Archive for the ‘Food and Diet’ Category

The Franco Fen Phen

Friday, February 17th, 2012 by

Those of us who were practicing medicine back in the mid 1990’s recall the amazing “miracle pill”  Fen-Phen, a combination of two drugs called fenfluramine and phentermine, that resulted in rapid weight loss.  Its popularity was short lived, however, when it was discovered that the two medicines together could cause damage to heart valves and a serious lung condition called primary pulmonary hypertension.  The pills were pulled off the market by its manufacturer Wyeth Ayerst, eventually costing the pharmaceutical company over 21 billion dollars in legal settlements with those who claimed to have been damaged by Fen Phen.

In an odd case of “déjà-vu” French officials announced recently that Mediator, a drug licensed for use by diabetics that became widely used in France for over thirty years as a slimming aid, probably caused at least 1,300 deaths. The drug was originally developed to reduce lipids, but was found to be effective in helping diabetics maintain control of their blood sugar.  When it was also noted to suppress appetite, the drug ultimately gained approval in France to help diabetic patients who were obese lose weight.  Eventually, the drug became widely popular among non diabetic patients who just wanted to shed extra pounds.

In 2009, the drug was removed from the market by its French manufacturer Servier amidst allegations that were hauntingly similar to those against Fen Phen.  A number of users of Mediator had heart valve damage or developed primary pulmonary hypertension. 

The data, which was compiled by the French National Health System, was pulled primarily from the records of those who died from faulty heart valves among major users of the drug.  The statistics likely underestimate mortality rates, as they did not include users who may have died from primary pulmonary hypertension.

Mediator’s generic name is Benfluorex, and is an amphetamine derivative just like the two drugs that made up Fen-Phen. Despite the wide publicity surrounding the adverse effects of Fen-Phen, and suspicion for years that Mediator had identical problems, the medication was taken by over 5 million French between 1976 and 2009.  Investigations are underway and lawsuits have already been filed, citing negligence on the part of Servier and French regulatory agencies.

Travelers to other countries should be careful about taking drugs that have not been properly vetted.  Mediator was never approved for use in either the United States or the United Kingdom.

Photo by DES Diethylstilbestrol.

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How To Travel Vegan

Tuesday, February 7th, 2012 by

As a follow up to last week’s post about gluten-free globetrotting, let’s take a look at tools you can use to maintain a vegan or vegetarian diet while you travel the world.

Whether you’re traveling for business, pleasure or school, one of the great aspects of travel is obviously the opportunity to experience different cultures, and that typically includes sampling the food. So, you might say – why should I bother traveling to China? I’m vegan, and it’ll just be impossible to stay vegan while I’m there.

But that’s simply not the case. Yes, it requires some planning ahead and doing a little homework, but it’s not so much that should deprive yourself of the opportunity to travel the world.

There are more than a dozen websites and blogs devoted to helping vegans traverse the globe while eating healthily and still being able to engage in local food culture. Perhaps the most popular is the Happy Cow website, which has an extensive list of vegetarian and vegan restaurants all around the globe.

For instance, there are 47 vegetarian restaurant options in Munich, Germany. There are 16 more places with veggie menus in Johannesburg, South Africa. Who knew?

Other important sites to help you plan include the International Vegetarian Union’s guide to vegetarian words and phrases in a wide variety of languages. And if you want to drop in on a vegan group in, say, Singapore, check out this list of vegan meetups all around the world.

But before you get too excited, know this – what you think of as vegetarian or vegan might not be exactly what they mean in Sierra Leone. The meaning of these terms can vary by country and by culture. Some cultures define “vegetarian” as dishes that include fish and fish stock. Others think that vegetarian dishes are dishes that include vegetables, but may also contain meat.

That said, there’s no reason to be intimidated into staying home. As long as you plan ahead and communicate clearly to restaurant staff, you should be able to maintain your diet. In that way, it isn’t so different from going to the restaurant down the street.

Photo by olaxvx.

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Gluten-Free Globetrotting

Tuesday, January 31st, 2012 by

It’s no secret that a lot of people have switched to a gluten-free diet, whether or not they have Celiac Disease. The benefits are great for many people, but there’s a question that can be a significant obstacle for gluten-free dieters who want to venture beyond the outskirts of town.

How do you keep your gluten-free diet when traveling?

