This Week in Food, Health, and Fitness

This week, read about building muscle as you age, more reasons to avoid supplements, why more running won’t kill you, tips to limit sugars, sleep guidelines, measuring training zones with perceived exertion,  healthy obesity, why homeopathy is bunkum, and more.

Building and Preserving Muscle
as You Age

It’s harder for older people to build muscle, or even keep the muscle that they have.  Because muscle health has a great influence on overall health, it’s a critical area of research. Two new studies shed light on muscle health in older adults.

how much proteinResearchers from the University of Arkansas studied how protein intake influences muscle building in adults aged 52-75 years. They found that those eating twice the RDA for protein (1.5 g protein/kg) had greater muscle protein synthesis than the group eating the RDA for protein (.8 g/kg). This confirms the results of earlier research showing that older adults need more protein to help build and preserve muscle.  Although this study found that protein distribution didn’t matter, other research has shown that your body can only store and use about 20-30 g protein at a time, and that distributing protein intake throughout the day is optimal for muscle building and repair.  (Medical News Today, reporting on

1.5 g protein/kg is also what experts recommend for elite athletes. To see what a day’s worth of protein (1.5 g/kg) look like, and the best way to distribute it, check out this article.

But it’s important to remember that the most potent stimulus for muscle health  is some form of physical activity, and many experts consider strength training essential for health. In another study published this week, researchers from McMaster University set out to determine which exercise was best for muscle building in older men (aged 63 – 71 years).  They compared (1) strength training, (2) interval training (10 x 1 min very high intensity), and (3) aerobic exercise (30 minutes, light-moderate intensity). The authors found that strength training spurred on muscle building processes that lasted up to 48 hours post exercise, and that interval training also influenced muscle protein synthesis (but not as much as strength training). (The Gerontologist, February 2015).

More Reasons to Avoid Supplements

supplements (640x482)A report released this week based on DNA analyses showed that many herbal supplements contain “little more than powdered rice and house plants,” and that 4/5 didn’t contain ingredients listed on labels. Dietary supplements are not regulated or tested for safety or effectiveness, and are assumed to be safe until illnesses or injuries occur. (Anahad O’Connor, New York Times)

In another study published this week,  researchers from the University of Glasgow examined the evidence for taking multivitamins and other supplements and concluded

The evidence so far indicates that multivitamins supplements offer no health protection, increase all-cause mortality, and risk of cancers in some subgroups. A nutritionally balanced diet is a safer way to achieve sufficiency. “

Obesity expert Yoni Freedhoff does a nice job reviewing the study here, and recommends food, physical activity, happiness, and sleep over vitamins to improve health. (Medicine, Feb 2015 Weighty Matters).

Why vitamin drinks are a bad idea.  Great article that outlines the multitude of reasons to avoid vitamin drinks, and how they could actually be harmful. Get your nutrients from food. (New York Times).

woman runners (640x427)Fast Running Probably Won’t Kill You

A study published this week, presenting  data from the Copenhagen City Heart Study prompted sensational headlines like “Fast running is as deadly as sitting on couch.”  Medical journalist Larry Huston pointed out important weaknesses in the small  observational study, which make the conclusions highly questionable, and criticized health journalists for their poor reporting.

Huston writes:

“Journalists and scientists have an obligation to fairly and accurately report the results of individual studies, and they have the further obligation to place those results in the context of what is already known in the field. By reporting the results of this one quite limited study with little or no critical perspective of its details or the larger context of the research, they have once again helped perpetuate the scientific illiteracy and innumeracy that is fast becoming one of the hallmarks of our time.”

(Journal of the American College of Cardiology, February, 2015;  Larry Husten, Forbes)

Alex Hutchinson puts the research in perspective here, highlighting limitations with the data and problems with the study conclusions.  Also of interest is his comprehensive post from last year about the Copenhagen City Heart Study data.  Other criticisms of the study include the University of Michigan’s Justin Wolfers (New York Times), and here is exercise physiologist Micheal Joyner’s view on the “too much exercise” data.

Watch the Science Cop Take on Chris Christie’s Vaccine Talk

Unfortunately, the anti-vaccine sentiment prevails.  Great video with , science editor of Time Magazine.

