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jeudi 3 octobre 2013

The Six Facts You Must Know about Metabolism to Burn Fat

To understand how Fat-Burning Metabolic Plan works, you must first understand what is meant by the word metabolism. Metabolism is the sum total of all the chemical and physiological changes that take place within the body. This includes the transformation of food into energy, the growth and repair of muscle and bone tissue, and the creation of enzymes and hormones. The basal metabolic rate (BMR) accounts for about 70 percent of daily energy expenditure. The amount of energy required to digest and utilize food makes up 5 to 10 percent of daily energy output, and the energy expended in physical activity uses an additional 20 to 30 percent.

North Americans spend a total of $30 billion on commercial weight-loss programs and $6 billion on weight-loss products per year. At any given time, 25 percent of all men and 40 percent of all women are on some kind of diet. Yet we are still an overweight and obese society because we have many misconceptions about the metabolic processes that cause people to gain and lose body fat.

While it’s true that almost any weight-loss regimen will cause you to lose pounds in the short run, the real issue is if you will be able to keep them off in the long run. Unfortunately, most diets fail the test of time. According to the American College of Sports Medicine, people gain back 67 percent of their lost weight within one year and the rest within five years.

To really understand how your metabolism works and how to make it work for you, there are six important facts you must keep in mind.

The body’s ability to efficiently store fat began as a survival mechanism when our human ancestors were hunter-gatherers. Up until the develop­ment of agriculture ten thousand years ago, human beings lived in an envi­ronment that had no quick and easy sources of food. Early humans needed some kind of physical means to store energy so that they could do the exhausting work of hunting down large animals, sometimes over great dis­tances, running down smaller swift animals, and walking many miles daily to gather nuts, vegetables, grains, and fruits. This energy took the form of extra body fat.

While each person has a different ideal percentage of body fat depend­ing on gender and frame size, generally an average healthy body fat is 18–22 percent for women and 15–17 percent for men.

Eating too few calories for the efficient functioning of your metabolism ultimately results in more stored fat. This might sound like a contradiction, but eating a calorically deprived diet over a long period of time actually causes the body to begin to hang on to the fat supplies it has and even add to them. Because a steady supply of food was not guaranteed to our hunter-gatherer forebears, the body developed the added ability to slow down the metabolism and store extra fat during periods of famine. If we did not have this ability, we would not have survived the lean times.

This is the primary reason that very low-calorie or starvation diets do not work in the long run. Almost everyone who has ever been on a calorically deprived diet knows that at first the pounds just melt off. But eventually you reach a plateau where you stop losing weight, no matter how hard you try. That is your body’s natural fat-storing survival mechanism kicking in.

Recent studies have even shown an unexpected link between chronic caloric deprivation and obesity. Research conducted by Cornell University and the University of California at Davis have shown the connections between obesity, hunger, and poverty: poor women who periodically go without food so that their children can eat are often obese. The more often you starve yourself to try and lose weight, the slower and less efficient your metabolism will become.

In 1993 I had a client who was a former heavyweight boxing champion who would always be 25 to 45 pounds overweight going into our training camps. Each time we prepared him for a fight, he would be losing the same weight over and over again. This meant that we would have to prolong the usual six-week training period to about three months, which often brought us close to the edge of training burnout. It was a tremendous waste of time and resources to train a quarter of a year because of a simple weight issue.

On one occasion we had been training hard for two weeks and my client had not lost a single pound. This was a serious problem because the fight was only six weeks away. Thinking that low thyroid function might be the cause of his inability to lose weight, my doctor ordered a thyroid test, but the test came back normal.

At this time in my career, I had begun reading studies on metabolism. I consulted with the doctor we were using for this program, and he and I decided to run a simple metabolic activity test on our client. The test results showed that his metabolic rate had been slowed by 30 percent. We discovered the reason was that he wasn’t following the food plan we had given him to help him lose weight and support the intense physical activity of his training program. Thinking it would help him to lose weight faster, he wasn’t eating breakfast and was skimping on lunch. The opposite had occurred. He was tired in training and his body was hanging on to its fat supplies because it thought there was a famine going on. In other words it was slowing down his metabolic rate. At first it was difficult for us to convince him that he had to eat more to lose weight because it went against what he perceived as logic. But as soon as he began eating the proper num­ber of calories and nutrients, he saw the pounds begin to come off.

In his book Turn Up the Heat: Unlock the Fat-Burning Power of Your Metabolism, nutritionist and champion bodybuilder Philip Goglia points out that we are a consistently underfed society: “I have found that most of the people who come to me with weight and health problems are usually already ingesting far fewer calories than they should in order to efficiently fuel their bodies. Therefore, their metabolism, the body’s calorie-burning furnace, is already running 25 percent to 60 percent below its ideal metabolic-efficiency level. In turn, the body is storing much of the limited amounts of food these individuals eat as fat and wasting muscle tissue as an adaptive mechanism to create an alternative energy source.”

You have to eat a certain amount of calories per day to lose body fat and preserve and build lean muscle mass. Eating too few calories can even cause your body to cannibalize its own lean muscle to get the nutrients needed for survival.

Longevity studies have shown the importance of not only eating the right number of calories to support your metabolism but eating low-glycemic nutrient-dense calories to prolong the length, health, and quality of your life. For some this might indeed mean having to cut back on calories. But for most this won’t be the case.

