Our Better Health

Diet, Health, Fitness, Lifestyle & Wellness


4 Comments

Top Cancer-Fighting Foods

Fighting Cancer by the Plateful

No single food can prevent cancer, but the right combination of foods may help make a difference. At mealtimes, strike a balance of at least two-thirds plant-based foods and no more than one-third animal protein. This “New American Plate” is an important cancer fighting tool, according to the American Institute for Cancer Research. Check out better and worse choices for your plate.

Fighting Cancer With Color

Fruits and vegetables are rich in cancer-fighting nutrients — and the more color, the more nutrients they contain. These foods can help lower your risk in a second way, too, when they help you reach and maintain a healthy body weight. Carrying extra pounds increases the risk for multiple cancers, including colon, esophagus, and kidney cancers. Eat a variety of vegetables, especially dark green, red, and orange vegetables.

The Cancer-Fighting Breakfast

Naturally occurring folate is an important B vitamin that may help protect against cancers of the colon, rectum, and breast.  You can find it in abundance on the breakfast table. Fortified breakfast cereals and whole wheat products are good sources of folate. So are orange juice, melons, and strawberries.

More Folate-Rich Foods

Other good sources of folate are asparagus and eggs. You can also find it in beans, sunflower seeds, and leafy green vegetables like spinach or romaine lettuce. The best way to get folate is not from a pill, but by eating enough fruits, vegetables, and enriched grain products. Women who are pregnant or may become pregnant should take a supplement to make sure they get enough folic acid to help prevent certain birth defects.

Pass Up the Deli Counter

An occasional Reuben sandwich or hot dog at the ballpark isn’t going to hurt you. But cutting back on processed meats like bologna, ham, and hot dogs will help lower your risk of colorectal and stomach cancers. Also, eating meats that have been preserved by smoking or with salt raises your exposure to chemicals that can potentially cause cancer.

Cancer-Fighting Tomatoes

Whether it’s the lycopene — the pigment that gives tomatoes their red color — or something else isn’t clear. But some studies have linked eating tomatoes to reduced risk of several types of cancer, including prostate cancer. Studies also suggest that processed tomato products such as juice, sauce, or paste increase the cancer-fighting potential.

Tea’s Anticancer Potential

Even though the evidence is still spotty, tea, especially green tea, may be a strong cancer fighter. In laboratory studies, green tea has slowed or prevented the development of cancer in colon, liver, breast, and prostate cells. It also had a similar effect in lung tissue and skin. And in some longer term studies, tea was associated with lower risks for bladder, stomach, and pancreatic cancers. But more research in humans is needed before tea can be recommended as a cancer fighter.

grapes

Grapes and Cancer

Grapes and grape juice, especially purple and red grapes, contain resveratrol. Resveratrol has strong antioxidant and anti-inflammatory properties. In laboratory studies, it has prevented the kind of damage that can trigger the cancer process in cells. There is not enough evidence to say that eating grapes or drinking grape juice or wine (or taking supplements) can prevent or treat cancer.

Limit Alcohol to Lower Cancer Risk

Cancers of the mouth, throat, larynx, esophagus, liver, and breast are all linked with drinking alcohol. Alcohol may also raise the risk for cancer of the colon and rectum. The American Cancer Society recommends against drinking alcohol, but if you do, limit alcohol to no more than two drinks per day if you are a man and one drink a day if you are a woman. Women at higher risk for breast cancer may want to talk with a doctor about what amount of alcohol, if any, is safe based on their personal risk factors.

Water and Other Fluids Can Protect

Water not only quenches your thirst, but it may protect you against bladder cancer. The lower risk comes from water diluting concentrations of potential cancer-causing agents in the bladder. Also, drinking more fluids causes you to urinate more frequently. That lessens the amount of time those agents stay in contact with the bladder lining.

The Mighty Bean

Beans are so good for you, it’s no surprise they may help fight cancer, too. They contain several potent phytochemicals that may protect the body’s cells against damage that can lead to cancer. In the lab these substances slowed tumor growth and prevented tumors from releasing substances that damage nearby cells.

The Cabbage Family vs. Cancer

Cruciferous vegetables include broccoli, cauliflower, cabbage, Brussels sprouts, bok choy, and kale. These members of the cabbage family make an excellent stir fry and can really liven up a salad. But most importantly, components in these vegetables may help your body defend against cancers such as colon, breast, lung, and cervix. Lab research has been promising, but human studies have had mixed results.

Dark Green Leafy Vegetables

Dark green leafy vegetables such as mustard greens, lettuce, kale, chicory, spinach, and chard have an abundance of fiber, folate, and carotenoids. These nutrients may help protect against cancer of the mouth, larynx, pancreas, lung, skin, and stomach.

Protection From an Exotic Spice

Curcumin is the main ingredient in the Indian spice turmeric and a potential cancer fighter. Lab studies show it can suppress the transformation, proliferation, and invasion of cancerous cells for a wide array of cancers. Research in humans is ongoing.

Cooking Methods Matter

How you cook meat can make a difference in how big a cancer risk it poses. Frying, grilling, and broiling meats at very high temperatures causes chemicals to form that may increase cancer risk. Other cooking methods such as stewing, braising, or steaming appear to produce fewer of those chemicals. And when you do stew the meat, remember to add plenty of healthy vegetables.

A Berry Medley With a Punch

Strawberries and raspberries have a phytochemical called ellagic acid. This powerful antioxidant may actually fight cancer in several ways at once, including deactivating certain cancer causing substances and slowing the growth of cancer cells. There is not, though, enough proof yet to say it can fight cancer in humans.

Blueberries for Health

The potent antioxidants in blueberries may have wide value in supporting our health, starting with cancer. Antioxidants may help fight cancer by ridding the body of free radicals before they can do their damage to cells. But more research is needed. Try topping oatmeal, cold cereal, yogurt, even salad with blueberries to boost your intake of these healthful berries.

Pass on the Sugar

Sugar may not cause cancer directly. But it may displace other nutrient-rich foods that help protect against cancer. And it increases calorie counts, which contributes to overweight and obesity. Excess weight is also a cancer risk. Fruit offers a sweet alternative in a vitamin-rich package.

Don’t Rely on Supplements

Vitamins may help protect against cancer. But that’s when you get them naturally from food. Both the American Cancer Society and the American Institute for Cancer Research emphasize that getting cancer-fighting nutrients from foods like nuts, fruits, and green leafy vegetables is vastly superior to getting them from supplements. Eating a healthy diet is best.

REFERENCES:
American Cancer Society
American Institute for Cancer Research
Medical News Today
Michaud, D. The New England Journal of Medicine, May 6, 1999.
The Ohio State University Extension Service

 Medically Reviewed by Minesh Khatri, MD on April 24, 2022

source: www.webmd.com


5 Comments

The 3 Pillars Of Good Mental Health

These are three factors that you can change.

Exercise, quality sleep and eating raw fruits and vegetables are the three pillars of good mental health, a study suggests.

Among the 1,100 young adults who were surveyed for the research, those who slept well, did more exercise and ate better were more likely to be flourishing.

Out of these, quality sleep was most strongly linked to better mental health, followed by exercise and then diet.

The finding that sleep quality rather quantity was so important was surprising, said Ms Shay-Ruby Wickham, the study’s first author:

“This is surprising because sleep recommendations predominantly focus on quantity rather than quality.

While we did see that both too little sleep — less than eight hours — and too much sleep — more than 12 hours — were associated with higher depressive symptoms and lower well-being, sleep quality significantly outranked sleep quantity in predicting mental health and well-being.

This suggests that sleep quality should be promoted alongside sleep quantity as tools for improving mental health and well-being within young adults.”

The study’s results showed that those who slept an average of 8 hours had the highest mental well-being.

Those sleeping almost 10 hours, though, had the lowest chance of developing depressive symptoms.

apple

People in the study were in their early 20s, however, and generally we require less sleep with age.

Having too much sleep is generally considered almost as bad as having too little.

Diet also played an important role in mental health.

Those who ate 5 servings of raw fruit and vegetables per day had the highest mental-wellbeing and those who ate less than 2 servings each day had the worst.

Ms Wickham said:

“Sleep, physical activity, and a healthy diet can be thought of as three pillars of health, which could contribute to promoting optimal well-being among young adults, a population where the prevalence of mental disorders is high and well-being is suboptimal.”

Dr Tamlin Conner, study co-author, warned that the findings were correlational:

“We didn’t manipulate sleep, activity, or diet to test their changes on mental health and well-being.

Other research has done that and has found positive benefits.

Our research suggests that a ‘whole health’ intervention prioritising sleep, exercise, and fruit and vegetable intake together, could be the next logical step in this research.”

About the author
Psychologist Jeremy Dean, PhD, is the founder and author of PsyBlog. He holds a doctorate in psychology from University College London and two other advanced degrees in psychology.

The study was published in the journal Frontiers in Psychology (Wickham et al., 2020).

September 30, 2022

source: PsyBlog


4 Comments

Which Foods Boost the Immune System?

Can certain foods boost the immune system? We look at what to eat to prevent illnesses and stay well

Can foods boost the immune system? If this thought has ever crossed your mind, you’re not alone. When it comes to preventing infections, we roughly know the drill. Wash your hands thoroughly. Sanitize surfaces. Stay home if you’re not feeling well. But many of us remain unsure as to what to eat to prevent our bodies from constantly getting ill.

It’s easy to fall prey to marketing gimmicks deployed by food brands. After all, it’s comforting to think that there is a single superfood or supplement out there that can supercharge our immunity and solve all of our health problems. But in reality, it’s way more complicated than that.

