The Nutritional Scientist: Do Not Eat After 9pm! Link Between Chewing & Belly Fat!
3405 segments
if you go on social media seedor are
toxic seedor are going to give you
Alzheimer's seedor are going to give you
cancer but I've done lots of research
and there is absolutely no evidence to
show seed alls are harmful actually
they're beneficial for our health and
I'll come back to that but the problem
is that there is so much misinformation
out there about what we eat how we eat
and how it affects our health so let's
go into all of that Dr Sarah Barry is a
renowned nutrition scientist and
Professor with over 20 years of research
her work has reshaped how we think about
food metabolism and gut health Dr Sarah
Berry we have a lot to get through yes
so let's start with the food Matrix
that's so important because you can have
two foods with identical labeling same
nutrients and calorie value can have
entirely different impacts in terms of
how you metabolize our food and how it
impacts Downstream health effects
depending on how that food has been
processed now we also know the timing of
when we eat is really important for
example we found that snacking after
9:00 was associated with unfavorable
Health outcomes the worst kind of fat
around your belly for example this was
even if you were snacking on healthy
snacks really and we also know that on
average if you change the speed in which
you eat your food by 20% you reduce your
calorie intake by about 15% but where it
gets really interesting is there's
evidence to show if you chew your food
40 times versus 15 times it can result
in and then there's the menopause we've
conducted lots of research and one of
the most exciting things is that there
is principles which can reduce symptoms
by about 35% and so they are
this has always blown my mind a little
bit 53% of you that listen to the show
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[Music]
Dr Sarah Berry can you give me a little
bit of an overview over what You' spent
the last s of 25 years of your career
focusing on and understanding yeah so
I've spent 25 years starting out in
quite specific area looking at how diet
impacts our cardiometabolic health so by
this I mean lots of factors related to
cardiovascular disease like type 2
diabetes our cholesterol our blood
pressure our inflammation and then uh
more recently I've been looking at how
actually we piece together all the
complexity of who we are what we eat how
we eat um into how that actually impacts
how we respond to food and the
helpfulness of a food um most of my
work's been done through running
clinical trials so randomized control
clinical trials where I recruit various
people get them to eat various things do
loads and loads of different
measurements and look at how a food or a
nutrient or a diet might impact a
particular Health outcome and how many
of these individual pieces of our sort
of health and
lifestyle are you trying to piece
together to form this picture what are
those pieces the key pieces are who you
are MH so that's one of the key pieces
so by that I mean your genetics your
microbiome your age your sex your
menopause status all of those kind of
things the other is the food that you
eat and when we think about food we need
to think about it beyond the traditional
way that we thought about food in terms
of nutrients you know backup pack
labeling fat protein fiber carbohydrate
but actually thinking about food in
terms of the fact that on average each
food has 70,000 different chemicals and
these are contained within a very
complex food structure which we call
Food Matrix that modulates the impact
that those chemicals and nutrients have
so that's the second thing that we need
to think about so we've got who you are
the food that you're eating but the
complexity of that food and then how you
eat your food and by how you eat your
food I'm thinking about your lifestyle
while I'm thinking about are you
jetlagged how much sleep did you have
last night you know what's the order in
which you're eating your food within a
meal or over the day how stressed are
you feeling um when did you do physical
activity all of that also impacts how
you will respond to a food and then I
think the last piece of the puzzle is so
important that as nutritional scientists
I don't think we think about enough why
do you make the diet of choices that you
make so why do you choose to have that
for breakfast for lunch for dinner is it
because it's part of your culture is it
because that's how you're just feeling
emotion is it because you're sitting
with friends and it's part of that
social experience MH I think we're at a
really exciting time in nutritional
research because we're now able to
collect data at a scale breadth depth
and precision that we've never been able
to before that's allowing us to put
together all of those pieces of the
puzzle to start to see a clearer picture
so let's go into all of that let's start
with um the subject of the food Matrix
which is a a term I hadn't actually
heard before um in today what is the
food Matrix and why why do I need to
know about that so the food Matrix
simply puts the structure of food and
it's really important because we know
that food is so much more than just the
nutrients and chemicals it contains so
we know that food contains nutrients
that people are very familiar with like
protein fat fiber carbohydrate we know
that food also contains thousands of
other chemicals many of these we call
bioactives that you have heard of like
polyphenols you know vitam minerals
Etc but they're all encapsulated within
the structure of a food so think of an
apple versus Apple puree versus apple
juice they're all coming from the same
food but they have a different
structure and the reason it's important
is because we know that food structure
modulates the healthfulness of the
chemicals and nutrients within the food
and it's really really relevant now it's
really relevant now because our food
landscape has changed almost
unrecognized ibly to 50 100 200 years
ago we're now eating a lot of food where
the food Matrix the structure of the
food has changed and this is because we
use multiple different processing
techniques
so in simple terms if I were to zoom in
on a piece of food on a microscope y the
way that the the molecule of the food is
put together is now different to what it
used to be and that's having an impact
on my health so in simple terms it's
that we are
changing often through processing the
structure of the food now by processing
it could be our own processing when we
chew a food we change the structure take
a nut for example you have a whole nut
you chew it you break up the nut it goes
into your gastrointestinal tract it's
broken down further we also change it
using manual industrial techniques as
well so we use techniques like grinding
or we might use posterization for dairy
or you know Extrusion for some
carbohydrate rich foods we all of these
different techniques that also change
the food Matrix For Better or For Worse
it's a double-edged sword right and I
think this is what we need to remember
that everyone's demonizing at the moment
Ultra processed food you know it's
killing the nation 60% of our energy is
coming from a processed food yes we are
eating too much unhealthy food much of
which has been heavily processed but
processing can also be used to our
benefit and we have to think why do we
even process food in the first place
well we process it to make edible mhm I
don't want to go and eat a rice grain
that's not been cooked we make it safe I
want to drink pasteurized milk because I
know it's safer we want to make it
stable I think how long a can can last
and frozen vegetables versus fresh so
you're saving food waste we want to make
it taste good mhm um and we want to make
it convenient so there's all of these
different reasons that we use food
processing but when we think about the
healthfulness of a food we need to think
about it in terms of the processing
techniques that have been used as well
as the nutrient composition we can't
look at them in isolation in my opinion
and this is what I've done a lot of
research looking into and what has
processing gone
bad I think processing gone bad is when
you've change the nutrient profile of a
food such that it is unhealthy so in
simple terms it's too much saturated fat
too much salt um too little fiber too
little bioactives like polyphenols a
food that is very energy dense so you
eat it really really quickly so you're
eating too many calories you're eating
it before your hunger signals have got
to your brain say w Stephen you've had
enough and there's great research that
has been looking at how processing can
affect your eating rate the energy
density of food the nutrient profile of
a food and that's where it can go wrong
but where it can go right is you can
improve all of those things I've said
the stability the safety of the food you
can also um increase the what we call BI
accessibility so the availability of
some of the nutrients within a food as
well okay so I've got some snacks over
in the corner of the room here which um
I guess have been processed differently
mhm to have a different impact on on me
as the consumer gosh these look
delicious oh I hope they're salt and
vinegar Pringles you're going to eat
them look at this oh my gosh um so I've
got some mixed nuts here and I've got
some cookies some little pieces of
chocolate and uh some crisps so you were
talking about this processing something
so that I eat it faster and that it
doesn't like sort of satiate me or make
me feel hungry crisps We're a nation of
crisp
lovers um when you saying that about
something that makes you eat fast and
not realize that you've even eaten all
crisps were the first thing that came to
mind for me I love a crisp you love a
crisp we all love a crisp so I think all
of these first three foods the crisps
the chocolate the cookies you know if
compared to what would be a healthy food
they've all got less fiber MH they've
all got well certainly the the um
chocolate and the cookie it's got more
sugar um they won't have all of the
wonderful bioactives in them um um and
then with the crisps depending on the
type of crisp is probably quite high in
in salt but the chances are with those
three is that they are quite energy
dense so they have quite a lot of
calories per gram which is partly
because of uh the processing techniques
yet if you take a whole food like a nut
yeah now they're actually very energy
dense so they're very high in fat
they're high in calories
but actually because they're in their
original food Matrix how your body
handles them is quite different to if
for example they had been processed you
you mentioned something about my brain
takes a little while to figure out that
I've started eating yep so if I started
smashing these crisps down now how long
would it take my brain to realize that
I'd started eating to sort of catch up
and make me feel hungry yeah so there's
Lo lots of different mechanisms that
impact how full we feel how hungry we
feel related to a food there's different
hormones that are released from
different areas of our gut for example
that feedback signals to say either
you're full or you're hungry on average
I would say it takes about 10 to 20
minutes for the fullness to really
properly kick in now you could easily
have got through those well I could
easily have got through all of these
before under that 20 minutes I wasn't
aware that there was a delay but it does
make sense because there's certain foods
that I used to eat like like Pringles
and snacks and crisps and things like
that where I feel like I could eat two
Tu tubes of the thing before my body
even um realize what was going on and
are they in some way designed to
encourage that speed of eating and so
there are many people who will say the
food industry has specifically designed
these to make them firstly what we call
hyper palatable so to have the right mix
of fat sugar you know carbohydrate Etc
to make them really tasty and in this
case salt as
well
um I don't think the food industry is
out there to get us I think that what
the food industry were doing 50 years
ago versus what they're doing now is
quite different but some people say I'm
very naive I do believe the food
industry ultimately want to produce food
that's safe but also healthy for us
that's probably an unpopular opinion but
based on my interactions with the food
industry I believe that however I do
believe that these crisps are there
have been made to be flavorsome to be
palatable to you so that you do enjoy
them now whether that's that you then go
and overeat
them I think is yes a byproduct of that
um now it's not it doesn't take 20
minutes for all of the fullness signals
to kick in because as soon as you start
chewing something you start to release
different hormones and different sensory
characteristics of the food will also
trigger some sort of fullness but what
we do do know is that you have more of
these fullness receptors saying hey
you're full lower down in your
gastrointestinal tract and so if you can
get food to the lower gastrointestinal
tract that's when it says hey Steph
you're full now and these heavily
processed snacks that you've got
here would be typically absorbed higher
up the gastrointes because kind of the
hard work's been done and yet when
you've got something like a whole grain
or a nut typically that would be
absorbed lower down the gastrointestinal
stress tra where you got more of these
fullness signals so giving you that
greater feeling of fullness my
girlfriend has said to me for many many
a year that I need to eat slower Y and I
thought it was like a spiritual thing
that she's into um to do with like
giving the food gratitude etc etc but
upon reading your work and having this
conversation today now I'm starting to
believe that she was right all along
unsurprisingly once again um and that
there is a a a scientific basis for
slowing down how fast I eat absolutely
we now know that eating rate is
important there's some fantastic work
that's being done by a professor kieren
Ford who's dedicated many years into
researching this and looking at how
changing the structure and texture of
your food can modulate your eating rate
and how also your eating rate can
modulate um how you metabolize the food
and how many calories you go on to eat
and so it's a great example you know I
talked about all of these different
pieces of the puzzle that's one of those
pieces so when we talk about how you eat
changing your eating rate so how quickly
you have your breakfast your lunch or
dinner or any of these snacks will also
Without You consciously thinking about
it change how many calories you eat
might change how quickly you metabolize
the food as well what's the sort of
KnockOn effects there so the research
that's been done by Ken Ford shows that
on average if you change the speed in
which you eat your food by about
20% you reduce your calories intake by
about
15% and that's due to where you're
releasing your hunger hormones how many
fullness hormones you're releasing Etc
so it's a really simple strategy and we
see this play out as well even in our
own evidence when we look in our zor
predict studies that fast eaters versus
slow eaters we see that once we're just
for lots of other confounders there's a
difference of 120 calories between What
fast eaters have over a day versus slow
eaters with the fast eaters eating more
calories compared the slow eaters and
