Healthy or Hype? Gluten-Free Diets

There is certainly a lot of hype about gluten-free diets.  In terms of diet trends assessed by Google,  “gluten-free diet” searches have risen dramatically over the last 10 years.  Gluten-free/grain-free diet books remain bestsellers.  And along with the interest is a multi-million dollar industry catering to the growing demand for gluten-free products.

But will going gluten-free benefit your health?

What Is a Gluten-Free Diet?

Gluten-free diets avoid any foods or food items containing gluten, a mixture of proteins found in wheat, barley, and rye. Individuals with celiac disease (about 1% of the population) need to absolutely avoid gluten because it damages their intestines.  A poorly understood condition called non-celiac gluten sensitivity (NCGS) may exist in some individuals, but this is a debatable condition that recent studies have called into question.

The Claims

Proponents of gluten-free diets claim that avoiding gluten will improve overall health, help you lose weight, improve athletic performance, and  “cure” a laundry list of medical conditions including digestive problems, skin conditions, depression, anxiety, autism, and much more. For example, in his book Grain Brain, David Perlmutter claims that a gluten-free diet can cure  38 different diseases and symptoms; you’ll find Wheat Belly author William Davis’ very long list of conditions caused by consuming wheat, or treated by removing wheat here.

Feeling better on a gluten-free diet?
It may have nothing to do with gluten

colorful vegetables
Many people eat more vegetables and fruits when they eliminate gluten

If a person notices health benefits after eliminating gluten, they will attribute the benefit to going gluten free. But it’s almost impossible to attribute any benefits to the absence of gluten, unless you conduct a carefully controlled and blinded experiment.  Restricting gluten can impact many other dietary variables that influence health (for example overall calories, diet quality, carbohydrate quality, ratio of fat/carbohydrates/protein, fiber intake).

Most gluten-free diets recommend limiting processed foods and refined carbohydrates and eating more fruits and vegetables, habits that can improve diet and health tremendously.

Also, when people pay more attention to food labels and are more aware of what they are eating, they tend to eat more healthfully overall, which benefits health. Paying attention to what you’re eating can also help weight loss efforts, and losing weight can lead to a host of health benefits unrelated to gluten.

Potential downsides of a gluten-free diet

A gluten-free diet that relies heavily on commercial products might be lacking on the nutrition front.  It can also be expensive, and many gluten-free foods aren’t fortified with iron or folic acid. Also, when manufacturers remove gluten from foods they may add additional sugars, sodium, and unhealthy fats. Many gluten-free products use a refined gluten-free flour that lacks the fiber of other grains. Consumer Reports provides several examples of gluten-free foods that are unhealthier than their gluten-containing counterparts (see their report for specific examples).

Evidence is emerging that eliminating gluten can had adverse health effects. One preliminary study suggests that a gluten-free diet may decrease the count of beneficial gut bacteria. Also, this research found that people avoiding grains and gluten are at higher risk for heart disease. Another study suggests that  those who consume too many rice-based products (popular gluten-free foods) may be at risk for harmful levels of arsenic and mercury exposure.

Also, gluten-free diets tend to be low in carbohydrates, which might not be an ideal eating style for most people, namely endurance athletes who need additional carbohydrates to fuel their body for workouts.

READ  Healthy or Hype? Protein Powder

The Evidence

While gluten can cause problems in a minority of the population, there is no good evidence that gluten is problematic for most people.  Many individuals are getting their information from popular anti-grain or anti-wheat books (for example,  Wheat Belly, Grain Brain), which are not based in good science and have been widely criticized by most academics and nutrition experts. For example, here is how McGill’s Joe Schwarcz describes the lack of science behind Wheat Belly:

“But if you are scientific minded, it is worthwhile to read this book just to see how masterfully Davis blends cherry-picked data, inflammatory hyperbole, misused science, irrelevant references and opinion masquerading as fact into a recipe for a cure-all. Some of the “science” is just absurd.”

