Showing posts with label nutrition. Show all posts
Showing posts with label nutrition. Show all posts

Multivitamins — Are they the best thing for you?

By Jennifer Nelson, M.S., R.D. and Katherine Zeratsky, R.D.


 




Do you take a multivitamin? Or a single vitamin, mineral, or combination supplement? If so, you are in the company of tens of millions of U.S. adults.

Why do you take them? Most people say it makes them feel healthier or they believe it will prevent chronic diseases, or colds and flu. But you may be surprised to know that what is in your bottle and on the label is not strictly regulated. And there is no system in place to collect reports of adverse affects.

Over the past few years there has been increasing evidence that multivitamins and single or combination type vitamin/mineral supplements may not provide the health benefit sought by you, the consumer. In some cases the opposite or no beneficial effects have been reported.

Alarming to think that vitamin or mineral supplements could actually cause more harm than good. An example of this is the use of beta carotene by smokers actually increased the incidence of lung cancer. This is echoed by a recent study out of the University of Washington that reports the use of multivitamins, vitamin C, vitamin E and folate did not reduce the risk of lung cancer.

It is not all bad news though; there are studies to support the use of folate (folic acid) prior to and during pregnancy in the prevention of neural tube defects in the developing fetus. And history has proven that vitamins and minerals play a critical role in our health — the reason we know about the benefits of vitamins and minerals in food is because of the major discoveries in disease prevention such as vitamin C and scurvy and thiamine, a B vitamin, and beri beri (a wasting type disease).

This may leave you wondering if those vitamin mineral supplements in your medicine cabinet are doing what they should or even worth your money.

Let's look at this way — do you eat a well balanced diet? If so, you may not need a multivitamin and if you take one as a "safety net" know that you may exceed what your body needs or can use.

Are you concerned about a chronic disease? If so, making changes in your diet and exercise habits, not smoking and following through with recommended screenings by your physician are more likely to benefit your overall health picture.

Consider your current state of health, talk to your doctor and/or dietitian, and weigh the possible benefits and risks of a multivitamin and mineral supplement for you.

To your health,

Katherine 


source : mayoclinic.com

Shopping for health

By Jennifer Nelson, M.S., R.D. and Katherine Zeratsky, R.D.


 





"You are a dietitian; it is easy for you to eat right."

A common assumption and comment I've received more than once. Really, I don't mind as it is an invitation to remind my friends, colleagues, and acquaintances that I am human — not free from temptations of rich and delicious desserts, sweet treats, and any of the other sugar, salt, or fat laden foods that dominate our food supply.

So how do we make a healthy diet part of our lifestyle, and not feel guilty about the occasional treat? Start with the grocery list:

  * At the top of the list write down fruit and veggies. Buy those that will be your staples to grab and go. Then add those that you will put on the table or include in a recipe.
  * Keep healthy foods in your refrigerator and cupboards: whole grain bread/cereals/starches, lean meat(s)/fish/vegetarian protein source such as beans, low fat yogurt, low fat milk, etc. These are your breakfast and quick meal or snack foods.
  * Think of a few meals for the week — check out a Web site such as ours or others for recipe ideas. Add ingredients to the shopping list.

And importantly, keep a balance — I exercise regularly, not only for general well being but as a balance to my love for food. No guilt when I enjoy a sweet treat!

Please share your shopping tips with the rest of our community.

Wishing you good health,

Katherine 


source : mayoclinic.com

Sugar substitutes stir sweet debate

By Jennifer Nelson, M.S., R.D. and Katherine Zeratsky, R.D.


 






In my 30 years of practice, the number one subject that triggers the most controversy is that of low or no calorie sweeteners.

People seem to take sweeteners personally — responding in angst, argument or even anger. How can a substitute for sugar (that has a measly 16 calories per teaspoon) create such an uproar? Enter the blog! At last a medium where dialogue can reign.

What triggered my interest in discussing this subject was a study by Swithers and Davidson in the February 2008 issue of "Behavioral Neuroscience."

