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Sweet Heart

Posted by TNikkola Apr 25, 2010

choices a.jpgThe sugar industry took another hit this past week. Another study provides evidence of sugar consumption to negatively impact our health. The study, in the Journal of the American Medical Association, shows that increasing sugar intake may lower HDL cholesterol levels and raise triglycerides, both important markers of heart disease risk.(1) In the study, the diets of over 6000 participants were reviewed. It showed that the average American gets 16% of their daily calories from sugar, or 359 calories. That’s about 90 grams of sugar, well above the 25 grams encouraged by the American Heart Association. Higher levels of sugar intake usually came from soda and other sweetened beverages for those in the study. The focus on high fructose corn syrup in recent years has allowed sugar to remain a little more under the radar, but this study did not show a difference between high fructose corn syrup and regular sugar (sucrose).

More Than Heart Disease Risk

This is not the first study to show the serious effects of eating too much sugar, but it seems to be one that has captured more media attention than studies in the past. Other studies have shown that unnecessary sugar consumption can be bad news for our health.

 

A 2009 showed that a diet of higher glycemic foods increased the risk of Parkinson’s disease.(2) High glycemic foods raise blood-sugar levels faster, which also causes a faster rise in insulin. Though sugar is high-glycemic, other processed foods in our diet are as well.

 

Excess sugar consumption is also associated with insulin resistance.(3) Insulin resistance is the reduced ability to handle glucose, or blood sugar, which is associated with increased risk of type 2 diabetes. Sugar consumption, combined with low magnesium levels is associated with increased inflammation and risk of metabolic syndrome.(4) Inflammation itself has been shown to increase the likelihood of developing insulin resistance. Chronic inflammation may also lead to increased risk of heart disease and other degenerative diseases.

 

See also: Fighting Inflammation

 

Of course, there’s also the fact that carbohydrate intake increases insulin, and insulin increases fat storage and decreases fat burning which may lead to weight gain, or at the very least, lack of ability to decrease fat stores. That’s a large part of the reason excess sugar consumption may lead to obesity.(5) To reinforce how much of an impact sugar has on the body, another study showed that people who drink two or more sweetened drinks a week have a higher risk of pancreatic cancer.(6) Though the cancer is not common, it makes sense that the pancreas would be put at risk since the pancreas is what has to secrete insulin whenever carbohydrates are consumed. The more carbohydrates one consumes, the harder the pancreas has to work.

 

There is even some evidence that shows over-consumption of sugar may lead to increased rate of aging. By-products of sugar consumption are the likely causes of this increased rate of aging, and the more sugar one consumes, the more by-products are produced.(7)

Summary

After years of hearing that sugar is “okay in moderation,” it may be time to rethink that idea. The health risks from consuming excess sugar are serious. Added sugars are prevalent throughout the Standard American Diet, especially in processed foods. Soda and candy are easy foods to eliminate from the diet to reduce sugar intake, but be sure to check labels and choose foods with lower sugar intake. The easiest way to get rid of extra sugar is to eat whole foods and reduce consumption of processed foods. Also, remember that all carbohydrate turns to sugar. Although the news today is more about actual sugar intake, as more research unfolds, don’t be surprised if similar results are found for other high-carbohydrate foods. Next time you’re considering a sugar-heavy snack or dessert, remember what the studies above are telling us. Grab some berries, make a protein shake or have some dark chocolate instead.

 

In health,

Tom Nikkola

 

References:

1. Welsh J, Sharma A, Abramson J, Vaccarino V, Gillespie C, Vos M. Caloric Sweetener Consumption and Dyslipidemia Among US Adults. JAMA. 2010;303(15):1490-1497

2. Murakami K, et al. Dietary glycemic index is inversely associated with the risk of Parkinson’s disease: A case-control study in Japan. Nutrition. 2010;25(5)515-521

3. Yoshida M, McKeown NM, Rogers G, Meigs JB, Saitzman E, D’Agostino R, Jacques PF. Surrogate markers of insulin resistance are associated with consumption of sugar-sweetened drinks and fruit juice in middle and older-aged adults. J Nutr. 2007;137(9):2121-7

4. Rayssiguier Y, Guex E, Nowacki W, Rock E, Mazur A. High fructose consumption combined with low dietary magnesium may increase the incidence of the metabolic syndrome by inducing inflammation. Magnes Res. 2006;19(4):237-43

5. Babey S, Jones M, Yu H, Goldstein H. Bubbling Over: Soda Consumption and Its Link to Obesity in California. UCLA. September 2009

6. Reuters. Study links sugar soda to pancreas cancer. msnbc online article. Feb 9, 2010 http://www.msnbc.msn.com/id/35294516/ns/health-cancer

7. University of Montreal. Not So Sweet: Over-Consumption of Sugar Linked To Aging. ScienceDaily 9 March 2009

 

This article is not intended for the treatment or prevention of disease, nor as a substitute for medical treatment, nor as an alternative to medical advice. Use of recommendations in this and other articles is at the choice and risk of the reader.

