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DIET/HEALTH RELATIONSHIPS PREPARED BY: DR. C. BOYD RAMSEY PROFESSOR EMERITUS

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DIET/HEALTH RELATIONSHIPS. PREPARED BY: DR. C. BOYD RAMSEY PROFESSOR EMERITUS. To show from research data how lifestyle and the composition of human diets do or do not affect the incidence of the two largest killers of people - heart diseases and cancers. OBJECTIVE. - PowerPoint PPT Presentation

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Page 1: DIET/HEALTH RELATIONSHIPS

DIET/HEALTH RELATIONSHIPS

PREPARED BY:

DR. C. BOYD RAMSEY

PROFESSOR EMERITUS

Page 2: DIET/HEALTH RELATIONSHIPS

OBJECTIVE

To show from research data how lifestyle and the composition of human diets do or do not affect the incidence of the two largest killers of people - heart diseases and cancers.

Page 3: DIET/HEALTH RELATIONSHIPS

I say we do it. And trichinosis be damned!

Page 4: DIET/HEALTH RELATIONSHIPS
Page 5: DIET/HEALTH RELATIONSHIPS

Avg. Intake of Muscle Foods

49

3024

14 113

0

10

20

30

40

50

60

Beef Poultry Processedmeats

Seafood Pork Lamb, etc.

Inta

ke, g

/d

Page 6: DIET/HEALTH RELATIONSHIPS

PROTEIN

PHOSPHORUS

NIACIN

IRON B12

THIAMINE

RIBOFLAVIN

RED MEAT, PARTICULARLY BEEF, IS A STOREHOUSE OF NUTRIENTS THAT OUR BODY NEEDS FOR HEALTH

Page 7: DIET/HEALTH RELATIONSHIPS

46

39

29

28

19

0 20 40 60

Energy

Saturated fat

Total fat

Cholesterol

Protein

Percent of total dietary intake supplied by muscle

foods

CONTRIBUTIONS OF MUSCLE FOODS IN OUR DIETS

Page 8: DIET/HEALTH RELATIONSHIPS

Muscle Foods Supply Needed Nutrients

614646

4029

2820

1919

18

0 10 20 30 40 50 60

Vitamin B12

Zn

Protein

Niacin

Fat

Vitamin B6

Fe

Thiamin

Energy

Riboflavin

Intake, g/d

Values are percentages of total intake of that nutrientsupplied by muscle foods

Page 9: DIET/HEALTH RELATIONSHIPS

Fatty Acid IntakesKind of meat Saturated Monounsat. PUFA

Beef 3.2 3.5 .3

Processed 2.2 2.8 .6

Pork 1.0 1.3 .3

Poultry .9 1.2 .7

Lamb, etc. .1 .1 0

Seafood .1 .1 .1

Page 10: DIET/HEALTH RELATIONSHIPS

Recommended and Actual Intakes of Four Components

Dietary component Recom-mended Actual

Actual from muscle foods

Fat, % energy 30 34 11

Sat. fat, % energy 10 13 4

Cholesterol, mg/d 300 279 110

Sodium, mg/d 2,400 2,899 438

LESS THAN A THIRD FROM MUSCLE FOODS

LESS THAN A THIRD FROM MUSCLE FOODS

LESS THAN 40% FROM MUSCLE FOODS

ONLY 15% FROM MUSCLE FOODSWhy then does meat get “labeled” by the general public as a “bad food?”

Page 11: DIET/HEALTH RELATIONSHIPS

DO CONSUMERS’ PERCEPTIONS MATCH THE FACTS?

Page 12: DIET/HEALTH RELATIONSHIPS

DO THESE DATA SHOW THAT CHICKENIS A HEALTHIER MEAT THAN BEEF?

Page 13: DIET/HEALTH RELATIONSHIPS

Deaths/100,000 in Blue-Collar Jobs

Rank Job No.1 Timber cutters/loggers 1292 Asbestos & insulation work 793 Structural metal work 724 Electric power line work 515 Firefighters 49

34 Butchers 14

WHAT IS THE COMMON THREAD THROUGH ALL OF THESE OCCUPATIONS?

