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Wednesday 23 January 2019

Not getting enough sleep? Here's why it could be affecting your memory

Researchers are discovering fascinating things about the links between sleep, how we remember things



A project at the Royal Ottawa Institute for Mental Health Research aims to uncover exactly how our brains process and synthesize memories. It also aims to shed light on how sleep deprivation may contribute to dementia. (Diane Grant/CBC)
It's time for bed, and in addition to my cosy red pyjamas decorated with hockey sticks, I'm wearing electrodes all over my body.
With wires sprouting from my scalp, chest and legs, I feel more like Frankenstein than Sleeping Beauty.
"Have a good night," sings out Stuart Fogel, as he shuts off the light in my austere bedroom at the Royal Ottawa Institute for Mental Health Research.
Then he's off to the laboratory — where my brain waves will be documented for the next eight hours — to search for clues about how memory works.
"It's hard to communicate the benefit that you can get from sleep, and the importance of sleep, when so many other things seem to be of greater importance in our daily lives," Fogel says.

CBC correspondent Duncan McCue had his brain waves documented as part of a study on sleep and memory. He slept overnight at the Royal Ottawa Institute for Mental Health Research. (Diane Grant/CBC)
Researchers have known for a while that sleep is essential to how we form memories. But Fogel, a professor at the University of Ottawa's Sleep Research Laboratory, is keen to uncover exactly how our brains process and synthesize those memories.
His research comes at a time when about a third of Canadian adults get less than seven hours of sleep a night on average, according to Statistics Canada.
And the consequences of sleep deprivation are far more serious than feeling dozy and worn out.
"What's intriguing is that sleep loss will have an impact on your ability to retain anything that you learn that's new," Fogel says.
The research also aims to shed light on how sleep deprivation may contribute to a condition that's on the rise in Western societies: dementia.

Sleep spindles

Generally, adults spend one-third of their lives sleeping. It's only in the past few decades that scientists have begun to understand some of the reasons why.
"The more we study this, the more we find how there's just so many aspects of sleep that are involved in memory processing," Fogel says.
Fogel has spent several years examining the relationship between memory and "sleep spindles," the brief bursts of brain activity which occur during deep sleep. These one- to two-second electrical pulses happen up to 1,000 times a night, and can be measured on an electroencephalogram (EEG).

Stuart Fogel is studying healthy adults for insights into how sleep affects motor memory skills. He hopes to determine if sleep therapy could help slow the onset of dementia. (Christian Patry/CBC)
Researchers believe these spindles show our brain taking what we learn each day and shifting it from the hippocampus, a limited space where we store recent memories, to the prefrontal cortex. That's the brain's "hard drive," where we store important memories for future reference — whether that's tomorrow, next week, or next year.
Sleep effectively cleans up the hippocampus, leaving us ready to take in fresh data.
"Memory centres that are recruited during learning are reactivated during sleep ... that's actually enhancing that memory trace and strengthening it, so that the next day we're better at the task," Fogel says.
What does that mean for a teenager who's up all night texting, or an adult working into the wee hours?
You may not learn as much.
More specifically, if you sleep six hours or less you'll have fewer spindles — and that means you may not permanently retain as much of what what you experienced that day.
Early warning signs

Fogel's current research focuses on how sleep affects newly formed motor skills, such as learning to play a musical instrument or taking a slapshot.

Which explains why I'm lying in a massive MRI scanner before bedtime, madly tapping my fingers on buttons that move brightly-coloured blocks from one side of a screen to another.

To demonstrate his current research, Fogel has invited me to sleep overnight at the Royal Ottawa, along with two other test subjects —  Nick Vanderberg, 23, and Tom Patterson, 60.

Patterson is what Fogel describes as an "optimum aging adult," a person with a good diet and no major health issues. During his working years, though, Patterson says he didn't sleep so well.

Since retiring, he's rediscovered the gym, which has improved his rest. But he also finds himself forgetting stuff.



Tom Patterson, 60, is what scientists describe as an 'optimum aging adult,' a person with a good diet and no major health issues. However, he worries about his memory. (Christian Patry/CBC)


"I talk about it a lot [with people my age]. Going into a room and saying, 'Hey, why did I come into this room again? What am I looking for?' That happens. It really does happen," Patterson says.