We know that sweet taste from sugar is a powerful trigger that prompts the mind and body to eat and to process calories. However, when the researchers fed rats a food sweetened with a no calorie sweetener — food that was actually lower in total calories — the rats actually ate more food and gained more weight than rats given sugar sweetened food that was higher in total calories. In addition to eating more of the no-calorie sweetened food, the rats also adjusted their body processes to burn fewer calories — contributing to increased body weight and fat.

They discuss the potential implications of their findings: the increases in the numbers of Americans consuming products containing low/no calorie sweeteners from about 70 million in 1987 to about 160 million in 2000, and that low/no calorie sweeteners abound in a wide variety of foods (especially in the form of soft drinks). That the incidence of obesity has also increased dramatically during this period, from about 16 percent of the population to about 30 percent.

They also site a recent human study from the July 31, 2007, issue of "Circulation" that suggested that intake of one or more regular or diet soft drinks was associated with a greater than 50 percent incidence of metabolic syndrome (obesity, inches around the abdomen, higher fasting blood sugar and fat levels, and higher blood pressure).

Could it be that low/no-calorie sweeteners (and foods containing them) fake us into consuming and conserving more calories than if we simply eat the food that has the real (calorie-containing) sugar in it?

My take? Low/no calorie sweetened foods sometimes offer a lower calorie alternative to foods sweetened with sugar (check the label to make sure). There are studies that also show that low/no calorie sweetened foods are helpful for controlling weight. The rat study gave me pause though.

For me — I'll take sugar-sweetened items on special occasions and in moderation. We get ample "sugar" naturally from whole foods and don't need sweets every meal, every day. Safety of these low/no calorie sweeteners? I'm going to save this topic for another time.

Your take on low/no calorie sweeteners? Angst? Argument? Anger? I want to hear from you.

- Jennifer 


source : mayoclinic.com

Limit acrylamide in diet

By Jennifer Nelson, M.S., R.D. and Katherine Zeratsky, R.D.









Last week, the U.S. Food and Drug Administration (FDA) posted new information about acrylamide in food and ways that we can reduce our intake of it. Yikes — has another strange chemical found its way into our foods? Apparently not. Read on.

In 2002, researchers in Sweden found the chemical acrylamide in a variety of carbohydrate-rich foods that are fried or baked at high temperatures. In large doses, this chemical has caused cancer in laboratory animals.

In response to concerns about the potential risk, the FDA began to analyze a variety of U.S. food products for acrylamide. Here's some of what they've found so far:

* Acrylamide forms from sugars and an amino acid (asparagine — a building block of protein) found naturally in foods that are fried, roasted or baked. This chemical is more likely to increase the longer foods are cooked with these methods, and the higher the temperature. Boiling or steaming of the same foods do not typically result in acrylamide formation.
* Plant foods such as potatoes, grain products (breads and breakfast cereals, cookies), and coffee are mentioned in the FDA release. Various forms of these foods are typically fried, baked or roasted. They do point out that acrylamide is not typically found in raw plant-based foods, dairy, animal foods (poultry, meat) or seafood.

Hmm ... it seems to me that mankind has been baking and frying foods at high temperatures for a long time. And haven't plant foods including grains, potatoes and coffee been staples? What to do?

The FDA discusses specific foods that are larger sources of acrylamide: French fries, potato chips, breakfast cereals, cookies, toast, and coffee. They do not recommend eliminating these foods from the diet. But, they've come up with some suggestions for a few of these items — namely potatoes, bread and coffee.

For potatoes, boiling or microwaving produces no acrylamide. Frying leads to highest acrylamide formation followed by roasting, then by baking. The darker the potato, the more acrylamide — so avoid cooking until dark brown. They have found that slicing potatoes and soaking them for 30 minutes before frying or roasting reduces acrylamide formation. Interestingly, storing potatoes in the refrigerator can increase formation of acrylamide during cooking.

For bread, if you toast it, toast to a light brown color and avoid "very brown areas."

For coffee, the FDA scientists have not found good ways to reduce acrylamide formation since the beans are roasted before brewing. (I hope that these scientists are working hard on this!)

My take? This acrylamide issue is something that will stay on my radar. There seems to be a commitment to continue research on this. From a practical standpoint I agree with the FDA — it's too early to eliminate a whole class of food (grain products), potatoes, and coffee from my diet. There are a few simple things I can do however.

