Fresh-Pressed Olive Oil Club

Olive Oil Hunter News #172

Salmon Bowl Recipe (Made Simple), Spotlight on Sesame Seeds, Thawing Frozen Fish, Why Wild Seafood is Best, and Counting Your Biological Age

Americans still don’t eat enough fish, and the challenge of finding quality fresh seafood is one of the reasons. My DIY salmon bowl recipe is a great way to get the goodness of salmon plus as many veggies as you’d like to include. Read on to see why frozen is actually preferred—unless of course you live near a fishing dock! Then find out about advances in measuring biological aging, a metric that makes your chronological age less important.

Salmon Bowl Made Simple

  • Salmon Poke Bowl Salmon Bowl Made Simple

    Poke bowls are still very popular, but it’s not always easy to buy the sushi-grade tuna needed to make your own. This variation includes sautéed chunks of salmon instead of ahi. The technique is also great if you like tuna but prefer it cooked. I’ve suggested many veggies to fill up your bowl, but have fun choosing other ingredients—be guided by what’s most fresh at your market.

    Ingredients

    For the fish:

    • 1 pound skinless salmon fillet, wild caught if possible
    • 1 tablespoon regular or reduced-sodium soy sauce 
    • 1 tablespoon sesame oil
    • 1 tablespoon rice vinegar
    • 3 tablespoons extra virgin olive oil, divided use

    For the spicy mayo:

    • 1/4 cup best-quality mayonnaise
    • 1 tablespoon extra virgin olive oil
    • 1 teaspoon sriracha, or to taste

    For the spicy bowls:

    • 3 cups cooked quinoa or brown or white rice
    • 1 large cucumber, diced
    • 3 scallions, trimmed and sliced into small pieces on the diagonal
    • 1 cup shelled edamame 
    • 2 large avocados, cubed or cut into thin slices
    • 2 tablespoons black or white sesame seeds or a mix
    • Optional: red onion rings, sliced tomatoes, shredded carrots, chopped red cabbage, enoki mushrooms, and other fresh veggies of your choice

    Directions

    Step 1

    Using a sharp knife, cut the salmon into 1-inch chunks. Add to a glass bowl with the soy sauce, sesame oil, rice vinegar, and 1 tablespoon of olive oil. Toss well and set aside for 30 minutes.

    Step 2

    Make the spicy mayo: In a small bowl, whisk the mayonnaise and the olive oil until well blended, then mix in the sriracha; set aside.

    Step 3

    Heat a frying pan over medium-high heat. When hot, add the rest of the olive oil and the salmon chunks. Sear on all sides, using tongs to turn the pieces. When cooked through, remove the pan from the heat.

    Step 4

    Assemble the ingredients in four deep bowls: Center equal amounts of the cooked grains, then top with the vegetables and then the salmon chunks. Use a fork to drizzle on the spicy mayo, then sprinkle with the sesame seeds.

    Makes 4 servings

Healthy Ingredient Spotlight: Black and White Sesame Seeds

Healthy Ingredient Spotlight

Black and White Sesame Seeds

Sesame seeds are more than a colorful and crunchy garnish—they can be pressed to make the Asian staple sesame oil, both the plain and toasted varieties, and whipped into the Middle Eastern treats tahini and halvah. Importantly, these little seeds pack a big punch when it comes to nutrients, so consider sprinkling them on more than poke bowls and sushi rolls.

Sesame seeds are rich in fat; protein; minerals like iron, calcium, copper, potassium, and manganese; vitamins like A and E and B vitamins; and fiber. Among their phytochemicals are lignans, which have antioxidant and anti-inflammatory properties. Because more of these nutrients, including their lignans, are in the hull, always choose unhulled sesame seeds. Black ones almost always come with the hull intact, but you’ll have to look carefully to find unhulled white ones. 

Black and white sesame seeds have some taste differences, with the black ones being slightly crunchier and more bitter. I like to mix the two because this creates visual appeal and different taste sensations.

Quick Kitchen Nugget: Thawing Frozen Fish 

Quick Kitchen Nugget

Thawing Frozen Fish 

Frozen tuna steaks

Fish that’s caught in faraway waters and flash-frozen at sea often retains more of its nutrients and flavor—you’ll often see the words “previously frozen” on thawed fish at markets, a potential good sign. If you’re buying fish still frozen, make sure it’s frozen solid when you purchase it. Let it thaw overnight in the fridge, not on a countertop, to preserve that freshness—defrosting it in a cold fridge also helps inhibit the growth of any harmful bacteria. To do it properly, take it out of its packaging and put it on a plate or tray lined with a few sheets of paper towels or on a rack over the plate with paper towels. Just before cooking, rinse under cold water and pat dry. 

For Your Best Health: Seafood: Why “Wild” Wins Hands Down

For Your Best Health

Seafood: Why “Wild” Wins Hands Down

Research done at the University of Cambridge in the UK offers more insight into why farmed salmon isn’t as nutritious as wild salmon or other wild-caught fish, like mackerel, anchovies, and herring—even though these same varieties are often used in farmed salmon feeds. These oily fish contain essential nutrients including calcium, B12, and omega-3s, but they don’t transfer over in the same amounts when fed to farmed salmon.

