Eggs and Cholesterol: How Much is Too Much? | QA

Eggs and Cholesterol: How Much is Too Much? | QA

Question:

How many egg yolks are allowed per week when trying to lower my LDL cholesterol?

– Theresa D. 

Based on my friend’s advice, I’m eating one boiled egg at each meal, that’s three times a day for me. But now I fear about the effects on cholesterol. So far, I’m good. But what is your advice about eating three eggs each day, every day. I do work out on the treadmill for 30 minutes and weight lift for 30 minutes every day. Regards,

– Abdu K. 

Answer:

Egg consumption in relation to high cholesterol levels was a much debated topic 30 years ago, but confusion still remains. On the whole, eggs are healthy – they contain many nutrients and are good sources of vitamins A and D. One egg yolk contains 5 grams of fat, including 1.5 grams of saturated fat, and approximately 186 mg of cholesterol. Though eggs are high in cholesterol, it’s the saturated fat that has greater impact on your blood cholesterol.  

Eating foods that contain saturated fats raises the level of cholesterol in your blood.” – American Heart Association 

Prominent dietary sources of saturated fat are bacon, sausage, meat, eggs, butter, cheese and processed foods containing palm, palm kernel and coconut oils. It’s often how eggs are prepared (in butter) or served (with bacon, sausage, cheese, muffins, or scones) that’s the culprit in affecting dietary cholesterol. 

Most people can eat an egg daily without increasing their risk for heart disease. If you have diabetes, are at high risk for heart disease, or already have heart disease then it’s wise to limit egg consumption to no more than three per week. Remember that only the yolk contains the egg’s saturated fat, so these guidelines refer to whole eggs, not egg whites or egg substitute. 

Sources: 

  1. American Heart Association (n.d.) “Saturated Fat” https://www.heart.org/en/healthy-living/healthy-eating/eat-smart/fats/saturated-fats  Accessed 2.7.2020 
  2. Komaroff, Anthony, MD. (2019, June 24) “Are Eggs Risky for Heart Health?” Harvard Health Letter.  https://www.health.harvard.edu/heart-health/are-eggs-risky-for-heart-health  Accessed 2.7.2020 
  3. Lopez-Jimenez, Francisco, MD. (2020, Jan. 9) “Eggs: Are They Good or Bad for My Cholesterol?” Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/high-blood-cholesterol/expert-answers/cholesterol/faq-20058468  Accessed 2.7.2020 
  4. Vannice, G and Rasmussen, H. (2014, Jan.) Position of the Academy of Nutrition and Dietetics: Dietary Fatty Acids for Healthy Adults. Journal of the Academy of Nutrition and Dietetics, 114(1): 136-153. Doi: https://doi.org/10.1016/j.jand.2013.11.001 

– Debbie J., MS, RD

This article should not replace any exercise program or restrictions, any dietary supplements or restrictions, or any other medical recommendations from your primary care physician. Before starting any exercise program or diet, make sure it is approved by your doctor.

Some questions have been edited for length and/or clarity.

Ask our Dietitian

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Calculating Macros on a Plant-Based Diet | QA

Calculating Macros on a Plant-Based Diet | QA

Question:

Hi my name is Alex, I am a 22yearold male, about 5’5 in height, and I weigh about 123 pounds. I recently have changed my diet from regular eating to plantbased food which seems to give me more energy and better sleep. I was curious about how many macronutrients I should be getting and how many calories I should eat. I work out about 5-6 times a week, do cardio first for about 20-30 minutes, and then do about 45-60 minutes of intense cardio and weightlifting.   

Thank you, 

– Alex 

Answer:

Using a predictive energy calculation* it seems your total energy expenditure (TEE) falls in the range of 2600-2800 calories per day based on resting energy need + physical activity where the PA factor is 1.27 for active men. To determine macronutrient amounts, you could allocate 50-60% of energy to carbohydrates, 15-20% to protein and the remaining 20-35% to fat given your exercise level and reliance on plant foods. From 2700 calories and the midpoint of each macro range, this would calculate to about 370 gm Carb., 122 gm Prot., and 81 gm Fat daily. 

