PROGNOSIS OF POSTMENOPAUSAL BREAST CANCER PATIENTS – (08-17-09)
Plasma Retinol and Prognosis of Postmenopausal Breast Cancer Patients
AGAIN…lifestyle including a diet high in both Vitamin A and beta carotene in women with breast cancer can lead to a massive improvement in prognosis–those with the lowest levels had double the risk of mortality (all women) or a 3.58 times the risk of mortality (those over 55).
SOY FOOD INTAKE AND COLORECTAL CANCER RISK IN WOMEN – (08-17-09)
Prospective cohort study of soy food intake and colorectal cancer risk in women
No we move to that most dangerous of substances–soy. At least that’s what you’d think if you read the first 20 pages listed on any internet search for “soy.” Unfortunately, the research finds quite the opposite.
In this particular study there was a 33% reduction in the risk of colon cancer with the highest intakes. Hardly the demonic food some of those websites make it out to be.
FARMED VS WILD CAUGHT FISH–WHAT’S THE DEAL??
Fish is frequently ordered because it is perceived as a health conscious choice. However, very frequently, this is not the case and the situation is only getting worse.
Fish can absolutely be a part of a healthy lifestyle (for you, of course–not the fish…) but there are some details you need to be aware of.
First is the mercury content of fish. Mercury is one of the most potent neurotoxins on the planet, so keeping our exposure to the smallest levels possible is a good idea (don’t ask me WHY anyone thought it was a good idea to put mercury into amalgam fillings…). Since it is pretty much present everywhere in the environment, including your can of soda (which you shouldn’t actually be drinking) that contains mercury-laden high fructose corn syrup, we need to steer towards fish with lower content of mercury. This means eating younger fish who have not had time to accumulate mercury in their life span (think chunk light tuna instead of the older albacore) and fish that are vegetarian (mercury bioaccumulates, so as each fish gets eaten by another fish, the prey fish’s mercury is added to the predator). The FDA has a great resource for determining which fish are higher in mercury.
The next factor is wild caught vs farm raised. This is probably the largest determining factor you should use in deciding whether or not to eat a particular fish. For a variety of reasons, farmed raised fish should be avoiding in almost all cases. They are higher in pesticide residues, antibiotics and parasites present only in farm raised salmon escape into the wild salmon and actually destroy the wild salmon.
But arguably the largest difference in farm raised vs wild caught in the fats contained in them. In the wild, fish like salmon will eat smaller fish and algae. This is the source of the “fish oils” in wild caught fish. DHA is the ultimate source and comes from marine plant and algae life. But what about farm raised?
I remember having dinner at a small restaurant in Phoenix recently and the chef was present. When I asked whether the salmon was farm raised or wild, he mentioned that he does not like wild caught because the taste can vary. When I mentioned that we only do wild caught, he went on a mini-tirade talking about how he’s knows FDA inspectors and all the information about the living conditions and antibiotic use and pesticide levels were not true. I mentioned to him that they were fed primarily a corn based diet and he said that wasn’t true. At this point, my dinner mates were telling me to shut up under their collective breaths.
So, apparently, if the chef and restaurant owner does not even understand the difference, you better be that much better informed as the consumer. Yes–they ARE higher in pesticides and other chemicals because they are typically kept in a tighter environment in non-flowing water so they are more likely to rub against one another and create lesions and sores that need to be treated. Yes–they are fed a corn based diet. Even though some of the conditions are changing (Whole Foods carries a line of farmed raised seafood that is unquestionably higher quality, but I still have concerns over the omega-6 content), the safest bet is to avoid farm raised.
Remember that our health is better served by increasing the content of omega-3 fatty acids in our diets and reducing the amount of omega-6 (think corn, sunflower, safflower, soybean, cottonseed, peanut oils) fatty acids in our diets. If farm raised fish are being fed a corn based diet, guess which fatty acid is going to dominate?
This particular article, I fear, may be used to support the use of farm raised fish. Basically, researchers looked at the omega-3 content of farm raised vs wild caught fish. For starters, the farm raised fish had twice the fat of their wild counterparts, but given their restricted environment, we’d get fat too. Next, they confirmed that a “substantial” amount of the oils from the feed make it into the farm raised fish (not a good thing–after all, are any of the oils named above part of a wild salmon’s diet??).
