FAST FOOD FAST

Louisiana is still knee deep in Mardi Gras beads and King Cakes, at least until Ash Wednesday, which is the official beginning of Lent. When March 6 comes around, all the feasting turns to fasting, at least for the faithful. When I was a child, we gave up candy or soft drinks for Lent, while our parents gave up alcohol. I’m not sure who had the more difficult task, but the appearance of chocolate Easter bunnies in our straw baskets made us very glad to search for the hidden eggs out in the yard. Our parents were nobly relaxed and convivial while they urged us on. Somehow they always knew where the rabbit had hidden those eggs.

EASTER CANDY BASKET

If we went to the local hamburger joint in the 1950’s, a soda was 7 ounces, the burger was 4 ounces, and the fries were about 2 1/2 ounces. We call these the “child’s menu” now, but this is actually adult servings, rather than the supersize menu items we order.

In the United States, 61% of an adult’s total diet comes from ultraprocessed foods, or foods that contains ingredients such as flavors, colors, sweeteners and hydrogenated oils, emulsifiers and other additives that you wouldn’t cook with at home. This type of processed food is the main source of added sugar in the U.S. diet. Meanwhile, Americans get less than 1% of their daily calories from vegetables.

in Canada, ultraprocessed foods account for 62%, and in the UK, that proportion is 63%. Yet research also indicates that eating ultraprocessed foods can lead to obesity, high blood pressure and cancer, the study authors say.

“Ultraprocessed foods are manufactured industrially from multiple ingredients that usually include additives used for technological and/or cosmetic purposes,” wrote the authors of the French NutriNet-Santé Study, an ongoing cohort study that launched on May 11, 2009, and performed a follow-up through December 15, 2017 (a median of 7.1 years). It was published recently in the journal JAMA Internal Medicine. “Ultraprocessed foods are mostly consumed in the form of snacks, desserts, or ready-to-eat or -heat meals,” and their consumption “has largely increased during the past several decades.”

This trend may drive an increase of early deaths due to chronic illnesses, including cancer and cardiovascular disease, they say. The quick and easy comfort foods and snacks you love are chipping away at your mortality, one nibble at a time, according to new research from France: We face a 14% higher risk of early death with each 10% increase in the amount of ultraprocessed foods we eat.

FRESH VEGGIES

PARAMETERS OF STUDY

To understand the relationship between ultraprocessed foods and the risk of an earlier-than-expected death, the researchers enlisted the help of 44,551 French adults 45 and older for two years. Their average age was 57, and nearly 73% of the participants were women. All provided 24-hour dietary records every six months in addition to completing questionnaires about their health (including body-mass index and other measurements), physical activities and sociodemographics.

The researchers calculated each participant’s overall dietary intake and consumption of ultraprocessed foods.

Ultraprocessed foods accounted for more than 14% of the weight of total food consumed and about 29% of total calories, they found. Ultraprocessed food consumption was associated with younger age, lower income, lower educational level, living alone, higher BMI and lower physical activity level.

Over the study period, 602 participants died. After adjusting for factors such as smoking, the researchers calculated an associated 14% higher risk of early death for each 10% increase in the proportion of ultraprocessed foods consumed.

Further studies are needed to confirm these results, the authors say. Still, they speculate that the additives, the packaging (chemicals leech into the food during storage) and the processing itself, including high-temperature processing (frying), may be the factors that negatively affect health.

However, “ultraprocessed” is a huge category of foods, and by lumping so many things together, the researchers lost sensitivity in their results and cannot pinpoint what exactly is causing the effect seen in the study. Sugar may be implicated also, not just fried foods.

People who said they ate the most processed foods, which the surveys defined as soft drinks, salty snacks, cakes, pizza and frozen meals, also showed the highest intake of added sugars based on the sugar content of these foods. Nearly 90% of the average source of added sugars, in fact, came from processed foods.

Overall, processed foods contained eight times more sugar than less processed foods such as breads, cheese and canned foods, and five times more sugar than unprocessed or minimally processed choices such as meats, fresh fruits or vegetables, grains and milk.

WHY DO PEOPLE EAT MORE PROCESSED FOOD TODAY?

First of all, we live in urban areas, and garden plots are scarce, unlike our rural ancestors, who had room to grow their own food. We live in a fast world, and people are looking for convenient solutions. We’re always stretched for time. Many people today have long commutes, so the time for preparing an evening meal isn’t there. People look for quick solutions and a quickly made meal.

When selecting food, taste may be the No. 1 factor for most consumers, but price and convenience are also important. With ultraprocessed foods, that convenience factor is probably top of the list: grab and go, ready to eat. In food deserts, convenience food outlets prevail and grocery store foods are either overpriced or nonexistent. Some residential properties have rooms, but no cooking facilities. Fast food becomes an economic necessity for impoverished families and this not only aggravates their health, but depreciates their ability to move up in society.

WHAT CAN WE DO?

We should look not only at the front of a package when we buy ready-made meals, but also at the back. Look at the ingredients list. Do we understand all those ingredients that go into our foods? Buy only those products with the least number of ingredients and with ingredients we understand.

Reduce the amount of fast food we eat, if possible, and eat more “plain food” made at home. Rice, baked potatoes, salads and oil and vinegar dressing are easy to prepare, along with a baked chicken or pot roast in a crock pot.

