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Diet

Diet Therapy of Diseases

IRRITABLE BOWEL SYNDROME

Irritable bowel syndrome is a disorder of the large intestine that causes abdominal pain, excess wind, diarrhoea, mucus in stool, constipation and irregular bowel habits to the individual. Well, the cause is really not know, but once you see these symptoms, then you might just have IBS. It could aslo be called ‘spastic colitis, mucuous colitis or nervous colon. IBS is chronic and long term, so you might just have to live with it and manage it for a long period of time😢😟.
FACTS ABOUT IBS
🍅 it wont lead to cancer.
🍆 Though it causes discomfort, it doesnt really lead to severe or serious complications.
🌽 reduced alcohol intake can help in managing IBS
🍍excluding foods that can cause gas e.g onions, cucumber e.t.c can help reduce symptoms
🍞 dietary and emotional factors play major roles in IBS😁.
🍒 No cure yet, but it can be managed effieciently.
Most times, signs and symptoms vary among individuals and they tend to resemble signs in other disease conditions. Examples are :
1. Polyuria (frequent urination)
2. Halitosis or bad breathe
3. Joint pains
4. Pain with sex for females or sexual dysfunction
5. Irregular menses.
CAUSES? 🤔🤔🤔
Eerrmm, it is not really know what could lead to this gastrointestinal discomfort, but some factors that could be implicared are:
🌽Diet.
🍆Environmental factors, such as stress.
🌷Genetic factors.
🍋Hormones.
🍅Digestive organs being excessively sensitive to pain.
🍌A malfunction in the muscles used to move food through the body.
🍞An inability of the central nervous system (CNS) to control the digestive system properly.
🍓Hormonal changes can make symptoms worse especially for women during their menstrual cycle.
🌰Infections, such as gastroenteritis, can trigger post-infectious IBS also, just to mention but a few.

MEDICATION:
The following medications are basically used for IBS symptoms:
🍉Antispasmodic medications reduce abdominal cramping and pain by relaxing the muscles in the gut.
🍋Antimotility medications for diarrhea include loperamide, which slows down the contractions of the intestinal muscles.
🥕Tricyclic antidepressant (TCAs) often help to reduce abdominal pain and cramping.
🍒Alosetron (Lotronex) for severe diarrhea-predominant IBS in women also works well.

DIET AND TREATMENT:
Following a low FODMAP diet would be a good dietary approach to managing IBS. FODMAP is an acronym that connotes : Fermentable Oligosaccharides, Disaccharides, Monosaccharides, And polyols.
They include short chain oligo-saccharide polymers of fructose (fructans) and galactooligosaccharides (stachyose, raffinose), disaccharides (lactose), monosaccharides (fructose), and sugar alcohols (polyols), such as sorbitol, mannitol, xylitol and maltitol. Examples of foods to avoid and foods to add to your diet are:

DIAGNOSIS:
Majorly, symptoms are used to diagnose the type of IBS present in an individual.
1.IBS-C : IBS with just constipation.
2.IBS- D: IBS with diarrhoea
3. IBS-A : IBS with alternating stool pattern.

RISK FACTORS:
The major factors to be considered are
1. Gender: it affects majorly women
2. Younger adults; people below ages 40, mostly from 20-30.
3. Environment
4. Family history: if a relative had IBS, you might be likely to have it too.
Be really mindful of your diet and stress levels to reduce episodes😁😊.

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Diet Therapy of Diseases

CAUSES OF GALLSTONES

The craze to lose weight now is really becoming a social menace and a means to distort money from people. Everyone seems to be a weight loss expert because they tried one funny way and it worked out well for them which might be risky to your health.
Lets take a little journey on gallstones shall we?

Gallstones are not stones per se 😁, but are pieces of solid materials that form in the gall bladder, a small organ located under the liver. This stones tend to block the bile duct supplying bile. Bile is produced by animals to help digest fats. You know that blackish green stuff? When it bursts in chicken, it spoils the taste? Thats bile. When there is lot of cholesterol in Bile, lots of calcium, it could lead to production of these gallstones which would need immediate treatment or surgery. Major problems that could lead to gallstones?
🍏Obesity: your body tends to produce more cholesterol when you are heavily endowed😁.
🍑Rapid weight loss: all of you doing ‘lose 20kg in 2weeks, while doing this, your livers are at high risk of producing extra cholesterol during that period.
🍹Too much intake of birth control pills which tend to boost production of cholesterol.
🌶 too much fasting: uncle/aunty intermittent fasting. During this period, your gall bladder doesnt squeeze effectively as they should. You are at risk too. Please be mindful of the junks you pick off the internet😁.