150 Views 0 Comments Permalink Tags: nutrition, sugar, heart_disease, insulin
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dark chocolate a.jpgDark chocolate has grown in popularity over the past several years. At one time dark chocolate was a small fraction of the $100 billion chocolate industry. Dark chocolate sales grown almost 400% since 2002.(1) Much of this growth is based on what some would claim as chocolate receiving a “superfood” status. Superfoods provide more health benefits than simply the calories they contain to give us energy. Dark chocolate has been shown in recent years to provide a large number of health benefits from its high-polyphenol content, fiber and antioxidants. With the large number of chocolate options available, it can also be confusing to understand what products provide health benefits, and which are little more than extra sugar and fat. We’ll take a look at what dark chocolate really is, what it may do for your health and how to buy it.

What is Dark Chocolate?

Your shiny, crisp, decorative chocolate bar starts out as a cocoa (cacao) pod. The country your cocoa comes from depends on which brand you choose. Usually, the cocoa will come from South America. Cocoa beans are removed from the pods and fermented and dried before the manufacturing process begins.  The nibs are ground and liquefied in to chocolate liquor, which can be separated into cocoa solids and cocoa butter. From there, the type of chocolate that will be made depends on the amounts of cocoa solids, butter, sugar and milk that will be used. Baking chocolate (unsweetened) is made with pure chocolate liquor. A little fat and sugar is added to make dark chocolate. The higher the percentage on the label, the more pure the chocolate is. Milk chocolate has milk added to it, and contains far less of the health-promoting ingredients of dark chocolate. Some “chocolates” use vegetable oils and aren't really chocolate at all(2). Non-organic cocoa contains some of the highest amounts of pesticides of any crop on the world, so it's best to always choose an organic chocolate.

 

For those looking for something a little different than a chocolate bar, raw cacao nibs can be used to make a snack. Cacao nibs are partially ground cacao beans, which have a mild chocolate flavor, are crunchy like a nut, and can be used to sprinkle on other foods for a healthy snack. A great-tasting indulgence is using unsweetened 2% or full-fat Greek yogurt (like Fage), and sprinkling cacao nibs and several drops of liquid Stevia or a packet of Stevia in the yogurt cup. Mix it up and you have a high-protein snack with a great source of antioxidants, fiber, and minimal sugar.

Health Benefits of Dark Chocolate

There are many health benefits associated with chocolate consumption, but don't be misled by advertising for milk chocolate products that advertise the health benefits of dark chocolate consumption. Many chocolate bars are loaded with excess sugar, may come from non-organic sources and may contain little of the real chocolate components associated with health benefits. Dark chocolate is rich in polyphenols, the nutrients in wine that are associated with its health benefits as well. In fact, dark chocolate contains much more polyphenols than red wine does.

Dark chocolate contains high amounts of flavonoids which have been shown to combat inflammation. Inflammation has been linked to almost every degenerative disease we face. A 2008 study showed that consuming a serving (20 grams) of dark chocolate every three days led to  significantly lower levels of C-Reactive Protein, a marker for  inflammation.(3)

 

A pilot study led by Professor Atkin at Hull York Medical School showed promise for those with Chronic Fatigue Syndrome. Patients receiving daily servings of 45 grams of dark chocolate reported significantly less fatigue while consuming it and reported the return of fatigue symptoms when they stopped taking it. A second group in the study received 45 grams of milk chocolate and reported no change. Professor Atkin explained “Dark chocolate is high in polyphenols, which have been associated with health benefits such as a reduction in blood pressure. Also high polyphenols appear to improve levels of serotonin in the brain, which has been linked with chronic fatigue syndrome and that may be a mechanism.”(4)

 

More recently, a 2009 study in the British Journal of Nutrition showed that dark chocolate has the potential to protect DNA from damage. These benefits again come from the high amount of polyphenols.(5)

 

What about eating dark chocolate if your goal is to lose weight? Will that be counter-productive? Not according to a study from the University of Copenhagen. It showed that those who ate a serving of dark chocolate consumed 15% fewer calories later in the day compared to those who ate milk chocolate.(6) That doesn’t mean those who are striving to lose weight should eat a whole bar every day, but if cravings for something sweet come on strong, a small serving may be beneficial.

