Beauty Health for Life

While Omega-3 essential fatty acids—found in foods like wild fish and grass-fed livestock—are necessary for human body functioning, their effects on the working memory of healthy young adults have not been studied until now.

In the first study of its kind, researchers at the University of Pittsburgh have determined that healthy young adults ages 18-25 can improve their working memory even further by increasing their Omega-3 fatty acid intake. Their findings have been published online in PLOS One.

“Before seeing this data, I would have said it was impossible to move young healthy individuals above their cognitive best,” said Bita Moghaddam, project investigator and professor of neuroscience. “We found that members of this population can enhance their working memory performance even further, despite their already being at the top of their cognitive game.”

Led by Rajesh Narendarn, project principal investigator and associate professor of radiology, the Pitt research team sought healthy young men and women from all ethnicities to boost their Omega-3 intake with supplements for six months. They were monitored monthly through phone calls and outpatient procedures.

Before they began taking the supplements, all participants underwent positron emission tomography (PET) imaging, and their blood samples were analyzed. They were then asked to perform a working memory test in which they were shown a series of letters and numbers. The young adults had to keep track of what appeared one, two, and three times prior, known as a simple “n-back test.”

“What was particularly interesting about the presupplementation n-back test was that it correlated positively with plasma Omega-3,” said Moghaddam. “This means that the Omega-3s they were getting from their diet already positively correlated with their working memory.”

After six months of taking Lovaza—an Omega-3 supplement approved by the Federal Drug Administration—the participants were asked to complete this series of outpatient procedures again. It was during this last stage, during the working memory test and blood sampling, that the improved working memory of this population was revealed.

“So many of the previous studies have been done with the elderly or people with medical conditions, leaving this unique population of young adults unaddressed,” said Matthew Muldoon, project coinvestigator and associate professor of medicine at Pitt. “But what about our highest-functioning periods? Can we help the brain achieve its full potential by adapting our healthy behaviors in our young adult life? We found that we absolutely can.”

Although the effects of Omega-3s on young people were a focus, the Pitt team was also hoping to determine the brain mechanism associated with Omega-3 regulation. Previous rodent studies suggested that removing Omega-3 from the diet might reduce dopamine storage (the neurotransmitter associated with mood as well as working memory) and decrease density in the striatal vesicular monoamine transporter type 2 (commonly erred to as VMAT2, a protein associated with decision making). Theore, the Pitt researchers posited that increasing VMAT2 protein was the mechanism of action that boosted cognitive performance. Unfortunately, PET imaging revealed this was not the case.

“It is really interesting that diets enriched with Omega-3 fatty acid can enhance cognition in highly functional young individuals,” said Narendarn. “Nevertheless, it was a bit disappointing that our imaging studies were unable to clarify the mechanisms by which it enhances working memory.”

Ongoing animal modeling studies in the Moghaddam lab indicate that brain mechanisms that are affected by Omega-3s may be differently influenced in adolescents and young adults than they are in older adults. With this in mind, the Pitt team will continue to evaluate the effect of Omega-3 fatty acids in this younger population to find the mechanism that improves cognition.

Other Pitt researchers involved in the project include William G. Frankle, professor of psychiatry, and Neal S. Mason, research assistant professor of radiology.

The paper, “Improved Working Memory but No Effect on Striatal Vesicular Monoamine Transporter Type 2 after Omega-3 Polyunsaturated Fatty Acid Supplementation” was published online Oct. 3 by PLOS One and supported by grants from the National Institute on Drug Abuse and the American Reinvestment and Recovery Act of 2009.

University of Granada researchers from the Faculty of Medicine and the Faculty of Physical Activity and Sports Sciences have scientifically disproven the old belief that eating chocolate is fattening. In an article published this week in the journal Nutrition, the authors have shown that higher consumption of chocolate is associated with lower levels of total fat (fat deposited all over the body) and central fat (abdominal), independently of whether or not the individual participates in regular physical activity and of diet, among other factors.

The researchers determined whether greater chocolate consumption associated with higher body mass index and other indicators of total and central body fat in adolescents participating in the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) study. This project, financed by the European Union, studies eating habits and lifestyle in young people in 9 European countries, including Spain.


