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Restoring
Our Health
Preventing & Overcoming
Chronic Disease
By: Xonna Clark and Maureen George
Maryland University of Integrative Health
Interns
What’s Ailing Us Today?
Brain Fog
Aging
Stress
Joint Inflammation
Fatigue
Digestion Issues
Why?
Key Common Denominators
 Modern Diet = Sugar + Salt + Fat
 Nutrient Deficiencies
The Problem
 Busy lives—we want quick & easy
 Food manufacturers/marketers
 Create & respond
 Quick, easy, long shelf life, “palatability”
 Foods loaded with Sugar + Salt + Fat
 When one is reduced, the others increase
 Low Fat  more sugar + salt
 Low Salt  more sugar + fat
 Low Sugar  more salt + fat
The Result
 Today we consume an average of 71
pounds of caloric sweeteners/year—22
tsp/day
 March, 2013 study linked 180,000 deaths
to sugary beverages
(Presented at American Heart Association Nutrition, Physical Activity and Metabolism / Cardiovascular Disease
Epidemiology and Prevention (AHA EPI-NPAM) 2013 Scientific Sessions, March 19 - 22, 2013; New Orleans, Louisiana )
 Sugar is in almost every food & goes by
50+ disguised names
 Agave nectar
 Barbardos sugar
 Barley malt
 Beet sugar
 Blackstrap molasses
 Brown sugar
 Buttered syrup
 Cane juice crystals
 Confectioner’s sugar
 Corn sugar
 Corn syrup
 Corn syrup solids
 Crystalline fructose
 Date sugar
 Demerara sugar
 Dextran
 Dextrose
 Diastatic malt
 Diatase
 Ethyl Maltol
 Evaporated cane juice
 Florida crystals
 Fructose
 Fruit Juice
 Fruit Juice concentrate
 Galactose
 Glucose
 Glucose solids
 Golden sugar
 Honey
 Golden syrup
 Grape sugar
 High fructose corn syrup
 Icing sugar
 Invert sugar
 Lactose
 Malt Syrup/Extract
 Malodextrin
 Maltose
 Maple syrup
 Molasses
 Muscovado sugar
 Organic raw sugar
 Panocha
 Refiner’s syrup
 Rice syrup
 Sorghum syrup
 Sucrose
 Sugar
 Treacle
 Turbinado sugar
 Yellow sugar
Call me Sugar
Word
Search
Sugar, Sugar Everywhere
12 oz cola
6 oz flavored fat-free yogurt
8 oz energy drink
1 cereal bar
8 oz grape juice
 68 g = 17 tsp sugar
 31 g = 8 tsp sugar
 64 g = 16 tsp sugar
 13 g = 3 tsp sugar
 40 g = 10 tsp sugar
Source: Northcoast Region, Champions for
Change Sugar Shocker game
What Sugar Does in Our Bodies
50
100
150
200
250
300
Over
Time
Sugar
Levels
Swing
Blood Sugar
Dysregulation
Normal
…Eventually…
Hypoglycemia --- Hyperglycemia ---
Insulin Resistance --- Weight Gain ---
Visceral Fat --- Metabolic Syndrome ---Diabetes
Blood
Sugar
Dysregulation
eyes
heart
kidneys
limbs
brain
nerves
digestion
adrenals
hormones
thyroid
yeast &
bacterial
overgrowth
chronic fatigue
hypertension
insomnia
hypothyroidism
hyperthyroidism
dementia
brain fog
mood disorders
imbalances
decreased libido
neuropathy
vision loss
heart disease
renal failure
circulation loss
What Can We Do?
