#htmlcaption1 A good laugh and a long sleep are the best cures in the doctor’s book. Physical fitness is the first requisite of happiness. #htmlcaption2 A fit body, a calm mind, a house full of love. These things cannot be bought – they must be earned.

Saturday, March 12, 2022

The Quick-Fix Mediterranean Diet

 The Quick-Fix Mediterranean Diet

By Michael Gollust


Adding international flair to your diet could quickly lead to a healthier heart.


After only 3 months of eating a Mediterranean diet, study participants reduced their risk of cardiovascular disease by approximately 15%. A Mediterranean diet emphasizes whole grains, fruits, vegetables, fish, nuts, low-fat dairy, and olive oil. Planning your meals around these items may be even better for your heart than a low-fat diet.


In a recent study, two groups of participants with moderate risk factors for cardiovascular disease were placed on a Mediterranean diet or a low-fat diet for 3 months. By the end of the study, members of both groups experienced improvements in body mass index (BMI), blood lipids, and other risk factors. While those in the low-fat diet group reduced their risk for cardiovascular disease by an estimated 9%, participants in the Mediterranean-diet group lowered their disease risk by approximately 15%.


The abundant disease-fighting nutrients found in whole grains, fruits, vegetables, olive oil, nuts, and fish make a Mediterranean diet one of the healthiest around. Whole grains are rich in fiber, magnesium, and B-vitamins; fruits and vegetables are filled with heart-healthy antioxidants; and olive oil, fish, and nuts provide artery-friendly mono- and polyunsaturated fats. Make these delicious and healthful foods the foundation of your diet. In a few short months, you'll be on your way to reaping the long-term benefits.

Friday, March 11, 2022

9 Health Benefits of Eating Oats and Oatmeal

 9 Health Benefits of Eating Oats and Oatmeal

Oats are among the healthiest grains on earth.



They’re a gluten-free whole grain and a great source of important vitamins, minerals, fiber and antioxidants.


Studies show that oats and oatmeal have many health benefits.


These include weight loss, lower blood sugar levels and a reduced risk of heart disease.


Here are 9 evidence-based health benefits of eating oats and oatmeal.


What Are Oats and Oatmeal?

Oats are a whole-grain food, known scientifically as Avena sativa.


Oat groats, the most intact and whole form of oats, take a long time to cook. For this reason, most people prefer rolled, crushed or steel-cut oats.


Instant (quick) oats are the most highly processed variety. While they take the shortest time to cook, the texture may be mushy.


Oats are commonly eaten for breakfast as oatmeal, which is made by boiling oats in water or milk. Oatmeal is often referred to as porridge.


They’re also often included in muffins, granola bars, cookies, and other baked goods.


BOTTOM LINE:

Oats are a whole grain that is commonly eaten for breakfast as oatmeal (porridge).



1. Oats Are Incredibly Nutritious

The nutrient composition of oats is well-balanced.


They are a good source of carbs and fiber, including the powerful fiber beta-glucan (1Trusted Source, 2Trusted Source, 3Trusted Source).


They also contain more protein and fat than most grains (4Trusted Source).


Oats are loaded with important vitamins, minerals and antioxidant plant compounds. Half a cup (78 grams) of dry oats contains (5):


  • Manganese: 191% of the RDI
  • Phosphorus: 41% of the RDI
  • Magnesium: 34% of the RDI
  • Copper: 24% of the RDI
  • Iron: 20% of the RDI
  • Zinc: 20% of the RDI
  • Folate: 11% of the RDI
  • Vitamin B1 (thiamin): 39% of the RDI
  • Vitamin B5 (pantothenic acid): 10% of the RDI

Smaller amounts of calcium, potassium, vitamin B6 (pyridoxine) and vitamin B3 (niacin)

This is coming with 51 grams of carbs, 13 grams of protein, 5 grams of fat and 8 grams of fiber, but only 303 calories.


This means that oats are among the most nutrient-dense foods you can eat.


BOTTOM LINE:

Oats are rich in carbs and fiber, but also higher in protein and fat than most other grains. They are very high in many vitamins and minerals.


2. Whole Oats Are Rich in Antioxidants, Including Avenanthramides

Whole oats are high in antioxidants and beneficial plant compounds called polyphenols. Most notable is a unique group of antioxidants called avenanthramides, which are almost solely found in oats (6Trusted Source).


Avenanthramides may help lower blood pressure levels by increasing the production of nitric oxide. This gas molecule helps dilate blood vessels and leads to better blood flow (7Trusted Source, 8Trusted Source, 9Trusted Source).


In addition, avenanthramides have anti-inflammatory and anti-itching effects (9Trusted Source).


Ferulic acid is also found in large amounts in oats. This is another antioxidant (10).


BOTTOM LINE:

Oats contain many powerful antioxidants, including avenanthramides. These compounds may help reduce blood pressure and provide other benefits.


3. Oats Contain a Powerful Soluble Fiber Called Beta-Glucan

Oats contain large amounts of beta-glucan, a type of soluble fiber.


Beta-glucan partially dissolves in water and forms a thick, gel-like solution in the gut.


The health benefits of beta-glucan fiber include:


  • Reduced LDL and total cholesterol levels (1Trusted Source)
  • Reduced blood sugar and insulin response (11Trusted Source)
  • Increased feeling of fullness (12Trusted Source)
  • Increased growth of good bacteria in the digestive tract (13Trusted Source)

BOTTOM LINE:

Oats are high in the soluble fiber beta-glucan, which has numerous benefits. It helps reduce cholesterol and blood sugar levels promote healthy gut bacteria and increase feelings of fullness.


4. They Can Lower Cholesterol Levels and Protect LDL Cholesterol From Damage

Heart disease is the leading cause of death globally. One major risk factor is high blood cholesterol.


Many studies have shown that the beta-glucan fiber in oats is effective at reducing both total and LDL cholesterol levels (1Trusted Source, 14Trusted Source).


Beta-glucan may increase the excretion of cholesterol-rich bile, thereby reducing circulating levels of cholesterol in the blood.


Oxidation of LDL (the “bad”) cholesterol, which occurs when LDL reacts with free radicals, is another crucial step in the progression of heart disease.


It produces inflammation in arteries, damages tissues and can raise the risk of heart attacks and strokes.


One study reports that antioxidants in oats work together with vitamin C to prevent LDL oxidation (15Trusted Source).


BOTTOM LINE:

Oats may lower the risk of heart disease by reducing both total and LDL cholesterol and protecting LDL cholesterol from oxidation.



5. Oats Can Improve Blood Sugar Control

Type 2 diabetes is a common disease, characterized by significantly elevated blood sugars. It usually results from decreased sensitivity to the hormone insulin.


Oats may help lower blood sugar levels, especially in people who are overweight or have type 2 diabetes (16Trusted Source, 17Trusted Source, 18Trusted Source).


They may also improve insulin sensitivity (19Trusted Source).


These effects are mainly attributed to beta-glucan’s ability to form a thick gel that delays emptying of the stomach and absorption of glucose into the blood (20Trusted Source).


BOTTOM LINE:

Due to the soluble fiber beta-glucan, oats may improve insulin sensitivity and help lower blood sugar levels.


6. Oatmeal Is Very Filling and May Help You Lose Weight

Not only is oatmeal (porridge) a delicious breakfast food — it’s also very filling (21Trusted Source).


Eating filling foods may help you eat fewer calories and lose weight.


By delaying the time it takes your stomach to empty of food, the beta-glucan in oatmeal may increase your feeling of fullness (12Trusted Source, 22Trusted Source).


Beta-glucan may also promote the release of peptide YY (PYY), a hormone produced in the gut in response to eating. This satiety hormone has been shown to lead to reduced calorie intake and may decrease your risk of obesity (23Trusted Source, 24Trusted Source).


BOTTOM LINE:

Oatmeal may help you lose weight by making you feel more full. It does this by slowing down the emptying of the stomach and increasing the production of the satiety hormone PYY.


7. Finely Ground Oats May Help With Skin Care

It’s no coincidence that oats can be found in numerous skincare products. Makers of these products often list finely ground oats as “colloidal oatmeal.”


The FDA approved colloidal oatmeal as a skin-protective substance back in 2003. But in fact, oats have a long history of use in the treatment of itch and irritation in various skin conditions (25, 26Trusted Source, 27Trusted Source).


For example, oat-based skin products may improve uncomfortable symptoms of eczema (28Trusted Source).


Note that skincare benefits pertain only to oats applied to the skin, not those that are eaten.


BOTTOM LINE:

Colloidal oatmeal (finely ground oats) has long been used to help treat dry and itchy skin. It may help relieve symptoms of various skin conditions, including eczema.


8. They May Decrease the Risk of Childhood Asthma

Asthma is the most common chronic disease in kids (29Trusted Source).


It’s an inflammatory disorder of the airways — the tubes that carry air to and from a person’s lungs.


Although not all children have the same symptoms, many experience recurrent coughing, wheezing and shortness of breath.


Many researchers believe the early introduction of solid foods may increase a child’s risk of developing asthma and other allergic diseases (30Trusted Source).


However, studies suggest that this doesn’t apply to all foods. Early introduction of oats, for example, may actually be protective (31Trusted Source, 32Trusted Source).


One study reports that feeding oats to infants before the age of 6 months is linked to a decreased risk of childhood asthma (33Trusted Source)


BOTTOM LINE:

Some research suggests that oats may help prevent asthma in children when fed to young infants.


9. Oats May Help Relieve Constipation

Elderly people often experience constipation, with infrequent, irregular bowel movements that are difficult to pass.


