Gluten free blueberry cottage cheese pancakes

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Gluten free blueberry cottage cheese pancakes

Ingredients:
Makes about eighteen 4-5” pancakes
· 3/4 cup gluten free all purpose flour
· 1/2 cup almond flour (make you own, tip below)
· 1/2 tsp. baking soda
· 1/2 tsp. sea salt
· 2 Tbsp. Swerve sweetener
· 2 eggs 1 cup whipped cottage cheese (*whip your own in a blender or food   processor until smooth)
· 1/2 cup 2% milk · 2 Tbsp. pecan, sunflower, safflower or other medium-high heat oil
· 1.5 cups blueberries
· Cooking spray (I used Pompeian grapeseed oil spray)
Directions
Rinse blueberries with water and blot dry with a paper towel. Set blueberries aside on a plate. In a bowl, stir together gluten free all purpose flour, almond flour, baking soda, salt and Swerve sweetener. In a separate bowl, whisk together eggs, whipped cottage cheese, milk and oil. Add flour mixture to egg mixture and whisk or stir until just blended. Blend in blueberries.
Lightly coat a large frying pan or skillet with cooking spray then heat over low – medium heat. Pour small amounts (about 1/2 cup) of batter onto the skillet. Flip each pancake when golden brown underneath and partly cooked. Move to plates and enjoy!
Nutrition information per pancake:
Calories: 71
Fat: 2 g
Carbohydrate: 6 g
Fiber: 0.8 g
Protein: 4 g

 

Get Cultured: Probiotics can Help You Lose Weight & Stay Healthy

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From Greek to Icelandic Skyr, yogurt is everywhere. Choose the right kind, one packed with probiotics and protein, and yogurt can help you trim your waistline while supporting overall health at the same time.

In this article, I’m covering:
• How gut bacteria influence your weight and health
• Probiotic-rich foods for health & healthy weight

Your Gut Bacteria Influence Your Weight & Health

There is an entire community of over one trillion microbes (bacteria) taking up valuable real estate in your gut. Some are good, some are bad and the rest are neutral. The good guys are key players for digestive and immune functioning (remember about 70% of your immune system is located in your gut). They have many other functions as well:
bacteria, probiotics and body weight

Research studies show lean and obese people have a different makeup of bacteria in their gut. In addition, lean individuals have a greater diversity of bacteria in their gut. Diversity is important –  think of bacteria like a team of people each one has a different job and they work better together than in isolation.

If an obese person loses weight their overall makeup of bacteria more closely resemble’s a lean person’s gut. Greater weight loss = even greater the changes in gut bacteria. Also, changing bacteria seems to influence weight, though scientists know less about the influence of altering gut bacteria and changing body weight. Lean mice transplanted with bacteria from obese mice experienced a 60% increase in body fat without changing their food intake (calories in) or physical activity (calories out). The authors of this study believe the change in gut bacteria resulted in an increased absorption of some carbohydrates, increase in the production of fat and increase in fat storage. Authors from another study, this one examining human twins, also found a connection between types of bacteria in the gut and body weight, particularly visceral fat – deep layers of fat that coat the organs and are tied to higher risk of certain chronic diseases such as heart disease. The authors of this study believe, like the study in mice, obese individuals may be absorbing more calories from the food they eat.

Probiotic-Rich Foods for Health & Healthy Weight

How did they swap out bacteria in studies? Poop transplants. This isn’t exactly something you should try at home. But there’s another, easier way to keep your gut healthy. Get cultured by picking up foods that contain healthy bacteria including yogurt (with live and active cultures), kefir (drinkable yogurt, it’s so good!), miso soup, homemade sauerkraut, and tempeh (made from soy, this has a nutty taste). There might be something special about yogurt – a meta-analysis (a study that combined the results of other studies) looked at dairy intake and weight changes over time. They found greater yogurt intake was associated with lower body weight. Plus the protein in Greek yogurt seems to help people feel full so they eat less at their next meal. Also, feed the bacteria by eating plenty of fruits, vegetables and whole grains, particularly onions, greens, beans, legumes, berries and bananas, to get enough prebiotics (food) to support their growth.

 

References
Benno Y. Mitsuoka T. Development of intestinal microflora in human and animals. Bifidobacteria Microflora 1986; 5:13-25.

Quigley EMM, Quera R. Small Intestinal Bacterial Overgrowth: Roles of Antibiotics, Prebiotics, and Probiotics. Gastroenterology 2006;130:S78-S90.

O’Hara AM, Shanahan F. The gut flora as a forgotten organ. EMBO Rep 2006;7:688-93.

Ramakrishna B. The normal bacterial flora of the human intestine and its regulation. J Clin Gastroenterology 2007;41:S2-S6.

Douglas LC, Sanders ME. Probiotics and prebiotics in dietetics practice. J Am Diet Assoc 2008;108:510-521.

Million M, Maraninchi M, Henry M et al. Obesity-associated gut microbiota is enriched in Lactobacillus reuteri and depleted in Bifidobacterium animalis and Methanobrevibacter smithii. Int J Obesity 2012;36:817-825.

Hempel S, Newberry SJ, Maher AR, Wang Z et al. Probiotics for the Prevention and Treatment of Antibiotic-Associated Diarrhea. A Systematic Review and Meta-analysis. JAMA 2012;307(18):1959-1969.

An Introduction to Probiotics. National Center for Complementary and Alternative Medicine. National Institutes of Health. http://nccam.nih.gov/health/probiotics/

Marik PE. Colonic flora, probiotics, obesity and diabetes. Front Endocrinol 2012;3:87.

Bäckhed F, Ding H, Wang T, Hooper LV, Koh GY, Nagy A, Semenkovich CF, Gordon JI. The gut microbiota as an environmental factor that regulates fat storage. Proc Natl Acad Sci U S A. 2004;101:15718-23.

Ley RE, Turnbaugh PJ, Klein S, Gordon JI. Microbial ecology: human gut microbes associated with obesity. Nature 2006;444(7122):1022-3.

Kalliomäki M, Collado MC, Salminen S, Isolauri E. Early differences in fecal microbiota composition in children may predict overweight. Am J Clin Nutr 2008;87(3):534-8.

Yang YX, He M, Hu G, Wei J, Pages P, Yang XH, Bourdu-Naturel S. Effect of a fermented milk containing Bifidobacterium lactis DN-173010 on Chinese constipated women. World J Gastroenterol 2008;14(40):6237-43.

Yaeshima T et al. Effect of yogurt containing Bifidobacterium longum BB536 on the intestinal environment, fecal characteristics and defecation frequency: a comparison with standard yogurt. Bioscience Microflora 1997;16:73-77.

Hempel S et al. Probiotics for the Prevention and Treatment of Antibiotic-Associated Diarrhea
A Systematic Review and Meta-analysis. JAMA 2012;307;1959-1969.

Semova I, Carten JD, Stombaugh J et al. Microbiota Regulate Intestinal Absorption and Metabolism of Fatty Acids in the Zebrafish. Cell Host & Microbe 2012;12:277.

Schwingshackl L, Hoffmann G, Schwedhelm C, Kalle-Uhlmann T, Missbach B, Knuppel S, Boeing H. Consumption of Dairy Products in Relation to Changes in Anthropometric Variables in Adult Populations: A Systematic Review and Meta-Analysis of Cohort Studies. PLoS One 2016; 11(6): e0157461.

