Archive for the ‘diet & nutrition’ Category

Fish oil vs krill – which is best?

Saturday, June 15th, 2013

There has been a lot of media attention in recent years for fish oil supplements and, the new kid on the block, krill. So…which is the better supplement and why?

A bit of explanation on the ‘why’ of Omega-3

Fish oil supplements are derived from the flesh of oily, cold water fish. These fish have an oily flesh to protect their bodies from freezing in deep waters. Krill is a small crustacean, which is also rich in omega-3 fats.  Fish and Krill oils are different from fish liver oil (eg: cod liver oil – high in vitamin A&D) as they contains a high concentration of omega-3 fatty acids. These fats are considered ‘essential’ as the human body is not able to create them, therefore we must get them in our diet.

The two active components of omega-3 are EPA and DHA. These fats work on all cells in our body, ensuring nutrients and chemical messages can pass from cell to cell. Omega-3’s act as natural anti-inflammatory and also have properties with specific benefits to our heart, brain and joint health.

It is almost impossible to derive an optimum amount of omega-3 from our diet alone. As much as 37% of school-aged children do not consume fish at all, so it’s not surprising that learning difficulties and allergies are so prominent today. To ensure you’re consuming adequate omega-3,  I generally recommend a combination of the following:*

  • Eat oily fish (salmon, sardines, etc.) two-three times a week
  • Use flaxseed oil wherever you use oil cold (salad dressings, shakes, etc)
  • Take an EPA/DHA supplement on a daily basis

There are many benefits to eating fish and taking additional supplements, however both may contain varying levels of heavy metals and pesticides which can accumulate in the body over time. To minimise this risk, it is not recommended to consume oily fish more than 2-3 times a week and ensure your supplements have been purified to eliminate these harmful toxins. If the companies do not tell you about it on the label, you can assume it has not been done.

DHA supports brain and nerve development and mental health and therefore is particularly in demand during pregnancy and lactation. The foetus relies solely on the mothers DHA to provide development of the brain and eyes. During breastfeeding, the baby continues to require adequate DHA via breast milk.

EPA has anti-inflammatory properties so they’ll not only help to calm the inflammation and pain of arthritis and sore joints…inflammation is generally at the initiation of any disease process, including heart disease and cancer. The combination of EPA and DHA helps to thin our blood and increases the amount of HDL (good) cholesterol for healthy heart function.

The difference between fish oil and krill

Both fish oil and krill supplements provide us with the omega-3 fats, EPA and DHA, however, there are differences. Krill oil is derived from crustaceans (as opposed to fatty fish) and generally contains a higher percentage of EPA and less DHA than fish oil. Much of the extensive research on omega-3’s has been conducted using fish oils, while comparatively, krill oil studies are still in their infancy. A recent krill oil study (2011, published in the journal Lipids) has shown a small cross-section of individuals had a reduction in arthritic symptoms, PMS and C-reactive protein (CRP – a marker for chronic inflammation and heart disease), however, more research needs to be conducted to show any differences in the health benefits of these two sources of omega-3, particularly related to the lower DHA component of krill. Until then, I recommend either sticking with fish oil or taking a combination of fish oil and krill. For pregnant and lactating women or those suffering with depression or mental health issues, an additional DHA supplement may need to be considered.

*please consult your doctor if you are taking medication as any omega 3 supplement may exacerbate blood thinning.

Secrets of success…

Sunday, May 26th, 2013

Statistics from the US National Weight Control Registry (founded in 1994)  tracks over 5000 individuals who have lost more than 13kg and kept it off long term, improving their health & quality of life. Below are a few of the common traits of each participant:

98% modified their food intake

78% eat breakfast

75% are weighed/weigh themselves at least once a week

62% watch less than 10 hours of TV per week

90% exercise, on average, about 1 hour per day

Did you know…

  • It takes 20 minutes of brisk walking to burn off 1 x skinny latte
  • Every ‘standard’ glass of wine takes 20 minutes of walking to burn off
  • We lose around 5% of muscle each decade after the age of 30 (if we don’t do regular strength training)
  • Your metabolism drops by 140kjs for every kilogram of muscle lost
  • 95% of people regain their weight after ‘going off’ a diet
  • 75% of your calories are burned by your basal metabolism
  • Your cannot out-run or out-train a poor diet!

The benefits of exercise…

Wednesday, May 1st, 2013

In my experience, one of the most common reasons we’re motivated to exercise is aesthetics. Yep – shed a few kilos of fat, tone-up those flabby areas, fit into our ‘skinny jeans’ or look good on that beach holiday. While it can be a positive thing to have a goal, the downside of this kind of superficial/external motivation is that it’s more of a whim than a long term need. At the end of the day, is it really enough to make you change your entire lifestyle to achieve?

Whilst caught up in the frenzy of numbers on the bathroom scales and the profile of our belly in the mirror, sometimes we miss the other far more important benefits of living a healthy lifestyle, which includes regular, consistent exercise. I’ve known many individuals throw their arms up in the air in despair, claiming not to be getting any benefit at all from exercising, simply because the scales are not moving as quickly as they’d like. At times like these, it’s important to be aware of the many benefits of exercise and view the aesthetic results for what they are … a pleasant bonus!

The evidence is overwhelming: A body needs physical activity to stay lean and healthy

Fat burning: the effects of exercise are not as simplistic as ‘calories in vs calories burned’. You cannot out-run or out-train a poor or excessive diet. However, there are many physiological benefits activated by regular exercise, all of which assist your body in burning fat more effectively…

Increases insulin sensitivity: Muscles are the engines in your body that burn calories and make you move. And just like any engine that burns fuel to make it go (such as a car burning petrol), muscles need fuel too. That fuel is fat and carbohydrate (glucose). During exercise, the demand for fuel increases and the body responds accordingly. Glucose stored in the muscle is burned very quickly.  At about the same time, glucose stored in the liver is released into the bloodstream (like fast fuel injection). Fat is released from special cells called adipocytes (fat storage cells). This fat along with glucose makes its way through the bloodstream to the muscles to be used for fuel. Once the fuel reaches the muscle, it must enter through special pathways so that the muscles can use it for energy.

On the wall of every muscle cell are special receptors, like doors, that allow glucose to pass from the bloodstream to the muscle. These doors do not open unless they are ‘unlocked’ by insulin. The good news is that exercise has an insulin-like effect, making insulin work better in your body. During exercise, the doors swing open easily, allowing more glucose to enter the muscle to be burned up for energy.

Sometimes blood glucose continues to drop after exercise. That is because the glucose in the muscle that was used at the beginning of exercise needs to be replaced. The muscles, all revved up from exercise, continue to take glucose from the bloodstream to replace what was lost.

Increased Basal Metabolic Rate (BMR):

Our BMR is the calories we burn at rest. If you lay still for 24 hours, you burn a certain number of calories a day to keep your heart beating and sustain life. This BMR is generally around 75% of the total calories we use in a day, so it’s pretty significant. It is determined largely by our lean body weight (muscle tissue). The more muscle (density, tone, strength), the higher your BMR. Conversely, should you feel your exercise regime is ‘not working’ and become inconsistent, you risk a rapid loss in lean muscle tissue and a consequent decrease in BMR. Whilst you may remain the same ‘weight’, or even lose weight, you’re actually getting fatter as your body composition changes in the wrong direction (Less muscle, more fat).