Choosing Your “Flavor”

You can find dark chocolate almost anywhere. Just because the label says “dark chocolate” doesn’t mean it is healthy, though. Many companies produce dark chocolate treats with added flavors, sugars and fillings. If you’re consuming dark chocolate for its health benefits, just enjoy the chocolate. It doesn’t need the extra caramel, sweetened fruit or other extras you may find. If you are a chocolate fan and have eaten milk chocolate for most of your life, dark chocolate may take some getting used to. Over time, you’ll likely appreciate dark chocolate far more than sugar-laden milk chocolate.

 

For shopping, start with at least 70% dark chocolate. The higher the percentage, the less sugar and the more cocoa it will contain. 85-89% dark chocolate often has just enough sweetness to satisfy without extra sugar in it. Look for organic brands. You’ll get a healthier chocolate, and many of the organic brand companies have practices that better support the environment. Some great brands to look for include Green & Blacks, Dagoba and Trader Joe’s. Dark chocolate is like wine. One merlot tastes different than another depending on who makes it and where the grapes come from. The same is the case for dark chocolate. Different companies may grow their cocoa differently and make their chocolate slightly different than one another. You may like all of them and mix them up, or you may find one appeals to you more than any.

 

If you’re feeling a little more exotic, you can also try the cacao nibs mentioned above. Look for Navitas Cacao Nibs (not the sweetened ones) and throw them in your Greek-style yogurt or on top of some mixed berries.

Summary

Dark chocolate should be seen as a healthy indulgence, meaning you should have no guilt in having some once in a while, but it shouldn’t be eaten several times per day. If you were raised with desert following your evening dinner and that habit has been hard to break, dark chocolate can be a great solution a few times per week. If you’re satisfied with your current body composition, you may even have it more often than that. Just remember that the benefits come from pure dark chocolate. Not dark chocolate covered caramels, sweetened fruit or truffles. Enjoy!

 

In health,

Tom Nikkola

 

Resources:

1. Daniels S. Dark chocolate may protect DNA from damage: Study. NutraIngredients online article December 4, 2009 http://www.nutraingredients.com/Research/Dark-chocolate-may-protect-DNA-from-damage-Study

2.  Thomason A. The Sweet Truth: Chocolate Can Be Healthy. LifeScience online article. February 13, 2009.  http://www.livescience.com/health/090213-chocolate-science.html

3.  di Giuseppe R, Di Castelnuovo A, Centritto F, Zito F, De Curtis A,  Costanzo S, Vohnout B, Sieri S, Krogh V, Donati MB, de Gaetano G,  Iacoviello L. Regular consumption of dark chocolate is associated  with low serum concentrations of C-Reactive protein in a healthy Italian  population. J Nutr. 2008 Oct;138(10:1939-45

4. HYMS Press Release. Chocolate 'aids fatigue syndrome'. Hull York Medical School. November 2007

5. Spadafranca A, Martinez Conesa C, Sirini S, Testolin G. Effect of dark chocolate on plasma epicatechin levels DNA resistance to oxidative stress and total antioxidant activity in healthy subjects. Br J Nutr. 2010 Apr;103(7):1008-14

6. University of Copenhagen. Dark Chocolate is More Filling Than Milk Chocolate and Lessons Cravings. ScienceDaily. 23 December2008

This article is not intended for the  treatment or prevention of disease, nor as a substitute for medical  treatment, nor as an alternative to medical  advice. Use of recommendations in this and other articles is at the choice and risk of  the reader.

155 Views 0 Comments Permalink Tags: antioxidants, dark_chocolate, polyphenols, weight_loss, nutrition
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Inspiration for Change

Posted by TNikkola Apr 18, 2010

movie_poster-large.jpgOnce in a while, a movie or book comes along that creates such an  emotional charge, you're compelled to take some kind of action, to make  a  change. Food, Inc. is one of those types of movies. Since its release  in 2009, I've heard numerous stories about how one person after another  watched the film and immediately changed the way they buy their food. If you haven't yet seen the film, you're in luck. It will air as part of Point of View on PBS this week on Wednesday, April 21.

