Seasonal Affective Disorder

For all of my followers in the northeast United States, it’s that time of the year again!

The sun is rising late and setting early, the sky is cloudy, and the temperature is dropping. All this can contribute to a condition known as Seasonal Affective Disorder (S.A.D.).

S.A.D. affects about 6% of the United States every year. Common symptoms may include oversleeping, low energy, carb cravings, poor focus, social withdrawal, lack of pleasure, and hopelessness.

It is believed that S.A.D. is caused by a lack of sunlight, resulting in a skewed circadian rhythm and lowered serotonin levels.

Fortunately, there are many things one can do to combat symptoms and improve their emotions and outlook.

The first step is to purchase a “lightbox” for light therapy. These emit a much brighter and whiter light than typical lamps. Exposure to this bright light, particularly first thing in the morning, will simulate the sunrise, improving serotonin production and establishing a healthy circadian rhythm.

I am in the process of purchasing such a light source and will provide a review of my personal experience with this protocol.

The second recommendation is to stay active. Find 30 to 60 minutes every day for exercise. Exercise is known to improve mood by providing a sense of success as well as releasing endorphins in the brain.

The last recommendation I can make is to eat healthy. This means starting your day with a large serving of protein and ending your day with a moderate serving of carbohydrates such as sweet potatoes or fruits. Adequate protein in the morning, and throughout the day, will provide the body and brain with amino acids necessary for healthy cognitive function and stable emotions. Carbs at night will help induce sleep and up-regulate serotonin production. Eat fewer carbs throughout the day to avoid blood sugar crashes, causing lethargy and furthering negative emotions.

Many people find success with certain supplements. I personally have tried 5-HTP (a serotonin precursor), GABA (a dopamine precursor), and melatonin (the brains natural sleep chemical). Thus far, the melatonin seems to be the most effective, but only at regulating proper sleep-wake cycles. I noticed no results from any other supplement, regardless of timing or dose.

I do increase my supplemental Vitamin D in the winter from 2,000 to 5,000 or 10,000 a day. I don’t notice a direct result from this but I’m lucky if I get 5 minutes of direct sunlight a day when the temperature drops below freezing. Sunlight is our only significant source of vitamin D, and low levels have been linked to depression as well as many physical conditions.

Finally, there is always the option of medications. If feelings of hopelessness or despair become strong enough, visit a doctor to discuss further options.

I will post a follow up after I experiment with light therapy / dawn simulation for a few weeks. Try these tactics and let me know if you have some of your own!

SAD

Meal Comparison, Part 3: Dinner

Today’s post will be the last side-by-side comparison of a Standard American Diet (S.A.D.) meal and a grain-free, unprocessed meal.

For Part 1, a breakfast comparison, click here. For Part 2, a lunch comparison, click here.

The healthy American dinner consists of:

Pasta1 cup whole wheat pasta (enriched)

1 cup generic tomato sauce

2 ounces low-fat ground turkey

1 cup skim milk (fortified & fortified)

1 brownie (using a recipe recommended by Ellie Kroger, Registered Dietician)

The whole foods meal contains:

Burgers

8 ounces ground beef (grass-fed)

½ avocado

1 cup asparagus

1 large sweet potato

Both meals provide 650 calories.

First, let’s look at the macronutrients and fatty acid profile:

. Total Carbs Fiber Net Carbs Protein Sat Fat Mono Fat Omega 3 Omega 6
S.A.D. Dinner 90 10 80 25 5 5 250 12500
Whole Foods 45 15 30 45 10 17 500 2000

As we saw in the previous comparisons, the S.A.D. meal provides almost 100 grams of carbs with only 10 grams of fiber and very little healthy fat. Even adding sweet potato to the grain-free dinner results in only 30 net carbs, fewer than half the carbs in the Standard American dinner.

The whole foods dinner offers a more adequate amount of healthy fat, particularly saturated and monounsaturated, aiding in absorption of vitamins, providing a stable energy source, and maintaining healthy cells.

