Sunday, February 12, 2012

FOOD CODE:DIET FOR AGE GROUPS




Good nutrition is crucial to a healthy lifestyle. What many of us may not realise is that nutritional requirements change throughout our lives and that we need to eat based on our age.

"Good nourishment is necessary right from birth. If a child does not receive proper nutrition in the form of breast milk as an infant and high quality food as a toddler, chances are his development will be hampered," says Geetika Ahluwalia, dietician, Delhi Heart and Lung Institute.

As a baby metamorphoses into a child, and then a teen, his body's nutritional needs keep changing. These are dependent upon the interplay between the hormones and chemicals at that stage, and also those parts of his body that are still developing.

During the different stages and ages, we need to ensure a high quality diet based on these body requirements.

"While people should eat nutritious foods throughout their lives to maintain and protect their health, nutritional needs change as we age. So adjusting our diets based on age is important," says Geetika.

She adds, "The way we process vitamin B, for example, changes dramatically as we reach old age. Our body can still process it but really struggles to extract it from the food we eat, which is why a fruit rich diet is beneficial." Read on to find out about how to eat to stay healthy.

Age group: 13 - 20:
The teens are the time at which the body is at its peak. During adolescence, the metabolic rate of the body is very high, so whatever is eaten is converted to energy so anything goes, where food is concerned, as long as it's not fast food.

Proteins are essential for building the body and dairy products and non- vegetarian food is beneficial for people of this age. "Calcium is necessary for bone health as 45 per cent of the skeletal mass gets added during puberty and adolescence. Vegetarians should eat lots of paneer or soya in all forms," says Geetika Ahluwalia, dietician, Delhi Heart and Lung Institute.

Remember to keep fizzy drinks and tea and coffee at a minimum, as caffeine leaches calcium from the bones. Almost all the B vitamins play a major role in the release of energy from foods and are required for growth.

Bones are developing at this stage and increased amounts of vitamin D are needed to support bone growth. The diet of a budding adult must include plenty of vitamin A [ found in all orange and yellow fruits and vegetables], vitamin C [found in citrus fruits and red bell pepper], and vitamin E almonds and pistachio nuts] for healthy cell growth. Citrus fruits and amla should be an essential part of the diet.

Anaemia or low iron level is another health problem common in adolescents and weakens the immune system. The quickest way is to make iron- rich foods a part of meals is to add dried figs or raisins to salads and pureed soft tofu to soups or use spinach in the dal.

Health risks: Despite a healthy genetic makeup, many teenage boys experience poor growth and height because of their unhealthy diets and lack of physical activity.

Other health problems common in this age group are nutritional deficiencies, such as protein deficiency, which manifest at a later stage.

Many girls may develop unhealthy eating habits and eating disorders like anorexia, bulimia and binge eating. Iron deficiency is more common than expected and often goes undetected.

Mood swings and acne are also common among teenagers and should be kept in check by ensuring healthy diet and regular exercise.

Age group: 20s


Your 20s are the last chance to lay down new bones since by the time you are in your 30s you are stuck with the skeletal system you've got. What you eat this stage can help the body build itself.

Protein is necessary for tissue building as the body is subjected high stress levels and sometimes irregular meals often lacking in nutrition.

Concentrate on the starch food group at this age as these foods are high in fibre and give a satiated feeling that lasts long, decreasing the need to snack on junk. They are also the primary energy source for the brain and muscles. At the same time, eat potassium rich foods like bananas, potatoes with skin and mushrooms.

Vitamin C is especially important this time as it is an anti- stress vitamin absolutely necessary for this age as it is fraught with stress- and it also helps in the absorption of iron.

Health risks: It's the last chance to build bones, so if you are casual about your diet in these years you would be at risk of bone degenerative conditions.

Most women in this age group are deficient in iron and folic acid, which are essential during pregnancy as they prevent defects in the brain and spinal cord.

Other causes of concern for women in this age group are sexually transmitted diseases such as human papillomavirus (HPV), chlamydia.