Laxatives are often used to relieve constipation in the elderly. However, while they’re effective, they’re also associated with weight loss and reduced quality of life (34Trusted Source).


Studies indicate that oat bran, the fiber-rich outer layer of the grain, may help relieve constipation in older people (35Trusted Source, 36Trusted Source).


One trial found that well-being improved for 30 elderly patients who consumed a soup or dessert containing oat bran daily for 12 weeks (37Trusted Source).


What’s more, 59% of those patients were able to stop using laxatives after the 3-month study, while overall laxative use increased by 8% in the control group.


BOTTOM LINE:

Studies indicate that oat bran can help reduce constipation in elderly individuals, significantly reducing the need to use laxatives.


How to Incorporate Oats Into Your Diet

You can enjoy oats in several ways.


The most popular way is to simply eat oatmeal (porridge) for breakfast.


Here is a very simple way to make oatmeal:

  • 1/2 cup of rolled oats
  • 1 cup (250 ml) of water or milk
  • A pinch of salt

Combine ingredients in a pot and bring to a boil. Reduce heat to a simmer and cook the oats, stirring occasionally, until soft.


To make oatmeal tastier and even more nutritious, you can add cinnamon, fruits, nuts, seeds, and/or Greek yogurt.


Also, oats are often included in baked goods, muesli, granola, and bread.


Although oats are naturally gluten-free, they are sometimes contaminated with gluten. That’s because they may be harvested and processed using the same equipment as other grains that contain gluten (38Trusted Source).


If you have celiac disease or gluten sensitivity, choose oat products that are certified as gluten-free.


BOTTOM LINE:

Oats can be a great addition to a healthy diet. They can be eaten as oatmeal (porridge) for breakfast, added to baked goods, and more.


Oats Are Incredibly Good for You

Oats are an incredibly nutritious food packed with important vitamins, minerals and antioxidants.


In addition, they’re high in fiber and protein compared to other grains.


Oats contain some unique components — in particular, the soluble fiber beta-glucan and antioxidants called avenanthramides.


Benefits include lower blood sugar and cholesterol levels, protection against skin irritation and reduced constipation.


In addition, they are very filling and have many properties that should make them a weight loss friendly food.


At the end of the day, oats are among the healthiest foods you can eat.

Thursday, March 10, 2022

11 Impressive Health Benefits of Salmon

 11 Impressive Health Benefits of Salmon



Welcome to Fresh Food Fast, your source for creative, accessible recipes and nutrition tips to make eating healthier just a little bit easier — and more fun!

Salmon is one of the most nutritious foods on the planet.


Not only is this popular fatty fish loaded with nutrients, but it may also even reduce certain risk factors for several different diseases.


What’s more, it’s tasty, versatile, and widely available.


Here are 11 amazing health benefits of salmon.


Watch now:

Fresh Food Fast: Crispy Salmon with Scallion Rice and Vinegar Pickles

Food writer, Andy Baraghani, shares how to make crispy salmon with scallion rice and vinegar pickles.

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Get the recipe: Andy’s Crispy Salmon


1. Rich in omega-3 fatty acids

Salmon is one of the best sources of the long-chain omega-3 fatty acids eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA).


A 3.5-ounce (100-gram) portion of farmed salmon has 2.3 grams of long-chain omega-3 fatty acids, while the same portion of wild salmon contains 2.2 grams (1Trusted Source, 2Trusted Source).


Unlike most other fats, omega-3 fats are considered “essential,” meaning you must get them from your diet since your body cannot create them.


Generally, most health organizations recommend that healthy adults get a minimum of 250–1,000 mg of combined EPA and DHA per day (3Trusted Source, ).


EPA and DHA have been credited with several impressive health benefits, such as decreasing inflammation, lowering blood pressure, reducing the risk of cancer, and improving the function of the cells that line your arteries (5Trusted Source, 6Trusted Source, 7Trusted Source, 8Trusted Source).


One review of 22 studies found that using an EPA and DHA supplement consistently could significantly improve arterial function, especially in people who smoke, are overweight, or have high cholesterol levels or metabolic syndrome (9Trusted Source).


What’s more, studies have shown that getting these omega-3 fats from fish increases levels in your body just as effectively as supplementing with fish oil capsules (10Trusted Source, 11Trusted Source).


As for how much fish to eat, consuming at least two servings of salmon per week can help meet your omega-3 fatty acid needs.


SUMMARY

Salmon is rich in long-chain omega-3 fatty acids, which have been shown to reduce inflammation, lower blood pressure, and decrease risk factors for disease.



2. Great source of protein

Salmon is rich in high-quality protein.


Like omega-3 fats, protein is another essential nutrient that you must get from your diet.


Protein plays a number of important roles in the body, including helping your body heal after injury, protecting bone health, and maintaining muscle mass during weight loss and as you get older (11, 12Trusted Source, 13Trusted Source, 14Trusted Source).


Recent research has found that for optimal health, each meal should provide at least 20–30 grams of high-quality protein (15Trusted Source).


For reference, a 3.5-ounce (100-gram) serving of salmon contains 22–25 grams of protein (1Trusted Source, 2Trusted Source).


SUMMARY

Your body requires protein to heal, protect bone health, and prevent muscle loss, among other things. Salmon provides 22–25 grams of protein per 3.5-ounce (100-gram) serving.


3. High in B vitamins

Salmon is an excellent source of B vitamins.


Below is the B vitamin content in 3.5 ounces (100 grams) of wild salmon (2Trusted Source):


  • vitamin B12: over 100% of the Daily Value (DV)
  • niacin: 63% of the DV
  • vitamin B6: 56% of the DV
  • riboflavin: 38% of the DV
  • pantothenic acid: 38% of the DV
  • thiamin: 23% of the DV
  • folic acid: 7% of the DV

These vitamins are involved in several important processes in your body, including turning the food you eat into energy, creating and repairing DNA, and reducing chronic inflammation, which can lead to disease (, 17Trusted Source).


Studies have shown that all of the B vitamins work together to maintain optimal functioning of your brain and nervous system. Unfortunately, even people in developed countries may become deficient in one or more of these vitamins (17Trusted Source).


SUMMARY

Salmon is an excellent source of several B vitamins, which are needed for energy production, controlling inflammation, and protecting heart and brain health.


4. Good source of potassium

Salmon is quite high in potassium.


This is especially true of wild salmon, which provides 13% of the recommended daily value per 3.5 ounces (100 grams), versus 8% for farmed salmon (1Trusted Source, 2Trusted Source).


In fact, wild salmon contains more potassium than an equivalent amount of a medium-size banana, which provides just 9% of the recommended daily value (18Trusted Source).


Potassium helps manage your blood pressure. It also reduces your risk for stroke (19Trusted Source, 20Trusted Source).


One review found that supplementing with potassium significantly reduced blood pressure levels in people with high blood pressure, especially for those consuming large amounts of sodium (21Trusted Source).


Potassium also works with sodium to help regulate fluid balance and lowers blood pressure by preventing excess water retention (22Trusted Source).


SUMMARY

A 3.5-ounce (100-gram) serving of salmon provides up to 13% of the DV for potassium, which helps manage blood pressure and prevent excess fluid retention.


5. Loaded with selenium

Selenium is a mineral found in soil and certain foods.


It’s considered a trace mineral, meaning your body only needs tiny amounts of it. Nevertheless, getting enough selenium in your diet is important.


Studies have shown that selenium helps protect bone health, decreases thyroid antibodies in people with autoimmune thyroid disease, and may reduce the risk of cancer (23Trusted Source, 24Trusted Source, 25Trusted Source, 26Trusted Source).


A 3.5-ounce (100-gram) serving of salmon provides 75–85% of the DV for selenium (1Trusted Source, 2Trusted Source).


Consuming salmon and other high-selenium seafood has been shown to improve blood levels of selenium in people whose diets are low in this mineral (27Trusted Source, 28Trusted Source).


One older study found that blood levels of selenium increased significantly more in people who consumed two servings of salmon per week than those who consumed fish oil capsules containing less selenium (28Trusted Source).


SUMMARY

A 3.5-ounce (100-gram) serving of salmon provides 75–85% of the DV of selenium, a mineral that may support bone health, improve thyroid function, and protect against cancer.



6. Contains astaxanthin

Astaxanthin is a compound linked to several powerful health effects. As a member of the carotenoid family of antioxidants, astaxanthin gives salmon its signature red hue.


Astaxanthin appears to lower the risk of heart disease by reducing oxidation of LDL (bad) cholesterol and increasing levels of HDL (good) cholesterol (29Trusted Source).


Some research also suggests that astaxanthin may reduce inflammation, decrease oxidative stress, and protect against the build-up of fatty plaque in the arteries, which could potentially reduce the risk of heart disease (30Trusted Source).


In addition, astaxanthin is believed to work with the omega-3 fatty acids found in salmon to protect the brain and nervous system against inflammation (31Trusted Source).


What’s more, astaxanthin may even help prevent skin damage and help you look younger.


In one study, 44 people with sun-damaged skin who were given a combination of 2 mg of astaxanthin and 3 grams of collagen for 12 weeks experienced significant improvements in skin elasticity and hydration (32Trusted Source).


Salmon contains between 0.4–3.8 mg of astaxanthin per 3.5 ounces (100 grams), with sockeye salmon providing the highest amount (33Trusted Source).


SUMMARY

Astaxanthin is an antioxidant found in salmon that may benefit heart, brain, nervous system, and skin health.


