Recovery Nutrition & Hydration

Unintentional weight loss during illness is a sign that the body is losing fluids and using fat and muscle for energy and protein in order to try to maintain normal functioning. Losing fluids and breaking down fat and muscle can impact your body’s ability to fight illness and recover. Hydration and nutrition play an important role in your body’s response to, and recovery from, the COVID-19 virus.

Even though you may not be hungry or thirsty, it is important that you continue to eat food and drink fluids to support your body’s immune system. Here are some tips to help keep your body hydrated and nourished.

View and download the PDF guide on nutrition and hydration tips on your road to recovery from COVID-19 at home.

Additional Resources

None at this time.

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Meal Planning and Cooking

Here are some great tips from Ottawa Public Health on grocery shopping, meal planning, and cooking during COVID-19.


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Meal Planning and Budgeting

When planning your meals and grocery lists, aim to have some foods at home that are non-perishable and/or have a longer shelf life. It is important to have extra food at home that can provide adequate nutrients and energy. These will come in handy if ever you were to become sick and can help limit your trips to the grocery store.

Avoid Panic Buying

You do not need to rush and “stockpile” supplies. The goal is to be prepared and purchase items gradually. Some staple food items to consider buying as a part of your emergency preparedness checklist include:

Budgeting

Healthy eating is important for everyone, and with a little bit of planning, you and your family can eat delicious and nutritious meals economically. Take a look at the Everybody’s Food Budget to learn various tips and tricks on how to save!

Shopping

There are many strategies that you can use when grocery shopping to avoid the spread of COVID-19. Here are some safe shopping tips:

Storing Food

There are no specific precautions needed when storing foods. COVID-19 is a type of coronavirus. Although there are still things we are learning about COVID-19, we do know that other coronaviruses do not survive very long on surfaces like cereal boxes or canned foods. Coronaviruses are usually spread through respiratory droplets (for example when someone coughs or sneezes).

There is currently no evidence that people have become infected with COVID-19 through items bought at a grocery store. It is possible that the item you handled or bought was recently touched by someone who had coronavirus on their unwashed hands. Even though viruses like COVID-19 can survive between a few hours to a few days on foods and on surfaces before dying, you do not need to wash all your purchases. Here are the best ways to protect yourself:

If the virus is on a surface of a food item and then stored (cupboard, fridge, freezer) there is no evidence that it will grow and multiply. Currently, we do not know if COVID-19 can survive in the refrigerator or in freezer temperatures.

Preparing and Cooking Food

Cooking Food at Home

There is currently no evidence that the COVID-19 virus can grow on food or can be transmitted by ingesting food. However, the virus can be transmitted by touching contaminated surfaces or objects and then touching your mouth, nose or eyes.

Coronaviruses can be killed by practicing cleaning and sanitizing, and by cooking foods at safe internal temperatures. There is no evidence that touching or eating raw vegetables and fruits can spread COVID-19. It is important to continue practicing good hygiene and food safety during food preparation and meals.

Visit Ottawa Public Health’s Keeping foods safe (clean, cook, chill, separate) for more information on how to avoid foodborne illnesses, as COVID-19 is not a foodborne illness.

Ready-to-Eat Foods and Foods Prepared by Others

Currently, there is no evidence that touching or eating contaminated food will transmit COVID-19. It is not a foodborne illness. If someone is infected by COVID-19 and they touch or cough on food that is served to other people, there is a potential risk of spreading the infection. However, to date there are no such reported cases of transmission. However, it is best if someone infected with COVID-19 avoids preparing foods for others. Everyone should practice frequent hand washing with soap and water to reduce the risk of transmission and avoid touching foods with their bare hands (e.g. use utensils, napkins, etc. to handle food).

Trying New Recipes

Cooking is a skill, the more you practice, the easier it becomes. Preparing healthy homemade meals can be simple, budget-friendly, and even fun! Check out these cooking videos, they will show you step-by-step how to make various new recipes. Looking for more? Canada’s Food Guide also has various recipes for you to try out!

Additional Resources

Ottawa Public Health: Emergency Preparedness Checklist

Ottawa Public Health: Everybody’s Food Budget

Ottawa Public Health: Shopping Etiquette

Ottawa Public Health: Keeping Foods Safe (Clean, Cook, Chill, Separate)

City of Ottawa: Human Needs Task Force – Fact Sheet on Food Resources

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Healthy Recipes

It is a brave new world in 2020, with unprecedented worries and fears. We can keep ourselves safe with social distancing, social isolation and quarantine. Plus ensuring our hands are clean and we sneeze in our elbows.

We also have to nourish our bodies to help keep our immune system and our spirits strong and bright. The Primary Care Dietitians have been working to bring you some resources to help you eat healthy during COVID 19 and for the rest of your life!

Primary Care Dietitians are available for consult in your Family Health Team, Nurse Practitioner Led Clinic and Community Health Centres. We are here to help you.

