Canada Food Guide Review

Food PyramidThe Canadian Food Guide has been a go-to resource for year for individuals who are attempting to determine how their diet should be in order to optimize health. Recently, a friend of mine asked the question: Is the Canadian Food Guide accurate in its recommendations in your opinion? This question caused me to pursue and determine what my opinions were on the Canadian Food Guide, and if my recommendations to patients differed much. The answer I discovered is not so simple, and differs based on the role of the Canadian Food Guide, and my role in patient care.

To begin with, it is worth noting that the Canadian Food Guide is meant to be a public health measure, geared towards optimizing the health of the public as a whole. That being said, certain individuals would benefit from a more individualist diet. As Naturopathic Doctors (NDs), we approach care from a individualist perspective, where you are a unique individual with unique health needs. As a result, dietary recommendations that I might make for one individual, I may not make for another. That being said, I can give a very general view of and perspective on the Canadian Food Guide, and where it flourishes, and where it may fall a bit short.

The serving suggestions per day provides an area both for cheer and for concern. The vegetables and fruits that are recommended per day are approximately 7-8 or 7-10 per day for adults (depending on gender). This serving suggestion is fantastic and is what I often recommend for patients to consume. However, I tend to ask patients to get more of their 7-8 per day from vegetables as opposed to fruit. In the area of grain suggestions, 6-8 per day are recommended for adults, which I find to be a bit much. I would also suggest the same of milk and milk products. Currently, the recommendation is for 2-3 servings per day of milk and milk products, which could be a bit much for most individuals. In regards to meat and meat alternatives, the recommended daily amount is 2-3 servings per day, which I am fine with as long as the focus is more on meat alternatives such as nuts and seeds. Specifically in the Canadian Food Guide, they are trying to focus more on the meat alternatives which is beneficial overall.

In addition to the serving recommendations, the Canadian Food Guide provides additional information including portion examples, how to read nutrition labels, increasing exercise, decreasing screen time, very general nutritional supplementation for pregnancy, and very general nutritional supplementation for pregnancy. An area of concern, however, arises if an individual is not paying close enough attention to some of the recommendations for obtaining their recommended servings per day. For example, in the food guide, it suggests that 100% fruit juice can count as a serving of fruit (which is correct), but if an individual does not pay enough attention, they could think that consuming juice in general is conducive to overall health (when in all actuality it may not be).

Bottom Line: Overall, the Canadian Food Guide does provide a very broad and general guideline for healthy eating for the Canadian population as a whole. Unfortunately, this may not be enough for most individuals in order for them to obtain optimal health. As a result, it would be beneficial for individuals who are hoping to improve their overall health to speak to a Naturopathic Doctor or health care provider about dietary recommendations that are best for their body and overall well – being.

Have you benefitted from reading this blog? Know someone that would benefit as well? Share, Like, Comment, or Tweet this article, and let me know what you think.

Some of the information provided above may not be appropriate for everyone, please consult with your doctor before trying any of the above. If you are interested in Naturopathic Medicine and wanting a different approach to your health care needs, please book an appointment with Elisha Cook at the RSNC (416-498-9763), and let me help you achieve your health goals.

Naturopathic Approaches to Weight Loss

Girl - Weight LossMany individuals struggle with weight loss, or simply want to lose a couple extra pounds. This process can be simple for some, and challenging for others. Weight loss can also differ between individuals based on various circumstances including having certain medical conditions, mobility issues, work conflicts, etc. However, there are treatments that can help, that can be provided through your naturopathic doctor. A Naturopathic doctor can use the following therapies to achieve therapeutic benefits for weight loss:

  • Traditional Chinese Medicine and Acupuncture
  • Botanical Medicine
  • Nutrition, Diet and Lifestyle
  • Hydrotherapy
  • Homeopathy
  • Physical Medicine

Ultimately, the goal of treatment will be to treat the root cause of disease. For the goal of weight loss, one might argue that there is no root cause, but this may not be true. There is a reason why individuals gain weight in the first place, whether it is due to stress, increased food intake, or developing a medical condition. As a result, the following list offers examples as to what goals might be developed for a treatment plan for an individual:

  • Treat any concurrent medical conditions
  • Correct for deficiencies
  • Reduce stress or Improve stress management
  • Improve coping mechanisms
  • Improve mood
  • Alter lifestyle and diet
  • Increase exercise
  • Increase metabolism
  • Improve mobility
  • Improve gut microbiology and digestion

How can Traditional Chinese Medicine (TCM) help?