Fogel is studying healthy adults for insights into how sleep affects their motor memory skills. He hopes to determine if sleep therapy could help slow the onset of dementia.

"What we're hoping is that's going to give us a good sense of some important bio-markers for the early warning signs … that could be possible ways of staving off dementia, or mitigating the consequences, or perhaps finding novel treatments," Fogel says.

He enlisted Vanderberg, a doctoral student, to show how differently a young brain deals with memory and sleep.



Nick Vanderberg, a 23-year-old doctoral student, was part of the test to show how differently a young brain deals with memory and sleep. (Diane Grant/CBC)

In addition to the MRI scan, which allows his team to take pictures of brain activity, Fogel explains that the three of us will take a motor-skills test that involves repeatedly finger-tapping a specific sequence of numbers into a small keypad.

He asks us to enter the numbers – 4 1 3 2 4 – over and over, as quickly as we can. The computer measures our speed and accuracy as we tap furiously for 10 minutes.

"When you really accelerate your performance is when you actually start to chunk the numbers to make the execution of the sequence more efficient," Fogel tells us.

I feel as if I'm getting faster until, by the end, my fingers are numb.

Once all three of us brush our teeth and head to separate bedrooms, research assistants glue electrodes to specific spots on our bodies.

The novel part of Fogel's research is the combined use of the Royal's state-of-the-art MRI and the EEG. The electrodes, along with other equipment, measure our brain traces, eye movements, muscle activity, heart rate, leg movements and breathing.

After making sure the electrodes are on tight, it's time for us to nod off – and for Fogel to discover whether his lab rats learned anything.

WATCH | A neurologist explains the impact of a good sleep on the body:



The sleep boost

Fogel bursts into my room at 6:30 a.m.
"Good morning! Ready for your test?"
I rub my eyes. I slept about eight hours, waking once to use the washroom. I recall it took a while to doze off again.
I groggily sit down at the computer. I hear Patterson and Vanderberg do the same in their bedrooms.
I clutch the keypad, tapping the sequence from the night before – 4 1 3 2 4. I feel faster, but I'm relieved when the student assistant tells me to stop so she can calculate our results.
These scans show brain areas that are activated when learning a new task. The warmer the colour, the stronger the activation. Ottawa researchers are exploring how reduced activation in older adults might explain age-related cognitive deficits. (Royal Ottawa Institute for Mental Health Research)
As we wait, Fogel shows me what the EEG measured during my sleep.
"Your brain was probably pretty tired, I would say," he laughs.
He traces his finger along the squiggly lines that represent my brain waves. Within minutes of hitting the pillow, I was in Stage Two, a light sleep where spindles start to occur.
"You've got really nice, big spindles here ... these big bursts of activity," Fogel says, which sounds encouraging.
"That indicates you're probably reprocessing that information, reactivating those memory traces, integrating them into long-term memory stores."
We convene in the lab to hear the results. Patterson, the senior of the group, had a "broken and interrupted sleep." Vanderberg, the youngster, slept like a rock.
The graph shows all three of us improved our finger speed when our brains began to first process the new task, but our sleep gains were a different story.
The 23-year-old's fingers were even faster in the morning. Mine, too. But, as expected, the 60-year-old was tapping at the same rate as the night before.
Fogel goes over the test results with McCue, Patterson and Vanderberg. Patterson performed slower on the test and did not get a boost from sleep, showing how brain function naturally changes as people age. (Diane Grant/CBC)
As we age, Fogel explains, we don't get the same brain boost from sleep as when we were younger. That's because sleep spindles decrease in both magnitude and frequency.
"That's what we think is the important ingredient … the age-related changes in sleep are actually not allowing that reactivation and strengthening of the memory traces to take place in the same way as when you're younger," Fogel says.
While much remains to be learned about how sleep could be related to Alzheimer's and other forms of dementia, Fogel says it's important to emphasize what scientists do know: sleep is critical for everyone to improve their intellectual and physical performance.
Right now, that's a problem – Canadian adults are getting about an hour less sleep on average than in 2005, according to Statistics Canada.
"Our lives are being filled with more and more information, more and more activities," Fogel says.
"We really need less and less of that, in order to not compete with our time to get the sleep that we need."
https://www.cbc.ca/news/health/national-sleep-memory-deprivation-dementia-1.4929843