Our ancestors evolved by eating a diet of complex carbohydrates (high-fiber grains that took a long time to digest), lean protein, and fresh fruits and vegetables. In our current culture of processed foods, low-nutrition junk foods, and supersized meals, a person can go for weeks without eating a single piece of fresh produce. Because of large-scale, single-crop agri­business, which picks most produce before it has even ripened so that it can be shipped to supermarkets hundreds or even thousands of miles away, we end up eating almost no fresh, ripe fruits and vegetables. In addition, our food is grown in soil so depleted in minerals that we get little nutri­tional value from it.

It does not help that we live in a culture that fears fats and carbohy­drates. Most of the popular diet plans restrict one of these food groups.

Fear of Carbohydrates

People avoid carbohydrates because they think they are fattening. Some of the most popular, longstanding programs on the market such as the Atkins diet are based on the premise that you must severely restrict carbohydrates to lose weight. This is not true. Because you need a basic amount of carbo­hydrates just to keep brain function and other metabolic processes effi­cient, low-carbohydrate diets can make you feel exhausted and irritable. No one can stay on a diet for long that leaves them depleted of energy and unable to concentrate.

A very low-carbohydrate diet (or fasting) can induce ketosis. This condition occurs when the body is unable to completely burn fat for energy. Ketones are by-products of the incompletely burned fat. If there is no glucose (carbohydrates) available, then the body (including the brain) can use ketones for energy. The World Health Organization recommends at least 50 grams of carbohydrates daily to avoid ketosis.

In the Fat-Burning Metabolic Fitness Nutritional Plan presented on this website, I ask readers to eat a diet that includes 40 percent low-glycemic carbohydrates. Choosing the correct kind of carbohydrates is an important part of losing weight, maintaining weight, and staying healthy. Sugary and overprocessed foods such as candy, cake, and soft drinks are simple carbo­hydrates. Bran muffins, brown rice, and whole-grain breads are complex carbohydrates. Also, each fruit, vegetable, and grain has a different rate of digestion based on the glycemic index. Carbohydrates that digest slowly and release their energy into the bloodstream gradually result in less stored fat than those that digest quickly, releasing their energy in amounts greater than the body can use.

Fear of Fats

Many people are afraid of eating fats because they associate them with instant weight gain. When my nutritionist, Molly Kimball, evaluates cli­ents for my health and performance enhancement program (PEP), she often finds that people who are trying to lose weight frequently avoid fats. They believe that everything they eat must be low-fat or fat-free. This makes for a boring and tasteless diet. Their typical breakfast might be dry toast or a bagel or cereal with low-fat milk. Lunch might be a sandwich with very little meat and no mayonnaise or cheese. Dinner might be pasta, brown rice, or a potato and with a little protein. Eating all of these carbo­hydrates by themselves without a sufficient amount of lean meat (30 per­cent of the total diet) and acceptable fats (30 percent of the total diet) can trigger an insulin release, causing blood sugar to dip.

No one can avoid fats and stay healthy. Because fat is an energy source, your body needs a certain amount to function efficiently. Most fats are com­monly found in animal foods or can be synthesized in your body from carbo­hydrates. However, your body cannot make these essential fatty acids, which are omega-6 and omega-3. A deficiency of essential fatty acids will produce symptoms such as dry and scaly skin, dermatitis, and hair loss.

Clients are often shocked to find out how the pounds begin to drop when they begin eating the right amount of fats. Again, the type of fats that you eat—mono- and polyunsaturated fats versus saturated fats—is the most important factor in weight loss, weight maintenance, and good health.

Studies have shown that a healthy nutritional program consists of 40 percent low-glycemic carbohydrates, 30 percent lean protein, and 30 per­cent acceptable fats.

The most effective way to reduce body fat and promote metabolic effi­ciency is to normalize your body’s ability to manage insulin. Effectively managing insulin is based on four factors: (1) the glycemic index of the foods you eat (their complexity and the amount of time it takes to digest them), (2) the efficiency of your metabolism, (3) your fat–to–lean muscle ratio, and (4) the amount and type of physical activity and exercise you engage in.

Since muscle tissue is metabolically active and fat just basically sits there, the fatter you are, the less metabolically active your body will be. There are two main scenarios in which a person develops a high fat–to–lean muscle ratio. The first can occur at any age and is lifestyle related—high levels of stress, poor eating habits, low levels of exercise or no exercise. The second is a natural but reversible process called sarcope­nia that develops with age. Sarcopenia is basically the wasting of lean muscle and the gain in body fat that results from lack of exercise, espe­cially resistive exercise. Whatever the reason, having an unhealthy amount of body fat can lead to a lower metabolic rate and insulin resistance.

Insulin is the hormone involved in storing energy from the foods that we eat. When there is an overabundance of energy-giving foods in a meal, especially carbohydrates but to a lesser degree proteins and to a much lesser degree fats, the body will secrete insulin in great quantities. Any nutrients that cannot be used at that time will be stored. Insulin affects excess proteins by promoting amino acid uptake by cells. Insulin causes excess carbohydrates to be stored as glycogen in the liver, muscles, and circulatory system until they are needed between meals when glucose lev­els drop. All of the excess carbohydrates that cannot be stored as glycogen are converted into fat and stored in the adipose (fatty) tissues.

