Food Rules
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PART II
What kind of food should I eat?
(Mostly plants.)
If you follow the rules offered thus far you will be eating real, whole food most of the time—the simple key to a healthy diet. Beyond that, you have a great many options. One lesson that can be drawn from the striking diversity of traditional diets people have lived on around the world is that it is possible to nourish ourselves from an astonishing range of foods—so long as they really are foods. There have been, and can be, healthy high-fat and healthy low-fat diets, but they have always been diets built around whole foods. Yet there are some whole foods that are better for us than others, and some ways of producing them and then combining them in meals that can make a difference. So the rules in this section propose a handful of personal policies regarding what to eat, above and beyond “food.”
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Eat mostly plants, especially leaves.
Scientists may disagree on what’s so good about plants—the antioxidants? the fiber? the omega-3 fatty acids?—but they do agree that they’re probably really good for you and certainly can’t hurt. There are scores of studies demonstrating that a diet rich in vegetables and fruits reduces the risk of dying from all the Western diseases; in countries where people eat a pound or more of vegetables and fruits a day, the rate of cancer is half what it is in the United States. Also, by eating a diet that is primarily plant based, you’ll be consuming far fewer calories, since plant foods—with the exception of seeds, including grains and nuts—are typically less “energy dense” than the other things you eat. (And consuming fewer calories protects against many chronic diseases.) Vegetarians are notably healthier than carnivores, and they live longer.
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Treat meat as a flavoring or special occasion food.
While it’s true that vegetarians are generally healthier than carnivores, that doesn’t mean you need to eliminate meat from your diet if you like it. Meat, which humans have been eating and relishing for a very long time, is nourishing food, which is why I suggest “mostly” plants, not “only.” It turns out that near vegetarians, or “flexitarians”—people who eat meat a couple of times a week—are just as healthy as vegetarians. But the average American eats meat as part of two or even three meals a day—more than half a pound per person per day—and there is evidence that the more meat there is in your diet—red meat in particular—the greater your risk of heart disease and cancer. Why? It could be its saturated fat, or its specific type of protein, or the simple fact that all that meat is pushing plants off the plate. Consider swapping the traditional portion sizes: Instead of an eight-ounce steak and a four-ounce portion of vegetables, serve four ounces of beef and eight ounces of veggies. Thomas Jefferson was probably onto something when he recommended a mostly plant-based diet that uses meat chiefly as a “flavor principle.”
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“Eating what stands on one leg [mushrooms and plant foods] is better than eating what stands on two legs [fowl], which is better than eating what stands on four legs [cows, pigs, and other mammals].”
This Chinese proverb offers a good summary of traditional wisdom regarding the relative healthfulness of different kinds of food, though it inexplicably leaves out the very healthful and entirely legless fish.
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Eat your colors.
The idea that a healthy plate of food will feature several different colors is a good example of an old wives’ tale about food that turns out to be good science too. The colors of many vegetables reflect the different antioxidant phytochemicals they contain—anthocyanins, polyphenols, flavonoids, carotenoids. Many of these chemicals help protect against chronic diseases, but each in a slightly different way, so the best protection comes from a diet containing as many different phytochemicals as possible.
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Drink the spinach water.
Another bit of traditional wisdom with good science behind it: The water in which vegetables are cooked is rich in vitamins and other healthful plant chemicals. Save it for soup or add it to sauces.
27
Eat animals that have themselves eaten well.
The diet of the animals we eat strongly influences the nutritional quality, and healthfulness, of the food we get from them, whether it is meat or milk or eggs. This should be self-evident, yet it is a truth routinely overlooked by the industrial food chain in its quest to produce vast quantities of cheap animal protein. That quest has changed the diet of most of our food animals in ways that have often damaged their health and healthfulness. We feed animals a high-energy diet of grain to make them grow quickly, even in the case of ruminants that have evolved to eat grass. But even food animals that can tolerate grain are much healthier when they have access to green plants—and so, it turns out, are their meat and eggs. The food from these animals will contain much healthier types of fat (more omega-3s, less omega-6s) as well as appreciably higher levels of vitamins and antioxidants. (For the same reason, meat from wild animals is particularly nutritious; see rule 31.) It’s worth looking for pastured animal foods in the market—and paying the premium prices they typically command if you can.
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If you have the space, buy a freezer.
When you find a good source of pastured meat, you’ll want to buy it in quantity. Buying meat in bulk—a quarter of a steer, say, or a whole hog—is one way to eat well on a budget. Dedicated freezers are surprisingly inexpensive to buy and to operate, because they aren’t opened nearly as often as the one in your refrigerator. A freezer will also enable you to put up food from the farmers’ market, and encourage you to buy produce in bulk at the height of its season, when it will be most abundant—and therefore cheapest. And freezing does not significantly diminish the nutritional value of produce.
29
Eat like an omnivore.