Non-celiac gluten sensitivity questioned. Experts question the existence of gluten sensitivity in non-celiac individuals.   A recent study followed 392 patients complaining of gluten-related symptoms for 2 years.  Researchers concluded that self-perceived gluten-related symptoms are rarely indicative of the presence of non-celiac gluten sensitivity, finding that 86% of patients who thought they were sensitive to gluten did not have celiac disease, a wheat allergy, or non-celiac gluten sensitivity.  This study corroborates other research showing that the vast majority of people who think they’re sensitive to gluten aren’t.

cyclist_Tour_de_Bretagne_Féminin__wikimedia ATIn terms of athletic performance, there is no evidence to support a gluten-free diet.  A study in competitive cyclists used a controlled randomized double-blind, cross-over design to examine the influence of gluten.  Investigators found that a gluten-containing diet did not influence performance  in a 15 km time trial, GI symptoms, well-being, and other inflammatory markers or indicators of intestinal injury in non-celiac endurance athletes. You can read more about the evidence for athletes avoiding gluten and grains here.

Bottom Line

Fresh Bread And Wheat On The WoodenBeyond the 1% percent of North Americans have celiac disease who need to strictly avoid gluten, scientific evidence that a gluten-free diet will benefit others is lacking.  A gluten-free diet is beneficial if it means that individuals start replace gluten-containing grains with  vegetables and fruits and avoid processed foods.

If you feel better after eliminating gluten, your new healthy habits likely don’t need to be at the expense of limiting a wide array of foods with known health-promoting properties.

There is little evidence that avoiding gluten or wheat will improve your health. In fact, whole grains have many health benefits and gluten-containing grains are an integral component of some of the best-studied and healthiest diets in the World.

More reading about gluten-free diets and health:

Reviewed and updated June 14, 2017

More in the Healthy or Hype Series

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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King’s Court Classic Rollerski Sprint

National Capital Region Time Trial Series

This past weekend, Ottawa-Gatineau nordic ski clubs hosted the final event in the National Capital Region Time Trial Series, a classic sprint race.  The Series has run monthly over the summer, allowing local and visiting cross country racers many opportunities to develop their racing strategies, compete against other athletes, and monitor their progress. The cross country ski dryland training season can be a long one, so events such as these are important to keep athletes motivated and allow them to stay in touch with that racing feeling.

IMG 5577 (640x426)Technical downhill turn on the course

Over the last few years these time trials have grown in number, often approaching almost 100 athletes per event. Local ski clubs Nakkertok Nordic, Chelsea Nordiq, and Skinouk have come together to coordinate these races, and the hard work of coaches and volunteers has benefited the ski community tremendously.

Trees (640x427)The venue for these events is the Gatineau Park parkways, a true rollerskier’s paradise, with over 30 kilometers of paved roads that includes long uphills and downhills.  The parkways are closed to vehicular traffic at this time of year, and relatively few cyclists are still riding, making it a safe venue for such an event. During the Spring and Summer, parkways are closed at designated times on weekends, which is popular with many recreational athletes.

Side Start Shadows (640x426)

Classic Sprint Event

The King’s Court sprint venue was based at P5, and featured a fun 1 km loop.  After racing a time trial to determine subsequent heats based on speed, racers competed in three head-to-head 6-person heats.  The top 2 finishers  in each race moved to a faster heat; finishers 3 and 4 remained in the same heat, and finishers 4 and 5 move to a slower heat.

Although gender and age typically designate who you race against, this format is purely based on speed (athlete and rollerski wheel speed!), which mixes things up in ways that are beneficial to learning, and you’ll get a mix of women, men, and age categories in the same event.

Mixed CategoriesStart Lineup (640x427)Mixed age and gender heats lined up and ready to start

You’ll find results from the Qualifier here.

Advantages of the King’s Court Format

During the ski season, sprint races don’t allow all racers to develop the necessary skills and tactics needed to succeed at sprint racing. Typically, only the top 30 racers in the time trial advance to heats, and after the quarterfinal only 12 racers move on to the semi-final and final.  Some racers never move beyond a time trial and don’t experience (or have a chance to improve) in head-to-head competition. This “King’s Court” format ensures that everyone has a chance to develop their sprinting abilities.

IMG 5707 (640x426)With 95 starters and a challenging course with U-turns, there was a lot of movement among competitors and ample opportunity to work on different strategies. A few racers tried double poling some of the heats (on skate rollerskis). This is a strategy sometimes used in some World Cup classic sprints, and most racers don’t typically have the chance to practice in head-to-head racing situations, making this event a great opportunity to try it out to see when it works. . . .

