Diets
Back Clinic Diets. The sum of food consumed by any living organism. The word diet is the use of specific intake of nutrition for health or weight management. Food provides people with the necessary energy and nutrients to be healthy. By eating various healthy foods, including good quality vegetables, fruits, whole-grain products, and lean meats, the body can replenish itself with the essential proteins, carbohydrates, fats, vitamins, and minerals to function effectively.
Having a healthy diet is one of the best things to prevent and control various health problems, i.e., types of cancers, heart disease, high blood pressure, and type 2 diabetes. Dr. Alex Jimenez offers nutritional examples and describes the importance of balanced nutrition throughout this series of articles. In addition, Dr. Jimenez emphasizes how a proper diet combined with physical activity can help individuals reach and maintain a healthy weight, reduce their risk of developing chronic diseases like heart disease, and ultimately promote overall health and wellness.
by Dr Alex Jimenez | Diets, Fitness
While too much fat, especially of the “bad” variety, can lead to weight gain and health problems, a moderate amount of fat is essential to a healthy lifestyle.
Adding a little fat to your food, either through cooking or drizzling over salads, can help to fill you up and feel more satisfied after a meal, as well as boost health by helping the body absorb several fat-soluble vitamins.
However, with the recent news that coconut oil, long believed to be a “healthy” fat, should actually be avoided, many of us may be wondering once again which fats are the good ones.
Here we round up some advice from the University of Kentucky on which oils to keep on hand in the kitchen, and which to avoid.
Canola oil
This oil is the lowest in saturated fat, just 7 percent, while also containing high levels of monounsaturated fatty acids, which lower LDL and in recent years have been studied for potentially helping control blood glucose.
This oil is great for stir-frying, grilling, and replacing many solid fats — the ones to avoid — in recipes.
Olive oil
An important ingredient in the popular and healthy Mediterranean diet, olive oil is well-known for its many health benefits, including lower risk of death from cardiovascular disease and a reduced level of inflammation in the body.
Use extra-virgin and virgin olive oils for uncooked dishes, like salads, and choose refined olive oils for cooking as they are better at higher temperatures.
Peanut oil
High in monounsaturated (good) fat, peanut oil also contains vitamin E, an antioxidant that helps maintain a strong immune system, healthy skin and eyes, and helps with the formation of red blood cells.
Thanks to a high smoke point, this oil is ideal for frying, roasting and grilling.
Avocado oil
This oil is also high in monounsaturated fats and vitamin E, and also has a tasty but mild flavor, making it great to add cold onto salads.
It also has a high smoke point for those who prefer to cook with it. However, if avocado oil is too expensive or difficult to find, canola oil makes a good budget-friendly alternative.
And the oils to avoid
Saturated or “solid fats” should be consumed sparingly — these are the oils that are solid at room temperature such as coconut oil, butter, palm oil, beef tallow, and lard.
Because saturated fat contributes to a rise in the level of LDL cholesterol, also known as “bad” cholesterol, the AHA recommends that saturated fat should make up a maximum of 10 percent of total caloric intake for healthy Americans, and a maximum of 6 percent for those who need to lower cholesterol levels.
by Dr Alex Jimenez | Diets, Fitness
Coffee addicts and aficionados often say drinking the bitter liquid makes life worth living, but the habit may also help them live longer, according to two major international studies Monday.
Experts cautioned, however, that the US and European reports, published in the Annals of Internal Medicine, failed to show that coffee was truly the reason that many drinkers appeared to have longer lives.
Rather, the studies were observational in nature, meaning they showed an association between coffee-drinking and a propensity toward longevity, but stopped short of proving cause and effect.
The first study, led by the International Agency for Research on Cancer (IARC) and Imperial College London, examined more than half a million people across 10 countries in Europe.
Those who drank about three cups a day tended to live longer than non-coffee drinkers, said the study, which researchers described as the largest analysis of the effects of coffee-drinking in a European population.
“We found that higher coffee consumption was associated with a lower risk of death from any cause, and specifically for circulatory diseases, and digestive diseases,” said lead author Marc Gunter of the IARC, formerly at Imperial’s School of Public Health.
“Importantly, these results were similar across all of the 10 European countries, with variable coffee drinking habits and customs.”
The second study included more than 180,000 participants of various ethnic backgrounds in the United States.
It found benefits to longevity whether the coffee was caffeinated or decaffeinated.