More Links of Interest This Week:

Instant Oatmeal
Most Instant Oatmeals are high in added sugars (about 12 g /packet)

Some Sweet Articles! Two good posts this week provide excellent insight to reduce consumption of sugars.  Check out this post by Kirstein Weins (No Baloney Blog), and this article by Leslie Beck’s (Globe and Mail column). Both single out some commonly consumed items that pack plenty of added sugars, including:

  • dried cranberries (Ocean Spray = 29 g sugar in 1/4 cup)
  • condiments (BBQ Sauce=10-12 g sugar in 2 tbsp.)
  • flavoured yogurt (15 g sugar in 3/4 cup)
  • instant oatmeal (12 g per packet)

I would add fruit juice (not in these articles because sugars are not “added”), but really, overall sugar intake is what is important for health (and your body doesn’t know what’s added or natural).

What’s So Great About Yogurt?  Nice review of the potential health benefits of yogurt and ongoing research. (Tufts Now, Feb 5, 2015)

Woman sleepingExactly How Much Sleep Is ‘Enough’?   Skimping on sleep is linked to many health problems, including weight gain, depression, and cognitive deficits.  The National Sleep has issued a new report with the following guidelines for sleep. (The Atlantic, reporting on Sleep Health, Jan 2015).

  • Newborns (0-3 months): 14-17 hours (previously 12-18)
  • Infants (4-11 months): 12-15 hours (previously 14-15)
  • Toddlers (1-2 years): 11-14 hours (previously 12-14)
  • Preschoolers (3-5): 10-13 hours (previously 11-13)
  • School-age children (6-13): 9-11 hours (previously 10-11)
  • Teenagers (14-17): 8-10 hours (previously 8.5-9.5)
  • Younger adults (18-25): 7-9 hours (new age category)
  • Adults (26-64): 7-9 hours (previously the same)
  • Older adults (65 and older): 7-8 hours (new age category)

Rate of Perceived Exertion (RPE) Predicts Blood Lactate in Runners. If you don’t have fancy equipment to figure out your training zones, using your perceived effort will predict them pretty well, according to this study in runners.  Runners predicted their effort on the Borg CR-10 scale, and it correlated well with blood lactate. (Journal of Strength & Conditioning Research: Feb 2015.)

B9Vitamins & Minerals Illustrated.  An incredible collection of beautiful photos that represent the chemical symbol or vitamin letter made up of the foods that are the highest sources.  (Behance.net)

Is There Such a Thing as “Healthy Obesity”?   Healthy obese adults are at greater risk for type 2 diabetes and cardiovascular disease than healthy normal-weight adults, although some research suggests there is a “metabolically healthy” obesity with lower risk.  Research by scientist/obesity expert Joshua Bell of the University College London suggests that “healthy obesity” is just a phase, as longer-term follow-up shows increased risk in this group. (Laboratory Equipment, Feb 5, 2015).

How Uncertainty in Workouts Can Help Your Racing. Coach Steve Magness makes the case for mimicking the unpredictability of competitive situations during practices, citing research in endurance athletes showing that it’s during periods of uncertainty that we are most susceptible to giving in to pain and slowing down. (Runners World).

More Benefits to Eating Nuts. . . A Longer Life!  A growing body of evidence suggests that nuts contribute to a healthful diet, with most benefits being better cardiovascular health. A new study confirms the cardiovascular benefits, and shows that nut eaters tend to live longer.  (Am J Clin Nutr. 2015 Feb).

Other research has associated coffee drinking with health benefits, including lower risk of skin cancerreduced risk of death from liver cirrhosis, lower risk of type 2 diabetes and a reduced risk of tinnitus.

Lifestyle Medicine. Watch Saturated Fats, Skip Glycemic Index. Good advice on how to interpret recent studies on saturated fats and glycemic index. (Karl Nadolsky & Spencer Nadolsky, Medpage Today).

Most cancers not just ‘bad luck.’  Good overview of the role of lifestyle & environment. (David Hunter, Harvard T.H. Chan School of Public Health).

Homeopathy is pure bunkum. 100’s of clinical trials show homeopathy doesn’t work, but prominent citizens endorse.  (Simon Singh, Scroll.in)

How Can Winter Affect Your Health? Find out, and see what your Winter IQ is with this quiz. (UC Berkeley Wellness)

Healthy or Hype? Agave Nectar

Healthy or Hype AgaveFood blogs offer plenty of inspiration for my Healthy of Hype series. This week, I look at a popular ingredient: agave nectar.

 

 

See More Issues of This Week in Food,
Health, and Fitness

Photo Credits: Instant Oatmeal Photo by theimpulsivebuy

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Is agave nectar a healthy sweetener?

It’s hard for me to ignore trends in recipe ingredients. Lately, “health conscious” cooks, food bloggers, and chefs are using particular ingredients claiming that it makes their dishes healthier. For example, coconut oil is a current popular ingredient (I’ve covered the questionable health benefits of coconut oil here). 