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General Research

DIETARY GUIDELINES : THE DIETARY GUIDELINES FOR AMERICANS.

DIETARY GUIDELINES

DIETARY GUIDELINES FOR AMERICANS (2015-2020)

Dietary guidelines simply mean a guide for a healthy diet. These guidelines for healthy eating were put forth by the United States Department of Agriculture (USDA) and are revised every five years (most recent being 2015-2020) to form and evaluate nutrition programs and policies. It is used as a tool to form federal food, nutrition and health policies as well as serves as a guide for professionals and the America public make healthy food choices. They reflect the importance of creating healthy eating habits in order to improve nutrition status, overall wellbeing and reduce risk of disease.  Let’s delve right n then!

Dietary Guidelines for GRAINS:

DGA GRAINS

At some point we all take grains either refined or whole! Replacing refined grains with whole grains is healthier and here is why. Refined grains contain just the endosperm which contains starch and protein, very well, but the whole grains consist of the bran (rich in fiber and nutrients), endosperm and germ (rich in vitamins and minerals), so much for refinement.

Selecting at least 6 ounces of grains with at least half of these (3 oz) whole would ensure a healthy contribution of nutrients such as essential B-Vitamins, iron, folate and fiber to the daily diet.  Some examples of whole grains include brown rice, millet, oats, buckwheat, whole wheat products, barley and so forth. Conversely, examples of refined grains include white rice and refined grain products.

Dietary Guidelines for Americans - Grains

Refined grain products include but are not limited to biscuits, cakes, cookies, cornbread, crackers, pastries and granola. However, in the early 1940’s congress passed legislation requiring that all grains passing state lines be enriched with iron, thiamin, riboflavin and niacin.

Further down the line in 1996, this legislation was amended to include folate, an essential vitamin to preventing birth defects. This means we can now get these much talked about nutrients in whole grain, fortified cereals. Isn’t that marvelous?!

 Dietary Guidelines for FRUITS AND VEGETABLES:

Dietary Guidelines for Americans- Vegetables

These are no new comers to such lists. Everybody has heard at some point the phrase “eat your vegetables!”. Well, we are still gonna ask you to eat them, but this time we-d tell you why you should.

Fruits contain a valuable amount of minerals, vitamins, nutrient and PHYTOCHEMIALS. I am emphasizing on photochemical because I see a lot of people consume just one particular type of fruit example, apples and then claim to eat a lot of a fruits which by that means plenty apples, hahaha. But literally the person just gets a particular set of nutrients from apple in contrast to a person that takes a variety of types and color, gets varieties of nutrient. Phytochemicals are chemical contents o fruits and vegetables that give them their characteristic color.

Asides color, these bioactive components have the potential to reduce risk of various chronic diseases such as cancer, cardiovascular diseases, obesity among others. These different colors connote different phytochemicals which confer different benefits. So let us do more of fruit variety (too many fruits in the grocery store to try out) than stick to a particular one.

Dutary Guidelines for Americans  Vegetables

The USDA has set a serving of vegetables at 2 cups and fruits at 2 ½ cups per day. Choosing fresh, green leafy vegetables ensures you get unadulterated vitamins as wet boiling or steaming of vegetables cause nutrients to leach into the water and subsequently lost. Also, limit vegetables that contain solid fats or added sugars such as baked beans, candied sweet potatoes, French fries, refried beans, coleslaw and French fries.

Still on the issue of VEGETABLES, dressings and ranches could work against a person trying to eat healthy by contributing unnecessary sodium and calories to the diet. To this end, we suggest healthy choices such as olive oil dressing. Another helpful option could include stir frying the vegetables in healthy vegetable oil, such as olive oil or canola oil with some garlic, ginger or onions. Yummy! Guess what I’m having for supper?

Dietary Guidelines for MILK AND MILK PRODUCTS:

DGA - Milk

I am guilty of this *covers face*. I love love love whole milk; I mean who wouldn’t? but it is not the very best. It is advised to replace whole milk products with fat-free or low fat options (preferably 1%). Milk is rich in calcium, riboflavin, niacin, vitamin B12, calcium, potassium and when fortified, vitamins A and D.

