Showing posts with label heart disease. Show all posts
Showing posts with label heart disease. Show all posts

Monday, July 13, 2015

The rabid"Fatophobia"-Consequences of past practices now being felt!

There has been a frenetic pace in the criticism of fats present in the diet during the last 3 decades, attributing practically every ailments at the doors of this food component present in all foods in varying quantities. The food industry world over has been castigated for manufacturing high fat containing and tasty foods that attract the consumers and dietary guidelines have been telling the consumers to shun foods rich in fat. It is true that fats, especially saturated versions, that too present in animal derived foods do cause obesity, diabetes, heart disease etc when consumed in excessive quantities though precise data were never generated as to how much is too much! American consumers and their counterparts in many affluent countries were told that fat consumption through the daily foods should not be more than 30% of the total calorie needs of the body. This did create a perception all around that fat is a "dirty" component in a healthy food to be shunned as much as possible. Even a school going child "knows" fat rich foods are not good for health! What are the consequences of such a great fat phobia? They are there to see in a country like the US where industry started pandering to this trend developing thousands of products with the so called "low fat" claims! 

How far we have been right in taking the fat phobia to such great heights? It now emerges that such commonly perceived beliefs were highly misplaced as reflected by the failure of such low fat foods to prevent the increase of obesity and other related diseases in these countries during the last 3 decades. It now emerges that the recommendation to cap fat calories at 30% of total calories was wrong and in stead of reducing the incidence of obesity, such a policy created the opposite effect! Why? Because the place of fat in the diet was taken over by carbohydrates which seem to have contributed to health afflictions. Of course the emphasis on unsaturated fats and plant derived fats was correct as they are relatively less harmful compared to saturated fats. Even blaming carbohydrates may not be wholly justified becauser the quality of carbohydrates consumed makes a big difference in deciding the healthiness of a diet. Food technology may have some thing to do with decreasing the carbohydrate quality progressively during the last 5 decades by developing newer technologies to "refine" food which effectively means removing healthy components during the processing.  

Fortunately a spate of recent research studies have been able to establish the futility of focusing too much on low-fat foods. Many recent scientific observations do confirm the above reality. Studies using large randomized trials involving thousands of subjects between 2006 and 2013 brought out the stark reality that a low-fat diet had no significant benefits in ameliorating incidences of heart disease, cerebral stroke, diabetes or cancer risks. In contrast a high-fat, Mediterranean-style diet rich in nuts or extra-virgin olive oil providing more than 40 percent of calories in total fat was able to significantly reduced cardiovascular disease, diabetes and long-term weight gain. There are also other similar studies which have shown that high-fat diets can have same effect or better than, low-fat diets for short-term weight loss. The types of foods, rather than fat content, relate to long-term weight gain. It is not proper to rule out completely the perception that high-fat diets are not healthy  or low-fat diets are less harmful. A universal principle that should be borne in mind is that too much focus on a particular food component in the diets can be misleading and food has to be viewed in a holistic way. Focus on total fat or other abstract numbers printed on the labels of packed foods will have to be replaced with right emphasis on eating more minimally processed fruits, nuts, vegetables, beans, fish, yogurt, vegetable oils and whole grains in stead of highly refined white grain flours, white potatoes, added sugars in what ever form and processed meats. 

Quantity of food eaten must be related to what we eat: As commonly believed cutting calories in the diet without improving food quality cannot be expected to cause long-term weight loss. It is this belated realization that has prompted health and food experts to modify the dietary guidelines, after singing the "song of 30% calories cap" for decades for consideration by the government without any upper limit on total fat. In addition, reduced-fat foods were specifically not recommended for obesity prevention. Instead, they want to encourage consumption according to healthful food-based diet patterns. The limit on total fat is an outdated concept, an obstacle to sensible change that promotes harmful low-fat foods, undermines efforts to limit refined grains and added sugars, and discourages the food industry from developing products higher in healthy fats. Fortunately, the people behind the Dietary Guidelines understand that but whether policy makers and the food industry take notice of this sane advice remains to be seen.

This discussion cannot be complete unless a mention is made about the life styles followed by the people to day,  especially with respect to their sedentary way of living with practically no exercise or any physical activity. The right way to lead a healthy life is to eat a balanced diet with adequate nutrition derived from whole grains, fruits, vegetables etc as mentioned above and do enough physical activity in any format that will burn the calories and achieve a dynamic metabolic activity in the body that can ensure sound health and mind.