TCM views the body differently than western medicine. TCM theory suggests that when there is an imbalance in the body system, disease manifests. Each “organ” is associated with an emotion: Heart with joy and is the center of one’s personality, liver with anger, spleen with worry, lungs with grief, and kidneys with fear. All of these emotions can contribute to stress, and therefore difficulties to lose weight. By correcting this disbalance, stress can be addressed, making it easier for some to lose weight. In addition, each organ can be affected by various factors from a TCM perspective, including dampness. Dampness can cause an overall sensation of heaviness and lethargy, as well as contribute to increased weight. By addressing any dampness in an individual’s system, it may help the individual to be able to lose weight.

Once a specific diagnosis is made, a treatment plan is created, and may involve using acupuncture, herbal formulas, diet, or lifestyle, all with the purpose of bringing the body back into a state of balance.

Specifically regarding acupuncture, acupuncture has been shown in some studies to be beneficial for decreasing appetite in individuals who are looking to lose weight. Specifically, in this particular study, 95% of individuals found that there appetite decreased with the aid of acupuncture (http://europepmc.org/abstract/med/9679359).

How can Botanical Medicine help?

Botanical formulas have similar effects to medications, often without the side effects, however this is not true for all herbs and plants. Specific herbs or plants will be selected based on their properties and combined based on the specific individual’s struggles with weight loss. For example, one person may need help with coping with stress in order to lose weight, where another individual may need more energy in order to lose weight. Some beneficial properties that some useful herbs may have include: nervine, anti – depressant effect, sedative, adaptogenic, and metabolism boosting effects.

Much research has been conducted on herbs used for weight loss, many of which should not be taken lightly. The research is positive for such herbs as caffeine and ephedra and their contribution to weight loss, however, many people can have ill health effects from their use (http://www.nature.com/ijo/journal/v30/n10/abs/0803283a.html).

How can Nutrition and Diet help?

One cannot talk about weight loss without talking about diet and nutrition. If an individual wants to lose weight, it is important for the individual to have some changes in their diet. Your naturopathic doctor can help you to make those changes, and make them realistic for your specific lifestyle. In addition, a naturopathic doctor can help you to correct for specific nutritional deficiencies, which may contribute to aiding in overall energy. Based on your specific case, several classes of action may be recommended for you, and thus foods or supplements recommended. These actions might include: anti-oxidant, mood – boosting, energy-boosting, or anti – inflammatory.

As one can imagine, much research has been conducted regarding diet and its role in weight loss. In one particular study, diet and exercise alone contributed to an 8% loss in body fat and 16% improvement in cardiovascular health (http://annals.org/article.aspx?articleid=713672).

How can Hydrotherapy help?

Hydrotherapy involves alternating hot and cold water applications to achieve the following goals: promote detoxification and relaxation, increase circulation, improve immune system functioning, promote digestion, increase metabolism, and decrease pain. Based on all of the following actions, hydrotherapy could be beneficial for weight loss by addressing the various contributing factors to weight gain. In addition, hydrotherapy may be beneficial for inducing weight loss in and of itself.

Hydrotherapy can be performed via a number of methods: constitutional hydrotherapy, sauna, peat bath, Epsom salt baths, or alternating hot and cold showers. These therapies may not be available at every naturopathic doctor’s clinic, but if you are interested in these therapies, they can be performed by myself, Elisha Cook, at the Robert Schad Naturopathic Clinic (416-498-9763).

Very little evidence has surfaced for the efficacy of hydrotherapy and its role in weight loss. However, from a mechanistic view, hydrotherapy could be beneficial for weight loss in helping with the body’s detoxification process. Specifically, saunas can provide a means to help individuals with weight loss and detoxification. In the following study, individuals who incorporated sauna treatments with their exercise regimes lost 3% more of body fat than those who exercised alone (http://www.sciencedirect.com/science/article/pii/S0031938497003533).

