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Nutrition

Back Clinic Nutrition Team. Food provides people with the necessary energy and nutrients to be healthy. By eating various 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. Nutrients include proteins, carbohydrates, fats, vitamins, minerals, and water. Healthy eating does not have to be hard.

The key is to eat various foods, including vegetables, fruits, and whole grains. In addition, eat lean meats, poultry, fish, beans, and low-fat dairy products and drink lots of water. Limit salt, sugar, alcohol, saturated fat, and trans fat. Saturated fats usually come from animals. Look for trans fat on the labels of processed foods, margarine, and shortenings.

Dr. Alex Jimenez offers nutritional examples and describes the importance of balanced nutrition, emphasizing how a proper diet combined with physical activity can help individuals reach and maintain a healthy weight, reduce their risk of developing chronic diseases, and promote overall health and wellness.


Did Trans Fats Ban Lead to Healthier Hearts?

Did Trans Fats Ban Lead to Healthier Hearts?

Local bans on artery-clogging trans fats in restaurant foods led to fewer heart attacks and strokes in several New York counties, a new study suggests.

The study hints at the potential for widespread health benefits from an upcoming nationwide ban, the authors and other experts say. The U.S. Food and Drug Administration in 2015 gave the food industry until next year to eliminate artificial trans fats from American products.

New York City enacted a restaurant ban on the fats in 2007 and several counties in the state did the same. Hospital admissions for heart attacks and strokes in those areas declined 6 percent starting three years after the bans, compared with counties without bans. The results translate to 43 fewer heart attacks and strokes per 100,000 people, said lead author Dr. Eric Brandt, a Yale University cardiology fellow.

His study was published Wednesday in JAMA Cardiology.

Trans fats, also called partially hydrogenated oils, enhance food texture and structure. They were once commonly used to make restaurant fried chicken, French fries, doughnuts and other foods and found in grocery items including cookies, crackers and margarine.

These fats can boost blood levels of unhealthy cholesterol, increasing risks for heart problems. The FDA in 2006 required them to be listed on food labels and the food industry has been switching to healthier oils.

The researchers examined hospital admissions data from 2002 to 2013 in 11 New York counties that adopted bans and in 25 counties that did not. Admissions for heart attacks and strokes declined in all counties, going from more than 800 to less than 700 per 100,000 people, but the drop was steeper in counties that enacted bans.

Alice Lichtenstein, a heart and nutrition specialist at Tufts University’s Boston campus, said the results are encouraging but that other changes could have contributed, such as smoking bans and mandatory calories on menus.

Dr. Mark Creager, former American Heart Association president, said the results echo previous studies “and are consistent with the thinking of most scientists” on potential benefits of these bans.

“Policies such as these when adapted on a nationwide level will be good for our entire population,” said Creager, director of Dartmouth-Hitchcock Medical Center’s heart center in Lebanon, New Hampshire.

This Is How Much Protein You Really Need To Eat In A Day

This Is How Much Protein You Really Need To Eat In A Day

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…

 

RELATED: 17 High-Protein Snacks You Can Eat on the Go

You’re Very Active

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.

RELATED: The Best Vegan and Vegetarian Protein Sources

 

You’re Trying To Lose Weight

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.

RELATED: 3 Delicious Protein Pancake Recipes

You’re In Middle Age

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.

 

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Regular Exercise May Slow Parkinsons Progression

Regular Exercise May Slow Parkinsons Progression

Parkinson’s disease can cause tremors, stiffness and trouble with walking. But a new study suggests that regular exercise can slow the progression of the disease.

Even those with advanced Parkinson’s can benefit from activity, the study authors said.

The research included more than 3,400 patients in North America, the Netherlands and Israel who were followed for more than two years. During that time, Parkinson’s-related changes in mobility were assessed by timing how long it took patients to rise from a chair, walk about 10 feet, turn and return to a sitting position.

The results were published online recently in the Journal of Parkinson’s Disease.

