May 20, 2012

What’s underneath YOUR skin condition?

Acne. Eczema. Dermatitis. Psoriasis.  You’ve landed here because at least one of these bother you. Perhaps it’s your own skin. Or, maybe it’s the skin of a friend, relative or co-worker that makes you cringe/cry/sigh.  In any case, you wish it wasn’t so.

Chronic skin problems affect self-esteem, and therefore can create anxiety about one’s future in the social, romance and career realms. Having them can also increase your risk of other diseases.  In essence, having skin problems can be life-altering, limiting one’s enjoyment of life just like it would for someone with an internal disease such as Crohn’s disease, diabetes or irritable bowel syndrome.

But wait:  if those are ‘internal’ diseases, does that mean skin problems are ‘external’ diseases?  If so, that would imply that what is happening on the surface of the skin would have nothing to do with what’s going on beneath it, or what you put into, not just on, your body.  Is that what your dermatologist told you when you asked if food has anything to do with your skin condition?  What if I said that dermatologist was wrong?

The fact is, the studies that ‘proved’ that diet has no affect on acne were done over 40 years ago and were based on bad science.  Any scientist who reads them will tell you that.  Unfortunately, since then, the studies that prove that food matters to skin haven’t hit the mainstream media.  I suspect this is because the focus has been on drug-based or surgical management of skin disease.

In addition, the marketing of creams, lotions and scrubs is often done in a way that encourages us to believe that you must have been using the wrong product for your skin, that the cause of your problems can be corrected with a better product.  But if you are reading this then you may be able to speak from experience that really, your skin problem cannot be healed with topical products alone. If you believe this, you are in the right frame of mind to consider that what you’re eating may not be the most suitable diet to keep your skin problems under control.

So, what’s food got to do with it? What we eat interacts with your body chemistry starting the moment you put it in your mouth.  Since each of us has a unique set of genetic and environmental factors that interact in their own way, it’s important to record what you ingest in a food log.  Remember to write down what you drink, too! Also include some brief notes on how your skin looked and felt, and what your digestion, mood and energy levels were like. This is a great start to finding out if your diet may be affecting your skin problem.  So if you haven’t already, download my free food log and start filling it out!

 

 

 

 

Are you “fat, sick and nearly dead”?

Recently, I watched the film “Fat, Sick and Nearly Dead” by Joe Cross (Joe Cross Films, 2010). What an inspiring story! It’s about  two overweight men who transformed their health by performing a 60-day juice fast.  These two men first meet at a truck stop somewhere in the American Midwest and discover that they suffer from the same inflammatory skin condition, not to mention obesity and unhappiness about their current health status. Joe, our narrator, has already been drinking nothing but juiced fruits and vegetables for several weeks when he meets Phil, who is over 420 pounds. They exchange contact info, and the rest of the film follows Phil through his ‘reboot’, i.e. his juice fast experience.  The results are dramatic and impressive, rewarding Phil with a second chance at life.

While I found the film to be very inspirational (my juicer has returned to a central place on my countertop and is seeing daily use after a winter in hibernation), I feel it necessary to emphasize that  it is essential that you not embark on a juice fast on your own.  Here’s why you want to be under the supervision of a health care practitioner if you’ve never done this before:

1. Juice fasting can produce some unpleasant side effects in the consumer as large amounts of toxins are rapidly expelled from the fat cells.  This can result in headaches, skin outbreaks, diarrhea and other signs that your body is unable to cope with the volume of waste entering your circulation.

2. You will lose weight on a juice fast, whether you want to or not. Losing it too quickly may increase your risk of gall bladder stones, for instance.  If you’ve already got stones, well, then losing a large amount of weight in a short time could potentially cause an obstruction that requires emergency surgery.  Trust me: you want to keep your gall bladder!

3. Consuming a juice-only diet means you are on a vegan diet. This means it will be devoid of vitamin B-12, retinol (vitamin A) and vitamin D.  You’ll need to take supplements to prevent deficiencies in these nutrients.

4. Individuals with diabetes or hypoglycemia  shouldn’t fast on just any juice.   Juicing removes most of the fibre from fruits and vegetables, allowing the natural sugars to enter the bloodstream much faster than if the food was eaten whole, fibre and all.  This means that blood sugars can be difficult to manage without the guidance of a nutritionist.

5. You will have cravings, and when you do, it will be for something you know is not healthy. You need a coach to make sure you stay away from the chips, chocolate, burgers, and other junk foods your body may be addicted to. Who better than a nutritionist to be that coach?

Juicing is an excellent way to increase your daily intake of vitamins, minerals and antioxidants without having to munch your way through several large salads daily.  However, even if you aren’t ‘fat, sick and nearly dead’, then please—have a health assessment by a qualified health professional before embarking on a juice fast.  The two gentlemen in the film did—and it proved to two medical doctors that dramatic changes in diet can produce dramatic, healthy results.

 

 

5 ways to tell if a fat-free product is unhealthy

As a nutritionist, one of the biggest issues I have with makers of commercially prepared salad dressings, crackers, muffins and cookies is their use of the term “fat-free”.  In Canada, a food company is allowed to label their product as “fat-free” if it contains less than 1 gram of fat per serving.  Here’s why I’m concerned about that:

1. The type of fat used in the product may be a source of trans fats, such as hydrogenated oils or vegetable shortening.  These fats lower protective HDL cholesterol and raise risk-associated LDL cholesterol.  Considering that cardiovascular disease is the number one killer of Canadians, none of us needs that.

