Does Stretching Prevent Sports Injuries?

No.

This is a U.S. Army-style sit-up. I do sit-ups with my arms folded across my chest, hands on my shoulders

This is a U.S. Army-style sit-up. I do sit-ups with my arms folded across my chest, hands on my shoulders

For a couple years I’ve thought that stretching didn’t prevent injuries. Now I’ve got a scientific reference to back up my contention. Also from the abstract:

Strength training reduced sports injuries to less than 1/3 and overuse injuries could be almost halved.

h/t James Steele II

Mouth Bacteria May Be an Important Cause of Heart Disease

…according to an article at University Herald.

paleo diet, Steve Parker MD,calcium, osteoporosis

That milk mustache is a tell-tale sign she’s not eating pure paleo

The idea is that nasty bacteria around your gums somehow cause arterial inflammation in your heart arteries, which could lead to heart attacks. I’ve written about this before.

A quote from the article:

The researchers followed 420 adults as part of the Oral Infections and Vascular Disease Epidemiology Study (INVEST), a randomly sampled prospective cohort of Northern Manhattan residents. Participants were examined for periodontal infection. Overall, 5,008 plaque samples were taken from several teeth, beneath the gum, and analyzed for 11 bacterial strains linked to periodontal disease and seven control bacteria. Fluid around the gums was sampled to assess levels of Interleukin-1β, a marker of inflammation. Atherosclerosis in both carotid arteries was measured using high-resolution ultrasound.

Over a median follow-up period of three years, the researchers found that improvement in periodontal health-health of the gums-and a reduction in the proportion of specific bacteria linked to periodontal disease correlated to a slower intima-medial thickness (IMT) progression, and worsening periodontal infections paralleled the progression of IMT. Results were adjusted for potential confounders such as body mass index, cholesterol levels, diabetes, and smoking status.

Thickening of the arterial lining is linked to higher rates of heart attack and stroke.

It remains to be seen whether alteration of gum bacteria and periodontal disease via oral self-care and dental care will reduce cardiovascular risk going forward. Stay tuned.

Read more at http://www.universityherald.com/articles/5322/20131101/brushing-your-teeth-could-prevent-heart-disease.htm#rvx294vC7VKJ6Qu3.99

Consider Low-Carb Eating Instead of Drugs for Your GERD

How about this one?

It’s easier to pop a pill than change your diet, especially if someone else is paying for the pills

Dr. Michael Eades has a recent post on gastroesophageal reflux disease (GERD) and it’s treatment with carbohydrate-restricted eating versus drugs. A quote:

Most people who have GERD, have it for the long term. It’s not something that comes and goes. So these folks go on GERD therapy for the long term, and the most prescribed medications for long-term GERD treatment are PPIs [proton pump inhibitors], which, you now know, keep stomach acid neutralized for the long term, and, as you might imagine, creates a host of problems.

The scientific literature has shown long-term PPI therapy to be related to the following conditions:

  • Anemia
  • Pneumonia
  • Vitamin B12 deficiency
  • Impaired calcium absorption
  • Impaired magnesium absorption
  • Increased rate fractures, especially hip, wrist and spine
  • Osteopenia [thin brittle bones]
  • Rebound effect of extra-heavy gastric acid secretion
  • Heart attacks

Read the rest if you or someone you love has GERD. Acid-reducing Nexium is the second most-prescribed drug (by sales) in the U.S. We have stomach acid for a reason. It’s not nice to fool Mother Nature eliminating it.

Here’s a scientific report supporting Dr. Eades’ clinical experience that carbohydrate restriction helps with GERD. Carbs were reduced to 20 grams a day.

Steve Parker, M.D.

Dr. Guyenet Makes a Case for Beans in the Paleo Diet

As an introduction, he writes…

The canonical Paleolithic diet approach excludes legumes because they were supposedly not part of our ancestral dietary pattern.  I’m going to argue here that there is good evidence of widespread legume consumption by hunter-gatherers and archaic humans, and that beans and lentils are therefore an “ancestral” food that falls within the Paleo diet rubric.  Many species of edible legumes are common around the globe, including in Africa, and the high calorie and protein content of legume seeds would have made them prime targets for exploitation by ancestral humans after the development of cooking.