Your macronutrient needs and goals shouldn’t really change much based on the source of your food. However, switching to eating all plants (strictly vegan) may mean getting fewer micronutrients if not done properly. So amping up your consumption of iron, zinc, magnesium and calcium may necessitate an adjustment in diet to increase plant sources of those minerals. Please see the Institute of Medicine’s Dietary Reference Intake tables of vitamins and minerals for your micronutrient intake targets. 

*TEE for men = 864 − 9.72 × age (years) + PA × [(14.2 x weight (kg) + 503 × height (meters)] 

Equation source: 

Gerrior S, Juan W, Basiotis P. An easy approach to calculating estimated energy requirements. Prev Chronic Dis [serial online] 2006 Oct [date cited]. Available from: http://www.cdc.gov/pcd/issues/2006/ 
oct/06_0034.htm
. Accessed 1.24.2020 

– Debbie J., MS, RD

This article should not replace any exercise program or restrictions, any dietary supplements or restrictions, or any other medical recommendations from your primary care physician. Before starting any exercise program or diet, make sure it is approved by your doctor.

Some questions have been edited for length and/or clarity.

Ask our Dietitian

Have a nutrition question? Our registered dietitian is ready to help!

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Intermittent Fasting: Post-Workout Protein | QA

Intermittent Fasting: Post-Workout Protein | QA

Question:

I work out in the morning about 5am every day. I also participate in intermittent fasting. My question is about the intake of protein. They say after a workout within about 30min you’re supposed to intake the protein, but that would break my fast (I eat at 11:30am every day). Should I break my fast or just be sure to intake enough protein within the day? 

– Celeste C.

Answer:

Choosing between the benefits of intermittent fasting and refueling post workout depend on your primary goals. Losing weight would dictate adhering to your time schedule for eating, while gaining strength or lean mass would necessitate repleting muscle building blocks in a timely manner. Endurance exercise repletion generally involves carbohydrate recovery – though protein helps. Really, we may only be talking about 50-75 calories or so from approximately 15 grams protein! If you think that would damage your fasting impact, then skip it. But doing so will certainly mean resistance workouts won’t have the maximum intended outcome. 

– Debbie J., MS, RD

This article should not replace any exercise program or restrictions, any dietary supplements or restrictions, or any other medical recommendations from your primary care physician. Before starting any exercise program or diet, make sure it is approved by your doctor.

Some questions have been edited for length and/or clarity.

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Have a nutrition question? Our registered dietitian is ready to help!

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Mid-Workout Snacks to Boost Your Energy | QA

Mid-Workout Snacks to Boost Your Energy | QA

Question:

I am a 59-year-old male who is still playing competitive soccer. – 2 x 45 minute halves each game. Any suggestions for a halftime snack to boost my 2nd half energy level?

– Joe B.

Answer:

Bravo for keeping up your game! Many athletes experience a decline in energy level toward the end of a match, especially those lasting nearly 2 hours. Hopefully you are consuming a balanced meal a couple of hours prior, then a sports drink 5 to 10 minutes before kickoff. A halftime snack helps to postpone fatigue, stabilize blood sugar and keep up the pace during the second half.  

Items with significant fat, fiber or protein — which slow digestion and thus blood glucose replenishment – should be avoided at this time. For that reason, even a flavored yogurt cup or granola bar may not be suitable. 

A halftime snack should be comprised of carbohydrates, fluids and electrolytes. Examples include: watermelon slices, orange wedges, grapes, applesauce packet, half fruit bar + water, coconut water, and a sports hydration drink. Carbohydrate gels are another (more expensive) option.  

