making sense of nutrition

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Nutrition @ DEAKIN Making Sense of Nutrition 1 Associate Professor Tim Crowe School of Exercise and Nutrition Sciences Deakin University [email protected] www.facebook.com/ thinkingnutrition @CroweTim www.thinkingnutrition.com.au

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Covering the myth behind heavily marketed 'superfoods', what the real 'superfoods' are to have in your diet, and how best to eat for health in the workplace.

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Page 1: Making Sense of Nutrition

Nutrition @ DEAKIN

Making Sense of Nutrition

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Associate Professor Tim CroweSchool of Exercise and Nutrition Sciences

Deakin University

[email protected]/[email protected]

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On today’s menu• Superfoods or Supermyths: the truth behind

the branding of foods as ‘super’

• Top Foods to Consume: what’s on your list?

• Nutrition at work

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Nutrition and HealthAfter smoking and excessive drinking, diet has

the most profound influence on long-term health

Heart disease, hypertension, osteoporosis, stroke, diabetes, and cancer all have major

nutrition implications in the prevention, causation and management

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82 Causes of Obesity and Counting

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The Putative 82 Causes of Obesity. www.downeyobesityreport.com/2013/02/the-putative-82-causes-of-obesity1. Agricultural policies2. Air conditioning3. Air pollution4. Antibiotic usage at early age5. Arcea nut chewing6. Assortative mating7. Being a single mother8. Birth by C-section9. Built environment10. Chemical toxins11. Child maltreatment12. Competitive food sales in schools13. Consumption of pastries and chocolate14. Decline in occupational physical activity15. Delayed prenatal care16. Delayed satiety17. Depression18. Driving children to school19. Eating away from home20. Economic development21. Endocrine disruptors22. Entering into a romantic relationship23. Epigenetic factors24. Family conflict25. First-born in family26. Food addiction27. Food deserts28. Food insecurity

29. Food marketing to children30. Food overproduction31. Friends32. Genetics33. Gestational diabetes34. Global food system35. Grilled foods36. Gut microbioata37. Having children, for women38. Heavy alcohol consumption39. Home labour saving devices40. Hunger-response to food cues41. International trade policies (globalisation)42. High fructose corn syrup43. Lack of family meals44. Lack of nutritional education45. Lack of self-control46. Large portion sizes47. Living in the suburbs48. Living in crime-prone areas49. Low levels of physical activity50. Low socioeconomic status51. Market economy52. Marrying in later life53. Maternal employment54. Maternal obesity55. Maternal over-nutrition during pregnancy56. Maternal smoking

57. Meat consumption58. Menopause59. Mental disabilities60. No or short term breastfeeding61. Non-parental childcare62. Overeating63. Participation in supplemental nutrition assistance programs64. Perception of neighbourhood safety65. Physical disabilities66. Prenatal maternal exposure to natural disasters67. Poor emotional coping68. Sleep deficits69. Skipping breakfast70. Snacking71. Smoking cessation72. Stair design73. Stress74. Sugar-sweetened beverages75. Trans fats76. Transportation policies77. Television set in bedrooms78. Television viewing79. Thyroid dysfunction80. Vending machines81. Virus82. Weight gain inducing drugs

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• A food with a high phytonutrient content (e.g. antioxidants, fibre, selenium,omega-3s etc.) that may offer health benefits

• Has no meaning amongnutrition scientists

• No legal definition• More an over-used marketing tool

What is a ‘Superfood’?

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Common ‘Superfoods’• Blueberries• Pomegranates• Wheatgrass• Goji• Noni• Mangosteen• Açai

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• Broccolli• Garlic• Pumpkin seeds• Tea• Soy• Coconut oil• Spirulina

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Goji Berries• Widely grown in Asia, though most marketing

focusses on Tibetan cultivars• Most research is in cellular and animal studies with

extrapolation made to humans• Claims relate to anti-cancer activity, ageing, vision,

insulin resistance and infertility• Few clinical trials of any quality in humans – most

only show improvements in anti-oxidant markers and subjective feelings of ‘well-being’

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Goji• Common claims they have the highest level of

vitamin C of all plants (up to 500-times an orange!): completely false as has same vitamin C content as an orange

• “18 amino acids”• “Life extension” claims

• Can interfere with blood-clotting medications and increase bleeding risk

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• Cherry-sized purple berry fruit of the acai palm• Lab studies suggest it may have anti-cancer and anti-

inflammatory effects, as well as a possible use in treating heart disease

• No human studies on its health effects yet published• “Six times the antioxidant level of blueberries“• “It is a poster child of the power of the Internet to

promote products for which only limited phytochemical and pharmacological information is available” Heinrich M et al. Phytochemistry Letters 2011;4:10-21

Acai

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Wheatgrass• Claims: Blood cleanser and ‘detoxifier’

attributed to the 'natural plant enzymes‘and the chlorophyll content of the freshly-juiced grass

• Common claim that 30 mL shot of wheatgrass juice is equivalent to a kilogram of vegetables is a complete myth – has similar nutrient content to broccoli and spinach

• Floret of broccoli, or tablespoon of spinach, contain more folate and vitamin C than 30 mL of wheatgrass juice

• Chlorophyll is not absorbed by the body, requires sunlight for activation, and its supposed high levels are no higher than other green vegetables

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Antioxidants

• Found in foods (especially fruit andvegetables) that protect the bodyfrom the harmful effects of free radicals

• Free radical damage linked to development of cancer, heart disease, Alzheimer’s and Parkinson’s, and is linked to the aging process

• Vitamins C, E and beta-carotene are the main vitamins with antioxidant properties are

• Other compounds also demonstrate antioxidant properties e.g. selenium and lycopene