V.H.POTTY
http://vhpotty.blogspot.com
http://foodtechupdates.blogspot.com

Saturday, December 13, 2014

The much maligned Ghee that is a "magnet" for fraudsters in India! -Consumer in a blind!

Ghee is the Indianized version of butter oil which is a highly valued by-product of dairy industry. Why this is liked very much in India, despite it being demonized for presence of saturated fats and cholesterol? People love it for its delicate flavor that comes from high heat processing of fresh butter in open pans. Compared to other fats, ghee fetches a premium price to the extent of 100 to 150% and almost all diaries, private as well as cooperative, produce them being sold under various brand names. Ghee is also used in a variety of sweetmeat preparations through out the country. The ingenuity of food fraudsters in adulterating this valued fat product has spawned an entire industry that uses solid fats like Vanaspati in such proportions that cannot be easily detected by the hapless consumer. According to a recent report from the food safety authority sources, more than 50% of market samples of ghee are adulterated as discovered during a market vigilance operation and subsequent laboratory tests of seized samples. If this is true imagine the easy money the fraudsters are making through this devious route! 

Assuming that the figures trotted out by the above report is really true, what are its health implications? Antagonists of ghee consumption basically raise three issues regarding the desirability of taking ghee in our foods. First ghee is supposed to contain cholesterol as it is derived from animal sources. This cannot be refuted though the cholesterol content in ghee, about 250 mg % cannot be considered very high since human body does need about 300 mg of this fat emulsifying aid for digestion of fatty foods in the gastrointestinal tract. Second the saturated fat content, about 62% in ghee makes it eminently eligible for raising a red flag as there is a common impression that all saturated fats are bad for the health. Agreed that saturated fat consumption is not encouraged by nutritionists because of its tendency to raise the Low Density Cholesterol ( LDL) levels in the blood which is bad for the heart but consumption of saturated fat to a limited extent is not dangerous as long as major calories come from plant oils of liquid nature. The third issue is presence of trans fats (TF) in ghee which is being condemned world wide for its ill effects on heart. Why this concern about TF which is present only in small quantities in ghee? 

Of course trans fats are not desirable as a general rule but one has to make a difference between naturally occurring TF and man made TF. Hydrogenated Fats ( HF) made in huge quantities on demand by the food industry to incorporate into various processed products contain very high levels of HF, some times as high as 40% and naturally even a 10 gm portion can contribute about 4 gm of TF to the consumer. Unfortunately almost all baked foods are steeped in HF and intake of TF must be much more than what is considered safe. Health agencies all over the world are hesitant to put a "safe limit" for TF as far as human beings are considered and universally a zero tolerance is advocated. However practical ground reality makes it inevitable for humans to imbibe some TF through various foods consumed. This has necessitated for WHO to put an upper limit of TF ingestion equivalent to 1% of calories derived from the foods we consume every day. In the US there is a guideline which says TF consumption should not be more than 2 gm a day per person. 

Incidentally TF is present from 1 to 4% in human milk and naturally the child also imbibes this. But at such levels TF is not considered unsafe for a growing child. Similarly all animal derived milks contain TF to the extent of 2-5% of its total fat content. As a consequence both butter and ghee will contain TF passed on from the fluid milk during processing. One vital difference between saturated fat and TF is that the former just increases the LDL content in blood without any adverse effect on the HDL level. In contrast TF can cause both an increase in LDL and decrease in HDL, a double whammy! Health conscious consumers must avoid consumption of hydrogenated fats like Vanaspati be it any brand if to be protected against heart disease. But ghee cannot be categorized as a dangerous fat measured by any standards. On the contrary there are many reports highlighting the positive properties of ghee for human beings. As true with any food, moderation is always advised while consuming any fatty foods and ghee is no exception to this golden rule.

