health

Nutrients and Weight Need Not Compete

On Nutrition by by Ed Blonz
by Ed Blonz
On Nutrition | December 16th, 2014

DEAR DR. BLONZ: I find that even with 30 to 60 minutes of strenuous activity a day, I have trouble keeping my weight where I want it. I recently lost 20 pounds and now weigh 125 pounds, but if I were to eat the amount of food needed to supply all the Recommended Daily Allowances, which I assume are required for optimal health, that weight would come back. I also know that recent research shows that restricted caloric intake may actually improve health and extend life expectancy. So this is my question: Is it healthier to be slightly undernourished (not starving) as I am, or to be properly nourished (according to Food and Drug Administration guidelines) but somewhat overweight? -- F.S., Hayward, California

DEAR F.S.: My thoughts are that it is better to be well-nourished (along with being active) and slightly overweight. But I want to point out that the research you mention about caloric restriction and extended life expectancy does not involve any nutritional deficits. Your question needs to be reframed: Undernourishment or being overweight should not be embraced as your only options. Meeting the RDAs need not be a burdensome task.

Those who have been successful at losing weight have experienced the annoying tendency to regain at the slightest provocation. Just looking at food seems to make the numbers on the scale go up. With weight loss, you need to maintain your activity level and stick to a conservative eating pattern to, in effect, establish a new status quo. According to the Calorie Control Calculator (tinyurl.com/pozleth), a moderately active woman weighing 125 pounds needs approximately 1,900 calories per day. There should be no problem meeting your nutrient goals within that allotment.

Eating is one of life's great pleasures, and it makes no sense to get frantic about occasional nutrient lapses. The "R" in RDA stands for "recommended," not "mandatory." If you happen to fall short of your RDA every now and then, your body is not going to degenerate into a slab of broken bones or a mass of oxidized flesh. Just as it does with calories during a diet, the body becomes more efficient at nutrient conservation during times of disease, famine or nutrient inadequacy.

Know the good foods that your body needs, and keep your nutritional house in order as best you can. Healthful eating involves a plant-based diet that is rich in fruits and has plenty of greens and other vegetables, legumes, whole grains, nuts, seeds and dairy products, and an occasional meal with low-fat meat products. I have written an aisle-by-aisle guide of the best choices at the market, and it is online at no charge (goo.gl/ZDHHs5).

A helpful strategy is to have some nutrient-rich power foods in your diet. For example, a vitamin/mineral-fortified whole-grain cereal is a great way to start the day. You can opt for some blended vegetable juice instead of a diet soda, and some fresh fruit and nuts instead of chips. A cup of yogurt provides a calcium boost. Have a green salad with carrots and other fresh vegetables with one of your daily meals. For those on a weight-loss regimen in which fewer foods are eaten, or if there are special needs, it is reasonable to take a dietary supplement to help bolster the intake of certain nutrients, such as calcium and vitamin D.

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

Cancer Breakthroughs Are Happening, but They Take Time

On Nutrition by by Ed Blonz
by Ed Blonz
On Nutrition | December 9th, 2014

DEAR DR. BLONZ: More and more people that I talk with about cancer have been losing faith in the medical community to come up with answers. Their thoughts are that there may, in fact, be cures for cancer; however, having a cure would put so many pharmaceutical companies and medical practitioners out of work that the cures, if they exist, will never be properly researched, publicized or made available. Millions in donations get raised to combat various cancers and other diseases, but where are the results? Not one advancement in finding a cure? Come on! It makes one want to turn to alternatives, as they, at least, promise success. -- T.S., San Jose, California

DEAR T.S.: Why does science take so long to come up with its cures? Frustration leads to a tendency to believe the worst about the medical/pharmaceutical communities. This approach is all too easy to embrace by those who suffer.

We have made amazing progress along many fronts, despite the fact that sophisticated medical research has not been around for very long. Our understanding of the variety of mechanisms of the various types of cancer has grown dramatically. We are poised for great advances on the treatment side -- ones that can take into account the genetic characteristics of the disease as well as the genes of the individual who has had the misfortune to develop it.

