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September newsletter – The Colour of Food

Here we are past mid summer with the hint of an approaching new season upon us – but we’re not there yet, and late summer to me still means vibrant foods full of colour and flavour! This months newsletter is all about colour and I’ve included a few more recipes than usual to get you all in the mood as a colourful meal is so much more appetising than a plate filled with pale “anaemic” food.

Eating a full spectrum of colours can not only help us receive a fuller range of nutrients in our diet but because all the senses contribute to the experience of eating, it helps our digestive process. Before we eat we look and smell, only then do we taste. Imagine if you will two plates of food: 1) grilled plaice, mashed potato and steamed cabbage, and 2) seared tuna steak with a red and green pepper ratatouille and sweet potato mash. Two very different plates of food, sending out totally different signals to our brain.

Food Colour

Colour and the appeal of various foods is closely related. Just the sight of food stimulates neurons in the hypothalamus. In trials, people presented with food to eat in the dark reported an important missing element for enjoying their meal: the actual sight of the food. For the sighted, the eyes are the first place that must be convinced before a food is even tried. This means that some food products fail in the marketplace not because of bad taste, texture or smell but because the consumer never got that far. Think how picky we have become with regard to the shape, colour and texture of our food and if any of you saw The Great British Waste Menu, on BBC1 a couple of weeks ago, what happens to so much of our food is that its just dumped because it does not fit into what we find acceptable.

The sight and smell of food is vital to our digestion. We need the salivary glands to start working and good digestion starts with the eyes and the taste buds. Bland food is traditionally the food for people who are recovering from illness. Whilst visiting someone is hospital recently, the bland food epidemic so common in institutions was at the forefront of my mind. White macaroni cheese on a white plate followed by white ice cream in a white container failed to get my taste buds going. Not an ounce of colour anywhere and hardly appealing to the eye.

There are three main classes of colour in foods: natural colours, browning colours, which are produced during cooking and processing, and additives. The principal natural colours, most of which, in refined form, are used as additives, are the green pigment chlorophyll, the carotenoids, which give yellow to red colours, and the flavonoids, with their principal subclass the anthocyanins, which give flowers and fruits their red to blue colours.
There has been much interest in carotenoids in recent years especially in beta carotene – besides being a natural orange pigment (in carrots, mango etc) it is converted in the body to vitamin A and has antioxidant powers and may be beneficial in reducing the risk of some cancers.

Food additives

Increasingly, food additive colours are based on anthocyanins derived from sources such as red grapes or beet but the first additive colours were the synthetic dyes. When synthetic dyes were discovered (mauve was the first, discovered in 1856 by the English chemist William Perkin) they were initially used in textiles, but by 1900 eighty chemical dyes were used in food in the USA. Chemical dyes have stronger colours than natural colouring agents such as cochineal. Many of these dyes were originally derived from coal-tar, and were commonly called ‘coal-tar dyes’. The term is still sometimes used although the dyes are no longer made from this source. Chemically, the dyes are azo dyes, that is they contain the azo group, which confers bright colours which vary in hue depending on the rest of the molecule.

In 1937 the dye butter yellow (dimethylazobenzene) was found to cause cancer in rats. The other azo dyes became suspects and one by one they have been weeded out of the list of acceptable additives. Today a limited range of azo dyes are still used. Several years ago, the makers of M&M’s which contain a variety of different coloured chocolate sweets, added blue to its pack. Apparently, the result of a vote by M&M fans. It does raise a few questions as of all the colours in the spectrum, blue is actually an appetite suppressant. Weight loss plans suggest putting your food on a blue plate. Or even better than that, put a blue light in your refrigerator and watch your munchies disappear!

Colour in foods can be seen mostly in fruit, vegetables, salad and herbs and as we are all meant to be eating five portions every day, we could be eating a rainbow of different colours on a daily basis. Colour is of course added to foods, and only as recently as ten years ago, buying a strawberry yoghurt still meant buying a pink yoghurt that had never really seen a strawberry but was full of colouring. We have come a long way now and most shoppers are savvy to the horrors of brightly coloured foods. I think its still pretty obvious if there is an artificial dye in a food, as it will look unnatural but still check the label. You can get wonderful natural colours like turmeric, saffron etc. Purified raspberries, blueberries or strawberries give terrific colours. Even peas made into soup have a fantastic natural colour. Colour is also so important in children’s diet as it is hard enough getting the five portions of fruit and vegetables into their daily diet. Colour (natural not added!) can really help-children as we know love bright colours.