7. May reduce the risk of heart disease

Eating salmon on a regular basis may help protect against heart disease (34Trusted Source).


This is due, in large part, to salmon’s ability to boost levels of omega-3 fatty acids in the blood. Many people have too many omega-6 fatty acids in their blood in relation to omega-3s.


Research suggests that when the balance of these two fatty acids is off, the risk of heart disease increases (35Trusted Source, 36Trusted Source).


In one older study, consuming two servings of farmed salmon per week increased omega-3 blood levels by 8–9% and decreased omega-6 levels after 4 weeks (37Trusted Source).


Additionally, some research suggests that regular consumption of fish may be linked to lower levels of triglycerides and several other risk factors for heart disease (38Trusted Source, 39Trusted Source).


SUMMARY

Consuming salmon can help protect against heart disease by increasing levels of omega-3 fats, decreasing levels of omega-6 fats, and lowering triglycerides.


8. May benefit weight management

Consuming salmon frequently can help you lose weight and keep it off.


Like other high-protein foods, it helps regulate the hormones that control appetite and make you feel full (40Trusted Source).


In addition, your metabolic rate increases more after eating protein-rich foods, such as salmon, compared with other foods (41Trusted Source).


Plus, research suggests that the omega-3 fats in salmon and other fatty fish may promote weight loss and decrease belly fat in individuals who are overweight (41Trusted Source, 42Trusted Source).


One study in children with nonalcoholic fatty liver disease found that supplementing with DHA, the main omega-3 found in salmon, led to significantly greater reductions in liver fat and belly fat compared with placebo (42Trusted Source).


In addition, salmon is fairly low in calories. A 3.5-ounce (100-gram) serving of farmed salmon has only 206 calories, and wild salmon has even fewer at 182 calories (1Trusted Source, 2Trusted Source).


SUMMARY

Consuming salmon may help you manage your weight by reducing appetite, boosting your metabolism, increasing insulin sensitivity, and decreasing belly fat.


9. Can help fight inflammation

Salmon can be a powerful weapon against inflammation.


Many experts believe that inflammation is the root cause of most chronic diseases, including heart disease, diabetes, and cancer (43Trusted Source).


Several studies have found that eating more fish helps reduce markers of inflammation in people at risk for these and other diseases (44Trusted Source, 45Trusted Source).


In fact, one study in 4,105 people found that frequent consumption of fish was associated with lower levels of white blood cells, which are often used as a measure of chronic inflammation (44Trusted Source).


According to another review, fish oil supplementation was found to significantly reduce levels of several specific markers of inflammation, including CRP, IL-6, and TNF-a (46Trusted Source).


SUMMARY

Salmon and other fatty fish can help lower inflammation, which may reduce risk factors for several diseases and improve symptoms in people with inflammatory conditions.


10. May protect brain health

A growing number of studies suggest that including salmon in your diet might improve brain function.


Both fatty fish and fish oil have been found to reduce depressive symptoms, protect fetal brain health during pregnancy, decrease anxiety, slow age-related memory loss, and lower the risk of dementia (47Trusted Source, 48Trusted Source, 49Trusted Source, 50Trusted Source, 51Trusted Source).


One study in 1,566 older adults found that consuming at least one serving of fish per week was associated with decreased rates of cognitive decline (50Trusted Source).


SUMMARY

Frequent salmon consumption may help reduce symptoms of anxiety and depression, protect fetal brain health in pregnancy, and decrease the risk of age-related memory problems.


11. Delicious and versatile

Salmon is undeniably delicious. It has a unique, delicate flavor with a less “fishy” taste than many other varieties of fatty fish, such as sardines and mackerel.


It is also extremely versatile. It can be steamed, sautéed, smoked, grilled, baked, or poached. It can also be served raw in sushi and sashimi.


Additionally, canned salmon is a quick and inexpensive option that provides the same impressive health benefits as fresh fish. In fact, almost all canned salmon is wild rather than farmed, and its nutrition profile is excellent.


Look for it in BPA-free cans to avoid the potential health risks that have been linked to this chemical.


Here are some healthy ideas for incorporating salmon into your diet:


Use canned salmon in place of tuna when making tuna salad with healthy mayo.

Whip up a Cobb salad with canned salmon, hard-boiled eggs, avocados, lettuce, and tomatoes.

Enjoy smoked salmon and cream cheese on sprouted-grain bread with cucumber or tomato slices.

Try making grilled salmon with avocado sauce.

Bake an herb-crusted salmon with a side of veggies for an easy weeknight dinner.

SUMMARY

Salmon has a delicious flavor and can be prepared in many different ways. Canned salmon is another convenient and inexpensive option.


The bottom line

Salmon is a nutritional powerhouse that provides several impressive health benefits.


Consuming at least two servings per week can help you meet your nutrient needs and reduce the risk of several diseases.


In addition, salmon is tasty, satisfying, and versatile. Including this fatty fish as a regular part of your diet may very well improve your quality of life and your health.


JUST ONE THING

Try this today: In addition to salmon, there are plenty of other nutritious varieties of fish that you can enjoy. Check out this article for the top 12 healthiest fish to help add some diversity to your diet.

Wednesday, March 9, 2022

Healthy Eating Is Human: Joys, Challenges, and 3 Things You Can Do

 Healthy Eating Is Human: Joys, Challenges, and 3 Things You Can Do



If you ask a group of people what eating healthy means to them, you’ll probably get a different answer every time.


For some, healthy eating means reining in a fast food habit or consuming more fruits and vegetables, while for others it may mean occasionally enjoying a piece of cake without feeling guilty.


Still yet, those who have certain medical conditions and even food allergies may conceptualize the concept of healthy eating in their own unique way.


In short, there’s no single right answer to what healthy eating means.


Healthy eating is human, and as humans, we all have different wants and needs, which inevitably affect our food choices.


What’s more, what healthy eating means to you may even change throughout the different stages of your life as you grow and adapt to your ever-changing needs.


This article explores the human side of healthy eating, and I provide my own go-to tips to make it easier.


What healthy eating means for me

The definition of healthy eating has changed for me a couple of times in the past few years.


By the time I was in college, healthy eating was about following nutritional guidelines and doing everything by the book. However, it meant that my view of the food on my plate had changed. I went from seeing meals I enjoyed to only seeing nutrients.


Suddenly, I went from seeing traditional Costa Rican gallo pinto — or rice and beans — to seeing complex carbs and plant-based proteins.


Then, when I started practicing as a nutritionist, the notion that a dietitian should look a certain way or fit into a specific body type led me to believe that healthy eating meant measuring my food to know exactly what I was consuming. I would eat whatever I wanted, as long as the nutrients I needed were accounted for.


I gave my body everything it needed to be healthy, but healthy eating goes beyond the nutrients. It’s also about how it makes you feel, and with food being an essential part of culture and social events, eating should be something we enjoy.


Today I have a different approach to healthy eating. I’m far more flexible with my meals, and I understand that balance is key to being nourished and happy with food.


Healthy eating now means that, most of the time, I make sure to have food from all food groups on my plate without measuring anything or thinking about plant-based vs. animal-based protein or simple vs. complex carbs.


It also means that I get to enjoy a bit of everything — including sweets, fast food, and desserts — with moderation and without the need to measure or account for it.


As you can see, finding the balance that worked for me didn’t happen overnight. On the contrary, my definition of healthy eating has been changing as I’ve gone through the different stages of my life.


As long as you aim to nourish your body and listen to what it needs, you can also give healthy eating your own meaning, because healthy eating is for everyone.


SUMMARY

For me, healthy eating is about nourishing your body and being at peace with food at the same time. Your definition of healthy eating may change over time as you mature and your priorities change.



Seeing the bigger picture

As with many things in life, eating healthy doesn’t always end up as you planned.


You may find yourself stuck at work late at night or too tired to prepare a home-cooked dinner, and that doesn’t mean that you shouldn’t order take-out and actually enjoy it.


If healthy eating means being flexible with what you eat, you’ll need to learn to adapt to the circumstances, which may happen more often than not.


In cases when I’m choosing food on the spur of the moment, I try to opt for the best choice out of what I’m given. Whenever I can, I try to order the closest thing to a home-cooked meal or go for a sandwich, salad, or bowl.


Yet, sometimes I do crave some pizza — so I eat and enjoy that, too!


At times like this, I remember to see the bigger picture. That is, that healthy eating is not defined by single meals but by the choices we make day after day.


A close friend once told me a saying that goes, “One bad meal will not make you sick, just as one good meal will not make you healthy.”


SUMMARY

When it comes to eating healthy, one meal doesn’t define your habits — your overall food choices do.


It may be challenging sometimes

When you’re a dietitian, many people think that eating healthy comes naturally to you. Yet, we’re human beings, too, and we love dessert and crave foods like anybody else.


In my case, one of the biggest challenges I’ve had to face was when I had to give up most carb-containing foods to manage recurring infections.


Carbs are present in many food groups, including grains, starchy vegetables, legumes, fruit, and dairy. They’re also present in processed foods and sweets.


Experts often categorize them into two groups according to their fiber content (1Trusted Source):


Whole grains: retain their naturally occurring fiber

Refined carbs: are processed to remove their fiber and contain added sugar

In theory, I was supposed to eliminate refined carbs, which some people would argue is the healthiest thing to do.


However, in practice, I ended up giving up all kinds of processed carbs, including whole wheat bread and pasta, alongside starchy vegetables, grains, and dairy.


Thus, the list of carb-rich foods I could eat was limited to fruits, oats, quinoa, and legumes — lentils, beans, chickpeas, and edamame.