 

The film discusses how corn and soy have come to dominate the grocery store, though most of the foods made by modifying corn look nothing like the vegetable. Corn is also a foundation of the diets fed to animals we eat, though many of them are not genetically adapted to eating corn. For us, many of the modified forms of corn result in additional ways to increase our already excessive carbohydrate intake. Food, Inc shows why a serving of fresh vegetables costs more than a full meal from a fast food restaurant. You can see and experience the difference between commercial meat production and processing, and the raising of animals on traditional farms. The movie shows how genetically modified plants and cloned animals are quietly finding their way into our food supply. While each of these issues might be less interesting to read about in an article or a book, actually seeing it on film creates a powerful, emotional story. The story builds a compelling case for changing the way we shop for our foods and who we buy them from.

Corn Everywhere

As you walk through  the grocery store, especially on the inner aisles, the vast majority of  foods are a variety of different forms of  corn (and soy). According to  the film, about 90% of processed foods contain a corn or soybean  ingredient. The list of corn-based ingredients is staggering in our  foods. Corn is a staple in animal feed for cows, chicken and even fish  in fish farms. This high-carbohydrate diet is given to cows to fatten  them up (like it does to us). Cows are born to eat grass, and this  change in diet affects not only the quality of the meat and the fat in  the meat, but it also increases the risk of a cow to breed E. Coli. Grass-fed cows are less likely to be infected by E. Coli, and less likely to spread disease because they are not confined to tight quarters where they must stand in one another's manure. In fact, putting grain-fed cows on a grass fed diet for only five days reduces their E. Coli levels by 80%! The story is similar for chicken, where their diet normally would come from plants and insects when they're free to roam around the pasture. The chicken found in stores is often fed grains and  some chicken parts. From strictly a health standpoint, eating naturally-raised beef, poultry, fish and other animal proteins provides us with more vitamins and minerals, healthier fats, more protein by weight, and no hormones or antibiotics.

 

See also: 5 Reasons to Choose Grass-Fed Beef

See also: Reasons to Choose Pastured Chicken

Processed food is cheap, real food is  expensive

Soy, corn and wheat are cheap ingredients because of the government subsidies. That's why the vegetables to make a salad, which is loaded  with vitamins and minerals and has minimal calories often cost more than fast food value meals that contain 1000+ calories. The cheap foods, which are linked to health issues like Type 2 diabetes, cancer, metabolic syndrome, actually cost us far more when you start adding in   healthcare costs, but most people don't look at it that way. We know the excessive amounts of processed carbohydrates are a major factor in   obesity and its related health risks, yet our food system is set up to make these junk foods the most affordable. Making the choice every day to depend more on vegetables and fruits for your carbohydrate needs will provide more health benefits and will help tell the food industry where  you're willing to spend your money. Many people have said that even though the foods they're choosing foods that are more expensive, they tend to eat less of the more nutritionally-dense foods, so their overall grocery bill is not that much different.

 

See also: A Rainbow of Nutrition: Fruits and Vegetables

What can I do?

The stories people tell about how they take action after seeing the film are always exciting to hear. The following are some easy actions to take once you're motivated to make a change in where you get your food from.

 

Buy straight from the  farm: You may be able to drive to a local farm that raises grass-fed and pastured animals, and grows organic produce. Most of the time, local farmers raise animals without antibiotics and hormones, but ask to be sure. There is something powerful about knowing who your food  is coming from and seeing where and how the animals are raised.

Shop at your local farmer's market: If you don't live in an area where you can drive to a  local  farm, look for a farmer's market in your area. Be sure to ask the  farmers if their produce is organic. The sites at the end of this article can help you find a local farmer's market.

Join a Whole Foods or Natural  Foods Coop: You may have a local natural foods store in your area. Ask if the foods come from local farmers. For example, the store we shop  at provides information on the various farmers they buy from in the area. Smaller, local natural  food or whole foods grocery stores often buy from local farmers, whereas the larger stores and chains may need to get their foods from farms far from the store. If you buy from a store where the foods need to be delivered from far away, it increases the carbon footprint and reduces the freshness of the foods.

Order online: There are even online companies you can order these foods from. While there is some added expense in shipping fees, you may find you save money by not spending it on gas if you live in an area where none of the above choices are an option.