“We found that people with Parkinson’s disease who maintained exercise 150 minutes per week had a smaller decline in quality of life and mobility over two years compared to people who did not exercise or exercised less,” said lead investigator Miriam Rafferty, of Northwestern University and Rehabilitation Institute of Chicago.

“The smaller decline was significant for people who started the study as regular exercisers, as well as for people who started to exercise 150 minutes per week after their first study-related visit,” she said in a journal news release.

The study didn’t look at what specific types of exercise might be best for people with Parkinson’s disease. But the findings suggest that at least 150 minutes a week of any type of exercise offers benefits.

“People with Parkinson’s disease should feel empowered to find the type of exercise they enjoy, even those with more advanced symptoms,” Rafferty added.

The study also found that people with more advanced Parkinson’s disease saw the greatest benefit from 30-minute-per-week increases in exercise. This finding could prove important in making exercise more accessible to these people. Currently, their increased disability may limit their independent participation in community and group exercise programs, according to the researchers.

“The most important part of the study is that it suggests that people who are not currently achieving recommended levels of exercise could start to exercise today to lessen the declines in quality of life and mobility that can occur with this progressive disease,” Rafferty said.

Holiday Nutrition Boost: Your Guide to Healthy Easter, Passover Meals

Holiday Nutrition Boost: Your Guide to Healthy Easter, Passover Meals

With your Easter feast or Passover repast just around the corner, we’ve asked top nutritionists and dietitians for suggestions on how to make these holiday meals healthier.

“Passover and Easter mark the start of the spring season,” Leah Kaufman, a New York City-based nutritionist tells Newsmax Health. “They traditionally symbolize ‘Rebirth’ and ‘Rejuvenation.’ What better time to think about your diet and health goals than right now, at the beginning of a new season?”

Kaufman notes that both Passover and Easter bring families and friends together for holiday meals that often feature traditional foods that may not be healthy choices.

“Creating healthy meals and snacks even when serving traditional foods can be a creative challenge,” she notes. “Many times these foods may not align with your nutritional goals, but by making simple adjustments, you can continue to eat your favorite holiday foods and not compromise your health.”

For example, Easter is one of the biggest times of the year for ham, market statistics show. But, buyer beware: Many store-bought hams are chock full of sodium and other unhealthy ingredients.

In fact, a single four-ounce portion of the most popular brands contains a whopping 1,700 grams of sodium. That’s 85 percent of the recommended daily intake.

Prepared hams also contain sodium nitrite, a potential carcinogen — as well as sodium phosphate to keep the meat moist, corn syrup, and dextrose, a simple sugar used as a sweetener.

“The takeaway message is that if you don’t want a lot of sodium and preservative as well as extra sugar in your ham, you may want to make your own from scratch or try a healthier main dish such as salmon,” Tara Gidus, an Orlando-based dietician tells Newsmax Health. “That way you’ll be reaping the nutritional benefits of high quality, complete protein with omega-3 fatty acids and important essential vitamins.”

Kaufman suggests another popular Easter favorite may be a better choice: Roast a leg of lamb.

“You’ll still get a lean protein, but without the extra salt and preservatives,” she suggests.

Amy Shapiro, founder of Real Nutrition NYC, tells Newsmax Health that the same caveat applies to a Passover favorite meat: Brisket.

“Lean meats like ham and brisket are great sources of iron, protein and your B vitamins, but be cautious on how they are prepared,” she says. “Brisket can tend to be cooked in heavy sauces which may contain a large amount of salt and sugar.”

On the other hand, eggs are a traditional part of both Passover and Easter — and are a nutritional powerhouse, notes Shapiro.

“Everyone loves a good Easter egg hunt,” she says. “And eggs are great from a nutritional standpoint because they provide a low fat source of protein and contain many vitamins in their whites. For Passover, have an egg to start during the Seder and it will help satisfy your hunger so that you won’t over indulge in heavier fare later in the meal.”

Easter eggs made with dark chocolate provide a sweet treat after the meal that also provides heart-healthy antioxidants.