Top 10 Flat Belly Foods

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Your abs are made in the gym and revealed in the kitchen. A good training program develops the muscles in your midsection and the right diet helps banish bloating so you can see your abs. Here are the 10 flat belly foods you should add to your diet for a better looking (and better feeling) mid-section):Greek yogurt for belly fat

Greek Yogurt with Live and Active Cultures

Look for Greek yogurt with “live cultures (aka good bacteria)” or the “Live & Active Cultures” seal. The cultures are good bacteria that take up valuable real estate in your gut, helping your body digest food and decreasing gas and bloating. The amount of healthy, versus harmful, bacteria influences body weight and how much weight you can lose while following a lower calorie diet. Plus, a study published in the International Journal of Obesity found people who get their calcium from yogurt, as opposed to other foods, may lose more weight in their belly. Even more evidence to support yogurt consumption comes from a study showing dieters who ate five servings of dairy, such as Greek yogurt, daily lost more weight and abdominal fat than those who ate just three servings every day. A more recent review of the research found higher dairy intake was associated with lower risk of obesity in the midsection and yogurt seems to help keep weight in check.

2 Nuts

Though nuts are relatively high in calories for a small amount of food,  people don’t gain weight when they add nuts to their previously nut-free diet. A study in over 13,000 adults revealed nut eaters, those who ate at least ¼ ounce of nuts or peanuts (technically a legume) per day had smaller waists than adults who didn’t eat nuts. Additionally, tree nuts and peanuts contain a considerable amount of monounsaturated fat. Dieters who eat more foods containing monounsaturated fats may lose more belly fat than those who eat the same number of calories per day with less monounsaturated fat.

3 Asparagus

When examining dietary patterns, weight and waist circumference in close to eighty thousand people over a 10-year period, researchers found those who ate more vegetables every day had both a lower BMI and smaller waistline compared to adults who ate few vegetables. Asparagus contains prebiotic fiber, a type of fiber that is food for the good bacteria in your gut. Plus, asparagus is a natural mild diuretic making it the perfect food before hitting the beach or wearing a more formfitting outfit.

4 Avocados

Avocados contain a good amount of monounsaturated fat, not to mention nineteen vitamins and minerals. But, their monounsaturated fat is the ticket to a smaller waistline. In one study scientists gave obese adults with type 2 diabetes diets rich in saturated fat, monounsaturated fat or  carbohydrates. Those on the high carbohydrate diet ended up with fat redistributed to their stomachs while the monounsaturated fat rich diet prevented fat redistribution to the belly area. Plus, a look at dietary intake data from close to 18,000 adults found body weight, BMI and waist size were all significantly lower in avocado consumers versus those who didn’t include avocados in their diet.

5 Popcorn

Popcorn is a whole grain and when you pop it yourself on the stovetop (or in a brown paper bag in the microwave, just add good old fashioned popcorn kernels in a brown paper bag and fold the top) and top it with a little spray butter or spices for flavor, you’ll end up with a snack that takes a long time to eat and fills you up on relatively few calories. In addition, several studies show people who eat about three servings of whole grains per day weight less and have a smaller waistline compared to those who don’t.

6 Cold Pea Salad

Peas are naturally rich in resistant starch, a type of fiber that isn’t completely broken down or absorbed during digestion. Cooking and cooling peas to make a pea salad will significantly increase the amount of resistant starch they content. Rodent studies show resistant starch helps reduce stomach fat and increase hormones that tell the brain it’s time to stop eating.

7 Eggs

Choose eggs over cereal in the morning and you’ll tame hunger pangs for hours after breakfast, decreasing the likelihood of overeating later in the day. Make a meal containing at least 25 – 30 total grams of protein (the protein is in the white of the egg so this equates to 4 – 5 egg whites though you can choose any combination of whole eggs and egg whites as long as you consume at least 4 -5 of the whites) so you can cash in on the satiety-enhancing benefits of eggs. Added bonus: following a high protein diet for a short period of time can lead to significant reductions in belly fat.

8 Green Tea

The combination of caffeine and antioxidants in green tea may lead to small to moderate reductions in body fat and waist size. However, you need to consume quite a bit of it so get creative and cook with green tea by brewing it and using it to cook rice (it’s particularly good with jasmine rice), make stews, soups or stocks. You can also poach fruit green tea or use dried green tea leaves as part of a rub for meats, tofu or fish.

9 Barley

Barley is a cereal grain with a nutty taste and consistency that is a cross between pasta and rice. In a double-blinded trial (both the men and the researchers didn’t know which food they were getting), Japanese men were given rice or a mixture of rice with pearl barley. The group receiving the pearl barley and rice mixture lost a significant amount of visceral fat, the kind that covers your organs like a thick winter blanket and increases risk of heart disease, stroke and type-2 diabetes. Compared to the rice only group, the group who ate pearl barley decreased their waist size.

10 Blueberries

Blueberries are an excellent source of dietary fiber, which will not only help keep you full but also help keep your waistline in check. Plus they are a natural source of prebiotic fiber – the kind that the good bacteria in your gut munch on.

A flat belly is one of the most recognized signs of a fit body. Blast away abdominal fat with high-intensity cardio and build the underlying muscle by regularly switching up your training program. Also, incorporate a 30-minute abs classes to your routine. At least one study found you can spot reduce if you exercise the same muscle group for at least 30 minutes at a time. Keep in mind abs are made in the gym but revealed in the kitchen. Add the top 10 flat belly foods to your diet while cutting down on sugar alcohols (sorbitol, maltitol, and mannitol are the worst for causing gas and bloating), fizzy drinks and chewing gum (all of these can increase bloating at least temporarily) and you may fall in love with skinny jeans.

 

References
Clifton PM, Bastiaans K, Keogh JB. High protein diets decrease total and abdominal fat and improve CVD risk profile in overweight and obese men and women with elevated triacylglycerol. Nutr Metab Cardiovasc Dis 2009;19(8):548-54.

O’Neil CE1, Keast DR, Nicklas TA, Fulgoni VL 3rd. Nut consumption is associated with decreased health risk factors for cardiovascular disease and metabolic syndrome in U.S. adults: NHANES 1999-2004. J Am Coll Nutr 2011;30(6):502-10.

Kahn HS, Tatham LM, Rodriguez C, et al. Stable behaviors associated with adults’ 10-year change in the body mass index and likelihood of gain at waist. Am J Public Health 1997;87:747-54.

Ridaura VK, Faith JJ, Rey FE, Cheng J, Duncan AE et al. Gut microbiota from twins discordant for obesity modulate metabolism in mice. Science 2013;341:6150.

Turnbaugh PJ, Ley RE, Mahowald MA, Magrini V et al. An obesity-associated gut microbiome with increased capacity for energy harvest. Nature 2006;444:1027-1031.

Vidrine K, Ye J, Martin RJ, McCutcheon KL et al. Resistant starch from high amylose maize (HAM-RS2) and dietary butyrate reduce abdominal fat by a different apparent mechanism. Obesity (Silver Spring) 2014;22(2):344-8.

Bisanz JE, Reid G. Unraveling how probiotic yogurt works. Sci Transl Med 2011;3:106.

Dhurandhar NV, Geurts L, Atkinson RL et al. Harnessing the beneficial properties of adipogenic microbes for improving human health. Obesity Reviews 2013;19:721-735.

Delzenne NM, Neyrinck AM, Bäckhed F, Cani PD. Targeting gut microbiota in obesity: effects of prebiotics and probiotics. Nat Rev Endocrinol 2011;7(11):639-46.

Furet JP, Kong LC, Tap J et al. Differential adaptation of human gut microbiota to bariatric surgery-induced weight loss: links with metabolic and low-grade inflammation markers. Diabetes 2010;59:3049-3057.

Ley RE, Turnbaugh PJ, Klein S, Gordon JI. Microbial ecology: human gut microbes associated with obesity. Nature 2006;444: 1022–1023.

Santacruz A, Marcos A, Warnberg J et al. Interplay Between Weight Loss and Gut Microbiota Composition in Overweight Adolescents. Obesity 2009;17:1906–1915.

