Are the calcium RDAs a dairy industry conspiracy?

Kate writes:

“I am a [lacto]vegetarian, and I make sure to get 3 servings of dairy every day. However, I still technically fall short of the recommended amount of calcium. I have a conspiracy theory that the dairy industry has undue influence on the [USDA], and that the calcium requirements are higher than they need to be. I am interested in hearing your thoughts on how accurate the RDA for calcium is, and any tips for getting the needed level on a vegan or vegetarian diet (without resorting to supplements or fortified foods).”

I can see how Kate gets there. The USDA is the government agency responsible for generating our nutrition guidelines. But it is also the government agency responsible for promoting the welfare of our nation’s dairy farmers. Is it possible that the desire to promote milk consumption has prompted the USDA to inflate the recommended amount of calcium?  Sure. Weirder things have happened.

But having read through (some of) the scientific documentation for our dietary recommendations, I can assure you that they are not written by dairy farmers. These are nutrition geeks to the nth degree, hashing out issues such as urinary losses, intestinal absorption rates, insensible losses, nutrient interactions, risk profiles, and everything else you can think of.

That said, nutrient needs for various populations are determined in the context of the prevailing diet and lifestyle. It is possible that calcium requirements may be higher for those consuming a typical Western diet than they are in developing nations.

For insight, we can step outside the USDA and look at a more global picture. The World Health Organization compiles and compares the work of nutrition geeks from all over the world. Here’s an interesting table from a their 2004 report on Vitamin and Mineral Requirements in Human Nutrition (sure to be this summer’s hot beach read.)

You can see that the recommendations are somewhat higher in the US than other largely Caucasian Western countries. However, the WHO reviewers point out that the lower numbers from the United Kingdom and Australia do not take into account insensible losses and that the British and European values make no allowance for aging or menopause. (Maybe our geeks are more thorough than their geeks?)

The WHO report goes on to note that other factors, such as race, geography, lifestyle and diet composition may also affect calcium requirements. Specifically, calcium requirements may be lower in diets that are lower in animal protein and sodium.

But why do we care so much about calcium in the first place? Primarily because of bone health. And surprisingly enough, higher protein diets actually appear to promote healthier bones. Go figure.

The bottom line? Nutrition is not an exact science. Getting 1000 mg of calcium per day doesn’t guarantee that you’ll never have osteoporosis, and getting 800 mg per day doesn’t guarantee that you will. In fact, I think our focus on calcium tends to obscure all the other dietary and lifestyle factors that add up to healthy bones.

 

Is stevia an artificial sweetener?

Cathy writes:

“Regarding the recent Nutrition Diva episode about artificial sweeteners, how exactly do you define “artificial” when it comes to sweeteners?”

Cathy is absolutely right that the terminology used to talk about sweeteners is vague and I should be better about defining my terms!

Caloric vs. noncaloric

Sweeteners can be divided into two broad categories: caloric and non-caloric. Even there, it gets fuzzy because virtually all “non-caloric” sweeteners are not truly zero-calorie, just so low in calories that we consider them non-caloric.

I think it’s smart to limit your consumption of both caloric and non-caloric sweeteners to around 5% of calories (or the equivalent amount of noncaloric options).

See also: What’s a safe intake of noncaloric sweetener?

How natural is it?

Although we often use words like natural, processed, refined, synthetic, and artificial to describe various caloric and non-caloric sweeteners, these are not precisely defined terms or categories. Continue reading “Is stevia an artificial sweetener?” >

How Bad for You is Lowfat Milk?

Karina writes: “I am a fan of low-fat dairy. I prefer skimmed milk and fat-free yoghurt. But lately, people have been telling me that low-fat dairy is “bad for you ” and full fat is better. When I ask why, they say it’s something to do with how the fat is removed. Another person says most of the nutrients are in the fat. What is your take on it?” Continue reading “How Bad for You is Lowfat Milk?” >

Does losing weight really lower your disease risk?

James writes:

“Everyone refers to weight as being a risk factor for various diseases. But is it true that losing weight actually lowers one’s risk?  Or could some other factor be responsible for both disease risk and a higher weight?”

If you’re overweight or obese, losing weight absolutely does reduce your risk of various complications and diseases. Because when you lose weight, it’s not just the the number on the scale that changes.  Losing weight can reduce your blood pressure as well as your fasting blood sugar, for example, and that in turn lowers your risk for stroke and diabetes.

[bctt tweet=” When you lose weight, it’s not just the the number on the scale that changes. ” username=”nutritiondiva”]

And, by the way, losing even a small amount–as little as 5% of your current weight–can significantly reduce your risk of various conditions, even if you are still overweight. For this reason, you’d be better off losing a modest amount of weight and keeping it off than losing a large amount of weight and gaining it back!

(And if you’ve had enough of yo-yo dieting, you may be interested in a new project I’m working on.) But keep in mind that having a risk factor for a disease does not mean that you are certain to develop the disease.  If you are a smoker, you are much more likely to develop lung cancer than  a non-smoker. But some smokers don’t get lung cancer–and some non-smokers do.

Which Risk Factors Should We Focus On?

Some disease risk factors are things we can’t change–such as our age, race, gender, or genetic heritage. I’m at higher risk of developing osteoporosis than James is, simply because I’m female.

Other risk factors, such as our body weight, eating habits, exercise, and other lifestyle habits, are within our control. I can lower my risk of developing osteoporosis, for example, by not smoking and getting regular exercise.

No Guarantees So Enjoy the Ride!

Despite what some people will tell you,  there is no way to completely disease-proof your body. All we can do is focus on our modifiable risk factors and hope for the best. And because there are no guarantees, I think it’s important to strike a balance between lowering risk and maintaining quality of life. Or, as my friend Yoni Freedhoff likes to say, “Live the healthiest life you can enjoy living.”

Trend Alert: What’s the deal with ginger shots?

Leah writes: “I’ve been hearing a lot about ginger shots as way to boost health and nutrition. Would they be good for everyone? What are the upsides and downsides of daily consumption?”

Fresh ginger juice can make for a zingy little pick-me-up. Will it detox your organs, kill cancer cells, or melt away fat? No. But ginger does have some legitimate health benefits. Continue reading “Trend Alert: What’s the deal with ginger shots?” >

Do Terra chips count as vegetables?

 veggie chipsNatalie writes:

“Are Terra Chips healthy ? The ingredients are just vegetables (sweet potatoes, carrots, beets, etc.) and oil. Am I getting a serving of vegetables by eating these?”

Technically, yes. These would constitute a serving of vegetables. But before you replace that side salad with a bag of veggie chips, let’s think about what eating vegetables offers us.

[bctt tweet=” Before you replace that side salad with a bag of veggie chips, let’s think about what eating vegetables offers us. ” via=”no”]

Continue reading “Do Terra chips count as vegetables?” >

Foods that can help with insomnia

Q. Do you have any recommendations for what to eat to help falling and staying asleep? I read the following:

“Try eating a kiwi. High levels of antioxidants and serotonin in the fruit may regulate slumber. Or, try a spoon of almond butter. One tablespoon offers up a healthy dose of magnesium. Deficiencies of that mineral have been linked to muscle cramps and insomnia.”

A. Believe it or not, both of these recommendations are supported by actual published research. A small study of 24 people experiencing sleep disturbances found that eating 2 kiwi fruit 1 hour before bedtime every night for 4 weeks led to significant improvements in their sleep quality. Unfortunately, there was no control group, so it’s hard to say how much of this effect was due to placebo effect. Continue reading “Foods that can help with insomnia” >