Friday, September 23, 2011

Fruit: Fads, Digestion & Cleanses

These days, the internet provides us with news on the latest fad diets and health trends.   On top of these headlines, we receive emails with drastic nutrition recommendations.  One of these chain emails describes eating fruit on an empty stomach for proper digestion.  It declares that, “Eating fruit after a meal causes the whole meal to rot and ferment.  The minute the fruit comes into contact with other food in the stomach and digestive juices, the entire mass of food begins to spoil.”  It then says, “If you should drink fruit juice, drink it mouthful by mouthful slowly, because you must let it mix with your saliva before swallowing it.”  These incorrect statements really get to me.

This information alludes to the bestselling book, Fit For Life, written by Harvey and Marilyn Diamond.  Their theory emphasized “FOOD COMBINING” and improper blends of foods that cause rotting and malabsorption in the gut.  They state that if fruit is eaten with or after other food, it releases toxins and leads to heartburn and discomfort.  According to this fad diet, combining starches and proteins together mixes acids and bases in your stomach to inhibit digestion. 

These claims are absolutely untrue.  Digestion is a process specific to each macronutrient.  Eating different types of food together will not inhibit the digestion of separate items or cause rotting or fermentation.  Dr. Pochapin, director of the Monahan Center for Gastrointestinal Health at New York-Presbyterian Hospital/Weill Cornell Medical Center, explains this when he says,  “Rotting or fermentation means bacterial action on food resulting in decomposition.  And because of the presence of hydrochloric acid, the stomach has very few bacteria…Food takes 6 to 10 hours to reach the colon, which explains why it does not really matter when fruit is eaten.”  All food is broken down and metabolized through specific steps.

To prove this point, let’s take a quick, simplified look at digestion:

1.       Carbohydrate digestion begins in the mouth with salivary enzymes.  As carbohydrates reach the stomach, digestive acids churn and mix with the molecules.  The next step occurs in the small intestine where pancreatic amylase breaks down the larger chains into monosaccharides (simple sugars).  These small molecules can then be absorbed into the bloodstream.  Insulin, secreted by the liver, regulates blood glucose levels and distributes glucose to the body, where it can be used for energy or stored. 

2.       Protein digestion, a more time-consuming process, begins in the stomach when hydrochloric acid and pepsin, a gastric enzyme, begin breaking down peptide bonds.  Next, the smaller proteins move into the small intestine, where pancreatic enzymes, trypsin and chymotrypsin, continue the breakdown of proteins into amino acids.  These smaller units are then absorbed into the bloodstream and distributed to body tissues.

3.       Fat digestion slowly begins in the small intestine.  Since fats don’t dissolve in water, they require an extra step.  Bile, produced by the liver, is released into the small intestine to dissolve fat into droplets.  This allows pancreatic and intestinal enzymes to break the large fat molecules into smaller molecules.  These smaller molecules are formed into micelles, units that can be absorbed into the lymphatic system.   These fatty acids are eventually sent into the blood stream and travel to fat cells or muscle cells to be stored or used for energy.

These actions work simultaneously with every combination of foods that we eat.  Pairing certain foods together actually keeps us feeling full longer.  Adding a small amount of protein or fat with fruit or a simple carbohydrate will slow down digestion, as protein and fat take longer to move through our digestive system.  This doesn’t mean that food sits and rots in your stomach; everything continues as usual.

Lastly, the email praises juice cleanses.  To purify our bodies, the chain email states, “Eat fruit and drink juice for just 3 days, and you will be surprised when friends say how radiant you look!”   A juice cleanse may give a “radiant” glow for the first day, but it tends to have a negative effect on the body.  People believe cleanses clear out harmful built-up toxins.   Our liver, kidneys, and digestive system rid our bodies of “toxins” on a daily basis by their normal functions!  Also, losing weight by cleansing doesn’t lead to long-term healthy results.   Instead of shedding excess fat, weight loss is temporary.  A permanent weight reduction may be due to muscle mass loss, as the body breaks down its own muscle tissues due to lack of protein intake.  According to Marc Hellerstein, M.D. Ph.D, professor of human nutrition at the University of California at Berkeley, "Your body thinks you're starving and panics.  Your metabolism slows way down to preserve your muscle and basic bodily functions."  After most people start eating normally again, they tend to gain the weight back very fast!