It’s definitely true that certain vitamins can provide a boost to our immune system. But at the same time, our bodies are complex machines with sophisticated needs. Sticking to a healthy, balanced diet may be much more beneficial to our health than popping vitamin supplements. So if you’re interested to know whether foods can actually boost the immune system, keep reading. Here, we’ll discuss what and how to eat in order to keep yourself fit and healthy.

WHICH FOODS BOOST THE IMMUNE SYSTEM?

Fruits

Fruits are one of the most nutrient-dense food groups. Packed with vitamins, minerals and many different biologically active compounds, they can provide a great boost to your immune defenses. Every type of fruit has something to offer your health and wellbeing. To get the most benefit, make sure to include a whole rainbow of plants in your diet.

Having said this, certain fruits may have stronger immunoprotective properties than others. Citrus fruits, such as oranges, lemons and limes, are a perfect example of foods that can boost the immune system. They’re widely known to be one of the best sources of vitamin C, a nutrient routinely used to treat viral and bacterial infections. But that’s not the only compound that makes them so effective. Citrus fruits are also rich in flavonoids, particularly hesperidin. Hesperidin is a powerful antioxidant that fights inflammation and respiratory viruses. According to an article in Frontiers of Immunology, regular consumption of citrus fruit juices can increase the number of infection-fighting white blood cells and decrease the levels of inflammatory markers in the body.

Another family of fruit that’s been shown to promote a healthier immune system is berries. Multiple studies have shown that berries contain antioxidant, antimutagenic, antimicrobial, anti-inflammatory, and neuroprotective properties.

Vegetables

If you want to boost your immune system, one of the best ways is to include more vegetables in your diet. Similarly to fruits, this food group provides a hefty dose of vitamins, minerals and phytonutrients. They’re also a great source of fiber and prebiotics – compounds that feed the good bacteria living in our gut. And keeping our gut health in check will in turn have a beneficial impact on our immune responses. To maximize your chances of staying free from infection, include many different types of vegetables in your diet.

Red bell and chili peppers are a great source of vitamin C, almost on par with citrus fruits. They also contain an alkaloid called capsaicin. According to a review published in Critical Reviews in Food Science and Nutrition, capsaicin possesses strong antioxidant and anti-inflammatory properties and as such, has the potential clinical value for pain relief, cancer prevention and weight loss.

Cruciferous vegetables, such as broccoli, cabbage, cauliflower and brussel sprouts, can also contribute to a stronger immune system. They contain high levels of vitamin C and E, as well as compounds called glucosinolates. As described in the Molecules journal, glucosinolates have been shown to be protective against many different types of cancer, including breast, brain, blood, bone, colon, gastric, liver, lung, oral, pancreatic and prostate.

Broccoli is another great example of a food that can boost your immune system. Apart from containing many vitamins, polyphenols and glucosinolates, it’s also a great source of substances called sulforaphane and quercetin. According to a review published in Phytochemistry Reviews, sulforaphane is highly involved in detoxification and neutralization of chemical carcinogens and free radicals. Quercetin also displays powerful antioxidant, anti-allergic and antiviral properties.

Special attention should also be given to green leafy vegetables, such as kale, lettuce and spinach. Spinach is considered to be one of the healthiest vegetables. Multiple studies have demonstrated its antioxidant, anti-cancer, anti-inflammatory, hypoglycemic, and cholesterol-lowering abilities. It provides a solid dose of vitamins, minerals and phytonutrients, including a carotenoid called lutein. As suggested in a review in the Food and Chemical Toxicology journal, lutein has been shown to stimulate the production of antibodies and fight bacterial infections.

Mushrooms

There’s been a growing interest in the immune-strengthening properties of mushrooms. This food group provides a good deal of selenium and B vitamins, both of which have an important role in our immune health. Furthermore, mushrooms contain a range of highly specific immunomodulatory and anti-cancer proteins, as described in the Journal of Autoimmunity.

Many types of mushrooms are beneficial to our health, but recently the attention has been directed particularly at shiitake mushrooms. According to the Journal of the American College of Nutrition, regular consumption of shiitake significantly improves white blood cell and antibody production in the body.

Fermented foods

Fermented food and drink has a long history. They were among the first processed food products consumed by humans – and for many good reasons. The fermentation process improves the shelf life, safety and flavor of foods like yogurt, pickles, sauerkraut or kimchi. It also enhances their nutritional properties.

Many fermented foods contain strains of beneficial live bacteria, often referred to as probiotics. Probiotics can stimulate immune system function through enhancing natural killer cell toxicity, regulating the production of pro-inflammatory cytokines, and increasing white blood cell count, according to a study in the Food Control journal.

Seafood

When it comes to foods that boost the immune system, seafood may not be the first thing to cross your mind. But this food group has a lot to offer. Oily fish, for example, is a great source of omega-3 fatty acids, melatonin, tryptophan and polyamines. According to a review published in Frontiers in Nutrition, regular fish consumption can lead to better gut health and a reduced risk of developing inflammatory conditions like rheumatoid arthritis and psoriasis.

Shellfish – including shrimp, lobsters, oysters, mussels, scallops, clams, crabs, krill and snails – also contain significant quantities of immune-stimulating bioactive peptides, antioxidants, vitamins and minerals. In fact, oysters are one of the best sources of zinc, which is linked to immune health.

Spices and condiments are great for increasing the flavor of dishes, but that’s not the only thing they’re useful for.

Garlic is a great example of a food that can boost the immune system. According to a meta-analysis published in the Journal of Nutrition, garlic appears to stimulate the production and regulate the functioning of white blood cells, cytokines and immunoglobulins. Regular consumption can contribute to the treatment and prevention of respiratory infections, gastric ulcer, and even cancer.

Garlic

Ginger is another example. According to the International Journal of Preventive Medicine, ginger has a strong anti-inflammatory, antioxidative and anticancer potential.

What’s more, black pepper may also be able to boost the immune system. Due to its antibacterial properties, it’s long been used as a food preservative. It contains a compound called piperine, which according to a review published in the Phytotherapy Research journal, displays numerous health benefits.

In the last several years, researchers have also been extensively studying the immunomodulatory properties of turmeric. Recent studies have demonstrated that curcumin – the main active ingredient of turmeric – shows antioxidant, anti-inflammatory, and immune-regulatory properties and can reduce the risk of several types of cancers.

HOW TO INTEGRATE IMMUNE-BOOSTING FOODS INTO A BALANCED DIET

Many foods have the ability to boost the immune system, but how can you make sure you’re including them in your diet?

Firstly, make sure to focus on eating wholefoods and cooking from scratch. Also, try to avoid highly processed foods – items such as packaged bread, microwave meals and breakfast cereals may appear healthy, but they tend to be largely devoid of immune-supporting nutrients. If you feel peckish, try to snack on citrus fruit and berries. When it comes to larger meals, try to add a solid portion of vegetables, mushrooms, fish, shellfish and fermented foods to your plate. Experiment with spices and condiments too.

It’s also good to make sure that your cooking processes don’t destroy immune-boosting nutrients. For example, fruits and vegetables are sensitive to heat, so don’t overcook them. Instead, stick to steaming and gentle processing. According to an article published in Food Science and Biotechnology, prolonged boiling, frying and baking may result in reduced levels of vitamin C, A, D, E and K, as well as minerals like potassium, magnesium, sodium and calcium. In fact, broccoli may lose up to 50% or more of its vitamin C when boiled.

If you’re not a fan of the taste of turmeric or mushrooms, consider dietary supplements. Many brands offer good quality extracts made from immune-boosting foods. It’s also relatively easy to top up on probiotics in the form of tablets or capsules – for best results, look for quality products with multiple different bacteria strains. If you are thinking of changing your supplement routine, however, it’s best to consult your doctor first.

OTHER WAYS TO BOOST THE IMMUNE SYSTEM

Increase your physical activity levels

There’s no doubt that being more active is one of the best things you can do for your physical health and mental wellbeing. It’s also a great way to boost your immune system. According to an article published in the Nutrition journal, exercise intensity and duration are closely linked to the functioning of multiple immune system components.

Researchers from the Sports Medicine journal also pulled together the results of multiple studies and concluded that higher levels of habitual physical activity is associated with a 31% lower risk of contracting an infectious disease and a 37% reduced risk of dying from it.

Prioritize quality sleep

Maintaining good sleep hygiene can make a huge difference to your quality of life. But getting enough sleep is also an important factor in immunity. A good snooze helps to balance the levels of hormones and cytokines that are responsible for regulating the inflammatory responses in the body, as described by a study in the Annals of the New York Academy of Sciences.

Some animal studies have also shown that interactions between immune signaling molecules and brain neurochemicals increase significantly during infection, indicating that we tend to sleep differently when we are sick. Researchers suggested that during infection, these sleep alterations help our body to recover faster.

Keep your stress levels under control

Short bouts of stress can help us to survive dangerous situations. But when that stress becomes chronic, it can have a serious impact on our physical health.

In an article published in the Brain and Behavior journal, researchers speculate that chronic stress severely disrupts immune system signaling and increases the levels of inflammation in the body. There’s also a growing body of evidence to suggest that stress-reducing interventions have a direct impact on our susceptibility to infections. For example, multiple studies have shown that engaging in mindfulness meditation may result in decreased markers of inflammation and improved immune signaling.

