Saturday, June 9, 2012

Sugar: Do you know what is in your food?


The benefit of living in an industrialized society like the USA is that we do not have to hunt or gather our food, like our ancestors did. We rely on major food industries to provide items to fulfill our daily energy intake requirement, hopefully with our best interest in mind. Driven by our inherent and intense desire for a palatable meal, our food supply has been shaped to satisfy our needs. Interestingly, it appears that we are “preprogrammed” to have a sweet tooth as studies involving infants show they prefer a sweeter meal versus a bland or bitter one. One way the food industry has responded to our innate food preferences is through the realm of processed foods. Processing food has its benefits and drawbacks; however, food companies typically consider their financial gain in front of human health. Therefore, they create foods that will sell and entice people to crave more. One way they have successfully done this is give us what we inherently want: Sugar.
            Although it may not be apparent, sugar is found nearly in every food. When people think of sugar they typically think of that white granulated substance in the kitchen cupboard. Although this is true, sugar comes in many forms and is digested differently depending on the form. In essence, all carbohydrate is sugar. Specifically, complex sugars from the diet are made up of long strings of glucose molecules, which is the most basic and abundant sugar found in the body. Complex sugars are typically found in many whole, unprocessed products such as fruits, vegetables, whole grains, and whole wheat. On the contrary, table and milk sugar are considered simple sugars because they only contain 2 linked molecules instead of many as in the complex form. Simple sugars are typically added to many foods including soda, candy, cereal, and yogurt. Because of the structural differences, complex sugars take more energy (burn more calories) and time for the body to completely digest and process compared to simple sugars. Therefore, consuming 40 grams of simple sugar (such as the sugar in one 12 oz can of soda) compared to 40 grams of complex sugar (such as in a medium sized potato) will require less energy from you (in calories) and time to digest. Although you burn more calories eating complex compared to simple sugar, this is not a weight loss solution. The main reason I mentioned the energy requirement and processing time regarding simple and complex sugar is to set up my next point about its implications in health and disease.
            Since the time it takes to digest and process simple sugar is significantly shorter than complex ones, simple sugar becomes available to your body at a much quicker rate. This leads to a significant increase in blood sugar concentrations over a short period of time. On the contrary, complex sugars take longer to process resulting in a progressive increase in blood sugar levels. Interestingly, our body has a number of mechanisms set in place to regulate blood sugar concentrations, especially when there are spikes in simple sugar consumption. However, these mechanisms can only be taxed for so long before the body begins to fail at controlling blood sugar concentrations. As we all know, one of the most common and debilitating diseases affecting the world’s population is diabetes. In the case of type 2 diabetes, our body loses its ability to maintain proper blood sugar levels typically due to lifestyle factors such as diet. As stated previously, our diet is shaped by our inherent desire for a palatable meal which in turn leads producers to create foods we will buy. Most of the foods we all love are processed and contain a ton of added simple sugars. Processing in itself removes complex sugars, including fiber (yes fiber is an indigestible sugar), leaving more simple forms. Thus, our food supply has been shaped to not only provide more calories per serving but also provide an avenue to promote greater fluctuations in blood sugar. Although this creates a major problem for individuals with issues controlling blood sugar concentrations, such as those with diabetes, people without diabetes are not in the clear. Diabetes (specifically type 2) takes years to develop; therefore, monitoring what you eat as a preventative measure will help limit your chances of developing uncontrolled blood sugar concentrations.
            So then the next question you may ask is: what should I eat to limit my simple sugar intake? The easiest way to reduce your simple sugar intake is to eat more unprocessed foods such as fruits and vegetables. Although it is fairly cliché to state this, this is one of the many reasons whole, unprocessed fruits and vegetables are good for you: no added sugar. Moreover, most unprocessed animal products do not have added sugar (not including cold cuts and some ground meats). Also, increasing your intake of whole grain and whole wheat products will help as they are less processed and refined (i.e. they have more fiber and complex sugars). In my personal opinion, it is nearly impossible to escape added sugar. I also do not believe that people should drive themselves insane by restricting themselves to bland, unpalatable foods and stray away from processed foods. However, if you have a decision among certain processed products, here are my suggestions. If sugar has been added to the product, which is most likely simple sugar, it will be listed on the ingredients label provided by the manufacturer. The higher it is on the list, the greater the amount was added to the food. The total sugar content listed on the label in grams may not be accurate because food naturally contains sugar (i.e. milk sugar) and may not be a proper gauge for added sugar. If a food item has a whole grain or whole wheat alternative (i.e. rice or bread), try to select one of these instead of a more processed one (i.e. white rice or white bread). Lastly, if you are reluctant to change habits or do not like the taste of alternative products, try to consume your high sugar products with a meal. Due to reasons I will not delve into, consuming a mixed meal will help reduce the drastic changes in blood sugar levels when these products are consumed alone (i.e. soda or candy).
            Please let me know if you have any questions or would like anything explained further. If you have a question, others most likely have the same one so don’t be shy. Also, let me know if there is a topic that you would like me to cover next. Till next time…

