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An Apple A Day ~ Dr. David Phillips

An Apple A Day

The Role of Antioxidants in
the Endurance Athlete

David B. Phillips, M.D.

Much has been talked about in the sports and science
community about the adverse affects of prolonged and
strenuous exercise as it relates to the production of
free radicals in an athlete’s body. What are these by-
products of aerobic exercise and why are they
damaging to the human body? More importantly, what
role do antioxidants play in neutralizing these damaging
molecules and what can we as athletes do to facilitate
this protective process?

An Apple a Day

The ‘Radical’ Concept
Free radicals are highly reactive species produced
during various molecular processes in the human body.
While environmental factors such as pollution, radiation
and cigarette smoke can spawn free radicals, in this
article we will focus on those free radicals produced
during endurance exercise.

Free radicals are atoms or groups of atoms with an odd
or unpaired number of elections and can be formed
when oxygen interacts with certain molecules. Once
formed, these reactive radicals can start a chain
reaction, similar to a domino effect. In other words,
these compounds attack the nearest stable molecule,
“stealing” its electrons in order to gain stability. When
the “attacked” molecule loses its electron, it becomes
a free radical itself, beginning a chain reaction. Once
the process is started it can cascade, resulting in the
disruption of a living cell. Free radical damage not only
contributes to accelerated aging, it also causes
damage to immune cells. It’s not uncommon for
endurance athletes such as triathletes or marathoners
to have a higher incidence of colds and upper
respiratory infections after competition and intense
training. Free radical damage to cellular DNA plays a
significant role in the evolution of certain cancers,
heart disease and neurological disorders such as
Alzheimer’s disease.

Exercise and Oxidative Damage
Endurance exercise can increase oxygen utilization
from 10 to 20 times over the resting state and up to 100
to 200 times in working muscles. This greatly
increases the generation of free radicals via oxidative
metabolism in skeletal mitochondria. Fortunately, the
body has an elaborate antioxidant defense system that
utilizes dietary intake of antioxidant vitamins and
minerals as well as our body’s own enzyme systems to
decrease concentrations of the most harmful oxidants
in tissues. Regular endurance training has been shown
to enhance our internal antioxidant defense system,
these changes of which occur slowly over time and
appear to parallel other adaptations to exercise. When
free radical production exceeds the ability of
antioxidant enzymes and nutritionally obtained
antioxidants to neutralize them, oxidative stress
results. So, what can we as endurance athletes do to
minimize the damage caused by the inevitable overflow
of free radicals during training and competition?

Fruits and Vegetables:
The Power of the Pyramid!
A recent change in dietary intake of fruits and
vegetables by the USDA has placed a greater emphasis
on increasing our daily consumption from the previous
5-7 servings a day to 7-9 servings and up to 13 servings
or more for endurance athletes! Vitamins C, E, and beta
carotene are the primary vitamin antioxidants.
Previous research looking into the effects of
supplementing our diets with these isolated nutrients
has yielded equivocal results. Once thought to be
beneficial to cardiac health, isolated vitamin E
supplementation has now been questioned. Beta
carotene supplements have been shown to increase
lung cancer in smokers as well as contribute to
thickening of the lining of arteries.

Recent studies now point to the synergistic role of
numerous antioxidants obtained from the consumption
of whole foods such as fruits and vegetables.
Therefore, a diet rich in naturally occurring antioxidants
appears to outweigh the risks inherent to
supplementing one’s diet with isolated laboratory made
supplements. Furthermore, various key trace minerals
such as zinc, selenium and manganese found in
naturally occurring foods are needed for the proper
functioning of various endogenous antioxidant enzymes.

Training Right, Eating Right:
Final Thoughts
The endurance athlete faces a challenge of balancing
daily aerobic exercise with preventative measures that
minimize the damaging affects of oxidative stress.
Clearly, fruits and vegetables rich in antioxidants are
vital to this balance. Many of us may find it difficult to
consume the recommended amounts of fruits and
vegetables to achieve this balance. For those who are
unable to take in enough daily produce, cryoevaporated
fruits and vegetables in capsule form, such as Juice
Plus+, make it possible to supplement what we are not
able to consume when we visit the salad bar.
Antioxidant supplementation helps to bridge the gap
between what we eat on a daily basis (what we know
we should be eating!) and the optimal amount of
phytonutrients needed to combat the damaging effects
of oxidative stress.

As endurance athletes, it is important to be aware of
not only the benefits of aerobic exercise but the
potentially negative aspects training and racing can
have on our bodies and long term health. Finding a
healthy balance between training and proper nutrition
will go a long way in promoting longevity in any
endurance athletic activity.