 World Health organization recommending
reduction from 10-5 tsp sugar/day maximum
(20 g)
 More protein (plant & animal), fat & fiber
 Only complex (not refined) carbs & always
with protein and fat
 Small, frequent meals
 Limit fructose & artificial sweeteners
 Exercise
 Sleep
 Manage stress
Fat
 Slows glucose (sugar) absorption into blood
 Necessary for brain, all cells, hormone
balance, energy
 Data is showing that low-fat foods and diets =
weight gain and heart disease remains #1
killer Women’s Health Initiative Study (2006)
 Key factors
 Type of fat
 Freshness
 How you use them
Types of Fats
 Monounsaturated: olive
oil, avocado, almonds
 Polyunsaturated:
 Omega 3: cold water fish, walnuts, green leafy
vegetables, cod liver oil, flax, chia and hemp
seeds
 Omega 6: vegetable
oils, corn, safflower, sunflower, most nuts & seeds
 Good saturated: coconut oil, palm oil, ghee
(clarified butter)
 Bad fats:
transfat, hydrogenated, old, rancid, oxidized
Freshness
 Smell for rancidity
 Buy in dark bottles
 Store in refrigerator or
cool, dark cabinet
Use
 No heat or low heat: polyunsaturated
 (sunflower, corn, soybean, safflower, flax)
 Low to medium heat: monounsaturated
 (olive, peanut)
 Medium to high heat: saturated fats
 (butter, coconut, animal fat)
What to Do?
 Eat more omega 3 fats
 Eat more monounsaturated fats
 Eat more good saturated fats
 Eat fewer omega 6 fats
 Change cooking oil
 Cook with small amounts of saturated fat
and a little water (steam sauté)
 Avoid bad fats & old fats = oxidation and
inflammation
Salt
 The need:
 All cells need sodium—electrolyte balance
 For most, maximum daily intake
 = < 1,500 mg (1/2 tsp)
 Excess
 Throws off electrolyte balance
 Fatigues kidneys & adrenal glands
 Causes water retention, hypertension, impaired
urination
 HBP diuretics can cause loss of nutrients
 Lack of nutrients stimulates cravings for
sugar, fat & salt!
What to Do?
 Limit processed foods—read labels
 Accounts for 75% of sodium intake
 Fast food, sandwiches, deli
meats, canned foods, frozen
foods, breads, soups, salad
dressings, some vinegars
 Use more spices, herbs, lemon
 If possible, buy iodized sea salt
 Sodium plus minerals work together in
the body
How to Restore Mineral Deficiencies
Blood Sugar Issues Thyroid Imbalances
Nutrient Key Sources
Protein Lean meat, beans, eggs,
yogurt, nuts
Fat Fish, olives, avocado
Fiber Fruits, vegetables, whole
grains, beans
Chromium Broccoli, garlic, green
beans, turkey
Complex
Carbs
Whole grains, veggies
CoQ10 Fish, meat, sesame, soy,
canola
Iron Lentils, spinach, beans, beef
Magnesium Spinach, beans, nuts, seeds
Vitamin C Red peppers, citrus,
broccoli
Zinc Beef, pumpkin seeds, yogurt
Nutrient Key Sources
Protein Lean meat, beans, eggs,
yogurt, nuts
Iodine
Iron
Seaweed, fish, iodized salt
Liver, lean meats, eggs, dark
greens
Magnesium Spinach, beans, nuts, seeds
Selenium Brazil nuts, grass-fed beef
Vitamin C Red peppers, citrus,
strawberries
Zinc Beef, pumpkin seeds, yogurt
Our Meal Today
 Seaweed Salad: a great source of
vitamin A, C, E, K, and B-vitamins.
Rich in many minerals including
iodine, selenium, calcium, and iron.
Good source of fiber.
 Stir-fry: balanced macronutrients:
quality protein (chicken), good
carbs (brown rice) and healthy fats
(olive oil, sesame oil). Variety of
vitamins and minerals in vegetables
like calcium, chromium, vitamin C.
References
 Howard, B.V et al. (2006) “Low fat Dietary Pattern and Risk of
Cardiovascular Disease: the Women’s health Initiative Randomized
Controlled Dietary Modification Trial.,” JAMA 295 39-49.
 Hyman, Mark. (2012) Blood Sugar Solution. New York, NY; Little
Brown and Company
 Lustig, Robert H. (2013) Fat chance: beating the odds against
sugar, processed food, obesity & disease. New York, NY; Hudson
Street Press
 Moss, M. (2013) Salt, Sugar, Fat. New York, NY. Random House.