If we can’t buy fresh foods, fresh frozen foods without seasonings are also good. Read the ingredients to avoid salt and added sugar. The same goes for canned foods. Many low or no sodium vegetables are available, which can be used for nutritious soups and stews.

Moreover, if we’re responsible for the donations to food pantries, we should consider the quality and types of food we provide to our people: more protein and fewer carbohydrates would be a start toward healing poverty induced diseases, rather than the need to fulfill as many calories as possible. This latter only leads to more disease and a greater burden on the person and the health care system.

Easter Sunday is April 21—we have six weeks or 40 days in Lent, not counting the Sundays, to practice a FAST FOOD FAST. Do you think you could do this? How would it change your life? Would you have to put a priority on your and your family’s health or would you let work and activities be more important? Is food for the body a last minute decision or is it foundational for life? What is our spiritual understanding of the body?

Think on this as you consider the questions above:

He will transform our humble bodies, so that they may be conformed to his glorious body, by the power that also enables him to make all things subject to himself. ~~ Philippians 3:21

Read the French Study in JAMA—https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2723626

Americans and Processed Food—http://time.com/4252515/calories-processed-food/

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IS COGNITIVE DECLINE INEVITABLE?

My mind goes often to this non planet

If I knew where my mind was, I’d be able to find it. 
My mind goes to Pluto at the drop of a hat. 
What did I come into this room to get?
And where did I park my car?

As we age, we lose brain cells. That’s my story and I’m sticking to it. My mother claimed we kids were responsible for the early grey in her hair and its white was the result of the loss of brain cells, which she attributed to our wild ways driving her crazy. Neurons in the brain do die every day, but the brain grows new ones into a person’s seventies. 

Previous research suggests cognitive decline doesn’t begin before the age of 60, but this view isn’t universally accepted by scientists, much less the common public. We all have met people who’ve quit growing intellectually in their 30’s, while some have flexible minds and continue to learn new ideas and adjust their previously held thoughts when new information is presented. Some people’s capacity for memory, reasoning and comprehension skills (cognitive function) can start to deteriorate from age 45. 

Happy Birthday—Don’t return the favor.

This is why 40 was once considered “over the hill,” but folks today think of 50 as that apex. When my brother decorated my desk with dead plants and black balloons for my 40th birthday, I’m sure he meant it with tongue in cheek. However he might have been also alluding to my well known “space ranger” wandering mind. I don’t think I had cognitive decline; rather mine was more imaginative daydreaming, also known as “not paying attention.”

When I was 60, I watched a program on dementia and cognitive decline. The difference between forgetfulness and cognitive decline is the first happens occasionally and the latter affects your daily living negatively. On my recent vacation I forgot to bring toothpaste. I bought a tube at the grocery store. Cognitive decline is when you forget how to brush your teeth, you get cavities, and don’t make dentist appointments anymore. Then you lose the teeth and get dentures. Most likely someone also has to remind you to use the bubble cleaner on them and rinse them before they go in your mouth again. 
Since understanding cognitive aging will be one of the challenges of this century, especially as life expectancy continues to rise, we have to ask, what can we do to for our whole health? 

As easy as popping a pill sounds, a large recent review of studies found no solid evidence that vitamin and mineral supplements have any effect in preventing cognitive decline or dementia. The whole internet is full of health claims for this and that supplement, drink, bar, or detox tonic. While B vitamins; beta carotene; vitamins C, D or E; zinc, copper or selenium may be needed in your diet for other reasons, none of these have proved effective in preventing cognitive decline. 

How can you prevent cognitive decline? Try this combination strategy:
Four steps can improve your mental skills, even as you age—
1. following a healthy diet, 
2. getting regular exercise, 
3. socializing, and 
4. challenging your brain.

The results of the Finnish Geriatric Intervention Study to Prevent Cognitive Impairment and Disability (FINGER), which is the latest and most impressive study, goes a step further by suggesting that if you follow all four practices, you may even reverse lost mental capacity. The FINGER study indicated those who did so not only kept cognitive skills from declining, it also improved their reasoning skills and speed in performing mental tasks.

The volunteers were randomly assigned to two groups. One set of participants—the study group—received personal nutritional counseling, exercise instruction from physical therapists, and cognitive training. They also underwent seven medical exams during the study period. They frequently met in groups for cooking classes, cognitive training, or exercise instruction. The other participants—the control group—had three medical exams, during which they received general health advice. Both groups were given mental function tests again at the end of the study.

Dr. Scott McGinnis, a neurologist at Harvard-affiliated Brigham and Women’s Hospital and author of The Harvard Guide to Coping with Alzheimer’s Disease, says “Healthy lifestyle behaviors can benefit people of all ages. But to have the greatest impact on late-life mental function, get started early.” 

The FINGER study’s results should offer additional encouragement to pursue a healthy, active, engaged lifestyle with regular exercise, a Mediterranean diet, and challenging mental activities because these can help preserve your mental acuity. Moreover, the FINGER study reminds us it not only helps to combine these practices, but it also helps to enjoy them as we do them. 

This wasn’t a quick fix, either. The FINGER program lasted for two years and the participants stuck with it because they were enjoying themselves. They also had become friends with others in their training groups. Although the experiment was demanding, only 12% of participants dropped out. Plus, these folks worked at their exercise—attendance was over 85% at training sessions, which included three to five exercise sessions a week, as well as 10 to 12 sessions of nutrition counseling and 144 cognitive training sessions over two years.