Age group: 30s

Between rising dress sizes, a sagging body, and achy joints, the 30s seem to be an awakening for the years to come. The good news is that you're not yet old enough to just accept these aches and pounds as a course of nature. You can actually turn back the biological clock with food. "Health problems arise because our lives are more sedentary, even while our food intake remains the same," laments Geetika.

Cut down on fats and sugars drastically as well as making other healthy metabolism boosting changes that include replacing salty snacks with fruits and vegetables and switching from refined, white bread to 100 per cent whole wheat bread.

Most of us reach peak bone mass around age 30, meaning bones have reached maximum density. Therefore, after age 30, people need eat foods packed with bone-building nutrients such as calcium and vitamins D and K.

Health risks: Men in this age are too young to be at high risk for most diseases but those who carry on with their unhealthy eating and lifestyle habits increase their chances of developing lifestyle diseases.

Fertility in women begins to decline slightly and further deteriorates as she ages. This is also the stage at which women gain weight and develop pre-diabetes and thyroid gland problems.

Late thirties is the time when the rate of bone loss speeds up in many women.

Age group: 40s

Nuts are essential at this age, especially almonds as they can help lower cholesterol and reduce risk of heart disease as the body's immune system begins to slow down. One mistake made by people in this age group make is to cut back on carbohydrates completely. What they don't realise is that carbohydrates help generate the energy that the body needs and in its absence, proteins take over. Thus the work of the proteins-tissue building and cell regeneration-suffers.

Avoid eliminating the starch food group completely from your diet. These foods are high in fibre and give a satiated feeling that lasts long. Concentrate on fiber as it controls lifestyle disorders and is great for a sluggish digestion, which is another result of a sedentary life. Cranberries can help protect against bladder infections, and bananas can help eyesight.

Eat food rich in potassium like whole grains, fruits, and vegetables. They'll help you feel full on fewer calories, and they're also packed with disease-fighting phytochemicals.

Even though arthritis doesn't usually set in until later in life, the damage that causes the nasty disease happens in your thirties. Eat freshwater fish which reduces damage that might lead to arthritis as you stock up on the omega-3 fatty acids. Fish oils slow down cartilage degeneration and reduce inflammation. Also, preempt those fine lines that begin forming on the face by buying beans in bulk.

Health risks: This could be the decade of diseases for many men. If they have not maintained a healthy lifestyle, they are likely to be obese, have high blood pressure, high cholesterol, heart disease, and declining kidney and liver function.

The hormonal fluctuations of perimenopause in women start in the early forties.

It's the time when some women develop early stage of breast cancer or cervical cancer, which is the leading cause of death in older women in India.

Age group: 50s

Portion control and low metabolism are the buzzwords for this stage of life. This is also the age of deficiency related health problems where one must deal with the beginnings of the natural degeneration of the body. So make sure the food you are eating is nutritious and is in small quantities to facilitate better absorption of nutrients.

Get enough spinach since the lutein and zeaxanthinin this protect the eyes from age-related macular degeneration, the most common cause of ageing related blindness. Must-haves during this period include B vitamins, antioxidants, calcium and vitamin D. As estrogen levels decline, women are at an increased risk of heart disease, osteoporosis, and other agerelated health issues.

Important micronutrients like vitamins B6 and B12 help protect the heart and also help the body ditch a chemical called homocysteine that contributes to hardening of the arteries. Boost your B6 with bananas, potatoes, and pomegranates. And get B12 from eggs, fish, and chicken. Consider nuts your magic pills: Peanuts, hazelnuts and walnuts are loaded with vitamin E, an antioxidant that bolsters the immune system that might get run down as your run around.

The 50s are an important health milestone for women especially as they have to deal with menopause and symptoms of this life change can be eased with cashews, corn, apples, and soy, which are all great sources of phytoestrogens.

A burst of breast cancer -fighting antioxidants can be obtained from dark green, dark yellow, or orange fruits and veggies, like broccoli and brussels sprouts. Eat enough folic acid-rich foods like oranges, asparagus, and leafy green veggies. Bone up with low-fat dairy picks- milk, cheese, yogurt, and cottagecheese will give you a calcium boost.