2.Who actually eats just one serving of their favourite cracker, dressing or cookie at one sitting? Enough said.

3. Sugar is added to bring flavour to fat-free and low-sodium  foods.  This should concern diabetics and parents with overweight kids in particular, especially if the sugar is listed as ” high-fructose corn syrup” or “dextrose”. These sugars have a high-glycemic index, rapidly raising blood sugar and contributing to hyperactivity in susceptible individuals.

4. Fat-free foods contain extra sodium to make them taste better.  Individuals with breathing difficulties, high blood pressure or PMS need to watch out for this additive.  Salt is a popular and cheap flavour enhancer that most Westerners don’t notice until it’s gone because processed foods can taste bland without it.

5. Fat-free foods reduce the feeling of satiety. Have you ever had a fat-free muffin and wonder why you couldn’t stop there?  Without fats, starchy foods leave the stomach more rapidly, leaving the eater with hunger pangs sooner than if they had eaten a ‘regular’ fat-containing muffin.

There are more fat-free foods on the marketplace and more obesity than ever before.  Coincidence? I doubt it. Do yourself a favour and avoid products labeled “fat-free”.

 

 

 

Why I don’t calculate BMI for my clients

Just the other day, a client attending his first health consultation asked me, “so now can we find out my BMI?”  He was surprised to find out that I was not interested in his BMI despite his goal to shed a few pounds.

In fact, body mass index (a.k.a. BMI) is a limited tool for assessing health risk.

Here are four reasons why I don’t use BMI in my health assessments:

1. BMI refers to a number that is a result of dividing a person’s weight by his height.   This number is supposed to reflect whether or not you have a healthy body weight for your height. It assumes that a high BMI means an individual is over-fat and that a person with a low BMI is unhealthy. Often, this is not the case, and people prematurely slot themselves into categories associated with the appropriate level of risk for cardiovascular disease, diabetes and cancer.  Maybe you have genetic or lifestyle factors that increase your risk of these disease, but maybe you don’t. BMI does not consider this information.

2. BMI does not take into account frame size. Large frames consist of denser, heavier bones, while smaller frames are lighter. If you come from a large -framed genetic stock you will probably be heavier than another person who shares your height. This fact means that the large-framed individual so with a healthy body composition with ample muscle, they are considered “obese” by BMI standards.

3. BMI can’t tell you how much of your weight is muscle.  An NHL player may weigh 200 pounds, but he has to be one fit specimen to have the endurance to play a fast game like hockey.  Take his weight and his height, and just based on that he is considered obese.  This is simply untrue.

4. BMI charts assume that tall, slim people are underweight.  I’d know, because I am one of those people.  As far as I’m concerned, the pantyhose manufacturers still haven’t got it right, because they assume that being tall means being heavy.  Consequently, it’s tough to find the right pair! Having said that, I’ve met many women with hourglass figures who turn out to be dangerously over-fat. Why? Because muscle doesn’t make women look like this—fat does.

So, what did I offer the client who wanted to know his BMI?  A BIA—bio-impedance analysis of his body composition. As a nutritionist I find this to be a far more useful and accurate tool to assess health risk and monitor whether or not weight loss or gain is healthy or unhealthy.

Nutrition and Celiac disease: 3 myths debunked

What is Celiac Disease?

Celiac disease, a.k.a. gluten enteropathy is a disease in which the immune system produces an inflammatory response to the food ingredient gluten, damaging the absorptive surface of the small intestine in the process. This results in bloating, pain and diarrhea in gluten-allergic individuals, and in the long run, increased risk of osteoporosis and colon cancer.

What is gluten? Gluten is a protein that is naturally part of the grains wheat, barley, rye, spelt, kamut and triticale. As a nutritionist it concerns me that despite the increasing number of cases of Celiac disease in all age groups, the media has neglected to mention how healthy eating for Celiacs is vital to their recovery.

Myth #1: A little bit of gluten is O.K.

Reality: even a few crumbs of wheat toast from a toaster can illicit symptoms in a gluten-allergic person. The body’s immune system is designed to recognize tiny foreign particles of different sorts and it will launch an attack on something this size.  Every time the immune system finds gluten particles in the system, it launches an inflammatory response. This spells tissue injury and pain for the gluten-allergic. Healing will be delayed and symptoms will return.

Myth #2: As long as I eat 100% gluten-free I can be healthy again.

Reality: There are a lot of processed foods on the market intended to support Celiacs with a wider range of foods to eat that are actually no better than junk food! Just because your pancake mix or cereal is gluten-free it is not necessarily health-promoting. Think of all the sugar, the refined flours (as opposed to whole grain flour) and additives needed to get that product to bake and taste like a wheat-based recipe. It’s essential that nutrient-dense, minimally processed foods form the basis of the Celiac diet in order for the small intestine to recover its absorption capabilities completely.

Myth #3: Nutritional supplements are unnecessary for recovering from Celiac disease.

Reality: In Celiac disease, large areas of the absorptive surface of the small intestine become damaged to the point where nutrients cannot be absorbed. The body becomes malnourished, and consequently the person suffers from the symptoms of numerous nutritional deficiencies. Common ones include vitamin B12, calcium and iron. It is my observation that high quality, well-chosen nutritional supplements can speed the rate of recovery from active Celiac disease.

Read more on the subject of quality supplementation