Harland JI, Garton LE. Whole-grain intake as a marker of healthy body weight and adiposity. Public Health Nutr 2008;11(6):554-63.

Yadav BS, Sharma A, Yadav RB. Studies on effect of multiple heating/cooling cycles on the resistant starch formation in cereals, legumes and tubers. Int J Food Sci Nutr 2009;60 Suppl 4:258-72.

Keenan MJ, Zhou J, McCutcheon KL et al. Effects of resistant starch, a non-digestible fermentable fiber, on reducing body fat. Obesity (Silver Spring) 2006;14(9):1523-34.

Nagao T, Komine Y, Soga S et al. Ingestion of a tea rich in catechins leads to a reduction in body fat and malondialdehyde-modified LDL in men. Am J Clin Nutr 2005;81(1):122-9.

Paniagua JA, Gallego de la Sacristana A, Romero I et al. Monounsaturated fat-rich diet prevents central body fat distribution and decreases postprandial adiponectin expression induced by a carbohydrate-rich diet in insulin-resistant subjects. Diabetes Care 2007;30(7):1717-23.

Fulgoni VL 3rd, Dreher M, Davenport AJ. Avocado consumption is associated with better diet quality and nutrient intake, and lower metabolic syndrome risk in US adults: results from the National Health and Nutrition Examination Survey (NHANES) 2001-2008. Nutr J 2013;12:1.

Shimizu C, Kihara M, Aoe S et al. Effect of high beta-glucan barley on serum cholesterol concentrations and visceral fat area in Japanese men–a randomized, double-blinded, placebo-controlled trial. Plant Foods Hum Nutr 2008;63(1):21-5.

Du H, van der A DL, Boshuizen HC et al. Dietary fiber and subsequent changes in body weight and waist circumference in European men and women. Am J Clin Nutr 2010;91(2):329-36.

Peters EM, Anderson R, Nieman DC, et al. Vitamin C supplementation attenuates the increases in circulating cortisol, adrenaline and anti-inflammatory polypeptides following ultramarathon running. Int J Sports Med 2001;22(7):537-43.

 

The Ketogenic Diet Craze: Fat-Filled Lies, Part 1

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ketogenic diPicture this: a thick, juicy, tender eventeak grilled to perfection with melted butter glazed on top, gently dripping down the sides. Lying next to the steak there’s a side of dark green asparagus sautéed in coconut oil and dusted with a sprinkle of sea salt. Could a diet loaded with fat help you lose diet-resistant body fat that’s been taunting the seams of your dress pants and poking through buttons on your shirt? Will eating fat turn you into an all-star athlete? This is part 1 of a 2 part series on the ketogenic diet.

Here is what I will cover in this blog post:

  • What is the ketogenic diet?
  • Adverse health effects.

Here is what I will cover in tomorrow’s blog on this topic:

  • The issue with ketogenic research studies.
  • Is the ketogenic diet superior for losing fat?
  • How will the ketogenic diet affect muscle?
  • How will the ketogenic diet impact athletic performance?

What is the Ketogenic Diet?

For nearly a century, epileptic patients have used ketogenic diets to control seizures when common medications provide no relief. Scientists aren’t sure why following a ketogenic diet decreases the incidence and severity of seizures but it works.

The ketogenic diet contains – 80-90% of calories from fat, 15% from protein and 5% from carbohydrate (1, 2). Food choices may include heavy cream, bacon, eggs, non-starchy vegetables, mayonnaise and sausage while fruits, starchy vegetables, breads, pasta, cereal and other carbohydrate-rich foods are not allowed.

During the first several days on a ketogenic diet, your body’s limited supply of carbohydrate stored in liver and muscle tissue decreases dramatically. As a result, you will feel like you have mono – exhausted, with headaches and easy exercise will feel like you’re climbing Mount Everest (3). Once your stored carbohydrate has dwindled, ketones, formed from the breakdown of dietary fat, become the primary source of energy for brain and body. Ketogenic means “ketone forming.” It takes at least seven days to reach nutritional ketosis and several weeks to fully adapt to the diet (12). If you aren’t in nutritional ketosis (as measured by blood, urine or breath ketones; ketone levels > 0.5 mmol/L), then you aren’t following a ketogenic diet, you are on a low carbohydrate diet.

Adverse Health Effects from the Ketogenic Diet

Much of the research on adverse effects comes from studies in epileptic children since they have been on the diet for long periods of time. These studies show soon after starting a ketogenic diet, blood cholesterol levels and artery stiffness increase (4, 5). High total and LDL cholesterol are risk factors for cardiovascular disease (diseases of the heart and blood vessels). When arteries are stiff, they cannot expand as well in response to changes in blood pressure. Think of this like a garden hose when you turn up the water pressure, your hose either expands or the water bursts out of the space between the faucet and the hose. When arteries cannot open widely to accommodate increases in blood flow, blood pressure increases leading to microscopic tears on artery walls, development of scar tissue and the perfect surface for plaque buildup (6). Blood cholesterol levels returned to normal in patients who went off the diet and in those who stayed on it, they returned to normal after 6 to 12 months. Artery stiffness returned to normal after 24 months on a ketogenic diet.5 Studies in obese patients suggest ketogenic diets improve blood sugar and blood cholesterol levels over time, either due to the diet, weight loss from the diet, a combination of the two or carbohydrate restriction (7, 8). Lose weight, regardless of what you eat and blood cholesterol, blood pressure, inflammation, blood sugar and many other disease risk factors will improve.

Ketogenic diets are typically low in calcium, vitamin D, potassium, magnesium, folic acid and fiber. There are several potential consequences associated with consistently low intake of each of these micronutrients including softening of the bones, decreased bone density, muscle damage, muscle weakness or spasms, and abnormal heart rhythm. However, with careful planning, a fiber supplement, multivitamin and under the guidance of a physician who may prescribe potassium and sodium supplements (blood sodium could drop to dangerously low levels while on this diet), nutrient needs can be met. Also, to prevent constipation when on a ketogenic diet, a fiber supplement may be necessary along with more water / fluid intake then you are used to.

Here are some other potentially bad side effects from following a high fat diet:

  • Harm to your Brain. Studies in mice show a high fat diet, even when followed for as little as two months leads to chronic inflammation, sedentary immune cells in the brain – these cells typically act like janitors picking up trash and infectious compounds but when they become sedentary they stop doing their job, leading to cognitive impairment (9). Does this happen in humans and resolve over time? We don’t know.
  • Mad Bacteria in Your Gut. A diet with no probiotics (healthy bacteria) and low in prebiotics (certain types of fiber that the healthy bacteria much on for food keeping them happy) will likely change the composition of bacteria in your gut so you have more harmful and less beneficial bacteria.
  • Leaky Gut. High saturated fat meals increase bacterial toxins (endotoxins) in the intestines and intestinal permeability. In other words: leaky gut (10, 11). If you are on this diet, consider opting for foods lower in saturated fat and higher in unsaturated fats (liquid oils, avocado, nuts, seeds, olives).
  • Free radicals in overdrive? If you can’t eat a number of colorful foods including blueberries, beets, corn, oranges, and more, chances are you won’t get a wide array of antioxidant compounds to quench free radicals (compounds that are important for good health but can wreck your body when they aren’t tamed by antioxidants) as well as other plant-based compounds that keep your arteries, muscles and other parts of your body healthy. Will your body adapt? We don’t know at this time.

Are the side effects and potential negative side effects worth it if you can lose weight on this diet? Stay tuned for tomorrow’s post on how the ketogenic diet impacts body fat and athletic performance.

References

1 Freeman JM, Freeman JB, Kelly MT. The ketogenic diet: a treatment for epilepsy. 3rd ed. New York, NY: Demos Health; 2000.