(Dr. Phillips recently completed the 2005 Ironman World
Championships in Kona; he is a USAT All-American and
the 2004 USAT National Long Course Masters
Champion; he was ranked #1 USAT Southeast Masters
Division 2004 and was also an All-American swimmer at
Harvard University.)


REFERENCES

“Antioxidants: What are They and What Role Do
They Play in Physical Activity and Health?”
Priscilla M. Clarkson, Ph.D.
“The Role of Antioxidant Vitamins and Enzymes in
the Prevention of Exercise-induced Muscle
Damage,” Sports Medicine, 1996; 21: 213-38
“Antioxidants: Role of Supplementation to Prevent
Exercise-induced Oxidative Stress,” Medicine and
Science in Sports and Exercise, 25(2): 232-236,
1993, Feb.
“Oxidative Stress in Endurance Athletes,”
Triathlete Magazine, 256: 74-76, 2005, August.
(Excellent in-depth review of specific nutritional
antioxidants.)

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The Vita Myth ~ Do supplements really do any good?

By Emily Anthes

Deciding what to eat for dinner can be mind-bending. How do we keep track of the ever-evolving recommendations for what to put on, and leave off, the plate? Red meat might cause cancer! But don’t replace it with tofu—soy concoctions might be carcinogenic, too! Don’t even try to figure out where carbs stand this week. And the verdict on coffee, chocolate, and alcohol changes faster than you can order a mocha martini.


Vitamins—with their promise to bridge the gap between the nutrients our bodies need and those they get—have always seemed reassuringly simple: Just pop a multivitamin and let your body soak in those extra nutrients. But not any longer. During the past few years, study after study has raised doubts about what, if any, good vitamins actually do a body. They could even pose some real medical risks.


Half of all American adults take some sort of nutritional supplement. But research on a wide variety of patient populations and medical conditions has failed to find much evidence that multivitamins, the most commonly used of the lot, prevent major chronic diseases in healthy people. The most recent knock came this spring, when a study of more than 160,000 post-menopausal women, published in the Archives of Internal Medicine, found that the all-in-one pills did not prevent cancer, heart attacks, or strokes and did not reduce overall mortality.


Individual vitamins and minerals haven’t fared much better under scientific scrutiny, with research debunking some of the reputed benefits of vitamin B6, calcium, niacin, and others. In 2006, the National Institutes of Health convened an independent panel of experts to evaluate the evidence that vitamins could prevent chronic disease. The scientists ultimately issued a report stating that studies “do not provide strong evidence for beneficial health-related effects of supplements taken singly, in pairs, or in combinations.”


The news on antioxidants, the darlings of the vitamin menagerie, is even more troubling. These compounds, which include vitamins A, C, and E, selenium, beta carotene, and folate, fight free radicals, unstable compounds thought to damage cells and contribute to aging. But not only do antioxidant supplements fail to protect against heart disease, stroke, and cancer; they actually increase the risk of death, according to a 2007 analysis of research on more than 232,000 people, published in the Journal of the American Medical Association, as well as otherstudies.


Exactly why they might increase mortality is unclear, but doctors at prominent research institutions—including New York’s Memorial Sloan-Kettering Cancer Center and Seattle’s Fred Hutchinson Cancer Research Center—have highlighted some unsettling connections between supplemental antioxidants and an increased risk of a variety of cancers. Popping certain kinds of antioxidant pills can feed latent cancers growing in the body, for instance, and reduce the effectiveness of chemotherapy. These observations make a certain intuitive sense, since vitamins and minerals play an important role in the replication of healthy cells—why shouldn’t they be doing the same for cancerous cells? (Feeding mice a diet poor in antioxidants, on the other hand, can actually help shrink their brain tumors.) Scientists are also beginning to suspect that the body may actually need free radicals—which help kill cancer cells, ensure optimal immune function, and regulate blood sugar, among other things—so we shouldn’t necessarily be mopping them all up.


The list of worrisome findings goes on, but it doesn’t seem to have put a dent in the $25 billion supplement industry. Sales are not only robust but rising in the United States. Doctors still recommend multivitamins as part of basic preventative care. Despite the demonstrated risk, as many as 80 percent of cancer survivors swallow a daily dose, according to a study published in the Journal of Clinical Oncology in 2008.