Page 14: DIET/HEALTH RELATIONSHIPS

Deaths/100,000 in White-Collar Jobs

Rank Job No.1 Airline pilots 972 Office helpers, messengers 143 Retail sales mgrs. & heads 124 Geologists 105 Agricultural scientists 9

32 Inspectors 4

Page 15: DIET/HEALTH RELATIONSHIPS

Leading Causes of Death Overall

Cause Deaths

Heart diseases 762,820

Cancers 477,190

Cerebrovascular diseases 149,220

Accidents 94,840

1 of 3

LEADING CAUSE OF DEATH IN COLLEGE STUDENTS IS AUTO ACCIDENTS - “SLOW DOWN AND LIVE!”

Page 16: DIET/HEALTH RELATIONSHIPS

Leading Causes of Death

Lung diseases 78,270

Pneumonia/flu 70,120

Diabetes 37,900

Suicide 30,980

Liver 26,050

2 of 3

Page 17: DIET/HEALTH RELATIONSHIPS

Leading Causes of Death

Atherosclerosis 23,200

Kidney diseases 23,040

Homicide 20,580

Blood poisoning 19,810

Infant deaths 18,460

3 of 3

Page 18: DIET/HEALTH RELATIONSHIPS

More Men Than Women Have

Smoked

More Men Than Women Have

“Dipped”

Can You See The Effect In The Lung, Oral, Stomach &

Larynx Data??

Page 19: DIET/HEALTH RELATIONSHIPS

Percentage Of Cancer Patients Surviving 5 Yr.

Or More In 1970's And 1980's By Year Of Diagnosis:

Little Change in Survival Rate for Cancer Patients

1 of 5

Page 20: DIET/HEALTH RELATIONSHIPS

By increasing rate of percentage survival

Site 1974-6 1981-6Pancreas 2.7 3.1Liver 3.8 4.5Esophagus 4.7 8.0Lung 12.2 13.1Stomach 14.9 17.0Brain 22.1 24.8

2 of 5 Why so deadly?

Page 21: DIET/HEALTH RELATIONSHIPS

1 of 4 or more chances to surviveOther lymphoma 24.3 50.8Leukemia 33.4 34.9 NSOvary 36.5 38.9Colon/rectum 49.3 55.5Kidney 51.4 52.6 NSOral cavity 52.9 50.9 NSLarynx 65.3 67.0 NS

3 of 5

Page 22: DIET/HEALTH RELATIONSHIPS

2 of 3 or more chances to surviveProstate 66.5 73.3Cervix 68.3 65.8Hodgkin’s 70.9 75.9Bladder 72.2 78.2Breast 74.0 76.6Testis 78.4 92.1Skin 79.2 81.1

4 of 5

Page 23: DIET/HEALTH RELATIONSHIPS

4 of 5 or more chances to survive

Uterus 88.2 82.6Thyroid 91.8 94.2All sites 49.0 50.7

5 of 5

Only Since 1996 Has The Death Rate From Cancer Gone Down Enough To Talk About

Page 24: DIET/HEALTH RELATIONSHIPS

0

10

20

30

40

50

60

1950 1960 1970 1980 1990

Deaths from five cancers from 1950 to 1990;most cancers have about a 30-yr. lag period

Lung

Colon & rectumPancreasStomachLiver

PER

1000

DRAMATIC EVIDENCE OF SMOKING’S “BENEFITS”

Page 25: DIET/HEALTH RELATIONSHIPS

The average life span in the U.S. has risen from 47 in 1900 to about 75 today (From Circulation).

If our diet is so bad, how has this increase occurred?

Page 26: DIET/HEALTH RELATIONSHIPS

Disease Elimination Adds Little to Lifespan• BOSTON (AP) - Completely eliminating heart disease, the nation’s leading killer, would increase the average 35-year-old American’s life span by just three years, a new study concludes.• Similar studies with cancer have concluded that life expectancy would increase about two years if that disease were conquered.