DGA - MILKIf you do not consume milk, please choose products rich in calcium and vitamin D. Limit intake of milk products that contain added sugars and are high in fat such as whole milk and whole milk products such as cheeses, cottage cheese and whole milk yoghurt (do Greek yogurt instead), 2% reduced fat milk, ice cream, whole fat chocolate milk, custard, milk shakes, pudding and sherbets. The current recommended daily amount for milk lies at 3 cups per day.

Since milk products are important source of calcium and some are fortified with vitamin A & D, we might as well choose the fat free ones thereby helping ourselves eat healthy and also getting the nutrients we need.

 

DGA - milk

Dietary Guidelines for PROTEIN:

Dietary Guidelines for Americans - Protein

Protein foods which include seafood, poultry, eggs, legumes, soy products, nuts and seeds as well as beef and pork not only provide proteins but also B vitamins, vitamin E, iron, zinc and magnesium.

It is advised by the DGA to take a variety of these foods, not just only poultry because that’s some people idea of protein. Varieties of proteins include; lean meat, eggs, legumes, unsalted nuts and seeds, soy products and poultry. These foods provide vitamins B & E, Zinc, iron and Magnesium. We must also know that we could consume these foods in an unhealthy way by adding too much fat and sodium, so we really need to be careful when cooking them.

Dietary Guidelines for Americans - ProteinTo keep fat intake low, bake, roast, grill or braise meats, poultry and seafood but avoid frying them in fat. For example try not to fry your poultry and sea foods in fat, drain all visible fat after cooking and peel poultry skin off to reduce fat content.

For the nuts; I know we are always tempted to buy/eat salted nuts which increase the intake of sodium, so let us make better choices which include unsalted nuts and unfried nuts. Because nuts and seeds are energy dense, it is advised that they be consumed in little quantities and in place of, not in addition to other,, high protein and fat foods such as beef and pork.

Limit protein foods that contain solid fats such as bacon, pork, beef, fried mat, marbled steak, poultry with skin and ggs. The current RDA for proteins is 5 ½ oz per day based on a 2000 Kcal diet.

 

Some Tips for Vegetarians:

DGA GRAINS

Lacto-ovo-vegetarians who eat animal-derived foods such as milk and eggs receive high quality protein and are more likely to meet their protein RDA. A well planned vegetarian diet helps to ensure adequate intake of nutrients such as protein, iron, vitamin B12, vitamin D and Omega-3 fatty acids. All it takes is adequate knowledge and proper planning with a nutritionist. *wink*

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Diet Therapy of Diseases

DIET MANAGEMENT OF ALZHEIMERS DISEASE

alzheimers disease
I recently accompanied my aunt to see an old relative who suffers from Alzheimers Disease. Her state was so pitiful and she had degenerated so much that my aunt teared up. A virtual shadow of herself and unrecognizable. This hit me real bad and I decided to do something on it. I hope you are well educated  by this.
Alzheimer’s Disease:
alzheimers disease
Like all types of dementia, Alzheimers is caused by brain cell death.3 It is a neurodegenerative disease, which means there is spontaneous brain cell death that happens over a course of time.
The total brain size shrinks with Alzheimers – the tissue has progressively fewer nerve cells and connections thereby reducing it’s efficiency. There are some predisposing factors such as age, lifestyle and diet (we’d get to that later).
A recent research study found that age related decline could start as early as 45, crazy isn’t it?. The good news is that a number of encouraging research avenues indicate that risk of dementia and Alzheimers could be reduced in the early stages by a comprehensive optimum nutrition approach, yes I highlighted that on purpose until you all learn that virtually every ailment can be linked to dietThe strongest evidence to date relates to raised homocysteine levels, which both predicts risk and can cause the kind of brain damage seen in Alzheimers, caused by lack of B vitamins, especially B12 which is progressively malabsorbed with age.Homocysteine is a neurotoxin, capable of directly damaging the medial temporal lobe, which is the area of the brain that rapidly degenerates in AD. Homocysteine is easily lowered with common B vitamins, gottn from veggies and fruits.
Other nutritional solutions which research suggest can affect cognitive decline or Alzheimer’s risk include omega 3s (DHA), antioxidants such as Vitamin E (due to the inflammatory nature of Alzheimer’s) and acetylcholine which is a key part of memory function (which is usually deficient in Alzheimer’s cases).
 