The book Endocrinology and Reproduction by P. C. K. Leung and oth­ers gives further insights into this process in the chapter where it discusses insulin and diabetes: “When insulin is secreted into the blood, it circulates almost entirely in an unbound form: it has a plasma half-life that averages only about 6 minutes, so that it is mainly cleared from the circulation within 10 to 15 minutes…. This rapid removal from the plasma is impor­tant because at times it is equally as important to turn off rapidly as to turn on the control functions of insulin.”

When a person becomes overfat, especially in the abdominal area, he or she can become insulin resistant. Muscle cells, which make up 30 to 50 percent of the body, get out of shape and lose much of their ability to respond effectively to insulin. This leaves a surplus of glucose floating around in the blood—much more than the body actually needs for its immediate energy needs. In turn, the pancreas is stimulated to release even more insulin to do its job of transporting the glucose through the cell membranes.

Since the fat cells of an overfat individual are more receptive to insulin than the muscle cells, this is where much of the remaining glucose even­tually gets deposited. A vicious cycle is created, causing even more fat gain—that is, the more overfat a person becomes, the more excess carbo­hydrates will be converted into fat storage.

Most people did not become overfat during the centuries of hunting and farming, primarily because our ancestors ate more complex foods and engaged in more physical work, which caused a more stable insulin response and resulted in leaner, stronger, healthier bodies. These complex foods, which take longer to digest, included whole grains, legumes, and veg­etables, all of which have a high fiber content and are low in simple sugars.

The glycemic index rates foods according to the speed at which they are digested and converted to energy or stored. Foods with a low glycemic index are more complex and require burning more calories to digest them. Foods with a high glycemic index digest quickly; therefore, if they are not burned during daily activities, they are usually stored as fat because your body is genetically programmed to store the food energy that you cannot use immediately. This goes back to the feast-or-famine idea discussed ear­lier. Since our ancestors could not always get regular meals, their bodies developed the ability to slow their metabolism and store all excess foods as fat for the lean times.

Metabolic efficiency is directly related to the amount of activity you engage in each day. This includes everything from planned exercise to walking through your local mall to playing with your kids to taking your spouse out dancing or your family for a walk in the local park. If you aren’t physically active, you will begin to gain weight. It’s that simple.

According to a recent report by the surgeon general, a shocking 60 percent of Americans do not engage in enough activity to keep them even minimally healthy, and 25 percent get no exercise at all. Many people think that metabolism slows as you get older. It is not your metabolic processes that are slowing down, however; it is your lifestyle and level of activity.

When most baby boomers think back to how they looked in their childhood, they probably remember a skinny boy or girl who was always outside running around or playing sports. When they got older and took on adult responsibilities, they may have sat behind a desk for eight hours a day. As time passed, children were born, family responsibilities increased, and they got older, they probably spent more time working and less time being physically active, resulting in gradual yearly weight gain. With the advent of television and home computers, even leisure time took on a sedentary nature, with the average adult watching four hours of TV daily. The commercials for junk food, sugary treats, soft drinks, chips, and highly processed foods also encourage poor eating habits. When was the last time you saw a TV ad for fresh fruits and vegetables?

A certain amount of inactivity is directly related to the fact that more than 50 percent of all Americans are now living in urban environments where being active outdoors is not necessarily a part of daily life. If you live in a condo or an apartment, you probably don’t mow the lawn or do yard work; nor are your kids easily able to step outside and play or take a dip in the pool.

To create metabolic efficiency, you need to engage in at least twenty to thirty minutes of exercise at least three times per week. How you should exercise is related to your gender. Studies have shown that women tend to metabolize more fat at low to moderate intensities of exercise and men at moderate to high intensities. Also, as individuals get older, the ratio between aerobic and resistance exercise should change. The older a person gets, the more he or she will need to conserve bone mass and lean muscle, both of which decrease with age. The average cardiovascular and resis­tance exercise percentages for a person in good health with normal weight should be as follows:

In this website section I show you how to maximize the fat loss and metabolic bene­fits you derive from exercise.

The one thing that your metabolic processes love the most is consistency. If you spend one month never exercising, one week overexercising, and another month exercising only occasionally, your body will not be able to get the full benefit of a consistent activity level and the benefits of a metab­olism that is more efficient at fat burning. When you are constantly alter­nating overeating with undereating, your blood sugar and insulin response are yo-yoing up and down as your body desperately tries to figure out whether there is a feast or a famine. Eating three healthy meals per day plus two or three snacks will create maximum metabolic efficiency.

Fat-Burning Metabolic Fitness Questionnaire

This simple questionnaire should help you to understand how metaboli­cally fit you are. If you answer no to all of the questions, you most likely have an efficient metabolism. If you answer yes to three questions, your metabolism is probably only moderately efficient and you would benefit from changing your eating and exercise patterns. If you check off more than three yes answers, your metabolism has probably slowed to the point where you are overfat. Besides changing your eating and exercise patterns, you should consider having a resting metabolic test performed by your physician 6.

Fat-Burning Metabolic Fitness Questionnaire

Do you go for more than 3%Z–4 hours without eating?Do you have an excessive buildup of abdominal fat (35 inches for a woman and 40 inches for a man)?Have you noticed an increase in your waist circumference without a significant change in your weight?Do you feel tired much of the time, especially midmorning and midafternoon?

It’s never too late to increase your level of metabolic fitness. Since lean muscle tissue is metabolically more active than fat, which basically just sits there, the key is to reduce fat and increase lean muscle. Regardless of your score on this Questionnaire, the metabolic prescription presented on this website will help you to bring your metabolism up to maximum efficiency.

mardi 24 septembre 2013

Tips about healthiest Beans and Legumes to eat – Beans, Green Peas, Lentils

You can read the positives in the coming entries: Beans are loaded with fiber, a food component that has been associated with lower risks of heart disease, diabetes, obesity, and cancer.

