5 Ways to Eat Healthily and Merrily During Deepavali

WORDS GURSHARON KAUR GILL

FEATURED EXPERT
GURSHARON KAUR GILL
Dietitian

With Deepavali being around the corner, the thought of delicious, mouth watering dishes comes to mind for most Malaysians.

Be it the sweet delicacies or the main dishes, festive food is known to be a crowd favourite. It is during festive seasons, that most people let go of their healthy eating habits and indulge in more than their usual food portion. Because, who doesn’t love their mutton curry, chicken varuval or pineapple tarts?

However, the brunt of all the overindulging comes about after the festive season. You might start seeing some extra pounds in your weight and perhaps even spikes in your blood sugar level from all that over indulging. So, why not make your festive season this time a little healthier by following some of my simple tips below.

Tip 1
PREPARE YOUR OWN DISHES & SWEETS

This allows you to modify the recipe to make it a healthier version, such as by reducing the amount of ghee or oil used in the original recipe.

Alternatively, you may also switch from ghee, which contains high amount of saturated fats, to vegetable oil, which contains unsaturated fats and is hence more friendly for your heart health.

You can also reduce the amount of sugar or condensed milk by half from the original recipe for the sweet items. This method helps to reduce the overall calorie of the food items.

Tip 2
PRACTICE PORTION CONTROL

While it can be hard to resist the mouth watering festive food, it is still important to practice portion control.

When it comes to your favourite festive food like jalebi, kesari, pineapple tarts or muruku, practice sharing these food items with family or friends.

You can also practice portion control by limiting to only 1-2 pieces of these food items onto your plate, so that you avoid over indulging, more so if you have multiple houses to visit!

Another trick is to avoid eating cookies straight out of the cookie jars, as this usually causes one to lose track of how much they have eaten.

Tip 3
KEEP AWAY FROM SUGARY DRINKS

Sugary drinks like cordials or packet drinks are commonly served at open houses. However, these drinks are just loaded with sugar without providing your body with any nutrients.

Hence, it is advisable to limit your intake of sugar sweetened beverages to no more than 1 to 2 servings per day.

It is very easy to over consume these sugary drinks as you go about visiting from one house to the other or even while catching up with family and friends. Hence, for those hosting open houses this year, some healthier options to consider would be lower-calorie drinks. Great examples that are also simple to prepare are:

  • Ginger lemonade, with half the sugar from the original recipe
  • Infused water; you can always replace plain water with sparkling water for that extra fizziness in the drink

And for those visiting, if there is no other option of lower-calorie drinks, opt for plain water!

Tip 4
EAT MINDFULLY

Mindful eating helps you to listen to your body for hunger and satiety cues. This is important as it prevents you from mindless eating that adds up to your daily calorie intake.

Over-indulging is common, especially if you are busy catching up with family and friends, and unknowingly end up eating more than you need to. Hence, check in with yourself to identify your hunger and satiety cues is helpful.

Always remember to stop eating before you feel full, as your brain takes 20-30 minutes to register the feeling of fullness.

Tip 5
APPLY THE MALAYSIAN HEALTHY PLATE PRINCIPLES
The Malaysian Healthy Eating Plate. Click on the image to view a larger version.

It is always back to basics when it comes to eating healthily during festive season. The Malaysian Healthy Plate concept encourages the suku-suku-separuh (quarter-quarter-half) method, which helps to ensure a balanced meal with less sugar, salt and fat intake.

This concept simply means filling:

  • ¼ of your plate with grains (preferably whole grains)
  • ¼ of your plate with low fat protein sources (chicken, fish, mutton, eggs, prawns)
  • ½ of your plate with vegetables
HOW YOU CAN PRACTICE THE HEALTHY PLATE CONCEPT DURING DEEPAVALI 
Example 1
  • Grains: Idli (2 small pieces)
  • Protein sources: Chicken varuval (1 palm-sized lean chicken)
  • Vegetables: Stir-fried cabbage with turmeric (2 handfuls of veggies)
Example 2
  • Grains: Thosai (1 piece)
  • Protein sources: Mutton Curry (4 matchbox-sized pieces of lean mutton)
  • Vegetables: Stir-fried bhindi masala (2 handfuls of veggies)
Example 3
  • Grains: Jeera rice (2 to 3 flat rice scoops)
  • Protein sources: Chicken peratal (1 palm-sized lean chicken)
  • Vegetables: Stir-fried bittergourd with turmeric (2 handfuls of veggies)

The bottom line is, you can definitely enjoy the festive food that usually comes about only once a year. However, the key is to practice moderation when consuming them. That way, you get to enjoy the good food and yet not have to deal with untoward health problems after the festive season is over!

Sheep’s Milk vs Goat’s Milk: Is One Better Than the Other?

