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Nutrition
May 3rd, 2010 by steve
Some great discussion about legumes, sprouted or otherwise.
Editor’s note: the feature article in last week’s edition of The Paleo Diet Update discussed Sprouted Legumes. The article in this week’s edition is a corrected version of the original article. We apologize for any miscommunication.
Q: Hi, the Paleo Diet makes a lot of sense to me and I very much appreciate the research that’s gone into it. However, am I right in thinking that any diet we are adapted to may nevertheless not be an ideal diet? We adapted to a diet that enabled us to be healthy enough to live long enough to reproduce healthy enough offspring.
If I understand correctly, couldn’t certain foods could make that basic diet even healthier? For example, I have The Paleo Diet for Atheletes out from the library right now and I see that you believe that the life of an athlete requires departure from a strict paleolithic diet. Couldn’t properly treated grains and legumes be beneficial additions to the diet? (i.e. soaked/sprouted to reduce/eliminate anti-nutrients?)
I am waiting to receive The Paleo Diet from the library (I’m on a long waiting list, which is good news I guess!) so maybe you address this issue in the book, in which case, I apologise. But if not, I would appreciate knowing your views on soaking/sprouting grains and legumes, and the reasons behind those views.
Thanks so much,
Zena
A: Dear Zena, first of all – thanks for supporting our work.
Lectins, one of the known antinutrients in cereal grains and legumes1, have been demonstrated to exert several deleterious effects upon human physiology1, (especially for those with autoimmune diseases) by increasing intestinal permeability2. Their function is to protect the plant against attacks by plant-eating animals by using several toxic substances, such as lectins3. There is a growing body of evidence showing that both the root and the sprout of wheat kernels have significant amounts of wheat germ agglutinin (WGA), one of the most studied lectins. Indeed, WGA originates in the wheat kernel, especially during germination and growth4, and the highest concentrations are found in young plant roots, seeds, and sprouts.
Lectins are resistant to digestive enzymes, and are found intact in peripheral circulation, as shown by Wang et al (1998)5. Furthermore, they are deposited in the internal organs6.
As stated by Pusztai et al7, lectins are heat stable, and normal cooking does not completely eliminate these toxic compounds unless they are pressur cooked8-11. The best way to reduce lectins’ adverse health effects is to limit their intake.
In addition, saponins – another type of toxic/antinutritive compound – exist in legume sprouts. Saponins have been shown to affect the gut barrier and by extension immune system function12. They may also increase the risk of autoimmune diseases in genetically susceptible individuals13. Soaking, sprouting or cooking legumes, does not reduce their saponin content14, 15.
In addition, a peptide fraction from gluten proteins called gliadin is found in wheat. Gliadin is resistant to digestive enzyme degradation16, arrives intact when it comes into contact with intestinal epithelial cells17, and increases intestinal permeability. Increased intestinal permeability may be at the root of autoimmune diseases such as Celiac Disease and Type 1 Diabetes13.
Phytate, the main form of phosphorus storage in many plants (especially bran and seeds) is classified as an antinutrient because is a chelator of iron, magnesium, calcium and zinc1. Phytate ingestion inhibits the intestinal absorption of those minerals. Phosphorus from phytate is unavailable to humans, as we do not produce the phytase enzyme necessary to break down phytate – unlike ruminants, who do produce phytase, and are able to digest phytate18. Yeast fermentation in bread reduces phytate content19. Furthermore, addition of ascorbic acid counteracts the inhibitory effects of phytate upon iron absorption20. Soaking and fermentation reduces the phytate content of grains and legumes as indicated in several studies21, 22, 23, 24.
Having said that, Dr. Cordain in his first book talks about the 85:15 rule, where he explains that 85% of caloric intake from modern paleolithic-like foods is still more healthy than the typical western diet, where more than 70% of caloric intake comes from foods introduced in the human food chain after the agricultural revolution25.
The bottom line is that our metabolism is perfectly adapted to the nutrition that shaped our genome during million of years of evolution. Therefore, any nutrient introduced after the agricultural revolution may not be compatible with our ancient genome. We believe that anyone engaged in athletic activities could do very well on a diet based on 85% paleolithic nutrients, which are preferable to the nutrients found in the typical western diet.
I hope this is helpful.
Maelán Fontes
References:
- Cordain L. Cereal Grains: Humanity’s Double-Edged Sword. World Rev Nutr Diet. Basel, Karger, 1999, vol 84, pp 19–73.
- Cordain L. et al. Modulation of immune function by dietary lectins in rheumatoid arthritis. British Journal of Nutrition (2000), 83, 207–217.
- Chrispeels, M.J. & Raikel, N.V. (1991) Lectins, lectin genes, and their role in plant defense. Plant Cell 3, 1-9.