Summary

Take the time to watch this movie. Have your kids even sit through it if possible. Our boys have watched it a couple of times, which helps them understand more about the foods they eat and why we  shop differently than some of their friend's families do. If you aren't able to watch the PBS showing, and can't record it, you can order the film from Amazon.com. It's well-worth the investment and will likely be something you'll share with friends and family members. The resources below may be helpful for you to learn more or to help find out where to do your shopping. You may be inspired to change because of emotional reasons in how animals are treated. You may be inspired to change because of the power you have to help shape our food supply with your purchasing decision. You may be inspired to change because you value your health. Whatever your inspiration, a change in our shopping and eating habits needs to be made.

 

In health,

Tom Nikkola

 

Websites

http://www.foodincmovie.com

http://www.eatwellguide.com

http://www.eatwild.com

http://www.polyfacefarms.com

http://www.npofoods.com (LTF Member Advantage Partner)

198 Views 1 Comments Permalink Tags: organic, groceries, farming, food, nutrition
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nuts seeds a.jpgSnacking is a normal part of people's days. Walk through a grocery store and you'll see hundreds of foods calling out to you to be your snack of choice for the upcoming week. Most of the foods are high-carb, highly processed foods and do little to satisfy cravings and support a healthy metabolism. One option for a healthy snack, though, has been around since long before the creation of packaged foods. Nuts and seeds could be one of the best options for a portable, nutritious, satisfying snack.

 

"But nuts and seeds have a lot of fat," you might say. Even though saturated fat has never been shown to negatively impact our health, or cause the heart disease it has been associated with, people are conditioned to see fat as a dietary evil(1). Unfortunately, those who steer clear of dietary fat may be missing out on many important nutrients. Fat is important for normal cell functioning, nervous system function, it supports satiety, is necessary for normal hormone production and is a great, long-lasting source of energy. It also provides additional calories for active individuals without affecting insulin levels. Avoiding unnecessary rises in insulin helps the body stay in more of a state of “fat burning” rather than “fat storage.” Aside from some of the naturally occurring fats in meats and vegetables, nuts, seeds and oils provide additional, healthy sources of dietary fat.


Of course, when we talk about the health benefits of nuts and seeds, we’re talking about them in their natural state. Chocolate covered nuts, seeds mixed with sugar, or nuts and seeds in granola, mixed with syrups, sugars and sweetened dried fruit are not healthy options. One misconception about nuts and seeds is that they are seen as a good sources of protein. While they do provide some protein, it is not the same quality of protein as those from an animal source. Besides the difference in protein quality, there is also far more fat calories than protein calories in a serving of nuts and seeds. If an individual is striving to consume 20-30 grams of protein, it would require three to five servings, which would be a significant excess of calories because of their fat content. Again, that's not saying the fat is bad, but you can have too much of a good thing.


The FDA even allows the following health claim to accompany the packaging of most nuts:


“Scientific evidence suggests but does not prove that eating 1.5 ounces per day of most nuts, such as almonds, as part of a diet low in saturated fat and cholesterol may reduce the risk of heart disease.“

 

The second part of the health claim above assumes that saturated fat and cholesterol cause heart disease, which according to the most recent reviews of research shows is not the case.  Nonetheless, the fact that the FDA has approved the claim that nuts can positively affect heart disease risk is a powerful statement.

Health Benefits of Nuts & Seeds

Three major epidemiological studies, the Nurses’ Health Study, the Iowa Women’s Health Study, and the Adventist Study show that consumption of nuts several times per week results in a 30-50% lower risk in heart attacks or heart disease(2). Dr. Jonny Bowden, author of The 150 Healthiest Foods on Earth, explains in his book that one of the reasons nuts may provide such significant health benefits is because of their arginine content. Arginine is an amino acid that has been shown to provide protection of the arterial walls, reducing the likelihood of atherosclerosis. As a side note, arginine was shown in a recent study to increase anaerobic threshold in elderly cyclists, providing additional evidence of cardiovascular benefits of nutrients found in nuts(3). Nuts and seeds provide a variety of healthy fats. Most of the fat is monounsaturated fat, some is polyunsaturated fat and some is saturated. They also contain fiber and some are high in omega-3s like walnuts. From Dr. Bowden’s book, the following is a brief summary of some of the most common nuts and seeds:


Almonds: Almost 70% of the fat in almonds is monounsaturated fat which is thought to be the key to health in the Mediterranean diet. Another benefit of almonds is that they contain only 6 grams of carbohydrate and half of those carbohydrates come from fiber.
Brazil Nuts: Brazil nuts are an excellent source of selenium, which helps to combat the effects of heavy metals. It is also important in the formation of thyroid hormone
Cashews: A little lower in calories (by weight) than other nuts, cashews provide magnesium, calcium, phosphorus, potassium, copper and selenium
Hazelnuts: Hazelnuts contain beta-sitosterol which has been shown to help lower cholesterol and reduce symptoms of benign prostatic hyperplasia
Macadamia Nuts: Calcium, phosphorus and magnesium can be found in these nuts, along with beta-sitosterol
Peanuts: Peanuts are actually a legume, not a nut. They are high in antioxidants. When shopping for peanut butter, look for organic peanut butter. Beware that peanuts are the most allergenic nut, though.
Pecans: Besides their monounsaturated fat content, they also potassium, vitamin E, phytosterols and beta-sitosterol
Pistachios: Many studies have been done on nut consumption in general, but two have been done specifically on pistachios. One showed that when pistachios were used in place of other fat sources, they improved lipid profiles and decreased the risk of coronary heart disease. The other showed that pistachio consumption decreased oxidative stress and improved total cholesterol and HDL cholesterol.
Pumpkin Seeds: Pumpkin seeds are also high in beta-sitosterol and therefore have benefits for prostate health as well as the ability to lower cholesterol levels
Sesame Seeds: The lignans of sesame seeds enhance vitamin E absorption, improve lipid profiles and support healthy blood pressure levels. Animal studies have shown that sesame seeds have the potential to increase fat utilization.
Sunflower Seeds: Sesame seeds have been shown to provide antioxidant and anticarcinogenic benefits. They also provide more protein and fiber than most nuts.
Walnuts: Walnuts contain more omega-3 than any other nut, and although it’s not the same as the DHA and EPA that comes from fish oil, it is still seen as a very healthy nut.

Summary

That’s quite a list of health benefits from nuts and seeds! Of course, like many other things, there is a point of diminishing returns. According to research discussed in the best-selling book on longevity, The Blue Zones, most of the health benefits of nut and seed consumption seem to be from 1-1 ½ ounces per day(4). It seems to be human nature to think that when something is healthy for us, we can eat as much as we want. That’s not the case with nuts and seeds, where total calorie consumption can quickly get out of hand. If you're going to make nuts and seeds a more regular part of your nutrition habits, here are a six things to keep in mind:

 

  1. Weigh out an ounce before you eat it so you know what it looks like. It's easy to end up eating three to four ounces without being aware of it at first.
  2. If you're attempting to lose or manage your weight, eating nuts and seeds should be in place of, not in addition to other foods in your diet. Skip the candy, brownies or other processed snacks and replace them with an ounce to an ounce and a half of nuts
  3. Don't be sold by packaging. Just because a bag of trail mix contains some nuts and seeds doesn't make it healthy. The milk chocolate, sweetened fruit and sugar added in most of them will negate the benefit of nuts. Better yet, make your own trail mix with mostly nuts, a small amount of dark chocolate and some unsweetened coconut.
  4. Mix it up. Try new ones each week when you do your shopping.
  5. Try a new nut butter like almond butter in your protein shake for some healthy fat and new taste in your shake
  6. Take a serving to work, don't take the container. If you bring a limited amount, you won't find yourself going through a full jar on a stressful work day.

 

Nuts and seeds are a great, nature-made snack food. Enjoy!

 

In health,

Tom Nikkola


References:

1. Siri-Tarino P, Sun Q, Hu F, Krauss R. Meta-analysis of prospective cohort studies evaluating the association of saturated fat with cardiovascular disease. Am J Clin Nutr. 2020;91:525-546

2. Jonny Bowden. The 150 Healthiest Foods on Earth. 2007. Fair Winds Press. Beverly, MA

3. Chen S, Kim W, Henning S, Carpenter C, Li Z. Arginine and antioxidant supplement on performance in elderly cyclists: a randomized controlled trial. JISSN. 2010;7:13

4. Dan Buettner. The Blue Zones. 2008. The National Geographic Society. Washington, D.C.


This article is not intended for the  treatment or prevention of disease, nor as a substitute for medical  treatment, nor as an alternative to medical  advice. Use of recommendations in this and other articles is at the choice and risk of  the reader.

