health

Lead Poisoning: Know the Risks

On Nutrition by by Ed Blonz
by Ed Blonz
On Nutrition | August 26th, 2014

DEAR DR. BLONZ: I am concerned about lead poisoning. What is the best way to check for lead in paint? Our vacation rental is in a dated cottage and there is a powdery deposit on the walls. The rental agency doesn't know the answer. Our dog is with us, and we are also concerned about him. I need to find out more about what goes wrong with lead and how to find out discreetly whether there is a problem. -- S.R., San Diego

DEAR S.R.: The most immediate step is to find out whether there is lead on the walls. There are a number of lead-check products, some of which will probably be available at a local hardware store. I have used LeadCheck swabs (leadcheck.com) by 3M, but there are a number of products that can provide the information you need. They all involve a liquid swab with an indicator substance that turns a certain color when lead ions are present. It is a simple, straightforward test that can be used on any surface, and one that will let you know instantly -- and discreetly -- whether the powdery deposit on the walls in your rental represents a risk. These swabs can also be used to test for lead in any other items, such as chew toys used by the dog.

You are right to be concerned. Lead can enter the body in a number of ways, the most common being the consumption of substances containing lead, or the inhalation of lead in dust. If the walls have leaded paint, powder from the paint can drop to the floor; every time the floor is swept, the lead can become airborne, presenting an increased risk of inhalation. Lead poisoning in children, for example, is often related to the consumption of leaded paint chips that peel off the walls, or by putting hands or toys with lead dust on them in their mouths. In adults, common sources are leaded water pipes, leaded pottery used for cooking or eating, leaded food-storage containers, or working in industries where lead-containing compounds are used.

Aside from testing kits for the suspect items, there is a blood test that can determine if excessive lead has entered the body. A physician can provide a more precise evaluation. The good news is that the body is able to rid itself of lead; the bad news is that it does so slowly. The issue is that if you are in a lead-contaminated environment, the lead comes in faster than the body can eliminate it. That means the essential first step is to stop the exposure.

The symptoms of lead poisoning in adults are varied, including anemia, fatigue, depression, hypertension (high blood pressure), heart failure, abdominal pain, gout, kidney failure, wrist or foot weakness or reproductive problems. In children, lead poisoning symptoms include anemia, fatigue, decreased appetite, digestive problems, sleeplessness, learning problems and lowered I.Q. The Environmental Protection Agency has an excellent "Learn about Lead" page at tinyurl.com/ohsk2z5.

In dogs, the symptoms of lead poisoning include distinct changes in their nervous and digestive systems, including seizures, uneven gait, colic and vomiting. Consult your veterinarian if you have any questions. You can find more about lead poisoning in dogs at tinyurl.com/nl3qed6 and tinyurl.com/32r4uj.

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

Most Fat Sources Contain Multiple Types

On Nutrition by by Ed Blonz
by Ed Blonz
On Nutrition | August 19th, 2014

DEAR DR. BLONZ: Is there saturated fat in fish? My impression was that the fats in fish are highly unsaturated. -- F.S., Des Moines, Iowa

DEAR F.S.: Naturally occurring fats and oils are a mix of saturated, monounsaturated and polyunsaturated fatty acids. The type that is most prevalent in any given food is the one that generally gets associated with it. Olive oil, for example, is thought of as monounsaturated, but 10 percent of the fats in olive oil are saturated, and 13 percent are polyunsaturated. Now what about lard? The very mention makes one think "saturated," but with lard, the predominant fat (approximately 45 percent) is actually monounsaturated. Another 11 percent of the fat in lard is polyunsaturated, with 39 percent being saturated.

Fish are generally thought of as sources of polyunsaturated (often omega-3) fats, but they contain saturated and monounsaturated fatty acids as well. The percent breakdown depends on the variety. You can search the USDA database (ndb.nal.usda.gov) for the details.

DEAR DR. BLONZ: A number of people in my office rely on guarana pills for alertness and better concentration on the job. One has even said that guarana helps with impotence. What are your thoughts? -- S.E.D., Phoenix

DEAR S.E.D.: Guarana comes from the seeds of the South American shrub with the same name. The effects you mention, relating to alertness and concentration, have to do with the substance named guaranine, which is usually known by its more common name: caffeine. Yes, that's right: It's caffeine that's responsible for the pharmacologic effects of guarana. On a weight basis, there is more caffeine in guarana than there is in the coffee bean, the kola nut, mate or cacao (cocoa).

