yulius hermanto
Healthy, enjoyable eating
"There's a lot of people in this world who spend so much time watch their health that they haven't the time to enjoy it."
There are no good or bad food, and no universally good or bad diets. We must consider diet out of context with a desired lifestyle, and nor should we assume that everyone wants to be thin, healthy, and live forever. If we are walking to the South Pole, our bodies need a diet as full of energy-rich fat as possible; while taking another kind of food would be a waste of space. But if we live a sedentary life, the converse is not necessarily true.
After decades of research, we still do not know who should eat what, or when. Are 3 meals a day better or healthier than 1 meals? Or is fat bad is weight is normal? Is a balanced diet best? Should we eat 3, 5, 7, or 9 fruits per day? The latter recommendation about fruits, at least one a day is better for men, but recent studies found no benefits beyond 3 per day. The traditional answer to these questions is Yes- and the more fruits the better -- but the evidence is far from complete, not just because the paucity of the trials, but because of the complex interactions between eating and health.
All diets have unintended consequences: eg the good antioxidant epicatechin (a flavonoid) in dark chocolate is annulled by taking milk at the same time.
Trials have showed that Atkins-type diets (low carbohydrate, high fat and protein) can improve lipid profiles and insulin resistance, but with possible side effects of renal problems and excessive calcium excretions. Another type of diets is vegetarians that may less likely to die from ischaemic heart disease, but this effect is controversy, because most of the vegetarians are more likely to be non-smokers.
Main concern in nutritional related health problems
Obesity is an escalating epidemic costing health services as much as smoking, about 1 in 4 adults in the developed nations are now classified obese.
Diabetes mellitus is burgeoning, in some places prevalence is > 7%.
Both ot them are closely related to eating habits and dietary problems.
Traditional low-fat nutritional advice
A low fat diet may not only be for the sake of good health, as it can also help control symptoms, eg as in gallstone disease, and while it is unrealistic to expect all our patients troubles to drift away as the weight comes off, we can offer the incentive of an improvement in both symptoms and health as encouragement.
Avoiding extra fat in cooking is advised, thus food processing or cooking should be without additional fat, such as poultry without skin, cooked with steam or boil. Fatty spreads (eg. butter) are kept to a minimum and snack foods are avoided.
Controlling our body weight in normal range is need to be emphasized, that can be achieve by controlling the quantity rather than quality. In hypertension, eating right things lowered blood pressure by 0.6 mmHg, but lowering weight cause about 3-6 mmHg reduction in blood pressure.
Enjoy moderate alcohol use (adults): taken regularly, not in binges. Alcohol inhibits platelet aggregation and is antioxidant. But there is no evidence that beer or spirit drinkers should switch to wine.
There are no good or bad food, and no universally good or bad diets. We must consider diet out of context with a desired lifestyle, and nor should we assume that everyone wants to be thin, healthy, and live forever. If we are walking to the South Pole, our bodies need a diet as full of energy-rich fat as possible; while taking another kind of food would be a waste of space. But if we live a sedentary life, the converse is not necessarily true.
After decades of research, we still do not know who should eat what, or when. Are 3 meals a day better or healthier than 1 meals? Or is fat bad is weight is normal? Is a balanced diet best? Should we eat 3, 5, 7, or 9 fruits per day? The latter recommendation about fruits, at least one a day is better for men, but recent studies found no benefits beyond 3 per day. The traditional answer to these questions is Yes- and the more fruits the better -- but the evidence is far from complete, not just because the paucity of the trials, but because of the complex interactions between eating and health.
All diets have unintended consequences: eg the good antioxidant epicatechin (a flavonoid) in dark chocolate is annulled by taking milk at the same time.
Trials have showed that Atkins-type diets (low carbohydrate, high fat and protein) can improve lipid profiles and insulin resistance, but with possible side effects of renal problems and excessive calcium excretions. Another type of diets is vegetarians that may less likely to die from ischaemic heart disease, but this effect is controversy, because most of the vegetarians are more likely to be non-smokers.
Main concern in nutritional related health problems
Obesity is an escalating epidemic costing health services as much as smoking, about 1 in 4 adults in the developed nations are now classified obese.
Diabetes mellitus is burgeoning, in some places prevalence is > 7%.
Both ot them are closely related to eating habits and dietary problems.
Traditional low-fat nutritional advice
A low fat diet may not only be for the sake of good health, as it can also help control symptoms, eg as in gallstone disease, and while it is unrealistic to expect all our patients troubles to drift away as the weight comes off, we can offer the incentive of an improvement in both symptoms and health as encouragement.
Avoiding extra fat in cooking is advised, thus food processing or cooking should be without additional fat, such as poultry without skin, cooked with steam or boil. Fatty spreads (eg. butter) are kept to a minimum and snack foods are avoided.
Controlling our body weight in normal range is need to be emphasized, that can be achieve by controlling the quantity rather than quality. In hypertension, eating right things lowered blood pressure by 0.6 mmHg, but lowering weight cause about 3-6 mmHg reduction in blood pressure.
Enjoy moderate alcohol use (adults): taken regularly, not in binges. Alcohol inhibits platelet aggregation and is antioxidant. But there is no evidence that beer or spirit drinkers should switch to wine.
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