Those who are in their 50s and more need to be careful to to eat only what they can handle, as they will not be able to digest food which is too rich even if it is highly nutritious.

Get your protein fix by eating a piece of grilled chicken with a small portion of saladthe roasted chicken and cold cuts will not only hamper digestion but also load the body up with salt. Dairy products in small quantities should definitely be included in the daily diet as the bones need all the support they can get: older people have a history of slipping and breaking bones.

Health risks: As men get older, their health concerns move on from heart disease and prostate cancer to incontinence, chronic lung conditions, stroke and Type 2 diabetes.

Heart disease, cancer, and osteoporosis are all major concerns for women but the most prevalent risks are breast, cervical and colon cancers.

N-ACETY CYSTEINE IS A LIVER'S ALLY

Glutathione is a powerful antioxidant that helps the body defend against toxicity, and it is most needed by those living with chronic liver disease. Because the stress of chronic liver disease also depletes this valuable antioxidant, learn why supplementing with one of its precursors helps defend against future liver damage.
by Nicole Cutler, L.Ac.
A powerful antioxidant found within every cell in your body, glutathione has many supportive functions. One of glutathione’s best-known roles is to defend the cell it inhabits against damage from wastes and toxins. Since the hepatic cells of those with chronic liver disease are consistently stressed as they deflect poisons, the cells’ quantity of glutathione becomes even more important. Even used as an emergency medicine tactic, one of glutathione’s building blocks has been extensively revered for protecting the liver from damaging toxins.
Clinical studies have documented that glutathione is essential for detoxification and that its depletion is associated with increased risks of toxicity and chronic disease. As this antioxidant is depleted, the body has fewer resources to protect itself from oxidation – a process defined by unstable oxygen molecules damaging cell membranes. Needed by other antioxidants to scavenge and neutralize free radicals, glutathione is the body’s primary defender against oxidative stress. Many experts believe that a deficiency of hepatic glutathione is one of the leading contributors to the progression of liver disease.
Glutathione levels decline naturally as people age, fight a chronic disease or are exposed to excessive amounts of toxins. Insufficient glutathione levels reduce the liver’s ability to break down drugs, chemicals and other toxins, enhancing the probability of liver damage. Several studies document the role glutathione depletion plays in advancing liver disease:
· After measuring levels of glutathione in the liver, blood and lymphocytes of patients with chronic Hepatitis C, Italian researchers found that the less glutathione present, the more severe their liver disease was.
· By studying people with hepatitis, scientists from Pamplona, Spain suggested that replenishing glutathione levels improves their response to interferon treatment.
· Researchers from the Oklahoma Medical Research Foundation confirmed that oxidative stress occurs in patients with chronic hepatitis. In addition, they demonstrated that the levels of free radicals corresponded directly with hepatitis activity.
· After studying the effects of high doses of intravenous glutathione in patients with fatty livers secondary to alcoholic hepatitis or viral hepatitis, Italian investigators concluded that glutathione resulted in marked improvement in patients’ liver tests.
Replenishing Glutathione
The evidence connecting glutathione depletion with a poor liver disease outcome is clear. To capitalize on this understanding, many educated people with liver disease have taken it upon themselves to increase their odds by fortifying their glutathione levels.
Although glutathione is available as an over-the-counter pill, its absorption into cells when taken orally has been repeatedly questioned. Most experts on glutathione supplementation suggest that people with chronic liver disease supplement with its amino acid building blocks. Because it is readily absorbed and rapidly metabolized to glutathione, N-Acetyl Cysteine (NAC) is the glutathione building block most favored by healthcare practitioners. In the case of an acetaminophen overdose, NAC is administered by physicians to detoxify the drug before it destroys too many liver cells and becomes fatal. In addition, NAC has been shown to increase blood glutathione in HIV-infected patients with low levels of glutathione due to their chronic infection.
Despite the supportive literature, there have been few, large, well-designed trials advocating the use of NAC to retard liver disease. While the demand for more proof continues to grow, there are a few recently published trials:
· Published in the November 2006 journal Apoptosis, one such trial investigated whether NAC could prevent oxidative stress and inhibit liver cell death in fulminant hepatic failure. Based on an animal model, the researchers concluded that NAC demonstrates a hepatoprotective role for this severe type of liver failure.
· As published in the January 2008 journal Liver Transplantation, a retrospective study found that children treated with NAC for acute liver failure (not caused by acetaminophen poisoning) had a better outcome than matched controls not treated with NAC.
Since the hepatic cells of people with chronic liver disease have to fend off more than their share of waste and toxins, their cells’ glutathione levels drain quickly. Unfortunately, this depletion makes them more susceptible to the advancement of liver disease. When the liver is consistently insulted, the facts support NAC supplementation to replenish glutathione levels. Restoring glutathione levels is an effective way to refuel a person with liver disease’s ammunition, a replenishment that can help them defend against incurring any further liver damage.