I'll choose less processed cereals, and ones that I can cook (like oatmeal) more often. Toast — light brown. I'll continue to limit those French fries and chips (and entirely stop eating the brown crunchy ones). More often I'll boil or microwave the spuds and definitely take those taters out of the fridge (store them in a cool dark place). Maybe a lighter roast coffee.

It seems like almost every day more and more alerts like this come out. I'm reassured that they seem to reinforce similar messages: vary the diet, eat fewer highly processed foods, emphasize plant foods.


By Jennifer Nelson, M.S., R.D. and Katherine Zeratsky, R.D.

Last week, the U.S. Food and Drug Administration (FDA) posted new information about acrylamide in food and ways that we can reduce our intake of it. Yikes — has another strange chemical found its way into our foods? Apparently not. Read on.

In 2002, researchers in Sweden found the chemical acrylamide in a variety of carbohydrate-rich foods that are fried or baked at high temperatures. In large doses, this chemical has caused cancer in laboratory animals.

In response to concerns about the potential risk, the FDA began to analyze a variety of U.S. food products for acrylamide. Here's some of what they've found so far:

  * Acrylamide forms from sugars and an amino acid (asparagine — a building block of protein) found naturally in foods that are fried, roasted or baked. This chemical is more likely to increase the longer foods are cooked with these methods, and the higher the temperature. Boiling or steaming of the same foods do not typically result in acrylamide formation.
  * Plant foods such as potatoes, grain products (breads and breakfast cereals, cookies), and coffee are mentioned in the FDA release. Various forms of these foods are typically fried, baked or roasted. They do point out that acrylamide is not typically found in raw plant-based foods, dairy, animal foods (poultry, meat) or seafood.

Hmm ... it seems to me that mankind has been baking and frying foods at high temperatures for a long time. And haven't plant foods including grains, potatoes and coffee been staples? What to do?

The FDA discusses specific foods that are larger sources of acrylamide: French fries, potato chips, breakfast cereals, cookies, toast, and coffee. They do not recommend eliminating these foods from the diet. But, they've come up with some suggestions for a few of these items — namely potatoes, bread and coffee.

For potatoes, boiling or microwaving produces no acrylamide. Frying leads to highest acrylamide formation followed by roasting, then by baking. The darker the potato, the more acrylamide — so avoid cooking until dark brown. They have found that slicing potatoes and soaking them for 30 minutes before frying or roasting reduces acrylamide formation. Interestingly, storing potatoes in the refrigerator can increase formation of acrylamide during cooking.

For bread, if you toast it, toast to a light brown color and avoid "very brown areas."

For coffee, the FDA scientists have not found good ways to reduce acrylamide formation since the beans are roasted before brewing. (I hope that these scientists are working hard on this!)

My take? This acrylamide issue is something that will stay on my radar. There seems to be a commitment to continue research on this. From a practical standpoint I agree with the FDA — it's too early to eliminate a whole class of food (grain products), potatoes, and coffee from my diet. There are a few simple things I can do however.

I'll choose less processed cereals, and ones that I can cook (like oatmeal) more often. Toast — light brown. I'll continue to limit those French fries and chips (and entirely stop eating the brown crunchy ones). More often I'll boil or microwave the spuds and definitely take those taters out of the fridge (store them in a cool dark place). Maybe a lighter roast coffee.

It seems like almost every day more and more alerts like this come out. I'm reassured that they seem to reinforce similar messages: vary the diet, eat fewer highly processed foods, emphasize plant foods.


source : mayoclinic.com

Finding substitutes for trans fats

By Jennifer Nelson, M.S., R.D. and Katherine Zeratsky, R.D.

New York City restaurants have been phasing out artificial trans fats over the past 18 months and the city-wide ban took full effect on July 1st.

All foods containing artificial trans fat now must have less than 0.5 grams of trans fat per serving. Packaged foods served in the manufacturer's original packaging are exempt.

Similar measures have been passed in other cities and states.

But what are chefs and cooks using to make their muffins and doughnuts moist, breads crisp and light, and pastries flaky? And, are they healthy?

