July 12, 2004
FINAL STRETCH!
Makeover Candidates' Penultimate Update


With the finish line of July 29 just two and a half weeks away, we see a final burst of energy -- and frustrating inertia. All three candidates should be cheered for continuing progress in the right direction. None have stumbled, and all three demonstrate a positive, upbeat outlook on the challenges that remain.

This has been a breakout month for Janet Picarelli, who has launched herself off her plateau to lose another 7.5 pounds. "I feel like a new person," says Janet, and with 25.5 pounds lost since the beginning of this process through lifestyle changes and healthy new habits, she is a woman in the midst of an exciting transformation.

Amber Spahr has also clearly taken her efforts up a notch, peeling off another three pounds (compared to last month's two pounds lost) -- she's also closest to her original weight loss goal, with just eight more pounds to go. Frank Jacobs has repeated last month's loss of half a pound.

For those of you who happened to read last (June 21) newsletter's Director's Corner, "The Reality Diet," it's encouraging to see how those same tried and true keys to weight loss -- exercise, accountability, weigh-ins -- that have worked for the majority of successful dieters have also helped our own candidates shed unwanted pounds.

On the other hand, our candidates have learned -- and we along with them -- why things like "weekend cheating" and "days off" aren't a part of the program for most who lose major weight and keep it off over time. Bottom line: It ain't easy, but it can be done. It just takes time, effort, exercise and the ability to place ultimate objectives before intermediate indulgences.

AMBER SPAHR



Height: 5'1"
Starting Weight: 134 lbs
Current Weight: 123 lbs
Weight Loss Goal: 19 lbs
POUNDS LOST: 11 lbs

"Well, we are really down to the wire now. I am continuing to lose weight slowly but steadily (with a few yo-yos between weigh-ins that are published). I wish I could tell everyone that it is easy at this point, but in fact, it is a constant effort. I have to continue to watch portion sizes to make sure they don't grow out of control and force myself to fit in regular exercise. I am still trying hard and will not give up. No matter where I am by our official 6-month deadline, I will continue to lose and maintain after that date (at least until I reach the official goal which is only 8 pounds away). I feel like I have accomplished so much so far. I won't let myself revert to my old ways and go back to a pudgy/overweight bracket according to standards.

"This process has not only been one of personal accountability but personal discovery. I have pushed myself to the limits and found out I can do things I never thought I could. Exercising regularly and eating better are more a part of my life now than they ever have been. I am actually planning a vacation this fall (my first vacation in three years) and have decided I want to go to a place that offers exercise classes, healthy lifestyle lectures and healthy meals so that I can continue to feel good about my life, weight loss progress and general health changes while getting a little R&R."

JANET PICARELLI



Height: 5'5"
Starting Weight: 255 lbs
Current Weight: 229.5 lbs
Weight Loss Goal: 50 lbs
POUNDS LOST: 25.5 lbs

"So many exciting things are happening for me. To date I am free of 25 unwanted pounds and still losing. I now pass on the gardening or remodeling magazines and grab the health or fitness magazines (there is power in knowledge). I was interviewed by Women's World Magazine for an article (August?) as a woman who is successfully losing weight by adding more fruits and vegetables to her diet. My energy is up, I have a spring in my step and I feel like a new person.

"I have learned so much about healthy choices and my eating habits since this program began and I am grateful for both the knowledge and the lesson. This is the best present I ever gave myself. Don't get me wrong -- I still have 25 pounds to lose by July 29 to win the contest, but I'll keep giving it my best shot and see how close I can come. Either way I am a winner, but if I don't make it, donations will be accepted!"

FRANK JACOBS



Height: 5'7"
Starting Weight: 236 lbs
Current Weight: 220.5 lbs
Weight Loss Goal: 45 lbs
POUNDS LOST: 15.5 lbs

"Losing weight is one of the easiest things to do in the world. I know this only because I now realize that losing weight is one of the hardest things to do in the world. It's easy to come up with a diet that limits your caloric intake to about 1,600 calories per day -- a low-fat diet, low-carb diet, high-protein/low-carb diet, all-the-bacon-and-cheese-you-can-eat-diet, etc. However, in this world of a seemingly ubiquitous supply of unhealthy food, it is infinitely more difficult to actually limit your calorie intake to desired levels while eating well.