Whilst on the subject of additives I thought you might find the list below useful.

A guide to good and bad additives
 

Colours (E100 -E180)
Good

Riboflavin E101
Carotene E160

Bad
Tartrazine E102
Coal or azo dyes E104-142
Caramel E150
Coal tar dyes E151-155
Aluminiun E173
Silver E174

Preservatives (E200-290)
Bad
Sorbates E200-E203
Benzoates E210-E219
Sulpur-Sulphites E220-E227
Misc E230-E249
Nitrates E250-E252
Diacetate E262
Propionates E281-E283
Carbon dioxide E290
Good – there are very few good preservatives!

Antioxidants (E300-E321)
Good
Ascorbates E300-E304
Tocopherols E306-E309
Bad
Gallates E310-E312
BRA E320
BHT E321

Emulsifiers, stabiliser and others (E322-E925)
Good
Lecithin E322
Nicotinic acid E375
Pectin E440
Bad
EDTA E385
Carrageenan E407
Sulphuric acid E513
Potassium hudronxideE525
Sodium ferrocynadeie phosphate E535
Sodium injositate E631
Monosodium glutamate E621
Chlorine E925

Coloured foods and their health benefits

Green
e.g’s artichoke, asparagus, beans, broccoli, celery, leeks, peas, pepper, sprouts, courgette, marrow, kale, spinach, spring greens.
Benefits: phytochemicals inc lutein. Good for detoxing.

Red, purple and orange
e.g’s beets, carrots, aubergine, pumpkin, squash, red cabbage, red peppers, sweet potato, tomato, yam, noni, pomegranates.
Benefits: high in lycopenes. May help decrease risk of prostate cancer.

Leafy green
e.g’s Bok choi, cabbage, chicory, chives, endive, kale, lettuce, parsley, spinach, swiss chard, watercress.
Benefits: good levels of magnesium and excellent for cultivating prebiotic activity in the gut.

Blue/Purple
e.g’s bilberry, blueberry, elderberry
Benefits: high in anythocyanins. Good for the heart, improve circulation and prevent blood clots.

White/Green
e.g’s garlic, onions, leeks, celery.
Benefits: high in allicin which is anti-viral, anti-fungal and anti-bacterial. Celery contains organic sodium which keeps fluids in joints healthy.

Orange
e.g’s squash, pumpkin, carrots.
Benefits: rich in beta carotene – a by product of vitamin A which aids cell growth.

Recipes with Colour
(all serve 2-4 people)

Watercress, Feta and Orange Salad

Ingredients
1 x 125g sachet of red/ brown rice
2 medium oranges, segmented
80g feta cheese, crumbled
4 large handfuls watercress

Empty 1 x 125g sachet of red/ brown rice into a medium sized pan. Pour over 1pt of boiling water, cover and simmer for 25 mins. Pour rice into a colander, drain and rinse under cold water. Mix cooked rice with the orange segments, feta and watercress. Serve.

Mackerel and Beetroot Salad

Ingredients
450g new potatoes , cut into bite-size pieces
3 smoked mackerel fillets, skinned
250g pack cooked beetroot
100g bag mixed salad leaves
2 celery sticks, finely sliced
50g walnut pieces

Dressing
1tbsp good-quality salad dessing
2 tsp creamed horseradish sauce

Boil the potatoes for 12-15 mins until just tender. Meanwhile, flake the mackerel fillets into large pieces and cut the beetroot into bite-size chunks. Drain the potatoes and cool slightly. Mix the salad dressing and horseradish sauce together in a salad bowl and season. Tip in the potatoes – they should still be warm. Add the salad leaves, mackerel, beetroot, celery and walnuts, and toss gently.

Warm Radish Salad with Almonds

Ingredrients
1 tbsp olive oil,
250 g radishes, halved
2 tbsp red wine vinegar,
handfuls almonds, toasted

Heat the oil in a large frying pan and add the radishes. Pan fry for a couple of minutes then deglaze the pan with the vinegar. Stir through the almonds, season and serve.

Jamie’s American Food Revolution

On second viewing Jamie’s American Food Revolution is even more uncomfortable to watch. How he takes on these mammoth tasks – I have no idea – its like climbing Mount Everest with no oxygen, almost getting to the top and being pushed to the bottom to start it all over again. It’s a shocking window into America’s school food. If you haven’t seen it I’d recommend it.