Saturday, April 21, 2012

Dark Green Leafy Vegetables: The Mystery of the Produce Department


The decision to improve one’s health typically includes a form of dietary intervention and many popular or “fad” diets accomplish the goal of weight loss through the manipulation of Caloric content in a meal. Although the total Calories or energy in a food item is important for weight manipulation, the composition of a food item in terms of its nutrient content or density is equally as important. However, many times when individuals make a food selection, he or she is more concerned with the total caloric content instead of what type and how many different nutrients can I get out of a particular food item. This brings me to the topic of the current blog: dark green leafy vegetables and their tremendous benefits.
            When one enters the supermarket, the physical set-up of each store is virtually the same with the fresh produce section offering a vast array of colors, aromas, and variety. Unfortunately, most individuals stray away from the diverse selection of produce due to their obscure, unheard of names or the limited knowledge on how to prepare the food. Even though I am an individual in the field of nutrition, I am no stranger to the above scenario; however, I do know the importance of incorporating a variety of fruits and vegetables into the diet. One major group of food items overlooked by many people, including myself, are the dark green leafy vegetables including kale, mustard greens, dandelion greens, and collard greens. Depending on the grocery store, one may be lucky enough to have a great assortment of green leafy vegetables but may feel inundated by the number of choices. Thus, he or she may reroute his or her selection to the more typical American variety, including bell peppers, broccoli, green beans, and carrots to name a few. Although these are great choices, we may not be getting the best bang for our buck when considering nutrient content.
              It is well established that increasing fruits and vegetables in one’s diet reduces the incidence of disease, such as obesity, cardiovascular disease, cancer, and diabetes. Moreover, the consumption of a specific subset of foods, including dark green leafy vegetables, may provide additional benefits in disease prevention compared to the traditional fruits and vegetables1. The specific reasons for the potential added protection from disease with increased consumption of dark green leafy vegetables is currently unknown. Although nutrients such as vitamin C and E are prevalent in varying concentrations across a number of fruits and vegetables, the phytonutrient composition can differ quite drastically. Phytonutrients are components of plant material that are not required to sustain life (such as our requirement for vitamins and minerals) but may have beneficial effects for preventing disease. Interestingly, most phytonutrients produced by plants act as part of their “immune system” to prevent their destruction by the environment, such as ultraviolet radiation (UV light) and pests. Due to diverse growing environments, the phytonutrients in plants can vary drastically. This has lead researchers on the quest to discover what chemical components in plants can provide optimal health for humans. Remarkably, the traditional diet from a society in Southern Japan exemplifies the importance of a diet high in phytonutrients, especially from dark green leafy vegetables.
            Okinawa is the southernmost prefecture of Japan and has the highest number of centenarians (individuals over the age of 100). One of the main reasons attributed to the high life expectancy of Okinawans is due to the structure of their diet2. With this notion, scientists have flocked to this region to learn what components of the Okinawan diet promote longevity. Specifically, a major component of their diet includes dark green leafy vegetables, such as seaweed (although I don’t know if I would necessarily want to eat it). As would be expected with a longer life expectancy, these individuals also have reduced incidences of disease such as coronary heart disease and colon, prostate, and breast cancer when compared to the United States. Although there are many other environmental influences that may promote the longevity in Okinawans, it provides an excellent example of how one’s diet significantly influences a healthy lifestyle.
             One of the next questions that may be running through your mind is, “how can I get mega doses of these phytonutrients so that I can live a healthier life.” Although I have a strong opinion about supplementation (which I will most likely cover in a later blog) the answer may not be a single or handful of phytonutrients. Interestingly, it is predicted that there are thousands of phytonutrients within a given plant and the interaction among phytonutrients may be required for any health benefit. Therefore, it would simply be easier to consume the plant product instead of relying on a mega dose of one or two phytonutrients.
            My recommendation for you then is to try and step outside the box and try a variety of different dark green leafy vegetables such as the ones I listed above. One of the best aspects of these vegetables is they are fairly inexpensive as you can get a pound, which is plenty for a few servings, for under a couple of dollars. One of the recipes that I found I like is provided below. It is a simple and quick way to prepare a kale, which is one of the most nutrient rich green leafy vegetables around.


Although some of the green leafy vegetables may be extremely tough to eat, you may want to try them raw (after they have been washed thoroughly) to see if you prefer them this way. If not, steaming is always a great way to soften the texture. My wife found this recipe for steamed kale that we tried a few nights ago.


            Please feel free to share any recipes you find and enjoy so that others can try them out. Also, let us know what types of dark leafy greens you try and provide any recommendations or insight you gain from testing them out.
            Lastly, please post your comments and don’t hesitate to ask any questions. I may not be able to provide you with the most complete answer but I will try my best. Also, please list any topics that you would like covered in the next blog. I have a running list of ideas but want to take all of your questions and interests into consideration. If no one provides an idea, I was going to cover “the beneficial and detrimental impact of carbohydrates on health” for the next blog. Also, I am planning on trying to make this a weekly or biweekly event as I have more time to devote to the blog.  

References
1.         Johnston, C.S., et al. (2000) More Americans are eating "5 a day" but intakes of dark green and cruciferous vegetables remain low. J Nutr 130, 3063-3067
2.         Willcox, D.C., et al. (2009) The Okinawan diet: health implications of a low-calorie, nutrient-dense, antioxidant-rich dietary pattern low in glycemic load. J Am Coll Nutr 28 Suppl, 500S-516S

Saturday, February 25, 2012

Hey All-

So the main reason for starting this blog is to help you all decipher what you hear on the news, from friends, the internet, etc. on any thing under the sun regarding your health. Since I am pursuing a PhD in nutritional sciences, I routinely get questions from people asking "what should I eat?" or "Why is this good/bad for me?" Therefore, instead of simply replying to one person I thought I would spread the word to many people through a blog. Although my main focus is in nutrition, I have a very strong science background and may be able to provide insight into other aspects of health that you may want to know more about. Moreover, I have asked an expert in exercise (my brother) and physical therapy (my wife) to contribute as needed to help bring the most useful information to you in addition to answering your questions. That being said, if there are no pressing questions that arise this upcoming week I plan to begin the blog with a discussion about green leafy vegetables and how they are often overlooked in the grocery store as a great source of nutrients. Let me know if this would be of interest to you and if so expect an in depth post within the next couple of weeks!

Josh