Showing posts with label healthy choices. Show all posts
Showing posts with label healthy choices. Show all posts

Tuesday, October 19, 2010

Realistic Health Habits



If you are like most people, you probably feel like you do not exercise enough, eat enough of the right foods or generally do not DO enough when it comes to your health. It seems that if you are not on board with being a total health nut, then what is the point in trying at all? It is a common trait for people to either be “all about working out” and “eating right”, or conversely, “what’s the point if I don’t have the time to stay consistent?” In my opinion, it is this mindset that keeps people from maintaining a healthy level of exercise and activity or simply resisting that extra piece of cake or taking the stairs as opposed to the elevator. In life and my professional studies I have learned that overall health is the cumulative result of a lifetime of active behaviors and a series of reasonably healthy decisions. Health is not achieved by spurts of intense “healthy living” with the interim being the polar opposite of typical socially desired behaviors such as binge eating, drinking and aggressive lounging over a weekend.
Research shows that even simple modifications in diet can have profound effects on your overall health. In the September 22, 2010 issue of the “European Journal of Clinical Nutrition”, one study showed that a group of middle aged men who were given simple exercise and dietary advice showed significant decreases in inflammatory markers in their cardiovascular systems.  The bottom line is that those simple changes decreased risk for cardiovascular disease. In another study from the September 13, 2010 issue of the Archives of Internal Medicine, men and women were supervised and counseled in diet and exercise for 3 months; then checked again at 3 years post intervention. Results not only showed reduced cardiovascular risk and risk of diabetes mellitus, but new habits were highly cost effective. In that, less money was spent on health care and long term quality of life was significantly improved.
In a perfect world, we would all have short work days, restful nights of sleep, an abundance of healthy choices for dining, and uneventful days where everything goes as planned. The reality is, you probably did not sleep well last night, you had a doughnut with your coffee, a burger for lunch, and you might be ordering out for dinner. You were going to work out when you got home but there was crazy traffic and your boss put a deadline on you that necessitates you bringing you current project home with you.
My challenge to patients is to stay emotionally neutral when you evaluate the way that you treat your body from day to day and the choices you did or did not make throughout your day in regards to your health. If you can avoid having super high’s when you do everything that you want to accomplish then you won’t be down in the dumps when you have a sub-par day in the personal wellness department. Be flexible and allow things to change from what you expected when you first woke up in the morning. If you don’t have time to go to the gym for a full hour, put on your running shoes and do a hard 20 minutes on the treadmill. If you didn’t have time to stop at the store to make a home cooked meal, try ordering something with a lot of greens and that is handmade. Don’t be too hard on yourself if you didn’t get to work out every day this week. Don’t chastise yourself if you didn’t have oatmeal for breakfast, organic grass fed goat burgers for lunch and veggies with roasted chicken for dinner. I want people to abandon this “all or nothing” mentality when it comes to being healthy. The best thing to do is simply do the best you can and accept that things will come up unexpectedly.  You won’t always feel like being the poster child for Gold’s Gym, and your pantry won’t always resemble an aisle in Whole Foods. Health isn’t about doing everything right, it’s about doing some things right and not giving up if things did not go perfectly that day or week. If you missed a couple work-outs and had a dining indiscretion, enjoy the time off or the treat you had and start back the next day with renewed efforts and the confidence that you are doing the best that you can and that will go a long way in leading an overall healthy life.
Written by Dr Ammon Jacobson

-Sjögren P, Cederholm T, Heimbürger M, Stenvinkel P, Vedin I, Palmblad J, Hellenius ML.; “Simple advice on lifestyle habits and long-term changes in biomarkers of inflammation and vascular adhesion in healthy middle-aged men”; Eur J Clin Nutr. 2010 Sep 22

-Eriksson MK, Hagberg L, Lindholm L, Malmgren-Olsson EB, Osterlind J, Eliasson M; “Quality of life and cost-effectiveness of a 3-year trial of lifestyle intervention in primary health care”; Arch Intern Med. 2010 Sep 13;170(16):1470-9.





