Current Issues: Fats in Vogue, Wheat Woes, Uh Oh GMOs · 2017-01-23 · Gluten-free diet Gluten...
Transcript of Current Issues: Fats in Vogue, Wheat Woes, Uh Oh GMOs · 2017-01-23 · Gluten-free diet Gluten...
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Current Issues: Fats in Vogue, Wheat Woes, Uh Oh GMOs
Dr. Jim Painter
Adjunct Professor, University of Texas-Houston
@DrJimPainter
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Speaker Disclosure
Jim Painter
• Board Member/Advisory Panel Past and Present
• California Raisin Marketing Board, Sun-Maid Growers of California, Wonderful Pistachios, White Wave Foods, Chic-Fil-a
• Committees
• American Heart Association Eat Well Task Force • Honoraria
• Dietitians of Canada, Exxon Mobil, Frito Lay, Midwest Dairy Council, Pennsylvania Nutrition Network, California Raisin Marketing Board, Alaska Tanker Company, Dairy Max, Texas AND, California AND, Florida AND, MINK, NY AND, South Carolina AND, Iowa AND, Nebraska AND, Manitoba Dairy Farmers, Dairy Farmers of Canada, Davidsons Safest Choice Eggs, National Dairy Council, and Cooper Vision.
Speaker Disclosure
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Speaker Credentials
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1.Fats in vogue 2.Wheat Woes3.Uh oh GMOs
Which trends will last?
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As we removed fat from our foods, usually the flavor left with it.
Now, fat is back with all of its creaminess, texture, and flavor.
We have to ask ourselves:1. Why were we wrong?
• Cholesterol in your blood is important.
• But, cholesterol on your plate is not.
2. What is the truth?• Is butter bad and corn oil good?
3. What does this mean for flavor in the menu?
Fat Has Been the Enemy For 50 Years
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1980
1985
2000
1990
1995
2010
2005
2015Reducing total fat (replacing
total fat with overall carbohydrates) does not
lower CVD risk
History of the Total Fat Dietary Guidelines
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Dr. Ancel Keys, Seven Countries Study • 1961 - Keys persuaded AHA to release the first set of guidelines targeting
saturated fat.
• 1970 - Congressional hearings based on low-fat, anti-saturated fat campaign.
• Many scientists opposed it.
The Big Fat Lie: Politics VS Sound Science
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© 2017 School Nutrition Association. All rights reserved.
The Seven Countries Study is the cornerstone of current cholesterol and fat recommendations and official government
policies.
Keys had data available from 22 countries.
Yet, he only used data from seven countries that supported his hypothesis.
Bowden, J., & Sinatra, S. (2012). The Great Cholesterol Myth. Beverly, MA: Fair Winds Press.
Key’s Claims on Fat
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© 2017 School Nutrition Association. All rights reserved.Bowden, J., & Sinatra, S. (2012). The Great Cholesterol Myth. Beverly, MA: Fair Winds Press.
Fat and cholesterol intake
Risk of Heart
Disease
British physician Malcolm Kendrick used the same data available to Keys and discovered that by
choosing different countries, you can prove an inverse relationship.
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© 2017 School Nutrition Association. All rights reserved.
Food companies rushed to create low-fat versions of all foods and market them as heart-healthy.
• Butter was replaced with margarine which is high in trans fat.
• Vegetable oils were aggressively promoted as a healthy alternative to saturated fat. Most vegetable oils are:
• Highly processed• Pro-inflammatory• Easily damaged when reheated repeatedly.
The Low-Fat Phenomenon
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At 12 months
Low-carbohydrate diet:42% calories from fat
Low-fat diet:30.8% calories from fat
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© 2017 School Nutrition Association. All rights reserved.
• Follow a Mediterranean-style diet
• Limit total fat to 20-35% of total calories
U.S. Federal Guidelines Heart Health Recommendation:
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39.239.4
39
41.241.5
37
34
35
36
37
38
39
40
41
42
MeDiet + EVOO MedDiet + Nuts Control Diet
Intake of Energy
Baseline End of Trial
Estruch, et al.
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Primary End Point (Acute Myocardial Infarction, Stroke, or Death from Cardiovascular Causes)
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0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Consumers(n=39)
Students(n=40)
Faculty (n=17)
Dietary Fat as a MajorContributor of HeartDisease
2015 Heart Disease Risk Factors Perceptions-Total Dietary Fat
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• Consumer interest in fat will slowly decrease over the next 5-10 years
• Fat is not harmful in long-term diet planning.
• Flavor from fat is back in style
• No more fat replacements.
• Cream sauces are back with whole milk and full-fat cream base.
• Foie gras is not forgotten.
• Whole fatty foods, like nuts, avocado, coconut, and butter, are in.
