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Tempeh – Wikipedia

Posted: November 21, 2022 at 12:25 am

Soy product from Indonesia, used as protein source

Tempeh or tempe (; Javanese: , romanized:tmp, pronounced[tempe]) is a traditional Indonesian food made from fermented soybeans.[1] It is made by a natural culturing and controlled fermentation process that binds soybeans into a cake form.[2] A fungus, Rhizopus oligosporus or Rhizopus oryzae, is used in the fermentation process and is also known as tempeh starter.

It is especially popular on the island of Java, where it is a staple source of protein. Like tofu, tempeh is made from soybeans, but it is a whole soybean product with different nutritional characteristics and textural qualities. Tempeh's fermentation process and its retention of the whole bean give it a higher content of protein, dietary fiber, and vitamins. It has a firm texture and an earthy flavor, which becomes more pronounced as it ages.[3][4]

The term tempe is thought to be derived from the Old Javanese tumpi, a whitish food made of fried batter made from sago or rice flour which resembles rempeyek.[5] The historian Denys Lombard also suggests that it could be linked to a later term tape or tapai which means 'fermentation'.[6]

In the western world, tempeh is the most common spelling. This is done to prevent readers from incorrectly pronouncing the word as "temp". The first known usage of this spelling is in an 1896 German article. Other spellings, such as tmp, were also used, but tempeh has become the standard spelling in English since the 1960s.[7]

Tempeh originated in Indonesia, almost certainly in central or east Java[1] with an estimated discovery between a few centuries ago to a thousand years or more.[8]:145

The invention of tempeh cannot be separated from the origin of the fungus, which is the important part of the fermentation. This fungus consists of a mycelium that grows on teakwood and sea hibiscus leaves, which native Javanese people often used (and still do) as food wrappings. In fact, in traditional tempeh making, an usar (a mycelium-filled leaf) is used, instead of store-bought ragi.[9]

The type of soybean first used to make tempeh was the black soybean, which was a native plant.[10] This later changed with the importation of white/yellow soybeans and the rise of the tofu industry on the island.[11]

Murdijati Gardjito, a food historian at Gadjah Mada University, argued that tempeh was made by native Javanese people, and that its preparation predates the introduction of Chinese-style tofu products.[12] Some ancient texts mention tempe dhele, old Javanese for 'native soybean tempeh'; dhele was used to refer to the native soybean variety. White soybeans that are used to make most tempe dhele today used to be called dhele putih ('white soybeans'), and were only available in Java centuries later. Mary Astuti, a food historian at Gadjah Mada University specializing in tempeh, argued that the native variety of soybean had been grown before the Chinese arrived in the region.[6]

Sri Tandjung noted that Javanese had been eating cooked (native black) soybeans since the 12th century. By the 16th or the 19th century, depending on which period of time the writer of Serat Centhini referred to, Javanese people had mastered the art of cooking with tempeh, where it was not only eaten as is, but converted into different types of dishes, showing a full understanding and mastery of the food product.[12]

Gardjito noted that Javanese noble families rarely wrote about tempeh in ancient texts because it had never been a part of royal cuisine, but rather a staple meal of the lower classes.[12]

Chinese Indonesian historian Ong Hok Ham suggests that tempeh might have been produced as a byproduct of tahu, the Indonesian word for tofu. He argued that the two food products are made of the same ingredient and that genetically speaking, soybeans are from China, though the specific variety was never mentioned. Food journalist Andreas Maryoto supported this idea, saying that tempeh might have been accidentally produced as the by-product of the tofu industry in Java in the 17th century, as discarded soybeans caught the spores of a whitish fungus that was found to be edible.[6]

However, tahu was (and is still) made of white soybeans (Glycine max, native to Japan and China), as opposed to the earliest version of tempe dhele that was made of native black soybeans (Glycine soja).[10][6]

Tahu (tofu) made its way to Kediri in the 13th century and was consumed by Mongolians who arrived in Java. Later, it was popular only among the rich (the complex production process and imported white soybeans led to its high price). Around the 17th or 19th century, tahu became available to everyone.[11]

Tempeh later began to be made with white soybeans, leading to the decreased use of its native black variety. Black soybeans have been replaced by other commodity plants since. The original version of tempe dhele has been forgotten as tahu has since become the common people's food, and dependence on imported white soybeans grows.[13]

Tempeh begins with whole soybeans, which are softened by soaking, and dehulled, then partly cooked. Specialty tempeh may be made from other types of beans, wheat, or may include a mixture of beans and whole grains.[14] Adding vinegar during soybeans soaking process had also been reported in tempeh industries and it had been found to influence the sensory nature of the final product.[15]

The principal step in making tempeh is the fermentation of soybeans which undergo inoculation with Rhizopus spp. molds, a type of filamentous fungus most widely used for the production of tempeh.[16] A fermentation starter containing the spores of fungus Rhizopus oligosporus or Rhizopus oryzae is mixed in.[17] The beans are spread into a thin layer and are allowed to ferment for 24 to 36 hours at a temperature around 30C (86F). The soybeans have to cool down to allow spore germination and abundant growth of mycelium. Later, the temperature of the beans will naturally rise and rapid mold growth happens for around 4 hours. As mold growth declines, the soybeans should be bound into a solid mass by the mycelium. In good tempeh, the beans are knitted together by a mat of white mycelium. Typically, tempeh is harvested after 48 hours of fermentation with its distinguishable whitish color, firm texture, and nutty flavor. Extended fermentation time results in an increase in pH and undesirable color darkening in the tempeh.[18]

During the fermentation process, optimal time of fermentation, temperature, oxygen, humidity, and pH levels are required to encourage the growth of the Rhizopus mold, while discouraging the growth of undesired microorganisms.[19] The pH level should be kept around 3-5 by adding a mild acidulant such as vinegar, lactic acid, or acetic acid, thereby favoring mold growth and restricting the growth of spoilage microorganisms.[20] Oxygen is required for Rhizopus spp. growth, but should be maintained at low levels to prevent the production of undesired microorganisms. Under conditions of lower temperature, or higher ventilation, gray or black patches of spores may form on the surfacethis is not harmful, and should not affect the flavor or quality of the tempeh.[21] This sporulation is normal on fully mature tempeh. A mild ammonia smell may accompany good tempeh as it ferments, but it should not be overpowering.

