Hiroki Nagamine writes:

        Mr.Tanaka has some questions and problems. I'll answer them as his doctor.

        First, he wonders what's the real difference between carbohydrates and fats. "Carbohydrates" include all starches and sugars. They are the body's main source of energy. Each gram of carbohydrate provides 4 calories. Most foods contain carbohydrates. The main sugar in food is sucrose, which is everyday white or brown sugar. Other sugars include lactose (found in milk) and fructose (found in most fruits and many vegetables). Starches are a more complex form of carbohydrate. They are more filling and contain more nutrients than foods with lots of sugars, fats, or oils. Foods containing starches include beans, breads, cereals, pasta, and potatoes. On the other hand, "fats" pack a lot of energy. Each gram of fat provides 9 calories. There are three kinds of fat: saturated, monounsaturated, and polyunsaturated. Animal and dairy fats, which remain solid at room temperature, are saturated fats. Saturated fat is often called "bad" fat. Unsaturated fats include vegetable fat and oils; they remain liquid at room temperature.

        Second, he seems to pay attention to eating red meat which has lots of high protein, but he wonders if it's good enough. I think it's "not enough". It is essential for a man to have proteins. Proteins provide energy at 4 calories per gram, but they are more important as the body's building materials. Muscle, skin, bone, and hair are made up largely of proteins. In addition, every cell contains proteins called enzymes, which speed up chemical reactions in the body. Cells could not function without these enzymes. But, too much proteins are needless. He should take 2-3 ounces of cooked lean meat, poultry, or fish; 1 egg; 1/2 cup cooked beans; 2 tablespoons seeds and nuts as one serving. And, he should have a number of foods plentiful because red meat has little vitamins, minerals, fibers, and so on.

        Third, he said that he doesn't have time to eat breakfast most mornings. He should not skip meals, especially breakfast, even though he doesn't have time to eat breakfast or want to lose his weight. Skipping meals can lead to out-of-control hunger, often resulting in overeating. When you're very hungry, it's also tempting to forget about good nutrition. Snacking between meals can help curb hunger, but don't eat so much that your snack becomes an entire meal.

        Fourth, he needs to intake fast food like cheeseburgers or udon and eat a lot of meat, beef and pork mostly at lunch and dinner. I think he had better change his style of eating, because his favorite foods contain a lot of fats, specially mono saturated fats. It's true that fat should be a valuable energy source and carry fat-soluble vitamins needed for proper growth and development. It also contributes important taste and textural qualities that are part of enjoying food. Too much fat, however, can increase the risk of heart disease, obesity and other health problems. When moderating fat intake, it's important to consider these points: 1) Remember, the 30 percent refers to your total fat intake over time, not single foods or meals. 2) All fats are a combination of saturated, polyunsaturated and monounsaturated fatty acids. Each of these types of fats have different effects on the body, but all contain nine calories per gram. 3) Remember, it's the total fat intake over time that's important. A food high in fat can be part of a healthy diet as long as it's balanced with other lower-fat food choices.

        Fifth, he relies on vitamin supplements which he takes with four or five cups of coffee in the morning and colas in the afternoon. He has a false idea of coffee and colas. Coffee, tea, cola drinks, chocolate, some pain relievers, and many over-the-counter energy aids all contain caffeine. Caffeine is a drug that stimulates the central nervous system, making you feel more energetic. As a diuretic, it increases the blood flow through your kidneys, which produce more urine. This is why cola drinks are not recommended for quenching thirst. And, he want to know recommended daily amounts (RDA) of vitamins and minerals for a man his age. RDA is as follows:

        
           B1: 1.0mg/day
           B2: 1.4mg/day
           B6: 2mg
           B12: 0.002g
           naiacine: 17mg
           C: 50mg
           A: 2000I.U.
           D: 100
           E: 8mg
           K: 0.08mg
           Ca: 600mg
           Mg: 300mg
           Fe: 10mg
           
        
        No one food contains all of the above vitamins and minerals. It's important for him not to have a lot of one food but to have various foods.

        Sixth, he says that he exercises for only about a half an hour once a week since he is so busy, and yet he feels this is enough to keep him from becoming fat. I think he have full of mistakes. 1st, a half an hour exercise once a week is not sufficient for keeping him from becoming fat. If an adult aim at keeping proper weight, he must walk 30 minutes a day at least. In Mr. Tanaka's case, it's necessary to exercise more because he wants to reduce his LDL, which is too high (172). Of course, it's not necessary to have hard exercise. He should take moderate exercise, for example riding a bicycle, walking fast for a while and so on, and keep doing this "regularly".

        Seventh, he says that he doesn't like vegetables. Vegetables provide vitamins (especially A and C), are excellent sources of fiber, and are naturally low in fat. For maximum nutrients, select dark leafy greens, deep-yellow or orange vegetables, and starchy vegetables like potatoes and yams. 1 serving = 1 cup raw leafy greens; 1/2 cup other vegetables chopped; 3/4 cup vegetable juice.

        At last, since he is confused of much information for health, I'll advise him "briefly". He seems to gain weight or to develop diabetes or other health problems on a high-carbohydrate diet. First, I suggest he should eat a higher percentage of dietary protein. He can achieve a good protein-to-carbohydrate balance by eating small servings of animal protein with lower-carbohydrate vegetables instead of higher-carbohydrate grains. He can eat a hormonally correct meal if he chooses a portion of low-fat animal protein (poultry, fish or lean meats) about the size of the palm of your hand, with a serving twice that size of nonstarchy vegetables. A meal like this provides 30 percent of its calories from protein and 40 percent from carbohydrates. This balance is best for most people because it triggers a favorable hormonal response that encourages health. Second, he should take moderate exercise, for example riding a bicycle, walking fast for a while and so on, and keep doing this "regularly", I said above.

         

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