They contain protein. They digest very slowly, providing sustained energy and making them an ideal food for those who need to avoid the “blood-sugar roller coaster.” They lower cholesterol.

And they’re loaded with protective phytochemicals, antioxidants, and vitamins.

dimanche 22 septembre 2013

Tips about healthiest Fruits to eat – Blood sugar

Your Are Here: Health tips ? Nutrition ? Fruits ? Tips about healthiest Fruits to eat – Blood sugar

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Tips about healthiest Fruits to eat – Raisins, Raspberries, Strawberries, Watermelon

Your Are Here: Health tips ? Nutrition ? Fruits ? Tips about healthiest Fruits to eat – Raisins, Raspberries, Strawberries, Watermelon

vendredi 20 septembre 2013

Tips about healthiest Grains to eat – Oatmeal and Quinoa

So what’s the best advice? If you eat rice, stick with whole grain. Forget about white, and definitely avoid “instant” rice. Consider using rice the way the Europeans and Asians do, as a small side dish, about the size of an ice cream scoop.

Rice can be a good food, but not if it’s been processed to death like most of the rice we see in industrial nations. In my opinion, the best use of conventional, processed, instant white rice is as a packing material.

lundi 9 septembre 2013

Questions and Answers about Vegetables found in the Mediterranean Diet

If allium compounds are destroyed in the cooking pro­cess, what is the best way to include them in the diet? Raw onions and garlic?

To many people, raw onions and garlic are too strongly flavored to be palatable when eaten alone. However, minced or even thinly sliced raw onions make an aromatic addition to a salad, and minced fresh garlic tastes great in an olive oil vinaigrette salad dressing. Raw chives are another delicious addition to salads and make a crunchy garnish to other foods, from the traditional cottage cheese to grain-based dishes and pasta dishes. When you do cook onions and gar­lic, try to cook them for as short a time as possible. When making soups and stews, sprinkle a few chopped onions on top, and/or add the garlic (or half the garlic) toward the end of the cooking time.

Are the familiar herbs and spices used in Mediterranean cuisine of any nutritional value, or are they purely for fla­voring?

Herbs and spices are plant foods and are rich with nutri­ents and phytochemicals, just like vegetables, although re­search hasn’t focused its attention on herbs and spices the way it has on vegetables (at least partially due to the fact that these plant foods are consumed in much smaller amounts and so may have a less potent, although quite possibly cumula­tive, effect). Some plant foods such as garlic are often thought to be either an herb or a vegetable, and the distinc­tion is indeed blurry at times. The dictionary even defines vegetables as “a usually herbaceous plant cultivated for its edible parts.” Herbs are, technically, plants with fleshy rather than woody stems, and are also defined as “aromatic plants used in medicine or as seasoning.” Similarly, spices are “aromatic  or pungent plant substances used as flavoring.”

Yes. Just as a raisin is as nutritious as a grape, the sun-dried tomato is full of lycopene and contains all the nutrients of a vine-ripe tomato. The only element missing is the water. The sun-dried tomato also contains the same number of calories as a fresh tomato. However, because it is smaller, it is easier to eat more sun-dried tomatoes than fresh tomatoes. Of course, the calories in vegetables are minimal and these are calories with nutritional power, so there’s no need to limit yourself. Sun-dried tomatoes make a flavorful addition to many dishes and are even a tasty addition to homemade bread.

Are frozen vegetables as nutritious as fresh vegetables?

Not always, but sometimes the frozen version of your fa­vorite veggie is actually more nutritious than the fresh ver­sion. Many vegetables are flash-frozen and bagged right in the field after picking, preserving many nutrients that might otherwise be destroyed by rough handling and extreme tem­peratures, not to mention too-long exposure to the air during the long transport to your local supermarket and finally to your refrigerator. Some nutrients are easily oxidized and de­pleted during this trek.

That’s not to say you shouldn’t seek out fresh produce! Seek out local produce stands or, better yet, grow your own vegetables. The trip from garden to dinner plate is much shorter, and you’ll be getting the best flavor and most nutri­tional value possible. When good fresh produce isn’t avail­able, however, you can rest assured that frozen and canned vegetables are a pretty close second when it comes to nutri­tional value. Be aware, however, that sodium may be added to frozen and canned vegetables. Briefly rinse these vegeta­bles with water before preparing to wash away the excess, should you be salt-sensitive or if your recipe doesn’t call for extra salt.

Chili pepper, Parsley, Mediterranean cuisine, Garlic, herbs and spices, soups and stews, aromatic plants, olive oil,

How much folacin is in different kinds of foods?

