1 July 2019

GI News - July 2019

GI News

GI News is published online every month by the University of Sydney, School of Life and Environmental Sciences and the Charles Perkins Centre, and delivered to the mailboxes of our 97,000 subscribers. Our goal is to help people choose the high-quality carbs that are digested at a rate that our bodies can comfortably accommodate and to share the latest scientific findings on food and diet with a particular focus on carbohydrates, dietary fibres, blood glucose and the glycemic index.

Publisher:
Professor Jennie Brand-Miller, AM, PhD, FAIFST, FNSA
Editor: Philippa Sandall
Scientific Editor/Managing Editor: Alan Barclay, PhD, APD, AN
Contact GI News: glycemic.index@gmail.com

Sydney University Glycemic Index Research Service
Manager: Fiona Atkinson, PhD, APD, AN
Contact: sugirs.manager@sydney.edu.au

Like us on Facebook

FOOD FOR THOUGHT

PROTEIN QandA: OUR EXPERTS ANSWER YOUR QUESTIONS
Prof Jennie Brand-Miller and Dr Alan Barclay answer the most common questions we are asked about protein.

WHAT IS PROTEIN? People talk about “protein”, but in fact there are many proteins. They are chemical compounds made up of chains of smaller building blocks called amino acids. There are about 20 different amino acids that come together in different combinations to make up the millions of proteins found in nature. A protein can consist of between 50 and tens of thousands of amino acids.

WHAT ARE AMINO ACIDS? An amino acid consists of a central carbon atom, linked to an amino group (an atom of nitrogen + hydrogen atoms), a carboxylic acid group (an atom of carbon + oxygen atoms), a hydrogen atom, and a distinctive R group, which is referred to as the side chain. The unique composition of the R group is what makes all of the amino acids different.
Amino acid
In addition to being the building blocks of proteins, the cells of our bodies use amino acids to form nerve transmitters and hormones (e.g. adrenalin and insulin). They can also be used as an energy source, particularly when carbohydrate and fat are restricted. Amino acids are generally divided into two broad classes – those that our bodies can make (non-essential amino acids), and those we have to get through our diet (essential amino acids).

Protein foods
WHY DO WE NEED PROTEIN? We need to consume protein for the growth, development and maintenance of our body tissues because it’s an essential part of the structure and function of every cell in our body. Consuming protein brings a couple of bonus side-effects. First up, protein-rich foods are more appetite satisfying compared with carb- and fat-rich foods and can reduce those pesky hunger pangs between meals. In addition, protein increases our metabolic rate for one to three hours after eating. This means we burn more energy by the minute compared with the increase that occurs after eating carbs or fats.

WHERE DO WE GET IT? Protein is widely available in our food supply. And while people talk about “protein foods”, no food is all protein and most of us eat a variety of foods containing many different proteins. We are often asked what are the best sources. The answer is easy: whole foods which provide us with other things our bodies need such as vitamins, minerals and dietary fibre. As Dr David Katz says: “Dietary protein does not require animal foods, and does not require any specific food combinations. Wholesome foods in any balanced, sensible assembly – even a strictly vegan assembly – will readily provide it.”
Animal sources:
• Meat, poultry, and seafood
• Eggs
• Milk, cheese and yoghurt.
Plant sources:
• Beans, chickpeas or lentils (legumes/pulses)
• Nuts and seeds
• Grains, especially whole grains
• Starchy veggies

HOW MUCH DO WE NEED? Because our bodies don’t stockpile large amounts of protein from one day to use up the next, we need to top up the protein tank every day. We don’t need a lot – in fact, the average adult needs less than 1 gram of protein per kilogram of healthy body weight a day. So, it isn’t hard to do and most of us living in developed nations get more than enough. Children, teenagers, pregnant women and women who are breastfeeding need more as do people recovering from an injury or a major illness. Athletes, weekend warriors and people who work out vigorously also need more for building and repairing muscles. People with diabetes do have an increase in protein turnover because of their high blood glucose levels and this increases the body’s protein needs slightly. However, because most people are already consuming much more protein than necessary, eating more is not usually recommended. Remember, excess calories from protein are still excess calories and they will do what all excess calories do, turn into stored body fat.

WHAT ABOUT PROTEIN AND BLOOD GLUCOSE? Up to half the protein we eat will eventually be converted to glucose via a process called gluconeogenesis (which literally means the creation of new glucose). However, our glucose concentrations do not rise and fall in any marked way after we eat a protein-rich meal because our bodies balance the rate of glucose production with the rate of glucose burning. While protein does not directly affect blood glucose levels, it does stimulate secretion of significant amounts of insulin depending on the protein source. Research to-date suggests whey protein (often used in protein-supplemented foods) is the most potent insulin stimulator, followed by fish, beef, eggs and chicken.

WHAT ARE PROTEIN SUPPLEMENTS? These are the high protein balls, bars, shakes and powders you’ll find in gyms, health food stores and supermarkets. Consuming them is not the same as eating protein-rich wholefoods such as a piece of meat, a handful of nuts or a tub of yoghurt, as they provide few nutrients apart from protein. They are typically highly processed made with either soy or whey protein such as:

  • Soy protein isolate, which is extracted, refined protein from the soy bean. 
  • Whey protein concentrate, which is extracted protein from whey (the leftover liquid from milk formed during the production of cheese). It retains many of the bioactive compounds of the whey, along with small amounts of fat and lactose. 
  • Whey protein isolate, which is further refined so that it is almost entirely protein. 
  • Whey protein hydrolysate which is where the proteins have been partially broken down for quicker digestion and absorption. 
 Sweeteners such as sugar alcohols (maltitol and sorbitol) and intense sweeteners (e.g., sucralose); flavours and emulsifiers are often added to make them taste good and provide “mouth appeal”.

WHO NEEDS PROTEIN SUPPLEMENTS? No one really needs supplemental protein says the American College of Sports Medicine. Athletes do require more protein than the rest of us, but can generally get it from a good mixed diet. However, consuming protein right after a vigorous workout can help you recover and gain muscle mass. “A good choice for the post workout would be a whey-based protein shake or a home-made protein shake made with milk, yoghurt and fruit as it will be absorbed more quickly than solid food and this is key for timing,” says dietitian and nutritionist Dr Joanna McMillan.

Read More:

WHAT’S NEW?

MODERNIZING THE DEFINITION OF PROTEIN QUALITY
Dr David Katz and colleagues call for the definition of protein quality to be modernized in their recent paper in Advances in Nutrition, because the current definition is misleading and antiquated they say. Historically, protein quality has been defined in biochemical and physiological terms reflecting the concentration of the 9 essential amino acids and their digestibility from specific food sources. The resulting measure, the Protein Digestibility Corrected Amino Acid Score (PDCAAS), is what the Food and Drug Administration (FDA) in the United States uses to measure protein quality in foods.

Legumes
Katz and his colleagues explain why it is obsolete. “The popular concept that protein is “good,” and that the more the better, coupled with a protein quality definition that favors meat, fosters the impression that eating more meat, as well as eggs and dairy, is desirable and preferable. This message, however, is directly opposed to current Dietary Guidelines for Americans, which encourage consumption of more plant foods and less meat, and at odds with the literature on the environmental impacts of foods, from carbon emissions to water utilization, which decisively favor plant protein sources. Thus, the message conveyed by the current definitions of protein quality is at odds with imperatives of public and planetary health alike.”

In their paper, Katz and colleagues propose a modernized definition, which incorporates the quality of health and environmental outcomes associated with specific food sources of protein.

They also demonstrate how such an approach can be adapted into a metric, and applied to the food supply. Their metric still considers the distribution of essential amino acids, and their digestibility – but also considers, and weights appropriately, the net effects of the food on our overall health, and its environmental footprint. By such a measure, beans and lentils shoot up to the top of the rankings, and beef, for example, falls down because while it is indeed a concentrated protein source, it’s a food we should be eating less, not more. They conclude: “The adoption of such a shift in protein quality assessment would allow for clearer, more consistent messaging to the public and better alignment of nutrition policy with nutrition science.”

Read more:

WHAT’S HOT?

