How Much Protein Does Your Body Need to Function Properly?

To function properly, all living cells in our body need protein. Protein also supplies fuel for meeting the body’s energy needs. Proteins are essential in the diet of animals for the growth and repair of tissue and can be obtained from foods such as meat, fish, eggs, milk, nuts, grains and legumes.

Proteins, like carbohydrates, contain four calories per gram as opposed to lipids which contain nine calories and alcohols contain seven calories.

There are about 20 amino acids used by humans in protein synthesis. There are 11 “nonessential” amino acids – that means our body can synthesize these amino acids in sufficient quantities. We do not have to rely on our food for these amino acids.

The nine essential amino acids cannot be synthesized by the body and must come from dietary sources. If you eat a balanced diet then you should be able to get all the essential amino acids your body needs.

The Recommended Dietary Allowance (RDA) is 0.8 grams of protein per kilogram (2.2 pounds) of body weight per day for an average size healthy person. Protein should provide about 15 per cent of a healthy person’s daily calories.

About eight ounces of chicken or six ounces of canned tuna should be enough. A vegetarian can get enough proteins from grains, nuts and legumes. Some vegetarians eat dairy products (lactovegetarians), egg products (ovovegetarians) or both (ovolactovegetarians).

What happens if you eat too much protein?

Studies have shown that excess dietary protein increases calcium loss in the urine, raising the risk for osteoporosis and kidney stones. Your weight goes up because you consume more calories than you need. You also increase the risk of cardiovascular disease if you consume protein high in saturated fats.

From time to time our body needs extra protein. For example: the RDA is higher during childhood, pregnancy, lactation and recovery from a serious illness, trauma, or major surgery. Very active people and athletes in training probably need more protein as well, but no special RDAs have been established for such individuals as there is no general agreement on this subject.

An article in a sports medicine journal by Tipton and Witard (Clinics in Sports Medicine – January 2007) discusses the subject of protein requirements and recommendations for athletes.

The authors say that protein nutrition for athletes has long been a topic of interest. From the legendary Greek wrestler Milo – purported to eat copious amounts of beef during his five successive Olympic titles – to modern athletes consuming huge amounts of supplements including protein.

The subject is controversial. In general, scientific opinion on this controversy seems to divide itself into two camps – those who believe participation in exercise and sport increases the nutritional requirement for protein and those who believe protein requirements for athletes and exercising individuals are no different from the requirements for sedentary individuals.

The authors say that there seems to be evidence for both arguments but from a practical perspective, the requirement for protein may not be applicable to most athletes who consume a varied diet that contains complete protein foods and meets energy needs.

An athlete’s protein needs should be carefully assessed by the coach, physician and nutritionist. Risks and benefits of high protein diet and supplements should be discussed with the athlete. There is no reason to recommend protein supplements per se because there is no evidence that supplements work better than foods, say the authors.

Steak is a great source of protein but it is also a source of saturated fat.

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Heart Disease and Your Enemy #3

Yesterday was Valentine’s Day. It must have been an evening of love and chocolates for you. That is good. Love and happiness are good for your heart. As they say, “Make love, not funeral plans.” And there is science behind that. It keeps your life active. People who have more sex live longer than those you don’t. Married people and people in healthy relationships live longer than lonely people.

Chocolates are good for your heart. But they are high in calories so if you are going to eat chocolates then you have to make adjustments to your calorie intake for that day. Evidence based recipe for a perfect meal (called polymeal) include wine, fish, dark chocolate, fruits, vegetables, garlic and almonds. Dark chocolates daily (100 grams) reduce blood pressure and cardiovascular diseases by 21 per cent.

Let us go back to our enemy No. 3 – inactivity.

Being a couch potato is hazardous to your health. Being active is good for your health. That is obvious, right? Am I insulting your intelligence by writing such simple and obvious facts?

We have couch potatoes in all age groups. They watch too much TV or spend too much time on the Internet. While they do that they eat junk food. Inactivity plus junk food equals bad news for your heart as you get older. Regular physical activity makes your heart strong.

In sedentary people or couch potatoes, the risk of heart attack was seven times higher in a German study and more than 100 times greater in a U.S. study during vigorous exertion than during lighter activity or no activity. If you compare this to among people who exercised regularly, there was almost no increased risk. Another beneficial effect of regular exercise is that it increases the blood level of HDL (good cholesterol). HDL is another line of defense against heart attack.

