Vitamin D and Your Health

Vitamin D and Your Health

By Matthew Poland and Amy Mullins, MS, RDN

For Floridians, getting enough sunlight during the winter may not be an issue that frequently crosses our sun-kissed minds.  However, by spending winter vacation up north or by simply not spending the recommended 10-30 minutes per day outdoors, we could be putting ourselves at risk. In fact, it is estimated that between 20-80% of men and women from the US, Canada and Europe are vitamin D deficient, with rates as high as 45-100% of vitamin D deficiency in some places throughout Asia (1). Even though Florida seems to be as good as it gets for soaking in the sun, a 2005 study of residents of Miami found that between 38-40% were vitamin D deficient (2).

Vitamin D plays a much larger role in our health then we tend to realize. In addition to being a hormone responsible for regulation of bone metabolism, vitamin D has important functions in pregnancy, inflammation, cell growth, neurotransmitter production, immune and neuromuscular function, and glucose metabolism (3). Meanwhile, low vitamin D levels have been associated with increased risk for various diseases including cardiovascular disease, cancer, diabetes, and even an increased risk of mortality (1).

Go outside Photo Source: Matthew Poland

It is well known that sunlight exposure is the major source of vitamin D in our bodies, although some can be absorbed through our diet. However, as we spend less and less time outdoors, our risk of vitamin D deficiency steadily increases. On top of this, there are a variety of factors that can play a role in the ability of an individual to produce vitamin D including skin pigmentation, clothing, sunscreen, and of course where we live. In addition, a likely reason for such a high amount of Miami’s residents being vitamin D deficient is due to the smog levels of larger cities. Air pollution can absorb the UVB rays that our bodies convert into vitamin D, and prevent them from ever reaching us. Plus, in the wintertime, there is less sunlight to be had, which brings into play the next dangerous winter side effect: seasonal affective disorder, appropriately given the acronym, SAD.

While SAD may seem like a northern phenomenon, and it is with up to 9% of Alaska’s residents experiencing SAD compared to Florida’s 1%, it also involves the lack of sunlight during the winter (4). This lack of sunlight interferes with the body’s ability to regulate its circadian rhythm, the 24-hour internal clock that is typically synced with the light-dark cycles of our environment (4). Having shorter days and longer nights in winter is not unique to the north. With some Florida days offering only 10 hours of sunlight and indoor jobs that often consume 8 to 9 hours of our day, there is suddenly limited time to be in the sun (8). Vitamin D has been theorized to play a role in serotonin production, a neurotransmitter responsible for our feelings of well-being and happiness, and the insufficiency or deficiency of vitamin D has also been associated with clinical depressive symptoms (5). In summation, the lack of sunlight during the winter can create depressive symptoms and decreased absorption of vitamin D also leads to further depressive symptoms.

Although this self-perpetuating spiral of doom and gloom may be a bit of a downer, here are a few tips for getting through winter while keeping your vitamin D levels, circadian rhythm, and sanity in check:

  • Go outside! Unfortunately, the angle of the sun in the wintertime reduces the availability of ultraviolet sunlight.  It is important, however, to spend some time outdoors on sunnier days to allow for vitamin D synthesis, even if it’s not at optimal levels.(6).
  • Eat a balanced, healthy diet consisting of a wide variety of foods. Although most foods don’t naturally contain vitamin D, wild-caught salmon and mushrooms being the exceptions, many foods like dairy are fortified with vitamin D (1). However, diet alone has been shown to be insufficient in providing vitamin D to children and adults in the US (7). If through food and sun, your vitamin D levels are not where they need to be, supplementation of around 1000 IUs per day can bring levels back to normal.
  • Always talk with your healthcare provider before taking any dietary supplements. Have your vitamin D levels evaluated by your physician. Many people can go throughout life not knowing they are deficient in vitamin D until a broken bone necessitates testing.

So, with winter approaching, keep in mind the importance of being outside and eating well to feel your best as we roll into 2021!

 

Photo credit: Matthew Poland

Matthew Poland is a Graduate Student in the Department of Food, Nutrition, and Exercise Sciences at Florida State University who is currently working on the Dietetic Internship to become a Registered Dietitian/Nutritionist (RDN).