PROTEIN BARS, BALLS, BITES, AND SHAKES 
Protein is hot. Not regular protein-rich foods like meat, chicken, fish, milk, yoghurt, eggs, legumes, and grains nuts and seeds – it’s protein supplemented bars, balls, bites and shakes that are hot. And if that’s not enough protein-supplemented product, you can top up your protein tank with protein boosted breakfast cereals, protein noodles, protein bagels, protein cookies and protein coffee and protein water.

Protein balls
The food industry has really embraced protein. They love its health halo. It’s a gift to the bottom line which is why they are adding it in truckloads to all sorts of processed and ultra-processed foods. In 2014, the protein supplemented foods market in Australia was valued at A$545 million dollars and predicted to keep growing by around 10% a year.

“When the Box Says ‘Protein’, Shoppers Say ‘I’ll take it” was the headline of a 2013 article in the Wall Street Journal. Protein mania has partly come about because with so many people now regarding carbs or fats (and sometimes both) with suspicion in the current nutrition wars, protein has emerged as the last macronutrient left standing. “The whole macronutrient fixation is a boondoggle that has been calamitous for public health,” says Dr David Katz. “First they told us to cut fat. But instead of wholegrains and lentils, we ate low-fat junk food. Then food marketers heard the message about cutting carbs and sold us protein-enriched junk foods instead.”

“When we talk about protein,” says Katz, “we are dissociating the nutrient from its food source.” It certainly looks that way in the high protein snack aisle we discovered researching this story. Here are our tips to help you make better choices.

  • “When the Box Says Protein”, read the nutrition information panel (NIP). 
  • Ingredients are listed in descending order of weight from the most down to the least. 
  • Wise up on label lingo – what the highly processed ingredients in packaged foods, are, and on how these ingredients are made. 
 What did we find when we went shopping?

There are certainly protein bars packed with ingredients you may have at home. The Health Food Guys’ vegan Cacao Goji Raw Protein Bar contains: “Organic Wholegrain Bio-Fermented Raw Brown Rice Protein, Organic Raw Tahini, Crushed Raw Almonds, Organic Rice Syrup, Organic Chia Seeds, Organic Dates, Organic Coconut Nectar, Goji Berries, Raw Cacao Powder”. What’s “Bio-Fermented Raw Brown Rice Protein”? It’s a protein powder like soy and whey protein powders, and like them is used as a base for shakes, smoothies, bars and other protein-supplemented products.

We also found bars where the ingredient topping the list is something you’ll have at home like nuts. Carman’s Coconut, Yoghurt & Roasted Nut Gourmet Protein Bars contains “Nuts (Peanuts 17%, Cashews 10%), Soy Protein Blend (Soy Protein Crisps [Isolated Soy Protein, Tapioca Starch, Salt], Soy Protein Powder [Soy Lecithin]), Glucose, Honey, Seeds 9% (Sunflower Seeds, Pepitas, Sesame Seeds), Yoghurt Compound 9% (Sugar, Vegetable Oil, Milk Solids, Yoghurt Powder 4%, Emulsifier [Sunflower Lecithin], Food Acid [330], Natural Coconut Flavour), Coconut 7%, Sunflower Oil, Natural Coconut Flavour.”

However, while nuts at 27% “(Peanuts 17%, Cashews 10%)”, top the list, we don’t actually know if there are more nuts than soy protein in the bar by weight, because the manufacturer has used two kinds of soy protein powder and they are listed separately and without percentages.

There are also products where anything you are likely to find at home like cocoa powder or unsalted butter is at the end of the list. For example, Aussie Bodies Protein FX Lo Carb Mini Protein Bar Choc Caramel, described as an indulgent guilt-free low carb protein snack, contains: “Aussie Bodies® Protein Blend (29%) [Whey Protein Concentrate, Whey Protein Isolate, Soy Protein Isolate, Soy Protein Crisps (Soy Protein Isolate, Tapioca Starch, Salt, Emulsifier (Soy Lecithin)], Protein Milk Chocolate (22%) [Maltitol, Cocoa Butter, Milk Solids, Cocoa Liquor, Soy Protein Isolate, Emulsifier (Soy Lecithin), Flavour], Polydextrose, Glycerol, Maltitol, Caramel (5%) [Glucose, Sweetened Condensed Milk (Milk, Sugar, Lactose), Vegetable Fat, Unsalted Butter, Salt, Emulsifier (471)], Resistant Starch (Starch, Maltodextrin), Cocoa Powder, Unsalted Butter, Emulsifier (Soy Lecithin), Flavours.”

Read more:

PRODUCT REVIEW

GOOD CARBS FOR GOOD PROTEIN 
Using the True Health Initiatives modernised protein quality metric, we chose a couple of the top-ranking plant sources of protein they mention in their paper (brown rice and chickpeas both get a 5 out of 6) that are good for our overall health, and good for the planet. We also have added in sweet potato, because it’s now grown in more developing countries than any other root crop.

BROWN RICE – Nutty tasting brown rice with just the inedible hull removed is the rice with whole grain credentials (it’s a good source of niacin and magnesium) and there are now 2-minute microwave options to help you get a meal on the table fast. In Australia you can buy low GI brown rice (SunRice Doongara Low GI Brown Rice, GI 51).

BROWN RICE

CHICKPEAS – Like other legumes, they are high in protein, rich in fibre, an excellent source of manganese and folate, and a good source of iron, phosphorous, copper and zinc. They have a low glycemic index (39).

CHICKPEAS

SWEET POTATO – While sweet potatoes come in a variety of colours, shapes and sizes, it’s the orange-fleshed sweet potato that’s packed with fibre, beta-carotene and vitamin C that we like to roast and use in recipes. It has a moderate glycemic index (65).

SWEET POTATO
Read more:

PERSPECTIVES WITH DR ALAN BARCLAY

FEEDING THE PROTEIN FAD WITH ULTRA-PROCESSED FOODS 
Ultra-processed foods have been in the media a lot lately, with new research suggesting that they cause weight gain and may increase the risk of heart attack, stroke and ultimately death. They can be described as “formulations mostly of cheap industrial sources of dietary energy and nutrients plus additives, using a series of processes, and containing minimal whole foods”. One of the more popular methods for identifying ultra-processed foods is the NOVA system which classifies all foods and food products into one of four groups:

  1. Unprocessed or minimally processed foods. Edible parts of plants or of animals, and also fungi, algae and water, after separation from nature. Minimally processed foods are natural foods altered by processes that include removal of inedible or unwanted parts, and drying, crushing, grinding, fractioning, filtering, roasting, boiling, non-alcoholic fermentation, pasteurization, refrigeration, chilling, freezing, placing in containers and vacuum-packaging. 
  2. Processed culinary ingredients. Include oils, butter, sugar, flour and salt. They are substances derived from Group 1 foods or from nature by processes that include pressing, refining, grinding, milling and drying. They are not meant to be consumed by themselves, and are normally used in combination with Group 1 foods to make freshly prepared drinks, dishes and meals. 
  3. Processed foods. Include canned vegetables, seafood, fruits in syrup, cheeses and freshly made breads, are made essentially by adding salt, oil, sugar, flour or other substances from Group 2 to Group 1 foods. Processes include various preservation or cooking methods, and, in the case of breads and cheese, non-alcoholic fermentation. Most processed foods have two or three ingredients, and are recognizable as modified versions of Group 1 foods. They are edible by themselves or, more usually, in combination with other foods. 
  4. Ultra-processed foods. Include soft drinks, sweet or savoury packaged snacks, reconstituted meat products and pre-prepared frozen dishes. They are not modified foods but formulations made mostly or entirely from substances derived from foods and additives, with little if any intact Group 1 foods. 
Ultra-processed foods can be summarised as energy-dense, high in unhealthy types of fat, refined starches, free sugars and salt, and poor sources of protein, dietary fibre and micronutrients (i.e., vitamins and minerals). The definition is important as it goes beyond the current meme about “limiting/avoiding fats, sugars and salt” and importantly includes refined starches and poor-quality protein in its definition – two extremely common food ingredients that have generally avoided scrutiny, in part due to poor food labelling policy which excludes starches altogether from the Nutrition Information / Facts panel, and only lists total protein.

