Tag Archives: hypertension

Sunday Roundup–April 21

Michael Pollan’s new book, changing your habits, Big Soda tactics, studies on cancer and hypertension. All in today’s Roundup!

Pollan Cooks!

The article is Marc Bittman’s interview with Michael Pollan about his new book “Cooked” to be released this Tuesday. The book basically is a call for everyone to get in the kitchen and cook. By this simple act, you will be doing your diet and health a great favor. If for nothing else, at least you won’t be using any additives and you’ll be using higher quality ingredients. For a more detailed insight into the book, you can also check this review in the Washington Post. I can’t wait to get my hands on this one.

cooked

“People who cook eat a healthier diet without giving it a thought. It’s the collapse of home cooking that led directly to the obesity epidemic.” Pollan as quoted in the NY Times

Ambushed by Big Soda on the Soccer Field

This is one issue brought up by Real Mom Nutrition that I feel so strongly about. She talks about representatives form Pepsico who came to her kids’ soccer field and started distributing Diet 7up to parents and kids for free. The average age of kids was roughly 7 during that game. That makes you wanna scream, doesn’t it? What are they doing pushing their products to kids like that? If you have kids and snacking has become synonymous with junk and is made available at every occasion from sports games to  birthday parties, head over to her blog to see what you can do about it.

diet_7up_can.286x0

“The soda companies are currently using low-calorie drinks in a campaign to distract from soda’s probable link to overweight, obesity, and diseases like diabetes.” Sally Kuzemchak, Real Mom Nutrition

 

FDA wants comments on labeling of artificial sweeteners in milk

The Dairy Industry is opposing a request by the FDA to label up-front artificially sweetened flavored milk targeted at kids. Why would the FDA allow artificial sweeteners in milk in the first place? Beats me! But you can have a say about this. Go to www.regulations.gov and type FDA-2009-P-0147 in the Search box. For more insight, check out Food Politics’ Marion Nestle post about it.

Chocolate-Milk-600x538

“Is giving artificial sweeteners to children a good idea? Why does milk for kids have to be sweetened?  Can’t kids drink plain, unflavored milk?” Marion Nestle, Food Politics

High-Salt Diet and Ulcer Bug Combine to Increase Risk of Cancer

Helicopacter pylori, also known as the bacterium causing ulcers, combined with a high-salt diet greatly increases the risk of gastric cancer according to a study published in the journal Infection and Immunity. The study was conducted on gerbils. All the animals with a specific strain of H.Pylori  who were fed a high-salt diet developed cancer compared to 58% who were fed a normal diet. It is always wise to consume less salt and watch out for the hidden sources such as processed and canned foods, condiments, and sauces.

salt shaker

“In several parts of the world that have high rates of gastric cancer, there is a high prevalence of cagA+ strains (H.Pylori) and a large proportion of the population consumes a high-salt diet.” Cover, researcher in the study as quoted in ScienceDaily

Drinking Cup of Beetroot Juice Daily May Help Lower Blood Pressure

This is a small study and the researchers don’t suggest just yet to start consuming massive amounts of beetroot juice. However, consumption of vegetables containing high amounts of nitrates such as green leafy greens (spinach, kale, lettuce..)  and beets seems to be beneficial for cardiac health. You can try my arugula and beet salad (can easily sub with spinach)or my super-easy beet salad.  The one thing that all people agree on is that vegetables are good for you. Now, go eat some!

beets

“We were surprised by how little nitrate was needed to see such a large effect,… Getting people to eat more fruits and vegetables is challenging, but results of the study offer hope..” Ahluwalia, researcher as quoted in ScienceDaily

Habit Mastery: Creating the New Normal

The latest post from Leo Babauta from Zen Habits tackles habit change and how it can become normal. It all begins by starting small and starting the change every day. Then you start welcoming the change by no longer view it as a sacrifice. The fourth step is sticking to it even when you feel the urge to stop. You have to acknowledge that urge and letting it go by not acting on it. And finally, when your change has become your new normal, adjust it if you need to. This applies to everything in life whether diet, exercise, being more organized or going to bed earlier maybe….

