Heart Healthy

Cardiovascular Disease (CVD) causes more than half of all deaths in Europe.  CVD causes 46 times the number of deaths and 11 times the disease burden (cost of treatment and care) caused by AIDS, tuberculosis and malaria combined in Europe.

80% of premature heart disease and stroke IS PREVENTABLE.

Who suffers from CVD?

Anyone can suffer from CVD if they don't look after themselves.  The World Health Organization states:

"Research has shown that males between 20 and 64 years of age in semi- and unskilled manual occupations run a three times higher risk of premature death from CVD compared to those in professional and managerial positions.  Moreover, when improvements to health do occur, the benefits are unevenly  distributed within society.  These conditions and their causes contribute to differences in healthy life expectancy between and within European countries."

Other contributing factors are; stress is associated with CVDs, and the prevalence of depression  is a predictor of poor life expectancy among those suffering from CVDs.

Diet: a high intake of salt leads to hypertension, junk food and other processed foods which are also high in sodium.

Being overweight or obese.  Obese adults are particularly prone to CVD and other health problems. Inactivity, smoking, and alcohol all contribute to CVDs.

Most patients living with a heart condition... angina, blocked arteries or even having suffered a heart
attack or stroke already are nearly always prescribed statins, which reduce the levels of cholesterol, and are proven to save lives.

This type of medication cuts the chance of early death among people with CVD by 18%, according to a report involving 200,000 patients in 2013.

However, at the European Society of Cardiology Conference being held this week in Rome, leading experts have stated that there is a new treatment that is NATURAL and should be prescribed by doctors BEFORE turning to pills to treat CVD.

This "new" and natural treatment is none other than the Mediterranean Diet.  A diet packed full of fresh fruit and vegetables, nuts, seeds and legumes, oily fish, sea food, healthy fats such as avocados and olive oil and some meat.  What it's lacking is refined carbohydrates and processed foods.

We already know that the mediterranean diet protects healthy people from developing serious diseases such as CVD, diabetes and cancer, but this new study is supported with the strongest evidence to date that a diet could also be a powerful treatment for people who already suffer from CVD.

The experts think that the diet has such good results on heart patients because it is high in heart healthy fats that protect the heart, such as omega-3 fatty acids and monounsaturated fatty acids.

An Italian team examined the diet of almost 1,200 heart patients and tracked them for a period of seven years.  In that time 208 died.  After taking into account other contributing factors such as diabetes, smoking, cholesterol levels and age, they found that the patients who followed the mediterranean diet more closely, were 37% less likely to die during the study period than those whose eating habits were the farthest from the Mediterranean diet.

This does not mean that if you are on heart medication you should stop taking it without speaking to your doctor.

What it does mean, is that if you change your diet to a more Mediterranean style diet, then you could significantly improve your life expectancy.

Also, if you are healthy and aren't suffering from a serious illness, then your risk of developing one would be lower if you were to change your diet.

So, get Mediterranean!!!!

I can help you improve your health.  If you would like to make an appointment with me either in person or via Skype, just send me an email to lucycarr@socialnutrition.com

Dr. Fruit

We all know that fruit is healthy and should be part of a healthy diet.  But fruit actually goes one step further and can help improve some illnesses, for example:

1.  Apples:

This is a very complete fruit.  It is packed full of antioxidants that neutralize free radicals, so it is recommended for prevention diets for cardiovascular risk, degenerative diseases and cancer.  It is very diuretic because of its moderate content in potassium, and is recommended for the dietetic treatment of cardiovascular diseases, hypertension or for water retention.

This fruit can also help you when you are either constipated or suffering from diarrhea.  Raw apples with their skin are laxative, however if you peel them, grate them and let them turn a bit brown they become astringent.  They also contain tannins that have anti-inflammatory and astringent properties that dry out and reduce swelling of the intestinal mucosa, which makes it ideal for cases of diarrhea.  The tannins appear when the pulp of the apple turns brown after peeling and grating.

2.  Watermelon:

Love this in the summer!  It contains loads of water which makes it a great way to hydrate in hot weather.  It is also very diuretic which means it is great for people with kidney stones, uric acid, hypertension and diseases that cause water retention.

3.  Kiwi:

These are very high in vitamin C and are a great antioxidant which means they lower the risk of cardiovascular disease, degenerative diseases and cancer.  The vitamin C increases the absorption of iron found naturally in foods, which is why Kiwis are recommended in cases of anemia.