"What success I have achieved I can attribute to adhering to a structured eating regimen -- and conversely, my failures can be attributed to lapses from this regimen. My struggle is maintaining a regimen in a life that is often anything but structured.

"With one month to go, my focus is on planning the previously unplanned. Rather than waiting to see what food they sell at a baseball game, I will pack a lunch. Rather than succumbing to airport/airplane food, I will eat in advance. With this strategy I hope finish July with weighty results."


JULY IS NATIONAL BLUEBERRY MONTH
Meet the Miracle Berry that Keeps You Young


An excellent source of vitamin C and a good source of fiber -- with just 80 calories a cup -- bingeing on blueberries can boost your body's antioxidant activity big time. And there's no better time to take advantage of this bumper crop of health benefits than summer's berry season.

Blueberries have high levels of compounds called anthocyanins, which provide their beautiful color and antioxidant prowess. According to a study done by researchers at Tufts' USDA Human Nutrition Research Center on Aging, blueberries have a high score when it comes to neutralizing certain kinds of free radicals. Since these protective compounds work synergistically with other nutrients found in different fruits and vegetables, it's important to remember to eat a wide variety of healthful foods -- say, a fruit salad with plenty of blueberries, rather than a bowl of blueberries alone.

Can blueberries help you outsmart Alzheimer's? In the first major study on the effect of fruits and vegetables in reversing neural cell damage, researchers at the Neuroscience Laboratory at Tufts University found blueberry-supplemented animal subjects had improved brain and motor function coordination. It's unlikely the antioxidants alone are responsible for these benefits, and researchers caution that more study is needed to confirm blueberries' ability to help reverse some loss of balance and motor memory associated with aging. But study author James Joseph, Ph.D. is already sold: "I can tell you that after doing this research, I now eat a cup of blueberries every day."

Blueberry bonus: Like their little red cousin, the cranberry, blueberries contain compounds that may help ward off urinary tract infections, according to researchers at the Rutgers Blueberry Cranberry Research Center in Chatsworth, N.J.

We love this easy, chilled berry soup idea from the folks over at CSPI: Mix three cups of OJ with three cups of buttermilk (always choose nonfat). Add two tablespoons of fresh lemon juice, one tablespoon honey and 2 1/2 cups of blubes or the berry of your choice.

BAD EGG? MAYBE NOT ... IN MODERATION
Study Shows Daily Egg Doesn't Raise Dangerous Cholesterol


Will those who warned us not to eat eggs end up with the forbidden food on their faces? Perhaps -- at least when it comes to moderate egg consumption's impact on those cholesterol particles in the blood that most likely lead to heart disease. Findings from a small University of Connecticut study published in the June issue of Metabolism suggest that while egg cholesterol does raise levels of certain, less dangerous LDL (bad) cholesterol molecules, it has virtually no effect on those smallest, densest LDL particles most closely linked with heart damage.

Skeptics may point to the study's funding by the American Egg Board, but the findings add to a growing body of evidence that has led some to relent on the anti-egg edict with regard to heart health. Researchers looked at data from the Nurses' Health Study and the Health Professionals Follow-Up Study and found that consumption of up to one egg a day did not significantly increase coronary heart disease risk.

Another study found that adolescent girls who eat more eggs may be less likely to develop breast cancer later in life. While the results, published in Breast Cancer Research, associated increased egg consumption between the ages of 12 and 18 with lower disease risk, equally significant was the fact that high consumption of butter was found to increase disease risk. Vegetable oils on the other hand, were also associated with lower incidence of breast cancer, once again reinforcing the health benefits of monounsaturated plant-derived fats (think olive oil, avocado, nuts), and the risks of saturated animal fats.