Wednesday, February 8, 2012

Which foods contribute most to our sodium intake?

Which foods contribute most to our sodium intake?

About 90 percent of Americans have a diet that contains too much sodium, according to a new report from the Centers for Disease Control and Prevention. Here are the 10 categories of food the CDC says account for much of our sodium consumption.


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Snacks
The 10 food groups named here contribute to 40 percent our sodium intake. Snacks — including potato chips, pretzels and popcorn — are one of the culprits.

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Curing Diabetes: How Type 2 Became an Accepted Lifestyle

Curing Diabetes: How Type 2 Became an Accepted Lifestyle

By John-Manuel Andriote
Diabetes is big business, and many have been convinced that managing it forever is their only option. But it is possible to cure the disease.
Type2Diabetes-Post.jpg
Chuck Lynch figured that after being diagnosed with type 2 (adult onset) diabetes, he was destined for a life of daily finger sticks and medication to keep the glucose level in his blood at a normal level.
Everything he'd heard about type 2 suggested strongly that his only choice was to make the best of it. "I thought it was something you managed for the rest of your life," said the 62-year-old Lyme, Connecticut, resident. "I didn't know you could cure it."
Experts hesitate to talk about "curing" diabetes, given the medical complications it can cause that will require lifelong monitoring. But the American Diabetes Association says that maintaining normal blood sugar without medication for at least a year could be considered a "complete remission."
It's not a message you hear very often if your information about type 2 diabetes comes mainly from TV commercials for the devices and medications used to manage the disease. Diabetes is a big business, worth tens of billions of dollars to the health care system and the pharmaceutical companies that hold the patents on those devices and medications.
Another reason you don't hear about remission is it takes a great deal of effort. Even the health care system seems content to prescribe complex lifelong treatment regimens instead of equipping people with the tools they need to effectively manage type 2 diabetes, possibly reverse the disease or, best of all, avoid it completely.
Chuck Lynch created his own diabetes-reversal program, and it has become the retiree's new job. He dropped 30 pounds with the help of Weight Watchers, and now carefully measures every morsel and drop that goes into his mouth. He joined a gym where he does yoga, water aerobics, and other exercise classes several times a week.
Don't be fooled: Diabetes kills. And maims. This year alone it will kill 3.2 million worldwide. It's the seventh-leading cause of death in the United States.
"I went to town on it," he said. And it has paid off. "I feel better than I have in years. I want to keep it that way."
FRAMING THE PROBLEM
Slender joggers, hardly typical people with type 2 diabetes, laud their glucose-reading meters and test strips to evening network TV news viewers, typically middle-age and older, prime type 2 targets. Friendly older gentlemen speak of their "diabeetus" medication in other commercials as if the deadly disease is a pal who stopped by to shoot the breeze.
Don't be fooled: Diabetes kills. And maims. This year alone it will kill 3.2 million people worldwide. It's the seventh leading cause of death in the United States. As many as 80 percent of people with diabetes will die from heart attack or stroke. Half will likely experience damage to the nerves in their limbs. Diabetic foot disease, caused by changes in blood vessels and nerves, often leads to ulceration and eventual amputation. In fact, diabetes is the leading cause of non-traumatic lower-limb amputation. Ditto for kidney failure. One of every 50 people with diabetes will become blind within 15 years.
The World Health Organization (WHO) calls diabetes a "slow-motion catastrophe." From an estimated 30 million living with it in 1985, to 171 million in 2000, a minimum of 366 million people will have been diagnosed with diabetes by 2030.
Meredith E. Young, an assistant medical professor at Montreal's McGill University, researches the role of language in shaping how the media present, and the public perceives, medical conditions. She said in an email that "media attention to particular disorders seems to influence public perceptions of what is serious, rather than what is seriously driving public attention (and therefore media attention)."
When the media do focus on type 2 diabetes, said Sarah Gollust, assistant professor at the University of Minnesota School of Public Health, they give twice as much coverage to the behavioral risks for it than any of the other factors that contribute. But this over-emphasis on personal responsibility tends to blame and stigmatize people with type 2 diabetes or who are obese. Those living with the disease may feel it's their fault if they can't always maintain the ideal blood sugar level. Worst of all, said Gollust, public support could erode as people are expected to cover the costs, however they can, of a medical condition it's believed they brought on themselves.
