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.
Regular exercise is potent medicine for older adults with heart disease, a new American Heart Association scientific statement says.
Physical activity should be a key part of care for older adults with heart disease who want to reduce their symptoms and build their stamina, said geriatric cardiologist Dr. Daniel Forman. He’s chair of the panel that wrote the new statement.
“Many health-care providers are focused only on the medical management of diseases — such as heart failure, heart attacks, valvular heart disease and strokes — without directly focusing on helping patients maximize their physical function,” Forman said in a heart association news release.
Yet, after a heart attack or other cardiac event, patients need to gain strength. Their independence may require the ability “to lift a grocery bag and to carry it to their car,” said Forman, a professor of medicine at the University of Pittsburgh Medical Center and VA Pittsburgh Healthcare System.
“Emphasizing physical function as a fundamental part of therapy can improve older patients’ quality of life and their ability to carry out activities of daily living,” he added.
And, no one is too old to get moving. “Patients in their 70s, 80s and older can benefit,” Forman said.
Cardiac rehabilitation is a crucial tool for elderly patients, providing exercise counseling and training to promote heart health, and manage stress and depression. But Forman said it’s not prescribed often enough.
“When treating cardiac patients in their 70s, 80s and 90s, health-care providers often stress medications and procedures without considering the importance of getting patients back on their feet, which is exactly what cardiac rehabilitation programs are designed to do,” he noted.
Daily walking and tackling more chores at home also can be helpful, Forman said. Resistance training and balance training can help prevent falls. Tai chi and yoga employ strength, balance and aerobic features, he explained.
The statement also outlines ways for heart doctors to assess patients’ levels of physical functioning.
The statement was published March 23 in the journal Circulation.
Heart disease in older Americans is a growing concern because the number of people 65 and older in the United States is expected to double between 2010 and 2050.
Pediatricians have long suggested that fruit juice may prompt weight gain in children, but a new review finds it harmless when consumed in moderation.
“Based on the current evidence, we didn’t find that consuming one serving [of 100 percent fruit juice] a day contributes to weight gain in children,” said study author Dr. Brandon Auerbach. He is acting instructor of medicine at the University of Washington, in Seattle.
To come to that conclusion, the investigators analyzed the results of eight published studies involving over 34,000 children that looked at fruit juice intake and the effect on weight.
Children under the age of 6 who drank a serving a day gained a small amount of weight, but not enough to be clinically significant, the findings showed.
The amount was truly tiny, less than a pound over a year’s time, Auerbach noted. And the review did not prove that fruit juice consumption caused the weight gain.
In addition, children aged 7 to 18 who drank a serving a day saw no clinical effects on weight, the researchers said.
The younger children favored apple juice, while the older ones were more likely to drink orange juice. The study authors explained that orange juice, which has a lower glycemic index, may be linked with less weight gain. Food and drink with a lower glycemic index are linked with lower and slower rises in blood sugar levels.
The researchers stressed that their report specifically focused on 100-percent fruit juice, not fruit-flavored drinks or fruit sodas.
Senior study author, Dr. James Krieger, is executive director of Healthy Food America. He said, “The evidence on weight gain, diabetes [risk] and other health conditions for [drinking] sugar-sweetened beverages — like soda and fruit drinks — is very solid.”
What has been debated, according to Krieger, is whether sugar in 100-percent fruit juice is linked with the same health effects.
For now, Krieger and Auerbach said, they advise parents to follow the American Academy of Pediatrics’ recommendations for 100-percent fruit juice consumption: 4 to 6 ounces a day for children aged 6 and younger, and 8 to 12 ounces a day for kids aged 7 to 18.
Connie Diekman, director of university nutrition for Washington University in St. Louis, said that the new findings put the issue in perspective.
“Concerns around childhood obesity have caused many to try to find ‘the food’ that is the cause,” Diekman explained.
“This study did a nice job in assessing the impact of 100-percent fruit juice on weight, a food often blamed for the growing incidence of childhood obesity,” she said.
“As a registered dietitian, this study reinforces the messages I provide my clients: 100-percent fruit juice — not fruit drinks or beverages — can fit into a healthful eating plan. But it is important, as with all foods, to learn portion sizes,” Diekman stressed.
“In addition, I always remind people that whole fruit — whether fresh, frozen or canned — can provide more satiety since we don’t seem to recognize fullness from liquids, while we do from solids,” she said.
The study was published online March 23 in the journal Pediatrics.
New research has found more evidence to suggest a positive link between exercise and depression, this time finding that children who exercise could benefit from a reduce risk of developing depression in the future.