2 Paoli A, Bianco A, Damiani E, Bosco G. Ketogenic Diet in Neuromuscular and Neurodegenerative Diseases. BioMed Research International 2014, Article ID 474296, 10 pages, 2014.

3 White AM, Johnston CS, Swan PD et al. Blood ketones are directly related to fatigue and perceived effort during exercise in overweight adults adhering to low-carbohydrate diets for weight loss: a pilot study. J Am Diet Assoc 2007;107(10):1792-6.

4 Tanakis M, Liuba P, Odermarsky M, Lundgren J, Hallböök T. Effects of ketogenic diet on vascular function. Eur J Paediatr Neurol 2014;18(4):489-94.

5 Coppola G, Natale F, Torino A et al. The impact of the ketogenic diet on arterial morphology and endothelial function in children and young adults with epilepsy: a case-control study. Seizure 2014;23(4):260-5.

6 Cecelja M, Chowienczyk P. Role of arterial stiffness in cardiovascular disease. JRSM Cardiovascular Disease 2012;1(4):1-10.

7 Dashti HM, Mathew TC, Hussein T, Asfar SK, Behbahani A, Khoursheed MA, Al-Sayer HM, Bo-Abbas YY, Al-Zaid NS. Long-term effects of a ketogenic diet in obese patients. Exp Clin Cardiol 2004; 9(3): 200–205.

8 Volek JS, Feinman RD. Carbohydrate restriction improves the features of Metabolic Syndrome. Metabolic Syndrome may be defined by the response to carbohydrate restriction. Nutr Metab (Lond) 2005;2:31.

9 Hao S, Dey A, Yu X, Stranahan AM. Dietary obesity reversibly induces synaptic stripping by microglia and impairs hippocampal plasticity. Brain Behav Immun 2016 Jan;51:230-9.

10 Mani V, Hollis JH, Gabler NK. Dietary oil composition differentially modulates intestinal endotoxin transport and postprandial endotoxemia. Nutr Metab (Lond) 2013; 10: 6.

11 Lam YY, Ha CW, Campbell CR, Mitchell AJ, Dinudom A, Oscarsson J, Cook DI, Hunt NH, Caterson ID, Holmes AJ, Storlien LH. Increased gut permeability and microbiota change associate with mesenteric fat inflammation and metabolic dysfunction in diet-induced obese mice. PLoS One 2012;7(3):e34233.

12 Paoli, A, Grimaldi K, D’Agostino D, Cenci L, Moro T, Bianco A, Palma A. Ketogenic diet does not affect strength performance in elite artistic gymnasts. J Int Soc Sports Nutr 2012;9:34.

Full Fat or Low Fat Dairy?

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If you are totally against low-fat dairy, it’s time to take a closer look at the research. After listening to this dairy debate and watching the finger pointing, I started searching through the literature for an answer to this question “does dairy fat increase LDL cholesterol and risk for cardiovascular disease?” Then I came to my senses. No one eats dairy fat. Unless you’re a food scientist, you aren’t separating the fat from milk or full-fat yogurt and eating it or adding it as an ingredient to your recipes. However, we do eat cheese and yogurt and drink milk. The array of compounds in each of these foods influences how they affect your cholesterol and risk for heart disease. So, I revised the question to: “how does full fat cheese, yogurt and milk impact cholesterol and risk for heart disease?”

Here’s what I’ll cover in this article:

  • Why people are up in arms about saturated fat – saying it is either good or bad;
  • How does full fat cheese, yogurt and milk impact cholesterol;
  • What should you do with this information?

Dairy Fat isn’t the Only Factor

The research on dairy generally follows the research on saturated fat: the replacement strategy matters. For instance, it isn’t a good idea to take cheese out of your diet and replace it with a highly refined carbohydrate (not a good move for blood fats). Butter isn’t better than liquid oil. Butter raises LDL cholesterol. Some research suggests dairy fat might raise the large, less artery clogging LDL cholesterol compared to small dense LDL. However, “less artery clogging” does not mean “not artery clogging” and this area of the science needs more work before we can draw firm conclusions. Also, there are a few differences based on the type of food (milk, cheese, yogurt, butter); aged cheese reigns.

dairy and cheddar cheese

-> Aged cheese does not raise LDL as much as butter (accounting for total fat in each). In fact, several studies show aged cheese appears to have a “relatively minor” impact on LDL cholesterol or no impact at all. This could be due to the calcium content, which leads to the excretion of some fat or, fermentation may have an effect. Aged cheese stands out in the research.

-> Yogurt appears to have less of a cholesterol raising effect than expected. However this research is inconsistent possibly due to differences in the type of bacteria in the yogurt (aka probiotics). I recommend choosing yogurt with “live and active cultures.”

– > Milk – when consuming the same amount of fat from whole milk or butter, both raise LDL to the same extent. Milk contributes substantially less total fat per amount consumed compared to full fat yogurt and butter. Cross-sectional studies suggest milk consumption doesn’t raise coronary artery disease risk, however, this may reflect lower total fat intake from milk compared to butter.

-> Cottage cheese –  this incredible food is oftentimes forgotten yet an excellent addition to your diet. I couldn’t find any studies on cottage cheese, however, the highest fat cottage cheese I could find  (4% milk fat) contained 5 g total fat per serving so we can expect the impact cottage cheese may have a lower impact compared to whole milk.

What Should You Do with this Information?

If your LDL is high, choose skim, 1% or low fat milk. Opt for a good quality yogurt with naturally occurring probiotics. As far as cheese goes – I’d take out all of the other offending foods and work on other aspects of heart health before ditching the cheese (unless your LDL is very high) and cottage cheese. However, always follow the dietary advice of your registered dietitian since there are many variables that should be taken into consideration.

What about the trans fats in dairy? They are good for you right? No. In large amounts, the trans fats in dairy have the same impact as those found in partially hydrogenated oil (not good for cholesterol, cardiovascular disease risk etc.). However, we don’t eat dairy trans fats in significant quantities (they make up very tiny amounts of dairy fat and beef fat).

Take Home Points

In general, dairy foods help lower blood pressure plus there is emerging evidence about the positive role dairy foods may play in metabolic syndrome. What about dairy fat? Consider the whole food and your diet overall so you can make the right choices based on your personal risk factors for cardiovascular disease. Also, keep in mind there are many factors that influence cardiovascular disease pathology, some of which are unrelated to cholesterol.

References

Tholstrup T, Hoy CE, Andersen LN, Christensen RD, Sandstrom B. Does fat in milk, butter and cheese affect blood lipids and cholesterol differently? J Am Coll Nutr 2004;23:169–76.

Hjerpsted J, Leedo E, Tholstrup T. Cheese intake in large amounts lowers LDL-cholesterol concentrations compared with butter intake of equal fat content. Am J Clin Nutr 2011;94:1479–84.

Biong AS, Muller H, Seljeflot I, Veierod MB, Pedersen JI. A comparison of the effects of cheese and butter on serum lipids, haemostatic variables and homocysteine. Br J Nutr 2004;92:791–7.

Nestel P. Effects of Dairy Fats within Different Foods on Plasma Lipids. J Am Coll Clin Nutr 2008, 27(6): 735S–740S.

Thorning TK et al. Diets with high-fat cheese, high-fat meat, or carbohydrate on cardiovascular risk markers in overweight postmenopausal women: a randomized crossover trial. Am J Clin Nutr 2015.

Labonté MÈ et al. Dairy product consumption has no impact on biomarkers of inflammation among men and women with low-grade systemic inflammation. J Nutr 2014;144(11):1760-7.

Sjogren P et al. Milk-derived fatty acids are associated with a more favorable LDL particle size distribution in healthy men. J Nutr 2004;134(7):1729-35.

