Category Archives: Food and Drink

Are plant-based milk alternatives as good for you as cow’s milk?

Plant-based milk alternatives, like almond, soy, and oat, have taken grocery stores by storm in recent years. With some people removing cow’s milk entirely from their diets, the question arises, does plant-based milk offer the same nutritional benefits as cow’s milk? Let’s think twice.

The nutritional value of plant-based (PB) milk alternatives is variable compared to cow’s milk, particularly in terms of protein. Research indicates that PB milk alternatives generally have lower protein content than cow’s milk. A 2022 systematic review of PB milk alternatives (1) found that only 7.7% of PB milks met USDA standards for protein. Furthermore, a 2021 study (2) reported that almond and soy milk provide less than half the protein content of cow’s milk.

Despite differences in protein content, PB milk alternatives can provide other nutrients, such as calcium, Vitamin A, and Vitamin D, and B12, in sufficient amounts. For example, the same 2021 study reported that almond milk contained the highest calcium content compared to oat, soy, goat’s, and cow’s milk (2). Fortification of PB milks with nutrients can help them meet the necessary standards (1). In a 2021 study by Johnson et al. (3,4), analysis of 233 PB milks revealed that half were fortified with vitamin D and 2/3 with calcium.

Additionally, some PB milk alternatives, especially almond milk, are desirable for their lower calories (5). For example, according to Baylor College of Medicine (6), almond milk is a lower-calorie option than cow’s milk due to its low protein and carbohydrate content, and it can provide small amounts of unsaturated fats.

Though fortification and other strategies can increase the nutrient content of PB milks, some research refutes their nutritional value. The same study by Johnson et al. found that only 12% of milk alternatives contained comparable or greater amounts of calcium, vitamin D, and protein when compared to cow’s milk (3). This result demonstrates a need for further research investigating nutritional outcomes of PB milks and the roles that the various key nutrients play.

While there is a long way to go before we fully understand the differences between milk products, it remains important to read milk labels and educate ourselves on the milks that are best for us.

References

Drewnowski A. (2022). Most Plant-Based Milk Alternatives in the USDA Branded Food Products Database Do Not Meet Proposed Nutrient Standards or Score Well on Nutrient Density Metrics. Nutrients, 14(22), 4767. https://doi.org/10.3390/nu14224767

Collard, K. M., & McCormick, D. P. (2021). A Nutritional Comparison of Cow’s Milk and Alternative Milk Products. Academic pediatrics, 21(6), 1067–1069. https://doi.org/10.1016/j.acap.2020.12.007

American Society for Nutrition (2023, July 4). Nutritional content of most milk alternatives doesn’t measure up to cow’s milk. https://nutrition.org/nutritional-content-of-most-milk-alternatives-doesnt-measure-up-to-cows-milk/#:~:text=Compared%20to%20cow’s%20milk%2C%20only,%2C%20vitamin%20D%2C%20and%20protein

Lamotte, S. (2023, July 25). Good or bad? Plant-based and cow’s milk are not always nutritionally equal, study says. CNN. https://edition.cnn.com/2023/07/25/health/plant-milk-nutrition-labels-wellness/index.html

Vanga, S. K., & Raghavan, V. (2018). How well do plant based alternatives fare nutritionally compared to cow’s milk?. Journal of food science and technology, 55(1), 10–20. https://doi.org/10.1007/s13197-017-2915-y

Warren H. (2023, October 4). Cow milk vs. Alternative milk: what’s the best? Baylor College of Medicine. https://www.bcm.edu/news/cow-milk-vs-alternative-milk-whats-the-best#:~:text=Almond%20milk%20is%20a%20lower,with%20calcium%20and%20vitamin%20D.

Is carbonated water as healthy as regular water?

 

Is carbonated water as good for you as regular water? - National |  Globalnews.ca

IMG via Global News 

Some say that carbonation in water may limit hydration, reduce gastrointestinal symptoms, and increase satiety. But let’s think twice about those claims.   

Regarding hydration, a randomized trial found no difference in urine volume after consumption of still water compared to sparkling water (1).  

Regarding gastrointestinal health, a small (21 subjects) double-blind randomized trial found fewer symptoms of indigestion with carbonated water compared to tap water (2). Another double-blind study of 40 elderly people found fewer symptoms of constipation among people who consumed carbonated water compared to those who drank still water (3). One question about both of these studies is how blinding was accomplished, since subjects can sense carbonation. The small number of study subjects decreases confidence in each experiment.  

It is also speculated that carbonated water can improve satiety, or sense of fullness. Two very small uncontrolled studies reported that people felt satiated after drinking carbonated water (4,5). But that might be the case for still water as well. There is also no good evidence that sparkling water can cause gas and bloating (6) and no evidence that it erodes tooth enamel, even though these symptoms have been reported anecdotally (7).  

While experimental evidence from randomized controlled trials is required to determine the relative health benefits of still and sparkling water, it is a good option for hydration, particularly compared to sugary drinks.  