Independent of diet and physical activity

The study involved 1458 adolescents aged between 12 and 17 years and results showed that a higher level of chocolate consumption associated with lower levels of total and central fat when these were estimated through body mass index, body fat percentage—measured by both skinfolds and bioelectrical impedance analysis—and waist circumference. These results were independent of the participants sex, age, sexual maturation, total energy intake, intake of saturated fats, fruit and vegetables, consumption of tea and coffee, and physical activity.

As the principle author Magdalena Cuenca-García explains, although chocolate is considered a high energy content food—it is rich in sugars and saturated fats—“recent studies in adults suggest chocolate consumption is associated with a lower risk of cardiometabolic disorders”.

In fact, chocolate is rich in flavonoids—especially catechins—which have many healthy properties: “they have important antioxidant, antithrombotic, anti-inflammatory and antihypertensive effects and can help prevent ischemic heart disease”.

Recently, another cross-sectional study in adults conducted by University of California researchers found that more frequent chocolate consumption also associated with a lower body mass index. Whats more, these results were confirmed in a longitudinal study in women who followed a catechin-rich diet.

The effect could be partly due to the influence of catechins on cortisol production and on insulin sensitivity, both of which are related with overweight and obesity.


Calorie impact is not the only thing that matters

The University of Granada researchers have sought to go further and analyse the effect of chocolate consumption at a critical age like adolescence by also controlling other factors that could influence the accumulation of fat. The research, which is both novel and, perhaps, the largest and best-controlled study to date, is the first to focus on the adolescent population. It includes a large number of body measures, objective measurement of physical activity, detailed dietary recall with 2 non-consecutive 24-hour registers using image-based software, and controls for the possible effect of a group of key variables.

In Nutrition, the authors stress that the biological impact of foods should not be evaluated solely in terms of calories. “The most recent epidemiologic research focuses on studying the relation between specific foods—both for their calorie content and for their components—and the risk factors for developing chronic illnesses, including overweight and obesity”.

Despite their results, the authors insist that chocolate consumption should always be moderate. “In moderate quantities, chocolate can be good for you, as our study has shown. But, undoubtedly, excessive consumption is prejudicial. As they say: you can have too much of a good thing”.

The University of Granada researchers stress that their findings “are also important from a clinical perspective since they contribute to our understanding of the factors underlying the control and maintenance of optimal weight”.

Common oral problems have been linked to heart disease, diabetes, premature birth, and more.
Its easy to ignore the effects of poor oral hygiene because theyre hidden in your mouth. But gum disease produces a bleeding, infected wound thats the equivalent in size to the palms of both your hands, says Susan Kara bin, (Doctor of Dental Surgery) DDS, a New York periodontist and president of the American Academy of Period ontology.

"If you had an infection that size on your thigh, youd be hospitalized," Karabin says. "Yet people walk around with this infection in their mouth and ignore it. Its easy to ignore because it doesnt hurt ... but its a serious infection, and if it were in a more visible place, it would be taken more seriously."

You may think that the worst consequence of poor dental health would be lost teeth and painful times in the dentists chair. But some studies have linked common oral problems to illnesses, including heart disease, stroke, diabetes, premature birth, osteoporosis, and even Alzheimers disease. In most cases, the strength and exact nature of the link is unclear, but they suggest that dental health is important for preserving overall health.

"We need to educate the public that the mouth isnt disconnected to the rest of the body," says Sally Cram, DDS, a periodontist in Washington, D.C., and spokeswoman for the American Dental Association.
How Gum Disease Spreads

Periodontal disease is an infection caused by unhealthy bacteria that lodge between the teeth and gums. Simply brushing your teeth is enough to put some of those bacteria into your bloodstream, says Robert J. Genco, DDS, PhD, an oral biologist at the University of Buffalo. The bacteria then travel to major organs where they can spur new infections.

Inflammation also plays a role in spreading the effects of bad oral health. Red and swollen gums signal the bodys inflammatory response to periodontal bacteria. "If you have inflammation in your mouth, certain chemicals are produced in response that can spread [through the bloodstream] and wreak havoc elsewhere in the body," Cram says.

Evidence is mounting of the importance of the "mouth-body connection," as it is known, as dental problems are being linked to a growing list of other ailments.
Oral Health and Diabetes

Karabin has diagnosed several cases of diabetes from her dentists chair. "When I see a patient with multiple abscesses in their mouth ... I immediately think diabetes. I will send that patient for a glucose tolerance test." Nearly one-third of people with diabetes are unaware that they have it, and dentists can play a big role in diagnosing these patients, Genco says.

