Wednesday, April 14, 2010

Day 25: "What's in a name?" towers













"What vitamins should you make sure to have an adequate supply of in order to lower your risk of heart disease?" I asked the two students, then looked at the answers on the study guide that the professor had handed out. They had come in for my TA office hours and I was quizzing them for their next test. The options were vitamin A, vitamin E, or the B vitamins (B6, B12, and folate). The correct answer was supposed to be the B vitamins, but recent studies have shown that the believed mechanism by which B vitamins act to prevent heart disease (reduction in homocysteine), may not actually reduce your risk for heart disease.

Vitamin E would be a logical answer because Vitamin E prevents fatty acid oxidation, which is one of the proposed mechanisms for the initiation of plaque formation in the arteries. However, recent studies which provided high doses of vitamin E and vitamin A supplements found no reduction in heart attack risk.

"This ees ridiculous" The Hungarian professor exclaimed during my advances in nutrition class, when our guest lecturer was explaining how large scale clinical trials to test the benefits of nutrients using a pharmacological mindset. "Vy are ve treating nutrients like they are pharmaceuticals. Nutrition does not vork that vay. You cannot give people Vitamin E after they are older, or maybe have some plaque vormation already and expect it to act like a drug. It has to be eaten during the lifetime vrom food."

Her passion spoke for us all. There is a major problem with the way nutrition research is done. We want to see which nutrients specifically are having an effect on disease prevention, so we test them one by one in large clinical trials. When tested this way, sometimes the individual vitamin results in the opposite of the intended effect. In these cases, the study has to be stopped early, as was the case during a study of the effects of vitamin A on lung cancer risk in smokers. The vitamin A that was used in the study was in much higher doses than the vitamin A that one would encounter from food, which reflects the cultural world view of the researchers. We want to see an effect, so we will choose to "hit it with a hammer", because vitamins are benevolent and more is always better.

If the study turns out a positive result, the news is rushed to your cereal box and bottles of juice, but this is often misleading also. The vitamins in your food are different than the vitamins in the bottles, mainly because food is a complex matrix. Take the example of spinach. Spinach is considerably high in iron, however the iron that you get from spinach is not absorbed very well due to other compounds in the leaves which bind to the iron and make it not absorbable.

I looked up from the study guide, at the two 18 year olds concentrating hard in the chairs in front of me. They had underlined their textbooks, memorized segments of the lectures, they had taken notes, word for word. I leaned forward in my chair. "By the time you graduate this information will have been disproved." I said. "I wish we would teach you more about how to ask questions, and where to go for answers to those questions, but we don't. We expect you to memorize facts that will soon be obsolete. It is too bad, really." They both stared at me like I had an alien growing out of my shoulder, and so I continued. "What is the effect of omega 3 fatty acids on inflammation?"

Everett's "What's in a name" tower
2 cups chick peas, soaked and cooked (or canned)
2 cloves garlic
1 Tbsp olive oil
1/4 tsp salt
Heat until the garlic infuses into the chickpeas (about 5 min)

In a separate pan, heat
1 Tbsp olive oil
1 tsp black truffle olive oil
1 tsp salt
1 yellow onion, diced
4 cups diced dutch yellow baby potatoes
3 cups green cabbage diced
3 cloves minced garlic
1 tsp cumin
cook on med-high until potatoes are soft, covering and reducing heat after about 10 min. Add 3 large carrots, diced, turn off the heat and return the cover. Allow to steam while you make the rest of the food.

Asparagus
In a frying pan, heat 1/2 Tbsp olive oil and 1/2 thinly sliced onion. Add 1 bunch asparagus and saute. Season with salt and pepper.

Sauce (for asparagus and cabbage dish)
4 oz cream cheese
1/2 cup Greek yogurt
1 Tbsp lemon juice
1 tsp ume plum vinegar
2 Tbsp tarragon
1 tsp black pepper
1/4 tsp salt
Heat ingredients and whisk together.

Cheese bread
I used the dough from yesterday (I made some extra and put it in the fridge overnight to slow the rising). Roll out the bread dough and sprinkle with cheese and herbs (basil). Roll it up tight and bake at 375 for about 40 min (spray occasionally with water so that it gets crusty).

Catherine's vote "A festival of delicious nutrition for tired bodies"

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