Traditional tempeh is often produced in Indonesia using Hibiscus tiliaceus leaves. The undersides of the leaves are covered in downy hairs (known technically as trichomes) to which the mold Rhizopus oligosporus can be found adhering in the wild. Soybeans are pressed into the leaf, and stored. Fermentation occurs resulting in tempeh.[14] In particular, the tempeh undergoes salt-free aerobic fermentation.[22]

Tempeh made with traditional inoculation methods are also more likely to include molds of other species including Rhizopus arrhizus and Rhizopus delemar which may outcompete Rhizopus oligosporus and become dominant. This resulted in white wooly appearance and more pleasant aroma compared with tempeh made with commercial starter containing only Rhizopus oligosporus. Famously these variant tempeh are found in Malang and Purwokerto in the 1960s, because Malang is located in a cool plateau, and tempeh made with Rhizopus oligosporus resulted in less compact and more alcoholic-smelling tempeh, while Rhizopus arrhizus required lower optimum temperature which made it more ideal and dominant. However the widespread use of commercial starter resulted in most tempeh in Java only contains Rhizopus oligosporus, with few traditionally made tempeh outside Java still contains Rhizopus arrhizus and Rhizopus delemar.[23]

During the processing of soybeans to make tempeh there are inevitable losses of material due to the removal of the hulls and the leaching of soluble compounds during the soaking, washing and cooking stages. Hulls constitute about 8% of the dry beans and losses due to the leaching of soluble compounds equate to 12 - 17% of the dry beans. The oligosaccharides, stachyose, raffinose and sucrose, can constitute up to 50% of the soluble materials lost.[24][25] During the fermentation there is some further loss of material due to respiration by the mold and the oxidation of compounds to carbon dioxide and water. Reported losses of dry matter during the fermentation range from 2.1 to 10%.[24][25][26] Hence, the overall yield of tempeh is in the range of 72-78 g tempeh per 100 g soybeans on a dry matter basis. In practical terms, this means that 100 g dry soybeans (7-9% moisture content) will yield about 170 to 210 g fresh tempeh (61-64% moisture content).[24]

Once tempeh is produced, it is divided into three categories based on its quality: good, unfinished, and inedible. Good tempeh includes beans that are bound into a firm, compact cake by a dense, uniform, white mycelium, which should permeate the entire cake; the beans should be barely visible. The odor of good tempeh should be pleasant, clean, subtly sweet or resemble the aroma of mushrooms. The entire tempeh should lift as a single, cohesive cake without crumbling when shaken gently. Unfinished tempeh has beans that are bound together loosely by a sparse white mycelium, hence it crumbles easily. Unfinished tempeh should be incubated longer unless it has been incubated more than eight hours past the recommended time. If it has been incubated for enough time and still remains unfinished, it should be discarded. Inedible tempeh has beans with foul odor, resembling strong ammonia or alcohol, indicating the development of undesirable bacteria due to excess moisture or overheating. Inedible tempeh cake is wet, slimy, and mushy with a collapsed structure. Its color is tan to brown and mold develops in sparse patches.[20]

Food grade wrapping paper and perforated polyethylene bags are the most suitable materials for packaging tempeh. They have demonstrated good retention of the quality of tempeh and extension of the shelf life of tempeh for three days compared to fresh tempeh. Appropriate packaging is important as it provides optimum oxygen supply and temperature for inoculation and fermentation to occur during processing.[27] Tempeh is a perishable food and must be wrapped and placed into the refrigerator or freezer immediately after incubation or other processing steps such as blanching. In the refrigerator or freezer, stacking of tempeh should be minimized to prevent overheating and the undesirable, gradual continuation of fermentation, both of which shorten the storage life of tempeh. Even under cold temperature, tempeh continues to respire and undergo slow decomposition from microorganisms and its natural enzymes. Therefore, tempeh should be well cooled for at least two to five hours in a cooler before they undergo further packaging.[20] Tempeh packaged in perforated polyethylene bags is usually repacked inside another labeled, non-perforated bag for distribution and sale, and for easier labeling. If the tempeh is only packaged in one perforated bag, the label must be directly attached to the perforated surface with the use of government food contact approved adhesive.[27] They are then bulk packed in cartons and returned to the refrigerator or freezer to await shipment.[20]

Tempeh is 60% water, 20% protein, 8% carbohydrates, and 11% fats (table). In a reference amount of 100 grams (3.5oz), tempeh supplies 192 calories, and is a rich source (20% or more of the Daily Value, DV) of several B vitamins and dietary minerals, such as riboflavin (30% DV) and manganese (62% DV), respectively (table).

The soy carbohydrates in tempeh become more digestible as a result of the fermentation process. In particular, the oligosaccharides associated with gas and indigestion are greatly reduced by the Rhizopus culture. In traditional tempeh-making shops, the starter culture often contains beneficial bacteria that produce vitamins such as B12[28][29] (though it is uncertain whether this B12 is always present and bioavailable).[30] In western countries, it is more common to use a pure culture containing only Rhizopus oligosporus, which makes little B12 and could be missing Citrobacter freundii and Klebsiella pneumoniae, which have been shown to produce significant levels of B12 analogs in tempeh when present.[31] Whether these analogs are true, bioavailable B12 has not been thoroughly studied yet.[32] The fermentation process also reduces the phytic acid in soy,[33] which in turn allows the body to absorb the minerals that soy provides.