Diabetes and gum disease can interact in a vicious circle. Infections of any kind, including gum disease, cause the body to produce proteins called cytokines, which increase insulin resistance and make blood sugar more difficult to control, Karabin says. Conversely, uncontrolled diabetes impairs the bodys healing mechanism, which makes it harder to control gum disease, Cram says.

Diabetic patients who avoid dentists out of fear or anxiety will have problems that go beyond tooth loss, says John Buse, MD, PhD, director of the Diabetes Care Center at the University of North Carolina School of Medicine. "You probably wont be able to do a good job taking care of diabetes unless you go to a dentist."

Gum disease may also speed the progression to full-blown diabetes in the 54 million Americans who are classified as prediabetic. According to the American Diabetes Association, many people first become aware they have diabetes when they develop dental disease.

In a 2007 study, Danish researchers compared prediabetic rats with gum disease to prediabetic rats without gum disease. The rats with gum disease soon displayed increased insulin resistance and other signs of progression toward type 2 diabetes.
Oral Health and Heart Disease

People with periodontal disease are nearly twice as likely to suffer from coronary artery disease as those without, according to the American Academy of Periodontology. One theory is that oral bacteria attach to fatty plaques in the coronary arteries and contribute to the clots that can lead to heart attacks. Another is that inflammation increases plaque buildup.

Although evidence has been mixed, more than 20 "good-sized" studies have demonstrated the relationship between gum disease and heart disease, Genco says. But that relationship is still not confirmed as with other known risk factors such as smoking or obesity. Genco is planning a major study to see whether treating gum disease can forestall a second heart attack in people who have already had one.

Recent analysis suggests that common oral problems could increase the risk of cardiac problems. Indra Mustapha, DDS, a periodontist who teaches at Howard University in Washington, D.C., and colleagues analyzed the results of other research studies and found that periodontal disease with signs of bacterial exposure was associated with greater risk of heart disease.

The American Heart Association states, "At this time, promoting dental treatment expressly to prevent atherosclerotic cardiovascular disease and/or acute cardiovascular events is not recommended."
Oral Health and Premature Birth

"Ob-gyns always knew that preterm and low-birth-weight births could be triggered by infections in the body," says Karabin. "They looked for urinary tract infections and throat infections, but never really thought about the mouth until a periodontic researcher looked into it."

Karabin says that severe periodontal disease in the mother may lead to an increase in the risk of premature birth. Remember those cytokines? Turns out they also increase the level of the hormone prostaglandin, which triggers labor, says Karabin. Fortunately, studies show that early treatment of gum disease and improved oral hygiene in women can reduce their risk of premature birth.

Other conditions that indicate a link between dental health and overall health include:

    Osteoporosis. Osteoporosis and tooth loss often go hand in hand because the same decrease in mineral density that boosts the risk of hip and other fractures affects the jawbone and teeth. Measures taken to prevent or treat osteoporosis in postmenopausal women are likely to also help prevent severe gum disease, Genco says.
    Rheumatoid arthritis. A study released in June 2008 found that patients with rheumatoid arthritis (RA) were nearly eight times more likely to have periodontal disease. RA, like periodontal disease, is an inflammatory disorder, which may help explain the link, Karabin says.
    Alzheimers disease. A 2005 study of identical twins showed that in twin pairs where one had dementia and the other didnt, the ones with dementia were four times more likely to have gum disease by midlife. The study doesnt say that good oral heath prevents Alzheimers, but that inflammation early in life can have severe consequences later.

Healthy Mouth, Healthy Body

With the mouth and body so closely linked, dentists and physicians should collaborate more closely, Karabin says. "Physicians need to be trained to examine the mouth, and dentists need to understand more about systemic disease so they can pick up on some of the cues."

The findings also serve to bring home the importance of oral hygiene. Brush twice a day with a toothbrush with soft or medium bristles, Genco says. Clean between your teeth daily with floss, or try some of the interdental picks available at drugstores. If your gums bleed with flossing and dont stop after three to four days, see your dentist

Starting a milk drinking habit as a child can lead to lifelong benefits, even improving physical ability and balance in older age, according to new research. A new study published in Age & Aging found an increase of about one glass of milk a day as a child was linked to a 5% faster walking time and 25% lesser chance of poor balance in older age. The researchers suggest a "public health benefit of childhood milk intake on physical function in old age" – a finding that has huge potential for adults over 65, a population expected reach more than 70 million by the year 2030, doubling over just 30 years.