Some people told me that this transition wouldn’t be so hard for me as a dietitian. However, it took me a while to adjust to my new eating pattern, especially when planning on-the-go snacks or eating out.


I learned that organization and creativity are key to managing my nutritional needs.


SUMMARY

Regardless of the reason, changing eating habits is challenging for everybody.


3 things I do that you could also do

As I mentioned above, organization and creativity help me make the best food choices every day. This is because, the way I see it, healthy eating is a choice we make every time we eat.


For this reason, I try to make the decision-making process as easy as possible when I’m choosing a meal or snack. That way, I can continue to choose what is best for me.


Here are three things I do on a daily or weekly basis that make it easier for me to eat healthily.


Meal prep

While this may sound cliché, preparing my food beforehand for the week really does the trick.


Cooking can take up a lot of time, but having food that just needs to be heated and served allows me to have a nutritious meal ready in minutes.


One of my go-to meal-prepping tips is to cook a batch of proteins — usually chicken or another lean meat — that I can portion and freeze for over a week and just defrost as I need them.


I also make sure to prep vegetables for the week. This way, I don’t think twice before having some salad or cooking a side of veggies with each meal.


I try to prepare them in different ways to avoid getting bored and choosing not to eat them.


For example, when it comes to carrots or zucchinis, I’ll either slice, dice, grate, or spiralize them, all of which help me incorporate them into my meals easily.


Keep fruit within arm’s reach

Keeping my fruit visible reminds me to eat fruit during the day.


Research shows that you’re most likely to eat more of whatever foods you place near you, regardless of whether they are fruits or sweets (2, 3Trusted Source, 4Trusted Source).


I implement this principle daily and choose to have my fruit on display on a table and my snacks and sweets stored away.


Follow a routine

While I don’t officially plan a weekly menu, I do have a specific set of dishes that I stick to at every meal.


For example, my breakfast choices usually include:


  • a Costa Rican classic of Gallo pinto and eggs
  • toast with peanut butter and a side of eggs
  • oatmeal with fruit
  • oatmeal pancakes

The same goes for the rest of my meals and snacks, where I have at least three different options to choose from without giving it much thought.


Having a predetermined set of dishes that I know I like saves me time having to decide what to eat, and it allows me to vary my meals depending on whether I crave something sweet or savory.


It’s also very convenient for grocery shopping, as you already know what you’ll most likely be having at every meal.


SUMMARY

Meal prepping, keeping my fruit within arm’s reach, and following a routine are three things I do to eat healthy that you could do, too.


The bottom line

We’re all humans who are constantly growing and adapting to change, and so does our concept of healthy eating.


Here I shared with you how the definition of healthy eating has changed for me through the years, the biggest challenge in my healthy eating journey, and my tips and tricks to make healthy eating easier.


However, my way definitely isn’t the “right way” — or the only way — to eat healthy. It’s only what works for me, and it may or may not work for you.


Healthy eating is human, and it looks different for each and every one of us. Consider what you could do in your own routine to set yourself up for success with healthy eating.


If you’re unsure about where to start, consider working with a registered dietitian, as they can help you conceptualize a sustainable, nutritious eating plan that works for your specific needs and lifestyle.


Just one thing

Try this today: Give this article a read if you feel like giving meal prep a try. Meal prepping truly makes a difference for me, and it might just do the same for you.

Tuesday, March 8, 2022

The Definitive Guide to Healthy Eating in Real Life

 The Definitive Guide to Healthy Eating in Real Life



Depending on whom you ask, “healthy eating” may take any number of forms. It seems that everyone, including healthcare professionals, wellness influencers, coworkers, and family members, has an opinion on the healthiest way to eat.


Plus, nutrition articles that you read online can be downright confusing with their contradictory — and often unfounded — suggestions and rules.


This doesn’t make it easy if you simply want to eat in a healthy way that works for you.


The truth is, healthy eating doesn’t have to be complicated. It’s entirely possible to nourish your body while enjoying the foods you love.


After all, food is meant to be enjoyed — not feared, counted, weighed, and tracked.


This article cuts through the noise to explain what healthy eating means and how to make it work for you.


Before we dive into what healthy eating means, it’s important to explain why it matters.


First, food is what fuels you and delivers the calories and nutrients your body needs to function. If your diet is deficient in calories or one or more nutrients, your health may suffer.


Likewise, if you eat too many calories, you may experience weight gain. People with obesity have a significantly increased risk of illnesses like type 2 diabetes, obstructive sleep apnea, and heart, liver, and kidney disease (1Trusted Source, 2Trusted Source).


Additionally, the quality of your diet affects your disease risk, longevity, and mental health.


While diets rich in ultra-processed foods are linked to increased mortality and a greater risk of conditions like cancer and heart disease, diets comprising mostly whole, nutrient-dense foods are associated with increased longevity and disease protection (3Trusted Source, 4Trusted Source, 5Trusted Source, 6Trusted Source, 7Trusted Source, 8Trusted Source).


Diets rich in highly processed foods may also increase the risk of depressive symptoms, particularly among people who get less exercise (4Trusted Source, 9Trusted Source).


What’s more, if your current diet is high in ultra-processed foods and beverages like fast food, soda, and sugary cereals but low in whole foods like vegetables, nuts, and fish, you’re likely not eating enough of certain nutrients, which may negatively affect your overall health (10Trusted Source).


SUMMARY

Healthy eating is important for many reasons, including fueling your body, acquiring necessary nutrients, lowering your disease risk, increasing your longevity, and promoting optimal mental and physical well-being.



Do you have to follow a certain diet to eat healthy?

Absolutely not!


Although certain people need — or choose — to avoid particular foods or adopt diets for health reasons, most people don’t have to follow any specific diet to feel their best.


That’s not to say that certain eating patterns can’t benefit you.


For instance, some people feel healthiest when following a low carb diet, while others thrive on high carb diets.


In general, though, eating healthy has nothing to do with adhering to diets or certain dietary rules. “Healthy eating” simply means prioritizing your wellness by fueling your body with nutritious foods.


The specifics may be different for each person depending on their location, financial situation, culture and society, and taste preferences.


SUMMARY

Healthy eating doesn’t involve any particular diet. Rather, it means prioritizing your health by fueling your body with nutrient-rich foods.


The basics of healthy eating 

Now that you know why healthy eating is important, let’s cover some nutrition basics.


Nutrient density

When you conceptualize healthy eating, your first thought might be about calories. Even though calories are important, your primary concern should be nutrients.


That’s because nutrients, including protein, carbs, fat, vitamins, and minerals, are what your body needs to thrive. “Nutrient density” refers to the amount of nutrients in a food in relation to the calories it provides (11Trusted Source).


All foods contain calories, but not all foods are nutrient-dense.


For example, a candy bar or a box of mac and cheese may be incredibly high in calories but lack vitamins, minerals, protein, and fiber. Similarly, foods marketed as “diet-friendly” or “low calorie” may be very low in calories but lack nutrients.


For example, egg whites are much lower in calories and fat than whole eggs. However, an egg white provides 1% or less of the Daily Value (DV) for iron, phosphorus, zinc, choline, and vitamins A and B12, while a whole egg packs 5–21% of the DV for these nutrients (12Trusted Source, 13Trusted Source).


That’s because of the nutritious, high fat yolk that eggs contain.


Plus, although some nutrient-dense foods, such as numerous fruits and veggies, are low in calories, many — like nuts, full fat yogurt, egg yolks, avocado, and fatty fish — are high in calories. That’s perfectly OK!


Just because a food is high in calories doesn’t mean that it’s bad for you. On the same token, just because a food is low in calories doesn’t make it a healthy choice.


If your food choices are based solely on calories, you’re missing the point of healthy eating.


As a general rule, try to mostly eat foods that are high in nutrients like protein, fiber, healthy fats, vitamins, and minerals. These foods include veggies, fruits, nuts, seeds, beans, fatty fish, and eggs.


Diet diversity

Another component of healthy eating is dietary diversity, meaning eating a variety of foods.


Following a diet that’s rich in different kinds of food supports your gut bacteria, promotes a healthy body weight, and protects against chronic disease (14Trusted Source, 15Trusted Source, 16Trusted Source, 17Trusted Source).


Still, eating a variety of foods may be difficult if you’re a picky eater.


If that’s the case, try to introduce new foods one at a time. If you don’t eat many vegetables, start by adding a favorite veggie to one or two meals per day and build from there.


Although you may not enjoy trying new foods, research shows that the more you’re exposed to a food, the greater your chances of growing accustomed to it (18Trusted Source, 19Trusted Source).


Macronutrient ratios

Macronutrients — the main nutrients you get from food — are carbs, fat, and protein. (Fiber is considered a type of carb.)


Generally, your meals and snacks should be balanced between the three. In particular, adding protein and fat to fiber-rich carb sources makes dishes more filling and tasty (20Trusted Source).


For example, if you’re snacking on a piece of fruit, adding a spoonful of nut butter or a bit of cheese helps keep you fuller than if you were to eat the fruit alone.


However, it’s fine if your diet isn’t balanced all the time.


Counting macros and following a set macronutrient plan isn’t necessary for most people — except athletes, people seeking a specific body composition, and those who need to gain muscle or fat for medical reasons.


Plus, counting macros and obsessing about staying within a certain macro range may lead to an unhealthy fixation with food and calories or cause disordered eating tendencies (21Trusted Source).


