Healthyeatingdr

Healthyeatingdr Registered Nutritionist

*CURCUMIN AND CANCER*⁠⁠Turmeric is a plant from the ginger family. ⁠⁠The bioactive ingredient in turmeric which makes th...
06/12/2021

*CURCUMIN AND CANCER*⁠

Turmeric is a plant from the ginger family. ⁠

The bioactive ingredient in turmeric which makes the plant yellow, is called Curcumin. ⁠

Curcumin makes up only 3% of the turmeric plant. Studies have looked at therapeutic doses of 500-1000mg curcumin to see an effect.⁠ In some studies up to 12g of curcumin have been needed to see a nanomolar concentration in the blood stream. That's a huge dose, for a very tiny blood concentration.⁠

Social media reports that curcumin:⁠
- prevents cancer⁠
- treats cancer⁠
- blocks carcinogens⁠
- prevents cancer spreading⁠

There is some truth to these headlines, but the data these comments are based on are seen in cancer cell lines grown in plastic, which are very different to clinical trials. ⁠

Many drugs are found to be promising in preliminary trials in cellular models but fail in human clinical trials or before. ⁠

Drug screens are used to identify compounds of potential interest. But some compounds are instead pan-assay interference compounds, which look like they might be promising, but are just false positives.⁠

Curcumin has poor availability, meaning large doses are needed to achieve a very low blood concentration. And it is rapidly metabolised and cleared from the body. ⁠

There have been over a 100 human clinical trials, but very little significant effect from curcumin. At present the evidence just doesn't support an anti-cancer health benefit from curcumin, which makes up just 3% of turmeric. ⁠

Given the poor bioavailability of curcumin, and rapid metabolism, it means that to get anything like the doses used in these clinical trials you would have to eat a vast quantity of turmeric (up to 12g!!). ⁠

So drink turmeric chia, or lattes or add to curries because you love the taste, instead of for health benefits. ⁠

What do you think of turmeric and curcumin? Do you take them? 👇🏻

*STRESS AND DIET*⁠⁠Depression & anxiety are the most common mental health conditions worldwide. ⁠⁠At times of stress cor...
01/11/2021

*STRESS AND DIET*⁠

Depression & anxiety are the most common mental health conditions worldwide. ⁠

At times of stress corticosteroid (steroid for short) hormones are secreted. They are hormones that regulate multiple aspects of the control of blood glucose levels.⁠

In the liver, they act to promote synthesis of new glucose, whereas in muscles and fat, they reduce glucose up-take. Together with opposing the effect of insulin, glucocorticoids lead to a rise in blood glucose. This is to provide the brain with more glucose during times of stress, & to promote maximal brain function.⁠

Chronic life stress is associated with a greater preference for energy & nutrient dense foods, such as high in sugar and fat foods, with increased risk of weight gain.⁠

Diets high in saturated fat have been associated with increased immune activation and chronic inflammation.⁠

Studies show people with depression are at higher risk of having low level inflammation, characterised by diets high in trans fats & refined carbohydrates.⁠

Food & emotions are interconnected on so many levels with a two-way communication between your brain & gut, called the gut brain axis.⁠

Studies show that alterations in the composition of the microbiota, & also the production of different neuroactive metabolites formed by the gut microbiota can have direct effects on the brain. In a large population study, the presence of different microorganisms was correlated with quality of life & the incidence of depression.⁠

Randomised trials of medications that reduce inflammation, have been associated with a reduction of depressive symptoms, adding support to observations seen with food.⁠

While stress may be unavoidable there are some tips to improve your diet & your mood:⁠
• A range of colourful fruit & vegetables⁠
• Beans & pulses⁠
• A handful of nuts a day⁠
• Healthy unsaturated fats⁠
• Aim for 2 portions of oily fish per week⁠
• Fermented foods eg kefir, sauerkraut, kombucha & kimchi⁠
• Choose wholegrain carbohydrates⁠

Hear more on my podcast on Saturday - subscribe so you don't miss out!⁠

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*APPLE CIDER VINEGAR*⁠⁠There is a lot of misinformation online about apple cider vinegar and it’s perceived benefits: ⁠🍏...
30/09/2021