Role of Nutrients and PhytoNutrients:
 
Omega-3 fats:
alzheimers disease
Omega-3 fats are mostly found in carnivorous, cold water fish such as salmon, tuna, herring and mackerel. According to a study by Dr. Martha Morris and colleagues at Chicago’s Rush Institute for Healthy Aging, eating fish once a week reduces your risk of developing Alzheimer’s by as much as 60 per cent.
Antioxidants:
 
Inflammatory reactions basically mean increased production of oxidants, and hence an increased need for antioxidants like vitamin A, beta-carotene, and vitamins C and E, all of which have been shown to be low in those with Alzheimer’s. Other bioactive components, including cysteine, glutathione, lipoic acid, anthocyanidins, and co-enzyme Q10 and melatonin may also prove important. In simple terms this means eating a lot more fresh fruit and vegetables – at least six portions a day – and oily fish and seeds.
Stress, Cortisol and Memory Loss:
alzheimers and diet
Under prolonged stress, the body produces the adrenal hormone cortisol. The research of Professor Robert Sapolsky at Stanford University has shown that although cortisol is a powerful anti-inflammatory hormone, raised cortisol can damage the brain. In studies with rats he found that two weeks of induced stress causing raised cortisol levels causes dendrites, (connections between brain cells), to shrink. He believes that brain cell loss in ageing and Alzheimer’s may be, in part, due to high levels of cortisol and recommends that corticosteroid drugs should not be used in Alzheimer’s patients for other medical problems like asthma or arthritis.
 
Why Do Some Foods Induce Memory Loss?
The brain needs its own brand of fuel (exclusively carbohydrate sources of glucose). It requires healthy fats, fruits, vegetables, lean proteins, and adequate vitamins and minerals for optimal function. Consuming too little of these foods and too many complex carbohydrates, processed foods and sugar stimulates the production of toxins in the body. Those toxins can lead to inflammation, the build-up of plaques in the brain and, as a result, impaired cognitive function.
These effects apply to people of all ages, not just elders.
 
Foods That Induce Memory Loss:
alzheimers disease
 
Unfortunately, the foods that hamper memory are common staples in the modern diet. White breads, pasta, processed meats and cheeses, all of these have been linked to Alzheimers disease. Some experts have even found that whole grain breads are as bad as white breads because they spike blood sugar, which causes inflammation! (I know right! )
Here’s a list of foods linked to increased rates of Alzheimer’s disease:
*Processed cheeses, including American cheese, mozzarella sticks, Cheez Whiz and Laughing Cow. These foods build up proteins in the body that have been associated with Alzheimer’s.
*Processed meats, such as bacon, smoked turkey from the deli counter and ham. Smoked meats like these contain nitrosamines, which cause the liver to produce fats that are toxic to the brain.
 
Beer. Most beers contain nitrites, which have been linked to Alzheimers.
alzheimers disease
*White foods, including pasta, cakes, white sugar, white rice and white bread. Consuming these causes a spike in insulin production and sends toxins to the brain.
*Microwave popcorn contains diacetyl, a chemical that may increase amyloid plaques in the brain. Research has linked a buildup of amyloid plaques to Alzheimer’s disease.
Foods That Boost Memory:
 
Changing dietary habits is never easy. However, avoiding foods that induce memory loss and eating more of the foods that boost memory improves your chances of enjoying all-around health.
Here’s the list of foods that help boost memory:
alzheimers disease
*Leafy green vegetables
*Salmon and other cold-water fish
*Berries and dark-skinned fruits
*Coffee and chocolate
*Extra virgin olive oil
*Cold-pressed virgin coconut oil
Feeding Tips:
 
Now we know that Alzheimers disease patients require extra care, patience and attention. Providing a healthy diet regimen without getting it into them would be highly ineffective. Here are some ways to get through to Alzheimer’s disease patients.
Provide an adequate diet with a variety of foods.
Offer vegetables, fruits, whole grains, low-fat dairy products and lean protein foods.
Limit foods with high saturated fat and cholesterol.
Some fat is essential for health — but not all fats are healthy. Go light on fats that are bad for heart health, such as butter, solid shortening, lard and fatty cuts of meats.
 

Cut down on refined sugars:

Often found in processed foods, refined sugars contain calories but lack vitamins, minerals and fiber. You can tame a sweet tooth with healthier options like fruit or juice-sweetened baked goods. But note that in the later-stages of Alzheimer’s, if loss of appetite is a problem, adding sugar to food may encourage eating.
 