With all of the protein claims on the labels of packaged foods, and the associated health halos, it is hard for many people to swallow the fact that most of these ultra-processed snack foods are largely sources of junk protein – highly refined and purified extracts from Group 1 foods, largely devoid of vitamins, minerals or any other essential nutrients, but fortified with a sprinkling of a select few vitamins/minerals to make them look more nutritious than they really are.

Protein bar
Ingredient list
Additionally, most people in the developed world meet their Estimated Average Requirement (EAR: the daily nutrient level estimated to meet the requirements of half the healthy population) for protein without the need for supplementary protein in the form of ultra-processed snacks. For example, in Australia, the EAR for protein for men is 0.68g per kg body weight per day and for women it is 0.60g per kg body weight per day. Australia’s most recent nutrition survey in 2011/12 determined that men consumed an average of 104.6g of protein per day or 1.2g per kg body weight and women consumed 77.9g of protein per day or 1.1g per kg body weight. In other words, the average Australian man and woman consumed nearly twice as much protein as the Estimated Average Requirement each day.

What happens to the excess ultra-processed protein that we consume? Unlike carbohydrates and fats, we are unable to store excess protein as such. Like any other nutrient, proteins can be converted into other forms of energy, however. Many of the amino acids that make up proteins can be converted into the carbohydrate glucose which can be stored as glycogen in liver and muscles. The nitrogen portion of the amino acid molecule is excreted as urea in the urine. Just like it can from other dietary sources, glucose from protein metabolism can also be converted to fat and stored in our fat cells.

For your daily protein requirements, enjoy minimally-processed foods like beans, chickpeas, lentils, nuts and seeds, wholegrains, meat, poultry, seafood, eggs, milk and yoghurt. Save ultra-processed foods, including those high in protein, for special occasions – they are not daily fare.

Read more:
• The UN Decade of Nutrition, the NOVA food classification and the trouble with ultra-processing
• Australian Health Survey - protein

Dr Alan Barclay
Alan Barclay, PhD is a consultant dietitian and chef (Cert III). He worked for Diabetes Australia (NSW) from 1998–2014 . He is author/co-author of more than 30 scientific publications, and author/co-author of  The good Carbs Cookbook (Murdoch Books), Reversing Diabetes (Murdoch Books), The Low GI Diet: Managing Type 2 Diabetes (Hachette Australia) and The Ultimate Guide to Sugars and Sweeteners (The Experiment, New York).

Contact: You can follow him on Twitter or check out his website.

BEST FOOD FORWARD

WINNER, WINNER CHICKPEA DINNER
We thought we’d ‘chick’ out the chickpea because they have some unique benefits, especially for people living with diabetes. Also known as garbanzo beans, chickpeas belong to the legume family and like their cousins, they are high in protein, rich in fibre, an excellent source of folate, and a good source of iron, phosphorous, copper and zinc. And to top it off, they have a low GI (40). Their neutral, nutty flavour blends into the background in a smorgasbord of dishes including curries, soups, stews and salads. They are famously used to make hummus, but try them dry roasted with herbs and spices for a crunchy snack.

Chickpeas
They can help people living with diabetes by: 

  • Improving glycaemic control: Research has demonstrated that people who eat 5 cups of chickpeas or other legumes a week have improved fasting blood glucose levels (FBG), fasting blood insulin (FBI) and HbA1c (which reflects the average blood glucose levels over the past 3 months). A great example of what you eat influencing the important numbers discussed in your doctor’s office. 
  • Reducing obesity risk: Diets that include legumes/pulses help to regulate body weight and reduce obesity risk by improving satiety, or satisfaction after eating. This is great news to achieve the ideal situation of eating fewer calories (kilojoules) but not feeling hungry. 
  • Reducing CVD risk: People living with diabetes are at greater risk of developing cardiovascular disease (CVD). Enjoying chickpeas or other legumes daily can help lower your blood cholesterol and blood pressure, thereby reducing these important cardiovascular disease risk factors. 
 Chickpeas in a nutshell
  • Chickpeas and other legumes/pulses are highly nutritious with many health benefits including diabetes management, reduction of CVD risk and weight management. 
  • Aim to enjoy a serving of versatile beans, chickpeas or lentils every day. 
 Read more:
 Thanks to Rachel Ananin AKA TheSeasonalDietitian.com for her assistance with this article.  Nicole Senior     
Nicole Senior is an Accredited Nutritionist, author, consultant, cook, food enthusiast and mother who strives to make sense of nutrition science and delights in making healthy food delicious.   Contact: You can follow her on Twitter, Facebook, Pinterest, Instagram or check out her website.

GOOD CARBS FOOD FACTS

SOY BEANS 
Soybeans and soy products (tofu, tempeh, soy drink and other soy foods) are the nutritional powerhouse of the legume family. A staple of Asian diets for thousands of years, they have long been a mainstay of vegetarian and vegan diets. They are an excellent source of protein, and rich in fibre, iron, zinc and B vitamins. They are lower in carbohydrate and higher in fat than other legumes, the majority of the fat is polyunsaturated.

Soybeans
On the whole, soy foods have not played a major role in the typical Western diet. In contrast, soy is regularly consumed by many Asians at all stages of life from weaning to old age. It’s this difference in levels of soy consumption that got the ball rolling in soy research says Dr Joanna McMillan. “Scientists found that levels of heart disease and many cancers, including breast cancer, were far lower in these soy-eating Asian countries, compared to levels in the West. Numerous studies followed to try to identify what it was about soy that might be protective,” she says.

“Research has centred on two aspects of soy – soy protein and compounds found in soy called isoflavones. Isoflavones are phytoestrogens (meaning ‘plant oestrogen’) and are similar in structure to the hormone oestrogen. These phytoestrogens can act in two ways:

  • They can act like oestrogen. This may be beneficial during menopause for example, when natural oestrogen levels are dropping. Theoretically consuming sufficient phytoestrogens-rich soy at this time can reduce menopausal symptoms. 
  • They can block the action of oestrogen. This is potentially beneficial in for example breast tissue where oestrogen stimulates growth of both normal and cancerous cells. At least one of the isoflavones in soy, called genistein, has been shown in animal studies to inhibit the development of breast cancer. 
 Additionally, isoflavones have been shown to be powerful antioxidants and may in this way contribute to protection against diseases including cancer and heart disease,” says Dr Joanna. “However, I don’t recommend consumption of highly processed soy foods, such as those made from soy protein extract. Consuming these processed foods may have different effects to consuming the wholefood soy products traditional in Asia.” (see Read More below for the link in her blog on soybeans).

Soybeans
Read more:

IN THE GI NEWS KITCHEN

IN THE GI NEWS KITCHEN 
Lamb Shanks with Garden Peas and Mint from The Good Carbs Cookbook • Tomato, Mozzarella and Olive Quinoa Pizzas from Reversing Diabetes • Peanut Butter and Chickpea Energy Balls from Veggie-licious.

LAMB SHANKS WITH GARDEN PEAS AND MINT 
Lamb and pearl barley are a natural pairing and 1 large shank is enough for two people generally, though it depends how hungry they are. This is a one-pot meal you can prepare quickly and leave to gently cook. Add tiny whole carrots, peeled garlic cloves and extra onions with the barley if you like. Prep: 15 minutes • Cook 2 hours • Serves 6
LAMB SHANKS WITH GARDEN PEAS AND MINT
1 tablespoon (20ml) olive oil.
4 large lamb shanks.
1 brown onion, chopped.
About 4 cups (1 litre) chicken stock.
1½ cups pearl barley.
1½ cups garden peas.
1 handful mint leaves, fresh.
1 large orange, zest and juice.
Sea salt and freshly ground pepper.

Preheat the oven to 180ºC/350ºF (fan 160ºC/315ºF). • Place a large casserole dish on the stovetop over medium-high heat. Pour in the oil and, when hot, add the shanks to brown all over, turning occasionally, for about 8 minutes. Push the shanks to the side of the dish slightly and reduce the heat. Add the onion and cook for about 8 minutes, or until golden. Pour in the stock, bring to a lively simmer, cover and place in the oven for about 1½ hours, or until the shanks are tender. • Rinse the barley, drain and add it to the casserole dish, making sure it is covered in liquid. If not, add a little more stock. Cover and cook for about 25–30 minutes, or until barley is al dente, adding the peas in the last 5 minutes of cooking. Roughly chop half the mint and stir it in with the orange zest and juice, and salt and pepper to taste. Using forks, pull the meat from the bone and serve with the barley and pea mixture, garnished with the remaining mint leaves.