Page 27: DIET/HEALTH RELATIONSHIPS

Risk Factors for Heart Diseases

1322 24

49

22

82

0

20

40

60

80

100

None S C or H S+C orS+H

C+H S+C+H

Dea

ths/

1,00

0S = SmokingC = High serum (blood) cholesterol levelsH = Hypertension (high blood pressure)

Combinations with smokingare deadly

Select your coffin

Page 28: DIET/HEALTH RELATIONSHIPS

Coronary Heart Disease Risk Factors

YOU HAVE NO CONTROL OVER THESE FACTORS:

• Male Sex (But Post Menopausal Women Have The Same Rate Of Death From Heart Disease As Older Men)

• Family History Of CHD (Heart Attack Before Age 55 In Parent/Sibling)

• A History Of Cerebrovascular Or Occlusive Vascular Disease

1 OF 3

Page 29: DIET/HEALTH RELATIONSHIPS

You Can Control These Risk Factors Without Medical Help If You Have Enough Will Power:•Smoking & Other Tobacco Use •Exercise•Severe Obesity: > 30% OverweightSuppose You Weigh 195 But Should Weigh 150: (195 - 150) / 150 = 30%)On The Average, Weight Increases About 10

Lb. Per Decade Over Age 30

Coronary Heart Disease Risk Factors

2 OF 3

Page 30: DIET/HEALTH RELATIONSHIPS

The Influence Of These Factors Can Be Lessened In Most People With Medical Help:

• Hypertension• High LDL (“Bad”) Cholesterol• Low HDL (“Good”) Cholesterol (Below 35 Mg/dl)

• Diabetes Mellitus

Coronary Heart Disease Risk Factors

3 OF 3

Page 31: DIET/HEALTH RELATIONSHIPS

“Elevated Serum Cholesterol Levels, As Well As Cancer Risks, Are Determined In Large Part By Nondietary Factors.” -From Dr. Warren S. Browner, Univ. Of California School of Medicine in JAMA, 1991

TO LIVE A LONG LIFE, WE NEED TO BE ABLE TO PICK OUR

PARENTS

Page 32: DIET/HEALTH RELATIONSHIPS

YOU HAVE CONTROL OF ALL OF THESE FACTORS:

• Don’t become overweight - excess weight increases the incidence of most cancers

• Don’t use tobacco in any form• Limit alcohol consumption - will

reduce your risk of liver and G.I tract cancers, in particular

• Eat a higher proportion of foods with antioxidants that protect against cancers

HOW CAN YOU DECREASE YOUR CANCER RISK?

1 OF 2

Page 33: DIET/HEALTH RELATIONSHIPS

YOU HAVE CONTROL OF ALL OF THESE FACTORS:

• Eat diets higher in fiber - helps reduce colon cancer

• Exercise regularly• ALWAYS use a sunscreen and COVER UP

when you are in the sun to reduce your chances of skin cancer. Each sunburn increases your chances of getting skin cancer by a third!

• Have suspicious symptoms or growths checked immediately - early detection lets you live longer

HOW CAN YOU DECREASE YOUR CANCER RISK?

2 OF 2

Page 34: DIET/HEALTH RELATIONSHIPS
Page 35: DIET/HEALTH RELATIONSHIPS

Effects of Body Weight on Disease Incidence Ratio

1

1

1

1

1

1

1.3

1.4

1.2

3.3

1.6

1.2

1.9

2.1

1.6

7.9

2.3

1.5

0 1 2 3 4 5 6 7 8

TOTAL

HEART

CANCERS

DIABETES

DIGESTIVE

STROKES

Ratio

90-109% 120-129% 140+%

What percent you are overweight

determines how many more times

you are likely to contract these

diseases

PERCENTAGE OF DESIRABLE WEIGHT:

Page 36: DIET/HEALTH RELATIONSHIPS

Metropolitan Life Ins. Co. Desirable Weight Range Chart (based on millions of deaths)

Height Men Women5’ 1” 107-136 99-1285 2 110-139 102-1315 3 113-143 105-1355 4 116-147 108-1395 5 119-151 111-1435 6 123-156 115-1475 7 127-161 119-1515 8 131-165 123-1555 9 135-169 127-1605 10 139-174 131-1655 11 143-179 135-1706 0 147-184 139-1756 1 151-1896 2 155-194

