Quick review on Anti-Inflammation Nutrition

I have recently been asked many questions on whether the anti-inflammation diets really work. So while such diets may not target weight loss exactly, there is evidence that they aid in anti-inflammation, and weight loss may even be a secondary benefit. This makes sense because inflammation foods, such as processed or refined foods, sugary foods, white breads, and hig fat (particularly trans or saturated fat) foods are eliminated for anti-inflammatory responses.

I put together a quick summary to answer these basic questions.

Inflammation affects individuals differently.

From research, the main points taken out for a general anti-inflammatory diet include:

Eat plenty of fruits and vegetables

Minimize saturated and trans fats, but include mono/poly fats (eg olive oil, avocado, nuts, seeds)

Eat a good source of omega-3 fatty acids (Fish: particlarly salmon/tuna, flaxseed, chia,               walnuts, pine nuts, and/or omega 3 supplementation)

Avoid any processed food in particular white carbs ( pasta, white ricem refined grains).

Include whole grains and sprouted grains(brown rice, bulgur wheat, quinoa, ezekiel).

Eat lean protein sources such as chicken; cut back on red meat and full-fat dairy foods. (as a pesco-                   vegetarian, you are doing this already, thought ide mention, since including non-fat greek yogurt is fine)

Include herbs and spices, in particular, ginger, curry, and other spices can have an anti-inflammatory tumeric, chilli powders, cumin.

Dark chocolate is a good substitute for sweet and unusual cravings 😉

Is their research related to diet reducing Inflammation?

There is current research that does say it can, but they acknowledge that the anti-inflammatory diet needs to be studied more extensively to prove that it actually reduces disease such as heart problems.

A lot of the research show a correlation that the Mediterranean diet, has been and is associated with improved cardiac outcomes.

There is also evidence of disease risk reduction in the Mediterranean-style of eating, as well as how Asians typically eat (replacing red meats with more vegan/vegetarian style proteins)

Where some people are confused, is the ratio between the different Omega fats. Example, diets high in omega-6 and low in omega-3 is associated with increasing levels of cytokines — proteins released from cells that trigger inflammation — thus getting this balance is important with the ratio of Omega 3s outweighing the Omega 6s.

Guide: Omega-3, in doses of 3 grams or more per day, has been found effective in reducing morning stiffness and joint health.

Guide for Omega 6 foods to keep in plan, but lower than Omega 3s:

Soybean oil, most vegetable oils, but coconut oil , palm oil and olive oil are all relatively low in Omega-6.

Sunflower, Corn, Soybean and Cottonseed oils very high in Omega 6. (should be avoided if you want to get the ratio right)

Nuts and seeds are pretty high in Omega-6, but they are whole foods that have plenty of health benefits and are absolutely fine to eat. Many grain-based foods particularly processed foods, also contain significant amounts of Omega-6.

Bottom Line: The most important thing you can do to reduce Omega-6 and increase Omega 3 intake is to eliminate processed vegetable oils from your diet, as well as processed foods that contain them. Yet include the fatty fishes, nuts and seeds, olive oil, avocado.

 

 

Supplementation: the good, the bad and the ugly

Ilana Katz MS, RD, CSSD

nutr dens

Food is the best medicine, something I have made my followers note long before I came across a famous quote from Hippocrates for the first time:  “Let food be thy medicine, and medicine be thy food.” Therefore, I too could have had a role in the history of westernized medicine, (chuckle). Well seriously, I am constantly harping on the fact that  the ideal way to get most needed nutrients is from foods. Naturally occurring nutrients are more compatible and thus more bioavailable than their supplement counterparts. Eating a rainbow a day, keeps the doctor away… yes another ilanological saying.

bike food

Don’t get me wrong, there may be a place for supplementation in someone’s diet, and I will get to this shortly, but my point is: Nowadays, everything from bottled water to basic milk and bread seems to have souped-up levels of vitamins and minerals added. This is often a bureaucratic or political decision poured into our food source which will supposedly cover nutritional needs. And if that is not the case, then it is often a marketing ploy that banks on the gullibility of the masses, especially if their diets are less than stellar.

The burning question thus trickles to the forefront: “So is there a possibility then on overdosing on vitamins and minerals, especially when the food source may be beyond individual control?” There are a couple of pointers to highlight with this in mind: One – some people believe that if a little provides benefit, then more provides a greater benefit, especially when it is taken in pill form. Two – can our food source be killing us?