In the kitchen, tempeh is often simply prepared by cutting it into pieces, soaking in brine or a salty sauce, and then fried. In Java, tempeh is often traditionally prepared by cutting it into pieces, marinated in a mixture of ground garlic, coriander and turmeric, salt and water; then deep fried,[34] and often served with sambal ulek chili paste. Cooked tempeh can be eaten alone, or used in chili, stir fries, soups, salads, sandwiches, and stews. Tempeh's complex flavor has been described as nutty, meaty, and mushroom-like. It freezes well, and is now commonly available in many western supermarkets, as well as in ethnic markets and health food stores. Tempeh can be steamed, marinated, thinly sliced, blackened, or crumbled into sauces and stews.[35]

Tempeh performs well in a cheese grater, after which it may be used in place of ground beef (as in tacos). When thin-sliced and deep-fried in oil, tempeh obtains a crisp golden crust while maintaining a soft interior. Its sponge-like consistency makes it suitable for marinating. Dried tempeh (whether cooked or raw) is more portable and less perishable and may be used as a stew base. Sometimes when tempeh is diced and left, it will create white feathery fluff which bonds the cutthis is the Rhizopus mold still growingthis is normal and perfectly edible.[citation needed]

The most common and widely known tempeh is made from fermented soybeans, called tempeh kedele or tempeh dele, made from controlled fermentation of soybeans. However, traditionally other ingredients such as ampas tahu (tofu dregs/okara), ampas kelapa (coconut dregs) and peanuts may be used in a fashion similar to the tempeh-making process, although perhaps using different fungi or attracting other microbes like kara benguk or kara pedhang, which can be toxic if not prepared correctly. A related product to tempeh is oncom, which is made from peanut press cake or soy dregs and is prevalent in Sundanese culture in West Java. There are two types of oncom: a bright red-orange kind with Neurospora sitophila, and a black one with the same fungi as tempeh uses.[36]

Tempeh can also be differentiated according to its degrees of maturity (i.e. the mycelium's growth/age). Tempe mondhol is a tempeh that is not fully fermented, that is, the mycelium has not fully covered the surface. The taste of the beans is more solid and profound. Sometimes tempeh is left to ferment further, creating more pungently varieties: tempe wayu (day-old tempeh), i.e. when the tempeh starts to age; tempe semangit (a few-days old tempeh), i.e. when the tempeh becomes yellowish, a bit slimy, and the smell becomes more potent;[37] and tempe bosok (lit. 'rotten tempeh'), when the mycelium has acquired a blackened coloration and the product has a putrid smell.

Some types of tempeh are made of ingredients that would be otherwise wasted if not used. According to traditional Javanese customs, wasting food is deemed as a sign of disrespect to Nature and other beings, and encourages efforts to use every part of an ingredient.

The wrappings used in tempeh making can contribute to its flavor and aroma. Though some prefer the traditional banana, waru or teak leaf, readily available plastic sheet wrappings have been increasingly widely used.

Soft and fluffy tempeh made from soy pulp or tofu dregs.[38][39] Tempe gembus usually can be found in traditional markets of Java, at a price lower than that of common soybean tempeh. It is made into a variety of dishes; for example it can be battered and/or fried, used in sayur lodeh, or tempe bacem. Tempe gembus is known by different names across Java; for example as tahu cokol or tahu susur in Temanggung.[38]

In Indonesia, ripe tempeh (two or more days old) is considered a delicacy. Names include tempe semangit ('stinky tempeh') in Java, hampir busuk ('almost rotten') tempeh or tempe kemarin ('yesterday tempeh'). Having a slightly pungent aroma, small amounts are used as a flavoring agent in traditional Javanese sayur lodeh vegetable stew and nasi tumpang.[37]

In Javanese, the term gdhng means 'leaf'.[40] Traditionally tempeh is wrapped in organic banana leaf, gdhng waru (Hibiscus tiliaceus leaf) or gdhng jati (teak leaf).[41]

Pure soybean cake, tempeh made in plastic wrap without any fillings or additives such as grated raw papaya. This was meant to create a more "hygienic and pure" tempeh free from any impurities or unwanted microbes.[citation needed]

A specialty of Malang, the rough-textured tempeh menjes kacang is made from black soybeans mixed with other ingredients, such as peanut dregs, cassava fiber, and soybean meal. The process of making menjes kacang is quite similar to black oncom.[42]

Tempe bongkrk is a variety of tempeh from Central Java, notably Banyumas. It is prepared with coconut dregs. This type of tempeh has led to several cases of fatal food poisoning,[43] as it occasionally gets contaminated with the bacterium Burkholderia gladioli, and the unwanted organism produces toxins (bongkrek acid and toxoflavin) from the coconut, besides killing off the Rhizopus fungus due to the antibiotic activity of bongkrek acid.[39]

Fatalities from contaminated tempe bongkrk were once common in the area where it was produced.[44] Thus, its sale is now prohibited by law; clandestine manufacture continues, however, due to the popular flavor. The problem of contamination is not encountered with bean and grain tempeh, which have a different composition of fatty acids that is not favorable for the growth of B. gladioli, but encourages growth of Rhizopus instead. When bean or grain tempeh has the proper color, texture and smell, it is a very strong indication the product is safe. Yellow tempe bongkrk is always highly toxic due to toxoflavin, but tempe bongkrk with a normal coloration may still contain lethal amounts of bongkrek acid.[45]

A form of tempeh based on barley and oats instead of soy was developed by scientists at the Swedish Department of Food Science in 2008. It can be produced in climatic regions where it is not possible to grow soybeans.[46]

The simplest way to cook tempeh is by frying. It is both deep-fried and stir-fried. However, there are several cooking methods and recipe variations. Among others are:

Perhaps the simplest and most popular way to prepare tempeh in Indonesia. The tempeh is sliced and seasoned in a mixture of ground garlic, coriander seeds and salt, and then deep fried in palm oil.[47] The tempeh might be coated in batter prior to frying, or directly fried without any batter.

