Friday, December 31, 2010

Article on anti-inflamatory diet

Anti-Inflammatory Diet

Dr. Douglas Vander Broek
Holmes Lake Chiropractic Group
2855 South 70th Street
Lincoln, NE 68506
402-483-4409
What is Inflammation?
Inflammation is a set of symptoms that includes pain, swelling, heat and redness of an affected organ or tissue. It's the way the body's immune system responds to attack, infection or injury. The immune system response to an unhealthy diet and lifestyle can lead to chronic inflammation of various body tissues and entire systems. 

What Are the Effects of Chronic Inflammation?
This long-term inflammation leads to conditions such as arthritis and various auto-immune diseases like lupus. Recently there has been an increased focus on diets and lifestyle plans that seek to end the cycle of inflammation and its deleterious consequences.
The daily symptoms of inflammation include feeling bloated, fluid retention, stiff or sore muscles and joints, lack of energy, fatigue, inability to sleep, chronic headaches, constipation, and even depression.

Food fighters 
A typical anti-inflammatory diet focuses on creating anti-inflammatory prostaglandins instead of pro-inflammatory prostaglandins. Prostaglandins are hormones produced by the body whose function is to regulate the body's inflammatory response. We produce these hormones from the fats we ingest as part of our diets, and it's been found that different types of fat result in the production of different types of prostaglandins.
One key part of an effective anti-inflammatory diet is to ingest only "good" fats and avoid "bad" ones.
·        Good fats -- Omega-3 Fatty Acids, found mainly in cold-water fish like mackerel, salmon, sardines, anchovies, and herring. The oils of wild-caught fish contain a significantly higher proportion of Omega-3 than the oils of farm-raised fish.
·        Other sources of Omega-3 are nuts and seeds (NO GRAINS!!). These vegetable sources include walnuts, brazil nuts, and almonds along with pumpkin and sunflower seeds.  Omega-3 eggs can be used as a source of protein.
·        Bad fats -- Polyunsaturated and partly hydrogenated fats and oils lead to the synthesis of pro-inflammatory prostaglandins and so should be eliminated from the diet. It's not easy to avoid these ""bad fats,"" as they are found in most processed foods. Trans-fats should be strictly avoided; this can be done by using extra virgin olive oil instead of margarine and shortening. Olive oil contains Omega-9 essential fatty acids which work in concert with Omega-3 EFAs and increase its benefits to the body.

Two other essential components of an effective anti-inflammatory diet are Ginger and Turmeric, known since ancient times for their ameliorative properties.

Five Food Groups of the Anti-Inflammatory Diet:
1.      Fruits
2.      Vegetables
3.      Nuts (except peanuts)
4.      Lean Meats (limited quantity)
5.      Fish

The purpose of this diet is to remove inflammation from muscles, soft tissue, joints, and even organs.  One component of deep-seated chronic inflammation is retention of excess fluid or swelling in tissue (edema).  The removal of fluid is enhanced by a diet that is low in sodium and refined sugars.
Since the purpose of the diet is removal of inflammation, there is no need to ‘count’ or watch quantities of intake.  However, if weight loss is also your goal, you can achieve it with this diet by limiting quantities according to your needs/preferences.

Foods Included in the Anti-Inflammatory Diet:
1.      Fruits.  Any fruit has anti-inflammatory, anti-oxidant qualities, and all are allowed in any quantity.
2.      Vegetables.  Anything except legumes, which are all beans except green beans; soybeans, peanuts and peas are legumes.  Also, NO GRAINS OF ANY KIND, OR ANYTHING MADE FROM GRAINS.  THIS INCLUDES ANY FOODS MADE FROM FLOUR OF ANY TYPE.  The reason for no grains, is that grains contain gluten, which is pro-inflammatory.  Also, many people have mild or moderate allergies to gluten, even though they may not be aware of it.
3.      Nuts. (and seeds)  Except peanuts.  It’s also better if they are not salted, but can have other light seasonings.  This includes brazil nuts, walnuts, pecans, almonds, cashews.  Seeds includes pumpkin, sunflower, etc.
4.      Lean Meats.  Extremely lean meats, or meats from which all visible fat has been trimmed.  Best choices include skinless chicken, very lean steaks, buffalo, and other lean beef and pork in reasonable quantities.  Remember, in avoiding grains (eliminating gluten from the diet) it’s best to also avoid grain-fed meats as much as possible.
5.      Fish.  Look for wild-caught fish.  Avoid farm-raised fish, because they are grain-fed and lower in Omega-3’s.  Protein can also be obtained from Omega-3 eggs or egg substitutes.

Beverages: 
Allowed in unlimited amounts;  Water, fruit juices, low-sodium vegetable juices, unsweetened iced tea, green tea, black tea, carbonated water such as LaCroix, etc.