Per serve 
1665kJ/400 calories; 27g protein; 13.5g fat (includes 5g saturated fat; saturated : unsaturated fat ratio 0.56); 37.5g available carbs (includes 4g sugars and 33.5g starches); 8g fibre; 560mg sodium; 630mg potassium; sodium : potassium ratio 0.89

Recipe sourced from The Good Carbs Cookbook by Dr Alan Barclay, Kate McGhie and Philippa Sandall (Murdoch Books). Photography by Alan Benson.

TOMATO, MOZZARELLA AND OLIVE QUINOA PIZZAS 
Quinoa has a light, nutty texture with a slight crunch and will give the pizza bases a lovely crisp texture. Serves 4 • Preparation 20 minutes + 1 hour resting • Cooking 1 hour
TOMATO, MOZZARELLA AND OLIVE QUINOA PIZZAS
¼ cup quinoa, rinsed
2 teaspoons instant dried yeast
1 cup wholemeal plain flour
½ cup stone-ground plain flour semolina, for sprinkling
140g (5oz) artichoke hearts in brine, rinsed and halved
100g (3½oz) reduced-fat grated mozzarella cheese
⅓ cup black olives, halved
1 handful basil leaves
200g (7oz) baby English spinach leaves
250g (9oz) baby Roma tomatoes, halved
1 small Lebanese (short) cucumber, thinly sliced
2 tablespoons balsamic vinegar

Tomato sauce 
2 teaspoons olive oil
1 brown onion, finely chopped
2 garlic cloves, crushed
500g (1lb 2oz) ripe tomatoes, finely chopped

Put the quinoa and ½ cup water in a saucepan and bring to the boil. Reduce the heat, cover and simmer for 10–12 minutes or until all the liquid has evaporated. Transfer to a bowl to cool. • Stir the yeast into 185ml (6fl oz/¾ cup) tepid water until the yeast has dissolved. Combine the quinoa and flours in a large bowl. Make a well in the centre, add the yeast mixture and mix to a soft dough. Turn the dough out onto a lightly floured surface and knead for 10 minutes or until smooth and elastic. Return the dough to the lightly oiled bowl, cover with a tea towel (dish towel) and rest in a warm place for 1 hour or until doubled in size.

To make the sauce, heat the oil in a saucepan over medium heat. Cook the onion, stirring, for 4 minutes or until softened. Add the garlic and stir for 1 minute. Add the tomatoes, reduce the heat to low, cover and simmer, stirring occasionally, for 15 minutes or until the sauce has thickened. Remove the lid and cook for 5 minutes or until reduced by two-thirds. Set aside to cool, then purée using a stick blender.

Preheat the oven to 220°C (425°F). Sprinkle two large baking trays with semolina. Divide the dough into four portions and roll each on a lightly floured surface into a 20cm (8inch) round, about 5mm (¼inch) thick. Place on the prepared trays. • Spread the tomato sauce over the bases, then top with the artichokes, mozzarella and olives. Bake the pizzas for 18–20 minutes or until crisp and golden. Top with the basil leaves and cut into wedges. • Drizzle the spinach, tomatoes and cucumber with the vinegar and serve with the pizzas

Per serve 
1790kJ/ 426 calories; 21g protein; 9.5g fat (includes 3g saturated fat; saturated : unsaturated fat ratio 0.46); 58g available carbs (includes 10g sugars and 48g starches); 11g fibre; 270mg sodium; 1150mg potassium; sodium : potassium ratio 0.23

Recipe sourced from Reversing Diabetes by Dr Alan Barclay (Murdoch Books). Photography by Chris Chen.

PEANUT BUTTER AND CHICKPEA ENERGY BALLS 
Dietitian Caroline Trickey says one of the most common requests she gets from clients is for healthy snack suggestions. These energy balls from her new cookbook, Veggie-licious, are speedy to make and require no cooking. You can use choc chips or cranberries instead of apricots if you prefer. For a vegan version, use maple syrup instead of honey. • Makes about 30 • Prep time 10 minutes.
PEANUT BUTTER AND CHICKPEA ENERGY BALLS
400g (14oz) can chickpeas, drained and rinsed
½ cup natural peanut butter
¼ cup honey
¼ teaspoon cinnamon
1 teaspoon vanilla extract
1 cup whole rolled oats
⅓ cup chopped dried apricots (optional)
¼ cup shredded coconut, for rolling

Place the chickpeas, peanut butter, honey, cinnamon and oats in a food processor and blend until well combined. • Carefully mix through the chopped apricots by hand if using. • Place the shredded coconut on a dinner plate. Scoop out teaspoons of the mix and roll between your palms to form a ball then roll in the coconut. • Place in an airtight container and store in the fridge.

Per serve (1 energy ball)
246kJ/58 calories; 2g protein; 3g fat (includes less than 1g saturated fat; 6g available carbs; 1g fibre

Recipe sourced from Veggie-licious by Caroline Trickey (www.healthyhomecafe.com) and reproduced with permission.

COPYRIGHT AND PERMISSION

University of Sydney

This website and all information, data, documents, pages and images it contains is copyright under the Copyright Act 1968 (Commonwealth of Australia) (as amended) and the copyright laws of all member countries of the Berne Union and the Universal Copyright Convention. Copyright in the website and in material prepared by GI News is owned by Glycemic Index Foundation. Copyright in quotations, images from published works and photo libraries, and materials contributed by third parties including our regular contributors Alan Barclay, Jennie Brand-Miller and Nicole Senior is owned by the respective authors or agencies, as credited.

GI News encourages the availability, dissemination and exchange of public information. You may include a link to GI News on your website. You may also copy, distribute, display, download and otherwise freely deal only with material owned by GI News, on the condition that you include the copyright notice “© GI News, University of Sydney” on all uses and prominently credit the source as being GI News and include a link back to ginews.blogspot.com.au. You must, however, obtain permission from GI News if you wish to do the following: 

  • charge others for access to the work 
  • include all or part of the work in advertising or a product for sale, or 
  • modify the work. 
To obtain such permission, please contact ginewsfeedback@gmail.com

This permission does not extend to material contributed and owned by other parties. We strongly recommend that you refer to the copyright statements at their respective websites and seek their permission before making use of any such material, whether images or text. Please contact GI News if you are in doubt as to the ownership of any material.

Nutritional analysis To analyse Australian foods, beverages, processed products and recipes, we use FoodWorks which contains the AusNut and Nuttab databases. If necessary, this is supplemented with data from www.calorieking.com.au or http://ndb.nal.usda.gov/ndb/search.

Disclaimer GI News endeavours to check the veracity of news stories cited in this free e-newsletter by referring to the primary source, but cannot be held responsible for inaccuracies in the articles so published. GI News provides links to other World Wide Web sites as a convenience to users, but cannot be held responsible for the content or availability of these sites. All recipes that are included within GI News have been analysed however they have not been tested for their glycemic index properties by an accredited laboratory according to the ISO standards.

© ®™ The University of Sydney, Australia

1 June 2019

GI News - June 2019

GI News

GI News is published online every month by the University of Sydney, School of Life and Environmental Sciences and the Charles Perkins Centre, and delivered to the mailboxes of our 97,000 subscribers. Our goal is to help people choose the high-quality carbs that are digested at a rate that our bodies can comfortably accommodate and to share the latest scientific findings on food and diet with a particular focus on carbohydrates, dietary fibres, blood glucose and the glycemic index.

Publisher:
Professor Jennie Brand-Miller, AM, PhD, FAIFST, FNSA
Editor: Philippa Sandall
Scientific Editor/Managing Editor: Alan Barclay, PhD, APD, AN
Contact GI News: glycemic.index@gmail.com

Sydney University Glycemic Index Research Service
Manager: Fiona Atkinson, PhD, APD, AN
Contact: sugirs.manager@sydney.edu.au

Like us on Facebook

FOOD FOR THOUGHT

Vegan meal
GOING VEGAN QandA: OUR EXPERTS ANSWER YOUR QUESTIONS 
Dr Neal Barnard, Prof Jennie Brand-Miller, Dr Alan Barclay and Matthew Lore answer the most common questions we are asked about vegan diets.