Tempe bacem is a traditional Javanese dish originating in Central Java. Bacem is a Javanese cooking method of braising in spices and palm sugar and boiling the food in a closed place until the water runs out.[48] The tempeh is first braised in a mixture of coconut water, palm sugar, and spices including coriander seeds, shallots, galangal, and bay leaves, and then briefly deep-fried. The result is a moist, sweet and spicy, dark-colored tempeh. Tofu may also be used, yielding tahu bacem.[49]

This variation is often found in Purwokerto. The word mendoan originates in the Banyumas regional dialect, and means 'flash-fried'. The tempeh is first dipped in spiced flour before quickly frying in very hot oil, resulting in a product that is cooked on the outside, but raw or only partially so on the inside. It has a limp, soft texture compared to the more common, crisp, fully fried tempeh.

Also known as kering tempe (lit: 'dry tempeh'), or sambal goreng tempe if mixed with plenty of hot and spicy sambal chili pepper sauce. It is a crispy, sweet and spicy, fried tempeh.[50] The raw tempeh is cut into small sticks and thoroughly deep-fried until no longer moist, and then mixed with palm sugar, chili pepper or other spices, or with sweet soy sauce. Often it is mixed with separately fried peanuts and anchovies (ikan teri). This dry tempeh will keep for up to a month if cooked and stored properly.

This variation is almost identical to tempe kering, but is more soft and moist.[51] The sweet taste is due to generous addition of kecap manis (sweet soy sauce).[52]

Stir-fried tempeh with vegetables such as green bean, basil, or onion, with spices.[53] Other recipes might add coconut milk for a milky-colored, and rather moist, stir-fried tempeh.

Fried tempeh mixed with sambal chili paste in a mortar and pestle. Usually served in addition to other penyet dishes, such as ayam penyet (chicken) or iga penyet (ribs).

Tempeh skewered and grilled as satay.

Sate kere (Javanese for 'poor man's satay') from Solo in Central Java is made from fluffy tempe gembus.[54] Ground tempeh can also be made into a thick sauce, such as in sate ambal, a chicken satay from Kebumen, Central Java where tempeh flavored with chili and spices replaces the more common peanut sauce.[55]

Kripik tempe snack crackers; a thinly sliced tempeh, battered and deep fried until crispy. It is popular across Java, but notably produced in Bandung, West Java and Malang, East Java.[56]

Grilled tempeh over charcoal or fire.[57]

Fried, grilled or otherwise cooked tempeh patties, sandwiched between slices of bread or hamburger buns with salad, sauces or seasonings.[58]

The common tempeh goreng (un-battered) in Indonesia

Fried tempeh (battered) sold at a food court in Singapore

Kering tempe or sambal goreng tempe

Tempe orek or orak-arik tempe

Crispy kripik tempeh as a snack

Freshly made, raw tempeh remains edible for a few days at room temperature. It is neither acidic nor does it contain significant amounts of alcohol. It, however, does possess stronger resistance to lipid peroxidation than unfermented soybeans due to its antioxidant contents.[59]

Cooked as tempe kering, the deep-fried and seasoned bits of tempeh can last for a month or more and still be good to consume, if cooked correctly and stored properly in an air-tight jar. The deep-frying process removes the moisture, preventing further fermentation and deterioration, thus prolonging its shelf life.

Rhizopus cultures responsible for the fermentation of tempeh from soybean produce natural, heat-stable antimicrobial agents against spoilage and disease-causing microorganisms, extending the shelf life of the fermented product through microbial antagonism. The mold is capable of inhibiting the growth of other fungi such as Aspergiluus flavus and Aspergillus parasiticus by interfering with the accumulation of aflatoxin (especially aflatoxin B1), the mycotoxin of greatest concern. R. oligosporus has also been reported to produce four to five antibacterial substances during fermentation process. It produces phenolic compounds against pathogenic bacteria such as Helicobacter pylori and an antibacterial protein has been identified with activities against Bacillus species (especially against Bacillus subtilis and Bacillus cereus[60]), Staphylococcus aureus, and Steptococcus cremoris.[16]

Tempeh can be sold and consumed fresh within 48 hours once removed from its incubator. It is commonly transported to the market in its incubation container (e.g. polyethylene bag, banana leaf wrapper, etc.) and placed in the shade. In areas with warmer climates, tempeh can be kept at room temperature for one to three days before it becomes overripe. In locations with more temperate temperatures, it can keep for one to four days but will usually need to be refrigerated to prevent spoilage.[20]

Fresh refrigerated tempeh should be sealed in a labeled polyethylene bag and kept in temperatures below 4C (40F). It can be kept at this temperature for three to five days and sometimes, even as long as a week. Storage life could be extended to two or three weeks if the tempeh is blanched or steamed prior to refrigeration due to the inactivation of enzymes and destruction of bacteria.[20]

Freezing is the preferred way to preserve tempeh due to its capability for wide distribution. Tempeh can be frozen whole or in slices, depending on preference. During the freezing process, whole tempeh is placed in its perforated wrapper whereas sliced tempeh is packaged in a labelled polyethylene bag prior to being sealed in an outer bag and then frozen immediately. This method will keep for months with only a small loss of texture and flavor.[20]

Blanching tempeh by steaming or parboiling helps to extend the storage life by preventing bacterial growth, stopping mold growth and inactivating enzymes. Steaming appears to have a less negative effect than parboiling in terms of texture, flavor and nutritional value. Blanching is a great method for preserving tempeh prior to refrigeration, though not as beneficial for tempeh that is to be frozen.[20]

Tempeh can be dried via the air tray drying method. Cubes of tempeh placed on steel, mesh bottom trays are dried by the circulating hot air dryer. After the product is finished, they can be cut into 2.5-centimetre (1-inch) squares at 90C (200F) for 90 to 120 minutes in order to reduce moisture content to 24%. When placed in moisture proof Pliofilm bags, the tempeh has a shelf life of several months at room temperature. Although this is a convenient method that produces a shelf stable product without requirement of refrigeration, the process of hot air drying can cause a significant loss of nutritional content such as the soluble solids and nitrogen protein content.[20]