References:

  1. Hossein-nezhad, A., & Holick, M. F. (2013). Vitamin D for health: a global perspective. Mayo Clinic proceedings, 88(7), 720–755. https://doi.org/10.1016/j.mayocp.2013.05.011
  2. Levis S, Gomez A, Jimenez C, et al. Vitamin D deficiency and seasonal variation in an adult South Florida population. J Clin Endocrinol Metab. 2005;90:1557–1562.
  3. Vitamin D – Fact Sheet for Health Professionals. (2020, September 11). Retrieved September 17, 2020, from https://ods.od.nih.gov/factsheets/VitaminD-HealthProfessional/
  4. Melrose S. (2015). Seasonal Affective Disorder: An Overview of Assessment and Treatment Approaches. Depression research and treatment, 2015, 178564. https://doi.org/10.1155/2015/178564
  5. Kerr, D. C., Zava, D. T., Piper, W. T., Saturn, S. R., Frei, B., & Gombart, A. F. (2015). Associations between vitamin D levels and depressive symptoms in healthy young adult women. Psychiatry research, 227(1), 46–51. https://doi.org/10.1016/j.psychres.2015.02.016
  6. Webb, A. R., Kline, L., & Holick, M. F. (1988). Influence of season and latitude on the cutaneous synthesis of vitamin D3: exposure to winter sunlight in Boston and Edmonton will not promote vitamin D3 synthesis in human skin. The Journal of clinical endocrinology and metabolism, 67(2), 373–378. https://doi.org/10.1210/jcem-67-2-373
  7. Moore, C., Murphy, M. M., Keast, D. R., & Holick, M. F. (2004). Vitamin D intake in the United States. Journal of the American Dietetic Association, 104(6), 980–983. https://doi.org/10.1016/j.jada.2004.03.028
  8. Tallahassee, Florida, USA – Sunrise, Sunset, and Daylength, September 2020. (n.d.). Retrieved September 19, 2020, from https://www.timeanddate.com/sun/usa/tallahassee
Air Fryers: A Great Addition to Any Kitchen

Air Fryers: A Great Addition to Any Kitchen

By Matthew Poland and Amy Mullins, MS, RDN

Air fryers have become quite popular over the past few years, touted as a healthier alternative to deep-frying foods, while replicating the crispiness we all love. As a frequent user of an air fryer, I find times where I will catch myself talking family’s or friend’s ears off about how much I love my air fryer and how they should invest in one, too. Here are 3 reasons why an air fryer makes a great tool for any kitchen:

Health, Texture and Taste

Air fryers crisp food without the fat and calories of deep-frying.
Photo source: Matthew Poland

In my opinion, the number one reason to purchase an air fryer is the ability to make healthy alternatives to classically unhealthy foods. Fried foods consistently are given a thumbs-down from dietitians and other health professionals because the process of deep-frying foods exponentially increases their calorie content due to the nature of submerging foods in oils. However, a large reason why fried foods are so appealing is because of their texture. Deep-frying a food, specifically a breaded food, produces a crunchy exterior and a moist interior we’ve come to love. This is where an air fryer shines. Air fryers use circulating hot air to produce a very similar texture and taste to deep-fried foods, but can use up to 99% less oil (or even no oil), reducing calories by 70-80%, without sacrificing much in flavor (1).

Now, with anything, moderation is key, and this is not a suggestion to have chicken fingers and homemade French fries every night, just because they can be made healthier in an air fryer. However, this is a recommendation to curb cravings of greasy, high-calorie fast food meals by making them at home in an air fryer. In addition, the texture created by an air fryer is a perfect way to expand your dietary pallet, which leads me to my second reason for getting an air fryer: trying new foods.

New Food Experiences

With many kids, as well as adults, eating vegetables is not a desirable activity. They may be aware of the health benefits of vegetables, but when it comes to getting a vegetable past their nose and mouth, it can be a different story. A variety of preparation methods for vegetables exists, from raw to steaming to boiling. However, outside of roasting vegetables, many of these methods soften the texture of the food, which is often not appetizing to many people. Air frying then becomes the perfect method to produce crunchy, appealing vegetables that may just change some minds on whether or not an individual “likes vegetables.”