Taking an aspirin each day does more HARM than good for healthy middle-aged adults because it raises their risk of major internal bleeding

  • Aspirin, a blood thinner, is regularly given to healthy people in middle age
  • But a study says the harms of major internal bleeding outweigh the benefits
  • King's College London scientists reviewed 13 trials of 160,000 participants 

Aspirin, which is a blood thinner, is regularly given to healthy people in middle age, to lower the risk of heart problems
Aspirin, which is a blood thinner, is regularly given to healthy people in middle age, to lower the risk of heart problems
Healthy people who take a daily aspirin to prevent heart attacks in later life may be doing more harm than good, research suggests.
Aspirin - which is a blood thinner - has for decades been given to people diagnosed with heart disease to stop heart attacks and strokes.
But many healthy people in middle age also take the pills as an 'insurance policy' against heart problems.
A major new study, which includes data from more than 160,000 people, concludes the risk of major internal bleeding significantly outweighs the benefit of aspirin among those with no history of heart disease.
The review, led by experts at King's College London, reinforces growing evidence that aspirin should no longer be used for 'primary prevention' - the term for treatment of patients who have no symptoms of heart problems.
The researchers found among healthy people, use of aspirin saw risk of heart attack or a stroke drop 11 per cent.
But the risk of bleeding went up 43 per cent.
This means that 265 people would have to take aspirin for five years to prevent a single heart attack or stroke – but one in 210 would have a major bleed.
Study leader Dr Sean Zheng, academic clinical fellow in cardiology at King's College London, said: 'This study demonstrates that there is insufficient evidence to recommend routine aspirin use in the prevention of heart attacks, strokes and cardiovascular deaths in people without cardiovascular disease.' 

CAN TAKING ASPIRIN SLASH YOUR RISK OF CANCER? 

Taking just a quarter of an aspirin tablet a day could slash the risk of bowel cancer by a fifth, a major study concluded in March 2016.
Harvard scientists found middle-aged people who regularly took the painkillers were less likely to be diagnosed with cancer of any kind.
They found the cheap pills, which cost less than 2p per tablet, are particularly effective at warding off cancers of the digestive system.
The most dramatic impact was seen for bowel cancer, with people who took aspirin every day for six years seeing their risk drop by 19 per cent.
The experts, who tracked 136,000 people for 32 years, predicted that regular aspirin use in the US could prevent 30,000 tumours a year.
The team found the picture was more complicated for patients diabetes, who are at higher risk of heart disease and who are often prescribed aspirin.
Among these patients the risk of a heart attack or stroke also dropped 11 per cent - and the risk of bleeding went up 30 per cent.
Dr Zheng said: 'There has been more uncertainty surrounding what should be done in patients who are at higher risk of cardiovascular disease and in patients with diabetes.
'This study shows that while cardiovascular events may be reduced in these patients, these benefits are matched by an increased risk of major bleeding events.
'Aspirin use requires discussion between the patient and their physician, with the knowledge that any small potential cardiovascular benefits are weighed up against the real risk of severe bleeding.'
In the past low-dose aspirin, which is very cheap, was frequently prescribed for even healthy people in middle age to reduce heart disease.
Guidelines issued by several professional health bodies between 2005 and 2008 solidified this position, recommending routine use of aspirin for people aged 50 and older with type 2 diabetes or high blood pressure.
A decade ago a series of major studies started to reveal the risk of major bleeding, and guidelines were changed to remove the formal recommendation, but many doctors still prescribe the drugs.
Experts are also concerned many the 'worried well' who take the tablets without being aware of side-effects that can include internal bleeding.
Professor Jeremy Pearson associate medical director at the British Heart Foundation said: 'Current guidelines do not recommend aspirin for people who don't already have heart and circulatory diseases.
'This is because, while aspirin reduces these people's risk of heart attacks and strokes, any benefit is outweighed by an increased risk of bleeding.
'If you have a heart attack, your doctor will usually prescribe a daily aspirin to try and prevent a second attack. In this case, the reduced risk of a second life-threatening heart attack substantially outweighs the risk of side effects, such as bleeding.
'The risk of bleeding from aspirin is likely to differ between groups of people. Further research may well uncover subsets of people where benefits do outweigh risks, paving the way for personalised treatments.'
Professor Jane Armitage of the University of Oxford, said: 'The conclusion [in this paper] reinforces the message from those trials that, for healthy people, the small benefits of aspirin in preventing strokes and heart attacks are counter balanced by increases in the risk of serious bleeding.'
https://www.dailymail.co.uk/health/article-6619267/Daily-aspirin-does-harm-good-worried-well.html

Tuesday 22 January 2019

2D1N Lazy Person's Guide for the Best Food Trip at Malacca/Melaka

This guide is best suited for visitors from Kuala Lumpur or Singa-
pore who want to experience the best food that Malacca / Melaka
has to offer... and only have the weekend to do so!