This preservation method is most economical out of all methods. The tempeh can be blanched prior to dehydration to preserve flavor and prolong shelf life. Tempeh is exposed to internal solar dryer temperature of 8090C (180200F) in this method. A disadvantage of this method is that sunlight can destroy some of the vitamin B12 of tempeh.[20]

This method is the most expensive out of all dehydration methods but provides the advantage of long stable shelf life at room temperature and an excellent retention of soluble nutrients (nitrogen protein and other solids). The product undergoes quick freeze at 10C (50F) and is then dried at a moderate temperature inside a strong vacuum. Due to the expensive nature of the equipment, the final product price is higher than tempeh preserved through other methods.[20]

As this method is traditionally used for small particles, it is used to produce tempeh powder for products such as soups, breads, tortillas, etc. However, this method can be expensive due to the bulky nature of the equipment.[20]

This method produces ready to eat tempeh products. A culinary oil with a high smoke point, such as rapeseed, soy, safflower, peanut, or coconut oil, is heated to 180C (350F) in the deep fryer. The tempeh is deep-fried until golden brown and crisp, and then cooled quickly in a sterile environment to be sealed in Pliofilm bags and stored in a cool, dry place. The shelf life of this product lasts around a week but can be extended if the tempeh is sun dried or oven dried prior to deep frying.[20]

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Can change in diet stop the growth of cancer cells? Here’s what study has to say – Hindustan Times

Posted: November 21, 2022 at 12:24 am

Can change in diet stop the growth of cancer cells? Here's what study has to say  Hindustan Times

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Anti-pollution diet: 5 must-haves in your daily diet to guard your lungs – Times of India

Posted: November 21, 2022 at 12:24 am

Anti-pollution diet: 5 must-haves in your daily diet to guard your lungs  Times of India

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Vitamin B-12 – Mayo Clinic

Posted: November 21, 2022 at 12:17 am

Overview

Vitamin B-12 (cobalamin) plays an essential role in red blood cell formation, cell metabolism, nerve function and the production of DNA, the molecules inside cells that carry genetic information.

Food sources of vitamin B-12 include poultry, meat, fish and dairy products. Vitamin B-12 is also added to some foods, such as fortified breakfast cereals, and is available as an oral supplement. Vitamin B-12 injections or nasal spray might be prescribed to treat vitamin B-12 deficiency.

Vitamin B-12 deficiency is not common in the U.S. However, people who follow a vegetarian or vegan diet might be prone to deficiency because plant foods don't contain vitamin B-12. Older adults and people with digestive tract conditions that affect absorption of nutrients also are susceptible to vitamin B-12 deficiency.

Left untreated, a vitamin B-12 deficiency can lead to anemia, fatigue, muscle weakness, intestinal problems, nerve damage and mood disturbances.

The recommended daily amount of vitamin B-12 for adults is 2.4 micrograms.

Research on the use of vitamin B-12 for specific activities and conditions shows:

Most people get enough vitamin B-12 from a balanced diet. However, older adults, vegetarians, vegans and people who have conditions that affect their ability to absorb vitamin B-12 from foods might benefit from the use of oral supplements.

Vitamin B-12 supplements also are recommended for women who are pregnant or breastfeeding exclusively and follow vegetarian or vegan diets.

When taken at appropriate doses, vitamin B-12 supplements are generally considered safe. While the recommended daily amount of vitamin B-12 for adults is 2.4 micrograms, higher doses have been found to be safe. Your body absorbs only as much as it needs, and any excess passes through your urine.

High doses of vitamin B-12, such as those used to treat a deficiency, might cause:

Possible interactions include:

Your doctor might recommend changing drugs or timing doses to offset any potential interactions.

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How to lose weight fast: 9 scientific ways to drop fat – Medical News Today

Posted: November 21, 2022 at 12:17 am

Methods of weight loss that scientific research supports include the following:

Intermittent fasting (IF) is a pattern of eating that involves regular short-term fasts and consuming meals within a shorter time period during the day.

Several studies have indicated that short-term intermittent fasting, which is up to 24 weeks in duration, leads to weight loss in overweight individuals.

The most common intermittent fasting methods include the following:

It is best to adopt a healthy eating pattern on non-fasting days and to avoid over-eating.

If someone wants to lose weight, they should be aware of everything that they eat and drink each day. The most effective way to do this is to log every item that they consume, in either a journal or an online food tracker.

Researchers estimated in 2017 that there would be 3.7 billion health app downloads by the end of the year. Of these, apps for diet, physical activity, and weight loss were among the most popular. This is not without reason, as tracking physical activity and weight loss progress on-the-go can be an effective way of managing weight.

One study found that consistent tracking of physical activity helped with weight loss. Meanwhile, a review study found a positive correlation between weight loss and the frequency of monitoring food intake and exercise. Even a device as simple as a pedometer can be a useful weight-loss tool.

Mindful eating is a practice where people pay attention to how and where they eat food. This practice can enable people to enjoy the food they eat and maintain a healthy weight.

As most people lead busy lives, they often tend to eat quickly on the run, in the car, working at their desks, and watching TV. As a result, many people are barely aware of the food they are eating.

Techniques for mindful eating include:

Protein can regulate appetite hormones to help people feel full. This is mostly due to a decrease in the hunger hormone ghrelin and a rise in the satiety hormones peptide YY, GLP-1, and cholecystokinin.

Research on young adults has also demonstrated that the hormonal effects of eating a high-protein breakfast can last for several hours.

Good choices for a high-protein breakfast include eggs, oats, nut and seed butters, quinoa porridge, sardines, and chia seed pudding.

The Western diet is increasingly high in added sugars, and this has definite links to obesity, even when the sugar occurs in beverages rather than food.

Refined carbohydrates are heavily processed foods that no longer contain fiber and other nutrients. These include white rice, bread, and pasta.

These foods are quick to digest, and they convert to glucose rapidly.

Excess glucose enters the blood and provokes the hormone insulin, which promotes fat storage in the adipose tissue. This contributes to weight gain.