How can Homeopathy help?

Homeopathy is an energy medicine that involves finite doses of a substance that are diluted in water, which amount to a higher therapeutic dose overall. In this form of medicine, individualized remedies are chosen based on the individual’s specific symptoms and presentation. Each person requires a different remedy based on their unique presentation. Homeopathy does not interact with any medications, making it quite useful especially if you are taking other medications.

There is very little research on the use of homeopathy for weight loss specifically, and the research is not very impressive, suggesting that there may be mild weight reductions (http://www.nature.com/ijo/journal/v29/n9/abs/0803008a.html). However, research does suggest homeopathy being beneficial for pain, stress, anxiety, and depression, all of which could contribute to weight gain and lack of weight loss (http://europepmc.org/abstract/MED/21733480). 

How can Physical Medicine help?

Physical medicine involves a number of different potential therapies. These therapies might include massage, naturopathic manipulation, ultrasound, laser therapy, electroacupuncture, or Gua Sha. The general effect of these therapies includes relaxation, increased circulation, decreased pain, increased metabolism, and decreased inflammation. Similar to what was mentioned above, weight loss can be obstructed by various factors that should be addressed. Specifically in regards to weight loss, research has shown that massage and manipulation can be beneficial in helping individuals to lose fat (http://onlinelibrary.wiley.com/doi/10.1111/j.1468-3083.2009.03355.x/abstract;jsessionid=0AE2C7CC7AC94828461CA98BABA80853.f02t02?deniedAccessCustomisedMessage=&userIsAuthenticated=false).

How can Lifestyle changes help?

Various lifestyle factors can play a role in weight gain. By helping individuals to improve sleep, scheduling, stress management, and adopt an exercise regime that fits their lifestyle, one can move closer to achieving their weight loss goals. Naturopathic doctors are trained to help individuals through lifestyle counselling, and can use methods such as motivational interviewing or cognitive behavioural therapy to do so.

Research is quite extensive regarding exercise and its role in weight loss. As mentioned above, one particular study suggests that individuals who partake in exercise alone can lose approximately 8% of their body fat (http://annals.org/article.aspx?articleid=713672).

Have you benefitted from reading this blog? Know someone that would benefit as well? Share, Like, Comment, or Tweet this article, and let me know what you think.

Some of the information provided above may not be appropriate for everyone, please consult with your doctor before trying any of the above. If you are interested in Naturopathic Medicine and wanting a different approach to your health care needs, please book an appointment with Elisha Cook at the RSNC (416-498-9763), and let me help you achieve your health goals.

 

Naturopathic Approaches for Stress

Grunge image of a stressed overworked man studyingStress is a very common “condition” to experience that can often lead to a variety of different health conditions, both physical and mental in nature. However, there are treatments that can help, that can be provided through your naturopathic doctor. A naturopathic doctor can use the following therapies to achieve therapeutic benefits in stress: Traditional Chinese Medicine and Acupuncture, Botanical Medicine, Nutrition, Diet and Lifestyle, Hydrotherapy, Homeopathy, and Physical Medicine.

Ultimately, the goal of treatment will be to treat the root cause of the stress. Though your naturopathic doctor cannot provide you with money, vacations, etc., they can help you to better cope with your stress. Some individuals may also have a root cause to their stress that could be easily addressed by a naturopathic doctor’s approach to treating the root cause of disease (e.g. if you are stressed because you are in pain all of the time). Thus, the approach to each individual will be different based on the root cause of your stress. As a result, the following list offers examples as to what goals might be developed for a treatment plan for an individual:

  • Correct for deficiencies
  • Reduce stress or Improve stress management
  • Improve coping mechanisms
  • Improve mood
  • Alter lifestyle and diet to increase mood and reduce stress
  • Improve gut microbiology and digestion

How can Traditional Chinese Medicine (TCM) help?

