Entries in prevention not prescription (8)

Friday
05Mar2010

Heart Disease in Children?

Last month a topic of discussion at the American Diabetes Association conference was children and heart disease.  Artery autopsies done on children who had fatal accidents showed the presence of fatty streaks.

Although I had knowledge of this phenomenon it still came as a shock to fathom children having fatty streaks and blockages in the arteries.  Isn’t that only supposed to happen to older adults?

I hear from parents – “they only wants pizza, burgers and fries.”  Who’s controlling the food?  When I was growing up I ate what was served without too many questions.  If I did not like a particular item served I was encouraged to have a few “no thank you” bites.  I know things have changed but I have to wonder if the current philosophy of feeding our youth needs an adjustment.

This week’s LA times article “A Sticking Issue with Kids” discusses the Center for Disease Control report which showed that cholesterol abnormalities – i.e. high bad cholesterol and low good cholesterol values – are far more common in children than in past times, particularly overweight children.  The article questioned whether we should start checking children’s cholesterol panels.  Pediatrician’s views are mixed.

Where does the solution start?  Will pediatricians start prescribing statin drugs for children to fix the problem of unbalanced eating and inactivity like we do in adults?

When do we start looking at the cause rather than the symptom?  Taking control of our youth’s health and happiness is having time for family dinners, cooking at home, and making meals from whole unprocessed foods.  Our bodies are happy to get rid of bad cholesterol and avoid making plaque when we feed them “clean’ foods in their natural forms.  Running around on the weekend with our kids and engaging them in outdoor activities is essential to keeping their little arteries supple and healthy.

It’s not too late to start now.  Even if your child is overweight and has high cholesterol studies show a turnaround is possible in as little as 2 weeks.  The body responds quickly to dietary changes.  Act now and start those “no thank you” bites of healthy foods.  Remember, it’s prevention not prescription.

Thursday
25Feb2010

Childhood Obesity starts with Formulas?

Last week’s blog regarding the New York Times article citing bypass surgery for children set off a raw nerve with readers.  Childhood obesity is multi-factorial but can it actually start with the first bottle of formula?

One ingredient to avoid on food labels is high fructose corn syrup or corn syrup.  Many infant formulas list this ingredient as second or third.  Dr. Robert Lustig, a pediatric endocrinologist at UCSF, gave an elaborate lecture on u-tube regarding the consequences of sugar and high fructose corn syrup.  He blew the whistle on the obesity epidemic starting with corn syrup in infant formulas.

Many women are unable to breastfeed for multiple reasons.  A few years ago some of my female clients turned to me for help in selecting an appropriate formula.  After spending many hours online and in the store I only found one or two formulas that came close to something I would recommend.

Besides corn syrup in cow-based formulas there even more issues with soy formulas since they are made with soy protein isolate (SPI).  To make SPI, manufactures take soybeans that are about 90 percent genetically modified, and mix them with a solution to remove the fiber.  This fiber-less soybean is then dried at high temperatures which denature the quality of the protein.  In addition, soy acts like a pseudo-estrogen in the body and it is estimated that an infant fed soy formula receives the amount of estrogen per day in at least 5 birth control pills – not such a great start to life.

Formula makers are now supplementing with the important omega-3 fats DHA and EPA to help the baby’s brain development.  However, the sources of these essential fats can be poor or contain inadequate amounts.

It might be time to demand infant formula makers to make a change-maybe the first step needed in Michelle Obama's campaign against childhood obesity.  Women receive cases of these formulas free in the hospital to encourage usage, unknowingly feeding their babies something which could influence their future health.  It’s time we started preventing obesity from the beginning – rather than prescriptions later.

Friday
12Feb2010

Early Lifestyle Intervention Key to Diabetes Prevention and Metabolic Memory

This year’s annual diabetes conference brought me to San Francisco.  I’ve attended it for the last 10 years, rotating one year in San Francisco and next New York.  Good thing it was in San Francisco since NY was blanketed with snow.

Previous conference years have provided cutting edge research on new therapies and drugs for diabetes.  Research is changing faster than ever which is why I attend.  This year’s theme came as a surprise.

EARLY LIFESTYLE INTERVENTION is the key to metabolic memory!  What exactly does that mean?

Many of us wait until the last possible moment when the doctor states those 3 dreaded words:  “you have diabetes.”  But why wait?  What’s the point of working too much, exercising too little or putting your health on the back burner?  I hear this sentence every day:  “I know I should exercise and work on my food but something always gets in the way.”

Fortunately or not our health does not go on vacation.  The studies clearly show lifestyle is the MOST effective treatment for the prevention of type 2 or adult onset diabetes.

