Friday, July 18, 2014

Healthy Diet - FOOD PRESCRIPTION #2 - Put Protein to Work For You

PUT PROTEIN TO WORK FOR YOU

By now you’ve probably noticed that protein is an important part of The Healthy Diet. All of the meals and snacks in the STAT Plan, the RESTORE Plan, and the MAINTAIN Plan contain protein. There’s a really good reason for this: protein is an incredibly effective weight-loss tool—provided you know how to use it.
When it comes to losing weight, protein has power, and The Healthy Diet is designed to harness that power.
What do I mean when I talk about putting protein to work for you? I’m referring to the fact that protein is most beneficial to your weight-loss efforts if you include it in your diet in a balanced, strategic way. You can’t just binge on meat, eggs, and other high-protein foods whenever you feel like it—that won’t lead to better health.
It all comes down to balance. You can get the most weight-control bang from your protein buck by making sure you’re eating balanced amounts of protein and the right kinds of protein foods, and that you’re timing them in the most effective way possible throughout your day.
Here’s an example of what I mean. I’ve already talked about the importance of eating a good breakfast, but there’s even more to the story than that. It’s not just whether you eat breakfast that matters. The protein content of your first meal of the day also makes a big difference.
In a 2013 study published in the American Journal of Clinical Nutrition, researchers looked at the effect of a high-protein breakfast on hunger and snacking. Some of the subjects ate a protein-rich breakfast (35 grams of protein, 350 calories), some ate a moderate amount of protein with their morning meal (13 grams, 350 calories), and some had no protein (or any other nutrients, for that matter, because they skipped breakfast completely). The high-protein and moderate-protein meals had the same amount of fat, fiber, sugar, and calories.
Having a protein-rich breakfast really paid off. Researchers found that compared with the others, the higher-protein breakfast group reported feeling more satiated and less hungry throughout the day, and experienced fewer food cravings. They also reduced their evening snacking on high-sugar, high-fat foods—evidence that eating a high-protein breakfast pays off throughout the day.
Other studies have found that people lose more weight and keep it off more effectively when they include protein in each meal and snack—which is exactly what The Healthy Diet does.
SCRAMBLED ADVICE
For years we’ve been told to avoid eggs because of their cholesterol. But it turns out this may not be necessary. For people without heart disease, diabetes, or high cholesterol, eating an egg a day appears to have no negative impact on heart health.
It’s true that egg yolks contain a fair amount of cholesterol. But they’re also good sources of protein, several B vitamins, choline, vitamin D, and vitamin E. Depending on how the chickens who laid them are fed, eggs can also be a good source of omega-3 fatty acids and lutein, which helps with eye health.
I love eggs not only because of their nutrients. For someone like me who is not a natural vegetable lover, eggs are a fantastic veggie-delivery vehicle. I’m not crazy about most raw veggies, but I eat them up when they’re hidden in an omelet made with a mix of whole eggs and egg whites.
Choose eggs from hens fed an antibiotic-free vegetarian diet. Limit yourself to one yolk a day, or three per week if you have heart disease or diabetes. We don’t know exactly why, but in studies of groups of people with diabetes, those who limit egg intake seem to have less heart disease. We need more research to understand the connection—or whether there really is one—but in the meantime, we’ll go with that advice because it’s the best we have.

THE POWER BEHIND PROTEIN

Full disclosure: we don’t know exactly why protein helps with weight loss. One reason is that it has an impact on the action of ghrelin, known as the “hunger hormone,” and leptin, the “satiety hormone”—which is why people who eat protein at each meal find they feel fuller and less hungry during the hours after they eat than do people who skimp on protein. In fact, protein is more satiating than fat or carbohydrates.
Another explanation for protein’s contribution to weight loss is its ability to help keep blood sugar levels stable. When you eat a low-protein, high-carbohydrate meal, your blood sugar soars soon after you eat. What goes up must come down, and it doesn’t take long for blood sugar that shoots up quickly to come falling down fast, too. When blood sugar comes down fast, alarms go off in your endocrine system. Hormones tell your brain that you need more food in order to get blood sugar levels back up, and before you know it, you’re wandering around the kitchen looking for a snack just a short time after you finished your meal.
Something different happens when you eat a protein-rich meal. Instead of skyrocketing, your blood sugar levels go up gradually, allowing your endocrine system to proceed at a normal pace as it does its job of getting energy to all of your body’s cells. Without a dramatic spike, there’s no dramatic fall, meaning no sudden hormone alerts telling you to eat something right away, meaning no sudden, intense desires to inhale jelly donuts or chocolate cake.
Without those blood sugar spikes and constant cravings, you’re much better able to make it to your next meal without wanting to fill your tank with lots of extra food.