By Anna Gora

www.livescience.com


1 Comment

Dirty Dozen 2022: Produce with the most and least pesticides

Strawberries and spinach continue to top the annual list of the “Dirty Dozen” fruits and veggies that contain the highest levels of pesticides, followed by three greens – kale, collard and mustard – nectarines, apples, grapes, and bell and hot peppers, according to the Environmental Working Group’s 2022 Shopper’s Guide to Pesticides in Produce.

Cherries came in eighth this year on the list of the 12 most contaminated foods, with peaches, pears, celery and tomatoes rounding out the list.

But don’t stop eating these foods, which are full of the vitamins, minerals, fiber and antioxidants needed to battle chronic disease, experts say.

“If the things you love to eat are on the ‘Dirty Dozen’ list, we recommend buying organic versions when you can,” said Alexis Temkin, a toxicologist at the EWG with expertise in toxic chemicals and pesticides.

“Several peer-reviewed studies and clinical trials have looked at what happens when people switch to a fully organic diet,” she said. “Concentrations and measurements of pesticides decrease very rapidly.”

Consumers can also consult EWG’s “Clean Fifteen” – a list of produce with the least amount of pesticides. Nearly 70% of the fruits and veggies on the list had no detectable pesticide residues, while just under 5% had residues of two or more pesticides, the report said.

Avocados had the lowest levels of pesticides among the 46 foods tested, followed by sweet corn, pineapple, onions and papaya.

Multiple pesticides

Issued yearly since 2004, the EWG report uses US Department of Agriculture test data to rank 46 foods that are the most and least contaminated with pesticide residues. The USDA staffers prepare the food as consumers would – washing, peeling or scrubbing – before testing each item.

The USDA does not sample all 46 foods each year, so EWG pulls results from the most recent testing period. Strawberries, for example, have not been tested by the USDA since 2016, Temkin said,

Many samples of the 46 fruits and vegetables included in the report tested positive for multiple pesticides, including insecticides and fungicides. Over 90% of “strawberries, apples, cherries, spinach, nectarines and grapes tested positive for residues of two or more pesticides,” the report said.

Testing found the highest level of multiple pesticides – 103 – on samples of the heart-healthy trio of kale, collards and mustard greens, followed by 101 different pesticides on hot and bell peppers. In general, “spinach samples had 1.8 times as much pesticide residue by weight as any other crop tested,” the report said.

Being exposed to multiple pesticides, even at low levels, is “supra-additive,” with each pesticide having more of a health impact than it might in isolation, said Dr. Leonardo Trasande, chief of environmental pediatrics at NYU Langone, who was not involved in the report.

dirty dozen

Health risks of pesticides

Health dangers from pesticides depend on the type, according to the US Environmental Protection Agency. Pesticides can impact the nervous system, irritate the eyes and skin, interfere with the hormonal systems of the body, or cause cancer, the EPA said.

The pesticide DCPA, classified by the EPA as a possible human carcinogen and banned in 2009 by the European Union, was frequently detected on collards, mustard greens and kale, the EWG report said.

Chlorpyrifos, a pesticide often used on nut and fruit trees and row crops such as broccoli and cauliflower, was banned by the EPA in February 2022 after a 15-year effort by environmental groups.

Chlorpyrifos contains an enzyme “which leads to neurotoxicity, and has also been associated with potential neurodevelopmental effects in children,” the EPA said.

Babies and children are especially vulnerable to pesticides, experts say, because of the damage the chemicals can cause to the developing brain. A 2020 study found an increase in IQ loss and intellectual disability in children due to exposure to organophosphates, a common class of pesticides.

A large number of pesticides also affect the endocrine system in developing fetuses, which can interfere with developmental growth, reproduction and metabolism.

“Even a brief exposure to pesticides which alter endocrine function can cause permanent effects if the exposure occurs during critical windows of reproductive development,” according to the EPA.

Steps consumers can take

Besides eating organic, there are a number of actions consumers can take to reduce exposure to pesticides – and many other toxins such as heavy metals – that can be found in produce.

Dangerous chemicals found in food wrappers at major fast-food restaurants and grocery chains, report says

Rinse all produce before serving. Don’t use soap, detergent or commercial produce wash – water is the best choice, experts say.

“Soap and household detergents can be absorbed by fruits and vegetables, despite thorough rinsing, and can make you sick. Also, the safety of the residues of commercial produce washes is not known and their effectiveness has not been tested,” the US Food and Drug Administration stated.

Choose local. Buying food that is purchased directly from a local farmer can reduce the risk of pesticide exposure, experts say.

Buy in season. Prices drop when fruits and vegetables are in season and plentiful. That’s a good time to purchase organic foods in bulk, then freeze or can them for future use, experts suggest.

By Sandee LaMotte, CNN     Thu April 7, 2022

source:  www.cnn.com


5 Comments

The World’s Most Nutritious Foods

After analysing more than 1,000 raw foods, researchers ranked the ingredients that provide the best balance of your daily nutritional requirements – and they found a few surprises.

Many of us are paying more attention to our diets and how the food we eat can support our health. To help sort out the fact from the fiction, BBC Future is updating some of our most popular nutrition stories from our archive.

Imagine the ideal food. One that contains all the nutrients necessary to meet, but not exceed, our daily nutrient demands. If such a food existed, consuming it, without eating any other, would provide the optimal nutritional balance for our body.

Such a food does not exist. But we can do the next best thing.

The key is to eat a balance of highly nutritional foods, that when consumed together, do not contain too much of any one nutrient, to avoid exceeding daily recommended amounts.

Scientists studied more than 1,000 foods, assigning each a nutritional score. The higher the score, the more likely each food would meet, but not exceed your daily nutritional needs, when eaten in combination with others.

Calculated and ranked by scientists, these are the 100 most nutritious foods:

A short guide to the 100 most nutritious foods

Please note: a few of the foods listed are endangered species, which we would not recommend. We would advise researching the provenance of all ingredients if buying them yourself.

100. SWEET POTATO (v)

86kcal, $0.21, per 100g

A bright orange tuber, sweet potatoes are only distantly related to potatoes. They are rich in beta-carotene.

NUTRITIONAL SCORE: 49

99. FIGS (v)

249kcal, $0.81, per 100g

Figs have been cultivated since ancient times. Eaten fresh or dried, they are rich in the mineral manganese.

NUTRITIONAL SCORE: 49

98. GINGER (v)

80kcal, $0.85, per 100g

Ginger contains high levels of antioxidants. In medicine, it is used as a digestive stimulant and to treat colds.

NUTRITIONAL SCORE: 49

97. PUMPKIN (v)

26kcal, $0.20, per 100g

Pumpkins are rich in yellow and orange pigments. Especially xanthophyll esters and beta-carotene.

NUTRITIONAL SCORE: 50

96. BURDOCK ROOT (v)

72kcal, $1.98, per 100g

Used in folk medicine and as a vegetable, studies suggest burdock can aid fat loss and limit inflammation.

NUTRITIONAL SCORE: 50

95. BRUSSELS SPROUTS (v)

43kcal, $0.35, per 100g

A type of cabbage. Brussels sprouts originated in Brussels in the 1500s. They are rich in calcium and vitamin C.

NUTRITIONAL SCORE: 50

94. BROCCOLI (v)

34kcal, $0.42, per 100g

Broccoli heads consist of immature flower buds and stems. US consumption has risen five-fold in 50 years.

NUTRITIONAL SCORE: 50

93. CAULIFLOWER (v)

31kcal, $0.44, per 100g

Unlike broccoli, cauliflower heads are degenerate shoot tips that are frequently white, lacking green chlorophyll.

NUTRITIONAL SCORE: 50

92. WATER CHESTNUTS (v)

97kcal, $1.50, per 100g

The water chestnut is not a nut at all, but an aquatic vegetable that grows in mud underwater within marshes.

NUTRITIONAL SCORE: 50

91. CANTALOUPE MELONS (v)

34kcal, $0.27, per 100g

One of the foods richest in glutathione, an antioxidant that protects cells from toxins including free radicals.

NUTRITIONAL SCORE: 50

90. PRUNES (v)

240kcal, $0.44, per 100g

Dried plums are very rich in health-promoting nutrients such as antioxidants and anthocyanins.

NUTRITIONAL SCORE: 50

89. COMMON OCTOPUS

82kcal, $1.50, per 100g

Though nutritious, recent evidence suggests octopus can carry harmful shellfish toxins and allergens.

NUTRITIONAL SCORE: 50

88. CARROTS (v)

36kcal, $0.40, per 100g

Carrots first appeared in Afghanistan 1,100 years ago. Orange carrots were grown in Europe in the 1500s.

NUTRITIONAL SCORE: 51

87. WINTER SQUASH (v)

34kcal, $0.24, per 100g

Unlike summer squashes, winter squashes are eaten in the mature fruit stage. The hard rind is usually not eaten.

NUTRITIONAL SCORE: 51

86. JALAPENO PEPPERS (v)

29kcal, $0.66, per 100g

The same species as other peppers. Carotenoid levels are 35 times higher in red jalapenos that have ripened.

NUTRITIONAL SCORE: 51

85. RHUBARB (v)

21kcal, $1.47, per 100g

Rhubarb is rich in minerals, vitamins, fibre and natural phytochemicals that have a role in maintaining health.

NUTRITIONAL SCORE: 51

84. POMEGRANATES (v)

83kcal, $1.31, per 100g

Their red and purple colour is produced by anthocyanins that have antioxidant and anti-inflammatory properties.

NUTRITIONAL SCORE: 51

83. RED CURRANTS (v)

56kcal, $0.44, per 100g

Red currants are also rich in anthocyanins. White currants are the same species as red, whereas black currants differ.

