This Week On The Health Hub…Plant-Based Diets & Peak Athletic Performance With Dr. Andrew Chen

Andrew L. Chen, MD, MS, a native of Maryland, earned a Masters of Science in Biomatierals Engineering at The Johns Hopkins University and a doctorate in medicine at The John Hopkins School of Medicine in Baltimore, Maryland.  He completed his residency in Orthopaedic Surgery at the Hospital for Joint Diseases in New York where he also completed a fellowship in orthopaedic research at the Musculoskeletal Research Center in New York.  Following this, he completed a fellowship in Sports Medicine at the Steadman-Hawkins Sports Medicine Clinic in Vail, Colorado.  Dr. Chen practices at The Alpine Clinic in Franconia, New Hampshire, and is certified in Orthopaedic Surgery by the American Board of Orthopaedic Surgeons, with subspecialty certification in Sports Medicine.  Dr. Chen is the Chief Medical Officer for United States Nordic Sport, a Team Physician for the United States Olympic Committee, and a Team Physician for the United States Ski and Snowboard Association.  Dr. Chen is a Fellow of the American Academy of Orthopedic Surgeons and the American Orthopaedic Society of Sports Medicine.  In addition to numerous published articles, book chapters, and books, Dr. Chen has presented research numerous international, national, and regional forums, and has been featured on WMUR’s New Hampshire Chronicle, several television interviews and presentations, and radio interviews nationwide. He has assisted in the care of several professional sports teams, and was a physician for Madison Square Garden in New York City.  Dr. Chen currently resides in New Hampshire with his wife, a specialist in Plant Based Nutrition, and his two teenage children.
Learning point:
    1. Can an elite athlete be a top performer on a plant-based diet?
    2. Is a plant-based diet suitable for all athletes?
    3. Why is there confusion about determining adequate protein levels?

 

Listen live or catch the podcast on iTunes and SoundCloud!

Every Tuesday from 11am -12pm I host The Health Hub, an interactive, forward thinking talk show on Radio Maria Canada.   Call, tweet or email your questions as together we explore health issues that are relevant to you from new and innovative points of view.


TheHealthHub is now on iTunes!

Subscribe and don’t miss a single episode!


Follow us on Social Media

We are @thehealthhubrmc on Instagram, Twitter and Facebook


How To Listen Live

Visit our website and learn how to listen live to our show each week. http://www.radiomaria.ca/how-to-listen

Let us know!


If you have a health topic that you would like us to discuss or are a health care specialist who wants to be a guest on our show let us know!

Here is our email.  We would love to hear from you! thh@radiomaria.ca

   

Not Sleeping Well? Maybe You Need To Eat More!

Consider this: We sleep for about 1/3 of our life.  That, my friends, is a significant amount of time!

So, what happens when we sleep?

Have you ever thought about it?

Well I’m here to tell you that there is a world of action going on as we lay supine bridging one day to the next.

Brain Action

While we sleep our brain is working hard to process what we’ve learned during the day. Research also shows that sleep may promote the removal of waste products from brain cells.  Effectively this means that while we sleep our brains are detoxifying.brain

Detoxifying and Repairing

While we sleep our body is also hard at work detoxifying other areas of our body, as well as repairing it.

Our liver is at its peak detox stage between 1 and 3 am and our lungs around 4am.

And during sleep our body repairs cells, tissues and muscles. It synthesizes proteins and releases hormones.

Immune System

While we sleep our immune system is hard at work defending us.  It releases cytokines (proteins that fight inflammation and infection) as well as antibodies and immune cells that work to fight off harmful germs and infection.

So, as I am sure you can surmise, sleep is not a passive passage of time.  It’s an essential piece of our health puzzle.

Sleep Disruptors

There are many things to take a look at when you are trying to figure out why you may not be getting a good night’s sleep:

  • Poor sleep habits like not going to bed at a consistent time each night
  • Stress
  • Certain medications
  • External light
  • Room Temperaturesleep

And I am going to offer up one more.  A reason not often considered.

Are you consuming enough good quality food each and every day?  If not, this could be a contributing factor to poor sleep.

You need to provide your body with enough of the essential nutrients that it requires to have the energy it needs to perform all of those tasks that I mentioned above.  It’s vital for a restful sleep.

Our activity level, metabolism, body weight and how much we sleep each night are key factors in determining how many calories we burn while we sleep.