Agave nectar is another popular ingredient that some cooks are using as a sugar substitute.  Is it a healthy choice?

blue agave (640x547)What Is Agave Nectar?

Agave nectar (also called agave syrup) comes from aquamiel (honey water), a substance found at the core of the blue agave cactus. Processing the aquamiel produces a light colored syrup. Agave is about 1.5 times sweeter than sugar.

The Claims

If you are confused about the potential health benefits of agave nectar, you have good reason! Fad health gurus like Dr. Oz who argued for the benefits of agave over other sweeteners, now rank agave as a sweetener to avoid because of its high fructose content.

Initially, natural health enthusiasts recommended agave nectar because it was “natural,” and low on the glycemic index scale, meaning it didn’t raise blood sugar as much as other sweeteners.  Also, because agave is sweeter than sugar, the thinking was that people would use less of it.

Other claims about the benefits of agave nectar range from weight loss to wound healing, to benefits from potential anti-inflammatory compounds present in the agave plant.

READ  Are "Natural" Sweeteners Healthier than Sugar?

The Evidence

agave no backgroundGlycemic Index. Although agave nectar has a lower glycemic index than other sweeteners, the influence of this measure on health has come into question recently:  the glycemic index is only one aspect of a  food, and when that food is consumed with others, it might not be relevant.  Also, this recent study suggested that a low glycemic index diet didn’t improve insulin sensitivity, cholesterol, or other heart disease risk factors for people who are already following a healthful diet.

In general, judging whether a food is nutritious or not based on one measure, like the glycemic index, is not a good idea!

High Fructose.  The high fructose content responsible for the lower glycemic index of agave might be a concern. Most fad health gurus who recommended agave enthusiastically (e.g., Dr Oz or Dr. Weil) changed their tune when they found out that agave has a very high fructose content compared to other sweeteners (much higher than high fructose corn syrup,  the much vilified sweetener in soft drinks).

In some circles, fructose has been called poison and blamed for the obesity epidemic, but the evidence doesn’t support this sweeping statement.  Fructose is metabolized differently than other sugars, and studies suggest that high intakes could raise triglycerides, predisposing individuals to fatty liver disease, insulin resistance, and heart disease.  But these studies were mostly in animals, and looked at very high doses of 100% fructose, which is not how fructose is consumed in a typical diet (most sweeteners are a combination of glucose and fructose).

We are still learning how different sugars are metabolized in humans, which is complex when you consider other foods in the diet, individual variations, and physical activity levels.  But most experts agree that the total amount of sugar consumed, and not the type, is the greatest concern for health.

Is agave nectar “natural”? Although agave nectar is from the agave plant, it is highly processed to deliver a refined and clear syrup, and it’s hard to argue that it is natural.  Sugar is processed out of “natural” sugar cane, but no one calls sugar natural.  In both cases, the processing removes fiber and concentrates sugars.

Agave Nectar: Bottom Line

Use agave nectar in small quantities if you like the taste of it, or if it truly benefits your recipe, but don’t fool yourself into thinking it’s healthier than other sweeteners. Whether you need to worry about the nectar’s high fructose content is debatable.

While many believe that “natural sweeteners” are healthier, they aren’t. See this article for an in depth look at this topic.

In terms of overall health,  your best bet is to reduce consumption of all sugars. Also important to consider is your activity level:  sugar is metabolized differently in athletes, especially during and after exercise (because contracting muscles use sugar as a fuel source).  It seems that a smart plan would be to make physical activity a priority, and indulge your sweet tooth when you’re moving, instead of when you’re sitting for hours on end.

Other Foods in the Healthy or Hype Series . . .
 More Healthy or Hype topics.

Healthy Or Hype General

 

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Eastern Canadian XC Ski Championships

This weekend I competed in the Eastern Canadian Cross Country Ski Championships.  The event is one of the biggest and most competitive cross country ski events in the country, and is hosted on the challenging and impeccably groomed trails of Nakkertok Nordic.

With about 750 athletes racing from clubs all over Canada,  the massive volunteer efforts of the Ottawa-Gatineau ski community succeeded once again in delivering an incredible event.

Great venue, volunteers, and grooming (look at those tracks!)
Great venue, volunteers, and grooming . . .  just look at those tracks! (Photo by Bernard Pigeon)
Here’s a quick recap of my weekend of racing.  . .

Skate Sprints – Friday.  The sprint course was a challenging 1.4 km, and plenty of fresh snow made conditions quite slow.  I had a decent qualifying round, and finished 3rd in my quarter final (and 14th open woman), but didn’t make it though to the semi’s. This gave me extra rest for Saturday’s races, and time to cheer on my XC Ottawa teammates Kyla and Logan who raced really well, making it through to the B Finals for Open and Junior women.

