Part 1 - What
is Healthy Eating…
…and Where Can I Find It?
There are two challenges commonly encountered in nutritional
counselling. The first was expected as I first began practicing, and the second
was more of a surprise. The first was
explaining what the concepts of healthy eating are and the second is helping
people find ways to do it eating away from home. I was originally trained in the 1970’s when
Americans consumed a minority, 25%, of their meals outside of the home. What has changed is that this figure in now
about 50%, or as many meals out as at home.
To help with that we are reviewing restaurants and other
sources related to healthy eating and will be posting them in this series as
well as on our website. Our goal is not
to favor any particular resources but to expose you to as many healthier ones
as we can. If we have missed any, we
would love to hear about them, review them and add them to our list.
But first to explain how we developed our list we must
explain a little about our basis of understanding healthy eating. If one looks at the shift in our food supply
that has negatively impacted our health, certain changes stand out as the
“large offenders”. These include:
·
Greatly increased carbohydrate consumption
·
A shift to less healthy dietary carbohydrates
and fats
·
A large increase in the omega-6 to omega-3 fatty acid
ratio
·
The heavy processing of grains
·
Genetic modification of foods
Greatly increased carbohydrate
consumption
The genetic makeup of the majority of western populations
favors better metabolic suitability eating a lower carbohydrate diet. Although we have not changed genetically over
the past few million years, the amount of carbohydrate has doubled in our
diet. While this was a gradual shift
over most of human existence, it accelerated dramatically over the past 100
years.
The excessive carbohydrate in the diet is now understood to
be a primary driver of the obesity and diabetes epidemics. It is also currently understood that the
total fat in the diet is less problematic than is the type of fat which is
discussed below.
A shift to less healthy dietary
carbohydrates and fats
Our ancient ancestors derived the carbohydrate energy in
their diet primarily from vegetables and healthy nuts/seeds with less from
fruits and none from grains or simple sugars.
Grain and simple sugars are now the dominant source of carbohydrate
energy in western diets. Grains have the
highest glycemic load which is the stress a food places on our carbohydrate
processing enzymes and hormones. Simple
sugars greatly add to this and have been recently declared as a major driver of
the obesity epidemic.
The fat in the Paleolithic diet was dominantly
monounsaturated and polyunsaturated.
This was the result of higher consumption of nuts/seeds, vegetables and
wild grazed animal product such as meat and eggs. The monounsaturated fats are a known
generator of the health benefits of the Mediterranean diet.
The shift to higher amounts of fat from grain fed animal
products, and grain and legume oils has shifted this to a higher saturated fat
profile. While some saturated fat in the
diet is fine, higher amounts combined with higher carbohydrate intake generates
inflammation in the body and is associated with disease risk. Dale Bredesen, M.D., an Alzheimer’s
researcher at UCLA and developer of the MEND treatment program for Alzheimer’s,
calls the high carb/high sugar/high saturated fat diet the “Burfooda Triangle”
referring to the place where a lot of brains disappear.
The heavy processing of grains
The carbohydrate in grains has a very high glycemic load
increasing blood sugar faster and longer than other carbohydrate sources such
as vegetables. This increase in glycemic
load is caused by the removal of about 80% of the fiber during refining. As the refining removes the essential oils
which give grain much of its taste, taste is typically added back with sugar
further increasing the glycemic load.
The negative effects of grain
refining include:
·
Removal of most of the fiber
·
The removal of essential oils and taste
·
The taste issue is compensated typically by
added sugar
·
Refining removes between 50-100% of all 23
essential vitamins and minerals
Too much grain is ill-suited to human metabolism and refined
grain consumption worsens the problem.