You can turn to calculators like https://captaincalculator.com/health/calorie/calories-burned-sleeping-calculator/ to help you determine more precisely how many calories you burn while sleeping but to put things into a bit of perspective here, a person weighing 150lbs may burn 400 calories during 8 hours of sleep while someone who is 185lbs may in the area of 500 calories.

It’s significant isn’t it?

I’m seeing this issue pop up more and more, especially in people who are experimenting with some form of fasting.  Fasting can be a great tool if done properly.  But it is not for everyone and definitely should be discussed with a practitioner who has experience in this area.

So here is a parting tip for you if you are trying to improve your sleep.

Keep a daily food journal.  Record what and how much you eat every day.

What you learn from it may surprise you!

References

https://www.nih.gov/news-events/nih-research-matters/how-sleep-clears-brain

https://www.healthline.com/health/why-do-we-sleep#restoration

https://www.healthline.com/health/calories-burned-sleeping

 

Rama Lama Lama Ka Dinga Da Dinga Dong

We go together
Like rama lama lama ka dinga da dinga dong…

Are you a Grease fan?  Yes? No? Undecided? It really doesn’t matter because from here on in what I’m going to focus on has nothing to do with one of the all-time best movies EVER!  Except for one stolen line from a song.

And in this space what goes together are food sources that contains both prebiotics and probiotics.

Here is a simple equation that I want you to put into memory:

Prebiotic Food + Probiotic Food = Symbiotic Food

And here is why.  If you want to improve your gut health or maintain the good gut health you already have, there are two things you must do. Consume probiotic foods and consume prebiotics foods. And for the biggest bang for your buck consume them together.

Probiotic foods contain beneficial organisms that help our gut perform its duties.  They have amazing health benefits for us.

Examples of probiotic foods are sauerkraut, kimchi, kombucha, yogurt, kefir, miso, natto, pure apple cider vinegar (with the mother in it) and true balsamic vinegar.

As a side note here, in order to deliver the beneficial organisms from fermented foods to the gut, as well as the enzymes these foods also contain, do not heated past a temperature of 118 degrees F (48 C).

Prebiotics are types of fibre like inulin, resistant starch, GOS and FOS that help feed our good bacteria. Prebiotics also enhance the absorption of calcium and magnesium and are involved in appetite regulation as well as lipid metabolism.

Examples of prebiotic foods are Jerusalem artichokes, chicory, garlic, onions, beans, lentil, citrus fruits, pears, apples, bananas, berries, almonds broccoli which contains soluble fibres like inulin and FOS.

Resistant starch (starch that escapes from digestion in the small intestine) is found in foods like legumes, potatoes, wheat, corn, rye, barley, rice, spelt, kamut, and other grains.

GOS is found in dairy products.

We have two types of bacteria strains in our gut: residential and transient.

Residential bacteria strains are the bacteria that live in our gut naturally and we must re-populate them to stay healthy. We need prebiotics to help us feed and increase our residential bacteria.

Transient strains of bacteria pass through us (usually within 3 days) but while they are there, they help the gut do its work and keep us healthy. Probiotic foods contain transient bacteria.

Knowing this, it’s easy to understand why consuming both prebiotic and probiotic foods on a regular basis is essential.  It nourishes our gut microbiome and helps to establish new colonies of microorganisms.

Symbiotic Eating

Back to this equation:

Prebiotic Food + Probiotic Food = Symbiotic Food

Symbiotic food combines the characteristics of probiotic food and prebiotic food.  Specific foods that are symbiotic are tofu, sauerkraut and tempeh.

Eating symbiotically by combining foods can be as simple as mixing banana slices into your yogurt or serving sauerkraut with a meal that contains garlic and onions.

Research is continuing to discover how fascinating these substances in food are and how together, with our good bacteria, they are involved in a complex relationship to help us be healthy.


