Barley Bowl Recipe, Spotlight on Green Peas (Vegetable or Legume?), Hearing and Your Health, Storing Grains, When Worries About Not Sleeping Keep You Up at Night

Whole grains are an important part of the Mediterranean diet—and should be part of every diet, not only for their nutrients but also for the depth of flavor that is missing in refined products. Barley bowls are a great way to enjoy this nutty-tasting grain, and you can customize it with your favorite seasonal vegetables any time of the year. When it comes to good health, many people aren’t aware of the impact hearing loss can have on their lives, physically and socially—there’s a new app that lets you check on your own. I’m also sharing advice from the American Academy of Sleep Medicine to calm concerns among people who might be going too far in their efforts to get better sleep.

Barley Bowl

• Barley Bowl

  Barley is a nutritious whole grain that retains far more nutrients than pearl barley. It does take longer to cook and tends to require more water, but the taste is more than worth it, and you can make it up to 3 days in advance. I like to enhance this medley with pomegranate molasses. A staple in Mediterranean and Middle Eastern cuisines, it’s a luscious sweet-tart syrup made by boiling down pomegranate juice until it becomes thick. It’s available at spice and gourmet shops, but it’s easy enough to make on your own…with a little patience—expect a couple of cups of juice to take an hour or more to reduce (check the pot often and stand by when it gets close to the syrup stage to avoid burning it). 

  Ingredients

  • 1 cup uncooked hulled barley
  • 8 cups water, divided use
  • 4 tablespoons extra virgin olive oil, plus more for drizzling
  • 1 large sweet onion, chopped 
  • 1 teaspoon coarse sea salt 
  • 8 ounces white mushrooms, cleaned and thinly sliced
  • 4 garlic cloves, minced
  • 1 teaspoon freshly ground black pepper
  • 1 tablespoon each chopped fresh flat-leaf parsley and thyme leaves
  • 8 ounces spinach leaves, rinsed, patted dry, and rough-chopped
  • 1 cup green peas, fresh or frozen (see Healthy Ingredient Spotlight in weekly newsletter)  
  • Optional: 1 tablespoon pomegranate molasses, more to taste

  Directions

  Step 1

  Add the dry barley and 6 cups of water to a wide saucepan. Bring to a boil and then turn down the heat and simmer for an hour, stirring occasionally and checking that the water doesn’t evaporate before the barley is done; if needed, add more water, 1 cup at a time. For the last 10 minutes, stir continuously to prevent scorching as the last of the water gets absorbed.

  Step 2

  Defrost the peas if frozen. Heat a wok or wide sauté pan over medium heat. When hot, add the olive oil and onions; cook until the onions turn translucent, sprinkling them with salt after 5 minutes. Add the mushrooms, garlic, black pepper, and herbs; continue cooking until the mushrooms give up most of their liquid. Push the other vegetables to the side and add the spinach, a handful at a time, cooking each batch until wilted. 

  Step 3

  When all the vegetables are tender, fold in the peas, cooked barley, and pomegranate molasses, if using. Serve in deep bowls with a drizzle of olive oil.

  Yields 4 servings

Healthy Ingredient Spotlight

Green Peas: Vegetable or Legume?

Whether snap peas or green peas (or snow peas for that matter), peas are classified as legumes—plants that make pods with seeds or beans inside. Legumes also include all types of lentils; beans, including soybeans and chickpeas (garbanzo beans); and dried yellow and green split peas.

Confusing the situation, the USDA puts green peas not in the “beans, peas, and lentils group” but rather in with traditional veggies because, the agency says, peas’ nutrients align better with those of vegetables than those of legumes (it also describes them as “starchy” vegetables). The bottom line? No matter what you call them, peas are delicious and packed with nutrients, and they make a great addition to many recipes.

Quick Kitchen Nugget

Storing Grains

Because whole grains include natural oils, it’s important to store them correctly. As with extra virgin olive oil, grains’ natural enemies are heat, light, and moisture! If stored properly in airtight containers, grains like barley, farro, brown rice, and spelt will keep for up to 6 months on a cool, dry pantry shelf or up to a year in the freezer. For amaranth, oats, and quinoa, it’s 4 months on the shelf and 8 in the freezer. Buckwheat and millet are the most perishable—use within 2 months when stored on a shelf, within 4 in the freezer. If you transfer grains to your own container after opening the package, write down the package’s use-by date as a reminder. 

For Your Best Health

Can You Hear Me Now? 