Public support for addressing diabetes is imperative when you consider the tremendous amount of money it costs to manage the disease. One of every five health care dollars spent in the U.S. is for someone with the disease. Medicare, the federal insurance program for seniors, pays 60 percent of the nation's annual $83 billion diabetes-related hospital bill; Medicaid, the federal-state insurance program for low-income citizens, pays another 10 percent.
"Right now we're having a diabetes epidemic," said American Diabetes Association president for health and education Geralyn Spollett, an associate nursing professor at Yale University's Diabetes Center. "People don't realize the urgency of the problem we have with people at high risk." Spollett said the challenge is to realistically frame diabetes so it's not scary to the point of making people feel powerless. On the other hand, she added, "If you give a message that everything is fine, the seriousness of the disease doesn't come through."
THE THIN LINE
Susan Dentzer, editor-in-chief of Health Affairs, calls in the journal's diabetes-focused January 2012 edition for "an all-out assault on the condition -- and, since obesity and diabetes walk hand-in-hand, a long-term commitment to radically reshaping the obesogenic environment we live in."
The fat-creating environment makes it exceedingly difficult for people at risk for diabetes -- because of poor diet, obesity, and lack of exercise -- to resist the forces that work against their own good health. The environment typically features structural factors such as impractical transit systems, and towns and cities dependent on the car; desk jobs and non-physical recreation such as TV watching, video-gaming, and web-surfing; and a savvy food industry that has hooked the public on a great deal of unhealthy food items.
Most perniciously of all, the diabetes-inducing environment -- let's be frank: America in general -- fosters a casual attitude toward obesity and ignorance of its impact on individuals, families, and the nation.
Despite its extraordinary consequences, a 2009 University of Chicago study found that most Americans are not seriously concerned with obesity. Although more than half of us are overweight, the study authors said that less than 25 percent of the 909 adults they surveyed saw their own weight as a serious or very serious problem.
It's hard to pinpoint any one reason for the obesity epidemic, said Dr. Jeffrey P. Koplan, director of the Emory Global Health Institute at Emory University in Atlanta. "Our daily lives and environment have changed significantly over 50 years," he said, "creating an environment that is more favorable to taking in excess calories and getting less exercise. Portion size, snacking, how and when we eat, who we eat with, how food gets prepared -- there's a bundle of issues there, virtually all of which promote eating when we don't need to, eating the wrong things, and eating too much."
Add to poor eating habits our reduced opportunities for even simple exercise in the course of our day -- how many of us actually walk or ride a bike to work? -- and Koplan said the increase in obesity and type 2 diabetes is no surprise.
What may surprise you is the food industry's role in manipulating our eating habits and undermining the most determined of our New Year's resolutions to lose weight.
Writing in the Journal of the American Medical Association, Koplan and Kelly Brownell, from Yale University's Rudd Center for Food Policy and Obesity, observed: "Billions of dollars have been spent convincing individuals (children in particular) that highly sweetened beverages and cereals, salty snack foods, and a vast array of products high in fat, sugar, and salt are fun, athletic, sexy, popular, healthy, and even have beneficial properties."
Geralyn Spollett calls the ramped-up fat, salt, and sugar the food industry's "Golden Triangle." The American Diabetes Association president said: "You get enough fat, salt, and sugar in something and people will crave it." In fact, a 2009 Scripps Research Institute study found that over-consumption of fast food "triggers addiction-like neuroaddictive responses." Spollett said: "The whole push of the food industry towards having people eat more, and eat the wrong kinds of foods, is rampant in the U.S., endangering people at genetic risk for obesity."
NUTRITION REFORM NEEDED
Rebooting our own unhealthy eating and exercise habits -- and achieving what we might call nutrition reform for the nation as a whole -- will take a multi-sectoral effort.
"It starts with nutrition," said Spollett. Perhaps the most basic choice we can make about our nutrition is in the language we use to describe it. Spollett said, for example, that rather than "go on a diet," we need to think in terms of a "meal plan," or simply "healthy eating." A short-term diet will only be as good as the short term. "What is needed is lifelong change," she said.