- Miller, R., & Bowles, D. (1982). A comparative study of the localization of wheat-germ agglutinin and its potential receptors in wheat grains. Biochem. J., 206, 571-576.
- Wang Q, Yu LG, Campbell BJ, Milton JD, Rhodes, JM. Identification of intact peanut lectin in peripheral venous blood. Lancet 1998;352:1831-32.
- Caron, M. & Steve, A.P. (2000) Lectins and Pathology, Taylor & Francis, London.
- Pusztai A and Grant G. Assessment of lectin inactivation by heat and digestion. From Methods in Molecular Medicine. Vol 9 Lectin methods and protocols. Edited by J M Rhodes and J D Milton Humana Press Inc. Totowa, NJ.
- Grant G, More LJ, McKenzie NH, Pusztai A. The effect of heating on the haemagglutinating activity and nutritional properties of bean (Phaseolus vulgaris) seeds. J Sci Food Agric 1982;33: 1324-1326.
- Boufassa C, Lafont J, Rouanet J M, Besancon P 1986 Thermal inactivation of lectins (PHA)isolated from Phaseolus vulgaris. Food Chem 20 295-304.
- Buera M P, Pilosof A M R, Bartholomai G B 1984 Kinetics of trypsin inhibitory activity loss in heated flour from bean Phaseolus vulgaris. J Food Sci 49 124-126.
- Collins J L, Beaty B F 1980 Heat inactivation of trypsin inhibitor in fresh green soybeans and physiological responses of rats fed the beans. J Food Sci 45 542-546.
- Patel B, Rober S, Sporns P, et al. potato glycoalkaloid adversely affect intestinal permeabiliry and aggravate inflammatory bowel disease.
- Visser J, Rozing J, Sapone A et al. Tight junctions, Intestinal permeability and Autoimmunity. Ann. N. Y. Acad. Sci. 1165: 195-205 (2009).
- Ruiz RG, Price K, Rose M, Rhodes M, Fenwick R. A preliminary study on the effect of germination on saponin content and composition of lentils and chickpeas. Z Lebensm Unters Forsch 1996;203:366-369.
- Ruiz RG, Price KR, Arthur AE, Rose ME, Rhodes MJ, Fenwick RG. Effect of soaking and cooking on the saponin content and composition of chickpeas (Cicer arietinum) and lentils (Lens culinaris). J Agric Food Chem 1996;44:1526-1530.
- Shan L, Qiao SW, Arentz-Hansen H, et al. Identification and Analysis of Multivalent Proteolytically Resistant Peptides from Gluten: Implications for Celiac Sprue. J Proteome Res. 2005 ; 4(5): 1732–1741.
- Drago S, Asmar R, Di Pierro M, et al. Gliadin, zonulin and gut permeability: Effects on celiac and
- non-celiac intestinal mucosa and intestinal cell lines. Scandinavian Journal of Gastroenterology, 2006; 41:408/419.
- Klopfenstein, TJ et al. “Animal Diet Modification to Decrease the Potential for Nitrogen and Phosphorus Pollution”. Council for Agricultural Science and Technology 21.
- Reinhold JG. Phytate destruction by yeast fermentation in whole wheat meals. J Am Diet Assoc 1975;66:38-41.
- Hallberg L, Brune M, Rossander L. Iron absorption in man: ascorbic acid and dose-dependent inhibition by phytate. Am J Clin Nutr 1989;49:140-4.
- Chen LH, Pan SH. Decrease of phytates during germination of pea seeds (Pisium Sativa). Nutr Rept Int. 1977;16: 125-131.
- Walker KA. Changes in phytic acid and phytase during early development of phaseoleus vulgaris beans. Planta 1974;116:91-98
- Bain, J. M., Murcer, F. V.: Changes in phytic acid and acid-soluble phosphorus in maturing pinto beans. J. Sci. Fd. Agric. 20, 82–84 (1966).
- Jennings, A. C., Morton, R. K.: Changes in nucleic acids and other phosphorus-containing compounds of developing wheat grain. Aust. J. Biol Sci. 16, 332–341 (1963b).
- Cordain L, Eaton SB, Sebastian A, et al. Origins and evolution of the western diet: health implications for the 21st century. Am J Clin Nutr 2005;81:341–54.
May 3rd, 2010 by steve
For those of you who have a high incidence of Alzheimer’s in your family history (like me), here is some good news. Paleolithic/ancestral eating seems to have some affect there.
April 23, 2010 — Individuals who consume a diet rich in nuts, fish, poultry, vegetables, fruits, and olive oil–based salad dressings but low in high-fat dairy products, red meat, organ meats, and butter have a reduced risk for Alzheimer’s disease, a new study suggests.