NUTRITIONAL SCORE: 51

82. ORANGES (v)

46kcal, $0.37, per 100g

Most citrus fruits grown worldwide are oranges. In many varieties, acidity declines with fruit ripeness.

NUTRITIONAL SCORE: 51

81. CARP

127kcal, $1.40, per 100g

A high proportion of carp is protein, around 18%. Just under 6% is fat, and the fish contains zero sugar.

NUTRITIONAL SCORE: 51

80. HUBBARD SQUASH (v)

40kcal, $8.77, per 100g

A variety of the species Cucurbita maxim. Tear-drop shaped, they are often cooked in lieu of pumpkins.

NUTRITIONAL SCORE: 52

79. KUMQUATS (v)

71kcal, $0.69, per 100g

An unusual citrus fruit, kumquats lack a pith inside and their tender rind is not separate like an orange peel.

NUTRITIONAL SCORE: 52

78. POMPANO

164kcal, $1.44, per 100g

Often called jacks, Florida pompanos are frequently-caught western Atlantic fish usually weighing under 2kg.

NUTRITIONAL SCORE: 52

77. PINK SALMON

127kcal, $1.19, per 100g

These fish are rich in long-chain fatty acids, such as omega-3s, that improve blood cholesterol levels.

NUTRITIONAL SCORE: 52

76. SOUR CHERRIES (v)

50kcal, $0.58, per 100g

Sour cherries (Prunus cerasus) are a different species to sweet cherries (P. avium). Usually processed or frozen.

NUTRITIONAL SCORE: 53

75. RAINBOW TROUT

141kcal, $3.08, per 100g

Closely related to salmon, rainbow trout are medium-sized Pacific fish also rich in omega-3s.

NUTRITIONAL SCORE: 53

74. PERCH

91kcal, $1.54, per 100g

Pregnant and lactating women are advised not to eat perch. Though nutritious, it may contain traces of mercury.

NUTRITIONAL SCORE: 53

73. GREEN BEANS (v)

31kcal, $0.28, per 100g

Green beans, known as string, snap or French beans, are rich in saponins, thought to reduce cholesterol levels.

NUTRITIONAL SCORE: 54

72. RED LEAF LETTUCE (v)

16kcal, $1.55, per 100g

Evidence suggests lettuce was cultivated before 4500 BC. It contains almost no fat or sugar and is high in calcium.

NUTRITIONAL SCORE: 54

71. LEEKS (v)

61kcal, $1.83, per 100g

Leeks are closely related to onions, shallots, chives and garlic. Their wild ancestor grows around the Mediterranean basin.

NUTRITIONAL SCORE: 54

70. CAYENNE PEPPER (v)

318kcal, $22.19, per 100g

Powdered cayenne pepper is produced from a unique cultivar of the pepper species Capsicum annuum.

NUTRITIONAL SCORE: 54

69. GREEN KIWIFRUIT (v)

61kcal, $0.22, per 100g

Kiwifruit are native to China. Missionaries took them to New Zealand in the early 1900s, where they were domesticated.

NUTRITIONAL SCORE: 54

68. GOLDEN KIWIFRUIT (v)

63kcal, $0.22, per 100g

Kiwifruits are edible berries rich in potassium and magnesium. Some golden kiwifruits have a red centre.

NUTRITIONAL SCORE: 54

67. GRAPEFRUIT (v)

32kcal, $0.27, per 100g

Grapefruits (Citrus paradisi) originated in the West Indies as a hybrid of the larger pomelo fruit.

NUTRITIONAL SCORE: 54

66. MACKEREL

139kcal, $2.94, per 100g

An oily fish, one serving can provide over 10 times more beneficial fatty acids than a serving of a lean fish such as cod.

NUTRITIONAL SCORE: 54

65. SOCKEYE SALMON

131kcal, $3.51, per 100g

Another oily fish, rich in cholesterol-lowering fatty acids. Canned salmon with bones is a source of calcium.

NUTRITIONAL SCORE: 54

64. ARUGULA (v)

25kcal, $0.48, per 100g

A salad leaf, known as rocket. High levels of glucosinolates protect against cancer and cardiovascular disease.

NUTRITIONAL SCORE: 55

63. CHIVES (v)

25kcal, $0.22, per 100g

Though low in energy, chives are high in vitamins A and K. The green leaves contain a range of beneficial antioxidants.

NUTRITIONAL SCORE: 55

62. PAPRIKA (v)

282kcal, $1.54, per 100g

Also extracted from the pepper species Capsicum annuum. A spice rich in ascorbic acid, an antioxidant.

NUTRITIONAL SCORE: 55

61. RED TOMATOES (v)

18kcal, $0.15, per 100g

A low-energy, nutrient-dense food that are an excellent source of folate, potassium and vitamins A, C and E.

NUTRITIONAL SCORE: 56

60. GREEN TOMATOES (v)

23kcal, $0.33, per 100g

Fruit that has not yet ripened or turned red. Consumption of tomatoes is associated with a decreased cancer risk.

NUTRITIONAL SCORE: 56

59. GREEN LETTUCE (v)

15kcal, $1.55, per 100g

The cultivated lettuce (Lactuca sativa) is related to wild lettuce (L. serriola), a common weed in the US.

NUTRITIONAL SCORE: 56

58. TARO LEAVES (v)

42kcal, $2.19, per 100g

Young taro leaves are relatively high in protein, containing more than the commonly eaten taro root.

NUTRITIONAL SCORE: 56

57. LIMA BEANS (v)

106kcal, $0.50, per 100g

Also known as butter beans, lima beans are high in carbohydrate, protein and manganese, while low in fat.

NUTRITIONAL SCORE: 56

56. EEL

184kcal, $2.43, per 100g

A good source of riboflavin (vitamin B2), though the skin mucus of eels can contain harmful marine toxins.

NUTRITIONAL SCORE: 56

55. BLUEFIN TUNA

144kcal, $2.13, per 100g

A large fish, rich in omega-3s. Pregnant women are advised to limit their intake, due to mercury contamination.

NUTRITIONAL SCORE: 56

54. COHO SALMON

146kcal, $0.86, per 100g

A Pacific species also known as silver salmon. Relatively high levels of fat, as well as long-chain fatty acids.

NUTRITIONAL SCORE: 56

53. SUMMER SQUASH (v)

17kcal, $0.22, per 100g

Harvested when immature, while the rind is still tender and edible. Its name refers to its short storage life.

NUTRITIONAL SCORE: 57

52. NAVY BEANS (v)

337kcal, $0.49, per 100g

Also known as haricot or pea beans. The fibre in navy beans has been correlated with the reduction of colon cancer.

NUTRITIONAL SCORE: 57

51. PLANTAIN (v)

122kcal, $0.38, per 100g

Banana fruits with a variety of antioxidant, antimicrobial, hypoglycaemic and anti-diabetic properties.

NUTRITIONAL SCORE: 57

fruit vegetables

50. PODDED PEAS (v)

42kcal, $0.62, per 100g

Peas are an excellent source of protein, carbohydrates, dietary fibre, minerals and water-soluble vitamins.

NUTRITIONAL SCORE: 58

49. COWPEAS (v)

44kcal, $0.68, per 100g

Also called black-eyed peas. As with many legumes, high in carbohydrate, containing more protein than cereals.

NUTRITIONAL SCORE: 58

48. BUTTER LETTUCE (v)

13kcal, $0.39, per 100g

Also known as butterhead lettuce, and including Boston and bib varieties. Few calories. Popular in Europe.

NUTRITIONAL SCORE: 58

47. RED CHERRIES (v)

50kcal, $0.33, per 100g

A raw, unprocessed and unfrozen variety of sour cherries (Prunus cerasus). Native to Europe and Asia.

NUTRITIONAL SCORE: 58

46. WALNUTS (v)

619kcal, $3.08, per 100g

Walnuts contain sizeable proportions of a-linolenic acid, the healthy omega-3 fatty acid made by plants.

NUTRITIONAL SCORE: 58

45. FRESH SPINACH (v)

23kcal, $0.52, per 100g

Contains more minerals and vitamins (especially vitamin A, calcium, phosphorus and iron) than many salad crops. Spinach appears twice in the list (45 and 24) because the way it is prepared affects its nutritional value. Fresh spinach can lose nutritional value if stored at room temperature, and ranks lower than eating spinach that has been frozen, for instance.

NUTRITIONAL SCORE: 59

44. PARSLEY (v)

36kcal, $0.26, per 100g

A relative of celery, parsley was popular in Greek and Roman times. High levels of a range of beneficial minerals.

NUTRITIONAL SCORE: 59

43. HERRING

158kcal, $0.65, per 100g

An Atlantic fish, among the top five most caught of all species. Rich in omega-3s, long-chain fatty acids.

NUTRITIONAL SCORE: 59

42. SEA BASS

97kcal, $1.98, per 100g

A generic name for a number of related medium-sized oily fish species. Popular in the Mediterranean area.

NUTRITIONAL SCORE: 59

41. CHINESE CABBAGE (v)

13kcal, $0.11, per 100g

Variants of the cabbage species Brassica rapa, often called pak-choi or Chinese mustard. Low calorie.

NUTRITIONAL SCORE: 60

40. CRESS (v)

32kcal, $4.49, per 100g

The brassica Lepidium sativum, not to be confused with watercress Nasturtium officinale. High in iron.

