Size Matters: A Delightful Discovery at la Madeleine

la Madeleine Fruit Tarts (Photo by Katherine Tallmadge)

What a surprising respite! I was delighted Saturday morning, after my 3 mile walk to Memorial Bridge and back, to find la Madeleine open at 7 am. I was delighted to find a delicious cafe latte – and muffins and pastries even a nutritionist could love. And they weren’t “diet” pastries.

Yes, you heard right! How could I enjoy la Madeleine and even its pastries?

First, I admit I’m a food snob. I buy all my fruits and vegetables at Farmers Markets, because I believe so strongly in the benefits of seasonal, locally grown produce. There are few restaurants I really enjoy because I expect fresh, superior ingredients, interesting small plates, and polite, professional service. I only frequent independently-owned businesses, because I think it preserves the uniqueness of the town and I want to support small businesses. So I’ve been at a loss since the Furin’s of Georgetown diner closed and Laura and Ricardo Bonnino left my neighborhood’s Griffin Market, along with all their one-of-a-kind Italian delicacies. What to do? Where to go?

So on Saturday morning, after my walk, when I was in the mood to sit at a cafe and enjoy a latte and a little something, I broke down and tried Le Pain Quotidien - CLOSED – just as well. I’ve never had a good experience there and I blame them for Furin’s closing (rightly or wrongly). Okay, what next… I wandered over to la Madeleine across the street, into which I have never walked before, tried the door, and it opened. Uh-oh, am I really in la Madeleine? I skeptically, cautiously walked up the stairs. After I asked if they could serve me a Cafe Latte and was met with a cheerful YES, I was committed. But, “My! those muffins are huge,” I said, feeling dangerously tempted but calculating the 500+ calorie counts in my head. “But,” says a perky cook behind the counter, “we have smaller ones, let me show you!”

And there began my delightful discovery of an array of mini pastries, desserts and muffins I could enjoy and even recommend at la Madeleine. The size was just enough to enjoy, but not too much to feel over-stuffed and miserable. I borrowed the manager’s pen so I could scribble down the numbers for you:

Mini Blueberry Muffin – 160 calories (regular is 630)
Mini Lemon Cream Cheese Muffin – 170 calories
Mini Bran Muffin – 140 (regular is 550)
Mini Fruit Tart – 150 (regular is 500)
Mini Lemon Tart – 200 (regular 820)
Mini Sacher Torte Parfait – 300
Mini Tiramisu Parfait – 220 (regular 520)
Mini French Vanilla and Fruit Parfait – 110
Lemon Madeleine – 170
Mini Cafe Au Lait Creme Brulee (180)
Mini Vanilla and Fruit Creme Brulee (150)

I had a lovely time, sitting among the country French decor at the window, a lively Vivaldi playing in the background. Friendly and professional staff buzzing around. Will I visit more than once or twice a month? Probably not. But it’s nice to know it’s there!

For more information about  what to look for in restaurant eating without the bulge…

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Harvard Study Finds Certain Foods – NOT Calories – Have a Strong Impact on Weight Gains and Losses

Individual foods are more important than calories when it comes to long term weight gains or losses, according to the study. Specifically, potatoes are associated with weight gain, along with sugar-sweetened beverages and meats, while foods like fruits, vegetables, whole grains, nuts and yogurt, are associated with weight loss, according to the study.

 “Modest changes in specific foods and beverages, physical activity, TV-watching, and sleep duration were strongly linked with long-term weight gain. Changes in diet, in particular, had the strongest associations with differences in weight gain… The idea that there are no ‘good’ or ‘bad’ foods is a myth that needs to be debunked,” said a researcher in a press release. The study appears in the June 23, 2011, issue of the New England Journal of Medicine.

When I was contacted by USA Today reporter, Oliver St. John, to comment on the Harvard Study, this gave me an opportunity to look over the study so that I could offer an analysis which would help not only “USA Today” readers, but me and my clients better understand it.

I found some of the claims made regarding the study incomplete.