there's even been clinical trials where
they get groups of individuals and say
okay slow down the rate at which you eat
your food over the next you know three
four five weeks they have another group
they say just eat at your normal rate
those people who are intentionally
slowing down the rate at which they eat
their food lose more weight than those
people who continue to eat at their
normal
rate see I always made this like weird
unfounded evolutionary argument to her I
was like well you know in the wild you
got to eat what you can so people eat
quick but um we're not in the world
anymore and the food choices that we
have are drastically different now so
yeah and also the food that is available
to many of us is the kind of food that
can be eaten really quickly so there's
some great research that's been
conducted that shows that heavily
processed soft textured type food can be
eaten 50% more quickly than the
unprocessed harder textured equivalent
so the kind of food that we're eating
now is quite different so you're eating
it really quickly you're overeating
because your hunger signals haven't got
there but it's that rate at which you're
eating what's an example of a soft
textured food versus like a hard
textured
food so we can use an example from a
study that was actually conducted in
1977 and this was published in the Lan
it was one of the first nutrition
studies published um in the lanet and
it's one of the first studies to show
the importance of the food Matrix and it
kind of got buried for many years and
this a study by uh the scientist called
habber where he fed individuals whole
apples MH he fed individuals the
equivalent amount of carbohydrate from
Apple puree it was exactly the same I.E
same nutrients same fiber same
everything else in it all that's
different is the apples are hard the
puree is soft and what he found was that
those people who were given the puree
even though they were given exactly the
same amount of calories ate that puree
or rather drank that puree three to four
times more quickly than when they had
the apples the equivalent amount of
calories so they were eating the same
amount of calories but three to four
times more quickly that's like 300% 400%
faster okay they felt less full so when
they measured their fullness and they
monitored that for quite a few hours so
going up to quite a few hours those that
were having the apples continued to feel
full for longer those were having the
puree didn't feel full as long
and what also happened interestingly is
those that were having the puree had
what we call a blood sugar dip so about
2 to four hours after having a high
carbohydrate meal we know that some
people have a dip in their circulating
blood sugar and we know from our own zo
predict research that actually this can
really increase your hunger levels yeah
and so we know from our research if you
are a Dipper I'm a Dipper hence I get
hungry quite often so in about two hours
I'm going to be eating one of these if
you're a Dipper you know your your blood
gluc is going below your Baseline levels
and so you get hungry you go on to eat
180 calories on average more at your
next meal because of that and so I mean
this research from 1977 I think is
fascinating it's that first research
really demonstrating the importance of
food Matrix and then since then I've now
over the last 10 years done lots of
studies with nuts with oats for example
that demonstrate you can have two foods
that have identical backpack labeling
identical nutrients ident identical
calorie value if you were to look at the
back of Lo but can have entirely
different impacts in terms of how much
energy you absorb how you metabolize
that food how it impacts your hunger how
it impacts Downstream health effects and
you've done some research on walnuts
right so we've done work on walnuts but
particularly on almonds so we've done
lots of work with almonds using it as a
kind of proof and principle of the
importance of the food Matrix now you
just took a bite of that and I could
hear the crunch the reason I could hear
the crunches cuz in almonds like most
nuts like many plant-based projects uh
products um there is a very um rigid
cell wall okay so that almond that you
you're holding there has thousands and
thousands and thousands of cells these
cells are tiny they're about 50 microns
okay you can't see them with the human
eye I can show you a micrograph okay um
but there's thousands in there now each
of those cells is smaller than a grain
of sand and each of those cells is
encapsulate cell walls is encapsulating
the fat so we know that in most of these
nuts it's about 50% they're about 50%
fat hence people say my gosh I can't eat
nuts they're high fat they're high
calorie now in all of those nuts the
fats encapsulated in this rigid cell
wall when you bit that you fractured
some of
those cell walls when you swallow it you
chewed it you chewed it a little bit I
assume a little bit yeah yeah I didn't
swallow it
when people chew it we know from these
lovely chew and spit studies or
mastication studies that we do that at
the point at which you swallow a knut
the particles I the size of the bits
that you're swallowing that you've
you've chewed are about maybe half a
millim to 1 mm in size now given that
the cell within or of a alut is about 50
microns that means when you're
swallowing within that what we call a
macro particle you got thousands of
cells they're intact where you've got
this lovely cell wall containing all of
this fat and so you're swallowing these
intact cells containing encapsulating
the fat so they're what we call very low
by accessibility they're not very
accessible to us this
fat now what happens as this passes
through your gastrointestinal tract some
of the enzymes can break down the cells
a little bit but actually a lot just
comes out the other end so I don't know
whether you've ever eaten a bag of nuts
and to your poo after none of your
business I'm joking okay go and do
that but you should
see some Alma particles you know like
when I'm you know being a mom when I've
I've looked at a lot of PE in my life
through my work but also through being a
mom you can see whole nut particles in
the Poo so nuts they just is it they
just don't break down fully so they
break down partially so you break down
about
10% in the mouth before you swallow so
about 10% of the calories become
available because the calories are
contained from the fat
Etc and then you probably break down
about another 60 to 70% as it passes
through your stomach your small
intestine your large intestine okay but
you have loads of material arriving at
your colon which is your large intestine
that's undigested which is good for two
reasons one because you're giving all of
this food to your microbiome which we
know is great for your health your
microbiome is having a party with these
nuts
but also if you are worried about eating
nuts because of their high calorie value
actually 20 to 30% of the calories are
just coming out the other end but where
it gets really interesting is if we then
take exactly that nut that you're
holding there and if I was to
industrially grind it so that I broke
all of those cells walls yeah so we're
breaking it down to less than 50 microns
so that you're releasing all of the fat
so it becomes 100% bi accessible either
you absorb 100% % of it but they could
have two identical back aack labels yeah
because if they're the same ingredient
all that's happened is you've ground
that nut to such an extent that you've
released
everything and so having that in its
whole form is beneficial because if you
are concerned about energy intake it's
reducing the energy it's providing this
amazing food for your G microbiome it's
changing also how you your blood changes
metabolically in that about 8 hours
after eating it and this is what I've
done lots of work on looking at how your
blood fat increases and decreases in
that immediate period after eating
either ground nuts or whole nuts but
once you grind it I'm not saying it's
necessarily bad because the upside of
that is all of the other good nutrients
contained within that cell like the
vitamin E and some of the other
components also become available so it's
this double-edged sword interesting but
that's what I think is so fascinating
about processing and about food Matrix
and why we have to move Beyond thinking
about food just in terms of the
nutrients because you can have two foods
with identical backpack labeling that
have different effects and we've seen
the same with oats we've been doing
studies as well where we feed people um
large oats so kind of you know like the
steel cck sort of old-fashioned porridge
or you feed people finally ground oats
and so we've done clinical trials where
on one occasion people come in and
they'll have 50 gr carbohydrate for
breakfast of these large oats then
they'll come in another day and they'll
have exactly the same oats but where we
ground them literally we've got students
just grinding them down so they're more
like a powder and the difference in the
metabolic response in that following six
hours after having either the large
traditional oats or these finy ground
oats is enormous and that's because of
gut absorption speed yes so with the
nuts what we're seeing here
is a difference in the amount as well as
the speed with the oats what we're
seeing is a difference in the speed so
we're see seeing a difference in the
rate because we know that the food
Matrix impacts the amount I with the
nuts the rate are with the oats and as
well as where the foods absorbed in the
gut and so you see about a 40%
difference in the post pangal glucose
response this is the increase in circul
blood glucose after you've had these
oats we see about a 50% higher response
from the ground oats versus the laros
and that has subsequent impacts on
hunger hormones fullness hormones
insulin release etc etc and what role
does fiber play in this because fiber is
becoming quite popular now they're like
putting it in drinks and stuff like that
and I I there was some candy in America
when we were recording over in uh New
York which had like it said like 15
grams of fiber added to this like
candy so fiber is a really interesting
one and it's a really interesting one
because we know we're not getting enough
fiber M so we should be getting at least
30 grams of fiber in the UK and it's
similar in the US we get on average
about 20 grams of fiber 95% of us are
not having enough fiber fiber is the one
nutrient that we know consistently is
associated with beneficial health
effects reduce reduction in many cancers
reduction in cardiovascular disease
reduction in levels of obesity type 2
diabetes Etc you know it's an amazing
nutrient fiber and we don't get enough
of it just to pause there then why is it
so good for us because I mean it sounds
like a super molecule the way you just
described it so it's good for us for
many different reasons and there's loads
and loads of different types of fiber
and the different types of fiber are
good for us for slightly different
reasons really simply put we've got
soluble fiber and that's great for us
because it impacts things like
cholesterol absorption as well as other
factors related to how quickly we
metabolize food Etc then you've got uh
insoluble fiber which is the kind of
fiber that for example are in those nuts
because fiber in those nuts is actually
the cell wall so most cell walls of
plants are just fiber that's great for
us because it's fued for our microbiome
it helps bulk out our store so reduces
our Transit time how quickly the our poo
basically passes to our colon reduce the
risk of colon cancer and so forth but
largely because it is the food upon
which our microbiom have their party
produce all of these wonderful molecules
that we no impact so much related to our
health but we don't get enough of it and
we don't get enough of it because we're
not eating the right types of food that
we have in high amounts so having any
kind of fiber is going to improve our
health having fiber that's added
artificially back into food is going to
be better than having no fiber so the
kind of bars that you're talking about
that say are added fiber great having
fiber though from the whole food is
always going to be better and so with
nuts fiber is essentially the the cell
walls of the nuts so it's having that
role in reducing that bio accessibility
that we talk about at slowing those nuts
down so that's always going to be better
having that fiber in the whole food in
its original structure in the way nature
intended but having any kind of fiber is
better than having none and in a nation
or or you know many nations where we're
not having enough if we can get some in
our diet even if it is processed fiber
it's better than fiber in my opinion one
of the um big revelations in my
household has been just getting some of
these bad snacks just out the house and
replacing it with um healthier whole
snacks and I say that because the sort
of the very definition the very like
sort of use case where we snack is when
we typically don't have a lot of time
where hunger kind of crept up on us in
between a meal um and so we make fast
decisions it's not a very considered
decision um and I was reading
that there's been some studies done
where they took sort of two groups and
gave them typical snacks versus healthy
snacks and they found a pretty
significant reduction in cardiovascular
disease yeah so this is one of my
studies okay um and we looked at how
changing people's snacks can impact
their health and the reason we're
interested in this is because we're a
nation of snackers in the UK as in many
countries so we know that about 25% of
our energy comes from snacks that's
phenomenal and so what we wanted to do
is look at if we do a really simple
snack
swap can we improve People's Health and
so we ask people to change 20% of their
energy from either having typical UK
snacks MH or having 20% of their energy
from alond nuts for 6 weeks and then we
looked at various Health outcomes at the
beginning of that six weeks and then at
the end of that six weeks we said keep
everything else the same we provided all
of these snacks to them we provided the
typical UK snacks we spent a lot of time
designing these so we did lots of
research where we looked in the UK and
it's the very similar in the US what are
the typical snacks so basically we
designed these muffins that ultimately
were having a bit of a potato chip or
crisp a bit of a chocolate biscuit a bit
of a cake just like imagine all put in
one muffin I mean we didn't go and get
those and just stick them in one muffin
but we worked out what's the nutrient
profile in the UK in the us that comes
from snacks and then we designed a snack
product that was quite highly processed
that reflected that nutrient profile so
it's quite high in saturated fat high in
sugar high in refined carbohydrate low
in fiber people had to eat 20% of their
energy from these muffins which my kids
loved um or 20% from the almond nuts at
the end of that we measured lots of
health outcomes one of which was a
particular measure that we do to look at
people's vascular function so their
blood vessel function it's a measure
called flow Medi dilation it tells us in
really simple terms kind of how healthy
the blood vessels are and what we found
was the Improvement in blood vessel
function following having almond nuts
versus having typical UK snacks equated
to a 30% reduction in cardiovascular
disease that's crazy and in what period