Let me start by saying, most of us, even the gullible ones, are not in danger, since it is unlikely that we are overdosing. Even if you may be consuming fortified cereal for breakfast, have a protein packed meal replacement with extra vitamins and minerals as a snack, enjoy some enriched pasta for dinner, and still taking a daily multivitamin you are safe. Yes you may very well be over the daily recommendations of various nutrients, but that will not harm you.

However there is such a thing as megadoses. This means one that is routinely taking large doses, particularly in supplemental form, believing that more is better. Routine megadosing can have its own set of consequences. Some examples include:  too much Vitamin C or zinc could cause nausea, diarrhea, and stomach cramps. Surplus vitamin A could induce nausea, blurry vision and dizziness. Too much selenium could lead to hair loss, flaking skin, gastrointestinal upset, fatigue, and even nerve damage. Too much calcium can cause kidney stones and with that megadoses of vitamin D can calcify bones. With this said, it is rather difficult to get these dangerous doses from food alone.

This leads one to ponder whether you should or should not to take daily vitamin supplements at all or even why so many people do in fact take them. A recent study was published to answer this question. Results showed that 45 percent of those taking vitamins do so because they believe they will improve their health. Other reasons were to maintain their health (33 percent), improve bone health (25 percent), and to get more energy (11 percent).

 

Here are some observations that may help you to make that personal choice:

  • There is general agreement that women of reproductive age should take folic acid supplements to help prevent spinal or neural tube defects. Some studies have also showed that folic acid taken during pregnancy may reduce the risk of autism in the child.
  • Taking vitamin D and calcium supplements have long been recommended for older women in order to help prevent bone fractures. However, peer reviewed research has questioned the that the benefits of already healthy women taking calcium and vitamin D are overstated. Furthermore doses not required may even be hazardous to health, increasing the risk of developing kidney stones.
  • Fifty-five to 60 percent of all women over age 60 are presently taking vitamin D and calcium.  Many of them have osteopenia or osteoporosis, but many do not.

In Summary:

Vitamins are not a medical panacea except in certain, very specific situations. For most people, when it comes to vitamins, the reasoning, taking more is better, can lead them into a host of medical problems. There is also no need to fear taking too much if these basic directions are followed. Most multivitamins have a wide margin of safety that even when you are combining them with fortified foods will not cause you to keel over.

If you are one of those that requires supplements for various reasons (eg. Diet is not stellar, certain dysfunctions or allergies, immunity needs boosting) then some pointers of note may include:

Whole food supplements such as juice plus, are more bioavailable for absorption than vitamin and mineral supplements, therefore if it is of need to supplement your food source, consider the whole foods form.

When it comes to vitamins and minerals, more is not necessarily better. In fact more not only delineates the benefits but increases harm.

Check the dosages.  Supplementation should be no more than the daily value. This information is readily available on the labels. There is no need or benefit to take more.

Uncertainty can always be confirmed with a registered dietitian or your physician. Tell them about any supplements you may be taking, including vitamins and minerals, and their doses. The professionals will ensure you keep it in the safe range.

Individuals who take megadoses of vitamins are at risk of developing various types of medical maladies. However, most people who take just one multivitamin a day are safe, the only risk for those who do not necessarily require multivitamins or are taking one of poor quality (not whole food) is expensive pee.

green

Training (outside!) in the winter

Yesterday it was, once again, raining in Atlanta.  Yesterday I ran in the rain.  Ordinarily this would not be such a momentous event.  But…. I have gotten lazy over the last couple of months.  It all started with our three Ironman races in back to back years.  That kicked my butt.  These days, even a 5 mile run was out of the question.  I am not signed up for anything in particular so have become rather blase about running.  I know you don’t believe it, but it’s true.

So this week I decided I needed to nip that fat and lazy in the bud.  I would, once again, rise early each morning and run or swim or spin.  GREAT! for the first day.  And then yesterday rain fell in Atlanta once again.

What did I do?  I had made up my mind on MONDAY when I heard the storm was coming that I would run in the rain.  I told myself Tuesday as I headed home from an early morning visit to the dog park that I would run that day.  And run I did.

When I walked out the door, I thought “this isn’t bad at all”. 50-60 yards down the road I debated going  back for a jacket.  At about the 1/2 mile mark rain started coming down hard again.  The streets were full of puddles as it had been raining since midnight.  But I pressed on.  About the 3/4 mile mark I didn’t notice the rain anymore.  I ran 5 miles, was soaking wet and never really noticed after the first 3/4 mile.