Matzo bread is a Passover staple for the eight days Jews need to eat “Kosher Passover” food. Although it appears to be a simple cracker, matzo actually contains as many calories and carbs as a normal piece of bread, says Shapiro.

“Try to find a whole wheat brand to increase the nutritional value,” she suggests.

Potatoes are also an important part of traditional Easter meals, says Gidus.

“No Easter brunch is complete without a nice side dish of breakfast potatoes or a hash brown casserole,” she notes. “Potatoes are naturally fat free and surprisingly low in calories if you don’t smother them with high fat sauces.

“White potatoes have more potassium than a banana and contain vitamin C and fiber. Russet potatoes are high on the antioxidant vegetable list and have resistant starch, giving you lasting energy.”

Haroset is a delicious sweet side dish in the Passover meal, typically made with raisins, honey, apples, nuts, cinnamon, and wine.

“This is a great way to eat something sweet without going for candy, cake and ice cream,” notes Shapiro. “But it can have a lot of sugar, so don’t go overboard!”

Gidus recommends adding lots of roasted vegetable side dishes to offer low-calorie options to holiday meals. Asparagus and carrots are excellent, colorful choices.

“Asparagus is an excellent spring vegetable to use in salads or as a side dish,” she says. “Carrots can be also used to make a wonderful carrot cake or carrot muffins to serve as a healthy dessert. You’ll get the benefits of beta carotene, fiber, potassium and iron.”

Kaufman offers this final piece of advice:

“Overall, the holidays are a time to spend with family and friends. Focus on the company you are with rather than the next meal you’ll eat. By engaging in conversation, you’ll decrease the likelihood of over eating.”
 

10 Minutes of Vigorous Exercise Helps Kids Hearts

10 Minutes of Vigorous Exercise Helps Kids Hearts

Just a bit of vigorous exercise each day could help some children and teens reduce their risk of developing heart problems and diabetes, researchers say.

The new study looked at nearly 11,600 kids, aged 4 to 18, in the United States, Brazil and Europe.

The investigators found that replacing light exercise with as little as 10 minutes a day of intense activity may provide significant cardiometabolic benefits for young people who have relatively large waists and elevated levels of insulin in their blood. These are factors that put them at risk for developing heart problems and metabolic diseases, such as type 2 diabetes.

“The results suggest that substituting modest amounts of vigorous physical activity for longer-duration light exercise may have cardiometabolic benefits above and beyond those conveyed by moderate activity and the avoidance of sedentary behavior,” lead author Justin Moore said.

Moore is an associate professor of family and community medicine at Wake Forest Baptist Medical Center in Winston-Salem, N.C. He noted that more research is needed because additional factors that contribute to disease risk — such as diet and genetics — need to be taken into account.

“If such studies provide robust results, a relatively brief but intense dose of physical activity — perhaps as little as 10 minutes day, which is certainly feasible for most youth — could turn out to be part of a ‘prescription’ for children to achieve or maintain cardiac and metabolic health,” Moore said in a medical center news release.

The study was published recently in the journal Medicine & Science in Sports & Exercise.

Getting Rid Of Cellulite: Five Myths & Truths You Should Know

Getting Rid Of Cellulite: Five Myths & Truths You Should Know

It�s spring and many people will be heading back to the gym in the hope of busting cellulite, a seemingly unshakeable curse for many women. However, cellulite, which has both genetic and hormonal causes, can be improved with a comprehensive long-term strategy. Here are a few facts and fictions about the dreaded �orange-peel effect� before you get started.

Exercise Gets Rid Of Cellulite

FALSE. Unfortunately, exercise alone isn�t enough to shift those lumpy fatty deposits anchored deeply under the skin. This type of fat corresponds to metabolized fat from food and genetic fat stores often found around the buttocks and thighs. However, exercise (walking, running, water biking, skipping) forms part of an overall cellulite-busting strategy, giving a real boost to venous and lymphatic circulation.