Hodson L, Skeaff CM, Chisholm WA. The effect of replacing dietary saturated fat with polyunsaturated or monounsaturated fat on plasma lipids in free-living young adults. Eur J Clin Nutr 2001; 55(10):908-15

Soerensen KV et al. Effect of dairy calcium from cheese and milk on fecal fat excretion, blood lipids, and appetite in young men. Am J Clin Nutr 2014;99(5):984-91.

Grebe A, Latz E. Cholesterol crystals and inflammation. Curr Rheumatol Rep 2013;15(3):313.

 

 

Sourdough – Safe for Gluten Sensitivity?

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There’s something special about sourdough bread. Made through a slow process that begins with simple ingredients, warm water and flour, yeast and bacteria feast on the flour’s carbohydrate, producing carbon dioxide gas and bubbles that expand the dough. Each batch may tastes a little different depending on the flour and water used as well as the environment the starter is made in. My favorite sourdough bread, the kind that is made over the course of several days, has an alluring pungent, slightly sour taste. This long fermentation process leads to more complex flavors while also creating bread that is easier for those with gluten sensitivity to digest. I shared the science behind sourdough in this segment on Fox TV:

What is Gluten?

Gluten’s stretchy fibers give dough it’s rubberband-like elasticity allowing it to stretch when pizza dough is tossed in the air like a frisbee. Gluten-rich dough traps air and water during the baking process so bread rises with delicate ease, producing light and fluffy baked goods. Without wheat (and therefore gluten, which is produced when wheat flour is mixed with water), gluten free items require a blend of flours, starches and additives yet they still can’t replicate the texture of gluten-containing baked goods.

In people with celiac disease, an autoimmune digestive disease, repeated exposure to gluten damages villi, fingerlike projections in the small intestine that help us absorb nutrients from food. Over time, a decrease in nutrient absorption can lead to anemia, osteoporosis, miscarriages and other complications. The University of Chicago Celiac Disease Center website lists over 300 symptoms associated with celiac disease though anemia is the most common symptom in adults. The only available treatment is a strict gluten free diet – which helps reverse intestinal damage over time. Gluten sensitivity is not an autoimmune disease but instead a vague medical condition without a uniform definition or diagnostic test at this time. People with gluten sensitivity report various symptoms triggered by the ingestion of gluten-containing foods including abdominal pain, bloating, and constipation or diarrhea. Though gluten sensitivity is real, someone who thinks they have sensitivity may actually be reacting to something other than gluten (another protein or the starches – see below under Is it the Gluten?)

Sourdough bread

The Science behind Sourdough

Standard yeast leads to a fast fermentation process. This ramps up production speed and it is also foolproof so companies can produce batches of bread at warp speed. Sourdough bread is made slowly, over time, letting the yeast work it’s magic to deliver an array of flavors as well as bread that is easier to digest. In one study, sourdough bread made with selected sourdough lactobacilli and long-time fermentation resulted in bread with gluten levels of 12 parts per million (ppm), which qualifies for gluten-free (anything below to 20 ppm is gluten free). A long fermentation process allows bacteria and yeast adequate time to feed on proteins and starches breaking them down into more digestible parts. Yet sourdough also boasts a lower glycemic index than many other types of bread (including white bread) and therefore it doesn’t lead to a quick spike in blood sugar levels.

In 2011, a small study conducted in Italy tried giving volunteers with celiac disease a small amount of specially prepared sourdough bread. The bread was fermented until the gluten was broken down to more easily digestible parts. The subjects in the study reacted well to the sourdough, with no changes in intestinal villi and no detectable antibodies typically found when a celiac disease patient eats a gluten containing food. According to the study authors, the bread “was not toxic to patients with celiac disease.”

In another study, conducted over 60 days, baked goods made from hydrolyzed wheat flour, manufactured with sourdough lactobacilli and fungal proteases, was not toxic to patients with celiac disease. Though these studies are groundbreaking, it is far too soon for celiac disease patients to try this at home. For sourdough bread to be an option for those with celiac disease, a uniform production process would need to be established to ensure the end product is gluten-free.

For those with Gluten Sensitivity, Is it Really the Gluten?

Some people may experience bloating and flatulence in response to FODMAPs (fermentable oligosaccharides, disaccharides, monosaccharides and polyols). FODMAPs are a type of carbohydrates that are not well absorbed in the small intestine and are present in bread along with a number of other foods (other grains, some vegetables and fruits). In some people the problem may be FODMAPs, not gluten. The long fermentation process reduces FODMAPs.

How to Make Sourdough at Home

Sourdough starter begins with flour and water that sits for several days while being fed intermittently with both flour and water allowing bacteria (lactobacilli) and yeast to grow and multiply creating live cultures. These microorganisms are what makes the dough ferment similar to the way milk ferments to become yogurt. Check out these recipes to make your own sourdough bread: Healthy Aperture, the Perfect Loaf.

If you run into problems making sourdough check out this page for troubleshooting.

 

 

Are Low Carbohydrate Diets Best for Weight Loss?

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If you haven’t been bombarded with advertising for low carbohydrate foods, diets, plans and crazed anti-carbohydrate friends and coworkers in the past few years, you must be living on a remote island somewhere (taking any visitors?). The anti-carbohydrate, pro-fat crowd (including keto, Paleo, and Whole 30 – aka Paleo reinvented) devotees might be onto something. But that “something” isn’t a miraculous cure for obesity. Should you trade your low fat, higher carbohydrate diet for full fat foods and “bread” made from cauliflower and mozzarella cheese? It’s time to look past the media headlines to the latest research on low fat vs. low carbohydrate diets.

In this article I’ll cover:

  • the latest research on lower carbohydrate diets;
  • what this research means for you; and
  • a sidenote on the insulin hypothesis.

Should you switch to low carbohydrate vs. high carbohydrate foods?

The Latest Research on Low Carbohydrate Diets

In an attempt to determine which diet is best for weight loss, one of the latest studies collected and analyzed studies on low fat and low carbohydrate diets. A systematic review and meta-analysis, which combines the results of several studies, compared intervention studies > 1 year in length where participants were placed on low fat diets, low carbohydrate diets, other high fat dietary interventions or they continued eating whatever they wanted (their typical diet). Low fat diets ranged from  < 10% of calories from fat to < 30% of calories from fat. The diet interventions used ranged from providing instructions at the start of the study and expecting participants to follow the diet plan to regular counseling sessions with dietitians, food diaries and cooking lessons to actual feeding studies where participants were given most of their overall food intake (with the last approach the most well-controlled). Some studies coached participants to cut calories while others, including those put on low-carbohydrate Atkins-style diets, were told to eat until they were full without worrying about calories.

They analyzed results from 13 trials that examined weight maintenance as well as studies that didn’t include weight loss as a primary goal. In these studies low-fat and high-fat diets lead to a similar amount of weight loss. Low-fat diets were superior only when compared to the subjects’ normal diet – in other words actually going on a diet led to greater weight loss than not dieting (no surprise there). The tiebreaker came from an analysis of 35 weight loss trials, 29 of which were conducted using adults who were overweight, obese, or had type II diabetes. Overall, there was no difference between low-fat and high-fat diet interventions. Low-fat diets led to greater weight loss compared to groups who didn’t diet. However, higher fat diets were the clear winner (according to the headlines), leading to significantly greater weight loss after a year than low fat diets. Before tossing out your steel cut oatmeal, whole-grain bread and fresh Summer fruit, let’s take a closer look at this data. It was pulled from a comparison between low-fat diets and high-fat diets that varied by more than 5% of calories. So did low carbohydrate, higher fat diets really win or was it because subjects cut calories? Is it easier to cut calories on low carbohydrate, high fat diets? Participants on low carbohydrate diets lost about 2.2 pounds more weight after one year versus those on a low-fat diet. A 2.2-pound difference in weight loss after one year on a diet isn’t very impressive, especially considering many of the subjects were overweight or obese to begin with.