Ironically, when i got home, I found an article on Running miles through the winter, and it helped make me feel even more liberated.

A quote:

Those of us who exercise in all sorts of weather will attest that there is a certain thrill that can come from terrible conditions. “It makes us tough,”  Our runs in horrendous conditions  are “epic runs.” Right? They are truly memorable, ones we actually recall fondly.

……….

But the problem with epic runs or rides is that each one ups the ante. A day with just ordinary bad weather simply is not memorable after a while.

I still remember a run 10 years ago in the driving rain, freezing cold – one of Atlanta’s ice storm memorables.  I had been traveling for business and was thrilled to be back on Atlanta soil, even if it was cold and dreary.  And very much looking forward to running through my homely usual routes.  So much so that I didn’t notice the cold and the rain.  It was so bad that a policeman in the park asked if I wanted a ride back home.

The common thread in my experience as well as the  article s i have found on running in the winter, and that is the resolve to just do it, no matter what.  You can’t let yourself make the decision while you are peeking out the door at the rain.

Make your resolve to Run Right Through The Winter.

Do you exercise less in bad weather? Leave a comment and share your winter running strategies and your epic run stories.

DISSOLVING SUGAR CRAVINGS

One of my biggest challenges, not only with my own personal goals, but also with many clients, is to get to the bottom of the age old obscurity of sugar cravings. It’s not rocket science, right? Just don’t eat it ! Right? But oh we all know it, and live it day after day, it is just not that simple.  Why? Because the physiological response to sugar is like an addiction. Sugar temporarily elevates the levels of various neurotransmitters and endorphins. The “feel good” chemicals, serotonin and dopamine are released when sugar is metabolized, giving a sense of pleasure.  Sugar cravings therefore, are best explained as an addiction to endorphins which is a reaction similar to the high of a drug addict.

So is this addiction a serious or dangerous for that matter?  The answer is both yes and no. Our bodies do need sugar. The required fuel for the brain, is in fact glucose.  The metabolism can thus effectively metabolize what we eat and provide the energy source required thereof.  The key phrase here is “amount required.” The danger takes effect when the amount of sugar that is consumed is way more than required for the optimal source of energy. Furthermore, sugar that is refined has no nutritional value resulting in empty calories. Calorie dense yet nutrient free foods if make up most of ones diet, will lead to an array of health problems from overweight and obesity to diabetes and cardiovascular disease, just to name a few.

As noted, sugar is used an energy fuel which is needed by the brain. The down side is that it causes blood sugar to rise, and as quickly as it rises, it plummets back down, resulting in the physiological need for more sugar to get it back up, and the vicious cycle of craving sugar begins. It is like a rollercoaster set in motion, swinging from hyper to hypoglycemic reactions (a pendulum of high to low blood sugar levels). This is the body’s homeostatic response to stable blood sugar, in other words, trying to keep the body in balance. Unfortunately the physiological overcompensation is what causes our uncontollable cravings.

This does not mean to say that you should be on a low carbohydrate plan to avoid cravings, in fact, it is quite the opposite. For one thing, it has already been stated that the required fuel for the brain is carbohydrates in the form of glycogen, so avoidance of carbs is unhealthy in itself. It is it the amount of carbs that is relevant, as well as the type of carbohydrates eaten, that will reduce sugar cravings.

Trying to cut calories by reducing carbohydrates tends to increase sugar cravings.  Sugar substitutes like Splenda and sugar alcohols are use by manufacturers to enable them to market lower sugar or lower net carbs on the label seemingly offering a more attractive product for dieters. Be wary – firstly the jury is still out on the long term safety of these substitutes. And secondly, sugar alcohols have been found to actually have a negative effect on blood sugars. We are then back to square one; the pendulum swing in blood sugar in a day is what leads to the vicious cycle of cravings, trying to satisfy them with foods that trigger and result in more cravings.  In other words, sweet things make you want to eat more sweet things, and although artificial sweeteners are calorie free, they are not helping with reduction in cravings whatsoever. Furthermore, sugar alcohols have a tendency to cause gastrointestinal distress in that they induce diarrhea and flatulence.