Most health trends regarding fruit just don’t add up.  Eat fruit in proper portions with or in-between meals.   Digestion occurs as normal no matter when you add fruit to your diet.  A juice cleanse may actually inhibit normal digestive cycles, instead of giving long term results.   As always, being portion savvy is key.

Tuesday, August 16, 2011

Summer Days, Healthy Hearts & Potassium

As we breeze through our summers with relaxing evenings and lazy weekend getaways, we may think that drinking enough water is our only health concern.  We keep ourselves hydrated at the beach and before and during exercise.  This summer, with the record-breaking heat throughout the nation, we need to be aware of other health issues.  Besides drinking water, we need to pay more attention to our electrolyte levels.  Athletes, those working outdoors, and the elderly should focus on their intake of salt and potassium.  Signs of low potassium include muscle fatigue and sensitivity to heat – a notable issue in hot and humid weather.  For those high-risk groups, choosing sodium filled sports drinks and salty snacks, along with fresh fruits and vegetables high in potassium will keep electrolytes at healthy levels. 
        In addition to maintaining our bodies’ water balance, a recent study has confirmed other effects potassium has on our health! A review from the Journal of the American College of Cardiology1 linked increased potassium intakes to a 21% reduced risk of stroke.  The study also stated that higher potassium diets may reduce the risk of coronary heart disease and cardiovascular diseases.   These results lend support for diets high in potassium.  Excellent sources of potassium are fruits, vegetables, and low-fat dairy, all of which are part of a healthy lifestyle!  Filling our plates with more fresh, whole foods and less processed foods will help us increase the potassium in our diets.  The DASH plan has touted the cardiovascular benefits of low sodium and high potassium diets for years.  Other studies associate additional benefits with high potassium diets.  High potassium diets have positive effects on bone mineral density2 .  Low potassium diets have been linked to higher type 2 diabetes levels3 .   Most Americans will benefit from increasing this nutrient in their meal plans.  For those with impaired kidney function or taking hypertension medications or diuretics, potassium intake should be limited to prevent cardiovascular issues.
The recommended intake of potassium for an average adult is 4,700 mg per day, more than double the recommendation for sodium (2,300 mg for an average adult, 1,500 mg for adults with risk factors).   Most people reach only half of their recommended potassium intake, as they choose processed, packaged foods over fresh, wholesome options.   Selecting fruits and vegetables is a nutritious choice that will increase overall health and your diet’s potassium to beat the heat and help your heart! 

Some of the best sources are:
Potato, medium baked with skin:      925 mg
Spinach, cooked, 1 cup:                  800 mg
Avocado, cubed, 1 cup:                   730 mg
White beans, canned, ½ cup:           595 mg
Yogurt, plain, 8 oz:                          580 mg
Medium sweet potato with skin:        540 mg
Broccoli, 1 cup:                               460 mg
Banana, medium:                            420 mg
Cantaloupe, 1 cup cubed:                430 mg
Lentil, ½ cup cooked:                      365 mg


1         D’Elia L, Barba G, Cappuccio FP, Strazzullo P., “Potassium intake, stroke, and cardiovascular disease: a meta-analysis of prospective studies” J Am Coll Cardiol. 2011 March 8; 57 (10):1210-9. 

2        Karp HJ, Ketola ME, Lamberg-Allardt CJ. Acute effects of calcium carbonate, calcium citrate and potassium citrate on markers of calcium and bone metabolism in young women. Br J Nutr.   2009 November  102(9):1341-7.

3        Chatterjee R, Yeh HC, Shafi T, Selvin E, Anderson C, Pankow JS, Miller E, Brancati F. Serum and dietary potassium and risk of incident type 2 diabetes mellitus: The Atherosclerosis Risk in Communities (ARIC) study. Arch Intern Med.  2010 October  170(19):1745-51.