The team of British researchers used historical diet records from two large studies to assess the childhood habits of more than 1,500 men ages 62-86. They measured the impact of diet, specifically milk, protein, calcium and fat intake, on current performance and mobility in follow-up. Elderly participants were put through a series of activities, including walking, get-up-and-go, and balance tests. Childhood calcium, protein and milk intake were all associated with advantages in mobility later in life.

The researchers also found that childhood milk drinkers were also likely to be adult milk drinkers, emphasizing the benefits of establishing lifelong healthy habits. Among the many health habits to begin at a young age, experts recognize the importance of beginning the day with breakfast. In fact, studies show that milk drinkers and breakfast eaters have more nutritious diets than non-milk drinkers and breakfast skippers. Milk in the morning is a healthy habit that helps provide kids with nutrients they need for the day and benefits that extend well beyond the morning.

While decades of research support the bone-building benefits of milk, this is the first study to specifically find a physical performance benefit that can last a lifetime. Milk is the top food source of bone-building calcium and vitamin D in the American diet, and each glass provides 8 grams of high-quality protein. The 2010 Dietary Guidelines recommend two glasses of milk for toddlers (ages 2-3), 2.5 cups for children (ages 4-8), and 3 cups for adolescents, teens and adults Milk at breakfast is an ideal opportunity to help your kids start the day right, and get the recommended milk each day.

The National Institutes of Health (NIH) National Center for Complimentary and Alternative Medicine (NCCAM) reviewed the safety and effectiveness of 6 dietary supplements commonly used by people with diabetes.

You can view their report here:
Research Report: Treating Type 2 Diabetes with Dietary Supplements

Its publication date is June 2005, so it may not lect the most recent findings for these supplements. Nonetheless, it provides a good overview of each supplement along with a summary of research findings.

The 6 supplements reviewed were:

Alpha-Lipoic Acid
Chromium
Coenzyme Q10
Garlic
Magnesium
Omega-3 Fatty Acids

The agencys recommendations, in short:

"The evidence that is available is not sufficiently strong to prove that any of the six supplements discussed in this report have benefits for type 2 diabetes or its complications."

"The six dietary supplements appear to be generally safe at low-to-moderate doses. However, each can interact with various prescription medications, affecting the action of the medications."

"Consult your health care provider before starting a supplement, especially if you are pregnant or nursing, or considering giving a supplement to a child."

Todays question is born of a full-body rash, and its kinda many questions.

Q: How do you deal with your food allergies? Do you cook mostly at home? Do you buy special food products? (In which case, which are your favorites?) What happens when you go out to eat? Do you alert the server or the cook? Do you find managing your allergy is an expensive undertaking? Is having it a pain in the butt, or do you barely think about it anymore?

A: Still no idea about my own outbreak of hives, but Im super curious to read how yall cope, and I think I might turn responses into tomorrows article. Fire away, and thank you!

Want to ask the interweb a question? Post one in the comment section, or write to Cheaphealthygood@gmail.com. Then, tune in next Tuesday for an answer/several answers from the good people of the World Wide Net.

If youve ever tried to eat healthy, and if youre reading this you probably have, then youve noticed the gaping hole in your wallet.  Real food can be expensive; naturally raised meat, fresh organic produce, extra virgin olive oil, nuts... healthy food aint cheap.  The cost has been one of the main obstacles for me in eating a real food, paleo-style diet.  Even though I make food a high priority in my life, Im still a poor college student.  I cant always afford top-quality food.

But luckily, there are healthy, dirt-cheap foods out there that even I can afford.  Sure, youve gotta make some compromises; you just cant eat optimally on a budget.  But you can make a damn good stab at it. Not poor you say?  Just looking to save some money on food to keep fueling your hookers and cocaine habit?  No problem.  Im here to help.  Here are 5 healthy, inexpensive foods that you can base your diet around.

1. Kale
$0.99/lb
$0.25/serving
Kale is everyones darling health food.  Some say its even the most nutrient-dense food on the planet.  I wouldnt go that far, but its a great food nonetheless.  Fiber, vitamin C, vitamin K, lutein, zeaxanthin, calcium... Kale covers all of your vegetable needs in one little package, and at a great price.  Its versatile too.  You can steam it and eat it on its own, put it in your eggs, add it to a smoothie, or use it in a stir fry.  It works in everything.  You can even eat it raw in a salad if youre up to it, although I personally dont like the taste unless its cooked.  But maybe thats just me.  Give it a try!  (If you really hate kale, substitute it with another green like swiss chard or collard greens, the difference is negligible.)