Slim women have cellulite too! Losing weight by forcing yourself to follow a drastic and highly restrictive diet won�t solve the problem. (Shutterstock)

Hormonal Balance Affects Cellulite

TRUE. Harmonizing your hormonal balance could help reduce and halt the further development of adipocyte fat cells. A lack of progesterone can often create a cellulite effect. Borage oil and chaste tree are herbal remedies that are recommended for boosting the hormone progesterone. Changing to a contraceptive pill with a different dose of hormones can also be an option. Ask your health care provider for more information.

Cutting Calories Is The Only Way To Get Rid Of Cellulite

FALSE. Slim women have cellulite too! Losing weight by forcing yourself to follow a drastic and highly restrictive diet won�t solve the problem. In fact, it can prove counterproductive, since you also risk losing muscle mass and accentuating any cellulite buildup.

 

 

A Mediterranean diet based on foods rich in antioxidants (fruit and vegetables, seeds, nuts, wholegrain cereals) is the best weapon of mass destruction in the fight against lumpy deposits. (Shutterstock)

The Mediterranean Diet Is The Most Effective

TRUE. Cellulite, by definition, is an inflammatory condition. A Mediterranean diet based on foods rich in antioxidants (fruit and vegetables, seeds, nuts, wholegrain cereals) is the best weapon of mass destruction in the fight against lumpy deposits. Foods containing fast-acting sugars, with high glycemic indexes, should generally be avoided because they promote the storage of fat and cause insulin levels to spike. Watch out for hidden salt too, which is often responsible for water retention. Avoid soup in the evening and fill up on protein.

 

Herbal Remedies Can Help Tackle Cellulite

TRUE. The key active ingredients in certain plants can help the body to eliminate toxins, flushing out tissue that�s full of water and fat. These include dandelion, birch, fennel, artichoke, black radish, fumaria, red vine leaf, witch hazel and ginkgo biloba, which can help boost blood flow back to the heart and aid the lymphatic system. Drinking lots of water will also stimulate digestive transit to help get rid of inflammatory toxins.

 

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Common Fats are Making You Lazy and Sabotaging Your Health

Common Fats are Making You Lazy and Sabotaging Your Health

The types of cooking oils you eat may be sabotaging your health, making you lazy and setting you up to develop Type 2 diabetes, says a Canadian researcher.

Consuming high levels of polyunsaturated fatty acids (PUFAs) but not monounsaturated fatty acids (MUFAs), can make you lazy and fat, especially if you’re a woman, says Sanjoy Ghosh, a professor at the University of British Columbia’s Okanagan campus

For decades, heart disease was linked to saturated fats, which are found in meats and in full-fat products such as whole milk and butter. That belief caused the deliberate removal of saturated fatty acids from our diets, replacing them with MUFAs, found in avocado, nuts, seeds, and olives, and PUFAs, found in commonly used oils such as corn, sunflower, cottonseed, soybean, and canola. PUFAs are found in almost all convenience foods, including potato chips, cookies, cakes, and crackers.  

Ghosh and his collaborator, UBC biologist and data analyst Jason Pither, examined data from 21 European countries. First, they studied pre-teen girls. Second, they examined the blood glucose levels of adult women. They also included other details such as the amount of time they spent watching television.  

They concluded that there was a clear connection between the consumption of polyunsaturated fats and an increase in sedentary behavior, especially in the pre-teens, and an increase in diabetes among women.

“This data is extremely significant,” says Ghosh. “Nobody has made this connection and it’s time for an intervention. And if someone is beginning an exercise program without taking a close look at the fats, especially PUFA they are consuming, or changing what they’re eating, then it might be doomed to failure.”

The study was published in the Journal of Nutritional Biochemistry.

Recent studies have found that switching saturated fats for polyunsaturated fats didn’t lower the risk of heart disease — in fact, it may have raised it. A 2016 study examined the records of more than 9,400 people and found that while swapping saturated fats for vegetable fats like corn oil reduced cholesterol levels by 14 percent, it didn’t improve survival. In fact, those whose cholesterol was reduced the most had the highest risk of dying when compared to a control group that ate a diet high in saturated fats.  

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