By analyzing the flow of nutrients from the edible species of wild fish used as feed, which also included sprat and blue whiting, to the farmed salmon they were fed to, scientists found that farmed salmon production leads to an overall loss of essential dietary nutrients. Quantities of calcium were over five times higher in wild feed fish fillets than in farmed salmon fillets; iodine was four times higher; and iron, omega-3s, vitamin B12, and vitamin A were over 1.5 times higher. Wild feed species and farmed salmon did have comparable quantities of vitamin D. Zinc and selenium were actually higher in the farmed salmon than in the wild feed species due to other salmon feed ingredients—a real mark of progress in the salmon sector, said the researchers.

Another interesting point is that you can get key nutrients, including omega-3 fatty acids, which are known to reduce the risk of cardiovascular disease and stroke, in smaller portion sizes of wild fish than in farmed Atlantic salmon. 

“What we’re seeing is that most species of wild fish used as feed have a similar or greater density and range of micronutrients than farmed salmon fillets,” said lead author David Willer, PhD, of the zoology department at Cambridge. “While still enjoying eating salmon and supporting sustainable growth in the sector, people should consider eating a greater and wider variety of wild fish species like sardines, mackerel, and anchovies, to get more essential nutrients straight to their plate.” He goes on to say that eating more wild feed species directly could benefit our health while also reducing aquaculture demand for finite marine resources.

“Marine fisheries are important local and global food systems, but large catches are being diverted toward farm feeds. Prioritizing nutritious seafood for people can help improve both diets and ocean sustainability,” said senior author James Robinson, PhD, of Lancaster University, also in the UK.

Fitness Flash: Forget the Calendar: What Counts Is Your Biological Age

Fitness Flash

Forget the Calendar: What Counts Is Your Biological Age

University of Pittsburgh researchers have uncovered blood-based markers that allow them to predict a person’s biological age—how fast a person’s cells and organs age regardless of their birthdate. The new research, published in Aging Cell, points to pathways and compounds that may underlie biological age, shedding light on why people age differently and suggesting novel targets for interventions that could slow aging and increase health span, the length of time a person is healthy.

“Age is more than just a number,” said senior author Aditi Gurkar, PhD, assistant professor of geriatric medicine at Pitt’s School of Medicine and member of the Aging Institute, a joint venture of Pitt and UPMC. “Imagine two people aged 65: One rides a bike to work and goes skiing on the weekends, and the other can’t climb a flight of stairs. They have the same chronological age, but very different biological ages. Why do these two people age differently? This question drives my research.”

To answer it, Dr. Gurkar and her team compared 196 older adults whom they classified as either healthy or rapid agers by how easily they completed simple walking challenges. Because walking ability is a holistic measure of cardiovascular fitness, physical strength, and neurological health, other studies have shown that it’s the single best predictor of hospitalization, disability, functional decline, and death in older adults. Healthy agers were 75 years or older and could ascend a flight of stairs or walk for 15 minutes without resting, and the rapid agers, who were 65 to 75 years old, had to rest during these challenges.

According to Dr. Gurkar, this study is unique because the rapid agers were chronologically younger than the healthy agers, allowing the researchers to home in on markers of biological, not chronological, aging, unlike other studies that have compared young adults with older people.

To define a molecular fingerprint of biological aging in blood samples from participants, they performed metabolomics, the analysis of metabolites, or molecules that are produced by chemical pathways in the body, with blood samples from the two groups.

“Other studies have looked at genetics to measure biological aging, but genes are very static: the genes you’re born with are the genes you die with,” said Dr. Gurkar. “We chose to look at metabolites because they are dynamic: They change in real time to reflect our current health and how we feel, and we have the power to influence them through our lifestyles, diet, and environment.” Healthy and rapid agers showed clear differences in their metabolomes, indicating that metabolites in the blood could reflect biological age.

Healthy couple climbing stairs

Dr. Gurkar and her team next identified 25 metabolites that they termed the Healthy Aging Metabolic (HAM) Index. They found that the HAM Index was better than other commonly used aging metrics, such as the frailty index, gait speed, and the Montreal Cognitive Assessment test, at distinguishing healthy and rapid agers. To validate their new index, the researchers analyzed a separate cohort of older adults from a Wisconsin-based study. The HAM Index correctly predicted whether individuals could walk outside for 10 minutes without stopping with accuracy of about 68%.

“We took a very different cohort of people from a different geographical region, and we saw the same metabolites were associated with biological aging,” said Dr. Gurkar. “This gives us confidence that the HAM Index can truly predict who is a healthy ager versus a rapid ager.”

Using an artificial intelligence model that can predict potential drivers of biological traits, the team identified three main metabolites that were most likely to promote healthy aging or drive rapid aging. In future research, they plan to delve into how these metabolites and molecular pathways that produce them contribute to biological aging and explore interventions that could slow this process. Dr. Gurkar is also planning more research to evaluate how the metabolome of younger people shifts over time. Eventually, she hopes to develop a blood test that could estimate biological age in young adults or predict those who might go on to develop diseases of aging.

“While it’s great that we can predict biological aging in older adults, what would be even more exciting is a blood test that, for example, can tell someone who’s 35 that they have a biological age more like a 45-year-old,” Dr. Gurkar said. “That person could then think about changing aspects of their lifestyle early—whether that’s improving their sleep, diet or exercise regimen—to hopefully reverse their biological age. Today, in medicine, we tend to wait for a problem to occur before we treat it. But aging doesn’t work that way—it’s about prevention. I think the future of medicine is going to be about knowing early on how someone is aging and developing personalized interventions to delay disease and extend health span.”