• Cheese is no longer a guilty-pleasure
2015 Dietary Guidelines Expert Panel Chpt 6
1. Reduce Total Dietary Fat – Conclusions
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• We are way past the bubble on low fat diets, Mediterranean is in
• But after 50yrs of teaching “fat is bad”, it will die slowly
• The types of fat will be more important for the years to come
• Specifically• Palm oil for frying, Europe has already switched
• Olive, coconut and canola for cooking,
• Food prep with high fat plant foods is in, avocados, nuts, coconut
• Food prep with high saturated fat butter and beef, not evil, but limited
My Predictions on Fat
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Wheat Woes
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• Protein found in wheat, barley and rye
• A natural ingredient in foods
• Gluten gives breads and baked goods their light and airy texture
• Gluten is found in most cereals, breads, pastas and baked goods
• Traces can also be found in salad dressings, sauces, seasonings, canned foods, and even alcohol.
What is Gluten?
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© 2017 School Nutrition Association. All rights reserved.
Normal, undamaged
villi
Damaged villi from
untreated celiac disease
Damaged Villi under the microscope
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% US Population with Celiac Disease
• It is estimated that 83% of Americans who have celiac disease are undiagnosed or misdiagnosed with other conditions.
% US Population with Gluten Sensitivity/intolerance
• No lab or histological tests can diagnose gluten intolerance
1% 4-12%
Celiac disease and gluten sensitivity statistics
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Jimmy Kimmel asks gluten free dieters what gluten is [Audio file]. (n.d.). Retrieved from https://www.youtube.com/watch?v=bMPFmIqCrUQ
https://www.youtube.com/watch?v=AdJFE1sp4Fw
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How gluten sensitivity differs from celiac disease
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Illness Description Treatment
Celiac Disease • autoimmune disorder• damage to villi in the
small intestine
Gluten-free diet
Gluten Sensitivity • An allergy to gluten• does not have the
intestinal damage as celiac.
Gluten-free diet
Gluten Intolerance • some of the common symptoms of celiac disease
• do not test positive for celiac disease or for a wheat allergy.
Gluten-free diet
Gluten illnesses
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Complaints At CD diagnosis 6 months after diagnosis following GF diet
Anemia 36% (15 of 42) 7% (3 of 42)
Diarrhea 36% (15 of 42) 7% (3 of 42)
GERD-like symptoms 28% (12 of 42) 14% (6 of 42)
Abdominal Pain 28% (12 of 42) 28% (12 of 42)
Constipation 28% (12 of 42) 14% (6 of 42)
Osteoporosis 28% (12 of 42) 14% (6 of 42)
Weight loss 21% (9 of 42) 7% (3 of 42)
Hypertransaminasemia 7% (3 of 42) 0% (0 of 42)
Importance of Gluten Free Diet & Celiac Disease
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• A Gluten Free diet is a necessary diet for those who have Celiac Disease, Gluten Intolerance, and Sensitivity.
• The Gluten Free diet has also become a popular diet for consumers in recent years
• Weight loss
• Healthy diet
cWhy is a Gluten-Free diet Necessary?
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William Davis, Author of Wheat Belly, says that “Removing products made with modern wheat yields astounding and often unexpected benefits in health and weight loss.”
While it is possible to eat a wheat-free diet and still consume the appropriate nutrients, without substituting wheat with nutrient dense flours, it is easy to become deficient in certain nutrients such as B vitamins, calcium, and vitamin D.
Wheat Belly
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“Carbs are destroying your brain. And not
just unhealthy carbs, but even healthy
ones like whole grains can cause
dementia, ADHD, anxiety, chronic
headaches, depression, and much more.”
~Dr. David Perlmutter
The Academy of Nutrition and Dietetics
suggests that while decreasing the amount
of carbohydrates in the average person’s
diet is mostly beneficial, Dr. Perlmutter’s
diet is hard and expensive to follow for the
average person because of the restrictions and the supplements he recommends.
Grain Brain
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Types of Gluten Free Foods
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1. Rice Flour
2. Potato Starch
3. Corn Flour
4. White Rice Flour
5. Sugar
6. Tapioca Starch
7. Brown Rice Flour
8. Corn Starch
9. Pea starch
10. salt
37
Top 10 ingredients in Gluten Free Foods
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11
6
4.4
00.11
1.10.33 00 0 0 00 0 0 0
0
2
4
6
8
10
12
Protein (g) Fiber (g) Iron (mg) Vitamin E (mg)
Sorghum Flour Tapioca Starch Potato Starch Rice Starch
ndb.nal.usda.gov/ndb, bobsredmill.com/tapioca-flou.html
1 cup
Gluten Free Starches
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0
50
100
150
200
250
300
350
400
Calcium (mg) Magnesium(mg)
Phosphorus(mg)
Potassium(mg)
Sorghum Flour
Tapioca Starch
Potato Starch
Rice Starch
1 cupndb.nal.usda.gov/ndb; bobsredmill.com/tapioca-flou.html, http://slism.com/calorie/102034/
Gluten Free Starches, Minerals
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• Coco Cocoa Nut Torte• Ingredients:
• 1 c. sorghum meal/flour
• ½ c. unsweetened coconut flakes, chopped coarsely in food processor
• ½ c. cocoa powder
• 1 tsp baking soda
• ¼ tsp salt
• 1 cup raisins (½ golden, ½ natural)
• ¾ cup pitted dates
• ¾ c. hot water
• 3 eggs
• 2 T coconut oil
• 2 tsp vanilla
Recipes…
40
(8 servings)
145 calories per slice of cake with sugar
82 calories per slice of cake with raisin puree
63 calories per slice saved!