TCM views the body differently than western medicine. TCM theory suggests that when there is an imbalance in the body system, disease manifests. Each “organ” is associated with an emotion: Heart with joy and is the center of one’s personality, liver with anger, spleen with worry, lungs with grief, and kidneys with fear. As one can see, all of these organs could play a part in stress, and so, individual cases are taken, and the root cause is determined. Once a specific diagnosis is made, a treatment plan is created, and may involve using acupuncture, herbal formulas, diet, or lifestyle, all with the purpose of bringing the body back into a state of balance.

Specifically regarding acupuncture, acupuncture has been shown in some studies to be beneficial for Post – Traumatic Stress Disorder (PTSD) in helping to decrease the symptoms associated with it, for up to 3 months following treatment (http://journals.lww.com/jonmd/Abstract/2007/06000/Acupuncture_for_Posttraumatic_Stress_Disorder__A.7.aspx). Some would even argue that acupuncture specifically can be a relaxing experience, and thus help with stress.

How can Botanical Medicine help?

Botanical formulas have similar effects to medications, often without the side effects, however this is not true for all herbs and plants. Specific herbs or plants will be selected based on their properties and combined based on the specific individual’s presentation and symptoms associated with their stress. For example, one person may need help with sleep, where as one may need help with low mood, both in combination with needing help with coping with their stress. Some beneficial properties that some useful herbs may have include: nervine, anti – depressant effect, sedative and adaptogenic.

Specifically in research, one such example of a botanical that might be used for stress is Rhodiola. In the research, Rhodiola has been used to help individuals in stressful situations to function more effectively. In one particular study, students took Rhodiola prior to being examined, and found that concentration was better, and physical and mental fatigue was much less (http://www.sciencedirect.com/science/article/pii/S0944711300800781).

How can Nutrition and Diet help?

Stress can be severely impacted by one’s diet. In addition, the many ill health effects that can be caused by stress can be caused by poor diet, if not aggravated by it. For example, depression can be aggravated or caused by various nutritional deficiencies. Based on your individual needs, a naturopathic doctor will help you to improve your diet in order to help treat any root causes of stress, as well as prevent ill health effects.

In addition, stress can often cause changes in one’s eating habits, e.g. eating more or less in general, eating more processed foods, etc. This can further aggravate stress and increase it overall (http://www.sciencedirect.com/science/article/pii/S0193953X14000768). A naturopathic doctor can help you to develop a diet that best suits your individual needs, including developing strategies to motivate you to eat a proper diet. In addition, they can correct for any nutritional deficiencies that may be aggravating your stress and overall health.

How can Hydrotherapy help?

Hydrotherapy involves alternating hot and cold water applications to achieve the following goals: promote detoxification and relaxation, increase circulation, improve immune system functioning, promote digestion, and decrease pain. Based on all of the following actions, hydrotherapy could be beneficial for stress based on the different root causes. For example, if an individual is stressed because they are in pain, hydrotherapy may be beneficial by helping to decrease the individual’s pain. An example of this can be seen in studies for hydrotherapy during labour. The hydrotherapy treatments caused a decrease in pain and anxiety, as well as caused an increase in relaxation (http://brn.sagepub.com/content/early/2010/03/29/1099800410361535.abstract).

Hydrotherapy can be performed via a number of methods: constitutional hydrotherapy, sauna, peat bath, Epsom salt baths, or alternating hot and cold showers. These therapies may not be available at every naturopathic doctor’s clinic, but if you are interested in these therapies, they can be performed by myself, Elisha Cook, at the Robert Schad Naturopathic Clinic (416-498-9763).

How can Homeopathy help?

Homeopathy is an energy medicine that involves finite doses of a substance that are diluted in water, which amount to a higher therapeutic dose overall. In this form of medicine, individualized remedies are chosen based on the individual’s specific symptoms and presentation. Each person requires a different remedy based on their unique presentation. Homeopathy does not interact with any medications, making it quite useful especially if you are taking other medications.

Homeopathy is challenging to study in research, but research does exist. In one particular study, homeopathy was used for various psychiatry conditions including anxiety, stress, fibromyalgia, chronic fatigue syndrome, and depression. In the study, the results were not as beneficial for stress or anxiety in general, but proved to be effective for fibromyalgia and chronic fatigue syndrome (which can often cause individuals to become stressed) (http://europepmc.org/abstract/MED/21733480).