WORDS GURSHARON KAUR GILL

FEATURED EXPERT
GURSHARON KAUR GILL
Dietitian
IS GOAT’S MILK THE G.O.A.T?
EASIER TO DIGEST, COMPARED TO COW’S MILK
  • The lower levels of alpha-S1-casein protein in goat’s milk explain its easier digestibility and hypoallergenic properties.
  • The casein protein in goat’s milk also results in a smaller and softer curd formation in the stomach, which can be more easily digested by stomach enzymes compared to the harder curd formed by cow’s milk.
  • Goat’s milk has more medium-chain fatty acids than cow’s milk, which has more long-chain fatty acids. Long chain fatty acids are harder to digest, because they require bile salts from the liver as well as pancreatic enzymes to break them down before they can be absorbed by the intestine. On the other hand, medium chain fatty acids in goat’s milk do not require pancreatic enzymes to be broken down; they are more readily absorbed into the blood stream.
MORE CALCIUM, VITAMIN A & PROBIOTICS THAN COW’S MILK
  • 1 cup of goat’s milk contains 327 mg of calcium, while 1 cup of cow’s milk contains 276 mg of calcium. That equates to 51 mg more calcium in goat’s milk. However, this does not mean you have to switch to goat’s milk for that extra calcium. One is still able to achieve their calcium requirement through other calcium-rich foods like yoghurt, cheese, and some vegetables like spinach, bok choy, and broccoli in addition to milk intake.
  • 1 cup of goat’s milk contains 483 IU of Vitamin A while 1 cup of cow’s milk contains 114 IU. Vitamin A is essential for good vision, growth, fetal development, and a healthy immune system.
  • Goat’s milk contains a higher amount of prebiotics (oligosaccharides) compared to cow’s milk, which encourages the growth and proliferation of beneficial bacteria in the gut.
HOWEVER, SOME CAVEATS OF NOTE
  • Goat’s milk may not be suitable for people that are lactose intolerant as it still contains lactose. Some people find goat’s milk slightly easier to digest than cow’s milk, but other people may not have the same reaction. If you are lactose intolerant or have milk allergies and want to give goat’s milk a try, do consult your doctor beforehand.
  • Children above the age of 1 year can safely drink pasteurised goat’s milk, provided they do not have any allergy issues. Raw, unpasteurized goat’s milk is not encouraged as it may contain bacteria that can cause serious illness among children.
  • Children diagnosed with cow’s milk protein allergy (CMPA) are not recommended to consume goat’s milk or goat’s milk formulas. This is because there is evidence that this milk may still cause allergy reactions in children with CMPA, due to cross reactivity with cow’s milk.
  • Goat’s milk has more calories per serving, when compared to whole cow’s milk. This is due to the higher fat content in goat’s milk (10 g per serving) compared to 8 g per serving in cow’s milk. So, if you’re watching your weight, you may want to consider low fat cow’s milk or skim milk, especially if you drink more than 2 cups of milk per day.
HOW ABOUT SHEEP’S MILK?
IT’S ALSO EASIER TO DIGEST, COMPARED TO COW’S MILK
  • Based on a recent study in New Zealand, the protein in sheep’s milk is also more readily digested as compared to cow’s milk, which may be the reason it is better tolerated by adults that are unable to tolerate cow’s milk.
MORE CALCIUM, ZINC & PROTEIN THAN COW’S MILK
  • Sheep’s milk contains as much as 35% more calcium in 1 serving (1 cup) as compared to cow’s milk. Calcium is an essential mineral for strong bones and teeth, and is one of the important minerals in the prevention of osteoporosis.
  • Sheep’s milk contains a higher amount of zinc as compared to cow’s milk. Zinc is important for cell growth and division, wound healing, and supporting a healthy immune system.
  • Sheep’s milk is a high-protein beverage, containing 7 grams more protein per serving than cow’s milk. Protein plays an important role in the building and repairing of tissues and muscles as well as for a healthy immune system.
HOWEVER, SOME CAVEATS OF NOTE
  • Pasteurized sheep’s milk is fine for children after the age of 1 year, provided that they do not have allergy issues.
  • Children diagnosed with cow’s milk protein allergy (CMPA) are not recommended to consume sheep’s milk or sheep’s milk formulas. Just like with goat’s milk, there is evidence that sheep’s milk may still cause allergy reactions in children with CMPA, due to cross reactivity with cow’s milk.
  • Sheep’s milk has more calories per serving, when compared to whole cow’s milk. This is due to the higher fat content (17 g per serving) compared to 8 g per serving in cow’s milk. So, if you’re watching your weight, you may want to consider low fat cow’s milk or skim milk, especially if you drink more than 2 cups of milk per day.
SHEEP’S MILK VS GOAT’S MILK: IS ONE BETTER THAN THE OTHER?

Looking at the data and evidence that we have, there isn’t one “best milk” out of the cow’s milk, sheep’s milk, or goat’s milk.

All three types of milk have their pros and cons, and it really depends on the specific reason you choose a particular type of milk.

Barring any intolerance or allergy issues, it is absolutely okay to choose the milk that you like the most in terms of taste as well as your health status.


References:

  1. Alberta Health Services (2022, April). Nutrition guideline: Healthy infants and young children—milk. https://www.albertahealthservices.ca/assets/info/nutrition/if-nfs-ng-healthy-infants-other-milks-fluids-milk.pdf
  2. Malaysian Paediatric Association and Malaysian Society of Allergy and Immunology. (2012). Guidelines for the management of cow’s milk children 2012 (CMPA in children). https://www.allergymsai.org/pdf/guideline-cows-milk.pdf
  3. Metzger, M. (2022, July 22). Goat milk versus cow milk: A comparison. Michigan State University Extension Sheep & Goats. https://www.canr.msu.edu/news/goat-milk-versus-cow-milk-a-comparison

Will Consuming Bak Kut Teh Soup Damage Your Liver?

WORDS DR CHIENG JIN YU

FEATURED EXPERT
DR CHIENG JIN YU
Consultant Physician, Gastroenterologist & Hepatologist
Pantai Hospital Ampang

Back in June, the journal Forensic Science, Medicine and Pathology published a paper titled ‘Could herbal soup be a potentially unrecognized cause of hepatotoxicity at autopsy?’.

WHAT DOES THE PAPER SAY?

You can read the paper here (link opens in a new tab), but here are the key points:

  1. One of the investigators had a patient that suffered liver damage after eating bak kut teh soup.
  2. These researchers added 4 different formulations of bak kut teh soup to cultures of liver cancer cells.
  3. All 4 formulations were seen to cause ‘significant’ toxicity to these cells.
THAT SOUNDS ALARMING!

Indeed, this paper generated some discussion in the media recently. After all, bak kut teh is a popular delicacy especially among the Chinese population in Malaysia and Singapore!

Let me point to the statement made by Professor Roger Byard, the lead author of the study, in an interview with ABC Radio Adelaide: he said that he didn’t feel that people should panic over the results of the study.

“Obviously, a lot of people have this soup and don’t have a problem,” Prof Bayard told the interviewer, adding that he personally loves bak kut teh and has enjoyed the dish for years.