Where possible, people should swap processed and sugary foods for more healthful options. Good food swaps include:

Dietary fiber describes plant-based carbohydrates that it is not possible to digest in the small intestine, unlike sugar and starch. Including plenty of fiber in the diet can increase the feeling of fullness, potentially leading to weight loss.

Fiber-rich foods include:

One emerging area of research is focusing on the role of bacteria in the gut on weight management.

The human gut hosts a vast number and variety of microorganisms, including around 37 trillion bacteria.

Every individual has different varieties and amounts of bacteria in their gut. Some types can increase the amount of energy that the person harvests from food, leading to fat deposition and weight gain.

Some foods can increase the number of good bacteria in the gut, including:

Numerous studies have shown that getting less than 56 hours of sleep per night is associated with increased incidence of obesity. There are several reasons behind this.

Research suggests that insufficient or poor-quality sleep slows down the process in which the body converts calories to energy, called metabolism. When metabolism is less effective, the body may store unused energy as fat. In addition, poor sleep can increase the production of insulin and cortisol, which also prompt fat storage.

How long someone sleeps also affects the regulation of the appetite-controlling hormones leptin and ghrelin. Leptin sends signals of fullness to the brain.

Stress triggers the release of hormones such as adrenaline and cortisol, which initially decrease the appetite as part of the bodys fight or flight response.

However, when people are under constant stress, cortisol can remain in the bloodstream for longer, which will increase their appetite and potentially lead to them eating more.

Cortisol signals the need to replenish the bodys nutritional stores from the preferred source of fuel, which is carbohydrate.

Insulin then transports the sugar from carbohydrates from the blood to the muscles and brain. If the individual does not use this sugar in fight or flight, the body will store it as fat.

Researchers found that implementing an 8-week stress-management intervention program resulted in significant reduction in the body mass index (BMI) of children and adolescents who are overweight or have obesity.

Some methods of managing stress include:

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A Cornell University nutritional biochemist to lecture on the link between diet and disease – The Villages Daily Sun

Posted: November 6, 2022 at 1:59 am

A Cornell University nutritional biochemist to lecture on the link between diet and disease  The Villages Daily Sun

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When dieting doesnt work – Harvard Health

Posted: October 28, 2022 at 1:59 am

At any given time, more than a third of Americans are on a specific diet, with weight loss as a leading reason. Most are going to be disappointed, because even when successful, lost weight is frequently regained within a few months.

While most weight-loss diets can help you lose weight, they may be unsuccessful over the long run for a number of reasons. Some people dont follow their diets carefully and dont lose much weight even from the start. Others may go off the diet entirely after a while, because its too restrictive or the foods arent appealing. Some may engage in less physical activity as they consume fewer calories. But who hasnt heard of someone doing everything right and still losing minimal weight, or regaining lost weight over time? Perhaps that someone is you.

Even when research studies confine study subjects to a research setting with carefully-controlled calories, food types, and physical activity, and with intensive counselling, teaching, and monitoring the lost weight and other health benefits (such as improved cholesterol and reduced blood pressure) tend to disappear soon after the study ends.

According to a new study, popular diets simply dont work for the vast majority of people. Or more accurately, they are modestly effective for a while, but after a year or so the benefits are largely gone.

In a large systematic review and meta-analysis, recently published in the medical journal The BMJ, researchers analyzed 121 trials that enrolled nearly 22,000 overweight or obese adults who followed one of 14 popular diets, including the Atkins diet, Weight Watchers, Jenny Craig, DASH, and the Mediterranean diet, for an average of six months. The diets were grouped into one of three categories: low-carbohydrate, low-fat, and moderate-macronutrient (diets in this group were similar to those in the low-fat group, but with slightly more fat and slightly less carbohydrate). Loss of excess weight and cardiovascular measures (including cholesterol and blood pressure) while on one of these diets were compared with other diets or usual diets (one in which the person continued to eat as they usually do).

While weight, blood pressure, and cholesterol measures generally improved at the six-month mark, results at the 12-month mark were disappointing, to say the least.

Based on this new report, you might be tempted to throw up your hands and give up on weight-loss diets altogether. But theres another way of looking at this: it probably matters less which plan you pick (whether low-carb, low-fat, or something in between) than whether you stick with it.

The average duration of the studies included in this analysis was six months. What if theyd lasted 12 months, or two years, or a lifetime? The benefit would likely have been greater and more long-lasting. The trick is to pick a diet with foods you actually like so that its not so hard to stick with it.

In addition, there are factors other than diet that can have a big impact on weight. For example, everyday physical activity, regular exercise, and sleep are important in helping to maintain a healthy weight.

Rather than following a highly restrictive or named diet, I endorse the Mediterranean diet. Its among the best studied, performs well when compared with other diets (as in this analysis), and was the only diet in this analysis to have long-lasting effects on LDL cholesterol levels.

Losing weight is not easy. If youre struggling with your weight, talk to your doctor, a nutritionist, and perhaps a health coach. Review this study with them and, together, decide on dietary and other lifestyle changes that appeal to you. Then stick with them. Remember, youre most likely to stick with lifestyle changes you actually like.

Follow me on Twitter @RobShmerling

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111: Why diets dont work with Lisa Moskovitz, RD

Posted: October 28, 2022 at 1:59 am

Hi friends! Happy Thursday! I have a new podcast episode and cant wait to hear your thoughts on this one.

Today, Im chatting with Lisa Moskovitz, RD, all about quieting the diet noise and why diets dont work.

Heres what we talk about on todays episode:

How to quiet the diet noise: how become a more confident, autonomous, and intuitive eater, and improve your relationship with food

How to move the needle towards fitness and weight loss goals in a healthy way

Why diets dont work: how they actually bring you further away from finding your healthiest, happiest weight

How diets impact your metabolism

Her tips for being Healthy in Real Life

and so.much.more.

I LOVED todays conversation and hope that youll take a listen!