BUT, the authors state, the omega-3 content of farm raised was slightly higher than that of the wild caught fish. Sounds like a great marketing ploy if you just take this line. Consider the entire picture…More chemicals. More excess fat. More omega-6 fatty acids. All on top of the other negative aspects of farm raised fish.
Are you willing to risk your health on the finding that there is a slightly higher omega-3 content over the boatload of negatives?
COMBINED IMPACT OF LIFESTYLE FACTORS ON MORTALITY -(08-24-09)
Combined impact of lifestyle factors on mortality
This is definitely one of those “How much did we spend on THIS” studies. The conclusion is that more should be done to reduce cigarette smoking, increase physical activity and improve our diets. What an altogether shocking conclusion!
SOY FOOD INTAKE AND COLORECTAL CANCER RISK IN WOMEN – (08-17-09)
Prospective cohort study of soy food intake and colorectal cancer risk in women
No we move to that most dangerous of substances–soy. At least that’s what you’d think if you read the first 20 pages listed on any internet search for “soy.” Unfortunately, the research finds quite the opposite.
In this particular study there was a 33% reduction in the risk of colon cancer with the highest intakes. Hardly the demonic food some of those websites make it out to be.
INTAKE FROM WATER IS RELATED TO LOWER BODY MASS INDEX – (05-25-09)
Intake from water from foods but not beverages, is related to lower body mass index and waist circumference in humans
I have often wondered how some “health” recommendations get so blown out of proportion and become so widely accepted despite no evidence to support them, or worse–evidence to the contrary. Female HRT, dairy intake, etc…). The near ubiquitous recommendation of 8-10 glasses of water per day falls into this category, matched with the recommendation to increase water intake to maintain satiety during dieting. Consider this–there are no published recommendations to support this level of water intake, and yet, when one considers BPA exposure from plastic bottles and the sometimes chemical laden, low quality bottle water, these recommendations may very well prove harmful.
This article puts another nail in this coffin, finding that water content of foods helps to improve body composition, but water consumed separately does not have any effect.
INCIDENCE OF DIVERTICULAR DISEASE – (05-18-09)
Nut, Corn, and Popcorn Consumption and the Incidence of Diverticular Disease
I’ve always been suspicious about recommending avoidance
of these food items for patients with diverticulosis, primarily because these items are known to be very good for us.
However, this study finds that these food items not only did not cause problems, but nuts and popcorn actually prevented episodes of diverticulitis!! Now I guess the remaining problem is how long it will take for clinical practice to catch up with the research.
HOW DANGEROUS SOY IS FOR OUR HEALTH -(05-04-09)
Effect of Soy Nuts on Adhesion Molecules and Markers of Inflammation in Hypertensive and Normotensive Postmenopausal Women
Here’s another one of those article talking about how dangerous that deadly soy is.
Seriously though, I remain confused as to how many websites talk about how dangerous soy is for our health, and yet, from a research standpoint, the outcomes are overwhelmingly positive.
This particular study adds further weight to the positive evidence, finding that the addition of soy nuts resulted in improvement in markers of the health of our blood vessels. Keep in mind that, when we talk about soy we are NOT talking about veggie burgers and tofu hot dogs and tofu turkey, but rather less processed forms of soy like soy nuts, soy milk and tofu.
EFFECTS OF LIPID BIOACCESSIBILITY, APPETITE AND HORMONE RESPONSE
Mastication of almonds: effects of lipid bioaccessibility, appetite, and hormone response
Gosh I love this one. Can you imagine a room full of researchers just watching people chew?? But seriously, the implications of this one are huge. The mere act of chewing more, no change in the food or quantity you’re eating, increases the production of GLP-1, which is one of the newest and greatest diabetic drugs out (Byetta–the hila monster spit drug…). They stayed fuller longer and had better serum lipid responses. Talk about a very, very simple adjunct to everything else!
BENEFITS OF A HIGH FIBER DIET
Reduced energy intake at breakfast is not compensated for at lunch if a high-insoluble-fiber cereal replaces a low-fiber cereal
Guess that pretty much rules out an egg breakfast sandwich from the drive thru… A quick note here…I have had patients come in who have high fiber breakfasts as cereal from some of the larger food companies in the country. You know the brands.
However, the benefit of a high fiber diet come not just from the fiber, but from all the good stuff that comes along in the germ that accompanies the bran (fiber) in a true whole grain. By just adding only the fiber to an otherwise inferior cereal does NOT make it a health food!! You always, always, always have to label shop.