Coffee drinkers had a lower risk of death due to heart disease, cancer, stroke, diabetes, and respiratory and kidney disease.
Those who drank one cup a day were 12 percent less likely to die compared to those who didn’t drink coffee.
Those who drank two or three cups per day saw an even higher 18 percent reduced risk of death.
“We cannot say drinking coffee will prolong your life, but we see an association,” said lead author Veronica Setiawan, an associate professor of preventive medicine at the Keck School of Medicine of University of Southern California.
“If you like to drink coffee, drink up! If you’re not a coffee drinker, then you need to consider if you should start.”
Coffee is one of the most popular drinks in the world. Some 2.25 billion cups are consumed every day.
Many prior studies have hailed the benefits of coffee-drinking, saying the beverage imparts anti-oxidants, may improve liver function and reduce inflammation.
But coffee may carry risks for some people, and pregnant woman and children are urged to avoid caffeine, which can be fatal in high doses.
A report from the IARC last year that said drinking very hot beverages — coffee, tea or otherwise — is one probable cause of cancer of the esophagus, the tube that runs from the throat to the stomach.
Experts who were not involved in the latest studies urged caution in interpreting the results.
For instance, the European study excluded people who had cancer, heart disease or diabetes, meaning it took a measure of people over 35 who were already generally healthy.
It also asked about coffee consumption just once, at the beginning, and did not update this figure over the span of the study, which included an average follow-up time of 16 years.
Finally, it found signs of a link between women who drank large amounts of coffee and a higher risk of cancer death, but downplayed this finding, saying it “may be spurious.”
The “conclusions will not lead me to start drinking coffee or to recommend people drink more coffee as a way to lessen their risks for heart disease,” said Naveed Sattar, professor of metabolic medicine at the University of Glasgow.
“I remain unconvinced that the link between coffee and heart disease represents a true cause and effect relationship and that coffee is truly protective, regardless of how large a study suggests this.”
Sattar said that one downside to the research is the fact that many people stop drinking coffee — or drink less of it — when they are ill, a “bias is very hard to fully overcome.”
David Spiegelhalter, a professor at the University of Cambridge, described the research as “huge in size and carefully done,” but nevertheless unable to prove cause and effect.
“If these estimated reductions in all-cause mortality really are causal, then an extra cup of coffee every day would on average extend the life of a man by around three months, and a woman by around a month,” he added.
“So perhaps we should relax and enjoy it.”
by Dr Alex Jimenez | Diets, Fitness
Americans love dining out al fresco when the summer weather is so perfect. But don’t let restaurant food throw a monkey wrench into your healthy eating plan. Dining establishments can be ticking time bombs when it comes to sabotaging your nutrition.
In fact, government surveys say that that the food you typically eat when you are not at home is nutritionally worse in every way than your own kitchen fare.
“Eating out can be challenging, but shouldn’t limit your social life,” Dr. Craig Title, a top New York City weight loss specialist tells Newsmax Health. “Here are some tips I share with my clients.”
Be prepared. Like a good scout, select your meal options before you get to the restaurant by checking the menu online. “You’ll make a more level-headed, healthier choice,” says Title.
Eat a little beforehand. Don’t arrive at the restaurant famished. Make sure you have eaten a small meal or two earlier in the day.
Nix the bread. Instruct the wait staff NOT to bring out the bread and butter basket. “Out of sight, out of mind,” says Title. “Ask for celery and carrots sticks instead.”
Drink water. Down one full glass of water as soon as you are seated to help you feel fuller sooner, which will make you eat less.
Ask for it your way. Dining out is not the time to be a meek consumer, notes Dr. Michael F. Jacobson, Ph.D., executive director of the Center for Science in the Public Interest (CSPI) and coauthor of the book, “Restaurant Confidential.” His advice: “You need to be assertive and asked for your food to be prepared they way you’d like it and very often the restaurant will comply.” For example, choose grilled fish over fried and extra veggies instead of French fries.
Go for healthier fare. Order from the “light” or “low fat” section of the menu. Many chains, even Chinese restaurants, offer lighter fare with nutritional info on the menu.
Make salad more than a side. Order a salad with lemon juice or balsamic vinegar and treat it as a first course, before you eat anything else. Scientists at Pennsylvania State University found that people who ate a big green or veggie salad before their entree consumed fewer calories.
Order double appetizers. This is especially rewarding when you’re dining at a seafood restaurant with sumptuous starters. An appetizer order of oysters on the half shell and another of steamed shrimp makes a complete and low-calorie meal along with your salad.