Some background info
  • The initial food list was created from combing through reviews found at 4 food blogposts:
    • http://sethlui.com/malacca-best-food-guide/ (Thanks June Chen!)
    • https://www.misstamchiak.com/malacca-food-guide/ (TQ Toh Mu Qin)
    • http://www.gomelaka.my/top-food-in-melaka/ (Thank you no-name-author!)
    • https://hype.my/2017/144599/8-must-try-places-visit-melaka-next-food-trip/ (TQ Estee!)
  • This resulted in 30+ locations to visit. Have a peek at the initial list here: https://docs.google.com/spreadsheets/d/14gEe1XTNV0iW5G3l8QQGkRw72Eub-TLwkM28GTEsass/edit?usp=sharing
  • As most of the outlets are located within walking distance around Jonker Street (and others only via vehicle), the general idea is to visit all nearby outlets on foot and the faraway outlets on the way out.
  • It's essential to book an accommodation nearby Jonker Street to facilitate exploring the surrounding food outlets on foot. It's also preferable to find one with a parking bay for your vehicle. Remember: Malacca is a tourist hotspot, so there's always a shortage of parking space. See the bottom of this post for some suggestions on  accommodations with parking bays.
  • With the sheer variety of food to experience in a day, it's essential not to be greedy and stuff yourself like a hamster at the first stop. At every stop, order 1 portion, and SHARE with others. 
  • So, be disciplined. Quick example: At the 1st stop, order 1 portion Nyonya Laksa, and share it with a friend. You may think that 1/2 a portion is already quite filling, but believe me, when there's walking involved between every food outlet, your tummy will be ready by the time you reach your next stop.

  • With background story done, off we go:


    Day 1

    We're lazy. Btw, you'll hear this a lot, so we decided to emphasise the lazy bit in the post title.  We get up late, leave KL, and arrive at hotel in time for check-in at 3pm. Then we proceed out on foot at 5pm, headed to our first stop.

    Calanthe Art Cafe (5:47pm)

    Reviews recommend: Nyonya Laksa and Melaka coffee.

    Reviews said the Nyonya Laksa "melts and takes you into heaven"... We tried it and... yes, it's true. I saw the light and heard the music of angelic harps. Downed 10 spoonfuls of the gravy and I can swear I zipped to heaven and back with every mouthful. An "OMFG it's SOOO GOOOD" kind of moment. Don't do the foodtrip if you plan on missing this.

    Reviews about the Melaka coffee said "Must try". We tried it chilled, and agreed it was OK.


    Pak Putra Tandoori & Naan (6:40pm)

    Most of the blogposts seem to include Pak Putra in their reviews.  It was getting late and the reviews advised us to arrive early to avoid the queue. When we arrived we were surprised to see so many tables by the roadside already seated with customers.

    We had the choice of ordering either Tandoori chicken breast meat or thigh, and we went with the former. We also called for a cheese naan and mango lassi.

    Back home, I'm used to being served Tandoori dry and hard at my regular mamak outlet, but here it was definitely tender and juicy on the inside. I remember that little "wow" go off in my head when i separated the meat off the bone and watched the steam rise. The mint sauce was good; we finished it before we were done with the chicken. The restaurant staff were busy, so we helped ourselves to more sauce at the counter.

    Mango lassi was OK, sweet and refreshing.

    The cheese naan wasn't anything to shout about though. We thought the cheese was almost non-existent.


    Total RM21 (Tandoori RM11 + Naan RM4 + Lassi RM6).


    Bibik House Cendol (8:10pm)

    We stopped for some dessert on the way back to hotel. Bibik House served cendol regular or with durian. We tried the regular cendol. Not bad, something extra sweet and cold in contrast to our earlier spicy Tandoori. Price RM6.