Pregnant women might be interested to know that eggs are an excellent source of choline -- a nutrient necessary for proper fetal brain development that may also help lay the foundation for children's memory function later in life.

Eggs have other eye-opening benefits for those worried about the risk of age-related macular degeneration -- the leading cause of blindness among people over 65. Scientists at the Jean Mayer USDA Human Nutrition Research Center on Aging at Tufts University found egg yolk is a highly bioavailable source of certain carotenoids (lutein and zeaxanthin) that may protect against this ocular ailment.

The problem with many of these studies, however, is that most egg-eaters don't stop at one egg per day. What's more, even if it turns out to be true that saturated and trans-fatty acids pose a greater threat to cardiovascular health dietary cholesterol per se, the fact that eggs are often served swimming in lard or butter means that they're still a nutritional nightmare.

Eggs can provide a nutrient-dense source of protein, riboflavin and selenium, as well as one of the few food sources of vitamins D and K. But keep it simple to keep it healthy: opt for a hardboiled egg with your salad, or mix a whole egg in with a bunch of whites before scrambling them in a bit of olive oil. And remember that if one egg is a good thing, in this case two (or three or four) may not be better, but actually worse.

ATKINS UNDER FIRE -- AGAIN
Nutrition & Public Health Groups Warn of Risks Associated with Low-Carb Diets


Popular low-carb diets are leading Americans astray while spawning a rip-off industry of expensive packaged products, said a new coalition of nutrition experts, public health and consumer protection groups at a Washington, D.C., press conference on June 22.

The Partnership For Essential Nutrition pointed to the mounting evidence that low-carb diets do not lead to lasting weight-loss -- but rather encourage unhealthy food choices (more saturated fat, fewer fruits and vegetables) that can lead to serious health consequences down the road. The group announced the findings of a comprehensive review of the scientific literature as well as a call for government guidelines to safeguard consumers against misleading claims made by the currently unregulated low-carb product industry.

The mainstream partnership includes the American Institute for Cancer Research, the National Consumers League, the University of California at Davis Nutrition Department, the American Obesity Association and the American Association of Diabetes Educators, among others.

"Eating vegetables, fruits, whole grains and beans, which are all predominantly carbohydrate, is linked to a reduced risk of cancer, heart disease, stroke, diabetes and a range of chronic diseases," said Jeffrey Prince of the American Institute for Cancer Research, whereas excessive animal protein and saturated fat consumption is "increasing the risk of developing cancer, heart disease, stroke, type 2 diabetes and other chronic diseases."

The Dole Nutrition Institute wholeheartedly supports the idea of cutting simple carbs -- pastries, candy, sugar soda and refined grain products -- from your diet. Such foods offer little more than empty calories, and break down quickly, causing a spike in blood sugar that makes you hungry sooner. But unfortunately, most low-carb diets don't stop at that salutary advice. They promise weight loss through dietary imbalance which stresses your internal organs and alters brain mechanisms.

These imbalances almost always invite dietary rebound -- but that's not the only reason to steer clear. Free radical damage, calcium depletion, gout, kidney stones, diverticulitis, diminished athletic performance -- not to mention beastly breath -- are among the prices you may pay.

Speaking of prices, the National Consumers League said it found that low-carb dieters are spending an average of $85 a month on so-called "reduced carb" products. Unfortunately, many low-carb dieters operate under the delusion that it's carbs -- not excess calories -- that make them fat, and so end up over-consuming such products only to find their wallets lighter and jeans tighter at the end of the day.

MORE EVIDENCE FOR 5-A-DAY
But, Please, Not the French Fried Potato Way


Hard to imagine that the evidence linking low-fat, plant-based diets and better weight management could get any more compelling -- but it did. A new study conducted by the Jean Mayer USDA Human Nutrition Research Center on Aging at Tufts University analyzed the eating patterns of 450 healthy men and women participants in the ongoing Baltimore Longitudinal Study on Aging, clustering them into certain categories based on those foods which most characterized their diets.

Lo and behold, those who fell into the "meat and potato" category gained more weight over time than those who derived most of their calories from fruits, veggies, whole grains and low-fat dairy.