Heres a bit more about Lisa and her background:

Lisa Moskovitz, RD, is a registered dietitian, the CEO of NY Nutrition Group, a large group nutrition practice and the author of The Core 3 Healthy Eating Plan, a personalized, science-based guide to finding your healthiest, happiest weight. She received a BS in nutrition from Syracuse University and then went on to complete an intensive dietetic internship at NYPresbyterian Hospital. Since then, she has accumulated over a decade of experience in private practice, providing nutrition workshops and working with the media. Lisa is regularly featured in major publications such as Well + Good, Eat This Not That, Yahoo Health and is often interviewed for popular news channels such as Fox 5 NY, CBS News and Inside Edition.

Check out her website here, her Instagram here, and get a copy of The Core 3 Healthy Eating Plan (use Core20 for 20% off!).

Resources from this episode:

I love love love the meals fromSakara Life!Use this linkand the code XOGINAH for 20% off their meal delivery and clean boutique items. This is something I do once a month as a lil treat to myself and the meals are always showstoppers.

Get 15% offOrganifiwith the code FITNESSISTA. I drink the green juice, red juice, gold, and Harmony! (Each day I might have something different, or have two different things. Everything Ive tried is amazing.)

The weather is cooling down, and Im still obsessed withmy sauna blanket.It feels even BETTER when its chilly outside and you can use the code FITNESSISTA15 for 15% off! This is one of my favorite ways to relax and sweat it out. I find that it energizes me, helps with aches and pains, I sleep better on the days I use this, and it makes my skin glow.Link to check it out here.You can also use my discount for the PEMF Go Mat, which I use every day!

If any of my fellow health professional friends are looking for another way to help their clients, I highly recommend IHP. You can also use this information to heal yourself and then go one to heal others, which I think is a beautiful mission.

You can use my referral link hereand the code FITNESSISTA for up to $250 off the Integrative Health Practitioner program. I just finished Level 1 and have started Level 2. I highly recommend it!You can check out my initial thoughts on IHP here!

Thank you so much for listening and for all of your support with the podcast! Please be sure to subscribe, and leave a rating or review if you enjoyed this episode. If you leave a rating,head to this pageand youll get a little thank you gift from me to you.

xo

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Diet Review: Intermittent Fasting for Weight Loss

Posted: October 28, 2022 at 1:59 am

Finding yourself confused by the seemingly endless promotion of weight-loss strategies and diet plans? In this series, we take a look at some popular dietsand review the research behind them.

Intermittent fasting is a diet regimen that cycles between brief periods of fasting, with either no food or significant calorie reduction, and periods of unrestricted eating. It is promoted to change body composition through loss of fat mass and weight, and to improve markers of health that are associated with disease such as blood pressure and cholesterol levels. Its roots derive from traditional fasting, a universal ritual used for health or spiritual benefit as described in early texts by Socrates, Plato, and religious groups. [1] Fasting typically entails a steady abstinence of food and beverages, ranging from 12 hours to one month. It may require complete abstinence, or allow a reduced amount of food and beverages.

Prolonged very low calorie diets can cause physiological changes that may cause the body to adapt to the calorie restriction and therefore prevent further weight loss. [2] Intermittent fasting attempts to address this problem by cycling between a low calorie level for a brief time followed by normal eating, which may prevent these adaptations. However, research does not consistently show that intermittent fasting is superior to continuous low calorie diets for weight loss efficiency.

The most common methods are fasting on alternate days, for whole days with a specific frequency per week, or during a set time frame. [3]

Physiologically, calorie restriction has been shown in animals to increase lifespan and improve tolerance to various metabolic stresses in the body. [4] Although the evidence for caloric restriction in animal studies is strong, there is less convincing evidence in human studies. Proponents of the diet believe that the stress of intermittent fasting causes an immune response that repairs cells and produces positive metabolic changes (reduction in triglycerides, LDL cholesterol, blood pressure, weight, fat mass, blood glucose). [3,5] An understandable concern of this diet is that followers will overeat on non-fasting days to compensate for calories lost during fasting. However, studies have not shown this to be true when compared with other weight loss methods. [5]

A systematic review of 40 studies found that intermittent fasting was effective for weight loss, with a typical loss of 7-11 pounds over 10 weeks. [2] There was much variability in the studies, ranging in size from 4 to 334 subjects, and followed from 2 to 104 weeks. It is important to note that different study designs and methods of intermittent fasting were used, and participant characteristics differed (lean vs. obese). Half of the studies were controlled trials comparing the fasting group to a comparison group and/or a control group (either continuous calorie restriction or usual lifestyle), with the other half examining an intermittent fasting group alone. A brief summary of their findings:

A randomized controlled trial that followed 100 obese individuals for one year did not find intermittent fasting to be more effective than daily calorie restriction. [6] For the 6-month weight loss phase, subjects were either placed on an alternating day fast (alternating days of one meal of 25% of baseline calories versus 125% of baseline calories divided over three meals) or daily calorie restriction (75% of baseline calories divided over three meals) following the American Heart Association guidelines. After 6 months, calorie levels were increased by 25% in both groups with a goal of weight maintenance. Participant characteristics of the groups were similar; mostly women and generally healthy. The trial examined weight changes, compliance rates, and cardiovascular risk factors. Their findings when comparing the two groups:

A one-year randomized trial also did not find intermittent fasting (16:8 method) more beneficial than calorie reduction without a restricted eating time. [7] Patients with obesity were placed on the same moderate calorie restriction but randomized to one of two groups: time-restricted eating (allowed to eat from 8am-4pm), or allowed to eat any time. Weight, waist circumference, body mass index, body fat, and blood work were measured. At one year, the time-restricted group lost an average of 18 pounds and the time-unrestricted group lost 14 pounds; blood pressure, cholesterol, and blood glucose levels also decreased. However, the changes in weight and other parameters were not significantly different among the groups.