Allowed, up to one cup or glass per day:  coffee (no dairy, no sugar), red wine (the darker the better), stout beer.

Never allowed:  SODA:  Diet soda is high in sodium, and regular soda is high in sugar, both are pro-inflammatory.  No sugary fruit ‘drinks’, or lemonade.

Snacks:  Dark Chocolate.  Cocoa beans are high in anti-oxidants.  The higher the percentage of cocoa in the chocolate, the better.  No milk chocolate.

We don’t like to express things from a negative perspective.  But if you have a question as to whether an item is “allowed” on the Anti-Inflammatory Diet or not, there are 2 easy categories of food to remember that are NOT ALLOWED in any amount:
1.      No Grains (or anything made from grains or fed with grains).
2.      No Dairy.  This rules out lactose intolerance, hormones and fats in milk or dairy products.
The reason these two categories are not allowed in the diet, is because it is from foods in these two groups where the majority of food allergies arise….. glutens and lactose.

The first 2 – 5 days on the plan, you will lose a good amount of fluid, probably 3 – 5 pounds or even more.  This fluid has been retained in your muscles, joints, tendons, ligaments, and even organs.  The more closely you stick to the plan, the more you will have reduced inflammation.  This is a natural method of achieving the same results you get with diuretics, ibuprofen, and even the application of ice.  This is why the Anti-Inflammatory Diet is helpful even in acute conditions like sprains/strains, back or neck injuries, pulled muscles, etc.

By following the Anti-Inflammatory regimen for even a week, most people feel better.  The diet removes excess fluid and toxins from your body.  Exercise also greatly enhances the effect.  Even if you are not able to exercise due to a recent injury or while undergoing a treatment plan in the acute stages, the diet will reduce inflammation.

Nutritional Supplements


Because Americans find it difficult today to find and eat nutritious foods (even when eating the ‘right’ things!), due to the use of preservatives and lack of home-grown foods, everyone should at least be taking a good quality multi-vitamin/mineral.  If you want to enhance the effects of the Anti-Inflammatory Diet, the following daily supplements are recommended;

1.      Multi-vitamin/mineral
2.      Magnesium (400 – 1000 mg/day)
3.      Vitamin D / Omega-3 fish oils

Additional supplements are optionally recommended:
1.      CoEnzyme Q10 (100 mg/day)

Remember, the beneficial effects of supplements, healthy diet, and exercise are decreased or even negated by poor lifestyle choices such as smoking, excessive alcohol or medications, and ‘junk’ food.

Sunday, December 26, 2010

Health and Fitness Intro

I want to be 52 weeks more healthy at the end of the year.  What does that mean?  I am exploring that.
I went to the doctor in October because I have significant hot flashes and my feet get so hot at night that it wakes me up.  I was wondering if it was time to go on hormones or if there was some other solution.  I know that my hormones are a mess because I have a thickness, particularly around my waist, that I have never had before.  I can't diet or exercise enough to get it off or make anything but slight progress.  I am running 3-5 miles a day five days a week, lifting weights 3 times a week and carefully watching what I eat.  I have tried to go to a whole foods kind of diet-- with yogurt, cottage cheese, whole grain breads , oatmeal for breakfast, etc.  I feel  like I need a nap partway through the afternoon.  I don't like how I feel.

A month ago, Melissa told me about the Paleo diet and asked me if I wanted to try it for 2 weeks with her.  The diet is basically lean meats, lots of vegetables, some fruit, fats.  No grains, no dairy, no sugar.

I don't know that I agree with the philosophy but, I thought I'd give it a try.  Within the first week, my eczema was gone.  I have had eczema my whole life to some degree-- GONE.  My hot flashes and hot feet at night, gone.  Tired dips in the afternoon--gone.  My energy levels are higher, after 4 weeks, I had lost 11/2 inches off of my waist.  I don't have a scale so, I don't know what I have lost in terms of pounds, but, my clothes fit better and some are loose.  Progress so far:
torso-ribcage: 1 inch
waist: 1 1/2 inches
stomach: 1 inch
hips: 1/2 inch
thighs: 1/2 inch
arms 1/2 inch
calves:0

December 2
I bought some jeans when I was in Atlanta a few weeks ago.  They were a tiny bit snug but looked ok.  Now they are loose and I am going to exchange one pair for the smaller size!

I lifted today.  Now that we are back from Atlanta and settled in again, I am going to get back to 3 times a week of lifting.  I have also decided that I am not going to do long-endurance kind of exercise for a few months and see how that works. I am trying to do spurts of high energy.  Yesterday, I ran Zoey up and down the hill by our house-- it's a tough hill but not very long.  I am thinking that I should be able to run the whole way up it without stopping if I work on it this month.   I ran outside with the dog again today.  We took a different route but it still had hills.  I tried to run up the hills and just catch my breath before I stared the next sprint. 