Kiwis also have lots of fibre which means they have laxative properties, to prevent constipation, they also help reduce cholesterol and help to maintain good glycemic control in diabetics.

4. Melon:

High in water, this fruit is a great way to stay hydrated in the summer and it is very low in calories.  It also contains beta-carotene or provitamin A which helps reduce the risk of cardiovascular diseases, degenerative diseases and cancer.  Some people do not tolerate citrus fruits well and melon is ideal for these people.  It is rich in potassium, and therefore is very diuretic for people with hypertension, heart problems and water retention.

5. Peaches:

Peaches are indicated in cases of anemia and loss of appetite as they are high in iron.  They are considered a great restorative and if eaten before a meal they will stimulate the appetite and act as a tonic and are purifying.

6. Cherries:

They are full of ellagic acid which has antioxidant properties and is also antiseptic, which helps combat infections.  They also improve intestinal function and constipation, block free radicals that modify the "bad" cholesterol (LDL) which also helps reduce cardiovascular risk.  Cherries also have a beneficial effect in cases of hyperuricemia, gout and hypertension.

Now, my advice is that fruit should always be eaten first thing in the morning or 1 hour before a meal or 2 to 3 hours after a meal - NEVER AS DESSERT!  Also the whole fruit should always be eaten NEVER AS JUICE.  Fruit is very high in fibre which counteracts the amount of sugar it has.  When made into juice the fibre is removed and only the sugar is left.

I can help you improve your health.  If you would like to make an appointment with me either in person or via Skype, just send me an email to lucycarr@socialnutrition.com 

Have your steak and eat it too!

It's been a year since my first article THE TRUTH ABOUT SATURATED FATS, so in light of new data I decided it was time for an update.

Saturated fat is still considered to be the number one culprit of clogged arteries and elevated risk of heart attacks in its devoted consumers.  However, there is new evidence emerging that health risks from the consumption of saturated fats really depends on the TYPE of fat being eaten.

It is thought that one particular type of saturated fat called stearic acid, found in cheese, beef, pork, skinless chicken, olive oil, milk and chocolate may actually protect against heart disease.

Stearic acid is just one of a few saturated fatty acids found in foods.  The others include lauric, myristic and palmitic acids.  Repeated studies have shown that stearic acid has no adverse effect on blood cholesterol levels or other risk factors for cardiovascular disease, the same can not be said of the "others".

One study recently published in the American Journal of Clinical Nutrition, stated that eating lean beef on a daily basis improved cholesterol levels, the stearic acid in the beef was responsible for the positive changes.

Participants in the tudy on a daily diet of lean beef for 5 weeks, experienced a 5% drop in total cholesterol and a 4% drop in LDL (bad) cholesterol - almost equal to those in the control group on a diet high in fish, vegetable protein and poultry.  Also both groups kept their weight steady.

Dr. Michael Roussell, one of the study's authors from Pennsylvania State University, said that unlike processed meats such as sausages and ham, unadulterated red meat "brings a unique, heart-healthy blend of fats to the table".

Many myths and misconceptions have led the general public to wrongly believe that all saturated fats are bad when in fact, sensible amounts of foods rich in stearic acid such as red meat, can be eaten without fearing for their heart's health.

"There are different forms of saturated fat, and stearic acid isn't linked to heart disease." says Glenys Jones, a Nutritionist at the Medical Research Council's Human Nutrition Research Department in Cambridge.

"Other forms of saturated fat, such as the fat in butter, have a much stronger association and, of course, too much of any fat will result in obesity, which is a risk for heart disease itself."

Strangely enough, this "new" take on saturated fatty acids really isn't new at all and reaches as far back as 1957, when it was shown that cocoa butter did not raise blood cholesterol levels as much as the fat from the butter did.  Aslo, almost 25 years ago, a major study at the University of Texas demonstrated that not all saturated fats have the same negative effects.

The New England Journal of Medicine reported that saturated fats such as butter and coconut oil, which contain only trace amounts of stearic acid, had far more damaging effects on blood fats than red meat or chocolate.

The British Nutrition Foundation (BNF) published a major report in 2011 that challenged the conventional beliefs about the effects of saturated fat in red meat.  In this document Dr. Carrie Ruxton, an independent dietician, confirmed there is "no conclusive link" between cardiovascular disease and red meat that contains some fatty acids, such as stearic acid, that protect the heart.