    Boon Leong Food Court (9:40pm)

    It was already quite late, so this was our last stop on the way back to hotel. We ordered the oyster omelette (ochien). There was a queue of customers waiting for this guy to prepare it. We were informed that waiting time was 30 mins. We seated ourselves at the end of the food court to avoid the smoky fumes. When it finally came, we weren't disappointed. The omelette was fried to a semi-dry consistency, with firm and finely-chopped oysters inside. Delicious eaten with the sweet chilli sauce. Definitely will come again!


    Day 2

    Again, we're lazy people. Start the day by checking out 12 pm. We place our luggage into the car (in the hotel's parking bay), then set out on foot to explore the rest of the area.

    Boon Leong Food Court (12:39pm)

    The Char Siew Rice stall was closed the previous night, so we went back to Boon Leong with hopes to catch it open. Customers were seated directly in front of the stall owners. A slightly strange experience, but an entertaining one nonetheless. We ordered a portion of the char siew rice, and we were served a plate with mostly roast pork slices, some char siew slices, and a pork sausage end. As a light pre-lunch meal, it was OK.

    Baboon House (1-something lah, too lazy to record the time)

    Close to midday, so lunch time. This place seemed quite nondescript on the outside. Even secretive. We had to ring a bell on the front iron gate, then someone on the speakerphone asked how many people and the gate opened. Inside, the decor made it as though we had entered another world. It was like dining in a forest. We ordered the recommended Signature Beef Burger. Feeling adventurous after looking at their cutely-illustrated house drinks, we ordered a homemade orange lemon beer.

    The beef patty was moist, but not as moist as some burgers we've had in KL (read: KGB burger). The patty was a little on the peppery side too. The sides were good though -- potato wedges were crispy outside, mushy on the inside and great with tomato sauce. Potato salad was OK.


    The orange lemon beer was seriously good. Didn't expect this little treat to shine as brightly alongside the main course, but it did. Tasted quite alcoholic, and a tad sweet. But it being chilled and served with ice, made it all too good. About as good as a chilled Bundaberg Gingerbeer on a hot sunny day. Loved it so much i ordered another just to take home to enjoy later.
    Total price RM46.50 including GST (Beef burger RM20.50 + Homemade Orange Lemon Beer RM10.90 x 2 + service charge 10%) .


    San Shu Gong Lao Qian Ice Cafe (2:25pm)

    This place was wrongly placed on the map, so we spent a few extra minutes walking along the road looking for it. But no regrets, because minutes later, this ice cold white coffee was making me go HOLY SHIT. Seriously i would have just downed one after another had i not swore to follow the strict "buy 1 share among others" rule for this trip. It was THAT good. Icy cold, thick, sweet, and REFRESHING. Writing this article makes me wish I had another ice cold HOLY SHIT white coffee with me right now.

    Bikini Toppings (2:55pm)

    This outlet won recognition from TripAdvisor. They displayed their award proudly at the front entrance. We ordered the Bikini Signature Ice Cream with topping of crushed oreo cookies. The homemade ice cream was sweet, the coconut flesh mildly salty and the oreos added texture and some sweetness to the entire mix. It was served in coconut shell. Great and refreshing overall. Would visit again on a hot day.



    Jonker 88 (3:38pm)

    We tried the assam laksa. Reviews said it was "highly recommended". Personally thought it was more sour and spicy than sweet. Overall it was OK -- . Price RM11.15 (including GST).

    The Daily Fix (4:08pm)

    This food outlet was well hidden. The signboard was a simple chalkboard resting on an old TV set. Anybody would have walked past without knowing inside laid a popular cafe frequented by locals. We walked through the shop outlet to reach the cafe inside. Ordered the Pandan pancakes. It came with grated coconut and gula melaka. Not bad. The pancakes were light, and the pandan flavour mild. The lime juice was thick, chilled and with less sugar.

    Price RM21.40 including GST (Local Pandan Pancakes RM13.90 + Lime Juice RM7.50).

    After this, back to the car and time to drive out to kautim the remaining food outlets.

    Klebang Original coconut Shake (5:33pm)

    We wanted to try the original "coconut shake biasa" because reviews rated it "exceptionally good!". But the sellers said it was sold out, and all that remained was the Coconut Shake Special (coconut shake biasa with ice cream). So we tried it. The vanilla ice cream made it sweet, and the crunchy grated coconut flesh and crushed ice gave it some bite. Quite good, something interesting.