IMG 5602 (640x426)Double poling on skate skis was an advantage at this point in this heat

and when it doesn’t . . .

Start OptimizeDouble poling only can have disadvantages with an uphill start (can you spot the double poler?) but you may make up for it later. It depends on the course, and takes learning experiences such as these.

Double Pole

All in all it was a great event that showcased a terrific venue and a collaboration among clubs that has led to some pretty fine organization and athlete development opportunities for the nordic racing community. Many thanks to to the organizers from Nakkertok, Chelsea Nordic, and Skinouk for making this happen.

Pictures

Here are some more pictures of the event, and you’ll find a full  a lot more here.

Zoe Alex Start (640x427)IMG 5860 (640x427)Claire (640x427)IMG 5593 (640x424)Kyla Alia (640x427)IMG 5581 (640x426)Downhill ANIMATION

 

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Ginger Bars with Chocolate

Ginger Bars With Chocolate IsolatedThese spicy bars are soft, chewy, and amazingly delicious! The ginger delivers a good zing, and the molasses keeps them dense and fudgy. You can whip these up pretty quickly, which will make your entire house smell pretty wonderful.  These bars are great workout fuel, but certainly tasty enough for a lunchbox treat or as a sweet with coffee or tea.

You can also make these as cookies by shaping the dough into 1 1/2-inch balls.  Place on cookie sheet at about 2 inches apart and flatten slightly with a fork.  Bake in 350 deg oven for 7 minutes (don’t overbake!).

You can substitute a different nut or seed butter for the peanut butter (I’ve tried tahini – sesame seed butter – and almond butter would work well).

Ingredients

  • 1.5 cups whole wheat flour
  • 1 tsp. baking soda
  • 2 tsp. ground cinnamon
  • 2 tsp. ground ginger
  • 1/4 tsp salt
  • 3/4 cup brown sugar
  • 1/3 cup “natural” peanut butter
  • 3 tbsp. softened butter or margarine
  • 1 egg
  • ¼ cup molasses
  • 1 tsp. vanilla
  • ½ cup chocolate chips

Directions

  1. Preheat oven to 350°. Lightly grease bottom of an 9 x 11-inch baking pan, or consider using parchment paper for easy removal from the pan. You’ll find some tips on how to do this here and a video here). (If you don’t have a 9 x 11-inch pan, you can use a 9 x 13-inch pan, just don’t spread dough all the way to the edges).
  2. In a medium bowl, stir together flour, baking soda, cinnamon, ginger, and salt.
  3. In a large bowl, mix together peanut butter and butter with a large wooden mixing spoon. Add egg, molasses, vanilla, and brown sugar. Add chocolate chips.
  4. Stir flour mixture into peanut butter mixture (dough might be stiff).
  5. Spread into a prepared pan (you can wet your hands with water, or grease with a little butter to make this easier).
  6. Bake for 15-20 minutes. (Time will depend on the size and type of pan you used –  test with a toothpick or sharp knife –  insert in the center and it should come out clean  – unless it hits a chocolate chip!).
  7. Cool on a wire rack. Cut into 15 bars.

Yield: 15 bars

Ginger Bars With Chocolate Text

Nutrition Notes

For eating outside of workouts, this bar recipe is likely healthier than most cookies or bars.   Whole grains (whole wheat flour) replace the more typical refined white flour (and you probably don’t need to worry about the gluten in the flour). I also used this baking strategy, substituting peanut butter for most of the butter. Peanut butter provides heart-healthy fats instead of saturated fat, as well as protein, fiber, and minerals that many people don’t get enough of in their diets.

READ  Healthy Baking Tip: Use Nut & Seed Butters Instead of Oils

Nutrition Per Bar

  • 185 calories
  • 3.5 g protein
  • 7 g fat
  • 18.6 mg cholesterol
  • 25 g carbohydrate
  • 2.2 g fiber
  • 175 mg sodium
  • 195 mg potassium
  • Iron: 7 % Daily Value
  • Calcium: 3 % Daily Value

 More Recipes to Fuel Your Workouts

You’ll find more information about Sports Nutrition Strategies here

You’ll find more healthy recipes here

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This Week in Food, Health, and Fitness

This week, learn more about headlines linking processed meat to cancer, why sugar’s not toxic, race starts that give some sprinters an unfair advantage, Gary Player’s fitness tips, maintaining swimming speed as you age, how stress makes you sick, and more.