If you’re having trouble making healthy changes, a cooking or exercise class may help you get started and open a new circle of friends. Volunteering as a tutor, joining a community choir, or working on a political campaign can offer new intellectual challenges and social engagement. The key to making lifestyle changes is in finding a way to enjoy making them—and that is often among a group of companions who are striving for the same goal. 

Fresh vegetables and Chicken breast in Olive oil

We all make a choice in our lives. If we want good health, but don’t want to give up our television programs, we either need to pick an exercise time outside of our favorite TV shows, or hit a gym with screens. For instance, I still eat fried chicken, but only on my vacation. I eat uncured bacon on Saturdays rather than every day, and pancakes once a month. I haven’t given up my favorite foods, but I’ve put a limit on the most unhealthy ones out of respect for my body. This gives me some room for when I feel the need to self medicate with two scoops of ice cream, as when my computer died last month and I had to replace it. Making a big decision is definitely an ice cream moment for me, but I don’t need it every day anymore. 

One of my goals at Cornie’s Kitchen is to learn new skills and information to benefit the majority of persons in our world today: half of Americans and 30% of the world’s population are obese or overweight, and the cardiovascular diseases associated with obesity are increasing worldwide also. Since our children are also impacted by this health risk, we have to change our way of looking at food, exercise, time, stress, life, work, and our means of balancing the competing and complex needs in our world. 

If I can’t wave a magic wand over you, say a magic spell, or cast a potion of power over you, then at least I can help you burn through a few brain cells. They’ll grow back. Grey hair is a sign of power and wisdom.  

Joy and Peace, 

Cornie 

RABBIT! RABBIT! Welcome 2019!

Can you believe it’s already 2019? Time sure flies when you’re having fun. When I was a child, the days seemed interminable, but now I’m a seasoned senior, I can’t seem to find enough hours to do everything I have in mind. I’m either slowing down or time is moving faster. I’m thinking it’s the former! Or there’s some weird Doppler effect that falls around our aging bodies, but doesn’t affect the younger generation among whom we live. Then again, I may have just decided to live at a slower pace because I want to and I no longer am constrained by outer forces such as schedules, paychecks, or responsibilities.

CAN WE TEACH AN OLD DOG NEW TRICKS?
A new year is always a good time to turn over a new leaf. Contrary to popular myth, a dog’s capacity for learning generally doesn’t decline during the aging process. In fact, older dogs may have a more developed attention span than puppies, which can actually make the training process a little faster. They might need extra training to unlearn bad habits, but they can acquire good ones in their place.

KUNG FU MASTERS
Since human beings are smarter than dogs, we can all change behaviors that drive us or our loved ones to distraction. As a survivor of decades of broken resolutions, I think picking one specific behavior on which to focus is better than choosing a general goal, such as “I’m going to get healthy this year.” This overgeneralized goal has too many moving parts to it. Bruce Lee, or some Kung fu master, might be able to pick a whirling ninja throwing star out of thin air in mid spin without slicing off any bodily appendages, but we ordinary mortals will be riding in a speeding ambulance, hoping for a five star surgeon at the end of the route.

SHORT TERM GOALS
When I sold insurance, I would focus each week on a specific goal. For one week only, I would be the best cold caller, and the next I’d give the best service, followed by the next week of setting the most future appointments, and the next week of closing sales. In a month, I’d hit every skill and then I’d repeat the cycle. I was always fresh, always excited, and had a short term goal to accomplish on the way to the long term goal of making a living helping people while being paid on commission.

MAKE LONG TERM GOALS INTO SHORT GOALS
Many of us work in occupations with long term goals. These are difficult to meet, but having short term goals along the way to celebrate helps us keep our attitudes positive. When we look at the long year looming ahead, we might be overwhelmed. It we take one day at a time, or a week at the most, Life is more manageable. If we want to “be healthier,” we can chop this goal into several parts:
1. Sleep 7-8 hours per night
2. Drink 8 glasses of decaf non-sugared liquids a day (half water)
3. Eat more fiber, vegetables, and whole grains
4. Eat less processed foods and more home cooked foods
5. Exercise 30 minutes to an hour daily or a minimum of 150 minutes weekly
6. Reduce our sugar intake (sweetened beverages)
7. Quit smoking or reduce our nicotine use
8. Limit our alcohol to 1 drink daily for women or 2 drinks for men

SURVIVOR ISLAND
If we were to attempt this entire change all at once, we might last at most a week, unless we were under lock and key, or offered a giant reward in some “Survivor: New Year’s Resolution Island” spin-off. However, we could achieve at least one of these goals if we worked on them just one week at a time. If we make to week 8, we can feel comfortable adding in some of the other week’s behavior goals, but not all at once, when we go for months three and four. The whole purpose is to change and transform a person, not to institute a structure from the outside which they will resist or reject the moment life gets in the way.

THE ART OF PICKING A GOAL
Trust me, at some point in 2019, life will throw a monkey wrench into the best laid plans of everyone. It always does. This is when we discover if we’ve made new habits, or if we’re just play acting. By Valentine’s Day, 80% of New Years resolutions will lay beside the road of good intentions. I think this isn’t because we are failures, but because we pick the wrong resolutions. Pick a small, achievable, and measurable goal instead.