Many kinds of beans, vegetables, fruit, whole grains, nuts, and seeds contain folacin. All of these foods are rec­ommended to be consumed on a daily basis in the Mediter­ranean Diet Pyramid, making it easy to get adequate amounts of folacin. The recommended daily allowance for the average adult is 180 to 200 micrograms. Women in childbearing years, and those who are pregnant, are recom­mended to get 400 micrograms of folacin per day. Some re­searchers feel that folacin intakes should be from 400 to 800 micrograms per day to help prevent cancer. Below is a chart of some foods and their folacin content:

Food                                                         Folacin (micrograms)

Artichoke,

boiled (1 medium)                                             155

Asparagus,

boiled (1/2 cup, or 6 spears)                             130

Avocado,

raw (1 medium)                                                  160

Blackberries

(frozen, unsweetened, 1 cup)                             50

Boysenberries

(frozen, unsweetened, 1 cup)                             85

Broccoli,

raw (1/2 cup chopped)                                          30

Chickpeas (garbanzo beans),

boiled (1 cup)                                                     280

Orange juice

(8 ounces)                                                           110

Red kidney beans,

boiled (1 cup)                                                     230

Note: These figures are rounded numbers. Source: Jean Penning­ton, Bowes & Churches, Food Values of Portions Commonly Used (17 ed), Philadelphia: Lippincott, 1998.

The Mediterranean Diet – Questions and Answers about what you eat and drink

In general, what counts as a serving?

The Mediterranean Diet Pyramid lists serving sizes in each of its food categories. The USDA also publishes a list of serving sizes for a variety of food groups. In general, however, one serving from the grain group equals one slice of bread. Note that by “slice of bread,” we are referring to the standard 70-calorie portion size. If your whole-grain bread contains more calories per slice, adjust accordingly. For example, some prepackaged whole-grain breads contain 110 calories per slice, which would equal 11/2 Mediter­ranean Diet grain servings. A serving is also equal to 1 ounce of ready-to-eat cereal or 1/2 cup of cooked grains, in­cluding whole-grain rice, pasta, or cooked cereal.

This serv­ing is fairly small. Drop 1/2 cup of pasta on a plate and you’ll see what we mean. The small serving size (by American standards, where we have become accustomed to “super-sizing” our meals) puts the USDA’s six to eleven serving recommendation from the grain group in perspective. For the carb-concerned, six to eleven servings sounds out of control, and even eight servings sounds like a lot, but eat a cup of whole-grain, sugar-free cereal for breakfast (like hot oatmeal), one sandwich on two slices of whole-grain bread for lunch, and a cup of whole-grain pasta for dinner and you’re there. In general, whole-grain foods will not promote wide fluctuations in insulin levels.

For the vegetable group, 1 cup of raw leafy vegetables or 1/2 cup of chopped or cooked other vegetables or 3/4 cup of vegetable juice equals a serving. One medium piece of fruit or 1/2 cup of chopped or cooked fruit, or 1/2 to 3/4 cup of most fruit juices equals a fruit serving. In the dairy category, 1 cup of milk or yogurt or 11/2 ounces of cheese equals a serving, and in the protein group, 2 to 3 ounces of cooked lean meat equals a serving (that’s not very big, so take note). Note: One egg, 2 tablespoons of peanut butter, 1/ 3 cup of most nuts, or 1/2 cup of cooked lentils equals an ounce of meat.

Does the Mediterranean diet provide enough daily pro­tein for the average adult?

Yes! The Recommended Daily Allowance (RDA) for pro­tein for the average adult male (age twenty-five and up) is 63 grams. For the average adult female (age twenty-five and up and who is not pregnant or lactating), the RDA for protein is 50 grams. If you eat the minimum daily Mediterranean Diet recommendation of 1 cup of legumes (such as chickpeas and red kidney beans) per day, you’ll be eating roughly 14 grams of protein. Add in 1/3 cup of nuts (such as walnuts) and you’ll be consuming 7 grams more. Consume at least three servings of vegetables (such as green beans and carrots), and you are adding about 3 more grams of protein. Two cups of low-fat soy milk equals roughly 16 grams of protein. Eat at least eight servings of whole grains (such as whole-grain bread and couscous), and you are adding about 24 grams of protein. This already puts us up to 63 grams of protein, and we haven’t even left the minimum recommendations of the daily food section of the Mediterranean Diet Pyramid. Toss in an ounce of fish (such as tuna) and you’ll be getting about 7 more grams of protein.

Can a vegetarian eat a Mediterranean diet?

The traditional Mediterranean diet is almost a lacto-ovo vegetarian diet. While both Mediterranean diet pyramids list meat, poultry, and fish to be consumed anywhere from weekly to a few times per month, these items are not, by any means, required. The traditional Mediterranean diet centers around plant foods, with small amounts of cheese and yo­gurt (depending on the country of a recipe’s origin). Many people living in the Mediterranean during the 1950s and 1960s probably were vegetarian by necessity.

Even a vegan (someone who consumes no animal prod­ucts at all) can follow the traditional Mediterranean diet. Al­though cheese, yogurt, and milk, can be added in moderation to a heart-healthy eating plan, they aren’t required. Soy cheeses and milks make delicious substitutes, or try almond milk. Vegans must be careful to eat food from a wide variety of sources, to ensure that all the nutritional bases are cov­ered. Vegans might also consider taking supplements, par­ticularly of vitamin B12, which is most available from animal sources. We strongly recommend that anyone plan­ning to eliminate an entire food group from his or her diet should seek the counsel of a registered dietitian to ensure that the proportions of food eaten are sufficient to meet all nutrient and caloric needs.

Is the Mediterranean Diet Pyramid appropriate for children? What about pregnant or breastfeeding women? What about teenagers?

Yes to all! The Mediterranean diet, when eaten in correct proportions and sufficient amounts, is nutritionally adequate for anyone. Again, however, we recommend that you con­tact a registered dietitian if you have any special nutritional and/or caloric needs such as those of a growing child or a pregnant or breastfeeding woman.