Friday, August 5, 2011

Savvy Salad Recipe


The Savvy Salad
The Savvy Salad is one of the healthiest salads I have ever created.  Besides the satisfying textures and colors, the combination of protein, fruits, and greens serve as a low-calorie, nutrient-dense vegetarian meal.  The salad’s bright green base contains Swiss chard, an exceptionally nutritious, health-promoting vegetable.  Together with crispy romaine lettuce, the dish is full of Vitamins A, K, and C.  The protein source, black lentils, is high in fiber, minerals, B Vitamins, and iron.   Not only is the fresh, diced watermelon refreshing but also an excellent source of Vitamin C, Vitamin A, and the carotenoid lycopene.  Green peas, in addition to their fiber, contain phytonutrients with anti-inflammatory and antioxidant benefits.  A sprinkle of walnuts provides a dose of heart healthy omega-3 fatty acids and keeps you feeling full.   Julienned yellow beets top the salad, adding a unique mix of the phytonutrients betalain and carotenoid, protecting against certain vascular and heart diseases.  The creamy, rich flavor of feta cheese nicely contrasts the sweetness of the other ingredients, adding calcium, protein, and a hint of saltiness.  A touch of mint and parsley livens up the salad with extra depth and complexity.  Drizzled with a light champagne vinaigrette, the Savvy Salad packs a nutrition punch as a flavorful balanced meal.

Savvy Salad
Yields: 4 servings
4 cups chopped Swiss chard leaves
4 cups chopped Romaine lettuce
1 cup black lentils
1 cup shelled green peas (fresh or frozen)
1 cup cubed seeded watermelon
1 cup yellow beets, peeled and julienned
¼  cup coarsely chopped fresh parsley
¼  cup coarsely chopped fresh mint
¼  cup crumbled Feta cheese
¼ cup raw walnuts, chopped

1. Place lentils in a large saucepan and cover with water to 2 inches above lentils.  Bring to a boil.  Cover, reduce heat, and simmer for 15-20 minutes or until lentils are done.
2. Add green peas to pan with lentils, and cook for 2 minutes or until crisp-tender.  Drain and rinse lentils and peas with cold water.  
3. Combine lentils, peas, watermelon, parsley, and mint in a large bowl and toss.
4. Line 4 plates with 2 cups chopped Swiss chard and romaine lettuce. 
5. Top each plate with 1 cup lentil mixture.
6. Garnish each salad with ¼ cup yellow beets, 1 tablespoon feta cheese, and 1 tablespoon chopped walnuts.
7. Serve with 1 tablespoon champagne vinaigrette.


Champagne Vinaigrette
Yields: 4 Servings
½ shallot, peeled and chopped
2 tablespoons champagne vinegar
2 tablespoons extra virgin olive oil
½ tablespoon Dijon mustard
¼ teaspoon salt
Freshly ground pepper, to taste

1.       Combine shallot, vinegar, oil, mustard, salt, and pepper in a small bowl.  Whisk until incorporated.

Tuesday, June 28, 2011

Easy Everyday Positive Changes

Allow Yourself Time For Change

Growth is the energy of life.  Small changes add up to big ones, and every positive step you take for yourself can advance you on your path to a healthy, balanced, beautiful life.

In all my work inspiring people to choose enlightened lifestyles, I've found that change is contagious. This season, spring into change by trying ten new things. See how embracing growth can empower your best self in mind, body, and spirit.

Here are a few of my favorite ideas for expanding your life energy.

Start a journal.
Eat outside the box.
Join a group.
Quit a group.
Try a New Workout.
Take an acquaintance to lunch.
Enrich your color palette.
Be a tourist in your own town.
Rearrange your living room.
Create a Web site.
Plant something.
Set a daring goal and make a plan to achieve it.
Break the language barrier.
Dance.
Make a date with a child.



Start a Journal.
Freedom of expression is always at your fingertips when you keep a journal. Browse stationery or bookstores for a journal that sparks your imagination. Whether it's the weight of the pages, the colors on the cover, the size that slips into your purse-pick the one that feels just right. You might customize your journal by collaging the cover or pasting pictures on pages. Then, write! Try free association first thing in the morning, a sentence describing the brightest moment of each day, snippets of songs or poems or overheard conversations. Reflect on your goals and dreams, and log the progress you make.

Eat Outside the Box.
To open your mind to new pleasures, try a dish or cuisine you've never tasted-perhaps a Vietnamese spring roll wrapped in a lettuce leaf, genuine Jamaican jerk (meat rubbed with a unique spice mix and grilled), or something exotic from the imported produce section at the market. Hit an authentic restaurant or pick up a cookbook from the bookstore or library and explore in your own kitchen. Feel your taste buds come alive! (P.S. Watch your portions and skip the high-fat dishes.)