But hold on -- aren't potatoes vegetables, and don't they count toward your 5 A Day? They do. But common sense should tell you that batter-dipped, deep-fried potatoes aren't exactly in keeping with the spirit in which the dietary dictum was intended.

Texas Federal Judge Richard Schell was apparently more concerned with the letter than the spirit of the law last month when he ruled that french fries qualify as "fresh vegetables," based on a little-noticed change to obscure USDA regulations last year.

The french fry industry argued that battering, frying and freezing potato slices was equivalent to, say, waxing an apple. If so, what's next? Strawberry milk, jelly donuts and candy-covered cherries as fresh produce items?

Let's be clear: a baked medium potato with skin can be a healthy treat -- with 45% of your daily vitamin C, 12% of your potassium and 12% of your fiber. Russet potatoes are even rich in certain antioxidants. But these benefits won't protect you from the toxins and trans-fats you take in when those tempting tubers are deep-fried, super-sized and crusted with salt.

For example, fast-food french fries have one of the highest levels of acrylamide -- a cancer-causing chemical used in various industrial processes, and recently found in certain starchy junk foods.

According to laboratory tests commissioned by the Center for Science in the Public Interest, a large order of fast-food french fries contained over 80 micrograms of acrylamide -- well over 300 times the amount the EPA allows in a glass of drinking water. The product of chemical reactions that take place during high-temperature frying or baking, acrylamide has been shown to cause cancer in animals, and is widely considered a probable human carcinogen as well.

Would you like a side order of trans fat with that? A jumbo order of fast-food french fries may contain as much as 7 grams of trans fat -- the artery-clogging processed fat highly correlated with increased levels of cholesterol, especially LDL ("bad") cholesterol, and therefore increased risk of cardiovascular disease. You'll consume another 6 grams of saturated fat with that same large serving of french fries -- in total, more than two-thirds of your daily fat allowance.

Oh, and did we mention the nearly 600 calories you'll polish off in the process?


Jennifer GrossmanTHE NEW ANTIOXIDANT RANKINGS -- AND THEIR LIMITATIONS

The new USDA ranking of top antioxidant-rich foods, published in the June 16 issue of the Journal of Agricultural and Food Chemistry, is bound to upset a few apple carts. Actually, apples do pretty well -- with three different varieties making the top 20 list of those fruits, vegetables, nuts and spices touted as highest in "total antioxidant capacity."

Purveyors of dried red beans are undoubtedly also very happy, if perhaps a little dazed, to see their product taking the top spot on the list -- like a heretofore ignored beauty pageant contestant taking the crown. And while many of the well-recognized antioxidant berries retain star status, some famous superfoods -- like tomatoes -- are lost way down among the honorable mentions, while others -- like kale -- are nowhere to be found at all.

As for the rest of us, well, we're justifiably confused. Where are those antioxidant powerhouses we've been hearing so much about? Broccoli, spinach, pumpkin and watermelon didn't make it into the top 20, while others such as pomegranate, kale, papaya and brussels sprouts didn't make it into the study at all. What do these upsets and exclusions mean?

Were the much-ballyhooed benefits of the beaten -- and in some cases, banished -- foods simply overblown? No. Is eating oodles of red beans and Russet potatoes (both of which made the top 20) the way to better health? No. Is this list more misleading than it is enlightening? Unfortunately, my answer to that question is "yes." And there are four broad reasons why.

First, the ranking claims to be based on "total antioxidant capacity," but that's just not true. As Tom Mahier, the DNI's Laboratory Manager, explains: The study looks at different foods' antioxidant capacity against just one type of free radical, the peroxyl radical, while ignoring over a dozen equally, if not more, dangerous free radicals, and the many antioxidant reactions which neutralize them.

Free radicals, you'll remember, are generated by our bodies in response to environmental stresses such as over-exposure to the sun, smoke, pollution and poor diet. Certain organs, certain cells, certain aspects of our physiology may be more vulnerable to one particular free radical over another, just as certain antioxidants, found in different fruits and vegetables, may be more effective in combating one particular free radical than another.