Can someone with a chronic disease such as diabetes or kidney disease safely eat a Mediterranean diet?

People with chronic diseases have unique nutritional and/or caloric needs, so again, we recommend contacting a registered dietitian about the diet that is right for the individ­ual. Certain food items or groups may be prohibited for you. Although you may have to customize certain elements ac­cording to your needs, in general, a Mediterranean diet is a healthy, nutrient-dense diet appropriate for anyone able to eat it.

Are vitamin, mineral, or other dietary supplements nec­essary or beneficial while following the traditional Mediterranean diet?

No, the nutrient-dense Mediterranean diet provides all es­sential nutrients when eaten in sufficient quantities (as de­picted in the Mediterranean Diet Pyramid). If you suspect you aren’t deriving adequate nutrition from your diet or if you have special nutritional needs, seek the advice of a reg­istered dietitian.

Why does the American Heart Association recommend averaging percentages, such as the 30-percent-of-calories­from-fat rule, over a few days or a week rather than on a daily basis?

This concept works for both the AHA-recommended diet and the Mediterranean diet. In the words of the AHA, “Ap­plying the 30 percent standard to single foods greatly limits the variety of foods in the diet and can be misleading. The only way to maintain balance, variety and enjoyment of the AHA eating plan is to interpret the guideline with emphasis on the words ‘total calories.’ ” In other words, occasionally it makes sense to have a day where calories from fat will ex­ceed 30 percent. If days like this are balanced with days where total calories from fat fall below 30 percent, this is more conducive to a varied (and interesting) diet.

Can flaxseed be consumed on a Mediterranean diet?

Absolutely! There has been a lot of exciting news sur­rounding flaxseed and flaxseed products. Flaxseed is an ex­cellent source of health-promoting omega-3 fatty acids, as well as phytochemicals. Although not traditionally a part of the Mediterranean diet, it can definitely be incorporated in a healthy Mediterranean style of eating. Several whole-food manufacturers have started incorporating flaxseed in won­derful breads and ready-to-eat cereals. You, too, can incor­porate flaxseed, or flaxseed meal (which is similar to wheat germ, and can be purchased in most whole foods markets) as part of your daily nut or seed consumption. Sprinkle flaxseed meal in your cereal, yogurt, quick bread and muffin mixtures, and so forth. Another source of flaxseed is flaxseed oil, which can be quite expensive and, like all oils, high in calories. You can try using flaxseed oil as a substitute for olive or canola oil in cooking from time to time, or driz­zle a little on a salad. Keep flaxseed oil in the refrigerator.

Which dairy products besides nonfat or low-fat milk are a sensible addition to a low-saturated-fat diet?

Try some of the many low-fat and nonfat plain yogurts. Stir in some fresh fruit for sweetness. Also, while some cheeses contain a lot of fat, others are relatively low in fat. Check the labels, or look for cheeses made from skim milk (such as mozzarella made with part-skim milk). Pretty much all the cheeses come in reduced or nonfat versions. Cottage cheese, ricotta, feta, gouda, Cheddar—the list seems end­less—are now offered in reduced-fat or nonfat varieties. We recommend organic cheeses, or cheese imported from the Mediterranean region. They may cost a little more, but the taste is so intensely delicious that a little goes a long way.

Where does high-fat cheese fit into the Mediterranean Diet Pyramid?

High-fat cheeses (such as Gruyère, muenster, blue) are full of flavor, so as we mention above, a little goes a long way. Although a dairy product, high-fat cheese is more ap­propriately located with high-fat meats as a high-fat protein source. If you like them, consume high-fat cheese only every month or so and in small amounts.

q Canned beans are much easier to prepare than dried beans. Are they just as healthy?

Yes. For those who are salt-sensitive, however, be careful about the excess sodium. Rinse canned beans in a colander to wash away the salt. Rinsing will also wash away some of the starchy liquid, making your dishes more attractive, as well as reducing the likelihood of developing intestinal gas after bean consumption. If the recipe in which you are using canned beans calls for added salt (not often the case with tra­ditional Mediterranean recipes), you might consider adjust­ing the added salt accordingly.

q Are certain nuts and seeds better than others?

From a nutritional point of view, all nuts and seeds are nutrient-dense plant foods. Some are lower in fat than oth­ers, however, and consequently lower in calories, so these nuts and seeds might be more appropriate for people who are attempting to control their weight. Chestnuts are actually a low-fat food. A 1-ounce serving of roasted (European) chest­nuts (about three and a half nuts) contains less than 1 gram of fat, all unsaturated, and about 70 calories. On the opposite end of the scale, 1 ounce of dry-roasted cashews contains about 13 grams of fat and 163 calories, and 1 ounce of toasted or roasted sesame seeds contains about 14 grams of fat and 160 calories. The key is to get a variety of nuts and seeds to benefit most from the varied nutrients and phyto­chemicals (more on this later). The more variety, the healthier the diet really is. Of course, eating that variety in moder­ation is important, too.

Coconuts are a rare exception to the heart-healthy plant food rule. Coconuts are high in saturated fat and are best avoided most of the time.

The Mediterranean Diet Pyramid lists “four or fewer” eggs at the “weekly” level. Is it okay to eat more eggs if only the whites are consumed?