“Losing weight” is a lesser goal, since it is measurable, but it may not be achieved in a healthy manner. Drinking red pepper water isn’t healthy. Eating only 500 calories a day isn’t healthy. We have to eat enough to cover our basic metabolic needs.

“Writing an hour a day” is measurable and attainable, and it serves a purpose. We don’t have to be paid for everything we do. Our spiritual and mental health may depend on this hour well spent! Whatever goal you pick, give yourself permission to come close on most days and to try your best on all days.

GOALS AND GRACE
Some days the monkey wrench will mean 25% is all you can give as your best. Give yourself permission to celebrate achieving that much, pick yourself up, and try with God’s help for better tomorrow. We always get a fresh start at the dawn of a new day, for each sunrise is a new beginning, as if it were the first day of the rest of your life. Therefore, every day is a little new year, for there’s 365 days to follow it! Rabbit! Rabbit! Happy New Year!

Joy and Peace, Cornelia

Archaic Torso of Apollo
By RAINER MARIA RILKE, 1908

We cannot know his legendary head
with eyes like ripening fruit. And yet his torso
is still suffused with brilliance from inside,
like a lamp, in which his gaze, now turned to low,

gleams in all its power. Otherwise
the curved breast could not dazzle you so, nor could
a smile run through the placid hips and thighs
to that dark center where procreation flared.

Otherwise this stone would seem defaced
beneath the translucent cascade of the shoulders
and would not glisten like a wild beast’s fur:

would not, from all the borders of itself,
burst like a star: for here there is no place
that does not see you. You must change your life.

Rilke was secretary to the artist Henri Rodin in 1905-1906.

From Ahead of All Parting: Selected Poetry and Prose of Rainer Maria Rilke, translated by Stephen Mitchell and published by Modern Library. © 1995

This is the Japanese zodiac year of the Boar. Instead of my usual rabbits, I’m celebrating with a poem in homage to Ancient Greek art as well as Japanese art with New Year themes.

https://komabatimes.wordpress.com/2015/07/13/junishi-the-unknown-aspect-of-the-japanese-zodiac/

Toyohiro Utagawa: Tai no yume Ebisu no soroban or The red snapper’s dream: Ebisu using an abacus.

The Last Best Hope

Finishing Strong!

I completed the Spa 5K Saturday in a record time. It was my personal best, and I was thrilled to finish strong. Notice I had two bicycle attendants and the privilege of my good friend, who is the current president of the local running club, to accompany me on the last leg of the 3.2 mile route.

Admittedly, my personal best was last of all who entered, but I still beat everyone who never entered the race. I also did better than those who didn’t train to walk this distance. We do this by going out for 15 minutes the first week, and adding 5 to 10 minutes extra in each of the weeks to follow. No one does a 5K right off the batt unless a bear is chasing them!

This is the third year I’ve completed the race, and I’ve learned several good tips. First, carry my inhaler so my asthma doesn’t bother me. If I can breathe better, I can walk at a steady pace. Second, carry half a peanut butter and banana sandwich on whole grain bread to eat at the turn. This keeps my blood sugar up so I have energy for the home stretch. Third, hydrate. I carry water because I take medication that causes mouth dryness. If I feel good, I can walk well. My time was 1:07.19.34, with a pace of 21:43/M. I finished 9th in my age group and 291st of 291 women.

Finally, I don’t have to beat anyone else on the course. I only have to finish the race. Each runner or walker has his or her own individual time to beat, their own personal challenge. Of course, someone will cross the line with the best time in each age group, but each person has a personal race within the race. If we want to find good health, we must get up and get moving! It won’t come to our door via Amazon Prime or Dominos delivery service.

Finding ways to challenge our lethargy is tough, for once we begin to sit, inertia takes over. I’ve been there and worn a hole in the cushions of my couch. Sometimes I’ve had to set the kitchen timer to thirty minutes to force me to get up and turn it off. Putting on happy music, setting just one task and giving myself a coffee reward for completing it has helped me get over some of my rougher days. The worst days I had to admit I was depressed and seek treatment.

Depression is a real illness, one often found along side diabetes and heart disease. These are diseases of inflammation and depression seems to be their fellow traveler. It can be treated. We don’t have to live with the struggle of depression. Ordinary life has its own troubles, but we can live with hope and love. We don’t have to win the trophy, we merely need to do our best.

“Again I saw that under the sun the race is not to the swift,

nor the battle to the strong, nor bread to the wise,

nor riches to the intelligent, nor favor to the skillful;

but time and chance happen to them all.” (Ecclesiastes 9:11)

After all, we have a higher purpose in life, for we’re here to be a witness to others. In Japan, the Ginko trees are living fossils, since they aren’t kin to any other tree still alive. When the atom bombs fell, six Ginko trees survived even though all the buildings around them were destroyed. When the trees began to bud, they were named “trees of hope.”

Hiroshima Ginko Trees

Even if we aren’t “much to look at” we can still be an inspiration to others. After all, “Whoever wants to be first must be last of all and servant of all.” (Mark 9:35). You can be the last best hope for someone today, maybe even for your own self. You are worthy. When you’re stronger, you can be a hope for someone else.

