In this issue of HEALTHbeat:
  • Nutrition’s dynamic duos
  • Why is peanut butter “healthy” if it has saturated fat?

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Harvard Health Publications -- Harvard Medical School blank HEALTHbeat
August 4, 2009

Dear HEALTHbeat subscriber,

Some things just work best in pairs: a bagel and cream cheese, milk and cookies—and to be a little more healthful—peas and carrots. The same can be said for some of the nutrients we spend so much time and effort worrying about. We’re advised to get this amount of that vitamin and that amount of this mineral, but the truth is that nutrients often work together in your body. This issue of HEALTHbeat reveals some of these nutritional dynamic duos. Also in this issue, Dr. Walter C. Willett, of the Harvard School of Public Health, discusses how it's possible for peanut butter, even with its touch of saturated fat and salt, to remain part of a healthy diet.

Wishing you good health,


Nancy Ferrari
Managing Editor
Harvard Health Publications
HEALTHbeat@hms.harvard.edu

In This Issue
1 Nutrition’s dynamic duos
[READ]
2 Notable from Harvard Medical School:
* Vitamins and Minerals
* Healthy Eating for a    Healthy Heart
[READ]
3 Why is peanut butter “healthy” if it has saturated fat?
[READ]

From Harvard Medical School
Vitamins and Minerals: What you need to know
Are you getting the right vitamins and minerals for your lifestyle? Is it sufficient to take a multivitamin a day, or should you consider adding more of specific vitamins and minerals? Vitamins and Minerals: What you need to know delves into what’s proven, what’s promising, and what may be a waste of money. You’ll find comprehensive information on what vitamins and minerals you’ll need, details on getting the most benefit from your diet, and advice on choosing a supplement.
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1\ Nutrition’s dynamic duos

Good nutrition — and the way in which in our bodies absorb and process nutrients — is a much bigger puzzle than simply getting enough vitamins and minerals.

Most nutrients don’t fly solo: they interact, join forces or cancel each other out. Food is often preferable to pills or supplements because it contains a mixture of nutrients. With each mouthful we reap the nutritional rewards from their combined benefits.

The following is a list of a few of the nutrients that work in pairs. Understanding these powerful combinations may help you make the right food choices.

Vitamin D and calcium: Like most nutrients, calcium is absorbed primarily in the small intestine. If large quantities are present, the body can easily absorb it. But in smaller amounts, the mineral gets absorbed with active assistance from vitamin D. Right now, official nutrition guidelines recommend that adults get 1,000 milligrams (mg) of calcium and 400 international units (IU) of vitamin D daily. For older adults, it’s a bit more: 1,200 mg of calcium starting in your 50s and 600 IU of vitamin D starting in your 70s. To give you an idea of how much that is, an 8-ounce glass of milk contains 300 mg of calcium and, because of fortification, 100 IU of vitamin D.

There’s debate these days about whether to revise the recommendations to reduce the goal for calcium intake (or at least de-emphasize it) and raise the goal for vitamin D by recommending a daily 1,000 IU vitamin D supplement.

Sodium and potassium: About 90% of the sodium we ingest comes in the form of sodium chloride — salt, in common parlance. Although sodium is an essential nutrient that helps maintain fluid levels in the body, the average American consumes far more of it each day than he or she needs.

Too much sodium can boost blood pressure, and with it, the chances of having a stroke or heart attack. Potassium counters the harmful cardiovascular effects of a surplus of sodium by encouraging the kidneys to excrete sodium. Many studies have shown a connection between high potassium intake and lower blood pressure. In fact, the potassium-to-sodium ratio may be more important than potassium—or sodium—alone.

Almost all of us need to have more potassium in our diets and a whole lot less sodium. And the best way to do that is to load up on fruits and vegetables (prime sources of potassium) and cut back on cookies, salty snacks, fast foods, and ready-made lunches and dinners (prime sources of sodium).

Vitamin B12 and folate: Vitamin B12 and folate work together to support some of the most fundamental processes of cell division and replication. They also metabolize homocysteine in tandem. Folate, which is itself one of the B vitamins, depends on vitamin B12 to be absorbed, stored, and metabolized. Breakfast cereals with added vitamins and minerals typically contain vitamin B12, and in the United States, cereal grains are fortified with folate.

Zinc and copper: Copper and zinc, both essential nutrients, compete for absorption sites in the small intestine. If there’s a lot of zinc around, copper tends to lose out and a copper deficiency may develop. Adults are supposed to get 900 micrograms of copper daily. The daily zinc goals are 11 mg for men and 8 mg for women. Getting enough zinc can lead to a copper deficiency, so it’s important to get enough of both to keep the nutrients in balance.

