The Food Pyramid is old news: 6 Steps to Better Eating

by doctorschoice on September 28, 2011

When I was in medical school (yes, it was a while ago!) I’m pretty sure I only remember
being taught anything about nutrition, wellness, or prevention during one afternoon session.
Unfortunately, I don’t think much has actually changed. Back in the old days they taught
us about the “food pyramid.” It was until only this year that these same, outdated concepts,
were being taught to schoolchildren, nutritionists, and medical doctors. A recent change now
emphasizes “The Healthy Plate.” This at least will give people a “snapshot” of what foods should
go on your plate and which should be avoided.
I am going to summarize an article I just read from the Nutraceuticals World September online
newsletter, so that you can understand the basics on healthy diet choices. It combines the best of
the U.S. governernment’s MyPlate recommendations with what experts at the Harvard School of
Public Health are touting in their newly published “Healthy Eating Plate” guide. Here goes:
“Unfortunately, like the earlier U.S. Department of Agriculture Pyramids, MyPlate mixes
science with the influence of powerful agricultural interests, which is not the recipe for
healthy eating,” said Walter Willett, Professor of Epidemiology and Nutrition and chair of the
Department of Nutrition at HSPH. “The Healthy Eating Plate is based on the best available
scientific evidence and provides consumers with the information they need to make choices that
can profoundly affect our health and well being.”
The Healthy Eating Plate shows that a plant-based diet rich in vegetables, whole grains, healthy
fats, and healthy proteins lowers the risk of weight gain and chronic disease. Helping Americans
get the best possible nutrition advice is of critical importance as the U.S. and the world faces a
burgeoning obesity epidemic. Currently, two in three adults and one in three children are
overweight or obese in the U.S.
Recommendations:
1-Vegetables: Eat an abundant variety, the more the better. Limited consumption of potatoes is
recommended, however, as they are full of rapidly digested starch, which has the same roller-
coaster effect on blood sugar as refined grains and sweets. In the short-term, these surges in
blood sugar and insulin lead to hunger and overeating, and in the long term, to weight gain, type
2 diabetes, heart disease, and other chronic disorders.
2-Fruits: Choose a rainbow of fruits every day.
3-Whole Grains: Choose whole grains, such as oatmeal, whole wheat bread, and brown rice.
Refined grains, such as white bread and white rice, act like sugar in the body. Eating too many
refined grains can raise the risk of heart disease and type 2 diabetes.
4-Healthy Proteins: Choose fish, poultry, beans, or nuts, which contain healthful nutrients.
Limit red meat and avoid processed meats, since eating even small quantities of these on a
regular basis raises the risk of heart disease, type 2 diabetes, colon cancer, and weight gain.
5-Healthy Oils: Use olive, canola, and other plant oils in cooking, on salads, and at the table,
since these healthy fats reduce harmful cholesterol and are good for the heart. Limit butter
and avoid trans fat. The best way to get the Essential Fatty Acids we need for cardiovascular
protection, reduction in Breast Cancer Risk, support for optimum Brain Health is to supplement
with 750mg – 1500mg. of a high quality, pharmaceutical grade, Omega 3 Fish Oil supplement (I
use WINOmeg3Complex and recommend it to my patients!)
6-Water: Drink water, tea, or coffee (with little or no sugar). Limit milk and dairy (1-2 servings
per day) and juice (1 small glass a day) and avoid sugary drinks.
Be well,
Dr. S
Dennis E. Sandler M.D.
e-mail: dsandlermd@gmail.com
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Bone is living tissue that is continually broken down and rebuilt, a process involving calcium, vitamin D and other nutrients; genes, hormones, physical activity and other lifestyle habits also play a key role. Both men and women reach peak bone density in early adulthood and begin to lose bone in middle age. Men tend to develop osteoporosis about 10 years later, though, because they generally have bigger, stronger bones to begin with. And it comes on more gradually because they don’t go through menopause, when bone loss accelerates dramatically in women.
Most risk factors for osteoporosis in men are the same as for women:
• Older age.
• Family history of fractures.
• Being white or Asian.
• Low body weight or small stature.
• Smoking, heavy drinking and a sedentary lifestyle.
• Long-term use of steroids, immunosuppressive drugs, anticonvulsants, some antidepressants and other medications; habitual use of aluminum-containing antacids.
• Certain illnesses, including gastrointestinal, liver and thyroid disease.
• Dietary deficiencies of calcium, vitamin D and other bone-building nutrients.
A major risk factor unique to men is low testosterone, especially due to disease or hormone-suppression therapy for prostate cancer.
How to prevent osteoporosis in men:
Men at risk for osteoporosis should take the same steps as women to help prevent it—and it’s never too late to start:
• Get adequate calcium (1,000 milligrams a day). Low-fat or nonfat dairy products are the best sources; leafy green vegetables, canned salmon and sardines (with the bones) and fortified orange juice, soymilk and cereals are also good choices. A calcium supplement can help make up for dietary shortfalls.
• Pay attention to vitamin D (the official recommendation is 600 IU a day through age 70, 800 IU after age 70—but we advise 800 to 1,000 IU of supplemental D a day for most people). Not only does it help your body absorb calcium, it may increase muscle strength in the legs, which helps prevent falls, a major cause of broken bones. Your skin makes vitamin D when exposed to sunlight, though this depends on factors such as geographical location, time of year and your age. Milk and a few other foods are fortified with D. To reach recommended levels, you likely need a supplement.
• Do weight-bearing exercise, such as brisk walking, jogging, stair climbing and weight lifting.
• If you smoke, stop.
• Keep alcohol consumption moderate—no more than two drinks a day for men.
• Talk to your doctor about any medications you are taking that may cause bone loss, particularly corticosteroids, or may make you prone to falling. You may be able to change the dose or switch to another medication.
Warning signs and testing
Tell your doctor if you have noticed a loss of height or have sudden back pain, which may indicate a collapsed vertebra. Also talk to your doctor if you have been on long-term steroids, if osteoporosis runs in your family (especially in males), if you have had a previous fracture (especially a “low-trauma” one) or if you have multiple risk factors.
There are no official recommendations for bone mineral density testing in men. Some experts suggest that men 65 and older with a prior fracture and all men 80 and older should be screened; others recommend screening for all men over 65 (same as for women) and younger men with prior fractures.
Be well,
Dr. S
Dennis E. Sandler M.D.
e-mail: dsandlermd@gmail.com
connect:

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