While this is an interesting study and confirms much of what we know about healthy and unhealthy foods, I’m concerned about the sweeping conclusions for the following reasons:

The Harvard study is epidemiological, the kind of study which analyzes large populations and their health outcomes. Because the facts cannot be precisely measured, as it would be in a clinical study -nobody is weighing and measuring the foods people are eating, their body weights, or their lifestyle patterns – the conclusions which can be made are limited. This is true for many reasons. First, there are no “controls” in the study; making it difficult to tease out confounding variables having an effect beyond the particular foods being studied. What I mean is: eating certain foods is associated with specific behavior patterns, so it’s impossible to determine if the effect (weight loss/gain) is due to the food or the behavior pattern. For instance, studies of whole-grain eating find it is a “marker” for engaging in many healthy behaviors. People who eat whole grains are more likely to exercise and eat more vegetables. SO when epidemiological studies find whole grain- eaters are healthier, one must ask: is the effect due to eating whole grains or the lifestyle associated with eating whole grains? The only way to answer this question is, once the epidemiological data is observed, to take the observations into a lab and do a controlled clinical study. The clinical study would need to control for everything – exercise, diet, body weight, etc – and change only whether people are eating refined or whole grains, to determine if the health effect is due to the whole grain eating or the lifestyle.

POTATOES

The Harvard study found potato-eating associated with weight gain. The researchers warned against eating potatoes, attributing the weight gain to the rise in blood sugar caused by potatoes.

I am not quite convinced. Why?

First, many foods cause rises in blood sugar – including whole wheat bread and whole grain cold cereals. But they aren’t associated with weight gain, in fact, quite the opposite.

Second, in America, most potatoes are eaten as french fries or potato chips, and these are very fattening versions of potatoes. So, the way potatoes are cooked – not the potato itself – may be why Harvard’s epidemiological study found potato-eating is associated with weight gain. This argument points to excess calories as a factor.

Also, and this may be an important factor explaining why potatoes are associated with weight gain. When people eat french fries, they are usually eating hamburgers and hot dogs alongside.  Not only that, the beverage they’re drinking is SODA (a known contributor to obesity in adults and children). Therefore, instead of the potatoes causing the problem, could it be the meal pattern or high calorie lifestyle associated with people who eat french fried potatoes? In the United States, french fries are eaten together with fattening, unhealthy foods, known to be correlated with increased weight, diabetes, heart disease, you name it. Same with potato chips. People who regularly eat french fries, potato chips, and sodas also eat other fattening and unhealthy foods. In fact, studies show soda-drinking, for instance, is another “marker”  but this time, for engaging in unhealthy behaviors like smoking and being sedentary. These confounding variables could influence the study’s results.

This brings me to the last piece of evidence – and what convinces me the most – that potatoes do not a cause weight gain:  SWEDEN

In Sweden, people are no fatter than Americans, in fact, they’re slimmer. But, they eat potatoes every day, and often more than once a day. But when Swedes eat potatoes (and I’m sure of this as I am a Swede and visit often), they eat them in small portions, they’re boiled, topped with a little butter (oops), alongside FISH. Not burgers, not fried fish, just grilled, steamed, cured, smoked, or sauteed FISH.

So, if eating potatoes in Sweden is not associated with weight gain, could it be because the potatoes are cooked in a healthier way than in the United States and the meal pattern is a healthier one?  1) the potatoes are boiled, not fried, 2) the potatoes are eaten in smaller, more reasonable portions, and 3) the potatoes are more often eaten together with other healthy foods, such as fish – not burgers and sodas.

And, how do you explain all those poor, skinny Irish and Russians – heck, anyone living in the northern parts of the world – people who subsisted on and depended on potatoes as their only vegetable for centuries. Why didn’t the potatoes make them fat?

Do I believe potatoes are a wonder food? No. But I also do not believe potatoes are  “POISON,” as some commentators have stated.

Should you be eating larger portions of watery vegetables and smaller portions of starchy vegetables, such as potatoes? Yes.

Do I occasionally enjoy French Fries and Potato Chips, known to be fattening, unhealthy foods? Yes I do.

Do I eat French Fries and Potato Chips on a regular basis? No, I do not. Do I wish I could?
Yes I do, but I’d rather be healthy and slim.

