casseroles.) Remember to place frozen items that need thawed before cooking (such as frozen meat, poultry and fish filets) into the refrigerator at least 24 hours in advance so they have time to thaw. The Lighter Side of Lancaster: Traditional Recipes Made Healthier 35 Lancaster General Desserts 36 The Lighter Side of Lancaster: Traditional Recipes Made Healthier Wellness Center Apple Dumplings Special Note Look for phyllo in your grocer’s freezer section near dessert pastries. See package directions for thawing, handling and storing phyllo dough. Quick Tips To save on time and calories, skip the phyllo and bake (or microwave) unpeeled apples. Try stuffing the core with raisins, a sprinkle of chopped nuts, and ground cinnamon-sugar. Nutrition Facts Serving size 1 Calories 330 Total fat 5g Saturated fat 0.5 g Trans fat 0g Cholesterol 0 mg Sodium 250 mg Total carbohydrate 75 g Dietary fiber 4g Yield: 6 servings Phyllo dough gives the same flaky texture as regular pastry with less fat and calories. For the sauce, we omitted the butter, reduced the sugar, and used apple juice, which provides natural sweetness and thickens during baking to yield a deliciously rich sauce. For fewer calories, serve a half portion. 6 baking medium-sized apples, peeled and cored 2 tablespoons or more ground cinnamon 24 sheets thawed phyllo (half a package) 6 teaspoons packed light brown sugar Zero calorie butter flavored spray Sauce 1 cup unsweetened apple juice ½ cup brown sugar ½ teaspoon cinnamon 1. Preheat oven to 350° F. Place cinnamon in a small bowl for easy access. Peel and core apples before removing phyllo from package, and have all ingredients ready. 2. Lay down a sheet of phyllo; add 6 sprays of butter spray evenly over phyllo, and then sprinkle with about 1/8 to 1/4 tsp cinnamon. Repeat until you have 4 sheets. On the last sheet, spray liberally with butter spray, sprinkle with cinnamon and 1 teaspoon brown sugar. Place apple on top of phyllo sheets and fold up to completely cover apple. Press the sheets together (grip like a ball) and moisten lightly with butter spray to help sheets stay together. 3. Repeat with all 6 apples and place in a 9-inch x 13-inch pan coated with cooking spray. Bake apples at 350° F. Set timer for 15 minutes. 4. Meanwhile, combine sauce ingredients in a small saucepan. Bring to a boil, stirring constantly, then reduce heat, and keep on low. 5. After 15 minutes of baking, spoon sauce over apples. Bake for 7 minutes; baste apples with sauce; bake a final 8 minutes. Allow apples to cool slightly before serving. If desired, top with a small scoop of low fat ice cream or frozen yogurt. The Lighter Side of Lancaster: Traditional Recipes Made Healthier 37 Lancaster General Apple Fritters Yield: 18 fritters These fritters will be different than the traditional deep-fried version that you may be used to, but give them a try! You could even serve them as a healthier dessert. Increase the fiber even more by using all whole wheat pastry flour. ½ cup all-purpose flour ½ cup whole wheat pastry flour 1½ teaspoons baking powder 3 tablespoons confectioner’s sugar ¼ teaspoon salt 1 egg, well beaten or ¼ cup cholesterol-free egg substitute ¹⁄³ cup skim milk 2 cups pared and coarsely grated tart apples, about ~2 medium-sized apples 1 teaspoon canola oil 1. Sift the dry ingredients into a bowl. 2. Stir the milk into the egg; add to dry ingredients, and mix well. 3. Mix in the apples. 4. Spread oil in a medium-large nonstick skillet and preheat to medium. Drop batter by spoonfuls onto skillet. Cover skillet with a lid and cook until fritters are browned on one side, then flip and cook until browned on the other side. Serve plain, sprinkled with cinnamon-sugar or powdered sugar, or with a spoonful of applesauce, apple butter, or pear butter Nutrition Facts Serving size 1 fritter Calories 45 Total fat 1g Saturated fat 0g Trans fat 0g Cholesterol 10 mg Sodium 80 mg Total carbohydrate 9g Dietary fiber 1g 38 The Lighter Side of Lancaster: Traditional Recipes Made Healthier Wellness Center Berry-Apple Crisp Yield: 9 to 12 servings The nugget cereal in the topping of this recipe gives it even more crunch than the original version! Experiment with other types of fruit in this recipe; it is a great way to enjoy a variety of fruits all year long! Filling Topping 2 tablespoons fresh squeezed lemon juice ¹⁄ cup quick oats 2 tablespoons all-purpose flour ¹⁄ cup nugget type cereal such as grape-nuts 2 cups cranberries, fresh or frozen 2 cups peeled, coarsely chopped baking apples (such as Rome, Granny Smith, Golden Delicious, etc.) 2 tablespoons light brown sugar ¼ cup water 3 tablespoons chopped walnuts (or toasted, sliced almonds) ¼ cup white sugar 2 teaspoons ground cinnamon 2 tablespoons canola oil 2 cups frozen blueberries, not thawed 1. Preheat oven to 350° F. 2. Prepare topping: In a small bowl, combine oats, grape-nuts, brown sugar, cinnamon, canola oil, and walnuts. Mix with a fork until crumbly. Set aside. 