Doctors may be as confused about what dietary advice to pass on to their patients as the patients themselves — even when it comes to protecting against heart disease through diet, according to U.S., British and Italian reports. Part of the problem is the continuing lack of nutrition education offered in medical schools. Another is the lack of time doctors have to spend with patients. But one piece of information that is getting through is to eat less saturated fat and more unsaturated fat — a better replacement strategy than eating “low-fat” packaged foods that are actually very high in refined carbohydrates, such as sugar. But which unsaturated fats should you choose from? First, know that there are two main types: monounsaturated and polyunsaturated. Most foods high in unsaturated fats contain both, though some have more of one than the other. For instance, avocados, nuts and olive and canola oils are higher in monounsaturated fats. You may be familiar with polyunsaturated fats containing the omega-3 fatty acids eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA). You may have also heard about research disproving the heart-health effects of omega-3 supplements. However, the body still needs omega-3s for good health, and getting them directly from food, not capsules, is important. EPA and DHA are found primarily in fatty fish, so aim to eat 8 ounces of seafood a…  read on >

Looking for a fresh way to top your burger, seafood and other proteins? Use hot peppers to create a zesty alternative to mayo or butter-based sauces. Homemade pepper-based salsas are a healthy and flavorful way to liven up all kinds of dishes. And using fruit, such as mango, adds sweetness and plenty of flavor to spicy peppers like jalapenos. Grilled Mango Salsa 2 large mangos 1/2 teaspoon salt 1/4 teaspoon freshly ground black pepper Olive oil cooking spray 1/2 red onion, diced 1/2 cup packed cilantro, leaves and stems 2 jalapenos, seeded and diced 1 lime, zested and juiced 1 tablespoon olive oil Note: Look for mangos that are still on the firm side because they are easier to grill. Use a potato peeler to remove the skins. Slice large pieces from both sides of the mango pit. Cut off and reserve any small pieces to add to fruit salad or a smoothie. Coat your grill with cooking spray. Sprinkle the mangos with salt and pepper and place on the grill. Grill 2 to 3 minutes on an outdoor grill or 5 to 6 minutes on high on an indoor grill, turning once until the mangos have grill marks and start to soften. Transfer to a plate to cool. Place the onions, cilantro, jalapenos, lime zest and juice, and the olive oil in a large…  read on >

Turns out that the old adage — an apple a day keeps the doctor away — may actually be true. New research suggests that the more plant foods you eat, the lower your risk of type 2 diabetes. People who ate a mostly plant-based diet reduced their risk of diabetes by 23%, the study found. The association was even stronger — a 30% drop in risk of type 2 diabetes — for people who ate healthy plant-based foods, including veggies, fruits, legumes, nuts and whole grains. These foods contain fiber, vitamins, minerals, antioxidants and other beneficial ingredients. So, what isn’t an especially healthy plant food? Processed foods and foods with added sugar. Think foods like white bread, white pasta, breakfast cereal, chips or cookies. The researchers also didn’t include starchy vegetables, such as potatoes, in their healthy-choices list. “A plant-based diet is very healthful in reducing the risk of type 2 diabetes,” said the review’s senior author, Dr. Qi Sun. He’s an associate professor at the Harvard T.H. Chan School of Public Health in Boston. And the more healthy plant foods, the better, Sun said. But “you should be picky about what types of foods you count as plant-based,” he added. Sun also explained that a diet doesn’t have to be strictly vegan or vegetarian to be healthy. He said it’s a good idea to…  read on >