Richard Wrangham thinks hominins started cooking with fire as long as 1.8 million years ago. There’s no expert consensus yet.

Read the rest.

High Carbohydrate Diet May Cause Atherosclerosis

…and that condition underlies most heart attacks, strokes, and poor circulation to limbs. Here’s the conclusion from an abstract:

High-carbohydrate diets, particularly in the form of high-glycemic index carbohydrate, have the ability to directly induce atherosclerosis. Based on anthropologic facts, the reason for these dietary-induced, insulin-mediated, atherogenic metabolic perturbations are suggested to be an insufficient adaptation to starch and sugars during human evolution. Restriction of insulinogenic food (starch and sugars) may help to prevent the development of atherosclerosis, one of the most common and costliest human diseases.

medical clearance, treadmill stress test

This treadmill stress test is looking for atherosclerotic heart disease, aka coronary artery disease and coronary heart disease

The article was published in 2006. In 2007, Harvard’s Dr. Frank Hu  was singing the same tune about carbohydrates. Jenny Brand-Miller and associates implicate high-glycemic-index carbohydrates as a cause of atherosclerotic heart disease in women, but I don’t recall any similar evidence in men. Yet.

I know many diabetics hate to cut dietary carbohydrates. If this new theory of atherosclerosis pans out, maybe carb restriction will be easier to stomach.

 

h/t Mangan

Recipe: BLT Avocado Wraps and Pecans

paleobetic diet, paleo diet for diabetics

Ready to roll up and eat

BLT = bacon, lettuce, and tomato.

As I’ve written before, bacon isn’t a pure paleo food. Cavemen didn’t eat it. It’s too highly processed. You could make your own if you want. But bacon is convenient and no doubt better for you—at least if you have diabetes—than many of our traditional breakfast foods like cereal with milk, pancakes, instant oatmeal, bagels, or donuts. Those could shoot your blood sugar up to the moon.

Some studies link processed meats with cardiovascular disease and cancer, other studies don’t. If you want to be cautious with your health, don’t go hog-wild with bacon or other processed meats like hot dogs, bologna, and liverwurst.

Avocados come in hundreds of varieties. In the U.S., we mainly have California avocados (aka Hass) and Florida avocados. Californians are by far the market leader. They reign at the Parker Compound.

paleobetic diet

California or Hass avocado

paleobetic diet, paleo diet for diabetes

Florida avocado

California avocados are smaller dark green lumpy-skinned ones. Florida avocados are larger, smoother-skinned, and lighter green. Monica Reinagel has an article comparing the two, with notes on ripening and storage.

Oh, and by the way, avocados are fruits, not vegetables. But you knew that, you smartie.

Ingredients:

1 California (Hass) avocado, raw, medium size (about 4 x 2.5 inches or 10 x 6 cm), peeled and seeded, cut into long strips

6 bacon strips, medium thickness

4 oz (115 g) lettuce (e.g., iceberg, romaine, bibb, or broad-leaf lettuce you prefer)

4 oz (115 g) tomato, raw (this is about one-and-a half roma tomatoes or one medium regular tomato), cut into long strips

1 oz (30 g) pecans (option: substitute your favorite tree nut except for cashews—too many carbs)

Instructions:

Fry your bacon in a skillet over medium to medium-high heat. Next you’re gong to build two wraps. Lay out about two oz (  g) of lettuce and load it with three bacon strips, half your tomato, and half your avocado. Fold or wrap lettuce edges together and enjoy. Repeat with remaining ingredients. The pecans are for dessert.

paleobetic diet, paleo diet for diabetes

Our vicious guard dogs waiting for bacon

Number of Servings: 1 (that’s 2 wraps plus nuts)

Nutritional Analysis:

74% fat

12% carbohydrate

14% protein

720 calories

24 g carbohydrate

15 g fiber

9 g digestible carbohydrate

1137 mg sodium

1507 mg potassium

Prominent features: Good source of fiber, sodium, protein, vitamin B6, niacin, thiamine, pantothenic acid, copper, manganese, phosphorus, and selenium.

