Nov 29, 2022

5 simple and healthy diet swaps to manage your cholesterol levels

Health Teknoiot - Managing cholesterol is an essential part of maintaining overall health, especially for those who struggle with keeping their numbers in the right place.

Quoted from Boston-based registered dietitian-nutritionist Nikita Kapur told Fox News Digital that high cholesterol can lead to cardio-metabolic risk factors such as heart disease, diabetes and atherosclerosis (a buildup of plaque in and on the artery walls).

Heightened LDL levels, also known as "bad cholesterol," can put the body at risk for these complications, which is often genetic but can also be manipulated by diet and lifestyle factors.

"Sometimes we see very stubborn levels of high cholesterol that don't necessarily respond favorably to diet and lifestyle," she said in an interview.

Diet Food/Pixabay

 
"But there are always benefits to focusing on those lifestyle factors."

Kapur, lead dietician at Compass Nutrition, explained that a mindful diet in terms of managing cholesterol first involves incorporating food sources rich in soluble fibers.

These are present in plant foods such as legume beans, nuts, seeds, fruits, vegetables and whole grains.

"The goal is to improve soluble fiber, which a lot of us don't get these days," she said. "And the recommendations tend to be anywhere from 25 to 30 grams."

Omega-3s and healthy fats found in fish, seeds and oils are also good for lowering cholesterol.

If this seems like a lot to chew on — here are five quick diet swaps to help manage cholesterol levels.

1. Swap sugary cereal for a high-fiber alternative

Instead of reaching for a bowl of Reese’s Puffs, try cereal alternatives that are higher in fiber and lower in sugar.

Kapur encouraged consumers to focus on fiber content and the "quality of carbohydrates" instead of calories.

"Plain, old-school Cheerios we know have very high concentrations of oats," she said.

"And then oats have a lot of beta-glucan and fiber that can be beneficial for reducing cholesterol."

Oatmeal can be another great swap for cereal, as well as high-fiber, sprouted-oats bread.

2. Replace white rice with brown rice

Achieving a cholesterol-conscious diet includes a consistent focus on whole grains.

White rice eaters should try switching to brown rice or other alternatives with a little more nutritional value like farro, barley or quinoa, she suggested.

The whole grain, high-fiber swap can also be done by switching out flour tortillas for corn tortillas or simply leaving the skins on potatoes, which adds more fiber.

Today, she said, "we have a lot of high-fiber packaged products as well, like pastas or breads."

It's important to build a diet that ensures "food is still satisfying" while also not breaking the bank, Kapur added.

"Bean-based pastas and whole grain-based pastas do have more protein," she said.

"But we want sustainable behaviors — so if that's something you have to force yourself to eat, there are other ways to get those benefits."

3. Sub in one plant-based meal

Plant-forward eating is a recent trend, which is a plus for people looking to clean up their diet.

Although some new plant-based food products can be synthetic and heavily processed, Kapur suggested consumers focus on "humble" plant products made of beans, tofu and edamame.

Kapur recommended subbing in one plant-based meal per day to help lower cholesterol.

"If you're someone who is doing eggs for breakfast, chicken for lunch and turkey for dinner, that would be a good place to swap and add black beans instead of turkey [for] one meal," she said.


"You still get to eat your animal proteins, but you're making room for those plant nutrients."

4. Try seeds if fish isn’t your thing

While a variety of fish are high in omega-3s — a great resource for keeping bad cholesterol at bay — not everyone is a fish fan.

Kapur suggested swapping fish for various nuts and seeds such as flax, chia, hemp, sesame, sunflower and pumpkin seeds, as well as almonds and walnuts.

"They will try to mimic some of that omega-3 profile," she said.

For those who eat fish but can't spend a fortune, Kapur suggested trying smaller fish such as sardines and mackerel, which are more affordable and available at most food stores.

5. Switch regular peanut butter for unsalted, no-sugar-added nut butter

Peanut butter can sometimes get a bad rap in diet discussions, but Kapur said there’s no need to ditch it.

The better option is to swap any kind of nut butter — peanut, almond, sunflower and others — for unsalted and no-sugar-added nut butter.

Maintaining a balanced diet is key, Kapur emphasized — and too much of anything isn’t beneficial to our overall health.

"An easier way to organically focus on making sure that quantity is not an issue is by eating a wide variety of foods, making sure that you are eating consistently and balancing your meals."

"They all matter," she said.

"We don’t want to be fearing the fats we get from nuts and seeds and olives and avocados."

Ref: Foxnews

WHO to use 'mpox' for monkeypox to tackle stigma

Health teknoiot - The World Health Organization said on Monday it would start using a new preferred term, "mpox", as a synonym for monkeypox and urged others to follow suit after receiving complaints that the current name for the disease was racist and stigmatising.

"Both names will be used simultaneously for one year while 'monkeypox' is phased out," the WHO said in a statement.

The WHO launched a public consultation process to find a new name for the disease earlier this year and received more than 200 proposals. The US, which was among the countries and bodies supporting the name change, welcomed the announcement.

monkeypox


"We must do all we can to break down barriers to public health, and reducing stigma associated with disease is one critical step in our work to end mpox," said US Health and Human Services Secretary Xavier Becerra.