THE FACTS

  • Type 2 diabetes results from the body's inability to effectively metabolize glucose in the bloodstream. Type 1 diabetes is caused by the inability of the pancreas to produce the insulin needed to keep the blood glucose level balanced.
  • Half of all people with type 2 don't know they have it.
  • The condition can sometimes be managed with changes in diet and activity level. When that's not enough, a daily regimen of blood-taking, drugs, and possibly insulin injections will be needed to maintain a normal blood sugar level.
  • Although there is a genetic predisposition for type 2 diabetes, the vast number of cases are the outcome of poor diet, obesity, and a sedentary lifestyle.
  • The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) estimates that 8.3 percent of the American population had diabetes in 2010, including 18.8 million who had already been diagnosed and another seven million who didn't know they have it.
  • NIDDK estimates that as many as 79 million American adults over age 20 -- including half of adults over 65 -- have pre-diabetes, abnormal blood sugar that increases their risk for type 2 diabetes, heart disease, and stroke.
  • People of color have the greatest risk and rate of type 2 diabetes. One-third of American Indian adults in southern Arizona have been diagnosed with diabetes. Compared with non-Hispanic white adults, the risk of being diagnosed with diabetes is 18 percent higher among Asian-Americans, 66 percent higher among Hispanics/Latinos, and 77 percent higher among non-Hispanic blacks.
  • A 2009 study by the University of Chicago forecast that the number of Americans living with diabetes will nearly double, to 44.1 million, in 2034 -- even if the prevalence of obesity in the country doesn't increase, as it has been doing year after year.
  • Spending on diabetes will almost triple in the same period, rising from $113 billion in 2009 to $336 billion in 2034. Medicare spending alone will jump from $45 billion to $171 billion.