If you’re looking for a frozen treat that won’t give your healthy eating plan the cold shoulder, pass on store-bought pops and make your own. Some prepackaged pops might be calorie-friendly, but many have dyes and preservatives. Making your own is easy, and you can use gut-friendly ingredients like kefir (a cultured dairy drink), fresh fruit and dark chocolate. Think of kefir as a cousin of yogurt with a similarly tangy taste. It’s high in protein and loaded with probiotic cultures, up to 11 different strains compared to the one or two found in most yogurts. It’s great in frozen pop recipes because the freezing doesn’t kill the beneficial cultures. Also, its texture is a bit thinner than yogurt, which makes it ideal for freezing with berries and other healthy add-ins, like naturally sugar-free cacao nibs. Nibs are cracked whole cocoa beans. They’re high in antioxidants plus they give you a good dose of fiber and a pleasant crunch. You can usually find them in health food stores or order them online. A bag of nibs will keep for months in your fridge, but you’ll likely use them up in short order. Frozen Kefir Pops 1 cup plain 2% kefir 1 tablespoon honey or sweetener of your choice 1 cup berries or pitted cherries 4 teaspoons cacao nibs Place kefir and honey or sweetener in…  read on >

Lots of kids are picky eaters. But when eating habits in young children are extreme, it could be a sign of autism, researchers say. A new study finds atypical eating behaviors — such as hypersensitivity to food textures or pocketing food without swallowing — in 70% of kids with autism. That’s 15 times the rate typically found in children. Unusual eating behaviors are common in many 1-year-olds with autism and could alert parents and doctors that a child may have the disorder, according to study author Susan Mayes. She’s a professor of psychiatry at Penn State College of Medicine. “If a primary care provider hears about these behaviors from parents, they should consider referring the child for an autism screening,” she said in a university news release. For the study, the researchers analyzed parents’ descriptions of the eating behaviors of more than 2,000 children. The kids were in two studies that compared typical children and those with autism, attention-deficit/hyperactivity disorder (ADHD) and other developmental disorders. Atypical eating behaviors also include liking only an extremely small number of foods, and hypersensitivity to food temperatures. Atypical eating behaviors were seven times more common among children with autism than children with other types of developmental disorders, the Penn State researchers also found. Most of the children with autism who had atypical eating behaviors had two or more types,…  read on >

Crave more crunch in your meals but want to avoid calories? Don’t overlook low-cal celery. With only 6 calories per cup, celery is a perfect warm weather refresher, helping you stay hydrated, thanks to its high water content. But there’s no reason to limit yourself to the same old sticks. Celery is a great addition to a summertime favorite, the lobster roll. Crunchy Lobster Roll 1 cup finely chopped celery 1/2 pound lobster meat, cut into chunks 1/2 apple, chopped 1 cup kale, thinly sliced 2 tablespoons mayonnaise 2 tablespoons plain Greek yogurt 1/2 teaspoon celery salt 4 whole-wheat hot dog buns Place celery, lobster, apple, kale, mayo, yogurt and celery salt in a large bowl and mix well. Toast the buns and top with equal amounts of the lobster salad and serve immediately. Yield: 2 servings Celery root, also called celeriac, is the tasty root of the celery plant, but with a less pronounced celery taste. Shop for it in the produce section alongside other root vegetables. Don’t be deterred by its rough, knobby appearance. It can be prepared in many delicious ways. Celery root makes a great alternative to cabbage for a no-cook slaw and is an ideal swap for starchier veggies like potatoes, since it’s lower in carbs and calories — only 65 calories per cup with 14 grams of carbs and…  read on >

Love the idea of using more exotic fresh herbs in your cooking, but not sure where to begin? Thai basil and tarragon are two to try. Thai basil and tarragon are richly flavored, leafy green herbs — both have the aroma of anise or licorice — that can add interest to mild-tasting vegetables, fruits and proteins as well as sauces, dressings and other condiments. Often used in Asian cooking, Thai basil pairs well with sweeter flavors like the pineapple in this fruit salsa. Thai Basil Pineapple Salsa 1 cup Thai basil leaves, chopped 1 cup finely chopped pineapple 1/4 cup finely chopped red onion 1 jalapeno, seeded and minced 1 lime, zested and juiced 1/2 teaspoon salt Place all of the ingredients in a large bowl and toss well to combine. Let sit for an hour in the refrigerator to allow the flavors to meld before serving. Yield: About 2 cups Tarragon is one of the herbs most essential to French cooking and is often used to make distinctive sauces, like Bearnaise. A sprinkling of the herb, finely chopped, will enhance simply prepared chicken and seafood. It’s also the star of this tasty variation of traditional pesto. Tarragon Almond Pesto 1/2 cup almonds 1 garlic clove, chopped 1/2 teaspoon salt 1 cup each tarragon leaves and flat-leaf (Italian) parsley 1/2 cup extra-virgin olive oil Process…  read on >

