health

Digestive Enzymes Won't Be Diluted by Water

On Nutrition by by Ed Blonz
by Ed Blonz
On Nutrition | November 26th, 2013

DEAR DR. BLONZ: Is it not advised to drink water or a water-based beverage during the 30 minutes after eating? This was explained to me as having a negative effect on digestive enzymes and their ability to do their job. My confusion relates to the healthful practices of having soup or a large salad -- foods that are mostly water. -- P.H., San Jose, Calif.

DEAR P.H.: There is no fiction regarding the attributes of healthful soups and salads, but that water message has no place at the table.

Our key digestive enzymes don't come into play until the food has left the stomach and begins its travels through the small intestine. The dilution of digestive enzymes makes little sense, as enzymes attach themselves to specific parts of a specific food component. The issue here is the number of molecules of enzymes versus the number of molecules of their food component target. Water is not a target for enzymatic action so it has no major impact at this stage.

There can be exceptions, such as issues of transient bloating if excessive amounts of fluid are consumed while the food remains in the stomach. There also might be a problem for those with gastroesophageal reflux, as the extra volume in the stomach might encourage some sloshing up onto the esophagus while the stomach is doing its thing. Then there is the potential issue of aerophagia, the swallowing of air while one eats or drinks that subsequently leads to belching and is often confused with indigestion.

The point is that consuming water, or a water-based food, is fine; in fact, it can contribute to satiety and decrease the total amount of calories consumed. A study in the June 2005 issue of Obesity Research looked at overweight women on a calorie-controlled weight-loss program. It was reported that having a soup with a low energy density at the start of a meal led to more weight loss than consuming the same number of calories in the form of a high-energy-density snack food.

Energy density appears to be an issue with salads (and likely with soups as well), so we can't assume that very rich soups and salads work in the same way. A study in the October 2004 Journal of the American Dietetic Association compared no salad, a low-energy-density salad (9 calories per ounce) and a high-energy-density salad (about 38 calories per ounce). The difference in the energy came from the addition of cheese or a rich salad dressing. These salads were served in either a small portion (5.3 ounces) or a large portion (10.6 ounces). After the salad, the subjects ate as much of a pasta main course as they desired. Those having the low-energy-density salad as their first course consumed fewer calories during the entire meal. The small serving of salad reduced energy intakes by 7 percent, and a large serving correlated with a mealtime energy reduction of 12 percent. The results were different with the high-energy-density salad: Those having a small portion ended up having 8 percent more calories during the meal, and those with the large portion had 17 percent more calories.

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

Readers Agree: Nutrition Can Help Arthritis Pain

On Nutrition by by Ed Blonz
by Ed Blonz
On Nutrition | November 19th, 2013

DEAR READERS: I have received a number of wonderful responses to my Oct. 29 column on arthritic pain. Here are three that I felt were definitely worth sharing.

DEAR DR. BLONZ: I just read your advice to E.F with arthritis, and I have some more if you'd like to pass it along to him. First, I belong to a senior center where many elders visit. Many of us have arthritis and other sicknesses. We have 1,000 members, and many are well over 75 years old. So here are my suggestions: Visit your nearest senior center and join a group. Many offer exercise classes -- such as weights, yoga/balance, dance or walking -- where members enjoy learning, stretching and exercising the body. Many can do it all, while many others can only do a little, but it sure gets the body going.

Seek people with the same interests. Come and join a group in the morning for a cup of brew and talk with new friends. Or visit a club, like trivia, chess, books, poker, dominoes or even bingo.

Many of these centers, like mine, offer a nice lunch or dinner at a low price. Really handy to have a balanced meal or two. Or go to a basic cooking class; that really will help with your nutrition needs. If you don't have much money, there are still ways to do things. Believe me, I do. Many centers have transportation to and from your house; ask about it. Get more info from your nearest senior center. I hope this helps.

Dr. Blonz, your advice has taught me many things on how to live a healthier life. Thanks for listening. -- A.H.

DEAR DR. BLONZ: Today's column on superfoods helping arthritis is great and makes sense. I am 84 with three heart stents. I eat superfoods and walk to reduce stress. Progress is slow, but there is progress. Your columns are just what I need. -- C.B.

DEAR DR. BLONZ: This is to offer assurance to E.F. regarding arthritis pain. I'm 83 and also have arthritis in both knees. I have found that a good diet works far better to control pain. Along with exercise prescribed by my physical therapist, done every day, it has eliminated pain. I do have an occasional sharp pain, but it's gone by the time I can let out a yell.

My diet is made up almost totally of fresh fruits, vegetables, nuts and home-cooked meals AND a glass of wine with dinner. I do not eat ANY fast food; I really don't care for it, so that makes it easy. I can't agree with you more that diet should always be the first "medicine" in treating ailments. -- E.S.

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

Benefits of Rice Bran Oil

On Nutrition by by Ed Blonz
by Ed Blonz
On Nutrition | November 12th, 2013

DEAR DR. BLONZ: I have some questions regarding rice oil and peanut oil. I like to use them for cooking because of their health benefits and flavors. I know that peanut oil has to be stored in the refrigerator, and read the same thing about rice oil; however, at the Asian market where I purchase my rice oil, the proprietor just keeps it in her cupboard. Who is correct? -- K.K., San Diego

DEAR K.K.: Rice oil, usually called rice bran oil, has many healthful attributes. It contains healthful fatty acids, but there are also some nonfat components that are receiving some attention. The phytochemicals of note include the tocopherols and tocotrienols (vitamin E and its relatives), and certain triterpene alcohols, most notably a compound named gamma oryzanol.

A study in the January 2005 issue of the American Journal of Clinical Nutrition compared the cholesterol-lowering abilities of rice bran oil to those of rice bran (without the oil). The study used a diet in which 1/3 of the fats were from rice bran oil. The control group used other foods with similar levels of monounsaturated, polyunsaturated and saturated fats as that found in rice bran oil. After the 10-week experimental period, the rice bran oil group experienced a significant decrease in LDL cholesterol -- the one you want to lower -- of 7 percent.

A companion study looked to see whether adding rice bran, without the oil, would also have a cholesterol-lowering effect. The control group had 17 grams of fiber a day, while the experimental group had an equal amount of rice bran (no oil) added to their daily regimen so they had twice the intake of fiber per day. The study found no impact on cholesterol levels from the bran.

From these studies, the scientists concluded that it wasn't the fats in the rice bran oil, but its unique nonfat phytochemicals that were most likely to have been responsible. This is a theme we continue to see throughout nature.

Rice bran oil is also a great cooking oil because it has a very high smoke point -- the temperature at which an oil will begin to break down -- of 490 degrees. This means it can handle high-heat processes such as frying without giving off the acrid smoke that oils with lower smoke points might.

Similar to whole grains, oils are perishable. Purchase only the amount that you'll use within 4 to 6 months, and store in a well-sealed container in a cool place out of direct light. As long as it does not sit on the shelf for too long, refrigeration is not essential for rice bran oil or peanut oil, but it certainly works in your favor and does not harm the oil in any way.

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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