Limit foods with high sodium and minimize salt.

Most people consume more sodium than recommended, which affects blood pressure. Cut down by using spices or herbs to season food as an alternative.
As the disease progresses, loss of appetite (anorexia) and weight loss may become concerns. In such cases, the doctor may suggest supplements between meals to add calories.
Staying hydrated may be a problem as well. Encourage fluids by offering small cups of water or other liquids throughout the day or foods with high water content, such as fruit, soups, milkshakes and smoothies.
 

Possible Causes of Poor Appetite:

 
Understand that the patient is not conscious of their decisions and that you need to be tolerant of their actions.

Not recognizing food: The person may no longer recognize the foods you put on his or her plate.

Poor fitting dentures. Eating may be painful, but the person may not be able to tell you this. Make sure dentures fit and visit the dentist regularly.

Medications. New medications or a dosage change may affect appetite. If you notice a change, contact the physician.
Not enough exercise. Energy Lack of physical activity will decrease appetite. Encourage simple exercise, such as going for a walk, gardening or washing dishes.
Decreased sense of smell and taste. The person with dementia may not eat because food may not smell or taste as good as it once did.
Ways of Limiting distractions while Eating:
 
*Serve meals in quiet surroundings, away from the television and other distractions.
*Keep the table setting simple.
*Avoid placing items on the table — such as table arrangements or plastic fruit — that might distract or confuse the person. Use only the utensils needed for the meal.
*Distinguish food from the plate.
*Changes in visual and spatial abilities may make it tough for someone with dementia to distinguish food from the plate or the plate from the table. It can help to use white plates or bowls with a contrasting color placemat. Avoid patterned dishes, tablecloths and placemats.
*Check the food temperature. A person with dementia might not be able to tell if something is too hot to eat or drink. Always test the temperature of foods and beverages before serving.
*Serve only one or two foods at a time. Too many foods at once may be overwhelming. Simplify by serving one dish at a time. For example, mashed potatoes followed by meat.
*Be flexible to food preferences. Keep long-standing personal preferences in mind when preparing food, and be aware that a person with dementia may suddenly develop new food preferences or reject foods that were liked in the past.
*Give the person plenty of time to eat. Remind him or her to chew and swallow carefully. Keep in mind that it may take an hour or longer to finish eating.
*Eat together. Make meals an enjoyable social event so everyone looks forward to the experience. Research suggests that people eat better when they are in the company of others.
Keep in mind the person may not remember when or if he or she ate.
*If the person continues to ask about eating breakfast, consider serving several breakfasts — juice, followed by toast, followed by cereal.

Sources:

http://www.alzheimers.net/2014-01-02/foods-that-induce-memory-loss/
M. Morris, et al.. Consumption of fish and n-3 fatty acids and risk of incident Alzheimer disease. Arch Neurol, vol 60, pp. 940-946 (2003)
S. Seshadri et al. Plasma homocysteine as a risk factor for dementia and AD. N Engl J Med, vol 346(7), pp. 476-483. (2002)
P. S. Sachdev et al.. Relationship between plasma homocysteine levels and brain atrophy in healthy elderly individuals. Neurology vol 58, pp. 1539-1541 (2002)
S. J. Duthie, et al.. Homocysteine, B vitamin status, and cognitive function in the elderly. Am J Clin Nutr, vol  75(5), pp. 908-913 (2002)
https://www.alz.org/care/alzheimers-food-eating.asp
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General Research

NUTRIGENOMICS : THE UNDERDOG OF NUTRITION

Nutrigenomics

                               What is Nutrigenomics:

Nutritional genomics, or nutrigenomics , as the name suggests simply implies how foods affect our genes and how individual genetic differences can affect the way we respond to nutrients (and other naturally occurring compounds like phytonutrients) in our food. Nutrigenomics has received much attention recently because of its potential for preventing, mitigating, or treating chronic disease, and some cancers, through small but highly informative dietary changes. The conceptual basis for this new branch of genomic research can best be summarized by the following five strongholds of nutrigenomics:
*Under certain circumstances and in some individuals, diet can be a serious risk factor for a number of diseases.
*Common nutrients can act on the human genome, either directly or indirectly, to alter gene expression or structure.
*The degree to which diet influences the balance between healthy and disease states may depend on an individual’s genetic makeup.
*Some diet-regulated genes (and their normal, common variants) are likely to play a role in the onset, incidence, progression, and/or severity of chronic diseases.
*Dietary intervention based on knowledge of nutritional requirement, nutritional status, and genotype (i.e personalized nutrition) can be used to prevent, ameliorate or cure chronic disease.
 