It’s important to note that some people may thrive on diets that are low in carbs and high in fat and protein — or low in fat and high in carbs. However, even on these diets, macronutrient counting typically isn’t necessary.


For example, if you feel your best on a low carb diet, simply choosing low carb foods like nonstarchy veggies, proteins, and fats more often than high carb foods will usually suffice.


Highly processed foods

One of the best ways to improve your diet is to cut back on ultra-processed foods.


You don’t have to avoid processed foods completely. In fact, many healthy foods like shelled nuts, canned beans, and frozen fruits and veggies have been processed in one way or another.


In contrast, highly processed products like soda, mass-produced baked goods, candy, sugary cereals, and certain boxed snack food contain little if any whole food ingredients.


These items tend to pack ingredients like high fructose corn syrup, hydrogenated oils, and artificial sweeteners (9Trusted Source, 22Trusted Source, 23Trusted Source).


Research links diets high in ultra-processed foods to a greater risk of depression, heart disease, obesity, and many other complications (9Trusted Source, 24Trusted Source, 25Trusted Source).


On the other hand, diets low in these foods and high in whole, nutrient-dense foods have the opposite effect, protecting against disease, lengthening lifespan, and promoting overall physical and mental well-being (5Trusted Source, 6Trusted Source, 7Trusted Source, 8Trusted Source).


Thus, it’s best to prioritize nutrient-dense foods, especially vegetables and fruits.


SUMMARY

Include a variety of nutrient-dense, whole foods in your diet, taking care to limit highly processed items.


Should you cut back on certain foods and beverages for optimal health? 

In a healthy diet, it’s best to restrict certain foods.


Decades of scientific research link ultra-processed foods to negative health outcomes, including increased disease risk and early death (9Trusted Source, 22Trusted Source, 23Trusted Source, 26Trusted Source, 27Trusted Source, 28Trusted Source).


Cutting back on soda, processed meats, candy, ice cream, fried foods, fast food, and highly processed, packaged snacks is a smart way to improve your health and lower your risk of certain diseases.


However, you don’t have to completely avoid these foods all the time.


Instead, try to prioritize whole, nutrient-dense foods like vegetables, fruits, nuts, seeds, beans, and fish, saving highly processed foods and beverages for special treats.


Foods like ice cream and candy can be a part of a healthy, well-rounded diet, but they shouldn’t be a significant part of your calorie intake.


SUMMARY

You should limit your intake of ultra-processed foods and drinks like candy, soda, and sugary cereals, but that doesn’t mean that you have to eliminate these items from your diet.


How to make healthy eating work for you

Food is one of the many puzzle pieces of your day-to-day life. Between commuting, working, family or social commitments, errands, and many other daily factors, food may be last on your list of concerns.


The first step to following a healthier diet is to make food one of your priorities.


This doesn’t mean that you have to spend hours meal prepping or cooking elaborate meals, but it does require some thought and effort, especially if you have a particularly busy lifestyle.


For example, going to the grocery store once or twice per week will help ensure that you have healthy choices in your fridge and pantry. In turn, a well-stocked kitchen makes choosing healthy meals and snacks much easier.


When grocery shopping, stock up on:


fresh and frozen fruits and veggies

protein sources like chicken, eggs, fish, and tofu

bulk carb sources like canned beans and whole grains

starchy veggies like white potatoes, sweet potatoes, and butternut squash

fat sources like avocados, olive oil, and full-fat yogurt

nutritious, simple snack ingredients like nuts, seeds, nut butter, hummus, olives, and dried fruit

If you’re drawing a blank at mealtime, keep it simple and think in threes:


Protein: eggs, chicken, fish, or a plant-based option like tofu

Fat: olive oil, nuts, seeds, nut butter, avocado, cheese, or full-fat yogurt

Fiber-rich carbs: starchy options like sweet potatoes, oats, certain fruits, and beans — or low carb fiber sources like asparagus, broccoli, cauliflower, and berries

For example, breakfast could be a spinach and egg scramble with avocado and berries, lunch a sweet potato stuffed with veggies, beans, and shredded chicken, and dinner a salmon filet or baked tofu with sautéed broccoli and brown rice.


If you’re not used to cooking or grocery shopping, focus on a single meal. Go to the grocery store and shop for the ingredients for a couple of breakfast or dinner dishes for the week. Once that becomes a habit, add more meals until most of your meals are prepared at home.


Developing a healthy relationship with food may take time

If you don’t have a good relationship with food, you’re not alone.


Many people have disordered eating tendencies or eating disorders. If you’re concerned that you have one of these conditions, it’s critical to get the right help.


To develop a healthy relationship with food, you have to have the right tools.


Working with a healthcare team, such as a registered dietitian and psychologist who specializes in eating disorders, is the best way to start mending your relationship with food.


Food restrictions, fad dieting, and self-prescribed notions like “getting back on track” won’t help and may be harmful. Working on your relationship with food may take time, but it’s necessary for your physical and mental health.


Tips for healthy eating in the real world

Here are some realistic tips for you to get started with healthy eating:


Prioritize plant-based foods. Plant foods like veggies, fruits, beans, and nuts should make up the majority of your diet. Try incorporating these foods, especially veggies and fruits, at every meal and snack.

Cook at home. Cooking meals at home helps diversify your diet. If you’re used to takeout or restaurant meals, try cooking just one or two meals per week to start.

Shop for groceries regularly. If your kitchen is stocked with healthy foods, you’re more likely to make healthy meals and snacks. Go on one or two grocery runs per week to keep nutritious ingredients on hand.

Understand that your diet isn’t going to be perfect. Progress — not perfection — is key. Meet yourself where you are. If you’re currently eating out every night, cooking one homemade, veggie-packed meal per week is significant progress.

“Cheat days” aren’t acceptable. If your current diet includes “cheat days” or “cheat meals,” this is a sign that your diet is unbalanced. Once you learn that all foods can be a part of a healthy diet, there’s no need for cheating.

Cut out sugar-sweetened drinks. Limit sugary beverages like soda, energy drinks, and sweetened coffees as much as possible. Regularly consuming sugary beverages may harm your health (27Trusted Source, 28Trusted Source).

Choose filling foods. When you’re hungry, your goal should be to eat filling, nutritious foods, not to eat as few calories as possible. Pick protein- and fiber-rich meals and snacks that are sure to fill you up.

Eat whole foods. A healthy eating pattern should be primarily composed of whole foods like vegetables, fruits, beans, nuts, seeds, whole grains, and protein sources like eggs and fish.

Hydrate the smart way. Staying hydrated is part of healthy eating, and water is the best way to stay hydrated. If you’re not used to drinking water, get a reusable water bottle and add fruit slices or a squeeze of lemon for flavor.

Honor your dislikes. If you’ve tried a specific food several times and don’t like it, don’t eat it. There are plenty of healthy foods to choose instead. Don’t force yourself to eat something just because it’s considered healthy.

These tips can help you move toward a healthier diet.


You can also work with a registered dietitian, especially if you’re not sure how to start improving your diet. A dietitian can help you develop a sustainable, nutritious eating plan that works for your needs and schedule.


SUMMARY

Tips like cooking at home, grocery shopping, eating a lot of plant foods, choosing filling meals and snacks, and honoring your dislikes can help you create and maintain a healthy eating pattern.



The bottom line

If you’re interested in healthy eating, making a few small changes can get you moving in the right direction.


Although healthy eating may look a bit different for everyone, balanced diets are generally rich in nutrient-dense foods, low in highly processed foods, and comprised of filling meals and snacks.


This guide may help those who are starting on a healthy eating journey — and act as a refresher for those who know nutrition basics but want to go deeper.


If you want detailed, individualized dietary advice, consult an experienced dietitian.

Monday, March 7, 2022

Healthy Eating on the Go: A Guide to Dining Out, Traveling, and More

 Healthy Eating on the Go: A Guide to Dining Out, Traveling, and More



A healthy diet is an important cornerstone of good health, but that doesn’t mean it’s always easy.


Along with exercise and stress management, healthy eating reduces your risk of lifestyle diseases and helps manage health conditions (1Trusted Source, 2Trusted Source).


However, the average American doesn’t eat a very healthy diet. The Healthy Eating Index from the U.S. Department of Agriculture (USDA) gave the average American diet a score of 59 out of 100, using the most recent data from 2015 (3).


Healthy eating while you’re away from home and on the go can pose unique challenges.


You may be tempted to skip meals. It may also be hard to find out where to purchase nutritious foods, decide what you should pack in your lunch bag, and determine how to maintain a balanced meal while eating out.


This comprehensive guide explains how to maintain a nutritious diet while you’re on the go.


To eat healthily, you need to get a variety of nutrients from the five food groups — dairy, protein-rich foods, grains, fruits, and vegetables.


Each food group offers a different, main nutritional benefit, so by combining the food groups you can get a spectrum of nutrients that support good health.


Examples of foods from each group are:


  • Dairy: milk, cheese, yogurt, lactose-free milk, fortified soy milk
  • Protein-rich foods: seafood, meat, poultry, eggs, peas, beans, nuts, seeds, and soy products
  • Grains: wheat, rice, oats, cornmeal, barley
  • Fruits: fresh, canned, frozen, or dried fruits and 100% fruit juice
  • Vegetables (nonstarchy): fresh, canned, frozen, or dried vegetables (raw or cooked) and 100% vegetable juice

MyPlate is a nutritional guide and meal planning tool that helps people eat healthily. The USDA developed it based on the Dietary Guidelines for Americans.


It recommends making at least half of your grains whole grains, varying your protein sources, and choosing low-fat or fat-free dairy products.