Fat Free… my a***!

For every one hundred positive responses I get to my blog there will be about five who tell me I am a killjoy and should stop ruining people’s fun. I didn’t think ill health was fun or good health a non serious topic. I get angry and vent and am as controversial as I can be because I care. I care greatly at what is really happening not only in the world but in the food industry and who has the power over what we eat. The wrong messages are beamed into our living rooms or through the media telling us continually that sugar free and fat free foods are good for us. And this makes me mad.

With that in mind I’m back today on advertised food. Activia’s Snackpots (I wish Martine McCuthcheon would rise from the dead and go back to Eastenders): they ALL contain artificial sweeteners and I’ve just been reading forums on people who are buying them saying how great they because they are FAT FREE.

People, wake up! You are still being sold FAT FREE as healthy. FAT CONSUMPTION HAS DECREASED IN THE LAST THIRTY YEARS – and yet obesity has risen – if you dont believe me – research it yourself – google fat consumption trends. Do not be hoodwinked into eating FAT FREE food – its full of sweetener that may indeed tell your tastebuds that you are not full up so guess what…

you eat MORE, not less..and what does that make.. the companies more money….

BBC2′ s E numbers – an Edible adventure

Stefan Gates’ BBC2 programme on E no’s did not tell us anything new. Of course there are good E numbers eg ascorbic acid etc however I recommend everyone to google You tube and watch Sugar: the bitter truth. Everything on tv has to have balance and not much controversy – no one is pushing the boundaries and saying what needs to be said.

I will rest my case there for today!

Youtube clips of fast food


The above clip is an oldie but a goodie – still want to eat McDonalds french fries after this?


Pamela Anderson talking about KFC chickens and finally

the old 4yr old macdonald burger and fries – aging well!

Vitamin supplements

http://www.dailymail.co.uk/health/article-1305534/The-toxic-truth-vitamin-supplements-Health-pills-millions-barely-second-thought-harm-good.html

I’m responding to the above article in the DM today regarding the dangers of vitamin supplements. This is another bad piece of journalism that takes the writers problem and one other man that died and suddenly denounces vitamins as toxic. The trials on glucosamine are sound – trust me I’ve looked over hundreds of them and it is safe to take so please do not worry. We do not know why the man mentioned died – it could be for a number of factors, not just glucosamine and he could have been at risk of other diseases anyway.

Taking the average person with the average diet, we are mostly left as a nation with deficiencies in many vitamins and minerals. This can be easily proved with blood tests. Ok so you cant test for glucosamine deficiency (because it doesnt exist!) but you can test for: Vit B1, B2, B3, B5, B6, B12 and folate, iron, Vit C, Vit E, Selenium, Vit A, Vit D, Calcium, magnesium, zinc, CoQ10, potassium, sodium, essential fatty acids etc. Some of these cannot be tested for on the NHS, but the point I’m making is nearly everyone I see has some deficiency. I need B12 injections and that’s with a good diet.

What is important is that too many people are self prescribing and become dependant on supplements. Some patients I see will bring with them for example ginko biloba because a friend told them “it helped the brain” or ginseng because another friend said it was great. This does not mean that you need them. Supplements should be given only if there is a deficiency – that is proved either by clinical symptoms or a blood test. If you are taking more than four or five a day then get someone to sort them out for you – you may be taking too many or wasting your money.

Herbs do have side effects and should be taken with advice and the fat soluable vitamins, A,D and E should not be taken in high doses. Water soluble vitamins are excreted through the urine so can be taken in higher doses more safely

I dip in and out of taking supplements. At the moment I’m taking Lamberts Premtis and extra magesium – that’s two supplements a day. Often I go for months and take none and when under stress take Vitamin B100mg.

So certainly be cautious but do not worry about this article.

Free from breads and cakes

Trying to look for gluten free, wheat free, egg free, diary free, yeast free or vegan cakes, breads and biscuits can be hard. The supermarkets are now offering a reasonable range of free from foods but by and large these are not great products- do still look at the ingredients. Free from in some cases seems to mean let’s add ingredients that people won’t recognise.

That’s why I love The Village Bakery. Stocked in Waitrose, Sainsburys and Tescos and your local health food shop they have got this free from range completely tied up. They have a great website
www.village-bakery.com, are based up in Cumbria and have the organic seal of the Soil Association which is always reassuring.