But the opportunities to try new foods are certainly not limited to just vegetables. From wings, to chicken kebabs, to eggplant parmesan, to air fried green beans, a wide variety of recipes exists for the air fryer. Often times, these recipes can be just as fast, easy, and even more delicious than using a conventional oven. This leads into my final point: the operation and cost of an air fryer.

Operation and Cost

Another benefit to air fryers is their ability to cook foods more quickly than in conventional ovens (or deep-fryers for that matter!). Air fryers reach cooking temperatures much faster than ovens can, but their small size can limit how much food can be cooked at one time, depending on the model. After a meal, cleanup is quick and easy, requiring only a wipe-down if little oil was used and cleaning maintenance is done regularly. Fortunately, air fryers also do not give off the same whole-house-consuming smells that deep-frying foods do.

Many of what could be considered “middle-of-the-line” models come with pre-programmed options for a variety of popular food choices. With the push of one button, it will let you know when the food is finished! Lastly: the cost of air fryers, which are actually quite reasonably priced. From simple, non-programmable fryers starting at around $40, to very snazzy two-basket, dual-zone fryers at around $150, there are various options to fit your exact needs.

In my experience, the air fryer has deservedly earned a spot on my ever-busy kitchen counter. Though they may not be as versatile as a conventional oven, or as quick as a microwave often, I believe they provide significant upsides that most people can find useful. Even if I haven’t convinced you to immediately run out and buy yourself an air fryer, I hope you have gained some insight into why you can’t stop hearing about them.

 

Matthew Poland is a Graduate Student in the Department of Food, Nutrition, and Exercise Sciences at Florida State University who is currently working on the Dietetic Internship to become a Registered Dietitian/Nutritionist (RDN).

 

References:

  1. Air-Frying: Is It As Healthy As You Think? (2020, August 19). Retrieved September 21, 2020, from https://health.clevelandclinic.org/air-frying-is-it-as-healthy-as-you-think/
Avoid the Dangers of Dehydration this Summer

Avoid the Dangers of Dehydration this Summer

Stay hydrated this summer.

Nothing is more refreshing on a hot summer day than an ice-cold glass of water!  Water is an essential component to good health. In fact, it makes up 60% of your body’s weight and is involved in various metabolic processes throughout your body. Without it, you could not survive. As summer approaches, it is important to be mindful of the increasing temperatures outside since the chances for dehydration are much greater than other times of the year – especially if you are planning to spend a lot of time outdoors.

Dehydration happens when your body lacks enough water to carry out normal processes. It often occurs when you are expending more water (usually through sweat & exercise) than you are consuming, and is accelerated in warm humid climates. Dehydration is no joke, and can lead to serious medical complications such as heat stroke, heat stress, and even death. Common signs and symptoms that may indicate you are dehydrated include fatigue, headache, dry mouth, little to no urination, constipation, vomiting, muscle-weakness, dizziness, and lightheadedness. Most susceptible to heat stress and complications from dehydration include infants, older adults (65 & up), people who are overweight, and people who are excessive sweaters during physical activity. If you fall into any of those categories, try to be mindful about how much fluid you are consuming throughout the day.

How can you prevent dehydration?

While many people think they may be drinking enough, that is often not the case. Your own thirst mechanism isn’t always the best gauge to make sure you are properly hydrated. According to the National Academy of Medicine, women should consume an average of 9 ½ cups of water per day and men should be consuming 12 cups. For older adults over the age of 70, the rule of thumb is about 7 cups per day. That includes all fluids from water, coffee, and juices.

Keep in mind that needs may be different for each of us.  One simple way to check your hydration status is to look at the color of your urine. If the color of your urine is a light lemonade color, you are in the clear! However, if your urine color is a dark orange, you need to start drinking some fluids to get back to a hydrated state to avoid any health complications.

Additional ways to reach your fluid intake without refilling your water bottle

Did you know water makes up the largest component of many of the foods we eat? By adding some more fruits and vegetables to your diet such as watermelon, strawberries, melons, oranges, broccoli, bell peppers, and lettuces – you are not only increasing your fluid intake but getting your necessary vitamins and minerals as well!  According to the Dietary Guidelines for Americans, people should be consuming an average of 2 cups of fruits and vegetables per day.