To build a healthy plate — whether it’s for a meal or a snack — try pairing foods from at least two food groups to get a diversity of nutrients.


How to fill your plate for a healthy meal

Fill half of your plate with nonstarchy vegetables like spinach or collard greens.

Then, fill one-fourth of your plate with protein-rich foods, such as chicken, fish, or navy beans, depending on your preferences.

Lastly, fill the remaining one-fourth of your plate with grains like rice or quinoa.

Healthy meal example 1: baked garlic butter chicken, stir fry vegetables, and rice


Healthy meal example 2: a cheese sandwich made with whole-grain bread, cottage cheese, and sliced tomatoes


Healthy snacks

Pair a grain with a protein-, fat-, or fiber-rich food.


Your body digests mixed meals that include protein, healthy fats, and fiber more slowly than grains alone. This makes you feel full for longer, which can help support a healthy weight and blood sugar management.


Healthy snack example 1: an apple and nut butter


Healthy snack example 2: yogurt with dried fruit and nuts


How skipping meals can backfire

You might wonder what’s so bad about skipping meals.


It’s not unhealthy in itself, but skipping meals can backfire, causing you to be ravenous later so that you overeat at your next meal or load up on unhealthy snacks. We’re often not great at making healthy diet decisions when we’re hungry.


If you find this tends to happen to you, you might find it helpful to have preplanned food ready to grab and go when you’re in a rush.


That said, research has shown that skipping breakfast isn’t necessarily bad for you. If eating breakfast (or food at any particular time of the day) just isn’t part of your eating schedule, that’s OK.


Some people also forego meals intentionally for religious or cultural reasons or when practicing intermittent fasting. However, this is often preplanned and not the same as unintentionally skipping a meal because you’re in a rush.


Here’s how to eat healthy in five common scenarios when you’re on the go.



Scenario 1: Rushing out the door

If you find yourself constantly rushing out the door in the mornings without a plan for breakfast or even lunch, you’re not alone.


This is a scenario that I often found myself in during my dietetic internship. Short sleep times paired with high stress and little meal planning meant I frequently skipped breakfast without intending to.


In this situation, we can recognize the importance of meal planning and preparation.


Even if you’re not able to change your busy schedule soon, you can become more prepared to nourish your body despite the rush.


Planning your meals will help you become more organized and intentional about having nutritious foods in the morning. It’ll also help you stop skipping meals unintentionally.


Preplanning tips

Prep the night before. Prepare your breakfast meal and morning snack the night before. For example, overnight oats and chia pudding are simple to prepare for a quick grab-and-go option. Pack a lunch bag with your meals and a reusable water bottle to stay hydrated.

Smoothie bags. You can prep bags full of premeasured smoothie ingredients to make one serving of smoothie for a quick drink before you head out.

Buy or make healthy bars. Protein or energy bars can be a quick bite on the way out the door or on the road until you can sit down and have a meal. Make sure to purchase bars with a lower content of sugar and a higher content of protein, fiber, and other nutrients.

SUMMARY

Preplanning your breakfast meal and morning snack can help you become more organized and intentional about your nutritional intake. It’ll also help you avoid skipping meals unintentionally due to your busy schedule.

Ready to level up healthy living? Go that extra mile and supplement the steps you’re already taking with the latest news and popular tools in our twice-weekly Wellness Wire newsletter.


Scenario 2: Dining out

Despite the economic effects of the COVID-19 pandemic, eating away from home — or ordering in — remains a primary source of food for most Americans each week.


In 2020, Americans spent $659 billion on restaurant and foodservice sales (4).


Of course, dining out has its benefits. The food itself can be very enjoyable, dining with others is a great way to socialize with others, and it’s an opportune time to explore new food cultures and tastes.


Learning how to maintain healthy eating when you’re ordering restaurant food or dining out is key to supporting your overall lifestyle.


Here are some tips and strategies to keep you on track:


Plan ahead. Many restaurants have online menus that you can review. Decide ahead of time which dishes you might be interested in trying. Keep the basic principles of healthy eating in mind when building your meal combos.

Portion sizes. Before you begin to eat, ask for a takeaway container and pack away the extra food that will be too much for you to consume. Then, eat to satisfaction, not until you’re stuffed (5Trusted Source).

Deserts fit too. Healthy eating doesn’t mean depriving yourself of pleasurable foods. However, consider limiting the amount you eat. You could do this by choosing mini deserts or sharing deserts with others.

SUMMARY

Dining out — or ordering in — continues to be popular among Americans. To eat healthy while you’re dining out, review online menus prior to arriving and have a plan, be mindful of your portion sizes, and opt for smaller or shared deserts.


Scenario 3: Social gatherings

Family and social gatherings, such as potlucks, bring people together to enjoy food and each other’s company.


Even with traditional dishes and soul food, healthy eating is possible.


Try these tips:


Do not save up calories. Eat consistently throughout the day instead of trying to “save space” for later by avoiding food before the event. This way, you won’t go to the event hungrier than usual, and you’re less likely to eat past fullness and satisfaction.

Bring a healthy dish. If you have special dietary needs or simply want to share a favorite recipe with your family or friends, you can bring a dish that accommodates both.

Taste a little of everything. Try a taste of all the foods you like without overloading your plate. Portion size and mindful eating are important to avoid the stomach discomfort that comes with eating a large amount.

Enjoy the conversations. Remember that the gathering is as much about the people as it is about the food. Sit away from the food and refocus on engaging with others, sharing stories, and enjoying their company.

SUMMARY

Healthy eating at family gatherings is possible, even with traditional, calorie-rich foods. Eat during the day without saving up calories for the event, bring a healthy dish, and focus on the conversations and people at the event more than the food.


Scenario 4: Traveling

Traveling may be a stressful time for some people. Many find it difficult to eat healthy foods while they’re traveling. It doesn’t help that food options at airports and other travel hubs tend to be fast-food services.


Whether you’re catching a flight or preparing for a road trip, having a plan will save you the stress and struggle of hunting for nutritious snacks along the way.


Snacking is convenient during travel. It’s also an opportunity to avoid getting very hungry and then overeating at your next meal (6Trusted Source).


It’s not practical to travel with lots of fresh foods, so here we’re focusing on healthy eating with nonperishable snacks:


Dried fruit. You can pack raisins, dried cranberries, freeze-dried mango, or any other dried fruit of your choice for a quick bite during your trip. The best part is that these all count toward your daily fruit intake (7Trusted Source, 8Trusted Source).

Nuts and seeds. These sources of healthy fats and protein are another convenient and easy-to-pack snack for healthy eating on the go. Pair nuts and seeds with dried fruits to make a trail mix, and pack them in small resealable bags for easy storage.

Protein or energy bars. You can store an energy bar in your handbag, carry-on luggage, travel essentials bag, or any other convenient slot that’s easy to access when you feel hungry. Choose bars that are low in added sugars.

SUMMARY

Travel can be stressful and pose a challenge to accessing healthy snacks and meals. Bringing a supply of dried fruits, nuts, and protein or energy bars will help you to stay fed during meals and reduces overeating later on.



Scenario 5: Heading into quarantine

Quarantine has become a part of our “new normal,” as my son and I recently experienced when we returned to Trinidad and Tobago from the United States.


You may be asked to isolate yourself for a number of days in a hotel, in a quarantine facility, or at home with no outside contact.


In any of these situations, access to food may be limited, and it might be hard to find healthy options. Although quarantine facilities provide meals, you may not have many choices on the menu.


It’s important to stay adequately nourished and hydrated during this time. It’s also another opportunity for healthy snacking, especially if you’re going into quarantine with children (9).


Here are some nutritious foods you can pack:


Dried fruits. They’re packed with flavor, fiber, antioxidants, and other nutrients.

Crackers. Choose whole-grain crackers or any other of your choice.

Nuts and nut butter. Pair these with crackers or dried fruit.

Canned tuna or chicken. These are high in protein and come in a variety of flavors. You can eat them with crackers or on their own.

Protein bars or granola. These are nonperishable and diverse snacks to have on hand.

Bottled water. Pack small bottles of water if you cannot easily access a water fountain to fill your reusable water bottle.

Teabags. You may have access to a kettle and cups in your room to make your preferred tea during your quarantine stay.

Wherever you’re quarantined, it’s important to snack mindfully. You’re most likely going to be less physically active during this time period, so eat to satisfaction but not in excess.


SUMMARY

Consider packing dried fruit, crackers, nuts and nut butter, canned tuna or chicken, protein bars, and tea bags to eat healthy during quarantine.


The bottom line

Healthy eating when you’re on the go can be challenging, but with adequate planning, it is possible.


Apply the basics of healthy eating to maximize the nutrition you get from your meals and snacks.


Whether you’re rushing out in the morning, dining out, attending a family gathering, traveling, or even heading into quarantine, these tips can save you the stress of knowing what to do so you can continue nourishing your body.

Sunday, March 6, 2022

27 Health and Nutrition Tips That Are Actually Evidence-Based

 27 Health and Nutrition Tips That Are Actually Evidence-Based



It’s easy to get confused when it comes to health and nutrition. Even qualified experts often seem to hold opposing opinions, which can make it difficult to figure out what you should actually be doing to optimize your health.


Yet, despite all the disagreements, a number of wellness tips are well supported by research.


Here are 27 health and nutrition tips that are based on scientific evidence.

1. Limit sugary drinks

Sugary drinks like sodas, fruit juices, and sweetened teas are the primary source of added sugar in the American diet (1Trusted Source).


