health

For Kidney Patient, Avoiding Seeds Easier Said Than Done

On Nutrition by by Ed Blonz
by Ed Blonz
On Nutrition | October 16th, 2018

DEAR DR. BLONZ: My husband has only one kidney, working at 20 percent. To avoid dialysis, I work to keep all his food low-sodium and low-potassium. The sodium is easy; I changed from salt to cumin, coriander, cardamom, etc. Potassium is more difficult. There are about six vegetables he can have, and I work mainly with those.

That’s the background. Here is the question. The two lowest-potassium veggies are summer squash, in its green and yellow varieties. However, also on the “avoid” list are “nuts and seeds.” Emphasis here on SEEDS. Those squashes are about 50 percent seeds down their centers -- small seeds, soft seeds, but seeds nonetheless. So I lose about half of the veggie as I scoop out the seeds and discard them.

What do you think? The disabled kidney cannot handle seeds, and I want above all to save the kidney. Am I doing the right thing, or working too hard at it? -- H.K.

DEAR H.K.: Please accept my concern about your husband’s kidney issue, and my acknowledgment of his good fortune in having you as an advocate. I do not have the expertise to advise in specifics on this matter, but the National Kidney Foundation (kidney.org) has a “MyFoodCoach” tool designed for such issues. Find it by using the search bar on the organization’s website.

One final note: I encourage your vigilance in watching for indications in your husband that dialysis is becoming a necessary, lifesaving measure. See the resources at kidney.org/patients/peers/dialysis. I wish you both well.

DEAR DR. BLONZ: My question is about caffeine. Can it be diluted? If I drink a soda straight from the can, will it contain more caffeine than if I pour it over ice? Is there the same amount of caffeine in a 12-ounce cup of soda from a fountain as in a 12-ounce can? -- A.Q.

DEAR A.Q.: The two concepts involved are amount and concentration. Our sensation of taste relies on concentration, so a sip of saltwater from a container where one teaspoon of salt was dissolved in a cup of water will be perceived as saltier than a sip where a teaspoon of salt was dissolved in a quart of water. But if the entire cup or quart were consumed, the body would be receiving the same amount of salt -- and the 2,325 mg of sodium it contains. (Yep, that’s how much sodium is in a teaspoon of salt.)

Similar to sodium, the effect of caffeine is based on the dose, not the concentration. There will be comparable amounts of caffeine whether or not the drink was diluted with ice. (Soda fountains mix flavored syrups with a common supply of carbonated water. For the sake of comparison, it must be assumed that the concentration of ingredients and proportions in a fountain soda are similar to those found in the can.)

Send questions to: “On Nutrition,” Ed Blonz, c/o Andrews McMeel Syndication, 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

Room-temp Butter a Bad Idea

On Nutrition by by Ed Blonz
by Ed Blonz
On Nutrition | October 9th, 2018

DEAR DR. BLONZ: A local store was selling butter in the dairy section, but it was not refrigerated. Then, while at a friend’s house, I saw that she kept her butter at room temperature year-round. Her thought was that butter is saturated fat, so there was nothing that could go wrong, plus it makes the butter easy to spread. She does not feel there is any danger in this practice. I know it is wrong and unhealthy, but I cannot articulate to her the reason why. I would also like to pass something on to my local store. -- K.E., Hayward, California

DEAR K.E.: Storing butter at room temperature, exposed to air, will invite spoilage. The issue is that fats can react with oxygen in the air. As this happens, the fats become rancid; they develop “off” flavors and are no longer healthy to eat. It is a gradual process, and the reaction is slowed considerably at refrigerator temperatures.

It is true that saturated fatty acids tend to be more resistant to this type of breakdown, but they are not immune. Even saturated fats can oxidize and turn rancid. It is also important to consider that while most people think of butter as entirely “saturated,” this is not the case. According to the USDA, butter fats are 68 percent saturated, 28 percent monounsaturated and 4 percent polyunsaturated.