So really, the study measures different foods' antioxidant capacity with respect to just one free radical -- ignoring all the other extremely powerful and beneficial antioxidants that come into play when other kinds of toxins are introduced. For example, carotenoids -- a class of antioxidants including lutein, lycopene, beta-carotene, etc. -- quench a free radical known as singlet oxygen. But since the role of the "villain" in this study has already been filled by the peroxyl radical, all the heroic carotenoids never get a chance to strut their stuff on the scientific stage, which is why carotenoid-rich fruits and veggies, such as carrots, leafy greens, cantaloupe, etc., are left stranded in the wings.

The second misleading aspect of this ranking is that it relies on reactions studied in vitro (in a test tube or on a petri dish) rather than in vivo (in a human or animal subject). Such test tube studies utilize a limited number of plant extracts -- which fails to take into account the synergistic dynamics that take place when you consume a whole fruit or vegetable.

One such dynamic, bioavailability (i.e. the ease with which your body can absorb certain nutrients) is completely ignored in such a context. A fruit or vegetable might therefore score off the charts in antioxidant capacity when put to the petri test, but if the phytochemicals responsible for this activity have limited bioavailability, or if the food contains other inhibiting agents, the results have little relevance to your average consumer.

The third limitation of the USDA's list is that it seems to put the cart before the horse: It jumps straight to ranking various fruits' and vegetables' reaction to one common free radical, when it seems to me they ought to begin with ranking the threat level of different free radicals, or at least take such qualitative information into account. Not all free radicals are created equal, nor are all antioxidants created equal. They attack -- and protect -- different kinds of cells within our bodies, and some of that damage has more serious consequences than others.

Shouldn't we be more worried about those free radicals, for example, which target our DNA and our DNA-repair mechanisms, than those bad rads which declare war on, say, our toenails? Correspondingly, shouldn't "total antioxidant activity" give greater weight to those fighting phytos that defend our DNA than those which keep safe our cuticles?

Fourth, the "total antioxidant capacity" rankings take into account only the free radical scavenging activities of direct antioxidants (those found within the plants proper) and not indirect antioxidants, which, as you learned in our 6/7 Director's Corner ("Glucosinolates: Antioxidant Fountain of Youth") activate your own body's detoxification processes.

You'll recall that unlike the one-shot, finite amount of direct antioxidants you get from eating a particular fruit or vegetable, indirect antioxidant activity actually cycles over and over within the physiology, continuing to protect your system as many as 3 to 4 days after the glucosinolate-containing food has been consumed. Yet despite this extremely powerful -- and extended -- antioxidant cascade, none of the glucosinolate-rich cruciferous vegetables made it into the USDA's top 20 list, while two of the most potent sources, broccoli sprouts and brussels sprouts, weren't even included in the study at all!

Tom Mahier contacted the USDA study's author, Dr. Ronald Prior, to ask him about such outright exclusions, as well as some of the limitations listed above. Dr. Prior acknowledged the omissions, which he said were unintentional, and agreed that rankings based on just one facet of a food's antioxidant activity should not be construed as a comprehensive measurement of relative free radical scavenging capacity, much less the relative health benefits of such fruits and vegetables as a whole.

In fairness to our friends over at the USDA, and as Dr. Prior's acknowledgement indicates, I suspect they were at least sensitive to the likelihood that the media would vastly oversimplify the study, which may be why they made such little effort to publicize its results. Consumers want to know what foods are best for them -- which is how they're likely to interpret this list -- but unfortunately such interpretations aren't entirely merited, at least in a relative sense, for all the reasons outlined above.

None of which is to say that any of the foods included in the study aren't good for you -- to the contrary. As the study's author himself concludes: "The bottom line is the same: Eat more fruits and vegetables." But so far the message of balance has been buried far beneath headlines which tout dried red beans as some kind of newly discovered superfood nonpareil.