Most people assume that you can’t. They assume that the restaurant in Rome is going to fill your plate with pasta no matter how vehemently you tell them you’re intolleranza al glutin. But fear not; there are plenty of resources to help you stay gluten-free all around the globe.

Most people who maintain a gluten-free diet know which foods to avoid and which foods to ask for. When traveling to a foreign country, it’s simply a matter of being a little more vigilant and prepared so that you can relax and enjoy.

The most comprehensive is CeliacTravel.com. The site has numerous tips for travelers, including how to eat on the plane (preorder a celiac meal!) and to be sure to take gluten-free snacks with you so that you can stave off those hunger pangs that might lead you to hungrily devour something you might regret.

But by far the best feature of CeliacTravel.com is their gluten-free restaurant cards. The cards come in 51 different languages and are an easy way to make sure you’re clearly communicating with a waitperson when you might not speak the language that well. Each card explains that you cannot eat certain foods and asks them to help you steer clear of those foods.  You can download PDFs of the cards for free (although they’d like a donation, please). It’s beautiful in its simplicity.

Another resource is travel writer Hilary Davidson’s blog Gluten-Free Guidebook, which demonstrates that you really can go gluten-free in Italy. Davidson blogs about her travels across the U.S. and around the world while maintaining a gluten-free diet. She also invites guest posts from readers to discuss their successes and challenges in navigating the globe gluten-free.

Also, consider GlutenFreeTravelSite.com, although its primary focus is on domestic eating options. However, without it, you might never know about the best gluten-free dining experience in Paris.

The key to any trip abroad is planning, and that is doubly true when you’re looking to enjoy worry-free, gluten-free dining. With these resources, you can see that it’s possible to travel the world without getting, literally, sick about it.

Photo by nonsolograno.

 

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Heart-healthy diet: It’s not East or West; It’s Raw Fruit and Vegetables

Monday, October 31st, 2011 by

There’s been plenty of ink spilled on the virtues of oriental eating habits when compared to western dietary habits. Recently, Time Magazine raised the question, “Can Eating Fruits and Veggies Outwit Bad Heart Genes?” Tofu, leafy vegetables, low sugar and soy sauce have the presumed upper hand over meat, eggs, fried and salty dishes and dessert. Now a newly published study led by Canadian researchers has arrived at an unequivocal conclusion: inherited risk of heart disease “appears to be modified by a prudent diet high in raw vegetables and fruits.”

The scientists surveyed tens of thousands of people with a genetic disposition toward heart disease in 52 countries and grouped them into three diet groups: western, oriental and prudent, which featured a large intake of raw fruits and vegetables. They concluded that those who practiced a prudent diet were able to counteract the effects of their genetic heart risk factors. The oriental diet did not perform a similar feat for the subjects under study. Those of you abroad with a family history of heart disease can take some comfort in a scientifically-grounded dietary strategy: the French call it “crudite”. 

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A Balancing Act: Miles Walked and Calories Consumed

Thursday, September 22nd, 2011 by

A recent post from FoXnoMad provides readers with a quick reality check on How to Accurately Calculate How Many Calories You Just Burned Sightseeing. The author provides some basic rules on how burning calories is impacted by energy exerted, weight, level of athleticism and age. Then he offers suggestions for apps and maps that will help you better estimate the distance you travel while touring an area on foot and in turn, better calculate an average of calories burned. Weight conscious travelers can then use this information to make meal choices that won’t negatively impact their waistlines.

Have you tried any of these apps? What do you think?

Photo by nelnel7.

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Healthy International Recipes

Friday, August 26th, 2011 by

My wife got a good chuckle when she heard I was going to write a blog article on healthy international cuisine.  After all, I am not exactly Julia Child around our house, as my version of a self prepared healthy meal is steak, Rice-a-Roni (the butter and herb version), and tossed salad with ranch dressing.   I reminded her, however, that I was quite good at scouring the internet for fresh ideas, and even offered (she refused) to make one or two of the dishes pulled from my research. 

 While most are familiar with healthy dietary choices at home, travelers to other countries are often faced with a plethora of unfamiliar food choices without any understanding of what is healthy and what is not.  Eating out is unhealthy to begin with, as most establishments provide large portions, heavily salted and filled with fat derived calories.  Restaurants in foreign countries are no exception, so it behooves the international traveler to plan plenty of home cooked meals, if possible. 