Cooked bacon stripsProcessed meat and cancer – what you need to know.  This week, the World Health Organization classified red meat and processed meats as carcinogens.  Bold headlines put meats in the same category as cigarettes and created plenty of confusion.  As someone who’s been involved in cancer and diet research for over 20 years, the link between red meats, processed meats, and cancer is nothing new.  Unlike many headlines, this is not one study but reflects decades of research.  Cancer Research UK does a great job explaining the WHO classification, and puts this information in perspective, and their article is worth reading.  Here is their summary:

“So if you’re someone who has a very meaty diet, and you’re worried about cancer, you may want to think about cutting down. That doesn’t mean you need to start stocking up on tofu, unless you want to, it just means trying to eat smaller and fewer portions, or choosing chicken or fish instead. As we said above, there’s no strong evidence linking fresh white meats such as chicken, turkey, or fish to any types of cancer.

So our advice on diet stays the same: eat plenty of fibre, fruit and vegetables; cut back on red and processed meat, and salt; and limit your alcohol intake. It might sound boring but it’s true: healthy living is all about moderation.”

Why Do People Favor Opinion Over Scientific Evidence? This is something that frustrates me to no end, so understanding what’s going on might make me more tolerant! Keith E. Stanovich (University of Toronto) explains the kind of thinking and brain regions involved when faced with a complex problem: type 1 (least tiring cognitive process) vs type 2 thinking (slower, processes environmental cues).  It can be difficult for many to ignore persuasive opinions, especially for those untrained in science who have trouble objectively evaluating evidence: these people often default to type 1 thinking.  Stanovich argues that we can override a tendency toward type 1 thinking by practicing scientific thinking “to the point of automaticity, eventually making it our go-to option.” (Scientific American)

sugarsIs sugar toxic?   A new study published in the journal Obesity this week received much press proclaiming the extreme dangers of sugar.  In the small study, researchers reduced the sugar in the diets of obese children, and replaced it with starch, which led to improvements in metabolic health in 10 days.  The study provides new evidence related to sugar consumption and metabolic health in obese children, but should be interpreted with caution because it has many methodological flaws,  as outlined here and here (i.e., no control group, study participants lost an average of 2 pounds in just 10 days –  weight loss typically leads to metabolic improvements, so you can’t attribute outcomes to the decreased sugar intake). (Obesity, October 2015).

Many people do consume too much sugar and would be better off cutting down, but extremely restrictive diets aren’t necessary and often backfire.  Also, studies investigating sugar and carbohydrate intake don’t often rigorously evaluate physical activity, which can have a dramatic influence on how the body metabolises carbohydrates and sugars.  (I often think it’s not that we eat too many carbs or too much sugar, it’s that most people don’t move enough!).  Bodies that move are much better equipped to handle sugars: when diabetics exercise, they require less insulin to control their blood sugar; endurance athletes rely on sugar to fuel fast performances.  Here are two good articles on the topic:

Women Run 200mW At Josef Odlozil Memorial In Prague 14June2010 064 Pub DomainRace starts could give some athletes an unfair advantage.  A typical race start is . .

READY . . .BANG.

A new study shows that the Gap between the ‘R of the ready’ and the ‘B of the bang of a gun or horn can be the difference between 1st and 5th in a sprint race. The gap between the initial cue and the starting signal varies depending on the starter, and varies between different heats. Racers in heats that are held longer between the Ready and the Starting cue are at a disadvantage. The researchers advocate for a computerized fixed ready-start interval.  (Frontiers in Psychology, October 28 2015).

fad_diet_shutterstock_81459505 (640x427)The science is clear: most diets don’t work. Julia Beluz (Vox.com) looks at a systematic review and meta-analysis published this week that assessed the effectiveness of low-fat diet vs higher fat-diet on weight loss. Investigators looked at 53 studies and found that typical weight loss  was about 5-7 lbs over 1 year, a loss not clinically significant given the intensity of most interventions, and starting weights of the obese participants. The lead investigator is quoted “people need to look beyond restricting certain macronutrients (like fat or protein or carbohydrates) and instead try to incorporate healthy foods into their diets.”