of time six weeks in six weeks and do
you know what I think's
really interesting about this is it's
one simple single dietary strategy
and snacks are under our own control
typically I what I have as a snack isn't
determined by my fussy kids what high
have as a snack quite often isn't
determined where I am at that point in
time because I can bring my snacks with
me it's a really simple single diet
strategy that can have a big size effect
and I think that that's really important
it is really important though Stephen at
this point that I do say that I have
actually had funding from the alma board
of California and they did fund uh that
study although the way we conduct our
RCT the funders have no impact over the
study design or you know they don't get
to see the all data or or the paper
before we're publishing it but I just
think it's always important to declare
conflicts of
interest we've seen this though play out
in other studies with other nuts or
other snack substitutes so it's not
unique just to almonds it's a great
illustrator of how changing our snacks
can improve our health and we we really
are a nation of snackers um you
highlighted one of the stats there that
in the UK and in the US about 25% of our
energy comes from snacks 75% of the
energy that's coming from those snacks
is coming from unhealthy snacks this was
taken from The Zo podcast uh in
mediteran in Mediterranean countries
only 14% of energy comes from snacks
which is half of the UK and 85% of
British people report snacking compared
to 10% in France and in the UK we have
2.5 to three snacks per day which
translates to six or seven eating events
a day um and this has massive impact and
our glucose spikes and drops throughout
the day causing metabolic chaos and
that's part of what I was thinking as I
was as I was thinking about this is um
if I'm eating that muffin that you made
which resembles the sort of typical
British composition of a snack it's not
necessarily just that That Snack is
going to impact me it's that my next
Food choice because I ate that snack is
going to be different because I'm on
that I might be on a glucose roller
coaster here so I might end up making a
worse food Choice thereafter which then
might impact my maybe my sleep because
I've got a little bit of sugar in me
when I'm settling down to go to sleep
and is there the sort of not Downstream
domino effect because of that one snack
choice so I wouldn't say that you've
made a one bad snack choice and that's
it your day's over damn it you know
you're stuffed I think that you
highlight an important point though that
what we choose as a meal does have knock
on effects on what might happen later in
the day so for example if you have a
really refined carbohydrate breakfast or
snack then you're more likely to have a
blood sugar dip which we know from our
research is more likely to make you um
more hungry eat more calories have lower
mood have lower energy and be less alert
but I think you know
snacking can be used to our advantage
snacking can be used to our advantage
because we know it accounts for such a
huge proportion of our energy intake
because we know on average that you know
70 75% snacks that we do come eat in the
UK and the US are not helpful snacks and
because we know that actually just
transitioning from those to healthy
snacks can have a big impact but I think
it's really important to be thinking
about not just the type of snacks you're
having but the time of day that you're
having the snacks and we published some
research recently where we looked in a
thousand individuals at people's
snacking habits because it's not
actually been looked at much I mean you
think everyone snacks you think there'd
be loads of science out there about
snacking there's lots of science out
there about the different you know foods
that we might snack on but not really
much looking at snacking habits and
there's a lot of controversy out there
about whether we should be grazers and
we are a nation of grazers you know we
well I certainly graze but many people
we know like you said you know 80 to 90%
of people do have multiple eating events
throughout the day are you taking these
away from you for self-control I am a
little bit Yeah I think uh the the smell
of the chocolate and the cookies is
testing me and in Janu I'm not trying to
be tested there we go um
and what we have never really fully
understood is is snacking per se bad are
you having multiple eating events so
eating six times a day which we nearly
do in the UK and the
us or is it about the type of food we're
snacking on so should we revert back to
having the three main meals the
breakfast the lunch the dinner or is it
okay to have multiple meals as long as
it's healthy food so we looked at this
in our cohort of a thousand individuals
where we taken lots of measures related
to what they're eating when they're
eating how they're eating it as well as
lots of different Health outcomes and
what we found was that the frequency of
eating within reason was not a problem
so if people were grazing having
multiple eating events as long as they
were eating healthy foods it didn't
matter having multiple eating events so
snacking per se wasn't a problem as long
as they were healthy foods okay cuz
there's been a long
I guess raging debate about how many
meals you should have a day some people
just eat one meal a day some people
probably five or six meals a day and
you're saying it doesn't necessarily
matter as long as what you're eating is
healthy yeah I mean I will always as a
cautious scientist cave it within reason
but our research showed people having
six eating events a day I you know six
different occasions that they're eating
food or three eating events as long as
they were eating or snacking on healthy
foods it did not impact their health
outcome
and this is I guess controlled for
extreme cases where someone's maybe
eating at 1:00 a.m. in the morning or 2:
a.m. in the morning yeah so we also
looked at timing because I think that's
something that we haven't given enough
attention to in nutrition science and
it's a really exciting new area of
research that we're starting to
understand the timing of when we eat is
really important and what we found was
interestingly 30% of people were
snacking after 9 at
night and we found that if you snack
late at night I feel
attacked and this is a l in line with
you know other published research from
very tightly controlled clinical trials
we found that if you snack late at night
that that was associated with
unfavorable Health outcomes so uh worse
adosi so worse kind of fat around your
belly for example um higher levels of
inflammation worse levels of blood lipid
so you know cholesterol that sort of
thing and we found that this was even if
you were snacking on healthy snacks
really and this isn't especially
surprising because there's this whole
new area in nutrition called chronon
nutrition which is all about the timing
of eating and we now are really starting
to understand that every cell in our
body has its little body clock has a
clock every cell has a clock and that
clock is shaped by when we eat as well
as the light day cycle and if we're
eating out of sink with those clocks
those millions and trillions of clocks
in our body we know that we process the
food slightly differently we metabolize
it slightly differently and it may have
a different impact on our health and
that's what our research showed as well
so eating after
9:00 isn't great for your health just a
double down on that I have had a
long-standing
hypothesis that when I eat later at
night it is making is it is basically
increasing my belly fat now I I don't
have any science to support this but
there's a and also the way that I feel
when I wake up is radically different if
I've eaten close to my sleep time so I
had this weird hypothesis that I'm
basically putting food into the machine
and then I'm like turning the machine
off while it's processing so it's kind
of like not processed it properly yeah I
mean that's kind of a simple terms
what's sort of happening okay you know
our body needs to rest overnight just
like our mind does ourselves our
metabolism needs to rest overnight and
if you're not giving your body your
cells your metabolism your got
microbiome Etc that time to rest things
get Disturbed a little bit and what's
really interesting is you said that
you'll feel different the next day if
you eat late at night there's some
really fascinating research that came
out about one or two years ago where
they looked at giving exactly the same
calories and Foods over the day within
the same time period but on in one group
of individuals having most of the
calories earlier and in another group
having most of them later in the day now
those that were having them later in the
day woke up feeling more hungry which is
kind of like counterintuitive isn't it
but it fits in with what you just said
yet those people who are eating the
calories earlier in the
day woke up feeling less hungry and this
is why as well the evidence shows early
Tim restricted eating so time restricted
eating where you're eating within a
particular time window those people who
are practicing earlier in the day tend
to do better in terms of the health
outcomes whether it's weight
inflammation cholesterol than those
practicing later time restrict eating
when they have their last eating event
later in the day and that's cuz they're
eating in in in time with their body
clocks with these millions and billions
of little cell
clocks I have um had a weird observation
which is sometimes sort of quite rare
these days I have to wake up super early
to get on a flight and it means that I'm
disrupting my sleep maybe getting up at
4:00 or 5 in the morning and for some
bizarre reason if I'm if I wake up at
say 4: in the morning morning to go and
get a flight I am starving but if I woke
up at 9: that same day I would not be I
would probably not get hungry till about
2: p.m. and I've never managed to sort
of really figure out why disrupting my
sleep causes me to be ridiculously
hungry whereas typically I don't
honestly eat breakfast I typically eat
about midday or 2 p.m. so I think that's
probably a lot going on there it's
getting a little bit outside my of
expertise but I can certainly comment
from work that we've done and I'm
familiar with so what we know is that
sleep duration sleep efficiency what we
also call Sleep midpoint so the midpoint
in which you sleep impacts your hunger
levels we know that your hunger and your
fullness hormones change as you sleep so
we know that short sleepers people who
you know are getting up too early so
when you're getting up for your flight
then your hunger and fullness hormones
might be perturbed and we know that
short sleepers or if you've had a a poor
night's sleep you tend to wake up more
hungry than if you've had a good night's
sleep this isn't from my own research I
always have to cavey at that but this is
what some of the research is showing but
that also if you've had a poor night's
sleep You Reach For Less healthy food
and there's a study that was conducted
at Kings College London by my colleagues
called the Slumber study um and this
really nicely illustrates how just
changing how much you sleep can change
your dietry choices and in the Slumber
study they asked people who were short
sleepers to practice sleep hygiene they
gave them no dietry advice they just
said practice good sleep hygiene I you
know no screens late at night no
physical activity caffeine alcohol Etc
late at night dark and
room and then they just monitored lots
of different things in these individuals
and what they found was that those who
were able to extend their
sleep actually made healthier choices
such that they reduced jued without
being told to their intake of free Sugar
by about 10 G oh really without being
given any
advice so they slept better they atat
less sugar they made the decision to eat
less sugar without being told
to that correlates it's it's been such a
revelation I think in my my life over
the last I'd say two to three years is
realizing the downstream impact of sleep
and a bad night's sleep cuz it was one
of the things that I think growing up
especially you as an entrepreneur when
you're like consuming a lot of like
hustle preneur you know culture and it's
all like sacrific to sleep work seven
days that you assume is um take it or
leave it like it like you assume it's
often the first thing you think that you
can sacrifice in the pursuit of
productivity yeah well this is what I I
thought growing up and then in the last
I so all I think all 20 30 olds think
that yeah and do you not think yeah and
anyone that's like has I think probably
an involuntary amount of I say
involuntary but I mean just because of
the decisions they've made amount of
professional pressure or like shift
workers or anybody or even parents I
guess
um
they probably see sleep as second due to
some other kind of priority in their
life and when I shifted that and I I
made adjustments to my calendar and my
schedule to try and prioritize sleep the
downstream impact of it has been
profound in a way that I could never
measure or articulate fully but just
everything seems to be better so like my
relationships with my partner um my
ability to think straight um my
motivation to go to the gym that day um
the work that I do everything so it's
there's been this big sort of radical
adjustment where I now see sleep as
actually the the starting point for all
these other choices that I make good or
bad um and that's kind of what your work
is highlighting yeah I think it's that
we have to think of these four pillars
together of Health we can't look at diet
on its own can't look at sleep on its
own can't look at stress on its own we
can't look at physical activity on its
own so if we want to improve our health
through diet I think we must be looking
our sleep
habits which we can to a certain extent
control not always I know some people
have to work shift some people don't
have a choice they're woken up by their
kids Etc we need to look at our stress I
know that's one of the hardest things to
change um we need to look at our
physical activity and our diet and they
are all so interconnected and the
predict studies that were done at Zoe
found that sleep affected metabolic
responses as much as the macronutrient
content of the meal what is what is that
what is that saying so this is some
research that we published where we
looked at people when they'd had a good
night's sleep and we looked at people
when they'd had a bad night's sleep and
we looked at their post meal post
prandial glucose response so that
basically means after having your
breakfast that's got some carbohydrate
in it how much does your blood glucose
increase we call this the post frangel
glucose response because post prangel is
Greek for postmeal and so it's a term we
use a lot in the science and we looked
at um
individuals postmeal glucose response
when they'd had a good night's sleep and
when they'd had a bad night's sleep and
what we found was within the same
individual if they'd had a bad night
sleep their postmeal glucose response so
after breakfast was a lot higher
than if they'd had a good night's sleep
so what this shows I think quite nicely
if we think back to what you said about
how you wake up more hungry when you've
not had enough sleep we know that people
make poor dietary choices for example
from the Slumber study and then we know
that the metabolic responses to those
