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Drewnoski and Carneros, Bitter taste, phytonutrients, and the consumer: a review. Am J Clin Nutr 2000;72:1424-35

PM Kris Etherton et al. , Polyunsaturated fatty acids in the food chain in the US . AM J Clin Nutr 71:1, 179-188,2000

Oomen, CM et al, Zupthen Elderly Study. Am J Clin Nutr 74:457-463,2001

James, M. et al. Dietary polyunsaturated fatty acids and inflammation mediator production Am J Clin Nutr 71: 343-348, 2000
Simopoulos. Essential fatty acids in health and chronic disease. Am J Clin Nutr. 70:560-569. 1999
Han, SN, Leka, LS. Et al. Effect of hydrogenated and saturated, relative to polyunsaturated fat on immune and inflammatory responses of adults with moderate hypercholesterolemia. J Lipid Res 43 ( 3 ),: 445-52. 2002.
Albers R., Bol, M. Bleumink R., et al. Effects of dietary lipids on immune function in a murine sensitization model. Br J Nutr 88 (3) 291-9,2002

Other Findings

Connie Guttersen, RD PhD
California Tuna Melt

Feed A Cold...

by Connie Guttersen, RD PhD,
author of the Sonoma Diet

One of the best methods to avoid sickness is to fight back with good nutritious foods. In the old days that role fell to Grandma's chicken soup. These days, more and more chefs are working to combine foods that are both "umm umm good" and "good for you."

Good-tasting, good-for-you menus will do more than help fend off the common (and not so common) cold or fever. Good nutrition also helps build a strong immune system, which can fight off more long-term diseases such as heart disease and cancer. Of course, other lifestyle factors, such as sleep and stress, play a role in the immune system's ability to fight infections. And while restaurants can't play much of a role in assuring their customers get enough zzzs and minimal stress, they can make a big contribution to proper diets. Fortunately, the foods that are good for the immune system are also make up the types of dishes that chefs want to put on menus.

These foods can be broken down into five groups. They include bright colored fruits and vegetables, high quality proteins, healthy fats and oils, garlic/ onions and vitamin E.

Feed A Cold...
Bright colored fruits and vegetables
High Quality Protein
Healthy Fats and Oils
Garlic and Onions
Vitamin E
Sugar is not sweet to immune system

1. Bright colored fruits and vegetables

These foods contain powerful antioxidants, which protect the immune system against free radical damage. Yellow, orange and red pigments contain nutrients such as vitamin C and Beta carotene. Vitamin C helps prevent and speed up the recovery time from a cold. Beta carotene, found in carrots, spinach and sweet potatoes, is also a strong antioxidant that has been specifically found to improve the immune system's function. Vitamin A, also made from beta carotene, has its own and different immune boosting qualities and is crucial for immune defense. It enhances white blood cell function, increases the resistance to infection and helps maintain skin and mucus defenses to infection. Fresh and canned tomatoes contain another type of antioxidant, lycopene. Lycopene enhances the function of the immune system by having a positive effect on the production and maintenance of our natural killer cells or also referred to as white blood cells. White blood cells are powerful immune factors; they have the capability of destroying more than 100 types of viruses / bacteria and many different types of cancer cells. Other foods with bright colors such as cranberries, blueberries, and strawberries all contain a wide variety of antioxidants, which also protect immune cells from the environmental stresses. How can chefs offer more of these nutrient dense foods and still captivate the flavor? By taking a global approach to food. Examples include: braised bitter greens and broccoli rabe (slightly different variety of common broccoli) with olive oil, cooking eggplant to a creamy consistency and then combining this with olives and using it as part of a dip, sauce, or even as a tapenade on bruschetta. Other interesting ideas include cauliflower and green peas in a spicy Indian sauce, Tunisian Carrot Salad with Harissa, Black Ripe Olives, and Feta Cheese, Piquillo peppers and fresh tomato salad with marinated tuna and Black Ripe Olives, Latin style roasted cactus and black olive salad, roasted multicolored beets served with a light vinaigrette and fresh mint leaves, and different version of grains salads which contain fresh fruits. Many of these recipes have been inspired from different healthy global cuisines, such as the Mediterranean, Asia and Latin America.

Here are some to get you started: Chicken Tagine, Moroccan Roast Chicken Breast, Ancient America Grain Salad and Mediterranean Chickpea Soup.

2. High Quality Protein

Whether you are trying to "feed a cold or starve a fever", neither is a simple solution. In both cases, the body is using more energy (calories) than what it normally requires to fight off infection. In addition, your immune system is dependent on a constant supply of high quality amino acids - the building blocks of protein. So both calories and high quality protein becomes an important issue for strengthening the immune system when you are sick. When infections invade the body, it reacts by calling upon the immune system to

Want to expand your usage of interesting grains and heirloom beans? These not only taste great; they also add nutrient dense plant proteins to your menu.

