Eat Right for Good Sight By Erin Peisach, RD, LDN ShopRite Retail Dietitian Objectives Learn about nutrients in the diet that contribute to eye health. Explore how to include more eye-healthy foods into the diet. Showcase the ideal meal plan to slow the progression of eye diseases. The Eye Nutrients of Interest Antioxidant vitamins: Vitamin C Vitamin E Carotenoids Beta-carotene Lutein & Zeaxanthin Zinc Omega 3 fatty acids Vitamin C How does it help How much do I need What foods have it? How to incorporate these foods into the diet Vitamin C Antioxidant, water-soluble vitamin Most concentrated in tissues of the eye Helps promote healthy capillaries, particularly ocular blood vessels RDA: 90mg/day for males and 75mg/day for females American Optometric Association (AOA) recommends 500mg/day for eye health Best Foods for Vitamin C Red bell peppers (1/2 cup = 95mg) Green bell peppers (1/2 cup= 60mg) Kiwi (1 medium = 64mg) Broccoli (1/2 cup cooked= 51mg) Brussels sprouts (1/2 cup cooked = 48mg) Oranges (1 medium = 70mg) Grapefruits (1/2 medium = 39mg) Strawberries (1/2 cup sliced= 49mg) Vitamin C Packed Smoothie Ingredients: 1/2 cup frozen strawberries 1/2 cup 100% orange juice 1/2 cup ice cubes 1/2 teaspoon honey or agave nectar Directions: 1) Combine strawberries, orange juice, ice, and honey in blender. 2) Blend until smooth. Serves 1 Vitamin E How does it help How much do I need What foods have it? How to incorporate these foods into the diet Vitamin E Antioxidant, fat-soluble vitamin Promotes health of cell membranes and DNA repair RDA is 22.5IU/day or 15mg/day for both males and females Too much vitamin E from supplements can be dangerous AOA recommends 400IU/day for eye health Best Foods for Vitamin E Almonds (butter) (1oz = 6.8mg) Sunflower seeds (butter) (1oz = 7.5mg) Wheat germ (1tbsp = 20mg) Hazelnuts (1oz = 4.3mg) Corn oil (1tbsp = 1.9mg) Olive oil (1tbsp = 1.9mg) Spinach (1/2 cup boiled = 1.9mg) Peanuts (butter) (1oz = 2.2mg) Vitamin E Packed Granola! Ingredients:: 3 cups old-fashioned rolled oats 1/2 cup almonds 1/2 cup sunflower seeds 1/4 cup sesame seeds 1 tablespoon wheat germ 1/4 teaspoon ground cinnamon 1/4 cup water 1/4 cup olive oil 1/2 cup honey 2 tablespoons light brown sugar 1/2 teaspoon pure vanilla extract 1 cup raisins (optional) Directions: 1) Preheat oven to 325 degrees F. Line baking sheet with parchment paper. 2) In a large bowl combine the rolled oats, nuts, seeds, wheat germ, ground cinnamon, and salt. 3) In a small saucepan, stirring constantly, bring just to a boil the water, oil, honey, brown sugar, and vanilla extract. Pour this mixture over the dry ingredients and toss together. 4) Spread onto the prepared baking sheet and bake for about 25 - 40 minutes or until golden brown, stirring occasionally so the mixture browns evenly. 5) Cool completely on a wire rack. Store in an airtight container in the refrigerator. It will keep for several weeks. Makes about 5 cups. Beta-carotene How does it help How much do I need What foods have it? How to incorporate these foods into the diet Carotenoids (beta-carotene, lutein, zeaxanthin) Precursor to vitamin A (previtamin) Antioxidant, fat-soluble vitamin Internal sunglasses for the eyes, filter 40-90% of blue light, prevents development of free radicals Deposited in various tissues of the eye including the macula, retina, and lens Clears protein build up in lens No RDA for lutein & zeaxanthin RDA for vitamin A: 900mcg/day for males & 700mcg/day for females Best Foods for Carotenoids Sweet potatoes (1 whole = 1,403mcg) Carrots (1/2 cup, raw = 4,599mcg) Spinach (1/2 cup, frozen, boiled = 5,731mcg) Broccoli (1/2 cup boiled = 601mcg) Pumpkin pie (1 piece= 4,883mcg) Black-eyed peas (1 cup boiled = 661mcg) Red bell pepper (1/2 cup raw = 1,172mcg) Apricots (10 halves, dried = 631mcg) Lutein & Zeaxanthin Antioxidants, carotenoids Found in the lens of the eye Keep the lens of the eye clear of protein buildup Absorb harmful blue light waves AOA recommends 10mg/day lutein and 2mg/day zeaxanthin Foods: cooked kale, cooked spinach, cooked collards, cooked turnip greens, corn, green beans Vitamin A Packed Stew Ingredients: 2 tablespoons olive oil 1 onion, chopped 2 cloves garlic, minced 1 pound kale, tough stems removed, leaves washed well and shredded 3 medium sweet potatoes, peeled, cut into 1-in cubes 1 1/2 quarts low-sodium broth 1 1/2 teaspoons salt 1 cup canned unsweetened coconut milk 2 cup brown rice, cooked Directions: 1) In a large saucepan, heat the oil over medium heat. 2) Add the onion and cook about 5 minutes. 