Carried out by a team from The Hospital for Sick Children (SickKids) and University of Calgary researchers at the Alberta Children’s Hospital, the study is the first meta-analysis to examine the potential protective effect of childhood physical activity on depression later in life.
According to the Canadian Mental Health Association 3.2 million children in Canada between the ages of 12 and 19 are at risk for developing depression.
A number of exercise intervention programs for children have been launched in recent years to support treatment for mental health issues, however current research shows large discrepancies on the effectiveness of exercise. Although some studies show strong support for physical activity’s effect on reducing depression, other studies show no relationship at all.
To look further into the validity of exercise interventions based on the existing evidence the team conducted a meta-analysis of 40 studies involving a total of 90,000 participants between the ages of eight and 19 years old. Study participants were healthy and had not been diagnosed with depression.
The team found a statistically significant association between increased physical activity and a lower risk of future depressive symptoms; however, the link was not as strong as they expected.
Explaining the results principal investigator, Dr. Daphne Korczak, said, “This suggests that physical activity is one factor, but that there are other factors that are important in determining a child’s risk for developing depression,” adding that factors such as having a family history of depression, particularly in a parent, or struggling at school academically or socially can all play a role.
Korczak added that further research looking at children with depression or examining the frequency, type or intensity of exercise would be useful in developing a better understanding of how physical activity affects the brain and the body to impact someone’s mood.
The Canadian Psychological Association recommends children and adolescents get 60 minutes of physical activity a day, but statistics published by the Canadian Society for Exercise Physiology suggest that only 15 percent of children (5 to 11 years) and five percent of adolescents (12 to 17 years) meet this recommended amount.
The study can be found online published in the journal Pediatrics.
Wondering exactly how much protein you should be consuming each day? The Recommended Dietary Allowance (RDA), which is the minimum amount you need to be healthy, is 0.8 grams per kilogram (0.36 grams per pound) of body weight per day�46 grams for an average woman. That equals as little as 10% of daily calories. If you’re not super active, that’s likely adequate, and you’ll hit the target effortlessly if you follow a typical Western diet.
To get your personal protein “RDA,” multiple the number 0.36 by your weight in pounds. (For a sedentary 150-pound woman, that would be 54 grams.) Double it if you’re very active or aiming for “optimal protein,” which can help you maintain muscle as you age and support weight loss.
American women already eat about 68 grams a day, according to the latest data from the National Health and Nutrition Examination Survey. “There’s no reason to go out of your way to get protein,” says Dariush Mozaffarian, MD, dean of the Tufts Friedman School of Nutrition Science & Policy. “Just eat a variety of fish, nuts, beans, seeds, and dairy, including yogurt.” However, increasing your protein well above the RDA may make sense if…
That means getting at least 35 to 40 minutes of moderate exercise four or five days a week, including resistance training two or more times a week. Consider eating 1.2 to 2 grams of dietary protein per kilogram (or about 0.5 to 0.9 grams per pound) of body weight each day, says Nancy Rodriguez, PhD, professor of nutritional sciences at the University of Connecticut. That amount is best for rebuilding muscle tissue, especially if you do a lot of high-intensity workouts, research suggests.
Protein takes longer to digest than carbs, helping you feel full, and also pushes your body to secrete the gut hormone peptide YY, which reduces hunger. “When you bring protein to about 30% of your daily calories, you’ll naturally eat less,” says Lauren Slayton, RD, founder of Foodtrainers, a nutrition practice in New York City, and author of The Little Book of Thin. “Protein decreases appetite and also, in my experience, helps you manage cravings.”
While studies are mixed about whether consuming more protein leads to weight loss, research is pretty clear that protein can help you retain more of your lean muscle as you lose fat. One 2011 study suggests amping up protein to as much as 1.8 to 2 grams per kilogram (roughly 0.8 to 0.9 grams per pound) of body weight per day to stave off muscle loss when restricting calories. Cut back on refined carbs to balance out the extra calories from adding protein.
Eating more protein as you get older may help you maintain muscle and ward off osteoporosis, “so you can stay stronger and more functional,” says Rodriguez. In a 2015 study, adults over the age of 50 who roughly doubled the RDA (eating 1.5 grams of protein per kilogram, or 0.68 grams per pound, of body weight) were better able to rebuild and retain muscle after only four days, compared with control groups eating the RDA.