Avoid high-calorie dressings. Keep your salads tasty but healthy by shunning anything in a creamy high-calorie sauce and using raw or marinated vegetables, like artichoke hearts and mushrooms, for extra flavor. Skip the cheese and bacon bits, too.
Do the fork dip. Keep your salad dressing on the side and dip your fork into the dressing before skewering a forkful of salad. This makes the lettuce taste great and you won’t soak the greens in dressing.
Have the fish. When CPSI evaluated food served at seafood chains and independent restaurants they found many low-fat and low-sodium options on the menu. Just don’t order it fried. Stick to steamed, baked, broiled and blackened or grilled.
Read the fine print. Pay attention to words like “breaded, crisp, sauced or stuffed” as these indicate loads of hidden calories, much of it saturated or even trans-fats. Other words of caution are, “butter, pan-fried, Newburg, Thermidor, and cheese sauce.”
Limit alcohol. Instead drink soda or seltzer water. Enjoy one glass of wine or beer with your meal and order coffee or tea for dessert.
Skip the fancy drinks. Pass over the umbrella specials such as margaritas and Mai Tais and other exotic mixed drinks as they are chock full of sugar. Opt instead for a glass of vodka, wine, a light beer or a simple martini if you must imbibe.
Choose fruit for dessert. Title suggests sharing the finale with your date. Fresh fruit, like strawberries or blueberries, during the hot summer months makes an excellent dessert without any guilt.
“Most importantly, enjoy your food,” says Title. “Chew slowly and take time between bites. Focus on the occasion and the people you are dining with, rather than just the meal.”
by Dr Alex Jimenez | Diets, Fitness, Integrative Functional Wellness, Integrative Medicine
Is coconut oil a metabolism-boosting superfood or an artery-clogging threat to heart health?
That question has fueled a raging debate for many years, and it was reignited in mid-June when the American Heart Association (AHA) issued an advisory reiterating its longstanding recommendation to avoid saturated fats. Attention quickly focused on coconut oil, which has become trendy in natural health circles despite its high saturated fat content.
Proponents of coconut oil say its medium-chain triglycerides are quickly burned for energy, increasing metabolism. Coconut oil fats are also said to be good for the brain, which is made mostly of fat, and help regulate blood sugar and, ironically, cholesterol levels.
But the AHA advisory contends that all saturated fats raise risk of cardiovascular disease.
“Taking into consideration the totality of the scientific evidence…we conclude strongly that lowering intake of saturated fat and replacing it with unsaturated fats, especially polyunsaturated fats, will lower the incidence of cardiovascular disease,” states the advisory.
The AHA researchers specifically advise against using coconut oil, which they note is 82 percent saturated fat and raises “bad” LDL cholesterol levels, “a cause of atherosclerosis.”
But many other scientific reviews in recent years — including one meta-analysis encompassing nearly 350,000 people followed for as long as 23 years — found no link between saturated fat and heart disease.
“Those reviews were much more limited because they didn’t take into consideration what the substitution [for saturated fats in the diet] was,” explains Dr. Alice Lichtenstein, co-author of the AHA advisory. “The better reviews that looked at replacing saturated fat with either carbohydrates or mono- or polyunsaturated fats, show clear differences.”
Many natural health practitioners take exception to the AHA conclusions, including integrative cardiologist Dr. Jack Wolfson. He contends that AHA researchers cherry-picked data from decades-old studies, and that branding all LDL as harmful is outdated science.
“Total LDL numbers are a very poor prognosticator of heart disease,” says Wolfson, a doctor of osteopathy and board-certified cardiologist based in Phoenix, Ariz. “What’s more relevant is LDL particle size and numbers. Small, dense particles are bad for the heart, but studies show that large fluffy particles, like those promoted by coconut oil, cause no harm.”
But Lichtenstein, director of the Cardiovascular Nutrition Laboratory at Tuft University’s Human Nutrition Center on Aging, dismisses the LDL particle size factor, saying, “There’s much more written on the Internet about that than data to support it.”
Wolfson further questions AHA recommendations to use “highly processed” vegetable oils, saying their omega-6 fatty acids can contribute to systematic inflammation. In an AHA newsletter, the advisory’s lead author, Dr. Frank Sacks, suggests that people forsake butter and coconut oil for cooking and use canola, corn, soybean, and extra virgin olive oil instead.