Vitamins have a powerful psychological hold over us. As precautionary health measures go, supplements are easy. Compare the two seconds required to swallow a pill with the constant vigilance necessary to exercise and eat right.And the fact that vitamins are available without a prescription makes them seem safe—even though it probably makes them less so, since they’re not regulated by the FDA as drugs, and manufacturers are not required to prove that they’re effective at treating disease.*


But the risk-benefit calculus has changed. We know more about the risks, and it’s clear that there’s also less potential benefit. During the early 20th century, diseases like scurvy and rickets were common until researchers began to isolate compounds in food—which became known as vitamins—that could altogether cure these ailments. It must have been remarkable to see devastating diseases alleviated with common foodstuffs.


During an era when many people legitimately had nutritional deficiencies, placing your bets on a multi might have been reasonable. But today, of course, actual deficiencies are much less common. Our salt, milk, flour, juice, cereal, and more are all fortified with extra nutrients, and a 2009 study published in the Archives of Pediatrics and Adolescent Medicine suggests that most of the kids who end up taking vitamins in the United States today don’t actually need them.

If vitamins are useful for anything, it’s probably for tapping into our old friend the placebo effect. In a 2008 survey, 38 percent of doctors confessed to recommending vitamins because they believed the pills could promote health purely through the power of positive expectations. Consider a famous 1975 study designed to probe whether vitamin C supplements alleviated colds better than a placebo, an inert lactose tablet. It turned out that it didn’t matter much which pill the subjects were actually taking. What mattered was what they thought they were getting: Those who believed they were taking vitamin C had fewer and milder cases of the sniffles than those who believed they were just swallowing lactose. That would be reason enough to pop a supplement—there are worse things than deceiving yourself into better health—if it weren’t for the emerging evidence that the pills might be capable of causing real harm.


That’s not to say that vitamins aren’t important. Vitamins are critical to all sorts of bodily functions, and we have to get them through diet because our bodies can’t make them on their own. The Office of Dietary Supplements at the NIH recommends that we get certain levels of a variety of kinds of vitamins, and that recommendation is sound. But encouraging us to get a complete suite of vitamins is not the same as suggesting that we get them by popping a pill.


In fact, the reports littering the ODS site seem to converge upon the same point: There is some good news for supplements, but it’s extremely limited. The 2006 NIH panel, for instance, concluded that postmenopausal women should probably take calcium and vitamin D to safeguard their bones; that pregnant women should keep taking folate; and that adults with age-related macular degeneration, an eye disease, should take a combination of antioxidants and zinc. But beyond that, the panel’s strongest recommendation was that scientists conduct further research on the risks and benefits of vitamins. For every study that turns up disconcerting vitamin side effects, there seem to be two more that conclude that we simply don’t know enough yet about supplements to make evidence-based recommendations.


Until we do, we should stop treating supplements like health candy and more like prescription meds, to be used only when there’s a demonstrated need. Doctors should create individualized regimes, tailored to a particular patient’s deficiencies. As for the rest of us, we can put the pills back on the shelf and save our cash for one of those martinis.

Correction,Jan. 8, 2010: This article originally and incorrectly stated that vitamin supplements are not regulated at all by the FDA. (Return to the corrected sentence.)

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Center for Disease Control (CDC)

CDC sets goal to increase fruit and vegetable

consumption for Americans

December 2, 5:26 PMOregon Natural Health Examiner

The Center for Disease Control (CDC) has released the findings of their first study on how many fruits and vegetables Americans are eating within each state. The CDC’s focus on preventative health care rides on the coat tails of research these last few years that points to the overwhelming advantages of a fresh, balanced diet. The research summary for this report states, “Fruits and vegetables are important for optimal child growth, weight management, and chronic disease prevention.”
The research is accompanied by a nationwide program to improve the diets of Americans. This program is set to be released next month as the Healthy People 2010system. It includes sharing information and recipes for preparing fruits and vegetables as they arrive in season to stores and farmer’s markets. The CDC is incorporating the involvement of state officials, health professionals, employers, retail owners, farmers, school staff, and community members increase outreach and make this program a success.
Healthy People 2010 hopes to increase fruit consumption by Americans by 75% and vegetable consumption by 50%. Oregonians needed a little more improvement in their diets. Only 25 -29% of our state’s residents ate vegetables three or more times a day while 30 -34% ate fruit two or more times a day.
The CDC has a user friendly web site designed to encourage the average citizen to get more involved in their dietary choices. The site includes a short quiz to determine how many fruits and vegetables are needed daily for various body types, budget tips, recipes and a fruit and veggie of the month calendar. Clicking on the tab marked interactive tools brings the viewer to a program that analyzes the meal choices that the viewer enters with a simple drag and click of the mouse. Healthy People 2010 is cosponsored by the National Cancer InstituteUSDAFDAAmerican Cancer Society, and the National Council for Fruit and Vegetable Nutrition Coordinators.
Vintage PSA encourages children to eat fruit.