Whether it’s for better health, a better environment or animal welfare, choosing to go vegan is one of the biggest diet trends. The plant-based/vegan world has exploded in the last decade, with hundreds of books, many of them major bestsellers says Matthew Lore, whose company, The Experiment Publishing, has published 30+ plant-based/vegan books including #1 NYT bestseller Forks Over Knives: The Plant-Based Way to Health.

WHERE DOES “VEGAN” COME FROM? “Vegan” was coined by Donald Watson and his wife Dot in 1944 when they launched Vegan News which they sent to 25 subscribers in November. He had quit eating meat at the age of 14 after seeing a terrified pig being slaughtered on his uncle’s farm, and later gave up dairy foods. As an adult, finding many others shared his interest in a plant only diet, he produced a magazine. In issue 1 he writes: “We should all consider carefully what our Group, and our magazine, and ourselves, shall be called. ‘Non-dairy’ has become established as a generally understood colloquialism, but like ‘non-lacto’ it is too negative. Moreover, it does not imply that we are opposed to the use of eggs as food. We need a name that suggests what we do eat, and if possible one that conveys the idea that even with all animal foods taboo, Nature still offers us a bewildering assortment from which to choose. ‘Vegetarian’ and ‘Fruitarian’ are already associated with societies that allow the ‘fruits’(!) of cows and fowls, therefore it seems we must make a new and appropriate word. As this first issue of our periodical had to be named, I have used the title The Vegan News. Should we adopt this, our diet will soon become known as a VEGAN diet, and we should aspire to the rank of VEGANS.” Donald Watson lived to the age of 95.

WHAT’S THE DIFFERENCE BETWEEN A VEGAN DIET AND A PLANT-BASED DIET? “As the Washington Post reported in February 2019,” says Matthew Lore, “the rebranding of ‘vegan’ to ‘plant-based’ has been a long time coming. T. Colin Campbell introduced the term ‘plant-based’ in his 2005 book The China Study. Campbell, and Cleveland Clinic cardiologist Dr. Caldwell Esselstyn, Jr., are the major intellectual godfathers of the documentary, Forks Over Knives, which promotes a ‘whole foods, plant-based’ way of eating that both have long championed. Plant-based and vegan both refer to the same way of eating – but vegan now implies more of an identity with all-things animal-free (of course including eating no animal products whatsoever); whereas plant-based can be deployed pretty much everywhere meat is absent (surely not for nothing does Beyond Meat’s Beyond Burger packaging ID what’s inside as ‘Plant-Based Burger Patties’).”

DOES A VEGAN/PLANT-BASED DIET HAVE HEALTH BENEFITS? Yes, says Dr Neal Barnard, author of Dr Neal Barnard’s Program for Reversing Diabetes. Vegan diets skip the cholesterol and most of the saturated fat found in animal products, and are richer in fiber and some vitamins. Studies have shown that a low-fat vegan diet has enormous health benefits. “The DASH diet was one of the first studies to put plant-based diets on the map,” says Barnard. “Not that it used a vegetarian or vegan diet, but the DASH investigators openly acknowledged that the study was in large part inspired by the observation that vegetarian diets are associated with lower blood pressure. They modified the diet, partly hoping for broader acceptance, but their work led to more interest in plant-based regimens and what they could achieve.

Dean Ornish’s heart studies (Lancet 1990, JAMA 1998) were perhaps the next major advance. The regimen was nearly vegan, apart from a small amount of nonfat dairy and egg whites. And it showed that diet changes can do more than fight a battle of attrition; they can reverse disease. David Jenkins showed that it's not just a question of what one avoids. By emphasizing foods with a low GI and, later, by introducing a portfolio of foods with special lipid-lowering properties, one can really put nutrition to work.

Epidemiologic studies showed that people following vegan diets are slimmer, with healthier cholesterol levels and a much lower risk of type 2 diabetes, compared with meat-eaters, pescatarians, and ovo-lacto-vegetarians.

Our randomized studies on diabetes, especially our Diabetes Care article in 2006 (with follow-up in AJCN 2009), established vegan diets for managing type 2 diabetes. I would argue that they are the regimen of choice.”

WHAT’S OUT? WHAT IN? Switching to a vegan/plant-based diet means cutting out all animal products – meat, poultry, seafood, dairy foods, eggs and even honey. What’s in are the good carbs, many of which are low GI – fruit, veggies, legumes (beans, chickpeas and lentils), nuts and seeds, and grains. These plant foods power our brain, fuel our muscles, and provide us with energy, vitamins and minerals. They are also packed with “keep it regular” fibre. However, people following a vegan diet do need reliable sources of vitamin B12, such as fortified foods or supplements, as this vitamin can be difficult to get if meat, milk and eggs are off the menu.

WHAT ABOUT CALCIUM? Leafy greens like kale, broccoli and bok choy are rich in absorbable calcium. Fortified plant milks and cereals are good sources of calcium, too. Check the nutrition information panel. Other plant foods providing calcium include firm tofu, almonds, Brazil and pecan nuts, figs, oranges, and kiwi fruits, unhulled tahini, and chickpeas.

WHAT ABOUT B12? Found almost exclusively in animal foods, vitamin B12 in vegan diets comes from fortified foods or supplements. Some plant-based milks, like soy milk and almond milk, are fortified with B12. Check the nutrition information panel and choose products that contain 0.4ug (mcg) /100mL of B12. Some meat alternative products are fortified with B12 as are some brands of nutritional yeast. We check out B12 fortified foods in Product Review, and in Perspectives, Dr Alan Barclay discusses vitamin B12.

WHAT ABOUT IODINE? Iodine is in short supply for many people – not just those on a vegan diet. Eating sea vegetables is one strategy to ensure you get the iodine you need, and iodized salt makes it a nonissue for those using it.

WHAT ABOUT IRON? Iron is abundant in green leafy veggies (spinach, silverbeet/Swiss chard and broccoli); legumes (beans, chickpeas and lentils); nuts and seeds; grains (whole wheat, brown rice, quinoa), and dried fruit. You’ll also find it in fortified breakfast cereals. Check the nutrition information panel.

WHAT ABOUT OMEGA-3? When seafood (especially fatty fish) is off the menu, you’ll find the omega-3 you need in plant foods like chia and flax seeds, walnuts, soy beans and oil, wheat germ and green leafy veggies. Our body can convert these plant-based omega-3s to the longer chain form, like the omega-3 found in seafood.

Read More: 

WHAT’S NEW?

PLANT-BASED DIETS FOR CARDIOVASCULAR SAFETY AND PERFORMANCE IN ENDURANCE SPORTS
Meat-free athletes – from tennis champion Venus Williams to Formula 1’s Lewis Hamilton to Derrick Morgan of the NFL’s Tennessee Titans – have already proven the performance-boosting power of a plant-based diet. A review recently published in Nutrients adds further evidence that plant-based athletes may benefit from improvements in heart health, performance, and recovery.

Athletes
“It’s no wonder that more and more athletes are racing to a vegan diet,” says review co-author James Loomis, M.D., M.B.A., medical director for the Barnard Medical Center. “Whether you're training for a couch-to-5K or an Ironman Triathlon, a plant-based diet is a powerful tool for improving athletic performance and recovery.” Dr. Loomis, who is currently training for an Ironman Triathlon, is also featured in The Game Changers, a documentary on vegan athletes. He also served as team internist for the St. Louis Rams and the St. Louis Cardinals.

Plant-based diets play a key role in cardiovascular health, which is critical for endurance athletes. But the review finds that even well-trained athletes are at risk of heart disease. A 2017 study found that 44 percent of middle-aged and older endurance cyclists or runners had coronary plaques. A low-fat, vegetarian diet is the most effective dietary pattern clinically shown to reverse plaque. A plant-based diet also addresses other key contributors to atherosclerosis, including dyslipidemia, elevated blood pressure, elevated body weight, and diabetes.

Because a plant-based diet is typically high in carbohydrates, it may also offer performance advantages. Carbohydrates are the primary energy source during aerobic exercise, and endurance is enhanced by a high-carbohydrate intake. But a 2016 study of Ironman triathletes found that fewer than half reported meeting the recommended carbohydrate intake for athletes training 1–3 hours per day.