are worse it just shows how you're kind
of creating this perfect storm and how
you can't think of it in isolation CU
firstly you're waking up and you're like
bloody hell I'm hungry secondly it's
like I'm not having that healthy
breakfast I want that Pano shocate or
you know whatever that's you giving you
that quick fix and then you have it and
you're going to have this massive blood
sugar pee compared to if you'd had a
good night's sleep and and made a
healthy choice we less hungry etc etc so
it's like creating this perfect storm
and it's all started with your sleep MH
and that's why I don't think we can look
at things in isolation anymore which is
how I have spent the previous 20 years
of my research looking at things in
isolation but that's cuz I've not been
had the luxury of being able to collect
the kind of data that we're now
collecting I get a lot of messages from
parents so uh because I'm not one yet I
don't fully understand what it is to be
a parent and the demands of Parenthood
so I'm going to defer to you on this cuz
the parents my children never slept they
never slept they did obviously but oh my
Lord how did you how did you survive
that as a parent like what's the was
there any strategies or tactics you put
in place to defend against exactly what
you just described the downstream cont
quences of sleep deprivation no because
the first four years of my children's
lives uh I was also I lost my father
when my um daughter a few weeks after my
daughter was born uh my sister and I
became full-time carers for my mother
who lived around the corner um I took a
career break looked after my mom with my
sister had two young children they
weren't sleeping I had to show up I had
to show up to help my sister look after
my mom it was about survival
I didn't think about what I ate when I
ate that was irrelevant it was about
survival to be there for my mom to be
there for my kids and whether it was
because asleep deprivation was also so
bad that it was just like driving bad
choices I don't know but there's points
in time in anyone's life that we go
through that are about survival aren't
there
and I think everything goes out of the
window and I'm not saying it should but
I think that when when you're in the
depths of whether it's sleep deprivation
because your children keeping you awake
or what I was going through you know my
mother had a de generative neurological
condition and seeing someone daily
deterior deteriorate like
that what you're doing physical activity
wise well I didn't have time to do that
what you're
eating quite often doesn't become a
priority now it's probably a time it
should be even more of a priority
because we know that what you eat
impacts your mental health you know
there's great research now showing how
important it is but when you're in that
fug of whether it's that you're
depressed or you're dealing with you
know trauma or whatever I think food is
one of the last things that you think
about making a priority and I think it's
okay you know when we talk about the
health situation in the US and the UK
with obesity On The Rise and things like
that we you people are now pointing at
things like a zmek as the cure for that
but when you speak about the role there
that stress and our life styles are
having on us and I was thinking about
some of the stats that have emerged
around anxiety and young people and them
being more um in depression rates
globally um maybe there's something else
that we should be thinking about which
is like the mental health mindfulness
piece of how that overlays with food
choices and because you know even the
food the ultr processed unhealthy foods
that are being attacked a lot these
days I mean to some degree they are a
consequence also of demand oh absolutely
so they wouldn't be making these things
if people didn't want them no and didn't
buy them so maybe if we focused more on
some of the mindfulness mental health
challenges we have in society people
would have more of a um a greater
ability to make better choices
themselves as well because I certainly
know in my life that if I'm highly
stressed or if things are difficult then
my ability to make better food choices
is significantly impaired yeah
absolutely I you know again this is what
the research shows the Sleep the stress
it impacts your ability to make choices
about lots of things but equally your
food choices you know what you're
talking about I think is so complex it's
where where's the responsibility for the
government where's the responsibility
for the food industry where's the
responsibility for us as individuals
where's the responsibility for schools
for example or for us as parents
educating our children we need to take
into account all of those different um
areas in order to improve the foods that
we're eating there is a problem that
these three dishes so the chocolate the
biscuits the crisps they are more tasty
or rather our taste buds our brains are
tricking us into thinking they're more
palatable and that's a problem do we say
to our children you can never ever have
them now I've certainly never taken that
approach I think it's all about balance
and enabling people to make the choices
that they make but I recognize if I'm
sitting there in the evening I'm a I'm a
bit stressed I've got a work deadline I
don't want to eat nuts I want to eat
those biscuits or those crisps and I
want a glass of wine with it I know
that's not the right decision I know
it's 10:00 at night but in the
moment that's the choice I probably will
make do you get frustrated with yourself
because you you know more about
nutrition than most people on planet
Earth yet you still find yourself making
at at times suboptimal nutritional
choices no I don't because I think
that it's really quite simple when we
think about the food that we eat I think
we're making it so complicated and I
think that do you know what if we eat a
good amount of fruits vegetables pulses
if we try not to eat too much heavily
processed foods if we try and get a bit
of diversity in our diet we're doing
okay so what if I go and have you know
bared chocolate as long as I'm not doing
all day every day mhm and I think this
kind of Health
optimization around
diet I think is taking away the pleasure
of food and you know I often say if a
food is too healthy to be enjoyed it's
just not healthy at all food is there to
bring us joy it's to bring us pleasure
it's part of our emotions it's part of
our culture it's part of you know our
social connections MH and I worry that
now there's a certain proportion of
society so hyperfocused
on that 1% gain in terms of the food
that they're eating that they forget all
of that pleasure so I think I have quite
a balanced approach because I know that
ultimately if you get the foundations
right the rest will follow but that
makes up
95% of what makes a food or a diet and
that's how we need to think about what
we healthy what do you think of
diets um because there's so many bloody
diets as
there I think
that there's so much neutrols out there
Nutrabolics there is so much
misinformation out there what you see on
social media versus what the evidence
shows is like night and day I mean
seriously and so when I think about diet
my view on
diets I mean there are some that there's
some good evidence you know eat plant
eat 30 plants a week yeah that's great
um go on a low calorie diet to lose
weight great but how are you going to
maintain that weight that's a whole
other question great for losing not for
maintenance um then you've got the
alkaline diet I mean I I don't
understand that eat alkaline foods but
your stomach is acidic so got no idea
how that works the blood type
diet I don't actually know what half of
these diets do because I do not
understand the
physiological theory behind them and so
do you know what though Stephen I think
if it works for you as an individual
fine do it but if it works for you at
the expense
of the pleasure of food at the expense
of enjoying life to the fullness that's
what I think is a shame like Tim
restricted eating I think there's great
evidence around time restricted
eating now much of it comes from very
tightly metabolically controlled studies
you know that are done Clinic where
people you know eat within a five or six
hour window so they have their first
meal at 10: their last meal at 4 in the
evening reduces inflammation reduces
body weight improves blood cholesterol
etc etc
etc I don't want to only eat six hours a
day I want to have dinner with my family
I want to have dinner with my friends I
want to go to the PB in the evening not
every evening I want to live
life so what can we do that takes that
principle of that diet
but we still benefit from
it and this is what's great again about
the research that we're doing at zo
we've done this study called the bigf
study the big intermittent fasting study
we had 150,000 people sign up and we
said look we want to see if what we find
in tightly controlled clinical studies
plays out in the real world because we
always have to think how does all of
this evidence play out in the real world
does it matter and we said just limit
your eating window so the time from your
first to your last meal to 10 hours so
that means if you're having your first
meal at 10: you're having in the morning
you're having your last meal at 8 in the
evening MH that's correct isn't it
sure my paral cannot do maths um that's
quite doable for most people I can have
my breakfast at 10:00 I can finish my
last meal at 8 I mean yeah I do like
munching on my chocolate late at night I
could probably still live a happy enough
life doing that and we found people
could do it we found as well that people
who practiced it within two weeks they
felt better they had better energy
better mood um you know they were
feeling a lot better they also lost
weight many people wanted to do this
because they wanted to lose weight and
we actually see from evidence that
people practicing time restricted eating
even if they're told not to change their
calorie intake just by limiting the
eating window on average reduce the
energy intake by about 300 calories on
average there's been a big debate around
this um conversation around fasting
calorie restriction and some people say
that it's basically the same thing and
that you've kind of proven that to some
degree so we know that in most instances
if you practice time restricted eating
you unintentionally reduce your energy
intake and the data shows that on
average from the studies that published
is about 300 calories obviously depends
on the duration the reduction in body
weight also we know is dependent on the
eating window so the smaller the eating
window the greater the reduction and
body weight but there have been some
studies that actually control the amount
of calories that people eat but have
some people having it in a bigger eating
window some in a smaller eating window
and what these Studies have shown that
if you have the same amount of calories
but you change the period in time in
which you're eating your food there is
an additional benefit on metabolic
Health there is a benefit in terms of
blood lipids in terms of inflammation
independent of calories Okay so
Tim restricted eating has some benefit
independent of calories
consumption yes but the bulk of the
benefit is due to uh a reduction in
calories so there's some benefit
independent calorie restriction but the
bulk of the benefit that we see is due
to a subconscious or unintentional
reduction in calories and I think this
is when we're thinking about diets I
think we need to think about how easy is
it to implement is there any evidence
behind it and 99% there isn't for the
ones that there is evidence like Tim
restricted eating can we do it in a way
that still enables us to live our life
that's sustainable and the sustainable
point I think is really important
because there's now some new evidence
emerging around consistency MH and the
importance of consistent eating
patterns and I think this is fascinating
so there's research showing that if one
day you're having three meals and then
the next day you're having nine Mees and
the next day say you're having six meals
and the next day you're having four
meals that troubles your body it's like
whoa hold on I'm used to having you know
four eating events a day and this is
important to bear in mind when we think
about snacking if you're typically a
snacker then fine carry on snacking as
long as it's on healthy food and as long
as you have your last snack before 9: at
night if you're not a snacker having me
just vouched for the great benefits of
snacking don't start snacking because
you don't want to be
inconsistent and this new evidence
emerging around the consistency of
eating and there's some research done
actually quite some time ago that
started this idea I think is really
fascinating so try and have a consistent
eating pattern same applies to sleep try
and go to bed at the same time get up at
the same time we've done some work uh
around social jet lag don't know if
you've heard of that term uh I think
I've heard of it what does it mean so
social jet lag is where you have an
inconsistent sleeping pattern throughout
the week so for example for many maybe
20-year old or students they might go to
bed at a sensible time in the week and
go parting and crazy at the weekend or
for someone like myself I go to bed late
at night because I'm late night working
parenting Etc and then at the weekend I
catch up so if you have more than about
a one and a half
hour uh increase or decrease in sleep
between your work days or weekend days
Etc that's called social jet lag MH so
it's a bit like jet lag going from one
country to the other and what we know is
and we've published on this from our own
zo predict research people who
experience social jet lag so have this
inconsistent sleeping pattern make poor
dietary
choices they have more inflammation they
have a different gut microbiome
composition now it might be because of
the dietary choices but again it just
plays into this whole idea that we're
talking about that we can't just think
about the food in isolation we need to
think about how we're eating out our
lifestyle Etc what else is on your
Nutrabolics
list what things bring to mind that a
lot of people believe I mean there's a
big debate raging at the moment about
seed oils because we had uh incoming um
American I guess he's a politician um
RFK Jr say recently seed oils are one of
the most unhealthy ingredients that we
have in foods and the reason they're in
Foods is because they're heavily
subsidized they're very cheap but they
are associated with all kinds of very
serious illnesses including body-wide
inflammation which affects all of our
health it's one of the worst things you
can eat it's almost impossible to avoid
if you eat any processed food sorry I'm
laugh to laugh this is like Nutrabolics
Beyond Nutrabolics but please I that's
basically it he said if you're eating
any processed food you're going to be
eating seed oils and he advocates for
replacing seed oils with beef Tallow
which is in the UK is referred to as
dripping which is pure beef fat and is a
saturated fat and he's actually selling
T-shirts um RFK Jr at the moment that
say make frying oil Tallow
again so what so seed oils what is this
weird debate that I've seen raging on on
my Instagram about seed oils I've like
managed to avoid it like I've just not
paid attention to it but I see the word
seed oils all of a sudden everywhere