Unfortunately, findings from several studies point to sugar-sweetened beverages increasing risk of heart disease and type 2 diabetes, even in people who are not carrying excess body fat (2Trusted Source).


Sugar-sweetened beverages are also uniquely harmful for children, as they can contribute not only to obesity in children but also to conditions that usually do not develop until adulthood, like type 2 diabetes, high blood pressure, and non-alcoholic fatty liver disease (3Trusted Source, 4Trusted Source, 5Trusted Source).


Healthier alternatives include:


  • water
  • unsweetened teas
  • sparkling water
  • coffee


2. Eat nuts and seeds

Some people avoid nuts because they are high in fat. However, nuts and seeds are incredibly nutritious. They are packed with protein, fiber, and a variety of vitamins and minerals (6Trusted Source, 7Trusted Source).


Nuts may help you lose weight and reduce the risk of developing type 2 diabetes and heart disease (8Trusted Source).

Additionally, one large observational study noted that a low intake of nuts and seeds was potentially linked to an increased risk of death from heart disease, stroke, or type 2 diabetes (9Trusted Source).

Ready to level up healthy living? Go that extra mile and supplement the steps you’re already taking with the latest news and popular tools in our twice-weekly Wellness Wire newsletter.

3. Avoid ultra-processed foods

Ultra-processed foods are foods containing ingredients that are significantly modified from their original form. They often contain additives like added sugar, highly refined oil, salt, preservatives, artificial sweeteners, colors, and flavors as well (10Trusted Source).


Examples include:

  • snack cakes
  • fast food
  • frozen meals
  • canned foods
  • chips

Ultra-processed foods are highly palatable, meaning they are easily overeaten, and activate reward-related regions in the brain, which can lead to excess calorie consumption and weight gain. Studies show that diets high in ultra-processed food can contribute to obesity, type 2 diabetes, heart disease, and other chronic conditions (11Trusted Source, 12Trusted Source, 13Trusted Source, 14Trusted Source, 15Trusted Source).


In addition to low-quality ingredients like inflammatory fats, added sugar, and refined grains, they’re usually low in fiber, protein, and micronutrients. Thus, they provide mostly empty calories.


4. Don’t fear coffee

Despite some controversy over it, coffee is loaded with health benefits.


It’s rich in antioxidants, and some studies have linked coffee intake to longevity and a reduced risk of type 2 diabetes, Parkinson’s and Alzheimer’s diseases, and numerous other illnesses (16Trusted Source, 17Trusted Source, 18Trusted Source, 19Trusted Source).


The most beneficial intake amount appears to be 3–4 cups per day, although pregnant people should limit or avoid it completely because it has been linked to low birth weight (18Trusted Source).


However, it’s best to consume coffee and any caffeine-based items in moderation. Excessive caffeine intake may lead to health issues like insomnia and heart palpitations. To enjoy coffee in a safe and healthy way, keep your intake to less than 4 cups per day and avoid high-calorie, high-sugar additives like sweetened creamer.


5. Eat fatty fish

Fish is a great source of high-quality protein and healthy fat. This is particularly true of fatty fish, such as salmon, which is loaded with anti-inflammatory omega-3 fatty acids and various other nutrients (20Trusted Source, 21Trusted Source).


Studies show that people who eat fish regularly have a lower risk for several conditions, including heart disease, dementia, and inflammatory bowel disease (22Trusted Source, 23Trusted Source, 24Trusted Source).



6. Get enough sleep

The importance of getting enough quality sleep cannot be overstated.


Poor sleep can drive insulin resistance, can disrupt your appetite hormones, and reduce your physical and mental performance (25Trusted Source, 26Trusted Source, 27Trusted Source).


What’s more, poor sleep is one of the strongest individual risk factors for weight gain and obesity. People who do not get enough sleep tend to make food choices that are higher in fat, sugar, and calories, potentially leading to unwanted weight gain (28Trusted Source, 29Trusted Source).


7. Feed your gut bacteria

The bacteria in your gut, collectively called the gut microbiota, are incredibly important for overall health.


A disruption in gut bacteria is linked to some chronic diseases, including obesity and a myriad of digestive problems (30Trusted Source, 31Trusted Source).


Good ways to improve gut health include eating probiotic foods like yogurt and sauerkraut, taking probiotic supplements — when indicated — and eating plenty of fiber. Notably, fiber serves as a prebiotic, or a food source for your gut bacteria (32Trusted Source, 33Trusted Source).


8. Stay hydrated

Hydration is an important and often overlooked marker of health. Staying hydrated helps ensure that your body is functioning optimally and that your blood volume is sufficient (34Trusted Source).


Drinking water is the best way to stay hydrated, as it’s free of calories, sugar, and additives.


Although there’s no set amount that everyone needs per day, aim to drink enough so that your thirst is adequately quenched (35Trusted Source).


9. Don’t eat heavily charred meats

Meat can be a nutritious and healthy part of your diet. It’s very high in protein and a rich source of nutrients (36Trusted Source).


However, problems occur when meat is charred or burnt. This charring can lead to the formation of harmful compounds that may increase your risk for certain cancers (37Trusted Source).


When you cook meat, try not to char or burn it. Additionally limit your consumption of red and processed meats like lunch meats and bacon as these are linked to overall cancer risk and colon cancer risk (38Trusted Source, 39Trusted Source, 40Trusted Source, 41Trusted Source).


10. Avoid bright lights before sleep

When you’re exposed to bright lights — which contain blue light wavelengths — in the evening, it may disrupt your production of the sleep hormone melatonin (42Trusted Source).


Some ways to help reduce your blue light exposure is to wear blue light blocking glasses — especially if you use a computer or other digital screen for long periods of time — and to avoid digital screens for 30 minutes to an hour before going to bed (43Trusted Source).


This can help your body better produce melatonin naturally as evening progresses, helping you sleep better.


11. Take vitamin D if you’re deficient

Most people do not get enough vitamin D. While these widespread vitamin D inadequacies are not imminently harmful, maintaining adequate vitamin D levels can help to optimize your health by improving bone strength, reducing symptoms of depression, strengthening your immune system, and lowering your risk for cancer (44Trusted Source, 45Trusted Source, 46Trusted Source, 47Trusted Source).


If you do not spend a lot of time in the sunlight, your vitamin D levels may be low.


If you have access, it’s a great idea to have your levels tested, so that you can correct your levels through vitamin D supplementation if necessary.


12. Eat plenty of fruits and vegetables

Vegetables and fruits are loaded with prebiotic fiber, vitamins, minerals, and antioxidants, many of which have potent health effects.


Studies show that people who eat more vegetables and fruits tend to live longer and have a lower risk for heart disease, obesity, and other illnesses (48Trusted Source, 49Trusted Source).


13. Eat adequate protein

Eating enough protein is vital for optimal health, as it provides the raw materials your body needs to create new cells and tissues (50Trusted Source).


What’s more, this nutrient is particularly important for maintenance of a moderate body weight.


High protein intake may boost your metabolic rate — or calorie burn — while making you feel full. It may also reduce cravings and your desire to snack late at night (51Trusted Source, 52Trusted Source).


14. Get moving

Doing aerobic exercise, or cardio, is one of the best things you can do for your mental and physical health.


It’s particularly effective at reducing belly fat, the harmful type of fat that builds up around your organs. Reduced belly fat may lead to major improvements in your metabolic health (53Trusted Source).


According to the Physical Activity Guidelines for Americans, we should strive for at least 150 minutes of moderate intensity activity each week (54Trusted Source).


15. Don’t smoke or use drugs, and only drink in moderation

Smoking, harmful use of drugs, and alcohol abuse can all seriously negatively affect your health.


If you do any of these actions, consider cutting back or quitting to help reduce your risk for chronic diseases.


There are resources available online — and likely in your local community, as well — to help with this. Talk with your doctor to learn more about accessing resources.


16. Use extra virgin olive oil

Extra virgin olive oil is one of the healthiest vegetable oils you can use. It’s loaded with heart-healthy monounsaturated fats and powerful antioxidants that have anti-inflammatory properties (55Trusted Source, 56Trusted Source).


Extra virgin olive oil may benefit heart health, as people who consume it have a lower risk for dying from heart attacks and strokes according to some evidence (57Trusted Source).


17. Minimize your sugar intake

Added sugar is extremely prevalent in modern food and drinks. A high intake is linked to obesity, type 2 diabetes, and heart disease (1Trusted Source, 2Trusted Source, 58Trusted Source).


The Dietary Guidelines for Americans recommend keeping added sugar intake below 10% of your daily calorie intake, while the World Health Organization recommends slashing added sugars to 5% or less of your daily calories for optimal health (59Trusted Source, 60Trusted Source).


18. Limit refined carbs

Not all carbs are created equal.


Refined carbs have been highly processed to remove their fiber. They’re relatively low in nutrients and may harm your health when eaten in excess. Most ultra-processed foods are made from refined carbs, like processed corn, white flour, and added sugars.


Studies show that a diet high in refined carbs may be linked to overeating, weight gain, and chronic diseases like type 2 diabetes and heart disease (61Trusted Source, 62Trusted Source, 63Trusted Source, 64Trusted Source).


19. Lift heavyweights

Strength and resistance training are some of the best forms of exercises you can do to strengthen your muscles and improve your body composition.


It may also lead to important improvements in metabolic health, including improved insulin sensitivity — meaning your blood sugar levels are easier to manage — and increases in your metabolic rate, or how many calories you burn at rest (65Trusted Source, 66Trusted Source).