WHY PANIC MAY BE PREMATURE

We still don’t know the direct cause the patient’s liver damage. Perhaps she had a previous liver disease that led to the observed liver damage, or perhaps her liver was damage after she took her lipid-lowering medication.

We haven’t identified the exact component(s) in bak kut teh soup that may lead to liver damage. Furthermore, to date, we are not informed of the concentrations of various ingredients in these soup bases, so we can’t make a definite conclusion about the toxicity of these ingredients to our liver cells.

The investigators conducted an in-vitro laboratory study. What this means is that it was done in a controlled environment such as a test tube or petri dish.

Hence, we don’t know yet whether a similar result will be seen if the test were performed on actual people. Our digestive system is far more complex than what is in a test tube or petri dish, so this study does not accurately replicate what will happen to our body after we’ve consumed bak kut teh.

They did not study drug-food interactions. Everything we ingest, whether it’s medicine, foods, and drinks, may have a favourable response or therapeutic effect. It may also have therapeutic side effects.

THE TAKE HOME MESSAGE FROM ALL OF THIS

This is why the title of the paper is framed as a question: ‘Could herbal soup be a potentially unrecognized cause of hepatotoxicity at autopsy?’

It is meant to be a starting point for more research into the matter.

Until we have more information, there’s no harm in enjoying bak kut teh so long as it’s in moderation and in line with our healthy eating principles!


Reference: Britza, S. M., Farrington, R., Musgrave, I. F., Aboltins, C., & Byard, R. W. (2022). Could herbal soup be a potentially unrecognized cause of hepatotoxicity at autopsy?. Forensic science, medicine, and pathology, 1–4. Advance online publication. https://doi.org/10.1007/s12024-022-00490-5

How to Spot Contaminated Food in Your Child’s Canteen?

How to Spot Contaminated Food in Your Child’s Canteen?

May 8, 2022   Return

WORDS JENNIFER F. NETTO

Every parent desires to have the entire day planned, to wake up early, prepare breakfast, pack lunch-boxes, get the kids ready for school and send them off (right at the front of the school gate if possible). While that’s an ultimate vision, most parents aren’t so lucky especially when other obligations tie them down. Perfect parenting or not, sending your child off to school with lunch money alone is not enough. When it comes to food, there should also be a responsible concern on what your child is eating in school. Apart from prioritizing a healthy diet, consuming uncontaminated food should top the priority list too.

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WHAT IS CONTAMINATED FOOD?

According to the Ministry of Health Malaysia, food contamination refers to food that has been corrupted with another substance – either physical, biological or chemical. Biological contamination refers to food that is contaminated by organisms or substances they produce. This includes biological matter produced by humans, rodents, insects and microorganisms. Bacteria and viruses are typically the two biggest causes of biological contamination and can result in some of the most common types of food poisoning including salmonella, E. coli, listeria and norovirus.

Physical contamination is when a foreign object contaminates food, objects such as steel wool, sponges and utensils. Chemical contamination refers to food that has been contaminated with a natural or artificial chemical substance. These contaminants are particularly dangerous as they expose people to any number of toxic substances, some of which can be fatal. Chemicals can also contaminate food at any time of the food process, whether by pesticides transferred from the soil the food is grown in or during the manufacturing process. Storing chemicals separately from food is essential to help protect against chemical contamination.

BEING SHERLOCK

Incidents of food poisoning in schools have happened a lot and we hear in the media of outbreaks almost annually. Detecting contaminated food can be tricky but there is a simple way to do this which is to be observant of various causal factors. Food vendors are hired to cater to children in schools, some of them are unable to adhere to safe practices and this will put the children in danger of food poisoning. Most cases can be avoided if food handlers practise proper measures when preparing food and it is every parent’s responsibility to play the social health inspector for the sake of the safety of every schoolgoing child.

“Food contamination refers to food that has been corrupted with another substance – either physical, biological or chemical.”

FOOD HANDLING AND STORAGE

A simple observation of how the canteen operates and handles food can give you a general picture of what to expect. Check if food is displayed properly, if they are covered and if they use thongs to serve unpacked food. Observe how they manage raw food and that it is not mixed with cooked food as this could cause cross- biological contamination. It is also important to observe the canteen’s food storage area – are the boxed items left on the floor and if they are accessible to rodents and pests?

Check also the condition of their refrigerator and what items are stored and not stored in it, if seafood, eggs and milk are stored at the right temperature and what are left unrefrigerated and exposed in the open. Note also if they reheat their food, and how quickly they refrigerate leftovers. This may seem like a trivial matter, but cooked food that are exposed to room temperature for more than 2 hours have the potential to attract biological contaminants onto them and therefore should sometimes not even be considered to be refrigerated as leftovers. Foods such as eggs, cheese, milk and coconut rice (nasi lemak) for instance can biologically degrade fast when left in room temperature and may be best discarded if not consumed after a long preparation time. Contaminated water can also be the main cause of food poisoning. Rightfully, water should be filtered and boiled when it is served to children, but this is most often not the case. In practice, vendors are more prone to preparing drinks from unboiled and unfiltered water due to convenience.

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CANTEEN FACILITIES

Some canteens can have poorly managed facilities, but cleanliness should never be compromised no matter how limited the resources may be. Eating utensils for instance can carry various contaminants if they are not washed properly, dried and stored well. The sink in which our children wash their hands is another matter of concern. Take note if children are provided with good hand soaps and if the sinks are regularly washed or not. A dirty sink can harbor billions of bacteria which thrives in such environment and they are easily spread through each kid who uses the sink. Trash bins too should be emptied regularly and kept closed to prevent flies from vectoring pathogens that can cross-contaminate well prepared food.