259 Views 0 Comments Permalink Tags: nuts, seeds, weight_loss, protein, snacks, nutrition, fat
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couple on beach a.jpgIf vitamin D is not part of your regular nutrition program, you may be missing out in a big way. New studies seem to come out on almost a weekly basis showing the variety of ways it can positively impact our health. Unfortunately, most of us are not getting enough. A recent study in the Journal of Clinical Endocrinology and Metabolism showed 59% of the participants in the study had low levels of vitamin D in their blood and almost 25% had levels below 20 ng/ml, which is considered a serious deficiency(1). What is it about this single vitamin has made it the second-most popular single nutrient, next to omega-3s? Is it possible you may be deficient? If so, what are the risks? We'll take a look at these questions and more.

Where did the sun go?

When is the last time you spent the better part of the day outdoors in the sun? Over the years, we've spent more and more time indoors. Long work weeks and busy weekend agendas seem to keep us from finding the summer sun. For those who live in northern states, there's little opportunity to get much sun during the cold months of the year except through occasional vacations. How much of an impact does sun exposure have? Just 20-30 minutes of mid-day sun on most of your skin produces a whopping 10,000 IU vitamin D. For perspective, the Life Time Performance Multivitamin has 1000 IU, which is at the higher end for high-quality multivitamins! If you tried to get that much vitamin D from milk, it would take about 50 glasses in a day(2)! All of this leads up to the fact that Vitamin D, like many other important nutrients, is at levels far below optimal in a large part of our population. A significant part of the population is deficient in vitamin D, with an even greater percentage of the population being deficient during the winter months.

Effects of Vitamin D deficiency

There is a growing number of benefits associated with vitamin D deficiency. First, there is evidence to suggest that the flu season begins when we begin spending more time indoors and our vitamin D levels fall. With all of the hype about the flu vaccine, wouldn't it be great if we simply solved the issue by increasing supplemental vitamin D intake during the winter months? Supplementing with 2000 IU has been shown to dramatically decrease the occurrence of cold and flu symptoms(3). This past year, the flu got more attention than ever. Next fall, be sure to plan ahead by ensuring your vitamin D levels are optimized.

 

Vitamin D seems to have a positive effect in many other metabolic functions. The following is a list of additional health benefits of vitamin D are just some of the more current findings:

 

- A 2009 study published in Diabetes Care showed that insufficient vitamin D levels may increase the risk of metabolic syndrome by 52%(4)

- A 2010 study in the British Journal of Nutrition showed that in people with insulin resistance and low vitamin D levels, increasing vitamin D also reduced insulin resistance, which is a factor that affects the ability to manage weight(5)

- Vitamin D may protect against Crohn's disease according to to 2010 study in the Journal of Biological Chemistry(6)

- Low calcium and vitamin D levels has been shown to be an independent predictor of obesity, meaning those with the lowest levels of vitamin D were shown to be the most overweight(7)

- Research from The Intermountain Medical Center Heart Institute has shown that correcting deficiency levels of vitamin D lowers the risk of heart disease(8). One mechanism for increasing heart disease risk is that vitamin D seems to prevent the buildup of cholesterol in immune system cells called macrophage cells. When vitamin D levels are too low, the macrophages become built up with cholesterol. As that happens, they become foam cells. Foam cells lead to the buildup of atherosclerosis(11).

- Evidence suggests that sufficient vitamin D levels are critical for immune system activation(9)

 

These are just a sampling of the more recent study results related to vitamin D. Some experts believe this is just the beginning of major research on the significance of vitamins. One of the reasons vitamin D studies seem to show such promising results is that the studies are using much higher doses than are typically recommended by RDA levels. If the findings above are not powerful enough to make you take action in ensuring you're vitamin D levels are optimized, consider this statement:

 

"This is like the Holy Grail of cancer medicine; vitamin D produced a drop in cancer rates greater than that for quitting smoking, or indeed any other countermeasure in existence."

-- Dennis Mangan, clinical laboratory scientist

Optimizing Vitamin D Levels

Eating a healthy diet is no guarantee of having optimal levels of vitamin D, nor is drinking milk on a regular basis. As vitamin D expert, Dr. Michael F Holick, says:

 

"We estimate that vitamin D deficiency is the most common medical condition in the world."