Finally, the omega-3 to omega-6 ratio, which should ideally be close to 1-to-2, is 1-to-50 in the Standard American Diet meal. The tomato sauce and “healthy” brownie both contain canola oil, molecularly the same as corn oil, causing inflammation and cardiovascular disease.

Next is the vitamin content of both meals:

. Vit A Vit C Vit D Vit E Vit K Vit B6 Vit B12 Folate
S.A.D. Dinner 4500 20 0 3 30 0.5 1 50
Whole Foods 27000 42 0 7 83 2 5 180

No surprise here! Vegetables, meats, and healthy fats provide far more vitamins than refined grains, diary, and oils.

Finally, the mineral content of each meal:

. Calcium Iron Magnesium Potassium Zinc Copper Manganese Selenium
S.A.D. Dinner 570 5 150 1500 4 0.5 2 55
Whole Foods 130 10 150 2000 13 1 1 36

If you recall the previous comparisons, you’ll remember that grains and dairy provide more of certain nutrients.

The Standard American Diet provides more Manganese and Selenium, and ties for Magnesium. However, just a handful of nuts would close this gap and set the whole foods meal ahead in all categories.

In conclusion, the dinner based on whole foods provides more for the body, with less detriment, than the S.A.D. dinner.

I will do one more follow up post totaling the days’ worth of macro- and micro-nutrients. In the meantime, feel free to ask any questions about particular values, foods that may address shortcomings, or if you’d like me to analyze your own meal options.

Thanks for reading!

Meal Comparison, Part 1: Breakfast

Over the last year, news headlines showcased that saturated fat is not dangerous, animal products are not inherently unhealthy, and most of our health problems stem from over-consumption of refined carbohydrates.

However, change takes time. For the last 50 years, the public has been taught to fear fat and cholesterol, and to eat meals built around dense sources of carbs – particularly grains.

The science is now widely available showing that grains disrupt healthy gut function, provide an enormous carb load with few nutrients, and are inflammatory. But even with this information, many people are bewildered by recommendations to choose healthier options.

I can post in-depth articles discussing anti-nutrients, biological mechanisms, and studies…but sometimes a side-by-side comparison is more effective.

So, today I will post part 1 of a series comparing the Standard American Diet (S.A.D.) with a grain-free approach. Each post will compare two meal options, starting with breakfast!

Since I clearly favor a grain-free approach, I have taken the following steps to ensure objectivity:

I picked the healthiest standard breakfast options doctors and dietitians recommend. This includes:

oatmeal1 cup of oatmeal (not instant; fortified and enriched)

1 cup of orange juice (not from concentrate; fortified)

½ cup of skim milk (fortified with vitamins A & D)

1 handful of raisins

For the grain-free breakfast, I picked foods that conventional wisdom would classify as too “high calorie” or “unhealthy”, including:

omelet1 omelet made with 4 whole eggs, spinach, and sweet red peppers

1/2 avocado

1 tomato

2 slices of bacon

Both meals provide 600 calories and take less than 15 minutes to prepare.

After running all the foods through a nutrient spreadsheet, here are the total offerings of each meal:

Meal Carbs Fiber Protein Sat Fat Mono Fat Omega 3 Omega 6
Standard Breakfast 136 9 15 1 1.5 50 2000
Grain-Free Breakfast 25 13 35 10 20 1300 3500

The oatmeal breakfast provides a major carb bolus, with very little fiber or fat to mitigate the resulting blood sugar spike. At over 100 grams of sugar per meal, it’s no surprise that almost 30 million Americans suffer from diabetes.

These carbs also increase small, dense LDL, causing atherosclerosis. Meanwhile, the grain-free breakfast provides 13 grams of fiber, along with 10 grams of saturated fat and 20 grams of monounsaturated, both raising HDL, or “good” cholesterol.

I included a column for omega 3 and omega 6. These are both essential fats, but O-3 has an anti-inflammatory affect while O-6 causes inflammation, increasing the risk of cardiovascular disease.