Food manufacturers are basically taking four approaches to reducing trans fats — going back to traditional/natural fats, making blends of fats, interesterification and enhancing the traits of fats. Each has positives and negatives.

Traditional/natural fats include lard (pork fat), tallow (beef — and sometimes sheep — fat), and butter. Prior to about 1910 and the advent of shortening these solid fats were used for frying and in baked goods. These fats are mainly saturated though — and saturated fat is second in line to trans fat in terms of clogging arteries. These days, most lard that you purchase has also been "hydrogenated" — so also contains trans fats.

Fat blends include mixtures of healthy unsaturated oils like olive or canola with smaller amounts of trans fat such as partially hydrogenated soybean oil. Or there are blends of healthy oils with highly saturated plant oils such as coconut or palm. This allows manufacturers to use less/no trans fat. These blends are lower overall in saturated fat than lard, tallow and butter.

Interesterification is a chemical or enzymatic process that switches out undesirable fatty acids. Soybean oil, for example, naturally contains a mixture of saturated, mono- and polyunsaturated fatty acids. Through interesterification, saturated fatty acids can be replaced with healthier fatty acids — and the resulting product is more like what we're used to. However, some studies have shown that these fats may be harmful in other ways including lowering insulin levels, increasing blood sugar, as well as adversely affecting good cholesterol.

Trait-enhancing of plant fats via natural selection (hybridization) or by genetically modifying the plant can breed out undesirable fatty acids and increase more of the desirable ones. However, we're still a few years away from having such products readily available in our food system. We're also going on faith that these plant fats will be safe and healthy.

What to do? Since fat is high in calories, I'm going to keep it in check — no matter the source. I'm going to choose to use small amounts of vegetable oils — especially those that are predominantly monounsaturated like olive and canola. Finally, I'm going to use food labels including asking for nutrition information for restaurant menus. My eye will look first at total fat (keep it low), then trans fat (but zero can mean up to 1/2 gram/serving), then saturated (keep it low, too).

It's going to be a numbers game for a while until we can sort this out. Thoughts?

- Jennifer 


source : mayoclinic.com

Not-so-happy meals for kids

By Jennifer Nelson, M.S., R.D. and Katherine Zeratsky, R.D.


By now most of you have read or seen the gruesome details about kid's meals at fast food restaurants:


  * 93 percent of kid meal combos from major food chains exceed the 430 calorie per meal recommendations made by the Institute of Medicine for children ages 4 to 8. (This is approximately one-third of the daily calories that children in this age group need.)
  * 86 percent exceed recommendations for sodium.
  * Almost half are over the top in saturated and trans fat.

All of this was found by the Center for Science in the Public Interest, which looked at only those chains that have dedicated children's menus. The report goes on to quote the following "health" statistics for children:

  * Obesity rates have tripled in children over the past 20 years.
  * One quarter of children ages 5 to 10 show elevations in blood cholesterol or blood pressure — early warning signs for heart disease.
  * Autopsies of teens (15 to 19 year olds) show signs of fatty deposits in more than one artery and 10 percent have more advanced fibrous plaques.

According to the Institute of Medicine's 2005 report "Preventing Childhood Obesity: Health in the Balance":

  * Immediate risks of obesity also include serious psychological burdens for our children — shame, self-blame, and low self-esteem that can impair academic and social functioning.
  * The obesity epidemic may reduce overall adult life expectancy because it increases lifetime risk for type 2 diabetes and other serious chronic diseases.

This really gets to me. Who's taking these kids out to eat? Adults. Who's operating these establishments? Adults. Who needs to take responsibility? Adults.

If we're not motivated to do something for children, then let's get real about ourselves. When we take children out to eat, consider what we order — big burger or several fried chicken pieces? French fries (small) — right? And then there's the diet beverage to offset things? AND, who finishes our kids meals? Us.

Taken together, the calories we consume for our meal and the leftovers from our kids meal(s) far exceed the 430 in the "Happy Meal." (And one-third of our estimated calorie needs are about 700 or so for sedentary adults.)