White potatoes have been getting a bad rap lately, but its completely unfounded.  Just because theyre white doesnt make them bad; its a case of nutritional racism I say.  In fact, according to Mat Lalondes nutrient density scale, theyre even more nutrient dense than sweet potatoes!  And they come in many varieties...  Russet, Yukon gold, red, theyre all good. You can mash them, roast them, bake them, or just stick one in the microwave for a quick meal.  Throw some butter on it and youre all set.  Theyre full of a wide variety of vitamins, minerals, especially potassium... screw bananas, potatoes are an even better source of potassium.  And if all that isnt enough, research shows that theyre one of the most satiating foods around, meaning theyll fill you up with fewer calories.  Perfect budget weight loss food?  Perhaps.


3. Bananas
$0.69/lb
$0.20/serving
Okay I know I just said screw bananas.  Dont take that literally.  But really, you shouldnt shun them completely, because they too are a cheap source of good calories.  At just $0.20 for the average banana, they make a great snack, or even a simple addition to your breakfast.  Bananas are surprisingly nutrient-dense as well, chock full of vitamin C, B vitamins, potassium, and manganese.  You dont even have to worry about buying them organic, since we dont eat the peel. No pesticide concerns there.  Have at it, hoss.



4. Eggs
$1.99/dozen
$0.17/egg
Gotta get your animal foods in on this Poor Man Diet.  Animal foods are typically more expensive, so that leaves our options few and far between.  But eggs provide far and away the most nutritional bang for your buck.  Weve got healthy fats, vitamin A, choline, selenium, and much more. Theyre a little low on B12 and iron for an animal food, but we can get that from the occasional red meat.  Were poor here, remember?  Oh, and remember back when eggs killed you?  Well dont worry about that anymore.  If theres one high cholesterol, high saturated fat food that we can all agree is healthy, its eggs.  Even WebMD agrees, eggs are no longer a nutritional no-no.  Have no fear, the egg is here.  Hard-boil em, scramble em, whatever you want to do.  Just eat them.


5. White Rice
$8.99/20 lb bag
$0.04/serving
Yes, white rice.  I choose white, not brown.  Brown rice may be posh right now, but dont let the hype fool you... brown rice contains higher amounts of arsenic, and it depletes the body of minerals.  Let go of your brown rice bias, just do it.  Is white rice high a nutrient-dense food?  No, of course not.  But therere a few minerals in there, and the white rice of today is fortified with B vitamins.  But thats not why Im recommending it.  Would you look at the price??  Its 4 cents per serving for crying out loud!  This is by far the number one budget food... not even close.  It may not be nutrient-dense, but its a good source of calories for your Poor Man Diet. You do have to eat something after all.  On top of that, its incredibly versatile.  You can eat it on its own as a side dish, incorporate it into a stir fry, use it as a stuffing.  Just use your imagination, you can do it.  Oh wait, we dont use imaginations anymore, we use Google instead.  So Google it.  Or ask your resident Asian.


There you have it.  Five inexpensive foods you can base your healthy diet on.  Now you have no excuse.  

Coming up next week, look out for the next step... 10 cheap supplemental foods for your Poor Man Diet. These will fill in the nutritional holes of the base foods, although I have to say these do a pretty decent job of covering everything considering the circumstances.  Stay tuned!

Last year, I went on a couple of dates with a delightful guy, H. We quickly discovered We Did Not Want the Same Things but had great conversation while we figured it out.

Our first date culminated in a meal at a Vietnamese restaurant where I confessed to being a vegetarian and prepared for the backlash. He smiled and one-upped me. He was a vegan.

Wow. I’d never even dated a vegetarian before; I was tickled. He continued that he once had been a voracious meat-eater until a healthier-than-thou raw foodist friend annoyed him to the brink of science.

After several weeks testing a raw diet on himself, H claimed to feel lighter, stronger, and more energetic than he’d had in years. To his disgust, his friend was right. Science doesn’t lie.

For me, denial kicked in immediately. I made the incorrect assumption that, since we were in a restaurant (of his choosing), he went back to eating cooked food full-time, but remained a vegan. That was not the case.