NUTS

People eating nuts were more likely to have lower body weights, according to the Harvard Study. Their explanation is that nuts are satiating; they make us feel full, inferring that they lead to eating fewer calories overall. Clinical studies have found years ago that adding nuts to meals, especially breakfast, decreased overall calorie intake, making weight loss easier. This is one reason why I have been encouraging nut-eating for many years. Also, we’ve known for quite a while that nut-eaters around the world have fewer heart attacks and are healthier in other ways.

Does this mean you cannot gain weight eating too many nuts? No. Plenty of people eat too many nuts and can become overweight because of it. Nuts are healthy, but fattening little morsels. One ounce, or a small handful, contains about 180 calories. This is why I recommend most people eat one ounce per day. But if weight is not an issue, two ounces a day – or more, if you can afford the calories, is fine – and is even heart healthy. When I work with people wanting to gain weight healthfully, I advise snacking on nuts!

Are certain nuts better than others? I’m not convinced of this. Every time a new study comes out about a nut – any nut – it’s positive news. Certain nuts, though, are more commonly eaten, have a bigger consumer base, and more money to fund scientific studies. This may be why you hear about some nuts over others. It is also a very expensive and time-consuming process for a food to be approved for a health claim on a food label. So, only certain nut growers can afford to put health claims on their labels, and educate you about their health benefits.

While you already know each nut has a different look and flavor, each nut also has its own unique nutritional characteristics. For instance, almonds are the highest in protein and Vitamin E, and the lowest in artery-clogging saturated fat. Walnuts are the only nut with omega-3-fatty acids. Pecans have the highest antioxidant content. Pistachios contain lutein, a compound which may significantly improve eye health.

Bottom Line: Eat nuts every day.
They’re good for you and may help you eat fewer overall calories because they’re so satiating!
Yes, calories matter: So, stick with just one or two ounces, if weight is an issue. If not, eat more.

YOGURT

"Yogurt Spinach Dip" from "Diet Simple"

The study found yogurt-eating associated with lower body weights. Whole civilizations have known about yogurt’s health benefits for thousands of years.

When my mother was recovering from hip replacement surgery I advised her to live on yogurt, fruits and vegetables for healing AND to prevent weight gain from being immobile. It worked. She healed very quickly and lost a little weight at the same time. She was thrilled. I’ve repeated the same advice to my clients, when appropriate, and they’ve been thrilled with the results, too.

Yogurt has many positive qualities. I’m convinced: Yogurt is a Superfood; it may be one of the best overall foods you can eat. Yogurt creates a natural way to boost your immune system by providing probiotics which  increase the healthy bacteria in your gastrointestinal tract, according to my friend and colleague, Jo Ann Hattner, MPH, RD, in her book, Gut Insight.”

Probiotics are live bacteria that promote digestive health. As we age, it is thought that bacterial populations in our gut change – resulting in increased harmful, disease-causing bacteria and fewer protective bacteria.   When you add probiotics you repopulate the gut with beneficial bacteria that protect against infection-causing toxins.

You also improve colon health by lowering pH of the colon, so it’s receptive to the beneficial bacteria and detrimental to the disease-causing bacteria, you protect the intestinal lining, and strengthen immunity.  Exciting research is evolving on the health benefits of probiotics.

But correlating yogurt with lower body weights is complicated. Do you believe people who regularly eat french fries, potato chips, burgers and sodas eat much yogurt? I don’t think so. This is another case where lifestyle probably plays a huge role and why Harvard’s epidemiological study found yogurt was associated with lower body weights.

While it may be true that yogurt has health benefits causing leanness, this hasn’t been proven conclusively in clinical studies yet. There have been studies showing dairy foods are very satiating… That is, when you eat yogurt, you feel full in relation to the calories. And when you feel extra satiated by something, such as yogurt or nuts, it helps you eat fewer overall calories for the day. There is some evidence that the protein in yogurt may be especially high quality, spare lean muscle (and bone), and increase metabolism, thereby making weight loss a little easier. Diary products may also contain other bioactive compounds contributing to leanness. The Harvard researchers speculated the probiotics in yogurt may be responsible for the weight benefit. All of these reasons could be significant. But, the most significant factor probably is: Yogurt-eaters are more likely to live a healthy lifestyle, exercise, and eat other healthy foods.