The EPOC effect: Following high intensity interval training the body enters a state known as ‘excess post-exercise oxygen consumption’, or EPOC. After you finish your workout, your body will be working overtime for up to 24 hours in order to restore your body back to its resting state. This means you will be burning energy/kilojoules at a much higher rate, even whilst sedentary.

Protection against disease: regular exercise can reduce our risk of heart disease, hypertension, stroke, certain cancers (colon, breast), type-2 diabetes and depression.

Joint health and inflammation

Joints require motion to stay healthy. Inactivity causes joints to stiffen and the adjoining tissue to weaken. Building strength and ‘tone’ in muscles surrounding our joints allows that ‘tension’ in our muscles to pull pressure away from the joints, resulting in less compression and friction. Conversely, allowing muscles to deteriorate can lead to permanent joint damage over time.

Bone health and balance

Weight-bearing exercise is very beneficial for bones in people of all ages. This approach applies tension to muscle and bone, and the body responds to this stress by increasing bone density, in young adults by as much as 2 – 8% a year. Careful weight training can also be very beneficial for elderly people, particularly women. In addition to improving bone density, weight-bearing exercise reduces the risk of fractures by improving muscle strength and balance, thus helping to prevent falls.

Back pain

People who do not exercise regularly face an increased risk for low back pain, especially during times when they suddenly have to perform stressful, unfamiliar activities. These activities may include lifting children, gardening, digging, or moving heavy items.

Lack of exercise leads to the following conditions that may threaten the back:

  • Hamstring inflexibility may alter the pivot point in general movement, causing you to compensate by bending from your lower back rather than your hips. This repetitive strain can lead to pressure on discs and consequent injury.
  • Tightness through the hip flexor muscles (from sitting for prolonged periods) can also contribute to lower back pain and eventual disc damage.
  • General muscle inflexibility can restrict the back’s ability to move, rotate, and bend, forcing unnecessary pressure on surrounding joints.
  • Weak core muscles can increase the strain on the back and can cause an abnormal tilt of the pelvis (hip bones).
  • Weak back muscles may increase the load on the spine and the risk of disk compression.
  • Carrying excessive body fat puts more weight on the spine and increases pressure on the vertebrae and discs.

Effect of Exercise on Cancer

A number of studies have indicated that regular exercise may reduce the risk of breast, colon, and possibly prostate cancers.

Studies confirm that exercise significantly reduces the risk of colon cancer (by up to 50%). Exercise also decreases the risk of breast cancer in pre and post-menopausal women by up to 30%.

Low intensity exercise has a protective effect against colon cancer, according to studies, including the Nurses Health Study and the American Cancer Society’s Cancer Prevention Study II. People with colon cancer who exercise may reduce their risk of a recurrence.

Exercise also has a beneficial effect on people receiving treatment for cancer. Aerobic and resistance training can reduce fatigue in patients undergoing chemotherapy or radiation treatments for cancer. Fatigue is a common side effect of such treatments.

Effects on the Gastrointestinal Tract

Moderate regular exercise may reduce the risk for some intestinal disorders. These disorders include ulcers, irritable bowel syndrome, indigestion, and diverticulosis. Older people who exercise moderately may have a lower risk for severe gastrointestinal bleeding.

Effects on Neurological Diseases and Mental Decline

Studies have shown that regular exercise helps reduce one’s risk for memory loss. Epidemiologic studies have found an association between increased exercise and slower rate of functional decline in older adults.

People with existing neurological diseases, such as multiple sclerosis, Parkinson’s disease, and Alzheimer’s disease, should be encouraged to exercise. Specialized exercise programs that improve mobility are particularly valuable for patients with Parkinson’s disease. Patients with neurological disorders who exercise experience less stiffness, as well as reduction in, and even reversal of, muscle wasting. In addition, the psychological benefits of exercise are extremely important in managing these disorders.

Effects on Emotional Disorders

Some research has suggested that exercise may have antidepressant effects. Although there is little evidence that exercise can correct major depression, a number of studies have suggested benefits in mild to moderate depression in adults. Research findings include:

  • Just 30 minutes of brisk exercise three times a week was as effective as medication in relieving symptoms, and reducing relapse, in many patients with mild-to-moderate depression.
  • Teenagers who are active in sports have a greater sense of well-being than their sedentary peers. The more vigorously they exercise, the better their emotional health.
  • Physical inactivity is strongly linked to depression in children 8 – 12 years of age.
  • Exercise decreases some of the most troublesome emotional symptoms of menopause. Women who exercise during menopause showed less anxiety, stress, and depression than inactive women with menopause did.

Exercise’s Effects on Diabetes:

Moderate aerobic exercise can lower your risk for type 2 diabetes.

Exercise has positive benefits for those who have diabetes. It can lower blood sugar levels, improve insulin sensitivity, and strengthen the heart. Strength training, which increases muscle and reduces fat, may be particularly helpful for people with diabetes.

In conclusion…the next time you become frustrated with your lack of ‘results’ on the scales, remember all of the above health benefits of exercise and remember to take a long term, holistic approach. Exercise (and diet!) is not something we do for a short stint to reshape our backside, it needs to become part of our general body maintenance. You don’t necessarily ’see’ a result from brushing your teeth everyday, but you continue to do it as you know it is a significant part of care and maintenance. Regular exercise is no different.

MILK: the good, the bad & the ugly

Wednesday, April 17th, 2013

When determining if an adult or child is getting optimum nutrition from food choices, it is necessary to consider the whole picture. In the case of milk ‘substitutes’, many of the available alternatives are not a nutrient-for-nutrient substitute for cow’s milk. If you’ve been conclusively diagnosed with intolerance to certain elements of dairy, or if you’re making choices based on a vegan diet, switching to an alternative milk without making other dietary adjustments to compensate may leave you, and/or your children, vulnerable to nutrient deficiencies.

There seems to be much confusion, perpetuated by information overload from overzealous marketing campaigns, when it comes to milk and milk substitutes. In this article, I have addressed some of the most common alternatives, along with the pros and cons, to help provide some clarity and enable you to make informed choices for yourself and your family.

There are many scaremongers online touting the ‘dangers’ of consuming dairy products. I’ve now heard it’s responsible for everything from a snotty nose to cancer. Consequently many of us are sent in search of ‘healthier’ alternatives. Rather than listening to hearsay and unqualified opinions, let’s look at some facts…

COWS MILK & DAIRY PRODUCTS

Milk is a significant source of readily absorbed vitamins and minerals, particularly calcium. Despite persistent rumours about an association between dairy and ill health, there is no scientific evidence to qualify these myths, which include excessive mucous production, cancer and weight gain. There is, however, a plethora of peer-reviewed studies recognising dairy consumption for its important role in optimum health and nutrition.

Milk and milk products contain a good balance of protein, fat and carbohydrate and are a very important source of essential nutrients including calcium, riboflavin, phosphorus, pantothenic acid and vitamins A, D and B12. Milk products also contain high quality proteins that are well suited to human needs.

Cancer & fatty acids:

Although the etiology of most cases of this disease is not known, risk factors include a variety of nutritional factors. The quantity and quality of fatty acids are especially crucial. Among fatty acids to which great importance in modification of cancer risk is attributed are conjugated linoleic acid (CLA). The main natural source of them is milk and dairy products and meat of different species. Studies show their possible health promoting effects in obesity, atherosclerosis, cardiovascular diseases, osteoporosis, diabetes, insulin resistance, inflammation, and various types of cancer – especially breast cancer.