There is still some debate on what optimal levels of vitamin D should be, but most experts agree that daily intake should be far higher than the current recommended daily allowances (RDAs). Research also shows that genetics may play a role in how much vitamin D individuals need. It seems that those of northern descent are able to get by with less vitamin D since historically they were exposed to less regular sun. That is why a blood test is the best method to determine whether an individual's blood is at optimal levels of vitamin D. The blood test is called a 1,25-dihydroxyvitamin D test. It can easily be done through veni-puncture and is small investment to ensure your blood-levels of this critical vitamin is at optimal levels. The typical categories for vitamin D blood levels are as follows:

 


ng/mLnmol/L
Deficiency (high risk)<20<50
Insufficient (moderate risk)20-2950-72
Adequate (low risk)>30>73

 

A study published in the British Journal of Nutrition showed that in order to reduce insulin resistance, blood levels of vitamin D should be 80-119 nm/l(5). This is higher than the typical levels considered to be "adequate," and based the overwhelming research on vitamin D, ideal levels will likely be adjusted. According to the Vitamin D Council, if you're not receiving regular sun exposure, you can supplement with 5000 IU vitamin D for 2-3 months and then get the 25-dihydroxyvitamin D test completed. The council suggests optimal levels of vitamin D to be 50-80 ng/mL or 125-200 nM/L. If you're unsure about what you should do, talk with a Nutrition Coach about getting your vitamin D levels tested and about how much vitamin D you should be supplementing with. If you're looking for a high-quality product to supplement with, you can order premier quality vitamin D from our online store. If the information above hasn't been quite enough to help you take action, I'll leave you with one final quote to consider:

 

"In all my many years of practice of medicine, I've never seen one vitamin, even vitamin C, have such a profound effect on human health."

-- Dr. Soram Khalsa, board-certified internist and medical director for the East-West Medical Research Institute

 

In health,

Tom Nikkola


References:

1. Medical News Today. Low Levels Of Vitamin D Linked To Muscle Fat, Decreased Strength In Young People. Medical News Today online article http://www.medicalnewstoday.com/articles/181501.php

2. Vitamin D Council. Understanding Vitamin D Cholecalciferol. Vitamin D Council website. http://www.vitamindcouncil.org

3. Cannell J, Zasloff M, Garlnd C, Scragg R, Giovannucci E.  On the epidemiology of influenza. Virology Journal. 2008;5:29

4. Lu L, Pan A, Hu FB, Franco OH, Li H, Li X, Yang X, Chen Y, Yu Z, Lin X. Plasma 25-hydroxyvitamin D Concentration and Metabolic Syndrome among Middle-aged and Elderly Chinese. Diabetes Care. 2009;32:1278-83

5. von Hurst P, Stonehouse W, Coad J. Vitamin D supplementation reduces insulin resistance in South Asian women living in New Zealand who are insulin resistant and vitamin D deficient - a randomised, placebo-controlled trial. Brit Jour Nutr. 2010;103:549-555

6. Wang T, Dabbas B, Bitton AJ, Soualhine H, Tavera-Mendoza LE, Dionne S, Bitton A, Seidman EG, Behr MA, White JH. Direct and indirect induction by 1,25-dihydroxyvitamin D3 of the NOD2/CARD15-beta defense in 2 innate immune pathway defective in Crohn's disease. Jour Bio Chem. 2010;285:2227-31

7. Kamycheva E, Joakimsen RM, Jorde R. Intakes of calcium and vitamin d predict body mass index in the population of Northern Norway. J Nutr. 2003;133:201-6

8. WebMd. Treating Vitamin D Deficiency Significantly Reduces Heart Disease Risk. WebMD online article, source: Jess Gomez, Intermountain Medical Center. http://www.medicalnewstoday.com/articles/182425.php

9. von Essen MR, Kongsbak M, Schjerling P, Olgaard K, Odum N, Geisler C. Vitamin D controls T cell antigen receptor signaling and activation of human T cells. Nature Immunology. 2010;11:344-349

10. Hathcock JN, Shao A, Vieth R, Heaney R. Risk assessment for Vitamin D. Am J Clin Nutr. 2007 Jan;85(1):6-18

11. Oh J, Weing S, Felton SK, Bhandare S, Riek A, Butler B, Proctor BM, Pretty  M, Chen Z, Schechtman KB, Bemal-Mizrach L, Bemal-Mizrachi C. 1,25(OH) vitamin D inhibits foam cell formation and suppresses macrophage cholesterol uptake in patients with type 2 diabetes mellitus. Circulation. 2009;120(8):687-698


This article is not intended for  the treatment or prevention of disease, nor as a substitute for  medical treatment, nor as an alternative to medical  advice. Use of    recommendations in this and other articles is at the choice and risk of the reader.

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