PROTEIN’S OTHER PROMISES

Eating a protein-rich diet has other benefits as well:
  •  Protein vs. paunch. Protein helps burn belly fat. In studies, people who eat higher-protein diets lose more belly fat than those who eat lower-protein diets with similar calorie counts.
  •  Muscle maker. Protein helps preserve muscle. When you’re losing weight, you take in fewer calories than you need, which forces your body to burn fat for fuel. When you eat a high-carbohydrate diet, your body is more likely to turn to muscles for stored fuel rather than fat. But eating a protein-rich diet protects your muscles and pushes your body to rely on fat rather than your hard-earned muscles.
  •  Speedier healing. Protein is a necessary nutrient that just about every part of your body needs. Protein contributes to the growth, development, and healthy function of each cell in your skin, muscles, organs, and glands. It also allows your immune system to work effectively.
  •  Tool for the ticker. Your heart benefits from protein as well. Eating a diet rich in lean protein—I’m not talking fatty steaks and processed lunch meats here, but lean, healthy protein sources—benefits your blood cholesterol levels.

EATING FROM THE SEA

One of the absolute best sources of protein is seafood—especially fish and shellfish that contain omega-3 fatty acids, a type of polyunsaturated fat that has a wide range of health benefits. Omega-3s are credited with reducing heart disease risk, boosting brain health, and supporting eye health, and studies are under way to tease out other benefits as well.
Nearly all fish contain omega-3s, but some have especially high levels, such as herring, salmon (farmed and wild), mackerel, tuna (bluefin has the most, followed by canned white and light), sardines, swordfish, and trout (and oysters and mussels in the mollusk department). In order to get the omega-3 fatty acids you need, I recommend including at least eight ounces of omega-3-rich fish in your diet each week.
The only downside of eating seafood is that nearly all fish and shellfish contain some amount of mercury, a toxic metal. For nonpregnant adults, eating moderate amounts of most kinds of seafood usually poses little health risk. However, too much mercury can more easily harm the nervous system of an unborn baby or a young child.
To limit the risk from mercury, the US Food and Drug Administration advises women who may become pregnant, pregnant women, nursing mothers, and young children to:
  •  Avoid types of fish that are typically high in mercury—including shark, swordfish, tilefish, and king mackerel.
  •  Limit intake of lower-mercury fish to 12 ounces per week. Some of the most commonly eaten lower-mercury seafood includes shrimp, canned light tuna, salmon, pollock, and catfish.
  •  Limit intake of canned albacore (white tuna), which has more mercury than light tuna, to 6 ounces per week.
  •  Check local advisories about the safety of fish caught by family and friends in local lakes, rivers, and coastal areas. (Yes, even freshwater fish can contain traces of mercury.) If no advice is available, eat up to 6 ounces per week of fish caught in local waters, but don’t consume any other fish during that week.

HOW MUCH PROTEIN SHOULD YOU EAT?

In The Healthy Diet, about a third of your daily calories come from the protein in meat, poultry, seafood, beans and peas, eggs, dairy, nuts, and seeds. That balanced amount gives you all of protein’s benefits while leaving room in your diet for all the other nutrient-rich foods you need, including healthy fats and complex carbohydrates.
Some diets call for even more protein than that, but as far as I’m concerned, they’re on the wrong track. The weight-loss benefits of protein level off at 30 to 35 percent. There’s simply no benefit to super-high-protein diets, especially because they tend to be very low in fruits, vegetables, whole grains, and all the other life-supporting foods that can help us stay healthy.
Excess protein can also put a strain on your kidneys, although that’s usually only a problem for people who have kidney disease or other health problems related to protein metabolism.