Recipe: Naked Chicken Fajitas with Walnuts and Pear

paleobetic diet

It looks more appealing if you use green and red bell peppers

My earliest recollection of fajitas is from Austin, Texas, in 1981. I had just moved there from Oklahoma City to start my internship and residency in Internal Medicine. Back then fajitas were made with skirt steak, the diaphragm of a cow or steer. It was considered a cheap low-quality cut of meat. You can also make fajitas with chicken. The contents of a fajita are wrapped in a tortilla usually made with flour. Since we’re a paleo crowd, we’ll skip the tortilla. Use lettuce as a wrapper if you wish.

I wonder if the El Azteca Restaurant is still in business. Best Mexican food I ever had. I think it was on 6th Street or so, about 3/4 mile east of I-35. Good times.

By the way, the j in fajita is pronounced “h.” Accent on second syllable. “Fuh-HEET-uh.”

Today we’re using chicken and making four servings

paleobetic diet, paleo diet for diabetics

Pre-cut chicken breasts and sweet mini-peppers

Ingredients:

1 lb (454 kg) chicken breast, raw, boneless and skinless, cut in strips about 1/4-inch wide (you can often buy it this way)

7 oz onion, raw, cut in long crescent shapes about a 1/4-inch wide (0.6 cm)

6 oz (170 g) bell pepper, raw, cut in long strips roughly a 1/4-inch wide (these are also called sweet peppers; a combination of the red and green ones is eye-pleasing)

2 tbsp (30 ml) olive oil

5 or 6 oz (155 g) tomato, raw, cut in long strips

1 tsp (5 ml) salt

1/2 tsp (2.5 ml) pepper

1/2 tsp (2.5 ml) chili powder

1 tsp (5 ml) parsley flakes

1/2 tsp (2.5 ml) oregano leaves

1 pinch of cumin

1/2 tsp (2.5 ml) paprika

(Optional: You could replace all these spices with a 1-oz (28 g) pack of Lawry’s Chicken Fajitas Spices & Seasoning. The sodium and potassium values below would be different.)

1/3 cup (80 ml) water

16 oz (454 g) lettuce (e.g., iceberg, romaine, or bibb)

4 oz (113 g) walnuts

4 pears, small (about 1/3 lb or 150 g each))

Instructions:

Add the onions, peppers, and 1 tbsp (15 ml)  olive oil to a 12-inch (30 cm) skillet and cook at medium-high heat until tender, stirring occasionally. This’ll take about 10 minutes. Set the skillet contents aside.

paleobetic diet, paleo diet for diabetes

This is double the recipe amount since there are six humanoids in my household

paleobetic diet, paleo diet for diabetics

The vegetables reduce volume by half while cooking

In the same pan, add 1 tbsp (15 ml) olive oil and the chicken and cook at medium to medium-high heat, stirring frequently, until chicken is thoroughly cooked. For me, this cooked quicker than the vegetables. But don’t overcook or the chicken will get tough. Then add the water and all the spices. Bring to a boil while stirring occasionally, then simmer on low heat a few minutes. This is your fajita filling.

My original plan was to make “fajita wraps,” wrapping the cooked fajitas into a large leaf of iceberg lettuce. This was pretty messy, especially since I love the sauce in the bottom of the pan. I tried two leafs as a base: still messy. Finally I just made a bed of lettuce (4 oz) and loaded the fajita concoction right on top. Mess gone. Try a different lettuce? Skip the lettuce entirely and you can reduce digestible carb count in each serving by 2 grams.

Enjoy the walnuts and pear with your meal.

Leftovers taste just as good as fresh-cooked, perhaps even better.