The researchers also find that a plant-based diet boosts athletic performance and recovery by increasing blood flow and tissue oxygenation and reducing oxidative stress and inflammation. A varied diet of fruits, vegetables, grains, and legumes, along with a vitamin B12 supplement, provides all of the necessary nutrients an endurance athlete needs, including protein, calcium, and iron.

“Like any endurance athlete, plant-based athletes just need more calories than less active people,’ says review co-author Susan Levin, M.S., R.D., C.S.S.D., a board certified specialist in sports dietetics and director of nutrition education for the Physicians Committee for Responsible Medicine. “And if they are eating a wide variety of nutrient-dense fruits, vegetables, grains, and beans, they will easily meet all of their nutritional needs.”

Read more:

WHAT’S HOT?

PLANT-BASED EATING
For some people, plant-based means a plant-only diet that consists of fruits, vegetables, whole grains, legumes, nuts and seeds and products made from them and excludes all animal products, including meat, poultry, seafood, eggs, dairy products and honey. For others, it’s a diet centred largely around fruits, vegetables, whole grains, legumes, nuts and seeds but spares the hard stop of cutting out animal products. Wholesome plant-based eating whether vegan or omnivore certainly aligns with our goals at GI News encouraging people to tuck into “the good carbs and minimally processed staple foods made from them that are digested at a rate that our bodies can comfortably accommodate.”

Avocado on sourdough
The health benefits are measurable. Dr John Sievenpiper of St. Michael's Hospital and his team carried out a systematic review and meta-analysis of 112 randomized control trials in which people substituted plant proteins for some animal proteins in their diets for at least three weeks. They found: “substituting one to two servings of animal proteins with plant proteins every day could lead to a small reduction in the three main cholesterol markers for cardiovascular disease prevention.” The health benefits could be even greater they said “if people combined plant proteins with other cholesterol-lowering foods such as viscous, water soluble fibres from oats, barley and psyllium, and plant sterols.”

According to consumer research company Mintel, “plant-based” is the hottest trend because it has rebranded “vegan” for the mainstream market – consumers who are willing to eat more vegetables, but not give up meat. New US food and drink products that mentioned “plant-based” grew 268% between 2012 and 2018 they say.

Like many food and diet trends, when opportunity knocks, the market answers with a myriad of processed products of varying nutritional quality. Atlantic Natural Foods plant-based seafood alternative, Loma Linda Tuno in Spring Water, has just arrived on our supermarket shelves. (The Australian product is made in Thailand and distributed by Freedom Foods.) The label on the can tells us it’s a “plant based seafood alternative.” While it may have a “fish flavour”, it’s not really an alternative to seafood if you are eating a vegan diet as it hasn’t been fortified with the B vitamins (including B12) you’ll get in canned tuna.

The take-home? We are fans of a plant-based diet built around good carbs and the minimally processed foods made from them, including products fortified with essential vitamins lacking in vegan diets. With processed foods, be a bit wary. “Vegan” and “plant-based” on the label doesn’t give a product a “health halo”. The food inside can be high in calories (kilojoules), saturated fat (from coconut and other plant fats), added sugars, refined starches and added sodium and low in essential vitamins and minerals. Remember, says dietitian Nicole Senior: “a soy-based frozen dessert may be lower in saturated fat than regular ice cream as the fat predominantly comes from vegetable oils (not cream). However, it’s no lower in calories (kilojoules) and the main ingredient is added sugar. Like ice cream, it’s an occasional treat.”

Read more:

Source: Loma Linda Tuno in Spring Water distributed in Australia and New Zealand by Freedom Foods Group Trading Pty Ltd. Made in Thailand. Values relate to the solid portion of the content.

PRODUCT REVIEW

5-STAR FOODS BOOSTED WITH B12 
We chose three B12 fortified foods for Product Review – So Good Soy Milk (Sanitarium), Vegie Delights Savoury Mince (Life Health Foods), and Wellness Road Nutritional Yeast Flakes (Coles). These 5-star products set the standard for what you should be looking for on the nutrition facts panel of similar B12-fortified plant products. Australia’s Health Star Rating is a front-of-pack labelling system that rates the overall nutritional profile of packaged food and assigns it a rating from ½ a star to 5 stars. It provides a quick, easy, standard way to compare similar packaged foods.

yeast flakes
SO GOOD REGULAR SOY MILK 
Ingredients: Filtered water, soy protein (3.5%), corn maltodextrin, vegetable oils (sunflower, canola), cane sugar, minerals (calcium, phosphorus, magnesium), acidity regulators (332, 450), antioxidant (ascorbic acid), vitamins (A, B12, D2, B2, B1), natural flavour. Glycemic Index: 37

Table1
VEGIE DELIGHTS SAVOURY VEGIE MINCE
Ingredients: Water, Vegetable Protein (23%) (Soy, Colour Caramel), Tomato, Onion, Garlic, Sugar, Salt, Flavour, Spices, Thickener (Xanthan Gum), Sunflower Oil, Minerals (Zinc, Iron), Vitamin (B12), Colour Caramel

Table2
WELLNESS ROAD NUTRITIONAL YEAST FLAKES 
Ingredients: Inactive yeast flakes, B vitamins (Thiamin, Riboflavin, Niacin, Vitamin B6, Vitamin B12), Folic acid, Iron

Table3
Nutritional yeast flakes add a savoury cheesy flavour to dips, dressings, sauces, spreads and soups. They are made from a variety of Sarrcharomyces cerevisiae and are inactive (don’t make food rise or ferment). Manufacturers grow nutritional yeast on a variety of sources including blackstrap molasses, whey and sugar beets. They add the B vitamins during processing.

PERSPECTIVES WITH DR ALAN BARCLAY

B12: THE COMPLEX VITAMIN 
Vitamin B12, or cobalamin, is the largest and most structurally complex of all of the vitamins. It’s essential for the development of red blood cells, normal growth, and nervous system maintenance. Our primary sources are animal products (meats, dairy, poultry, eggs and seafood) because it is only synthesized by microorganisms (bacteria and archaea), some of which are found in the soil around the grasses/weeds animals eat.

Vitamin B12
How much do we need? The Recommended Dietary Intake (Recommended Dietary Allowance in North America) of 2.4 micrograms per day for women and men is relatively small, as B12 is concentrated and stored in the liver (3000–5000 micrograms in the average liver), secreted in bile and reabsorbed in the terminal ileum (small intestine). To put this into perspective, if you don’t consume any B12, the supplies in the liver will typically last a healthy adult several years.

Vitamin B12 deficiency Symptoms can be gradual, non-specific and subtle, so deficiency is hard to recognise. Milder symptoms such as weakness, tiredness, and memory loss can occur before true deficiency develops. True deficiency leads to serious health problems including megaloblastic anaemia (unusually large, structurally abnormal, immature red blood cells), paralysis, dementia, fatigue, and mood disturbances. If left untreated, serious neurological and neuropsychiatric complications can occur. Vitamin B12 deficiency has also been linked with an increased risk of heart attack and stroke.

True vegans, who are at risk of developing B12 deficiency because animal foods are off the menu, should make sure they consume B12-fortified foods such as some soy milks, or yeast-products where the yeast has been grown in a B12-fortified medium. Alternatively, they should take a B12 supplement (preferably chewable).

But they are not the only group of people at risk. In fact, the most common cause of B12 deficiency is autoimmune pernicious anaemia, where absorption is impaired due to intrinsic factor deficiency arising from autoimmune destruction of parietal cells in the stomach. Other common causes of B12 deficiency include gastrectomy (gastric surgery), ileal (small intestine) resection, pancreatic insufficiency, and malabsorption syndromes including Crohn’s disease and coeliac disease. Other less common causes of B12 deficiency include use of drugs such as biguanides (metformin), antacids, antibiotics and colchicines (used to treat gout), and rarely, malabsorption due to gastrointestinal bacterial overgrowth, congenital defects (e.g. birth transcobalamin deficiency), and infestation. Pure nutritional deficiency is rare and usually occurs only in strict vegans.