NUTRITIONAL SCORE: 60

39. APRICOTS (v)

48kcal, $0.36, per 100g

A ’stone’ fruit relatively high in sugar, phytoestrogens and antioxidants, including the carotenoid beta-carotene.

NUTRITIONAL SCORE: 60

38. FISH ROE

134kcal, $0.17, per 100g

Fish eggs (roe) contain high levels of vitamin B-12 and omega-3 fatty acids. Caviar often refers to sturgeon roe.

NUTRITIONAL SCORE: 60

37. WHITEFISH

134kcal, $3.67, per 100g

Species of oily freshwater fish related to salmon. Common in the northern hemisphere. Rich in omega-3s.

NUTRITIONAL SCORE: 60

36. CORIANDER (v)

23kcal, $7.63, per 100g

A herb rich in carotenoids, used to treat ills including digestive complaints, coughs, chest pains and fever.

NUTRITIONAL SCORE: 61

35. ROMAINE LETTUCE (v)

17kcal, $1.55, per 100g

Also known as cos lettuce, another variety of Lactuca sativa. The fresher the leaves, the more nutritious they are.

NUTRITIONAL SCORE: 61

34. MUSTARD LEAVES (v)

27kcal, $0.29, per 100g

One of the oldest recorded spices. Contains sinigrin, a chemical thought to protect against inflammation.

NUTRITIONAL SCORE: 61

33. ATLANTIC COD

82kcal, $3.18, per 100g

A large white, low fat, protein-rich fish. Cod livers are a source of fish oil rich in fatty acids and vitamin D.

NUTRITIONAL SCORE: 61

32. WHITING

90kcal, $0.60, per 100g

Various species, but often referring to the North Atlantic fish Merlangius merlangus that is related to cod.

NUTRITIONAL SCORE: 61

31. KALE (v)

49kcal, $0.62, per 100g

A leafy salad plant, rich in the minerals phosphorous, iron and calcium, and vitamins such as A and C.

NUTRITIONAL SCORE: 62

30. BROCCOLI RAAB (v)

22kcal, $0.66, per 100g

Not to be confused with broccoli. It has thinner stems and smaller flowers, and is related to turnips.

NUTRITIONAL SCORE: 62

29. CHILI PEPPERS (v)

324kcal, $1.20, per 100g

The pungent fruits of the Capsicum plant. Rich in capsaicinoid, carotenoid and ascorbic acid antioxidants.

NUTRITIONAL SCORE: 62

28. CLAMS

86kcal, $1.78, per 100g

Lean, protein-rich shellfish. Often eaten lightly cooked, though care must be taken to avoid food poisoning.

NUTRITIONAL SCORE: 62

27. COLLARDS (v)

32kcal, $0.74, per 100g

Another salad leaf belonging to the Brassica genus of plants. A headless cabbage closely related to kale.

NUTRITIONAL SCORE: 63

26. BASIL (v)

23kcal, $2.31, per 100g

A spicy, sweet herb traditionally used to protect the heart. Thought to be an antifungal and antibacterial.

NUTRITIONAL SCORE: 63

25. CHILI POWDER (v)

282kcal, $5.63, per 100g

A source of phytochemicals such as vitamin C, E and A, as well as phenolic compounds and carotenoids.

NUTRITIONAL SCORE: 63

24. FROZEN SPINACH (v)

29kcal, $1.35, per 100g

A salad crop especially high in magnesium, folate, vitamin A and the carotenoids beta carotene and zeazanthin. Freezing spinach helps prevent the nutrients within from degrading, which is why frozen spinach ranks higher than fresh spinach (no 45).

NUTRITIONAL SCORE: 64

23. DANDELION GREENS (v)

45kcal, $0.27, per 100g

The word dandelion means lion’s tooth. The leaves are an excellent source of vitamin A, vitamin C and calcium.

NUTRITIONAL SCORE: 64

22. PINK GRAPEFRUIT (v)

42kcal, $0.27, per 100g

The red flesh of pink varieties is due to the accumulation of carotenoid and lycopene pigments.

NUTRITIONAL SCORE: 64

21. SCALLOPS

69kcal, $4.19, per 100g

A shellfish low in fat, high in protein, fatty acids, potassium and sodium.

NUTRITIONAL SCORE: 64

20. PACIFIC COD

72kcal, $3.18, per 100g

Closely related to Atlantic cod. Its livers are a significant source of fish oil rich in fatty acids and vitamin D.

NUTRITIONAL SCORE: 64

19. RED CABBAGE (v)

31kcal, $0.12, per 100g

Rich in vitamins. Its wild cabbage ancestor was a seaside plant of European or Mediterranean origin.

NUTRITIONAL SCORE: 65

18. GREEN ONION (v)

27kcal, $0.51, per 100g

Known as spring onions. High in copper, phosphorous and magnesium. One of the richest sources of vitamin K.

NUTRITIONAL SCORE: 65

17. ALASKA POLLOCK

92kcal, $3.67, per 100g

Also called walleye pollock, the species Gadus chalcogrammus is usually caught in the Bering Sea and Gulf of Alaska. A low fat content of less than 1%.

NUTRITIONAL SCORE: 65

16. PIKE

88kcal, $3.67, per 100g

A fast freshwater predatory fish. Nutritious but pregnant women must avoid, due to mercury contamination.

NUTRITIONAL SCORE: 65

15. GREEN PEAS (v)

77kcal, $1.39, per 100g

Individual green peas contain high levels of phosphorous, magnesium, iron, zinc, copper and dietary fibre.

NUTRITIONAL SCORE: 67

14. TANGERINES (v)

53kcal, $0.29, per 100g

An oblate orange citrus fruit. High in sugar and the carotenoid cryptoxanthin, a precursor to vitamin A.

NUTRITIONAL SCORE: 67

13. WATERCRESS (v)

11kcal, $3.47, per 100g

Unique among vegetables, it grows in flowing water as a wild plant. Traditionally eaten to treat mineral deficiency.

NUTRITIONAL SCORE: 68

12. CELERY FLAKES (v)

319kcal, $6.10, per 100g

Celery that is dried and flaked to use as a condiment. An important source of vitamins, minerals and amino acids.

NUTRITIONAL SCORE: 68

11. DRIED PARSLEY (v)

292kcal, $12.46, per 100g

Parsley that is dried and ground to use as a spice. High in boron, fluoride and calcium for healthy bones and teeth.

NUTRITIONAL SCORE: 69

10. SNAPPER

100kcal, $3.75, per 100g

A family of mainly marine fish, with red snapper the best known. Nutritious but can carry dangerous toxins.

NUTRITIONAL SCORE: 69

9. BEET GREENS (v)

22kcal, $0.48, per 100g

The leaves of beetroot vegetables. High in calcium, iron, vitamin K and B group vitamins (especially riboflavin).

NUTRITIONAL SCORE: 70

8. PORK FAT

632kcal, $0.95, per 100g

A good source of B vitamins and minerals. Pork fat is more unsaturated and healthier than lamb or beef fat.

NUTRITIONAL SCORE: 73

7. SWISS CHARD (v)

19kcal, $0.29, per 100g

A very rare dietary source of betalains, phytochemicals thought to have antioxidant and other health properties.

NUTRITIONAL SCORE: 78

6. PUMPKIN SEEDS (v)

559kcal, $1.60, per 100g

Including the seeds of other squashes. One of the richest plant-based sources of iron and manganese.

NUTRITIONAL SCORE: 84

5. CHIA SEEDS (v)

486kcal, $1.76, per 100g

Tiny black seeds that contain high amounts of dietary fibre, protein, a-linolenic acid, phenolic acid and vitamins.

NUTRITIONAL SCORE: 85

4. FLATFISH

70kcal, $1.15, per 100g

Sole and flounder species. Generally free from mercury and a good source of the essential nutrient vitamin B1.

NUTRITIONAL SCORE: 88

3. OCEAN PERCH

79kcal, $0.82, per 100g

The Atlantic species. A deep-water fish sometimes called rockfish. High in protein, low in saturated fats.

NUTRITIONAL SCORE: 89

2. CHERIMOYA (v)

75kcal, $1.84, per 100g

Cherimoya fruit is fleshy and sweet with a white pulp. Rich in sugar and vitamins A, C, B1, B2 and potassium.

NUTRITIONAL SCORE: 96

1. ALMONDS (v)

579kcal, $0.91, per 100g

Rich in mono-unsaturated fatty acids. Promote cardiovascular health and may help with diabetes.

NUTRITIONAL SCORE: 97

SOURCES

Food selection, ranking and cost based on the scientific study “Uncovering the Nutritional Landscape of Food”, published in the journal PLoS ONE.   

Nutritional data based on The United States Department of Agriculture, Agricultural Research Service’s National Nutrient Database for Standard Reference, Release 28.

Nutritional insights from The Encyclopaedia of Food and Health (2016), published by Elsevier Science.

Produced for BBC Future by Fact & Story.    This page was originally published as an infographic.

source: BBC.com


3 Comments

Raw or Cooked? How Best to Eat 11 Fruits and Vegetables

Find out which foods you should eat raw or cooked to maximize antioxidants.

Fruits and vegetables contain a lot of nutrients and antioxidants like carotenoids, flavonoids, and polyphenols that help prevent health issues like cancer and cardiovascular disease and can improve mood. Antioxidants help your body counteract damage caused by toxic byproducts called free radicals. Eating more fruits and vegetables also increases your vitamin C, vitamin A, vitamin B6, thiamine, and niacin, minerals, and fiber.

But it can be tricky to know how you should store and prepare fresh foods to get the most nutrients.

