Harvard Medical School: Going low-carb? Pick the right proteins

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Going low-carb? Pick the right proteins
What can be done about a lump in the back of the throat?
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HEALTHbeat Harvard Medical School
August 16, 2011
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The Harvard Medical School 6-Week Plan for Healthy Eating
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This week-by-week plan will help you transform your eating habits into a program of nutritious and delicious food choices that can last a lifetime. Using the latest results of nutrition science, Harvard experts take you by the hand as you learn to eat for heart health, longevity, energy, and vitality.

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Going low-carb? Pick the right proteins

Low-carb eating plans like the Atkins diet were once so popular that they graced the covers of Newsweek and other magazines. Some experts championed these diets as the best way to lose weight. Others scorned them as the heart-clogging way that might help you shed pounds but can also put your health at risk. Now several large randomized controlled trials — the gold standard of medical research — have shown that low-carb diets are as good as low-fat diets for losing weight, and may even be better. But how do they fare for long-term health?

Most low-carb diets deliver more protein and fat than “regular” or low-fat diets. We know there are good and not-so-good fats and carbohydrates. Could the same hold true for protein sources? If so, then the type of protein that dominates a diet can influence health as much as the kinds and amounts of carbohydrates or fats.

New evidence

Researchers at the Harvard School of Public Health have been following 85,000 female nurses and 45,000 male health professionals since the mid-1980s. Every few years, the participants fill out questionnaires detailing what they eat and provide other information on their health. This wealth of data is offering some insight into the long-term effects of different low-carb diets.

In one study, the researchers created scores for each nurse’s intake of protein from red meat, poultry, fish, dairy, eggs, nuts, and beans. The findings:

  • The more protein from red meat, the higher the chances of developing heart disease.
  • Women who averaged two or more servings of red meat a day had a 30% higher risk of developing heart disease than those who had one or fewer servings a day.
  • Replacing one serving of meat with one of nuts reduced the risk by 30%.

In a separate study, the researchers created scores that reflected both the amount of carbohydrate in the diet and the main sources of protein. Among the nurses and male health professionals, those with a low-carb diet heavy in animal protein were 23% more likely to have died over 20-plus years of follow-up than those with “regular” diets, while those following a low-carb diet rich in plant protein were 20% less likely to have died.

Protein sources

Good sources of protein deliver different amounts of saturated fats, carbohydrates, and fiber. Here’s what 3 ounces of different protein sources contain.

Food

Calories

Protein (g)

Carbohydrate (g)

Saturated fat (g)

Roasted chicken, white meat

130

23.1

0

0.9

Roasted leg of lamb

184

22.7

0

3.9

Cooked ground beef (85% lean)

197

20.9

0

4.5

Baked coho salmon

151

20.7

0

1.7

Roasted chicken, dark meat

151

19.8

0

2.1

Baked ham

151

19.2

0

2.7

Boiled green soybeans

127

11.1

10

0.7

Cottage cheese, 1% milk fat

61

10.5

2.3

0.6

Boiled black beans

114

7.6

20

0.1

Source: USDA National Nutrient Database

Putting it all together

To your body, protein from pork chops looks and acts the same as protein from peanuts. What’s different is the protein “package” — the fats, carbohydrates, vitamins, minerals, and other nutrients that invariably come along with protein. The two Harvard studies add to a growing body of evidence that emphasizing plant protein sources is a better bet for long-term health.

If you are overweight, shedding pounds can improve everything from your blood pressure to the way you feel. Do it the wrong way, though, and shrinking your waistline could also shrink the number of birthdays you get to celebrate. Instead of having bacon and eggs for breakfast, a burger for lunch, and steak for dinner, getting more of your protein from plants may help you steer clear of heart disease and live longer.

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What to do about Allergies
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Whether you get skin rashes, itchy eyes, wheezy airways, or a runny nose, an allergic response is no fun, and is sometimes dangerous. In What to do about Allergies, you'll learn to identify your allergic symptoms, pinpoint your triggers, distinguish between intolerance and allergy, and choose the best treatment for your particular type of allergy.

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What can be done about a lump in the back of the throat?

Q. I often feel like I have a lump of mucus in my throat. In the morning I spit some of it up, but the sensation doesn’t go away. What can I do about it?

A. Doctors sometimes use the term “globus sensation” for the feeling of a lump in the throat. It’s one of those minor maladies about which we know only a little, since medical research focuses mainly on the diseases that are disabling or fatal rather than the symptoms that constantly aggravate us.

Because you say you have extra mucus that you sometimes cough up, then the most likely explanation is that allergies are causing your nose and sinuses to produce extra mucus. At night, when you are lying flat, that mucus collects in the back of your throat. That’s why you tend to spit it up in the mornings. The treatment is allergy pills and inhalers.

Another common cause is the regular reflux of stomach contents up into your esophagus and your throat. When this happens a lot, the back of your throat can become irritated, which can feel like a lump. If you sometimes notice a bitter taste in your mouth, that’s a clue that reflux could be the source of your problem.

Irritation and swelling in the throat can be part of an allergic reaction to certain medications. Switching to another medicine solves the problem. A food allergy is another possibility. I had a patient who got a lump in her throat and swollen lips any time she ate a mango.

Finally, there is an unusual condition called Zenker’s diverticulum, when a pouch forms in the wall of the back of the throat. Food can collect in the pouch and may come back out before it has a chance to be swallowed. Zenker’s diverticulum is easily diagnosed and treated, usually by an ear, nose, and throat specialist.

— Anthony L. Komaroff, M.D.
Editor in Chief, Harvard Health Letter

Featured in this issue
The Harvard Medical School 6-Week Plan for Healthy Eating
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The Harvard Medical School 6-Week Plan for Healthy Eating

Featured content:

What is healthy eating?
Week 1: Getting started on the six-week plan
Week 2: Build a better breakfast
Week 3: Healthy up your lunch
  ... and more!

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What to do about Allergies
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What to do about Allergies

Featured content:

What to do about allergies
Why are you allergic?
What is an allergic reaction?
Pinpointing your allergic triggers
  ... and more!

Click here to read more »

Harvard Medical School offers special reports on over 50 health topics. Visit our Web site at http://www.health.harvard.edu to find reports of interest to you and your family.

Copyright © 2011 by Harvard University.


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