Analysis found that only healthy fruits, vegetables and grains guarded against heart disease
From: http://www.webmd.com/diet/news/20170717/not-all-plant-foods-are-equal?src=RSS_PUBLIC
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Analysis found that only healthy fruits, vegetables and grains guarded against heart disease
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Over the July 4th weekend, my non-physician husband with a history of skin cancer tried to justify not wearing sunscreen in order to get some vitamin D. My husband, of course, has no idea how much vitamin D he needs or why, and I suspect he is not alone.
The easy answer is for bones. Vitamin D facilitates absorption of calcium and phosphate, which are needed for bone growth. Without sufficient vitamin D, bones become brittle (in children this is called rickets and in adults it is called osteomalacia) and break more easily. Vitamin D is likely beneficial for other parts of the body as well; studies suggest an overall decrease in death in addition to reductions in blood pressure, respiratory illnesses, cancer, heart disease, and depression. Adequate vitamin D during pregnancy also appears to reduce the chances of having a low-birthweight baby. However, most of the effects of vitamin D have not been studied in controlled settings. Studies looking at the benefits of vitamin D on various conditions are ongoing. A small study published earlier this month suggested that high-dose vitamin D could reduce redness and inflammation following sunburns, but the dose tested far exceeded the recommended daily dose of vitamin D.
Don’t run out to the drug store to buy vitamin D pills just yet. Your body produces vitamin D when the skin is exposed to sun, and it is estimated that most people need 1,000 to 1,500 hours of sun exposure throughout the spring, summer, and fall to obtain the necessary amount of vitamin D. Vitamin D deficiency is very common and on the rise. This is mostly due to vigilant sun protection, since sunscreen with SPF 30 reduces vitamin D production by 95%. Of course, as a dermatologist I am not advocating for prolonged sun exposure, but small amounts can go a long way, as the skin produces vitamin D that can last at least twice as long the vitamin D you take in through foods or supplements. Vitamin D can also be obtained through other sources, including fatty fish (such as tuna, mackerel, and salmon), foods fortified with vitamin D (such as dairy products, soy milk, and cereals), beef liver, cheese, and egg yolks. Of course, vitamin D supplements are needed for people most at risk for deficiency, including breastfed infants, older adults, people with limited sun exposure, darker skinned individuals, and overweight individuals.
Too much vitamin D can be harmful, including (ironically) increasing fractures, falls, and kidney stones, and can be toxic by causing excessive levels of calcium. Although not proven, high vitamin D levels have been associated with prostate cancer, pancreatic cancer, and mortality. A recent study found that use of high-dose vitamin D supplements increased over a 15-year period.
So how much is too much? For adults, toxic effects increase above 4,000 IU per day. The recommended dietary dose of vitamin D is 600 IU each day for adults 70 and younger and 800 IU each day for adults over 70. To put this into perspective, 4 ounces of cooked salmon contains approximately 600 IU of vitamin D.
The post Vitamin D: Finding a balance appeared first on Harvard Health Blog.
Follow me on Twitter @RobShmerling
The evidence continues to mount — physical activity can help you live longer. Of course, that raises some fundamental questions:
There are exercise guidelines, of course. One of the most widely quoted physical activity recommendations comes from the US government’s Office of Disease Prevention and Health Promotion that recommends everyone exercise at a moderate or greater intensity for at least 150 minutes a week (or 30 to 45 minutes most days of the week). While this may sound reasonable enough, most people don’t follow it. The reasons are many and diverse, but a common one is that physical activity is not part of the daily routine. For example, increasingly we do not rely on walking or biking to get to work.
Two recent studies looked at the impact of different types of physical activity and came to similar conclusions. The first study compared rates of heart disease, cancer, and premature death over a five year period among more than 260,000 people who walked to work, cycled to work, or were sedentary during their commute. Compared to those who were sedentary:
The other study was one performed as a follow-up to previous research that linked running for as little as five minutes a day (on average) with a longer lifespan. Further analysis found that runners (as compared with non-runners)
In this study, the benefits of running were noted even for those who had cardiovascular risk factors, such as high blood pressure or smoking. Taken together, the researchers concluded that running might be unique in its health benefits among different types of exercise that have been studied. And while more running provided more health benefits, there did appear to be a limit: additional benefits were not seen with more than four hours of running per week, and three years of added life seemed to be the maximum gained. Cycling, walking, and other physical activity were also beneficial, though not as much as running.
These studies noted an association between certain physical activities (biking or running) and health benefits (lower risk of cancer, heart disease, or death). While it’s possible the physical activity directly caused these benefits, it’s also possible that there’s a different explanation. Perhaps cyclists and runners tend to eat healthier diets, smoke less, or inherit genes linked to longevity. While these studies attempted to account for these other factors, it’s impossible to completely eliminate other potential contributors. In addition, the study subjects may not be representative of the population at large. For example, the study of runners included subjects who were mostly white and middle-class; the results might have been different if others had enrolled.
Getting up and getting some exercise is good for you. This is, of course, not a new idea. But these new studies are only the latest — and among the most compelling — to suggest that something as simple as walking, biking, or running could be a powerful way to improve your health and have a longer life.
The post This just in: Exercise is good for you appeared first on Harvard Health Blog.
Follow me on Twitter @RobShmerling
The evidence continues to mount — physical activity can help you live longer. Of course, that raises some fundamental questions:
There are exercise guidelines, of course. One of the most widely quoted physical activity recommendations comes from the US government’s Office of Disease Prevention and Health Promotion that recommends everyone exercise at a moderate or greater intensity for at least 150 minutes a week (or 30 to 45 minutes most days of the week). While this may sound reasonable enough, most people don’t follow it. The reasons are many and diverse, but a common one is that physical activity is not part of the daily routine. For example, increasingly we do not rely on walking or biking to get to work.
Two recent studies looked at the impact of different types of physical activity and came to similar conclusions. The first study compared rates of heart disease, cancer, and premature death over a five year period among more than 260,000 people who walked to work, cycled to work, or were sedentary during their commute. Compared to those who were sedentary:
The other study was one performed as a follow-up to previous research that linked running for as little as five minutes a day (on average) with a longer lifespan. Further analysis found that runners (as compared with non-runners)
In this study, the benefits of running were noted even for those who had cardiovascular risk factors, such as high blood pressure or smoking. Taken together, the researchers concluded that running might be unique in its health benefits among different types of exercise that have been studied. And while more running provided more health benefits, there did appear to be a limit: additional benefits were not seen with more than four hours of running per week, and three years of added life seemed to be the maximum gained. Cycling, walking, and other physical activity were also beneficial, though not as much as running.
These studies noted an association between certain physical activities (biking or running) and health benefits (lower risk of cancer, heart disease, or death). While it’s possible the physical activity directly caused these benefits, it’s also possible that there’s a different explanation. Perhaps cyclists and runners tend to eat healthier diets, smoke less, or inherit genes linked to longevity. While these studies attempted to account for these other factors, it’s impossible to completely eliminate other potential contributors. In addition, the study subjects may not be representative of the population at large. For example, the study of runners included subjects who were mostly white and middle-class; the results might have been different if others had enrolled.
Getting up and getting some exercise is good for you. This is, of course, not a new idea. But these new studies are only the latest — and among the most compelling — to suggest that something as simple as walking, biking, or running could be a powerful way to improve your health and have a longer life.
The post This just in: Exercise is good for you appeared first on Harvard Health Blog.