Yes, by all means. Egg whites do not contain cholesterol, which is found only in the yolks. They are a good source of protein and can be used to cut fat in egg dishes and baked dishes as well. Also, research supports the notion that con­sumption of saturated fat, not dietary cholesterol (some­times called preformed cholesterol), has the most impact on blood cholesterol levels. While some people are very sensi­tive to dietary cholesterol and should limit egg consump­tion, the general population need not be overly concerned about dietary cholesterol. The “four or fewer per week” egg rule is just a general guideline for a Mediterranean-inspired (or any nutritionally sound) eating program, due to the satu­rated fat element in whole eggs.

How can someone lose weight putting olive oil on every­thing?

We certainly don’t recommend putting olive oil on every­thing! Olive oil is fat, and fat in excess contributes to obe­sity, which in turn contributes to many health problems. One common misconception about the Mediterranean diet is that adding olive oil to an already high-fat diet will “fix” the fat problem. On the contrary, olive oil should substitute for other types of fat, not be added to them. Overall fat intake from all sources, including olive oil, should be lower than is typical for Americans. This is why we recommend “driz­zling” olive oil, not pouring it, over our visual representa­tion of a healthy Mediterranean-inspired diet. A little goes a long way.

Are some vegetables better choices than others? What about fruits?

All fruits and vegetables have their “star” qualities. Also, every type of plant food has a unique combination of nutrients and phy­tochemicals. That’s why a variety of plant foods is more im­portant than choosing a few “right” plant foods and eating only those. The more variety in your diet, the more nutri­tionally complete your diet will be.

What about table sugar? Is sugar an acceptable addition to a healthy, Mediterranean diet?

The sugar controversy rages on. Some people proclaim refined sugar as among the worst possible additions to your diet. Others say that, as long as a person maintains a healthy weight and consumes sufficient nutrients, sugar is fine. The truth probably lies somewhere in the middle. Whenever you eat a high-sugar product, you are filling up with empty calo­ries when you could have eaten something more nutrient-dense instead. If you are getting enough to eat but add sugar, you may have trouble maintaining that ideal weight. But, if consumed occasionally in moderation, as part of a healthy diet, sugar is probably just fine—and pretty hard to avoid these days.

What about coffee and tea?

Although not listed on either Mediterranean food pyramid, coffee and/or tea are both integral—albeit nonnutritive— parts of the diets in many Mediterranean countries. In fact, it would be difficult to discuss the Mediterranean region with­out mentioning the infamous Italian espresso, not to mention the thick, sweet, sludgy concoction known as Turkish coffee. Tea is also widely consumed in many Mediterranean coun­tries. However, we suggest that if you enjoy coffee and/or tea, you consume them in moderation like anything else, and not at the expense of more nutritionally complete foods. Re­cent research has linked green and even black tea with cancer prevention, as teas contain antioxidants and other phyto­chemicals that could bolster the body’s immune system and fight cancer-causing free radicals. Of course, caffeine-free herbal teas are a great way to relax with a hot beverage free of caffeine. If you are caffeine-sensitive, we recommend dis­cussing the use of caffeine with your physician.

Is canola oil just as good as olive oil?

Canola oil is, by necessity, more processed than olive oil. Therefore, it loses many of the vital phytochemical compo­nents still present in extra virgin olive oil. However, it is a good source of monounsaturated fat and it is generally cheaper than olive oil.

Can the Mediterranean Diet Pyramid be used as a guide for non-Mediterranean types of cuisine?

Yes! The idea is to apply the Mediterranean concept, not necessarily the particular food ingredients, to all your food choices. You need not limit yourself to pasta primavera, for example. Instead, base your diet around plant foods, focusing on vegetables, whole grains, fruit, primarily beans for pro­tein, fish, and animal meat in moderation. This goal works for just about any cuisine. In fact, bar-and-grill-type Ameri­can restaurants often have grilled vegetable entrées. Most restaurants have salads with small amounts of meat such as grilled chicken or salmon on top. Ask for olive oil and vine­gar as a dressing and you’ve got a great Mediterranean ­inspired meal!

Asian cuisine is right in line with the principles of tradi­tional Mediterranean cuisine. Many foods unique to this cui­sine have distinctive health benefits, such as soy foods like tofu. Rice and vegetables with protein from small amounts of meat or tofu or nuts and seeds (peanut sauce, walnuts, al­monds, cashews, and peanuts are common Asian additions) make an exceptionally healthy meal.

Even an American home barbecue can fit in with the Mediterranean concept if you fill up on green salad, baked beans, coleslaw made with vinaigrette instead of mayon­naise, grilled or raw vegetables, and fruit such as water­melon and fresh fruit salad. You probably won’t even miss the burger and hot dogs!

The Mediterranean Diet Pyramid seems to require a lot of food be consumed, especially in the daily food section. Will I gain weight?

No, not very likely, especially if you incorporate daily ac­tivity into your schedule. If you consume the minimum re­quirement of each of the recommended daily food groups, you will be consuming about 1,385 calories. Add in a table­spoon of olive oil, and you are still talking about only (roughly) 1,500 calories. Factor in a 3-ounce cooked portion of fish, such as salmon, and you’re adding around 200 calories, for a total of 1,700 calories for the day. The average adult can easily maintain weight on such a diet. In fact, many people will lose weight on any diet below 1,800 calo­ries, especially those who are moderately active.

