The truth about sports, nutrition and pain!

Posts tagged ‘Nutrition’

The best diet.

I usually do not do this but this time I will make an exception. Instead of wrtting a blog, I am going put a link to a video that talks about nutrition and diet from a scientific point of view. It is only 15 minutes long and it is explained in a simple manner. In my opinion one of the best videos I have seen. Hopefully you guys like it and learn something from it.

https://www.youtube.com/watch?v=fqhYBTg73fw . If the link gets blocked, all you have to do is go to youtube and look for Doctor Mike Evans.

Advertisements

Controlling inflammation and pain through NUTRITION

Happy New Year!! My first post of the year will be about nutrition and the importance of a good diet in dealing with pain and inflammation. But before that, I just want to mention that I have gotten some feedback saying that my post are too long, so from now on I will try to make them shorter. If there is something someone doesn´t understand or wants me to go into greater detail please don´t hesitate to comment or write me an email.

We all know how important a good diet is for our health (althought most of us don´t practice it), but I´m pretty sure that a lot of us don´t know that what we eat can have an influence on pain and inflammation. That´s right, whenever, for example, we twist our ankle or have a tendinitis, what we eat is going to either help us get better sooner or delay our recovery. Also, many of the current diseases develop and exist as consequence of chronic inflammation, such as cancer, heart disease, hypertension, osteoarthritis, diabetes, osteoporosis, etc. (1-4) Let me explain:

Inflammation is part of the healing process; however, chronic inflammation represents a lack of tissue healing and actually promotes on-going tissue damage (5).  The way we are eating is causing dietary imbalances and this, in turn, is leading to inflammation. Some of those dietary imbalances are: excessive omega-6 fatty acid intake, inadequate potassium intake, inadequate magnesium intake, and inadequate phytonutrient.  Now, I hope no one is  getting the silly idea that all they have to do is take supplementation pills to correct those imbalances, because it´s not that easy. The easiest way to correct it is by eating properly. And what is eating properly? Well, this list might help you:

Pro-inflammatory foods : Refined grains, Whole grains, Grain/ flour products, most packaged foods, most processed foods, deep fried food, trans fats, grain fed meats/eggs.

Anti-inflammatory foods: Fruits, Vegetables, Nuts Fresh Fish, Wild game, Dark Chocolate, Omega-3 eggs, Organic extra virgin olive oil, organic coconut oil, organic butter, red wine (a glass, not a WHOLE BOTTLE), spices: ginger, turmeric, garlic, oregano, potatoes.

Type 2 diabetes, which is caused by insulin resistance (https://sports-diet-pain.com/2013/10/31/sugar-the-hidden-enemy-part-2/), is also an inflammatory disease (7). Monounsaturated fatty acids found in nuts, olive oil and animal product promote insulin sensitivity and have anti-inflammatory properties, which lowers insulin resistance.  Another thing that causes inflammation is when we have an imbalance between omega 6 intake and omega 3 intake. Ideally, we should consume an omega 6:omega 3 ratio of 4 :1; however most of us are consuming a ration of 20-30:1. Here is a list of some common foods and what their ratios are (more than one might be surprising):

Food                                                                               N-6: N -3 Ratio

Grains                                                                                 20 : 1

Seed and seed oils (corn, sunflower)                    70 : 1

Soybean oil                                                                       7 : 1

Chicken (white meat)                                                  15 : 1

Chicken (dark meat)                                                    17: 1

Salmon                                                                              1 : 1

Potato chips                                                                  60 : 1

Fruit                                                                                   3 : 1

Nuts                                                                                    5 :1

Wild game                                                                        2.5 : 1                 (8)

So to summarize, food can have a big impact on pain and inflammation.  So next time you hurt yourself and you see that the pain or the inflammation is not going away, try to eat properly. It will probably help with the inflammation and in the long run you will be doing yourself a favour.