*APPLE CIDER VINEGAR*⁠

There is a lot of misinformation online about apple cider vinegar and it’s perceived benefits: ⁠
🍏 aids weight loss ⁠
🍏 balances blood sugar (especially after a high carbohydrate meal)⁠
🍏 treats damaged hair by topical application ⁠
🍏improves digestion and bloating⁠

Here’s what we do know about apple cider vinegar (ACV);⁠
🍏 it was reported to be first used 5000 years ago when Hippocrates, the father of modern medicine, used a mixture of ACV and honey to treat a variety of disease ⁠
🍏it was used for disinfecting wounds of soldiers in the American Civil War ⁠
🍏there is limited scientific evidence to support many of the beneficial claims of ACV apart from its anti-microbial property and antioxidant compounds⁠

Experiments were conducted with five different concentrations of ACV against four different pathogenic bacteria. The results confirmed potentially high antibacterial activity due to inhibition seen on the disc assay experiments. ⁠However this may not reflect it’s in vitro function.
The anti fungal activity of ACV was also tested, but due to the fact that yeasts are a part of the fermentation process of forming ACV, there was a less significant effect compared to bacteria. ⁠

ACV also possesses high total phenolic, flavonoids and high antioxidant activity that have beneficial health effects. ⁠

Should you start drinking it neat? Only if you love the taste. Best to have a varied diet with a range of fermented products.

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*DIET AND ACNE* Have you ever wonder if diet affects acne? Does oily fish make your skin more oily or does eating chocol...
23/09/2021

*DIET AND ACNE*

Have you ever wonder if diet affects acne? Does oily fish make your skin more oily or does eating chocolate cause break outs? This post is designed to break down the misinformation online to provide practical tips to help keep your skin healthy.

What is acne?
Acne vulgaris is a chronic skin disease characterised by inflamed spots or non-inflammatory comedones (blackheads and whiteheads) on the face, neck, back and chest. In more severe cases inflammatory cysts and scarring can form. Hair follicles and sebaceous glands, along with excess grease and colonisation of bacteria cause the formation of acne.

How diet affects acne:
As studies investigating diet are hard, the research is often of a lower quality. However, there are still a number of trials looking at the influence of diet:

🥛Dairy
When milk is digested into amino acids, the synthesis of Insulin Like Growth Factor 1 (IGF1) is induced. IGF1 can stimulate follicular growth, sebum production, maturation of skin cells (keratinisation) and androgen hormone production. Dairy may be a trigger for your acne, but more research is needed.

🍫 Chocolate
A small study found that sugar in the form of milk chocolate increased the mean number of acne lesions compared to sugar in the form of jelly beans. However, due to limitations on the study, further research is needed in order to support this claim.

🍞 High Glycaemic index
The Western diet has has lots of refined carbs which increase IGF1 production. Also higher saturated fats and dairy in the Western diet contribute to a lower diversity of gut microbiota, that may play a wider role in skin health.

🍣 Omega 3
Diets rich in omega 3 inhibit the synthesis of pro-inflammatory molecules and are anti-inflammatory. They may help the inflammation seen with acne.

🫐 Antioxidants
Levels of the antioxidants vitamin A and E are lower in people with acne, this supports studies that have found that antioxidants may reduce sebum formation.

💊 Gut Health
Research has highlighted that good gut microbes are potentially linked to lower acne severity and also reduced inflammation.

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*FOOD COMBINATION*⁠⁠There is a lot of information on social media about the food combination diet & how eating a mixture...
16/09/2021

*FOOD COMBINATION*⁠

There is a lot of information on social media about the food combination diet & how eating a mixture of proteins, fats & carbohydrates at the same time causes the secretion of different enzymes resulting in incomplete digestion of nutrients. ⁠

The main principles of the food combination diet are: ⁠
🥗 eat fruit alone ⁠
🥗 eat proteins & carbohydrates separately ⁠
🥗 eat different types of protein separately ⁠
🥗 don’t add fats to protein ⁠
🥗 limit refined sugar & carbohydrates ⁠

When in fact, eating a variety of nutrients in 1 meal can increase absorption & lead to greater bioavailability. ⁠

Here are 6 combos that improve micronutrient absorption, backed by scientific evidence: ⁠

1) iron (non-haem) & vitamin C -> broccoli, spinach or chickpeas followed by a fruit such as blueberries or orange for dessert 🥦 ➕ 🍊⁠
⚠️ Iron deficiency is more common in vegetarians & vegan diets, so this combination may be beneficial for those individuals.⁠

