health

Err on the Safe Side During Pregnancy

On Nutrition by by Ed Blonz
by Ed Blonz
On Nutrition | November 13th, 2012

DEAR DR. BLONZ: Two weeks ago, I found out I was seven weeks pregnant with my second child. I typically have irregular periods and I had no idea that I was pregnant. I had been drinking wine periodically with dinner, but I am now concerned that this might have affected my unborn child. Aside from this, I have a good diet and take good care of myself. Several women have told me that they had a glass of wine every day or so during their pregnancies, and that nothing happened to their babies. Another friend heard from her doctor that a glass of wine once in a while during her pregnancy wouldn't do any harm. But then I read the horror stories. How could anyone know what is safe or unsafe given this conflicting information? Please do what you can to clarify. -- D.D., Berkeley, Calif.

DEAR D.D.: First, let me offer my congratulations on your pregnancy. The question of whether your wine consumption might have had (or will have) an effect on your developing child is difficult to answer with any degree of certainty. We simply don't know. Research and statistical tables are available that reveal associations between the level of alcohol consumption and subsequent problems for the developing child. In most cases, the connection gets made between risk and the habitual amount of alcohol consumed.

You are not the first woman to find out that she was pregnant while engaging in a healthful lifestyle that might have included a moderate consumption of wine. It is not an uncommon circumstance, so don't let it consume you with guilt. There are many studies with gobs of statistics in the scientific literature. Abusive or binge drinking has been associated with problems, but a low-to-moderate intake (not daily, or less than an average of one drink per day with a meal) does not appear to be associated with any harm to the health of the child or mother. Having the alcohol with food is important.

Indeed, in a systemic review of available evidence in the January 2007 issue of BJOG, the International Journal of Obstetrics and Gynaecology, it was reported that there was no convincing evidence of adverse effects from low-to-moderate levels of alcohol intake. This being said, however, it must be emphasized that any excess of alcohol is definitely dangerous, and that alcohol is not essential for the health of your child. Of all the times in life, pregnancy is not one to take risks, however small. I recommend that you talk about these issues with your OB/GYN, and until you have had that conversation, consider tapering off your consumption of wine, if you haven't stopped already. It is always best to err on the side of safety.

Send questions to: "On Nutrition," Ed Blonz, c/o Universal Uclick, 1130 Walnut St., Kansas City, MO, 64106. Send email inquiries to questions@blonz.com. Due to the volume of mail, personal replies cannot be provided.

health

Knowledge Is Power When It Comes to Genetic Modification

On Nutrition by by Ed Blonz
by Ed Blonz
On Nutrition | November 6th, 2012

DEAR DR. BLONZ: In California there is a ballot issue (Proposition 37) about requiring labels on genetically modified foods. I am interested in your take on this. -- M.Q., San Jose, Calif.

DEAR M.Q.: In the past, improving a food crop via plant breeding was a hit-or-miss proposition that took years to achieve any measurable success. Genetic modification, a type of biotechnology, removes much of the guesswork by identifying the specific genetic code associated with a desired trait. This code can then be removed and made a part of the genetic instructions of a target plant. For example, you could take genes that contribute to great taste in one variety and transfer them to another variety that has poor taste but a longer shelf life. If it works, you could end up with a variety that has both qualities.

Plants might also be modified to grow in soil and water conditions where they previously could not survive. Genetic modification also has to the potential to create crops that remain fresher longer, are less dependent on chemical fertilizers and pesticides, and are more nutritious. For example, grains tend to lack certain amino acids so they cannot serve as good sources of protein. Genetic modifications can be engineered to provide the missing amino acids, turning easy-to-grow foods such as grains into inexpensive sources of complete proteins. Such developments would have little impact in the U.S., where we already eat too much protein, but they could represent a life-saving advancement in developing countries where single grains are often the main food eaten.

However, with such power and potential, there are questions of safety. When reprograming the way things grow, is it just a matter of time before a mistake opens a Pandora's box of new diseases, bugs, or even super weeds? It's a fair question.

There is government supervision through the FDA, EPA and USDA, but there is little practical control over experiments conducted in individual laboratories. Questions need to be constantly asked: Is this research necessary? Will this development feed more people, help save lives or provide a higher quality of life for a greater number of people?

We don't always know who is going to ask these questions, if anyone, and who will determine the answers. It is because of these unknowns that, at this point, biotechnology must be regarded with cautious optimism. As great as its potential is, the forces likely to decide its future are those who control the purse strings. Government coffers are running dry and those of private companies are usually salted with economic self-interest, a fact that may not coincide with the good of humanity.