As a fat becomes rancid, it develops a foul, unappealing taste. However, there are degrees of rancidity, and one cannot always identify low levels, especially when present in dishes with strong flavors. Another insidious fact is that eating food with oxidized fats will not bring on food poisoning-like symptoms. Rather, the effects are cumulative, and thought to play a role in the risks of cardiovascular disease, cancer and aging.

You help prevent spoilage by keeping fats in well-sealed containers that prevent exposure to air, and by storing them in an appropriate low-temperature environment.

There is also a chance that butter might be affected by yeast and mold organisms in the air. Ongoing storage at room temperature would make butter vulnerable to this type of attack, as well.

My final spread: You won’t have to toss the butter if you accidentally leave it out overnight, and it is reasonable to take it out before mealtime if you want a softer spread. But the habitual storing of butter at room temperature is not recommended. If kept in an airtight container, such as a crock or butter keeper, the butter can be kept out for a few days, but even this method is not recommended with indoor temperatures that rise about 70 degrees F.

Send questions to: “On Nutrition,” Ed Blonz, c/o Andrews McMeel Syndication, 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

Microwaved Food Perfectly Safe

On Nutrition by by Ed Blonz
by Ed Blonz
On Nutrition | October 2nd, 2018

DEAR DR. BLONZ: I have heard stories from a friend about what a microwave does to food: that it changes the food’s composition, or that your body doesn’t recognize food in the same way after it has been microwaved -- that microwaves change food “at the molecular level.” I thought they caused molecular “friction,” which caused heat. That’s what I learned in my X-ray and radium physics course in college. My friend will no longer heat food in a microwave. Should I be concerned? -- A.G., Phoenix

DEAR A.G.: Searching for “microwave dangers” on the internet will reveal many sources of blatant misinformation, some of which border on the entertaining with their conspiratorial bent. As you correctly noted, microwaves heat food by causing molecular movement and heat-producing friction between the molecules. When you turn off the microwave, that stimulation ends. Except for generating more heat energy, there is no “change at the molecular level.”

One risk would be from overheating an item, but this can happen with any form of cooking. Your college course was correct; your friend is not. Food appropriately heated in a microwave remains food, and will be “recognized” by all bodily systems: appropriately digested to allow absorption and utilization of its nutritive value. We should all get in the habit of challenging nonsense before we swallow it.

DEAR DR. BLONZ: I am looking for information on automatic hot-water dispensers. We received one of these as a gift, and it will get lots of daily use in our home, seeing as we are all tea drinkers. But we have heard that using this machine over the long run could have adverse effects on our health, due to the heating element coming in direct contact with the water. We were even told that it could cause cancer with constant use. I’m hoping that this is only an “old wives’ tale.” -- S.T., Oklahoma City, Oklahoma

DEAR S.T.: I encourage you to enjoy your gift with the knowledge that there is no scientific basis for the concerns you mention. There is no logic, nor is there any objective documentation of “adverse effects” from a normally functioning heating element in a hot-water dispenser. Be sure to read the manufacturer’s directions for use and maintenance; periodic cleaning to prevent the buildup of mineral salts will be key.

DEAR DR. BLONZ: I have just been turned on to baking vegetables wrapped in parchment paper. They are incomparable in flavor. I wonder why parchment paper rarely shows up in recipes. Is it safe to eat food cooked in this nonstick paper? -- H.W., Hayward, California

DEAR H.W.: Parchment paper is made from cotton fiber and wood pulp. The paper is odorless and flavorless, and can be used as a pan liner or to wrap foods for cooking. Parchment paper provides a moist-heat method to cook foods “en papillote,” which is French for “cooked and served in paper.” It’s unclear to me, also, why this technique doesn’t get more use.

Send questions to: “On Nutrition,” Ed Blonz, c/o Andrews McMeel Syndication, 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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