Friday, June 30, 2006

Low GI Food of the Month

Do You Have the GI for Fresh Rhubarb Stalks?
No. Despite being popularised by celeb chefs as a great low GI food in their TV shows and books, fresh rhubarb contains so little carbohydrate (less than 2 grams per 100 grams), that it is actually not possible to measure its GI. But if you like to crunch raw rhubarb, pile your plate high and enjoy a veggie that’s a great source of vitamin C and potassium and a good source of fibre with virtually no calories and certainly no fat. However, most of us find eating rhubarb this way a little hard to take: unbearably tart and way too crunchy. And so we cook it and sweeten it. And that’s where the carbs come in along with the calories (kilojoules) – and the GI. Sugar is probably the favourite sweetener (brown sugar is hard to beat) and many recipes recommend around 120 g/4 oz sugar (or even more – they call it ‘to taste’) to 450 g/1 lb chopped rhubarb stems. However, you can sweeten rhubarb in other lower GI ways: try combining it fifty/fifty with chopped (low GI) apple, a little grated ginger root, the juice of 1 orange and about 3 tablespoons of pure floral honey … or leave out the ginger and orange and bake it with a couple of split vanilla beans. The options are endless as you’ll find if you check out the ‘Rhubarb Recipe Collection’ on www.rhubarbinfo.com/recipe-index.html

rhubarb

Rhubarb is a leafy vegetable from the buckwheat family (it’s a cousin of sorrel) but in 1947 the US Customs Court in Buffalo New York classified it as a fruit because that’s mostly how we eat it. The red stems are the edible bit; the leaves are toxic. When shopping, choose bunches with slender, younger stems that are dark pink to red. The thicker the stalk the stringier it gets. It is a very versatile veg (fruit). Just trim the ends, remove the leaves and cut the stems into 2.5 cm (1 inch) chunks. It cooks down to a syrupy liquid in minutes so don’t add too much water and watch the pot. You can also cook it in the microwave or bake it in the oven.

Low GI Recipe of the Month

Diane Temple’s Sweet Potato and Lentil Bake

dianne
Diane Temple

Freelance home economist and former dietitian Diane Temple created this colourful dish especially for GI News. It is quick to prepare, full of flavour, and an easy way to get some of the five serves of vegetables you need every day. Serve with a mixed lettuce salad dressed with olive oil and lemon juice. It’s all you’ll need. If you use fresh capsicum (pepper), add it to the pan with the onion and garlic. For professional recipe development or testing you can contact Diane on tel 612 9958 3165; email: diane.temple@bigpond.com

Preparation time: 20 minutes
Cooking time: 45 minutes
Serves: 4

450 g (1 lb) sweet potato, peeled, halved lengthwise and sliced thinly
2 teaspoons olive oil
1 medium onion, chopped
3 cloves garlic, crushed
1 teaspoon chopped fresh rosemary
400 g (14 oz) can diced tomatoes
400 g (14 oz) can brown lentils, drained
¼ cup drained and chopped fire roasted marinated red pepper (capsicum) strips or ¼ fresh red capsicum (pepper) diced
2 tablespoons chopped fresh parsley
1/3 cup frozen peas
freshly ground black pepper
1 cup grated, reduced-fat pizza cheese
  • Preheat oven to 180ºC (350ºF). Steam or microwave sweet potato until cooked. Set aside to cool.
  • Meanwhile, in a large non-stick frying pan, heat the oil and cook onion, garlic and rosemary until soft, about 3–4 minutes. Add the tomatoes, bring to the boil and then reduce the heat and simmer for 5 minutes. Stir through the lentils, red peppers, parsley and peas. Season to taste with freshly ground black pepper and cook for 2 minutes or until the mixture is just heated through.
  • In a 1½ litre (6-cup) baking dish, spoon in half the lentil sauce, then layer with half the sweet potato and half the cheese. Add remaining lentil sauce, then the sweet potato. Sprinkle the remaining cheese over the top. Bake in the oven for 30–35 minutes or until cheese has melted and top is lightly golden.
Nutritional analysis per serving
We have included a nutritional analysis using standard pizza cheese and reduced fat pizza cheese. As you can see, there’s not a great deal of difference nutritionally in this recipe. So, if reduced fat pizza cheese is not on the supermarket shelf, use pizza cheese and you'll still be enjoying a reasonably low fat meal with lots of delicious veggies.