Ginko in the Autumn

THE CHANGE HAPPENS OVERNIGHT

Late in November, on a single night

Not even near to freezing, the ginkgo trees

That stand along the walk drop all their leaves

In one consent, and neither to rain nor to wind

But as though to time alone: the golden and green

Leaves litter the lawn today, that yesterday

Had spread aloft their fluttering fans of light.

What signal from the stars? What senses took it in?

What in those wooden motives so decided

To strike their leaves, to down their leaves,

Rebellion or surrender? and if this

Can happen thus, what race shall be exempt?

What use to learn the lessons taught by time.

If a star at any time may tell us: Now.

“The Consent” by Howard Nemerov

Copyright © 1977 by Howard Nemerov.

Reprinted by permission of Margaret  Nemerov.

Source: The Collected Poems of Howard Nemerov (1977)

https://www.poetryfoundation.org/poems/53817/the-consent

More about Ginko Trees—https://e360.yale.edu/features/peter_crane_history_of_ginkgo_earths_oldest_tree

Thankful for Health

As I enter yet another decade of Thanksgiving, I’m most thankful for my health. Once a person enters “senior status,” good health means “managed diseases.” My young friends often whine about the difficulty of taking a single prescription per day. I just laugh, for they don’t know what truck will hit them after age 50! Most people my age have pill minders or get theirs in daily prepared packaging ready made.

One health condition that can’t be standardized is the blood glucose reading, unless you qualify for a new 24 hour wearable monitor. Otherwise you do the stick and read at different times of the day. If you’re like me, keeping track of the blood sugar readings gives you a window into your body’s response to your food choices and your commitment to an exercise plan.

I have prediabetes, so I measure my glucose in the morning and before I go exercise. My doctor says the morning should be under 100 and the preexercise reading needs to be over 100 if I’m going for anything more vigorous than a gentle walk. I don’t yet have the high readings because for 14 years I’ve eaten a Mediterranean diet and exercised daily. I still eat around 2000 calories per day, so I’m not starving myself, since my BMR is 2060.

Would they like me to lose weight? Yes, and so would I, but my blood pressure is finally normal without medication, my arteries are clear, and my depression is in remission due to medication and lifestyle commitments. We have to pick the battles we want to fight. If our weight is fat, our bodies will metabolize food differently than if our weight is muscle. Weight bearing exercises such as walking, lifting weights, or climbing stairs, will build muscle over the long haul.

When I first started walking, I couldn’t make the whole way around a city block without stopping for breath, I was so out of shape. I set a smaller goal, mastered it, and made a bigger one. I can walk a 5K now, and even if I’m the last to finish, I still am faster than everyone who didn’t enter the race. Keep a positive attitude!

Health isn’t a number on the scale or a size of clothes into which you fit. Health is more about reclaiming your positive attitude towards food as nourishment for your body, rather than as a sedative for your emotional distress. I’ve been in this place myself. I never met a chocolate donut that wouldn’t soothe my inner angst, only to give me eater’s remorse afterwards. It was a downward, addictive spiral, for I’d eat again to feel better, only to feel icky once more.

Health is also about leaving behind the bad habits that bought on high blood pressure, high blood sugar of type 2 diabetes, and prediabetes: stress, excessive caffeine, and processed foods. These foods are the heart killer trifecta of the Standard American Diet—fat, salt, and sugars. These show up in our processed meats, dairy products, and bakery goods, not to mention our condiments and desserts.

Thanksgiving Feast and Desserts

Just as we learned negative habits, we can learn positive behaviors. We don’t have to change everything all at once, but we do need to begin somewhere, sometime. Perhaps the holidays seem to be the worst time, with all the extra cooking and treating surrounding us. If we pick one behavior each week, such as measuring our food portions this week and not eating second helpings the week of Thanksgiving, we’ll be on the way to a healthier lifestyle!

Cooking a Thanksgiving Feast

Remember the words of Paul in 1 Thessalonians 5:16-18–

“Rejoice always, pray without ceasing,

give thanks in all circumstances;

for this is the will of God in Christ Jesus for you.”

SEE SLIDES ON WHAT AFFECTS YOUR BLOOD SUGAR READINGS

https://www.webmd.com/diabetes/daily-control-17/slideshow-blood-sugar-swings

OF ORDINARY MIRACLES

Greek yogurt with cocoa, fruit and nuts

“Fabulous Fermented Foods” have been part of my family’s history for generations back. In the rural antebellum South, folks made cornbread with buttermilk and bacon grease. They didn’t waste soured milk in those unrefrigerated days, just as they used every bit of the pig but its squeal. “Waste not, want not,” was an adage my forebears took to heart, even to my embarrassment of their saving balls of string or aluminum foil for reuse. The latter I thought unsanitary, in my modern worldview, but I’d never experienced great want of any kind as they had.

I enjoyed helping my nanny can food by pickling peaches and cucumbers, but that was a different process than fermentation. My mother did ferment a fruit compote with alcohol, which we all devoured with gusto over ice cream during the holidays. “Is it ready yet?” was as frequent a question as “When can we open a present?”

Of course we ate pimento cheese sandwiches, especially during those long lazy days of summer, but none of us ever connected the cheese making process to fermentation by good bacteria or yeasts. We ate, enjoyed, and never gave it a second thought as we sought the shade or a cool dip in refreshing water. Like many people of our day, we were incurious of the many ordinary miracles which surrounded all of us.