The End of Higher Carbohydrate, Low-Fat Diets?

Based on these results the authors suggest low-fat diets shouldn’t be the go-to recommendation for weight loss. However, the results of this study are mainly applicable to overweight, obese and type II diabetics – the primary populations examined in these studies. We can’t take the authors conclusion that low carbohydrate, higher fat diets are better if you are looking to lose a few pounds for a beach ready body. What works for an obese adult or type II diabetic will not necessarily work for an active adult who wants to get a 6-pack. Secondly, previous research shows low carbohydrate diets tend to produce greater weight loss, initially, than low fat diets (some of this is water weight since carbohydrates store 3-4 times their weight in water in the form of glycogen in muscles and the liver and your glycogen stores will start dropping when you drastically lower your carbohydrate intake) yet after a year, weight loss is equivalent between both diets. Other research shows weight loss over the first six months on a diet is the main predictor of both weight loss success and sticking to a diet over the long-term. Greater weight loss initially = better adherence = better success over time.

Long-term Success

What’s more disappointing than the paltry 2.2-pound difference between the low-fat and high-fat diets after one year is the total average weight loss in the studies designed for weight loss – a mere 8.25 lbs. after 1 year. Instead of declaring low carbohydrate, higher fat diets a clear winner over low fat, higher carbohydrate diets (especially considering the 2.2 pound difference), we should be asking why it’s tough to stay on a diet, any diet? Why aren’t study participants losing more weight? I don’t have the answer to these questions and leading weight loss researchers don’t seem to have a complete picture right now either.

If you want to lose weight, choose a lower calorie diet primarily based on high quality foods or create your own plan that fits into your lifestyle and is one you can stick with it. There are many diets that could, potentially, work for you. If you want to try a low carbohydrate diet for a while, by all means go for it (especially if you need to see that number on the scale move pretty quickly)! If cutting carbs sounds like being in detention, then skip that approach! I’m giving you permission to alter your plan as often as you need to based on changes in your lifestyle (some research papers actually suggest doing this and I am a huge fan of this approach), motivation, and results.

Conceptually, low carbohydrate diets are very easy. You don’t have to worry about portion sizes, log calories, count points or determine if you have to eat less at dinner to make up for a lunchtime splurge. Decision-making is boiled down to: it contains carbs and therefore off my diet or it is low in carbs and the carbs it does contain are high in fiber so I can eat it. Just don’t buy into the hype that low fat, higher carbohydrate diets are the only way to lose weight or that these diets are better, over the long term, than other dietary approaches that also cut calories.

References

Tobias DK, Chen M, Manson JE, Ludwig DS, Willett W, Hu FB. Effect of low-fat diet interventions versus other diet interventions on long-term weight change in adults: a systematic review and meta-analysis. Lancet Epub before print. 29 October 2015.

Greenberg I, Stampfer MJ, Schwarzfuchs D, Shai I; DIRECT Group. Adherence and success in long-term weight loss diets: the dietary intervention randomized controlled trial (DIRECT). J Am Coll Nutr 2009;28(2):159-68.

Franz MJ, VanWormer JJ, Crain AL, Boucher JL, Histon T, Caplan W, Bowman JD, Pronk NP. Weight-loss outcomes: a systematic review and meta-analysis of weight-loss clinical trials with a minimum 1-year follow-up. J Am Diet Assoc 2007;107(10):1755-67.

Hall KD. Predicting metabolic adaptation, body weight change, and energy intake in humans. Am J Physiol Endocrinol Metab 2010;298(3):E449-66.

Hall KD, Sacks G, Chandramohan D, Chow CC, Wang YC, Gortmaker SL, Swinburn BA. Quantification of the effect of energy imbalance on bodyweight. Lancet 2011; 378(9793).

Rosqvist F, Iggman D, Kullberg J, Cedernaes J, Johansson HE, Larsson A, Johansson L6, Ahlström H, Arner P, Dahlman I, Risérus U. Overfeeding polyunsaturated and saturated fat causes distinct effects on liver and visceral fat accumulation in humans. Diabetes 2014;63(7):2356-68.

 

 

 

How Much Protein Can Your Body Use from One Meal?

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Steak is a high protein meal

How much protein can your body digest and use at a time? If you you eat the right amount of protein at every meal you’ll supposedly hit the sweet spot – maximum muscle growth and satiety (fullness) without wasting food or money. General guidelines based on short term trials and one cross-sectional study suggest adults need regular meals including 25 – 45 grams of protein per meal to maintain or build muscle mass and maximum strength (1, 2, 3). However, it is possible that more protein per meal may be beneficial in some instances while the per meal amount might not matter very much in others. Your body can and will digest all of the protein you eat in a sitting (it might take a while) and it doesn’t just discard any excess that isn’t used to build structures in the body.

In this article I’ll cover:

  1. Why should we focus on a “per meal” dose of protein?
  2. What happens to “leftover” protein;
  3. What influences protein requirements;
  4. How you can estimate your protein needs.

Does the Amount of Protein Per Meal Matter?

In a really cool study conducted by well-known protein scientists, the minimum amount of protein per meal found to maximally spike muscle growth was 0.11 grams per lb. of body weight in younger adults and 0.18 grams per lb. of body weight in older adults (over 71 years of age) (2). Older adults need more protein due to a decline in muscle response to protein intake that occurs with age. In addition to a minimum, there is an upper limit of protein intake; anything beyond this threshold dose will not be used to build muscle. For example, one study examined 4 ounces of beef containing 30 grams of protein compared to 12 ounces of beef containing 90 grams of protein. The larger serving did not lead to a greater increase in acute muscle protein synthesis compared to the 4 ounce serving (4). So now we know we need some protein, but not 90 grams in one sitting. However, we still don’t know what the minimum upper limit is, beyond which higher intakes do not lead to increases in muscle mass or muscle functioning over time (5).

More evidence for a per meal dose came from a short-term study that found an even pattern of high quality protein at each meal (30 grams per meal; 1.2 g/kg for the day) as opposed to a skewed pattern (10 grams at breakfast, 15 g lunch and 65 g at dinner; 1.2 g/kg for the day) may be best for maximally stimulating muscle building in young adults (1).

Despite the evidence in favor of an even distribution of protein intake throughout the day, a short-term study in older, resistance trained adults given 2x the RDA – 0.68 grams of protein per lb. bodyweight (1.5 grams per kg) per day in an uneven or even pattern (see chart at the end of this article) or the RDA of 0.36 grams of protein per lb. bodyweight (0.8 grams per kg) per day again in an uneven or even pattern found the pattern of intake didn’t matter. Consuming 2x the RDA, regardless of whether it was consumed in an uneven or even pattern, led to a significantly greater increase in muscle protein synthesis compared to consuming 1x the RDA. The pattern of protein intake didn’t matter, possibly due to age-related decline in muscle response to protein intake,  greater total daily protein intake or some other factor (6).

What Happens to Excess Protein Intake?

There is no long-term storage site for amino acids, the building blocks of protein. After eating a thick juicy steak, creamy bowl of split pea soup or sizzling soy fajitas, your body digests the protein and absorbs the amino acids, using them to build new structures, including muscle. When excess protein is consumed, more than the body needs at that point in time, the rest is used for energy or  converted to body fat. The nitrogen (from amino acids) is combined with other compounds to form urea, a harmless waste product, which is processed by the kidneys and excreted in the urine.

What Influences Protein Requirements?