If you do not have weights, you can use your own bodyweight or resistance bands to create resistance and get a comparable workout with many of the same benefits.


The Physical Activity Guidelines for Americans recommends resistance training twice per week (67Trusted Source).


20. Avoid artificial trans fats

Artificial trans fats are harmful, man-made fats that are strongly linked to inflammation and heart disease (68Trusted Source).


Avoiding them should be much easier now that they have been completely banned in the United States and many other countries. Note that you may still encounter some foods that contain small amounts of naturally occurring trans fats, but these are not associated with the same negative effects as artificial trans fats (69Trusted Source).


21. Use plenty of herbs and spices

There is a variety of herbs and spices at our disposal these days, more so than ever. They not only provide flavor but also may offer several health benefits as well (70Trusted Source).


For example, ginger and turmeric both have potent anti-inflammatory and antioxidant effects, which may help improve your overall health (71Trusted Source, 72Trusted Source).


Due to their powerful potential health benefits, you should aim to include a wide variety of herbs and spices in your diet.


22. Nurture your social relationships

Social relationships — with friends, family, and loved ones you care about — are important not only for your mental well-being but also your physical health.


Studies show that people who have close friends and family are healthier and live much longer than those who do not (73Trusted Source, 74Trusted Source).


23. Occasionally track your food intake

The only way to know exactly how many calories you eat is to weigh your food and use a nutrition tracker, as estimating your portion sizes and calorie intake is not unreliable (75Trusted Source, 76Trusted Source).


Tracking can also provide insights into your protein, fiber, and micronutrient intake.


Though some studies have found a link between tracking calories and disordered eating tendencies, there is some evidence that suggests that people who track their food intake tend to be more successful at losing weight and maintaining their weight loss (74Trusted Source, 77Trusted Source, 78Trusted Source, 79Trusted Source).


24. Get rid of excess belly fat

Excessive abdominal fat, or visceral fat, is a uniquely harmful type of fat distribution that is linked to an increased risk of cardiometabolic diseases like type 2 diabetes and heart disease (80Trusted Source).


For this reason, your waist size and waist-to-hip ratio may be much stronger markers of health than your weight.


Cutting refined carbs, eating more protein and fiber, and reducing stress (which can reduce cortisol, a stress hormone that triggers abdominal fat deposition) are all strategies that may help you get rid of belly fat (81Trusted Source, 82Trusted Source, 83Trusted Source, 84Trusted Source).


25. Avoid restrictive diets

Diets are generally ineffective and rarely work well long term. In fact, past dieting is one of the strongest predictors for future weight gain (85Trusted Source).


This is because overly restrictive diets actually lower your metabolic rate, or the amount of calories you burn, making it more difficult to lose weight. At the same time, they also cause alterations to your hunger and satiety hormones, which make you hungrier and may cause strong food cravings for foods high in fat, calories, and sugar (86Trusted Source, 87Trusted Source).


All of this is a recipe for rebound weight gain, or “yoyo” dieting.


Instead of dieting, try adopting a healthier lifestyle. Focus on nourishing your body instead of depriving it.


Weight loss should follow as you transition to whole, nutritious foods — which are naturally more filling while containing fewer calories than processed foods (14Trusted Source).


26. Eat whole eggs

Despite the constant back and forth about eggs and health, it’s a myth that eggs are bad for you because of their cholesterol content. Studies show that they have minimal effect on blood cholesterol in the majority of people, and they’re a great source of protein and nutrients (87Trusted Source, 88Trusted Source).


Additionally, a review involving 263,938 people found that egg intake had no association with heart disease risk (88Trusted Source).


27. Meditate

Stress has a negative effect on your health. It can affect your blood sugar levels, food choices, susceptibility to sickness, weight, fat distribution, and more. For this reason, it’s important to find healthy ways to manage your stress.


Meditation is one such way, and it has some scientific evidence to support its use for stress management and improving health (89Trusted Source, 90Trusted Source).


In one study involving 48 people with high blood pressure, type 2 diabetes, or both, researchers found that meditation helped lower LDL (bad) cholesterol and inflammation compared with the control group. Additionally, the participants in the meditation group reported improved mental and physical wellness (91Trusted Source).


The bottom line

A few simple steps can go a long way toward improving your eating patterns and wellness.


Still, if you’re trying to live a healthier life, do not just focus on the foods you eat. Exercise, sleep, and social relationships are also important.


With the evidence-based tips above, it’s easy to introduce small changes that can have a big impact on your overall health.


Just one thing

Try this today: There are lots of suggestions on this list that can help you improve your health, but it’s best to put just one or two into practice at a time so you do not get burned out. As more of these healthy actions become habits, you can add more into your routine.

Saturday, March 5, 2022

Spinach Extract: An Effective Weight Loss Supplement?


People who want to lose weight often turn to supplements, hoping for an easy solution. However, the effects of most supplements are usually disappointing.
One weight loss supplement that entered the market recently is called spinach extract. It’s claimed to cause weight loss by reducing appetite and cravings.
This article provides a detailed review of spinach extract and its weight loss effects.
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Spinach extract is a weight loss supplement made from spinach leaves.
It is also known by the brand name Appethyl, which is owned by the Swedish company Greenleaf Medical AB.
Spinach extract is a green powder that can be mixed with water or smoothies. It’s also sold in other forms, including capsules and snack bars.
The powder consists of concentrated spinach leaf thylakoids, which are microscopic structures found inside the chloroplasts of green plant cells.
The role of the thylakoids is to harvest sunlight — a process known as photosynthesis — which provides plants with the energy they need to produce carbs (1).
Thylakoids are composed of about 70% proteins, antioxidants, and chlorophyll, while the other 30% mostly consists of fat (2).
Thylakoids are not unique to spinach leaves. In fact, they’re found in the leaves of all green plants — and similar supplements could be made from those plants as well.
Note that other supplements may also be called spinach extract, but this article only refers to the type of thylakoid concentrate found in Appethyl.
SUMMARYSpinach extract — also known as Appethyl — is a weight loss supplement. It contains thylakoids, which consist mostly of proteins, antioxidants, and chlorophyll.

Thylakoids from spinach extract suppress the activity of lipase, an enzyme that digests fat.
This helps delay fat digestion, which increases your levels of appetite-reducing hormones like glucagon-like peptide-1 (GLP-1). It also reduces levels of ghrelin, the hunger hormone (3456).
Unlike pharmaceutical weight loss drugs like orlistat, thylakoids cause a temporary delay in fat digestion but don’t prevent it completely.
As a result, spinach extract doesn't have the unpleasant side effects of other lipase-inhibiting drugs, such as fatty stools and stomach cramps (7).
It’s not entirely clear what part of the thylakoids is responsible for these effects, but they may be caused by certain proteins or fats called galactolipids (38).
SUMMARYSpinach extract promotes weight loss by delaying fat digestion, temporarily reducing appetite, and causing you to eat less.

Animal studies show that taking thylakoid-rich spinach extract may reduce body fat and weight (910).
Studies in overweight adults indicate that adding 3.7–5 grams of spinach extract to a meal reduces appetite for several hours (5711).
By suppressing appetite, spinach extract may lead to weight loss if taken regularly over a few months.
One study in overweight women found that consuming 5 grams of spinach extract every day as part of a 3-month weight loss program resulted in 43% greater weight loss than a placebo (6).
Body mass index (BMI), fat mass, and lean mass decreased as well, but differences across groups were insignificant.
Plus, it should be noted that some of the researchers involved in this study had financial ties to the company that developed the supplement.
Therefore, the findings need to be confirmed by an independent research group.
SUMMARYStudies show that taking spinach extract supplements for a few months may cause weight loss. However, due to a potential conflict of interest, further studies are needed.

Spinach extract may suppress your brain's food reward system, reducing cravings.
When overweight women consumed 5 grams of spinach extract per day, cravings for sweets and chocolate decreased by 95% and 87%, respectively (6).
Another study in women suggests that 5 grams of spinach extract reduces cravings for snack foods, including those that are salty, sweet, and fatty. However, no effects on calorie intake at a later buffet were observed (11).
The reduction in cravings may be because spinach extract promotes the release of glucagon-like peptide-1 (GLP-1), which acts on your food reward system (612).
SUMMARYSpinach extract may suppress your brain's food reward system, temporarily reducing cravings. Over time, this contributes to weight loss.

Spinach extract appears to be without serious side effects.
In healthy people, it may temporarily reduce insulin levels and increase blood sugar.
Still, it does not seem to have long-term effects on blood sugar control (46713).
Nonetheless, further studies are needed to assess the safety of spinach extract for people with type 2 diabetes.
SUMMARYSpinach extract may reduce insulin levels temporarily. Otherwise, its use appears to be safe and without side effects.

An effective dose of spinach extract is about 4–5 grams when taken with a meal. However, you may need to take it for a few months before you see any effects on your weight (6).
Since spinach extract delays fat digestion and reduces appetite for a few hours, it’s of greater use when taken before a meal that contains fat.
You shouldn't expect to see any significant benefits from the supplement alone. As with all weight loss supplements, you also need to make some healthy lifestyle changes.
SUMMARYSpinach extract is of most use when taken with meals that contain fat. An effective dose is 4–5 grams per day.

Evidence suggests that spinach extract may be an effective weight loss supplement.
By delaying fat digestion, it temporarily reduces appetite and cravings. When combined with other lifestyle modifications, this may lead to significant weight loss.
However, many of the scientists studying spinach extract have industry ties. Further studies by independent research groups would strengthen the evidence.