Nutrigenomics as a branch of Nutrition:

Nutrigenomics
The promise of nutritional genomics is personalized medicine and health based upon an understanding of our nutritional needs, nutritional and health status, and our genotype. Nutrigenomics will also have impacts on society from medicine to agricultural and dietary practices to social and public policies and its applications are likely to exceed that of even the human genome project. Chronic diseases (and some types of cancer) may be preventable, or at least delayed, by balanced, sensible diets. Knowledge gained from comparing diet/gene interactions in different populations may provide information needed to address the larger problem of epidemics and malnutrition.
Nutrition and Genes:

nutrigenomics

“Personalised” nutrition hinges on a two-way relationship between nutrients and genes. On the one hand, the nutrients we consume can affect the way our genes are expressed; on the other, our genes are able to influence how our bodies respond and utilize to nutrients.
The goal for nutrigenomic scientists is to unravel this complex interaction so that tailored diets can be developed which complement a person’s unique genetic profile. Not only will this optimise the health of the individual, but it may also work on a larger scale to help prevent society-wide diseases such as obesity, Type 2 diabetes, cardiovascular disease, cancer, and malnutrition.
A perfect example of genetically predisposed disease is inflammatory bowel disease (or IBM). Inflammatory bowel disease refers to both ulcerative colitis and Crohn’s disease, two inflammatory disorders of the gastrointestinal tract. Inflammatory bowel disease has a complex aetiology; a genetically determined susceptibility interacting with environmental factors, including nutrients and gut microbiota.
 
Diet and Exercise:
nutrigenomics
Exercise modulates genes involved in energy metabolism, insulin response and inflammation. Dietary nutrients modulate the same genes. Both can stimulate BDNF (Brain-derived Neurotrophic Factor). Together, they bring energy provision to the brain, improving neuronal function and brain plasticity. It’s a synergistic relationship — they work in tandem, not alone. For instance, combining exercise with a DHA-enriched diet enhances cognitive function; coupled with a flavonoid-rich diet, it protects the brain from inflammation and cell death. Even with a diet rich in saturated fats, exercise can reduce the decline in brain plasticity induced by a poor diet.
While there’s on-going research on food, cooking and diets, our bodies remain hard-wired to environmental changes that once predicted our survival or extinction. Poor dietary and exercise lifestyle affects us deeply. And this “gene” gets passed down from generation to generation. So that old saying “you are what you eat” may need rephrasing. Perhaps, “You are what your fathers’ ate” is more fitting. The better informed we are about our food choices, the better we can preserve not only our own health, but that of future generations.
Nutrigenomics
A large number of different dietary approaches have been studied in an attempt to achieve healthy, sustainable weight loss among individuals with overweight and obesity. Restriction of energy intake is the primary method of producing a negative energy balance leading to weight loss. However, owing to the different metabolic roles of proteins, carbohydrates and lipids in energy homeostasis, diets of similar overall energy content but with different macronutrient distribution can differentially affect metabolism, appetite and thermogenesis. Evidence increasingly suggests that the fuel values of calories provided by distinct macronutrients should be considered separately, as metabolism of specific molecular components generates differences in energy yield. The causes of variation in individual responses to various diets are currently under debate, and some evidence suggests that differences are associated with specific genotypes. Recent research suggests there are roles played by the macronutrient composition of food on weight management. There are indications that personalized nutrition is a wholesome package consisting of interactions of macronutrient intake and genetic background and its potential influence on dietary intervention strategies.