HowToChangeYourHabits

“Start small, start with one thing at a time, and make the change easier. You want to make changing the path of least resistance, because change usually isn’t for most people.” Leo Babauta in Zen Habits

 Finishing up the roundup with a picture from twitter via @MMusikerRD from a TED talk TEDMED2013. It is with US statistics but can be applied everywhere. I especially loved the bottom right part with real motivation for men and women Smile !

TEDMED

Image Sources:

1- (Penguin Press) – “Cooked: A Natural History of Transformation” by Michael Pollan : from www.washingtonpost.com

2- www.blueridgebeverage.com

3- mylocalhealthguide.com

4- trashywench.blogspot.com

5- www.getorganizedwizard.com

I Heart Chocolate

If you are like most people out there, you practically did a back flip once you heard chocolate was good for you. Then, probably you just contained yourself once you read further and discovered that it’s dark chocolate everybody is raving about!

In all “Superfoods” and “Top 10 Foods” list, you’ll get recommendations for the consumption of dark chocolate listing its antioxidant qualities and health benefits. And it’s true, but why are chocolate and cocoa good for you?

Chocolate and cocoa are produced from cocoa beans through fermentation, drying, roasting, and grinding forming what is known as the “cocoa mass”. Sugar is then added to the cocoa mass to make chocolate, whereas, making cocoa powder entails removing most of the fat. The cocoa bean is made mostly of fat ( 50-57%) where most of it is saturated. However, despite this high saturated fat content, chocolate does not appear to raise LDL cholesterol in healthy humans. The remaining fat-free mass is protein, starch and minerals including magnesium, iron and copper.

The protective effects of chocolate come from flavonoids namely epicatechin and catechin. No need to remember the names, just know that flavonoids act as antioxidants and flavonoid-rich foods may be associated with a reduced risk of heart disease, may reduce hypertension, and may have a role in cancer prevention. Cocoa has also been found to reduce LDL cholesterol and increase HDL cholesterol.

But not all chocolate is created equal. Studies have shown that once milk was consumed with the dark chocolate, or milk was added into the chocolate, the absorption of the flavonoids into the blood was much less than if it were consumed dark. Not to mention that milk chocolate has even less flavonoids to begin with (12mg/oz flavonoids compared to 709mg/oz in 100% cocoa solids baking chocolate). Even dark chocolate has varying flavonoid content depending on the crop of the cocoa beans and on the amount of cocoa solids. So choose dark chocolate with at least 60-70% cocoa solids for the most antioxidant benefit. As a general rule, the more bitter the chocolate the more cocoa solid it contains. As for the curious case of a certain thing called white chocolate, it just holds its name unrightfully. White chocolate is not really chocolate; it’s just made of cocoa butter and has no health benefits as it contains zero flavonoids.

But how much is too much? We should not forget that chocolate contains fat and sugar and hence is quite calorific. Even when you are choosing the dark variety, a daily intake is not advised especially if you are watching your weight. However, if you are one of those people who can’t live without your daily dose, opt for dark. You’ll know at least you’ll be reaping the heart-healthy benefits of the flavonoids. And if you are like me and buy the 100-gram bar, don’t finish it all in one sitting. Two squares or 20 grams make a good satisfying serving. Roughly, 100 grams of chocolate contain around 500 calories.

Here’s a list of few chocolate examples and their calorie content:

  • Lindt Excellence Dark Chocolate ( orange or mint flavored…):      Two squares or 20 grams have 95 calories
  • Snickers: 1 bar ( 2 oz or 57 grams) have 271 calories
  • Galaxy: 1 bar milk chocolate has 210 calories, 1 bar fruit and hazelnut has 239 calories.
  • Kit Kat Chunky: 1 bar ( 58 grams) has 280 calories
  • Hershey’s chocolate chips: 1 tablespoon semi-sweet has 80 calories, 1 tablespoon special dark chips has 70 calories
  • Hershey’s unsweetened cocoa powder: 1 tablespoon has 20 calories
  • Nutella: 1 tablespoon of hazelnut chocolate spread has 100 calories, 1 tablespoon of chocolate spread made with skim milk and cocoa has 95 calories.

