By Maya Shetty, BS

This blog is part of our Gratitude & Reflection newsletter. If you like this content, sign up here to receive our monthly newsletter!

As the holiday season approaches, many of us eagerly anticipate the joyous moments of togetherness, gift-giving, and, of course, indulging in mouthwatering dishes that have become synonymous with holiday celebrations. Whether it’s grandma’s famous pecan pie or Aunt Sally’s stuffing, these cherished holiday recipes bring with them a comforting sense of nostalgia that warms our hearts. However, there’s no denying that the generous spreads served during the holidays can take a toll on our health.

The good news is that you don’t have to sacrifice taste and tradition to make your holiday feasts healthier. In fact, we at Stanford Lifestyle Medicine believe it’s possible to transform your beloved recipes into delicious versions that nourish your body.

We also recognize the significance of celebrating the season with the foods we love. Our mission is to bridge the gap between these two priorities, demonstrating that health-conscious recipes can not only reduce sugar, cut down on saturated fats, and enhance nutritional value but also deliver flavors that rival the indulgent classics.

In this blog, we will provide you with expert insights, trusted recipes, and innovative ingredient swaps that will empower you to make healthy choices while still savoring the essence of the season.

Holiday Recipe Recommendations from a Physician Chef

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Dr. Carlie Arbaugh is a Stanford surgical resident, chef, and member of our Healthful Nutrition Pillar. After graduating from Cornell University with a BS in Human Biology, Health and Society she attended medical school at Stanford School of Medicine and gained professional certifications in Plant-Based Nutrition and Culinary Arts. Dr. Arbaugh firmly believes that food plays a fundamental role in our health, community, and culture. This passion drives her commitment to exploring the harmonious blend of deliciousness and nutritiousness in our food choices. Delve deeper into Dr. Arbaugh’s expertise as she shares her recipe recommendations and ingredient swaps for the upcoming holiday season.

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Stuffed Mushrooms

“For the past two holiday seasons, I’ve been whipping up a delightful dish that everyone has loved – stuffed mushrooms,” says Dr. Arbaugh. “Whether served as an appetizer or a side, it’s a naturally vegetarian gem, with the flexibility to go fully vegan. What’s more, it’s a breeze to prepare, requiring just a handful of simple ingredients.”

Dr. Arbaugh follows the New York Times Cooking recipe, making a healthy tweak by swapping out the butter for vegan butter or olive oil.

“In general, mushrooms stand as a healthful, naturally plant-based meat alternative, thanks to their ability to deliver that irresistible umami flavor!” she emphasizes.

Quinoa Stuffing

Dr. Arbaugh also recommends swapping traditional stuffing for quinoa stuffing. 

“It’s a nice whole grain alternative to stuffing made with bread (especially white bread) and you can boost the nutritional value and flavor by adding seasonal veggies, nuts, and dried fruits,” she states.

There are numerous recipes out there, including the nutrient-rich and fiber-packed creation found on Allrecipes.

Roasted Vegetables

“A simple way to add more plants to your holiday spread is by roasting some seasonal vegetables with a sprinkle of spices and herbs,” says Dr. Arbaugh.

A go-to favorite for Dr. Arbaugh is roasted butternut squash, like this example by Well Plated. Tossed with maple syrup, cinnamon, and rosemary, this recipe is infused with holiday flavor.

Seasonal Fruit Crisp

Seasonal fruit crisps and crumbles are another holiday favorite of Dr. Arbaugh. “Crisps and crumbles are a wonderful holiday dessert as they are primarily fresh fruit and use less flour, butter, eggs, and sugar than you would find in a cake or cookie,” she states.

When possible, Dr. Arbaugh recommends choosing fruits and vegetables that are in season. “Many people don’t actually know what is truly in season because so many of our grocery stores provide a lot of the same produce year-round and transport it in from other geographic locations,” she states. “Seasonal produce is often harvested at its peak ripeness, ensuring maximum nutrient content and flavor.”

Seasonal produce can vary across different regions of the US due to the range in climates. There are many online resources that can be used to track this information. For Bay Area residents, Dr. Arbaugh recommends the San Francisco Environment Department website.