As an example, genetic modification can create crops that are resistant to a particular pesticide or herbicide. By growing these varieties, more of a company's chemicals could be applied to kill pests without killing the crop. There is also the option of genetically engineering plants to produce their own pesticides. Rather than a step toward less dependence on synthetic chemicals, such "advances" would provide further rationale for their use. There is also the advent of patenting genetically modified seeds, creating corporate ownership of certain crops.

Few could argue with the use of science to create varieties of plants with higher nutritional quality, a higher resistance to disease or greater tolerance to variations in soil and temperature conditions. Such developments could change unfertile regions into productive farmland. This would be invaluable for those parts of the world constantly besieged by drought and famine. But if genetic modification is used only for profit, the development of crops to feed the hungry -- and the long-term health of the land and those who work it -- may shift to secondary importance.

It's in your best interest to follow this issue and make your opinions known with your voice, your vote and your wallet. It is essential to understand that genetic modification of foods represents the employment of a scientific method that has multiple personalities. Knowledge is power, and it is to our benefit to know where and how genetic modification is being used. As such, I favor California's Proposition 37. While not a perfect solution, it is definitely a step forward.

Send questions to: "On Nutrition," Ed Blonz, c/o Universal Uclick, 1130 Walnut St., Kansas City, MO, 64106. Send email inquiries to questions@blonz.com. Due to the volume of mail, personal replies cannot be provided.

health

Red Meat Not a Requirement for Healthy Muscles

On Nutrition by by Ed Blonz
by Ed Blonz
On Nutrition | October 30th, 2012

DEAR DR. BLONZ: I go to the gym regularly, but have been having problems with cramped muscles in my shoulder that have been slow to heal. Some friends tell me that it is not healing correctly because I do not eat red meat. Could this be true? Is there anything I should supplement my diet with because I do not eat red meat? -- S.T., San Jose, Calif.

DEAR S.T.: Good nutrition is good nutrition whether you eat red meat or not. You did not mention whether you consume other animal products, but even if not, there should be no problems with a balanced diet. If you are a vegetarian, however, there are a few nutrients you need to pay attention to, including protein, vitamin B-12, calcium, iron, zinc and vitamin D.

Of these, protein is the least likely to be a problem. Amino acids are the building blocks of protein, and of the 20 different amino acids, our body can manufacture all but nine. These nine, referred to as the essential amino acids (EAAs), need to be supplied in our diet. Most foods contain some amino acids. Animal proteins, such as meat, poultry, fish, eggs and dairy are considered "complete" proteins because they contain all nine EAAs.

Except for soybeans, vegetable proteins such as grains and legumes are incomplete proteins because they lack one or more of the EAAs. But people who eat a vegetarian diet, or even a vegan diet (no animal products), can easily meet their daily protein requirements by combining different foods so that sufficient amounts of all the EAAs are consumed during the day.

One nutrient that may be a potential problem is vitamin B-12. Needed for red blood cells and nerve tissue, vitamin B-12 is only found in bacteria and animal foods. Vegetarians can use specially fermented soy products, such as tempeh or miso, as a dietary source of B-12; another option is to rely on foods fortified with it.

If you consume dairy products, you shouldn't have any problems with calcium. Otherwise, you will have to rely on calcium-rich foods like broccoli; dark green leafy vegetables, such as kale and turnip greens; calcium-set tofu; calcium-fortified soy milk and orange juice; almonds; figs and some legumes.

Red meat is an excellent source of iron, but it can be found dark green leafy vegetables, legumes, raisins and prunes. Iron absorption is facilitated by acidic foods, such as citrus juices and vitamin C. Zinc, which can also be in short supply without red meat, can be found in nuts, seeds, whole grains and legumes.

Vitamin D, needed for calcium absorption and bone formation, is another nutrient that's not widely available in vegetarian cuisine. Besides food sources such as fish and vitamin D-fortified milk products, the body produces this nutrient upon exposure to direct sunlight. Again, the alternative is to rely on a fortified food or a supplement.

A supplement can be a convenient alternative for any of the above nutrients.

In your question, however, you mention a muscle problem that is not healing. I would encourage you to consider a consultation with a physical therapist. While such a practitioner will not solve any dietary deficiencies, he or she can help you with specific exercises to help strengthen the affected muscle.

Send questions to: "On Nutrition," Ed Blonz, c/o Universal Uclick, 1130 Walnut St., Kansas City, MO, 64106. Send email inquiries to questions@blonz.com. Due to the volume of mail, personal replies cannot be provided.

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