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EDUCATE FOR PREVENTION

While such observations in a canteen will give you a rough idea of how to evaluate the quality of food produced by the canteen vendor and the potential hazards your child could face consuming their meals, it is also important to teach the young ones to identify spoilt and soiled food, and to be vigilant in observing the cleanliness of their canteen vendor. Train them to purchase boxed or canned drinks instead, advise them to stay away from food which has too many flies around it and to use their sensory to detect food that has gone bad through smell and texture before consumption. Food safety is everyone’s responsibility and when canteens are poorly managed, as a parent, you could take the proactive measure to inform respective authorities to take necessary action. You could even start an awareness programme with the rest of the parents through your child’s school Parents Teachers Association (PTA, also known as PIBG) and get everyone involved in making changes for the better. HT

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The Cheat Sheet for Post-Raya Damage Control

The Cheat Sheet for Post-Raya Damage Control

May 8, 2022   Return

WORDS JORDAN LAI

To all my Muslim friends, I know the last month has been a struggle. I also know a number of you might have put on a little extra weight over the fasting month. Does it come as a surprise? Not really. You would expect to lose weight if you’re only eating half as much as you normally do. But that isn’t the case, is it? Think about it, the heavy breakfasts in preparation for the day ahead, all the Ramadan bazaars conveniently popping up after work, the sudden cravings for pizza and deep-fried chicken (which you would otherwise try to avoid). Dietary habits definitely change during the fasting month and some people would consider it as an opportunity to indulge (excessively). Fret not, as HealthToday has come up with a cheat sheet for those of you who need a little help getting into that pair of jeans you used to fit in back in April.

CHEWING GUM

No one really makes a habit of chewing gum anymore. These days it’s marketed as a minty breath freshener and some sugar-free options are promoted for plaque control. While chewing gum is obviously no substitute for proper dental care, there are other less apparent benefits to chewing gum. When you are chewing gum, the act itself tricks your brain into thinking that you’re currently in the process of eating. Since you won’t be swallowing your gum, you could be chewing for hours without realizing you’re hungry. Of course, it doesn’t actually satiate you, but it might really help you avoid snacking on more unhealthy options, like chips or candy in between meals. Besides suppressing your appetite, it improves your memory and concentration. You may even create a sharper jawline from chewing constantly, but that could be a stretch.

!! Avoid bubble gum—they contain so much sugar, they’re practically candy.

FIBRE DRINKS

The fibre in these drinks are natural, plant-derived cellulose, which help to supplement your diet. If you’ve always struggled with self-control when it comes to the size of your meals, you may want to consider downing a glass of fibre before every meal, or even in between. The dry, powdered fibre starts to expand as soon as it comes into contact with water, increasing in bulk and gel-like. This fills up your stomach and reduces its capacity for food, making you feel full, faster. Chia seeds also act in the same way, but they require more time to prepare and rehydrate. Not only do fibre drinks come in different flavours, you can also buy unflavoured fibre powder (if you’re not a fan of artificial sweeteners) that adds zero calories to your drink of choice. Some fibre drinks are also enriched with vitamins, minerals and probiotics, so you’re not compromising your nutritional needs.

!! Avoid packaged fruit juices— some fruit juices from the store can contain as much sugar as any other soft drink.

FLAVOUR DROPS

You’ve probably heard of fruit- infused water, but let’s be honest, it’s really just a waste of perfectly good fruit because you probably won’t eat them after they’ve served their purpose flavouring your water. With flavour drops, you only need a few drops from these small bottles of concentrated flavour in your water to give it a new twist. Besides an assortment of flavours, there are also low calorie options containing no sugar, and sweetened with stevia, xylitol or sucralose. Of course, flavoured water is no substitute for pure, unadulterated drinking water, but it could help those who crave soft drinks. If you’re someone who enjoys carbonated drinks, you can always buy 1.5 litre bottles of sparkling water and add your flavour drops to that. Consider drinking through a metal straw to give you the feeling that you’re drinking something more than sugar-free, flavoured, bubbly water.

!! Avoid bottled sweetened tea—just because it contains ‘real’ tea, doesn’t make it any healthier.

ALMOND FLAKES/ STICKS

While they cost more than most junk food by weight, almonds are a nutrient-dense food high in fibre, antioxidants, healthy fats, vitamins and minerals. The health benefits of almonds include lowering cholesterol, blood pressure and blood sugar levels. You are more likely to find sliced or slivered almonds in the baking section of the supermarket. Almond flakes are sliced so thin that they’ll give more of a crunch than whole almonds, much like chips or crackers. The stick form of slivered almonds provides a snapping texture when you bite on them with your teeth, sort of like one very popular chocolate-coated biscuit stick (minus the excess calories). Most people enjoy snacking because it just gives them something to do. The best thing about snacking on almonds is that you can keep munching on them without feeling guilty.

!! Avoid ‘honey’-coated nuts—the coating is mostly sugar, so if you’re watching your waistline, stick with unflavoured nuts.

HARD-BOILED EGGS

Contrary to popular belief, you can eat a hard-boiled egg that’s been left overnight. In fact, hard-boiled eggs are safe to eat up to one week after being boiled. The only thing you need to remember is to keep them unpeeled in the refrigerator to keep these convenient sources of clean protein from spoiling. An egg might be small but give it a try; whenever you feel peckish, have a hard-boiled egg and see if you still feel hungry after that. It actually feels quite substantial. For those with high cholesterol levels, they may want to consult with their doctor or a dietitian on whether they should be eating the yolk or not, but otherwise, egg yolks are rich in nutrients and it’s safe to eat one whole egg a day. A little salt and pepper, or dipped in a little soy sauce, and that’s a wholesome snack to last you a few hours until your next meal.

!! Avoid commercial mayonnaise—this high-fat food product is made from eggs, but mostly contains oil, salt, sugar and many other additives.

NORI/LAVER (EDIBLE SEAWEED)

Most commonly known as an ingredient in sushi rolls, these thin sheets of dry, edible seaweed have a crunchy texture and are a good source of calcium, phosphorus, magnesium and many other minerals. One regular sheet of roasted seaweed for rolling sushi contains 10 calories. If you want your nori a little crispier, heat it for a few seconds in a hot pan to give it a more brittle texture. As it isn’t high in calories, it’s a good snack option whenever you feel peckish for something slightly savoury. Just remember to rinse your mouth or brush your teeth after snacking on it.

