Every now and again some major part of our diet gets attacked.  First it was fat- remember when low fat was the craze and every item in the grocery aisle had “low fat” on the cover.  Later carbohydrates were the scapegoat, and everything had to be “low carb”.  Next it was gluten’s turn: it was the nefarious culprit for every disease known to man.  Then we were encouraged to eat like cavemen with the paleo diet or like Greeks with the Mediterranean Diet.  Most of these nutritional theories have been debunked.  Depriving people of all carbohydrates or gluten or fat has been shown to be harmful and not necessarily the answer to what’s tipping the weight scale.  

The newest nutritional offender is sugar.  So, is sugar really the devil?  The answer to this one is mostly yes.  There are two different kind of sugars- naturally occurring sugars in fruit and dairy and then there is added sugar.  Added sugar is exactly what it says- extra sugar whether it is brown or white or in the form of honey or maple syrup added to whatever you are eating.  Added sugar has no nutritional value and is just empty calories that will make you fat and contribute to all sorts of chronic diseases like diabetes and heart disease.  How does sugar do this?  In additional to spiking insulin (causing insulin resistance) and being sent to fat cells for storage (this is how you gain weight), it produces an inflammatory response.  This inflammatory response is what is responsible to causing chronic diseases like heart disease and diabetes.

So, is all sugar bad?  No.  Eating foods with naturally occurring sugars like fruits and vegetables that also contain vitamins and fiber is probably beneficial to your health.  However, eating foods with lots of added sugars can lead to obesity and many other chronic disease states that will affect your long-term quality of life. 

How much sugar should I consume per day?  The federal dietary guidelines recommend no more than 10% of daily calories should come from sugar.  So, if you follow a 2000 calorie diet- that is 200 calories or 50 g (12 teaspoons of sugar).  To put that in perspective, a Grande Pumpkin Spice Frappuccino at Starbucks contains a whopping 73g of sugar- one beverage and you are way over the recommended amount!!

What can I do to control my sugar intake? 

1. Start by reading nutritional labels carefully.  Even your favorite flavored yogurt which is probably touted as healthy contains 15+g of sugar. 
2. Try to cook for yourself.  Even things like store bought marinara sauce has lots of added sugar that you would not suspect if you did not look for it. 
3. Stay away from sugary drinks.  A 12-ounce can of Mountain Dew contains 46g of sugar.  A 12-ounce container of Simply Lemonade contains 40g of sugar.  This is almost your daily allowance of sugar in a 12-ounce beverage.  

With the holidays quickly coming, making smart decisions about food can definitely be a challenge, but you can also look at it as an opportunity.  By using your knowledge of some of the negative effects of sugar limit your intake of overly-sweetened food, this time of year can actually be good motivation to take charge of your health.  For those planning to indulge for a cookie here or a slice of pie there, even decreasing the amount of sweets you eat can still be a positive step in improving your health.  We hope that everyone has a happy and healthy holiday season!

​Dr. Pam

Having a good social support group and friends can play a significant role in your  health.  A lot of these effects are good, but occasionally, there can be some negative effects as well.  Here Dr. Nick talks about the good (and some of the less good) consequences of these relationships.

First, let’s start with the good stuff.  Those who have quality relationships with friends tend to have a reduced risk of some significant health problems.  Better support tends to lead to less stress and in turn, lower blood pressure and decreased odds of developing diabetes.  It can also help keep your mind sharp as you age, and if you have good friends, then you tend to live longer to use that sharp mind, too.  Heart disease and depression are also less common in those with quality friendships.  Unfortunately for those who lack close friends, loneliness can have the same effect on health as smoking up to 15 cigarettes per day.

On the other hand, just like momma said, friends aren’t always good influences.  For instance, having a close friend who becomes obese increases your odds of becoming obese by 57-71%.  Is your best friend your spouse?  Having a spouse who becomes obese increases your chances by about 40%.  Now, obesity isn’t contagious in the sense that by being in the same place as obese person causes you to become obese, but sharing the same meals together can definitely have an effect on your health.  For example, eating out at work with friends increases your calorie intake, on average, by just under 1,300 calories per week.  Unless you and your colleagues also have intense workouts scheduled later, then that average increase in calorie intake could lead to over 20 pounds of weight gain each year!  With that amount of weight gain, you could now see higher chances of high blood pressure and diabetes as opposed to reaping some of those health benefits listed above.

So, in general, friendships are good.  Having friends who are there to help through life’s challenges and to celebrate life’s victories can lead to a healthier and longer life.  As long as you’re doing good things together, life with close friends to share it with can definitely be more fulfilling, and TWHC wishes you a happy holiday season with those friends.  Just remember to go easy on the stuffing 😉
​
Dr. Nick