3. In a small bowl, mix lemon juice and flour to form a paste; set aside. Put cranberries, apple, white sugar and water into a 2-quart saucepan. Bring to a boil over medium-high heat, stirring occasionally. Stir in lemon juice-flour paste. Reduce heat to medium and cook, stirring constantly, for 2 to 3 minutes, or until cranberries begin to pop and mixture begins to thicken. Remove from heat and stir in blueberries. Transfer mixture to an 8-inch square (2-quart) glass baking dish. Nutrition Facts Serving size Calories Total fat Saturated fat Trans fat Cholesterol Sodium Total carbohydrate Dietary fiber 4. Sprinkle topping over fruit mixture. 1 150 5g 0g 0g 0 mg 30 mg 26 g 3g 5. Bake at 350° F, uncovered, for 30-35 minutes, or until filling is bubbly and topping is crisp. The Lighter Side of Lancaster: Traditional Recipes Made Healthier 39 Lancaster General Shoo-fly Cake Yield: 24 servings A tender, flaky pie crust that is low in fat is difficult to make, so we opted to make this healthier cake with the flavor of traditional shoo-fly pie and much less fat! We didn’t cut back on the sugar and molasses too much in order to maintain the gooey texture, so consider this a special treat … not an everyday dessert! 2 cups all purpose flour 2 cups sifted whole wheat or white whole wheat flour 1¾ cups packed light brown sugar 1 cup soft margarine (with at least 60% vegetable oil content but no trans fat) 2 cups boiling water 1 cup baking molasses 2 teaspoons baking soda 1. Preheat oven to 350° F. In a large bowl, combine flours, brown sugar, and margarine. Work into fine crumbs. Set aside 1½ cups of mix for topping. 2. Mix water, molasses, and soda in a 1-quart liquid measuring cup or bowl. Add to remaining crumbs. Mix well or until batter is very thin. 3. Pour into a 9-inch x 13-inch greased (with margarine) and floured metal pan. Sprinkle reserved crumbs on top. Bake at 350° F for 40 to 45 minutes, or until toothpick comes out clean. Nutrition Facts Serving size 1 Calories 230 Total fat 6.5 g Saturated fat 2g Trans fat 0g Cholesterol 0 mg Sodium 180 mg Total carbohydrate 41 g Dietary fiber 2g 40 The Lighter Side of Lancaster: Traditional Recipes Made Healthier Wellness Center Whoopie Pies We made a number of changes to create this recipe. We made the cookies smaller, used healthier fat sources, and added some fiber by using whole wheat flour. Instead of the traditional white filling loaded with saturated fat and trans fat, we made a peanut butter filling that provides unsaturated fats. Yield: 21 sandwich cookies Cookies Filling 1 cup whole wheat pastry flour 1 tablespoon no trans fat tub margarine (not light) 1 cup all purpose flour ½ cup cocoa powder ½ cup peanut butter (natural without added sugars and fats preferred) ¹⁄8 teaspoon salt ¹⁄ cup skim milk 1 cup white sugar 2½ cups confectioner’s sugar 1 teaspoon baking soda ¼ cup canola oil ¼ cup unsweetened applesauce ½ cup sour milk (½ tablespoon vinegar + enough skim milk to make ½ cup; allow to sit 5 minutes) 1 teaspoon vanilla ¼ cup warm water 2 large egg whites 1. Spray 4 cookie sheets with cooking spray. Preheat oven to 350° F. 2. In a large bowl, stir together flours, baking soda, cocoa and salt. 3. In a medium bowl, beat together sugar, oil, applesauce, sour milk, vanilla and warm water. 4. In a clean, small bowl, beat egg whites with electric mixer until soft peaks form. Add sugar mixture to dry mixture and beat with a spoon until well combined. Fold in egg whites until not visible. Nutrition Facts Serving size 1 Calories 210 Total fat 6.5 g Saturated fat 1g Trans fat 0g Cholesterol 0 mg Sodium 100 mg Total carbohydrate 36 g Dietary fiber 2g 5. Drop batter by rounded tablespoon onto cookie sheet, spacing cookies 2 inches apart. Use a small rubber spatula to help scrape batter and drop it from the tablespoon. 6. Bake cookies at 350° F for 8 minutes or until center bounces back when lightly pressed. Do not overbake. Remove cookies to wire rack to cool. 7. For filling, use an electric mixer to beat margarine, peanut butter, and milk. Slowly add the sugar. 