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Olive Oil Hunter News #171

Wilted Spinach Salad with Sherry Vinaigrette Recipe, Spotlight on Spinach, The Great Egg Debate Continues, and How Sleep Patterns Influence Health

Spinach salad is a perennial favorite, simple to prepare, satisfying, and chock-full of nutrients. Wilting the spinach before composing the salad was a foodie trend back in the 1970s (the fixings included mandarin orange segments, a nod to the value of eating a food containing vitamin C at the same meal as spinach to better access the green’s iron). My update adds the tasty crunch of hazelnuts. You’ll be intrigued by a new report that suggests fortified eggs may not pose the cholesterol risks of regular eggs. I’m also sharing the latest research on the perils of poor sleep—motivation to improve the quality of your shut-eye.

Wilted Spinach Salad with Sherry Vinaigrette

  • Wilted Spinach and Mushrooms Wilted Spinach Salad with Sherry Vinaigrette

    Fast-forward 50 years from wilted spinach salad’s debut to this version that offers all the benefits of olive oil in the dressing and the prep. Rather than bothering with croutons, try toasted slices of whole-grain bread for its hearty appeal.

    Ingredients

    For the vinaigrette:

    • 1 tablespoon sherry vinegar, plus more to taste
    • 1 tablespoon shallot, peeled and finely chopped
    • 1 teaspoon fresh thyme, chopped
    • 1/4 cup extra virgin olive oil
    • Coarse salt and freshly ground black pepper to taste

    For the salad:

    • 3 tablespoons extra virgin olive oil
    • 1 small red onion, chopped 
    • 4 ounces white or cremini mushrooms, thickly sliced 
    • 8 ounces baby spinach, rinsed and patted dry
    • 2 garlic cloves, minced 
    • 2 medium- or hard-boiled eggs (your preference) quartered
    • 1 ounce hazelnuts, coarsely chopped
    • Optional: 2 slices whole grain bread, toasted and brushed with olive oil

    Directions

    Step 1

    Make the vinaigrette: In a medium mixing bowl, whisk together the vinegar, shallot, and thyme. Gradually whisk in the olive oil until incorporated. Season to taste with salt and pepper.

    Step 2

    Heat a large frying pan or wok over medium heat. When hot, add 2 tablespoons olive oil and the red onions; sauté over medium heat until soft. Push them to the outside of the pan and add the mushrooms in one layer; cook until the edges have browned, then flip and brown on the other side. Transfer the vegetables to a bowl. 

    Step 3

    Add the last tablespoon of olive oil to the hot pan along with the garlic and the spinach, adding the spinach by handfuls—as one batch starts to wilt, push it to the side and add another, stirring quickly. It should only take 2-3 minutes to do it all. 

    Step 4

    Arrange the spinach in two large bowls and top with equal amounts of onions, mushrooms, eggs, and hazelnuts. Drizzle with the vinaigrette. If desired, add a slice of toast to one side of each bowl.

    Makes 2 servings

Healthy Ingredient Spotlight: Spinach-maximizing its nutrients

Healthy Ingredient Spotlight

Spinach: Maximizing Its Nutrients

Fresh spinach

It’s no secret that, as a leafy green, spinach is a healthy food. What is less well known is that your body will better process two of its key nutrients, iron and calcium, when the spinach is cooked. That’s because it also contains oxalic acid, which blocks the minerals’ absorption unless the oxalates are broken down under high-heat cooking. If your recipe doesn’t include sautéing, another option is to plunge the spinach into boiling water for 60 seconds and then right into a bowl of ice-cold water to stop the cooking process and keep it a brighter green. 

To get more of the iron when eating spinach raw, add a vitamin C food, like orange segments, to your meal. 

Your body absorbs more folate and lutein when eating spinach raw, so varying your prep is a good idea.

More reasons to eat spinach: It’s also rich in vitamins K, C, A, E, and B6 as well as folate and riboflavin and in the minerals manganese, magnesium, copper, and potassium. It has many carotenoids, among other antioxidants, to protect cell health and guard against inflammation. 

Quick Kitchen Nugget: A better type of frozen spinach

Quick Kitchen Nugget

A Better Type of Frozen Spinach

When fresh isn’t available, frozen can be a good substitute. The key to more flavorful frozen spinach is to select leaf spinach rather than chopped spinach. The leaves go through a lot less processing, translating to better taste and less freezer burn. Of course, look for pure spinach—no added salt or any other ingredients.

For Your Best Health: An Avocado a Day…

For Your Best Health

The Next Round in the “Are Eggs Healthy?” Debate

Because eggs contain some saturated fat, which is linked to higher cholesterol levels, there’s been much research on finding the right number of eggs to eat per week to help keep cholesterol in line. Results from a prospective controlled trial presented at the American College of Cardiology’s Annual Scientific Session offer positive news for egg lovers. One hundred and forty patients with or at high risk for cardiovascular disease were enrolled in the PROSPERITY study and divided into two groups to assess the effects of eating 12 or more fortified eggs a week versus a non-egg diet (fewer than two eggs a week) on HDL and LDL cholesterol and other key markers of cardiovascular health, including lipid, cardiometabolic, and inflammatory biomarkers and levels of vitamins and minerals. At the end of the four-month study period, cholesterol levels were similar in the two groups.