The type and amount of exercise required to be fit and healthy depends on your age, your health and your current state of physical fitness. There are three types of exercises: aerobic, weight lifting (resistance training) and stretching. A good exercise program should benefit all three aspects of fitness: stamina, flexibility and strength.

A study found that 150 minutes a week (two and a half hours) of a moderate exercise such as walking and 75 minutes per week (an hour and 15 minutes) of activity like easy jogging provides good health benefits.

It has been estimated that people who are physically active for approximately seven hours a week have a 40 percent lower risk of dying early than those who are active for less than 30 minutes a week.

Be active, do whatever you can and have fun. If it is not fun then don’t do it. Find a partner, join a group, get a dog and just go for a walk. You can celebrate Valentine’s Day every day. Who cares, as long as you are having fun…right?

Ok, get moving now.

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Video Blog: Other Methods of Managing Tennis Elbow

The letter referenced in the video can be read on Medicine Hat News’ website: http://www.medicinehatnews.com/letters-to-the-editor/massage-therapy-another-treatment-option-01212011.html

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Botox for Tennis Elbow?

Have you ever suffered from tennis elbow, golfer’s elbow or pitcher’s elbow?

You may suffer from any one or more of these conditions even if you have never touched a golf club or a tennis racket or ever pitched a ball.

Tennis elbow is in overload injury which causes pain on the lateral (outer) aspect of the elbow joint(s) where the common extensor muscles are attached to the bone (lateral epicondyle of the humerus).

Golfer’s elbow, also sometimes called pitcher’s elbow, affects the medial (inner) side of the elbow, is an inflammatory condition of the elbow which in some ways is similar to tennis elbow.

Tennis elbow, also called lateral epicondylitis, is an extremely common injury. About 50 per cent of the tennis players are estimated to suffer from this condition first described by Runge in 1873. Interestingly enough, the condition is prevalent in people who do not play tennis at all. There is much controversy about the real cause of pain due to this condition and its treatment.

An article on this subject in the Canadian Medical Association Journal (CMAJ) calls this condition a costly disorder that affects one to three per cent of the general population and up to 15 per cent of at-risk workers.

Tennis elbow affects men more than women. People of any age can be affected but it most often affects people between the ages of 30 and 50. The condition also affects other athletes and people who participate in leisure or work activities that require repetitive arm, elbow and wrist movement.

People at risk are golfers, baseball players, bowlers, gardeners or landscapers, house or office cleaners (because of vacuuming, sweeping, and scrubbing), carpenters, mechanics and assembly-line workers.

Current treatment of this condition is aimed at reducing inflammation and pain. These involve rest and avoid any activity that causes pain. Apply ice or heat to the affected area. Painkillers like ibuprofen are helpful.

A splint or a brace to reduce strain at the elbow can be tried. See an occupational therapist. If nothing works then see your doctor to try injection of local anaesthtic or cortisone. If this does not work then surgery may be an option.

The CMAJ article says that there is limited evidence for the effectiveness of current approaches to treatment. Although recent studies report that 90 per cent of patients in primary care improve or recover completely after one year, tennis elbow results in substantial disability, use of health care resources, loss of productivity and high costs. New, more effective therapies are needed so people can continue to be productive.

Espandar and colleagues present (in CMAJ) the results of a randomized placebo-controlled trial that investigated the efficacy and safety of botulinum toxin type A (Botox) for the management of tennis elbow in 48 patients. Botox, a neurotoxin, is a poisonous protein complex that acts on the nervous system to paralyse it. Here, the idea is to paralyse the affected muscles temporarily to allow them to rest and heal. Botox is also thought to have some pain killing properties.

Three other similar trials with Botox have had conflicting results.

The trial reported in the CMAJ shows significant reductions in pain at rest at four, eight and 16 weeks. In the treatment group the intensity of pain during maximum pinch decreased at all time points. However, there was no significant difference in pain during maximum grip or in grip strength at any point between the two groups. The limiting factor was the expected paralysis in the muscles of the third and fourth fingers.

So, is Botox injection the treatment of choice for tennis elbow? It depends on your symptoms and how far you want to go. The good news is, 90 per cent of patients in primary care improve or recover completely after one year with non-surgical and non-Botox treatment.

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