Sources: 

  1. Dirks, A. (2019, March 14) Nutrition for Soccer Players: What to Eat When. https://www.soccertoday.com/nutrition-for-soccer-players-the-right-time-to-fuel-up/ Accessed 1.10.2020 
  2. FIFA (2010, January) Nutrition for Football: A Practical Guide to Eating and Drinking for Health and Performance. https://resources.fifa.com/image/upload/practical-guide-eating-and-drinking-515515.pdf?cloudid=ukbqfkkxw2o8s1gyjria Accessed 1.11.2020 

– Debbie J., MS, RD

This article should not replace any exercise program or restrictions, any dietary supplements or restrictions, or any other medical recommendations from your primary care physician. Before starting any exercise program or diet, make sure it is approved by your doctor.

Some questions have been edited for length and/or clarity.

Ask our Dietitian

Have a nutrition question? Our registered dietitian is ready to help!

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What to Do When You’re Eating for Two | QA

What to Do When You’re Eating for Two | QA

Question:

My husband and I are thinking about having a baby, what is a good nutrition guide to follow when pregnant?

-Misty

Answer:

How wonderful! Why not follow a smart pre-conception diet now? Laying down a good nutritional foundation means that you’ll not only increase the likelihood of conceiving but also of a healthy first trimester – for you as well as the baby. Get hubby on board, too. ? 

Many “conception diets” recommend that half your plate be from fruits and vegetables, a quarter from whole grains and a quarter lean protein, which agrees with USDA’s Choose MyPlate guidelines. If you’re trying to get pregnant, drinking reduced or whole fat milk is correlated with normal fertility, but not 1% or skim (non-fat). Consume healthy plant-based fats like avocado, nuts, olives and coconut oil in moderation. Limit refined sugar, red meat and foods containing trans-fat. 

As many women don’t know they are carrying a baby until several weeks into pregnancy, taking a prenatal vitamin with 100% RDI of folic acid (400 µg folate equivalent) and iron (18 mg) is advisable. Many produce items (notably spinach, asparagus, Brussel sprouts) have the B-vitamin folate, necessary for early neural tube development. Dietary sources of the important blood mineral iron include meat, fortified cereals, beans, and dark green leafy vegetables. 

During Pregnancy

During pregnancy, follow your obstetrician’s advice and that from established and trusted institutions such as The American College of Obstetricians and Gynecologists (ACOG), The Academy of Nutrition and Dietetics (AND), and The US Office on Women’s Health (OWH). 

You’ll need extra fluids, nutrients and calories as your pregnancy progresses. In the first trimester, folate and other vitamins and minerals are crucial for proper neural tube development, so a good prenatal vitamin is key. Strictly avoid alcohol during this time.  

The second trimester is when you start to expand blood volume and increase maternal stores while your baby grows rapidly from the size of a nut (3”, 1 oz.) to a football (12”, 1 lb.) while developing all of its organs and features. About 2 additional cups of fluids are needed per day. Adding around 300 extra calories from healthy foods with adequate calcium and iron will support this growth.  

In the last trimester, your baby is filling out to full-term weight. This is when you are truly “eating for two, ” although in terms of energy, you really only need an additional 200 calories on top of your 2nd trimester needs. 

Sources: 

  1. Eagleson, H. (n.d.) The Fertility Diet: What to Eat When Trying to Get Pregnant. https://www.parents.com/getting-pregnant/fertility/what-to-eat-to-get-pregnant/ Accessed 1.10.2020 
  2. Mayo Clinic Staff (2018, April 13) Prenatal Vitamins: Why They Matter; How to Choose https://www.mayoclinic.org/healthy-lifestyle/pregnancy-week-by-week/in-depth/prenatal-vitamins/art-20046945 Accessed 1.10.2020 

– Debbie J., MS, RD

This article should not replace any exercise program or restrictions, any dietary supplements or restrictions, or any other medical recommendations from your primary care physician. Before starting any exercise program or diet, make sure it is approved by your doctor.

Some questions have been edited for length and/or clarity.

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Have a nutrition question? Our registered dietitian is ready to help!

Email nutrition@lafitness.com or submit your question below and it may be featured in an upcoming article!

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