“We know that cardiovascular disease is, to some extent, mediated through risk factors like high blood pressure, high cholesterol, increased BMI, and diabetes. Dietary patterns and habits can have a notable influence on these, and there’s been a lot of conflicting information about whether or not eggs are safe to eat, especially for people who have or are at risk for heart disease,” said Nina Nouhravesh, MD, a research fellow at the Duke Clinical Research Institute in Durham, North Carolina, and the study’s lead author. “This is a small study, but it gives us reassurance that eating fortified eggs is OK with regard to lipid effects over four months, even among a more high-risk population.”

Dr. Nouhravesh and her team looked specifically at fortified eggs as they contain less saturated fat and have additional vitamins and minerals such as iodine; vitamins D, B2, 5, and 12; selenium; and omega-3 fatty acids. All the participants were 50 years of age or older (the average age was 66 years), half were female, and 27% were African American. All had experienced one prior cardiovascular event or had two cardiovascular risk factors, such as high blood pressure, high cholesterol, increased BMI, and/or diabetes. 

Participants had in-person clinic visits at the start of the study and visits at one and four months to take vital signs and have bloodwork done; phone check-ins occurred at two and three months. People in the fortified egg group were asked about their weekly egg consumption, and those with low adherence were given additional educational materials.

Fresh eggs

Results showed a -0.64 mg/dL and a -3.14 mg/dL reduction in so-called good HDL cholesterol and bad LDL cholesterol, respectively, in the fortified egg group. While not statistically significant, the differences suggest, according to the researchers, that eating 12 fortified eggs each week had no adverse effect on blood cholesterol. In terms of secondary endpoints, researchers observed a numerical reduction in total cholesterol, LDL particle number, another lipid biomarker called apoB, high-sensitivity troponin (a marker of heart damage), and insulin resistance scores in the fortified egg group, while vitamin B increased.

“While this is a neutral study, we did not observe adverse effects on biomarkers of cardiovascular health and there were signals of potential benefits of eating fortified eggs that warrant further investigation in larger studies as they are more hypothesis generating here,” Dr. Nouhravesh said, explaining that subgroup analyses revealed numerical increases in HDL cholesterol and reductions in LDL cholesterol in patients 65 years or older and those with diabetes in the fortified egg group compared with those eating fewer than two eggs.

Note that what you eat with your eggs counts: buttered toast and bacon and other processed meats are not heart-healthy choices. As always, Dr. Nouhravesh said, it’s a good idea for people with heart disease to talk with their doctor about a heart-healthy diet.

It’s important to point out that this was a single-center study with a small size and reliance on patients’ self-reporting of their egg consumption and other dietary patterns. It was also an unblinded study, which means patients knew what study group they were in, which can influence their health behaviors, and it was funded by Eggland’s Best, a company that offers eggs from cage-free and pasture-raised/free-range hens.

Fitness Flash: How your sleep pattern influences your health

Fitness Flash

How Your Sleep Pattern Influences Your Health

Poor sleep habits are strongly associated with long-term chronic health conditions, according to decades of research. To better understand this relationship, researchers led by Soomi Lee, PhD, associate professor of human development and family studies at Penn State’s College of Health and Human Development, identified four distinct patterns that characterize how most people sleep and how they correlate to overall health. Results were published in Psychosomatic Medicine.

Using a national sample of adults from the Midlife in the United States (MIDUS) study, they gathered data on approximately 3,700 participants’ sleep habits and chronic health conditions across two time points 10 years apart. The data included self-reported sleep habits, including sleep regularity and duration, perceived sleep satisfaction, and daytime alertness, as well as the number and type of chronic conditions they had.

With that information, the researchers identified these four different sleep patterns:

  • Good sleepers with optimal sleep habits across all data points
  • Weekend catch-up sleepers with irregular sleep, specifically short average sleep duration, but longer sleep times on weekends or non-workdays
  • Insomnia sleepers with sleep problems related to clinical insomnia symptoms, including short sleep duration, high daytime tiredness, and a long time to fall asleep
  • Nappers with mostly good sleep but frequent daytime naps

The MIDUS study may not represent the entire population, researchers said, as it primarily comprises healthy adults, but they still found that more than half the participants were insomnia sleepers or nappers, both suboptimal sleep patterns. Additionally, being an insomnia sleeper over the 10-year period was associated with a significantly higher likelihood of chronic health conditions, including cardiovascular disease, diabetes, and depression. Results also showed that people were unlikely to change their sleep pattern over the course of the 10 years, especially the insomnia sleepers and nappers. 

“These results may suggest that it is very difficult to change our sleep habits because sleep health is embedded into our overall lifestyle. It may also suggest that people still don’t know about the importance of their sleep and about sleep health behaviors,” Dr. Lee said. “We need to make more efforts to educate the public about good sleep health. There are sleep hygiene behaviors that people could do to improve their sleep, such as not using cell phones in bed, exercising regularly and avoiding caffeine in the late afternoon.”

While the sleep patterns were seemingly not age-related, researchers found that older adults and retirees were more likely to be nappers. They also found that those with less education and those facing unemployment were more likely to be insomnia sleepers.