Spollett tries to help her own patients find a comfortable balance of eating and activity. "You can have an occasional ice cream or piece of cake," she tells them. "But make it part of your afternoon outing while riding your bike, balancing off the activity so that maybe at the next meal you don't eat your total calories, taking into consideration that you had extra calories in the afternoon."
The main thing is to provide enough information so people can make wise choices and recognize the health cost, said Emory's Koplan. He pointed out that the cost isn't borne only by the individual. "If a male dies at 45 of a heart attack," he explained, "or a woman at 55 has a stroke and is disabled, that affects families in different ways. And it affects communities in the cost of health care."
To address the massive and growing diabetes and obesity epidemics, Koplan, a former director of the Centers for Disease Control and Prevention (CDC), said the government can help "level the playing field" by, at a minimum, ensuring the public has access to factual nutritional information and the food industry factually markets its products. He prefers to see a partnership between government and the food industry. "Going to war with each other is probably not in anyone's interest in the long run," he said.
Others, however, argue that we are already at war with a powerful enemy: the illness and death caused by the consequences of obesity, including type 2 diabetes, driven by an inadequately regulated food industry.
A 2009 Urban Institute study recommends using the kinds of "aggressive public policy interventions that helped bring down tobacco use," such as slapping taxes on fattening food; placing simple graphic nutritional labels on the front of packaged foods; requiring restaurant chains to put nutritional information on their menus; and banning advertising of sugary food to children.
Clearly, gaining the public's support for nutrition reform will require major cultural changes in how we think about food. It will also require a fundamental shift in how the health care system cares for people with or at risk for obesity or type 2 diabetes.
"Our health care system isn't working," writes Sara Sklaroff in the January 2012 Health Affairs. "It is more willing to pay for someone with diabetes to have a leg amputated than for the education, treatment, and support that would have prevented the loss of the limb." The 41-year-old Sklaroff, living with type 2 diabetes herself, said that reinventing diabetes prevention and care could mean insurance companies paying for sessions with trainers or physiologists who could teach and support good exercise habits.
Cooking classes that teach people how to buy and prepare nutritious food at an affordable cost would be seen as primary prevention for obesity and diabetes, even secondary prevention for helping people with diabetes to be aware that what they eat and drink is an essential aspect of managing their illness.
Essential public education campaigns also will be needed, starting with one to kill the lie that unhealthy food -- also known as junk -- is cheaper than healthy food. New York Times Magazine food columnist Mark Bittman demolished the myth of "cheaper" junk food in a September 2011 commentary in the newspaper. He calculated that to feed a family of four at McDonald's costs a minimum of about $23 -- compared to only $14 for a home-roasted chicken with vegetables, salad, and milk, or a mere $9 for canned beans with bacon, green peppers, and onions.
"The real challenge," said Bittman, "is not 'I'm too busy to cook.' In 2010 the average American, regardless of weekly earnings, watched no less than an hour and a half of television per day. The time is there." The "core problem," he observed, "is that cooking is defined as work, and fast food is both a pleasure and a crutch."
Every step we take toward nutrition reform -- in public policy, food industry practices, and our own eating and exercise habits -- will contribute to building a healthier us as well as a stronger U.S. But as with other substances of abuse, breaking our addictions to excessive fat, salt, and sugar -- the culprits in obesity and drivers of diabetes -- will require discipline, education, and positive reinforcement.
Reframing type 2 diabetes -- and the obesity and sedentary lifestyle that most often triggers it -- as potentially deadly but almost entirely preventable is a good beginning. Offering factual information to someone diagnosed with diabetes about how to possibly reverse their disease is every bit as important as writing prescriptions for medications and blood glucose test strips. Even those who have to live with type 2, because of their particular metabolic makeup or other contributing factors, can still largely define what living well with diabetes looks like for them.
For them -- really for all of us in our fat-creating country -- Geralyn Spollett said the American Diabetes Association offers three key messages: "We have good tools to help you take care of yourself. This is a self-management disease, so you have to focus on it every day in terms of your activity level, what you eat and your medications to keep yourself healthy. The more you know about diabetes and apply it to your life, the better off you will be."

Monday, February 6, 2012

exercise as house cleaing for body


 