A Wider Variety of Grains and Beans for Plant Proteins

Grains
Amaranth, Buckwheat, Jobs Tears, Millet, Quinoa (a complete protein), Wild Rice, Teff, Triticale, Wheat Berries, Bulgur Wheat, Cracked Wheat, Kamut, Spelt

Beans
Adzuki, black beans, butter beans, chick peas, borlotti, cannelloni, Dutch brown, flageolets, great northern, lentils, split peas, soybeans, white beans, haricot beans

Here are some recipes that pack a grain, bean or old-fashioned meat protein punch:
Chunky Quinoa Chili, Egyptian Lentils with Olives and Tomatoes, Gingered Beef and Olive Salad and Autumn Lamb Stew.

produce antibodies, also referred to as immunoglobulins. Antibodies, which are proteins made from certain amino acids, bind to different types of infections in order to neutralize, destroy and eliminate them from your body. The recent increase in vegetarian styles of eating has made the quality of protein a greater issue. It is important that a healthy diet provide the 8 essential amino acids. These 8 essential amino acids are found in "complete proteins" such as animal sources, soy and quinoa. They're also found in plant sources, or "incomplete proteins". "Incomplete proteins" refer to plant sources such as grains, beans, legumes and nuts, which are missing one or two of these 8 essential amino acids. Since these individual sources of plant proteins typically do not contain the 8 essential amino acids, combinations of grains with legumes and beans or eating a wide variety of these foods on daily basis will provide the body with the 8 essential amino acids. The most popular style of "vegetarian eating" is the semi vegetarian diet. The recent growth of this style is mostly inspired by health reasons and the emergence of the many global cuisines, which do not focus on meat as the primary ingredient. Most semi-vegetarian diets will include moderate amounts of fish and poultry, but focus on the plant sources for protein. The advantages of incorporating plant sources of protein in the diet is that grains, legumes, beans and nuts all contain fiber, antioxidants from vitamins and phytochemicals, as well as healthy oils from the monounsaturated and polyunsaturated group. The professional food industry is experiencing a higher demand for not only strict vegan dishes but also for semi vegetarian dishes. This has led to several ideas, globally and nutritionally inspired. Some of these dishes are as simple as a lentil and walnut salad topped with Black Ripe Olives, almond raisin couscous, grape leaves stuffed with chickpea hummus, warm cannelloni bean and sage spread, White bean, parsley salad, topped with pomegranate seeds, Chickpea salad with garlic-cumin vinaigrette, Cuban black bean soup topped with sour cream and Black Ripe Olives, and other ethnic flavored grain medleys.

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3. Healthy Fats and Oils
There are several categories of fats and oils in our diets. They include saturated fats (primarily from animal products, tropical oils and hydrogenated fats), monounsaturated fats (olives, nuts, avocados and canola oil) and polyunsaturated fats (vegetable / seed oils, and fish oils). It has been well documented that olives and olive oil boost the immune system against attacks from microorganisms, bacteria, and viruses. Our immune system is greatly affected by the different types and amounts of fats and oils we eat. This is related

Dietary Sources of Fats and Oils

Saturated Fats:
Animal products, coconut and palm oils, Hydrogenated fats, Processed Foods, Fried Foods
Monounsaturated Fats:
Olives, olive oil, nuts, avocados, canola oil
Polyunsaturated:

Omega 6: Oils from corn, soybeans, safflower, cottonseed

Omega 3: Salmon, herring, tuna, flaxseed, walnuts, canola oil, pursulane, tofu

to the various types of compounds known as eicosanoids, which are produced based on the balance and types of fatty acids in our diets. (see my previous article " You are What You Eat" for a more detailed discussion of this topic). A healthy variety and balance of fats can be achieved by increasing the monounsaturated sources: olives, nuts, avocados, and canola oil as well as increasing the omega 3 oils found primarily in cold water fish, such as salmon or from plant sources such as flaxseed. Dieting, a long time common way of life for many Americans, may be what is behind the frequent bouts of the flu and cold. Low calorie and low fat diets, especially those that result in rapid weight loss, have been shown to impair the immune function. Low fat diets have also been linked to an increased incidence of depression. (see previous article on Food and Mood for more info on this topic) This is significant since it is well documented that depression decreases the immune system. The best types of fats to prevent depression are the omega three oils and monounsaturated fats.

Consider diving into these recipes: Salmon With Pinenut-Rosemary-Olive Crust, Triple "S" Seafood Stew Triple S Seafood Stew, Bouillabaisse Under Wrap, Tortilla Toasts with Avo-Olive Salsa, Quinoa Pinenut Pilaf and Tuna Melt Sandwich. of other fats, such as saturated fats, which may increase breast cancer risk. The incidence of breast cancer in the US is double that of the Mediterranean region so it is no wonder that chefs are taking a closer look at the Mediterranean diet for a model of healthy eating.

