Nutrition Archive

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Higher levels of omega-6 fatty acids may lower death rates in older men

A new study found that high levels of omega-6 fatty acids in the subcutaneous adipose tissue—the layer of fat just beneath the skin—correlated with lower death rates among older men. Omega-6s mostly come in the form of linoleic acid, found in plant oils (such as corn, soybean, and sunflower oils) as well as nuts and seeds. Linoleic acid is known to shrink levels of bad LDL cholesterol in the blood, which can contribute to lower incidence of heart disease.

Is eating dried fruit healthy?

Ask the doctor


 Image: lola1960/iStock

Q. I love dried fruit and thought it was healthy. But I hear that you gain a lot of weight eating dried fruit, which is not healthy. What's the truth?

A. The truth is that the actress and comedian Mae West was wrong when she allegedly said "Too much of a good thing ... can be wonderful!" Food contains calories, and eating too many calories-even of healthy foods-leads to weight gain. But there are healthy calories and unhealthy ("empty") calories, and fruit is a healthy source of calories. That's as true of dried fruit as fresh fruit.

Why will the new food labels highlight added sugars?

The new Nutrition Facts labels will list “added sugars” in a serving of food. Until the labels appear, one should look for sugars such as dextrose and sucrose on a label’s list of ingredients.

How to avoid the health risks of too much salt

Stick to fresh foods, and fill your salt allotment from healthy sources like whole-grain breads.


 Image: Michael Carroll Photography

As we reported in August 2016, the FDA is encouraging the food industry to cut back on added sodium in commercially processed and prepared food. It's a good reminder for all of us that too much salt in the diet is risky for health. How much is too much? "It's controversial, although I don't think anyone is in favor of unlimited salt intake," says Dr. Randall Zusman, a cardiologist with Harvard-affiliated Massachusetts General Hospital.

Salt risks

How much is too much?

So what's the controversy about? It centers on how much salt is safe for consumption, and it's still being debated. The American Heart Association recommends a limit of 1,500 milligrams (mg) per day. The FDA recommends a limit of 2,300 mg of sodium per day. The U.S. Dietary guidelines used to recommend a limit of 1,500 mg per day for a wide swath of people (everyone 51 and older, all African Americans, and anyone with high blood pressure, kidney disease, or diabetes), but this year changed it to 1,500 mg per day only for people with high blood pressure, and 2,300 mg for everyone else.

Common sources of sodium

What you should do

It's best to avoid processed food. Choose fresh, frozen (no sauce or seasoning), or no-salt-added canned vegetables, and opt for fresh poultry, seafood, and lean meat, rather than processed meat and poultry.

Krivitsky recommends limiting sodium to 500 or 600 mg per meal, and making sure it comes from healthy sources, like whole-grain breads and cereals.

How can you find out about sodium content? Start reading Nutrition Facts labels. You really can find low-sodium options. For example, one cup of Post Shredded Wheat has no sodium, and half a cup of Prego No Salt Added pasta sauce has just 40 mg of sodium.

Krivitsky also recommends ditching saltshakers and flavoring food instead with spices, such as cumin, rosemary, basil, ginger, or dill; flavored vinegars; and lime or lemon juice. "Low salt doesn't mean less flavor," points out Krivitsky. "It just means less salt."

How about a salt substitute?

When you want to add something salty to food, a salt substitute may do the trick. Substitutes are made from potassium chloride, which is similar to table salt (sodium chloride).

Substitutes fall into two categories: low-sodium or "light" salt, which replaces up to half of the sodium chloride with potassium chloride, and no-sodium or "salt-free" salt, which contains only potassium chloride.

For some people, potassium chloride can leave a bitter aftertaste. People with certain types of heart or kidney disease, or taking certain potassium-retaining medicines, may be told to avoid potassium-based substitutes. For others, potassium chloride is advisable: it not only helps avoid excess sodium, but also helps lower blood pressure.

 

 

 

Magnesium: A mineral you might be missing

A healthy diet is the best way to make sure you're getting enough of this essential element.


 Image: mamadela /Thinkstock

Magnesium probably isn't a mineral that comes to mind when you think about heart health. But a recent report showing that magnesium supplements may modestly lower blood pressure may have left some people wondering if they should head to Whole Foods to buy a bottle of magnesium pills.

"That's what I'm worried about," says cardiologist Dr. Elliott Antman, professor of medicine at Harvard Medical School. The reason? There's far stronger evidence that consuming less sodium will help improve your blood pressure. "I don't want people to think they can stop paying attention to how much salt they're eating if they're taking a magnesium supplement," he says.

The boozy business meal: Costly for your heart?

People who follow a “social-business” eating pattern (marked by frequent snacking and restaurant meals featuring meat, sugary drinks, and alcohol) may be more likely to develop early signs of heart disease than people with healthier diets. 

The benefits of vitamin pills and chocolate

Although theoretically multivitamins and chocolate might reduce the risk of heart disease and some cancers, proof is lacking. A new randomized trial called COSMOS will test whether multivitamin pills and cocoa pills have health benefits.

An easy way to soup up your diet

Soups with healthy ingredients help boost your nutrition. But watch out for extra salt, sugar, fat, and calories.


 Image: Karissa/ Thinkstock

A bowl of soup is comforting and convenient. Make a big batch at home, and you'll have enough for extra meals. Stick to healthy ingredients, and it's an easy way to increase your intake of vegetables, protein, fiber, or even fruit. Maybe that's behind the popularity of soups, which are increasingly showing up as gourmet restaurant fare; in soup "bars" offering rotating varieties; at tiny take-out windows; and in grocery stores.

But this simple soul food has hidden risks. "You must be careful about the ingredients and what you pair with it," says registered dietitian Kathy McManus, director of the Department of Nutrition at Harvard-affiliated Brigham and Women's Hospital.

Choking alert: Strategies for safe swallowing

Therapy, exercises, and changes in eating habits will help keep you safe.


 Image: nyul/ iStock

It used to be so easy to munch a handful of nuts: chew, swallow, enjoy. Now, you avoid them or make sure there's a glass of water nearby when you eat nuts or any other foods that seem to get stuck in your throat. "It's normal to have some age-related changes with swallowing or occasional difficulty swallowing. What's not normal is when food or liquids get into the lungs regularly," says Semra Koymen, a speech-language pathologist at Harvard-affiliated Brigham and Women's Hospital.

Causes and symptoms

Diagnosis

A speech pathologist's evaluation of dysphagia includes an exam of your mouth and tongue, consideration of your medical history and symptoms, and most likely a test in the radiology department called a video swallow study. It's done using a fluoroscopean x-ray machine that takes moving pictures. You swallow a variety of liquids and foods mixed with barium, a substance that shows up on x-rays. "As you swallow, we can see the material move through the mouth and throat and into the esophagus," says Koymen.

Treatment

 

Harvard researchers link “good” fats with longer life

It appears that eating more saturated and trans fats is associated with earlier death, while eating more polyunsaturated and monounsaturated fats is associated with longer life.

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