According to Dr. Lee, the fact that phase of life and economic conditions can influence long-standing sleep patterns suggests that societal and neighborhood influences—including economic stressors and access to health resources—may have significant effects on individual health and, in this case, sleep habits.

The researchers added that their findings strongly suggest the need for programs and interventions to promote healthy sleep and sleep habits and that such programs should not be one-size-fits-all but rather should be targeted based on a variety of factors, including the risk of chronic conditions and socioeconomic vulnerability.

“Sleep is an everyday behavior,” Dr. Lee said. “Sleep is also modifiable. So, if we can improve sleep almost every day, what outcomes might we see after several months, or even several years? Better sleeping habits can make many significant differences, from improving social relationships and work performance to promoting long-term healthy behaviors and healthy aging.”

According to the CDC, these good habits can help improve sleep health:

  • Go to bed at the same time each night and get up at the same time each morning, weekends included.
  • Keep your bedroom quiet, dark, and at a cool, comfortable temperature.
  • Keep all electronic devices, including laptops and cell phones, out of your bedroom.
  • Skip large meals, caffeinated drinks, and alcohol before bed.
  • Get some exercise during the day—it should 

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Olive Oil Hunter News #170

Horiatiki Salad Recipe and The MIND Diet for Brain Health: More Benefits of Olive Oil

I’m a huge fan of both Greek and Middle Eastern salads, the ingredients of which are not only delicious but also mainstays of the MIND (Mediterranean-DASH Intervention for Neurodegenerative Delay) diet, a way of eating designed for brain health. It’s an offshoot of the super-healthy Mediterranean diet and the DASH (Dietary Approaches to Stop Hypertension) diet. Why the distinction? Because the latest research on the MIND diet shows it can slow aging as well as reduce dementia risk. Add this to the list of the benefits of olive oil—it’s one of the super foods that MIND suggests including every day.

Horiatiki: The Sequel!

  • chicken paprikash Olive Oil Hunter News #240

    Chai Spice Cashews and Chicken Paprikash Recipes, Spotlight on Paprika and Sumac, Blooming Spices and Walking to Lower Back Pain

    Recipes are so much more flavorful when you start with top-notch ingredients. That’s why I’m so excited about the herbs and spices in the latest collection from the T. J. Robinson Curated Culinary Selections—seven brand-new offerings plus your perennial favorite vine-ripened black peppercorns. I’m sharing two recipes from the Spice Report, the booklet that comes with the collection, to show you how easy it is to elevate your dishes. Plus read about the link between walking more and experiencing less back pain.

    Chai Spice Cashews

    Chicken Paprikash

    Healthy Ingredient Spotlight: Calamansi Vinegar

    Healthy Ingredient Spotlight

    Paprika and Sumac

    The European country of Hungary has a vivid history, but, if it’s known for one thing above all others, it’s paprika, the brilliant red spice derived from sweet peppers. Peppers were originally brought from the Americas to Spain by explorer Christopher Columbus. That’s where pimentón, the smoked red pepper powder that defines so many Spanish foods, was created. In time, peppers made their way to the rest of Europe, notably Hungary, where the unsmoked version of the powder—ultimately known as paprika—was born. But that didn’t happen until the 18th century. The plants had been used for only decorative purposes until some locals discovered that, as a spice, the peppers added distinctive zest to dishes like goulash, chicken paprikash, and Hungarian meat stew, national favorites now enjoyed around the world. 

    Sweet paprika

    My Heirloom Sweet Paprika comes from two heirloom varieties, picked when perfectly ripe and then hung in mesh bags to cure and bring out their natural sugars. Next, they’re dehydrated and ground in small batches. The result is a vibrant, slightly pungent red pepper powder.

    Paprika is a kitchen essential, used in nearly every cuisine. Add it to dry rubs and marinades, deviled eggs, marinated olives, hummus, soups and stews including goulash, and main dishes like stuffed cabbage, stuffed peppers, andpaella. 

    Wild sumac

    Native to the Mediterranean and the Middle East and used in cuisines throughout those regions, sumac is as exotic as it sounds. It’s a flowering plant whose red berries are used to make the spice that bears its name. Though some sumac varieties are cultivated, my Wild Sumac comes from plants that grow wild in the hillsides around Gaziantep in southeastern Turkey and are very carefully harvested.

    Sumac has been used for thousands of years, with its earliest recorded history revolving around its therapeutic benefits—it was often made into a tea to ease indigestion and other maladies. Interest in it as a culinary ingredient stemmed from the uniquely bright, lemony-acidic taste of the berries when dried and crushed. It’s often sprinkled on as a seasoning or garnish for finished dishes, but sumac is also an important ingredient in many recipes. 

    Citrusy and fruity with umami flavor, my sumac is made according to an ancient preservation technique. The fresh berries are carefully dried, then the shells are removed and the fruit is ground with a small amount of salt before being cured. This creates a tart, salty, and slightly fermented flavor with notes of sour cherry and vinegar.

    Sumac is the secret sauce so many chefs reach for today. It adds a distinctive taste to fattoushand other salads,boreks and other savory pastries, and simple dishes like scrambled eggs or rice.An essential ingredient in blends like za’atarand baharat, on its own it’s a delectable finishing spice—sprinkle it on crudo, grilled fish, chicken, and meat, as well as on hummusand other bean dishes. It’s a great swap for a squeeze of lemon orwhen a recipe calls for lemon juice.