Breakfast

Apple Oatmeal with an Egg Boost

Muffin Tin Omelettes

Breakfast Burrito

Breakfast Quesadilla

Rise and Shine Breakfast Sandwich

Apple Cinnamon Baked Oatmeal

Overnight Oats: Apple Pie Oatmeal

Tofu Scramble

Lunch and Dinner

Curried Lentils, Sweet Potato and Cauliflower

Mango Black Bean Salad

Quinoa and Lentil Pilaf

Spinach and Mushroom Lasagna

Sweet Chili Tofu Stir-fry

Vegetable Quinoa Salad

Couscous Salad

Cashew Chicken Curry

Easy, Colourful, High-fibre, Multi-bean Salad

Greek Rice & Feta Stuffed Peppers

Easy Peasy Pita Pizza

Beef Fajitas

Quick Quinoa and Veggie Casserole

Barley Lentil Salad with Kale, Apples, Almonds and Feta

Baked Sundried Tomato Cod

Burrito Bowls with Chicken

Roasted Fish with New Potatoes

Additional Resources

Heart and Stroke Foundation of Canada: RecipesAmerican Heart Association: Recipes

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Safe Grocery Shopping

Make a List…

to minimize the amount of time you spend in the store.

Choose a Store…

that practices social distancing.

Disinfect…

your cart handle when entering the store and your hands when exiting the store.

Wash Your Hands…

with sop and water when you get home and after you the away the groceries.

Do Not…

use soap to wash produce because the residue can cause vomiting and diarrhea.

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Pantry Items to Keep on Hand

It’s helpful to keep some staples on hand in case of unforeseen circumstances.  You do not need to buy all of these items at once and you should not buy foods you will not use. Ask a registered dietitian for more information.

Fruits and Vegetables

Potatoes
Sweet potatoes
Carrots
Onions
Turnip/rutabaga
Winter squash
Canned vegetables (corn, tomatoes, carrots, peas, etc)
Shelf-stable soups
Tomato sauce
Tomato paste
Dried seaweed/kelp
Dried mushrooms
Canned fruit (peaches, pears, pineapple, etc)
Applesauce

Grains

Pasta

Rice

Oatmeal

Quinoa

Barley

Bulgur

Cereal

Crackers

Bread products that freeze well

Protein

Dried or canned beans, peas, and lentils

Nuts

Seeds

Nut butters

Frozen meats and poultry

Frozen or canned fish

Shellfish

Dried seafood

Dried tofu

Eggs

Milk

Powdered milk

Yogurt

Cheese

Other Items

Infant cereal

Infant formula

Hydrating foods like gingerale, juice, jelly powder, freezies, ice pops, and sports

drinks in case you don’t feel well

Oils

Spices

Broth

Bottled water if you do not have a safe source of drinking water at home

Foods for enjoyment like chocolate, cookies, chips, or popcorn

Remember…

Use up fresh foods first.

Read food labels to choose foods with less added salt and sugar.

Whole grain foods have more fibre than ref ined grains.

Plant proteins l ike beans, peas, lent i ls, nuts, and seeds won’t spoil quickly.

Buy meat, poultry, and fish on sale and freeze it.

Additional Resources

None at this time

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Keeping Food Safe to Eat

The Canadian Food Inspection Agency (CFIA) reports that “there is currently no evidence that food is a likely source or route of transmission of COVID-19.

Still, all Canadians should continue to follow good hygiene practices when handling food and preparing meals. Wash hands often and before preparing food, cook meat thoroughly, keep cold foods cold (in the fridge), and avoid cross-contamination between cooked and raw foods..

Clean frequently touched surfaces, including countertops and cutting boards often. Soap and water are effective for cleaning these types of surfaces. Produce (vegetables and fruits) can be cleaned by scrubbing them with clean hands with cold, running water. The transmission of COVID-19 from food packages to individuals is unknown but thought to be low.

Cough/cold hygiene practices, such as coughing or sneezing into your elbow, are also recommended. People who are sick with COVID-19, even with mild symptoms, should not prepare food for other people as they should be self-isolating.

Additional Resources

Canadian Food Inspection Agency (CFIA): Latest CFIA Information for Consumers on Food and Animal Health – COVID-19

Centers for Disease Control and Prevention (CDC): When and How to Wash Your Hands

Government of Canada: General Food Safety Tips

Cornell University: Food Safety Recommendation and Frequently Asked Questions for the Consumer

U.S. Department of Agriculture (USDA): 10 Tips – Be Food Safe

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Eating Together Safely

Eating is a social activity; it’s a way to celebrate and also comfort ourselves in times of stress or emotion. It’s a way to share culture and new foods with others, a way to connect and build relationships. To this end, Melissa Murray, a Registered Dietitian in St. Joseph’s Urban Family Health Team, shares her tips to do this as safely as possible during a pandemic.

