Volume 13, No 13, November 2001
Diet Secrets of Hollywood Stars

Fight Disease with Healing Foods
By Shahida Nisar
There's certain sameness to nutritional advice: Eat fruits and vegetables.
Have fish twice a week. Don't eat red meat. Cut back on fats. Yada, yada, yada. Hey, it's all good advice. But like any generic "prescription," it may not necessarily be the best advice for you. What if you could customize your eating plan for
your own needs? For example, what if you have a family history of colon cancer
or heart disease? What if your dad developed diabetes in his 50s? Is there
a way to tailor that general advice to protect yourself from whatever disease is
in your family tree, such as heart disease, stroke, cancer, or diabetes -- killers
that claim almost 2 million lives a year?

Step 1. Follow these daily recommendations in the Prevention's Healthy Ideas Basic Healthy Eating Plan.

  • Aim for 25% of calories from fat, 60 to 65% from carbohydrates, and 10 to 15% from protein.
  • Eat a minimum of 5 servings of fruits and vegetables, 6 servings of grains (at least 3 whole grains), and 2 servings of nonfat or low-fat dairy products.
  • Eat a maximum of 1 serving (3 ounces) of lean meat, but preferably not every day; 1 cup of beans can count as a serving of meat.
  • Minimize added fats, oils, foods with added sugar, and processed foods.
  • Cholesterol: Stay under 300 mg.
  • Sodium: Stay under 2,400 mg.
  • Fiber: 20 to 35 g.
Step 2. Make your eating plan even healthier for yourself by zeroing in on your high-risk disease and adding the nutrients in the amounts we list here.
Step 3. What if you're worried about all four diseases? Don't panic; you don't need to eat 22 hours a day to get your nutrients. There's plenty of room in our basic eating plan to incorporate all the necessary foods into the death-defying diets -- without increasing your waistline!
Heart Disease and Stroke
o lower your risk, you need these nutrients:
Folic acid (400 micrograms [mcg] per day). A Harvard study of 80,000 nurses found that those with the highest intake of folate (another name for folic acid) reduced their risk of heart disease by 31%. Folic acid helps protect you by decreasing blood levels of the amino acid homocysteine, an emerging risk factor for heart disease and stroke, says Eric B. Rimm, ScD, assistant professor of epidemiology and nutrition at Harvard School of Public Health in Boston and lead author of the study. Lots of foods contain folate, including orange juice, kidney beans, broccoli, and spinach. But to make sure you get 400 mcg, Prevention recommends taking a multivitamin that contains that amount.
Vitamin B6 (3 mg per day). The same nurses' study found that those who consumed the most B6 lowered their risk of heart disease by 33%. Like folic acid, B6 helps reduce homocysteine levels. Supplements are probably a good idea, since many people don't even get enough to cover the 2 mg Daily Value (DV), says Walter Willet, MD, DrPH, chairman of the department of nutrition at Harvard School of Public Health. Foods containing B6 include bananas, avocados, lean chicken, brown rice, and oats. The same multivitamin that provides your DV of folic acid can ensure that you get 2 mg of B6.
Vitamin E (400 international units [IU] per day). There's no shortage of studies showing that vitamin E in amounts ranging from 100 to 800 IU may reduce your risk of heart disease by about 40%. In one study of people with established heart disease, those who took 400 to 800 IU of vitamin E reduced their risk of a nonfatal heart attack by an astounding 77% (Lancet, Mar 23, 1996). Doctors believe that the antioxidant properties of vitamin E stop changes in your "bad" low-density lipoprotein (LDL) cholesterol that make it more likely to clog your arteries. To get the necessary amount of E, you'll probably need a supplement. The best sources of the heart vitamin are vegetable oils, nuts, and wheat germ, but you'd have to eat unhealthy quantities to even approach the amount recommended to prevent heart disease.
Omega-3 fatty acids (3 ounces of salmon, mackerel, haddock, or another "fatty" fish once a week). That one meal could reduce your risk of cardiac arrest by 50 to 70% (Journal of the American Medical Association, Nov 1, 1995). Fatty fish is packed with omega-3 fatty acids, substances that are believed to reduce heart spasms and the clumping of blood platelets, a process that leads to dangerous clots in your arteries.
Lycopene. A lot of people think of this as the spaghetti nutrient because it's so abundant in tomatoes and tomatoproducts. In the last year or so, studies have shown that lycopene (one of a large family of carotenes of which beta is the most well-known) may help prevent heart disease and cancer. In one study, men who had heart attacks had much lower tissue levels of lycopene than men with healthy hearts (American Journal of Epidemiology, Oct 1997). Just one or two servings a day will boost your lycopene levels into the high range. Cooked tomato products are higher in lycopene than raw, and it helps to consume a little fat, such as olive oil, to help your body absorb it.