Plant-Based Recipes From a Stanford Food Researcher

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Jessica Hope, MSN, NP is a passionate advocate of plant-based diets, an impactful nutrition researcher at Stanford University, and integral member of our Healthful Nutrition Pillar. After studying at Princeton University, she gained her master’s at Vanderbilt University School of Nursing and became a nurse practitioner for the abortion clinic at Planned Parenthood in San Mateo. She went on to conduct nutrition research at the Stanford Prevention Research Center, the Division of Immunology & Rheumatology, and now at the Humane & Sustainable Food Lab where she serves as the research coordinator. Continue reading to discover Hope’s expert tips on crafting a more plant-based holiday spread.

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Hope’s Family Recipe for Mashed Potatoes

Hope’s mashed potato recipe, a cherished family favorite each year, stands out for its ease and health-conscious approach. “This simple recipe is not only beginner-friendly but prioritizes health,” she says.“These are great leftovers, too, so I always make as much as I can fit into my biggest pot.” 

Hope also recommends mashing the potatoes by hand using a real potato masher for the best results. “To enhance the nutritional content and minimize the impact on blood sugar levels, try leaving the potato skins on as they add fiber and contribute to a more interesting texture and flavor,” she says. 

Ingredients

  • Golden/yellow organic potatoes
  • Unsweetened organic soy milk (I prefer Silk brand)
  • Salt
  • Organic Earth Balance butter (either sticks or whipped is fine)
  • Freshly ground pepper, optional
  • Fresh organic parsley, finely chopped, optional, for garnish

Directions

  1. Use a sharp knife to cut the larger potatoes into 6 pieces and the smaller ones into quarters. Put as many as you want to cook (my Aunt Emily’s recommendation was 2 potatoes per person) into a heavy pot. Then add enough water to just barely cover the top layer of potatoes. Bring to a boil. After it starts boiling, put a lid on the pot and turn the heat down to a lively simmer.
  2. Gather your other ingredients, and recruit someone with strong arms (in our family, my son is the designated masher). You’ll have enough time to set the table and/or get started on another dish.
  3. Keep an eye on the potatoes. You want to cook them until they are very tender when poked with a fork, but not so long that they start to fall apart. When they reach that point, drain out the water.
  4. Keep the potatoes in that same hot pot on the stove, but with the heat turned off. Immediately add Earth Balance butter. The amount is up to you; imagine how much butter you’d want on a small potato and then multiply that by the number of potatoes you used. Immediately begin mashing. After a minute, add only enough milk to moisten the potatoes so that they are easier to mash. Add a little salt, and pepper if using. After mashing for a while, it’s fine to add a little more milk if necessary to get the consistency you like.
  5. Once the potatoes are fairly smooth, taste to see if they need more butter, salt, or pepper. After transfering to a pretty serving bowl, top with a tiny bit of chopped parsley if desired. Enjoy!

The only caution Hope has with this vegan recipe is related to one ingredient—Earth Balance vegan butter. “While it is a healthier alternative to cow’s butter because it contains zero cholesterol and only half as much saturated fat, it is still equally high in calories and is not a whole food,” she says. 

Healthy Sweet Potato Swaps

Hope recommends using your go-to sweet potato recipes as a starting point for incorporating healthy ingredient swaps.

“Most sweet potato dishes can smoothly transition to whole-food plant-based versions that still maintain the flavor of your family’s traditional holiday recipe,” she states.

Explore Hope’s suggestions below for ingredient swaps that can seamlessly replace traditional components.

* To make homemade flax eggs, Hope recommends using the recipe from Minimalist Baker.

Pumpkin Pie Cups

Hope enthusiastically endorses the dessert creations by Feasting on Fruit, especially their six-ingredient pumpkin pie cups. The almond flour crust caters to a grain-free lifestyle, and the sweet potato and pumpkin provide fiber and beta-carotene. Additionally, the simplicity of the recipe ensures a hassle-free preparation while maintaining a focus on wholesome ingredients. 

More Resources

For more recipe inspiration, Hope recommends the three-course vegan and gluten-free holiday menu from Oh She Glows.

 

By Carly Smith, BS, MPH(c) 

This blog is part of our Gratitude & Reflection newsletter. If you like this content, sign up to receive our monthly newsletter!

Spiritual practices do not have to take place in a church; therefore, every person lives with spirituality in some way. Individuals connect to their spirits and create meaning through various activities, including religious rituals, but also through music, art, or exercise. 