THESE DATA ARE THE HEIGHT

TO WEIGHT RANGES AT WHICH THE

PEOPLE LIVED THE LONGEST

Page 37: DIET/HEALTH RELATIONSHIPS
Page 38: DIET/HEALTH RELATIONSHIPS

BMI (BODY MASS INDEX) - Dr. J. S. Garrow

Index = Weight, lb. / (Height, in.)2 * 704.5Example: 185 lb., 5’10” (or 70”)(185 / 702) *704.5 = 26.6 or 27 BMIExample: 165 lb., 5’10” (or 70”)(165 / 702) * 704.5 = 23.7 or 24 BMI If BMI IS 19 - 25, no effect on life spanIf BMI >25, life expectancy as index If BMI 30, the person is considered obese

Page 39: DIET/HEALTH RELATIONSHIPS
Page 40: DIET/HEALTH RELATIONSHIPS

Example of Weight Control

4 oz. of meat with: 8% fat = 200 Calories

or with20% fat = 300 Calories; 300 - 200 = 100Then, (100 Calories X 365 days) / 3,000calories/lb. = 12 lb. weight gain.One hour of exercise that burns an extra 200 Calories/hr X 180 days = 12 lb.Balance eating and exercising!!!

Page 41: DIET/HEALTH RELATIONSHIPS

The metabolic rate of humans decreases about 2% (and energy needs about 5%) per decade of life after age 30

This 2% translates to about 100 fewer calories “burned” per day by age 50

If a person doesn’t eat less and/or exercise more, they will gain 10 lb. per year just because of this metabolic effect

This also is the main reason older people are colder than younger ones at the same room temperature

AGING EFFECTS ON METABOLISM

Page 42: DIET/HEALTH RELATIONSHIPS

Human females on the average have a skin temperature about 3oF lower than comparable males

You studs remember this fact when your mate says she feels cold and you don’t! she is COLD!

Also, people with more body mass have more difficulty dissipating heat and are “warmer-natured” than slimmer people

ALONG THE SAME LINES:

Page 43: DIET/HEALTH RELATIONSHIPS

Exercise vs. Heart Disease/1,000

16.3

7.6

3.2

0369

121518

Light Moderate Heavy

Dea

ths/

1,00

0

Seven-Country Study - J. Mt. Sinai Hospital

Office worker type of jobs

Ditch digger types

As you become older, exercise must be a planned part of your day if it is done - it’s more like work than play

Page 44: DIET/HEALTH RELATIONSHIPS

Finnish researchers studied 16,000 people, many of whom were identical or fraternal twins:Those who exercised at least six times per month, with an intensity of a vigorous 30-minute walk each time, had a 56% lower risk of death compared to the sedentary brother or sister.

FINNISH EXERCISE STUDY OF TWINS (FROM INFOBEAT.COM)

Page 45: DIET/HEALTH RELATIONSHIPS

Research show that we need a minimum of 20 minutes of activity that makes us short of breath at least three times each week.

If age or other factors prevent strenuous activity, walking for at least a half hour each day is very beneficial.

How much exercise do we need for health?

Page 46: DIET/HEALTH RELATIONSHIPS

CANOEING - 155TABLE TENNIS - 245TENNIS - 300GOLF (WALKING) - 300BASKETBALL - 350CYCLING AT 10 MPH - 352SOFTBALL - 500RACQUETBALL - 600

CALORIES/HR. BURNED BY SPORTS

Page 47: DIET/HEALTH RELATIONSHIPS

Slow Walking - 210 - 230 Fast Walking - 315 - 345 Light Work - Dancing, Shopping, Office,

Cleaning House - 125 - 310 Moderate Work - Scrubbing Floors, Weeding

Garden - 315 - 480 Hard Work - Chopping Wood, Running,

Shoveling Snow Or Dirt - 480 - 625

CALORIES BURNED BY OTHER ACTIVITIES

FROM: ROBERT E. JOHNSON, UNIV. OF IL

Page 48: DIET/HEALTH RELATIONSHIPS

“Every Person Should Accumulate 30 Or

More Minutes Of Moderately Intense

Physical Activity Most Days Of The Week”

At The Right Are Recommended

Examples:More Strenuous, Less

Time Needed For Same Results

Page 49: DIET/HEALTH RELATIONSHIPS

If a 5’ 5”, 155- lb. woman needs 1,800 calories to maintain her weight, how can she consume 2,000 calories and not gain weight?