Now I’m well into my seventh decade and understand these trendy (but ancient) foods have potential health benefits. Fermenting foods changes their taste and texture, along with their chemical and biological properties.

Fermented foods may be the oldest “new” food trend around. The process is as old as civilization itself, and fermented foods are consumed in nearly every culture in the world. While researchers attempt to tease out how the changes caused by fermentation actually impact health, many not-fully-substantiated health claims are being made. Let’s take a look at what we know, and don’t know, about these promising (and tasty) foods.

FERMENTATION PROCESS

What is Fermentation? Fermentation occurs when microorganisms (certain species of bacteria, yeast, or mold) feed on starch, sugar, and other food components. This ancient process was originally used for preserving foods, but it fell out of favor in the age of refrigeration and pasteurization.

Many foods and beverages that are commonplace in the U.S. are a result of fermentation. Grains are fermented to make beer and bread; wine is made by fermenting grape juice; and yogurt and cheese are popular forms of fermented milk. Any foods can be fermented, and there are many examples of fermented foods around the world, such as Korean kimchi and the Swedish fermented fish Surströmming.

HEALTH BENEFIT CLAIMS

Behind the Health Benefit Claims. “It is becoming increasingly clear that the fermentation process changes the health-promoting characteristics of foods,” says Jeffrey B. Blumberg, PhD, professor emeritus at Tufts’ Friedman School of Nutrition Science and Policy.

For example, large studies have suggested an association between consumption of fermented dairy foods and weight maintenance that is not seen with unfermented dairy products, and frequent yogurt consumption is associated with lower risk of type 2 diabetes, cardiovascular disease, and overall mortality.

Some data show kimchi, a fermented cabbage dish ubiquitous in Korean cooking, is associated with anti-diabetic and anti-obesity benefits not seen with unfermented cabbage. Some of these suspected health benefits may result from the presence of the microorganisms themselves, but emerging research indicates that changes those organisms make to the food constituents, and new constituents they create, might have health benefits in their own.

HEALTH BENEFITS INCLUDE

Some of the potentially health-promoting effects of fermentation include:

1. Adding to our gut microbiota. Probiotics are live bacteria that some evidence indicates can confer health benefits when consumed in adequate numbers.

Some bacteria used in fermentation are known probiotics (or are similar to probiotic species). If fermented foods and beverages contain live microorganisms when consumed, a relatively large number of these organisms apparently make it through the human digestive system alive. “During the last decade, the number of studies has exploded regarding gut microbiota and their impact on the health of not only the gut but also the brain, heart, and immune system,” says Blumberg.

2. Changing existing compounds. In fermentation, the microorganisms break down food constituents. This process may have health benefits. For example, in fermented vegetables certain bacteria help convert health-promoting flavonoids into a more readily-absorbed form.

In dairy products, the bacteria break down lactose, making yogurt and cheese easier for lactose-intolerant people to digest.

3. Creating new compounds. Fermentation may create new compounds that have health-promoting actions in the body.

For example, one common result of bacterial fermentation is lactic acid (lactate), which recent research indicates is involved in anti-inflammatory and possibly antioxidant processes.

Other strains of microorganisms actually synthesize B vitamins or vitamin K; discourage “bad” bacteria from taking hold in the gut; or produce molecules not found in the original form of the food that play a variety of potentially health-promoting roles in the body.

4. Deactivating undesirable compounds. In addition to creating (mostly) desirable compounds in foods, fermentation can also remove undesirable compounds. In some plant foods, so-called anti-nutrients like phytic acid bind to nutrients like iron and calcium, decreasing the amount of these nutrients available to be absorbed by the body.

Fermentation can reduce phytic acid levels, which frees up more nutrients for absorption. Additionally, some food components are typically fermented in the gut by gut bacteria. This can create gas and trigger digestive problems. Fermenting foods before consumption leaves less work for gut microbes, and may help ease digestive problems such as irritable bowel syndrome.

5. So far, there is not a lot of clinical data backing up the potential health benefits discussed above, or the health claims often attributed to fermented foods.

But tasty foods like yogurt, hard cheese, the fermented yogurt drink kefir, cabbage-based sauerkraut and kimchi, or the increasingly popular fermented tea kombucha are delicious ways to add nutritional variety to your overall dietary pattern.

Of course when we say “yogurt,” we mean the plain, unsweetened product, to which you control the additional fruits and sugar content. The presugared/fruit purée style is not a healthy choice. Look for a yogurt with more grams of protein than in carbohydrates (Greek usually fits the healthier choice).

The same goes for other milk products, or any prepared food or drink. If it has added sugars, leaving it on the shelf is the best way to keep it from showing up on your own body. If you have a body like mine, these sugar bombs explode in one perturbing place, every single time, as if there were a hidden sugar magnet inside my body! Every. Single. Time.

Yet we can do this! I keep weighing my food, keep a food diary, and exercise. I realize 30 minutes a day doesn’t seem to be enough to lose weight, but it is enough to keep my blood sugar and blood pressure in check. I either have to work less and workout more, or accept 2/3 of my efforts are good enough for someone in the later years of her life.