On a subsequent outing—to a Thai restaurant—he assured me that he continued to follow a raw food diet: most of his meals consisted of fruit and nuts; the only cooked meals he ate were out with friends. It would never work. I think I actually uttered the dreaded “What do you eat?” I’m so abashed.

The goal of most raw foodists is to consume a 75%–100% raw diet of primarily fruits, vegetables, nuts, grains, and legumes for maximum health. Beating oneself up for not being strict enough is counter-intuitive to the physical and mental health benefits of the diet. I think a lot of us in the veg community can take that to heart.

Diet was not a deal-breaker with H, but this experience made me think about food in a new way: about how much I love to cook, and about how I use cooking as an expression of love. I take joy in planning and preparing a special meal or a decadent dessert for my dearest friends and family. And the more restrictive their diets, the better. I love a challenge.

So why did raw food give me such pause?

It reminded me of being an omnivore who could never imagine going veg. (That was me almost 20 years ago.) I couldn’t conceive of what H ate. An apple with peanut butter for breakfast AND lunch? Just salad for dinner? Ugh, the boredom…Sounds familiar, eh, veggies?

For No-Cook Month, I did a more little digging into the world of raw food. What I really wanted to know was how raw foodists prepare grains and beans. Some grains, like bulgur wheat, cous cous (technically, a pasta), and sometimes rice can be soaked to edibility. But what about other grains and beans?

A failed attempt to soak a batch of quinoa resulted in a fermented, stinky, and still gritty waste. To the InterWebs!

Grains and beans, it turns out, are very often sprouted. Challenge accepted.

We all know about alfalfa sprouts—the subject of every other vegetarian joke before 1995—and mung bean sprouts, which are popular in Chinese cooking. Turns out you can sprout just about anything: seeds, grains, legumes, and nuts. For fun and games, I tried quinoa and millet.

Sprouting involves soaking and allowing your subject time to expand and literally sprout. Sprouting makes the food more digestible by the body and increases the nutritional value.

Sprouts can be eaten raw, but are also often cooked or milled into flour for baking. How very versatile.

So enough wall-hugging; it’s time to dance.

How to Sprout
Adapted from The Nourishing Gourmet.


What you’ll need:
something to sprout (I used 4 oz. of quinoa)
canning-type jar, 16 oz or larger (no lid required)
cheesecloth
rubber band

What to do:
1) Wash a glass jar well. Pour grain into jar.

2) Place cheesecloth over mouth of jar with rubber band (or ring band if you have canning jars).

3) Fill with water. If you’re sprouting quinoa, give the jar a little shake and pour out the water to rinse the seeds. Quinoa has a bitter coating that should always be rinsed away. Refill the jar with water.


4) Allow to soak over night, up to 12 hours.

5) After a good soak, drain the water, ill the jar with water, and rinse the quinoa seeds, pouring away the water again.

6) Place the jar in a shallow bowl with the mouth end down to allow the remaining water to drain. Try to sift the seeds into an even layer along the side of the jar. This allows the sprouts air, light, and space to grow.

7) Leave in a cool (but not cold) place with indirect life. A countertop or table is fine.

8) Repeat steps 5 through 7 every 6 to 8 hours until you have tiny, cute sprouts. Quinoa can take as little as 24 hours after the initial soak. Some legumes can take up to 5 days.

9) Store sprouts in the rigerator until you are ready to use, a few days up to a week.


Pop over to one of these helpful sites for more info about grains and legumes to sprout, as well as alternative methods.

I’m not sure if the air conditioning in apartment was a factor, but there was a setback during my first trial. The a/c was off for more than 24 hours over the weekend while I was away. New York’s 95+ degree temperatures and my absence (no rinsing) resulted in two jars of rancid grain.

For take two, I was diligent with the rinsing and used cold water. My quinoa sprouted in less than 2 days. The bounty of my efforts was 8 1/2 oz. of crunchy, fresh-tasting quinoa sprouts. They would be great on a green salad or in a variety of recipes. Millet results are pending.