Standard pizza cheese
Kj: 1110
Calories: 265
Fat: 10 g (sat fat 4.5 g)
Protein: 17 g
Fibre: 7 g

Reduced fat pizza cheese
Kj: 1053
Calories: 251
Fat: 8 g (sat fat 3 g)
Protein: 18 g
Fibre: 7 g

Your Success Stories

‘A low GI diet – best thing I've done in a long time’ says Lorraine
‘I started hearing about low GI diets back in 2004 but only looked into them properly in early 2005. At the time I weighed 90 kg which was at least 20 kg over a healthy weight. Ironically, I work in the fresh produce industry, I had a good working knowledge of nutrition and healthy eating guidelines plus I have quite good cooking skills. Previous attempts at calorie-controlled diets failed because the hunger pangs would win out in the end. And a few months going low carb in search of a quick fix left me heavier than ever.

After reading up on GI principles and seeing that this clearly wasn’t another complicated fad diet I opted to join an excellent online site offering a personalised GI diet plan. Pretty quickly I could see that I hadn't been eating regularly enough, my food choices hadn’t been ideal, there hadn’t been enough variety in my diet and that my portion control had been non-existent.

Today I am 21 kg lighter and have a healthy BMI (body mass index). I maintain my weight by a combination of sensible portion control and food selection. Fruit, vegetables, salads and pulses are now the major part of my diet. Pasta/rice/bread and potatoes are limited to much smaller portions and are always the wholegrain version. I limit meat to two or three small portions per week (red meat just once a week) and I try to include a low-fat dairy item every day. I've found that the GI principles are flexible enough to be applied to eating out, holidays, special occasions and so forth. It’s a rare event when I'm faced with a choice where nothing is suitable. Not everything I eat is low GI by any means, but certainly the majority.

Medically speaking I feel much fitter. An asthmatic condition has all but disappeared and I am confident that I have halted what would have been an inevitable slide into diabetes, heart disease and a host of other more minor complaints.’

Jaws dropped at the gym when Margaret walked in
‘I was 60 years old last July. When I saw the photos of me at my surprise birthday party I was depressed at the amount of fat that had accumulated around my midriff! I weighed 80 kg and should have weighed 65 kg. I set out to put this right by eating ‘diet’ and ‘low fat’ foods along with my regular gym sessions and lots of walking. I was attending my local gym on average five times weekly for aquarobics and Pilates. Nothing was working. Very frustrating and even more depressing! I attended a session at the local RSL Club at which Dr Sandra Cabot was speaking about the effects of high GI carbs and sugar in foods and their impact on the syndrome X condition. It just clicked with me that I was going down the wrong path to achieve weight loss. I weighed 82.7 kg that day.

By 24 January 2006, I weighed 76 kg and my doctor was impressed! My subsequent blood glucose, cholesterol tests were all in normal range. They were all raised to upper levels of normal range in the previous year. Exactly one year on from my 60th birthday I am 72 kg and my BMI = 26.4, a bit too high still. Waist is 84 cm and hip 111 cm. I am wearing size 14 much better than the 16–18s of last year! I feel great but know that a few less kilos would be preferable. My goal is 68 kg. However, I have so much more energy for all the activities of daily life including an upcoming trip to China, Northern Thailand and Nepal assured in the knowledge that I will have the energy to enjoy fully all that these countries have to offer. All the people who attend my gym classes have remarked on how great I look and want to know what the ‘secret’ is!’

Send Us Your Success Story!
success story

Books, DVDs, Websites: What’s New?

Weight Loss for Food Lovers by Dr George Blair-West

Question: Why is it that over 80% of people who lose weight eventually regain what they lose and often more?
Answer: Because dieting is not about what we eat, it is about why we eat. Diets typically fail to recognise that food is the world’s most addictive substance. Craving food is much more widespread than craving nicotine, alcohol and other substances.

book

‘It’s not what in your mouth, it’s what’s in your mind’ says George Blair-West. As Director of Psychophysiology at the Obesity Rehabilitation Unit at River City Private Hospital in Brisbane and a weight-loss group psychotherapist, his particular area of interest is helping people maintain long term weight loss. This isn’t another diet book. There’s not a food menu or recipe in sight. Weight Loss for Food Lovers talks about motivation and sabotage, and provides practical strategies to help people maximise their chances of success whatever diet they embark on. When talking about carbs, Blair-West opts for the glycemic load (GL) approach and includes a GL table of foods derived from The New Glucose Revolution (Brand-Miller, Foster-Powell and Colagiuri). But you need the serving size to put the good doctor’s advice into practice. Go to The New Glucose Revolution Shopper’s Guide 2006 or www.glycemicindex.com for GI, GL, carbs per serving and the serving size.