Artificial Sweetners

Most people choose artificial sweeteners to lose or maintain weight. With the growing obesity epidemic now facing America, the weight conscious public often considers artificial sweeteners as “healthy choices” or “health foods.” Could these artificial sweeteners actually be contributing to your declining health and increasing weight? Here is some information regarding America’s most common artificial sweeteners and a few examples of healthy and safe alternatives.

Aspartame (NutraSweet, Equal) was discovered about half a century ago while working on an ulcer drug. Like sugar, aspartame has 4 calories/gram. Since such a small amount is needed for the intense sweetening effect, it is labeled as zero calories per serving. Aspartame has toxic breakdown products including formic acid (venom in ant stings) and formaldehyde (embalming fluid). Formaldehyde, stored in fat cells, is toxic to the retina and optic nerve, causes retinal damage, interferes with DNA replication, and causes birth defects, gastrointestinal, musculoskeletal, and cardiovascular issues were also reported. Formic acid contributes to decreased oxygen metabolism and can accumulate in the brain, kidneys, spinal fluid, and other organs due to its slow excretion from the body. Also, aspartame is approved in pharmaceutical products and is being used increasingly in chewable tablet and sugar-free formulations. Therefore, it is in many products of which the average person is unaware.

Other byproducts of aspartame have been shown to contribute to neurologic disorders by killing neurons in our nervous system including our brain. In addition, another breakdown product has a cumulative effect on the endocrine system (hormones) and reproductive system and has the ability to cross the placenta barrier and can elicit damage to a developing fetus. Increased levels of aspartame in the body can also lead to decreased levels of serotonin in the brain. This decrease in serotonin can contribute to emotional disorders including depression and can lead to carbohydrate cravings, which causes an increase consumption of carbohydrates. Yet another breakdown product can also contribute to brain tumors, uterine polyps, and changes in blood cholesterol.

Sucralose (Splenda) is an artificial sweetener that is a chlorinated form of natural sugar. Even though sucralose is a sugar molecule, it has been changed so that the body does not recognize it as a sugar or carbohydrate and passes through the body unchanged and not metabolized. This chemical can cause a shrunken thymus gland and enlarged liver and kidneys. Sucralose breaks down into a compound that has not been adequately tested in humans. Manufacturers claim the compound does not break down in the body’s digestive systems. If this was the case, then the chemical would not provide the sweet taste for which it is readily known. Saccharin (Sweet N’Low, Sugar Twin) is an artificial sweetener that is “sugar free” because it cannot be broken down by the body. However, it is considered a mutagen in many experiments. It causes DNA damage and imposes potential health risks associated with its exposure.

Therefore, the side effects of using artificial sweeteners may actually mimic other disease or whole syndromes. This makes it difficult for physicians to correctly diagnose their patients. For example, one study had patients who were diagnosed with fibromyalgia eliminate MSG or MSG and aspartame. All patients in the study had either complete or nearly complete resolution of symptoms after elimination of the chemicals. In addition, diabetics are encouraged to use artificial sweeteners by physicians. However, according to research conducted by H. J. Roberts, a diabetic specialist, aspartame: leads to the precipitation of clinical diabetes, causes poorer diabetic control in diabetics on insulin or oral drugs, leads to the aggravation of diabetic complications such as retinopathy, cataracts, neuropathy, gastroparesis, and convulsions. Artificial sweeteners can cause many symptoms or even exacerbate current conditions.

Why do we eat? The answer seems simple: we are hungry. When you are hungry, your body sends a message to the brain to reduce this level of hunger or discomfort. Initially when eating, the sensory reward pathway is stimulated through tasting the foods. Secondly, the post-ingestive pathway is stimulated when the food is broken down into its metabolic products. Therefore, eating is closely linked to your pleasure pathways (sex, drug administration, and other rewards) and hunger is reduced. Increasing evidence suggests that artificial sweeteners do not activate both reward pathways the same way as natural sweeteners. Artificial sweeteners do not have a calorie contribution as natural sweeteners do, therefore only half of the reward pathways are not stimulated. This lack of complete stimulation and therefore satisfaction may actually lead to increased appetite. In addition, artificial sweeteners encourage sugar craving and sugar dependence because they are sweet. Research has shown repeated exposure trains flavor preference. Perhaps unsweetening America’s diet may help reduce or even eliminate the obesity epidemic.