This type of dietary pattern would be difficult for someone who eats every few hours (e.g., snacks between meals, grazes). It would also not be appropriate for those with conditions that require food at regular intervals due to metabolic changes caused by their medications, such as with diabetes. Prolonged periods of food deprivation or semi-starvation places one at risk for overeating when food is reintroduced, and may foster unhealthy behaviors such as an increased fixation on food. [8,9]

Individuals with the following conditions should abstain from intermittent fasting:

Unanswered Questions

Although certain benefits of caloric restriction have been demonstrated in animal studies, similar benefits of intermittent fasting in humans have not been observed. It is unclear that intermittent fasting is superior to other weight loss methods in regards to amount of weight loss, biological changes, compliance rates, and decreased appetite. Certain people who typically eat one or two meals a day or do not eat for long stretches of time may show better compliance with this type of regimen. Additionally, people who tend to eat or snack excessively at night may benefit from a cut-off eating time, especially if the late eating leads to unpleasant side effects such as reflux or disrupted sleep.

More high-quality studies including randomized controlled trials with follow-up of greater than one year are needed to show a direct effect and the possible benefits of intermittent fasting. Strong recommendations on intermittent fasting for weight loss cannot be made at this time.

The contents of this website are for educational purposes and are not intended to offer personal medical advice. You should seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website. The Nutrition Source does not recommend or endorse any products.

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Starting Low Carb or Keto with Diabetes Medications – Diet Doctor

Posted: October 28, 2022 at 1:56 am

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For instance, we want you to know that its very important to adjust diabetes medications when starting a low-carb diet. In particular, insulin doses may need to be lowered to avoid low blood sugar, and SGLT-2 inhibitors may need to be discontinued (see below).

We want you to discuss any changes in medication and lifestyle with your doctor before making any such changes. Full disclaimer

So you have diabetes and want to try eating low carb or keto? Good for you! Making these dietary changes has the potential to reverse type 2 diabetes. Or, if you have type 1 diabetes, doing so could dramatically improve your blood sugar control.

However, you need to know what you are doing, and you need to communicate frequently with your healthcare team. Once you start eating low carb you will likely have to lower your insulin doses as well as the doses of other diabetes medications, frequently by quite a lot.

Avoiding the carbohydrates that raise your blood sugar decreases your need for medicationto lower it. Taking the same dose of insulin or insulin-stimulating oral medication as you did prior to adopting a low-carb diet might result in low blood sugar, something that can be dangerous.

You need to test your blood sugar frequently when starting this diet and adjust your medication accordingly. This should always be done with the assistance of a physician or other health professional with expertise in diabetes (find a low-carb doctor).

If you have diabetes and youre treated by diet alone, there is an extremely low risk of low blood sugar on low carb. You can get started right away.

As a general rule, you will need to lower your doses when starting a strict low-carb diet.

Work with your doctor to find the right initial reduction. Many find they need to reduce long acting insulin between 30 and 50%. If you take intermediate- or long-acting insulin once or twice daily, consider reducing both doses by the same proportion. If you are on a basal-bolus regimen (taking fast-acting insulin before meals, and long-acting insulin once or twice a day), you may want to reduce your mealtime doses more than your basal. This careful experimentation should be done in conjunction with your healthcare provider.

If you remain low carb, it is possible you will be able to stop mealtime insulin altogether. If your blood sugar levels continue to drop off the mealtime insulin, you can then begin to more aggressively reduce your long-acting insulin. As blood sugars stabilize in the normal range, you may be able to continue weaning the insulin, as long as glucose levels continue to be normal. Many people on a low carb diet are able to come off insulin completely.

Note that many physicians feel it is safer to decrease insulin doses by too much rather than not enough. This is because taking too much insulin can result in a low blood sugar level, which has the potential to be acutely dangerous. On the other hand, having slightly high blood sugars for short periods of time is usually not going to have major health consequences.

In addition, frequent low blood sugars lead to eating or drinking glucose or another form of rapid-acting carbohydrate in order to raise your glucose to a safe level. These extra calories may very well thwart your efforts at weight loss.

Much of the above advice about insulin also applies to people with type 1 diabetes, with the critical difference that people with type 1 will not be able to discontinue insulin entirely. Nonetheless, a low-carb, high-fat diet can be fantastic for empowering people with type 1 diabetes to smooth out their wide swings in blood sugar.

However, eating low carb with type 1 diabetes requires even greater attention to blood sugar levels and insulin adjustment, and an even closer working relationship with your healthcare team.

Many people with type 1 diabetes use an insulin to carbohydrate ratio (ICR) to calculate their mealtime insulin doses. If using an ICR while eating a low-carb diet, you may continue to give the same ratio of insulin to the carbohydrates you eat. But, as you eat fewer carbs, you will be injecting less insulin overall.

In some cases, the amount of insulin required for meals will not decrease as much as would be expected for the lower carb intake; this is presumably due to the potential of higher protein intakes to increase gluconeogenesis (the production of new sugar by the liver). In other cases, insulin doses will drop more than expected, as some people will lose weight on a low-carb diet, becoming more insulin sensitive in the process.

People who use relatively fixed mealtime doses of insulin, or those on premixed insulin twice daily, should use a similar approach to those with type 2 diabetes. Again, the critical difference is that people with type 1 diabetes will always need some insulin, even on a very low-carbohydrate diet.

It is important to be aware that a diet with less than 50 grams of carbs each day can lead to ketosis, a normal physiological state that results from the body burning fat for energy. This should not be confused with ketoacidosis, a dangerous complication of type 1 diabetes that can occur when there is insufficient insulin.

Because people with type 1 diabetes are at risk of progressing from physiologic ketosis to dangerous ketoacidosis, we recommend that they start with a more liberal low-carb diet, containing at least 50 grams of carbs per day. If you wish, you can eventually begin to reduce your carb intake to 30-40 grams of carbs per day, while working closely with your healthcare team and carefully monitoring your ketone levels.

We do not recommend starting a ketogenic low-carb diet (below 20 grams a day) unless youre certain of how to manage this risk and are working closely with a very experienced healthcare practitioner. You have to be able to test your ketones often, using extra care if you feel even slightly ill, practice intermittent fasting, or have been exercising.

Type 1 diabetes how to control your blood sugar with fewer carbs

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