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AntioxidantsTotal antioxidant capacity (TAC) measured using ORAC

(oxygen radical absorbance capacity) test

13Wu et al. J Agric Food Chem. 2004;52:4026-4037

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An Apple a Day

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Why buy them?• ‘Superfruit’ juices contain a range of nutrients, but

marketing spin vastly exaggerates their health benefits• Typically sold at high cost through multi-level marketing• Until better scientific evidence arises, cheaper and

wiser to get antioxidants from ‘traditional’ fruit and veg sources

Since July 2007, marketing of products as "superfoods" is prohibited in the EU unless accompanied by a specific medical

claim supported by credible scientific research

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Top Foods to Consume

Literally thousands of natural chemicals in foods that can affect our health

There is no one ‘superfood’

Think ‘super diets’ instead

Rather than focus on the effect of a single nutrient, focus on the total effect of food to health

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10. Yoghurt• Great source of calcium

• Low in fat and high quality protein

• Source of ‘good’ bacteria

• ‘Reduced-fat’ yoghurt may have more calories than regular yoghurt – check the labels!

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9. Lean Meat

• High-quality protein • Great source of zinc, iron and

vitamin B12• Choose lean cuts and grill or fry in a minimum

of oil and avoid charring• Eat less than 500 grams (cooked weight per

week)

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8. Dark Chocolate• Dark chocolate has typically 2-3 times

more cocoa as milk chocolate• Rich source of flavanols which are potent antioxidants• Clinical trials show it can

– ↓ blood pressure,– ↓oxidation of LDL-cholesterol– ↑blood flow (by causing relaxation of the muscles lining

blood vessel walls)– Improve the action of insulin

• Some evidence that regular eaters of cocoa- containing foods have lower rates of CVD

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7. Tomatoes

• Contain a powerful antioxidant – lycopene• Found in red/orange coloured fruit and veggies• May offer protection against prostate cancer

• Cooking makes the lycopene more available to the body (especially with a small amount of oil)

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6. Soy

• High-quality protein• Contains ‘isoflavones’ that have weak estrogen

activity• Lower breast cancer risk and good for post-

menopausal symptoms???• Soy found to lower LDL-cholesterol• Better evidence for soy than isoflavone supplements

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5. Tea

• Rich in flavonoids (a class of polyphenols that have antioxidant activity)

• May slow cancer growth and lower heart disease• Black and green tea both good, though greater

evidence for green tea for heart disease• Some evidence of anti-depressant effects• Good source of ‘water’

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4. Nuts and Seeds• High in ‘good’ mono- and poly-

unsaturated fat• High in vitamin E• Good source of fibre and protein

• Associated with favourable body weight outcomes• Linked with CVD and diabetes protection

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3. Oats

• Good source of protein andB-group vitamins

• Low in fat

• Great source of fibre (important for keeping blood sugar and cholesterol levels under control)

• Help with feelings of ‘fullness’ after a meal

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2. Fish• High in ‘omega-3’ fatty acids• Good sources: salmon, herring, sardines and

capsules• Edible bones for calcium• Offers protection against:

– Heart disease (stops blood from clotting, improves heart beat rhythm, lower blood fats)

– Rheumatoid arthritis (anti-inflammatory)– Mental health: depression, ADHD– Dementia , Alzheimer’s

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1. Cruciferous Vegetables

• Broccoli, cauliflower, turnips,Brussels sprouts, kale, bok choy,cabbage, and radishes

• Broccoli: vitamins A, C, B group, and fibre

• Potent cancer protection: inactivate cancer-causing molecules and act as antioxidants

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Long Work Hours affects Health

Higher risk of:– Obesity– Heart disease– High blood pressure– Poor eating habits– Mood changes– Sleep deprivation– Stomach upsets

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Long Work Hours? How to Eat Well

• Need to still aim for ‘3-meals per day’• Main meal should have a good protein portion (can

help with alertness)• Avoid heavy meals late at night• Coffee only in the first half of the day• Stick with ‘lighter’ food high in carbohydrate before

bed

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Eating Well On-The-RunPlanning ahead the key

– Cook in bulk with pre-made meals ready to go– Leftovers are your friend– 3 out of the 5 food groups

Meal and Snack Ideas– Canned gourmet tuna– Trail mix– Boiled eggs– Soups for one– ‘Snack right’ biscuits– Yoghurt– Dips and pita bread

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Beating the Mid-Afternoon Slump

• Tied to the brain’s circadian rhythm and is ‘hard wired’ into the human body

How to reduce it? • Eat a combination of protein and carbohydrates for lunch

(e.g. tuna sandwich)• Protein helps block serotonin (relaxation hormone)

production caused by carbohydrate foods

• Get moving. A walk or even 10 minutes of stretching at your desk improves blood flow and increases energy

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• Eat breakfast• Vitamin D• Fish• Eat like a Mediterranean• Keep the carbs, but choose the ‘smart’ ones

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Water, Water Everywhere….

The functions of water:• Role in regulating body temperature• Carries nutrients throughout the body • Eliminates waste and toxins from the body

• Dehydration is a trigger of daytime fatigue• Dehydration can lead to heat exhaustion and possibly

heat stroke, which can be fatal

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A Deeper Shade of Yellow

1-3: Well hydrated

4-8: Need to drink more

9: See a doctor!

9www-nmcphc.med.navy.mil/downloads/HP/Nutrition/Urinekleurenkaart.pdf

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How many different foods do you eat each day?

30 is the target

Average Australian eats between 15 and 18

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Tips for Food Variety• There are approximately 50 different types of

fruits and vegetables available any time of the year

• Go nuts for nuts• Choose recipes with lots of ingredients• Alternate your breakfasts

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