Other factors that can influence your hydration status

Alcohol – Alcohol acts as a diuretic – meaning it turns down a hormone called antidiuretic hormone (ADH) which tells your kidneys to absorb/retain fluids.  In other words, drinking a lot of alcohol will make you expel more fluids from your body.  Make sure to drink extra water while enjoying alcoholic beverages to avoid becoming dehydrated.

Diet – Consuming a high-sodium diet is another cause of dehydration. Sodium is necessary in our diets, but only in very small amounts.  When we consume excessive amounts of sodium, this disrupts the body’s filtration system and the kidneys begin holding onto more and more water.  This leads to dehydration, bloating, edema, hypertension, and cardiovascular stress. Drinking extra water can help bring things back into balance and re-hydrate your thirsty cells!

Older Age – As we get older, thirst sensations decrease and risk for dehydration increases since older adults do not feel the need to drink as much. Additionally, many medications can influence fluid needs in the body.

Caffeine – Contrary to popular belief, caffeine does not dehydrate you. When you drink coffee, or other caffeinated beverages you are also consuming fluids. High fluid consumption leads to higher frequency of urination.

Learn to LOVE Water  

Water by itself can definitely get old if it isn’t your beverage of choice. There are plenty of ways to add flavor and sweetness to your drinks without packing in tons of extra calories and sugar. Fruit infusions are a very simple way to make a boring beverage much more delicious. Try some of these delightful, thirst-quenching recipes!

Raspberry Orange Mint

  • Water
  • 1 cup raspberries
  • 1 orange sliced up
  • Mint leaves

Lemon Lime Thyme

  • Water
  • 1 lemon sliced
  • 1 lime sliced
  • 1 large sprig of fresh thyme

Blueberry Lemon Mint

  • Water
  • 1 cup blueberries
  • 1 lemon sliced

 

Aim for a Healthier YOU in 2019

Aim for a Healthier YOU in 2019

Carrots, zucchini, and green pepper stir fry in a wok.

Make SMART changes for your health. Photo credit: UF/IFAS Northwest District

“New Year, New Me!” – the same phrase we hear and see posted all over social media every time the new year rolls around.  More often than not, resolutions tied to each new year involve diet and weight changes.  But how does one actually commit to these new resolutions year round?

Step 1: Forget Fads and “Dieting” 

The world of nutrition can seem overwhelming with the various diets that are continuously marketed as “the next best thing for your health.”  However, most diets, such as Paleo, Vegan/Vegetarianism, Keto, etc., exclude one or more food groups from the diet, which only makes things more challenging. In reality, eating healthy does not need to be that difficult.  According to the 2015-2020 Dietary Guidelines for Americans, a healthy eating pattern “accounts for ALL foods and beverages within an appropriate calorie level.”  Essentially, moderation is key!

In addition to fads, scratch the word “diet” from your vocabulary.  Dieting implies something short term or there is an end date in mind.  To build healthy, sustainable eating patterns, we want to make lifestyle changes.  A healthy lifestyle not only incorporates what you eat, but includes exercise and a healthy mind as well!  Use SMART goals to help attain your healthy eating/lifestyle changes for 2019: SMART stands for Specific, Measurable, Achievable, Relevant, & Time-bound.

Step 2: Focus on Food Groups

Instead of counting calories in 2019, let us count food groups!  How many food groups does your meal have?  Is there a protein?  Vegetables? Healthy fats?  Foods are generally classified into three main groups, or macronutrients.  By definition, macronutrients are types of food required in large amounts in the diet. Such foods are proteins, carbohydrates, and fats.

Proteins include all types of meats such as chicken, turkey, fish, and beef. Other foods high in protein include eggs, dairy products, legumes (peas and beans), various nuts, and soy products.  Proteins are the basic building blocks of your bones, muscles, skin, and blood. Your body uses proteins to build and repair your tissues and it is an essential nutrient for the human body.  Strive to include a rich source of protein at every main meal!  How much protein do you need? Aim to include 20-30 grams, or 4-6 ounces, at every main meal.  That is the equivalent of a chicken breast that is about the size of a deck of cards or the palm of your hand.