    Quick Kitchen Nugget: Blooming Spices

    Quick Kitchen Nugget

    Blooming Spices

    While whole spices are often toasted in a dry pan to bring out their flavors, blooming is a great technique when adding ground spices to recipes like the Chai Spice Cashews above. Simply heat your pan, add a tablespoon or so of olive oil and top it with the spice. Let it meld into the oil for 30 seconds before adding the next ingredient. Another option, used for the Chicken Paprikash, is to bloom the spice in liquid, like broth. Be sure the broth is at room temperature or slightly warm so that the spices are incorporated thoroughly.

    For Your Best Health: Walking to lower back pain

    For Your Best Health

    Walking to Lower Back Pain

    A major study done at Norwegian University of Science and Technology (NTNU) involving over 11,000 people investigated the relationship between walking and the risk of developing chronic lower back problems. The researchers found that walking every day—walking more not faster—could be the simplest and most effective way to reduce the risk of developing long-term back issues and that even low-intensity walking provides protection. Participants who walked over 100 minutes daily experienced significantly lower risks than those walking less: The volume is what matters most, less so the intensity—both factors were measured using two sensors that participants wore on the thigh and back for up to a week.

    “People who walk more than 100 minutes every day have a 23% lower risk of lower back problems than those who walk 78 minutes or less,” said Rayane Haddadj, PhD candidate at the Department of Public Health and Nursing at NTNU and member of a research group that specifically studies musculoskeletal disorders.

    It’s well known that physical activity can prevent a wide range of illnesses, but until now, there had been little research on the prevention of this type of musculoskeletal problem. “The findings highlight the importance of finding time to be physically active to prevent both chronic back problems and a number of other diseases. Over time, this could lead to major savings for society,” said Paul Jarle Mork, PhD, professor in NTNU’s Department of Public Health and Nursing. The study was published in the journal JAMA Network Open. 

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  • Chai spice cashews Chai Spice Cashews

    This sweet-and-spicy treat is irresistible—perfect for a party or afternoon nibble. Note: All bolded spices are included in the new spice collection from the T. J. Robinson Curated Culinary Selections.

    Ingredients

    • 2 tablespoons extra virgin olive oil
    • 1 tablespoon Chai Spice Blend
    • 2 tablespoons brown sugar
    • 1 teaspoon Wild Sumac
    • Pinch of fine sea salt
    • 2 cups raw cashews

    Directions

    Heat a large frying pan or wok over medium-high heat. When hot, add the olive oil, chai spice, sugar, sumac, and salt. Whisk to blend, then allow to toast for 1 minute. Add the cashews and use tongs to coat them well. Let cook undisturbed in one layer for 3 minutes, then toss continuously for another 2 minutes until the nuts brown lightly. Transfer to a serving bowl and let cool before eating.

    Yields 6 to 8 servings

  • chicken paprikash Chicken Paprikash

    This dish, the heart and soul of Hungary, is typically served over egg noodles, and this recipe makes enough sauce to dress them as well as the chicken. I’m using boneless skinless thighs for flavor and a shortened cooking time (cube them for even faster cooking). The grating blade of a food processor is great for grating the onions, and a Microplane makes fast work of the garlic.

    Ingredients

    • 3 heaping tablespoons Heirloom Sweet Paprika
    • 2 teaspoons fine sea salt, plus more to taste
    • 1 teaspoon freshly ground Vine-Ripened Black Peppercorns, plus more to taste
    • 1 1/2 cups homemade or store-bought low-sodium chicken broth, at room temperature
    • 1/3 cup heavy cream or half-and-half, at room temperature
    • 3/4 cup full-fat sour cream, at room temperature 
    • 1/4 cup flour
    • 3 tablespoons extra virgin olive oil, more as needed
    • 2 pounds boneless skinless chicken thighs
    • 1 large yellow onion, grated 
    • 3 large garlic cloves, finely minced or grated 
    • 1 large ripe tomato, diced, or 1 cup diced canned tomatoes 
    • 1 tablespoon Purple Shallot Powder

    Directions

    Step 1

    In a large measuring cup, whisk the paprika, salt, and pepper into the broth until well blended; set next to your stovetop. In another large measuring cup or a bowl, whisk the heavy cream (or half-and-half) into the sour cream, then whisk in the flour; set next to your stovetop.

    Step 2

    Heat a large Dutch oven over medium-high heat. When hot, add 3 tablespoons olive oil and sear the chicken thighs on both sides, then transfer them to a large plate. Add another tablespoon of olive oil if the pot looks dry and then sauté the onions until soft and translucent. Add the garlic and tomatoes and sauté for 3 minutes.

    Step 3

    Use tongs to transfer the chicken back to the pot and pour on the broth-paprika mixture. Bring to a boil, then immediately turn down the heat to a simmer. Cover and cook for 30 minutes or until an instant-read thermometer registers 165°F when placed in two of the thighs. 

    Step 4

    Use the tongs to transfer the thighs to a clean plate. Use a spatula to scrape the cream mixture into the sauce, then a large balloon whisk to blend it in thoroughly. Constantly whisking, maintain a simmer to cook the flour and thicken the sauce for about 5 minutes. Whisk in the shallot powder. Return the chicken to the sauce to heat it through. 