Flavonoids. Think grapes. This fruit contains Flavonoids shown to have blood-thinning abilities. One study found that drinking a 5-ounce glass of purple grape juice twice a day reduced the tendency for blood to clot by 60%. That was 50% better than the anticlotting ability of aspirin, considered the gold standard. If you're taking aspirin, however, it's still too soon to banish it to the medicine cabinet in favor of grape juice. You may also want to eat more apples and onions, two other foods that contain high levels of Flavonoids. Finnish researchers found that people who ate the greatest amounts of apples and onions had the lowest risk of heart disease. Tea also contains abundant Flavonoids.
Target Menu
Breakfast: 1 c oatmeal (with 1 tsp. sugar, 1 tsp. soft margarine, 1 c nonfat milk), 5 oz purple grape juice Morning snack: tangerine, hot green tea
Lunch: ½ c vegetarian chili (made with 1 c tomato sauce, ½ c kidney beans, ½ c corn, ½ c onions, 1 tsp. canola oil, seasonings)
Afternoon snack: apple, hot green tea
Dinner: 3 oz roasted salmon, 1 c roasted veggies (½ c onion wedges, ¼ c broccoli, ¼ c Portobello mushroom brushed with 1 Tbsp. olive oil), 1 c brown rice, ½ c calcium-fortified fat-free frozen yogurt
Evening snack: 5 oz purple grape juice, 6 c low-fat popcorn Calories: about 1,700 (65% carbohydrates, 20% fat, 15% protein), plus 30 g fiber
Cancer
To lower your risk, you need the following:
Fruits and vegetables. Five or more servings a day -- but make them different foods of different colors. "It's well established that fruits and vegetables contain cancer-protective substances and that each individual fruit and vegetable has its own phytochemical profile," says Melanie Polk, RD, director of nutrition education at the American Institute for Cancer Research in Washington. Why vary the colors? Variety is the best way to get all of the phytochemical (phyto means "plant") associated with lower cancer risk. And when you hear "five or more," pay close attention to that word "more." To fight cancer, more fruits and veggies really are better.
Research has also identified some fruits and veggies that may fight specific cancers. For example...
Apples may protect you from lung cancer. Finnish researchers found that men and women who ate the most apples were 58% less likely to develop lung cancer than those who ate the least apples. The protective ingredient in apples is quercetin, a Flavonoids with antioxidant effects (American Journal of Epidemiology, May 1997). Antioxidants attack free radicals, the damaging compounds that your body naturally produces when it breaks down the food you eat.
Broccoli sprouts contain 20 to 50 times the amount of sulforaphane, a phytochemical that helps mobilize your body's natural cancer-fighting ability, that was first found in studies using mature broccoli. These three-day-old broccoli babies look and taste something like radishes. Early sulforaphane studies found it effective in preventing breast cancer in rats.
Selenium. Men who took the mineral selenium in daily doses of 200 mcg for four years lowered their rates of lung, colorectal, and prostate cancer by more than half on average than men who didn't take it (Journal of the American Medical Association, Dec 25, 1996). Selenium's protective effects are probably due to its antioxidant properties. Don't exceed 200 mcg total, including the amount in your multi supplement. (Most multis contain less than 70 mcg.)
Carotenoids. These include beta-carotene and lycopene, found in many red, yellow, and orange fruits and veggies. Carotenoids have been linked to a decreased risk of many cancers, including prostate, lung, stomach, and endometrial cancers.
Less fat. Reduce to 20% or less.
Vitamin E (200 IU). Researchers at the Fred Hutchinson Cancer Research Center in Seattle found that men and women who took 200 IU of vitamin E per day had less than half the risk of getting colon cancer.
Vitamin C. Diets high in vitamin C from fruits and veggies appear to protect against the risk of stomach, esophageal, mouth, and cervical cancers. We recommend Resveratrol. This substance found in ordinary grapes (again!) inhibits cancer growth by preventing three things: the start of DNA damage in a cell, the transformation of a normal cell into a cancerous one, and the growth and spread of tumor cells. Although the study was done on laboratory mice, the results were so promising that the researchers believe this substance merits testing in humans as a potential cancer-preventing drug (Science, Jan 10, 1997).
Catechins. These are the antioxidants found in tea, especially green tea. In animals, Catechins inhibit a wide variety of tumors; ongoing human studies are now testing green tea against breast, prostate, and several other cancers.