Luckily, when you store most fruits and vegetables, this generally does not affect antioxidants levels. In fact, antioxidant levels can even go up in the few days after you buy the fruits and vegetables. But when you start to see the fruit or vegetable spoil and turn brown, that usually means that they have started to lose antioxidants. The main exceptions are broccoli, bananas, and apricots, which are more sensitive and start to lose their antioxidants during storage within days, so eat those sooner than later.

Whether you should cook or eat raw fruits or vegetables to maximize antioxidants varies. Some vegetables like mushrooms, asparagus, cabbage, and peppers gain certain antioxidants after they are cooked.

1. Tomatoes: Cooked may be better than raw.

Storage tip: Even though this will make shelf life shorter, store tomatoes in room temperature since tomatoes can lose antioxidants (and flavor) when stored in cooler temperatures.

Cook your tomatoes to release higher levels of lycopene and total antioxidant activity. You can cook them for up to 30 minutes at 190.4 degrees Fahrenheit (88 degrees Celsius). Lycopene is found in red fruits and vegetables like watermelon, red bell pepper, and papaya and has been linked to lower rates of cancer.

Raw tomatoes have less overall antioxidants, but have more vitamin C.

2. Carrots: Cooked may be better than raw.

Cook your carrots to get more beta-carotene, an antioxidant that gets converted in your body to vitamin A, which is good for your eyes and immune system. Sous Vide carrots for best results. Steaming or boiling carrots preserves more antioxidants than roasting, frying or microwaving carrots. If you’re in Top Chef mode and want to maximize antioxidants, try sous vide carrots, which has even more antioxidants than steamed carrots.

3. Broccoli: Raw and cooked.

Storage tip: Keep broccoli wrapped in packaging in the refrigerator at 1 degree Celsius (or 33.8 degrees Fahrenheit). Unlike most vegetables, broccoli tends to lose antioxidants faster than other vegetables when stored without packaging, particularly when it starts to lose its color and turn yellow. Wrap the broccoli in microperforated or non-perforated packaging to keep antioxidants for longer.

If you eat raw broccoli, you’ll get higher levels of an enzyme called myrosinase, which creates helpful compounds like sulforaphane, which blocks the growth of cancer cells and helps fight Helicobacter pylori, a bacteria responsible for stomach ulcers. Myrosinase is sensitive to heat and thus destroyed during cooking.

Cooked broccoli and other cruciferous vegetables like cauliflower, increases indole, which is thought to be protective against cancer. Steamed broccoli has also better potential to reduce cholesterol than raw broccoli.

Sous vide or steam broccoli to keep antioxidants and nutrients. Boiling 9-15 minutes causes the loss of up to 60 percent of nutritious compounds become leached into the water. Stir-frying and a combination of boiling and stir-frying (common in Chinese cuisine) causes the most loss of vitamin C and nutrients. Steaming allows broccoli to retain better color and texture.

broccoli

4. Cauliflower: Raw and cooked.

Fresh cauliflower has 30 percent more protein and many different types of antioxidants such as quercetin. Raw cauliflower keeps the most antioxidants overall, but cooking cauliflower increases indole levels.

Don’t boil cauliflower in water because that loses the most antioxidants. Water-boiling and blanching causes the worst loss of minerals and antioxidant compounds in cauliflower because many of the nutrients get leached into the water. Steam or sous vide cauliflower to maintain nutrients.

5. Brussel Sprouts, cabbage: Raw and steamed.

Brussel sprouts and cabbage are cruciferous vegetables rich in compounds protective for cancer. One study found that people who consumed about 300 grams or two-thirds pound of Brussels sprouts daily for a week had higher levels of a detox enzyme in the colon, which helps explain the link between eating cruciferous vegetables and lower risk of colorectal cancer.

Raw Brussels sprouts give you the most folate and vitamin C. Steaming Brussels sprouts can release more indole compounds (but they arguably taste best when roasted!).

6. Kale: Raw and blanched.

Kale has beta-carotene, vitamin C, and polyphenols. Cooking kale significantly lowers vitamin C and overall antioxidants. Keep kale raw or, if you prefer cooked, blanch or steam kale to minimize antioxidant loss.

7. Eggplant: Cooked and grilled.

Grill eggplant to make it a lot richer in antioxidants compared to raw or boiled (and it tastes a lot better too). Don’t forget to salt your eggplant slices before cooking to get rid of excess moisture and bitterness.

8. Red Peppers: Raw and cooked (stir-fry, roasted).

Red peppers are a great source of vitamin C, carotenoids, polyphenols, and other phytochemicals. Raw red peppers provide more vitamin C because vitamin C breaks down with heat. But other antioxidants like carotenoids and ferulic acid go up when red peppers are cooked.

Stir-fry or roast red peppers. Do not boil red peppers—boiling red peppers loses the most nutrients and antioxidants. Stir-frying and roasting actually preserves red pepper antioxidants, more than steaming.

9. Garlic and onions: Raw and cooked.

Garlic and onions have been linked with foods that help fight high blood pressure. Red onions have the highest amount of quercetin, a type of flavonoid family antioxidant thought to protect against certain forms of cancer, heart disease, and aging.

Garlic and onions are pretty hardy when cooked. You can blanch, fry, and even microwave them without changing their antioxidant levels by much, so prepare them however you like.

10. Artichokes: Cooked.

Cook your artichokes in order to boost their antioxidants. Steam artichokes to boost antioxidants levels by 15-fold and boil them to boost them by 8-fold. Microwaving them also increases an artichoke’s antioxidants. But don’t fry them– that plummets flavonoids, a type of antioxidant.

11. Blueberries: Raw and cooked.

Blueberries are one of the fruits with the highest levels of antioxidants, and you can eat them raw or cooked to get the most antioxidants. One study found that some type of antioxidants levels went up with cooking blueberries, while others went down.

Here are some final general tips:

Avoid deep-frying. Bad news for vegetable tempura fans: Deep-frying vegetables creates free radicals from the hot oil. Not only are free radicals damaging for the body, but the vegetables lose much of their antioxidants in the process.

Fresh is generally better than frozen. Vegetables like spinach and cauliflower can lose B vitamins in the process of being frozen.

At the end of the day, prepare your fruits and vegetables so that you’ll be more likely to eat them. As long as you stay away from the deep fryer, fresh fruits and vegetables will generally give you a lot more nutrients and antioxidants than processed foods.

 Marlynn Wei, MD, PLLC            October 3, 2015       Reviewed by Ekua Hagan

source: www.psychologytoday.com


2 Comments

2 Portions Of Mushrooms Halve Risk Of Memory Loss

Any variety of mushrooms may well have the beneficial effect as they all contain an antioxidant called ergothioneine.

Two portions of mushrooms a week halve the risk of memory loss, research finds.

Mild cognitive impairment, as it is known, is frequently a precursor to dementia.

It involves forgetfulness, along with problems with language and attention.

However, the problems are normally subtle — certainly more so than dementia.

Older people eating around half a plate of mushrooms per week, though, were at half the risk of developing the condition.

Even one small portion of mushrooms a week may be enough to have a meaningful effect, the scientists think.

Dr Lei Feng, the study’s first author, said:

 

“This correlation is surprising and encouraging.

It seems that a commonly available single ingredient could have a dramatic effect on cognitive decline.”

The study involved over 600 people over 60-years-old in Singapore who were followed over six years.

They were tested for mild cognitive impairment (MCI) along with being asked about their dietary habits.

Dr Feng said:

 

“People with MCI are still able to carry out their normal daily activities.

So, what we had to determine in this study is whether these seniors had poorer performance on standard neuropsychologist tests than other people of the same age and education background.”

 

mushrooms

 

The study found that six commonly eaten mushrooms were linked to a 50 percent lower risk of cognitive decline.

These were:

 

  • golden,
  • oyster,
  • shiitake,
  • white button,
  • dried,
  • and canned mushrooms.

However, any variety of mushrooms may well have the beneficial effect as they all contain an antioxidant called ergothioneine.

Dr Irwin Cheah, study co-author, explained:

 

“We’re very interested in a compound called ergothioneine (ET).

ET is a unique antioxidant and anti-inflammatory which humans are unable to synthesise on their own.

But it can be obtained from dietary sources, one of the main ones being mushrooms.”

The researchers will now conduct a randomised controlled trial of a pure compound of ET.

The study was published in the Journal of Alzheimer’s Disease (Feng et al., 2019).

 

April 30, 2021       source: PsyBlog

 


Leave a comment

One Portion Of These Foods Boosts Mental Health

People who eat more fruit and vegetables have better mental health, research finds.

Indeed, the more fruit and vegetables people eat, the better their state of mind.

Eating just one extra portion of fruit and vegetables per day is enough to measurably improve mental well-being.

Just one portion has the same positive effect as going for a walk on 8 extra days a month.

Only around one-in-ten people in the US eat the recommended amount of fruit and vegetables.

The recommended amount in the US is 1½ to 2 cups per day of fruit and 2 to 3 cups per day of vegetables.

Dr Neel Ocean, the study’s first author, said:

“It’s well-established that eating fruit and vegetables can benefit physical health.

Recently, newer studies have suggested that it may also benefit psychological well-being.

Our research builds on previous work in Australia and New Zealand by verifying this relationship using a much bigger UK sample.

While further work is needed to demonstrate cause and effect, the results are clear: people who do eat more fruit and vegetables report a higher level of mental well-being and life satisfaction than those who eat less.”

The study followed many thousands of people across seven years.

The study controlled for other factors, like lifestyle, education, health status and other aspects of the diet.