Doubling the RDA gives you “optimal protein,” a concept that Rodriguez and more than 40 nutrition scientists advanced at a recent Protein Summit, the findings from which were published in 2015 in The American Journal of Clinical Nutrition. Optimal protein works out to be about 15% to 25% of your daily calories, still below the level recommended by many popular high-protein diets. Over a day, that could look like 20-30 grams per meal and 12 to 15 grams per snack, for a total of 90 to 105 grams daily.
Be sure to consult your healthcare provider on the proper nutrition and diet according to your specific needs.
For more information, please feel free to ask Dr. Jimenez or contact us at 915 850-0900 .
Additional Topics: What is Chiropractic?
Chiropractic care is an well-known, alternative treatment option utilized to prevent, diagnose and treat a variety of injuries and conditions associated with the spine, primarily subluxations or spinal misalignments. Chiropractic focuses on restoring and maintaining the overall health and wellness of the musculoskeletal and nervous systems. Through the use of spinal adjustments and manual manipulations, a chiropractor, or doctor of chiropractic, can carefully re-align the spine, improving a patient�s strength, mobility and flexibility.
You add it to your morning cup of coffee or tea. You bake it into pastries, cakes, and cookies. You even sprinkle it all over your breakfast cereal or your oatmeal.
But that�s not all. It�s also hidden in many of our favorite �treats� that people consume on a daily basis, such as sodas, fruit juices, candies, ice cream, almost all processed foods, and even condiments like ketchup.
But how exactly does sugar work in our body, how much sugar is acceptable and what are the side effects of eating too much sugar on people�s health?
How Excessive Sugar Affects Your Health
Today, an average American consumes about 32 teaspoons (126 grams) of sugar per day or 134 pounds per year, based on the latest research released in February 2015.
What�s even more disturbing is that people are consuming excessive sugar in the form of fructose or high-fructose corn syrup (HFCS). This highly processed form of sugar is cheaper yet 20 percent sweeter than regular table sugar, which is why many food and beverage manufacturers decided to use it for their products, as it would allow them to save money in the long run.
The bad news is that the human body is not made to consume excessive amounts of sugar, especially in the form of fructose. In fact, your body metabolizes fructose differently than sugar. Fructose is actually a hepatotoxin (toxic to the liver) and is metabolized directly into fat � factors that can cause a whole host of problems that can have far-reaching effects on your health.
Effects of Consuming Too Much Sugar
Dr. Robert Lustig, a professor of Clinical Pediatrics in the Division of Endocrinology in the University of California and a pioneer in decoding sugar metabolism, says that your body can safely metabolize at least six teaspoons of added sugar per day. But since most Americans are consuming over three times that amount, the majority of the excess sugar becomes metabolized into body fat � leading to all the debilitating chronic metabolic diseases many people are struggling with.
Here are some of the effects that consuming too much sugar has on your health:
It overloads and damages your liver. The effects of too much sugar or fructose can be likened to the effects of alcohol. All the fructose you eat gets shuttled to the only organ that has the transporter for it: your liver. This severely taxes and overloads the organ, leading to potential liver damage.
It tricks your body into gaining weight and affects your insulin and leptin signaling.Fructose fools your metabolism by turning off your body�s appetite-control system. It fails to stimulate insulin, which in turn fails to suppress ghrelin, or �the hunger hormone,� which then fails to stimulate leptin or �the satiety hormone.� This causes you to eat more and develop insulin resistance
It causes metabolic dysfunction. Eating too much sugar causes a barrage of symptoms known as classic metabolic syndrome. These include weight gain, abdominal obesity, decreased HDL and increased LDL, elevated blood sugar, elevated triglycerides, and high blood pressure.
It increases your uric acid levels. High uric acid levels are a risk factor for heart and kidney disease and also the cause of Gout. In fact, the connection between fructose, metabolic syndrome, and your uric acid is now so clear that your uric acid level can now be used as a marker for fructose toxicity. According to the latest research, the safest range of uric acid is between 3 to 5.5 milligrams per deciliter. If your uric acid level is higher than this, then it�s clear that you are at risk to the negative health impacts of fructose.
Sugar Can Increase the Risk of Disease
One of the most severe effects of eating too much sugar is its potential to wreak havoc on your liver, leading to a condition known as non-alcoholic fatty liver disease (NAFLD).
Yes, the same disease that you can get from excessive alcohol intake can also be caused by excessive sugar (fructose) intake. Dr. Lustig explained the three similarities between alcohol and fructose:
Your liver metabolizes alcohol the same way as sugar, as both serve as substrates for converting dietary carbohydrate into fat. This promotes insulin resistance, fatty liver, and dyslipidemia (abnormal fat levels in your blood)
Fructose causes superoxide free radicals to form, resulting in inflammation � a condition that can be also caused by acetaldehyde, a metabolite of ethanol
Fructose can directly and indirectly stimulate the brain�s �hedonic pathway,�(addiction pathway) creating habituation and dependence, the same way that ethanol does
But if you think that�s the only way eating too much sugar wreaks havoc on your body, you�re dead wrong. Research from some of America�s most respected institutions now confirms that sugar is a primary dietary factor that drives obesity and chronic disease development.