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Phytochemicals in plant-based foods fight obesity and prevent disease, researchers say

(NaturalNews) If you ever feel tempted to go for a cheeseburger, fries and a soft drink, consider this: along with the fast food, you are ordering up an increased risk of heart disease, diabetes and obesity. But the opposite is true, too. According to a new University of Florida (UF) study, if you stay away from processed and fast foods and instead eat a lot of veggies, nuts and fruits, you will actively be helping to prevent or reverse harmful metabolic processes in your body. The result? Better health and a slimmer body.

An important advantage to having plant-based foods as an abundant part of your daily diet appears to result from thephytochemicals they contain. As noted in the UF findings recently published in the Journal of Human Nutrition and Dietetics, these natural substances prevent oxidative stress– a process linked to being overweight and to the onset of diseases including heart disease and diabetes. Phytochemicals include lycopene from tomatoes, isoflavones from soy, beta carotene from carrots, anthocyanins from blueberries, allicin from garlic, and many more.

Without enough phytochemicals and antioxidants to counteract oxidative stress, damaging free radicals cause inflammation and other toxic problems in the body. In overweight people, excess fat tissue and certain enzymes that are more active also trigger the production of excessive free radicals, according to a media statement by the UF researchers.

The research team, headed by Heather K. Vincent, Ph.D., studied a group of 54 young adults divided into a normal weight and an overweight or obese group, analyzing their dietary patterns over several days. Surprisingly, the people in both groups took in about the same amount of calories. However, the overweight and obese young people were found to be eating fewer plant-based foods. That means those who were carrying around excess pounds were consuming fewer protective trace minerals and phytochemicals and consuming far more saturated fats.

In addition, those eating less plant-based foods were found to have higher levels of oxidative stress and inflammation in their bodies than their normal-weight counterparts. This is a crucial finding because oxidative stress and inflammation are processes clearly associated with the onset of obesity, heart disease, diabetes and joint disease.

“Diets low in plant-based foods affect health over the course of a long period of time,” Dr. Vincent explained in a statement to the press. “This is related to annual weight gain, inflammation and oxidative stress. Those are the onset processes of disease that debilitate people later in life.”

“People who are obese need more fruits, vegetables, legumes and wholesome unrefined grains,” she said. “In comparison to a normal-weight person, an obese person is always going to be behind the eight ball because there are so many adverse metabolic processes going on.”

In order to get enough protective phytochemicals daily, the UF researchers concluded that people should try to consume plant-based foods such as leafy greens, fruits, vegetables, nuts and legumes at the start of each meal. As a way to encourage people to get enough phytochemicals from meals and snacks, Dr. Vincent also called for use of aphytochemical index, which compares the number of calories consumed from plant-based, nutrient-rich foods with the overall number of calories taken in each day.

“Fill your plate with colorful, low-calorie, varied-texture foods derived from plants first. By slowly eating phytochemical-rich foods such as salads with olive oil or fresh-cut fruits before the actual meal, you will likely reduce the overall portion size, fat content and energy intake. In this way, you’re ensuring that you get the variety of protective, disease-fighting phytochemicals you need and controlling caloric intake,” said Vincent, an assistant professor in the UF Orthopaedics and Sports Medicine Institute, in the media statement.

Check out this great article:

http://www.NaturalNews.com/027616_degenerative_disease_phytochemicals.html

It’s really interesting!

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Thanksgiving Help ~

Adding healthy alternatives to the Thanksgiving menu

Tuesday, November 17, 2009
By Cheryl Forberg RD,
Nutritionist for NBC’s The Biggest Loser


Who says Thanksgiving dinner isn’t healthy? The staple ingredients of this holiday’s comfort food have redeeming healthful properties that make this meal extra scrumptious. Adding just the right amount of culinary know-how to traditional recipes and knowing a few healthy dining secrets can transform this annual food fest into a guilt-free feast that won’t expand your waistline.

Holiday Dining Tips:

The first rule of thumb for holiday gatherings, especially if it’s not at your house, is never go to the party hungry. Maintain your normal daily routine starting with breakfast and a workout. Have a snack before you go — half a sandwich, yogurt and fruit or a glass of milk. Be sure when you arrive you aren’t starving.

If there’s a buffet, plan your strategy before you step up to the table. Figure out how you want to approach the buffet table, if there is one.