!! Avoid flavoured seaweed— these snack varieties are usually fried and contain high amounts of salt and additives, they’re almost junk food. HT

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Warning: It’s Going to Get Corny

Warning: It’s Going to Get Corny

May 8, 2022   Return

WORDS HANNAH MAY-LEE WONG

Lim Yuanshuang

Podiatrist

 

Longing for smooth, baby-soft feet? Can’t seem to find a way to get rid of those pesky hardened skin known as corns and calluses? HealthToday talks to a podiatrist to find out ways to eliminate corns and calluses safely, and for good.

What are corns and calluses?

Corns normally come together with calluses. They are thick, hardened layers of skin that develop on the bottom of our feet. The difference between the two is that calluses grow on the outer layer of our skin, while corns grow inwards, and inside our skin.

What are the causes?

Basically, corns and calluses form when your skin tries to protect itself against friction and pressure. Thus, corns and calluses tend to appear on the pressure points of a foot, and it could be worsened by wearing ill-fitting shoes. Each person’s pressure points are unique, therefore,the position of where corns and calluses develop differs from person to person.

A podiatrist would be able to tell you why you are developing corns in certain areas by observing the way you walk. The risk of developing corns depends of a person’s foot type and joint mobility. Those who have existing foot deformities are also at higher risk of developing corns and calluses.

How are corns different from warts?

Warts usually do not grow at the pressure points of your feet. But if they do grow in those areas, it can be quite hard to differentiate corns from warts. Even podiatrists might have to do some debridement (removal of dead skin) before we can tell if it is a corn or a wart.That said, corns and warts are completely different things. Warts are caused by viruses of the human papillomavirus (HPV) family, and if you debride a wart, sometimes you will see black dots and/or some pinpoint bleeding.

Warts are removed by salicylic acid or special medicated plasters available in the pharmacy. Warts can be very stubborn, and everybody responds differently to treatment. Some people can get rid of their warts easily with the creams and plasters widely available in pharmacies. But others may need to see a dermatologist who would prescribe something stronger like cryotherapy.

Podiatrists need to make sure we get the right diagnosis from the beginning. “Corn and wart removal creams” are not a long-term treatment for corns. These creams contain salicylic acid that would just make the skin soft and cause the whole area to peel and drop off—the corn would fall off, too. However, most times, the corn will grow back because the heart of the matter is, there is repeated pressure and friction going on in the same area that needs to be eased. 

How can we remove corns and calluses?

If you have corns, you should see a podiatrist or doctor to have it removed. A podiatrist will use a scalpel or blade to de-nucleate the corn and scrape it out. Don’t worry, it is usually not a painful process — it’s a bit like going to a pedicurist. Since corns are caused by prolonged friction and pressure in the same area, it is likely to grow back again after removal. If a patient’s corns grow back quickly after being removed, a podiatrist will prescribe orthotics, which are custom-made padded shoe inserts, to help relieve pressure at certain points of the foot.

If you are healthy, not diabetic and have no vascular issues (any abnormal condition of the blood vessels), you can file your calluses at home using a nail file or an emery board.

What are the possible complications?

If you are healthy and don’t have diabetes, developing corns and calluses is not a big issue because if it turns harmful, the area would hurt, and it alarms you to do something about it.

Conversely, corns and calluses on a person with diabetes can lead to ulcers and this is not to be taken lightly. Nerve damage from diabetes can lead to the loss of sensation in the feet. In this group of people, they do not feel pain even when the corn continues to rub. In the end, the corn breaks off, damaging the tissue around it and becomes an ulcer which can become infected. If you have diabetes or any vascular issues that cause poor blood flow to your feet, seek the advice of your doctor for proper foot care and management of corns and calluses.

How can we best prevent corns and calluses?

The best way is to reduce repeated pressure and friction in the same area of your foot. This often means wearing shoes that fit you well, have plenty of support and have room to wiggle your toes — sport shoes are a good option. Wearing socks also protects your feet and reduces friction.

Another great option is to get a pair of prescription foot orthotics from a podiatrist. Lastly, you may want to purchase protective pads or coverings over areas on your feet that tend to rub. HT

“Corns and calluses on a person with diabetes can lead to ulcers and this is not to be taken lightly.”

 

A Cuppa Joe, Anyone?

A Cuppa Joe, Anyone?

May 8, 2022   Return

WORDS ABRAHAM MATHEW SAJI

Coffee, one of the most widely consumed drinks in the world, is derived from the beans of Coffea canephora (best known as robusta) and C. arabica. Coffee is unique in terms of its perceived and actual effects on the body and is also loved for its distinct aroma and taste. Our general perception about coffee is that it can keep us awake. However, its benefits go beyond the “wake-me-up” action and it can be categorized as a health drink.

What makes up coffee?

The various bioactive compounds of coffee include caffeine, chlorogenic acid, polyphenols, diterpenes and other phenolics. These compounds work either alone or synergistically to provide us with much needed micronutrients and improvement of diseased conditions. Some of the most common and prominent health benefits are:

Coffee As An Antioxidant

Several studies have shown that coffee has antioxidant activity, which has been proven to be higher than cocoa and tea. Its antioxidant quantity and quality are boosted after the beans are roasted. Antioxidants work by functioning as scavengers of free radicals that are produced in our body during routine metabolic processes and stress. Many of the antioxidants in coffee possess anti-inflammatory properties and one of the antioxidants, namely chlorogenic acid, promotes cardiovascular health.

Coffee For Cognitive Health

By virtue of its ability to boost brain activity, coffee has been known to prevent cognitive decline. Thus, coffee contributes to prevention or delay in the onset of disorders such as Alzheimer’s disease and dementia. The caffeine in coffee prevents a build-up of the beta-amyloid plaque, which is the main cause of impaired cognitive function. Beta-amyloid is a protein fragment present in a healthy brain. As we age and due to the various bodily metabolic functions, these fragments get further broken down and tend to accumulate and form a sticky plaque. These plaques are firmly stuck between the nerve cells, disrupting cell function and cognitive health.