It seems as though every day brings yet another study on the effects of caffeine or coffee in particular. Researchers have looked at its effects on almost every aspect of health, from overall mortality to the heart, bones, kidneys, liver, fertility and more. Sometimes, separate studies on the same aspect of caffeine consumption have contradictory findings, creating confusion. So, what do you need to know before you take another sip? An exhaustive analysis of 1,277 existing studies published in Comprehensive Reviews in Food Science and Food Safety found that the potential benefits of drinking moderate amounts of coffee outweigh the risks. In fact, research on caffeine’s heart health benefits, published in the journal Circulation, reversed 20-year-old findings to the contrary. But just what is moderate coffee drinking? About four 8-ounce cups a day. At the other end of the spectrum, research done at the Australian Center for Precision Health has pinpointed the upper end of the safe range, finding that drinking six or more cups a day does pose a danger to heart health. This amount can lead to high blood pressure, a risk factor for heart disease. Caffeine isn’t the only active ingredient in coffee, but tracking caffeine milligrams is a good way to measure intake, with 400 milligrams a day being the limit suggested by the U.S. Food and Drug Administration. One 8-ounce…  read on >

When it comes to blood pressure readings, the “top” number seems to grab all the attention. But a large, new study confirms that both numbers are, in fact, critical in determining the risk of heart attack and stroke. Blood pressure measurements are given as a “top” and “bottom” number. The first reflects systolic blood pressure, the amount of pressure in the arteries as the heart contracts. The second reflects diastolic blood pressure, the pressure in the arteries between heart muscle contractions. For years, systolic blood pressure has been seen as the one that really matters. That’s based on studies — including the famous Framingham Heart Study — showing that high systolic blood pressure is a stronger predictor of heart disease and stroke. At the same time, though, doctors measure both systolic and diastolic blood pressure, and treatment guidelines are based on both. So just how important is that diastolic number? “The idea behind this new study was to address the confusion,” said lead researcher Dr. Alexander Flint, an investigator with Kaiser Permanente Northern California’s division of research. Using medical records from 1.3 million patients, his team confirmed that, yes, high systolic blood pressure was a stronger risk factor for heart attack and stroke. But those risks also climbed in tandem with diastolic pressure; and people with normal systolic readings were still at risk if their…  read on >

People are getting the message about the dangers of sugar. Nearly 70% of Americans have cut back on foods high in added sugars, according to a survey by the International Food Information Council Foundation. But there’s still a long way to go. One of the key ways to reduce your sugar intake is by drinking plain water or low- and no-calorie beverages instead of soda and flavored waters. Pre-sweetened beverages represent half of all the added sugars we eat. Note that while 100% juices have only natural sugars, they don’t have the fiber found in the whole fruit and could cause blood sugar spikes, so you need to be judicious about your intake. Top Sugary Drinks to Avoid Soft drinks, including soda Fruit-flavored drinks Sweetened coffee and teas Energy drinks Alcoholic beverages Flavored waters It’s also important to know the various names sugar goes by. There are at least 61 forms of added sweeteners used in processed foods, according to the University of California, San Francisco’s SugarScience. They include various types of sugars, syrups and other ingredients ending in “ose.” To uncover sources of sugar in your diet, read the ingredients label of every food you buy, including those you may not associate with sugar, like yogurt, protein bars, whole grain cereals and even some salty snacks. And just because a label says no “high-fructose…  read on >