Historically, humans consumed a 1-to-2 or 1-to-4 ratio of O3-to-O6. The oatmeal breakfast skews this massively, with a ratio of 1-to-40, while the omelet and guacamole is more ideal (1-to-3).

Clearly the grain-free breakfast is healthier in terms of cardiovascular function, inflammation levels, and blood sugar control. But what about vitamin content?

Meal Vit A Vit C Vit D Vit E Vit K Vit B6 Vit B12 Folate Choline
American Breakfast 2700* 125 50* 0.4* 3* 1 0.5 280 70
Grain-Free Breakfast 10000 250 70 8 184 2 3 330 560

Once again, the omelet, bacon, and guacamole trump the oatmeal and fruit in every category!

You’ll also notice an asterisk in the vitamin A, D, K, and E categories. The oatmeal breakfast offers less of these vitamins but also lacks the fat and cholesterol necessary to activate and absorb these 4 fat-soluble vitamins.

The American breakfast offers far less B vitamins, and folate, which is problematic since carbohydrates use up B vitamins in their processing. It is common for Americans that don’t consume enough animal products, yet eat a large amount of grains, to require vitamin b supplements and sometimes even injections.

Finally, let’s look at the minerals offered by each meal:

Meal Calcium Magnesium Phosphorus Potassium Zinc Copper Manganese Selenium
American Breakfast 500* 160 590 1300 2.9 0.5 2 24
Grain-Free Breakfast 170 120 600 1700 4.4 0.8 0.8 75

The oatmeal and fruit offers more in 3 categories! Grains are an excellent source of magnesium and manganese, while dairy provides a substantial amount of calcium.

I have once again put an asterisk next to calcium. Dairy and grains create a very acidic environment in the body, potentially leaching calcium from the bones.

The omelet and guacamole offer more minerals in total…but a daily serving of nuts may help shore up the few shortcomings.

As evidenced by this side-by-side comparison of a Standard American Diet breakfast, and a breakfast based around plants, animal products, and healthy fats, grains are not necessary.

There are a few minerals that are more abundant in grains which may support an argument for their occasional inclusion, but the idea that we should eat 6 to 11 servings a day is ludicrous.

Whether we look at carbohydrate load, inflammatory factors, or nutrients, grains clearly are not the “heart healthy” option we have been told.

Next time you’re contemplating what to make for breakfast, crack a few eggs and fry up some bacon – I’ve never heard someone complain that these foods aren’t more tasty…and now we know they are healthier too!

5 More Health Tips

This week I think I’ll get back to my “5 Health Tips” series I started many months ago.

These are simple steps that won’t take too much time, or cost much money, but can significantly improve your health.

  • Download f.lux on all your computers. This is a program that adjusts the light on your computer according to time of day. As the sun sets, the screen will emit less white and blue light, transitioning to yellows and oranges. This will allow your body to maintain its natural production of serotonin and melatonin, contributing to healthy sleep
  • If you are seated most of the day, try to take 30 second breaks every 15 minutes to walk, stretch, or simply adjust your sitting style. Sometimes I sit on a desk chair, other times on a stability ball…sometimes I kneel, other times I stand. Prolonged sitting can cause postural issues, tight or weak muscles, and even metabolic problems.
  • Practice deep breathing while driving. This means inhaling slowly and fully, expanding all the way to the bottom of your stomach, before letting the air out in a controlled manner. I have started doing this and have experienced a few benefits: it’s very relaxing; it’s good practice for filling the diaphragm; and it makes me a more patient and calm driver.
  • Make your own condiments, sauces, and toppings at home. Most store bought condiments will contain low-quality ingredients (corn syrup, gluten, soy, etc). These foods can prevent you from losing weight, damage your health, and even affect your emotions and energy levels. Believe it or not, ketchup, salad dressing, pesto, and most sauces take less than 5 minutes to make!
  • Limit your “carb” intake to one meal a day. Unless you are a high-level athlete, exercising vigorously everyday, you aren’t burning enough carbs to justify frequent re-feedings. Excess carbs turn to sugar in the blood, causing fat-gain, inflammation, diabetes, cardiovascular disease, and dozens of other health issues. The best time to consume carbs, such as potatoes or fruits, would be within 30 minutes of your workout. The second best time would be with dinner, during your last meal before bed.