Join a Group.
Great things happen in groups. Consider joining a community choir, the Sierra Club, Big Brothers or Sisters, a book club, charitable board, neighborhood committee, or political campaign. Pursue your passions, share with likeminded people, and let your voice be heard.

Quit a Group.
Has one of your affiliations gone stale? Have you contributed and learned all that you can? Say goodbye to clear the slate for new adventures to come.

Try a New Workout.
There's nothing like a change of pace to revamp your exercise routine. The workout world has become a global village, and you can sample international treats from tai chi (China) to Pilates (Germany), karate (Japan), capoeira (Brazil), yoga (India) and more-or just get that tennis ace friend to finally give you a lesson.

Take an Acquaintance to Lunch.
We all work or interact with someone we don't really know. For no reason at all, ask this mysterious individual to join you for a noonday salad. See what you discover.

Enrich Your Color Palette.
Buy or borrow a piece of clothing or accessory in a color you never wear. Wear it. How do you feel?

Be a Tourist in Your Own Town.
Whether you live in a sparkling metropolis, sleepy suburb, small town, or the countryside, there's guaranteed to be something you haven't done or seen right in your backyard. Take a day in which you pretend you're a tourist from another country here to see the sights. Put on your walking shoes and go.

Rearrange Your Living Room.
(Don't try this at home alone.) Does your living room lag behind your current lifestyle or simply feel frozen in time? With an able-bodied assistant or two, clear out all the tired items and move around the furniture and remaining accessories and accents. Bask in your new point of view.

Create a Web Site.
Anyone with an Internet connection can put up a personal Web site, often for free through companies such as Geocities, which are happy to provide the cyberspace if you let them hang up some ads. What would you like to publish on the ether plane? Scientific theories, artwork, a communications and photo center for far-flung family members? If you're a big fan of a band, actor, or world leader, why not pay tribute in public?

Plant Something.
On a city balcony or in a big backyard, putting your hands in the dirt is a primal connection to growth energy. Plant a pot of herbs, a precious orchid bulb, a bed of peonies, or a vine of tomatoes to ripen in the sweet summer heat. Tend your plant and grow along with it.

Set a Daring Goal and Make a Plan to Achieve It.
When you strip away the blinders of self-doubt, what would you really love to do? Travel the world, become a teacher, write a book, start a business, dance in a Broadway play? Think blue sky! No matter how unrealistic your venture might seem, daring to write it down and assess the steps that could take you there can be a profoundly liberating experience.

Break the Language Barrier.
Communication plants seeds of peace and positive growth for the world. Learn how to introduce yourself to someone in another language. Do it. (This has greatest effect if you share your new greeting with a native speaker of that language.)

Dance.
If you're like most busy people, I bet it's been awhile since you really got your groove on. Hit a salsa club (try the early lesson to learn a few steps), take a jazz or ballet class at a dance studio, or grab a friend and head out to a live venue. Let the music move you.

Make a Date with a Child.
Kids grow and change at the speed of light, and even overloaded parents can gain insight by taking some time out with a child-yours or someone else's-to do something special. Try a favorite activity from your own childhood, or the fantastic event you only ever wished for as a kid.

Wednesday, June 15, 2011

Fergie's Meal Plan & Diet Designs

Take a look at ET Online's new article about Fergie in the upcoming July Issue of Allure, all about her meal delivery program Diet Designs!

http://www.etonline.com/music/111589_Celebrity_Fit_or_Fad_Fergie/

Monday, June 13, 2011

Beverages: The Healthy Body & Weight Loss Killer


Ditching that regular soda and switching to a diet version may not be the perfect fix-it healthy solution.  Research shows that both versions may lead to disease.  Before consulting with clients and making recommendations, I like to review ongoing food and nutrition research, especially regarding liquid calories.

Clients ask me, “What could be so bad about a no-calorie diet soda?”  Well, studies show that artificial sweeteners alter your metabolism and increase your sweet tooth.  They make you want more sugar, which means consuming more calories in the long run.  The food industry has rapidly increased the production of foods with artificial sweeteners and Americans are heavier than ever! According to the Mayo Clinic, sugar substitutes are not “magic bullets for weight loss.”  They are synthetic and intensely sweet, much more than regular sugar itself.  At the end of the day, keep it simple.  One teaspoon of sugar is only 10 calories and is not going to harm you or make you fat.