These artificial sweeteners are found in increasing amounts of common household foods. Any time the label reads “no sugar added” or “low sugar,” one should read the fine print. Many times these artificial sweeteners (aspartame, saccharin, surcalose) are included in the ingredient list. Sucralose is found in Diet Coke, Dannon Light Yogurt, Swiss Miss Fat Free Hot Cocoa Mix, BreathSavers, and even prescription medication. Even if you don’t use the “pink packets” containing saccharin, it is found in products including Listerine, Crest Toothpaste, Robitussin cough syrup, and Carefree chewing gum. It is also in salad dressing, jam, jelly, preserves and baked goods.

There are many alternative forms of sweeteners that are not artificial or synthetic. Honey is a great alternative to white sugar. It is sweet, all natural, and can be up to 20%-60% sweeter than white sugar so you use less. However, it will raise your blood sugar much like white sugar. Agave Nectar is a syrup made from the sap of a large, slow-growing succulent farmed in Mexico. Although the nectar can come from several species of agave, some of it does come from the sweetest variety, the Blue Agave, the same plant that produces tequila. It is made by taking juice from the agave’s core, then filtering it using enzymes, and heating it. Agave nectar is natural, but it has the same calorie value as sugar. However, due to the fact that it is a bit sweeter than sugar, you might use less but be cautious as it still affects blood sugar levels. Stevia (Stevioside) is another natural sweetener that has received more publicity as of late. Stevia is harvested from a botanical and comes in a variety of forms including: whole or broken leaves, coarse ground, powder extract, or liquid extract. The sweetness can be anywhere from about 10-300 times sweeter than table sugar depending on the form by which it is found.. In addition, Stevia by nature is calorie-free and therefore, does not affect blood sugar levels. Some studies even suggest that derivatives of the Stevia plant have anti-hyperglycemic, anti-hypertensive, anti-inflammatory, anti-tumor, anti-diarrheal, diuretic, and immunomodulatory actions.

However, the bottom line in this whole discussion is to remember that natural products are better for your body than the synthetic or manufactured products. A bit of regular table sugar or saw sugar once in a while is not going to lead to issues controlling blood sugar for life; remember that moderation is key. Also, be conscious that white or raw sugar can cause quick spikes and therefore quick falls in blood sugar. Refraining from white and processed foods will help to control blood sugar levels throughout the day and therefore lead to a more even energy level.

As always, consult your physician with questions regarding current medical conditions and before you change your diet.

Written by: Amanda M. Karm, D.C.

Bal, A & Barua, J. Emerging facts about aspartame. Journal of the Diabetic Association of India. 1995. Vol 35, No 4.

Bandyopadhyay A, Ghoshal S. Mukjerjes A. Genotoxicity testing of low-calorie sweeteners: aspartame, acesulfame-K, and saccharin. Drug and Chemical Toxicology 2008; 31(4);447-457.

Chatsudthipong V, Muanprasat C. Stevioside and related compounds: therapeutic benefits beyond sweetness. 2009. Pharmacology Therapeutics Jan; 122(3).

Rolls, B J. Effects of intense sweeteners on hunger, food intake, and body weight: a review. 1991. American Journal of Clinical Nutrition 53:872-8.

Smith JD, et al. Relief of fibromyalgia symptoms following discontinuation of dietary excitotoxins. 2001. Jun; 35(6):702-6.

Yang, Qing. Gain weight by “going diet?” Artificial sweeteners and the neurobiology of sugar cravings. Yale Journal of Biology and Medicine; 83 (2010), 101-108.