Though 90 grams in one sitting may be more than necessary for muscle, science has yet to figure out the exact threshold beyond which there is no benefit for muscle. This is a complicated question as there are many factors that influence a person’s daily protein needs as well as how much protein a person may need at each meal. These include but are not limited to: age, training status, total daily calorie intake (if dieting total protein needs are higher), overall amount of protein consumed each day; the type (anti-nutrients?), quality and leucine (or EAA) content of the protein consumed at each meal, other nutrients consumed at meal time, training program, lean body mass, health status and goals.

How Much Protein Do You Need at Each Meal?

Given the research to date, does a per meal does matter?

If you are dieting, yes.

If you don’t get at least 0.55 grams protein per lb. body weight (1.2 grams per kg), yes.

If you eat plenty of protein every day and a decent amount at regular meals throughout the day, it might not matter that much, or at all.

For now, stick to the general guideline of at least 25 grams per meal (the amount of an average female’s palm worth of chicken, turkey, red meat, fish). You may need more, per meal, to maximize muscle growth and repair  if:

  • You are older (relative term since we don’t know exactly what age qualifies as “older). Aim for 1.0 – 1.5 grams of protein per day (7) and regular meals with a good amount of protein per meal. If you have chronic kidney disease, follow the advice of your RD and MD.
  • You eat primarily vegetarian proteins.

Many factors influence a person’s nutrition needs. If you want to maintain or gain muscle mass and strength, concentrate on your total daily protein intake (at least 0.55 grams of protein per lb. of bodyweight; 1.2 grams per kg) followed by how much you consume at each meal. There is no one-size-fits-all ideal protein intake per meal and the body doesn’t just “waste” protein that isn’t used for muscle building. For now, research suggests 25 to 45 grams per meal is a good general guideline. More may be better for muscle. Less may be necessary if you have chronic kidney disease.

Table: Quantity of dietary protein intake, but not pattern of intake, affects net protein balance primarily through differences in protein synthesis in older adults (select data and average leucine intake calculated)

Amount Pattern Meal Protein (grams) Protein as a % of total calories Average leucine intake per meal (calculated)
1x RDA Uneven Breakfast 11.1 8 0.89
Lunch 14.9 8 0.89
Dinner 47.8 12 3.56
Total 73.7 10 4.45
Even Breakfast 22.3 15 1.63
Lunch 21.5 9 1.63
Dinner 22.0 9 0.81
Total 65.8 11 4.07
2x RDA Uneven Breakfast 18.1 15 0.80
Lunch 24.3 12 1.60
Dinner 78.4 22 4.79
Total 120.8 19 7.99
Even Breakfast 38.0 25 2.98
Lunch 36.5 17 2.98
Dinner 37.9 18 2.23
Total 112.4 19 8.2

References

1 Mamerow MM, Mettler JA, English KL, Casperson SL, Arentson-Lantz E, Sheffield-Moore M, Layman DK, Paddon-Jones D. Dietary protein distribution positively influences 24-h muscle protein synthesis in healthy adults. J Nutr. 2014 Jun;144(6):876-80.

2 Moore DR, Churchward-Venne TA, Witard O, Breen L, Burd NA, Tipton KD, Phillips SM. Protein ingestion to stimulate myofibrillar protein synthesis requires greater relative protein intakes in healthy older versus younger men. J Gerontol A Biol Sci Med Sci 2015;70(1):57-62.

3 Loenneke JP, Loprinzi PD, Murphy CH, Phillips SM et al. Per meal dose and frequency of protein consumption is associated with lean mass and muscle performance. Clin Nutr 2016 Apr 7.

4 Symons TB, Sheffield-Moore M, Wolfe RR, Paddon-Jones D. A moderate serving of high-quality protein maximally stimulates skeletal muscle protein synthesis in young and elderly subjects.J Am Diet Assoc 2009;109(9):1582-6.

5 Deutz NE, Wolfe RR. Is there a maximal anabolic response to protein intake with a meal? Clin Nutr 2013;32(2):309-313.

6 Kim IY, Schutzler S, Schrader A, et al. Quantity of dietary protein intake, but not pattern of intake, affects net protein balance primarily through differences in protein synthesis in older adults. Am J Physiol Endocrinol Metab 2015;308(1):E21-8.

7 Paddon-Jones D, Campbell WW, Jacques PF, Kritchevsky SB1, Moore LL, Rodriguez NR, van Loon LJ. Protein and healthy aging. Am J Clin Nutr 2015 Apr 29.

 

 

Is Coffee Good for You?

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CoffeeDrinking coffee will leave you dehydrated and geeked out on caffeine. For several decades we’ve been warned about America’s favorite beverage. Yet these dire warnings were largely based on assumptions rather than actual science. A growing body of evidence suggests your morning Cup O’ Joe may be good for you! Here’s a look at the latest research.

What’s in a Coffee Bean?

Coffee beans are actually seeds from coffee cherries. They are picked, dried, and roasted turning them from green to those familiar aromatic brown beans we know and love. It’s ironic that a beverage made from seeds has gotten such a bad rap. Green coffee beans are naturally rich in antioxidants including chlorogenic acids, compounds that are readily absorbed in the human body, have antibacterial and anti-inflammatory actions and are associated with many health benefits including a reduction in cardiovascular disease, type II diabetes and Alzheimer’s disease. Antioxidants protect plants from disease and pests. Some antioxidants also protect human cells from harm. Roasted coffee beans are loaded with antioxidants (contrary to popular belief, they are not destroyed during roasting) and scientists are slowly uncovering the metabolic fate of each type antioxidant as well as the potential health benefits associated with regular coffee intake.

Potential Health Benefits

A National Institutes of Health study published in 2012 found older adults who drank caffeinated or decaffeinated coffee were less likely to die from heart disease, respiratory disease, stroke, injuries and accidents, diabetes, and infections. Those who drank over 3 cups per day had a 10% lower risk of death compared to those who did not drink coffee. Though this study only showed an association between coffee consumption and a decreased risk of death, it provided some reassurance to people who couldn’t seem to give up their favorite beverage. Studies published over the past three years lend strength to the relationship between regular coffee intake and a decreased risk of certain diseases.

Heart Health
A study published in the British Medical Journal’s publication Heart, examined diet and artery health in over 25,000 Korean men and women. Those who drank 3 to 5 cups of coffee per day were 19% less likely to have the first signs of atherosclerosis,  plaque buildup on artery walls, compared to those who were not coffee drinkers. Lower intakes were not associated with a reduction in plaque buildup. Drawbacks to this study: diet was examined at one point in time and study subjects were asked to recall their coffee intake over the previous year (people generally don’t recall their food / drink intake with great accuracy). Also, keep in mind this study showed an association between coffee intake and artery health, it doesn’t prove that coffee reduces plaque buildup on artery walls or that it can prevent cardiovascular disease. More research is needed to understand how coffee intake could potentially support heart health.

Cancer
A recently published study found individuals previously treated for stage III colon cancer who were regular coffee drinkers, consuming at least 4 cups of caffeinated coffee per day, had a 42% lower risk of recurrence of colon cancer and 33% lower risk of dying from the disease. This study found an association between coffee intake and decreased risk of colon cancer recurrence.

Research on coffee intake and risk of various cancers is mixed with some showing it is protective and others suggesting it may increase risk. Keep in mind there are many potential factors that impact cancer risk and risk of cancer recurrence with a sedentary lifestyle, high body fat and alcohol intake strongly associated with increased risk of certain types of cancer. Fruit and vegetable intake is associated with a decreased risk of some types of cancers. As for your Cup O’ Joe, time and more research, will tell us how America’s favorite beverage fits in the picture.

Should You Increase Your Coffee Intake?