How can Physical Medicine help?

Physical medicine involves a number of different potential therapies. These therapies might include massage, naturopathic manipulation, ultrasound, laser therapy, electroacupuncture, or Gua Sha. The general effect of these therapies includes relaxation, increased circulation, decreased pain, and decreased inflammation. Similar to what was mentioned above, stress may be decreased or alleviated based on these potential effects.

Research has shown that patients undergoing cancer treatment may benefit from massage therapy by helping them to experience less stress as well as having decrease stress hormone circulating (http://link.springer.com/article/10.1007/s00737-009-0143-9).

How can Lifestyle changes help?

Various lifestyle factors can play a role in stress. By improving sleep, exercise, scheduling, and coping mechanisms, it is possible that some individuals may have reduced stress, and stressful experiences in general. In addition, the way that an individual thinks can influence stress significantly. By addressing negative thought patterns, poor sleep patterns, lack of exercise, or coping mechanisms, one may have decreased stressful experiences overall. Naturopathic doctors are trained to help individuals through lifestyle counselling, and can use methods use as motivational interviewing or cognitive behavioural therapy to do so.

Research has demonstrated that sleep can have a significant impact on one’s stress response. For example, individuals who had better sleep, were less likely to experience stress (http://psycnet.apa.org/journals/hea/26/3/288/).

Have you benefitted from reading this blog? Know someone that would benefit as well? Share, Like, Comment, or Tweet this article, and let me know what you think.

Some of the information provided above may not be appropriate for everyone, please consult with your doctor before trying any of the above. If you are interested in Naturopathic Medicine and wanting a different approach to your health care needs, please book an appointment with Elisha Cook at the RSNC (416-498-9763), and let me help you achieve your health goals.

 

How to Paleo the Right Way – A Guest Blog By Katelyn Butler Birmingham

Paleolithic Diet Food ListThe Paleo diet has been on the market awhile now…people have had time to ‘digest it’ so to speak, but its more than just eating bacon and sausages every day. If you’re going to go Paleo, here are some important things to remember:

1)      Eat Whole Foods. This means if it comes in a can, a box, vacuum sealed or says ‘just add water’ it should be avoided.

2)      Fruit and Veggies are your friends: berries, apples, bananas, sweet potato, rutabaga, carrots etc

3)      Drink water! Add citrus, cucumber or berries to make it more exciting.

4)      Nuts and seeds are a great source of protein: Almonds, macadamia nuts, brazil nuts, pumpkin seeds, sunflower seeds…Go nuts!

5)      Meat, seafood and eggs are encouraged – but be mindful of portion size – no bigger than the palm of your hand.

6)      No Dairy!

7)      No Grains – no breads, pasta, cereals or rice

8)      Think of yourself as a Hunter/Gatherer – If you can’t hunt it or pick it from a tree/bush or from the ground, you probably can’t eat it.

9)      Spice things up – all of the spices under the sun are allowed.

10)   Have fun with food – create new recipe ideas!

Here is a Sample Day to get you started:

Breakfast:

  • One soft boiled egg
  • Two cups of combined steamed asparagus and red peppers
  • One cup of mixed berries
  • Herbal tea

Snack:

  • Handful of mixed pine nuts, walnuts and sunflower seeds
  • Water

Lunch:

  • Salmon salad with Apple slices.
  • Salad: lettuce, spinach, red onions, tomatoes, cucumber. Top with salmon and thinly sliced apple.
  • Dressing: Combine 2 Tbsp olive oil, black pepper and balsamic vinegar
  • Water with raspberries

Snack:

  • Piece of fruit of your choice
  • Water

Dinner:

  • Chicken breast with sautéed mushrooms, onions and bok choy
  • Side of mashed yams with cranberries and black pepper
  • Coconut milk to drink

The Paleo Diet has a lot to offer as far as eating well and feeling great – just remember the above and you’ll be well on your way!

Thank you to Elisha for allowing me to guest blog while she is away 🙂

Katelyn Butler-Birmingham, CCNM Naturopathic Medical Intern

@KTBB_ND