How do you deal with this? It starts with one adult person who's willing to accept responsibility for our children and for ourselves. Let's start a list of what we can do. I'll look forward to hearing from you. 


source : mayoclinic.com

Eat these eight foods every day to cover all your nutritional bases

By: Ben Hewitt; Photograph: Kenji Toma
Aug 22, 2007 - 4:42:57 PM

Our all-star panel of doctors, scientists, nutritionists, and chefs will tell you why and show you how.








 
Spinach
 

It may be green and leafy, but spinach is also the ultimate man food. This noted biceps builder is a rich source of plant-based omega-3s and folate, which help reduce the risk of heart disease, stroke, and osteoporosis. Bonus: Folate also increases blood flow to the penis. And spinach is packed with lutein, a compound that fights age-related macular degeneration. Aim for 1 cup fresh spinach or ½ cup cooked per day. SUBSTITUTES: Kale, bok choy, romaine lettuce FIT IT IN: Make your salads with spinach; add spinach to scrambled eggs; drape it over pizza; mix it with marinara sauce and then microwave for an instant dip. PINCH HITTER: Sesame Stir-Braised Kale Heat 4 cloves minced garlic, 1 Tbsp. minced fresh ginger, and 1 tsp. sesame oil in a skillet. Add 2 Tbsp. water and 1 bunch kale (stemmed and chopped). Cover and cook for 3 minutes. Drain. Add 1 tsp. soy sauce and 1 Tbsp. sesame seeds.


Yogurt 


Various cultures claim yogurt as their own creation, but the 2,000-year-old food’s health benefits are not disputed: Fermentation spawns hundreds of millions of probiotic organisms that serve as reinforcements to the battalions of beneficial bacteria in your body, which boost the immune system and provide protection against cancer. Not all yogurts are probiotic though, so make sure the label says “live and active cultures.” Aim for 1 cup of the calcium- and protein-rich goop a day. SUBSTITUTES: Kefir, soy yogurt FIT IT IN: Yogurt topped with blueberries, walnuts, flaxseed, and honey is the ultimate breakfast—or dessert. Plain low-fat yogurt is also a perfect base for creamy salad dressings and dips. HOME RUN: Power Smoothie Blend 1 cup low-fat yogurt, 1 cup fresh or frozen blueberries, 1 cup carrot juice, and 1 cup fresh baby spinach for a nutrient-rich blast.



Tomatoes

 


There are two things you need to know about tomatoes: Red are the best, because they’re packed with more of the antioxidant lycopene, and processed tomatoes are just as potent as fresh ones, because it’s easier for the body to absorb the lycopene. Studies show that a diet rich in lycopene can decrease your risk of bladder, lung, prostate, skin, and stomach cancers, as well as reduce the risk of coronary artery disease. Aim for 22 mg of lycopene a day, which is about eight red cherry tomatoes or a glass of tomato juice. SUBSTITUTES: Red watermelon, pink grapefruit, Japanese persimmon, papaya, guava FIT IT IN: Pile on the ketchup and Ragú; guzzle low-sodium V8 and gazpacho; double the amount of tomato paste called for in a recipe. PINCH HITTER: Red and Pink Fruit Bowl Chop 1 small watermelon, 2 grapefruits, 3 persimmons, 1 papaya, and 4 guavas. Garnish with mint. 


Carrots 


Most red, yellow, or orange vegetables and fruits are spiked with carotenoids—fat-soluble compounds that are associated with a reduction in a wide range of cancers, as well as reduced risk and severity of inflammatory conditions such as asthma and rheumatoid arthritis—but none are as easy to prepare, or have as low a caloric density, as carrots. Aim for ½ cup a day. SUBSTITUTES: Sweet potato, pumpkin, butternut squash, yellow bell pepper, mango FIT IT IN: Raw baby carrots, sliced raw yellow pepper, butternut squash soup, baked sweet potato, pumpkin pie, mango sorbet, carrot cake PINCH HITTER: Baked Sweet Potato Fries Scrub and dry 2 sweet potatoes. Cut each into 8 slices, and then toss with olive oil and paprika. Spread on a baking sheet and bake for 15 minutes at 350°F. Turn and bake for 10 minutes more.