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Coco Coconut Torte
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0
50
100
150
200
250
300
Calcium Magnesium Potassium
GF Wafers
GF Torte
Wafer vs. Torte
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0
0.2
0.4
0.6
0.8
1
1.2
1.4
1.6
1.8
2
Zinc Iron Vit B1 Vit B2 Vit B6
GF Wafer
GF Torte
Wafer vs. Torte
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Gluten-free Raisin Newtons
100% whole grain pastry
100% fruit-sweetened filling
Developed by Chef Craig Ponsford
Whole Grain & Gluten-Free Artisan Baking
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• Ingredients:• 12 c. Raisin Paste• 8 1/3 c. Oat Flour• 1 ¾ c. Powdered Sugar• 2 ¾ c. Butter• 2 ½ Tbs. Vanilla Extract• 5 Tbs. Egg Yolks• 1 1/8 Tbs. Salt
Raisin Newtons
45
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• The science behind it is true
• Gluten Free is here to stay
• But the steep raise has peaked
• A lot of the past increase was hype
• Consumers are behind the science so still some growth
• Bottom line:• Gluten free is here to stay but will be less
important.
Gluten Free Predictions
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Uh-oh GMOs!
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•What are GMOs?
•Environmental Effects
•Health Effects
Outline
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Noun
1. A GMO is an organism whose genome has been altered by the techniques of genetic engineering so that its DNA contains one or more genes not normally found there
Dictionary. com
What are GMOs?
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1. Testing that has been done shows the genetic material is safe.
2. The herbicide glyphosate is a concern
Are GMOs safe?
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© 2017 School Nutrition Association. All rights reserved.
05
1015202530354045
Max Residue Levels of Glyphosate (ppm)
http://www.ecfr.gov/cgi-bin/text-idx?SID=49d130f0573ba893306ab8a0ecc65df0&mc=true&node=se40.24.180_1364&rgn=div8
MRL is 400ppm Glyphosate for animal feed
USA: Glyphosate Maximum Residue Levels in Food
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0
5
10
15
20
25
30
35
40
45
Sweet Potatoes Carrots Oilseed (sesame,flax, soybean)
Allowable Glyphosate Contamination, ppm
Before 2013
After 2013
http://www.regulations.gov/#!documentDetail;D=EPA-HQ-OPP-2012-0132-0012
EPA Regulations Increased Glyphosate Levels in Certain Foods
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Why are acceptable residue increasing by so much?
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• The rise in tolerance levels for glyphosate residue came as a result of a petition prepared by Monsanto in early 2012. While FDA did not perform independent tests on whether higher residue levels of glyphosate were dangerous to humans or the environment, it relied on tests and data provided by Monsanto.
http://www.commdiginews.com/health-science/are-epa-approved-levels-of-glyphosate-residue-in-our-foods-too-high-13855/#MJRBC4kPTyAWhEeu.99
Why Were Acceptable Levels Increased?
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The most recent document on glyphosate reregistration eligibility decision facts by EPA is from 1993
Health Effects
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© 2017 School Nutrition Association. All rights reserved.
• 0.5 ppm –endocrine disruption on androgen receptor
• 2 ppm: inhibited transcriptional activities on both estrogen receptors on liver cells
• 5ppm: DNA damage
• 10 ppm: disrupted aromatase transcription and activity can causes some cell death
Effects on Human Liver Cells
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International Agency for Research on Cancer (IARC) Rating of Glyphosate
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64 Countries Require GMO Labeling
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GMO legislation
Vermont Labeling Law
• Signed July 1, 2016
• In effect Dec 2016
US GMO Labeling Law
• Signed July 29, 2016
• 2 years to develop specific rules
GMO Legislation
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© 2017 School Nutrition Association. All rights reserved.
“GMOs are not unsafe or safe, rather the scarcity and contradictory nature of the scientific evidence published to date prevent conclusive claims of safety or lack of safety, of GMOs.”
Conclusions
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Thank You!