    Yields 4 servings

  • EVOO to Go Winter 2025

    This Quarter’s Selection

    • Producer: Famiglia Brunetti, Trevi, Umbria, Italy
    • Olive Varieties: Frantoio, Leccino, Moraiolo
    • Flavor Profile: Medium
    Stefano and Andrea Brunetti’s vintage Ape is perfect for navigating their groves’ grassy aisles and various elevations. Central Italy had a low production year, but three varietals in one of their microclimates defied the odds, enabling us to craft a delightful small-batch blend. Loaded with flavor, it’s available only for my to-go packets and for the family’s own reserve.

    The exquisite fresh-pressed olive oil for this quarter’s to-go packets is a true crowd-pleaser. It comes from an exceptional producer in the picturesque hill town of Trevi, in Umbria, a region nicknamed the green heart of Italy. Loaded with fruit from three amazing varietals, it’s one of the most versatile olive oils I’ve ever tasted. I love it so much, and I’m sure you will, too.

    The Brunetti family’s passion for olive oil dates back three generations. Grandfather Vittorio had owned thousands of trees in the area, but after World War II he reduced his groves radically. He kept a mere 200 trees, just enough for the family’s own olive oil needs. His son Francesco’s career began in the aviation industry, but, in 1994, weary of the corporate world, he guided the family back to its roots. Thus began the long and arduous process of expanding the groves and cultivating a carefully curated group of olive varietals.

    Today, Francesco’s sons, Andrea and Stefano, tend to an impressive 45,000 trees, spread out over three microclimates at varying elevations. The Brunetti mill, outfitted with state-of-the-art equipment from Alfa Laval, allows for precise temperature control of the olives and olive paste, a critical capability for any miller intent on producing the highest-quality EVOO. Their hard work has more than paid off. They’ve garnered many of the most prestigious awards bestowed on producers, including being named in Flos Olei’s Top 20 and receiving Gambero Rosso’s coveted star honoring a decade of excellence.

    Impressions and Recommended Food Pairings

    Here, Stefano and I are testing this dazzling oil over lunch at the mill. I was thrilled with its flavor and aroma and how it brought each dish to a new level.

    This blend of Frantoio, Leccino, and Moraiolo cultivars is a vibrant oil of medium intensity, with perfectly calibrated flavor and balance. On the nose, there’s the aroma of artichoke and green almond, apple, escarole, and fennel and the freshness of mint with a hint of vanilla. On the palate, we tasted artichoke, fresh walnuts, baby spinach, and rosemary; the bitterness of dandelion greens; and the spiciness of celery leaves and white pepper.

    A highly versatile oil, it’s perfect for on-the-go drizzling and will deliciously enhance every dish. Lavish it on crusty breads and focaccia; salads; legume dishes and soups; risottos; potatoes; and sautéed vegetables. Drizzle it on freshly steamed artichokes; grilled seafood; beef, chicken, turkey, or lamb dishes; and vanilla ice cream and chocolate cake.

  • Pepper-and-herb-crusted filet Olive Oil Hunter News #239

    Pepper-and-Herb-Crusted Filet Recipe, Spotlight on Condimento Barili Exclusivi, Grinding Peppercorns, You can Be Too Thin, and Everyday Habits That May Shield You from Dementia

    The holiday season is almost upon us, so I’m delighted to share my recipe for a fabulous beef tenderloin, guaranteed to wow you and your guests. It’s also a good time for a reminder on the importance of healthy habits, some of which get shelved for the next two months as parties and dinners take precedence. Maintaining good-for-you strategies isn’t as hard as you might think and, as you’ll read in the Fitness Flash below, they can be transformative.

    Pepper-and-Herb-Crusted Filet

    Healthy Ingredient Spotlight: Condimento Barili Exclusivi

    Healthy Ingredient Spotlight

    Condimento Barili Exclusivi

    Condimento Barili Exclusivi

    With so many bottles on supermarket and gourmet shop shelves labeled “balsamic,” it’s important to know that true balsamic vinegar can only come from Modena, Italy. The highest designation is Aceto Balsamico Tradizionale DOP (Denominazione di Origine Protetta,or Protected Origin Denomination), which is crafted exclusively from cooked grape must, the result of cooking down all parts of the grapes. This kind of vinegar is aged for a minimum of 12 years, and a few ounces cost well over a hundred dollars, so it’s not used for cooking or making vinaigrettes but for drizzling sparingly as a finishing touch.

    Aceto Balsamico di Modena IGP (Indicazione Geografica Protetta, or Protected Geographical Indication) is made from grape must and wine vinegar and aged in wooden barrels for at least two months. It gets sweeter and more harmonious as it achieves the perfect ratio of density to acidity. 

    Since I first introduced the T. J. Robinson Curated Culinary Selections, I’ve always included a very special balsamic, Condimento all’Aceto Balsamico di Modena IGP Barili Exclusivi—meaning “from exclusive barrels.” The condimento designation allows vinegar vintners to go beyond the strict requirements set by the consortiums in Modena, whose job it is to make sure their rules are adhered to. This year’s is our richest yet. The barrels used during the aging process impart complex flavors and a richer texture through contact with the wood. The result is a truly unique balsamic full of character. I love it in marinades and sauces and as a drizzle on finished dishes.