"There is less saturated fat in a grilled pork steak than in grilled chicken with the skin left on," she said.
"Studies have shown favorable effects of lean red meat consumption on blood pressure and cholesterol levels."

The amount of stearic acid varies depending on the different foods - the good news is that chocolate and red meat have the highes amounts.

Now, all this positive information is not a licence to gorge on anything and everything high in stearic acid.  The key, as with everything, is moderation.

"There is definite evidence that stearic acid has a neutral effect on cholesterol and cardiovascular risk," says Dr. Emma Williams, a BNF nutrition scientist, "However, in many foods stearic acid is lumped together with other saturated fatty acids which are less beneficial and can contribute to a rise in risks.  The truth is, no one has ever said people should cut out animal fats completely.  Just eat them sparingly."

The key, as I said, is moderation, but there is also another thing to keep in mind, and that is VARIATION.  The more varied a diet the better it is for your health.


Social Nutrition:
You can make an appointment to improve your health with Social Nutrition either in person (Madrid) or online (Skype).  Just send an email to lucycarr@socialnutrition.com

Legal Drug Pushers

Food manufacturers are pushing drugs legally.  Salt, sugar and fat are just as dangerous to our health as other "hard drugs".  And, the western world has been hooked on these three for so long that no-one really knows when it started.

However, the side effects of these drugs are not the ones you would normally associate with "hard drugs".  Sugar - especially in the form of High Fructose Corn Syrup, puts a great strain on the liver, raised levels of fat in the bloodstream and  a whole range of problems, which are all associated with cardiovascular disease.

Excessive intake of salt has been linked to high blood pressure and cardiovascular disease and over-consumption of fat to obesity, diabetes and other related epidemics.

The recommended daily allowance (RDA) for fat for women is 70g and for men 90-95g, for children aged 4-18 years of age it is 25-35% of total calories.  RDA for sugar for women is 25g or 6 teaspoons, men 37.5g or 9 teaspoons and children should keep sugar intake to 6g or less per day.  RDA for salt in adults is 2,300mg (2.3g) equivalent to about 1 teaspoon.  In children aged 2-3 years 1,000 mg (1g), ages 4-8 = 1,200 mg and ages 9-18 = 1,500 mg.

So what is being put in our food and why?

Food manufacturers put extra salt, sugar and fat in foods to make them taste better.  They even have a term for it: "BLISS POINT".  This is how manufacturers describe levels of sugar, fat and salt in processed foods that are so appealing they guarantee we will be coming back for more.

Michael Moss, an award winning investigative writer, has spent more than three years investigating the science of junk food for his new book: Salt, Sugar and Fat: How the food giants hooked us.

His investigations have uncovered an unsavory amount of tricks employed by food manufacturers to tempt us into buying foods that are often extremely unhealthy.  Tricks such as changing the physical shape of salt to altering the chemical make-up of sugar and even giving crisps a louder crunch.

Moss spoke to many executives and scientists at multinationals such as Pepsi, Kraft, Kelloggs, Unilever and Mars and discovered that at the heart of all the corporate strategies are three legal drugs: salt, fat and sugar.  Moss also found that there is no limit as to how far the industry will go to harness the seductive powers of these 3 drugs.

Companies use the results from MRI-scanning to study the sensory power of food - for example, how sugar lights up our brains the same way it does after someone has taken cocaine.

Their objective is to achieve the perfect link between food and pleasure in consumers' brains to make us come back for more, so the industry has become obsessed with finding that "BLISS POINT".

In the case of sugar, the Bliss Point is the precise amount of sweetness that makes food and drink most enjoyable.  There is a vast amount of work involved with pinpointing the Bliss Point; it means scientifically testing thousands of customers' preferences, intricate mathematical formulae, and analyzing surveys of populations for cultural and demographic differences.  For example; in China, people in the south of the country have a sweeter tooth than those in the north.  Bliss Points can also vary by age no just geographically; studies show that the Bliss Point for children can be an amazing 36% sugar content in food - three times that of most adults.

This means that the manufacturers who manage to hit on the most Bliss Points generate by far the biggest profits.  However, their profits come at a cost for the general public - those Bliss Points come with the side effects of many of their customers becoming dangerously obese and close to addiction.  The junk food industry even labels its most faithful customers as "HEAVY USERS", says Moss.