References:

“The benefits of symbiotic foods” SHA Wellness Clinic

Inulin-Type Fructans: Functional Food Ingredients1,2 Marcel B. Roberfroid, 2007 American Society for Nutrition

Health effects of probiotics and prebiotics A literature review on human studies, Henrik Andersson, Nils-Georg Asp, Åke Bruce, Stefan Roos, Torkel Wadström, Agnes E. Wold, Food and Nutrition Research, Vol 45, 2001

Probiotics, prebiotics, and synbiotics: approaches for modulating the microbial ecology of the gut 1,2M David Collins and Glenn R Gibson, 1999 American Society for Clinical Nutrition

Lowbush Wild Blueberries have the Potential to Modify Gut Microbiota and Xenobiotic Metabolism in the Rat Colon

Alison Lacombe,Robert W. Li,Dorothy Klimis-Zacas,Aleksandra S. Kristo, Shravani Tadepalli,Emily Krauss, Ryan Young,Vivian C. H. Wu mail Published: June 28, 2013 DOI: 10.1371/journal.pone.006749

A Systematic Screening of Total Antioxidants in Dietary Plants1, Bente L. Halvorsen et al, Institute for Nutrition Research, Faculty of Medicine, University of Oslo; Akershus University College, Bekkestua, Norway; †Agricultural University of Norway, Ås, Norway; and the Division of Epidemiology, School of Public Health, University of Minnesota

Current knowledge of the health benefits and disadvantages of wine consumption, John F. Tomera, Trends in Food Science & Technology – TRENDS FOOD SCI TECHNOL 01/1999; 10(4):129-138. DOI: 10.1016/S0924-2244(99)00035-7

 

 

Raw vs. Cooked – Which Contains More Vitamins and Minerals?

My son challenges me.  It’s kind of this game that we play.  Sometimes it’s not fun.

One of the first things questions he threw at me when I started my practice was:

“Is it better to each fruits and veggies raw or cooked?”

The research commenced!

Honestly he wasn’t the only one to put this question to me so the time was well spent!

Raw vs. Cooked

Let’s finally put an end to the debate of raw vs. cooked.

Of course, in the grand scheme of a well-balanced, nutrient-dense, varied, whole foods diet, the cooked vs. raw debate isn’t that critical for most people.

Where this can become a consideration is for vitamin and mineral deficiencies (or “insufficiencies”). These may be due to digestion or absorption issues, or avoidance of certain foods (due to allergies, intolerances, or choice).

Cancer patients may face some issues with digesting raw fruits and vegetables due to the impact of some treatments on the GI tract.  In such cases cooking these foods will help to break down the fibre, making it easier to digest.

The answer isn’t as simple as “raw is always better” or “cooked is always better.”  As with most nutrition science, it depends on several factors. Some vitamins are destroyed in cooking, while others become easier to absorb (a.k.a. more “bioavailable”).

Here is the skinny on vitamins and minerals in raw foods versus cooked foods.

Foods to eat raw

As a general rule, water soluble nutrients, like vitamin C and the B vitamins, found mostly in fruits and vegetables, are best eaten raw.

The reason why is two-fold.

First, when these nutrients are heated, they tend to degrade;  this is from any heat, be it steaming, boiling, roasting, or frying. Vitamin C and the B vitamins are a bit more “delicate” and susceptible to heat than many other nutrients.

Of course, the obvious way to combat these nutrient losses is to eat foods high vitamin C and B vitamins in their raw form (like in an awesome salad) or to cook them for as short a time as possible (like quickly steaming or blanching).

Fun fact: Raw spinach can contain three times the amount of vitamin C as cooked spinach.

The second reason why foods high in vitamin C and the B vitamins are best eaten raw is that they’re “water soluble.”  So, guess where the vitamins go when they’re cooked in water?  Yes, they’re dissolved right into the water;  this is particularly true for fruits and veggies that are boiled and poached but even for foods that steamed as well.

Of course, if you’re a savvy health nut, you’ll probably keep that liquid to use in your next soup or sauce to preserve those nutrients that are left after cooking. Just don’t overheat it or you may lose what you were aiming to keep.

But, how much loss are we talking about?  Well, of course, it ranges but can go from as low as 15%, up to over 50%.

In short, the water soluble vitamins like vitamin C and the B vitamins degrade with heat and some of what’s left over after they’re heated dissolves into the cooking water. So be sure to cook your fruits and veggies as little as possible, and keep that cooking water to use in your next recipe.

Soaking nuts and seeds

Regarding raw nuts and seeds, it may be beneficial to soak them. Soaking nuts and seeds (for several hours at room temperature) allows some of the minerals to become “unlocked” from their chemical structure, so they’re more absorbable.

Foods to eat cooked

Cooking certain orange and red “beta-carotene rich” veggies (e.g. tomatoes, carrots, & sweet potatoes) can help make this pre-vitamin A compound more absorbable.

