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    raw blueberry pie with microwaveable filling and graham cracker crust

    This mostly-raw blueberry pie is a snap to make and very versatile--the filling microwaves in a few minutes, and you don't even have to bake the zippy gingered graham cracker crust--perfect for a hot Fourth of July and all summer long.

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  • SlowFoodFast sometimes addresses general public health topics related to nutrition, heart disease, blood pressure, and diabetes. Because this is a blog with a personal point of view, my health and food politics entries often include my opinions on the trends I see, and I try to be as blatant as possible about that. None of these articles should be construed as specific medical advice for an individual case. I do try to keep to findings from well-vetted research sources and large, well-controlled studies, and I try not to sensationalize the science (though if they actually come up with a real cure for Type I diabetes in the next couple of years, I'm gonna be dancing in the streets with a hat that would put Carmen Miranda to shame. Consider yourself warned).

Chain-restaurant excess strikes again

The Center for Science in the Public Interest has found itself swamped for choice in its 2015 Xtreme Eating “awards” list.

What’s the highest calorie chain-restaurant meal in America? (LA Times online, 6/3/15)

The entries are frightening–typically 1-2 days’ worth of calories, 3 days’ worth of saturated fat and sodium, huge oversized amounts of food. One steakhouse platter with so much hamburger meat–not even steak–seven burgers, each piece topped with cheese or at least cheez–it’s like eating several Double Whoppers at once. Ice cream float-type concoctions with no actual pie but pie crust pieces crumbled on them. They start at 32 ounces. Which is clearly the new 20 ounces if you actually read through the horrible meal descriptions, because another chain’s sweet tea is only offered in a 32 oz size as well. That’s a quart. For one person. There’s a 900-calorie margarita in there somewhere at 24 ounces.

I’m sure Michael Jacobson, CSPI’s president, never dreamed there’d be something fully twice as bad on any restaurant menu as fettucine Alfredo, which he termed “a heart attack on a plate” only what, 20 or so years ago?

What the hell is going on here?  The chains may be cutting down slightly on artificial colors and trans-fats and GMO ingredients, but they’re serving meals with an entire day’s worth of calories embedded in the endless parade of glop that is routinely slathered on otherwise reasonable-sounding main ingredients like chicken breast (note: a top offender for hidden sodium in the “healthy” chain offerings, especially on salads). “Special” sauces, breadings, cheese, frying oil, stuffings, dips, and less-announced coatings (the problem with the chicken) that add surprising amounts of sweet, salt and/or fat. Chipotle isn’t on CSPI’s wall of shame over this, but it’s just as true of them as of any of the others–their meals typically run 500-800 calories for a burrito without chips, guacamole or salsa (not to mention sour cream and added cheese), and the same number of milligrams of sodium.

The meal insults listed on CSPI’s site consist of huge portions that could more normally serve four people, not one. Dishes are never less than 3″ high and cover every square millimeter of the plate. Burgers are multiplied–if one or two are okay, six or seven must be even better. Vegetables have disappeared, of course.

Accessories double or triple the calorie, fat and sodium counts of the full “meal”: caesar salad, fries, biscuits, half-gallon drinks, whole quarts of ice-cream-related desserts. Why is this gargantuan approach even appealing?

They didn’t list Baskin-Robbins 31 Flavors, but maybe they should have–a couple of years ago I took my daughter there for a post-diabetes-diagnosis ice cream cone so we could do something normal for summer, albeit with a shot of insulin (it was a new experience) and we got the entire brochure of offerings when we asked for the nutrition info. The single cone, no lightweight for any of the flavors at about 250-300 calories (double or triple what it would be for Dreyer’s/Edy’s half-the-fat, our standby) and 25-30 grams of carb (also double the D/E per serving), turned out to be a best bet. Some of the sundaes were getting to the 20 oz. range, with over 1500 calories and two days’ worth of carb and fat. The soft serves were actually the worst nutritionally, much higher in calories, carb and fat than they look for the volume you get–and especially given how plain the flavors always are.

Overall, the picture of chain food is not lookin’ good. It’s a nightmare of shameful, pointless stuntlike excess, the stuff parodied in Wall-E and Idiocracy among other movies from the past decade. Only as one of the CSPI judges remarked, it’s become the new normal, and much faster than the screenwriters imagined. Maybe we should all look at the before pictures of the participants on The Biggest Loser, as shown in all the accompanying guidebooks (see your local Friends of the Library bookstore) and ask ourselves if we really want to do that. Because that’s a lot of work.

AHA: Diet sodas and excess salt both linked to strokes

The latest from the American Heart Association and American Stroke Association’s joint International Conference on Stroke 2011, which is going on in Los Angeles this week from Wednesday through Friday.

Diet soda may raise odds of vascular events; salt linked to stroke risk.

Two large studies on a mixed-race/age/gender/other health status population have just shown that:

1. Drinking diet soda every day increases your risk of a heart attack or stroke in the next 9-10 years. In the study, diet soda regulars had a 48% higher rate than nondrinkers even after accounting for metabolic syndrome and existing or past heart disease.