Several recent peer-reviewed studies indicate that the recommended amount (3 servings/day) of dairy produce helps close gaps between current nutrient intakes and recommendations. In fact, consuming more than three servings of dairy per day leads to better nutrient status and improved bone health and is associated with lower blood pressure and reduced risk of cardiovascular disease and type-2 diabetes.

In Australia, 60% of children (9-16 years) are not meeting the estimated average requirement for calcium, and milk is an important dietary source of calcium.

Recommended Daily Intake (RDI) indicates the amount of any given essential nutrient required to prevent a deficiency in 97% of the population. It is by no means our optimum amount, rather a bare minimum. If your RDI of calcium is 1000mg/day and today you consume only 500mg, the other 500mg is pulled from your bone minerals. Repeat this for the next 10 years and you’ll likely find yourself with irreversible brittle bones.

Further research facts:

  • Osteoporosis – if milk and milk products are removed from the diet, it can lead to an inadequate intake of calcium. This is of particular concern for women, children and the elderly, who have high calcium needs. Calcium deficiency may lead to disorders such as osteoporosis
  • Colon cancer – some studies have found that people who regularly eat dairy products have a reduced risk of developing colon cancer.
  • Blood pressure – research in the US found that a high intake of fruits and vegetables, combined with low-fat dairy foods, lowers blood pressure more than fruits and vegetables alone.
  • Type 2 diabetes – a 10-year study of 3,000 overweight adults found that consuming milk and other milk products may protect overweight young adults from developing type-2 diabetes.

Adequate dairy consumption:

  • reduces oral acidity (which causes decay)
  • Stimulates saliva flow
  • Decreases plaque formation
  • Decreases the incidence of tooth decay

Variations explained:

  • Full cream – full cream milk contains around 4% fat and is a source of vitamins A and D. For children up to the age of 2 years, full cream milk is recommended.
  • Reduced fat – expect around half as much fat (2%) in reduced fat milk as full cream. Children over the age of two years can drink reduced fat milk.
  • Skim milk – contains less than 1% fat. Children older than five years can safely consume skim milk. Both reduced fat and skim milk have vitamin A and D added to replace the naturally occurring vitamins that are reduced when the fat is removed.
  • Raw milk
    Most milk is pasteurised (heat treated). While pasteurisation reduces the amount of some vitamins, such as vitamin C, it also kills bacteria. Unpasteurised milk is a health hazard because of the dangers of exposure to bacterial diseases.

Goats milk
Some people switch to goat’s milk as an alternative to cow’s milk because of perceived sensitivities.

Allergies and sensitivities are usually due to one or more of the proteins found in milk. The proteins in goat’s milk are very closely related to those in cow’s milk so replacing one with the other usually doesn’t help.

Lactose intolerance
Lactose is a type of carbohydrate that naturally occurs in milk from any mammal, including humans. Normally, an enzyme called lactase breaks down lactose so it can be absorbed into the bloodstream. Some people don’t produce enough lactase – undigested lactose is broken up by the bacteria in the gut causing gas, bloating, pain and diarrhoea. This condition is called ‘lactose intolerance’. You can be born lactose intolerant or develop it later in life. If you think you may be lactose intolerant, it’s advisable to see your health professional for a conclusive diagnosis.

Who is at risk for lactose intolerance?

Lactose intolerance is a common condition that is more likely to occur in adulthood, with a higher incidence in older adults. Some populations are more affected than others, including African Americans, Hispanic Americans, American Indians, and Asian Americans. The condition is least common among Americans of northern European descent. Infants born prematurely are more likely to have lactase deficiency because an infant’s lactase levels do not increase until the third trimester of pregnancy.

What are the symptoms of lactose intolerance?

People with lactose intolerance may feel uncomfortable 30 minutes to 2 hours after consuming lactose. Symptoms range from mild to severe based on the amount of lactose consumed and the amount a person can tolerate. Common symptoms include abdominal pain, bloating, gas, diarrhoea and nausea. However, these symptoms may also be associated with other issues, so a professional diagnosis is essential.

How is lactose intolerance diagnosed?

Two tests are commonly used to measure the digestion of lactose.

Hydrogen Breath Test. The person drinks a lactose-loaded beverage and then the breath is analysed at regular intervals to measure the amount of hydrogen. Normally, very little hydrogen is detectable in the breath, but undigested lactose produces high levels of hydrogen. Smoking and some foods and medications may affect the accuracy of the results. You should check with your doctor about foods and medications that may interfere with test results.

Stool Acidity Test. The stool acidity test is used for infants and young children to measure the amount of acid in the stool. Undigested lactose creates lactic acid and other fatty acids that can be detected in a stool sample. Glucose may also be present in the stool as a result of undigested lactose. Because lactose intolerance is uncommon in infants and children younger than 2, a health professional should take special care in determining the cause of a child’s digestive symptoms.

Researchers have identified a possible genetic link to primary lactase deficiency. Some people inherit a gene from their parents that makes it likely they will develop primary lactase deficiency. This discovery may be useful in developing future genetic tests to identify people at risk for lactose intolerance. Secondary lactase deficiency results from injury to the small intestine that occurs with severe diarrheal illness, celiac disease, Crohn’s disease, or chemotherapy. This type of lactase deficiency can occur at any age but is more common in infancy.

Milk and milk products are highly nutritious, so those who suffer from lactose intolerance don’t need to give them up entirely. You can still consume cow’s milk in moderate quantities and you can also use lactose-free milk.

Those intolerant to lactose can generally tolerate:

  • Half a cup of milk
  • Three quarters of a cup of yoghurt
  • Three quarters of a cup of unripened cheeses like cottage or ricotta.

Is all dairy high in lactose?

Lower-lactose dairy products include:

  • Fermented milk products, including some yoghurts, mature cheeses (like cheddar cheese, fetta and mozzarella) and butter, generally pose no tolerance problems.
  • Heated milk products, such as evaporated milk, seem to be better tolerated than unheated foods because the heating process breaks down some of the lactose.

Foods that contain lactose are better tolerated if eaten with other foods or spread out over the day, rather than being eaten in large amounts at once.
Daily calcium requirements
Getting enough calcium is important for people with lactose intolerance when the intake of milk and milk products is limited. Many foods can provide calcium and other nutrients the body needs. Non-milk products that are high in calcium include fish with soft bones such as salmon and sardines and dark green vegetables such as spinach.

The Recommended Dietary Intake (RDI) for calcium by age and gender:

2-3 yr: 500mg/day
4-8yr 700mg/day
9-11yr 1000mg/day
12-16yr 1300mg/day
Adults 1000mg/day
Women 51yr+ and the elderly 1300mg/day

Calcium content in common foods

Non-milk Products Calcium Content
Sardines, with bone, 90g 325 mg
Spinach, frozen, cooked, 1 cup 291 mg
Salmon, canned, with bone, 90g 181 mg
Soy milk, unfortified, 1 cup 61 mg
Orange, 1 medium 52 mg
Broccoli, raw, 1 cup 41 mg
Lettuce greens, 1 cup 20 mg
Tuna, white, canned, 90g 12 mg
Milk and Milk Products
Yogurt, with active and live cultures, plain, low-fat, vitamin D-fortified, 1 cup 415 mg
Milk, reduced fat, vitamin D-fortified, 1 cup 285 mg
Swiss cheese, 30g 224 mg
Cottage cheese, 1/2 cup 87 mg

A2 milk

A2 milk is cow’s milk produced from cow’s whose milk is high in the beta-casein A2 form of casein and low in the beta-casein A1 form of casein (a type of protein present in milk).  A1 is believed to be responsible for some of the intolerances to cow’s milk, while A2 is believed to be more easily digested.