You may find calorie counts of most food items on this calorie count website.

What about chocolate addiction? Is there such a thing? According to a review on food cravings and addictions from the University of Bristol, UK, chocolate is one of the most highly craved foods and it may be due to the fact that people feel ambivalent towards it. That is, it is highly desired but its intake should be restricted making it “naughty and nice” creating a craving. But little evidence supports the fact that it is addictive as many other foods increase the levels of serotonin (a neurotransmitter known as the feel-good chemical) in the brain much more than chocolate without having its appeal. In addition to that, milk chocolate, which has lower amounts of cocoa solids and hence lower amounts of the mood-altering compounds, is more widely preferred over dark chocolate. It is therefore more logical to assume that the fat and sugar in milk chocolate are the culprits behind the craving. Another study from the University of Exeter, UK, found that a 15-minute brisk walk may reduce that chocolate craving.

Two or three years back, I remember watching Nigella Lawson in one of her episodes buying every kind of chocolate bar imaginable then taking us through her pantry showing the more exquisite chocolates and cocoa powders she orders from abroad. Well, a few months ago I felt the urge of doing the same. I bought different kinds of dark chocolates and decided to tickle my taste buds. From Madagascar to Chile and Ecuador, to dark chocolate with sea salt, mint, and pepper, from 50% cocoa solids to 70%, each day was an indulgence. Every morsel was melt-in-your mouth goodness; however, my favorite remained the Lindt Intense Orange dark chocolate. I don’t know but chocolate and orange marry extremely well, and I am satisfied when I indulge in two squares. Actually a study in the University of Copenhagen has shown that dark chocolate may be more filling than milk chocolate reducing our craving for fatty, sugary and salty foods. People in the study who consumed dark chocolate ate 15% less after four hours than those who consumed milk chocolate. Yet, my absolute favorite is fresh Swiss chocolate, notice I underline the fresh because what I learned from my visit to Switzerland is that whatever chocolate you are tasting it’s melt in your mouth chocolate as long as it’s fresh! Hand it to the Swiss to buy a single truffle and then go savour it at a nearby cafe with a cup of coffee. I pretty much think we got weird looks from the salesperson when we ordered two kilos of assorted chocolates to take back home!

Window display at Teuscher, chocolate "boutique" in Zurich! Isn't this so creatively appetizing?

If a larger waistline is not among your short-term goals, please consume dark chocolate in moderation! Antioxidant benefits will be negated if you have to struggle with the extra weight and its associated health problems.

References:

Jeffrey, S. Chocolate Linked to Lower Stroke and Stroke Mortality Risk. American Academy of Neurology 62nd Annual Meeting. April 10-17, 2010. Published online February 11, 2009.

Buijsse B. et al. Chocolate consumption in relation to blood pressure and risk of cardiovascular disease in German adults, Eur Heart J (2010) 31(13): 1554-1556 first published online May 12, 2010 doi:10.1

P J Rogers, H J Smit.Food craving and food “addiction”: a critical review of the evidence from a biopsychosocial perspective.Pharmacol Biochem Behav. 2000 May;66(1):3-14.

Taylor, A. Brisk Walk Could Help Chocoholics Stop Snacking. Appetite Magazine

Managing Hypertension and the DASH diet

Blood pressure (BP), by definition, is the pressure exerted by circulating blood upon the walls of blood vessels. Normal blood pressure measures around 120/80 mm Hg or less, prehypertension is characterized by BP between 120/80 and 139/89 mm Hg, and high blood pressure or hypertension is when the BP is above 140/90 mm Hg. Blood pressure is an indicator of the flexibility of blood vessels. If the blood pressure is normal, this means that the blood vessels are flexible and they are less sensible to cholesterol deposits and plaque formation.