Coffee As A Short-Term Memory Booster

The caffeine in coffee has been extensively researched for its effect on the areas of the brain that are responsible for concentration, memory and alertness. As the duration for the activity of these boosters vary within individuals, researchers found significant surge in brain activity in the group which drank coffee. This surge can be an effective memory booster, as long as it lasts.

Coffee Can Keep Diabetes At Bay

Coffee is strongly associated with the reduced risk of diabetes and its related complications. Coffee assists our body in using insulin and also protects the insulin-producing cells allowing for the effective control of sugar levels. Coffee’s anti-inflammatory effect helps to prevent tissue damage, which is one of the main risk factors of type 2 diabetes. Caffeic acid—one of the many antioxidants present in coffee—also prevents the formation of amyloid fibrils, which are toxic to insulin-producing cells. Since coffee can reduce the risk of diabetes, it aids in the improvement of cognitive health.

“Several studies have shown that coffee has antioxidant activity, which has been proven to be higher than cocoa and tea.”

Coffee Is Healthy For The Heart

Your regular cup of coffee can also be a boon to your heart and other cardiovascular functions. By keeping diabetes at bay, coffee helps to avoid diabetes-induced hypertension.By virtue of its anti-inflammatory antioxidants, it protects the chambers of the heart and blood vessels. Coffee also helps to regulate blood pressure, especially in those with hypotension. These properties can promote cardiac health by controlling blood pressure and thrombosis, which otherwise can cause heart failure.

Coffee Can Enhance Exercise Performance

Coffee, as a cognitive health enhancer that can improve alertness and concentration, ensures adequate focus and performance during exercise. In addition to mental health, it also helps to reduce physical fatigue and thereby increasing and improving endurance levels. By strengthening muscle contraction, caffeine increases the fatty acid levels in the blood which can result in higher endurance and reduction in pain levels.

Coffee Is Healthy For The Liver

Based on a research conducted in Turkey, regular consumption of coffee had positive results in lowering the levels of liver enzymes in the bloodstream. Higher liver enzymes are usually linked to liver dysfunction or damage. Another study also proved an inverse relationship between the quantity of coffee consumed with the risk of liver cirrhosis; there was a 20% reduction in risk with every cup of coffee consumed.

Coffee Can Curb Cancers

The risk of endometrial cancer in women who drink coffee regularly was about 25% lower than those who did not. Among the cancers that could be curbed by consuming coffee were prostate, breast, colon, rectal and liver cancers. The anti-carcinogenic effect of the polyphenols contained in caffeine is believed to be responsible for its ability to curb cancers. Additionally, the protective effect of coffee against liver cancer could be attributed to its ability to lower liver enzymes and control cirrhosis.

Coffee Helps Overcome Depression

Upon consumption of coffee, the caffeine present in it is absorbed and transported to the brain, where it blocks the inhibitory neurotransmitter, adenosine. In the absence of adenosine, there is a surge of other mood-enhancing neurotransmitters like serotonin and dopamine. Hence consumption of coffee helps to inject these “feel- good” hormones into the bloodstream, thus enhancing mood and overcoming depression.

Coffee Prevents Gout

The antioxidant phytoconstituents of coffee are responsible for reducing unhealthy levels of uric acid, which is one of the precursors to being afflicted by gout.

Coffee Can Help In Weight Loss

The magnesium and potassium present in coffee helps to regulate the utilization of insulin by the body and reduce cravings for sweet treats or snacks. The caffeine in coffee boosts metabolism and stimulates thermogenesis which break down fat cells and use fat as fuel during endurance exercises and training.

Coffee Lowers The Risk Of Parkinson’s Disease

Parkinson’s disease, the second most common neurodegenerative condition after Alzheimer’s disease is caused by the death of dopamine-producing nerve cells in the brain. Certain scientific studies have shown that coffee drinkers have a lower risk of Parkinson’s disease, with a risk reduction of 32% to 60%.

“A cup of coffee a day boosts your health in many ways.”

How Much Coffee Is Good?

In hindsight, all the benefits of coffee may sound exciting and tempting, but it does not mean that more is better. Experts recommend that we drink moderate amounts of coffee based on the signs our body shows, as each individual responds differently to coffee.

Fret not, coffee lovers! Coffee isn’t bad for your health. It is no longer featured in the WHO list of possible carcinogens (cancer-causing substances). Rather, it is listed as a health drink in US FDA’s 2015 Dietary Guidelines. The guidelines recommend having 3 to 5 cups of coffee a day. However, the guidelines mention that addition of sugar, cream or flavoured creamers negate the beneficial effects. So, black is best!

As further research and ongoing studies reveal more benefits of coffee, it may not be long before we come across a phrase, “A cup of coffee a day boosts your health in many ways.” HT

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5 Things You Should Know About Probiotics

5 Things You Should Know About Probiotics

May 8, 2022   Return

WORDS HANNAH MAY-LEE WONG

  1. THEY’RE ALIVE!

The World Health Organisation defines probiotics as live microorganisms which when administered in adequate amounts, confer a health benefit on the host. In other words, probiotics are live bacteria and yeasts that when taken, give your body good health benefits. Probiotics supplements that are now widely available mainly support the digestive system. However, researchers are still trying to figure out how exactly probiotics work to benefit the body. It is also unsure which probiotics are most helpful for specific health problems and what the ideal amount or dose taken should be.

That said, there is evidence to show that some probiotics can help prevent diarrhoea caused by antibiotics and diarrhoea caused by infections; probiotics are also known to alleviate symptoms of irritable bowel syndrome and help restore a healthy balance between “good” and “bad” bacteria in the gut.