Here are a few websites that feature some wonderful recipes, broken down by region and/or type of food.  The list is quite short, but should give the international cuisine novice committed to eating healthy a good start:

Heart and Stroke Foundation- Recipes from Around the World

Healthy Latin American Favorites

World Health Circle of International Cooking

International Vegetarian Union- Especially for Vegans

Healthy Salads with an International Flavor

Fermented Grains For the Die Hards

Bon Appétit!

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Eating Vegan in South America

Tuesday, August 9th, 2011 by

Volunteer Latin America recently shared this information on eating vegan in South America.
(For more information or to view the complete post, visit their website Volunteer Latin America.)

Though the prospect of finding vegan food in South America can be daunting, the experience is definitely worth it. Make a list of all the vegan or vegetarian restaurants you found on Happy Cow, TripAdvisor, or elsewhere, and pack it in your luggage. Below you’ll find some great South American vegan restaurants to start your list. If you find yourself in an omnivore restaurant, it’s important to be careful when ordering and vegan travelers should make every effort to be prepared. Making a set of vegan translation cards is a good idea if you have a low level of Spanish and/or Portuguese, or don’t have a vegan passport. Though finding food can be a struggle outside of vegan, vegan friendly-only restaurants, it isn’t impossible.

Top Vegan Restaurants in South America:

Arte Sano (Buenos Aires, Argentina)

Bio (Buenos Aires, Argentina)

Buenos Aires Verde (Buenos Aires, Argentina)

Casa Felix (Buenos Aires, Argentina)

Kensho (Buenos Aires, Argentina)

Verdellama (Buenos Aires, Argentina)

Verde Gourmet (Colon, Argentina)

Azahares (Mendoza, Argentina)

Entre Indyas (Salta, Argentina)

Namaste (La Paz, Bolivia)

Cada Dia (Santa Cruz, Bolivia)

Bonobo (Porto Alegre, Brazil)

Refeitorio Organico (Rio De Janeiro, Brazil)

Vegan Vegan (Rio de Janeiro, Brazil)

El Huerto (Santiago, Chile)

Mug Cafe (Santiago, Chile)

Epif Cafe Vegetariano (Valparaiso, Chile)

Ramy (Barranquilla, Colombia)

Imaymana (Bogota, Colombia)

La Esquina Vegetariana (Bogota, Colombia)

Restaurante Manantial (Quito, Ecuador)

AlmaZen (Lima, Peru)

El Gourmet Vegetariano (Caracas, Venezuela)

Courtesy of Stephen Knight, Volunteer Latin America.

Photo by 10b travelling.

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Nutrition and the Traveling Athlete

Thursday, July 28th, 2011 by

Athletes face different types of adversity when they’re traveling, especially for long periods of time. We’ve discussed health-related conditions such as DVT and Jet Lag, and preventative considerations such as which foods are best to eat while flying. Another major area of concern is nutrition.  Athletes traveling to a game, match or event need to be in their best physical shape and especially conscientious about meeting carbohydrate, protein, vitamin and mineral requirements, balancing energy intake, maintaining adequate hydration, and making sure food is prepared and stored safely.

Dining out
The best way to meet these requirements is to plan out the whens, wheres and whats regarding your meals.  Your plan should be as close to your regular (at home) diet as possible.  Choose restaurants that provide options that will help fuel your health, energy, and performance. Places known for their pasta or lean meats (great sources of carbohydrates and protein) are good places to eat; stay away from deep fried dishes.  Restaurants with a buffet option are usually great places for team meals as they provide a large variety of good foods for the athletes like pasta, lean meats, salads, rice, fish, chicken, and plenty of vegetables.

Snacks appropriate for Athletes
While on the road, the snacks you are used to picking up at your local convenience store may not be easy to find. Because they are important for recovery periods after training and between meals, make sure to bring some with you.  Some snacks worth packing are cereal, cereal bars, canned fruits, dried fruit, peanut butter, jelly, powdered sports drinks or milk, concentrated fruit juice, and (if a microwave or stove is available) baked beans, spaghetti, or instant noodles.

Food Safety
Food safety is the biggest problem athletes can face when traveling in foreign countries. To avoid the risk of infection and illness in areas where the water is questionable, drink only bottled water or water from sealed containers, avoid ice in your drinks, use bottled water when brushing your teeth, avoid salad vegetables unless they are washed in bottled or boiling water, and only eat fruit if it can be peeled. If you’re in an area where the food quality is questionable, eat only from reputable hotels or well known franchises, avoid street stalls and markets, avoid fish and shellfish, only consume food that is steaming hot or has been adequately refrigerated. Also avoid sharing cups, bottles, and utensils.

