health

Don't Gamble on Left-Out Leftovers

On Nutrition by by Ed Blonz
by Ed Blonz
On Nutrition | July 23rd, 2013

DEAR DR. BLONZ: As part of a long-term effort to lose weight, we are making small changes in the foods we eat at our house. One change is to lower -- but not eliminate -- our carbohydrate intake: mainly cutting out sweets, added sugar and extra bread. My question is about the combination of grains and legumes. I've been told that when you eat beans and rice at the same time, the amino acids combine to make a complete protein. I'm confused how the body digests this combination. Does it handle these foods as a protein or as carbohydrates? Do I need to give up my favorite brown rice and black bean recipe? -- K.W., San Francisco

DEAR K.W.: Making gradual changes that can be maintained will usually win over a dietary "radical shift." The reasoning is that once you are done with your radical diet, you go right back to the way of eating that got you in trouble in the first place. Given this, you have my respect for your approach.

Beans and rice both contain complex carbohydrates, a modicum of fat, and protein in the form of amino acids. These nutrients will be digested in the same manner whether they are eaten separately or at the same time. These complex carbohydrates will not be as impactful as sweets on your blood sugar levels. (For more on this, consult glycemicindex.com.) Both beans and rice contain amino acids, but neither has the complement needed to make protein. When eaten together or during the same day, their amino acid profiles complement each other. By this I mean that the essential amino acid missing from beans (legumes) is in plentiful supply in rice (grains), and vice versa. I am uncertain why you might think it necessary to forgo brown rice and black beans. All you need to do is to keep an eye on your total caloric intake and stick to healthful foods such as these, and you will continue to progress.

DEAR DR. BLONZ: We had a wonderful meal at my parents' house, and there was enough for leftovers. They made individual leftover packets for the freezer, but accidentally left them on the counter overnight. When it was discovered the next morning, my mom put the packets in the freezer and insisted that freezing would kill any bacteria that might have grown during the night. She won't believe me that this is dangerous or that anyone who ate the leftovers could get sick. She said she can defrost and cook them in the microwave. Is this a safe practice? Does freezing kill bacteria? -- T.D., Casa Grande, Ariz.

DEAR T.D., Freezing does not make foods fresher than they were before they were frozen. Whenever a food is defrosted, bacterial growth picks up right where it left off. Eating foods that have been left out on the counter in the way you describe would be a dangerous roll of the dice. There would be no guarantee of safety even if you were to pay special attention to cooking the food thoroughly the next day. In my considered opinion, the best course is to toss the stuff.

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

When Choosing Omega-3 Supplements, Consider the Source

On Nutrition by by Ed Blonz
by Ed Blonz
On Nutrition | July 16th, 2013

DEAR DR. BLONZ: I was told by my optometrist that the irritation in my eyes is due to a condition known as blepharitis, and that I should be taking flax oil to provide the omega-3 fats that can help this condition. I recall in one of your columns that flax oil might not be the best way to get omega-3s, so I wanted some confirmation. Could you please give me an update of the best sources of omega-3s? -- K.L.F., Dobbs Ferry, N.Y.

DEAR K.L.F.: I am not a medical doctor (or an optometrist), so what I provide here should not be taken as medical advice. That being said, let's go through what's known.

Blepharitis is a condition in which there is swelling or inflammation of the eyelids (more details at tinyurl.com/mla285c). There are a number of possible treatments for this condition, and that's something you need to discuss with your health professional. If a decision is made to increase the body's omega-3 fatty acids, it usually refers to eating in a way to increase the long-chain omega-3s that include EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid), which are 20 and 22 carbons long, respectively. This might be selected because increasing the level of EPA and DHA in the body can have anti-inflammatory effects. EPA and DHA are found in certain fish such as salmon, but not in plants such as flax, walnuts, canola, and soy. Plants can contain an omega-3 fat, but it is typically an 18-carbon-long omega-3 known as ALA (alpha-linolenic acid).