  1. PROBIOTICS ARE COMMONLY REFERRED TO AS “GOOD BACTERIA”

Although bacteria are notoriously known for causing disease, some bacteria are dubbed “good” bacteria because they help ensure healthy functioning of the body. Lots of “good” bacteria live in our digestive system, and they aid us in the process of digesting food, destroying disease-causing microorganisms and producing vitamins. Most of the microorganisms found in probiotics supplements are the same or similar to those good bacteria found naturally in our bodies.

  1. YOU DON’T JUST GET THEM FROM SUPPLEMENTS

Probiotics don’t just exist in neatly packaged sachets or bottles found at the pharmacy. Certain foods are known to be rich in probiotics. Probiotics can be found in many fermented products, for example: yoghurt, kefir, kimchi, tempeh, pickles and more.

  1. NOT ALL PROBIOTICS SUPPLEMENTS ARE THE SAME

There are a couple of things that can differ greatly from one probiotics supplement to another. These include: colony forming units (CFUs), suitability for children, required mode of storage (some need to be stored in the freezer) and the number of strains of bacteria. Different strains of bacteria give different health benefits, but generally there are two groups of bacteria commonly found in probiotics: Lactobacillus and Bifidobacterium. If you are unsure which probiotics is best for you, seek the advice of your physician.

  1. PREBIOTICS ARE NOT PROBIOTICS

Probiotics supplements are often packaged with prebiotics, and for good reason. Prebiotics are non- digestible food substances that support the growth of “good” bacteria in the digestive system. When prebiotics are combined with probiotics, they are known as synbiotics. HT

Make Peace With Food

Make Peace With Food

May 8, 2022   Return

GeorgenprofilepicDSC...

Georgen Thye

BSc. (Hons) Nutrition and Dietetics, IMU Dietitian, Holmusk

Council Member, Malaysian Dietitians’ Association (MDA)

Founder of Georgen Cooking www.facebook.com/georgencooking georgen_thye@live.com

 

“I AM NOT SUPPOSED TO EAT THAT, I FEEL SO GUILTY. I’VE MESSED UP MY DIET, I MIGHT AS WELL GIVE IT ALL UP!”

I hear quite a lot of these statements from my patients. It’s like they’re trapped in a diet prison filled with rules and restrictions, thinking that only after going through all these “hardships” can they achieve their health goals. But in fact, diets have been shown over and over again to fail 95% of the time and are a predictor of future weight gain (66% of people end up weighing even more than the weight they started off with). They then go back to dieting, back to the rules and restrictions and continue the never-ending cycle of diet → eat → repent → repeat.

“SO, ARE YOU SAYING THAT I CAN EAT ALL I WANT?”

Healthy eating is more than just Yes or No. It’s very crucial for one to acknowledge this fact in order to make peace with food. Shut the food police inside your head that makes you believe “I am being good for eating salad” and “I am bad for having an ice-cream.” All foods can fit into a healthy diet using the principles of balance, variety, and moderation to guide your eating habits.

A simple guide to follow is the healthy eating plate: a quarter filled with carbohydrate foods, another quarter with protein foods and the remaining half with fruit and vegetables for every meal. However, do talk to a qualified dietitian if you need more personalized advice and guidance.

It’s totally fine to have less healthy choices sometimes! Try going by the 80/20 rule: 80% eat healthily and enjoy the other 20% of the time.

This would help to have a balance for your own social and psychological wellbeing too! In this issue, I am sharing a recipe of a food that is commonly perceived as BAD: Fried Chicken! It’s okay to have fried food (deep-fried in oil) if you wanted too, but it’s best to limit it to no more than 2 times a week.

I think the regular deep-fried chicken recipe is super common and it’s all over the Internet. Hence, I am making a Malay Style Air-fried Chicken this time to give it a twist. You can bake it too if you like and trust me, it tastes just like “deep-fried”! I’ve made a video out of this recipe too, do check it out on my Youtube Channel: Georgen Cooking https://youtu.be/jqGjY5rKzac. Have fun and make peace with food! HT

IMG_6161 IMG_6081

Guilt Free Ayam Goreng Berempah

Recipe Serves: 5 persons

 

Ingredients

MeasurementRemark

A

Chicken Drumsticks

5 pieces

 

 

Garlic

6 cloves

Peeled

 

Onion

1 medium

Peeled, cut into cubes

 

Shallots

8 pieces

Peeled

 

Ginger

1 piece

Thumb-size

 

Lemongrass

3 stalks

Cut into small pieces

 

Chilli Powder

1 teaspoon

 

B

Fennel Seeds Powder (Serbuk Jintan Manis

1 teaspoon

 

 

Cumin Seeds Powder (Serbuk Jintan Putih)

1 teaspoon

 

 

Coriander Powder (Serbuk Ketumbar)

1 tablespoon

 

 

Meat Curry Powder

2 tablespoons

 

 

Water

50 ml

 

 

Methods

  1. In a food processor, blend ingredients B into a smooth paste.
  2. Marinate the chicken drumsticks with the paste for at least 3 hours or overnight in a refrigerator.

  3. Brush some oil on an air-fryer basket and then arrange the chicken drumsticks in the basket in a single layer. Depending on the size of your air fryer, you may need to do the frying in two batches.

  4. Air-fry the chicken at 160°C for 15 minutes and then at 200°C for 15 minutes and then at 200°C for another 5 minutes. It’s ready to be served!

(Note: If you’re using an oven, preheat to 230°C, bake the chicken drumsticks for 20 minutes, turn them over and bake for another 15 minutes or until they’re a nice brown colour.)

 

Nutritional Information (1 Serving)

Energy (kcal)

202

Protein (g)

28.0

Fat (g)

10.0

Carbohydrate (g)

0.0

Fibre (g)

0.0

 

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When Life Gives You Lemons

When Life Gives You Lemons

May 8, 2022   Return

WORDS PANK JIT SIN

Ahhh! Lemon! The fruit that’s synonymous with health and ironically, a hard life. As the saying goes, when life gives you lemons, make lemonade. Which means you make the best of your situation. But we should all be so lucky as to be given lemons, literally. The fruit, like all citruses, is versatile and potent. Information abound on the Internet and in hearsay about the benefits of lemon, but do you know if those are true? Let’s delve deeper into lemons and see what else we can get apart from lemonade.