A large increase in the
omega-6 to omega-3 fatty acid ratio
Omega-6 and omega-3 fatty acids are used to make
pro-inflammatory and anti-inflammatory generators respectively. The Paleolithic diet was dominant in omega-3
fatty acids as most come from healthy nuts/seeds and vegetable sources. The fat consumed from animal sources was high
in omega-3s as the animals ate mostly green browse such as grass and
leaves. Most animals in the food chain are
now fed grain and legumes as it is cheaper and they fatten better and
faster. This has caused the large
increase in the percentage of saturated fat in these products but has also
shifted the omega fatty acid content from animal product to mostly omega-6. The
current western diet has an omega-6:omega-3 ratio of 12:1 which is
pro-inflammatory.
Genetic modification of foods
A whole book could be written about the health aspects of
GMO foods. While the concept was
developed with good intention, that of helping to feed the starving world, it
has largely contributed to over-feeding the developed world. It has also been a major contributor to the
grain dominance and of the shift in fat type and omega-3 fatty acid content in
the western diet.
Just to mention some of the recent other major concerns
about GMO crops three stand out; food based glyphosate exposure, food induced
epigenetic changes and food toxicity.
Glyphosate is the main active ingredient in the common herbicide used on
GMO crops. Soybeans are genetically
modified to be tolerant to glyphosate allowing growing fields to be sprayed to
remove weeds. The newest version on GMO
corn is also for glyphosate tolerance.
Glyphosate has been shown to injure the human gut lining and
is thought to be a contributor to many functional digestive disorders, food
sensitivities and perhaps autoimmune disease.
There is also an open question regarding chronic low level exposure and
cancer risk.
Food induced epigenetic changes refers to genetic material
from the plant changing the pattern of gene activation in the person consuming
it. All humans harbor some genes that
when activated may trigger certain diseases.
These genes are, however, protected as our DNA is rolled into balls
called histones that don’t allow direct access to each gene inside. The epigenome consists of areas on these
histones that environmental signals can flip allowing access to these
genes.
Recently little pieces of genetic material called microRNAs
from GMO foods were shown to flip on some of these areas causing ill
effects. Lab rats fed a GMO rice meal
tended to develop high LDL or bad cholesterol levels. A study examining this confirmed that in fact
it does by 39% comparing to animals eating a non-GMO grain. The mechanism was the altering of the gene
expression in the animals causing them to reduce the production of LDL
receptors in the liver. These LDL
receptors trap LDL circulating through the liver removing it for breakdown. A piece of genetic material found in the GMO
rice called micro RNA 168a changed the animal genetic expression of the LDL
receptor.
The herbicide and pesticide contamination comes largely from
large commercial crops particularly GMOs as discussed above.
The Solutions
There are solutions to all of the above problems. Some are behavioral such as deciding to eat
dominantly vegetables, fruits and nuts/seeds as carbohydrate rather than
dominantly grain. The US serving ratio
of grains to fruits & vegetables is 3:1.
More ideally it should be reversed with 3 times more vegetables &
fruits than grains.
This shift also helps two other imbalances, the fat type
ratio and the omega-6 to omega-3 ratio.
Vegetable based foods such as avocados, nuts/seeds and olive oil are
dominant sources of the more healthy mono-unsaturated fats. Green plant foods are a source of alpha
linolenic acid which the body converts to omega-3 fatty acids. Grains are rich in linoleic acid which is
converted to omega-6 fatty acids.
Animals eating green plants make omega-3s, while those eating grain make
omega-6s. True grass fed beef contains
3-5 times greater omega-3 fatty acids than grain fed beef. We need to be
careful what we eat but also what our animal source foods have been eating.
Vegetable and nuts provide greater satiety of the signaling
of fullness which helps to reduce the cravings that drive high carbohydrate
consumption. This pattern shifts to less
carbohydrate and greater amounts of healthy fats.
As the vast majority of GMO foods and herbicide exposure
come from grain and legume crops the above shift helps there as well. Simply refusing to eat GMO is the best
answer. While we do not have GMO
labeling requirements, certified organic products cannot contain GMO products so
they are the best assurance of non-GMO.
In the next post I will explain my “filters” to look for to
ensure healthy eating. Once these are
understood anyone can evaluate any food source for healthy quality. Following that we will begin posting the
individual reviews to make your task easier.
All of this in the name of healthy eating!
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