A1 and A2 are genetic variants of the beta-casein milk protein with different chemical structures. The A1 β-casein type is the most common type found in cow’s milk in Europe (excluding France), the USA, Australia and New Zealand.

A genetic test, developed by the A2 Corporation, determines whether a cow produces the A2 or A1 type protein in its milk. The test uses hair from the cow’s tail to determine this. The test allows the A2 Corporation to give licenses to milk producers once these producers prove their cows produce A2 β-casein protein in their milk.

RICE MILK

Rice milk is a kind of grain milk processed from rice. It is mostly made from brown rice and may be manufactured as sweetened or unsweetened.

Compared to cow’s milk, rice milk contains more carbohydrates, but does not contain significant amounts of calcium or protein, and no cholesterol or lactose. Commercial brands of rice milk, however, are often fortified with vitamins and minerals, including calcium, vitamin B12, vitamin B3, and iron.

Rice milk is often consumed by people who are lactose intolerant, allergic to soy or have PKU. It is also used as a dairy substitute by vegans.

Rice milk is made by pressing the rice through a mill stream using diffusion to strain out the pressed grains. It is sometimes also made at home using rice flour and brown rice protein, or by boiling brown rice with a large volume of water, blending and straining the mixture.

Common Ingredients (will vary between brands): filtered water, brown rice (10%), sugar sunflower oil, calcium carbonate, salt, vegetable gum, flavour.

250ml (1 cup) serve Reduced fat cow’s milk Unfortified Rice Milk
calories 104 cals 128
protein 8.3g 1.5g
carbohydrates 12.0g 26.0g
fat 2.5g 2.0g
calcium 308mg 20mg
sodium 113mg 175mg

As you will observe in the above nutrient comparison, rice milk is higher in carbohydrates and sodium and lower in protein and calcium (unless fortified). The protein in rice is not a complete protein (containing all essential amino acids), so is not as readily utilised at that in cow’s milk. If you choose to replace dairy with rice milk, you can see this is not a direct nutrient-for-nutrient substitute. Cow’s milk is also unique in that the absorption of calcium is superior to other sources. When it comes to infants (<2yrs), besides the insufficient calcium and protein, rice milk is not an adequate source of dietary fat. If chemicals and hormones are what you’re concerned about, perhaps you could consider organic milk.

ALMOND MILK

Almonds are a rich source of vitamin E, Omega 6 fatty acids and minerals. Almond milk is made from ground almonds (friction, heat, oxygen) that are mixed with water, plus vitamins, stabilizers, and in most cases, sugar. Also, commercially manufactured almond milk is often fortified with calcium.

Typical ingredients list in commercial Almond Milk: Water, almonds, cane sugar, salt, sunflower oil, gum plus various added vitamins and minerals.

The pros:

  • It’s lactose-free
  • It’s dairy-free for those who have dairy-related intolerances or allergies (although, you can source lactose-free or A2 milk to cover these issues)

The cons:

  • Essential fatty acids (EFAs) are highly sensitive to heat, light and oxygen which, when exposed, can turn the EFAs rancid
  • The source of calcium often used in fortification is calcium carbonate. This is the cheapest source of calcium supplementation and can cause gas and stomach upset as it requires adequate stomach acid to effectively digest and absorb.
  • There have been cases where parents have substituted Almond Milk instead of infant formula or breast milk, providing inadequate nutrition for infants. This can result in low bone density, rickets, low muscle tone and a visible goitre.
  • Almonds are a goitrogenic food, meaning, when consumed in large quantities, they can suppress the function of the thyroid gland by interfering with iodine uptake, causing an enlargement of the thyroid. Goitrogens can be negated by cooking, but many are opting for raw almond milk, thinking it’s the healthier option. Again, while cooking may reduce the goitrogen effect, it will further destroy the EFA’s.
  • It often contains added sugar
  • It often contains vegetable oil – generally high in Omega 6. Besides this oil likely being highly processed and exposed to heat, it is also further throwing out our already skewed omega 3:6 ratio (see previous blog regarding a balance between Omega 3 and 6)

SOY MILK

Another ‘pretend’ milk and not my favourite choice. Many ‘rumours’ about detrimental health effects of soy, however, no conclusive scientific evidence either way. However, I tend to think that where there’s smoke, there’s fire. Food for thought…

The pros:

  • It’s lactose-free and doesn’t contain the proteins some individuals may have sensitivities to in cow’s milk
  • Suitable for vegans

The cons:

  • Soy milk is ‘pretend’ milk, therefore the manufacturers add (processed) oils and sugar in an effort to make it resemble cow’s milk
  • It is usually calcium fortified, which is not as well absorbed as the natural calcium found in dairy (see information earlier in this article)
  • Soy milk is composed of an inferior profile of essential amino acids (absorbed and utilised protein) when compared to cow’s milk
  • Flatulence – the amount of gas produced depends on the quantity consumed.
  • Soy allergy – common allergic symptoms to soy milk include hives, coughing, digestive distress, fainting and wheezing.
  • Thyroid function – soy is a goitrogen, which means it may interfere with thyroid function. The thyroid gland runs our metabolism and low thyroid during pregnancy and infancy (non-dairy formulas) can lead to retardation.
  • Phytic acid – non-fermented soy milk contains large amounts of phytic acid, which can interfere with absorption of several essential nutrients, such as iron, calcium and iodine.
  • “Soy after-taste face” :-)

What to expect when you’re expecting

Thursday, March 28th, 2013

It’s common for women to get confused messages when it comes to exercising and nutrition during pregnancy. Many feel they are erring on the side of caution by giving up exercise altogether. Obviously there are many changes which occur during each trimester, so I’ve published the ‘client handbook’ we created for our clients who are considering pregnancy, are currently pregnant and/or breastfeeding. I hope this will help to clarify a few things…

Body changes:

Healthy and safe maternal weight gain

1st trimester: ~1-2kg

2nd and 3rd trimester: ~0.4kg/week

Recommended overall weight gain:

Starting at ‘normal’ weight (BMI 18.5-24.9): 11.5-16.0kg gain

Starting at ‘overweight’ (BMI 25.0-29.9): 7.0-11.5kg gain

Starting at ‘obese’ (BMI >30): 5-9kg gain

Components of maternal weight gain:

Up to 20 weeks:

Most weight gain due to increases in maternal tissues (eg: 80% of 4kg gain is maternal tissues)

Weeks 30-40:

Gain in weight of foetus accounts for ~50% of weight gained

Note: at the end of gestation….

-        The placenta weighs around 500-700g

-        The foetus approx. 3.5kgs

-        Amniotic fluid – 1 litre

-        Uterus increases to 1kg (50g pre-pregnancy)

-        Blood volume increases by 40%

-        Breasts – approx. 500g each

Function of extra stored fat

The majority of maternal fat gain during pregnancy is deposited on the abdomen, back and upper thighs. A certain amount of fat gain is necessary for the use of fuel for the mother in order to preserve glucose for the foetus. This results in lower blood sugar levels for pregnant women compared with pre-pregnancy. Stored fat is generally mobilised during post-partum period as a source of energy for lactation.