Fun fact: One study found that absorption of beta-carotene was 6.5 times greater in stir-fried carrots than in raw carrots!

Of course, eating your fat-soluble vitamins with a bit of fat will help you to absorb more of them, so that’s one factor to consider.

One vegetable that’s best eaten both raw and cooked

Spinach!

And I’m not just saying this to get everyone to eat it any way possible (although, I would love for this to happen…unless you’re allergic, of course).

Spinach contains so many beneficial compounds that it’s great eaten both raw and cooked.

Eating raw spinach preserves the water-soluble vitamins C & the B vitamins.

Eating spinach cooked allows the pre-vitamin A, as well as some of the minerals like iron to be better absorbed. Not to mention how much spinach reduces in size when it’s cooked, so it’s easier to eat way more cooked spinach than raw spinach.

Conclusion:

The old nutrition philosophy of making sure you get a lot of nutrient-dense whole foods into your diet holds true. Feel free to mix up how you eat them, whether you prefer raw or cooked just make sure you eat them.

Having trouble eating enough spinach? Try this flavourful recipe.

Recipe (cooked spinach): Sautéed Spinach

Serves 4

Ingredients:

  • 2 teaspoons olive oil
  • 2 cloves garlic
  • 1 bag baby spinach leaves
  • 1 dash salt
  • 1 dash black pepper
  • Fresh lemon

Directions:

  1. In a large cast iron pan heat olive oil.
  2. Add garlic and saute for 1 minute.
  3. Add spinach, salt, pepper and toss with garlic and oil.
  4. Cover pan and cook on low for about 2 minutes.
  5. Saute cook spinach for another minute, stirring frequently, until all the spinach is wilted.
  6. Squeeze fresh lemon juice on top.

Serve & enjoy!

Tip: Enjoying the cooked spinach with the vitamin C in the “raw” lemon juice helps your body absorb more of the iron.

__________________________________

References:

https://authoritynutrition.com/cooking-nutrient-content/

http://www.precisionnutrition.com/10-ways-to-get-the-most-nutrients

 

 

 

 

 

 

 

Chai Tea Latte

I’m not sure what I enjoy the most about Chai tea; its flavour or its smell.  Perhaps it’s the combination of the two that has won my heart.

Chai tea is made from a combination of black tea, ginger and other spices like cardamom, cinnamon, fennel, black pepper and cloves.  And it is these spices that give Chai its many health benefits including anti-inflammatory and anti-tumorigenic properties:

The chemopreventative benefit of a whole foods diet is often attributed to phytochemicals, such as terpenoids and polyphenols, found in fruits, vegetables, and grains. Spices, (which) tend to have high concentrations of these classes of potentially therapeutic agents…Many spices, including cardamom, cinnamon, black pepper, clove and ginger, have shown promise as chemopreventative and therapeutic agents in cancer. In vitro and in vivo, each of these compounds has demonstrated potent anti-inflammatory and anti-tumorigenic properties. Thus, chai tea, which contains a combination of all the aforementioned spices, represents an enjoyable means of chemoprevention.

~The Anti-Inflammatory and Chemopreventative Effects of Chai Tea; Tina Kaczor, ND, FABNO

The recipe below is a twist on the normal Chai tea latte that is milk-based.  As well as tasting great, this latte offers you:

  • Antioxidants
  • Healthy fats
  • Fiber

And you can enjoy it cooled, outside on a hot summer day. Or hot, snuggled up by the fire on a cool winter’s night. A true functional food that can really be enjoyed all year long!

Chai Tea Latte Recipe

Serves 1-2

Ingredients

  • 1 bag of rooibos chai tea (rooibos is naturally caffeine-free)
  • 2 cups of boiling water
  • 1 tablespoon tahini
  • 1 tablespoon almond butter (creamy is preferred)
  • 1-2 dates 
  • Cinnamon (optional)

Directions

  1. Cover the teabag and dates with 2 cups of boiling water and steep for about 4-5 minutes.
  2. Discard the tea bag and place tea, soaked dates, tahini and almond butter into a blender.
  3. Blend mixture until creamy.
  4. Sprinkle with cinnamon (if using) and serve right away.

If you want a cold beverage, simply chill it in your refrigerator for a bit and serve over ice.

Enjoy!


References:How Chai Tea Can Improve Your Health: Healthline

The Anti-Inflammatory and Chemopreventative Effects of Chai Tea; Tina Kaczor, ND, FABNO