The finding, from a prospective community-based cohort study, warrants further exploration of food combinations in the prevention of this important public health problem, said lead study author Yian Gu, PhD, from the Taub Institute for Research in Alzheimer’s Disease and the Aging Brain, Columbia University, New York City.
“Many studies have looked at the relationship between diet and the risk of Alzheimer’s disease, but they have tended to focus on single nutrients or dietary items, such as fruits or vegetables or intake of meats. But the reality is that people eat a variety of foods, so we wanted to determine the best combination that might prevent Alzheimer’s,” she told Medscape Neurology.
Their results were published online April 12 in the Archives of Neurology. The study will also appear in the June issue of the journal.
Dietary Patterns
Dr. Gu and her colleagues studied a cohort of 2148 elderly subjects 65 years and older living in New York City. All subjects were healthy and free of dementia at study entry. Their dietary habits were obtained via questionnaire, and they were prospectively evaluated with the same standardized neurologic and neuropsychological measures approximately every 1.5 years for an average of 4 years.
The researchers used reduced rank regression to calculate dietary patterns according to their effect on 7 nutrients previously shown in the literature to be related to Alzheimer’s disease: saturated fatty acids, monounsaturated fatty acids, omega-3 polyunsaturated fatty acids, omega-6 polyunsaturated fatty acids, vitamin E, vitamin B12, and folate.
During the follow-up, 253 individuals developed Alzheimer’s disease. The study found that one dietary pattern — characterized by higher intakes of salad dressing, nuts, fish, tomatoes, poultry, cruciferous vegetables, fruits, and dark and green leafy vegetables and a lower intake of high-fat dairy products, red meat, organ meat, and butter — was significantly associated with a reduced risk for Alzheimer’s disease.
Compared with subjects in the lowest tertile of adherence to this pattern, the Alzheimer’s disease hazard ratio (95% confidence interval) for subjects in the highest tertile was 0.62 (0.43 – 0.89) after multivariable adjustment (P for trend = .01).
The study also found that subjects who were older, less educated, and current smokers tended to be less adherent to the protective diet. Hispanic individuals adhered less than white and black individuals (P = .02), and women tended to adhere more than men (P = .05).
“The dietary pattern that was most protective against Alzheimer’s reflected a diet rich in ω-3 and ω-6 polyunsaturated fatty acids, vitamin E, and folate but poor in saturated fatty acids and vitamin B12,” commented Dr. Gu. “The combination of nutrients in this dietary pattern reflects multiple pathways in the development of Alzheimer’s disease.
“For example, vitamin B12 and folate are homocysteine-related vitamins that may have an impact on the disease through their ability to lower circulating homocysteine levels,” she said. “Vitamin E is a strong antioxidant, and the fatty acids may be linked to dementia and cognitive function through atherosclerosis, thrombosis, or inflammation. Fatty acids may also affect brain development and membrane functioning.”
She added that the study has several limitations. “We used a single measurement of the diet, and this might not have captured the long-term dietary habits of the subjects. We also excluded subjects from the final analysis because they were lost to follow-up, and this might have introduced selection bias. We also can’t completely rule out the possibility that the reduced risk associated with this protective diet was due to residual confounding.”
Further studies are planned, Dr. Gu said. “We cannot say based on this study alone that this type of dietary pattern prevents Alzheimer’s disease, but many studies have consistently shown that fruits and vegetables and unsaturated fatty acids are associated with a lower risk. We want to repeat these findings in different populations and see if they can be confirmed in other studies.”
Array of Health Behaviors
Commenting on this study for Medscape Neurology, David Knopman, MD, professor of neurology at the Mayo Clinic and a member of the Mayo Clinic Alzheimer’s Disease Research Center in Rochester, Minnesota, said that, despite the study authors’ best efforts, it is still not clear whether diet alone makes a difference.
“Dietary habits, which often are lifelong, are certainly part of the array of health behaviors that contribute to better cognitive health in late life. However, diet and other health behaviors are intertwined. Because a healthy diet contributes to better cardiac health, lower weight, lower blood pressure and a lower risk for diabetes, there are many reasons to view the dietary habits described by Dr. Gu and colleagues as beneficial.”
The study was supported by federal National Institute on Aging grants. Dr. Gu and Dr. Knopman have disclosed no relevant financial relationships.
Arch Neurol. Published online April 12, 2010.
Clinical Context
There is increasing evidence linking Alzheimer’s disease to diet intake, but the impact of particular nutrients on risk is uncertain. For example, adherence to the Mediterranean diet has been linked with a lower risk for Alzheimer’s disease, but only a limited number of food groups are considered in the Mediterranean diet.
This is a prospective cohort study of a longitudinal cohort of community-dwelling elderly residents of New York City without dementia at baseline to examine the link between dietary pattern analyzed by reduced rank regression to derive a pattern consistent with reduced risk.