High blood pressure can me managed as it responds very well to treatment. Dietary and lifestyle changes can all help and can save your life.The DASH diet supported by the National Heart, Lung, and Blood Institute is one that is widely used and highly effective in controlling high blood pressure.

The Dietary Approach to Stop Hypertension (DASH) diet focuses on these guidelines:

  • Increase consumption of fruits, vegetables and fiber ( the fiber is from fruits and vegetables as well as whole grains, whole grain products and legumes which all constitute the major source of energy)
  • Consume foods rich in calcium including low-fat or non-fat milk and dairy products
  • Consume foods rich in potassium, magnesium such as broccoli, carrots, sweet potatoes, sweet peas, kale, spinach, tomatoes, bananas, apples, dates, grapes, oranges, pineapples, raisins, strawberries, mangoes…
  • Consume only lean meats and poultry trimmed of any visible fat, and fish
  • Limit consumption of saturated fats, and cholesterol
  • Consume less than 2.4 g of sodium or 1 teaspoon of salt per day. The doctor might even recommend to lower the consumption to 1.5g or less per day.

Other lifestyles changes include:

  • Weight loss
  • Exercise: walking and swimming are essentially beneficial
  • Smoking cessation
  • Limiting consumption of alcohol and caffeine
  • Reducing stress levels through meditation and relaxation techniques

Other than table salt, where is sodium mostly found?

  • Frozen microwave dinners
  • Canned Vegetables; rinse well before using and try to buy the ones with “no salt added” on the label.
  • Packaged deli meats; check the label and try to get lower sodium brands
  • Vegetable juices
  • Canned soups; look for lower sodium varieties
  • Flavorings such as Teriyaki sauce and soy sauce even the low-sodium kind
  • Broths and bouillon cubes; try to make your own while controlling the salt or use water instead
  • Salted nuts, chips and pretzels even the low-fat versions can pack loads of sodium so read the label
  • Condiments such as ketchup ( 1 tablespoon has 168mg sodium) and capers ( 1 tablespoon contains 255mg)
  • Breakfast ready-to-eat cereals, check the label
  • Some headache and heartburn medicine contain sodium carbonate or bicarbonate

Know the label jargon!

Phrase What   it means
Sodium-free Less than   5mg of sodium per serving
Very   low-sodium 35mg of   sodium or less
Low-sodium Less than   140mg of sodium per serving
Reduced   sodium 25 % less   sodium per serving than the regular version
Unsalted,   no salt added Made   without added salt but still contains the sodium normally found in foods

Also, when checking the ingredient list, look for the following: sodium, sodium citrate, sodium alginate,.. anything starting with sodium…, disodium phosphate, trisodium phosphate, monosodium glutamate, sodium bicarbonate (baking soda), and Na.

Grapefruit and some hypertension medication

Grapefruit is very healthy providing vitamin C and fiber; however, when taken with some medication it can interact dangerously. It binds to an enzyme inside the intestines allowing the medication to be absorbed directly into the bloodstream. This raises the drug concentration in the blood boosting its effect sometimes to a dangerous level. This is the case with some drugs used to treat high blood pressure; such as, Felodipine (Plendil) and Nifedipine (Procardia, Adalat). Check with your doctor for alternatives if you consume grapefruit. On another note, grapefruit also interacts with some statins or cholesterol -lowering drugs mentioned in a previous post such as Atorvastatin (Lipitor), Simvastatin (Zocor), and Lovastatin (Mevacor).

Even if blood pressure doesn’t show any overt symptoms, you should get it checked. Dietary and lifestyle modifications can be sufficient to control and manage it.

Resources: National Heart, Lung, and Blood Institute, WebMD, eatright.org, MayoClinic, Harvard Medical School newsletter