    Aunty Fatso Restaurant

    Our last stop before heading back to KL. The specialty here is the cheese Prawn Bee Hoon. It was good overall. The cheese taste was just nice, not too strong. Prawn was firm, fresh and sweet. The moment we bit into the prawn it hit us that it tasted like Sang Har Mee. A unique and delicious savoury dish.


    Overall the trip was a good one, with many places covered in 2 days. We were also very pleased with our hotel. Ibis hotel -- definitely a 5 out of 5. What impressed about the room was its cleanliness. Everything else just worked. The beds were comfortable, and came with pillows and bolsters (a pleasant surprise!). It was also a treat to experience the rainfall shower (wash away your worldly burdens). The room also came with a good range of TV channels (including Disney channel, Astro Supersport 1 and 2, movies, Bloomberg and more), a wine cooler and free wifi. If you didn't  bring your own laptop, you could use the computer room at the lobby.

    Interested with making a trip to Malacca? Don't forget to look for hotels with their own parking bays. A couple of examples we learned about while doing our own research: Ibis Hotel and 1825 Gallery Hotel.

    Notes for photog nerds: Photograph colours were adjusted using only the auto-white balance feature, where necessary.

Sunday 13 January 2019

Curious Cook: Some observations for 2019

New Year’s day marked the first time I consciously began a year as a vegan. My daughter had entered the popular Veganuary Challenge and that meant we all had to eat vegan for the month of January. I did not mind it much, especially as wine is considered vegan, though I can see myself over the month gravitating from vegan to vegetarian to flexitarian, which would be my normal state. Overall, I still regard being flexitarian as probably the optimal nutritional strategy for humans, despite some overbearing pressure tactics (mostly by vegan zealots) to denounce/condemn anything to do with animals.
Good News, Bad News
At least these are positive signs that people in 2019 are finally serious about cutting down on meat consumption. An informal supermarket survey indicated up to 12% of the UK population now claim to be vegan or vegetarian, with another 20% considering themselves flexitarians. This survey however contrasts starkly with the facts, which estimates that the world produced 335 million tonnes of meat in 2018, a new record – this means that on average, every person on Earth would have consumed 43.7 kilos of meat last year, despite a global population increase of 83 million. Unsurprisingly, the country with the highest subsidies for meat production also consumed the most meat, well over 100 kilos of meat each on average for all 326.8 million US citizens in 2018 (another record) – roughly translated, this is equivalent to over two hamburgers a day for each American.

Despite a growing shift towards veganism, meat consumption went up in 2018. Photo: Marius Boatka/Flickr
Experts are at a loss to explain the increase in global meat consumption, which is happening despite increasing environmental awareness and the growing popularity of veganism/vegetarianism in the US and around the world. Oddly, poverty and wealth may both be factors – in the US, it is often cheaper to eat meat due to the heavy subsidies and in other emerging countries, meat is preferred as a sign of affluence.
The bad news is meat production and consumption are still forecast to increase in 2019, though the degree of increase is expected to drop somewhat, especially with beef – however the estimates are far from reliable. Another study suggests meat consumption rates in half of the world’s largest 20 meat-eating countries are falling, and some rates are falling quickly. Meat consumption in many EU countries have dropped significantly over the last decade (and there are several initiatives to tax red and processed meats), so there is hope for longer-term and much needed environmental improvements.

The End Of Silly Proteins?