I have been really following the eating plan carefully this week.  I have also been trying to do 50 push ups most days.  I can't do more than 15 in a row, but, it's a goal to get all 50 in at once.

What is Paleo?

This is the eating plan as I understand it

I started doing a rendition of the Paleo eating plan about six weeks ago and have been astounded at my progress.  I have done the fat-free thing, weight-watchers, exercise for 5-10 hours a week, distance running, whole foods, count calories etc etc etc for YEARS.  Somethings work temporarily, others didn't work at all.   I have had all sorts of issues with hormone imbalance over the last few years-- mostly just annoying level-- but, I had almost resigned myself to living with the symptoms and the weight-gain or "puffiness" that I felt.  Melissa told me about the Paleo eating plan and I started looking into it.  Basically, as I understand it there are a few simple rules
1. no dairy (though some people do clarified butter, whole milk and cream or yogurt with sufficient bacterias)
2.  no grains
3. no legumes (peanuts and soy fall under this category) or starches (potatoes, corn)
4. no sugar

Eat
1. lean, non-processed meat (stay away from nitrates and salt), fish, and eggs
2. lots of vegetables
3. fruits (limit if you are trying to loose weight)
4. oils such as olive, coconut, nut oils
5. coconut in all forms
6. some go for artificial sweeteners others don't
7. nuts (limit to 4 oz a day if trying to loose weight)
8. supplements-- it seems that there are lots of healthy supplements recommended by different people  I have been doing fish oil and vitamin D daily with a multi, vitamin C and calcium.  I am going to add CLA and L-Carnine more regularly.  I had a few but ran out and so I am not sure if I got benefits from them.


Results:  I threw away my scale a few years ago because it never moved any direction but up and it made me CRAZY to not be able to control it even though I was following my latest plan and exercise schedule!  (Actually Melissa and Alan basically took it away from me because I let it determine my mood for the day...call it a scale intervention if you will) So, I have no idea how much progress I have made in terms of pounds, but I would say at least 6-8.  The most impressive for me is that I have lost inches.  Every measurement that I took showed at least 1/2 difference, and in the case of my waist, (drumroll please....) 1.5 inches in six weeks.. and 2 inches around my ribs.  That's crazy good.

The other thing that I have noticed is that my basic feeling of puffiness is gone.  I recover faster from my workouts, I don't have the hormone stuff going on right now with hot feet etc, my eczema is gone.  I was just going to try it for a few weeks, but, the results beyond simply clothing size are worth sticking with it for longer.  I am sure that I will add some grains and dairy back into my diet when I have reached fitness goals and I still have an occasional sugar-filled item here and there (like the 1/2 of a chocolate cookie I had today...) but, I am still waiting to see when my results will top out.   I imagine that when I reach my goals, I can slowly add back some grains (though, maybe not...) and dairy and see how I do.  My diet consisted of mostly grains and dairy before, so, some part of that combination was clearly NOT working for me.

paleo snacks

I just came up with a good and purely paloe snack
Guacamole (avacados and lime juice)
pico salsa from Costco
Sliced carrots and cucumbers

I mix the guacamole and pico and use the carrots as "chips"  very satisfying



Granola Bars
I found a really yummy looking granola bar recipe that I love.  Of course, I am me, so, I modified it somewhat.  I don't put dried fruit in it.  I get the shredded coconut from the local co-op so that it isn't the sweetened kind.   I also use lots of cinnamon and I have added shredded orange peel for a little extra flavor-- YUM!
It is on a site called Joyful Abode.   http://www.joyfulabode.com/2010/09/12/grain-free-granola-bars/


Grain-Free Gluten-Free Dairy-Free Granola Bar Recipe

You will need:
  • 2.5 cups assorted nuts and seeds
  • 1 cup dried fruit
  • 2 cups shredded coconut
  • 1/4 cup coconut oil
  • 1/2 cup honey
  • splash of vanilla extract
  • 1/2 teaspoon salt
  • generous sprinkle of cinnamon
  • some more cinnamon
Roughly chop 1 cup of the nuts and seeds. Place in a bowl.
Use your food processor to pulse the other 1.5 cups of nuts and seeds into a finer “chop.” Add to the bowl.
Add your fruit.
Stir in the dried coconut.
In a saucepan over medium-low heat, combine oil, honey, vanilla, salt, and cinnamon. Cook until the mixture bubbles, then pour over the fruit/nut mixture.
Stir to combine completely.
Press your mixture into a parchment-lined pan of some sort. Press HARD.
Cool 2-3 hours, then remove from the