For more information: www.weightlossforfoodlovers.com

Feedback—Your FAQs Answered

What’s the GI of meat, chicken, fish, eggs and cheese? I can’t find these foods in the GI database.
The GI is a measure of carbohydrate quality. Meat, eggs, fish and cheese are protein foods so they don’t have a GI because they have either no carbs, or so little the GI can’t be measured.

eggs

Eaten alone protein foods like these have very little effect on your blood glucose levels. It’s carbohydrates that are mainly responsible for the rise and fall in blood glucose after meals. Foods that are high in carbs include:
  • Cereal grains (rice, wheat, oats, barley and rye and anything made from them like bread, breakfast cereals, pasta and noodles)
  • Starchy vegetables like potatoes, taro, yams, sweet corn and sweet potatoes. Most green or salad vegetables have so little carbohydrate we can’t measure the GI
  • Legumes (pulses) including beans, chickpeas, lentils and split peas
  • Fruit such as apples, pears, peaches, oranges, strawberries, mangoes, bananas and melons
  • Dairy foods like milk, ice cream and yoghurt (but not cheese which is a protein food, or butter or cream which are mostly fat)
I have heard that pasta made of strong wheat flour (such as durum) has a lower GI than pasta made of softer wheat flour. Is this true?
We asked Prof. Jennie Brand-Miller to answer this. She says: ‘My understanding is that durum wheat is a very hard wheat and that makes it ideal for pasta manufacture. It gives the pasta its lovely golden colour because the aleurone layer is included with the endosperm fraction. Hardness and strength are two different things. Hardness refers to how the grain cracks up in the milling process, while strength refers to its protein content. Many Australian wheats, for example, are both hard and strong at the same time, making them highly desirable for many applications, especially bread making.’

pasta

She goes on to say, ‘I have seen data showing that pasta made from any old wheat has a relatively low GI. It's the low degree of gelatinisation (low moisture dough) that makes it low GI. The high protein content might help a little but it’s not the major factor. If you make bread from durum wheat, it will have a high GI because bread making allows for full gelatinisation. If you overcook pasta (perhaps canning too), then it will become more highly gelatinised and that will increase its GI. For the most part, properly cooked pasta (al dente) has a GI of 40–50.’

I've been following The Low GI Diet and have noticed some recipes include the use of filo pastry. Does filo pastry have a low GI? I love spinach pastries and even vegetable pies, but I am wondering if pastries have a high GI value?
Pastry by itself hasn’t been GI tested. It’s not something you normally eat as a meal. But the real problem with most shortcrust and flaky pastry products is that they tend to be very high in fat, particularly saturated fat (remember the ingredients for making pastry are essentially flour and butter with a little water plus sugar for a sweet pastry). The reason we include occasional recipes with filo pastry is that you can get that lovely crisp in the mouth pastry feel with a lot less fatty pastry. Just 2 or 3 sheets of filo lightly sprayed with olive oil (not melted butter) will do the job. So a spinach triangle or a vegetable pie made with filo can provide a nourishing and tasty meal and help you achieve those five serves of veggies a day – providing you make sure it’s got lots of veggie filling and just a little filo pastry! Catherine Saxelby’s Fresh Plum and Ricotta Strudel made with a few sheets of filo shows you how you can up your fruit intake with a delicious low fat, low GI dessert. You’ll find the recipe in our January 2006 GI Newsletter.

pastry
Photo: Ian Hofstetter, The Low GI Diet Cookbook

I have read in some GI lists that fresh coconut is low GI, is this true? Coconut does not seem to be on your list!
Coconut is a nut (not a fruit) and it has not been GI tested. It contains very little carbohydrate per serving (just 1 g in a 15 g portion) and it is virtually impossible to GI test. But it is high in fat (5 g in a 15 g portion) and the fat it contains is nearly 90 per cent saturated. So use very small amounts of coconut products such as coconut milk or desiccated coconut in your cooking.