The incidence of vitamin B12 deficiency increases with age, probably due to the fact that elderly people are more likely to suffer from malabsorption. This malabsorption is caused primarily by gastric atrophy but also by chronic carriage of Helicobacter pylori (the bacteria that causes stomach ulcers), long-term ingestion of metformin and certain antacids, and increased chances of having gastric surgery. As well as varying with age, prevalence also varies with gender: elderly men are more likely to have low B12 levels than elderly women.

People with type 2 diabetes or polycystic ovarian syndrome who are treated with biguanides (metformin) may become deficient in B12. Metformin-induced B12 malabsorption may be due to digestive changes, which leads to the binding of B12-intrinsic factor complex. If you have been taking metformin for a prolonged period of time, ask your doctor to check your B12 status.

Commonly used antacid medications for gastrointestinal problems relating to excessive acid production include proton pump inhibitors and histamine 2-receptor antagonists. Common conditions that may require the use of antacids include peptic ulcer diseases, oesophagitis, gastro-oesophageal reflux diseases and Zollinger-Ellison syndrome. Antacid use is related to vitamin B12 deficiency in two ways. First, by lowering gastric acidity, it interferes with vitamin B12 absorption as vitamin B12 cannot be unbound from dietary protein in the stomach. Second, a higher pH creates an environment that promotes bacterial overgrowth in the intestine impairing the absorption process.

If you think you might be deficient in B12, consult your doctor.

Read more:

 Dr Alan Barclay
Alan Barclay, PhD is a consultant dietitian and chef (Cert III). He worked for Diabetes Australia (NSW) from 1998–2014 . He is author/co-author of more than 30 scientific publications, and author/co-author of  The good Carbs Cookbook (Murdoch Books), Reversing Diabetes (Murdoch Books), The Low GI Diet: Managing Type 2 Diabetes (Hachette Australia) and The Ultimate Guide to Sugars and Sweeteners (The Experiment, New York).

Contact: You can follow him on Twitter or check out his website.

BEST FOOD FORWARD

WOMEN AND SEAFOOD: GET HOOKED. 
Seafood is good for the heart and many of us don’t eat enough, including women. We thought we’d look at women in particular because we often overlook our heart health, and because women are still major influencers on food choices in households. It’s time we got hooked in seafood, both for ourselves and our families.

Fish
While plant foods are attracting a lot of attention (and for good reasons) we seem to have forgotten that seafood is a superfood. Fish and seafood are staple foods in the Mediterranean diet considered to be one of the healthiest eating patterns in the world. A high seafood intake is also thought to contribute to the healthiness of the traditional Japanese diet. Women should eat more seafood because it:

  • Is a nutrient-dense core food: Seafood provides essential nutrients including protein, iron, zinc, iodine, calcium (in fish bones), B12 and omega-3 fats, just to name a few. 
  • Supports healthy pregnancy: Eating enough omega-3s during pregnancy and breast-feeding is important for optimal child brain development and may even affect child intelligence. 
  • Helps protect against the biggest killer in the world: Eating fish and seafood regularly reduces your risk of coronary heart disease. 
HOW MUCH?
Nutrition guidelines around the world suggest adults eat two serves a week. One serve is 100g (3½oz) of cooked (or 115g/4oz raw) seafood which is around the size of your hand, or the amount in a small can. While battered and deep-fried fish ’n’ chips are delicious, steamed, broiled/grilled, baked or pan-fried fish are healthier options. Be sure to serve with plenty of vegetables or salad to boost the health benefits of the meal even more.

WHICH FISH? 
There is a huge variety of seafood to choose from but there are times women need to be selective. If you’re pregnant, avoid raw fish (e.g. sashimi, sushi), pre-cooked prawns and smoked salmon due to the risk of listeria (a bacteria that can cause problems for the unborn child if the mother becomes infected). Seafood is a nutritionally important food during pregnancy but some species contain high levels of mercury and some caution is required. Check your local health authority for which species to limit or avoid but keep in mind most are OK. In general, predator fish species at the top of the food chain accumulate higher levels of mercury – smaller fish species are lower in mercury. Canned fish products are not high in mercury.

WHAT ABOUT SUSTAINABILITY? 
Choosing sustainable seafood is important to ensure an ongoing supply for future generations. Look for sustainability logos on-pack when shopping for packaged seafood, such as the MSC (Marine Stewardship Council) logo. Check out the sustainability status of fresh fish and seafood in your country via websites or apps, such as the SAFS (Status of Australian Fish Stocks).

THE DISH ON FISH 
  • Seafood provides important nutrients for women, especially during pregnancy. 
  • Aim to eat seafood twice a week. 
  • During pregnancy, avoid seafood with high mercury content and raw fish due to risk of listeria. 
  • Choose sustainable seafood options. 
Further reading 
Thanks to Rachel Ananin AKA TheSeasonalDietitian.com for her assistance with this article.  Nicole Senior     
Nicole Senior is an Accredited Nutritionist, author, consultant, cook, food enthusiast and mother who strives to make sense of nutrition science and delights in making healthy food delicious.   Contact: You can follow her on Twitter, Facebook, Pinterest, Instagram or check out her website.

GOOD CARBS FOOD FACTS

LENTILS 
The term “superfood” is over-used, but in the case of lentils it is true says dietitian Nicole Senior. They are part of a highly nutritious group called legumes (or pulses) containing a marvellous package of nutrients including protein, fibre (all three types: insoluble and soluble fibre, and resistant starch), low GI carbohydrates, vitamins, minerals and an array of beneficial phytochemicals such as isoflavones and lignans. And thankfully for people with celiac disease, legumes are naturally gluten free. Legumes are an integral part of plant-based diets known to promote good health and longevity.

LENTILS
Not only are lentils nutritious, they are cheap as well. They form the basis of many peasant dishes (now fashionable in affluent places where food is plentiful) and have provided a valuable meat alternative for poor households the world over. The rise of vegetarian, vegan and plant-based diets in developed countries has also given lentils the exposure they richly deserve. The other plus for legumes such as lentils is their environmental sustainability credentials. Compared to animal sources of protein, they require fewer inputs and produce fewer carbon emissions.

Canned lentils are convenient but dried lentils are dead-easy to cook. Thin lentil varieties such as the common red lentil don’t need soaking; just simmer 10–15 minutes until tender. For the larger types such as brown and puy (French) lentils, simmer in water until tender and then freeze in meal-sized portions. They are also well suited to slow cooking.

Nutrition Facts lentils
Source: The Good Carbs Cookbook

IN THE GI NEWS KITCHEN

IN THE GI NEWS KITCHEN
Tomato and Red Lentil Soup with Toast Fingers • Anneka Manning’s Roasted Vegetables and Quinoa Salad • Ottolenghi’s Roasted Sweet Potatoes and Fresh Figs

TOMATO AND RED LENTIL SOUP WITH TOAST FINGERS 
This simple soup from Anneka Manning’s Low GI Family Cookbook (Hachette Australia) is a great way to get in an extra serve or two of vegetables along with a scoop of nutritional power pack lentils. Dress it up with a dollop of plain yoghurt and a sprinkling of chopped parsley. If you make the soup a day or two ahead, keep in an airtight container in the refrigerator. Reheat in a saucepan over medium heat, stirring frequently, until simmering and heated through. • Freeze leftovers in serving portions in airtight containers for up to 2 months. Thaw in the refrigerator before reheating• Serves 4

TOMATO AND RED LENTIL SOUP WITH TOAST FINGERS
1 brown onion, chopped
1 medium carrot, peeled, chopped
1 celery stick, chopped
2 garlic cloves, crushed
¼ cup water
2 tsp ground cumin
½ tsp paprika (optional)
400g (14oz) can no-added-salt diced tomatoes
1 tbsp no-added-salt tomato paste
½ cup split red lentils
3 cups salt-reduced vegetable stock
2 tsp sugar, or to taste
freshly ground black pepper, to taste

Toast fingers
4 slices multigrain low GI bread
2 tsp olive or canola oil margarine

Combine the onion, carrot, celery, garlic and water in a large saucepan. Cover and cook over medium heat, stirring occasionally, for 8–10 minutes or until the onion is soft. Stir in the cumin and paprika (if using) and cook, uncovered, for 1–2 minutes or until the water has evaporated. • Add the canned tomatoes, tomato paste, lentils and stock and bring to a simmer. Reduce heat to low, cover partially, and simmer gently, stirring occasionally, for 20 minutes or until the lentils are tender. Meanwhile, to make the toast fingers. • Preheat oven to 200ºC (400ºF) and line an oven tray with non-stick baking paper. Spread both sides of the bread slices with the margarine and cut each into 3 fingers. Place the bread on the lined oven tray. Just as the lentils are becoming tender, bake the bread for 10 minutes or until lightly golden and crisp. Turn off oven and leave it there to keep warm. • Transfer half the soup mixture to a blender or food processor and blend until smooth. Repeat with the remaining mixture. Return the soup to the pan and simmer gently until heated through or reduced to desired consistency. Taste before seasoning with a little sugar and pepper if you wish. Serve with the warm toast fingers for dipping. Yum.