The start of my sprint qualifier. Photo by Bernard Pigeon.
The start of my sprint qualifier (Photo by Bernard Pigeon).
Sprint quarterfinals - lots of deep snow! Photo by Rob Smith.
Sprint quarterfinals – lots of deep snow! (Photo by Rob Smith).

Saturday – Individual Start 10km Skate. Another very cold day, but sunny, and quite beautiful. The cold meant a later start, and leaving at 15-second intervals instead of the typical 30 seconds.  I had a strong race, finishing up 8th woman overall.

Leaving at 15-second intervals means a tighter field, and some pretty fun racing!
Leaving at 15-second intervals means a tighter field, and some exciting racing! (Photo by Bernard Pigeon)
Easterns10k_Sheila_BPigeon (640x443)
Holding on to Marie Corriveau, who was the top Junior for the day. She left 15 seconds ahead of me and we had some fun back and forth racing. (Photo by Bernard Pigeon)

Sunday – 10k Classic Mass Start. Cold again, which meant shorter race distances for all (we were supposed to race 15km). The combination of the shorter distance and speed of national team member Emily Nishikawa made for a super fast start that I could hardly hang onto (well, I didn’t for long!). It was a decent race, and I finished up 10th, right behind my XC Ottawa teammate Megan and Ingrid (who had an amazing race!).

Mass Start of the Women's Field (Photo Bernard Pigeon)
Mass Start of the Women’s Field (Photo by Bernard Pigeon)
The best part of the race - getting to ski with my teammate Megan (and see Ingrid skiing so strong up ahead)! (Photo Bernard Pigeon)
The best part of the race – getting to ski with my teammate Megan, and seeing Ingrid racing so strong up ahead! (Photo Bernard Pigeon)

Racing is fun! Post-race pictures from some of the Nakkertok athletes I coach . . .

Juvenile Girls pose with Klister. (Photo by Diane Galus)
Juvenile Girls pose with Klister. (Photo by Diane Galus)
Junior girls had a fun 3-days of racing on their home course. (Photo by Diane Galus)
Junior girls had a fun 3 days of racing on their home course. (Photo by Diane Galus)
Weekend Inspiration:
  • Most of the athletes I coach at Nakkertok were racing as well.  It was pretty inspiring to see their ongoing dedication at practices translate into some strong race efforts!
  • The volunteers, Nakkertok grooming team, coaches, and wax teams. Many of these people were out all weekend, in pretty cold temperatures. I didn’t hear one complaint all weekend . . .
  • Seeing Jen Jackson racing so well just 6 weeks after breaking her leg

Many thanks to Craig Storey and Claude Marchand, who did an amazing job figuring out the fastest Vauhti waxes for the day, and supporting my XC Ottawa team.

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This Week in Food, Health, and Fitness

This week, read about event time and athletic performance, Isagenix under the microscope, urban design and health, coffee horror, how strength training helps weight loss, the limits of precision medicine, why your workouts should be high intensity, and more.

clock of the human mindEvent Timing Can Affect
an Athlete’s Performance

Are you a late-riser who hates early morning races? Seems your biological clock might be affecting your performance.  Although earlier research suggested that all athletes are their fastest in the evening, researchers from the University of Birmingham conducted a small study that suggested that performance varies by an athlete’s “circadian phenotype.” They classified athletes by their wake times as follows: early risers = 7 a.m.  weekdays / 7:30 weekends; intermediate risers = 8 a.m. weekdays / 9:10 on weekends; and late risers = 9:30 weekdays / 11 weekends).

Here are the best times for performance based on your typical wake time:

  • Early risers=midday
  • Intermediate risers=afternoon
  • Late risers=evening.
  • Early morning (7 a.m.) was bad for all groups.

(Gina Kolata, New York Times) reporting on Current Biology, 2015).

This is preliminary research, but suggests that athletes might want to use strategies to coax their biological clocks to perform best at race time.  Adjusting light, activity, and meal times in the days before important races might shift your clock and help you achieve a better performance.

Isagenix Under the Microscope

Isagenix is an expensive diet program involving shakes, bars, and herbal supplements that claims its products will help you lose weight, have more energy, and make money (the money part comes if you decide to sell it – Isagenix uses a multilevel marketing distribution,  with encouraged promotion via social media or email).  The marketing relies a lot on personal testimonials like “I used Isagenix and lost weight,” before and after pictures, and you may recognize some of the media from this Isagenix Social Media Gallery,  available to help marketers sell the product.  The products boasts “nutritional cleansing,” “detox,” and “fat burning,” and the weight loss program is essentially a low-calorie diet that might promote short-term weight loss (like any low calorie diet would). This week Australia’s CHOICE Magazine reviewed isagenix claims, and concluded that the product is big on hype but slim on evidence.  You’ll find another evidence-based review of Isagenix here.