It seems the debate regarding the benefits or harm of high carbohydrate versus high protein/fat diets will continue into 2019. Regarding fats, there is a further sub-discussion regarding the health aspects of unsaturated, polyunsaturated and saturated fats.
Investigating these points is interesting as there are a lot of over-simplifications of the issues, but not many genuine attempts at clarity in the media, which seems to enjoy setting up camps of viewpoints against each other.
However, the facts are straightforward and are readily available in scientific papers. Regarding carbohydrates, this is a wide classification of foods and a simple scientifically-based strategy is avoiding all processed carbs such as refined sugars, fibre-deficient modern flours, etc. Wherever possible, skip processed or tinned foods and eat natural plant foods instead (preferably uncooked) to help the intestines and gut bacteria. If this becomes standard practice, the health debate about carbohydrates will end instantly, provided you do not consume over 70 grams of fibre a day. In short, all the negative press about carbohydrates concern almost exclusively processed carbs and foods cooked or saturated with industrial oils.
Regarding the debate over the fats, it can be broadly broken down into (a) decomposition of oils and (b) Omega-3 content. Put simply, saturated fats do not decompose readily under heat whereas unsaturated and polyunsaturated oils readily break down into carcinogenic free radicals when heated to cooking temperatures. Hence saturated fats are generally safer or healthier, especially if used in cooking. There are often stories about how ratios of LDL and HDL in different oils affect cholesterol but this may be considered trivial relative to ingesting free radicals. For more information, see my article A Fat Lot Of Good.
Omega-3 is an essential fatty acid needed to balance the overabundance of Omega-6 fatty acids in modern diets and therefore we should consume more Omega-3. More information can be found in my previous article on the subject, A Fat Lot of Good – Part 3.
In 2019, it is feasible that people will finally acknowledge the waste and futility of over-eating proteins. It was one of the top fads last year, making lots of money for food manufacturers (as it allows them to re-package waste by-products as protein bars, drinks, snacks, etc) – and it is pointless.
And it is ridiculous because our bodies need so little protein on a daily basis – just 0.8 grams per kilo of body weight. This comment therefore also applies to ketogenic diets, where consumption of animal proteins and fats overrides all other classes of foods. After the focus on carbohydrates and fats over the years, perhaps 2019 will finally put the spotlight on feckless proteins. Some notes are in my article Food, Proteins & Googly Eyes on Fish.
If you are looking for a healthy, optimal diet for 2019, have a read about the optimal flexitarian diet in my article Anthropocene Diet – Part 2.

Pizzas Need Not Be Round

As the awfulness of the world’s largest economy being presided over by an orange man (who has somehow managed to bankrupt himself running casinos) starts to sink in deeper, there are expectations of financial turbulence this year. The silver lining is that people plan to cook more at home in 2019 rather than dine out – and this can be a significant improvement for human health as well as lowering the cost of living. In every country where fast food dominates nutrition, there are heavily-correlated increases in early mortality and diseases such as heart problems, diabetes, obesity, cancers, etc.
No, pizzas don’t have to be round. They can be rolled into rectangular shapes to fit baking trays. Photo: IA Hilltopper/Flickr
Home cooking means control over the quality of the ingredients in food. This usually means eating better meals instead of dining out where raw foods are normally bulk-purchased at the lowest prices, seasoned artificially and potentially cooked in overused oils.
One example is pizza which can be cooked at home at a fraction of the dining-out cost. Pizza dough is just flour, yeast, olive oil, water plus some standard kitchen condiments – and can be prepared and left in the fridge overnight. When rolling out on a flour-coated surface, there is no need to make round pizzas as you can roll the dough into rectangular shapes to fit steel baking sheets. Spread on tomato paste, cover with grated cheese, then ingredients such as vegetables, salami, chopped onions, sausages, seafood, other cheeses, olives, etc. Then cook in a pre-heated oven at 200°C for 25-35 minutes and serve with fresh salad leaves on top – that is enough for a family dinner. If making dough is too challenging, there are good frozen pizza doughs available, and you can even vary the tomato paste with Thai or Indian curry sauces.

Walkabout Dinners

At this point, I would like to suggest an old practice from Berlin – it might come back into fashion in 2019, or at least, it would be nice if it did.
Years ago, residents in my block of flats used to host “walkabout” dinner parties every few weeks. People living in different flats would get together and each flat would elect or draw lots to cook one dinner course — e.g. entrées, mains, desserts/cheeses. So we would all have starters at one flat, move on to the mains in another flat, march on for desserts at a final flat before staggering home happily. Courses would be switched around for the next walkabout dinner, and we ended up with more people wanting to join in than could fit on dinner tables – it was genuinely a lot of fun and variety.
The advantages were that we got different wines for each course, we only had the effort of preparing one course (properly), the ambiance changed for each dish and there was not much washing up. The downside was the evenings tended to run for a long time, due to food re-heating or final prep work, extended social drinking, etc. However, we each only had the ingredients cost for one dish but got to dine out on a full dinner carefully crafted by friends, complete with well-selected wines.

https://www.star2.com/food/2019/01/13/curious-cook-observations-2019/