Underweight women have a higher risk of delivering small for gestational age infants. This risk can be decreased by gaining optimum weight during pregnancy. Energy intake required is approximately 150kjs per day higher than someone starting pregnancy at a ‘healthy’ weight.

Overweight women have a higher risk of gestational diabetes, hypertension, caesarean delivery and post-operative complications, as well as neural tube defects. If overweight at the beginning of pregnancy, a weight gain of <6kg is recommended. Weight loss during pregnancy is NOT recommended. A decrease in physical activity is another factor associated with a greater weight increase.

Gastrointestinal changes

-          Decrease in tone and motility of smooth muscles of the intestinal tract

-          Delayed gastric emptying

-          Increased absorption of nutrients

-          Increased water absorption from the colon (constipation)

-          Change in sense of taste

-          Change in appetite

-          Nausea and vomiting

Cardiovascular & renal function

-          Increased cardiac output and blood flow through the kidneys

-          Increased waste products from the foetus cleared through the kidneys

Respiration

-          Increased oxygen requirements often leading to breathlessness

Musculoskeletal changes

-          Changes in hormones (relaxin, progesterone, oestrogen and cortisol) cause a generalised increase in ligament and thus joint laxity. You may be at greater risk of injuring yourself if your exercise is not carefully monitored and adapted to suit your specific needs. This laxity causes and increase in available movement so it’s important to maintain strength throughout pregnancy. These hormones may remain elevated until 3-6 months after cessation of breastfeeding.

-          Diastasis of Rectus Abdominus Muscle (DRAM) – This separation of the abdominal muscle is very common (66%) in the 3rd trimester of pregnancy.

What is ‘normal’?

<3-4cm separation (common – monitor closely)

>4cm separation (must be carefully managed by a specialist physiotherapist)

Benefits of controlled and monitored exercise

-          Improves/maintains general health & wellbeing

-          Improves cardiovascular fitness – important for stamina for labour, motherhood

-          Weight-gain management – reducing the risk of gestational diabetes

-          Reduces aches and pains

-          Improves body awareness, posture and breathing

-          Improves/maintains strength to counteract the effect of relaxin (laxity in joints/ligaments)

Core and pelvic floor muscles explained

While most think of the core as a tight six-pack or toned abs, however the most obvious abdominal muscles only form a small part of the core, which is actually a group of muscles that stabilise the spine and pelvis. Therefore, a core-strengthening exercise program needs to include all of these muscles to be effective. When well-conditioned, core muscles help to distribute the stresses of weight-bearing, as well as improving our balance and posture and reducing our risk of injury. During pregnancy, these muscles, along with your pelvic floor muscles, are subjected to increased pressure.

What are the core muscles?

While the definition of this group of muscles varies between experts, the following list includes the most commonly identified. Essentially core function can include additional muscles, such as the glutes (bottom), erector spinae (running from your neck to your lower back), the diaphragm and hip flexors, but for the purpose of this explanation I’ll stick with the primary group.

Deep muscles:

multifidus – located along the vertebral column, these muscles extend and rotate the spine

transverse abdominus (TVA) – located under the obliques, this is the deepest of the core muscles and wraps around your spine like a girdle for protection and stability

internal obliques – located beneath the external obliques

pelvic floor – This is a sling of muscle running from back to front, from the tail bone to the front of the pelvis. The pelvic floor muscles lift, while the deep abdominals draw in.

Surface muscles:

rectus abdominus – located on the front of the abdomen and referred to as a ‘six-pack’ when visible in lean individuals

external obliques – located on the side and front of the abdomen

Why are these muscles important?

Strong core muscles play such an important role in all movement that without conditioning, you’re almost certain to have poor posture and/or sustain an injury. It’s common for most women to become acutely aware of the importance of core strength during and post-pregnancy. Weak core and pelvic floor muscles can exacerbate bladder leakage, back pain and even the prolapse of internal organs. The pelvic floor muscles work as part of the core to regulate the internal pressure in the abdominal ‘cylinder’, in conjunction with the back and breathing muscles. During exercise the internal pressure within the abdomen is constantly changing. This regulation happens automatically for most people, however, if the core or pelvic muscles become weak, this may no longer work effectively. Ideally, the core muscles should work together with the pelvic floor ‘lifting’ and the abdominal and back muscles ‘drawing in’ to support the spine. However, when this is done incorrectly (and holding your breath), it causes excessive pressure to bear down on the pelvic floor resulting on strain on the bladder and bowel. If repeated, over time this can weaken ligaments and cause leakage or pelvic organ prolapse.

How do I activate my pelvic floor/core correctly?

We used to think that drawing the belly button towards the spine would activate our core, however, the latest research now indicates that this causes some to tighten their back muscles, draw in the abdomen and hold their breath. This places pressure down on the pelvic floor. To work effectively, the core muscles need to contract and relax throughout movement. Constant bracing can lead to stiffness in these muscles and can be as much of a culprit in ‘leakage’ as weak muscles.

The most familiar function that we all use pelvic floor muscles for is stopping ourselves from going to the bathroom. To correctly activate your core and pelvic floor, it’s easiest to feel if you lie down on your back and bend your knees with your feet flat on the floor. Place your fingers on the front of your hip bones and slide them inwards 2-3cms. To activate your pelvic floor muscles, think of stopping yourself from going to the bathroom. You should feel a slight tightening beneath your fingers and your stomach should stay flat. At the same time, think of gently drawing your navel in towards your spine until you feel the muscles tightening beneath your fingers. You should still be able to breath normally and have a conversation when these muscles are contracted correctly. Once you have mastered contracting these muscles, you can begin to practice in standing and seated positions until it becomes second nature.

Nutrient requirements

-          Additional nutrients are required for synthesis of new tissue and increased energy expenditure, but it’s important to keep in mind that physical activity generally declines during pregnancy.

-          1st trimester: no additional kilojoules required

-          2nd trimester:  +1400kjs/day (335 cals/day)

-          3rd trimester:  +1900kjs/day (455 cals/day)

Vitamins and minerals

Vitamin B12: extra B12 is required to accommodate the rapid cell division

Folate: adequate supply is necessary for rapid growth and the foetal demand is high compared to maternal stores. Protects against neural tube defects. The neural tube closes 27 days after fertilisation, therefore it’s imperative to take a supplement form of 5mg of folate/day one month prior to conception and continue to take until the end of the first trimester.

Iron: the foetus efficiently extracts iron from the maternal stores and accumulates the most iron in the last trimester. Iron carries oxygen through the blood, including oxygen to the foetus, so adequate maternal stores are essential.

Iodine: low maternal iodine has emerged as a major public health concern in Australia and NZ and can have a serious impact on neurological and cognitive development in the foetus.

Calcium: while the foetus does increase the demand, there are maternal adjustments in metabolism to compensate for this, so additional intake is not imperative.

Omega 3

Omega 3 fats are composed of the 2 active components – EPA & DHA. DHA is essential for the baby’s brain and eye development.

-          Preconception – 200mg/a day

-          1st/2nd/3rd – 200-300mg/a day

Best Sources – Fish oil supplements, Flaxseed oil, Fish (keeping tuna, salmon intake to a minimum due to high Mercury levels), walnuts

Precautions:

Alcohol consumption: pregnancy and alcohol do not mix. Alcohol consumption during pregnancy causes damage in two ways:

  1. Alcohol crosses the placenta, foetal blood alcohol levels rise until it reaches an equilibrium with maternal blood alcohol. Levels are obviously toxic for the foetus.
  2. Poor maternal nutrition

Infants may weigh less than infants born to women who abstain from alcohol during pregnancy.