The first 3 recommendations are lifestyle tips that you should be able fit into you’re your daily activities. The last 2 are nutritional suggestions that can greatly affect your health and performance.

All this tips have the potential to save you a considerable amount of money when you consider the medical costs resulting from poor health.

So give them a try and let me know how they work for you!

Epidemiological Studies

I spend hours every day reading studies, articles, and researching health-related matters. When I find a new publication or exploration of a topic, I get excited to dive in. That being said, some studies and articles are more useful than others.

One type of study that is used frequently to make health claims and guide public policy is an “epidemiological study”. Epidemiology is the study of a set population, or group of people, to develop correlations or inferences.

The problem is that these do not prove anything. When we find a strong correlation between factors, we should use that as a starting point to conduct further research. An epidemiological study, by itself, should never be the basis for making health policies.

Let me give some examples.

Epidemiology suggests that soy is a healthy incorporation in a diet. This is due to the fact that Asian countries consume high amounts of soy on a regular basis and don’t experience the same health problems as Western nations.

However, no other factors are taken into account.

The soy that Asians consume has not been genetically modified to the same extent as ours, nor has it been grown in soils depleted of minerals. Also, most Asian dishes use fermented soy or the bean in its natural state.

Asian cultures consume more wild-caught fish (high in anti-inflammatory omega-3s), sea vegetables (loaded with vitamins and minerals), and opt for white rice, with less anti-nutrients and gut-damaging proteins than typical “heart-healthy” whole grains such as wheat and oatmeal.

Historically, Asians don’t consume as much processed food as Americans. They don’t cook in corn or canola oil, they don’t have packaged foods at every meal, and they don’t go out to eat as often.

And finally, they are far more active – walking, biking, and taking the stairs as part of daily life.

Because of these factors, we cannot confidently say that the consumption of soy in Asian countries is the cause of their better health.

When we look at soy mechanistically, we find phytoestrogens that have the potential to skew hormone levels, leading to fat-storage and growth of cancer cells. It is extremely high in inflammatory omega-6s. Take into consideration our growing practices, extensive refinement process, and consumption of soy byproducts, and soy consumption in the US no longer seems as safe.

Another example of epidemiology lacking substance:

In March of this year, there was a headline stating: “Animal protein-rich diets could be as harmful to health as smoking”. These news reports were based upon two studies: one epidemiological study of over 6000 adults and one study of mice in a laboratory.

The results of these studies suggested that a high protein diet (over 20% of calories) was “positively associated with diabetes-related mortality”. When you look at the numbers, one person in the “high-protein” group (consisting of over 1000 individuals) died from diabetes.

The lead researcher running this study owns a plant-derived protein supplement company…explaining the claim that only animal-protein is dangerous.

Some other issues:

There was no way to control for protein quality. There has never been a study showing negative outcomes from consumption of wild-caught fish, grass-fed beef, or eggs from pasture-raised chickens.

The mice that experienced growth of cancer tumors were implanted with melanoma cells before the study began. Plus, the study found that high protein consumption was “not associated with all-cause, CVD, or cancer mortality”. Therefore, the protein-cancer correlation was in fact disproved.

Finally, diet was self-reported. The average participant reported consuming 1,800 calories a day…30% lower than the national average. This suggests major under-reporting.

So, even though the study was riddled with flaws, and actually found no increased risk from animal-protein consumption, the results were phrased to dissuade individuals from consuming meat.

To get back to my original point – epidemiology is used too often to prove a pre-existing belief, promote a political agenda, or increase profits.

