Bookmark Us
Issue Number 1 Thursday, December 28, 2000

Don Hall, DrPH, CHES
Pres. Wellsource Inc.

Nutrition Information
Weight Management
Food

An apple a day

An apple has long been used as a symbol of prevention and good health . New research now verifies that, indeed, apples do have protective qualities. Apples are rich in an antioxidant called quercitin, a flavonoid that helps prevent oxidation of LDL cholesterol. This in turn decreases the likelihood of LDL cholesterol being deposited in the arteries (it is primarily oxidized cholesterol that is damaging to the artery walls) decreasing the risk of heart disease. Apples are good sources of pectin and gluaric acid, both of which help to reduce cholesterol levels1.

The total antioxidant power of one apple is equivalent to 1,500 milligrams of vitamin C. Researchers from Cornell University tested extracts from apples on colon and liver cancer cells and found they reduced cell growth, especially when the skins were left on the apples.

In the Health Professional Follow-up Study of 34,757 people, those who ate an apple daily had nearly a 20 percent lower rate of coronary heart disease than those who seldom ate apples2.

Fortunately, apples are available year around and come in many delicious flavors and colors. Try them fresh, as homemade applesauce (a treat at our house), in apple crisp with a whole-grain oatmeal crust, in fresh apple salads, or as apple juice. One of my favorite desserts is a baked apple. Use Rome apples or other good cooking apples. Dig out the core and fill it with raisins and a little brown sugar. I pour a little orange juice over the top and bake in a covered glass dish in the microwave for 8 to 10 minutes. When it cools, it is a delicious dessert.

Enjoy an apple every day!

References:
1. Loma Linda University, Vegetarian Nutrition and Health Letter, October, 2000.
2. Ref. JAMA, Feb. 14, '96

Is a low saturated fat/cholesterol diet healthy for children?

Coronary artery disease is the leading cause of early death in most developed countries in the world today. Autopsy studies show that fatty streaks or early plaque formations commonly occur in even young children. One study showed that 50 percent of American children aged 15 to 19 already had early lesions (plaques) in their coronary arteries and virtually all had fatty streaks in the aortas. As a result, new dietary guidelines are recommending everyone follow a low-saturated fat low-cholesterol diet, even young children.

Some people were concerned that skim milk and other low fat/cholesterol foods might interfere with normal growth and neurological development in young children. A new study in Finland addresses this concern. Researchers recruited 495 mothers with infants in a well-baby clinic and then put half of them on a low-cholesterol, low-saturated fat eating plan while the other half (controls) followed normal eating practices. After five years all children were tested. Researchers found no difference in neurological development or growth between the two groups. The children on the low-saturated fat and low-cholesterol diet, however, had significantly lower cholesterol levels. LDL cholesterol was five percent lower in the intervention group compared to controls.

WHAT WE CAN LEARN?
This study demonstrated that by starting on a low-saturated fat, low-cholesterol diet, adequate in calories and healthy fats (vegetable oils) in early childhood (as young as one year) you may considerably decrease the rate of coronary artery disease in adulthood without any adverse affect on growth or neurological development. When is the best time to start on a heart healthy diet? Apparently as young as one year of age. The sooner you start the better your chances for a full, healthy life.

Source: JAMA 2000;284:993-1000

How to lower your cholesterol level

The American Heart Association task force on risk reduction suggests the following methods for achieving a healthy cholesterol level to reduce your risk of a heart attack.

RECOMMENDED CHOLESTEROL LEVELS
1. Cholesterol less than 200 (LDL <130) for all healthy adults, age 20 and above.
2. Cholesterol less than 170 for all children and youth younger than 20.
3. Cholesterol of 160 or less if you have already had a heart attack or have diabetes.

LIFESTYLE CHANGES
1. Lower saturated fat intake to seven percent or less of total calories eaten (five percent is even more effective).
2. Lower dietary cholesterol intake to less than 200 mg/day (as close to zero as possible is ideal.)
3. Lose weight if needed (even a 15 to 20 pound weight loss can be a significant help).
4. Get help from a dietician or nutritionist if needed to learn how to change your diet.
5. Engage in regular physical activity according to your fitness level.
6. Accumulate 30+ minutes of moderate-intensity physical activity on most, preferably all, days of the week.
7. Get your doctor's guidance if you have any health problems.

MEDICINES
If you are at high risk (e.g. have already had a heart attack or have diabetes) and you are unable to get your cholesterol to the recommended level, your doctor may prescribe a cholesterol lowering medication to reduce LDL cholesterol to 100 or lower. If you are at high risk, your doctor may also recommend you take a "baby" aspirin or enteric aspirin (81 mg) daily to help prevent a blood clot from forming that could cause a heart attack or stroke.

Source: Harvard Heart Letter, Vol. 8, No. 6.

Other dietary changes shown to reduce heart risk

1. Eating 100 percent whole-wheat breads and cereals including oatmeal and brown rice; at least three servings a day. Oat bran seems to be especially helpful in lowering cholesterol levels.

2. Eating five or more servings of fruits and vegetables daily. Up to nine servings each day is recommended for active people. One serving is one fresh fruit (e.g. apple, banana, orange), one cup of fresh fruit or vegetables, 1/2 cup cooked, or 32/3 cup juice.

3. Eat nuts or seeds five or more days a week (a handful or 1 oz. is a serving).

4. Avoid trans fats found in partially hydrogenated fats such as hard stick margarine and most packaged foods and baked goods. Use vegetable oils such as olive, Canola, or soy instead.

5. Eat foods high in alpha-linolenic fatty acid (soy and Canola oils, walnuts, soy milk and soy foods, and flax meal are good sources).

6. Eat soy protein foods, including soymilk and tofu, as an alternate to animal protein foods.

Source: Eight Weeks to Wellness, LifeLong Health Participant's Guide, 1999

Proactive Health Care
Disease State Management

Teen pregnancies

Each year in the United States between 800,000 and 900,000 teens become pregnant. The good news is that recently there has been a slight decrease in this number. Lowest teen pregnancy rates are 56/1000 in North Dakota, and highest teen pregnancy rates are 117/1000 in Nevada. Texas and Delaware also have very high rates. Teen pregnancy rates are highest within the African-American population. Have you talked to your teen about responsible sexual behavior? It's much easier to discuss these issues before a problem arises rather than dealing with the many complex emotional, financial, and other critical issues involved in a teen pregnancy. As with most problems, prevention is always the best solution.

One recent study on teen pregnancy found two factors significantly related to preventing teen pregnancies:
1. The mothers attitude on premarital sex. Mothers who had strong convictions against premarital sex had fewer teens who got pregnant.
2. The closeness of the relationship between mothers and daughters. Teen who felt a close relationship to their mothers were less likely to become pregnant.

Reference: CDC, Morbidity and Mortality Weekly Report, 2000;49:605-611

Wellsource Inc.
15431 SE 82nd Dr.
Portland, OR 97015
(503) 656-7446

About Making Healthy Choices

Making Healthy Choices is written by Don Hall, DrPH, CHES president of Wellsource Inc., with contribution from associated health professionals. It is available to Wellsource clients and to other select organizations involved in promoting health.

Content is general health information from evidence based research. Its purpose is not to treat disease but to promote healthy lifestyles. Persons with health problems should consult their physician for specific guidance.

Top

Customer Care

1-800-533-9355
503-557-0373
503-656-7446

Monday-Friday
6:00 a.m. to 4:30 p.m. PST


Search


Product Information