PROTEIN IN FOOD
PROTEIN SOURCE
GRAMS OF PROTEIN
1 cup milk
8
1 cup soy milk
6-8
1 large egg
6
1 large egg white
4
½ cup low-fat cottage cheese
12-15
3 ounces canned tuna, drained
22
1 ounce peanuts
7
1 ounce almonds
6
2 tablespoons peanut butter
7
1 ounce cheddar cheese
7
3 ounces meat
21
8 ounces plain, low-fat yogurt
14
½ cup cooked beans (black, kidney, etc.)
7-8
½ cup cooked lentils
9
½ cup chickpeas
6
¼ cup hummus
5
1 cup unsweetened almond milk
1
1 ounce frozen edamame
3
3 ounces roasted chicken or turkey breast meat
24-27
3 ounces sirloin steak
25
3 ounces cooked salmon
18-21
3 ounces tofu
6-13

WHAT ABOUT RED MEAT?

Although it’s fine to include some lean beef, pork, and lamb in your diet, you’re better off relying mostly on poultry, fish, dairy, nuts, and legumes to meet the lion’s share of your protein needs.
Various studies have found that people who eat a lot of meat tend to be less healthy than those who eat less meat. For example, in a Harvard study published in 2012 in the Archives of Internal Medicine, researchers found that red meat consumption was associated with an increased risk of death from heart disease, cancer, and other causes. The study also showed that substituting other healthy protein sources, such as fish, poultry, nuts, and legumes, was associated with lower risk of potentially fatal diseases.
The study, which followed 120,000 men and women for 28 years, found that one daily serving of unprocessed red meat (about the size of a deck of cards) was associated with a 13 percent increased risk of mortality during the study period, and one daily serving of processed red meat (one hot dog or two slices of bacon) was associated with a 20 percent increased risk.
Other studies have found connections between red meat consumption and type 2 diabetes.
What’s behind all this? According to the researchers, red meat, especially processed meat, contains ingredients that have been linked to increased risk of chronic diseases, such as cardiovascular disease and cancer. These include iron (specifically, a type called “heme” iron), saturated fat, sodium, nitrites, and certain carcinogens that are formed during cooking.
But hold on—there may be much more to it than that.
The question of whether red meat is “good” for us has become more complex lately. Yes, studies of past meat intake, like the Harvard study I just mentioned, suggest a strong connection between red meat and disease. But when you think about how the red meat in those studies was raised, you have to wonder. The biggest problem with red meat may not turn out to be how much of it we eat, but what’s in the feeding troughs of the animals we consume.
Traditionally, cows, pigs, sheep, and other farm animals ate grass. During the past few decades, however, livestock feed has been made up primarily of corn. In fact, many cattle are also fed waste products left over from the manufacturing of human food. These can include bakery waste, potato-processing remnant, untreated starch, pasta, and even candy. This type of feed fattens animals up fast because some of this processed feed is high in sugar and low in overall nutrients. I believe animals raised on highly processed feed produce meat that may contribute to some of the food-related chronic diseases plaguing Americans today.
When animals eat food like this, it sure makes sense to me that the people eating meat from these animals have higher rates of disease. I’m telling you not to load up on processed foods, baked goods, white pasta, and candy—so doesn’t it make sense that the animals we eat shouldn’t be consuming these foods either?
Wild meat—meat from game animals that eat natural food rather than processed grains—also seems to be much better for us than conventionally raised meat. Like grass-fed animals, wild animals such as deer, wild boar, and elk eat a huge range of whole, unprocessed foods.
I agree with scientists and food experts who say wild meat and the meat from grass-fed farm animals is much healthier for us than meat from animals raised on processed feed. It makes so much sense to me: unlike an animal that is force-fed unhealthy food, an animal that eats grass in a pasture consumes a huge range of nutrients from an array of greens.