Talking about the extent of adulteration of ghee in India, one is left with an impression that a proper study has never been made about different markets in the country based on which any conclusion can be drawn regarding this menacing issue. If FSSAI is to be believed more than 60% of milk marketed by private players in the unorganized sector are adulterated and how harmful such a situation can be to the health of our population can be guessed. Similarly if this logic is extended to ghee market, one cannot doubt that most of the samples must be impure, adulterated with hydrogenated fat. Though no precise data is available, the estimated production of ghee in the country is about a million tons and even adulteration at 10% level can be a rewarding effort for the adultrators!. One comforting thought is that this heinous crime is perpetrated mostly by players in the unorganized sector though catching them is much more difficult than those indulging in this practice from the organized sector. Viewed from another perspective, the adulterated ghee containing Vanaspati can increase the TF ingestion among people with undesirable consequences in the long run. Sooner FSSAI takes preventive action to curb the growth of ghee adulteration "industry", better it will be for the health of the citizens of this country. 

V.H.POTTY
http://vhpotty.blogspot.com/
http://foodtechupdates.blogspot.com

Wednesday, June 5, 2013

THE "DANGEROUS" OIL-CONSUMERS' NIGHTMARE!

Who does not like a freshly fried food or a snack made by deep fat frying? Most humans have a weakness for preparations made by using high levels of oil and higher the oil content more tasty would be the product though health wise such foods many pose dangers in the long run. Interestingly foods with high moisture content, if fried at lower temperatures for a shorter time, may not contain too much adsorbed oil while dry products during frying process have a tendency to get infused with the frying oil thereby raising the oil content in the end product. Scientific basis for such an explanation is that in high moisture foods during frying the water gets evaporated high temperatures creating an internal pressure by the steam which comes out in force and oil has no chance get into the product if the residence time in the fryer is not too long. In contrast dry foods already have cavities pre-existing within their matrix where oil can get in fast and easy. This is the reason why most snack making plants deploy centrifuges to extract free oil from inside the product. 

The debate regarding the importance of fat as a calorie source in preference to carbohydrates is a never ending one but one thing that is certain is that high levels of  fat in every day diet can lead to increased body weight and eventuality to obesity. Of course if heavy physical activity is practiced every day, body fat can get burned and it is nothing but common sense to understand the basic principle of eating and its consequences. If calorie intake is more than calorie expenditure, the body has to store the excess calories through fat deposited in different parts of the body. Sadly the food manufacturing industry has discovered that most human beings cannot resist the temptation of foods containing high sugar and fat and very little control can be exercised while choosing foods. Besides psychologists are unanimous in their opinion that fat, sugar and salt are addictive food components like alcohol and tobacco.

One of the reasons for frequent visits to restaurants by people is the number of choice of tasty fried foods available which are not made at home regularly. Many kitchens in western world shun frying in their kitchen because of the mess that is created by the hot and smoky oils during frying. If fast food chains have become landmarks in developed countries, the reason is the same that their foods are palate tingling and irresistible to avoid. Even young kids ought to be brought up in a healthy eating environment but fall for the unhealthy products from the fast food joints and the processed food industry because of their easy availability and often at low prices. It is next to impossible to make them eat nutritious foods like fruits, vegetables, wholegrain foods, milk, etc in their every day diet. One of the reasons health pundits advocate reducing intake of fried foods is that most frying oils tend to cause atherosclerosis and consequently heart disease and stroke with tragic consequences over a period of time. Except some oils like that extracted from Mustard, Palm fruits and kernels, Coconuts, Peanut, Safflower, almost all others are not fry-stable causing generation of undesirable artifacts at high temperatures and repeated heating.

Frying is an interesting process in food technology where the temperature of the oil is raised to high levels around 200C for fully frying the product to get the desired texture and flavor. If the heat stability of the oil is low, temperatures as low as 165C can also be used to get a fully cooked end product. It is always the dilemma of a Chef as to what temperature he must use to prepare a product to reduce as much as possible oil uptake by the end product, considering that the market price of oils can vary enormously. Ideally every Chef would like to use an oil like Olive oil but it is not practical because of the high cost of this fancy oil. Many choose Palm Oil which is considered the cheapest oil in the global market thanks to the tremendous production in countries like Indonesia and Malaysia. Oils derived from Soybean, Rape seed, Maize germ, Sunflower seed, Safflower, Sesame and rice bran are also widely used. In some cultures Coconut oil is the preferred choice though its peculiar flavor is not liked in most countries. 