Moss, who works for the New York Times, managed to persuade three of the biggest food manufacturers to let him sample their products with significantly reduced levels of salt, sugar and fat, while researching his book.  He soon discovered how powerful these 3 ingredients can be.

Kellogg produced a salt-less version of a savory cracker that Moss loves:

"Without any salt, the crackers lost their magic.  They felt like straw, chewed like cardboard, and had zero taste," he says.

The same happened with soups, meats and breads that other manufacturers made for him including Campbell: "Take more than a little salt, or sugar or fat out of processed food, these experiments showed, and there is nothing left.  Or even worse, what is left are the inexorable consequences of food processing; repulsive tastes that are bitter, metallic and astringent."

However, it is still cheaper for food manufacturers to make sugar, salt and fat more alluring by interfering with their chemical make-up than attempting to make their products more appetizing.

Moss reports that Nestlé's scientists are actually modifying the distribution and shape of fat globules in foods to affect the way they feel in the mouth.

Research on brain reaction to food reveals that the pleasure of fatty foods is as much about the FEEL as the TASTE.  We feel fat through the trigeminal nerve, located above and behind the mouth.  It sends tactile information about fat to the brain, and the better the experience, the bigger the craving.

It isn't just the food manufacturers adding too much to processed foods.  At Cargill, the U.S. based world's leading salt supplier, scientists are pulverizing salt into a fine powder so that when consumed, it hits the taste buds faster and harder, improving the "flavor burst", says Moss.  It is developments such as these that have made crisps (potato chips) more irresistible than 20 years ago.

And it sin't just salt.  Sugar is also being altered in many different ways.  Not only have food scientists created enhancers to boost the sweetness of sugar by up to 200 times, one component, fructose, has also been crystalized into an additive that boosts the allure of foods with a naturally low content.

The Food and Drink Federation in Britain is keen to be seen in a friendly light and argues that its members are being responsible by lowering salt levels to help customers make healthy choices.

The Federation's Director of Food Safety, Science and Health, Barbara Gallani says:

"UK food and drink manufacturers' efforts to tackle obesity and diet-related diseases are long-standing."  

 She states that members of the Federation have voluntarily cut salt levels by 10% in the past 5 years and improved product labeling.

There is no current evidence that food is actually addictive, and Ms Gallani bases the Federation's defense on that,

"Recent scientific reviews show there is no evidence to suggest food addiction exists in people, either to specific foods or to nutrients like sugar or fat."

I am still trying to reconcile myself with her classing SUGAR as a NUTRIENT!

However, on the other side of the pond, Moss says no one is more aware of the problems caused by salt, sugar and fat than the processed food companies.

In 1999, the 11 heads of the largest U.S. food companies met in secret to discuss how to tackle the emerging obesity epidemic by managing recipes and strategies.  However, no positive action followed, these companies are totally dependent on these 3 ingredients and no one is willing to be the only one to probably lose profits against the others by producing healthier products for their customers.

In the UK, manufacturers have reduced salt in their products over the past 10 years.  However, obesity levels continue to rise, probably because companies have found a way to relieve the pressure put on them about making their products healthier.

Moss explains in his book that when food makers have to reduce on of the three key ingredients, they often increase the levels of the other two to make up for the lost appeal.  Therefore, products labeled "low salt" may have higher levels of fat and sugar.

"It is one of the industry's most devious moves," says Moss, that is why we must all be very wary of products whose labels proclaim: "Now low in..."

Proof of this is in the fact that most executives at the big food companies tend not to eat their own products, according to Moss,

"I found that many of the executives I talked to go out of their way to avoid their own products," he says, "especially if they have run into health problems." 

They prefer to eat fresh foods and take regular exercise to stay fit and healthy.

I believe that if the industry is going to put its customers first then the way to go is to gradually reduce salt, fat and sugar over time.  There is evidence that our taste buds do adapt over time.  Obviously a drastic cut too quickly would be rejected but a gradual one would go unnoticed.  However, if you really want to be healthy, my advice is to follow the example of the executives and eat fresh foods and take regular exercise - processed foods are not doing any of us any favors.


Social Nutrition:
You can make an appointment to improve your health with Social Nutrition either in person (Madrid) or online (Skype).  Just send an email to lucycarr@socialnutrition.com

Danger! Your Sedentary Lifestyle Could Kill You!