“Spirituality, broadly, is the way that we find purpose, connection, belonging, and dignity as human beings,” says Bruce Feldstein, MD, BCC, Stanford Lifestyle Medicine Head of Gratitude and Reflection. “People find it in various ways–it’s not important where you find it; what’s important is just to get started looking for it.” 

Dr. Feldstein is a board-certified chaplain at Stanford, where he directs Jewish Chaplaincy Services serving Stanford Medicine and an Adjunct Clinical Professor in the School of Medicine. He sees spirituality as the critical element missing from most lessons on healthy aging from elementary to medical school. His experiences as an Emergency Medicine Physician turned Clinical Chaplain inspired him to create the Spiritual Fitness ToolKit, which helps individuals cultivate well-being by exploring rituals for meaning, purpose, and connection.

 “A spiritual practice is as essential to cultivating well-being as physical fitness or nutrition. However, our ‘spiritual fitness’ is typically not discussed as concretely as these other aspects of health,” says Dr. Feldstein. 

Four Questions a Day Exercise

The Spiritual Fitness ToolKit opens with a reflection exercise titled “Four Questions a Day.” To develop habits of gratitude and reflection, Dr. Feldstein recommends spending ten minutes of quiet time at the end of the day to contemplate these four questions, one at a time. 

     The Four Questions:

1. What surprised me today?

2. What touched me today?

3. What inspired me today?

4. For what am I grateful?

Start by asking yourself the first question, What surprised me today? Reflect backward on your day until you come to the first thing that surprised you. Make a note of it in a little journal or on a file on your smartphone. It’s important to write it down. Then do the same with the other questions, one at a time. (This exercise is drawn from research on gratitude and from the teachings of Rachel Naomi Remen MD, originator of the Healer’s Art course.)

After a few weeks of practice, you may begin thinking about these questions throughout your day. Eventually, you may find yourself noticing moments of surprise, being touched, inspiration, and gratitude as they occur. This heightened awareness can allow you to see and respond to  situations in your life with “new eyes,” and bring elements of emotional well-being into your everyday experience.

“The Four Questions exercise could be essential in two ways for people getting started,” says Dr. Feldstein. “It can help develop a capacity for increased emotional awareness and encourage people to become reflective practitioners in action.”

Dr. Feldstein suggests committing to this practice for at least three weeks to develop a new habit, and for 90 days to create a new lifestyle. He also suggests engaging in the daily writing activity with a friend to promote connection and enjoyment.

Sharing Moments of Gratitude

An extension of the Four Questions practice is Sharing Moments of Gratitude, another valuable practice  in the Spiritual Fitness Toolkit .

Feeling gratitude within oneself is one part of the experience. When we feel grateful for something wonderful in our lives, we can share our appreciation of others by saying or doing something for someone else. Doing so expands the experience of gratitude to those around us.

Sharing gratitude can be done in many ways. Most simply, we can say, “I really appreciate what you just did. Thank you so much.” This is most powerful and the positive experience is mutual and immediate. We may also send a thank you note, or offer a small gift. 

One of Dr. Feldstein’s favorite practices is to produce small moments for gratitude at the end of each conversation, discussion, or meeting.

“I often ask my patients or people I am with ‘What can I wish for you today?’ I listen with openness, take in what they say, then respond genuinely with an open heart. This is a practice for offering a blessing. It is one that produces mutual gratitude,” says Dr. Feldstein. “It is a simple practice you can incorporate into any conversation or interaction and greatly encourages connection, healing, and finding peace.”

So, dear reader, what can the Stanford Lifestyle Medicine team wish for you today?

 

By Sharon Brock, MEd, MS

This blog is part of the Gratitude & Reflection newsletter. If you like this content, sign up here to receive our monthly newsletter!

A few months ago, Stanford Chaplain Bruce Feldstein, MD, BCC, received a call to offer compassion and spiritual care for a woman in her 90s at Stanford Hospital. When Dr. Feldstein entered the hospital room, he saw her husband sitting at her bedside, holding her hand, and looking at his wife of 62 years with eyes of devotion and appreciation. Taking a seat, Dr. Feldstein was deeply touched and inspired by the love they shared between them and the immense gratitude the husband had for his wife. With reverence for the sacred moment, Dr. Feldstein whispered to the man, “Your gratitude and love is a kind of medicine that doesn’t come in an IV.”