Carbohydrates include simple sugars, all types of grains, fruits, and vegetables.  Carbohydrates are the body’s main source of and preferred fuel for daily activities.  It may be somewhat confusing as to what are appropriate carbohydrates to add in your diet.  To simplify things, aim to include at least two different carbohydrates in your meal.  Perhaps that includes a grain (aim to make half of all your grains whole grains) plus a variety of vegetables.  If you really want to add a cookie to your lunch, then make sure to include some fruit or vegetables as well!

Fats are a food group that often carry a negative reputation.  However, fat plays an essential role as an ingredient in hormone production, in helping to protect our organs, absorption of vitamins and nutrients, as well as providing a good amount of energy!  Fats are subdivided into four groups: Monounsaturated, polyunsaturated, saturated, and trans fats. The word unsaturated indicates that these types of fats are liquid at room temperature and make up much of our healthy fats we want to include in our diet.  Such fats are those found in olive oils, avocados, nuts, and seed oils and reduce the risk of cardiovascular disease.  Saturated fats are solid at room temperature, and include butter, cheese, and fatty streaks you find in meats.  Trans fats are a manufactured form of fat in which food manufacturers add hydrogen to liquid fats in order to make them more solid.  Trans fats have been known to increase LDLs or bad cholesterol, decrease good cholesterol or HDLs, and are linked to an increased risk for cardiovascular disease and type 2 diabetes.  According to the American Heart Association and 2015-2020 Dietary Guidelines for Americans, we want to limit trans and saturated fats in our diets and focus on including more oils, nuts, and fish.

Step 3: Make Small, Adaptable Changes

If you are used to consuming large amounts of processed foods and sugary beverages, the thought of completely giving up those things can be very daunting. Implementing new strategies to eat healthier begins with small and adaptable changes.  Slow incorporation of more lean meats and fresh fruits and vegetables can help make the transition far less challenging.

For example, most often, macaroni and cheese is made with white pasta and high fat cheese.  To modify this meal and make it healthier, try substituting whole grain pasta for regular pasta.  Next, experiment by adding some of your favorite vegetables and a lean protein such as chicken or tuna.  Look for 2% or low fat cheese in the grocery store to replace the regular high fat version.   These simple changes will allow you to still enjoy your favorite meal, reduce the sodium and fat content, and increase your consumption of vegetables and proteins!

Small subtle changes are key to creating long-term healthy habits. The transition to building healthier eating patterns will be much easier if you shift the focus to include more of what our bodies need and less on “dieting.”  If you find yourself struggling to make healthier meals, https://www.choosemyplate.gov/MyPlate is a great resource to educate yourself on how to build and maintain a healthy diet!

Wasting Food is SO Outdated

Wasting Food is SO Outdated

Photo source: UF/IFAS Northwest District

If your family is like most, grocery shopping is a dreaded weekly task.  Typical shoppers usually have an idea of what they plan to purchase based on a previously made shopping list.  Even then, it’s easy to go astray with impulse purchasing, bargain prices, and buy-one-get-one free opportunities that simply can’t be passed up!  Before you know it, the shopping cart is loaded with delicious treasures just begging to come home with you.

Now that you have done the shopping, transported it home, and begun to put food items in their appropriate storage places, you realize the refrigerator, freezer, and pantry are cramped and nearly full.  On a related aside, you should see my parents’ pantry.  They have enough cans, boxes, and packages to feed their entire neighborhood…twice!  Not to mention the two full size refrigerator/freezers that are bursting at the seams.  Like my parents, I suspect many of us have a food overbuying addiction.  So what happens next?  Well, it’s time to clear out the old and make way for the new, of course.  But how do you know what to purge and what is still good to keep?

Food Date Labeling Confusion and Food Waste

Standard or uniform language for food product dating does not exist in the U.S., which makes things tricky when it comes to deciphering expiration dates.  Current Federal regulations do not require product dating (excluding infant formula), but instead allow food manufacturers to voluntarily set and display these dates on product packaging.  With the lack of Federal measures, product dating enforcement is left up to individual states, resulting in consumer confusion over food safety.  The U.S. wastes close to an estimated 40% of food produced annually, which equals approximately 160 billion pounds (Harvard Food Law and Policy Clinic).  Of that, confusion over the meaning of date labels seems to be responsible for roughly 20% of safe and edible food wasted by consumers.  Undoubtedly, this hurts purchaser’s pocketbooks and results in $29,000,000,000 of wasted consumer spending yearly (Food Date Labeling Act of 2016, 114th Congress 2D Session).