"My problem with the study is that it promotes 'the magic bullet' paradigm -- as opposed to the 'rich variety' approach," says the DNI's Mahier. "I hate to start sounding like a broken record," (oh, go ahead, Tom), "but it's critical that we consume a variety of fruits and vegetables, since they each have unique nutritive and antioxidant benefits which react with each other and within our body in additive and synergistic ways that science is just beginning to explore."

That's a good enough reason for you to explore your produce aisle -- and maybe make a few, new, healthful discoveries. If there's a fruit, veggie, nut or spice on the USDA list you haven't tried or rarely eat, try experimenting with new recipes and introducing your family to these foods. Keep eating those healthy items you enjoy, no matter where they place on the list. And don't lose sight of the big picture: Make fruits and vegetables the base of your food pyramid to maximize your antioxidant activity, minimize your weight and derive the full benefit of nature's healthy bounty.



Blueberry Walnut Tea Bread

A moist and delicious quickbread with a lovely rise.
12 servings
1 medium Granny Smith apple, peeled and chopped
1 tablespoon lemon juice
2/3 cup fresh blueberries
2 cups whole wheat pastry flour
1/3 cup oat bran
1 teaspoon ground cinnamon
1/8 teaspoon nutmeg
1 teaspoon baking powder
1 teaspoon baking soda
1/2 teaspoon sea salt
1/2 cup unsweetened applesauce
1 cup evaporated cane juice
1 tablespoon egg replacer powder
1/4 cup water
3/4 cup enriched soymilk
1/2 tablespoon pure vanilla extract
1/2 cup chopped walnuts

Preheat oven to 350 degrees and spray a 9" by 5" loaf pan with olive oil. Place apples in a medium bowl and toss with lemon juice. Add blueberries and set aside. In a medium bowl, combine flour with oat bran, cinnamon, nutmeg, baking powder, baking soda and salt. Set aside. In a large bowl, blend applesauce with evaporated cane juice. In a small bowl, whisk egg replacer powder with water until foamy. Add to applesauce mixture with soymilk and vanilla. Fold dry ingredients into the liquid ingredients, adding chopped apple mixture halfway through, stirring just until blended. Scrape into prepared pan with a rubber spatula and sprinkle with walnuts. Bake 40 minutes, or until tester inserted comes out clean.

Blueberry Walnut Tea Bread
Nutrition Analysis: per serving, one slice:
Protein: 4 g
Carbohydrate: 34 g
Fiber: 3 g
Fat: 4 g
Sat. Fat: 0 g
Cholesterol: 0 mg
Calcium: 65 mg
Sodium: 236 mg
Calories 171 (Calories from Protein: 9%; Calories from Carbohydrates: 73%; Calories from Fat: 18%; Calories from alcohol 1%)



Indian Mangocado Body Polish

Mangoes are a primary fruit crop produced in India, which produces 57% of the world's supply. That's quite amazing when you consider that mangoes are the No. 1 fruit consumed worldwide. A great source of vitamins A and C when ingested, they'll also put a healthy glow on you when applied in this exotic body polishing scrub.

Ingredients:
1 whole, ripe mango
1 whole, super-ripe avocado
2-3 tablespoons anise seeds, or similar granular seed like celery or poppy seeds

Directions:
Peel, remove pit from mango, coarsely chop and put mango in food processor/blender. Do the same with ripe avocado. Puree, adding in anise seeds till evenly distributed. Apply all over body in shower, giving special attention to trouble spots like elbows, heels and knees. Rinse, dry, and give yourself a final polishing with jojoba oil or your favorite moisturizer.

The granular texture of the anise seeds help slough off dead skin cells while the salicylic acid in anise seeds helps to clear away both surface dirt and debris. This allows the fruit enzymes in mango to open up clogged pores and speed up the production of new skin cells. The avocado then forms a protective barrier to lock in moisture. By replenishing one of the components found in intercellular lipids, the fruit helps to repair the skin barrier, both soothing your skin and shielding it from oxidative damage.



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Lead Editor:            JENNIFER GROSSMAN  
 

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