SOCIAL DETERMINANTS OF HEALTH: NUTRITION IN PERSPECTIVE

I am passionate about food and I value health. As a dietitian, I am interested in how the former impacts the latter. But I will sing from the rooftops

NUTRITION IS FAR FROM EVERYTHING WHEN IT COMES TO HEALTH.

In fact, our individual behavior is just one small piece of the bigger picture health puzzle. Yes, it’s empowering to know we have some sway over our health. However, research on the social determinants of health – the conditions in which people are born, grow, live, work and age – demonstrates that’s all it is, some.

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HEALTH AS CULTURAL CAPITAL KEEPS US SMALL

women banning together to explode concept of health as cultural capital

Get ready…this dietitian is a (proud) feminist. We need to explode the idea of “health” having cultural capital. Let me elaborate.

In my work I know acutely that challenging feelings about one’s body are not the exclusive experience of any gender identity. And yet, impossible societal standards for women’s bodies are especially suffocating. 

Explicitly and implicitly, our culture teaches women that beauty is our commodity. In the 21st century “health” has become a code word for beauty and both are defined by thinness. Beauty sounds superficial; “health” does not.

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STICKY RICE WITH CRISPY TOFU AND BRUSSELS HASH

My love affair with tofu started somewhere around age 10. My favorite Thai restaurant (which was the only Thai restaurant within a several town radius of my own) served the most perfect fried tofu triangles with peanut sauce. The tofu was crunchy on the outside and moist and simply flavored within. Smothered in rich peanut sauce and quickly dipped in the restaurant’s bright nuoc cham, each bite was an adventure for my inexperienced palate.

This flawless little appetizer is the reason I’ve stuck with making endless rounds of mediocre tofu for decades, ever in the search of some cooking method that would replicate that early food memory. I’ve shallow-fried, deep-fried and roasted infinite sheet trays. I’ve drained and pressed tofu overnight in the refrigerator, frozen and thawed it, and worked with every texture from silken to extra firm. I’ve quick-marinated and left tofu to sit with seasoning for several days before cooking. While much of these efforts came with some reward, the texture has always been…meh.

It wasn’t until I came upon a recipe from Cookies and Kate that I discovered the merits of cornstarch.

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FARRO, CHARRED BROCCOLI AND CASTELVETRANO OLIVE SALAD

With all the buzz around grain bowls over the last few years, I’ve gotten away from making grain salads. But what is a grain bowl after all than a grain salad with its parts disassembled?

One could certainly argue that grain salads are better. In fact, I might be arguing it? When you mix ingredients, flavors meld. Every bite has a little bit of this and that without you having to gather ingredients from around your plate.

There are also times when photo ready grain bowls just aren’t practical. Are you a new parent, cradling a baby in your arms while trying to shovel something nourishing into your mouth? Are you eating while driving your kids to soccer practice or doing work at your computer? Do you want to prep something ahead to easily pull from the fridge throughout the week? Grain bowls are pretty but they take work to assemble and eat. Of course, the ideal is to mindfully dine at our kitchen tables with no distractions but that is not always practical. Enter, the grain salad.

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Smoky Marinated and Seared Tempeh


If our small team of four is representative of the larger population, tempeh is polarizing. Team tempeh: Laura and Rian. Team “Oh my God what’s wrong with you”: Char and Gillian.

My case here? You should find out which team you’re on.

Okay, okay, I acknowledge that opener probably doesn’t inspire you to sprint out to the market, but, truly, I love the stuff. Along with eggs, it’s a refrigerator staple chez moi. An unopened packaged has a shelf-life of over a month so the second I use it, I buy another for the next time I need a last-minute protein.

What is tempeh?

Tempeh is a soy-based product made by fermenting cooked soybeans and then forming the mixture into a firm, dense cake. Unlike tofu which is soft and uniform in texture, tempeh has a bit more integrity and chew. That’s because tofu is made from soy milk while tempeh is made from soybeans. It has 16 grams of protein per 3 ounce serving, the equivalent of 3 ounces of salmon.

What does it taste like?

On its own, tempeh has a savory, nutty flavor. But like many other soy-based products, it’s a bit of a chameleon, easily taking on the flavor of whatever marinade or seasoning it meets.  My guess is that strong negative reactions come from the fermented smell of a freshly opened package, which some of us notice and others don’t. Maybe it’s a bit like cilantro where some people are overwhelmed by a soapy flavor, while others can’t get enough.

How can you use it?

Tempeh is often used in sandwiches, chilis, tacos, or enjoyed on its own. You can prepare it any which way but I strongly believe that it’s best thinly sliced and seared until crispy. For your first experiment, try the recipe I’m sharing below. Then branch out and give these recipes a try:

Smoky Marinated and Seared Tempeh

This is my go-to recipe. I use the crispy tempeh strips to top salads, grain bowls and sandwiches. I particularly love it over a salad of roasted carrots and creamy avocado with fistfuls of cilantro, mint and sliced scallion, toasted pepitas and agave-lime vinaigrette. It also makes a good stand-in for bacon in a traditional BLAT (A stands for avocado of course). Try it and let us know which team you’re on!

Ingredients

  • 1 8-oz block tempeh (Lightlife’s Organic Soy Tempeh, seems to be ubiquitous)
  • ½-1 lime, juiced (if extra juicy, ½ should do)
  • 1 tablespoon soy sauce or tamari
  • 1/2 teaspoon toasted sesame oil
  • 1 heaping teaspoon smoked paprika
  • 2 teaspoons maple syrup
  • 1 small clove garlic, grated on a mandoline or finely minced
  • Sriracha to taste (1+ teaspoon)
  • Neutral oil like vegetable, canola or grapeseed

Method

Thinly slice the tempeh into ¼ inch slabs. In a container that snugly fits the sliced tempeh in a single layer, whisk together the juice of ½-1 lime, 1 tbsp soy sauce, ½ tsp toasted sesame oil, 1 heaping tsp smoked paprika, 2 tsps maple syrup, 1 small clove grated garlic and sriracha to taste. Add the tempeh and marinate refrigerated for at least an hour and up to a couple of days.

When ready to use, preheat a large cast iron or non-stick skillet over medium high heat. When hot, add about a tbsp of neutral oil. Then add the drained marinated tempeh in a single layer and sear for ~4 minutes a side. Watch it closely because the maple syrup helps the tempeh caramelize quickly. You want it to be nice and crunchy. Err on the side of too brown versus too pale.

Enjoy immediately or let cool and enjoy at room temperature in salads, sandwiches, tacos…the world is your oyster!

2-3 servings