Involve Your Kids

Involve family members in the planning and preparation of meals and snacks (assuming that everyone involved is healthy). With kids home from school, now is a perfect time to involve them in choosing what vegetable they want for dinner, have them pull food from the fridge or stir ingredients together. It’s a great way to instill cooking skills and habits that can last a lifetime and can help with picky eating!

When cooking or eating together, ensure everyone involved practices good hand washing, surfaces are cleaned frequently and safe food handling is practiced. If tasting during cooking/baking, ensure this utensil is not re-used. Avoid serving family-style or finishing your kids’ leftovers. When having snacks, pre-portion them, avoid sharing bowls or double dipping. Pre-portioning snacks also helps with portion control!

Start A Conversation

For many people, sharing meals is a favourite time of day to interact with family and friends. It allows people to connect, share traditions, learn, communicate and listen. If you are new to family meals, here are some tips to keep in mind:

What Benefits May I See?

Children who eat with their family often have more nutritious diets, better academic performance, a lower risk of becoming overweight or of developing eating disorders. Adults tend to have a more nutritious diet and healthier body weights, and older adults have improved nutrient intake and lower rates of malnutrition.

What If I Live Alone?

Eating meals alone can increase feelings of loneliness, increasingly so with today’s isolation policies. This can contribute to both over and under eating, depending on the person. Try sharing a “virtual” meal with a friend or family far away through Facetime or Skype, phoning an elderly neighbour or starting a recipe club where you share new/favourite recipes with family and friends.

Additional Resources

Looking to try something new? Check out this Mexican Squash & Bean Salad and other great recipes @cookspiration!

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Nutrition Myths and Facts

With an overwhelming amount of information online and media influencers promoting so-called ‘cures’ for coronavirus, it can be hard to decipher myth from fact. Let’s take a look at some of the common questions and claims circulating around with regards to COVID-19.

Can I Boost My Immune System?

The immune system is a complicated system. The short answer to this question is no. We can’t boost our immune system so that it’s functioning at a higher than normal level. However, many different factors can impact one’s immune system including: age, genetics, disease, sleep, smoking, nutritional status/deficiencies, as well as other things like stress and our environment. Some of these factors we can change and others we can’t. Of course, it’s not helpful to stress over what we can’t change!

Focusing on positive lifestyle behaviors like managing our stress, eating a variety of foods, and quitting smoking can help support our immune systems. However, supporting your immune system does not mean you will prevent or treat diseases. You may be wondering, “What about if I do get sick? Will I not get as sick if I am doing what I can to support my immune system?” The answer is maybe, but there are still many other complex factors involved in your immune response which makes things a bit more complicated.

You can help support your immune health through positive lifestyle behaviors, but this does not mean that they will prevent or treat diseases like COVID-19.

Can Eating Specific Foods or Supplements Help Prevent or Treat COVID-19?

Unfortunately, no. You may have heard people promoting supplements to combat the coronavirus, such as: Vitamin D, Vitamin C, zinc, garlic or elderberry. However, there is currently no evidence that these supplements or foods protect people from COVID-19.

While there is some evidence for certain nutrients having a small benefit with the cold or flu, this cannot be extended to COVID-19. Further research is needed on the effectiveness and safety of different supplements or products. At this time, Health Canada has not approved any product or supplement to prevent, treat or cure COVID-19. Keep in mind that just because a product is considered natural, doesn’t necessarily mean it’s safe. It’s also good to remember that while vitamins which we get from our food are important for good health, high doses of some supplements could actually be harmful. More is not always better!

Eating a variety of foods, including fruits and vegetables, can help your body get the different vitamins and minerals that are needed for good health, including the functioning of your immune system. In certain cases, when we are not able to get enough of specific nutrients from foods, supplements may be recommended by your health care provider.

If you have questions about your diet or need for supplements, consult with a Registered Dietitian on your primary care team.

Will Sipping Water Every 15 Minutes Help Prevent COVID-19?

Another myth that has been circulating on social media is the idea that sipping water throughout the day will help to ‘wash down’ coronavirus and therefore prevent it from infecting someone. There is no evidence that this will help to prevent you from contracting COVID-19.

Hydration is important for good health, so drinking adequate water is a good practice. However, keep in mind that drinking excessive water is also not good for you.

How Can I Identify Misinformation?

Ask yourself…

There is lots of misinformation floating around. Be critical with the information and claims you hear or read and stick to trusted sources of information. If you have questions about your health, consult with your medical team.

Additional Resources

World Health Organization (WHO): Novel Coronavirus – Situation Report 13
World Health Organization (WHO): COVID-19 advice for the public – Myth busters
Examine.com: Which myths should you watch out for?
World Health Organization (WHO): Coronavirus disease 2019 (COVID-19)
Dietitians of Canada: Immune System
Government of Canada: Coronavirus disease (COVID-19) – Prevention and risks

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