okay so seed oils I think is at the top
of the neutr bolics list I I it blows my
mind what you've just read me it
seriously blows mind I've done lots of
research on seed oils so I can talk from
my own research as well as all the
evidence spaces out there there is
absolutely no evidence that is credible
evidence when interpreted in the correct
way to show seed oils are
harmful what is a seed oil so a seed oil
is an oil from a seed so the most common
seed oils in the UK is rape seed oil
which is also known as canola oil in the
US and many other countries followed by
sunflow oil the most common seed oils in
the US are soybean oil followed by rape
seed or oil followed by sunflower seed
oil and there's about three or four
arguments that people use to say that
seedor are bad for us and if you go on
social media I mean this is a perfect
example of Night and Day between
scientific evidence and what's on social
media if you go on social media seedor
are toxic seedor are going to give you
Alzheimer's seedor are going to give you
cancer seedar are going to kill
you you look at the evidence
it's totally the reverse now you can
have sensible boring scientists like me
say seedor is a really good for you you
could put that as one of your assets or
whatever you call it or adverts for this
m so we could say seedor are really good
for you Steven or I could tell you
seedles are toxic they're going to kill
you everyone's trying to kill us with
seedles what's going to get more clicks
probably the toxic seed oil narrative
and so the sensible science there's no
Silver Bullet there's no like you know
crazy inflammatory argument the sensible
science isn't going to get the click so
unfortunately the voices of reason and
often it comes from boring academics
like myself not saying other academics
are boring but sensible academics like
myself that give the you know the
balance we we don't get a voice we're
not being heard which is one of the
reasons that you know I wanted to come
on this show because of the
misinformation and we have to get the
voice of reason out there we have to get
the voice of reason so things like that
to do with seed alls are not what's
dominating the
headlines so what people say in terms of
seedor is firstly our intake of seedor
has increased 100 fold the last 20 30 40
50 years and with that increase in seed
oil intake so has cancer increased so
has cardiovascular disease increased so
has obesity increased so has Alzheimer's
etc etc so must be to do the SE oils
well what else has changed in that 50
years we're more sedent we eat loads of
these other it's heavily processed foods
that got all of these other ingredients
in you know the sugar the this the that
so much else has changed you know you
can't put it all down to the fact that
at that point in time seed oils were
also changing we also know that about
60% of the seed oil that we eat is
actually in these heavily processed
unhealthy Foods so it's the first
argument they say and you see these
beautiful figures that they put out
where you see on one axis the intake of
cedor you see on the other axis um you
know uh o over time you'll see uh for
example like rates of cancer and you see
rates of cancer or rates of
cardiovascular disease going up lineally
with the intake of seed oil but we have
to think what else has changed in that
time the other arguments that they use
are theoretical arguments based on
biochemical Pathways and I spend an hour
teaching this to our undergrad and I'm
not going to bore you with that
biochemical
part but they talk about the ratio of um
a particular fatty acid which is Omega 6
which is found in high levels in seed
oils and omega-3 which is another fatty
acid and they talk about how having lots
of seedles changes this ratio makes uh
this pro-inflammatory state because it
increases a particular Downstream
chemicals etc etc
what we know from kind of theoretical
biochemical Pathways and enzymes Etc
doesn't actually play out in humans
we're so clever we have all of these
mechanisms in place to control
inflammation to control oxidative stress
to control Downstream impacts of foods
and so this argument that is also used
to say that Omega six fatty acids so the
main fat that's found in many of these
seed ORS is pro-inflammatory
is not supported by any evidence it's
not supported by tightly controlled
clinical trials if anything it's shown
to be anti-inflammatory that levels of
in inflammatory um circulating Mo
molecules actually
reduce and yet they use this kind of
theoretical argument or what they've
seen in a Petri dish for example or in a
test tube so where is this narrative
come from where where did it originate
from that seed oils were were toxic was
it just one of those things that just
snowball I think it's one of those
things that snowball and I think it does
fit in with the whole uh argument that
people are using against old processed
food it does fit in with other other
narratives that are going on I think
some people can be very clever in
cherry-picking research so there's a
study called the Sydney har study and in
this study this was done in the 70s and
this is a study that's used often to
advocate for the toxic effects of seed
oils and in this study uh males that had
had a heart event or a heart attack of
sorts uh were uh randomly allocated to
either increase um
their omega-6 so this particular type of
fatty acid that we is in seed oils um in
their diet by having lots of seed oil MH
or they were asked to just follow their
normal diet which is quite high in
saturated fat and what they found is
those that increased their seed oil
intake went on to have worse Health
outcomes now the problem with that is is
that in those days the majority of seed
oils underwent an industrial process
called partial
hydrogenation and partial hydrogenation
produces a very harmful fat called trans
fats you might have heard of trans heard
of the word yeah and so they were eating
this seed oil in the form of a margarine
or fat spread that had undergone partial
hydrogenation and therefore was full of
trans fats trans fats increase
cholesterol trans fats increase
inflammation trans fats are bad fast
that's why they are not in our food
supply
anymore and so of course that seed oil
was going to cause worse Health outcomes
but it's not how seed oil is consumed
now and so it's that clever cherry
picking of evidence that often supports
a lot of the neutr bolics that's out
there yeah and you know people
you know with all these studies out
there and with some studies having less
rigor
and studies that aren't don't have sort
of the randomized control element or
what's the other term for a study where
they do um they look at like 50 studies
at once so they're met analysis we do
randomized control trials so these will
be trials where there's always a control
arm will randomly allocate some people
to an intervention like seed oils and
some people to control could be
saturated fat could be beef Tallow
that's been done and then we look at
different Health outcomes we follow them
over a period of time or it could be
that I ask you for a month to have seed
oils and then next month have beef
Tallow for example and then we'll look
at different Health outcomes compare how
you responded to one versus the other
and then what we do as scientists is if
there's enough of these clinical trials
these randomized control trials we put
them all together into what's called a
metaanalysis and we look what does the
metaanalysis show so for example for
seedor there's met analysis for example
of um about
42 uh randomized control trials where
they comp seed oils to other fats
showing consistently that there is no
harmful benefit that actually there's a
reduction in cardiovascular disease
because the particular fat that's in
seed oil has a really potent cholesterol
lowering effect so it's actually
beneficial for our health yet beef
Tallow is full of saturated Fair it's
full of ptic acid which is a particular
type of saturated fat that we know is
bad for us there has been studies and
these studies were done many years ago
when uh beef Tallow was actually used
comparing seedor with beef Tallow seedor
always were came out better seedor
always reduce cholesterol compared to
beef Tallow reduced inflammation Etc
reduced cardiovascular risk factors
you're very passionate about this I am
because I've researched I as a research
active scientist where I've run
randomized control Charles and I tell
you what you sweat Blood and Tears I
love my research but it's bleming hard
work doing a clinical trial you know
getting ethical approval recruiting
people changing people's diet running
dietary studies is really hard because
it's not a case of giving them a pill if
I'm going to give you seedor I've got to
think well how am I going to do that
what am I what instead of what what am I
taking out of your diet to give you that
how am I going to make sure the rest of
your diet is control so once you run
studies yourself and you sweat at that
blood and tears and then you see this
nutriol this misinformation out there
it's really bloody frustrating but it's
a good thing that people like yourself
are leaning into the mediums now of like
podcasting because it's worth saying
that as it relates to the sort of
transfer of information it's typically
people who have either a platform or who
are great public speakers or great sales
people that are ultimately going to like
resonate the most reach the furthest
with their information irrespective of
whether that information is is credible
so it's good to see more and more people
that are are in the research now sort of
stepping away from the research
laboratory and coming into environments
where they can provide counteracting
information and as someone that's on my
own Journey To Figure to sort of weave
through all of this information to find
out what's right for me um it's
difficult and for a lot of people it's
super difficult I mean the way that I
kind of my own framework for this is I
listen to things and then I don't don't
necessarily trust one source to be true
but I I I almost like wait
the authority experience and the rigor
behind how they've arrived that
information and then I guess I perform
my own meta analysis across lots of
different people that I speak to and
guests and information that I get to
find the sweet spots where the sweet
spot for me is many people have said it
that I think have a lot of sort of rigor
and authority and um
uh experience in that subject matter so
then I accept it to be true whereas I'm
not going to go on Instagram and see a
real popup in it says that I don't know
putting sugar in your eyeballs is good
and I'm not going to crack on with it
just because the person's got Charisma
and I think in the world we live in
where there is now this decentralization
of information which has its upsides and
its downsides we all need to have our
own decision framework um set aside what
is true but I think yours is more
rigorous than most so many people get
their information from One Source many
people trust one source
and you're right that as academics we're
rarely given a platform yeah and this is
what I valued most actually about what
I've done at Zoe well being able to do
the kind of trials that we're doing but
being able to have a platform not just
for me but for us to invite other
credible scientists onto the Zoe podcast
or for me to come on to this kind of
podcast we're not trained as academics
how to communicate we're trained how
to you know run good studies in my case
you know run clinical trials interpret
the evidence evaluate the evidence
critique the evidence and you know I'm
selftaught to present the evidence to
other
academics but we're not taught to
communicate it to the general public so
for me it's been a journey working at
Zoe of trying to communicate really
complex stuff like I would have loved to
have spent an hour telling you about the
biochemical pathway of why um seed oil
don't impact inflammation yeah but I
know that really you're not interested
the listeners aren't interested but you
know I'm hoping that by informing them
that I've done these studies and that
these are the results there's trust that
actually what we found is true but we're
the smallest voice out there the
research active scientists partly
because of time you know I'm I'm still
in you know running trials running uh
you know different
interventions but also
I think many of the big
platforms aren't giving us the
opportunity necessarily
because we haven't got the most exciting
things to say because at the end of the
day you know we'll present the evidence
we'll present it with caveat we'll
present it with
caution and you know I will always say
on as I were to students I'm teaching
what I'm telling you now is based on
what the evidence shows now in 10 years
time I might be totally wrong MH all of
these trials showing seedor are fine I
might be wrong in 10 years time I mean I
doubt it I doubt it because there's
enough research but as scientists that's
something else you know we we always
caveat with and I think sometimes that's
difficult for the general public maybe I
mean I might be doing a disservice I
don't know that you have the nonactive
SC or or non-active influencers science
influencers I don't know what you call
them that speak with such certainty now
I will if it's my study so I'll talk
with certainty over the seedor study
because I've done them I've been there
in the lab analyzing it or I'll speak
with certainty over snacking data
because I've you know sweat Blood and
Tears over you know running the stats
Etc but I won't talk with certainty
about anything else that I haven't done
myself and yet you have other people
talk with such certainty and I think
that's what instills confidence in maybe
listeners and that's why they get more
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Bartlet there's a lot of neutr bolics
Around Da right yep um I think the
prevailing Nutrabolics is that Dair is
bad for you yep so there's not lots of
Nutrabolics around Dairy and it's
related to the Nutrabolics also around
saturated fat so as a whole we know
saturated fat is bad for us Dairy
contributes to most of the saturated fat
intake in the
UK so therefore we could say all Dair is
bad for us but no Dairy is a diverse
food group you've got cheese you've got
yogurt you've got butter you've got milk
and how they impact our health is vastly
different depending on whether it's a
liquid a solid it's fermented it's
non-fermented etc etc and grouping them
all together is as ridiculous as
grouping all these snacks together in
terms of their health
effects and what we now know is that
some Dairy is actually good for us so
some Dairy like
cheese like yogurt and I don't mean this
really kind of heavily sweetened sugary
yogurt I mean like your Greek yogurt
shafe those sorts of things you're
playing yogur they've undergone a
process called fermentation and that
changes the food Matrix so again we're
coming back to that whole importance of
the structure of the food and by
changing the food Matrix changes how our
body handles it how our bodies how the
health effect of their cheese we don't
fully understand how there's some great
research being undertaken at Reading
university really diving into this uh
but what we know is if you have cheese
within reason if you have yogurt within
reason it does not increase your
cholesterol despite being high and
saturated fat now have to caution that
I'm not saying people should go and have