One study found that fructose is readily used by cancer cells to increase their proliferation � it �feeds� the cancer cells, promoting cell division and speeding their growth, which allow the cancer to spread faster.
Alzheimer�s disease is another deadly illness that can arise from too much sugar consumption. A growing body of research found a powerful connection between a high-fructose diet and your risk of developing Alzheimer�s disease, through the same pathway that causes type 2 diabetes. According to some experts, Alzheimer�s and other brain disorders may be caused by the constant burning of glucose for fuel by your brain.
Other diseases that are linked to metabolic syndrome and may potentially arise because of too much sugar consumption include:
Type 2 Diabetes
Hypertension
Heart Disease
Peripheral Neuropathy
Polycystic Ovarian Syndrome
Lipid (cholesterol) problems
Dementia (Alzheimer�s disease)
Cancer
Reducing Your Sugar Consumption
Sugar, in its natural form, is not inherently bad, as long as it�s consumed in moderation. This means avoiding all sources of fructose, particularly processed foods and beverages like soda. According to SugarScience.org, 74 percent of processed foods contain added sugar stealthily hidden under more than 60 different names. Ideally, you should spend 90 percent of your food budget on whole foods, and only 10 percent or less on processed foods.
I also advise you to severely limit your consumption of refined carbohydrates (waffles, cereals, bagels, etc.) and grains, as they actually break down to sugar in your body, which increases your insulin levels and causes insulin resistance.
As a general recommendation, I advise you to keep your total fructose consumption below 25 grams per day, including that from whole fruit. Keep in mind that although fruits are rich in nutrients and antioxidants, they also naturally contain fructose, and if consumed in high amounts may actually worsen your insulin sensitivity and raise your uric acid levels.
Remember that artificial sweeteners like aspartame and sucralose are also a no-no, as they actually come with a whole new set of health problems that are much worse than what sugar or corn syrup can bring.
KICK THE CRAVINGS!
We continue to see emerging evidence in the literature (research) that obesity, pre-diabetes and diabetes are driving factors not only for chronic conditions like Peripheral Neuropathy, but also for a slew of other chronic diseases, including cancer. It�s important to realize that you don�t have to give up sugar completely but you must reduce it substantially in your diet. Research has shown that no one should be consuming more than 6 teaspoons of sugar per day, and this includes fruit sugar, as well.
In order to get healthy and fight off chronic illness, here are some additional dietary tips to remember:
Increase your consumptionof healthy fats, such asomega-3, saturated, and monounsaturated fats. Your body needs health-promoting fats from animal and vegetable sources for optimal functioning. In fact, emerging evidence suggests that healthy fats should make up at least 70 percent of your diet. Some of the best sources include organic butter from raw milk, (unheated) virgin olive oil, coconut oil, ghee, raw nuts like pecans and macadamia, free-range eggs, avocado, and wild Alaskan salmon.
Drink pure, clean water. Simply swapping out all the sweetened beverages like sodas and fruit juices for pure water can go a long way toward improving your health. The best way to gauge your water needs is to observe the color of your urine (it should be light pale yellow) and the frequency of your bathroom visits (ideally, this is around seven to eight times per day).
Add fermented foods to your meals. The beneficial bacteria in these healthful foods can support your digestion and provide detoxification support, which helps lessen the fructose burden on your liver. Some of the best choices include kimchi, natto, organic yogurt and kefir made from grass-fed milk, and fermented vegetables.
How to Get Rid of Your Sugar Cravings
Sugar is highly addictive and affects depency centers in the brain but it can also have an emotional component, as well. In order to squelch sugar cravings, it�s important to detox. Here at our clinic we utilize a 21 day Jump Start program. This is a great program for detoxing your body from unwanted chemicals and sugar addiction and for decreasing inflammation.
The temptation to eat or indulge in sugary foods will always be there, especially with the abundance of processed foods and fast foods everywhere. However, most sugar cravings arise because of an emotional challenge. If this is what causes you to crave sugar, the best solution I could recommend is the Emotional Freedom Technique (EFT). This technique is a simple and effective strategy to help control your emotional food cravings.