Page 50: DIET/HEALTH RELATIONSHIPS

Dying for a SmokeOn the average, nonsmokers live 23 years longer than smokers

(FROM: RICHARD PETO - THE LANCET)

Page 51: DIET/HEALTH RELATIONSHIPS

Federal officials link smokeless tobacco use with about 22,500 of the 30,000 new cases of oral cancer diagnosed each year

According to the American Cancer Society, smokeless tobacco contains 28 cancer-causing substances

The first sign of mouth damage is a roughening of the skin where the dip is held

GOTTA DIP?

SOURCE: GALLOP - KNIGHT-RIDDER TRIBUNE AND KRT NEWS WIRE

Page 52: DIET/HEALTH RELATIONSHIPS

Increase in Drinking - 1977-89Frequent heavy drinkers (%) - five or more drinks in

a row during the past two weeks.

13 14

30 31

05

101520253035

Women 1977 Women 1989 Men 1977 Men 1989

Percent

How would today’s data compare with ‘89’s?SOURCE: WECHSLER AND ISAAC - HARVARD SCHOOL OF PUBLIC HEALTH

Page 53: DIET/HEALTH RELATIONSHIPS

Getting Drunk on PurposePercentage of students who say they drink to “get drunk.”

10

34

20

40

0

10

20

30

40

Women1977

Women1989

Men 1977 Men 1989

Percent

The author never has understood why anyone “sets out” to get drunk and lose control of their

actions!

Page 54: DIET/HEALTH RELATIONSHIPS

About 50% Of Deaths In Automotive Accidents Are Caused By Drunken Drivers

Along A Similar Line - Use Of A Cell Phone While Driving Quadruples Your Chances Of Having An Accident

DATA SHOW THAT:

Page 55: DIET/HEALTH RELATIONSHIPS

Heart Disease Death Risk by Serum Cholesterol Level in Men In 8 yr. vs. 100 (Average Risk)

40 4162

171

220

0

50

100

150

200

250

200- 201-219 220-239 240-259 260+

Risk

Serum cholesterol level

AVERAGE RISK

Page 56: DIET/HEALTH RELATIONSHIPS

Serum Cholesterol vs. CHD Deaths - 7-Country Study

1.0 0.91.7 1.9 2.2 2.5

3.74.3

9.1

0

2

4

6

8

1 0

<160 160-179 180-199 200-219 220-239 240-259 260-279 280-299 >300

Dea

th ra

te

Serum cholesterol, mg/dLSource: Keys. 1980. Harvard Univ. Press.

N = 10,051 men

DesirableBorderline

high

High

Page 57: DIET/HEALTH RELATIONSHIPS

Cholesterol Intake vs. Serum Cholesterol in 20-Year Framingham, Mass. Study

704

237 237

492

245 241

0

100

200

300

400

500

600

700

800

DIETARY BELOW MEDIAN ABOVE MEDIAN

mg

MEN

WOMEN

Serum cholesterol in diet and in blood

In blood

N = 1,000SE = 221

SE = 170

Research has shown for decades that dietary cholesterol level has little influence on serum

cholesterol level

Page 58: DIET/HEALTH RELATIONSHIPS

Diet vs. Serum Lipids; N = 2,000

Serum cholesterol tertile

Trait Lower Middle Upper

No. of people 320 319 318Caloric intake 2,822 2,911 2,869

Total fat 128 134 133

1 of 2

Page 59: DIET/HEALTH RELATIONSHIPS

Diet vs. Serum Lipids N = 2,000Serum cholesterol tertile

Trait Lower Middle UpperSaturated fat 52 54 54

PUFA .51 .51 .51

Cholesterol 554 566 533

Alcohol 12 14 20

2 of 2 *Only statistically significant relationship: more alcohol - higher cholesterol level

*

Page 60: DIET/HEALTH RELATIONSHIPS

Reducing Cholesterol Intake To Fight Heart Disease Showed No Beneficial Effects On Total Mortality Of Men

Treated Men Had A Suicide, Accident, And Homicide Rate Of 107/100,000

Untreated Men Had A Rate Of 64/100,000 (Compared To A National Average Of 62)

Cholesterol Lowering Did Not Affect Cancer Incidence

SIDE EFFECTS OF LOWERING DIETARY CHOLESTEROL INTAKE IN HUMANS - SIX

STUDIES

SOURCE: DR. MATTHEW MULDOON - UNIV. OF PITTSBURGH SCHOOL O F MEDICINE

Page 61: DIET/HEALTH RELATIONSHIPS

Dietary Fatty Acids vs. Serum Lipids and Lipoproteins

Diethi in

Totalcholesterol

Totaltriglycerides

LDLcholesterol

HDLcholesterol

Palmitic acid 202 128 140 42

Stearic acid* 173 129 110 40

Oleic acid* 181 122 119 44

New Eng. J. Med. 318:1244 (‘88).