Our society has changed - some would say it has advanced for the better and in many ways it has.  New technologies, on the whole, are helping us with day to day chores and making them much quicker and easier.  Computers facilitate office work, machines diagnose illnesses in record time and there are machines that even carry out operations in hospitals, smart phones keep us working for an extra 2 hours a day as we are constantly connected.  None of this is negative except for the impact it is having on our health.

As little as 40 years ago (which isn't long in the great scheme of things), people were far more physically active than they are today.  Cars were a luxury, dishwashers and washing machines were not in every household, lawnmowers had to be pushed up and down the garden and people walked, cycled and took public transport when they did the shopping or going to work or school.  Children played outside everyday until it was dark.

"Modernization" - to give it a name or "progress" has meant that humans in the modern world have become less physically active.  We sit in our cars in endless traffic jams, just to get to our offices where we sit in a chair for 8-9 hours a day looking at a computer screen.  We then get back in our cars to go home before collapsing exhausted on the sofa to watch TV and eat a pre-cooked meal.  Children come home from school and play video games for hours sitting on the sofa.  Don't get me wrong, I am all in favor of computers, dishwashers, washing machines, video games and any modern appliance that makes life easier and more enjoyable.

Everything I have said up until now is nothing we don't already know.  Many people blame new technologies for this newly acquired sedentary lifestyle but the truth is, it's all our own fault.  Your car doesn't stop you from taking exercise, your video game doesn't say "hey you can't go out and play with your friends you have to be inside playing with me!"  The microwave dinner doesn't stop you from eating healthily.  YOU are the only obstacle in your way to better health, and it's a lot easier than you think.

Yes, you will still have to go to the office for 8-9 hours a day or, if you work from home you will still have to complete deadlines and work like you have up until now.  But with a few minor changes you can make a big difference.

But first the bad news... this is so you can understand just what you are letting yourself in for by having a sedentary lifestyle.  Lack of physical activity is one of the leading causes of premature death.  The risk is higher among those who sit still for more than 4 hours a day.  It has been shown to be a risk factor on its own independent of hard exercise and your BMI.  People that sit still for more than 11 hours a day have a 40% higher risk than those that sit still for fewer than 4 hours a day.

Health problems associated with a sedentary lifestyle and lack of physical activity are:

1. Anxiety
2. Cardiovascular disease
3. Mortality in elderly men by 30% and double the risk in elderly women
4. Deep vein thrombosis
5. Depression
6. Diabetes
7. Colon cancer
8. High blood pressure
9. Obesity
10. Osteoporosis
11. Lipid disorders
12. Kidney stones

So, what do you need to do to make sure you stay healthy?

Obviously health eating is a necessity.  All those doughnuts, and prefabricated foods in the office vending machine and on the supermarket shelf are extremely dangerous to your health and that includes the TV dinner on the sofa in the evening!  It may seem difficult at first, but once you get into the habit you'll notice the benefits straight away.  Take fresh fruit and/or vegetables to the office for a snack.  This doesn't mean you are limited to an apple or an orange, other fruits such as melon, pineapple, kiwis, mangos, strawberries, carrot sticks, celery, etc can be prepared at home the night before and taken to work with you.  Cook all your meals from scratch using fresh ingredients and eat lots of fresh fruit and vegetables.  Cut your intake of soft drinks by drinking a glass of water every time you feel like having a soda.  Try and have a healthy lunch - a light salad or bring your lunch from home, it can always be the leftovers from the night before.

While at the office take regular short breaks.  Walk around, or do some stretching exercises at your desk.  If you have to read a report, do it standing up.  Take a walk at lunchtime, even if it's just round the block a couple of times, the fresh air will do you good.

Rethink your schedule.  Could you take public transport to work?  Or walk?  Or cycle?  This will most probably benefit your bank account too!  If you already take public transport to work try getting off the bus or subway one or two stops early and walk the rest of the way.  Joining a gym isn't always the answer - it works for many people but some can't afford it or just don't have the will power to go on a regular basis.  Try and find a sport you love and maybe even get an office team together.

Strangely enough, the more active you are the more energy you'll have, brain function improves and you'll sleep better.  There is nothing better than physical exercise to combat stress.  So forget all those energy drinks you need to get through the day, cut back on caffeinated drinks and you'll reap the benefits.  Green tea has many beneficial properties and is packed full of antioxidants.  Hunger pangs are also one of the first symptoms of dehydration, so before attacking the office vending machine, drink a large glass of water first, if the hunger pangs disappear it was just thirst.

So get active - it is possible