WHAT THE SCIENTISTS SAY

A growing number of studies support grass feeding. For example, a 2011 study published in the British Journal of Nutrition found that subjects who ate grass-fed meat for just four weeks increased their blood levels of omega-3 fatty acids and decreased their levels of pro-inflammatory fatty acids. We don’t usually think of meat as a source of omega-3 fatty acids, but when animals eat grass, they get more omega-3s in their diet.
And in 2009, researchers from Clemson University and the US Department of Agriculture looked closely at the effect of grass-fed beef on human health. Their study, published in the Journal of Animal Science, found that grass-fed beef is far healthier than conventionally raised beef. I don’t ordinarily read studies in animal science journals, but believe me, that one caught my interest. The study found that compared with conventional beef, grass-fed beef is:
  •  Lower in total fat
  •  Higher in beta-carotene (an antioxidant found in vegetables)
  •  Higher in vitamin E
  •  Higher in the B vitamins thiamin and riboflavin
  •  Higher in the minerals calcium, magnesium, and potassium
  •  Higher in total omega-3s
  •  Higher in conjugated linoleic acid, a fatty acid that may fight disease
  •  Lower in the saturated fats linked with heart disease

But wait—before you run off and start eating red meat three times a day, I still feel that we have a lot to learn about red meat before we fully understand its impact on human health. We have studies suggesting that grass-fed meat is healthier—but we still don’t know if those health benefits will result in lower disease rates.
Until we have a fuller picture of this evolving story, here’s what I suggest: Limit your red meat intake to a few servings a week. When you do choose red meat, go for grass-fed or wild when possible. And limit your intake of processed meats.
Just so we’re clear, processed meats are meats preserved by smoking, curing, salting, or with the addition of preservatives. I like the taste of bacon as much as anyone else, but I seldom eat it. I enjoy sausages, but you rarely find them on my plate as well. Same goes for ham, pastrami, salami, pepperoni, and hot dogs. They’re tasty, but in my opinion, not worth the risk as a daily go-to option.
Why? The connection between colorectal cancer and eating processed meats is “startlingly strong,” according to the American Institute of Cancer Research. When meat is processed, cured, smoked, or preserved, cancer-causing compounds can be formed.
Meat lovers smile at the thought of a perfectly grilled steak, a tasty piece of broiled chicken, or a yummy kabob of barbecued shrimp. I like those foods as much as the next guy or gal, but unfortunately, those cooking methods aren’t the safest way to go.
When meat, poultry, and seafood are cooked and charred at high temperatures, as they are during grilling and broiling, the heat reacts with compounds in the meat to produce carcinogenic compounds known as heterocyclic amines (HCAs) and polycyclic aromatic hydrocarbons (PAHs). When consumed, HCAs and PAHs can damage DNA and contribute to the development of cancer of the colon and stomach.
This makes me uneasy about grilling and broiling meat. I think it’s fine to grill occasionally, but I wouldn’t recommend making grilling or broiling your everyday cooking method. Baking, poaching, stir-frying, and braising seem to be healthier choices.
Go ahead and grill fruits and vegetables, though—the compounds in meats that lead to carcinogen formation are not found in plant foods. You’d be amazed at how delicious grilled fruits and vegetables taste!
TIPS FOR HEALTHIER GRILLING
When you do opt to grill meat, poultry, and shellfish, follow these guidelines to help minimize the formation of carcinogens:
  •  Choose leaner cuts of meat, and trim off all visible fat, because dripping fat can cause fiery flare-ups that deposit carcinogenic compounds on food.
  •  Turn down the flames; fewer flames mean fewer carcinogens.
  •  Marinate meats for 30 minutes before grilling. Studies have shown that marinating meats before grilling can actually reduce the formation of carcinogens. The healthiest marinades contain nutrient-rich ingredients such as olive oil, vinegar, citrus juices, minced vegetables from the allium family (onions, chives, garlic, leeks), fresh herbs (rosemary, thyme, parsley, oregano, sage), and spices (turmeric, cumin, chili powder). Use paper towels to dry off excess marinade before cooking, because dripping marinade can cause flare-ups.
  •  Parboil meats before grilling—for example, poach chicken in boiling water until it’s mostly cooked, and then finish it up on the grill.
  •  Flip meat often to reduce charring.

PROTEIN: A GREAT STRATEGY

There’s no doubt about it: protein has the power to help you lose weight. And The Healthy Diet is carefully designed to help you harness protein’s power. No, you can’t go crazy with protein, loading your plate with high-protein foods whenever you feel like it. But by using protein strategically—eating balanced amounts of it throughout your day in the most effective way possible—you can take full advantage of its ability to burn fat, fight hunger pangs, and rev up weight loss.

The story doesn’t end with protein, though. The carbohydrates you eat (and don’t eat) play a huge part in weight loss as well. That’s why making smart choices about carbohydrates is my next Food Prescription.

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