2. For every 500 milligrams of sodium you eat per day over the AHA’s recommended 1500 max, you have a 16% higher risk of getting a stroke–no matter whether you have high blood pressure or normal blood pressure.

There was one other piece of really bad news announced:

The Centers for Disease Control’s analysts looked at hospitalizations for ischemic stroke (blocked arteries to the brain) between 1994 and 2007 and found that while strokes are decreasing in people over 65 (which is good), they’re INCREASING in children, teens and younger adults. Although older adults still have much higher overall risk of stroke than younger people, the trend toward higher stroke hospitalization rates for younger people is significant and needs to be explored further. Stroke hospitalizations increased by:

  • 31% among boys 5-14; 36% among girls 5-14
  • 51% in men 15-34, 17% in women 15-34
  • 47% in men 35-44, 36% in women 35-44

The CDC researchers didn’t have clear evidence of a cause for the rise in strokes among younger people, but said the rise in average body weight, blood pressure and diabetes, which are known risk factors for stroke, bore a closer look.

The fact that stroke hospitalization rates started rising in children over 5 (the researchers looked at younger children as well but didn’t find an increase under age 5) suggests to me that part of the trend may be due to a more processed diet with higher salt consumption as children head for school. All in all, it gives you the impression that we are the junk food generation, and it’s catching up with us as we speak.

Sorry, Starbucks, no doughnut

On Sunday mornings, my daughter likes to drag her father out around the corner without me to the local Starbucks so he can buy himself coffee and get her some kind of small baked good that I’m not supposed to know about. Because I am, in fact, generally opposed to “doughnuts for breakfast” and both of them know it. It’s a ritual that had to be suspended for a while this spring, until we could figure out what kind of treat had how many grams of carbohydrate and how much of it she could eat and still eat something else more nutritious as the majority of breakfast.

Most of the pastries will never be what I consider top baking, but it’s not me who’s going to eat them. And my daughter wanted a doughnut, or part of a doughnut, if she could make it work out.

So–I went online to the Starbucks web site to try and hash out the vagaries of “petite” mini scones, mini doughnuts, coffee cake slices, and all the rest of it. Starbucks markets itself to the upscale, the midscale, and the would-be midscale of my town with all kinds of brochures about fair trade and global responsibility, and their web site is not much different. The do-right message is right up there with the latte of the week, and you’d expect the nutrition info to be present and helpful without the usual twisty chain-restaurant disguises and trickery.

Or would you? Starbucks got its tail caught several years ago when numerous commentators, among them its own employees, let the public know that some of the lattes and other mixed coffee drinks were topping out at over 700 calories per, with more fat than some burger chain offerings. Since then Starbucks has offered more health-conscious choices below the pastry case and taken a pro-active posture on nutrition and informing the customer and so on. But how do they really feel?

The nutrition info page falls under the “menus” navigation item at the top. OK. It’s readable, not a shrunken PDF file–good. You find a long scrolling list of each of the bakery items with calories, fat, carbs, and proteins. Doughnut, doughnut–old-fashioned glazed doughnut…440 calories, 21 grams of fat (10 saturated), 57 grams of carb…Ouch. Well, she could have half of one, I suppose, with a small bowl of oatmeal and some milk, and eat something better at lunch…but wait a minute. Where’s the sodium info?

All I could find about sodium was a little note about “healthy choices”, in which the Starbucks nutrition page asserts that such items have fewer than 10 grams of fat and fewer than 600 mg sodium. A stunner–that’s more than the classic 500-mg bowl of Campbell’s Tomato Soup that caused all the corporate protests against the NIH dietary salt guidelines in the 1980s. Who on earth would claim 600 mg sodium for a single snack or breakfast item was “healthy”–especially with the growing public and government concern over excessive salt in restaurant food?

And I still couldn’t find any specific sodium stats for doughnuts or mini scones or the other things my daughter was hoping for, much less an ingredients list. So I searched a variety of diet and nutrition web sites that catalog such things. The closest I could get to a current verified  standard nutrition label was from livestrong.com (accessed 5/3/10):

Starbucks Top Pot Old-Fashioned Glazed Doughnut

Serving Size: 1 Pastry (113g) Calories 480 Calories from Fat 210

  • Total Fat 23g 35%
  • Saturated Fat 9g 45%
  • Trans Fat 0g
  • Cholesterol 20mg 7%
  • Sodium 410mg 17%
  • Total Carbohydrate 64g 21%
  • Dietary Fiber 0.5g 2%
  • Sugars 39g
  • Protein 4g 8%
  • Vitamin A0%
  • Vitamin C 0%
  • Calcium 2%
  • Iron 10%

Est. Percent of Calories from: Fat 43.1% Carbs 53.3% Protein 3.3%

These stats are higher than what’s stated at the Starbucks page (see below). And the sodium in a single doughnut is pretty high. So’s the carb. So’s the fat. So’s the increase in size and calorie stats and so on from the glazed doughnuts they were offering in 2006, according to archived nutrition labels on a number of older diet web sites. Continue reading