coconut

Look it up in our A–Z: The GI Glossary continued

Atherosclerosis or hardening of the arteries is a slow progressive disease and can go virtually unnoticed until it produces problems such as angina or a heart attack. Most heart disease, whatever form it takes, is caused by atherosclerosis—clogging on the inside wall of the arteries through the slow build up of fatty deposits (called plaques) which narrows the arteries and reduces the blood flow. This is not just a ‘plumbing’ problem, but one in which inflammation plays a key role. Atherosclerosis can affect the arteries elsewhere in the body including the brain, kidneys, and the arms and legs. When the arteries to the heart are affected and blood flow is reduced, the heart muscle doesn’t get enough oxygen for pumping blood, and eventually this causes central chest pain (angina pectoris). Elsewhere in the body when blood flow is restricted by atherosclerosis there’s a similar effect: in the legs, it can cause muscle pains on exertion; in the brain, it can lead to a variety of problems from ‘funny turns’ to strokes. An even more serious consequence of is when a thrombosis (blood clot) forms over a patch of atherosclerosis on an artery. This process can occur anywhere in the arterial system and lead to a complete blockage of the artery. The consequences can range from a small heart attack to sudden death.

Beta cells The cells in the pancreas that produce insulin. They are found grouped together in the Islets of Langerhans.

Blood pressure The pressure of the blood on the walls of the blood vessels caused by the beating of the heart. Every body has blood pressure, although not everyone’s blood pressure is high. Hypertension is defined as having blood pressure above 140/90 mm HG. An abnormal blood pressure is considered to be 120/80.

Carbohydrate, a vital source of energy found in all plants, is the starchy part of foods like rice, bread, legumes, potatoes, and pasta and the sugars in foods like fruit, milk and honey. Cheap, plentiful and sustainable, it is the most widely consumed substance in the world after water and the basis for a healthy diet. Some foods contain a large amount of carbohydrate (such as cereals, potatoes, and legumes) while other foods such as carrots, broccoli and salad vegetables are very dilute sources. The simplest form of carbohydrate is glucose, which is a universal fuel for our body cells, the only fuel source for our brain, red blood cells and a growing foetus, and the main source of energy for our muscles during strenuous exercise.

Cholesterol is a soft, waxy substance found in the blood and in all the body's cells. It's an important part of a healthy body because it is part of the walls around all of our cells, and is a major component of many of the hormones our body’s produce. Most of the cholesterol in our body does not come from the foods we eat, but is in fact manufactured by the liver. High levels of cholesterol in the blood may lead to blocked arteries, heart attack and stroke. Cholesterol and other fats can't dissolve in the blood. They have to be transported to and from the cells by special carriers called lipoproteins. There are several kinds, but the most common ones are low-density lipoprotein (LDL) and high-density lipoprotein (HDL).

Coeliac disease is a condition where the lining of the small intestine is damaged due to an immune reaction from your own body to a small protein known as gluten. Gluten is found in certain grain foods like wheat, rye, triticale and barley, and in much smaller amounts in oats (as a contaminant). The only treatment for coeliac disease at present is a gluten-free diet.

Diabetes
Type 1 diabetes is characterised by high blood glucose levels due to the body’s complete inability to produce insulin. It occurs when the body’s immune system attacks the insulin-producing Beta cells in the pancreas and destroys them. The pancreas then produces very little or no insulin. Type 1 diabetes occurs most often in young people but can develop in adults.

Type 2 diabetes is characterised by high blood glucose levels caused by an insufficiency of insulin and the body’s inability to use insulin efficiently. It is thought to occur when the body becomes resistant to insulin. The pancreas compensates initially by producing more insulin, then eventually becomes exhausted and produces insufficient insulin. Type 2 diabetes occurs most often in middle-aged and older people but is being seen increasingly in younger adults and teenagers.

Gestational diabetes can occur during pregnancy, but usually goes away after the baby is born. Hormones released by the placenta during pregnancy reduce the effectiveness of the mother’s insulin. It is usually managed successfully with healthy eating and regular physical activity, but in some cases extra insulin is needed.

Dyslipidaemia abnormal levels or composition of the blood fats known as cholesterol and triglycerides.