Any raw food readers out there who would like to school me in their ways? (Please forgive my ignorance and Internet education.) Readers, have you sprouted anything before? Feel free share your experiences/tips in the comments. Stay tuned next week when I will Not Cook with the sprouted quinoa.

~~~

If you bonded with this article, open your heart to

• A Beginner’s Guide to Beans
• When to Clean Out the Pantry
• Vegetarian Meal Planning for Meat Eaters

Playing whacamole

"Immunizations cause autism." 

"Health care blogging will never lead any serious beer money."

"Disease management coaching focuses exclusively on just one disease."

These are three falsehoods that bubble up in the unlikeliest of places, including cable news outlets, replying to the DMCB spouses asking "and what did you do today?" and webinars, webcasts and other educational meetings about population health and disease management.

While the Disease Management Care Blog finds all three vexing, the most irksome is the canard that the commercial health coaching service providers purposely limit their programs to just one chronic condition, like diabetes, weight loss or readmission prevention.

While that may have been the case in the earliest versions of disease management, that narrow approach was dropped years ago. Thats because patients typically seek advice for a wide range of overlapping concerns and the good nurses hired by the vendors will respond to them.  The vendors also understand that their shared risk and performance guarantees depend on claims expense that is driven by the synergies of multiple co-morbidities. 

While a purchaser, insurer or accountable provider organization may start out with a focus on a population defined by a single condition - such as diabetes mellitus - that doesnt mean their protocols and care plans wont span the continuum of care and include hypertension, tobacco abuse, depression, housing, chatting about the grandkid and responding to concerns whether this will be finally be NBA superstar LeBron James year.

And the published literature supports the DMCBs contention that modern population health management is multifaceted.  Examples include this seven-condition program for dually eligible Medicaid beneficiaries in Georgia, this Midwest employer-sponsored program that enrolled persons with multiple care needs and this physician-focused program that used pay-for-performance to improve measures across multiple conditions.  Check out some vendor web sites and youll see erences to "whole person health," the "interrelated aspects of social, emotional, and physical health" and "a holistic view of member health across internal and external care management initiatives."

That being said, the DMCB knows that perception and reality can be two different things. Given the whac-a-mole persistence of the "single disease" myth, the DMCB says the population health management community may benefit clarifying the broadness as well as the depth of their offerings as they continue to build their brand.

Image from Wikipedia

New studies support limiting daily sodium consumption to less than 1,500 milligrams, according to a new American Heart Association presidential advisory.

The advisory, published in the American Heart Associations journal Circulation, is based on a thorough review of recent laboratory, animal, observational and clinical studies that reaffirm the associations 2011 advisory that limiting sodium (salt) to less than 1,500 mg per day is linked to a decreased risk of high blood pressure and cardiovascular disease, including stroke.

"Our recommendation is simple in the sense that it applies to the entire U.S. population, not just at-risk groups," said Nancy Brown, chief executive officer of the American Heart Association. "Americans of all ages, regardless of individual risk factors, can improve their heart health and reduce their risk of cardiovascular disease by restricting their daily consumption of sodium to less than 1,500 milligrams."

Some recent reports have led to confusion and mixed messages about the healthiest levels of daily sodium for all subgroups of the population.

"People should not be swayed by calls for a change in sodium intake recommendations based on findings from recent studies reporting that a reduction in sodium consumption does not improve cardiovascular health," said Paul K. Whelton, M.D., M.Sc., lead author and Show Chwan Professor of Global Public Health in the Tulane University School of Public Health and Tropical Medicine in New Orleans, La. "Our detailed review of these studies identified serious methodological weaknesses, which limit the value of these reports in setting or revising sodium intake policy.

"Our focus should be on finding effective ways to implement, not change, the existing American Heart Association policy on sodium intake."

Reducing sodium intake can help fight high blood pressure, which affects more than 76 million U.S. adults and is a major cause of cardiovascular disease.

Yet, most American adults and children consume sodium far in excess of their physiologic needs and guideline recommendations -- with an average daily intake more than 3400 mg per day. Only individuals, primarily those with specific, rare disorders, who have been advised by their physicians to do otherwise, should not reduce their sodium intake to 1500 mg/day, but this is difficult in the current environment. Most of the sodium the public consumes is "hidden" in processed and prepared foods. The American Heart Association advocates improved nutritional labeling of sodium content and stringent limits on sodium in all foods -- fresh, processed and prepared -- provided to everyone and in particular in schools, marketed to children and purchased by employers and government programs.