Intuitively, we know gratitude is good for our health, and in recent years, researchers have proven this scientifically. Several studies have shown that gratitude practices are associated with a reduction in depression, anxiety, and an improvement in overall mental health. Studies also show that gratitude practices improve physical health, such as lowering blood pressure, improving sleep quality, and creating positive changes in brain activity.

This evidence that gratitude promotes mental and physical health begs the question, “How do we experience more gratitude in our lives?” Perhaps the first step is to have a deeper understanding of what gratitude is.

Gratitude is a Mood

So, what is gratitude, exactly? Although everyone has experienced gratitude to some degree, it isn’t easy to define. Some people have an overall attitude of gratitude, while others only feel thankful when they receive a gift or something good happens in their lives. Many people, however, are somewhere in the middle. They experience gratitude as a mood that comes and goes throughout the day.

It’s useful to be aware of our moods because they serve as metaphorical lenses that determine how we assess situations. For example, if a friend cancels dinner plans, a grateful person might appreciate the extra time in their evening to relax, whereas a person who chronically complains might think they don’t have any true friends. Even though the situation is the same, the responses are different due to the variance of their moods.

Dr. Feldstein notes how we can shift our mood toward gratitude by pausing and reflecting on what we are grateful for. Even with a busy schedule, we can weave in moments of reflection to experience more gratitude and enhance our mood.

“Reflection is an antidote to busyness. When we are busy, we typically don’t notice the wonderful things in our lives. We don’t stop to appreciate what is already there,” says Dr. Feldstein. “Some people say they don’t have time to stop and reflect, but it’s not about time. It’s about having a readiness to notice with appreciation and gratitude what is going on in the midst of our activity. It only takes a brief moment to stop and notice,  reflect, and appreciate the things we care about. Doing so contributes to a meaningful life and this can be cultivated.”

Gratitude is a Choice

Due to our biological need to survive, our default thoughts and emotions are often riddled with fear, defensiveness, and complaints. Without consciousness, our instincts prompt us to be on guard and defend ourselves from potential predators, which can be both physical and emotional. When we begin to spiral in these negative emotions, Dr. Feldstein recommends that we make a conscious choice to shift our focus from stressful circumstances to something good.

“Gratitude is a choice,” says Dr. Feldstein. “We don’t have control over what happens, but we do have choices related to how we see things, what we focus on, and ultimately how we respond.”

At any given moment, we can break the spiral of negative thinking by pausing and asking ourselves, “What am I grateful for right now?” By including moments for reflection multiple times a day, we can gradually shift our default thinking from negativity to gratefulness and other elements of well-being due to the neuroplasticity of the brain.

As a chaplain, Dr. Feldstein offers this understanding while accompanying patients in the hospital. “When a patient is going through a difficult time, I compassionately acknowledge their situation and then gently ask, ‘What sustains you?’ and ‘What is something you’re grateful for?'” he says. “This shifts their focus in the direction of well-being, and they begin to feel more at ease, which is a healing experience for both the patient and caregiver.”

Gratitude is Good Medicine

With enough practice in cultivating gratitude, we can start to embody the essence of gratitude while interacting with others. When we start saying “thank you” and “you’re welcome” more often, we feel more connected, and our relationships become stronger, sweeter, and more meaningful.

“Gratitude is not just something we have, it can also be something we are,” says Dr. Feldstein. “Rather than simply knowing the feeling of gratitude, I can be the expression of gratitude that I am inside and share it with others as a way of being. In doing so, we can be a healing force for ourselves, those around us, and the world.”

Dr. Feldstein shares that when healthcare workers pause during the day to prepare their attention and intention to allow for the emergence of presence, appreciation, and gratitude, they have more meaningful and healing connections with their patients.

“When we give and receive gratitude, we all feel better, we see more connection with other people, we see more possibilities in life. Whatever is happening with our physical bodies, gratitude allows us to be in a state of well-being,” says Dr. Feldstein. “So, when we [healthcare workers] are being grateful, it’s an expression of caring, which is enlivening for both the patient and ourselves, and that’s the promise of what medicine is all about.”

 

For more thoughts on gratitude, read What We Get Wrong About Gratitude written by Stanford Lifestyle Medicine team member, Barbara Waxman.