Research has repeatedly shown that weight loss that relies on meal replacements and low calorie diets can be difficult to maintain, one reason being that it doesn’t develop sustainable habits. Also, why spend a whole lot of money on processed low-calorie shakes and questionable supplements when you can choose delicious real foods that are inexpensive, unprocessed, fit into regular daily habits, and have evidence-based health benefits?

Curious about a particular diet? Check out my diet reviews page here.

Coffee Horror

Here is a funny mock horror film produced by Egg studios of Nova Scotia to get people thinking about the environmental impact of K-Cups (in 2014, Keurig Green Mountain produced 9.8 billion K-Cups). (NPR)

More Links of Interest this Week:

Better urban design could add years to your life. Urban activists say cities need to design more walkable neighbourhoods, which would lead to health benefits. Many suburbs are designed to move automobiles, and are not a nice environment for walking or cycling: some experts describe such neighbourhoods as “obesogenic.”  There is evidence that more walkable neighbourhoods can decrease child obesity. (CBC)

You can prevent age-related slowing of V˙O2 kinetics.  Researchers at the University of Western, Ontario looked at  V˙O2 kinetics profiles of young, middle-age, and older endurance-trained and untrained men. This is the first study to show that endurance training can prevent the declines in V˙O2 kinetics normally associated with aging.  (Medicine & Science in Sports & Exercise: February 2015.)

Sheila_sprint (400x600)Why Your Workout Should Be High-Intensity (even if you aren’t an athlete). A look at the health benefits of high intensity interval training for nonathletes and patients with various conditions including stroke, diabetes, and Parkinsons’.   (Jane Brody, New York Times).

Is Walmart Making Us Fat? A new paper argues that food distribution methods that support cheap, widely available junk food has contributed to obesity epidemic. Looking at the economic variables related to calorie intake, the authors found that restaurant and supercenter/warehouse club densities were important factors.  (Washington Post, reporting on  NBER Working Paper No. 20892; January 2015)

Americans Believe in Science, but are at odds with scientists on major Issues.   The “debate” over issues like climate change and vaccination puzzles many. Can evidence change people’s minds?  A Pew Research Center report examined the opinions of the US public and scientists, and found that although many Americans (79%) are positive about science’s impact, they are at odds with scientists on major issues. (Scientific American reports on PEW Research Center report).

It seems like people believe in science, but some susceptible people just aren’t equiped to evaluate the entirety of the research.  These days, it’s easy to find “experts” that support your side of the argument with some seemingly “convincing” science:  the problem is – often these studies are cherry picked, out of context, and don’t take into account the body of research that doesn’t support the view –  Wheat Belly, anyone?

The limits of precision medicine: ‘Moonshot’ Medicine Will Let Us Down.  Personalized medicine seems promising,  but as Micheal Joyner puts it “we almost certainly have more control over how much we exercise, eat, drink and smoke than we do over our genomes”. Seems money geared toward changing these behaviors in people would yield better public health, but isn’t as attractive. (Micheal Joyner, New York Times)

The science behind being cold. Hand & feet temps dictate comfort, and women’s hands are 3 degrees colder than men’s.  (Time)

People Think Expensive Drugs Work Better. Study in Parkinson’s patients shows that when participants told drugs cost more (even it was a placebo), they performed better. (Time, reporting on Journal of Neurology, Jan 2015.)

women weights3How Weight Training Can Help You Keep the Weight Off. A study in women shows that women who exercise (especially strength training) tend to move more throughout the day, which burns more calories and promotes weight loss.  (Gretchen Reynolds, New York Times, reporting on Med Sci Sports Exerc. 2015 Jan 20).

Food science students write an open letter to the Food Babe. This is excellent – looks like the next generation of food scientists is on the right track, and will hopefully help communication between scientists and the public.

How to Navigate the Maze of Temptation That Is Your Local Grocery Store. Good advice by Brad Stulberg (Outside).

Read this before you ever believe another guest on the Dr. Oz Show. Why is this show still on the air? (Julia Beluz, Vox.com)

New Recipe

Flourless Chocolate Cake2 (640x396)Flourless Chocolate Cake. Secret healthy ingredient – you’ll never guess!

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