you know 300 grams of cheese every day
but within normal kind of intakes of a
few portions a day it does not increase
people's cholesterol having cheese or
having you know good uh yogurt butter on
the other hand we do know does increase
your cholesterol now if you're having at
the kind of level that you would maybe
just putting on a bit of toast I
wouldn't worry so much but we do know
that if you were to compare cheese
versus butter which has almost the same
fat
composition and this has been shown in
randomized control trials the butter
will increase your cholesterol but the
cheese will not and nuts a lot of people
say that nuts cause weight gain no the
evidence does not support that so we
know
that
um people who consume nuts
based on the totality of the evidence do
not gain weight we know this from
epidemiological data I.E people who
consume more nuts um tend to quite often
have a lower BMI now that could be
confounded by the fact that nut
consumers and only about 10% in the UK
and even less about 7% in the US even
consume USS not consumers tend to have a
healthier overall diet so there is that
confounding but clinical trials show
that if you add nuts your diet are
included you do not gain weight now that
might be partly because of the
mechanisms that we've talked about to do
with the food Matrix that 20 to 30% of
the calories are being excreted so the
backup pack labeling shows that per
portion of n is 170 calories but
actually on average you only absorb 130
calories so lots of it's coming out it
might be because you know they're
feeding the microbiome that's helping
you know reduce adiposity it's also nuts
a satiating so they make you feel more
full they also blunt your blood sugar
response they have so many other
benefits that counterbalance any
potential for weight game and is there
anything else on the Nutrabolics list um
that is worth highlighting I would say
that I think there's still lots of
confusion around saturated fat okay and
around cholesterol so cholesterol I went
and did a blood test and uh the doctor
said to me that one of my cholesterol
was a little bit on the higher side this
was last year so and think it was the is
it the HDL cholesterol I don't know the
way that I experienced it was there's
this good cholesterol and this bad
cholesterol and like my bad one was like
a little bit you know behave like it's
getting a little bit into the region
where he might have more of a Stern talk
with me that was last year I think I've
done better this year but what is
cholesterol and my simplified
explanation of it is that is that flawed
in some way good bad no it's always a
little bit more nuanced a little bit
more complex um but there are two ways
that we can look at cholesterol we can
look at cholesterol in terms of the
cholesterol that we eat right and that's
where I think there's a lot of
misinformation and we can look at
cholesterol in terms of the cholesterol
that our body produces so our liver is
constantly churning out cholesterol when
the liver CHS out cholesterol it
packages cholesterol into to do two
different kind of packages or two
different types of parcels and the
labeling so to say on these Parcels
determines the health effects of that
cholesterol so you've got your HDL
cholesterol which we call our good
cholesterol you've got your LDL
cholesterol which we call your bad
cholesterol okay so L is bad yes H is
good okay they're actually the same in
terms of the cholesterol but it's the
label that's on the parcel the label in
terms of which is directing where they
go which is different so in really
simple terms LDL is directed um posted
to your peripheral tissues to your blood
vessels where it can be taken up and in
the right um environment where there's
inflammation Ox stress Etc can result in
atherosclerosis which is that kind of
furring of the arteries uh which over
time can build up and can lead to you
know heart attack etc etc okay HDL in
very simple terms has a label on it that
actually enables the reverse cholesterol
transport so actually almost kind of
cleans up some of the cholesterol this
is kind of in very simple terms so if
any lipidologists are listening they
might be a bit frustrated uh but in very
simple terms and kind of brings it back
to the liver for disposal okay so that's
why it's considered good what we know is
that the amount of LDL cholesterol
that's
circulating is really important in terms
of our cardiovascular disease risk there
are some cholesterol deniers and I know
you've had on your show a cholesterol
denier I don't believe in the evidence
he presents I think that the totality of
the evidence is very very clear that as
your LDL cholesterol increases your risk
of cardiovascular disease your risk of
all cause mortality
increases where there is misinformation
is around dietary cholesterol that there
was this perception years ago that if
you have foods high in dietary
cholesterol like eggs yeah that it will
increase your circulating cholesterol
and therefore increase your risk of
heart disease and therefore there was a
limit years ago put on how many eggs we
should eat how much cholesterol we
should
consume we now know within certain
limits
So within the limits that we typically
eat our food containing cholesterol that
dietary cholesterol does not impact our
circula cholesterol obviously at
extremes it does but if you're having
one to two eggs a day that's an intake
of cholesterol that's not going to
negatively for most people impact your
circulating levels of this LDL bad
cholesterol if you're having 10 eggs a
day then I would be worried okay okay
but yeah cholesterol is another area of
neutrols and then you know on this whole
area of cholesterol heart disease I
think a really frustrating area of
neutri bolics is saturated
fat so we'll talk about saturated fats
just so I'm I'm super clear on the
cholesterol Point what foods have really
high levels of cholest L the circulating
cholesterol in them okay so you've got
dietary cholesterol which is just the
cholesterol that's in the food yeah and
that has very little impact on
circulating cholesterol okay
then you have cholesterol that the liver
produces and the liver produces that
from
scratch and it's di how diet impacts the
liver production that determines how
diet impacts our circulating cholesterol
so saturated fat increases the
production of cholesterol by our liver
and reduces the removal of cholesterol
by our liver highly refined
carbohydrates can also increase the
production of cholesterol by our liver
so when we're thinking about how diet
impacts our cholesterol particularly our
LDL so our bad cholesterol we don't need
to F worry so much about dietary
cholesterol I how much cholesterol is in
a food Because unless it's extreme it
will have a minimal impact we need to
think about how much saturated fat for
example we're having because that's one
of the main dietary determents of our
cholesterol level okay and what is a
saturated fat so versus like a normal
fat like is there good and bad fats yes
they good and bad fats all of the fats
that we eat or 98% of the fat that we
eat comes in the form of a molecule
called
triglyceride and a triglyceride has
within it Three fatty acids and it's the
mix of these fatty acids that
determine the um Health properties of
that triglyceride the Melt profile of
that trde etc
etc and there's lots of different types
of fatty acids so you're probably
familiar with amino acids which are
types of protein MH and in the way that
amino acids are what make up protein
fatty acids are what make up a fat and
the quality of that fat and we typically
uh separate them into three main classes
saturated monounsaturated and
polyunsaturated and you might have heard
of those terms yeah Loosely yeah and
saturated fatty acids differ in terms of
their biochemistry and I W bore you with
that um two mono and polyunsaturated
fatty acids they also differ in terms of
their melt profiles so like how hard
they are or liquid they are most tend to
be hard hence why most hard fats like
butter you know most animal fats which
are hard at room temperature tend to be
high in saturated fats mono and
polyunsaturated fatty acids differ from
saturated fatty acids in terms of their
biochemistry in terms of their melt
profile they tend to be liquid
um and polyunsaturated fatty acids are a
very special type of fatty acid because
they're actually essential for us our
body can't make them and so they're
essential fatty acids and one of those
is
omega-6 which is the fatty acid found in
sedol which is what people say is why
seedor are bad for us which hopefully we
debunk there
and saturated fat as a whole we know is
linked to increased risk of
cardiovascular disease increased risk of
or cause mortality
but there's lots of people that say you
know we've got it wrong as nutritional
scientists we don't know what we're
talking about it because actually
there's this metaanalysis that showed
that actually saturated fat isn't bad
for us and that's because when we think
about the health effects of food we have
to always think of that instead of
what so there was some work that was
carried out looking at hundreds and
hundreds of different clinical trials
where they've replaced saturated fat in
the diet with carbohydrates or trans fat
or polyunsaturated fats or mon
unsaturated fats and what this research
showed is that if you replace saturated
fats with whole grain
carbohydrates you have an improvement in
health if you replace saturated fats
with poly or monounsaturated fats you
have an improvement in health if you
replace saturated fats with refined
carbohydrates there's no
difference so you could take that study
and you could say and this is of
hundreds of different studies and say
saturated fats are really bad for us
because we know that if you replace them
with whole grain or poly oron
unsaturated fats you have a beneficial
effect or I could take the same analysis
and say oh saturated fats are fine
nutritionists have got it all wrong
because actually there's no detrimental
effect if you compare it with refined
carbohydrates and this is exactly what
happened when this metaanalysis came out
about probably about 15 years ago I
remember looking at the headlines of two
different papers I won't say what the
papers are but one I would say is a
little bit more evidence-based and one
is a good example of clickbait headlines
they had totally different
headlines one said nutrition scientists
have got it all wrong we've been lied to
saturated fats are fine the other said
research again consistently shows
saturated fats are detrimental to our
health obviously that one's
right and they're talking about the same
study talking about the same study
because it's the instead of what and
that's really important when we think
about the health effects the other thing
that does complicate things a little bit
of saturated fats is there's lots of
different types of saturated fats we
know that the type of saturated fat
matters but we know the food Matrix that
it is in that matters and the dairy is a
great example so you have cheese and
butter exactly the same or almost
identical fat composition to entirely
different effects on our cholesterol so
it is a little bit more Nuance than
saying all saturated fats bad it depends
on the type and the food it's in and
what types of food have um saturated
fats that have
a less than healthy food Matrix so I
would say the type of saturated fats
that we want to avoid are the saturated
fats that are found in most animal
products except fermented dairy except
cheese except yogurt so beef
Tallow I would say the evidence
consistently shows is not favorable for
our health lard mhm butter in large
amounts um you know and then the meat
that's the the fat that's intrinsic to
the meat takes salami you can see the
fat in there take steak for example you
know cut off the visible bits of the fat
it's okay in small amounts I'm not
saying we should avoid it
totally but if you have the option of
kind of cutting off trimming the fat
then I would and then there are some
tropical oils that are very high in
saturated fat palm oil for example
coconut oil although the JW is out on
the health effects of coconut oil but
palmo for example is very high in
saturated fat we know it increases our
cholesterol if you had to give me some
principles for eating based on
everything we've talked about today just
like and I and I had to force you to
just give me five principles for eating
what would those five principles
be five
okay I would say first and foremost find
food or dietry pattern that you
enjoy that brings you pleasure cookies
okay but we are not these aren't
exclusive to each other Stephen okay
okay fine that brings me
pleasure okay that's really important
these are not exclusive okay so a
dietary pattern that brings you
pleasure
because because food is there to be
enjoyed and it will be a sustainable
dietary pattern and because we know that
consistency and sustainability is really
important in how you eat
okay second I would say think about how
you
eat think about how fast you're eating
slow down chew more chew more don't eat
late at
night try and eat within a 10 or 12 hour
eating window and just on this t point
you were before we started recording you
you were saying that you wouldn't mind
if I chewed some nuts and spat them out
so you could look look at them um why
does chewing more have a impact again
just so I can I'm clear
so chewing uh can impact how you break
the food down yeah obviously uh but we
also know chewing impacts your hunger
and your fullness signals so there's
some evidence to show if you chew your
food 40 times versus 15 times it can
result in a difference in how full that
food makes you feel okay so the chewing
effect is sending some kind of signal
yep yep to my brain yep again this isn't
an area that I I have expertise in but
that's what the evidence is showing so
as well as your gut sending signals to
your brain receptors on your gut saying
whether you're full there's something
going on when you're chewing your food
as well that's important okay um and
chewing your food also changes the rate
therefore at which you're eating so it
changes your eating speed ah okay makes
sense so on that second Point I've got
slow down two more don't eat late at
night and eat within a 10 to 12 hour
eating
window 10 12 hour eating window then the
third would be Go Back to Basics yep
have a good amount of fiber have a good
amount of healthy oils that's your olive
oils in your olive oil D I say it seed
oils but olive oil I would say is the
king and queen of the oils
um
and you know have that balanced plate
rather than obsessing over a single
food okay number
four don't think of food in isolation
Okay think about your diet in relation
to or alongside your sleep your stress
your physical
activity and number five can you remind
me of what I've I've done yes so I'm 48
I'm in the depth of per menopause I'm
one of those like 90% of people that
have brain fog and memory loss so number
one uh was food that brings you pleasure
which is sustainable and allows you to
be consistent number two is really
thinking about how you eat so slowing
down chewing more not eating late at
night and trying to have a a a shorter
eating window of 10 to 12 hours number
three was Go Back to Basics which is
high fiber whole grains fruits healthy
oils and overall just a balanced play
and number four is don't think of your
nutrition in isolation so think of it in
the context of your exercise your sleep