Net carbs is also a marketing “con” so to speak. Supposedly, net carbs, a term coined by Atkins Nutritionals, is defined as the net value of carbs once fiber has been removed. According to the Food and Drug Administration, there is no such value: carbohydrates are carbohydrates, whether they are made up of refined sugar, starch or fiber, and every gram of carb has four calories.  So do not let low carbohydrates fool you in your endeavour to reduce cravings. Manufacturers have simply replaced regular carbs with sugar alcohols and sweeteners.

Craving sweets is often an indication of a deficiency in certain nutrients. Chromium, carbon, phosphorus, sulphur and tryptophan are often the culprits and eating a rainbow of color is a simple solution.  Broccoli, grapes, legumes and chicken (chromium), Fresh fruit (carbon), fish, eggs, legumes and chicken (phosphorous), cranberries, cauliflower, kale and cabbage (sulphur) and turkey, liver, lamb, sweet potato and spinach (tryptophan).

One last point on preventing the energy swing which is the main culprit of sugar cravings has to do with timing of intake. Waiting too long to eat or grazing all day (not waiting long enough to eat) has a similar effect to that hyper and hypoglycemic response mentioned earlier. It is during the steep peaks and valleys in energy that one feels lethargic and emotional. At these times the physiological response is to eat sweet things. Furthermore, we justify allowing ourselves to eat the treats and sweets that stimulate a pleasurable response, with stress and emotions (as if we deserve the pleasure). This only leads to guilt and depression. Evening out the peaks and valleys is the solution to curb those debilitating cravings.

In summary, the details thus far reflect on the amount of carbs, sources of carbs and timing of meals in combination as a solution for erasing sugar cravings. Practically worded, eat fresh fruits to satisfy a sweet tooth, get the refined sugars out of the body to aid in stable blood sugars,  avoid high sugar or processed products, like candy, soda, fruit drinks, pastries, etc., replace the “processed” products with foods that come from the earth (grains, legumes, potatoes)  and avoid artificial sweeteners. Make sure you get a rainbow of color in your daily intake. All the colors found in fruits and vegetables represent the vital vitamins and minerals that if lacking, will stimulate cravings.

Apple Crisp

Apple crisp

apple crisp

Fiber One skeptics! I DARE you to try this recipe and not love it. Okay, if you’re absolutely opposed to using F1 for baking, leave it out and double the graham cracker amount instead (each serving will then have 141 calories, 1g fat, 2.25g fiber.

Try spooning some of this stuff on top of light vanilla ice cream or yogurt…also yummy!!!

Ingredients:
3 cups peeled apple chunks (any sweet, not tart, variety)
1/2 cup Fiber One bran cereal (original)
2 sheets (8 crackers) low-fat honey graham crackers
2 tbsp. fat-free liquid egg substitute
2 tbsp. no-sugar-added applesauce
3 tbsp. Splenda No Calorie Sweetener (granulated), divided
2 tbsp. brown sugar (not packed)
1 tbsp. cornstarch
2 tsp. cinnamon, divided
1/2 tsp. vanilla extract
1/4 tsp. salt

Directions:
Preheat oven to 400 degrees.

Combine 2/3 cup of cold water with brown sugar, cornstarch, 1/2 tsp. of cinnamon, vanilla extract, salt, and 1 tbsp. of the Splenda.

Stir well.

In a medium-sized pot, combine apple chunks with this mixture.

Heat the apple mixture over medium heat, stirring occasionally.

Once liquid thickens to a syrupy consistency and begins to bubble, reduce heat to low and cover.

Allow to simmer for 5 minutes, and then transfer mixture to a medium-sized round baking dish. Set aside.

Next, break graham crackers into small pieces. Place graham pieces and Fiber One in a blender or food processor, and grind to a breadcrumb-like consistency.

Transfer crumbs to a microwave-safe dish, and add egg substitute, applesauce, 1 1/2 tsp. of cinnamon, and the remaining 2 tbsp. of Splenda. Stir well.

Microwave graham mixture for 1 minute.

Use a fork to break up the toughened mixture as much as possible, and then allow it to cool for a few minutes.

Transfer graham mixture to a food processor or blender, and pulse until crumbly and uniform.

Evenly distribute graham topping over apple mixture.

Place the dish in the oven, and bake for 10 minutes. Allow cobbler to cool slightly before serving.

MAKES 4 SERVINGS

Serving Size: 1/4th of cobbler (about 1 cup)
Calories: 126
Fat: 1g
Sodium: 236mg
Carbs: 33g
Fiber: 5.5g
Sugars: 16g
Protein: 2g