On the pulse: cholesterol report – “could do better”

Looking around at the ‘health revolution” that’s been going on in our society since the aerobics boom of the 1980s, you’d think we’d have things sorted out by now. However despite widespread health marketing, we’re in trouble when it comes to our hearts. Cardiovascular disease is still our biggest killer. It is responsible for heart-breaking losses of family members, damaging loss of productive members of society, and the loss of ‘big hearts’ who have done good deeds in the community. Sadly, it is responsible for a great deal of disability and poor quality of life in those who survive devastating heart attacks and strokes, and painful vascular disease in the legs. One of the important ways to reduce your risk is to get your cholesterol under control, yet in Australia one in two adults have high cholesterol and this statistic has not changed in 25 years. You don’t have to look far to find someone with high cholesterol, yet diet and lifestyle are very effective in getting it down. Do you know your cholesterol? It’s hard to take action when you are unaware of the problem. Even if you have been tested in the past, you need to keep track of it over time. Now that the holiday season is over and you settle in to the normal rhythm of 2010, please make an appointment with your doctor for a cholesterol test. If your result is high, you can rely on us to help get it down with help from Eat to beat Cholesterol and Heart Food.

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News: TV watching and life expectancy

This study looked at the association between television viewing time and mortality: from all causes, from cardiovascular disease (CVD) and from cancer in 8,800 Australian adults enrolled in a large scale investigation into lifestyle and disease. They found for every additional hour of TV watched, mortality from all causes increased by 11%, mortality from CVD increased by 18%, and cancer mortality increased by 9%. The lowest risk was from watching less than 2 hours of TV a day. Commentary on this study suggests the increased mortality from watching TV is because it is sedentary. The take-out message is to move more generally, and if you watch more than 2 hours of TV a day you should consider watching an exercise channel and join in!

Reference. D.W. Dunstan, E.L.M. Barr, G.N. Healy et al. Television Viewing Time and Mortality: The Australian Diabetes, Obesity and Lifestyle Study (AusDiab).Circulation 2010;121 384-391   http://circ.ahajournals.org/cgi/content/abstract/121/3/384?etoc

Picture of TV

News: omega-3s may reduce cell ageing

Long chain omega-3 fats are known to benefit those with heart disease although the mechanism is not fully understood. This study looked at the influence of omega-3 levels in the blood with a marker for cell age: DNA telomere length. Six hundred patients with coronary heart disease had their omega-3 levels and telomere length measured twice, five years apart. Results showed those with the lowerst omega-3 levels in their blood had faster telomere shortening and thus more aged cells, and those with the highest levels of omega-3 had the slowest rate of telomere shortening and therefore less aged cells. This study tells us of the importance for people with heart disease to obtain adequate omega-3 in their diet as this will increase the omega-3 in their blood and cells, and protect their cells from the damage of cell-ageing. Recommendations in Australia are for people with heart disease to obtain 1000mg of long chain DHA and EPA daily obtained from oily fish and/or supplements.

 References: Farzaneh-Far R, Lin J, Epel ES et al. Association of marine omega-3 fatty acid levels with telomeric aging in patients with coronary heart disease. JAMA. 2010 Jan 20;303(3):250-7.

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News: walnuts improve cholesterol

Walnuts improve blood lipids

This study supports the cholesterol-lowering ability of walnuts. They examined 87 subjects with high cholesterol over 12 months; 6 months on a walnut containing diet, and 6 months on their usual diet. The researchers found the walnut containing diet improved cholesterol levels, especially in those with very high cholesterol to start with. Total cholesterol, bad LDL cholesterol and triglycerides all reduced on the walnut diet.

Reference: Torabian S, Haddad E, Cordero-Macintyre Z et al. Long-term walnut supplementation without dietary advice induces favorable serum lipid changes in free-living individuals. Eur J Clin Nutr. 2010 Jan 20

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Food myth: ’super foods’ make you super healthy

Fact: superfoods and supplements are over-hyped and super-expensive

The term ‘superfood’ was coined to describe foods with high levels of nutrients and phytochemicals that offer health benefits such as green leafy vegetables, berries and oily fish. However food and supplement marketers have ‘gone to town’ with the whole concept and make inflated promises and exaggerated claims. While I used to love talking about superfoods, I now brace myself for the next ridiculous product claim.

The first examples that come to mind are superfood supplements – not even foods at all. A cursory internet search yields claims of such enthusiasm and exaggeration as to qualify as fiction. For example, acai berries contain “every single essential nutrient required for humans”, or “the most perfect food on the planet”. These audacious claims are totally unsubstantiated, and if taken literally imply all you need to eat is these little berries and nothing else! And spirulina (a dried blue-green algae extract) containing “rich vegetable protein 60~ 63 %, 3~4 times higher than fish or beef”. How this is relevant when you only take 5-10g at a time and a typical daily protein requirement is 50g I don’t know.  And how about the claim, “1 kg of
Spirulina is equivalent to 1000 kg of assorted vegetables”. How silly. The obvious omission from this comparison is the valuable dietary fibre component of vegetables.  I wouldn’t recommend giving up eating your vegetables on the basis of this wild claim. Spirulina is also described as “the most complete food source in the world”, again suggesting a bit more than the suggested dose of 10-20 tablets a day may be required for this claim to be tested. And how about that dose – most people struggle to take their prescribed life saving medications or a single daily multi-vitamin, never mind 20 tablets!

The next examples are superfruits such as acai, gogi and mangosteen. While they sound tantalisingly exotic, many are unfeasibly expensive. Often they are grown in far flung places and have to be imported dried, juiced or as extracts for supplements. For instance, dried acai powder retails for around (Aust)$40 per 100g, a 500g packet of dried gogi berries is around $30, gogi juice is $40 per litre, and dried mangosteen powder is $25 per pack (making 2 litres). You have to question the “natural goodness” of such processed derivatives, and what about the carbon emissions produced during transport? In Australia we have a wealth of traditional indigenous superfoods that have maintained the health of our Aboriginal people for thousands of years, yet it is a growing trend to buy processed superfoods from halfway around the world. Go figure! And don’t get me started on the spin-off products that have spun-off most of their health benefits like milk chocolate coated gogi berries ($15 per 300g pack).

Nutritional goodness does not have to cost the earth or be hard to get, as illustrated by the humble apple. According to a scientific review by Horticulture Australia, apples are one of the best and cheapest fruit sources of antioxidants around with one apple containing more antioxidants than half a punnet of blueberries or a cup of strawberries. Apples are grown within 45 minutes from my house and cost around $4 a kilogram – you do the math. You’re likely to have similar examples in your area.

Lots of foods are super and work best in combination rather than on their own. It is whole diets containing a variety of different foods – not single foods or supplements – that help prevent disease and promote health and wellness. If you’re into exotic superfoods and supplements and you have money to spare then go ahead but please regard claims with a good dose of scepticism. For the rest of us, health and vitality can be ours without the hefty price tag. For good health and a healthy environment buy a variety of fresh, local, seasonal and minimally packaged produce – they’re super too.

Bunch of gogi berries

gogi berries