I’ll probably be working on the last 1/3, just because I can’t rest until I get it ALL. This means I need to cut back on some of my “working.” I’m going to post more monthly on this blog than every two weeks from now on. My Facebook Cornie’s Kitchen page will get more frequent posts.

Joy and peace, Cornie.

Tufts Nutrition Letter, Articles, November 2018 Issue

https://www.nutritionletter.tufts.edu/issues/14_11/current-articles/Fabulous-Fermented-Foods_2487-1.html

WHY IS FAT SO POPULAR?

TRUTH!!

Why do we choose the food on our plates? Some of us eat traditional foods from our childhoods, our cultures, or our homelands to connect us with our history and our stories. Others of us may choose alternative menus, to change our story line or to rewrite a troubled or fraught past. In this way, “what we eat proclaims who we are,” even as it nourishes the person we are becoming in the flesh.

Yet the extreme carnivore fat shamers have no problem what so ever in singing the praises of a huge, fat riddled hunk of ribeye steak, preferably rare, and eagerly devoured as a testimony to their peak powers and dominance traits. They often mention bitcoin’s luster or their own wellness ventures if the conversation goes much past hello. I’ve often wondered if the inanimate aspect of the slab on the plate allows them to connect more deeply with their food than they can with an actual human being, who has feelings and might speak back. Better to devour both of these, and stay unaffected by the outer world’s complexities.

However, the world always intrudes. We find no sanctuary, for we tear down the very walls which we build about ourselves. If we choose the extreme course, we’re on a path to self destruction, unless we change our lives. The ancient Greeks were wise to say, “The middle path is safest and best.”

Our choice of menus, diets, or eating plans is also a form of tribal signaling, as we send out signs for others to recognize and to respond accordingly. Fat shaming is a negative form of signaling by those who overvalue outward appearances. Those whose bodies are overly generous in size need to disregard this crowd’s disgust. Instead, discovering their personal value and worth is more important so they can be proactive about their own health. To enjoy life, to live as well as possible, and to be a blessing to our family and the community, is important for each of us.

WHAT IS TRUTH?

With all the competing claims out in the world today, how can we know what is truly healthy for the long haul? Since anyone can get on the internet and make any claim they want, until someone gets hurt and the legal process shuts their scam down, how do we sort out these “Truth Claims?” The accepted way is a RCT, or randomized controlled trial, which enrolls a large number of persons and follows them over many years. This is the “gold standard” of science, rather than “I use it and it works for me, plus listen to these testimonials!” In between is the single paper, not published in a major journal, with only a small sample of 50 to 100 subjects studied for a brief period. (If someone still believes “all these truths are equal,” I may know a friend with a friend with seashore property in Arizona to sell you, but I’d recommend a lesson in logic first.)

The Lancet Public Health Journal, August 18, 2018, published a major prospective cohort study and meta-analysis of dietary carbohydrate intake and mortality. The study followed nearly 16,000 adults in 4 different US communities for 25 years and they added in published research results from 7 multinational prospective studies. They did some big number crunching, so if you want to read the whole paper, the link is at the bottom of the page. It is a real RCT study, and deserves space for commentary.

MORTALITY AND FAT SOURCE

As the wag says, “men live longer if they don’t mention the extra weight their sweet cake is carrying on her hips.” It must be true–Neil DeGrasse Tyson’s photo is connected to this quote (meme worthy, for sure!).

When my mother made meatloaf, it had breadcrumbs and an egg to bind it together. She laid two strips of bacon on top of the loaf in the pan so it would get extra flavoring. Today people wrap the entire meatloaf in two pounds of bacon before they grill it on the outdoor BBQ pit. That pork fat goes into the food we eat and stays in the arteries to clog those vessels. We might be able to live higher on the hog than our parents, but we won’t live longer, not even with a good medical plan.

LIFE EXPECTANCY AND INCOME

Fifty years has passed: we eat worse, exercise less, and we our life expectancy has quit increasing. Back in 1966, men and women could live on average to age 67 and 73. Now those numbers are 76 and 81 in 2016. Back in 1933, men could expect to live to age 61 and women to 65. At least we aren’t going back to those “really good old days” when life was harsh, medicine lacked modern advances, and sanitation was poor.

Today poverty often impacts life expectancy due to food deserts in neighborhoods, lack of health insurance, and low incomes. The wealthy live longer. The poor in some cities — big ones like New York and Los Angeles, and also quite a few smaller ones like Birmingham, Ala. — live nearly as long as their middle-class neighbors or have seen rising life expectancy in the 21st century. But in some other parts of the country, adults with the lowest incomes die on average as young as people in much poorer nations like Rwanda, and their life spans are getting shorter.

CHOOSE YOUR FAT WISELY

This Study of Dietary Carbohydrate Intake and Mortality explored how the source of fat affected deaths in the group. The more meat fat a person ate, the more it impacted their life span for the worse (table 2).

The low-carb group was split into two separate groups:

1. The plant-based low carbohydrate dietary score was associated with higher average intake of vegetables but lower fruit intake (appendix p 11).

2. By contrast, the animal-based low carbohydrate dietary score was associated with lower average intake of both fruit and vegetables (appendix pp 9, 10).

3. Both low carbohydrate diets were associated with higher fat intake in exchange for carbohydrate, although the plant-based low carbohydrate diet had higher average polyunsaturated fat and lower saturated fat intake compared with the animal-based low carbohydrate diet (appendix pp 9–11).