*THE TWO FATTY ACIDS MOST PREVALENT IN RED MEATS

STEARIC AND OLEIC PRESENT FEWER PROBLEMS THAN PALMITIC

Page 62: DIET/HEALTH RELATIONSHIPS

178

70

17

174

4832

020406080

100120140160180200

ALL CAUSES HEART DISEASE CANCER

CONTROL DIET

NUMBER OF DEATHS IN A HUMAN STUDY OF CONTROL SUBJECTS AND THOSE THAT WERE ON A DIET HIGH IN Pufa’s

(SOURCE: DAYTON & PIERCE, AM. J. Med.)

SIGNIFICANT SIGNIFICANT DECREASE INCREASE

DIFFERENCE IS NOT SIGNIFICANT

Page 63: DIET/HEALTH RELATIONSHIPS

Total Cholesterol by Diet Kind

237254

229

186196

182

115

138

114100

125

150

175

200

225

250

275

Red meat Fish/Poultry Lacto/Ova Veg

mg/

dl

Worthington-Roberts, Breskin and Monsen, Nutr. Rep. Int. 35:5

Hi

Avg

Lo

This Study Showed No Advantage Of Not Eating Red Meat Or Being A Vegetarian On Serum Cholesterol Level

Page 64: DIET/HEALTH RELATIONSHIPS

HDL Cholesterol by Diet Kind

88

117105

6873

67

5247

20

0

20

40

60

80

100

120

Red meat Fish/Poultry Lacto/Ova Veg

mg/

dl

Worthington-Roberts, Breskin and Monsen, Nutr. Rep. Int. 35:5

Hi

Avg

Lo

Women Who Ate Red Meat Had A Much Narrower Range In HDL And Bottom Values Were Higher

WE WOULD LIKE FOR HDL TO BE HIGHER IN RELATION TO LDL

CHOLESTEROL

Page 65: DIET/HEALTH RELATIONSHIPS

LDL Cholesterol by Diet Kind

162

143153

108 109 105

6068 68

50

70

90

110

130

150

170

Red meat Fish/Poultry Lacto/Ova Veg

mg/

dl

Worthington-Roberts, Breskin and Monsen, Nutr. Rep. Int. 35:5

Hi

Avg

Lo

Red Meat Eaters Had A Wider Range In LDL With The Average Almost The Same

Page 66: DIET/HEALTH RELATIONSHIPS

Serum Triglycerides by Diet

110

174

128

66

8472

3729

40

20

40

60

80

100

120

140

160

180

Red meat Fish/Poultry Lacto/Ova Veg

mg/

dl

Worthington-Roberts, Breskin and Monsen, Nutr. Rep. Int. 35:5

Hi

Avg

Lo

Red Meat Eaters Had A Distinct Advantage In Having Lower Levels Of Circulating Triglycerides

Page 67: DIET/HEALTH RELATIONSHIPS

Total Cholesterol Content of Cooked Meats in our Diet79 79 78 76 73 73

59 58

0

20

40

60

80

Dark chick Pork Lamb Beef Lt chick Dark turk Lt turk Flndr

Mg/

deci

liter

Chick = chicken, turk = turkey, lt = light meat, and flndr = flounder

Page 68: DIET/HEALTH RELATIONSHIPS

76

68

67

65

58

48

45

9

0 100 200

SKINLESS BROILER

PORK LOIN

BEEF LOIN

TURKEY

FLOUNDER

MOZZARELLA CHEESE

HAM

BAKED BEANS/SALT PORK

1 OF 2

CHOLESTEROL (mg) CONTENT

OF SOME FOODS

MEATS WERE ROASTED OR

BROILED

Page 69: DIET/HEALTH RELATIONSHIPS

536

331

213

166

96

90

81

78

0 200 400 600

CHICKEN LIVER

BEEF LIVER

EGG

SHRIMP

VEAL CUTLET

CHEDDAR CHEESE

AM. CHEESE

LAMB LEG

2 OF 2

Page 70: DIET/HEALTH RELATIONSHIPS

FROM FLEISHWIRTSCHAFT INT. (4), 1997

Univ. Of Granada Researchers Have Shown What Innumerable Metabolism Experiments Have Already Indicated:

If Total Dietary Cholesterol Is Reduced (Such As With A Vegetarian Diet),

• An Excessive Decrease Of HDL Cholesterol• An Undesirable Ratio Of Total To HDL

Cholesterol And • An Undesirable Increase In Serum

Triglycerides Occurs

Page 71: DIET/HEALTH RELATIONSHIPS

Our bodies require a certain level of cholesterol each day because it is needed for making many necessary body components, hormones and enzymes.

If we don’t eat enough, the body will make it. Only about one-third of the human population

responds to a lower dietary cholesterol level with lower serum cholesterol levels.

For the other two-thirds, dietary cholesterol has little effect on serum cholesterol.

RESEARCH DOES NOT BACK THE GENERAL RECOMMENDATIONS FOR DIETARY

CONTROL OF SERUM CHOLESTEROL LEVELS

Page 72: DIET/HEALTH RELATIONSHIPS

If you don’t know your blood cholesterol level, have it determined.

If it is high, indicating you are in the one-third of people whose dietary cholesterol affects blood cholesterol levels, get under a doctor’s care.

If it is not high, don’t be concerned about it. Some doctors claim that more harm is done by

people worrying about their cholesterol than is done by the cholesterol level itself.

WHAT THEN SHOULD YOU DO?

Page 73: DIET/HEALTH RELATIONSHIPS

Who is paying for the ads?Food companies are trying to sell more

food.Luckily for the red meat industry,

some of the former cholesterol scare has subsided as more research information has become available.

WHY DO WE SEE SO MANY ADS TOUTING FOODS “LOW IN

CHOLESTEROL?”

Page 74: DIET/HEALTH RELATIONSHIPS

Baylor School of Medicine fed 46 men with serum cholesterol between 200 and 250 either 8 oz. of beef or 4 oz. of fish or chicken daily in a diet with <30% of calories from fat and <10% from saturated fat.

At the end of 4 weeks, cholesterol levels declined the same in all three treatments.LUBBOCK AJ DEC. 2, 1990

YOU CAN EAT RED MEAT AND BE HEALTHY

Page 75: DIET/HEALTH RELATIONSHIPS

In a study of 20,500 healthy male physicians, eating fish at least once each week reduced risk of sudden cardiac death 52% compared to those who ate fish less than once per month.

The n-3 polyunsaturated fatty acids are thought to be the benefiting agent in fish (SOURCE: JAMA 279:65, 1998).

Page 76: DIET/HEALTH RELATIONSHIPS

Summary•No “good” or “bad” foods•We should eat a variety of foods•It’s a matter of watching portionsizes and frequency of eating

•Produce and maintain a desirable weight by exercise andamount of low fat foods and you will live longer and be healthier

Page 77: DIET/HEALTH RELATIONSHIPS

• Saccharin has been used as an artificial sweetener for decades.• Many years ago researchers fed rats massive doses of saccharin and found that some of them developed liver tumors.• The U.S. Congress got into the act and almost banned saccharin for human use based on this research.• With these facts in mind, we’ll now show you what was found about saccharin by later researchers.

Example of a Food Scare

Page 78: DIET/HEALTH RELATIONSHIPS

Feeding Rats Saccharin vs. Bladder Tumors - 735 d

1611

19 19

40

16

0

10

20

30

40

50

0 0.1 0.6 1 2.5 5

Per

cent

of r

ats

Dietary saccharin level, %

A little saccharin had a protective effect

Page 79: DIET/HEALTH RELATIONSHIPS

Liver Tumors in Mice Fed MAB

100

81 75

0

20

40

60

80

100

MAB/Control MAB/Saccharin MAB/Pheno barbital

Per

cent

of m

ice

MAB = N-methyl-4-aminobenzene, a potent carcinogen

A known protector from cancer

SACCHARIN HAD A PROTECTIVE EFFECT

Page 80: DIET/HEALTH RELATIONSHIPS

In a more recent study, 20 monkeys that were fed saccharin daily for 24 years did not develop bladder cancers.