I have another fajita recipe using skirt steak marinated in commercial Zesty Italian Dressing in the refrigerator overnight or for at least four hours. Grill it over coals outside. Yum! I don’t recall whether I added lemon juice to the marinade or squirted it on the meat just before serving. You would just cook the onions and peppers on a pan on the stove as above, with salt and pepper to taste. Garnish with a margarita and I’ll make you an honorary Texan.

Number of servings: 4

Serving size: A cup (240 ml) of the fajita mixture, 4 oz (113 g) lettuce, 1 oz (28 g) walnuts, 1 small pear. One cup makes two lettuce wraps.

Nutritional Analysis Per Serving:

48% fat

26% carbohydrate

26% protein

Calories: 514

37 g carbohydrate

10 g fiber

27 g digestible carbohydrate (25 g if you skip the lettuce)

928 mg sodium

904 mg potassium

Prominent features: Rich in protein, vitamin B6, vitamin B12, vitamin C,copper, iron, manganese, niacin, phosphorus, and selenium.

paleobetic diet

Another view, prior to rolling it up (wrapping)

Free Online Paleo Recipes

Sirloin steak, salad, cantaloupe, 3 raspberries

Sirloin steak, salad, cantaloupe, raspberries (on the Paleobetic Diet)

Or paleo-ish anyway.

Most diabetics eating paleo-style need to know how may grams of digestible carbohydrate they’re eating. Their blood sugars will go too high if they eat too many carbs. “Too many” varies from one person to another. Additional nutrient numbers are just icing on the cake. (Oops! Not a good metaphor for a Stone Age diet website.) Other than this site, I’ve only found three other sites that divulge basic nutritional analysis of their free recipes. Several sites listed are primarily low-carb, so you have to see if the recipe you’re interested in fits your definition of paleo.

Before you go, I just want you to consider financially supporting the owners and writers at the following sites. Many of them have books or services for sale. Some have a Donate button. If they can’t bring home the bacon, the websites go down and the recipes go bye-bye.

Recipes With Nutritional Analysis

Catalyst Athletics

Linda’s Low-Carb Recipes

Hold the Toast (I bet Dana Carpender’s “500 Paleo Recipes” book provides basic nutrient analysis.)

Paleo Diabetic

More Recipes (You can do your own nutritional analysis at places like Fitday.)

The Clothes Make the Girl

NomNom Paleo

The Paleo Diet

Julianne’s Paleo & Zone Nutrition (see drop-down menu under Paleo Links, Recipes, and Meals tab)

Everyday Paleo (see drop-down menu under Food tab)

Paleo Food

Paleo Plan

Stalkerville

Perfect Health Diet

Diabetes Warrior

Whole Life Eating

Nell Stephenson

Paleo Diet Lifestyle

Happy hunting!

Steve Parker, M.D.

Low Magnesium Intake Linked to Type 2 Diabetes

…according to an article at Diabetes Care.

Visit the Linus Pauling Institute for dietary sources of magnesium. It remains to be seen, however, whether purposefully increasing your magnesium consumption via food or supplements will prevent diabetes.

Carb-Craving Olympians Have the Teeth To Prove It

BBC has the story:

The beaming smiles of gold-medal winners Usain Bolt, Jessica Ennis-Hill and Mo Farah are some of the defining memories of London 2012.

But a team at University College London says many competitors had dental problems.

“Our data and other studies suggest that, for a similar age profile, the oral health of athletes is poor. It’s quite striking,” said lead researcher Prof Ian Needleman.

He said eating large amounts of carbohydrates regularly, including sugary energy drinks, was damaging teeth.

Impaired immune system function associated with hard training may also play a role.

Many, if not most, high-level athletes think high carbohydrate consumption is necessary for optimal performance. They should know better than I. For their sake, I hope meticulous oral care—brushing, flossing, professional cleaning—helps preserve dental health.

tooth structure, paleo diet, caries, enamel

Cross-section of a tooth