The Johns Hopkins Bloomberg School of Public Health has released an app, Hearing Number, that makes it free, fast, and easy to test your hearing. It introduces the most widely used clinical measure for hearing as a wellness metric that can be tracked over time. The app is part of a public health campaign to raise awareness about the importance of monitoring, protecting, and optimizing hearing at all ages. 

Hearing Number will tell someone, in decibels, the softest speech sound they can hear in each ear. Children and young adults with healthy hearing can have a Hearing Number as low as -10 dB; this number increases as we get older. The higher someone’s Hearing Number is, the harder it is for them to hear and communicate in noisy places.

“The Hearing Number gives everyone a way to easily understand and think about their hearing over their lifetime, beginning as a teenager,” says Frank Lin, MD, PhD, lead creator of the app and director of the Johns Hopkins Cochlear Center for Hearing and Public Health at the Bloomberg School. “Many of us track simple metrics about ourselves like our blood pressure and our step count, but people have never had a way to measure their hearing in the same way. By knowing their Hearing Number, people can understand this important aspect of their health, track the changes to their hearing that occur naturally over time, and know when to use technologies to protect their hearing and hear better.”

Your Hearing Number—known clinically as the 4-frequency pure tone average—is one of many ways that audiologists and other hearing care professionals measure hearing and is the basis of the broad categories that the World Health Organization uses to define hearing loss. WHO estimates that 700 million—or 1 in 10—people worldwide will have hearing loss by 2050, with over 1 billion young people currently at risk of preventable hearing loss due to unsafe listening practices. Risk of hearing loss increases with age, with more than 25% of people over 60 affected by hearing loss globally, according to WHO. In the US, about 1 in 3 people between the ages of 65 and 74 has hearing loss, according to the National Institutes of Health.

Hearing is foundational to social and cognitive health. A 2023 study led by Bloomberg School researchers found that treating hearing loss in older adults at increased risk for cognitive decline slows down loss of thinking and memory abilities. Research has also linked hearing loss to increased risk of depression, falls, fatigue, loss of thinking and memory abilities, and social isolation. “Connecting people with their hearing through a simple metric has the potential to drive a shift in how people think about and prioritize their hearing throughout their lives,” said Dr. Lin.

The Hearing Number app is available for iOS and Android smartphones. The test requires headphones or earbuds and takes about 5 minutes to complete in a quiet setting. The app does not collect user personal data and users can share the app without sharing personal data. 

Fitness Flash

When Worries About Not Sleeping Keep You Up at Night

A recent survey from the American Academy of Sleep Medicine highlights a surprising paradox: 81% of Americans report losing sleep due to worries about sleep problems. This illustrates the growing pressure to achieve “perfect sleep,” fueled by social media trends, wellness products, and sleep tracking technology. 

“Concerns about getting enough high-quality sleep can create a vicious cycle of stress and sleeplessness for some people,” said Anita Shelgikar, MD, MHPE, a sleep medicine physician and president-elect of the AASM. “Prioritizing sleep is great for overall health and well-being. For some, however, a heavy focus on optimizing sleep can actually lead to a decrease in sleep quality and sleep quantity.” 

While many people embrace rigorous sleep optimization routines, from advanced tracking apps to highly structured rituals, often in pursuit of achieving that “perfect” 8 hours of sleep, experts caution that these things can unintentionally fuel sleep anxiety, a condition called orthosomnia.

“Sleep maximization can sometimes turn what should be a restorative process into a high-pressure task,” Dr. Shelgikar noted. “Highly detailed sleep tracking and optimization can cause some individuals to become overly critical of their sleep patterns, leading to heightened stress and potentially worsened sleep over time.” 

The AASM recommends the following strategies to ease worries and promote better sleep: 

• Create a relaxing environment: Make your bedroom a calming space. Keep it dark, quiet, and cool, and invest in comfortable bedding. 

• Practice relaxation techniques: Engage in activities such as deep breathing, meditation, or journaling to help calm and clear your mind before bedtime. 

• Understand the role of sleep tracking data: If you’re using sleep technologies, think of them as guides and tools, not rigid scorekeepers. 

• Seek professional help: If you continue to experience sleep-related stress or sleeplessness, talk with your health care professional or sleep medicine specialist for further evaluation of your sleep. 

“Sleep doesn’t have to be perfect every night,” Dr. Shelgikar added. “The key is focusing on sustainable habits and broad trends related to your sleep. The goal is to get the amount of sleep you need to wake up refreshed and well rested on a regular basis.” 

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