When you eat “clean” or in an anti-inflammatory way and exercise on a regular basis the body builds up metabolic memories.  The great news is that these memories actually get reserved for a rainy day.  A recent diabetes study showed that good control of blood sugars through healthy lifestyle can cut the risk of heart disease in half.  Sounds pretty good to me!

Metabolic memory keeps the healthy and unhealthy behaviors in its memory bank- like credits and debits.  If your body has early healthy metabolic memories/credits it actually prevents and helps your body in the future – even if you have unhealthy behaviors/debits later on.  

Healthy Lifestyle behaviors now prevent later diabetes complications of the heart, kidney, and eyes.

Why mess with your body’s memory?  Why not start developing great health memories this moment?

The resolve to start Monday may come and go and the body’s metabolic memory is ticking away.  It is waiting and ready for you at this moment – the choice is all yours to live in the black.  Remember, it’s prevention, not prescription!

Friday
29Jan2010

Obesity or Childhood Obesity in America - What is the Cause?

We all want to know- what is the cause of obesity in America?  Many years ago I heard a brilliant researcher Rick Mattes, Ph.D, R.D. speak to this subject.  He asked the audience “Is it fat in our diet, inactivity or something else?”  Since we have always had fat in our diet and people throughout the ages have been inactive it is neither one.  So what did Dr. Mattes think was the culprit?  Beverages.

If you look at the graphs of beverage consumption in America, it closely follows the rise in obesity.  When I was growing up all there was to drink was milk, water and the occasional soda at a party.  Now the industry has exploded with every kind of beverage imaginable and unimaginable.  Vitamin water, recovery drinks, sports drinks, mochas, sweet coffee drinks.  You name it – it exists.  And what do they use to sweeten these drinks to cut the price points – high fructose corn syrup, corn syrup and other cheap forms of sugar.  Are our bodies supposed to compensate for all this extra sugar?

In fat, our bodies were made to handle natural sugars attached to the form they were found in, according to Robert Lustig, a pediatric endocrinologist at the University of California-San Francisco.  A good example is fruit:  a natural form of fructose that has fiber built into it.  Nature made a way to help us handle the sugar in a food.  In fact, sugar cane is one of the most fibrous foods you can find and would be impossible to eat a large quantity of.

Dr. Lustig recommends the only beverages we drink are the ones I did when I was a child:  water and milk.  Drinking sparkling water with a squeeze of lemon, lime or orange can be quite satisfying and feel like a treat after your body gets used to natural sweetness, a process that can take several weeks and well worth the effort.

In an elaborate video of the cause of obesity in America and beverage consumption (and well worth your hour of watching) Dr. Lustig clearly outlines why fat is not the culprit.  He elaborately shows how manufactured fructose (a process that takes genetically modified corn to produce a cheap form of sugar for manufacturers to use in their products) in the diet actually causes obesity, heart disease and other diagnosis’ you would rather avoid in your lifetime.

Since the government subsidizes corn, wheat and other products, these manufactured fake foods and beverages are inexpensive to make and buy.  A family can feed themselves inexpensively on these “foods” versus eating fruits and vegetables which have become more costly.  Then, to treat the symptom of putting these manufactured foods in our body, we are prescribed expensive drugs for diabetes, high cholesterol, gout, and arthritis just to name a few.

Why treat the symptom, not the cause?  Why not STOP eating or drinking anything with these manufactured sugars and instead consume natural sweet foods of fruits, vegetables, and foods you find in the farmer’s market, or on the periphery of the grocery store?  Staying away from processed foods can make a huge impact on your health.  Remember, it’s prevention, not prescription!

Thursday
21Jan2010

Telomeres and Omega 3's: Is there a Connection?

This week researchers at the University of California in San Francisco reported results on patients they had studied over 5 years who had a history of heart attacks and/or heart disease.  They were specifically looking at the effects of omega 3 fats on aging and telomere length.

Telomeres are DNA complexes on the ends of chromosomes.  Researcher Elizabeth Blackburn compares telomeres to the tips at the ends of new shoelaces which preventing unraveling.  As the telomeres shorten the ends unravel and this unraveling has been linked with aging.

Individuals who had higher levels of omega 3 fats in their blood had significantly less shortening of their telomeres than those who who had low levels.  The study did not differentiate between food or supplements.

What is the take home message for us?  Many people take multiple medications and/or supplements to prevent aging.  If you eat fatty fish 3-4 times a week you may be adding years to your life.  If fish is not in your diet I recommend you take a good quality fish oil supplement with at least 500-1000 mg. each of the omega 3 fats DHA and EPA.  By eating 1 tablespoon of ground flax seed you will easily be getting  your needs for the third omega 3 fat – ALA.  Remember it’s prevention, not prescription.