and all of these other lifestyle factors
and number five don't deny
yourself anything think think about what
you can add in rather than what you take
away don't deny yourself anything so
cookies are still on the
menu occasionally
yes you mentioned the
um per menopause you said you're in per
menopause currently how does that factor
into everything we've talked about today
and what is the because I've got this
graph here that I'd found um about the
menopause transition which talks about
how different sort of things are
happening inside the body you've
probably seen this quite a few times
before which I'll put on the screen and
link below for anybody but what is the
relationship between my diet and my
menopause journey is there anything to
be aware of there is I mean that you
know the menopause has a huge impact on
how we respond to food it has a huge
impact generally on all of these pillars
of Health that we've talked about our
sleep our stress our physical activity
you know and diet and I think it's
something we're talking about a lot more
now and we should be talking about it a
lot more now you know 50% of the
population at some point are going to go
through the menopause and it's a
transitional period of great disturbance
great disruption and of great burden to
many women and we've conducted lots of
research uh at Z on the menopause and
what we know is that prior to uh the
menopause which is basically the point
one year after your last menstrual cycle
you have this per menopausal transition
period where your estrogen and other
hormones are fluctuating dayto day so
it's like this roller coaster which I
think your graph shows really nicely
you've got this roller coaster of
hormones
and so what's happening is is your
estrogen isn't just slowly declining as
you reach per menopause so that
transitional period before your
menopause but you're on this roller
coaster um and it becomes more regulated
after the
menopause but you're still in that point
where you're having less estrogen so
less of the hormone that we know has
such wide reaching effects and the
reason that the per menopause transition
as well as postmenopause period in a
women's life is so important is because
estrogen the hormone that fluctuates
during the per menopause and then
reduces and declines in
postmenopause has effects all over our
body nearly every cell in our body has
estrogen receptors so our brain um our
blood vessels nearly everywhere so this
roller coaster of estrogen during the
per menopausal phase and also the
reduction postmenopausally has
far-reaching
uh health effects so for example
postmenopausally women are five times
greater risk of having a heart attack
now some of that's due to age but it's
also due to the loss in estrogen women
are five times more likely to have
abdominal obesity which is fat around
the tummy and that's because of
estrogen's role in uh fat tissue
deposition so where fat tissue is
deposited we see in our own Zer predict
research Prem menopause women are doing
well compared to men in terms of many of
these what we call intermediary risk
factors of cardiovascular disease blood
pressure cholesterol glucose insulin Etc
as soon as they hit the menopause
suddenly they catch up with men and it
gets worse and so suddenly their blood
pressure is higher than men or their
cholesterol is the same level as men so
we see this as well in our zoedic
research that postmenopausally and per
menopausal people's cholesterol and
their bad cholesterol their LDL
cholesterol increases by 25% and this is
all related to the wide reaching role
estrogen has in our body we also see the
estrogen impacts and therefore the per
menopause and postmenopause how we
metabolize food so we see bigger
excursions in postmill glucose and
postmill fat after the menopause again
it's all linked to the role that
estrogen plays uh in our metabolism and
then I think what's most important to be
aware of regarding the per menopause and
postmenopause phase is is the symptoms
that women
experience
and we've done some research in 70,000
individuals where we've looked at how
prevalent these symptoms are we see that
99% of per menopause or women experience
at least one menopausal symptom we see
that 66% of per menopausal women have 12
symptoms or
more and this has a huge burden we know
from other surveys 10% of women leave
the workforce during the per menopause
and post-menopausal phase because of the
burden that these symptoms have on their
quality of life and what age does this
typically occur the per menopausal
symptoms so uh typically people become
menopausal as in postmenopausal stop
their menstrual cycles at 51 the
menopausal transition period can be
anything from 2 to 10 years typically
people would say maybe around the ages
of
47 many women start to experience p
menopausal uh symptoms and these include
symptoms like brain fog anxiety memory
loss irritability low libido change in
metabolism um and now I'm in that PO
menopausal phase and I've forgotten all
of the others but there's about 50
symptoms that are recognized and we see
in our own research that the amount of
women experiencing symptoms is really
high so we see that 85% of women are
saying they have brain fog they have
anxiety they have memory loss it it's
really high the amount of women
experiencing these
symptoms and what's really interesting
is we know yes HRT so hormone
replacement therapy therapy or MHT um uh
can help reduce many of these symptoms
but we also know that diet can help as
well and I think actually see one of the
most interesting things from our
research looking at menopause and
symptoms is that typically when we think
of menopausal symptoms we think about
hot flushes mhm and if I was to ask you
actually I wished I'd have asked you
before I said that but if I was to ask
you to if you were to think of a
menopause symptom what would come to
your mind first I would say hot flushes
because that seems to be um the only
time that people talk about hot flushes
is when they're talking about menopause
in my world and then I'd say brain fog
yep and what's really interesting is hot
flushers are the one of the least common
symptoms about 40% of women in our
research have hot flushes 85% have uh
brain fog 85% have all of the other
brain related um uh
symptoms and yet typically we always
think about hot flushes and this is
because there just hasn't been loads of
research on menopause and so I think
what's really exciting is there is now a
lot more research on menopause so I
think the future is really exciting but
I think what comes with this is yet more
neutrols MH and that's because I think
there's this whole area of what we call
menow washing I don't have you heard of
menow i't stick menow for menopause in
front of any product you can charge 10
times as much I could call this a
menopause tea it's actually Yorkshire
Tea and it's a very good cup of tea I
could call this meno tea and charge 10
times as much for that tea bag without
any evidence because women are desperate
45% of women say their symptoms are so
burdensome they'll try anything 10%
leaving the workforce because of their
symptoms and so we have to be really
careful that we are only selling
evidence-based supplements for which
there isn't much evidence at the
moment and I think that the evidence
that an overall healthier dietary
pattern can reduce symptoms is the best
way forward for now alongside for those
who choose to hormone replacement
therapy a recent survey showed that 30%
of menopause women are trying herbal REM
remedies 30% are trying vitamins and 51%
are trying any kind of dietary therapy
as an alternative to HRT that was in I
news which kind of supports what you're
saying that there's lots of people
searching for because I think from the
experiences that I've had with people
talking to me about menopause it seems
to be an incredibly confusing period of
life where you can't make sense of
what's happening and all the old rules
of just you know hit the gym and eat a
bit healthier seem to go out the window
because there's something deeper at play
in your body so it's not that you're not
eating right or it's not that you're not
sleeping right it's a deeper hormonal
fluctuation that you've actually never
experienced before so of course you're
going to be really confused and um quite
easily uh gas lit as well I imagine
because you know I've had someone say to
me that they felt like they were going
crazy and then people started thinking
they were just like kind of going crazy
a little bit um yeah I think you know
fortunately I think it's changing yeah
but historically we didn't talk about it
you know I vaguely remember my mom
saying I'm really hot I'm having hot
flush but we didn't talk about menopause
we didn't talk about periods we just
didn't talk about it in that you know
when I was growing up and unfortunately
my mother's no longer alive so I don't
really know what she did go through and
I want to talk about it people are
talking about it we have people like
deina MCO who are amazing because
they're getting women talking about it
so we're no longer ashamed so I think
the tide is really turning
but menopause is this perfect storm
because you have these burdensome
symptoms and then you have alongside it
which I don't think we talk about enough
is these health effects that I talked
about so women going for the menopause
aren't sleeping I mean my sleep is all
over the place honestly when I get a
good night's sleep Stephen I feel like
superwoman it it I'm almost it reminds
me the state I'm in at the moment is
like how I was when I had kids where you
know I'm getting four or five hours
sleep then I wake up if I'm lucky I
might get back to sleep so you've got
women they're not getting enough sleep
you've got women who often are feeling a
bit depressed or anxious or you know
losing their confidence because of their
brain fog because of their memory loss
because of you know their
anxiety you've got the hormones changing
your body composition suddenly you're
eating and doing everything the
same but all the fats being directed to
your tummy your hunger signals are
mocked up your um desire to eat
different food changes and we see this
again in our own research that
postmenopause women tend to eat a lot
more sugary Foods than Prem menopause so
you've got this perfect storm of things
going on and then in amongst that do you
really want to do some physical activity
are you really motivated to start eating
healthier and you know when you're
exhausted and it goes back again to that
importance of sleep and that interaction
of sleep with our food choices and how
we respond to food there's so many
things to think and I think it's really
tough in that Perry and postmenopausal
phase when your body's changing when
you're tired when you're feeling a bit
rubbish to also take control of your
diet but it's the most important time
because it's when your cholesterol
increases it's when your blood pressure
increases it's when all of this fat
tissue around your belly is releasing
harmful inflammatory chemicals Etc so
it's when unfortunately we really do
need to take stock of our physical
activity of what we're eating and our
stress levels m but it's probably one of
the most challenging times to do it as
well you must be incredibly stressed
through that period but also just
thinking about your relationships if you
if you're in a relationship in a
heterosexual marriage with a with a
husband who isn't going through that at
that period of their life and you said
there was a libido
um issue that's symptomatic of menopause
as well to navigate all of that and for
the people around you to understand
what's going on in your head must be
incredibly stressful incredibly
stressful I'm I
like I'm very um I feel very I don't
know what the right words are here but I
feel very um
sympathetic because I can't imagine I
don't think there's a point in the man's
life where we go through such a profound
change in our um hormones in such a
confusing way all of a all of a sudden
so it's like but I think Stephen if we
raise awareness so that men are aware
and they can support their partners and
you know liido for you know as an
example we see in our own research
whilst it might not be the most common
women rate it as the most burdensome
really so we monitor not just the
prevalence so how common the symptoms
are we also ask people how much impacts
their quality of life and the per and
postmenopausal women rate that as their
what their symptom that has the most
burden on their life
because if I'm not slept and I'm not
feeling sexy I'm not going to I'm
independent of whether there's like a
chemical impact on my hormone levels
that causes my lowering of libido I'm
not trying to have sex you want to go to
sleep I want to go to sleep yeah exactly
so even if you know and especially I
don't feel good I don't feel sexy I'm
probably my mood might be altered and
yeah you're tummy suddenly grow yeah
it's not going to be so what do what
advice do you give to those the women
been going through that you said that
you're on hormone replacement therapy
yourself previously um and that's had a
I guess a positive impact on your
menopause Journey yes I still sleep
really badly yeah um I don't think HRT
is the answer for everyone and some
people can't take it if they're
contraindicated with certain risk
related to cancer um and some people
choose not to take it and it certainly
doesn't solve everything uh I do think
the evidence is very compelling for
reduction in many Sy sys I think the
evidence is
compelling um or increasing and building
for the beneficial effects it also has
on some of these health effects that
happen during menopause like blood
pressure cholesterol uh tummy fat so
I've chosen to take it for both health
and for symptoms but there's reasonable
evidence now showing that diet can help
reduce symptoms there isn't a one siiz
fix it's all there isn't a silver bullet
but an overall healthier dietary pattern
I believe can reduce menopause symptoms
this comes from other published research
as well as our own research that we've
done at zoi where we've looked in a
subgroup of individuals over 12 to 18
week period and looked at those who
transition to a healthier diet they're
actually following The Zo program but
the underlying principles are the same
for all individuals to follow a healthy
diet so increase plant diversity
increase fiber a very kind of
Mediterranean style diet and what we see
in those people who are improving their
diet they have a 35% reduction in
symptoms now that's huge I do have to
caveat that to say though that there
wasn't a control arm so it's not a
clinical an rcts we call it it's a a a
study where we followed people at one
point in time and collected data another
point in time what we now need to do is
repeat this with a control arm to see if
we see the same size effect but there
are other studies that have in a
randomized control trial asked people to
follow the Mediterranean diet or control
diet and they see a similar magnitude of
around 30% reduction in symptoms which
is huge and promising I think but I
think where we have to be really careful
with menopause because we are desperate
because we're struggling I think we're
really susceptible to marketing to this
menow washing and I think there are so
many supplements that are being sold as
the Silver Bullet you know and I see it
on social media and I think firstly okay
if it works for you great if you can
afford it great but what worries me is