3) Stir in the garlic, kale, sweet potatoes, broth, and salt and bring to a boil. Reduce the heat and simmer, partially covered, about 20 minutes. 4) Add the coconut milk and just heat through. 5) Put a mound of rice in the center of each bowl. Ladle the soup around the rice. Serves 4 Zinc How does it help How much do I need What foods have it? How to incorporate these foods into the diet Zinc Essential trace mineral Helps to bring vitamin A from liver to the retina to produce melanin, a protective pigment in the eyes Deficiencies linked to impaired vision, poor night vision, and cloudy cataracts RDA is 11mg/day for males & 8mg/day for females AOA recommends 40-80mg/day for those diagnosed as high risk for AMD 2mg/day copper as zinc supplements interfere with copper absorption Best Foods for Zinc Oysters (3oz = 74mg) Beef (chuck roast 3oz = 7mg) Crab (Alaska king 3oz = 6.5mg) Chicken (dark meat 3oz = 2.4mg) Breakfast cereal fortified (3/4 cup = 3.8mg) Starchy beans (canned ½ cup = 2.9mg) Cashews (1oz = 1.6mg) Yogurt (low fat 8oz = 1.7mg) Almonds (1oz = 0.9mg) Zinc Packed Beef Chili Ingredients: 1 tbsp olive oil 1 1/2 pounds lean ground beef 1/2 cup chopped onion 1 envelope (1 3/4 ounces) chili seasoning mix 1/2 cup water 1 can (14.5 ounces) diced tomatoes, undrained 1 can (15 ounces) kidney beans, undrained Directions: 1) Heat oil in a large, heavy skillet. 2) Cook ground beef and onions over medium heat until it is no longer pink. 3) Stir in chili seasoning mix, then add remaining ingredients. Bring to a boil. Reduce heat, cover, and simmer for 10 minutes. Serves 6 Omega 3 fatty acids How does it help How much do I need What foods have it? How to incorporate these foods into the diet Omega 3 fatty acids Essential fat Support cardiovascular, reproductive, immune, and nervous systems Important for visual development and retinal function DHA helps protect light receptor cells in the eye from damage by sunlight and free radicals Best Foods for Omega 3 Fats Wild salmon (3oz = 1800mg) Sardines (4oz in oil = 1800mg) Anchovies (canned in oil 2oz = 900mg) Mackerel (3oz = 1000mg) Tuna (4oz canned in water = 300mg) Cod (4oz = 200mg) Omega 3 Packed Salmon Ingredients: 1/2 cup whole-wheat panko breadcrumbs 1/2 cup crushed walnuts 1 pound wild salmon fillets 1/4 teaspoon sea salt 1/4 teaspoon freshly ground pepper 3 tablespoons fresh lemon juice Directions: 1) Preheat oven to 425 degrees F. 2) In a small bowl, combine panko and walnuts; set aside. 3) Place salmon fillets in a large baking dish. Sprinkle with salt and pepper; drizzle with lemon juice. Sprinkle panko mixture on the top of the fillets, pressing to coat. 4) Place in oven and bake 15 minutes or until fish flakes easily with a fork. Serves 4 Poor Diet = Poor Eye Sight Long term exposure to high sugar diet and chronic elevation of blood glucose can cause damage, oxidative stress, and inflammation Foods that cause elevated blood glucose: Ideal Meal Plan Supplements: Daily multivitamin: avoid those with mega doses of any vitamins or minerals Omega 3 (fish oil): 1,000mg/day + vitamin E or added antioxidant Possible zinc supplement after consulting physician Dark leafy greens: at least 1 cup daily Orange/yellow/red fruits and veggies: at least 1 cup daily Fatty fish: at least 2, 3oz servings per week Unsalted nuts and seeds: at least ¼ cup per day Always choose whole grain options and avoid processed carbohydrates/flours Choose at least 2 servings of low fat dairy daily Ideal Meal Plan Breakfast: 2 scrambled eggs with onion, red bell pepper, and spinach + sweet potato hash browns Lunch: Turkey sandwich on whole wheat bread with baby spinach, tomato, and hummus spread + baby carrots Dinner: Grilled salmon + butternut squash soup + steamed broccoli Snacks: cottage cheese with cantaloupe OR strawberry smoothie OR almonds with apricots OR sliced peppers and carrots with guacamole Need more information? Make an appointment with ShopRite of Timonium’s Registered Dietitian: Erin Peisach, RD, LDN Call 410-560-7071 Email erin.peisach@wakefern.com