They make gluten free, wheat free, dairy free, vegan, egg free loaves, cakes and biscuits and the difference is – they taste delicious. Their Rossisky rye loaf ingredients are : Rye flour, water and sea salt and its bouncy and soft and tastes great. I particularly recommend their gluten free ginger biscuits and lemon cake and the chocolate brownies are pretty good as well.

If you can’t source them ask Waitrose, Sainsburys or your local health food shop if they can order them in. You could buy in bulk and freeze, particularly the bread, or you could buy over the website. Again I would buy in bulk. They also do a great range of christmas stollens, mince pies, cake and pudding.

If you are stuck with what to buy I’d look for simple ingredients, ie not too many or invest in a bread maker and get some good quality flour and make your own bread. That is the only way to really make sure you now what is going into your baking.

Information overload (cont)

Have had a fascinating few weeks with my patients. It’s great to see so many people opening their eyes and really desiring change – not only in the way they eat but also in what they absorb and read in the media.

People are not stupid and they understand that to eat healthy food, they need to ignore pretty much all product advertising. I can’t name brands but there are several on TV at the moment that are beamed into millions of homes in the hope that people will believe what they are selling. Well I tell you now they are not, and that’s great. Just take a look at some of the ingredients in these so called healthy breakfast foods (I’m being vague here for a reason) and you will soon see that as per usual they are selling you sugar which for all the reasons that you already know – well you just don’t need first thing in the morning. So start the day with foods that are not advertised/rarely advertised – what about an egg or some beans or some grilled bacon, or nuts and plain yoghurt and fruit? – whatever it is start your day with some kind of protein.

Great stuff – go people!! Get reading labels!

Fibromyalgia – extracts from August newsletter

Several of my patients have asked me to write about Fibromyalgia this month, whilst not a particular seasonal topic it is one of the top five conditions I see in my clinic. We all get aches and pains every now and then but fibromyalgia is more than that – another strange collection of symptoms caused by so many different things that makes it difficult to treat… a little like IBS I guess. Nearly everyone I have spoken to knows someone who is suffering. In the UK, fibromyalgia in the general population has a prevalence ranging from 1.3 to 7.3 percent, costing the NHS billions each year. However because it is difficult to diagnose, those figures could be even higher.

What is fibromyalgia syndrome (FMS)?

FMS is a rheumatic disorder characterised by chronic, achey, muscular pain that has no obvious physical cause. It most commonly affects the lower back, neck, shoulders, back of the head, upper chest and the thighs, although any areas of the body may be involved. The pain is described as burning, throbbing, shooting and stabbing. The pain and stiffness is often greatest in the morning than at other times of the day and it may be accompanied by headaches, strange sensations in the skin, insomnia, irritable bowel syndrome, and TMJ (sore jaw joint). Other symptoms often experienced by people with FMS include:

PMS, painful periods, anxiety, palpitations, memory impairment, irritable bladder, skin sensitivities, dry eyes and mouth, a need for frequent changes in eyeglass prescriptions, dizziness and impaired coordination.

Such activities as lifting and climbing stairs are often very difficult and painful. Depression often accompanies this disorder. Because the immune system is typically compromised, opportunists like viral and bacterial infections are common as well. The most distinctive feature of FMS, one that differentiates it from similar conditions, is the existence of certain tender points – there are eighteen specific spots where the muscles are abnormally tender to the touch. These points tend to cluster around the neck, shoulders, chest, knees, elbows, and hips and can include the following: around the lower vertebra of the neck, in the upper and outer muscles of the buttocks, on the side of the elbow, in the mid back muscles, in muscles connected to the base of the skull, in the middle of the knee joint and around the upper part of the thigh bone.

There are 5-6 million people suffering from FMS in the US, and between 1.5 – 7% of the population in the UK. However, the real number of cases is probably much higher as this condition is often misdiagnosed. FMS manifests itself in a similar way to chronic fatigue sydrome (CFS) and rheumatoid arthritis and as a result it can take a long time for a proper diagnosis to be made. In the past FMS was known as fibrositis or fibromyositis but these terms are now considered inappropriate because they imply inflammation of some sort.