There is no standard concentration of caffeine in the guarana extracts used in dietary supplements. Read the label or check with the manufacturer to see how many milligrams of caffeine there are in a serving of any guarana-containing product. Use guarana as you would other sources of caffeine. There is no support, at least none that I could locate, regarding guarana as a "cure" or treatment for impotence.

DEAR DR. BLONZ: Is there a health difference between steel-cut oatmeal and longer-cooking oatmeal? Does the preparation make a health difference, too? I prepare mine by putting both the oatmeal and the water in at the same time and then cooking. -- O.M., San Jose, California

DEAR O.M.: There is no difference in health or nutrition composition between steel-cut and traditional long-cooking oatmeal. The same goes for quick-cook oats. It is the cut of the oats and the speed in which they cook, not the oats themselves, that are different. One half-cup (40 grams) of the dry oats in any of those cuts will contain about 3 grams of fat, 5 grams of protein, 27 grams of carbohydrate, 4 grams of fiber, and no sodium. Your method of preparation sounds fine.

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

With Cigarettes Gone, Lungs' Healing Can Begin

On Nutrition by by Ed Blonz
by Ed Blonz
On Nutrition | August 12th, 2014

DEAR DR. BLONZ: I have finally stopped smoking cigarettes, and my healer recommended a liquid diet to help my digestive system relax and expel all the toxins that have accumulated. Along with this came a heavy recommendation to get a colon cleanse, but I am reluctant. I know to expect some weight gain, and this is a concern. I think it is one of the reasons I have been unsuccessful at quitting in the past. I was hoping you might have some suggestions. -- S.F., San Diego

DEAR S.F.: As an active smoker, you were inhaling the solid refuse of burning tobacco, which was coming in faster than the body could cast it off. The body is always attempting to clean itself, and our lungs normally secrete mucus to entrap dust and other inhaled particles. The healthy lung then shuttles the mucus out through a series of cilia, or hairs.

But the entire process breaks down with burning tobacco: The smoke coming in contact with the cilia and sensitive lung tissues causes inefficiencies in this vital self-cleaning system. The more and longer you smoke, the messier things get inside. Mucus, tinged with tobacco byproducts, collects in the lungs, resulting in the typical hacking "smoker's" cough." Quitting smoking is one of the best steps toward healing you can take.

Once you stop (hooray!), the cleaning system begins to chip away at the backlog. It takes a while for the body to cleanse itself, and water serves as a main conduit for elimination. It makes sense to have plenty of healthful fluids, such as water and fruit or vegetable juices, working through your system. Forget the colon cleanse; there's no evidence that this does squat for smokers.

As for foods, people usually have an urge to eat more after quitting smoking, so you should have some foods around of low caloric density. Eat normally at mealtime, but be alert about the quality of your snacking. Good between-meal foods include fresh fruits, cut vegetables, whole-grain pretzels, and even sugar-free gums and candy. Other suggestions include rice cakes, air-popped popcorn, whole-grain dry cereals, raisins, etc. These foods can help fill you up without contributing an excess of calories.

If you have the OK from your (medical) doc, it may help to begin going on walks, or doing some other sort of exercise, such as bike riding, dancing or any other activity you enjoy. Not only will this help control any potential weight gain, it will be an important first step in telling your lungs and muscles to get in step with your new existence.

Don't give up if you gain a few pounds. Those can be lost later. The key is to get over the proverbial "hump" of about four weeks, after which the worst of the withdrawal symptoms will be history. There are many programs and support groups around that can be of help. E-cigarettes are not a solution, but they can serve as a bridge to getting nicotine dependence out of your life. The National Institutes of Health has an excellent reference website on smoking cessation: tinyurl.com/ybwl8ec.

Finally, you definitely need to spend some time giving yourself a good pat on the back. Set up a system of rewards, and if there is a (hopefully nonsmoking) significant other in your life, have that person be in charge of giving you gifts for every month that you stick with it. I congratulate you and wish you luck and determination as you continue down this road.

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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