SOURCE: J. NATL. CANCER INST., 1998

YIPEE! NO CANCER

Page 81: DIET/HEALTH RELATIONSHIPS

Estrogen Levels of Some Foods

2,724

1,388

908

600

38

1.9

1.3

0 500 1000 1500 2000 2500 3000

4 oz slaw

8 oz ice cream

8 oz split pea soup

Au gratin potatoes

8 oz milk

3-oz steak, implanted

3-oz steak, no implant

Estrogen, nanograms

Body production: Prepuberal human male = 41,000 ng/24 hPregnant female = 6.4 million ng

Birth control pill = 25,000 ngBut many consumers worry about beef from implanted cattle

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HOW TO REDUCE FAT CONTENT OF MEAT & MEAT DISHESTRIM IT

OFF BEFORE

COOKING

SKIM IT OFFPOUR OTHER LIQUID OUT, LEAVING FAT

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BUY A RETAIL CUT WITH LESS MARBLING, BUT THE PALATABILITY

WILL SUFFER SOME

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0.42 0.31 0.15 0.13

2.85

2.07

1.310.88

0.000.501.001.502.002.503.00

BEEFSTEAK

LAMBCHOP

PORK LOIN CHICKENBREAST

ABSORBED IN FOOD

EAT BEEF TO GET THE MOST IRON THAT IS ABSORBED INTO THE

BLOOD STREAM

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“Women who think they can substitute spinach salads and meet their iron needs are really fooling themselves because the iron that is available in vegetables sources is not nearly as well utilized as meat’s”

“Small amounts of lean meats are good foods for maintaining adequate amounts of iron, zinc and B vitamins”

From Mary Abbot Hess, M.S., R.D., American Dietetic Association

Why is iron deficiency more likely to be a problem in women than in men?

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ACTUALRECOMMENDED RECOMMENDED

THE MEAT GROUP IS THE ONLY ONE WITHIN THE RECOMMENDED RANGE

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1626283032183919191951

PERCENT FROM MEAT

FOOD & NUTR. NEWS 67:2, 1995

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WHAT HEALTH CLAIMS WILL THE FSIS ALLOW ON FOOD

LABELS•Adequate calcium and reduced risk of osteoporosis: serving contains 20% of RDI of 1,000 mg

•Sodium reduction and reduced risk of high blood pressure (will benefit only the 20% of the population that is sodium sensitive)

•Diets low in saturated fat and cholesterol and high in fruits, vegetables and grain products that contain dietary fiber and reduced risk of coronary heart disease

•Reduction in dietary saturated fat and cholesterol and reduced risk of coronary heart disease

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Diets Low In Fat And Reduced Risk Of Cancer

Diets Low In Fat And High In Fiber Containing Grain Products, Fruits And Vegetables And Reduced Risk Of Cancer

Substances In Diets Low In Fat And High In Fruits And Vegetables (Foods Low In Fat And That May Contain Dietary Fiber, Vitamins A Or C) And Reduced Risk Of Cancer

MORE HEALTH CLAIMS THE FSIS WILL ALLOW ON FOOD

LABELS

SOURCE: AMI, 1994

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Best Bets For Low Fat And Calories In The Meat Case

As A Rule Of Thumb, Beef Cuts With “Loin” Or “Round” And Pork, Veal, Or

Lamb With “Loin Or Leg” In The Name Are The Leanest Choices

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TOP TEN TIPS FOR HEALTH

1. Don’t Smoke 2. Exercise Regularly 3. Lose Weight If Overweight 4. Limit Dietary Fat To Less Than 30%

Of Calories 5. Limit Saturated Fatty Acid Intake

To One -Third Of Fat Intake

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6. Watch Cholesterol Intake (If You Are Cholesterol Sensitive)

7. Up Intake Of Complex Carbohydrates 8. Eat More Fiber 9. Limit Salt Intake (If Sodium

Sensitive)10. If You Must Drink, Drink No More

Than One Beer Equivalent A Day For Women And Two For Men

TIPS 6 THROUGH 10

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DIET/HEALTH RELATIONSHIPS

END OF UNIT