References

  1. Balkwill F, Mantovani A. Inflammation and cancer back to Virchow? Lancert.2001;357:539-45.
  2. Ban WA, Man SF, Senthilselvan A, Sinn DD. Association between chronic obstructive pulmonary disease and systemic inflammation: a systematic review and meta-analysis. Thorax 2004;59:574-80.
  3. Fernandez-Real JM, Ricart W. Insulin resitance and chronic cardiovascular inflammatory syndrome. Endo Rev 2003;24:278-301.
  4. Ross R. Atherosclerosis-an inflammatory disease. N Engl J Med 1999;340:115-26.
  5. Seaman DR. THe diet-induced proinflammatory state: a cause of chronic pain and other degenerative diseases? J Manipulative Physio Ther 2002;25:168-79.
  6. Liebenson C. Rehabilitation of the Spine. Lippincott Williams & Wilkins 2007. pg 730
  7. Pickup JC. Inflammation and activated innate immunity in the pathogenesis of type 2 diabetes. Diabetes Care 2004; 27:813-23.
  8. Ros E. Dietary cis-monounsaturated fatty acids and metabolic control in type 2 diabetes. Am J Clin Nutr 2003:78:61
  9. Liebenson C. Rehabilitation of the Spine. Lippincott Williams & Wilkins 2007. pg 733

Does eating more frequently help you lose weight?

One day you hear one thing, the next day you hear something completely different.  It got to the point that I didn´t even know what to say to my clients when they asked. So, I decided to do a little investigation to find out for myself what the ¨truth¨ is.

Usually, people who defend that you should have more meals during the day, base their claims on that the ¨furnace is always on¨.  If the furnace is always on it releases more heat. The more heat you release, the more calories you burn. And what do you do to keep the ¨fire¨ on, you put more wood (meals) more frequently. But, the body is not like a furnace and it works kind of differently.

 This ¨furnace¨ is called dietary thermogenesis ( DT) and is the process of energy production in the body caused directly by the metabolizing of food consumed. Dietary thermogenesis is influenced by factors relating to the composition of the food and the physical state of the individual.  So, in simple words, dietary thermogenesis is the energy expended as heat resulting from the digestion of food sources. A 2004 analysis published in “Nutrition and Metabolism” on dietary thermogenesis showed that macronutrients have different thermic effects, with protein causing the greatest energy expenditure and fat the least (interesting). It also showed that the dietary thermogenesis of a typical mixed meal (carbs-fat-proteins) is around 10%(1-2).

So let´s use an example. Imagine you consume per day 1800 calories, if one day you ate 3 meals and each meal contained 600 calories, you would burn 60 calories (10%) per meal due to the DT. 60 x 3 meals equals 180 calories – that would be the total calories burned during the day due to DT. Now let´s say you ate 6 meals instead of 3. Each meal contains 300 calories, 30 would be the calories burned due to DT per meal, we multiply that by 6 and we get 180 calories. In other words, there is no difference and this is what has been demonstrated in different studies(1).

But, what about controlling hunger? It´s said that if you eat more frequently you will have less hunger and eat less. However, research doesn´t support that claim either. I do have to admit there have been a couple of studies that have said it helps but there have been more that have said that it doesn´t (3-6!!

So with all this said, you may be asking what do I do. And the only thing that I can say is, experiment for yourself and see what works best for you. From what I have read, there really isn´t a big difference between eating 3 or 6 meals per day. If you prefer to eat 6 meals per day and it works for you then go right ahead with it!!

Hoped you have enjoyed it.

References:

  1.  Westerterp KB. Diet induced thermogenesis. Nutr Metab (Lond),2004 Aug 18;1(1):5
  2. Verboeket-van de Venne Wp, Westerterp KR. Influence of the feeding frequency on nutrien utilization in man. Consequences for energy metabolism. Eur J Clin Nutr 1991 Mar; 45(3):161-9.
  3. Ohkawara K, Cornier MA, Kohrt WM, Melanson EL. Effects of increas meal frequency on fat oxidation and perceived hunger. Obesity ( silver Spring). 2013 Feb;21(2):336-43
  4. Stote KS, Baer DJ, Spears K, Paul DR, Harris GK, Rumpler WV, et al. A controlled trial of reduced meal frequency without caloric restriction in healthy, normal-weight, middle-aged adults. Am J Clin Nutr. 2007 Apr;85(4):981-8.
  5. Speechly DP, Rogers GG, Buffenstein R. Acute appetive reduction associated with an increased frequency of eating in obese males. Int J Obes Relat Metab Disord.100 Nov;23(11):1151-9
  6. Cameron JD, Cyr MJ, Doucet E. Increased meal frequency does not promote greater weight loss in subjects who were prescribed an 8-week equi-energetic energy-restricted diet. Br J Nutr. 2010 Apr;103(8):1098-101.

Tag Cloud