8. To assemble whoopie pies, hold one cookie upside-down with flat side facing upward. Spread one tablespoon filling over the flat side. Top with another cookie, flat side against the filling. Wrap whoopie pies individually in plastic wrap and store in an air-tight container or freeze. Note: This filling contains no raw egg whites, so it is not as perishable as uncooked fillings made with raw egg whites. The Lighter Side of Lancaster: Traditional Recipes Made Healthier 41 Lancaster General Healthy Dining Out Knowledge about modifying recipes isn’t just for use at home. You can use this knowledge to “modify” menu items when you dine out by making special requests. Many restaurants are willing to honor your requests to meet your needs. The more often you dine out, the more important it is to choose foods wisely in order to have an overall healthy eating pattern. Look for restaurants that offer a wide variety of foods, including healthy options. Think ahead about what you might order so that you won’t be tempted by less healthy fare. And do not skip meals just because you are going out to eat. You will be more likely to splurge if you are famished! Balance restaurant meals with healthy, low fat, low sodium, high fiber meals and snacks at home. Use the extra tips below to help you to make healthy choices when dining out: 42 • Ask how menu items are prepared. Choose foods that have been broiled, baked, grilled, steamed, or poached, but realize that this does not mean that they have been prepared without added fat. Ask for foods to be prepared with no added fat: no butter, margarine, oil, or other fat. Squeeze fresh lemon over vegetables, fish or meat, instead. • Ask for sauces, gravies, and salad dressing to be served on the side, so that you can control the amount. Ask if low fat versions are available. • Consider splitting an entrée with your dining partner, or ask for a to-go box at the start of your meal so that you won’t be tempted to finish the entire super-sized serving. Forget the clean plate club! Stop eating when you are comfortably full, not overstuffed, even if you have to leave some food on your plate! • Ask if you can have applesauce or apple slices, a tossed salad, or baked chips instead of the French fries, regular potato chips, or other high fat sides. • Skip the mayonnaise and cheese sauces on sandwiches. Or, ask for a lower fat substitute like low-fat mayonnaise, mustard, salsa, raw vegetables (like onion, tomato, and cucumber slices) or low-fat dressing “on the side.” • Choose whole grains whenever possible. For cereals, choose oatmeal and other whole grain cereals like Raisin Bran instead of refined grain cereals like corn flakes, crispy rice cereal, and grits. Request sandwiches made on whole grain bread, ask for brown rice instead of white, and whole grain pasta instead of standard white flour pasta, if available. • Try a legume-based meatless option for a change. Choose vegetarian soups made with barley, lentils and beans (like navy bean, black beans, kidney beans); try Spanish beans and rice, a bean burrito (without high fat cheese or sour cream), a meatless burger, or tofu-vegetable stir-fry. The Lighter Side of Lancaster: Traditional Recipes Made Healthier Wellness Center Additional Resources Internet Sites Lancaster General www.LancasterGeneral.org Information on programs and services of Lancaster General; online registration available for most programs; health library Nutrition.gov www.Nutrition.gov Gateway to government-sponsored food and human nutrition information for consumers. Links to information on MyPyramid, Dietary Guidelines for Americans, food safety, food labeling, USDA nutrient database (calories and nutrients in foods), weight control, fruits & veggies – more matters™ campaign, and much more Lancaster General Wellness Center Programs Lancaster General Wellness Center offers a number of programs designed to promote healthy lifestyles. These include: Color Me Healthy: A curriculum to promote healthy eating and physical activity among preschool-age children attending preschool and/or a child care center, group day care, or family day care. Workshops teach childcare providers how to use the curriculum and supplemental materials created by Lancaster General. Shapedown: A nationally recognized, 10-week weight management program for children and teens ages 5 through 17. Led by a team which includes a dietitian, nurse, and exercise physiologist. Children attend weekly group classes with a parent. Teens attend one-on-one consultations and exercise sessions. LEARN: A nationally recognized, 12-week weight management program for adults. Led by a dietitian. LEARN stands for Lifestyle, Exercise, Attitude, Relationships, and Nutrition. For more information on these programs, contact the Wellness Center at (717) 544-3138. The Lighter Side of Lancaster: Traditional Recipes Made Healthier 43 2100 Harrisburg Pike P.O. Box 3200 Lancaster, PA 17604-3200 717-544-3138 www.LancasterGeneral.org