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Could cutting back on salt lead to thyroid problems?

salt-shakerIodized salt was introduced in the 1920s as a way to prevent iodine deficiency. It worked! But now, some experts worry that if people really start cutting back on salt, thyroid problems and birth defects could be an unintended consequence.

Your body needs iodine in order to produce thyroid hormone. Iodine deficiency is especially dangerous (and especially common) during pregnancy, when it can cause problems with the infant’s neural development and lead to mental retardation. Some researchers are investigating whether low iodine levels during pregnancy might increase the risk of ADHD.

Sodium is intake up but iodine intake is down

Iodized salt is the primary source of iodine in the American diet. But even though average salt consumption is twice the recommended level, iodine intake has actually declined about 50% over the last 30 years.  How can that be?  Well, we used to cook at home, using iodized salt. Today, most of the salt we consume comes from packaged and processed foods–which are not necessarily made with iodized salt.

As long as we’re bossing around the food industry and requiring them to reduce the sodium in their products, perhaps we ought to require them to use iodized salt.

Alternate sources of iodine

In the meantime, if you don’t use iodized salt at home (or you don’t cook much), be sure you have an alternate source of iodine.  Seafood and edible seaweeds, such as wakame, are particularly rich in iodine.  You also get some iodine from vegetables, depending on the iodine content of the soil in which it is grown.  According to the Linus Pauling Institute, iodine is added to feed for dairy cows in the U.S., which makes dairy products a fairly good source of iodine.

Even though iodine intake has declined, most people are still getting the recommended amount. But if you are pregnant (or planning on it) a multivitamin with the daily recommended amount of iodine (150 mcg) would be a good back-up.

Don’t cancel that gym membership just yet

A glass of red wine equals an hour at the gym, according to researchers from the University of Alberta. News outlets obediently picked up the story and repeated the claim:  “Resveratrol was seen to improve physical performance, heart function and muscle strength in the same way as they’re improved after a gym session.”

Lead researcher Jason Dyck says he is especially excited about the potential benefits for those who are unable to exercise. Just pour them a glass of zinfandel and it’s as if they spent an hour working out.

And now for the fine print: Continue reading “Don’t cancel that gym membership just yet” >

How to Peel a Fresh Pomegranate

pomegranateTis the season for fresh pomegranates, which grow in tropical climates and are harvested from October to January. Pomegranate seeds are sweet-tart, antioxidant-packed, little flavor bombs. They’re great on salads, in pilafs, or all by themselves as an exotic, low-calorie snack or dessert. One of my new favorite recipes is this roasted butternut squash and black rice pilaf with pomegranate seeds.

Getting at the seeds (technically: arils) can be tricky, however, and the juice can stain your fingers and clothes (and walls!) if you’re not careful. Here’s the trick: Cut off the top of the fruit and then slice the rind from the “north” to “south” in several places, without cutting too far into the fruit. Soak the scored fruit in a bowl of water for ten minutes. Then, while holding the fruit under the water, separate its sections and scrape the seeds away from the rind with your fingers. Discard the rinds and remove any pith floating on the top of the water (the seeds will sink to the bottom). Finally, drain the seeds in a colander. The seeds will keep in the fridge for several days.

More than low-fat: An interview with Dean Ornish

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Dean Ornish and David Katz at Finding Common Ground

Dr. Dean Ornish has developed a well-known protocol which has been clinically proven to reverse heart disease, diabetes, and even early stage prostate cancer. Yet his promotion of a very low-fat diet (about 10% of calories from fat) seems to be at odds with today’s prevailing view that  a low-fat diet is not the best way to promote health.

At the recent Finding Common Ground meeting, I had an opportunity to ask Dr. Ornish about the discrepancies between his views on fat and those of other presenters at the conference, many of whom support a Mediterranean-style eating pattern that is 3.5 to 4 times higher in fat.

Although the goal of the Finding Common Ground event was to produce a consensus about healthy diet, the optimal amount of fat in the diet was a “detail” upon which we had to agree to disagree.

In the following interview, recorded on Wednesday, November 18, 2015, I asked Dr. Ornish how he would respond to an email I got from a reader, asking whether she needed to avoid fat in order to stay off cholesterol-lowering medication. As you’ll hear, Dr. Ornish argues that the amount of fat consumed by patients who adopt his program is not the most important aspect of the intervention. That said, he’s giving little ground on the issue of whether his low-fat whole foods diet is better than the high-fat whole foods diet recommended by many others. Click on the left edge of the bar to hear the interview.

See also Dr. David Katz’s excellent commentary, prompted by the same email.

The New Paleolithic Prescription: An Interview with S. Boyd Eaton

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One of the highlights of the Finding Common Ground meeting I recently attended was the opportunity to talk with Dr. S. Boyd Eaton, author of the Paleolithic Prescription.

The guy who started it all had some unexpected things to say about the Paleo Diet trend–he does not agree that grains and legumes should be avoided, for example. But even more surprising are his evolving views on the sustainability of a Paleolithic diet.

Whether you’re attracted to the Paleo diet concept or not, I think you’ll find the interview (recorded Monday, November 23, 2015) very interesting. Click at the left edge of the audio player to listen.

Is a Varied Diet Over-rated?

Over the past ten or twenty years, scientists have spent a lot of energy investigating the world’s healthiest and longest-lived populations, trying to figure out what they are doing right. Why do they live so much longer and have vastly lower rates of cancer, heart disease, diabetes, and other diseases than Western countries?  We’ve picked apart and analyzed the traditional diets and lifestyles of Okinawans, Cretans, Icelanders, Cameroons, Pima Indians, and so forth, in an attempt to codify, once and for all, the healthiest diet.

The problem is that health and longevity are about the only things that these cultures have in common. Continue reading “Is a Varied Diet Over-rated?” >

Everything in Moderation is Bad Diet Advice?

Aaron writes:

“I just saw this article on the How Stuff Works Blog. I know you’ve talked about “eating in moderation” on the podcast, so I thought you might have an opinion.”

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My initial take was that the blogger seemed to be confused about what the study was about. But when I looked at the study itself, it looks like the confusion comes from the researchers. Continue reading “Everything in Moderation is Bad Diet Advice?” >

Recipe: Spinach and Feta Breakfast Strata

Savory Strata with Extra ProteinI’m always looking for ways to get more protein into breakfast so when National Dairy Council invited me to invent a new recipe featuring whey protein, I decided to work on a breakfast casserole…something simple to make but impressive enough to trot out for company. 

Calorie for calorie, protein can help you feel fuller longer than carbohydrates or fats. And whey protein powder is a convenient way to add complete, high-quality protein to a recipe. I use it almost every morning in my smoothie and now I’ve got a new “whey” to add protein to breakfast! Continue reading “Recipe: Spinach and Feta Breakfast Strata” >