Dr Peter Howley, study co-author, said:

“There appears to be accumulating evidence for the psychological benefits of fruits and vegetables.

Despite this, the data show that the vast majority of people in the UK still consume less than their five-a-day.

Encouraging better dietary habits may not just be beneficial to physical health in the long run but may also improve mental well-being in the shorter term.”

The study was published in the journal Social Science & Medicine (Ocean et al., 2019).

April 8, 2021

source: PsyBlog

veggies

Link Between Dietary Fiber And Depression
Partially Explained By Gut-Brain Interactions

New study suggests that higher daily dietary fiber intake is linked to lower risk for depression in premenopausal women

Fiber is a commonly recommended part of a healthy diet. That’s because it’s good for your health in so many ways – from weight management to reducing the risk of diabetes, heart disease, and some types of cancer. A new study also finds that it might be linked with a reduced risk of depression, especially in premenopausal women. Study results are published online in Menopause, the journal of The North American Menopause Society (NAMS).

Depression is a common and serious mental health condition that not only affects a person’s ability to perform daily activities but can also lead to suicide. It’s estimated that more than 264 million people worldwide have depression, with numbers increasing over time. This debilitating condition is much more common in women, and there are a number of theories as to why this is the case. Changes in hormone levels in perimenopausal women have been linked to depression.

Because of the serious consequences and prevalence of depression, numerous studies have been undertaken to evaluate treatment options beyond the use of antidepressants. Lifestyle interventions, including diet, exercise, and mindfulness, may help to reduce the risk for depression. In this new study involving more than 5,800 women of various ages, researchers specifically sought to investigate the relationship between dietary fiber intake and depression in women by menopause status. Dietary fiber is found mainly in fruit, vegetables, whole grains, and legumes.

Previous studies have already suggested the benefits of fiber for mental health, but this is the first known study to categorize the association in premenopausal and postmenopausal women. It also included a broader range of ages in participants and involved women who underwent natural, as well as surgical, menopause.

The study confirmed an inverse association between dietary-fiber intake and depression in premenopausal women after adjusting for other variables, but no significant difference was documented in postmenopausal women. Research has suggested that estrogen depletion may play a role in explaining why postmenopausal women don’t benefit as much from increased dietary fiber, because estrogen affects the balance of gut microorganisms found in premenopausal and postmenopausal women. The link between dietary fiber and depression may be partially explained by gut-brain interactions, because it is theorized that changes in gut-microbiota composition may affect neurotransmission. Fiber improves the richness and diversity of gut microbiota.

Results are published in the article “Inverse association between dietary fiber intake and depression in premenopausal women: a nationwide population-based survey.”

“This study highlights an important link between dietary fiber intake and depression, but the direction of the association is unclear in this observational study, such that women with better mental health may have had a healthier diet and consumed more fiber, or a higher dietary fiber intake may have contributed to improved brain health by modulating the gut microbiome or some combination. Nonetheless, it has never been more true that ‘you are what you eat,’ given that what we eat has a profound effect on the gut microbiome which appears to play a key role in health and disease,” says Dr. Stephanie Faubion, NAMS medical director.

Journal Reference:

Yunsun Kim, Minseok Hong, Seonah Kim, Woo-young Shin, Jung-ha Kim. Inverse association between dietary fiber intake and depression in premenopausal women. Menopause, 2020; Publish Ahead of Print DOI: 10.1097/GME.0000000000001711

January 6, 2021

Source: The North American Menopause Society (NAMS)        www.sciencedaily.com


Leave a comment

EWG’s Shopper’s Guide to Pesticides in Produce

99 Percent of Non-Organic Raisins Tainted With at Least Two Chemicals

Nearly 70 percent of the fresh produce sold in the U.S. contains residues of potentially harmful chemical pesticides, according to EWG’s analysis of the latest test data from the federal Department of Agriculture. But the dirtiest produce commodity, according to the USDA’s Pesticide Data Program, is not a fresh fruit or vegetable but a dried one – raisins.

Traditionally, EWG’s Shopper’s Guide to Pesticides in Produce™ has included fresh fruits and vegetables only. But because the USDA tested raisins last year for the first time since 2007, we decided to see how they would fare on the Dirty Dozen, our annual ranking of the fruits and vegetables with the most pesticides.

Almost every sample of non-organic raisins tested – 99 percent – had residues of at least two pesticides. On the 2020 Dirty Dozen, raisins would rank worst of all fruits tested, including strawberries, nectarines, apples and cherries, all of which had residues of two or more pesticides on at least 90 percent of samples.

As with last year’s Shopper’s Guide, kale ranks third on the 2020 Dirty Dozen list. Even as kale’s popularity as a health food rich in vitamins and antioxidants has soared in recent years, the level and type of pesticide residues on kale has expanded significantly.

In USDA’s most recent tests, the pesticide most frequently detected on kale was DCPA, sold under the brand name Dacthal. The Environmental Protection Agency classifies DCPA as a possible human carcinogen, and in 2009 the European Union banned it.

Whether organic or conventionally grown, fruits and vegetables are critical components of a healthy diet. However, many crops contain potentially harmful pesticides, even after washing, peeling or scrubbing, which the USDA does before testing each item. Since pesticide contamination varies by crop, it is important to understand which items are most or least contaminated.

Also important to note is that the USDA does not test for all pesticides used in crop production. Notably, it does not analyze glyphosate, or Roundup, the most heavily used pesticide in the U.S., but high levels can be found in several grains and beans, such as oats and chickpeas, due to its increasing use as a pre-harvest drying agent.

EWG’S DIRTY DOZEN FOR 2020

  • Strawberries
  • Spinach
  • Kale
  • Nectarines
  • Apples
  • Grapes
  • Peaches
  • Cherries
  • Pears
  • Tomatoes
  • Celery
  • Potatoes

Of the 47 items included in our analysis, these Dirty Dozen foods were contaminated with more pesticides than other crops, according to our analysis of USDA data.1 (The rankings are based not only on the percentage of samples with pesticides but also on the number and amount of pesticides on all samples and on individual samples. See Methodology.) Key findings:

  • More than 90 percent of samples of strawberries, apples, cherries, spinach, nectarines, and kale tested positive for residues of two or more pesticides.
  • Multiple samples of kale showed 18 different pesticides.
  • On average, kale and spinach samples had 1.1 to 1.8 times as much pesticide residue by weight than any other crop tested.

EWG’S CLEAN FIFTEEN FOR 2020

  • Avocados
  • Sweet corn
  • Pineapple
  • Onions
  • Papaya
  • Sweet peas (frozen)
  • Eggplants
  • Asparagus
  • Cauliflower
  • Cantaloupes
  • Broccoli
  • Mushrooms
  • Cabbage
  • Honeydew melon
  • Kiwi

These 15 items had the lowest amounts of pesticide residues, according to EWG’s analysis of the most recent USDA data.1  Key findings:

  • Avocados and sweet corn were the cleanest. Fewer than 2 percent of samples showed any detectable pesticides
  • With the exception of cabbage, all other products on the Clean Fifteen tested positive for four or fewer pesticides.
  • Almost 70 percent of Clean Fifteen fruit and vegetable samples had no pesticide residues.
  • Multiple pesticide residues are extremely rare on Clean Fifteen vegetables. Only 7 percent of Clean Fifteen fruit and vegetable samples had two or more pesticides.

HEALTH BENEFITS OF REDUCING DIETARY PESTICIDE EXPOSURE

Eating organic food reduces pesticide exposure and is linked to a variety of health benefits, according to an article published this year in the peer-reviewed journal Nutrients.2 In four separate clinical trials, people who switched from conventional to organic foods saw a rapid and dramatic reduction in their urinary pesticide concentrations, a marker of pesticide exposure. Additional studies have linked higher consumption of organic foods to lower urinary pesticide levels, improved fertility and birth outcomes, reduced incidence of non-Hodgkin lymphoma and lower BMI.2,3

Researchers from Harvard University used USDA test data and methods similar to ours to classify produce as having high or low pesticides.4 Remarkably, their lists of high and low pesticide crops largely overlap with our Dirty Dozen and Clean Fifteen.

spraying pesticides

FERTILITY STUDIES’ CLASSIFICATION OF PESTICIDE RESIDUES

High pesticide residue score

Apples, apple sauces, blueberries, grapes, green beans, leafy greens, pears, peaches, potatoes, plums, spinach, strawberries, raisins, sweet peppers, tomatoes, winter squashes

Low to moderate pesticide residue score

Apple juice, avocados, bananas, beans, broccoli, cabbages, cantaloupes, carrots, cauliflower, celery, corn, eggplants, grapefruits, lentils, lettuce, onions, oranges, orange juices, peas, prunes, summer squashes, sweet potatoes, tofu, tomato sauces, zucchini

These researchers also found that people who consumed greater quantities of crops high in pesticides had higher levels of urinary pesticides and lower fertility.4,5 Alternatively, people who consumed a pro-fertility diet, which included the low pesticide crops, among other foods and nutrients, like whole grains and folic acid, were more likely to have a successful pregnancy.6

From these studies, it is unclear whether the positive effects associated with organic foods are directly and exclusively caused by lower pesticide exposures.

People who consume higher amounts of organic produce tend to be more health-conscious in general, making it difficult to determine the exact cause of an observed health outcome. Clinical trials – in which participants are monitored before and after switching to an organic diet – may be better able to identify cause-and-effect links between diet and outcomes.