Although many press reviews of this study boast headlines like Time Magazine’s  “Don’t Cut Fat if You Want to Lose Weight”, given that the higher fat diet had only a slight edge (1-2 lbs) over the lower fat diet, the Vox article offers a better interpretation and significance of the research.  Obesity expert Yoni Freedhoff offers a similar perspective in a series of tweets here.

READ  Thinking of Trying a New Diet?

Gary Player’s 10 fitness tips for tearing it up even after 80 years old.  Exercise physiologist Micheal Joyner looks and comments on seemingly ageless golfer Gary Player’s tips for fitness. (Sports Illustrated)

dumbbellLifting weights twice a week helps the brain. Strength training is a hard sell for older women, who tend to prefer walking as their form of exercise. Although any form of exercise is good, resistance exercise is much better for bone and muscle health, which deteriorates rapidly with aging if they aren’t stimulated. A new study reveals that strength training is also good for the aging brain. Researchers divided 65 to 75-year-old women into these 3 groups prescribed these routines for 1 year:

  1. flexibility and balance training
  2. strength training once a week; and
  3. strength training twice a week.

Brain scans revealed typical aging progression (number and size of white matter lesions) in groups 1 and 2, but the brains of women in group 3 who strength trained twice weekly looked much healthier and didn’t age as much. Their walking gate was also noticeably better than groups 1 and 2.  This study adds to the growing evidence of the benefits strength training for overall physical and mental health. (New York Times)

Dara Torres could still outsprint most competition in her 40's.
Dara Torres could still outsprint most competition in her 40’s.

Theoretical Reasons for Decreased Swimming Velocity with Aging other than Power Decline! As the age of elite swimmers continues to rise, SwimmingScience.net explores reasons for declines in swimming performance with age unrelated to power.  They include the following:

  • decreased training volume/intensity;
  • decreased coaching on biomechanics;
  • decreased training intensity;
  • altered body (aka poor range of motion for performing biomechanics):
  • increased stress;  and
  • decreased sleep.

Mediterranean Diet FoodsThe Mediterranean diet: Is it the food or the lifestyle? A large body of research points to a Mediterranean-style diet as promoting good health. A Mediterranean diet typically focuses on plant-based foods like vegetables, fruits, and whole grains; healthy fats from nuts, seeds, and olive oil; moderate intake of fish and poultry, and low intake of dairy products, red meat, processed meats, and sweets. This eating plan can include many delicious foods, and is not restrictive.  A new movie explores other factors of a Mediterranean lifestyle that might contribute to good health such as savoring food and socializing over meals with friends and family, spending time outdoors getting fresh air, engaging in leisurely physical activity, and having low levels of chronic stress. (New York Times)

Keep in mind that documentaries are telling a story, and can be quite convincing but not necessarily objective: scientific studies are still the best tool we have to determine health benefits of various health behaviors.

Healthy Or Hype Protein PowderHealthy or Hype? Protein Powder

I added another article to my Healthy or Hype? Series this week, investigating protein powder, a supplement that is growing in popularity. I look at the evidence for protein powder health claims, safety, and the latest research investigating how much protein individuals need. You’ll also find an infographic that lists protein amounts in a variety of foods.

How stress makes you sick

The Atlantic profiles a terrific animated video by Sharon Bergquist, Emory University professor of medicine that explains how stress affects our body.

The final message bears repeating, so if you don’t watch the video to the end, here it is:

“Your life will always be filled with stressful situations, but what matters to your brain and entire body is how you respond to that stress. If you can view those situations as challenges you can control and master, rather than as threats that are insurmountable, you will perform better in the short run, and stay healthy in the long run.”

******

  • Sprint start photo by Erik van Leeuwen [GFDL], via Wikimedia Commons
  • Swimmer Dara Torres By Bryan Allison (This file was derived from:  Dara Torres 2.jpg) [CC BY-SA 2.0] via Wikimedia Commons

 

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