References:

  1. Maughan RJ, Watson P, Cordery PA, et al. A randomized trial to assess the potential of different beverages to affect hydration status: development of a beverage hydration index. Am J Clin Nutr. 2016;103(3):717-723. doi:10.3945/ajcn.115.114769 
  2. Cuomo R, Grasso R, Sarnelli G, et al. Effects of carbonated water on functional dyspepsia and constipation. Eur J Gastroenterol Hepatol. 2002;14(9):991-999. doi:10.1097/00042737-200209000-00010 
  3. Mun JH, Jun SS. J Korean Acad Nurs. 2011;41(2):269-275. doi:10.4040/jkan.2011.41.2.269 
  4. Suzuki M, Mura E, Taniguchi A, Moritani T, Nagai N. Oral Carbonation Attenuates Feeling of Hunger and Gastric Myoelectrical Activity in Young Women. J Nutr Sci Vitaminol (Tokyo). 2017;63(3):186-192. doi:10.3177/jnsv.63.186 
  5. Wakisaka S, Nagai H, Mura E, Matsumoto T, Moritani T, Nagai N. The effects of carbonated water upon gastric and cardiac activities and fullness in healthy young women. J Nutr Sci Vitaminol (Tokyo). 2012;58(5):333-338. doi:10.3177/jnsv.58.333 
  6. Welstead L, Schuchmann C. Is sparkling water good for you? What about hard water? University of Chicago Medicine. 10 May 2023. 
  7. Parry J, Shaw L, Arnaud MJ, Smith AJ. Investigation of mineral waters and soft drinks in relation to dental erosion. J Oral Rehabil. 2001;28(8):766-772. doi:10.1046/j.1365-2842.2001.00795.x 
  8. https://globalnews.ca/news/4286475/is-carbonated-water-good-for-you/

 

Is Dark Chocolate Good for You?

bigstock-Delicious-dark-chocolate-bar-i-15054239

IMG via Moorings Park Communities 

Sweets are tasty, but refined sugar shouldn’t comprise a large part of our diet. Dark chocolate is promoted as a sweet with relative health benefits. Let’s think twice: what’s the evidence that dark chocolate is good for you? 

One of the potential benefits of dark chocolate is its relatively high content of antioxidants. Antioxidants can neutralize the free radicals (molecules that can damage cells) produced during natural metabolic processes, or when we are exposed to smoke, radiation, or other carcinogens (1). It is proposed that ingesting antioxidants can help protect against cardiovascular disease and cognitive decline (2,3).  

The idea that flavanols, the antioxidant agents in dark chocolate, reduce rates of cognitive decline has no support from adequately controlled and randomized experiments (4). The quality of the evidence used to support the claim that flavanols delay cognitive decline is low, such as uncontrolled cohort studies. For example, a study of just 17 participants claimed flavanols increase blood flow to the brain (an indirect outcome) (5).  

A large randomized trial with no placebo arm studied antioxidant supplementation beginning in 1998 and found that cognitive function was perhaps marginally improved over an 18-year period (6). But a placebo-controlled trial found that antioxidant-containing supplements did not protect against dementia (7). As is often the case, better quality evidence often contradicts the findings of less rigorous studies.   

Another claim for antioxidants is that they protect against cardiovascular disease. However, several large studies have shown no difference in cardiovascular outcomes between people taking antioxidant supplements and those taking placebos (8,9). After a careful look, it is questionable whether dark chocolate provides protection against cognitive decline or cardiovascular disease. However, that’s not to say it isn’t still a satisfying sweet! 

References:

  1. Lobo V, Patil A, Phatak A, Chandra N. Free radicals, antioxidants and functional foods: Impact on human health. Pharmacogn Rev. 2010;4(8):118-126. doi:10.4103/0973-7847.70902 
  2. A flavanol-rich diet may increase brain function. Harvard Health Publishing and Harvard Medical School. March 1, 2021. Accessed July 15, 2023. https://www.health.harvard.edu/mind-and-mood/a-flavanol-rich-diet-may-increase-brain-function 
  3. Lobo V, Patil A, Phatak A, Chandra N. Free radicals, antioxidants and functional foods: Impact on human health. Pharmacogn Rev. 2010;4(8):118-126. doi:10.4103/0973-7847.70902 
  4. A flavanol-rich diet may increase brain function. Harvard Health Publishing and Harvard Medical School. March 1, 2021. Accessed July 15, 2023. https://www.health.harvard.edu/mind-and-mood/a-flavanol-rich-diet-may-increase-brain-function 
  5. Ullah A, Munir S, Badshah SL, et al. Important Flavonoids and Their Role as a Therapeutic Agent. Molecules. 2020;25(22):5243. Published 2020 Nov 11. doi:10.3390/molecules25225243 
  6. Panche AN, Diwan AD, Chandra SR. Flavonoids: an overview. J Nutr Sci. 2016;5:e47. Published 2016 Dec 29. doi:10.1017/jns.2016.41 
  7. Gratton, G., Weaver, S.R., Burley, C.V. et al. Dietary flavanols improve cerebral cortical oxygenation and cognition in healthy adults. Sci Rep 10, 19409 (2020). https://doi.org/10.1038/s41598-020-76160-9 
  8. Grodstein F, Kang JH, Glynn RJ, Cook NR, Gaziano JM. A Randomized Trial of Beta Carotene Supplementation and Cognitive Function in Men: The Physicians’ Health Study II. Arch Intern Med. 2007;167(20):2184–2190. doi:10.1001/archinte.167.20.2184 
  9. Kryscio RJ, Abner EL, Caban-Holt A, et al. Association of Antioxidant Supplement Use and Dementia in the Prevention of Alzheimer’s Disease by Vitamin E and Selenium Trial (PREADViSE). JAMA Neurol. 2017;74(5):567–573. doi:10.1001/jamaneurol.2016.5778 
  10. Hennekens C., et al. Lack of Effect of Long-Term Supplementation with Beta Carotene on the Incidence of Malignant Neoplasms and Cardiovascular Disease. New England Journal of Medicine. 1996; 334:1145-1149. DOI: 10.1056/NEJM199605023341801 
  11. Lee I, Cook NR, Gaziano JM, et al. Vitamin E in the Primary Prevention of Cardiovascular Disease and Cancer: The Women’s Health Study: A Randomized Controlled Trial. JAMA. 2005;294(1):56–65. doi:10.1001/jama.294.1.56 
  12. https://www.mooringspark.org/news/the-health-benefits-of-dark-chocolate