people who are spending a lot of money
that they could be using for a healthy
dietary pattern or you know a gym
membership or whatever on a supplement
that there is no evidence of support and
the evidence is very very weak except
for a supplement called soy eyes of
flavones there is very weak evidence
that any other supplements will work
consistently they might work for some
people but consistently soy
isoflavones yeah so soy isoflavones are
a particular chemical that are found in
some foods it's a chemical that has a
structure very similar to estrogen so
actually binds to the estrogen receptors
in the body which is why it has a
beneficial effects on many symptoms now
soy of Flavin are consumed in quite
small amounts in the UK and the us we
consume probably about one milligram a
day on average in the Far East like
China they consume about 70 milligrams a
day as part of the natural diet so in
those kind of countries they actually
have a really low prevalence of
menopause symptoms compared to us they
still have menopause symptoms but it's a
bit lower than
us what we know is that if you
supplement people with soy ofl vones for
the vast majority of people but not
everyone it will reduce symptoms a
little bit not totally but it can reduce
symptoms and is your underlying how
Health a predictive factor of the amount
of symptoms you'll experience if I was
if I'm obese and then I go into per
menopause are my symptoms going to be
more
significant so that's a good question
we've looked at how living with obesity
can impact your symptoms and we do see
that if you're living with obesity you
have a higher prevalent uh number of
symptoms okay we see that if you have an
unhealthy diet to start with you have a
higher number of symptoms we see that if
you have low physical activity you smoke
Etc yes it's associated with higher
symptoms this is all Association data
though it doesn't show causality and
it's really important to say that for
quite a while I ignored my gut I ignored
the role it plays when it comes to my
overall health and it wasn't until the
team from Zoe came onto my podcast that
I realized I couldn't ignore it anymore
I was so impressed by Professor Tim
Spectre and Professor Sarah Berry that I
ended up investing in Zoe and they're
now a sponsor of this podcast they help
me to view my gut as the gateway to
Better Health that when in balance my
microbiome could strengthen my immunity
elevate my mood and fight off disease
which I now know to be true I trust zoee
because they have one of the largest
microbiome databases in the world and
when you sign up you'll get one of the
most scientifically Advanced atome test
kits on the planet and a personalized
nutrition program to help you make
smarter food choices and because you're
one of my listeners use code Steven 10
for 10% off your membership head to
zoe.com
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doac what is the most important thing we
should have talked about that we haven't
talked about
Professor that's my formal way to trust
me I think we've covered an awful
lot and I think the thing that I would
emphasize when people are thinking about
their health thinking about their diet
is firstly find what works for you MH
find something you
enjoy but I think I would say be really
really careful of the misinformation
that's out there really
careful and I would say also if you're
going to make a change make sure it has
a big enough size impact to Warrant the
change you're making because there's a
lot of advocates for this health
optimization you know make this change
and it will have this impact well if
you're making a change that disrupts
your life significantly but only has a
1% impact on whatever Health outcome
you're interest in whether it's your
cholesterol your own all energy or
whatever is it really worth disrupting
your life that much for that small
change and I think that's really
important I hear so many times when I'm
talking to other moms at schoolgate or
that sort of thing oh my gosh I read
this and I'm going to do this and you
know it's going to be really hard but
they've said it will help with this and
it's like
oh you're taking way pleasure and
actually what is the
gain and if the world is to move forward
in a way that is positive in your
estimation how does the world change and
improve as it relates to all the
subjects we've talked about today what
is that change you wish to see in the
world in which you
operate I would love to see a world
where scientists food industry and
policy makers work together I'd love to
see a world
where
we encourage evidence-based science but
scientists aren't scared of working with
food industry for example a lot of
people think the food industry is bad
like it's this sort of evil guy who sat
in this boardroom who's just counting
money and just pushing whatever these
little innocent children will put in
their mouths and to make them addicted
and give them neurod Divergence and all
kinds of other issues potentially a lot
of people feel that a lot of this the
food industry has become this sort of
singular entity people think about in
the sort of conspiracy theory internet
and you kind of imagine it is like a guy
in a boardroom in a suit who's just like
cackling and laughing and and stuff like
that
um I think
that I can't comment on their
motivations for profit um I don't think
I'm informed enough to comment on that
but I do believe that the food industry
needs to work with Academia in order to
solve the problem of the kind of foods
that are out there we need impact from
government though as well we need impact
from policy makers we need to go back to
Grassroots we need to be educating our
children how to cook we need to be
giving healthy School meals we need to
be educating them in schools what is a
healthy meal what isn't a healthy meal
what is a healthy food but I think that
something that's so important is this
current state of fear I think I think
we're in a perilous State at the moment
of there are
some people making a lot of noise on in
the media about scientists working with
industry how any research funded by
industry is there bias it's corrupt
can't be trusted that's certainly not my
experience it's not what I have ever
seen from any other colleagues taking
money from food industry in order to do
studies we as nutrition scientists need
to do studies we need to run clinical
trials in order to look at how we can
improve the a few to make it healthier
the amount of funding we get from
independent government
bodies it's tiny to get funding the
amount of time we have to spend this
academics writing grants to be rejected
and rejected because the government
invests so little in nutrition
research we need to be able to get
funding to be able to run studies to
answer important questions the money and
the experience I've had from those
around me when we receive funding from
research from when we receive funding
from industry
there is very limited involvement that
they are allowed to have with what we do
and the university ensure that we
conduct the research we do the analysis
we publish the paper the industry
funders cannot get involved in that
process so I still see it as
independent now there is discussion
about are they setting the agenda of
that research you know there's something
we could talk about for days and days
but I think this narrative that's out
there that just because of studies being
funded by the food industry is biased is
wrong and I think it's unhelpful and
it's putting these exposes that certain
media p personalities are putting
forward that if an academic has taken
money from a food industry that
therefore they they cannot be advising
us on food they cannot be trusted for
their research I think that that's a
real problem for us as nutrition
scientists because it's
creating a time of fear MH
yeah I mean of course so yeah when you
explain it through how these how these
studies get funded then it makes a ton
of sense and actually part of what I was
thinking is the government should be
doing a little bit more to fund these
kinds of studies because I can't I don't
really believe that you're going to get
the food industry to work
together because again thinking about
incentives if there's one serial company
here and the other here and say there's
10 of them um how can you get all of
them to agree to take yeah the two that
don't win and then they keep their jobs
companies are successful they get pats
on the back so when we think about
health interventions that the government
have made over the years that been super
effective they've come from like policy
smoking is a good example that I always
think about like the change in smoking
in our society because they made they
banned smoking indoors and put things on
the packaging and just change the sort
of social narrative and all smoking
companies tobacco companies had to sort
of comply at once so and that's why I
think all three have to work together
government need to take big
responsibility M now yeah and but I
think that there has to be an acceptance
that academics scientists can work with
food industry and it doesn't mean that
you're corrupt or corrup or are results
of bias in any
way we have a closing tradition on this
podcast where the last guest leaves a
question for the next guest not knowing
who they're leaving it for and the
question that's been left for you is
what is something that you believe that
smart people you care about disagree
with do you know what I believe I
believe that life can be simple that
actually all that matters is that you
have good
relationships that you're finding joy in
life and that we shouldn't over
complicate things and if on my
gravestone I have written Sarah was a
nice
person I would be very happy with that
but a lot of the clever people are
interactive I
think wouldn't agree that that's
necessarily a good achievement in life
but I see that as a great
achievement what do you think they might
want written on their gravestone
instead you're smacking nervously I am
is it that too obsessed with like impact
and ego and those kinds of things is
that what you're saying
I don't know because the people I care
about I don't think are
egotistical I think we
live in a society
certainly in a society where we're
mixing with successful people where
there is a lot of ambition where there
is a lot
of um emphasis put on your
achievements where there's a lot of
striving for the next goal striving for
the next
achievement and and maybe it's having
had four years where I took a career
break where I was care of my mom and
together with the rest of my family we
looked after my mom we kept her at home
through a degenerative neurological
condition and seeing
someone change seeing someone lose the
power to talk lose the power to eat lose
the power to interact lose the power to
do everything that we take for granted I
think has enabled me
to not sweat the small stuff has enabled
me to find joy in most things pleasure
in most things and not strive
for things that maybe in the past I
would
have perspective I think it's given me a
perspective now don't get me wrong you
know I you know I was nervous before
coming on here so I sweated about that
and you know I'm not saying that I'm
always like like horizontally laid back
by any
means but I think it's given me a
perspective on what matters to me yeah
and what matters to me and I think the
greatest achievement in my whole life
has been actually not becoming Professor
which I'm incredibly proud of I'm from a
workingclass family you know I was the
first person in our family to ever go to
university my mom and dad didn't have
the privilege of staying at school
Beyond
14 and I mean it saddens that they
haven't seen this success saddens me
very much and whilst The Pride I felt
yesterday at the ceremony was phenomenal
actually what I'm most proud of is the
four years that I cared for my
mom and to me that's what
matters and so that's why when I'm with
lots of smart people and I think they're
doing amazing things I don't have the
same perspective
sometimes I've probably don't care as
much as long as I'm having fun and do
you know what and I think I said this at
the beginning I'm so privileged I get to
do my hobby every day I love what I do
I'm not doing this necessarily because
I'm such a a selfless person that I want
to improve everyone's Health yes if
that's a byproduct great but I get up
and I love what I do I'm so
excited by the science that we do and
what drives me to do it is having been
through that situation of realizing how
delicate life is so just use the moment
enjoy what you're doing at that point in
time thank you so much um Professor
congratulations on the professor didn't
realize it was uh you other ceremony
yesterday that's an incredible
achievement I know that we're not we're
not prioritizing the the achievements as
much anymore but um incredible yeah it's
it's incredible thing and it's a it's a
credit to the work that you've done and
how you've done it over the last 25
years and the broader impact I think
you've had on so many millions of
people's lives now through now the
content you produce but also all of the
research that you've done firsthand so
thank you so much for doing the work
that you do thank you for uh
Illuminating so many of these subjects
to me today I actually said a message to
my team before saying that um I've had
lots of conversations about nutrition
and stuff but the the primary research
you've done and the research you're
continuing to do is so much of it it's
completely new to me and that's quite
hard when when I sit here doing this
every day so it's been a an absolute Joy
speaking to you and also not just from
the information standpoint but from the
broader philosophical idea of how one
should approach their life and how one
can approach their life has been
incredibly inspiring so thank you thank
you it's been a real pleasure to talk
about so many things I'm passionate
about we shall do it again sometime
thank
you do you know that 80% of New Year's
resolutions fail by February it's
because we focus too much on the end
goal and we forget the small daily
actions that actually move us forward
those actions that are easy to do are
also easy not to do in life it's easy to
save a dollar so it's also easy not to
making one small Improvement each day
one tiny step in the right direction has
a big difference over time and that is
the 1% mindset which is why we created
the 1% diary a 90day journal designed to
help you stay consistent and focus on
the small wins and make real progress
over time it also gives you access to
the 1% Community a space where you can
stay accountable motivated inspired
along with many others on the same
Journey we launched the 1% diary in
November and it sold out so now we're
doing a second drop head Toth diary.com
to grab yours before it sells out again
I'll put the link below
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Dr. Sarah Berry, a renowned nutrition scientist, explains the importance of the food matrix—the structural arrangement of food—over simple nutrient labeling. She discusses how processing affects metabolism, the significance of eating speed, and the impact of lifestyle factors like sleep and stress on overall health. Additionally, she addresses common nutrition myths regarding seed oils, dairy, and cholesterol, emphasizing the need for evidence-based decisions and sustainability in dietary habits.
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