2) vitamin D & calcium -> salmon & almonds 🍣 ➕🌰⁠
⚠️ Both vitamin D & calcium play a crucial role in bone health ⁠

3) lycopene & fat -> lycopene is a bright red colour found in fruit & vegetables eg tomatoes, it is fat soluble & powerful antioxidant. Try caprese salad of tomatoes, avocado & olive oil 🍅 ➕ 🥑⁠
⚠️ Lycopene supports heart health, with decreased risk of high cholesterol & hypertension. ⁠

4) caffeine & iron -> caffeine decreases absorption of plant based iron (non-haem) so avoid drinking coffee or tea after a meal ☕️ 🚫 🍽 ⁠

5) turmeric & black pepper -> the absorption of curcumin, the active component of turmeric, can be enhanced by piperine (ingredient in black pepper) therefore when making a delicious curry add some black pepper when seasoning.⁠
⚠️Curcumin is as effective as non steroidal anti-inflammatory drugs such a ibuprofen (but much higher doses are needed than in cooking)

6) fat soluble vitamins -> vitamins A, D, E & K are fat soluble & require a minimum amount of fat for absorption but beyond that, increasing fat quantity does not alter absorption. Try some carrot sticks & guacamole as a snack 🥕 ➕ 🥑⁠

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*MAGNESIUM* ⁠⁠Follow social media and you might think that magnesium have a range of different health benefits including...
09/09/2021

*MAGNESIUM* ⁠

Follow social media and you might think that magnesium have a range of different health benefits including:⁠

*stress relief ⁠
*sore muscles ⁠
*better sleep ⁠
*bloating or constipation relief ⁠

Social media promotes topical magnesium, using creams, for treatment of these symptoms. There isn’t great quality evidence to support these claims, however, there is scientific evidence to support the effect of eating foods high in magnesium or taking supplements may help: ⁠

*migraine headaches ⁠
*high blood pressure ⁠
*cardiovascular disease ⁠
*type 2 diabetes ⁠

✅ Magnesium is anti-inflammatory and therefore is an effective complementary treatment for migraine headaches⁠

✅ Magnesium is involved in blood pressure regulation by causing blood vessels to relax leading to decreased blood pressure ⁠

✅ Magnesium supplementation has cardiovascular benefits due to its actions as an anti-inflammatory and prevention of atherosclerosis (narrowing of blood vessels) ⁠

✅ Magnesium plays an important role in insulin and glucose metabolism therefore important in managing type 2 diabetes.⁠

Due to Western diet, since the beginning of this century daily magnesium intake has decreased progressively. ⁠
But eating a healthy diet you should be able to get all of your magnesium needs without supplementation.⁠

The foods highest in magnesium are unrefined whole grains, spinach, nuts, legumes and potatoes. ⁠

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*ARNOLD SPORTS UK*Excited to be speaking at this conference 1-3rd October. Find me doing a live talk on nutrition, with ...
26/07/2021

*ARNOLD SPORTS UK*

Excited to be speaking at this conference 1-3rd October. Find me doing a live talk on nutrition, with questions and answers.

Get your ticket via

*NITRATES AND NITRITES*⁠⁠⁠⁠What are they and why do they matter?⁠⁠⁠⁠Nitrates and nitrites are naturally occurring chemic...
26/07/2021

*NITRATES AND NITRITES*⁠⁠
⁠⁠
What are they and why do they matter?⁠⁠
⁠⁠
Nitrates and nitrites are naturally occurring chemicals, both part of the nitric oxide pathway. This pathway is important for:⁠⁠
⁠⁠
* Cell signalling⁠⁠
* Blood pressure regulation⁠⁠
* Digestion ⁠⁠
⁠⁠
Nitrates are relatively stable, but are transformed into nitrites that are more unstable. Nitrites are then converted into nitric oxide, a signalling molecule. One of the signalling roles of is to recognise changes in blood pressure, thereby protecting heart health. ⁠⁠
⁠⁠
So why do nitrites get bad press?⁠⁠
⁠⁠
Nitrites are less stable and when subjected to high cooking temperatures are transformed into heterocyclic amines (HCAs). These are potentially carcinogenic.⁠⁠
⁠⁠
Nitrites are used as preservatives for meat. Processed meat has been categorised as a grade 1 carcinogen, ⁠⁠
meaning eating processed meat causes cancer. This might be partly explained by the nitrites used as preservatives. ⁠⁠
⁠⁠
It is best to avoid processed meat, but if that is too difficult, then choose nitrite free products.⁠⁠
⁠⁠
There is evidence that eating fruit and vegetables, rich in antioxidant compounds may offset some of the risk of eating processed and red meat, so another good reason to eat more fruit and veg.⁠⁠
⁠⁠
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*CITRUS FRUITS*⁠⁠⁠⁠Follow social media and you might think that they have all sorts of different health benefits such as...
22/07/2021