Caffeine: moderate intake through pregnancy (300mg/day). This recommendation has been lowered to 200mg/day in the UK due to a weak association between miscarriage and caffeine.

Foods to avoid

Raw or undercooked foods -

-          Processed (deli) meats – Ham, salami, luncheon, chicken meat etc.

-          Any raw meat raw chicken or other poultry, beef, pork etc.

-          Cold chicken or turkey, eg: used in sandwich bars

-          Pâte or meat spreads

-          Raw seafood (sashimi)

-          Ready-to-eat, chilled prawns

-          Soft and semi-soft cheese, eg brie, camembert, ricotta, fetta, blue, etc.

-          Ice-cream soft serve

-          Unpasteurised (raw) diary

-          Raw egg in food eg: home-made mayonnaise, chocolate mousse, aioli

Healthy pregnant women are more likely than other healthy adults to get listeria and are more likely to become dangerously ill from it. This can harm the unborn baby as it carries across the placenta.

Lactation: the role of maternal nutrition

Maintenance of milk secretion

  • Lactation begins at birth with the removal of the placental oestrogen and progesterone – enables prolactin to promote milk secretion
  • Ducts don’t develop fully until onset of pregnancy. Breast tissue increases 2-3 times in pregnancy
  • Suckling – stimulates hypothalamus – initiates release of oxytocin (causes release of milk from storage) and prolactin (stimulate milk production) from the pituitary gland – milk supply to infant.
  • Milk increases with infants demand – no suckling/stimulus = reduced milk supply

Milk synthesis

  • Synthesis most active during suckling – continues at a lower rate between times
  • Fat synthesis: from maternal plasma, carbohydrates or fatty acids
  • Protein synthesis: specific milk proteins (not maternal proteins), synthesised in mammary glands

Factors affecting milk composition

  • Stage of lactation day to day
  • From one breast to the other
  • Over the duration of feeding (fore-milk and hind-milk)
  • Between women (maternal diet/nutritional status)

Stage of lactation

  • Colostrums secreted during the first few days after birth:

Higher in proteins (4-5%) – immune and anti-infective factors

Lower in sugar, fat, energy

  • Stage of a feed: initially low fat – 4 x increase by the end of the feed
  • Time of the day: greater volume early morning, lower nutrient density

Energy from breast milk

  • Minimal change across well-nourished women
  • Doesn’t diminish unless under-nutrition is severe

Composition of breast milk lipids (fats)

  • Fat in breast milk increases from beginning of feed to end
  • Fat provides 50-60% energy
  • Fatty acid profile reflects maternal diet and what is stored in adipose tissue
  • Fat is in small emulsified globules which are easy to absorb & digestion assisted by lipases in milk

Composition of breast milk protein

  • Not greatly influenced by maternal diet
  • Amino acid composition differs from cows milk:

Lower in some amino acids: methionine, phenylalanine, tyrosine

Higher in cystine and taurine

Composition of breast milk carbohydrates

  • Lactose content is largely independent of the maternal diet
  • Vitamins: concentration of water soluble vitamins reflect dietary intake of the mother. Long term effects of high vs low intakes are apparent

Composition of breast milk minerals

  • Vary little with maternal diet
  • Low levels in human milk reflect bioavailability rather than deficiency

Eg: iron is present in very small amounts but is well absorbed (50%). This is one of the primary differences between cows milk and breast milk

General composition of breast milk

  • There are more than 20 enzymes in breast milk to assist in digestion
  • Many hormones are present in breast milk, including pituitary and thyroid hormones and steroids) and growth factors

Milk volume

  • Healthy infant ingests an average of 750-800mls/day

Factors that influence milk volume

  • Nursing frequency
  • Birth weight
  • Gestational age (premature – less suckling capacity)
  • Stress/illness
  • Cigarettes – inhibit prolactin
  • Alcohol – inhibits oxytocins (high levels of consumption)
  • Oral contraceptives – progesterone inhibits lactation (mini pill)

Exercise

  • Anecdotal: intense activity may alter the flavour of the milk (Lactic acid) and decrease infant intake
  • Regular exercise is recommended for lactating women

Nutritional demands of lactation

Dependent upon composition and volume of milk…

  • Energy requirements: lactating women require approx 3000kjs (718 cals) to meet the demands of milk production (based on the average synthesis of 850mls/day), but this varies considerably between women.
  • It is not recommended that women consume these extra calories to accommodate this demand. Most women will lay down 2-4 kilograms of body fat during pregnancy for this purpose. Women will also generally have a reduction in activity immediately post-partum, which means they are burning less energy.
  • Lactating women who are weight-stable: 2000-2100kjs/day
  • A loss of 2kg/month is not associated with adverse growth outcomes of the infant

Protein requirement

  • +17gm/day, or 0.28gm/kg of body weight (RDI = 1.1g/kg)

Vitamin requirement

  • Vitamin A (+400 RE/day)
  • Thiamine (+ 0.3mg/day)
  • Riboflavin (+ 0.5mg/day)
  • Niacin (+ 2.4mg/day)
  • Vitamin B6 (+ 0.6mg/day)
  • Vitamin B12 (+ 0.4mg/day)

Mineral requirement

  • Iron (decrease to 9mg/day) ** once menstruation recommences, return to RDI adult women
  • Calcium – no change (1000mg/day)
  • Zinc – (+4mg/day)

Other factors which may influence breast milk

  • Caffeine: can overstimulate infant (>6-8 cups/day)
  • Allergy: breast milk is protective but some suggestion  allergens be omitted from the maternal diet

Advantages of breast feeding

Infant:

Optimum nutrition with low excretion for waste, reduced risk of infection and allergy, optimal weight/growth

Maternal:

Involution of the uterus, decrease postpartum haemorrhage, suppressed ovulation, ease of feeding

Oils ain’t oils: the balancing act between omega 3 & 6

Tuesday, March 19th, 2013

While a 1:1 ratio of omega 3 and 6 fats is ideal, most Western diets are geared closer to 10-25:1 in favour of omega 6. The amount of omega 3 we need in our diet depends largely on how much omega 6 we consume.

Over the course of human evolution there has been a dramatic change in the ratio of fats we consume. This change, perhaps more than any other dietary factor, has contributed to the epidemic of modern disease.

Throughout millions of years of evolution, diets were abundant in seafood and other sources of omega-3 (EPA & DHA), but relatively low in omega-6 (seed oils).

Anthropological research suggests that our hunter-gatherer ancestors consumed omega-6 and omega-3 fats in a ratio of roughly 1:1. It also indicates that both ancient and modern hunter-gatherers were free of the modern inflammatory diseases, like heart disease, cancer, and diabetes, that are the primary causes of death and morbidity today.

At the onset of the industrial revolution (140 years ago), there was a marked shift in the ratio of omega 3 to 6 in our diets. Consumption of omega 6 fats increased at the expense of omega 3. This change was due to both the advent of the modern vegetable oil industry and the increased use of cereal grains as feed for domestic livestock (which altered the fatty acid profile of meat that we consume).