Other research has recently linked diet soft drinks to disease.  A nine year study followed older adults who drank diet soda daily.  The results showed a 48% higher risk of stroke, heart attack, and death, even after adjusting for other risk factors.  Arguably, this study hasn’t been published in a peer-review journal and may have other confounding factors.  As a nutritionist who has observed patterns of America’s intake of artificial sweeteners, I’ve seen their long-term effects first hand.  Research on these sugar substitutes connects diet soda consumption to metabolic syndrome, chronic kidney disease, and Type 2 Diabetes. 

When clients hear this they ask, “Isn’t it better to have a regular carbonated soda instead?”  Well, no, definitely not.  According to Tufts’ Irwin H. Rosenberg, MD, “The real concern remains sugared soft drinks, which have gotten a free ride for years in their health impact.” An abundance of studies have connected regular soft drinks to various health issues, beyond the increase in obesity.  Too much pop may be bad for your bone health.  A 2007 Tufts study connected drinking cola to lower bone-mineral density in older women.  Another study of younger women showed that calcium and phosphorus excretion, a possible indicator for low bone-mineral density, was higher in participants drinking diet cola.  What’s more, new research shows a connection between sugary soft drinks and high blood pressure.  Another study done by Louisiana State University in 2010 found that those who drank one fewer sugary beverage per day lowered their blood pressure over an 18 month period.  On top of these concerns, sugary soft drinks have been linked with pancreatic cancer.   

This data is scary.  One concern is that this research doesn’t account for other lifestyle decisions, such as diet and exercise, exaggerating the relationships of soft drinks and disease.  People who consume many soft drinks, diet or regular, may be making other poor choices or may already be at risk for obesity and heart disease.   These beverages provide excess calories without providing essential nutrients.  A 2009 study determined that cutting back on liquid calories may be more valuable than cutting back calories from solid food.  Whole foods provide nutrients that your body needs, but it is important to remember the bottom line: portion control is the key to healthy eating. 

What beverage guidelines do I give to my clients?  The only way to avoid drinking large amounts of calories and sugar is to make your go-to drink water.  Stop drinking sugary sodas and guzzling down sports drinks, juices, and fruit drinks.  These brightly colored beverages contain corn syrup, artificial dyes, and flavorings that your body doesn’t need.  You should drink approximately 2 liters of water a day.  Most of your body-approximately 65% - is composed of water.  Your brain is actually three-quarters water! Water is the most important power nutrient; without enough water, nutrients like carbs, proteins, and fats can’t get into your body’s cells.  Water keeps you hydrated and helps your body work optimally.

Other great tips that may help suppress that soda habit include:
  • Sip on healthier beverages like flavored teas.  Some great choices are Good Earth teas, (for a crisp taste), Celestial Indian Spice Chai Tea, and all Tazo teas. If you need to sweeten your tea, try adding a teaspoon of Stevia, a no-calorie sweetener that comes from an herb native to South Africa.   Another great choice is agave syrup. (Also use 1 tsp.)
  •  Try adding excitement to your water with orange slices or even cherries when in season. 
  • Lighten coffee or tea with nonfat milk instead of cream or creamer.  Add flavor and brightness with a dash of cinnamon, which is also beneficial for people with Type 2 Diabetes.
  •  If you need a fizzy drink, add a splash of juice or lemon slices to plain sparkling water.  Watch out for sodium levels in these drinks! Make sure to pick brands with no added sodium, such as La Croix, RW Knudsen’s Sparkling Essence, and Perrier.   Stick to one 8 ounce serving per day to prevent gas and indigestion.
  • My Pomegranate Tea recipe, a powerful antioxidant combination, helps you burn fat and calms nerves.
o   Add 5 bags of green tea to 4 cups boiling water. Steep for about 5 minutes. Remove tea bags and add 8 ounces pure pomegranate juice.
  • Try whipping up our refreshing Minty Lemon Cucumber Water:
o   Add 2 quarts water, 2 sliced lemons, 1 sliced small cucumber, and 2-3 mint sprigs to a glass pitcher.  Let steep in fridge for 30 minutes.  Serve over ice and enjoy!