Whether or not you eat any animal foods, it’s a good idea to try to add some new species, and not just new foods, to your diet—that is, new kinds of plants, animals, and fungi. The dazzling diversity of food products on offer in the supermarket is deceptive, because so many of them are made from the same small handful of plant species, and most of those—the corn and soy and wheat—are seeds rather than leaves. The greater the diversity of species you eat, the more likely you are to cover all your nutritional bases.
30
Eat well-grown food from healthy soil.
It would have been easier to say “eat organic,” and it is true that food certified organic is usually well grown in relatively healthy soil—soil nourished by organic matter rather than chemical fertilizers. (It also will contain little or no residue from synthetic pesticides or pharmaceuticals.) Yet there are exceptional farmers and ranchers in America who for one reason or another are not certified organic, and the excellent food they grow should not be overlooked. (And just because a food is labeled organic does not mean it’s good for you: Organic soda is still soda—a large quantity of utterly empty calories.)
We now have a body of research supporting the hypothesis, first advanced by organic pioneers Sir Albert Howard and J.I. Rodale, that soils rich in organic matter produce more nutritious food: that is, food with higher levels of antioxidants, flavonoids, vitamins, and minerals. Of course, after a few days riding cross-country in a truck, the nutritional quality of any kind of produce will deteriorate, so ideally you want to eat food that is both organic and local.
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Eat wild foods when you can.
Two of the most nutritious plants in the world —lamb’s quarters and purslane—are weeds, and some of the healthiest traditional diets, like the Mediterranean, make frequent use of wild greens. The fields and forests are crowded with plants containing higher levels of various phytochemicals than their domesticated cousins. Why? Because these plants have to defend themselves against pests and diseases without any help from us, and because historically we’ve tended to select and breed crop plants for sweetness; many of the defensive compounds plants produce are bitter. We al
so breed for shelf life, and so have unwittingly selected for plants with low levels of omega-3 fatty acids, since these fats quickly oxidize—turn rancid. Wild animals and fish too are worth adding to your diet when you have the opportunity. Wild game generally has less saturated and more healthy fats than domesticated animals, because most of these wild animals themselves eat a diverse diet of plants rather than grain (see rule 27).
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Don’t overlook the oily little fishes.
Wild fish are among the healthiest things you can eat, yet many wild fish stocks are on the verge of collapse because of overfishing. Avoid big fish at the top of the marine food chain—tuna, swordfish, shark—because they’re endangered, and because they often contain high levels of mercury. Fortunately, a few of the most nutritious wild fish species, including mackerel, sardines, and anchovies, are well managed, and in some cases are even abundant. Those oily little fish are particularly good choices. According to a Dutch proverb, “A land with lots of herring can get along with few doctors.”
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Eat some foods that have been predigested by bacteria or fungi.
Many traditional cultures swear by the health benefits of fermented foods—foods that have been transformed by live microorganisms, such as yogurt, sauerkraut, soy sauce, kimchi, and sourdough bread. These foods can be a good source of vitamin B12, an essential nutrient you can’t get from plants. (B12 is produced by animals and bacteria.) Many fermented foods also contain probiotics—beneficial bacteria that research suggests improve the function of the digestive and immune systems and, according to some studies, help reduce allergic reactions and inflammation.
34
Sweeten and salt your food yourself.
Whether soups or cereals or soft drinks, foods and beverages that have been prepared by corporations contain far higher levels of salt and sugar than any ordinary human would ever add—even a child. By sweetening and salting these foods yourself, you’ll make them to your taste, and you will find you’re consuming a fraction as much sugar and salt as you otherwise would.
35
Eat sweet foods as you find them in nature.
In nature, sugars almost always come packaged with fiber, which slows their absorption and gives you a sense of satiety before you’ve ingested too many calories. That’s why you’re always better off eating the fruit rather than drinking its juice. (In general, calories taken in liquid form are more fattening because they don’t make us feel full. Humans are one of the very few mammals that obtain calories from liquids after weaning.) So don’t drink your sweets, and remember: There is no such thing as a healthy soda.
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Don’t eat breakfast cereals that change the color of the milk.
This should go without saying. Such cereals are highly processed and full of refined carbohydrates as well as chemical additives.
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“The whiter the bread, the sooner you’ll be dead.”
This rather blunt bit of cross-cultural grandmotherly advice (passed down from both Jewish and Italian grandmothers) suggests that the health risks of white flour have been popularly recognized for many years. As far as the body is concerned, white flour is not much different from sugar. Unless supplemented, it offers none of the good things (fiber, B vitamins, healthy fats) in whole grains—it’s little more than a shot of glucose. Large spikes of glucose are inflammatory and wreak havoc on our insulin metabolism. Eat whole grains and minimize your consumption of white flour. Recent research indicates that the grandmothers who lived by this rule were right: People who eat lots of whole grains tend to be healthier and to live longer.
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Favor the kinds of oils and grains that have traditionally been stone-ground.