“There’s nothing wrong with deep frying as long as you deep fry in a nice unsaturated vegetable oil,” Sacks adds.
That suggestion may send shudders through natural health practitioners, who widely contend that vegetable oils break down into harmful compounds under high heat.
“Coconut oil has a high smoke point, which makes it more stable for cooking,” explains Wolfson. “Unsaturated vegetable oils oxidize through the cooking process and cause oxidative stress and inflammation in the body.”
Lichtenstein once again cites a lack of data on the adverse effect of cooking with vegetable oils, telling Newsmax Health, “It’s not a concern.”
Wolfson also points out that the evolving science of heart disease seems to be shifting away from cholesterol and more toward inflammation as the primary cause.
“The risk of a cardiovascular event – heart attack, stroke and dying — is much higher when you have inflammation,” says Wolfson, author of “The Paleo Cardiologist: The Natural Way to Heart Health” and advocate of eating diets similar to our caveman ancestors.
“Coconut oil doesn’t cause inflammation. Sugar, artificial ingredients, pesticide residue in food…these are the types of things that cause inflammation.”
He emphasizes that it’s important to eat healthy saturated fats that are organic and, if animal-based, come from grass-fed pasture-grazers. Wolfson adds that he has history on his side in the debate over whether they are healthy or harmful.
“Our ancestors ate saturated fats for millions of years,” he tells Newsmax Health. “Why would evolution make it plug up our pipes and kill us? People in the South Pacific have diets that are more than 50 percent coconut-based, and they have virtually no heart disease. If we were all on a deserted island eating coconuts, fish and vegetables, and getting plenty of sunshine and sleep, heart disease would be a non-issue.”
by Dr Alex Jimenez | Diets, Fitness
Did you know that flavored yogurt in the United States has a lot more sugar than it does in other countries? That’s because our national sweet tooth is out of control. And the more sugar we eat, the more we want.
Studies show that replacing sweet foods with sugar-free versions doesn’t help. Artificial sweeteners don’t satisfy a sugar craving.
The answer is to reset your taste buds for less sugar. According to research published in the American Journal of Clinical Nutrition, you can do this over a short amount of time, just as it’s possible to reduce a desire for salt.
Cut back on the amount of sweets you eat every day, but do it gradually. Some experts say going cold turkey can lead to a binge later on. Resist temptation by limiting the cookie and candy stash in your kitchen cabinets. Add fruit to your diet — you’ll be getting nutrients along with the sweetness, something processed sugar won’t give you.
Begin your day with a nourishing breakfast that includes protein. Buy unsweetened foods like plain yogurt, plain rolled oats, and 100 percent whole grain cereal, and sweeten them yourself. Just a sprinkle is all you need. Don’t start the sugar cycle with a donut or pastry.
Finally, exercise. Research has found that, in addition to health benefits, exercise starts a chain reaction that lowers your desire for unhealthy, high-calorie foods.
Making better choices will help you break the sugar cycle. You’ll be satisfied with low-sugar foods and appreciate sweets more as occasional treats.
by Dr Alex Jimenez | Diets, Fitness
Sen. Charles Schumer is urging federal regulators to look into a “snortable chocolate” powder, saying he’s worried that it could prove harmful and is being marketed like a drug.
In a letter Saturday, the New York Democrat asked the Food and Drug Administration to investigate the use of caffeine in inhalable food products such as so-called Coco Loko. It’s gotten buzz in recent weeks.
Schumer, the Senate minority leader, says there are too many unanswered questions about a product pitched under the innocent-sounding name of chocolate.
“This suspect product has no clear health value,” he said in a statement. “I can’t think of a single parent who thinks it is a good idea for their children to be snorting over-the-counter stimulants up their noses.”
Marketed as “raw cacao snuff,” Coco Loko includes cacao powder, which comes from beans used in making chocolate; they contain some caffeine. Manufacturer Legal Lean Co. doesn’t detail other ingredients online, but according to news reports, Coco Loko also includes common energy-drink ingredients.
It promises feelings of well-being, mental focus, ecstasy-like euphoria and a rush of “motivation that is great for partygoers to dance the night away without a crash,” according to Orlando, Florida-based Legal Lean’s website. It notes that the claims haven’t been vetted by the FDA.
The agency has said it hasn’t yet determined whether it has authority to regulate snortable chocolate.