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4. Garlic and Onions
The folk remedy of drinking the juice of onions for coughs may be more accurate than what was perceived by many. Garlic, also a member of the onion family, has been used medicinally for 5000 years by the ancient Egyptians, Greeks, Romans and Chinese. Historically, its role was believed to hold a cure for infections, epilepsy, and heart disease. Recent medical studies appear to conclude that a clove a day may keep the doctor away. There was also the discovery that sulfur-containing compounds in both onions and garlic act as the body's disinfectant, clearing away toxins and germs, and thus, warding off many common infections in the body. Garlic and onions stimulate the body's immune system by boosting the activity of the natural killer cells (white blood cells) and T helper cells, both essential to a strong immune response. Numerous medical studies, such as the Iowa's Women's Health Study have confirmed garlic's immune enhancing properties and benefits to work against cancer and heart disease. Some of the major functions of garlic in enhancing the immune system are listed in the graphic to the right.

Country Style Turkey Pot Pie
Country Style
Turkey Pot Pie

What gives garlic and onions their medicinal properties? The answer is related to the group of sulfur-based phytocHemicals they contain. The active component of garlic is a sulfur compound, which is converted to allicin when garlic is crushed or chopped. It is one of the most important compounds in garlic's nutritional makeup. Yet, it is not the only phytochemical contained in garlic. Others include allylic sulfides, mono-terpenes, tri-terpenes, and phbenolic acids. Cooking with garlic may alter the activity of some of the phytochemicals in garlic. For example, studies have shown that heating in a microwave or oven can minimize garlic's cancer fighting benefits. However, if the garlic is minced or crushed and allowed to stand for at least 10 minutes before heating, there is little or no loss of the phytochemical, allicin. The 10 minute standing time allows for enzymes present in garlic to start producing allicin. As we experience more of the global cuisine flavors, we find an abundance of garlic, onions, and leeks within the recipes.

Achoo!
Most adults get colds 2 to 4 times a year, while children get double that amount. When you realize that there are more than 200 different types of infections linked to the common cold and flu, perhaps it is even more surprising when people don't succumb.

Medical experts are predicting that this year may be one of the worst for the flu. Their prediction is based on the discovery of new germs, bacteria and viruses that can weaken the immune system and lead to sickness. The flu virus is particularly frustrating to treat since it does not respond to antibiotics; plus, misuse of antibiotics can lead to more resistant germs, leading to harder to treat colds and infections. Not that we don't try -- Americans spend over $2 billion dollars annually on over-the-counter medications for cold and flu.

Garlic adds fine flavor to these recipes: California Ripe Olive Rainbow Chard and Tomatoes, Chicken with Ripe Olives 'n Pepper Salsa, Chipotle Turkey Wrap and Galician-Style Spanish Dumplings.

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5. Vitamin E
One in three Americans do not get enough vitamin E in their diets. This immune-boosting nutrient is commonly regarded as a powerful antioxidant with benefits beyond heart disease and cancer. Vitamin E has been found to also boost T- cells (immune function related) and antibody responses in individuals who are exposed to high levels of stress. A recent study found that daily intake of vitamin E as a mega supplement may not be such a good idea for elderly people, especially those who are already taking in a well-balanced and adequate diet. In this study, which was released this year in the Journal of the American Medical Association, the results showed that adults (60 years and plus), who had a respiratory infection and also took vitamin E supplements were sick for a longer period of time than those adults who did not take the Vitamin E supplement. In explaining the results, the researchers suggested that an increase in the symptoms may reflect an enhanced immune activity or perhaps an immune imbalance. In conclusion, adults should be cautious about taking mega doses of Vitamin E. However, a different perspective is reported by Tuft's scientist, Simin Meydani ,who states that it is very difficult to obtain the amount of vitamin E necessary for an immune response through diet alone--especially, if one is dieting on a low fat / low calorie diet. Good sources of vitamin E include plant oils, almonds, hazelnuts, peanut butter, soybeans, wheat germ, dark green leafy vegetables and olives. When cooking with these ingredients, take note that vitamin E is a fat soluble nutrient. This means that it is best absorbed and utilized in the body when accompanied by healthy fats. In the same perspective be careful to not lose vitamin E in discarded cooking liquids or sauces that are oil based. Although supplementation may help or enhance Vitamin E's immune benefits in individuals who are deficient in the nutrient, it is necessary to recognize that over supplementation can suppress immune function caused by the effects of the supplement on other nutrients and their ability to be absorbed in the body. (In other words, over supplementation may create a competition for other nutrients, which in turn may create a nutrient deficiency.) The best advice is to obtain the nutrients from nutrient dense foods in order to promote a proper balance and variety among all nutrients.

Here are some "E"xcellent recipe selections: California Ripe Olive Briks, Grilled Orzo Salad, Grilled Chicken Penne, Lemon Salmon Linguini and California Ripe Olive Rainbow Chard.

California Sage and Olive Meatloaf
California Sage
and Olive Meatloaf

Sugar is not sweet to immune system.
Any attempt to add fresh fruits, vegetables, whole grains and limiting the amount of red meat, refined sugars and highly processed foods will be an improvement and an important to step to strengthening the immune system. A key food to avoid is refined sugars, as they actually decrease the effectiveness of the immune system by limiting the capacity of the natural killer cells (white blood cells) ability to fight infection in the body.

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