My clients, family and friends have known this for years. Why? I love keeping up with the science and keep myself and them informed.

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New Study Finds Certain Foods Lead to Living Longer

Eating Healthier Means Living Longer

According to New Study in the Journal of the American Dietetic Association

Researchers found that diets favoring certain foods were associated with reduced mortality.

The leading causes of death have shifted from infectious diseases to chronic diseases such as cardiovascular disease and cancer. These illnesses may be affected by diet. In a study published in the January 2011 issue of the Journal of the American Dietetic Association, researchers found that diets favoring certain foods were associated with reduced mortality. Scientists investigated empirical data regarding the associations of dietary patterns with mortality through analysis of the eating patterns of over 2500 adults between the ages of 70 and 79 over a ten-year period.

By 2030, an estimated 973 million adults will be aged 65 or older worldwide. The objective of this study was to determine the dietary patterns of a large and diverse group of older adults, and to explore associations of these dietary patterns with survival over a 10-year period. A secondary goal was to evaluate participants’ quality of life and nutritional status according to their dietary patterns.

By determining the consumption frequency of 108 different food items, researchers were able to group the participants into six different clusters according to predominant food choices:

  • “Healthy foods” (374 participants)
  • “High-fat dairy products” (332)
  • “Meat, fried foods, and alcohol” (693)
  • “Breakfast cereal” (386)
  • “Refined grains” (458)
  • “Sweets and desserts” (339).

The “Healthy foods” cluster was characterized by relatively higher intake of low-fat dairy products, fruit, whole grains, poultry, fish, and vegetables, and lower consumption of meat, fried foods, sweets, high-calorie drinks, and added fat. The “High fat dairy products” cluster had higher intake of foods such as ice cream, cheese, and 2% and whole milk and yogurt, and lower intake of poultry, low-fat dairy products, rice, and pasta.

The study was unique in that it evaluated participants’ quality of life and nutritional status, through detailed biochemical measures, according to their dietary patterns. After controlling for gender, age, race, clinical site, education, physical activity, smoking, and total calorie intake, the “High-fat dairy products” cluster had a 40% higher risk of mortality than the “Healthy foods” cluster. The “Sweets and desserts” cluster had a 37% higher risk. No significant differences in risk of mortality were seen between the “Healthy foods” cluster and the “Breakfast cereal” or “Refined grains” clusters.

Photo by Polly Wiedmaier

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Super Fruits & Vegetables

Every Sunday morning I rush to my Farmer’s Market (www.FreshFarmMarkets.org) to taste the latest local delicacy. It’s the highlight of my week. Lately I’ve been buying several quarts of strawberries weekly, but starting soon, I’ll have cherries, blueberries, raspberries, blackberries, plums, peaches, and more to choose from!

This is the perfect time of year to enjoy the most ripe, fresh, flavorful fruits and vegetables – as you can get just about everything you need locally. Whenever my clients make a large purchase at their Farmer’s Market, they see a nice reduction on their scale. This is because fruits and vegetables are the lowest calorie foods you can eat. But they also give you plenty of volume from their naturally high water content – and this helps you feel nice and full.

Fruits and vegetables not only help you lose weight, but improve your health dramatically.

More than 200 studies of various research designs have revealed a strong association between diets high in vegetables and fruits ( five cups daily) and a lower risk for cancer. This is why the National Cancer Institute recommends a minimum of five servings of fruits and vegetables daily.

The American Heart Association is also getting into the act. Its latest guidelines place more emphasis on eating fruits, vegetables, and whole grains, rather than on restricting fat because of fruits’ and vegetables’ influence on the prevention of heart disease and high blood pressure.

Many other health organizations, as well as the United States Department of Agriculture, are getting on the bandwagon and recommending a plant-based diet as protective against chronic diseases.

The research is clear and compelling. We‘ve known the positive statistics for decades. (Of course, our grandmothers knew them before the scientists did… and Thomas Jefferson, before that!) But scientists are just beginning to understand why fruits and vegetables prevent disease so effectively.