The body can convert ALA into EPA and DHA, but it's not an efficient process. One paper in the June 2006 supplement of the American Journal of Clinical Nutrition reported that, at most, women can only convert 21 percent of ALA into EPA, and only up to 9 percent of ALA into DHA. For men, the rates are only up to 8 percent conversion for EPA and 4 percent for DHA. Most of the ALA we eat gets burned for energy.

So why the recommendation for flax oil? In looking through the scientific literature I found an important study in the December 2008 issue of the Transactions of the American Ophthalmological Society that reported a beneficial effect from flax seed oil on blepharitis. This might be the source of the recommendation. The authors, however, pointed out that they used flax seed oil not because it was the best source, but rather because fish oil products can have an odor and the study was placebo-controlled. They did not want their subjects to be able to detect whether they were receiving an omega-3 supplement or the placebo (olive oil, in this case). There was also a concern regarding the potential for heavy metal contaminants in fish oil products. The authors correctly pointed out that flax seed oil must first be converted to EPA/DHA before it can act as an anti-inflammatory.

Our bottom line here is that if there is a desire to increase the level of EPA and DHA in the body, you should discuss with your health professional if it might be more effective to eat more fish, or take a fish oil supplement containing EPA and DHA. There are now odorless products and ones that are distilled to eliminate potential contaminants.

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

Juicing Can Complement, but Not Replace, Fresh Foods

On Nutrition by by Ed Blonz
by Ed Blonz
On Nutrition | July 9th, 2013

DEAR DR. BLONZ: I wanted to know what you think about the frequently hyped health-promoting qualities of juicing, and about juicing machines in general. Do you get more nutrition from using a juicer than from simply eating the same fruits or vegetables? -- F.S., San Jose, Calif.

DEAR F.S.: Fresh juices can be a healthful food, but there is no reason to believe that you can "juice" away your health problems as many infomercials might have you believe. So, as with the juicers themselves, it's important to know the difference between substance and pulp.

There is a wide range of juice "prescriptions" for various ills. To help with arthritis, for example, one author might tout a pineapple juice formula, while another swears by broccoli, kale and spinach, and yet another recommends bean sprouts, carrots and cucumbers. Each recipe will have positive attributes, but there is no basis to believe that any of them will cure any of the various types of arthritis.

A focus on curing disease tends to overshadow the larger value of juicing. We would be better off getting refreshment from fresh vegetable or fruit juices instead of soda. Juices provide wonderful flavors and they contain valuable nutrients and phytochemicals not found in soda. For example, 12 ounces of fresh carrot juice contains about 100 calories and is loaded with healthful phytochemicals. Fresh apple, pineapple or melon juices yield flavor and aromas unmatched by other beverages.

The benefits of consuming more fruits and vegetables are indisputable, and it's a lot easier to drink a dozen carrots than to eat them. But because juice (without pulp) doesn't have fiber, the goal should be to have juice in addition to, not instead of, fresh fruits and vegetables. And while juicing proponents might swear juice gives you all the food's essential goodness except the fiber, it's unclear what proportion of the nutrients are left behind with the pulp.

There are three basic types of juicers. Extractors, the most popular kind, grind the food with a high-speed spinning disc that traps the pulp. They often have an ejector that deposits the pulp in a convenient bin. Masticator-type juicers chew up the food at a slower speed and make juice by mechanically pressing the ground-up produce against a screen. Finally, there are specialized blender/juicers that grind the entire fruit or vegetable. This is the one type of machine that doesn't remove the pulp; the juices from these machines retain the food's fiber. The tradeoff, however, is that the output can end up as slush rather than juice.

You'll find the greatest price variation among the juice extractors. The different price tags -- from about $50 to more than $300 -- reflect the power and noise level of the motor, as well as pulp capacity and cleaning ease. The masticator and blender/juicers tend to be in the $200 to $500 range. There's no "best" method; it's all a matter of taste and pocketbook.

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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