*CITRUS FRUITS*⁠⁠
⁠⁠
Follow social media and you might think that they have all sorts of different health benefits such as:⁠⁠
⁠⁠
* cleansing the liver, spleen and kidneys⁠⁠
* expelling mucous⁠⁠
* making your body more alkaline⁠⁠
* boosting your immune system and helping fight viral infections⁠⁠
⁠⁠
However, there isn't evidence to support these claims. Your spleen, liver and kidneys don't need "cleaning". ⁠⁠
⁠⁠
Foods don't alter mucous or clearance. ⁠⁠
⁠⁠
The pH of your body is very tightly controlled. Foods can't change the pH of your blood or body, only your urine. ⁠⁠
⁠⁠
A large review of the data from lots of studies was analysed together as part of systematic review, which is one of the most robust forms of scientific evidence. Looking at over 11,000 people supplementation of vitamin C under routine conditions, did not decrease the likelihood of getting a cold, or shorten the duration of being unwell (Hemilä & Chalker, 2013). ⁠⁠
⁠⁠
So taking vitamin C supplements or eating lots of citrus fruits won't help with viral infections. It is important to make sure that you aren't deficient in vitamin C, by eating a range of fruit and vegetables. ⁠⁠
⁠⁠
Instead citrus fruit contain ⁠⁠
⁠⁠
1. fibre, good for your long term risk of bowel cancer and microbiota⁠⁠
⁠⁠
2. antioxidants which help prevent against damage from free radicals⁠⁠
⁠⁠
3. contain vitamin C which increases the bioavailability of plant based iron⁠⁠
⁠⁠
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*SMOOTHIES*⁠⁠Hands up if you love a smoothie - or maybe you drink them for their "numerous health benefits". But is ther...
27/05/2021

*SMOOTHIES*⁠

Hands up if you love a smoothie - or maybe you drink them for their "numerous health benefits". But is there any evidence behind these claims?⁠

I've had to use 2 slides today, because there really are so many health claims for smoothies:⁠

* improves hydration⁠
* rejuvenates your body⁠
* protects against free radical damage⁠
* better, clearer skin⁠
* relieves symptoms of depression⁠
* aids weight loss⁠
* improves flat tummy⁠
* cleanses your body⁠
* detoxifies your immune system⁠
* improves digestion⁠

Firstly, there are a couple of these claims that I as a registered nutritionist & a doctor that I don't understand. Detoxifying your immune system & cleansing your body aren't even concepts. Let's address the others.⁠

* you only need need to drink to thirst - see the Eating for Health pod with nephrology consultant Dr Oates. Excess hydration has no health benefits. Smoothies are no better than water for hydration.⁠

* no evidence to support "rejuvenation".⁠

* fruit & veg contain anti-oxidants that can help protect against free radial damage - smoothies are no better than eating fruit or vegetables whole. ⁠

* no evidence to suggest smoothies are linked to better, clearer skin. ⁠

* smoothies don't specifically help weight loss & nothing will target just your tummy. Weight loss is about optimising the health of your gut & energy balance so that you eat less than you consume. ⁠

* smoothies aren't linked to symptoms of depression. Gut health has been linked to depression. Fruit, vegetables, whole grains & fermented food are important for gut health. This is partly due to the fibre, which gut bugs feed on. This is less in smoothies compared with whole fruit & veg.⁠

* cleanses your body - this is marketing speak. Your body doesn't need to "clean" itself. It has it's own detoxification system consisting of the kidneys, liver, skin & lungs. Foods not not affect the function of these organs with regards detoxification. ⁠

* detoxifies your immune system - Smoothies won't preferentially help to support your immune system. ⁠

* there is no evidence to support improved digestion.⁠

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