Being prepared for your trip is the best way to ensure your own success both while traveling and competing.    

Author: Derek Giannetti
Derek Giannetti, a guest contributor to the Healthy Travel blog, is an upcoming junior at Ursinus College where he plays football and studies Exercise and Sports Science. Upon graduation, Derek hopes to pursue a career in Health and Physical Education.

 

Photo by familymwr.

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Worried about Jet Lag? Skip the Snacks

Tuesday, July 26th, 2011 by

In my last post I provided a list of the foods and drinks that you should definitely avoid when flying. And it might seem that after going through that list that your options are so limited that you’re better off eating nothing. Guess what, you could be right.

A study, published in The Journal of Science in 2008, revealed that fasting up to 16 hours before flying can actually help to prevent jet lag.  The study was done on lab rats and has not been directly linked to humans yet, but the explanation behind the findings definitely makes sense: Usually, it’s light that triggers an internal clock that controls when we eat and sleep, as discussed in a previous post about the circadian rhythm. But according to the study, a second clock, which is based on hunger, seems to override the first when the body senses that food is in short supply. So researchers believe we might be able to faster adjust to time zone changes by manipulating this second clock.

Basically, if you make your body think it’s starving, you’ll be able to remain awake and alert until dinner time in your new destination, which would then reset your body’s original circadian rhythm based on the light.

Have you ever tried this method? Let us know if it worked for you.

Author: Derek Giannetti
Derek Giannetti, a guest contributor to the Healthy Travel blog, is an upcoming junior at Ursinus College where he plays football and studies Exercise and Sports Science. Upon graduation, Derek hopes to pursue a career in Health and Physical Education.

Photo by Gin Fizz.

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Choosing the Right Foods and Drinks for Your Flight

Tuesday, July 26th, 2011 by

Many people look to food to manage the stress they face when preparing for an airplane flight, and others look to alcohol. But, there are some things that should be avoided prior to boarding a plane that will take you 40,000 feet in the air. While remembering to stay well hydrated before and during your flight is important, staying away from the following foods and drinks is also worth considering:

Fast Food
Digesting food like a McDonald’s Number 2 meal is hard enough on the body in normal circumstances; this problem is exacerbated in a pressurized cabin at high altitudes.  Not only can indigestion come from the menu options available from Mickey D’s, Burger King, Taco Bell, or any other greasy fast food place commonly seen in airports, but it can also contribute to blood flow constriction, thus leading to blood clots in the legs, also known as Deep Vein Thrombosis (DVT).

Anything that will give you gas
Avoiding foods that cause intestinal expansion is a good idea in a pressurized airplane cabin because the pressure only makes the bloating worse. Fried and super-saturated foods are obvious contributors to this problem.  The less obvious culprits include healthy foods such as onions, cauliflower, cabbage, and baked beans. Avoiding bloating pains isn’t the only reason to avoid these foods: courtesy towards and the personal comfort of other passengers around you are good things to consider as well.

Soda and other carbonated beverages
Soda and carbonated beverages can contribute to the risks for bloating and cramping described above, especially when combined with dehydration, which is always a risk when flying.

Alcohol
Some people find that a drink or two helps them cope with pre-flight anxiety and fall asleep on the plane. However, doctors advise travelers not to include alcohol in their flight plans.  The pressure in the cabin causes the alcohol concentration in the blood to be higher. This leads to faster intoxication and a higher risk for a hangover and flyers may find that after that initial nap, they have trouble falling back to sleep on a plane.  That being said, if consuming a drink or two is an absolute must for you to deal with the fear of flying,make sure you consume plenty of water to counteract the effects of the alcohol.

Sometimes the best laid plans fall apart when you’re running to the gate to board a long flight, but when possible, make the best food choices possible and you may find that your trip is more comfortable for you and those around you.

Author: Derek Giannetti
Derek Giannetti, a guest contributor to the Healthy Travel blog, is an upcoming junior at Ursinus College where he plays football and studies Exercise and Sports Science. Upon graduation, Derek hopes to pursue a career in Health and Physical Education.

Photo by A_minor.

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