Neither mineral is rare in the American food supply, so copper and zinc deficiencies aren’t something most people need to worry about. One possible source of zinc overload is, of all things, denture cream. Research has shown that using very large amounts of denture creams can lead to a copper deficiency from zinc overexposure.

Niacin and tryptophan: Niacin is probably best known for its cholesterol effects. Taken under medical supervision, large doses (500 mg to 1,500 mg per day) lower “bad” LDL cholesterol and increase “good” HDL cholesterol. But the daily niacin requirement is just 16 mg for men and 14 mg for women.

Amino acids are the building blocks of protein, and tryptophan is one of nine that we need to ingest because the body doesn’t synthesize them on its own. Tryptophan is a supplier of niacin, courtesy of some rather complicated metabolism. So one way to avoid niacin shortfalls is to eat foods that contain a lot of tryptophan. Chicken and turkey are high on that list.

For more information on how different nutrients affect your health, order our Special Health Report, Vitamins and Minerals: What you need to know, at www.health.harvard.edu/VM.

 
FOR FURTHER READING
For more information on how different nutrients affect your health, order our Special Health Report, Vitamins and Minerals: What you need to know.
[READ MORE or BUY]
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2\ Notable from Harvard Medical School
** Vitamins and Minerals: What you need to know
Are you getting the right vitamins and minerals for your lifestyle? Is it sufficient to take a multivitamin a day, or should you consider adding more of specific vitamins and minerals? Vitamins and Minerals: What you need to know delves into what’s proven, what’s promising, and what may be a waste of money. You’ll find comprehensive information on what vitamins and minerals you’ll need, details on getting the most benefit from your diet, and advice on choosing a supplement.
 
[CLICK TO READ MORE or BUY]
** Healthy Eating for a Healthy Heart
While genes, age, and sex are contributing factors, the development of heart disease is largely related to lifestyle factors and therefore is preventable. In this healthy heart diet report, you will find practical eating guidelines based on the best science available. You’ll learn about the basics of a healthful (and tasty) diet, how to plan a balanced meal at home, and what to eat when you dine out. Finally, you’ll learn about wholesome snacks and food substitutions, so that you don’t feel deprived on the road to better eating. As an added bonus, we’ve included 40 heart-healthy, original recipes created by a chef.
 
[CLICK TO READ MORE or BUY]

3\Why is peanut butter “healthy” if it has saturated fat?

Q: I keep reading that peanut butter is a healthy food. But it contains saturated fat and has more sodium than potassium. That doesn’t sound healthy to me.

A. The presence of saturated fat doesn’t automatically kick a food into the “unhealthy” camp. Olive oil, wheat germ, and even tofu — all “healthy” foods — have some saturated fat. It’s the whole package of nutrients, not just one or two, that determines how good a particular food is for health.

Let’s take a look at the peanut butter package. One serving (about 2 tablespoons) has 3.3 grams of saturated fat and 12.3 grams of unsaturated fat, or about 80% unsaturated fat. That puts it up there with olive oil in terms of the ratio of unsaturated to saturated fat. Peanut butter also gives you some fiber, some vitamins and minerals (including 200 milligrams of potassium), and other nutrients. Unsalted peanut butter, with 5 milligrams of sodium, has a terrific potassium-to-sodium ratio. Salted peanut butter still has about twice as much potassium as sodium. That profile compares quite favorably with bologna, roast beef, and many other sandwich fixings.

Over the years, numerous studies have shown that people who regularly include nuts or peanut butter in their diets are less likely to develop heart disease or type 2 diabetes than those who rarely eat nuts. Although it is possible that nut eaters are somehow different from, and healthier than, non-nutters, it is more likely that nuts themselves have a lot to do with these benefits.

Saturated fat isn’t the deadly toxin it is sometimes made out to be. The body’s response to saturated fat in food is to increase the amounts of both harmful LDL and protective HDL in circulation. In moderation, some saturated fat is okay. Eating a lot of it, though, promotes artery-clogging atherosclerosis, the process that underlies most cardiovascular disease. In contrast, unsaturated fats, which make up the majority of the fat content in peanut butter, help reduce LDL cholesterol and lower the risk of heart disease.

I try to eat as healthful a diet as I can. It includes all kinds of nuts, as well as peanut and other nut butters.

— Walter C. Willett, M.D.
Professor of Nutrition
Harvard School of Public Health

This Question and Answer first appeared in the July 2009 Harvard Heart Letter, available at www.health.harvard.edu/heart.

 
FOR FURTHER READING
For more information on heart-healthy foods, order our Special Health Report, Healthy Eating for a Healthy Heart.
[READ MORE or BUY]

 

 

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