Food Quality vs. Food Safety

While cleaning out the pantry and cold storage, I also have been guilty of trashing perfectly good food. So many of us unknowingly accept the stamped date as common law not to be questioned. So what does that date actually mean?

The “open” date used by the manufacturer or retailer on food packaging is passively thought of by the consumer as the “expiration date,” or the last date a food can safely be eaten.  This is a very common misconception.  Food safety is not represented by this date, but rather it refers to product quality and freshness.  Dates determined by food companies take into consideration such factors as ingredients, product characteristics and packaging, as well as time and temperatures associated with distribution, retail sale, and storage.

With no current standards in place, a variety of food date phrases are utilized which often are misleading to retailers and consumers.  Most commonly used phrases include:

  • “Best If Used By/Before” indicates when a product will be of best flavor or quality.
  • “Sell-By” indicates to the retailer when the product should no longer be displayed for sale.
  • “Use-By” is the last date recommended for use of the product at peak quality. This is only a safety date when used on infant formula packaging.

It’s important to remember that open dates on food products ONLY reflect food quality and NOT food safety (except for infant formula).  For a list of specific foods and recommended storage time frames, check out the FoodKeeper resource at FoodSafety.gov.

Food Spoilage

Knowing the signs of spoilage will help you determine if a food is no longer fit for consumption.  Although the quality date may have passed, the food is safe until it begins to spoil.  Spoiled food may have a different smell, taste, and/or texture with sometimes visible discoloration.  This occurs when environmental conditions (such as temperature, moisture, and oxygen) are introduced which support the growth of bacteria, molds, or yeasts.  Given enough time, these microorganisms multiply rapidly and affect the safety of the food.  If perishable items are not handled and stored properly, spoilage occurs much more rapidly.  Learn more about proper refrigeration and food safety.

Do Your Part at Home

  • Plan meals in advance and make a specific grocery list. Check the refrigerator, freezer, and pantry to utilize what you already have on hand.
  • Don’t overbuy! Especially be aware not to purchase excess perishable items that are likely to spoil quickly.  These may be foods that require cold storage, fresh bakery items, and fresh produce.
  • Always look for and compare date labels of an item; choose the one with a later date.
  • Store foods promptly and properly for food safety and best quality. Discard potentially hazardous cold food items that have not been properly refrigerated for 2 hours or more.
  • Keep a thermometer inside the front of your refrigerator and check it regularly to be sure it stays below 40 degrees F.
  • Thaw foods safely! Thawing in the refrigerator is the safest way, but using cold running water or defrosting in the microwave are acceptable ways to speed up the process. Never sit foods out at room temperature to thaw!
  • Recognize the signs of food spoilage and promptly discard foods that smell funny, have off-flavors, obvious mold growth, or sticky or slimy textures (such as fish, poultry, and deli meats).
  • Evaluate each item in your pantry and consider whether or not it’s something you want to continue to store and use or want to remove.
  • High temperatures affect the shelf life of shelf-stable foods so it’s important to store dry goods and pantry items in temperatures at or below 85 degrees F. Use the “First In First Out” (FIFO) method of rotation, using older items before newly purchased ones.  Read more about Shelf Stable Food Safety.
  • Discard cans that are rusty, bulging, or leaking, as they are at a high risk for containing the deadly pathogen that causes Botulism. Never taste suspicious foods!  Take extra caution by disposing of cans and jars into a tightly closed plastic bag before placing in an outside trash receptacle.

Help Families in Need & Keep Unused Wholesome Food Out of Landfills

Mistakenly discarded food products, not only is the U.S. but globally, have created a sad cascade of wasted resources and money with increasingly negative environmental and social implications.  Food banks and local community organizations have plenty of under-served and needy families who can benefit! Remember, it’s safe to donate dry and canned goods, perishables, and other food related items that are beyond the quality date of the product.

Find a food bank near you.

We all can do our part to reduce the amount of wasted food, save money, help the environment, and help our communities!

 

Additional Resources:

https://www.usda.gov/oce/foodwaste/sources.htm

https://www.usda.gov/oce/foodwaste/resources/donations.htm

USDA Food Safety Information, Food Product Dating

USDA Food Labeling Fact Sheets