By itself, epidemiology is no different than trying to claim that the number of birds flying over a particular region somehow determines cancer rates in that area.

Certainly we should use any research tactic available to ask questions and form a hypothesis…but ultimately, we need to examine issues in every way possible.

Once we’ve investigated mechanisms, done cohort studies and some “food-diary” studies with pictures, it’s time to form a hypothesis and conduct a blinded, crossover, metabolic ward trial to draw some real conclusions!
correlation

3 News Articles

I know I reviewed a news article just last week, but this week I wanted to try something new and discuss multiple articles at once.

My hope is to provide more information at a time. Reviewing multiple articles also means I won’t get into the same level of detail – but this may make my postings easier to get through (I know not everyone is as interested in the scientific details and mechanisms).

The first article is about the updated F.D.A. guidelines recommending women that are pregnant or breast-feeding consume at least 8 ounces, or half a pound, of fish a week. This is a major shift in our nation’s guidelines.

Some fish, such as albacore tuna, have high levels of mercury that can be dangerous to women and infants. However, sardines and salmon (that happen to have the highest omega-3 content), will have much lower mercury because they simply do not live as long. As previously mentioned, mercury binds with selenium (found in high amounts in fish) so our bodies will not absorb the mercury.

An interesting thing I learned back in college: in the U.S., we recommend women avoid alcohol and eat vegetables while they are pregnant. However, in France, pregnant women used to be told to consume wine and to avoid certain vegetables such as spinach and broccoli.

As with everything, our knowledge is constantly changing and food producers are powerful enough to influence health recommendations.

Just consume the foods humans were meant to eat, in the quantity that is realistic in nature, and be aware of food sources. This way you will know if it contains more of something (mercury) or less of another (magnesium) than it once did.

The next article goes along with the typical understanding we are slowly coming around to – that saturated fat has no correlation with heart disease.

By now, we know that the science to vilify saturated fat and cholesterol was falsified:

“But as Tiecholz and other critics point out, Keys cherry-picked the seven countries he visited: the United States, the Netherlands, Finland, Yugoslavia, Italy, Greece and Japan.
Noticeably absent? Countries well known for their rich fatty foods but without high rates of heart disease, like Switzerland, Sweden and West Germany.
Based on his study, Keys promoted the Mediterranean diet: a diet high in fruits and vegetables, along with bread, pasta, olive oil, fish and dairy. But Teicholz pointed out that Keys visited Greece during Lent, a time when people abstain from eating meat, which in turn skewed his data.”

But, I also wanted to share this article for another quote:

“Take the 30-year follow-up to the landmark Framingham Heart Study, for example. It is one of the largest epidemiological studies evaluating the roots of heart disease in our country.
In the follow-up, scientists found that half the people who had heart attacks had below-average cholesterol levels. In fact, scientists concluded that “for each 1% mg/dL drop of cholesterol, there was an 11% increase in coronary and total mortality.””

This shows that lower total cholesterol levels increases ones risk of death!

I still think triglycerides, carried by oxidized (small and dense) LDL particles, can be a good predictor of inflammation and cardiovascular risk. However, high total cholesterol, with high HDL and fluffy and benign LDL, is actually protective for the body.

And, finally, the last article I’ll share with you today is comparing the sugar content of fruit juice and sugar.

Sound familiar? Scroll back a few months on my blog and you’ll see a post I had detailing how drinking orange juice is the same as drinking a coke, taking a fiber pill, and a multivitamin. Well, now the mainstream is coming around!

I always stay open to new information, and love to learn when I’m wrong, because it means I’m learning something new…but I do have to pat myself (and my “nutrition guru” peers) on the back occasionally.

Not that staying more up-to-date on research and delving into biological and chemical mechanisms more often than CNN, New York Times, and NPR is any amazing feet – things only make the news when there’s a catchy headline, photo, or agenda!

Well, I hope these 3 articles were interesting and helped provide just a few more reasons to move away from a diet based on processed foods and towards a lifestyle based around nature.

See you next week!