When grindstones were the only way to refine flour and oil, flour and oil were generally more nutritious. In the case of grain, more of the germ and fiber remains when it is ground on a stone; you can’t get white flour from a stone. The nutritional benefits of whole grains are impressive: fiber; the full range of B vitamins; and healthy oils, all of which are sacrificed when the grain is refined on modern roller mills (as mentioned, highly refined flours are little different from sugar). And the newer oils that are extracted by modern chemical means tend to have less favorable fatty acid profiles and more additives than olive, sesame, palm fruit, and peanut oils that have been obtained the old-fashioned way.
39
Eat all the junk food you want as long as you cook it yourself.
There is nothing wrong with eating sweets, fried foods, pastries, even drinking a soda every now and then, but food manufacturers have made eating these formerly expensive and hard-to-make treats so cheap and easy that we’re eating them every day. The french fry did not become America’s most popular vegetable until industry took over the jobs of washing, peeling, cutting, and frying the potatoes—and cleaning up the mess. If you made all the french fries you ate, you would eat them much less often, if only because they’re so much work. The same holds true for fried chicken, chips, cakes, pies, and ice cream. Enjoy these treats as often as you’re willing to prepare them—chances are good it won’t be every day.
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Be the kind of person who takes supplements—then skip the supplements.
We know that people who take supplements are generally healthier than the rest of us, and we also know that in controlled studies most of the supplements they take don’t appear to be effective. How can this be? Supplement takers are healthy for reasons that have nothing to do with the pills. They’re typically more health conscious, better educated, and more affluent. They’re also more likely to exercise and eat whole grains. So to the extent you can, be the kind of person who would take supplements, and then save your money. (There are exceptions to this rule, for people who have a specific nutrient deficiency or are older than fifty. As we age, our need for antioxidants increases while our body’s ability to absorb them from the diet declines. And if you don’t eat much fish, it couldn’t hurt to take a fish oil supplement too.)
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Eat more like the French. Or the Japanese. Or the Italians. Or the Greeks.
People who eat according to the rules of a traditional food culture are generally healthier than those of us eating a modern Western diet of processed foods. Any traditional diet will do: If it were not a healthy diet, the people who follow it wouldn’t still be around. True, food cultures are embedded in societies and economies and ecologies, and some of them travel better than others, Inuit not so well as Italian. In borrowing from a food culture, pay attention to how a culture eats as well as to what it eats. In the case of the French paradox, for example, it may not be the dietary nutrients that keep the French healthy (lots of saturated fat and white flour?!) as much as their food habits: small portions eaten at leisurely communal meals; no second helpings or snacking. Pay attention, too, to the combinations of foods in traditional cultures: In Latin America, corn is traditionally cooked with lime and eaten with beans; what would otherwise be a nutritionally deficient staple becomes the basis of a healthy, balanced diet. (The beans supply amino acids lacking in corn, and the lime makes niacin available.) Cultures that took corn from Latin America without the beans or the lime wound up with serious nutritional deficiencies such as pellagra. Traditional diets are more than the sum of their food parts.
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Regard nontraditional foods with skepticism.
Innovation is always interesting, but when it comes to food, it pays to approach new creations with caution. If diets are the products of an evolutionary process in which groups of people adapt to the plants, animals, and fungi a particular place has to offer, then a novel food or culinary innovation resembles a mutation: It might represent an evolutionary improvement, but chances are it doesn’t. Soy products offer a good case in point. People have been eating soy in the form of tofu, soy sauce, and tempeh for many generations, but today we’re eating novelties like “soy protein isolate,” “soy isoflavones,” and “textured vegetable protein” fr
om soy and partially hydrogenated soy oils, and there are questions about the healthfulness of these new food products. As a senior FDA scientist has written, “Confidence that soy products are safe is clearly based more on belief than hard data.”3 Until we have that data, you’re probably better off eating soy prepared in the traditional Asian manner than according to the novel recipes dreamed up by food scientists.
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Have a glass of wine with dinner.
Wine may not be the magic bullet in the French or Mediterranean diet, but it does seem to be an integral part of these dietary patterns. There is now considerable scientific evidence for the health benefits of alcohol to go with a few centuries of traditional belief and anecdotal evidence. Mindful of the social and health effects of alcoholism, public health authorities are loath to recommend drinking, but the fact is that people who drink moderately and regularly live longer and suffer considerably less heart disease than teetotalers. Alcohol of any kind appears to reduce the risk of heart disease, but the polyphenols in red wine (resveratrol in particular) may have unique protective qualities. Most experts recommend no more than two drinks a day for men, one for women. Also, the health benefits of alcohol may depend as much on the pattern of drinking as on the amount: Drinking a little every day is better than drinking a lot on the weekends, and drinking with food is better than drinking without it. Someday science may figure out the complex synergies at work in a traditional diet that includes wine, but until then we can marvel at its accumulated wisdom—and raise a glass to paradox.