Study authors conclude that a comprehensive approach to cardiovascular health promotion and disease prevention is multifactorial that includes regular physical activity, healthy body weight, managing blood pressure, controlling blood sugar, avoiding tobacco and a healthy diet. Sodium reduction is a very important component of a healthy diet.

"An integral component of our campaign to improve the nations cardiovascular health by 20 percent by 2020 is a nationwide decrease in sodium consumption," said Donna Arnett, Ph.D., M.S.P.H., president of the American Heart Association. "It will require a joint effort between health organizations, policy makers and the food industry to achieve this goal by creating an environment conducive to helping all Americans make healthy, low-sodium food choices."

Almost a century ago, in the early part of the 20th century, a dentist named Weston A. Price performed some of the most important research in the history of nutrition and health science.  As a dentist, he was concerned about the epidemic of dental deformities, like crooked teeth and cavities, so he set out to find traditional societies all over the globe didnt suffer from such problems.  Sure enough, he found several "primitive" societies isolated from the industrialized world who, despite a complete lack of dental hygiene, had perfectly straight teeth and little to no tooth decay.  And beyond that, chronic diseases like cancer and heart disease were completely absent.  He showed that, like all other animals, humans are healthy and robust when they eat, move, and live the way theyre designed.  Then, he watched as these healthy societies became civilized, adopted white flour and sugar, and their health declined. 

Traditional Swiss: ornery because they got all them teeth but no toothbrush

Modernized Swiss: even West Virginia doesnt want them

That is Weston A. Price in a nutshell, but I encourage you to read his book "Nutrition and Physical Degeneration" for the full story.  Although the societies Price studied ate a variety of diets, he noticed something that they all shared... all of these diets were particularly high in three fat-soluble vitamins:  A, D, and something he called "Activator X".  He determined that these three vitamins were critical and worked in synergy for tooth and bone formation, as well as general health.  After returning to America, Price applied what he had learned on his own patients.  He used a combination of high-vitamin butter oil (Activator X) and cod liver oil (A and D) to successfully prevent and reverse dental cavities in many of his patients.  Pretty amazing huh?  These three vitamins, when used in conjunction, can reverse cavities.  Fast forward to today... has anyone in the medical profession ever heard of this research?  Probably not.  To them, crooked teeth are just genetic, and the only way to fix a cavity is to get a filling.  Oh how wrong they are...


Price never identified this mystery vitamin he called "Activator X".  Weve all heard of vitamins A and D, but Activator X seems to have been lost in time.  Until now, that is.  Science has now uncovered its true identity, and research is beginning to confirm what Price learned almost a century ago.  Activator X is... Vitamin K2.

Mother Goose, with a liver full of K2

• Goose liver
• Grass-fed butter and cream
• Grass-fed milk and cheese
• Free-range egg yolks
• Fish eggs

Okay, I think thats enough.  If you eat any of these foods on the regular, youre lying.  Nobody in America eats this stuff; although its interesting to note that the French are particularly fond of goose liver and fine cheeses... no doubt this contributes to their low rates of heart disease, but more importantly, it could be the reason why their women are so strikingly beautiful.  But I digress... back to America.  I would venture a guess that nearly 100% of Americans need more K2; it is by far more deficient in our diets than its partners, vitamins A and D, and as you now know, it would go a long way to fighting chronic disease.  So what are you to do?

You could obviously start eating the foods listed above, that will surely help.  Get a hold of some local, pastured eggs, or some grass-fed butter like Kerrygold.  Theyre high in vitamins A and K2, plus they taste good.  You could also get a K2 supplement (menatetranone, or MK-4, is the one you want).  That would likely help; after all, it worked in the osteoporosis studies.  But remember, since they work in synergy, A, D, and K2 function best when theyre in balance with each other...  there must be a way to get all three of them in one place.  And there is!  Remember the butter oil/cod liver oil blend I mentioned that Dr. Price used in his practice?  Well, lucky for us, Green Pasture produces that very same product today.  Sure its a little expensive, but its top quality and it makes getting your A, D, and K2 extremely easy.  Now you dont have to choke down goose liver.  Youre welcome.


So go out and get your K2, however it is you choose to do it.  Eat goose liver, pig out on fish eggs, whatever you want to do... just do it!  You cant afford not to.  Your arteries and bones will thank you.  And you will thank them.  And you will both live a long, healthy, happy life together, just you and your arteries and bones.  And hopefully a spouse... and her arteries and bones.  And kids with perfect faces and teeth.  Maybe grandkids... okay you get the point.  Get your K2 on!