 Nelms, Metal (2011) Nutrition therapy & pathophysiology.
Belmont, CA; Wadesworth Press.
 Study by Gitanjali Singh, PhD, from Harvard School of Public
Health, Boston, Massachusetts, and colleagues was reported at
EPI|NPAM 2013, the Epidemiology and
Prevention/Nutrition, Physical Activity and Metabolism 2013
Scientific Sessions.

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Nutrition &-chronic-diseasev3

  • 1. Restoring Our Health Preventing & Overcoming Chronic Disease By: Xonna Clark and Maureen George Maryland University of Integrative Health Interns
  • 2. What’s Ailing Us Today? Brain Fog Aging Stress Joint Inflammation Fatigue Digestion Issues
  • 3. Why? Key Common Denominators  Modern Diet = Sugar + Salt + Fat  Nutrient Deficiencies
  • 4. The Problem  Busy lives—we want quick & easy  Food manufacturers/marketers  Create & respond  Quick, easy, long shelf life, “palatability”  Foods loaded with Sugar + Salt + Fat  When one is reduced, the others increase  Low Fat  more sugar + salt  Low Salt  more sugar + fat  Low Sugar  more salt + fat
  • 5. The Result  Today we consume an average of 71 pounds of caloric sweeteners/year—22 tsp/day  March, 2013 study linked 180,000 deaths to sugary beverages (Presented at American Heart Association Nutrition, Physical Activity and Metabolism / Cardiovascular Disease Epidemiology and Prevention (AHA EPI-NPAM) 2013 Scientific Sessions, March 19 - 22, 2013; New Orleans, Louisiana )  Sugar is in almost every food & goes by 50+ disguised names
  • 6.  Agave nectar  Barbardos sugar  Barley malt  Beet sugar  Blackstrap molasses  Brown sugar  Buttered syrup  Cane juice crystals  Confectioner’s sugar  Corn sugar  Corn syrup  Corn syrup solids  Crystalline fructose  Date sugar  Demerara sugar  Dextran  Dextrose  Diastatic malt  Diatase  Ethyl Maltol  Evaporated cane juice  Florida crystals  Fructose  Fruit Juice  Fruit Juice concentrate  Galactose  Glucose  Glucose solids  Golden sugar  Honey  Golden syrup  Grape sugar  High fructose corn syrup  Icing sugar  Invert sugar  Lactose  Malt Syrup/Extract  Malodextrin  Maltose  Maple syrup  Molasses  Muscovado sugar  Organic raw sugar  Panocha  Refiner’s syrup  Rice syrup  Sorghum syrup  Sucrose  Sugar  Treacle  Turbinado sugar  Yellow sugar Call me Sugar
  • 8. Sugar, Sugar Everywhere 12 oz cola 6 oz flavored fat-free yogurt 8 oz energy drink 1 cereal bar 8 oz grape juice  68 g = 17 tsp sugar  31 g = 8 tsp sugar  64 g = 16 tsp sugar  13 g = 3 tsp sugar  40 g = 10 tsp sugar Source: Northcoast Region, Champions for Change Sugar Shocker game
  • 9. What Sugar Does in Our Bodies 50 100 150 200 250 300 Over Time Sugar Levels Swing Blood Sugar Dysregulation Normal …Eventually… Hypoglycemia --- Hyperglycemia --- Insulin Resistance --- Weight Gain --- Visceral Fat --- Metabolic Syndrome ---Diabetes
  • 11. What Can We Do?  World Health organization recommending reduction from 10-5 tsp sugar/day maximum (20 g)  More protein (plant & animal), fat & fiber  Only complex (not refined) carbs & always with protein and fat  Small, frequent meals  Limit fructose & artificial sweeteners  Exercise  Sleep  Manage stress
  • 12. Fat  Slows glucose (sugar) absorption into blood  Necessary for brain, all cells, hormone balance, energy  Data is showing that low-fat foods and diets = weight gain and heart disease remains #1 killer Women’s Health Initiative Study (2006)  Key factors  Type of fat  Freshness  How you use them