Blueberries

 



Host to more antioxidants than any other popular fruit, blueberries help prevent cancer, diabetes, and age-related memory changes (hence the nickname “brain berry”). Studies show that blueberries, which are rich in fiber and vitamins A and C, boost cardiovascular health. Aim for 1 cup fresh blueberries a day, or ½ cup frozen or dried. SUBSTITUTES: Açai berries, purple grapes, prunes, raisins, strawberries FIT IT IN: Blueberries maintain most of their power in dried, frozen, or jam form. PINCH HITTER: Açai, an Amazonian berry, has even more antioxidants than the blueberry. Mix 2 Tbsp. of açai powder into OJ or add 2 Tbsp. of açai pulp to cereal, yogurt, or a smoothie.


Black Beans 
 

All beans are good for your heart, but none can boost your brain power like black beans. That’s because they’re full of anthocyanins, antioxidant compounds that have been shown to improve brain function. A daily ½-cup serving provides 8 grams of protein and 7.5 grams of fiber, and is low in calories and free of saturated fat. SUBSTITUTES: Peas, lentils, and pinto, kidney, fava, and lima beans FIT IT IN: Wrap black beans in a breakfast burrito; use both black beans and kidney beans in your chili; puree 1 cup black beans with ¼ cup olive oil and roasted garlic for a healthy dip; add favas, limas, or peas to pasta dishes. HOME RUN: Black Bean and Tomato Salsa Dice 4 tomatoes, 1 onion, 3 cloves garlic, 2 jalapeños, 1 yellow bell pepper, and 1 mango. Mix in a can of black beans and garnish with ½ cup chopped cilantro and the juice of 2 limes.


Walnuts


Richer in heart-healthy omega-3s than salmon, loaded with more anti-inflammatory polyphenols than red wine, and packing half as much muscle-building protein as chicken, the walnut sounds like a Frankenfood, but it grows on trees. Other nuts combine only one or two of these features, not all three. A serving of walnuts—about 1 ounce, or seven nuts—is good anytime, but especially as a postworkout recovery snack. SUBSTITUTES: Almonds, peanuts, pistachios, macadamia nuts, hazelnuts FIT IT IN: Sprinkle on top of salads; dice and add to pancake batter; spoon peanut butter into curries; grind and mix with olive oil to make a marinade for grilled fish or chicken. HOME RUN: Mix 1 cup walnuts with ½ cup dried blueberries and ¼ cup dark chocolate chunks.


Oats 


 
The éminence grise of health food, oats garnered the FDA’s first seal of approval. They are packed with soluble fiber, which lowers the risk of heart disease. Yes, oats are loaded with carbs, but the release of those sugars is slowed by the fiber, and because oats also have 10 grams of protein per ½-cup serving, they deliver steady muscle-building energy. SUBSTITUTES: Quinoa, flaxseed, wild rice FIT IT IN: Eat granolas and cereals that have a fiber content of at least 5 grams per serving. Sprinkle 2 Tbsp. ground flaxseed on cereals, salads, and yogurt. PINCH HITTER: Quinoa Salad Quinoa has twice the protein of most cereals, and fewer carbs. Boil 1 cup quinoa in a mixture of 1 cup pear juice and 1 cup water. Let cool. In a large bowl, toss 2 diced apples, 1 cup fresh blueberries, ½ cup chopped walnuts, and 1 cup plain fat-free yogurt.


All-Star Panel Joy Bauer, author of Joy Bauer’s Food Cures and nutrition advisor on NBC’s Today show; Laurie Erickson, award-winning wellness chef at Georgia’s Sea Island resort; David Heber, MD, PhD, author of What Color Is Your Diet? ; and Steven Pratt, MD, author of the best-selling SuperFoods Rx 


© Copyright 2007 Best Life Magazine

Tips On…Nutrition & Health

A balanced diet is the first step toward maintaining good health. Following the food pyramid is a reliable way to ensure healthy eating. Food groups such as milk, meat, fruits, vegetables and grains, help supply more than 40 nutrients your body needs. When you “strive for five” by eating five or more fruits or vegetables per day, you typically increase nutrition and decrease consumption of less nutritious foods. Supplement your healthy diet with exercise and proper rest.


source : Sisters of Mercy Health System