Try to remember that most of your choices should be whole grains, fruits and vegetables; the remaining third can be lean meats. Fill up on veggies that aren’t drenched in butter or sauce.

If it’s impossible to resist trying everything on the table, at least make sure you take very small “tastes” or small spoonfuls of high-calorie dishes.

If you’re trying to watch your weight, remember that this is just one day, so it’s okay to indulge yourself a little. Many people begin a downward spiral over the holidays every year, beginning with Thanksgiving. One day of temptation leads to another and before you know it, they’ve spiraled out of control by Christmas. Don’t let that happen to you. If Thanksgiving finds you being a little too indulgent, begin Friday by eating a little less, exercising more, or both.

Sweet Potatoes

Mouth-watering sweet potatoes — why disguise this veggie’s naturally delicate flavor with gooey marshmallows or a brown sugar glaze? Not to be confused with the yam, sweet potatoes possess a higher degree of moistness and sweetness. And, they’re higher in nutritional oomph with a slew of antioxidant vitamins — C, E, and especially A.

Tip: Sweet potatoes should not be refrigerated. Store in a cool dry place between 55 and 65 degrees Fahrenheit.

Turkey

Low in fat and high in protein, turkey is an inexpensive source of B vitamins, iron, phosphorus, potassium and zinc.

Tips: Use a rack to roast the turkey so the fat drips away from the bird. Baste your bird with flavorful fat-free broth (instead of butter). You’ll have lots of delicious juices to serve without breaking your calorie bank.

If you’re trying to shave off calories, choose a turkey breast roast this year instead of the whole bird. The fat (and cholesterol) and calorie count is lower because white meat has less fat and fewer calories than dark.

Be sure to have a gravy separator on hand. This indispensable tool quickly skims excess fat from your pan drippings.

Stuffing/Dressing

Whole grains deserve a place on your holiday table too. The fact that they’re not refined means they’re in their natural form with texture, fiber and lots more flavor.

Skip the tired old white bread stuffing this year and whip up a savory batch of cornbread croutons for a memorable holiday dressing peppered with chunks of spicy low-fat turkey sausage and dried fruit. Treat your family and friends to a holiday feast that is as rich in health benefits as it is in flavor.

If you’re using broth for stuffing or gravy, be sure to choose fat-free.

If the stuffing calls for sautéed veggies such as celery, onions and mushrooms, use a nonstick pan to minimize the amount of oil required to cook them.

If you bake your stuffing outside of the bird, it’s called dressing. This also means that no juice (or fat) from the baking turkey is absorbed, resulting in a drastic calorie reduction. The right combination of ingredients can result in a dressing that is just as delicious and moist when baked outside the bird.

Pumpkin Pie or Sweet Potato Pie

Use cooked mashed sweet potato to substitute for pumpkin in your favorite pumpkin pie recipe if you favor sweet potato over pumpkin.

Make pumpkin (or sweet potato) pies with canned, evaporated, skim milk. As much of the water has been “evaporated,” the remaining milk is more concentrated — rich and creamy with lower calories and fat than regular evaporated milk

Try to decrease the amount of sweetener requested in your favorite recipe by about 25 percent. You may find you prefer it this way. And this year, try using agave nectar as your sweetener. Unlike sugar, it’s loaded with antioxidants. Yes, it has calories, similar to those of honey, but it’s natural and not artificial or chemically processed. Taste your modified pie filling before baking to be sure it’s sweet enough. Sometimes kicking up the sweet spices just a notch — such as cinnamon, cloves and ginger — helps to stretch the flavor so the lesser amount of sweetener isn’t as noticeable.

Substitute most or all of the whole eggs with egg whites.

Eat just the filling of the finished pie and skip the high-fat crust. Or, bake the filling in a springform pan without any crust at all.

Miscellaneous tips

Season vegetables with fresh herbs and low sodium seasonings — skip the butter.

There’s plenty of starch at this meal — why not skip the dinner rolls altogether?  If that’s not an option for your family, be sure to choose whole grain rolls.

Cheryl Forberg RD is a professional chef and the nutritionist for NBC’s The Biggest Loser. She is the author of “The Biggest Loser Simple Swaps: 100 Easy Changes to Start Living a Healthier Lifestyle and Positively Ageless:  A 28-Day Plan for a Younger, Slimmer, Sexier You.” For recipes and more information visit her website at www.cherylforberg.com.

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This is my new Website for SOT Fitness & Nutrition.  I’m working on it right now so come back soon for the latest and greatest!

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