For more information, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
Whole Body Wellness
Following a balanced nutrition, participating in regular physical activity and getting plenty of rest are fundamental factors for maintaining whole body wellness. While all of these can make you look and feel healthy, its also essential to address the health of your spine in order to maintain the proper function of all the body�s structures. Chiropractic care is a well-known alternative treatment option utilized by many individual�s to restore the health of the spine as well as maintain it. Chiropractic can also help prevent complications related to spinal injuries and conditions.
Fitness monitors, or biometric trackers — those wristwatch-looking devices worn by weekend warriors and gym rats — are now making their way into professional sports games. Major League Baseball has approved the first monitoring device for use by players during games, ESPN reports. That means players can now monitor their performance at the most critical times of their careers.
Already the National Football League, the National Basketball League, and others permit the use of performance monitors during practices, but the MLB will be the pioneer for use during games, according to ESPN.
The approved device, manufactured by Boston-based Whoop, tracks vitals such as body temperature, heart rate, and movement monitoring (which measures strain), and does so during rest and sleep cycles as well.
Whoop takes readings hundreds of times each second according the company’s website, and that data can be accessed via Bluetooth on most mobile devices. Apps can be downloaded that offer insights and advice as well. Since the goal of the device is constant monitoring, there’s no need to remove it (which would disrupt that monitoring) to charge it. There’s a slide-on battery pack, which itself is charged by micro USB. The Whoop device costs $1,200 per athlete per year and includes the dashboard to the analytics, according to ESPN. Consumers can get a Whoop 2.0 for about $500.
The device is more geared toward the professional athlete, rather than the average gym-goer, monitoring such categories as peak levels and recovery times during games.
So far the decision to wear the device is left up to individuals: ESPN says teams cannot force players to wear them and players themselves will decide if they want a monitor to collect information day and night about everything from heart rate to amount of sleep.
Whoop founder and CEO Will Ahmed wrote in a blog post that players and teams stand to gain a lot with such monitoring, and his company’s mission is to “unlock human performance. Athletes and competitors alike deserve data to help them better understand their bodies and ultimately perform at a higher level.”
Ahmed said his device will revolutionize sports much like a “Moneyball 2.0” — based on the 2003 book and 2011 film “Moneyball,” about Oakland A’s General Manger Bill Beane’s famous use of data analysis to field a competitive team.
According to Whoop’s website, last year, Whoop and MLB conducted what the company called “the largest performance study ever conducted by a professional sports league” and acquired “massive amounts of quantifiable data” regarding players’ strain, sleep, and recovery. The study also reported on the effects of travel injuries.
As players’ lucrative contracts soar to heights unimaginable even 20 years ago, such information will be critical and highly sought after, which could lead to hacking and behind-the-scenes bartering. Player stats will figure prominently during negotiations over pay and player longevity — already contentious issues for athletes and team coaches and owners. Players have a vested interest in maintaining their health and proving their mettle with hard data — and Whoop device could be the high-tech tool to do just that.
A Wal-Mart Stores Inc. supplier has recalled frozen pizzas available in 11 U.S. states due to concerns about possible listeria contamination, according to the retailer and the U.S. Department of Agriculture.
About 6,700 pizzas sold under Wal-Mart’s Marketside brand were affected by the recall, a representative of the supplier said on Thursday.
RBR Meat Company recalled about 21,220 pounds of Marketside Extra Large Supreme Pizza that were shipped to retail distribution centers in California, Nevada, Utah and Washington, the USDA said on Wednesday. The product carries the code 20547.
Wal-Mart and the USDA said they were unaware of illnesses linked to the pizzas.
The retailer said it started removing the products from its shelves and inventory as soon as it received notice of the recall from Rose & Shore, a food company affiliated with Vernon, California-based RBR.
The pizzas were available in California, Colorado, Nevada, Washington state, Idaho, Montana, Oregon, Utah, Wyoming, Alaska and Hawaii, Wal-Mart said. Sam’s Club was not affected.
People should not eat the pizzas, according to the USDA’s Food Safety and Inspection Service. It said RBR discovered the possible listeria contamination during routine sampling.
Listeriosis is a serious illness caused by eating food contaminated with listeria bacterium, according to the U.S. Centers for Disease Control and Prevention (CDC). The infection is most likely to sicken pregnant women and babies, adults older than 65, and people with weakened immune systems.
An estimated 1,600 people contract listeriosis each year and about 260 die, according to the CDC.
In an unrelated case, the CDC is investigating a multistate outbreak of listeriosis linked to the consumption of soft raw milk cheese made by Vulto Creamery that has led to two deaths.
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