One of the more popular public suggestions was "mpox" or "Mpox", put forward by men's health organisation RÉZO among others. Its director said at the time that the removal of monkey imagery helped people take the health emergency seriously.

Some ideas were farcical such as "Poxy McPoxface" which alluded to Boaty McBoatface - the choice of a public vote on the name of a British polar research vessel, before a decision to give it another name - Sir David Attenborough.

The WHO said global experts settled on "mpox" after considering the scientific appropriateness, extent of current usage as well as pronounceability among other factors.

Mpox, discovered in 1958 and named after the first animal to show symptoms, mostly spread in a group of countries in west and central Africa until this year.

Around 100 countries where mpox is not endemic have now reported outbreaks of the viral disease.

The WHO has a mandate to assign new names to existing diseases under the International Classification of Diseases.

Generally, it seeks to avoid associating any disease or virus with a country, region, animal or ethnic group.

Last year, it assigned the letters of the Greek alphabet to new coronavirus variants to stop a practice of linking them with specific countries.

Reference: Malaysianow

Nov 28, 2022

Unintended Pregnancy May Increase Risk of Postpartum Depression, Study Finds

Health.com - The risk of experiencing symptoms of postpartum depression (PPD) may be higher in women who give birth resulting from unintended pregnancies, according to a study published in Social Science & Medicine. While women who conceive via fertility treatments may not be at an increased risk, the type of treatment used to conceive may impact outcomes.

The prevalence of PPD, defined as a major depressive episode during the postpartum period, is an estimated 13% in the United States, and the condition can be debilitating to mothers. PPD also affects their children and entire family system, and lately, it has been more directly addressed by medical organizations via policies and recommendations.

Identifying key risk factors is a priority in PPD research and can help shape initiatives for prevention, treatment strategies, or policies and practices related to PPD. Most factors of interest in PPD research are biological, including hormone changes and a genetic predisposition, or contextual, such as mental health history, pregnancy intention, or stress.

Photo illustration by Pixabay



As fertility treatments have been used more often to conceive, determining the risk of PPD with these methods has become important. The study aimed to determine the prevalence in PPD in 4 groups: women who conceived spontaneously and unintentionally, women who conceived spontaneously and were unsure if they wanted to conceive, women who conceived intentionally while using fertility treatments, and women who conceived spontaneously and intentionally.

A secondary aim of the study was to explore the impact of specific fertility treatments— including fertility-enhancing medications prescribed by a doctor only, insemination procedures with use of fertility-enhancing medications, or assisted reproductive technology (ART)—on PPD risk. Research in this context has often focused on the impact of the social experience of infertility and its potential effects on PPD risk.

“Many fertility treatments alter hormones, such as progesterone and estrogen. These alterations are occurring in the preconception period and early in pregnancy,” the authors wrote. “The literature, to our knowledge, has not investigated how these early hormonal manipulations may or may not impact postpartum mental health, and it is unclear whether there are physiological pathways for how they may do so.”

Data from the Pregnancy Risk Assessment Monitoring System (2012-2019), which is a cross-sectional survey given to women throughout the United States who have recently given birth, were used to assess PPD risk across the study cohorts.

A total of 125,702 women in the study sample conceived spontaneously and intentionally; 70,505 had unintended pregnancies; 40,527 were unsure about their pregnancy intention; and 6943 conceived with fertility treatments. Overall, 13.9% of the women in the study sample had symptoms of PPD.

In an adjusted regression analysis, women who conceived unintentionally had higher odds of PPD than those who conceived spontaneously and intentionally (odds ratio [OR], 1.32; 95% CI, 1.26-1.39; P = .01). Those who conceived unintentionally were also more likely to experience PPD vs those who were unsure about their intention to conceive (OR, 1.30; 95% CI, 1.23-1.38; P < .01). However, women who conceived while on fertility treatments were not at higher odds of elevated PPD symptoms (OR, 0.97; 95% CI, 0.84-1.10; P = .61).

The analysis of fertility treatment type and PPD outcomes included 2210 women. Fertility-enhancing drugs were used by 31.4% of the group, 14.9% used medicated insemination, and 53.7% used ART. An adjusted logistic regression model showed that women using fertility-enhancing drugs were at a higher risk of PPD compared with those using ART (OR, 2.0; 95% CI, 1.24-3.24; P < .01). Those using medical insemination had similar odds as the ART group.

The findings suggest that pregnancy intention, rather than fertility treatment use or type of fertility treatment, may have the greatest impact on PPD from among the variables considered in the study. The authors note that US reproductive policies making abortion access more difficult may lead to increased rates of PPD, as there is an increase of unintended children carried to term. Screening for PPD, especially in those with unintended pregnancy, is an important step in identifying those who are at an increased risk.

“While the experience of undergoing fertility treatments can be stressful, based on a nonclinical sample of women who recently gave birth in the US, our results suggest that women who conceived with fertility treatments were not at a higher risk of PPD,” the authors wrote. “Women who had unintended and unsure pregnancies were more likely to have elevated PPD symptoms relative to those who had spontaneous, intended pregnancies.”

Reference

Barber GA, Steinberg JR. The association between pregnancy intention, fertility treatment use, and postpartum depression. Soc Sci Med. Published online October 13, 2022. doi:10.1016/j.socscimed.2022.115439

Link reference: AJMC

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