Fat provides lots of kilojoules/calories – more than protein or carbs per gram – so you only need a small amount each day. The message today is know your fats. Focus on the good ones (mono- and poly-unsaturated fats) and give the bad fats (trans fats and saturated fats) the flick.
Saturated fats are solid at room temperature. These are the fats on meat or chicken skin, and in butter, cheese, palm oil and coconut oil. We don’t actually need to eat any saturated fat, since the body can make all it requires, but it is fairly difficult not to eat some, since all fats are actually mixtures of saturated and unsaturated fats.
Unsaturated fat is liquid at room temperature. These good mono- and polyunsaturated fats provide you with essential fatty acids that form your cell membranes; help you absorb the fat-soluble vitamins A, D, E and K; form part of your body’s hormones; provide insulation; and help you absorb some anti-oxidants from fruit and vegetables.
Trans-fats are produced during manufacture and behave like saturated fat in a product (increasing its firmness), as well as in our bodies (increasing the risk of heart attack). Foods high in trans fats include fried fast foods, some margarines, crackers, cookies and snack – so read the label before you buy these foods.

Fatty liver is the build up of excessive amounts of triglycerides and other fats inside liver cells; also known as steatohepatitis or NASH (Non-Alcoholic Steato-Hepatitis).

Fibre Dietary fibre only comes from plant foods – the outer bran layers of grains (corn, oats, wheat and rice and in foods containing these grains), fruit and vegetables and nuts and legumes (dried beans, peas and lentils). We need about 30 grams of fibre a day for bowel health and to keep regular. There are two types of fibre—soluble and insoluble—and there is a difference.
Soluble fibres are the gel, gum and often jelly-like components of apples, oats and legumes. By slowing down the time it takes for food to pass through the stomach and small intestine, soluble fibre can lower the glycemic response to a food. Good sources include: oatmeal, oat bran, nuts and seeds, legumes (beans, peas and lentils), apples, pears, strawberries and blueberries.
Insoluble fibres are dry and bran-like and commonly called roughage. All cereal grains and products that retain the outer coat of the grain they are made from are sources of insoluble fibre, eg wholemeal bread and All-Bran®, but not all foods containing insoluble fibre are low GI. Insoluble fibres will only lower the GI of a food when they exist in their original, intact form, for example in whole grains of wheat. Here they act as a physical barrier, delaying access of digestive enzymes and water to the starch within the cereal grain. Good sources include: wholegrains, wholewheat breads, barley, couscous, brown rice, bulghur, wheat bran, seeds, and most vegetables.

Fructose or fruit sugar is an alternative sweetener that is nearly twice as sweet as table sugar but provides the same amount of kilojoules. As the name suggests, it is found naturally in most fruits.

To be continued next month.

Events

Carbohydrates, Glycemic Index and Health: The State of the Art
Millions of people around the world are following carbohydrate-modified diets for weight loss as well as general health, judging from the sales figures for popular diet books including, Atkins’ New Diet Revolution, The Zone, The South Beach Diet, The Glucose Revolution, and at least two dozen other titles. With regard to low glycemic index diets, major studies have been published in JAMA, The Lancet, AJCN, American Journal of Epidemiology and International Journal of Obesity in the last three years suggesting beneficial effects on appetite, energy metabolism or body weight. Other recent studies have been inconsistent. How do we distinguish between the good and poor research in this field? What is the difference between low glycemic load and low glycemic index? How do approaches that aim to reduce carbohydrate amount compare with those that focus on carbohydrate quality, specifically GI? Are some individuals more likely to see benefits of low GI diets than others? Are these diets safe over the long term? This ‘state of the art’ one-day symposium in Sydney, Australia on 2 September 2006 will provide a forum for the vigorous exploration of these questions.

conventions

The sponsor: The University of Sydney Nutrition Research Foundation
The convenors: Prof Jennie Brand-Miller, Human Nutrition, The University of Sydney, Australia and Prof David Ludwig, Boston Children’s Hospital, USA
For more information
Ms Elisabeth Eaton
GI Symposium Secretariat, PO Box 949, Kent Town SA 5071, Australia
phone +618 8363 1307; Fax +618 8363 1604
email FI2006@fcconventions.com.au

Dietary Study for Women with PCOS
The University of Sydney is conducting a dietary study for women with PCOS. If you live in Sydney, Australia, are aged 18–40 with PCOS and are not taking the pill or trying to conceive, contact pcosdietstudy@nnd.com.au for more details.

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