The following chart lists the omega-6 and omega-3 content of various vegetable oils and foods:

Vegetable oil consumption rose dramatically between the beginning and end of the 20th century, and this had an entirely predictable effect on the ratio of omega-6 to omega-3 fats in the American diet. In the early 1930’s, the ratio of omega 6 to omega 3 was reported to be 8.4:1. From 1935 to 1985, this ratio increased to 10.3:1 (23% increase). Other calculations put the ratio as high as 12.4:1 in 1985. Today, estimates of the ratio range from an average of 10:1 to 20:1, with a ratio as high as 25:1 in some individuals.

In fact, Western diets commonly derive almost 20% of their calories from a single food source – soybean oil – with almost 9% of all calories from the omega 6 alone. This reveals that our average intake of omega 6 is between 10 and 25 times higher than evolutionary norms. The consequences of this dramatic shift cannot be overestimated.

One of the issues in this delicate balancing act is that omega 3 and 6 compete for the same conversion enzymes. This means that the quantity of omega 6 in the diet directly affects the conversion of omega 3 (found in plant foods), to EPA and DHA, which protect us from disease.

Several studies have shown that the predicted concentration of omega 6 in the tissue is based on dietary intake of omega 3. Since the average Western diet derives around 10% of calories from omega 6, our tissues concentration of omega 6 is at capacity. This creates a very inflammatory environment and plays a significant part in a multitude of disease processes.

What this means is that the more omega 3 fat you eat, the less omega 6 will be available to the tissues to produce inflammation. Omega 6 is pro-inflammatory and causes thickening and clotting of the blood, while omega 3 is an anti-inflammatory and it thins the blood. Put simply…a diet with a lot of omega 6 and insufficient omega 3 will increase inflammation. A diet of a lot of omega 3 and not much omega 6 will reduce inflammation.

Pharmaceutical companies are well aware of the effect of  omega 6 on inflammation. The way over-the-counter and prescription NSAIDs (ibuprofen, aspirin, etc.) work is by reducing the formation of inflammatory compounds derived from omega 6 fatty acids. (The same effect could be achieved by simply limiting dietary intake of omega 6, but of course the drug companies don’t want you to know that!)

So what are the consequences to human health of an omega3:6 ratio that is up to 25 times higher than it should be?

Elevated omega 6 consumption is associated with an increase in all inflammatory diseases. The list includes (but is not limited to):

  • cardiovascular disease
  • type 2 diabetes
  • obesity
  • metabolic syndrome
  • irritable bowel syndrome & inflammatory bowel disease
  • macular degeneration
  • rheumatoid arthritis
  • asthma
  • cancer
  • psychiatric disorders
  • autoimmune diseases

And those are just the conditions with the strongest evidence. It’s likely that the increase in omega 6 consumption plays an equally significant role in the rise of almost every inflammatory disease. Since it is now known that inflammation is involved in the majority of disease processes, including obesity and metabolic syndrome, it’s hard to overstate the negative effects of consuming too much omega 6 fat.

Are you playing Russian roulette with your health?

Tuesday, February 19th, 2013

In recent months I’ve noticed a wave of so called ‘experts’ perpetuating a potentially detrimental food revolution.  So many individuals seem to be confusing these ‘food elimination fads’ with being the ‘healthy alternative’.

I’ve listed a few of the most common examples below along with an explanation which I hope will help to make some sense of this complex weave of nutritional jargon.

Gluten-free

Gluten (from Latin gluten, “glue”) is a protein found in foods processed from wheat and related grain species, including barley and rye. Gluten gives elasticity to dough, helping it rise and keep its shape and often gives the final product a chewy texture. Gluten poses no detrimental effect to your health unless you have been diagnosed with a gluten-intolerance or coeliac disease. For the rest of us, a gluten-free diet will have no impact on our health or weight.

Organic

Organic means that a food has been prepared without the use of chemicals, hormones or genetic modification. It does not, however, mean organic foods do not contain sugar, highly processed grains and trans fats. If you’re conscious of your health and your weight, don’t be seduced by organic labelling and be sure to read the fine print.

No added sugar

This is a tricky one and I still strongly recommend you read the list of ingredients, which must list all ingredients in sequence of quantity (the largest being the first on the list). Many products marketed as the ‘healthy alternative’ will add honey, fruit juice concentrate and the latest fad – agave nectar…all of which are extremely high in a sugar called fructose. Fructose is digested like a fat – through the liver. It can be detrimental to our health (particularly to diabetics) and can raise cholesterol levels.

Dairy-free

This one drives me mad! Dairy is an excellent source of calcium. The average person (under 50yrs) requires a minimum of 1000mg/day (1 cup of milk is 300mg). If you only consume 500mg today, your body will take the remaining 500mg from your bone minerals. Over time, this will lead to osteoporosis, which is irreversible. If you have been officially diagnosed with lactose-intolerance, I recommend lactose-free milk and/or yoghurt over ‘fake milk’, such as soy, rice or almond. To make these faux alternatives resemble our beloved milk, they are highly processed, adding oil and sugar to make them palatable. Repeat after me: There is NO BENEFIT to weight loss or health in eliminating dairy from my diet!

Red meat

Many of the studies linking red meat to ill-health are flawed and inconclusive. Any detrimental effect could be from cooking methods (high temperature & charring create heterocyclic amines (HCA), which may be carcinogenic (cancer causing). Studies on high consumption of red meat also include highly processed meats, such as take-away burgers, deli meats, etc…which are also part of a diet high in numerous processed foods. There have also been studies which indicate that these ‘heavy meat eaters’ are also more likely to be smokers. Generally, it’s an entire lifestyle issue which cannot be pointed directly at red meat. I’ve never know any study which proves that those who consume a moderate amount of lean red meat with a balance of colourful, fresh plant foods is at higher risk of anything!

To add to the misinformation, a diet book was written many decades ago which suggested that red meat would putrefy in our intestines for weeks before we could eliminate it. Despite being physiologically impossible, this ludicrous comment seemed to stick!

We know that if we eliminate red meat from our diet completely (particularly women), we frequently become iron and B12 deficient. Iron carries oxygen around our bloodstream and supports our immune system, so those suffering from iron-deficiency will be experiencing very poor health.

Lean red meat, 2-3 times a week as part of a balanced diet is not only not detrimental, it’s good for your health!

Detox

Detox-schmeetox! It seems logical not to ‘tox’ in the first place. If you are feeling a bit ‘toxic’, the kindest thing you can do for yourself is clean up your everyday diet and curtail junk food, alcohol, cigarettes and/or pharmaceuticals. We are bombarded with the hype of ‘cleansing’ and ‘flushing out’ our system – in particular, the liver. Contrary to popular belief, your liver is not like the dirty lint filter in your vacuum cleaner. It does not get clogged up with filth and require a bit of a spring clean! If it is unsuccessful at filtering toxins, they simply pass straight through, unfiltered. The whole detox phenomenon is not unlike a binge and purge cycle. It has gained popularity because it presents as a short term quick-fix, as opposed to an ongoing healthy lifestyle change. The concept of detox really constitutes ‘binges’, rationalised by the occasional ‘purge’.

Shaping up – for all the right reasons

Monday, February 4th, 2013

In a recent media interview, I was asked the question, ‘is it realistic for ‘mere mortals’ to get themselves into the same shape as the celebrities we all admire?’ Guess what? Celebrities are mere mortals. Just like you and I, they share similar insecurities and time constraints, and they face obstacles that challenge their goals. Sure, the cream-of-the-crop may graduate to immense privilege, such as personal chefs and live-in lifestyle gurus, but in reality, this is an elite few. The most successful people I have worked with, whether triumphant in wealth or health, all have something in common – enduring vision and discipline.