Apparently, each fruit and vegetable is a little factory of nutrients and chemicals — called phytochemicals — with potent powers of healing. An apple alone contains more than 150 beneficial, disease-fighting chemicals. And these are substances you can’t get from a pill. They act synergistically in the foods so the whole is greater than the sum of its parts. While an apple has only 6 mg of Vitamin C, it has 1,500 mg of Vitamin C anti-oxidant activity because of the interaction of the Vitamin C and the other nutrients in the apple.

Research has found that when some substances are added together, they boost each other and produce more than a double effect. This may explain why studies on supplements have failed to show the same health-enhancing and cancer-preventive effects as a diet high in vegetables and fruits — the whole foods..

The phytochemicals in fruits and vegetables, when eaten whole, have antioxidant effects, stimulate the immune system, enhance cancer-fighting enzymes, influence hormone metabolism positively, and even have antibacterial and antiviral effect. Phytochemicals are the compounds found in plants. (“Phyton” means “plant” in Greek.) By definition, all plants contain them. The term technically includes vitamins, minerals and fiber. But in the common usage, it has come to refer to all the other compounds in plants that our bodies have evolved uses for. Many of these compounds are potent antioxidants. Others are anti-inflammatories, and still others stimulate the body’s detoxification enzymes.  You get them in sufficient quantities by eating the 5 cups of fruits and vegetables that the USDA recommends. All fruits and vegetables contain them–but the greatest concentration of beneficial phytochemicals is generally found in the most intensely colorful fruits and vegetables. (Notable exceptions would be onions, garlic and cauliflower.)

More than 900 different phytochemicals have been found in plant foods and more will be discovered. These protective plant compounds are an emerging area of nutrition and health, with new research reported every day.

Recommended book: The Color Code: A Revolutionary Eating Plan for Optimum Health

Powerful Fruits and Vegetables That Hold Promise for Human Health

While eating a variety of fruits and vegetables is recommended for maximum health, there are some which we call the “superstars,” which you should try to eat daily.

1. Broccoli Family

People who regularly consume brussels sprouts, cabbage and broccoli have reduced incidence of certain cancers, especially cancer of the colon. They actually provide potent anti cancer enzymes in the body.

2. Tomatoes

Men who consumed 10 or more servings of tomato products a week had a 35% decrease in risk of prostate cancer relative to those who consumed 1.5 servings or fewer per week. This is largely attributed to “lycopene” in the tomatoes, which is also in other red fruits such as watermelon, pink grapefruit and guava. Men with lycopene levels in the top 20% had a 46% decrease in risk of heart attack compared to those in the bottom 20%. Lycopene is a potent scavenger of gene-damaging free radicals.

3. Dark Green Leafy Veggies (kale, spinach, collard greens and turnip greens)

People who consumed spinach or collard greens 2 to 4 times per week had 46% decrease in risk of age-related macular degeneration (the leading cause of preventable blindness) compared to those who consume these vegetables less than once per month. This is attributed to the phytochemical “lutein” in the carotenoid family. Absorption of carotenoids in your body is increased by cooking and by the presence of fat (so cook in a little healthy olive or canola oil!)

4. Garlic

The Iowa Women’s Study found the risk of getting colon cancer was decreased by 32% in realistic periodic consumption of garlic. This is largely attributed the the “alliinase” found in garlic. Allinase is preserved in foods if garlic is crushed and allowed to stand for 10 minutes before it is cooked. This result should also be found in other “Allium” family foods: onions, leeks, chives, scallions.

5. Berries and Red/Purple Grapes

Red/Purple fruits and vegetables such as red and blue grapes, blueberries, blackberries, cherries, strawberries, beets, eggplant (skin), red cabbage, red peppers, plums and red apples are loaded with powerful antioxidant called “anthocyanins.” They delay cellular aging and prevent formation of blood clots. Full of potent antioxidants and anti-inflammatory compounds. In animal studies.

“In tests at Tufts University, blue foods quenched more free radicals than any other foods. Blueberries and blackberries were clear winners among fresh fruits.”

(“The Color Code: A Revolutionary Eating Plan for Optimal Health” by Joseph, Nadeau and Underwood)

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