ANIMAL FATS VS. PLANT FATS

People choosing an animal-based diet had an overall, higher, total protein intake. Five foods differed most significantly between the highest and lowest quantiles of animal-based and plant-based low carbohydrate dietary score (appendix p 9):

1. The animal-based low carbohydrate diet had more servings per day than did higher carbohydrate diets of beef, pork, and lamb as the main dish; beef, pork, and lamb as a side dish; chicken with the skin on; chicken with the skin off; and cheese (appendix p 10).

2. The plant-based low carbohydrate diet had more servings per day of nuts, peanut butter, dark or grain breads, chocolate, and white bread than did higher carbohydrate diets (appendix p 11).

3. Both low carbohydrate diets were lower in average regular soft drink intake (appendix pp 10, 11)

DEATH BY GIANT RIBEYE STEAK

Exclusionary diets, unless for medically necessary reasons, are not the best choice. Just because we want to jump off a cliff doesn’t mean we should do this! Someone who wants to eat only white food, as my child did for a time, is going through a phase. An adult who won’t eat anything white is missing out on some food groups, or doesn’t want to spend the time learning about food. If we have time saving machines all around us, why don’t we have the time to care for our embodied selves in this spare time? Do we value our work more than the worker? This devaluation of people is a slippery slope to other ills, not only to self harm but to disparagement of others or outright hatefulness.

1. In the ARIC cohort and in meta-analysis, increased consumption of animal-based protein and fat instead of carbohydrate was associated with a significant increase in all-cause mortality (table 3). Eat more animal fat and die sooner.

2. Alternatively, increased consumption of plant-based protein and fat instead of carbohydrate was associated with a significant decrease in all-cause mortality (table 3). Trade animal fats for healthier plant fats from nuts and seeds, such as olive oil. Use in moderation.

3. The animal and plant-based findings were consistent for cardiovascular and non-cardiovascular mortality (appendix pp 3, 4). Both heart disease and other diseases are made worse by animal fats. Let’s eat leaner, greener, and add more plants into our menus.

4. Similarly, in the meta-analysis, mortality increased when animal-derived fat and protein were substituted for carbohydrate, and decreased when these substitutions were plant-based (table 3). Eating more plants would do us better.

THE SWEET SPOT

The model for carbohydrate caloric intake is about 50% of total calories per day. It seems to be a sweet spot for life expectancy. In the diabetes world, most of us work to control our blood glucose readings by diet, so many of us will reduce our carbohydrates until they’re minimal at best. We may get good readings on our glucose meter, but what about our heart health? We don’t have a home health test for this. Since people with diabetes also have high rates of heart disease, we need to think of our whole body as one interconnected system, and not focus only on one symptom. We are complex and wonderful, so finding a balance for our finely tuned instrument is important.

ALL CARBS ARE NOT EQUAL

What carbohydrates we choose are another factor. If we think a bag of potato chips is equal to a baked potato in calories and nutrition, we have another think coming. Learning to read nutrition labels might cure us of this delusion. In the meantime, avoiding the snack aisle at the grocery store can keep us from bringing this ersatz food product into our home.

In “Dietary Fats and Cardiovascular Disease: A Presidential Advisory From the American Heart Association Clinical,” the trials that used polyunsaturated fat to replace saturated fat reduced the incidence of cardiovascular disease. In contrast, trials that used mainly carbohydrates to replace saturated fat did not reduce CVD.

CHOOSE CARBS WISELY

However, the types of carbohydrate-containing foods were often unspecified and typically included sugar and other refined carbohydrates to maintain energy balance. When carbohydrates from whole grains replace saturated fat, evidence from prospective observational studies indicates reduced CVD. The two best interventions for menu modification are DASH and the Mediterranean Diet.

LIFESTYLE MODIFICATION

The other way we can help keep our blood sugar in range is lifestyle modification. This is the most difficult of changes most of us have to make. Exercise, meditation, journaling, adjusting recipes, cooking meals, making menus, and setting a bedtime or wake up schedule all seems like too much at once. Of course it is! And if it were easy, everyone would be doing it, no one would blog about it, and there’d be no great 25 year long studies to tell us not to wrap two pounds of ground beef in two more pounds of fatback bacon.

Actually, Aristotle, the Ancient Greek philosopher, spoke about the “golden mean.” Moral behavior is the mean between two extremes: at one end is excess, and at the other deficiency. Find a moderate position between those two extremes, and you’ll be acting morally, or rationally. This was his goal in life.

If we were to pick only one of these lifestyle modifications per week to work on, then in the next, do another one the best we can, and do on in the following weeks. Soon we’d all be more comfortable with the routine, and all of us would be doing them all without even realizing it. This is how you sneak in your learning! Before you know it, you have a transformed life. No one waved a magic wand over you, but you grew into your grown up shoes slowly but surely.

Best wishes for a better life, with more exercise and more joy!

Love, Cornie.

The Lancet Public Health Journal, August 18, 2018

https://www.thelancet.com/journals/lanpub/article/PIIS2468-2667%2818%2930135-X/fulltext

Dietary Fats and Cardiovascular Disease: A Presidential Advisory From the American Heart Association | Circulation

https://www.ahajournals.org/doi/10.1161/CIR.0000000000000510