Soy. Tofu and other soy-based foods contain high amounts of substances called isoflavones. At least in the test tube, researchers found that isoflavones could stunt the growth of human breast cancer cells by up to 30%. Another study found that women who eat lots of soy products have less than half the risk of endometrial cancer as women who don't eat soy foods. 500 mg a day from a supplement too
Target Menu
Breakfast: 1 c spoon-size shredded wheat (with 1 chopped apple and 1 c nonfat milk)
Morning snack: 1 c grapes, hot green tea.
Lunch: bulgur-vegetable salad (made with ½ c cooked bulgur, 1½ c raw veggies -- including spinach, tomato, onion, red cabbage, and broccoli sprouts, 1 Tbsp. canola oil, 1 Tbsp. balsamic vinegar)
Afternoon snack: 2 kiwifruit
Dinner: 2 c vegetable soup (made with carrots, green beans, corn, kidney beans), whole wheat roll with 2 tsp. soft margarine, ½ c chocolate pudding made with tofu, hot green tea.
Evening snack: 1 c calcium-fortified orange juice, small low-fat bran muffin Calories: about 1,700 (65% carbohydrates, 20% fat, 15% protein), plus 35 g fiber
Diabetes (Type 2)
If you're at risk, you need the following:
Lots of fiber, little fat. Your diet should derive about 60% of calories from carbohydrates, preferably high-fiber, complex (unrefined) carbs such as fruits, vegetables, beans, and whole grains. You should also get no more than 25% of calories from fat, preferably unsaturated vegetable oils or monounsaturated olive oil, and 15% from protein. High-fat diets increase your risk for obesity, the number one risk factor for diabetes. Refined carbohydrates that are rapidly absorbed, such as white bread, white rice, pasta, fruit juices, and soda, cause your blood sugar to shoot up, putting excessive stress on your pancreas to produce more insulin, explains David M. Nathan, MD, director of the diabetes center at the Massachusetts General Hospital at Harvard Medical School in Boston and chairman of the Diabetes Prevention Program. If you're overweight and eating a poor diet, eventually your cells may become less sensitive to the effects of insulin (which helps them use energy) and your pancreas will work less efficiently. Unrefined foods high in fiber, by contrast, are absorbed into your system more slowly, causing a gradual rise in blood sugar and a decreased need for insulin. Harvard researchers found that men and women whose diets were high in rapidly absorbed carbohydrates and low in cereal fiber were 2 to 2½ times more likely to develop diabetes than men and women who ate high-fiber foods such as whole grains, beans, fruits, and vegetables (Journal of the American Medical Association, Feb 12, 1997, and Diabetes Care, Apr 1997).
Chromium. This mineral helps make your cells receptive to insulin. Some studies show that it can help normalize glucose and insulin levels too. Since it's hard to get the DV of 120 mcg of chromium from your diet, make sure you're getting 120 to 200 mcg from your daily multivitamin/ mineral supplement. If you've been diagnosed with glucose intolerance, a condition that often leads to diabetes, USDA chromium expert Richard A. Anderson, Ph.D., recommends taking 200 mcg of chromium picolinate two or three times a day. Discuss with your physician first.
Magnesium. You need 350 mg total from your supplements. If your diet is deficient in magnesium (most are), you may be more resistant to insulin, putting you at risk for diabetes. Harvard researchers found that the more magnesium in your diet, the less likely you are to get diabetes. Foods high in fiber are also high in magnesium. They include cereals, spinach, black-eyed peas, and beans.
Target Menu
Breakfast: 1 c raisin bran (with 1 c nonfat milk), hot green tea.
Morning snack: 2 whole grain rye crackers with 2 Tbsp. peanut butter
Lunch: whole wheat pita pocket stuffed with 1½ c chopped veggies (broccoli, tomato, cucumber, bell peppers) drizzled with 2 tsp. olive oil and 2 tsp. balsamic vinegar, 1 banana
Afternoon snack: apple, ½ oz toasted almonds (about 12)
Dinner: 1 c whole wheat pasta with 2 c veggies (½ c diced tomatoes, 1 c spinach, ½ c onions) sautéed in 2 tsp. olive oil, clementine, hot green tea
Evening snack: 4 oz low-fat strawberry yogurt Calories: about 1,700 (60% carbohydrates, 25% fat, 15% protein), plus 35 g fiber
Passive Punishment
Just 30 minutes of secondhand tobacco smoke is enough to reduce blood flow to the hearts of nonsmokers. Test subjects who puffed at least 20 cigarettes a day appeared unaffected.
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