When ticking off the benefits of physical activity, few of us would include intracellular housecleaning. But a new study suggests that the ability of exercise to speed the removal of garbage from inside our body’s cells may be one of its most valuable, if least visible, effects.
In the new research, which was published last month in Nature, scientists at the University of Texas Southwestern Medical Center in Dallas gathered two groups of mice. One set was normal, with a finely tuned cellular scrubbing system. The other had been bred to have a blunted cleaning system.
It’s long been known that cells accumulate flotsam from the wear and tear of everyday living. Broken or misshapen proteins, shreds of cellular membranes, invasive viruses or bacteria, and worn-out, broken-down cellular components, like aged mitochondria, the tiny organelles within cells that produce energy, form a kind of trash heap inside the cell.
In most instances, cells diligently sweep away this debris. They even recycle it for fuel. Through a process with the expressive name of autophagy, or “self-eating,” cells create specialized membranes that engulf junk in the cell’s cytoplasm and carry it to a part of the cell known as the lysosome, where the trash is broken apart and then burned by the cell for energy.
Without this efficient system, cells could become choked with trash and malfunction or die. In recent years, some scientists have begun to suspect that faulty autophagy mechanisms contribute to the development of a range of diseases, including diabetes, muscular dystrophy, Alzheimer’s and cancer. The slowing of autophagy as we reach middle age is also believed to play a role in aging.
Most metabolism researchers think that the process evolved in response to the stress of starvation; cells would round up and consume superfluous bits of themselves to keep the rest of the cell alive. In petri dishes, the rate of autophagy increases when cells are starved or otherwise placed under physiological stress.
Exercise, of course, is physiological stress. But until recently, few researchers had thought to ask whether exercise might somehow affect the amount of autophagy within cells and, if so, whether that mattered to the body as a whole.
“Autophagy affects metabolism and has wide-ranging health-related benefits in the body, and so does exercise,” says Dr. Beth Levine, a Howard Hughes Medical Institute investigator at U.T. Southwestern. “There seemed to be considerable overlap, in fact, between the health-related benefits of exercise and those of autophagy,” but it wasn’t clear how the two interacted, she says.
So she and her colleagues had lab mice run. The animals first had been medically treated so that the membranes that engulf debris inside their cells would glow, revealing themselves to the researchers. After just 30 minutes of running, the mice had significantly more membranes in cells throughout their bodies, the researchers found, meaning they were undergoing accelerated autophagy.
That finding, however, didn’t explain what the augmented cellular cleaning meant for the well-being of the mice, so the researchers developed a new strain of mouse that showed normal autophagy levels in most instances, but could not increase its cellular self-eating in response to stress. Autophagy levels would stubbornly remain the same, even if the animals were starved or vigorously exercised.
Then the researchers had these mice run, alongside a control group of normal animals. The autophagy-resistant mice quickly grew fatigued. Their muscles seemed incapable of drawing sugar from the blood as the muscles of the normal mice did.
More striking, when Dr. Levine stuffed both groups of animals with high-fat kibble for several weeks until they developed a rodent version of diabetes, the normal mice subsequently reversed the condition by running, even as they continued on the fatty diet. The autophagy-resistant animals did not. After weeks of running, they remained diabetic. Their cells could not absorb blood sugar normally. They also had higher levels of cholesterol in their blood than the other mice. Exercise had not made them healthier.
In other words, Dr. Levine and her colleagues concluded, an increase in autophagy, prompted by exercise, seems to be a critical step in achieving the health benefits of exercise.
The finding is “extremely exciting,” says Zhen Yan, the director of the Center for Skeletal Muscle Research at the University of Virginia, who is also studying autophagy and exercise. The study, Dr. Yan says, “improves our understanding of how exercise has salutary impacts on health.”
The implications of Dr. Levine’s results are, in fact, broad. It’s possible that people who don’t respond as robustly to aerobic exercise as their training partners may have sputtering or inadequate autophagy systems, although that idea is speculative. “It’s very difficult to study autophagy in humans,” Dr. Levine says. Still, it’s possible that at some point, autophagy-prompting drugs or specialized exercise programs might help everyone to fully benefit from exercise.
In the meantime, the study underscores, again, the importance of staying active. Both the control mice and the genetically modified group had “normal background levels of autophagy” during everyday circumstances, Dr. Levine points out. But this baseline level of cellular housecleaning wasn’t enough to protect them from developing diabetes in the face of a poor diet. Only when the control animals ran and pumped up their intracellular trash collection did they regain their health.
“I never worked out consistently before,” Dr. Levine says. But now, having witnessed how exercise helped scour the cells of the running mice, she owns a treadmill.

Correction: An earlier version of this article incorrectly referred to autophagy as intercellular housecleaning; it should have been intracellular housecleaning.