The oil used in frying process can degrade in quality, the rate spoilage being proportional to the extent of unsaturated fats present in it and the severity of the temperature deployed for frying. Common fryers like deep fryer, pan fryer, Chip fryer etc can have no control over the heating process and oils can deteriorate rapidly. To some extent these undesirable changes can be prevented by using modern equipment like Vacuum Fryers or Pressure Fryers which, of course need higher investment. The deterioration will be more severe if the oil is repeatedly heated and cooled over a period of time. Oxygen present in the air reacts with the unsaturated fatty acids creating highly reactive oxy radicals and other undesirable artifacts, some of which have been proved to be toxic. High frying temperatures can also break down fats into smaller molecules which cause many other problems like excessive foaming. Polar compounds and polymerized products of oxidation have been proved to be injurious to human health. Frying of starch containing foods is known to produce the carcinogenic artifact Acrylamide. In view of these evidences, oils are not allowed to be used repeatedly for frying and discarding them after using it in the fryer is always considered a wise policy. Many high class restaurants and snack food industry dispose off the heated oils which are supposed to end up as a waste. In reality this does not happen as oil is a high value material in great demand and used oil invariably finds new users who smell money in this "waste" !

When oil is subjected to repeated heating, it becomes dark in color, starts smoking, foaming, generates unpleasant smell, creates undesirable rancid taste, increases viscosity etc, unacceptable to the consumer. While large scale manufacturers of snack foods deploy fryers with multiple controls to regulate the temperature and the frying time, it is the unorganized sector where small scale, semi skilled and illiterate cooks make the products using their "experience" and "hunch" and who unknowingly contribute to very significant damage to the oil. Emergence of oil protectants like antioxidants, chelating agents and a variety of adsorbents of polar chemicals formed during frying prolong the life of frying oils very significantly but even here its life is not eternal, requiring replacement at regular intervals. In countries like the US or the European Union fried oils are never reused for food preparations, invariably ending up ass a biofuel. Recently there were reports that fried oil is fetching a higher price in the market than that commanded by its virgin counterpart! Fryer oil is also used extensively in power generation, household heating during the winter season as it burns clean without any significant carbon foot print and as automobile fuel with no pollution. Carbon monoxide is virtually nil when it is burned. No wonder recycling of fried oil has become a become business world over.

In India and China the recycled oil business is almost a parallel industry gnawing at the seams of the main stream edible oil industry. Of course it can be more aptly called an underground operation being carried out under the very nose of the food laws authorities and it has patrons, millions in number spread all over the country who are food artisans, vending their foods on the road side and small scale unlicensed eateries. These clients find it extremely convenient to buy the used oil supplied to them by unscrupulous processors who buy their raw material from large restaurants for reprocessing. Basically reprocessing involves filtration and decolorization in rare cases. If reports are to be believed recycled oil can be sourced at half the price of virgin oil which presently sells at around Rs 80 per liter in India! Those who use the recycled oil justify their action because oil constitutes a large chunk of the cost of the food they make and according to them if they are forced to shun these oils, they will have no alternative but to raise the prices of their preparations to levels unaffordable to most of their clients! What a justification for demolishing the population through slow poisoning!

Take the case of China where it is reported that recycled oil use is more rampant than that in India. It is a shocking revelation that one out of ten low end restaurants in China uses "Gutter Oil" for preparing their foods, a form of recycled oil which is the worse form of oil one can imagine. Most Chinese dishes are heavy in oil content and imagine the long term consequences for a population fed on such products! Gutter oil is made from discarded restaurant oils from the organized sector, drains, grease taps, slaughter house wastes, discarded animal parts, low grade animal fat. internal organs, skin portions of animals etc. The process of making it includes filtration, boiling, refining, removing adulterants and packing. As the major raw material viz, "the Fryer discarded oil" costs less than $ 900 a ton, the business is indeed fantastic as the reprocessed oil is in demand for prices beyond $ 1500 a ton! It is a mystery as to why an autocratic government like that in China where punishments can be severe and swift is allowing such criminal activities by a section of the industry which jeopardize the health of its citizens.