The Mediterranean diet really should not be about num­bers. Rather, the culinary spirit of the traditional Mediter­ranean region should be celebrated and enjoyed for the many benefits it possesses. Again, if your health requires you to gain or lose weight, you should seek the guidance of a registered dietitian or other qualified health care provider for your individual needs. Our pyramid should act only as a general guide to shape your eating habits to closely resem­ble the healthy traditional Mediterranean diet.

dimanche 8 septembre 2013

What You Need to Know about Olive Oil and Other Fats

Fat. Does the word make you cringe? Fat is bad, bad, bad … isn’t it? Eating fat makes us overweight, gives us heart attacks, causes cancer, wrecks our health … doesn’t it? If it says “fat free,” it must be healthy … isn’t that true?

Yet, if fat is so bad, how is it that in certain Mediterranean regions such as the Greek island of Crete during the 1950s, where heart disease and other chronic disease rates were startlingly low, fat consumption was about equal to fat consumption in America? Cretans during this time in history were among the longest-lived people in the world. Yet their diet was full of fat.

According to researcher Ancel Keys, Cretans consumed 3 to 4 ounces (or about 1/2 cup) of olive oil per day, per person. That’s a lot of fat! Keys reported that the people of Crete drenched their salads in it, dunked their bread in it, poured it on their potatoes. Some Cretan farmers even drank a wine-glass full of the stuff for breakfast! Why weren’t the people on this tiny island suffering from the same health problems as Americans during the 1950s and 1960s, those health problems we’ve been told had (and still have) everything to do with too much fat in our diets?

Perhaps Crete is an anomaly? Yet studies from other countries reveal similarly striking results. Heart disease rates in the southern, or rather the Mediterranean, regions of Italy, Spain, and France were also remarkably low, even though percentage of fat calories varied greatly around the region.

Yet not every country could get away with fat consump­tion to the degree enjoyed in the Mediterranean. Keys’s studies of fat consumption and diet also included Finland, the country with the most coronary heart disease and the shortest life spans in Europe. Keys examined middle-aged men in Finland to determine why coronary heart disease was so common in this country, even among men who were thin­ner and more physically fit than many of the overweight, less fit American men in Keys’s studies. Blood cholesterol levels of the Finnish men proved to exceed average levels in American men.

Subsequent dietary surveys revealed that the typical diet in Finland was extremely high in saturated fat. According to Keys, meals included “great mounds of butter,” and it was not unusual to see “grown men down a couple of glasses of rich milk.” Keys also relates watching Finnish loggers take “slabs of cheese the size of slices of sandwich bread, smear them a quarter of an inch deep with butter and eat them with a beer as an after-sauna snack.”

Other studies conducted by Keys revealed that among pa­tients with very high blood cholesterol levels, diets very low in fat produced dramatic drops in cholesterol levels within one week, and studies examining the effects of different types of fatty acids—saturated, monounsaturated, and polyunsaturated—on blood cholesterol levels revealed that saturated fatty acids tended to raise blood cholesterol levels the most.

It would seem, then, that the type of dietary fat, not just fat in general, is specifically related to the risk of developing coronary heart disease and other chronic diseases. Does this mean some fat is “good” and some fat is “bad”? That we should eat all of one and none of the other?

Actually, the fat issue is a complex one, and not simply a matter of “bad” and “good,” as the media often imply. For instance, just because the Cretans drowned their food in olive oil doesn’t mean we can do the same and remain slim with unclogged arteries. The residents of rural Crete had far more active lifestyles than most Americans today. Also, sci­entists now know that fat per se isn’t bad. On the contrary, fat is beneficial and even necessary to a healthy, fully func­tioning body. However, certain types of fat in differing pro­portions do apparently tend to be more or less beneficial to health.

Crete, Olive oil, coronary heart disease, heart disease rates, island of crete, overweight,

Americans eat a lot of saturated fat, mostly from animal sources. The residents of Crete during the days of Ancel Keys’s research were eating almost all their fat from plant sources, namely olive oil. What’s the difference? While oil of any type is 100 percent fat and has the same number of calories as any other oil, each oil or fat type has a different composition—its own ratio of saturated to monounsaturated to polyunsaturated fatty acids. And the fatty acid makeup of an oil appears to make all the difference. The fatty acid com­position in, say, a cheeseburger, is far different from the fatty acid composition of a calorie-equivalent portion of olive oil.

Let’s look back at Greece. According to Keys, at the time of his research, the general Greek population received ap­proximately 20 percent of their calories from olive oil alone, with total fat intake ranging around 35 percent. (People liv­ing on the island of Crete had total fat intakes exceeding 40 percent of daily calories, again, mostly in the form of olive oil, as reported in the American Journal of Clinical Nutri­tion.) Keys describes the rural Greeks, who were accus­tomed to traditional eating habits and who couldn’t afford richer foods, as “remarkably healthy.”

The wealthier popu­lation of Athens, on the other hand, tended to eat food more inspired by the French school of cooking (more prevalent in non-Mediterranean, northern France), which is relatively heavy on butter and cream compared to olive oil. Although no study has proven a direct correlation between these var­ied diets in Greece and heart disease, Keys could not “help but mention” that Athens had no shortage of wealthy coro­nary heart disease patients. Keys’s observations signifi­cantly complicate the simplified message Americans have been accustomed to hearing over the past fifteen years or so: that fat is bad and we should eat less of it. Fat is not “bad.” We need fat to function. The trick is how to consume it in a way that maximizes our health and gives us the best possible protection against chronic diseases like coronary heart dis­ease and cancer.