All of these studies on regular coffee consumption include higher intakes. No benefits are noted for lower intakes – one to two cups per day. Keep in mind that some people should avoid or be cautious with caffeine intake including kids, teens, people with anxiety disorders, glaucoma, heartburn or cardiovascular disease. Also, pregnant women should avoid higher intakes of caffeine – more than 3 cups of coffee per day (regular sizes cups). Now about the caffeine – regular intake of moderate amounts of caffeine will not dehydrate you.

If you drink coffee in moderation, enjoy it! Don’t increase your intake based on these studies or start drinking if you aren’t a regular coffee consumer. Future research will tell us more about the many naturally occurring compounds in coffee, their actions in the body and the potential link between coffee and disease risk.

References
Heart 10.1136/heartjnl-2014-306663
New Eng J Med 2012;366:1891-1904.
J Nutr 2008;138(12):2309-15.
Mol Nutr Food Res 2005;49:274–84.
J Agric Food Chem. 2006;54:8738–43.
Am J Epidemiol 2002;156:445–53.
Biol Pharm Bull 2006;29:2236–4
Pest Manag Sci 2003 Apr;59(4):459-64.
J Clin Oncol 2015 Aug 17. [Epub ahead of print]

 

 

Meal Delivery Services & Menu Planning

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Tilapia

Menu Planning

If spending time on Pinterest boards trying to figure out what you should make for dinner this week isn’t exactly your thing, save time and energy by letting a pro do the work for you.  My colleagues at My Menu Pal sell individual meal plans for incredible prices (just $1.49 for 4 entrees, 1 – 2 side dishes with each entree, Nutrition Facts, helpful hints and a shopping list). Check out their current special and E-book by clicking here. If you want to do even less work, consider a meal delivery service.

Meal Delivery Services

There are two different types of meal delivery services – one involves popping the meals in the oven and setting the timer (I call these Heat and Eat). The second kind sends you a box of ingredients and a recipe and its your job to put the meal together (Recipe Creations). Though they cost more than buying the ingredients and cooking for yourself, they save time (and time is money, especially if you work for yourself) and may actually cost less in the the long run if you frequently eat out or food goes bad before you get a chance to eat it.

Heat and Eat

This option is for someone who travels often, is too busy to shop and cook or doesn’t want to cook. Your meals will be delivered to your doorstep and your only job is to heat them up. Most of these services have a limited number of selections that you will get tired of eating over and over again for months at a time. However, they also serve as good fill-in meals if you want a few per week to save some time on food preparation and you can cook the rest of the time.

All of the following are nationwide unless cities are specified:

Freshly (most of the U.S.)
For: athletes, general healthy eating, weight loss
* Many athletes will need 4 meals per day or more depending on calorie needs

Good variety of meals though, like all meal services, the total number of options are limited. They add at least one new meal to their menu each week. The entire menu is gluten and peanut free. They also accommodate specific dietary preferences and food allergies.

Meals are delivered fresh and never frozen. Choose from 4, 6, 9 or 12 meals per week. The more meals you get the lower the price per meal. So for instance, 4 meals per week will cost $12.50 per meal while 12 per week will cost $8.99 per meal. Free shipping. You can put your meals on pause or skip a week if you notify them ahead of time.

Fuel Food:
For: athletes, general healthy eating, weight loss
Meals are weighed and portioned. Each meal is $7.50 (if you order 300 meals!) or more. Shipping is $5 per meal in FL and more in other states.

Hello Fresh:
For: general healthy eating
Nationwide. No calorie or macronutrient information listed. Starts at $8.75 per meal for 2 or more adults. Vegetarian options available.

Bistro MD:
For: weight loss, general healthy eating (you may need to add more calories)
5 and 7 day programs for weight loss. Women’s programs average 1,200 calories per day. Men’s – it doesn’t say. At 1,200 calories per day I would be concerned about muscle loss esp. if protein intake is low. Use code RD25Off for 25% off and free shipping.

Healthy Chef Creations:
For: general healthy eating
This service includes breakfast, lunch, and dinner options. Dinners start at 15.99 for a “regular size” meal and cost about $21.99 for a “large size” meal (free shipping). Nutrition information isn’t listed though you can customize the meals to suit your dietary needs. They include a few quacky things like detox drinks and they don’t have a nutrition expert overseeing their meals.

My Fit Foods (AZ, CA, TX, OK)
For: weight loss, general healthy eating, athletes
I love how easy their website is to navigate. They have breakfast, lunch and dinner options with many meals between $5 – $8 (caveat – their meals are low in calories so most people, even those who are dieting will need 3 meals + snacks or 4 or more meals daily). For many athletes – the portion sizes will need to be 3-4x larger so that puts the meals at around $15 – $28 per meal if you are eating over 3,000 calories per day. They also have options grouped by dairy free, gluten-free, low-carb, low sodium, spicy and vegetarian.

Fresh N Fit (Atlanta, GA)
For: weight loss, general healthy eating
Flexible (no subscription required) and they have several options including Paleo, gluten-free, vegetarian, low-carb (< 15% net carbs, which means total carbohydrates – fiber), customized (you can specify no beef, no seafood, no pork etc.). Total daily calories include a 1,200 calorie option and 1,800 calorie option. At 1,200 calories per day I would be concerned about muscle loss esp. if protein intake is low. Active adults will likely need to supplement or order additional meals to get enough calories each day. Try promo code BCH10 or Mark40 to get $10 off your first order or $40 off a week plan.

Christophers To Go (Atlanta, GA)
For: general meal delivery, delivered fresh.

Nutrition information provided.

Options: Paleo, gluten free, dairy free, vegan, vegetarian.

Prices: $4.59 – $21.99 per meal
› Every meal is labeled with ingredients and nutrition information.

› The menu always has vegetarian, paleo, gluten free, and dairy free options.

Sunfare (LA and Phoenix):

They have a few different meal options including Artisan (organic, gluten-free, non-GMO, Vegetarian, and Paleo.

New Orleans: there are many local options. Check them out by clicking here.

 

Recipe Creations

This style of meal delivery is for people who don’t want to shop or measure ingredients but do want to cook. All of the ingredients are measured and delivered to your door along with the recipe. Choose this service if you enjoy cooking but you want the convenience of somebody shopping for you. You will spend time on on meal preparation – sometimes more than 30 minutes. Advantages: no food waste, saves shopping time.
Disadvantages:  if you are short on time this option is not for you because you will spend time cooking. Meal delivery services aren’t for very choosy eaters or those who have several food allergies or  sensitivities.

Plated – this nationwide subscription service allows you to choose anywhere from 1 – 7 meals per week. They offer 9 total choices per week including vegetarian, meat and seafood options.

  • Cost: starts at $12 per serving (for one person).
  • Nutrition Facts: they estimate their meals are 600-800 calories each. Click on each entrée to find out the nutrition information.

Blue Apron – this nationwide subscription service is flexible and has a wide array of recipes (there are no repeats within the same calendar).  Try before you buy – they list all recipes for each dish on their website (click on one and scroll down).  They also offer free recipes emailed to you each week (scroll down to the bottom of this page).

  • Cost: starts at about $9 per serving.
  • Nutrition Facts:  these are provided under each recipe with the caveat that different sizes of produce and amount of oil used will alter the nutrition facts.

Hello Fresh – this nationwide delivery service has three different choices and will, omnivores (meat eaters), vegetarians and a family box.

  • Cost: starts at $8.75 per person.
  • Nutrition Facts: none that I could find. They estimate each meal contains 500-800 calories per serving.

Peach Dish –  Southern cooking delivered nationwide.

  • Cost: though this service is $12.50 per meal, there’s additional shipping fee in several states including AZ, CA, CO, IA, ID, KS, MN, MT, ND, NE, NM, NV, OK, OR, SD, UT, WA, WY.
  • Nutrition Facts: listed as a separate tab on each recipe.

If you’ve tried any of these meal delivery services, please leave comments!