Per serve 
Energy 1215kJ/290 calories; 14g protein; 7.5g fat (includes 1g saturated fat; saturated : unsaturated fat ratio 0.15); 37g available carbs (10g sugars; 27g starch); 9g fibre; 962mg sodium; 719mg potassium; sodium : potassium ratio 1.3.

ANNEKA MANNING’S ROASTED VEGETABLES AND QUINOA SALAD
Anneka Manning – author, food editor, home economist, mother of two and the founder of BakeClub – specialises in teaching the “why” behind the “how” of baking, giving home cooks the know-how, understanding and skill to bake with confidence and success every time. This is one of her favourite salads which she makes year-round, but especially for lunch or dinner in winter served warm. Serves 4 • Preparation time: 25 minutes • Roasting time: 30–40 minutes

ROASTED VEGETABLES AND QUINOA SALAD
3 medium carrots, halved lengthways and thickly sliced
2 small red capsicum, deseeded and cut into 4cm pieces
2 medium zucchini (courgettes), trimmed, halved lengthways and thickly sliced
¼ small Jap pumpkin, seeded, peeled and cut into 4cm (1½in) chunks
2 tablespoons olive oil
1 cup tri-colour quinoa
2 cups water
1½ tablespoons freshly squeezed lemon juice, or to taste
¼ cup chopped flat-leaf parsley
¼ cup chopped fresh coriander or mint
40g rocket

Preheat the oven to 210°C/400°F (180°C/350°F fan-forced). • Toss the carrots, capsicum, zucchini and pumpkin with 1½ tablespoons of the oil and season with salt and freshly ground black pepper. Spread in a single layer over a large oven tray. Roast in preheated oven for 30–40 minutes, tossing gently after 20 minutes, or until the vegetables are tender and starting to brown. • Meanwhile, place the quinoa in a sieve and rinse under cold running water. Transfer to a medium saucepan and add the water. Bring to a simmer over a high heat. Cover with a lid, reduce the temperature to low and simmer gently for 10–12 minutes or until all the water has been absorbed. Remove from the heat and set aside, covered for 5 minutes. • Transfer the warm quinoa to large bowl and drizzle with the remaining 2 teaspoons of oil and the lemon juice. Season with salt and freshly ground pepper. Taste and adjust the seasoning with a little more lemon juice if necessary. Add the herbs and roasted vegetables and rocket and toss gently to combine evenly. Serve warm or at room temperature.

Per serve 
Energy: 1205 kJ/290 calories; 9g protein; 12g fat (includes 2g saturated fat; saturated to unsaturated fat ratio 0.2); 33g available carbohydrate (includes 8g sugars and 25g starches); 6g fibre; 30mg sodium; 675mg potassium; sodium to potassium ratio 0.04

OTTOLENGHI’S ROASTED SWEET POTATOES AND FRESH FIGS 
This combination of fresh fruit and roasted vegetables is one of the most popular at Ottolenghi’s restaurant. It wholly depends, though, on the figs being sweet, moist and perfectly ripe. Go for plump fruit with an irregular shape and a slightly split bottom. Pressing against the skin should result in some resistance but not much. Try to smell the sweetness. The balsamic reduction is very effective here, both for the look and for rounding up the flavours. To save you from making it you can look out for products such as balsamic cream or glaze. The goat cheese is optional – leave it out to make it vegan. Serves 4.

ROASTED SWEET POTATOES AND FRESH FIGS
4 small sweet potatoes (1 kg in total)
5 tbs olive oil
2 tbs (40ml) balsamic vinegar (you can use a commercial rather than a premium aged grade)
20g (¾oz) caster sugar
12 spring onions, halved lengthways and cut into 4cm (1½in) segments
1 red chilli, thinly sliced
6 fresh and ripe figs (240g/½lb in total), quartered
(optional) 150g (5oz) soft goat’s cheese, crumbled
Maldon sea salt and black pepper

Preheat the oven to 240oC/ 460oF (Fan-forced 220oC/420oF). • Wash the sweet potatoes, halve them lengthways and then cut each again similarly into 3 long wedges. Mix with 3 tablespoons of the olive oil, 2 teaspoons of salt and some black pepper. Spread the wedges out on a baking sheet, skin-side down, and cook for about 25 minutes until soft but not mushy. Remove from the oven and leave to cool down. • To make a balsamic reduction, place the balsamic vinegar and sugar in a small saucepan. Bring to a boil then reduce the heat and simmer for 2–4 minutes, or until it thickens. Be sure to remove the pan from the heat when the vinegar is still runnier than honey; it will continue to thicken as it cools. Stir in a drop of water before serving if it does become too thick to drizzle. • Arrange the sweet potatoes on a serving platter. Heat the remaining oil in a medium saucepan and add the spring onions and chilli. Fry on a medium heat for 4–5 minutes, stirring often, making sure not to burn the chilli, and then spoon the oil, onions and chilli over the sweet potatoes. Dot the figs among the wedges and then drizzle over the balsamic reduction. Serve at room temperature with the cheese crumbled over, if using.

Per serve (without goat’s cheese)
Energy 1890kJ/451 calories; 11g protein; 24g fat (includes 6g saturated fat; saturated : unsaturated fat ratio 0.33); 47g available carbs (includes 25g sugars and 22g starch); 6.5g fibre

Jerusalem by Yotam Ottolenghi and Sami Tamimi (Random House) – available from good bookshops and online. Recipe reproduced with permission.

COPYRIGHT AND PERMISSION

University of Sydney

This website and all information, data, documents, pages and images it contains is copyright under the Copyright Act 1968 (Commonwealth of Australia) (as amended) and the copyright laws of all member countries of the Berne Union and the Universal Copyright Convention. Copyright in the website and in material prepared by GI News is owned by Glycemic Index Foundation. Copyright in quotations, images from published works and photo libraries, and materials contributed by third parties including our regular contributors Alan Barclay, Jennie Brand-Miller and Nicole Senior is owned by the respective authors or agencies, as credited.

GI News encourages the availability, dissemination and exchange of public information. You may include a link to GI News on your website. You may also copy, distribute, display, download and otherwise freely deal only with material owned by GI News, on the condition that you include the copyright notice “© GI News, University of Sydney” on all uses and prominently credit the source as being GI News and include a link back to ginews.blogspot.com.au. You must, however, obtain permission from GI News if you wish to do the following: 

  • charge others for access to the work 
  • include all or part of the work in advertising or a product for sale, or 
  • modify the work. 
To obtain such permission, please contact ginewsfeedback@gmail.com

This permission does not extend to material contributed and owned by other parties. We strongly recommend that you refer to the copyright statements at their respective websites and seek their permission before making use of any such material, whether images or text. Please contact GI News if you are in doubt as to the ownership of any material.

Nutritional analysis To analyse Australian foods, beverages, processed products and recipes, we use FoodWorks which contains the AusNut and Nuttab databases. If necessary, this is supplemented with data from www.calorieking.com.au or http://ndb.nal.usda.gov/ndb/search.

Disclaimer GI News endeavours to check the veracity of news stories cited in this free e-newsletter by referring to the primary source, but cannot be held responsible for inaccuracies in the articles so published. GI News provides links to other World Wide Web sites as a convenience to users, but cannot be held responsible for the content or availability of these sites. All recipes that are included within GI News have been analysed however they have not been tested for their glycemic index properties by an accredited laboratory according to the ISO standards.

© ®™ The University of Sydney, Australia