A large part of my daily work involves helping clients find inspiration and providing them with the direction and knowledge necessary to achieve their goals. I am delighted to say that I am still humbled by, and draw much inspiration from, a long-time client and friend, Sigrid Thornton. While Sigrid needs no introduction, what many of you may not know is that this acclaimed actor is also a very successful mum, wife, daughter, friend, humanitarian and … mortal.

I can almost hear you saying that someone of Sigrid’s caliber already has a means of motivation that exceeds the average person, having to appear in the spotlight. Even minor spotlights are motivating enough for many of us to be seduced by diet and exercise quick fixes. What distinguishes Sigrid from others is the fact that she doesn’t take the road that many celebrities do. The ones who live their lives to excess, madly dieting and exercising for the next film, appearance or photo shoot. They don’t seem to realize that they are ruining their metabolism, making it more and more difficult to lose weight each time. And what of their health?

Sigrid puts in the effort with consistency and balance – not just for the next red carpet event. She has long embraced a healthy lifestyle, incorporating ‘real’, unprocessed foods and regular exercise into her daily regimen. The results are evident: a body that exudes health, energy, poise and strength. This is something many aspire to and is one thing that, while it sets Sigrid apart from the mainstream, is certainly attainable.

Finding the key to ignite your personal drive

Without a tangible driving force and realistic goals, motivation is often a temporary whim and will fade prematurely. The very definition of the word ‘motivation’ is to find reason or inspiration to move forward. I’m sure we all have similar reasons for wanting to improve our body, but ‘wanting’ and ‘doing’ can be worlds apart. Many of us also ‘want’ to be wealthy, but if wanting was enough to make it happen, the world would be teeming with billionaires!

While vanity is a common instigator of changes in diet and exercise, it is not usually substantial enough to remain high on your priority list – certainly not for the long-term. You must dig deep and find the fundamental reason/s behind your desire to improve your body. If you still find that your motivation is superficial, then do some reading – learn about the benefits of a consistent, healthy lifestyle. Learn that stop-start attempts at healthy eating are making it more and more difficult to look good, let alone be healthy.

The most effective persuasion is to observe someone you consider an ‘equal’ achieve a goal you aspire to. Obviously this is an effective means of convincing yourself that it is feasible. Without a strong belief that your goal is attainable, motivation and implementation become almost impossible to sustain. Marketing gurus the world over have tapped into this very ‘human’ trait, exploiting airbrushed ‘before and after’ pictures for all they can muster.

Ensure that your expectations are congruent with your willingness to change and capacity to achieve. For example, if you wish to drop a few kilos and reshape your body, yet you are not willing to make the appropriate changes to your diet and lifestyle, you will be disappointed. The ‘secret’ lies in committing yourself to a goal and beginning to embrace the lifestyle and patterns as if you are already where you want to be. Your body will have no choice but to mirror your actions – just as it does with your current lifestyle.

Another bonus of improving your health and fitness is that this drive and energy is contagious in other areas of your life, such as family, business and relationships. To harness lasting motivation, your drive must be important enough to you to fuel your actions. Every individual is different.

Now, I have three tasks for you to start today to help you move closer to attaining your goals:

1. walk EVERYDAY for 30 mins … you eat everyday, you must move everyday!

2. be responsible for your actions … think ahead and don’t allow yourself to be in situations where you are over-hungry and resort to poor food choices

3. be conscious of portion sizes and grazing … create a new rule: when eating, put your food on a plate and sit down. No standing in the kitchen and grazing.

We all have the capacity for the drive needed to create a fitter, healthier body. You apply it in other areas to which you have given priority, whether in your business or family life. Learning to harness this discipline and condense your efforts to form an effective diet and exercise regimen for life is the key to success. Start today. What have you got to lose besides a few kilos?

The great GI scam

Friday, January 18th, 2013
I felt compelled to write this blog after reading yet another erroneous article about the glycemic index (GI).
I’d simply like to make a few points of observation about the information in the article, which I found quite disturbing.
1. While I acknowledge the theory behind the GI, foods are measured at these increments when consumed alone.  Therefore, when these foods are consumed with proteins, fats and other carbohydrates (as in most average meals), this makes the GI irrelevant.
2. While I agree that some of the ‘low-carb’ diets encouraging the consumption of foods such as bacon and salami are detrimental to our health, I think it is hypocritical to then condone ‘low GI’ (and nutritionally-compromised) foods such as chocolate and over-processed cereals, simply because they are released more slowly.
Ironically, the low-carb and the GI advocates are actually imparting the same message:  keep your sugar consumption low to avoid developing insulin resistance, which brings with it a plethora of degenerative disease. It seems that we have all recognized this important factor, but we still have a long way to go before the recognition of a more holistic approach (to the importance of deriving optimum nutrition from our daily food intake) takes hold.
My research and publications have always focused on balance of nutrients and promote consumption of unprocessed, unrefined foods, but, in my opinion, the GI does not focus on the nutritional value of a food (which I feel is a crucial factor), but rather the rate at which it is absorbed. For this reason, I cannot help but conclude that the GI advocates  are only taking one of many factors into account in their studies.  Surely the nutrient value is at least of equal importance.
I have spent the past 20 years trying to educate consumers about the importance of the quality of the food we choose to eat, and the significant impact this has on health, energy, fat loss and disease prevention.  For this reason, I get annoyed when the ‘GI symbol program’ is suggesting that it’s better for our health to consume a Mars Bar or Coco Pops than a baked potato, or that there is no significant difference between chocolate and carrots!  Nobody can honestly say that this is a responsible approach to nutrition.
My advice? Don’t allow yourself to be seduced by the hype and always  let common sense prevail!

Cholesterol: don’t be fooled by the hype

Monday, December 3rd, 2012

MYTHS & FACTS

MYTH: Elevated cholesterol is an accurate predictor of heart attacks.

FACT: Elevated cholesterol is not a reliable predictor of heart attacks. 50 per cent of the people admitted to hospitals with heart disease have normal cholesterol, and many people with elevated cholesterol have healthy hearts.

MYTH: Elevated cholesterol is the primary cause of heart disease.

FACT: Cholesterol is a relatively insignificant culprit in heart disease

MYTH: Statin (cholesterol-lowering) drugs are perfectly safe.

FACT: Statin drugs have significant side effects, including liver damage, increased blood sugar (type-2 diabetes), muscle pain, fatigue, loss of memory and libido.

MYTH: Lowering cholesterol with statin drugs will prolong your life and protect you from heart disease.

FACT: There is no research data indicating that cholesterol-lowering drugs have any impact on longevity.

MYTH: Statin drugs are appropriate for anyone of any age.

FACT: The only group in which these drugs have been shown to have even a modest effect is in middle-aged men who’ve already had a heart attack.

MYTH: Saturated fat is dangerous to your health.

FACT: Saturated fat is mostly neutral and may even have some health benefits. Far more “dangerous” is sugar, high levels of omega-6 fat and trans fats combined with low levels of omega-3 fats. The most recent peer-reviewed studies have shown no correlation between saturated fat intake and heart disease.

MYTH: A high carb diet protects you from heart disease.

FACT: Recent studies have shown that diets that substitute carbohydrates for saturated fat actually increase the risk for heart disease.