WHAT ARE LEMONS?

Lemons belong to the same genus or group of plants known as Citrus. We are probably more familiar with citruses such as orange, lime and pomelo. Some lesser known citruses are the upcoming finger lime and blood orange. They all have the characteristic fragrant smell when their skin is crushed or damaged, and some have the same scent on their leaves. The unique citrus scent comes mostly from limonene, an essential oil, which also has medicinal purposes.

The genus is thought to have its beginnings in the Himalayas a long, long time ago.

 “…there is sufficient evidence it can reduce the severity of the infection and also reduce the risk of developing further complications, in particular pneumonia.”

LIMONENE AS A HEALTH PRODUCT

This essential oil is the largest component of oil extracted from citrus peel and leaves. It has been tied to weight loss, cancer prevention and treatment, and even the treatment of bronchitis. A recent study in Shanghai, China, found that limonene was able to kill lung cancer cells. The researchers aren’t sure of how this happens, but limonene is thought to instruct the cells to kill themselves. There is evidence limonene also works in a preventive fashion against other cancers such as breast and colorectal cancers.

Limonene has been found to prevent fatty liver formation and insulin resistance. Insulin resistance is what comes before the onset of diabetes. In rat studies, by adding limonene to the water given to rats on a high-fat diet, researchers were able to reverse the fatty liver condition in those rats. Their liver and pancreas were restored to pre-disease states!

To our readers, it’s possible that the most important benefit of limonene is weight loss. Research has shown that essential oil extract of key lime (limau nipis, Citrus aurantifolia) can help prevent weight gain, and in fact, led to weight loss in laboratory animals.

LIMONENE IN SCENTS AND FOODS

Limonene is also extremely fragrant, making it a suitable natural scenting agent. It has found its way into soaps, air fresheners, laundry detergents, food flavourings, and cosmetics. A more recent development is the use of citrus oils in aromatherapy.

As a food additive, limonene has many proven health benefits. For one, it is a potent antioxidant and anti-inflammatory agent. Studies on mice show D-limonene (a form of limonene) reduces inflammatory markers in the body and kills bacteria even at low concentrations.

It should be known that limonene is considered a volatile organic compound (VOC). But, anything that has a scent is basically a VOC, so there’s little to worry about unless the VOC comes from paint or plastic.

lemoncitruskaffirlimelimaubali

 

LIMONENE AND SLEEP

If you are having trouble falling asleep due to anxiety, a few drops of citrus oil in your aromatherapy device can help you fall asleep. Research indicates that limonene particles bind to receptors in the brain and cause a mild sedative effect, thus reducing anxiety and making it easier to fall asleep.

“Lemon plants also have a unique quirk about them— they don’t always fruit even if they have been air-layered or grafted from a fruiting tree.”

VITAMIN C

Citrus fruits are famous for their vitamin C content. While they don’t have the monopoly in terms of vitamin C, citrus fruits do have high vitamin C content among all regularly consumed fruits. Vitamin C content found in citrus fruits comes from ascorbic acid. This is not to be confused with citric acid, which is responsible for the sourness in most citrus fruits. While these two acids tend to occur simultaneously in fruits, ascorbic acid (also called ascorbate) is slightly bitter in taste.

Vitamin C is perhaps most well known as the nutrient whose absence leads to scurvy. The disease is hardly heard of in modern society and used to afflict sailors during long seafaring journeys. Surprisingly though, the disease has seen some pockets of resurgence even among people living in affluent countries such as Australia and the US. These people were malnourished (not to be confused with undernourished), and were overcooking their vegetables. Some were not eating fresh fruits while others were the urban poor with no access to nutritious foods.

Interestingly, while we often think of vitamin C as an antioxidant, that is not its primary function. The nutrient is involved in the formation of collagen, and thus is important in the development and repair of all our body tissues. Additionally, it is important for the absorption of iron, wound healing and the immune system.

While vitamin C may not be a cure for the common cold or other viral infections, there is sufficient evidence it can reduce the severity of the infection and also reduce the risk of developing further complications, in particular pneumonia. Recent scientific studies also point to vitamin C infusion as being potentially helpful in patients with sepsis, which is a bacterial infection of the blood.

PLANTING YOUR OWN LEMON

Lemon grows readily in Malaysian weather. All species of citrus plants grow and proliferate well in our country. In recent times, we have seen new and rare varieties of citrus plants being sold in the nurseries and also as edible fruit in our markets.

Those thinking about keeping citrus plants should have an idea of what they want. For example, a regular shrub of calamansi or limau kasturi will give your family an endless supply of fruit for your drinks.

Lemon plants also have a unique quirk about them—they don’t always fruit even if they have been air-layered or grafted from a fruiting tree. Nobody really knows why (this writer has gone through five lemon plants and only one has ever flowered and fruited for him). No other citrus plant seems to have the same problem.

If you’re a big fan of curry, then keeping a kaffir lime plant around is always helpful. Fresh kaffir lime leaves can improve the appetite of any picky eater in the family. The rind of a kaffir lime is also good for cooking Thai cuisine, as it is found in green curry and other fragrant Thai dishes.

Recently, the finger lime craze also caught up in our country. Made famous by cooking shows such as MasterChef, the small colourful fruit is known as vegan caviar. True to its name, there is nothing special it apart from being aesthetically pleasing. This writer, who has a plant bought during the craze and paid a little over RM100 for it, feels it’s not worth your time keeping this plant. The fruits are small and not very fragrant. Apart from the novelty factor, there isn’t much going for it.

As usual, I end with a word of caution to our readers. The benefits are there but none of them are rock-solid evidence. Natural therapies should be used on a complementary basis to mainstream treatment. Remember to tell your doctor about these natural therapies—if you’re planning to use them—to find out if there is any risk of interaction between the natural compound and the medication.

That’s all. Plant yourself a lemon or citrus tree today! HT

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