Most people with FMS also have an associated sleep disorder known as alpha EEG anomaly. In this disorder the individuals deep sleep periods are interrupted by bouts of waking type brain activity, resulting in poor sleep. Some people with FMS are plagued by other sleep disorders as well, such as sleep apnoea, restless leg syndrome and bruxism. Not surprisingly given all these sleep difficulties people with FMS offer suffer from CFS. Other disorders that can be found along side are:

Chemical or food allergies
Dizziness and loss of balance
Extreme fatigue
Headaches
IBS
Jaw pain
Memory loss and difficulty in concentrating
Menstrual pain
Sensitivity to bright lights or loud noises
Sensitivity to dairy products
Skin sensitivities
Stiffness in the morning and often on waking

What causes FMS?

FMS is more common in females than in males and most often begins in young adulthood. In most cases, symptoms come on gradually and slowly increase in intensity. They can be triggered by a number of different factors, including overexertion, stress, lack of exercise, anxiety, depression, lack of sleep, grief, trauma, extremes of temperature and or humidity and infectious illness. In the majority of cases symptoms are severe enough to interfere with normal daily activities. The course of the disorder is unpredictable. Some cases clear up on their own, some become chronic, and some go through cycles of flare-ups with periods of remission.

The causes of FMS are unknown and there are no tests that can diagnose FMS with complete certainty. Some evidence points to a problem with the immune system. Also a disturbance in brain chemistry may be involved or sometimes depression. Other possible causes are the Epstein Barr Virus, systemic Candida albicans, anaemia, parasites and hypothyroidism. When a patient comes to me with fibromyalgia, the above is usually looked at plus an extensive food diary to distinguish if any foods are making the condition worse. There is a huge link between inflammation in the gut and FMS and this is usually where I start the investigation process.

Tips for FMS

Drink plenty of fluids.

Include pomegranate juice in the diet – it contains anti inflammatory and antioxidant properties.

Limit consumption of green peppers, tomatoes, white potatoes and aubergine. These foods contain solanine which interferes with enzymes in the muscles and can cause pain and discomfort in some. (This won’t help everyone though).

Try to avoid red meat and foods high in saturated fat – they can promote the inflammatory response and increase pain.

Try to avoid caffeine, alcohol and sugar.

Avoid wheat and brewers yeast until symptoms improve.

Maintain a regular programme of moderate exercise. A daily walk followed by stretching exercises would be good. If you have been sedentary before, start slowly and be careful not to over exert yourself.

Be sure to give your body sufficient rest. Set aside eight hours of sleep each night. Sometimes a hot shower on waking can stimulate circulation and help relieve morning stiffness. Or for some alternate between hot and cold. Cold showers seem to be better for pain whereas hot baths help relax muscles.

Have your doctor check your thyroid function. Symptoms of hypothyroidism can mimic those of FMS

Considerations with FMS

Chronic pain sufferers especially those with CFS or FMS tend to be low in magnesium.

Do get checked for other underlying conditions that could be causing your symptoms e.g. Lymes disease, depression etc.

Recent research points to the possible involvement of chemicals/food sensitivities in FMS. This is not surprising as humans have been exposed to more chemicals in the last fifty years than in all the rest of our history combined.

Studies are being conducted on the possible role of a genetic defect that interferes with the formation of ATP (the source of cellular energy).

Some doctors prescribe low dose antidepressants for FMS and these drugs can be beneficial but of course may cause other unwanted side effects.

Physical therapy, relaxation techniques, exercise therapy, massage therapies and biofeedback are all helpful in some cases.

FMS appears to be a complex syndrome (and certainly can be). When patients come to see me they bring a comprehensive food diary and more often than not will be suffering from some sort of IBS as well. The link between the two is complex but in much the same way as gluten can make you “ill all over” looking at inflammation in the gut, digestion and if foods are making you ill is paramount. Whatever the cause, each person needs to be treated individually as the causes will be different from person to person.

If you know anyone who is struggling with FMS and would like some help, please contact me on 01323 737814.

One to one shopping

Following on from my information overload blog, if you’d like a really fun hour with me shopping here’s what you can expect:

Understanding food labels
Trying to reduce your weekly shopping bills
Learn as you shop what is good/bad to eat
Learn about alternatives to foods you are avoiding
Try new produce/cooking tips
…and also you might have a good giggle

I usually only do this service in Eastbourne’s Tesco, Sainsburys, Asda and Watirose shops and usually when its quieter so early evenings can be a good time. The earliest I’ve done is 6am and the latest is 10pm so there is loads of flexibility! Contact me on 01323 737814.

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