Study Highlights
- 2148 elderly subjects 65 years and older were recruited from among a sample of Medicare beneficiaries. Baseline standardized history, physical examination, and neuropsychological test batteries were performed.
- A global summary score on the Clinical Dementia Rating was obtained at baseline, and subjects were monitored at 1.5-year intervals for testing.
- Average food consumption in the year before the testing was obtained by a 61-item version of the Willet semiquantitative food frequency questionnaire by trained interviewers in English or Spanish.
- The nutrient intake from foods consumed was calculated and then used in the reduced rank regression analysis.
- At the 1.5-year interval examinations, status of possible or probable Alzheimer’s disease was determined by criteria of the National Institute of Neurological and Communicative Disorders and Stroke-Alzheimer Disease and Related Disorders Association.
- Reduced rank regression determines linear combinations (ie, scores of dietary patterns) of a set of predicting variables. This test was performed with use of 30 predetermined food groups.
- The nutrients used in the analysis were saturated fatty acids, monounsaturated fatty acids, omega-3 polyunsaturated acids, omega-6 polyunsaturated fatty acids, vitamin E, vitamin B12, and folate.
- This list was generated from what was most commonly reported as associated with Alzheimer’s disease risk in the literature.
- A dietary pattern score was calculated for every pattern that emerged, for a total of 7 groups of dietary pattern scores.
- After an average follow-up of 3.96 years, 253 incident cases of Alzheimer’s disease were identified.
- The participants who went on to have Alzheimer’s disease were older, were less educated, and had lower body mass index vs those without Alzheimer’s disease.
- They were more likely to be Hispanic than white and were less likely to consume moderate alcohol.
- The 7 dietary pattern scores examined explained 76.8% and 29.5% of the total variation in nutrient and food intakes, respectively.
- The crude hazard ratios for Alzheimer’s disease in the highest vs the lowest tertiles for the dietary patterns 1 though 7, respectively, were 1.06, 0.54, 1.10, 1.16, 0.94, and 0.96.
- Dietary pattern score 2 was the only pattern that was associated with Alzheimer’s disease risk; therefore, subsequent analysis focused on this pattern.
- A high dietary pattern score 2 indicated a diet rich in omega-3 polyunsaturated fatty acids, omega-6 polyunsaturated fatty acids, vitamin E, and folate (all positively correlated, P < .001) but poor in saturated fatty acids and vitamin B12.
- Dietary pattern score 2 correlated positively with intakes of salad dressing, nuts, fish, tomatoes, poultry, cruciferous vegetables, fruits, and dark and leafy vegetables.
- This score correlated negatively with intakes of high-fat dairy, red meat, organ meat, and butter.
- Subjects who were older, less educated, and current smokers were less likely to adhere to dietary pattern score 2.
- Compared with subjects in the lowest tertile of adherence to dietary pattern score 2, those in the middle and highest tertiles, respectively, had a 19% and 38% lower risk for Alzheimer’s disease (P for trend = .01).
- Alcohol intake and nutrient supplements did not affect this association.
- The authors concluded that a dietary pattern rich in omega-3 polyunsaturated fatty acids, omega-6 polyunsaturated fatty acids, vitamin E, and folate and poor in saturated fatty acids and vitamin B12 was associated with a lower risk for Alzheimer’s disease in older persons.
Clinical Implications
- The risk for Alzheimer’s disease is lower by 19% and 38%, respectively, for individuals in the middle and highest vs the lowest tertiles of adherence to dietary pattern score 2.
- The dietary pattern protective against Alzheimer’s disease consists of a diet rich in salad dressing, nuts, fish, tomatoes, poultry, cruciferous vegetables, fruits, and dark and leafy vegetables and low in high-fat dairy, red meat, organ meat, and butter.
March 3rd, 2010 by randy
America’s Deadliest Sweetener betrays Millions, Then Hoodwinks You With Name Change Aspartame producer Ajinomoto is launching a new initiative that will rebrand the sweetener as “AminoSweet”.
Aspartame is used in many foods and beverages marketed as low calorie or sugar-free. However, its reputation has been clouded somewhat by studies that have investigated reports of ill effects.
Just to remind you, the side effects of aspartame can include:
- Headache
- Change in vision
- Convulsions and seizures
- Hallucination
- Nausea and vomiting
- Joint pain
It can cause many, many other problems as well.
Sources:
Related Links:
February 1st, 2010 by steve
In the paleo diet blog Dr. Cordain maitains, there was a question about eggs. It appears that the 6 eggs/week limitation is more for those with autoimmune issues.
Read the full post here: http://thepaleodiet.blogspot.com/2010/01/paleo-diet-q-29-january-2010-update-on.html
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