It takes enormous amounts of money to do this research, and there is less and less coming from federal funding. We might think that our government has a moral responsibility to fund such research, but our representatives seem loath to enact higher taxes to make it happen. This shifts the burden, or perhaps opportunity, to corporate laboratories, but these are profit-making institutions that have to answer to their stockholders.

It is not ideal, but there is no logic to jumping from this situation to one in which you embrace remedies with no testing or scientific foundation. All they have is a sales-pitch preceded by a condemnation of the status quo.

The ideal physician or researcher is noble in motivation -- at least, most start out that way. It is wrong to think that someone with a handle on a cure would not follow through to find out whether it is valid. Every scientist I know would relish the chance to be on a team that helped end a dreaded disease.

I do appreciate your need to vent. For my part, I promise to remain vigilant in my readings. I've been in the scientific field for a while, and if I believed there was something out there that was being silenced inappropriately, I'd raise my voice to a scream. In the meantime, I will continue to take issue with situations in which personal tragedy and frustration degenerate into a financial opportunity to push questionable remedies on desperate people.

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

Diet and Exercise Best Bets for Reducing Triglycerides

On Nutrition by by Ed Blonz
by Ed Blonz
On Nutrition | December 2nd, 2014

DEAR DR. BLONZ: My husband was just in for his annual physical, and his blood test showed high triglycerides. A similar result was found last year. He had some stents put in a few years ago and is on heart medication, but ever since then, he has toed the health line: He watches what he eats, exercises every other day and is not overweight.

His doctor said that the only thing one can do for high triglycerides is to exercise and lose any excess weight. Since my husband is already doing that, do you know of any dietary supplement that might help? -- T.S., Vacaville, California

DEAR T.S.: Fats represent the most concentrated form of stored energy in plants and animals, and triglycerides are the form by which nature bundles fats together. It includes the fats in our diet (nuts, seeds, butter, cooking oils, etc.), most of that found in our bloodstream, and the fat that eventually makes its way into our energy storage area, the adipose tissue.

Think of a triglyceride like the letter "E," with the three prongs representing the individual saturated or unsaturated fatty acids.

We need energy throughout the day, but the only time we take in energy is when we eat. At mealtime, food gets digested and absorbed, and any protein, carbohydrate or fat not being immediately used ends up as triglycerides and is transported off to storage through the blood. This explains why blood triglycerides go up after we eat, even when there is a limited amount of fat in the meal. It also explains why triglyceride tests are usually given after a 12- to 14-hour fast to avoid interference from the previous meal.

Triglycerides are recognized as an independent risk factor for heart disease. If you think about it, this makes perfect sense: It is not in our best interests to have a lot of fat roaming around in our bloodstream. Fat can fall victim to free-radical oxidation, a process that can damage your blood vessels, cause blockages and push you down the road toward heart disease. A high triglyceride level is even more of a risk factor when your blood cholesterol level is also elevated.

I wish there was a dietary supplement I could recommend with confidence, but there is no clear or consistent evidence. Your doctor is correct in that exercise and weight control are key, as high triglycerides are more common in people who carry excess weight. A regular intake of fish, especially those rich in omega-3 fats, can be helpful, but the effectiveness of omega-3 supplements is less clear: Recent research has reported increases in LDL cholesterol after taking them, which is not the type you want to see rise.

As a general rule, limiting alcohol intake and avoiding simple sugars makes sense, especially on an empty stomach, as they are known to contribute to elevated triglyceride levels.

The National Institutes of Health has a good article on triglycerides (tinyurl.com/p5ww2pd). Have your husband read it and have a discussion with his physician. This is especially important because he has had heart issues in the past, and is on medication. There can be a genetic component to elevated blood triglycerides and cholesterol; is there a family history of this problem? Again, it's something to talk about with his physician.

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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