But so far, the clinical trials for organic foods have been short-term studies spanning days to months, although health benefits from eating organic foods may take much longer to become evident. Until long-term clinical trials are completed, the published observational studies provide the best evidence in support of eating organic.

In 2012, the American Academy of Pediatrics issued an important report that said children have “unique susceptibilities to [pesticide residues’] potential toxicity.” The academy cited research that linked pesticide exposures in early life to pediatric cancers, decreased cognitive function and behavioral problems. It advised its members to urge parents to consult “reliable resources that provide information on the relative pesticide content of various fruits and vegetables.” A key resource it cited was EWG’s Shopper’s Guide to Pesticides in Produce.7

An EWG investigation published this year found that for most pesticides, the Environmental Protection Agency does not apply additional restrictions to safeguard children’s health. The landmark 1996 Food Quality Protection Act required the EPA to protect children’s health by applying an extra margin of safety to legal limits for pesticides in food. Yet, as the EWG study found, this tenfold margin of safety was not included in the EPA’s allowable limits for almost 90 percent of the most common pesticides.

GENETICALLY ENGINEERED CROPS

Genetically engineered crops, or GMOs, are most commonly found in processed foods rather than in fresh produce. Corn syrup and corn oil, produced from predominantly GMO starchy field corn, are commonly found in processed foods. However, you may find genetically modified zucchini, yellow squash, sweet corn, papaya and apples in U.S. markets, though only papayas are predominantly GMO.

Under a law passed in 2016, beginning in 2022, GMO food products in the U.S. must be labeled. However, based on the final rule, released in 2018 by the Trump Administration, these labels may be difficult to interpret, with confusing terms like “bioengineered.” Until the law takes effect, consumers who want to avoid GMOs may choose organic zucchini, yellow squash, sweet corn, papaya, apples and potatoes. Processed goods that are certified organic or bear Non-GMO Project Verified labels can also be trusted to be GMO-free.

EWG provides several resources – including EWG’s Shopper’s Guide To Avoiding GMO Food, the Food Scores database and EWG’s Healthy Living app – to help consumers identify foods likely to contain genetically engineered ingredients.

DIRTY DOZEN PLUS

EWG’s standard criteria do not rank peppers among the Dirty Dozen, but because they test positive for pesticides known to be toxic to the brain, we’ve included them in the Dirty Dozen Plus list.

Between 2010 and 2012, USDA tests found peppers contained acephate, chlorpyrifos and oxamyl – toxic insecticides that are banned from use on some crops but still permitted on hot peppers.

EWG recommends that consumers choose organic peppers in lieu of conventionally grown. Alternatively, if organic peppers are unavailable or too expensive, EWG suggests that you cook conventionally grown peppers before eating them, as heating food can reduce pesticide levels.8

PESTICIDE REGULATIONS

The federal government’s role in protecting our health, farm workers and the environment from harmful pesticides is in urgent need of reform. In the U.S, pesticide regulation, monitoring and enforcement is scattered across multiple federal and state agencies. In 1991 the USDA initiated the Pesticide Data Program and began testing commodities annually for pesticide residues, but we continue to be concerned about pesticide regulation in the U.S.

The USDA states that a goal of its tests is to provide data on pesticide residues in food, with a focus on those most likely consumed by infants and children. Yet there are some commodities that are not tested annually, including baby food (last tested in 2013), oats (last tested in 2014), and baby formula (last tested in 2014).

This is troubling, because tests commissioned by EWG found almost three-fourths of samples of popular oat-based foods, including many consumed by children, had pesticide residue levels higher than what EWG scientists consider protective of children’s health.

The chief responsibility of deciding which pesticides are approved for use in the U.S., including deciding what conditions are placed on their approval and setting the pesticide residue levels on foods and crops, falls to the EPA. But primary enforcement authority for pesticide use on farms is left to states, and the responsibility of testing foods to determine dietary exposures to pesticides is divided between the USDA and the Food and Drug Administration. However, neither the USDA nor the FDA regularly test all commodities for pesticide residues, nor do the programs test for all pesticides commonly used in agriculture.

The pesticide registration process requires companies to submit safety data, proposed uses and product labels to be approved by the EPA. However, the EPA does not conduct its own independent testing of pesticides. Neither does its review fully capture the risks posed by pesticides, because of limitations in available data and failures in risk assessments, such as excluding synergistic effects. This is concerning, because scientists have found that the combination of two or more pesticides can be more potent than the use of the pesticides individually.

The primary pesticide law – the Federal Insecticide, Fungicide, and Rodenticide Act, or FIFRA – is far less health protective than the laws that protect the safety of our air, food, water and environment. There are many reasons EWG fights for pesticide regulation and reform: registration loopholes, limited public participation, outdated registration and pesticide registration backlogs, to name a few.

These are examples of the potential undermining of marketplace safety, since products with harmful health concerns can remain on the market. Not all pesticides registered under FIFRA adequately protect human health and the environment, and federal food tolerance residue levels often allow for higher exposure levels than public health advocates, including EWG, consider to be safe.

REFERENCES:

  1. USDA, Pesticide Data Program. Agricultural Marketing Service. Available at: http://www.ams.usda.gov/datasets/pdp
  2. Vigar, V., et al., A Systematic Review of Organic Versus Conventional Food Consumption: Is There a Measurable Benefit on Human Health? Nutrients, 2020; 12(1), 7. DOI: https://doi.org/10.3390/nu12010007. Available at: https://www.mdpi.com/2072-6643/12/1/7/htm.
  3. Papadopoulou, E., et al., Diet as a Source of Exposure to Environmental Contaminants for Pregnant Women and Children from Six European Countries. Environmental Health Perspectives, 2019; 127(10). DOI: https://doi.org/10.1289/EHP5324. Available at: https://ehp.niehs.nih.gov/doi/full/10.1289/EHP5324.
  4. Chiu, Y.H., et al., Association Between Pesticide Residue Intake from Consumption of Fruits and Vegetables and Pregnancy Outcomes Among Women Undergoing Infertility Treatment With Assistance Reproductive Technology. JAMA Internal Medicine, 2018. DOI: 10.1001/amainternmed.2017.5038. Available at: http://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2659557
  5. Chiu, Y.H., et al. Comparison of questionnaire-based estimation of pesticide residue intake from fruits and vegetables with urinary concentrations of pesticide biomarkers. Journal of Exposure Science and Environmental Epidemiology, 2018; 28, 31-39. DOI: https://doi.org/10.1038/jes.2017.22. Available at: https://www.nature.com/articles/jes201722
  6. Gaskins A.J., et al. Dietary patterns and outcomes of assisted reproduction. American Journal of Obstetrics and Gynecology, 2019; 220:567.e1-18. Doi: 10.1016/j.ajog.2019.02.004
  7. American Academy of Pediatrics, Organic Foods: Health and Environmental Advantages and Disadvantages. American Academy of Pediatrics Committee on Nutrition and Council on Environmental Health, 2012; e1406 -e1415. DOI: 10.1542/peds.2012-2579. Available at https://pediatrics.aappublications.org/content/130/5/e1406
  8. Kaushik, G., et al., Food processing a tool to pesticide residue dissipation – A review. Food Research International, 2009; 42:26-40. DOI: https://doi.org/10.1016/j.foodres.2008.09.009. Available at: https://www.sciencedirect.com/science/article/abs/pii/S0963996908001907

By EWG Science Team    WEDNESDAY, MARCH 25, 2020

source: www.ewg.org


4 Comments

The Everyday Foods Linked To Good Mental Health

The foods can offset the impact of major life events, like divorce and unemployment.

Eating more fruits and vegetables is linked to a lower risk of depression new research concludes.

An extra four portions of fruit and vegetables per day can offset the impact of major life events, like divorce and unemployment.

The boost from more fruit and vegetables could counteract half the pain of getting divorced or one-quarter that of being unemployed.

The effect on mental well-being of eating 8 portions per day compared with none is even more dramatic.

These benefits come on top of the well-known protective effect against cancer and heart disease.

The conclusions come from an Australian survey of 7,108 people carried out every year since 2001.

All were asked about their diet and lifestyle.

The results showed that the more fruit and vegetables people ate, the less likely they were to be diagnosed with mental health problems later on.

fruits-veggies

Dr Redzo Mujcic, the study’s first author, said:

“If people eat around seven or eight portions of fruit and vegetables a day the boost in mental well-being is as strong as divorce pushing people the other way, to a depressed state.
We found being made unemployed had a very bad and significant effect on people’s mental health, greatly increasing the risk of depression and anxiety.
But eating seven or eight portions of fruit and vegetables a day can reduce that by half.
And the effect is a lot quicker than the physical improvements you see from a healthy diet.
The mental gains occur within 24 months, whereas physical gains don’t occur until you are in your 60s.”

One possible mechanism by which fruit and vegetables affect happiness is through antioxidants.

There is a suggested connection between antioxidants and optimism.

Dr Mujcic said:

“If people increase their daily intake of fruit and vegetables from zero to eight they are 3.2 percentage points less likely to suffer depression or anxiety in the next two years.
That might not sound much in absolute terms, but the effect is comparable to parts of major life events, like being made unemployed or divorced.
We tested for reverse-causality—ie whether it might be that depression or anxiety leads to people eating less fruit and vegetables—but we found no strong statistical evidence of this.”

About the author
Psychologist, Jeremy Dean, PhD is the founder and author of PsyBlog. 
He holds a doctorate in psychology from University College London and two other advanced degrees in psychology.
The study was published in the journal Social Science & Medicine (Mujcic & Oswald, 2019).