How can such despicable acts by the fraudulent oil trade be minimized if not curtailed in absolute terms? As some observers believe, it may be difficult to control these nefarious actors unless there is massive vigilance deploying thousands of personnel and severe punishments are given swiftly without allowing the fraud cases to linger on for years in the judiciary. On a long term basis Government will have to address the problem of critical edible oil shortage in the country during the last 3 decades on a war footing by shifting its focus from cereals to oil seeds production.     

Sunday, April 26, 2009

FATE OF YOUR HEART LIES IN THE MOUTH!



According to Hindu belief the fate of a person is written on his head and this is the basis of the fatalistic disposition of many people in India. The science of Astrology defines the horoscope of a person based on time, date and the geography of the place of birth detailing the planetary positions. Similarly the Palmistry is supposed to tell about the past, present and future of human beings based on a reading of the lines on the palm and millions of people have faith in this subjective science. Who can resist the temptation of showing his or her hand in front of any one with a rudimentary knowledge of Palmistry in great anticipation of things to come in future? A totally different concept which emerged recently is claimed to predict the fate of one's heart through diagnostic science.

It is known that oral cavity is home to millions of bacteria which can cause harm to the body if not controlled properly. Over 700 species have been reported to be present in the mouth out of which 92 species belong to bacterial kingdom. In any given individual there could be about 100 different species of microbes. Even amongst the bacteria, man does not know anything about 29 species that exist in the mouth as many of them are difficult to grow outside the mouth. A simple toothpick when used to clean up the teeth can hold 10-100 million bacterial cells. Streptococci, Lactobacilli, Staphylococci, Corynebacterium and bacteriodes predominate the population. The multi billion rupees oral hygiene industry banks on the perpetual need for human beings to clean up their teeth and gums in the mouth through orthodontically designed brushes, a variety of cleaning aids like pastes, gels and powders and mouth wash preparations.

Gums are supposed to be the gate way for pathogenic microbes into organs like heart, liver and others and if these organs are to be protected the gum health has to be maintained without giving any scope for infections. Periodonditis, as manifested by erosion of tissues and bones that support the teeth, is a major disease condition in many people and regular chewing and brushing of teeth can release millions of bacteria into the blood stream. Streptococcus salivus, S.sanguis, Porphyromona gingivalis, Treponema denticola and T.forsythia are the major pathogenic bacteria that cause periodontitis in humans.

Recently it has been found that the extent of microbial load in the mouth can affect the condition of the heart which implies that by monitoring the status of these microbes in terms of their number can give an insight into the condition of the heart. Relationship between periodentitis and acute Coronary Syndrome (ACS) is suspected for long based on many studies, though it is yet to be confirmed. Amount of bacteria is two times higher in ACS patients for the above mix of bacteria compared to that in healthy persons. Similarly alveolar bone loss was significantly higher in patients with ACS. The inflammatory response due to the presence these bacteria elevates the white blood cell counts and high sensitivity C-reactive protein levels, linked to heart disease. Oral bacteria, after entering the blood stream can also attach itself to fatty plaques in the coronary arteries and contribute to clot formation. Debris of oral bacteria detected in atherosclerotic plaques lends credence to this theory though none has been isolated so far under laboratory conditions. It is possible that the inflammation caused by periodontitis disease increases plaque build up and swelling of arteries, both with potential for heart attack. Oral bacteria gaining entry into blood can generate toxins that resemble proteins found in artery walls or blood stream and can cause clotting in and/or harm the blood vessels.

Can the above information be a basis for evolving diagnostic tools that can predict the condition of the heart during regular check ups? So far no empirical relationship has been established quantitatively but there is scope to collect viable data on quantity of bacteria in the mouth and symptoms of changing heart conditions as manifested by chest pain and ECG profile and evolve a reliable yardstick to predict health of the heart. This will enable the vulnerable population to adopt more aggressive approach to oral hygiene through brushing, flossing and mouth wash regimes and protect their hearts. Even the possibility of a right mix of foods in the daily diet that may prevent too much build up of undesirable bacterial load in the oral cavity cannot be ruled out. Traditional chewing of arecanut and or betel leaves or taking saumpf after a meal or consuming yogurt as the last course during a meal, could also have influence on the profile of microbial load in the mouth which needs elucidation through multidisciplinary studies by food scientists, microbiologists and health professionals like physicians and cardiologists.

V.H.POTTY
http://vhpotty.blogspot.com/