  • 13. Types of Fats  Monounsaturated: olive oil, avocado, almonds  Polyunsaturated:  Omega 3: cold water fish, walnuts, green leafy vegetables, cod liver oil, flax, chia and hemp seeds  Omega 6: vegetable oils, corn, safflower, sunflower, most nuts & seeds  Good saturated: coconut oil, palm oil, ghee (clarified butter)  Bad fats: transfat, hydrogenated, old, rancid, oxidized
  • 14. Freshness  Smell for rancidity  Buy in dark bottles  Store in refrigerator or cool, dark cabinet Use  No heat or low heat: polyunsaturated  (sunflower, corn, soybean, safflower, flax)  Low to medium heat: monounsaturated  (olive, peanut)  Medium to high heat: saturated fats  (butter, coconut, animal fat)
  • 15. What to Do?  Eat more omega 3 fats  Eat more monounsaturated fats  Eat more good saturated fats  Eat fewer omega 6 fats  Change cooking oil  Cook with small amounts of saturated fat and a little water (steam sauté)  Avoid bad fats & old fats = oxidation and inflammation
  • 16. Salt  The need:  All cells need sodium—electrolyte balance  For most, maximum daily intake  = < 1,500 mg (1/2 tsp)  Excess  Throws off electrolyte balance  Fatigues kidneys & adrenal glands  Causes water retention, hypertension, impaired urination  HBP diuretics can cause loss of nutrients  Lack of nutrients stimulates cravings for sugar, fat & salt!
  • 17. What to Do?  Limit processed foods—read labels  Accounts for 75% of sodium intake  Fast food, sandwiches, deli meats, canned foods, frozen foods, breads, soups, salad dressings, some vinegars  Use more spices, herbs, lemon  If possible, buy iodized sea salt  Sodium plus minerals work together in the body
  • 18. How to Restore Mineral Deficiencies Blood Sugar Issues Thyroid Imbalances Nutrient Key Sources Protein Lean meat, beans, eggs, yogurt, nuts Fat Fish, olives, avocado Fiber Fruits, vegetables, whole grains, beans Chromium Broccoli, garlic, green beans, turkey Complex Carbs Whole grains, veggies CoQ10 Fish, meat, sesame, soy, canola Iron Lentils, spinach, beans, beef Magnesium Spinach, beans, nuts, seeds Vitamin C Red peppers, citrus, broccoli Zinc Beef, pumpkin seeds, yogurt Nutrient Key Sources Protein Lean meat, beans, eggs, yogurt, nuts Iodine Iron Seaweed, fish, iodized salt Liver, lean meats, eggs, dark greens Magnesium Spinach, beans, nuts, seeds Selenium Brazil nuts, grass-fed beef Vitamin C Red peppers, citrus, strawberries Zinc Beef, pumpkin seeds, yogurt
  • 19. Our Meal Today  Seaweed Salad: a great source of vitamin A, C, E, K, and B-vitamins. Rich in many minerals including iodine, selenium, calcium, and iron. Good source of fiber.  Stir-fry: balanced macronutrients: quality protein (chicken), good carbs (brown rice) and healthy fats (olive oil, sesame oil). Variety of vitamins and minerals in vegetables like calcium, chromium, vitamin C.
  • 20. References  Howard, B.V et al. (2006) “Low fat Dietary Pattern and Risk of Cardiovascular Disease: the Women’s health Initiative Randomized Controlled Dietary Modification Trial.,” JAMA 295 39-49.  Hyman, Mark. (2012) Blood Sugar Solution. New York, NY; Little Brown and Company  Lustig, Robert H. (2013) Fat chance: beating the odds against sugar, processed food, obesity & disease. New York, NY; Hudson Street Press  Moss, M. (2013) Salt, Sugar, Fat. New York, NY. Random House.  Nelms, Metal (2011) Nutrition therapy & pathophysiology. Belmont, CA; Wadesworth Press.  Study by Gitanjali Singh, PhD, from Harvard School of Public Health, Boston, Massachusetts, and colleagues was reported at EPI|NPAM 2013, the Epidemiology and Prevention/Nutrition, Physical Activity and Metabolism 2013 Scientific Sessions.