Sources:

http://m.huffpost.com/us/entry/7129758
Martinez, J. A. Body-weight regulation: causes of obesity. Proc. Nutr. Soc. 59, 337–345 (2000).
CASISIPubMedArticle
Galgani, J. & Ravussin, E. Energy metabolism, fuel selection and body weight regulation. Int. J. Obes. (Lond.) 32, S109–S119 (2008).
http://www.nature.com/nrendo/journal/v10/n12/full/nrendo.2014.175.html
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Uncategorized

HOW TO DEAL WITH MENOPAUSE

Okay, some years back I noticed my mum got irritable. I mean a real monster to live with. I thought she got tired of living with us. Then it clicked. She was going through the great change and instantly I felt pity for her. Just recently a friend complained of same from an aunt and bearing on the general conception that every ailment of man hinges on diet and can be helped by the same.
What is Menopause :
Menopause is basically when a woman stops having periods and is no longer able to get pregnant naturally.
Periods usually start to become less frequent over a few months or years before they stop altogether. Sometimes they can stop suddenly. Menopause is a natural part of ageing that usually occurs between 45 and 55 years of age, as a woman’s oestrogen levels decline.
However, around 1 in 100 women experience the menopause before 40 years of age. This is known as premature menopause or premature ovarian insufficiency.
Symptoms of Menopause:

Most women will experience menopausal symptoms. Some of these can be quite severe and have a significant impact on your everyday activities (makes sense now!).
Common symptoms include:
*Hot flushes
*Night sweats
*Vaginal dryness and discomfort during sex
*Difficulty sleeping
*Depression or anxiety
*Low libido
*short term memory and concentration
Menopausal symptoms can begin months or even years before your periods stop and last around four years after your last period, although some women experience them for much longer.
Dietary Approaches to Managing Menopause:
Sugar Consumption:

Hormonal fluctuations can affect the body’s ability to maintain stable blood sugar levels, so reducing sugar intake is a major component to weight loss and maintenance. But an all-or-nothing approach is not the way to go when it comes to the sweet stuff, says Gibbs. While the women in her study who reduced their sugar intake lost the most weight, and had maintained that loss 4 years after the study began, she’s quick to say that these women reduced their sugar intake—they didn’t eliminate it altogether, which is a tough habit to keep up with (and can lead to binges). Refined sugars, like those in cookies and cakes, are the ones you should reduce. Keep the natural sugars that are found in fruit as your main source of sweetness.

Fat Free Foods:
Fat-free or reduced-fat foods are bad news for post menopausal women for a few reasons.
1.) They keep you from eating the healthy fats your body needs to combat heart disease, which postmenopausal women may be at increased risk of due to a combination of reduced estrogen, poor diet, and lack of exercise.
2.) With many fat-free foods, including salad dressings and peanut butter, you’re gaining in sugar what you’re losing in fat, which is not good for weight control, energy, and overall health. Stacy Kennedy, MPH, RD, a Boston-based nutritionist who works with postmenopausal women on weight management issues, advises sticking with minimally processed, plant-based sources of fat that are rich in vitamin E, antioxidants, and omega-3s, such as nuts, fish, and avocados. These fats are even correlated with colon cancer prevention; some studies have shown an increased risk of this type of cancer among postmenopausal women who do not use hormone replacement therapy.

Calcium Supplementation :

It’s often advisable to get your nutrients (calcium inclusive) from natural foods e.g diary and diary products. Supplements are to be reserved for increased requirement cases such as osteoporosis and other bone issues and may not be necessary for a woman on a healthy diet. Excessive calcium intake carries health risks including kidney stones, constipation, and probably heart disease. Women are wise to protect their bones with a calcium-rich diet including foods like dark green leafy vegetables and dairy (even nondairy milks like almond or coconut milks are fortified with calcium). Another way to protect yourself is with resistance-based exercises that put bones under healthy stress to maintain their strength.
Red Wine:

How much wine is in a “glass” of wine? Many people “forget” that the actual serving size is a half-cup in a liquid measure. This means that many of us inadvertently exceed the recommendation of no more than one glass of an alcoholic beverage per day to reduce stroke risk and lower breast cancer risk, both issues of high concern for postmenopausal women. “Red wine in moderation isn’t necessarily bad for you, but it’s not the health food many women think it is,” says Kennedy. And for the record, the serving size for beer is 355 ml, and for hard liquor or spirits, the serving size is 44 mls.
Limit Fat Intake:
As age advances, there’s an increase in risk of certain diseases such as heart problems and diabetes usually due to hormone imbalances. The plan is not to cut fat totally out but to limit intake to healthy unsaturated sources. Fat should provide 25% to 35% or less of your total daily calories. Also, limit saturated fat to less than 7% of your total daily calories. Saturated fat raises cholesterol and boosts your risk for heart disease. It’s found in fatty meats, whole milk, ice cream, and cheese. Limit cholesterol to 300 milligrams or less per day. And watch out for trans fats, found in vegetable oils, many baked goods, and some margarine. Trans fat also raises cholesterol and increases your risk for heart disease.
Viewing Soy as a Miracle Food:

Soy is often touted a postmenopause wonder; it’s a plant-based source of protein and fiber that contains compounds that mimic the effects of estrogen in your body. In its whole-food forms, like edamame, tofu, or miso, soy does deliver on these healthful promises. But seeing “soy” or “soy protein” on a food label doesn’t necessarily mean it’s a healthy food. Protein powders or other highly processed soy products are far more concentrated than natural soy, and they can be risky for women with thyroid issues or a history of breast cancer because their hormone-like properties can raise the risks of estrogen-based cancers. (Stick with these protein powders for your smoothies). Although by acting in a similar way to oestrogen, they may help in keeping hormones a little more in balance. A high intake of phytoestrogens is thought to explain why hot flushes and other menopausal symptoms rarely occur in populations consuming a predominantly plant-based diet.It just should not be over done.
Pump up Your Iron:
Eat at least three servings of iron-rich foods a day. Iron is found in lean red meat, poultry, fish, eggs, leafy green vegetables, nuts, and enriched grain products. The recommended dietary allowance for iron in older women is 8 milligrams a day.

Get enough fiber:Help yourself to foods high in fiber, such as whole-grain breads, cereals, pasta, rice, fresh fruits, and vegetables. Most adult women should get about 21 grams of fiber a day. This helps to keep your gut healthy and eases bowel movement.
Associated Care Plans:
Eating your Feelings:
The transition into menopause can be emotionally intense, and many women fall into the habit of eating to self-soothe during that tumultuous time. Those habits can remain in place postmenopause, leading to weight gain, low energy, and unmanaged emotions. The first thing to do is recognize that what you are passing through is totally normal and try to replace food with healthier, mind stimulating habits. Exercising, talking to friends, volunteering in your community, practicing mindfulness meditation or yoga, and working with a therapist are all great strategies for emotional wellness.
Dry skin
Legumes, nuts and seeds such as pumpkin, sunflower, almonds contain vitamin E, zinc and calcium. These nutrients and the oils in nuts and seeds may help prevent dry skin and normalise hormone levels.
Depression and irritability:
Ensure you eat enough protein foods which contain the amino acid tryptophan. You can find it in turkey, cottage cheese, oats and legumes. Tryptophan helps manufacture the neurotransmitter serotonin. Serotonin helps moods and may help control sleep and appetite which can make you feel better in yourself. Other useful strategies to help you feel less irritable are to eat breakfast and not miss meals to balance your blood sugar.
Hot flushes
Avoid foods that are likely to trigger or worsen hot flushes and night sweats. For instance, avoid stimulants such as coffee, alcohol and chocolate and spicy foods, especially at night – they’re notorious for setting off hot flushes. A high intake of tryptophan containing foods could also help in abating hot flushes.
Tiredness:
Avoid snacking on sugary foods – all too often a sharp rise in your blood glucose level may be followed by a sharp dip which leaves you feeling tired and drained. Choose fresh fruit with a few nuts instead.
Finally, I may never have a personal experience on this subject but motivation and conscious decision to avoid triggers and fall outs of menopause would definitely help a great deal. Embrace the natural process you are going through and determine to make the best of it. Eat healthy, lots of exercise and water and stimulate your mind and you would find little or no consequence in menopause. Goodluck!
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Health Benefits Of Snails

Our crawly neighbour’s are more than just slimy reservoirs of protein. They make a great substitute for regular red meat. Here are some recently discovered reasons to gobble them up!:
1.) Recent studies have found that an average snail contains a glycoprotein which is believed to have cancer fighting properties.
2.) The mucous exuded by these creatures contain a copper compund which helps in healing after an injury or scalding and also helps in preventing heart disorders.
3.) An average snail is comprised of 80% water, 15% proteins and 2.4% fat (unsaturated fats).

 4.) It contains essential fatty acids, calcium (well that’s mostly in d shell), magnesium and phosphorus.
 5.) They are highly and incredibly packed with vitamins E, K, A and B12.
6.) Snails are an ideal weight watchers diet because they are good sources of proteins but low in calories and fat. For a 100 gram serving of snail, u get about 90 kcals only!. In addition to these health benefits, snails are tasty, juicy, delicious and cheaper than any red meat and can be prepared in a variety of forms including boiling, drying, cooking and used in a variety of soups and with vegetables.

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