Legal Lean Co., which sells Coco Loko online for $19.99 for a 1.25-ounce (3.5-gram) tin, did not return a call seeking comment. Founder Nick Anderson has said he didn’t consult any medical professionals but believes Coco Loko is safe. He said he developed it from snortable chocolate that’s circulated in Europe in recent years.
“There’s really no negative publicity, so I felt we’re good to go,” he told ABC’s “Good Morning America” on Thursday.
Doctors have said they’re not certain what the effects of inhaling chocolate might be.
by Dr Alex Jimenez | Diets, Fitness
If you plan to become a road warrior this summer, make sure you’ve got the right fuel for your body as well as your vehicle. Packing healthy snacks can keep your motor running until you reach the next pit stop.
We’ve asked top nutritionists to select savvy and savory snacks you can easily take with you on your next trip that your whole family will love
Energy bars. “Remember that not all energy bars are created equal,” says Amy Shapiro, a registered dietitian and founder of Real Nutrition NYC. “I like RX Bars, Health Warrior Chia Bars, and Kashi Bars.” Nutritionist Tara Gidus Collingwood tells Newsmax Health that she loves Raw Macaw bars that you can purchase readymade or design your own personal bar according to your taste.
Jerky. Chewy, savory turkey or beef jerky can satisfy a variety of appetites and is readily available at nearly every minimart or truck stop along the way. Look for brands that have the lowest sodium and fat content.
Cut up veggies, fruit. Shapiro tells Newsmax Health that these items, stored conveniently in a plastic bag, make an excellent and healthy snack to have on hand to keep hunger at bay and to help you stay hydrated.
Rice cakes, nut butters. Rice cakes topped with delicious, creamy nut butters in handy squeeze packs from Justin’s Nut Butter and other makers will make the whole family happy. They are available in flavors like maple almond butter, chocolate hazelnut butter, and honey peanut butter.
Popcorn. Everyone’s favorite movie snack is also great for road trips. Making your own healthy popcorn ahead of time without adding extra fat or salt is super simple. Brands such as the Little Kernel and Skinny Pop also feature healthier fats and lower amounts of sodium and are easily purchased on the road.
Cheese sticks. Most minimarts stock these handy, individually wrapped snacks in their refrigerator section. Cheese sticks are high in protein and calcium to maintain stamina on the road.
Nuts. Collingwood likes to pack almonds, pistachios, and other favorite nuts to take on the road. She also loves the roasted broad bean crisps with flavors like sweet cinnamon and cocoa dusted.
Fresh and frozen fruit. Dried fruit is too sugary, says Shapiro. Instead she opts for fresh fruit which is readily available everywhere and likes to freeze grapes for her road trips. “They take longer to eat and taste like little bites of sorbet,” she says.
Dry oatmeal. All you need is hot water and a cup to make a meal with dry oatmeal packets, notes Shapiro. “Add in some nuts or chopped fruit and you have a balanced meal.” You can also bring packets of dry cereal along to serve with milk that’s also readily available en route.
Hummus. Here’s another healthy filling snack that’s rich in protein and fiber as well as iron, folate, and B vitamins. Keep a tub of hummus in the cooler along with storage bags of prepared raw vegetables. Sabra also sells individual tubs of hummus.
Chia squeeze pouches. When you need a delicious pick me up along the way, try one of the new organic chia squeeze pouches with flavors like cherry beet, blackberry bliss, mango coconut and wild raspberry. You can buy the travel ready packs online at Amazon or at your local grocery store.
Dark chocolate. Collingwood admits she’s a chocoholic. “I will always bring a few individually wrapped squares of dark chocolate to be prepared when my sweet tooth strikes,” she says. Try keeping them in the freezer before you embark upon your journey and keep the chocolate cold and yummy in a cooler along the way.
Greek yogurt. “I will often pick up a yogurt at a gas station or airport store,” Collingwood says. All yogurts are good sources of calcium, potassium, protein, and B vitamins. Sprinkle on nuts or fresh fruit for extra nutrition.
Hard-boiled eggs. Sometimes called the perfect protein, eggs contain all the essential amino acids you need. Hard boil a few before your departure so you’ll have them on hand. You can also find them in the refrigerator section of gas station snack center.
Seltzer water. Your hunger craving may simply signal the need to hydrate. While water is fine, it’s a treat to opt for flavored, zero-calorie seltzer waters like La Croix and Dasani. You may also want to pack a sports drink, like Gatorade, to keep your electrolyte levels in balance especially when you traveling during hot summer months. Gatorade or a similar beverage is also easily found on the road.