    Quick Kitchen Nugget: Grinding Peppercorns

    Quick Kitchen Nugget

    Grinding Peppercorns

    Ground black pepper starts to lose its flavor within a matter of days, so the taste of packaged ground pepper, which has likely been sitting around for months, is going to be disappointing. That’s why I prefer buying whole black peppercorns. The question then becomes whether to use a pepper mill to grind it as you need it or run small amounts through a bean or spice grinder and transfer it to a shaker jar.

    The answer depends on how fast you’ll use it. If you cook every day, you’re likely to go through the jar in short order, and this approach can be a time and labor saver. I also like to have a dedicated grinder for pepper so I don’t run the risk of transferring flavors, which can happen if you use the same grinder for coffee or a strong spice like cumin. (Most grinders can be washed, but follow manufacturer directions carefully.) On the other hand, if you mostly use black pepper to season cooked food, use a pepper mill at the table. The classic hourglass-shaped mill works well for many people, but if you have hand arthritis or any other limitations, consider getting an electric one that requires less effort.

    For Your Best Health: You can Be Too Thin 

    For Your Best Health

    You can Be Too Thin 

    Legend has it that Wallis Simpson, the former Duchess of Windsor, famously said you can never be too rich or too thin. As it turns out, at least half that statement may be false. New research presented at the annual meeting of the European Association for the Study of Diabetes in Vienna, Austria, challenges long-held assumptions about body weight and health. 

    “Both underweight and obesity are major global health challenges,” says Sigrid Bjerge Gribsholt, MD, PhD, of the Steno Diabetes Center Aarhus at Aarhus University Hospital in Aarhus, Denmark, who led the research. “Obesity may disrupt the body’s metabolism, weaken the immune system, and lead to diseases like type 2 diabetes, cardiovascular diseases, and up to 15 different cancers, while underweight is tied to malnutrition, weakened immunity, and nutrient deficiencies. There are conflicting findings about the BMI range linked to lowest mortality. It was once thought to be 20 to 25, but it may be shifting upward over time owing to medical advances and improvements in general health.”

    To provide some clarity, Dr. Gribsholt, Professor Jens Meldgaard Bruun, MD, also of the Steno Diabetes Center Aarhus, and colleagues used health data to examine the relationship between BMI and mortality in 85,761 individuals (81.4% female, median age at baseline 66.4 years). About 8% of the participants died during the 5-year follow-up period. 

    Their analysis found that people in the underweight category were almost three times more likely (2.73 times) to have died than those with a BMI toward the top of the healthy range (22.5 to <25.0 kg/m2, the reference population). People with BMI of 40 kg/m2 and above (categorized as severe obesity) were more than twice as likely (2.1 times) to have died compared with the reference population.

    However, higher mortality rates were also found for some BMIs that are considered healthy. People with a BMI of 18.5 to <20.0 kg/m2, at the lower end of the healthy weight range, were twice as likely to have died as those in the reference population. Similarly, those with a 20.0 to <22.5 kg/m2, in the middle of the healthy weight range, were 27% more likely to have died than the reference population.

    By contrast, individuals with a BMI in the overweight range (25 to <30 kg/m2) and those with a BMI at the lower part of the obese range (30.0 to <35.0 kg/m2) were no more likely to have died than those in the reference population, a phenomenon sometimes referred to as being metabolically healthy or “fat but fit.” Those with a BMI of 35 to <40.0 kg/m2 did have an increased risk of death of 23%.

    Researchers saw a similar pattern when they looked at the relationship between BMI and obesity in participants of different ages, sexes, and levels of education, but they were surprised to find that BMI was not associated with a higher mortality—up to a BMI of 35 kg/m2—and that even a BMI 35 to <40 kg/m2 was only associated with a slightly increased risk.

    “One possible reason for the results is reverse causation: Some people may lose weight because of an underlying illness,” said Dr. Gribsholt. “In those cases, it is the illness, not the low weight itself, that increases the risk of death, which can make it look like having a higher BMI is protective. Since our data came from people who were having scans for health reasons, we cannot completely rule this out. It is also possible that people with higher BMI who live longer—most of the people we studied were elderly—may have certain protective traits that influence the results. Still, in line with earlier research, we found that people who are in the underweight range face a much higher risk of death.”

    “BMI isn’t the only indicator that someone is carrying unhealthy levels of fat,” Dr. Bruun pointed out. “Other important factors include how the fat is distributed. Visceral fat—fat that is very metabolically active and stored deep within the abdomen, wrapped around the organs—secretes compounds that adversely affect metabolic health. As a result, an individual who has a BMI of 35 and is apple-shaped—the excess fat is around their abdomen—may have type 2 diabetes or high blood pressure, while another individual with the same BMI may be free of these problems because the excess fat is on their hips, buttocks, and thighs. It is clear that the treatment of obesity should be personalized to take into account factors such as fat distribution and the presence of conditions such as type 2 diabetes when setting a target weight.”

    Fitness Flash: Everyday Habits That May Shield You from Dementia

    Fitness Flash

    Everyday Habits That May Shield You from Dementia

    Alzheimer’s is on the rise, but evidence shows lifestyle interventions can significantly preserve memory and cognition. Prevention may hold the key to reducing the massive global burden of dementia, according to a commentary from researchers at Florida Atlantic University’s Charles E. Schmidt College of Medicine, published in The American Journal of Medicine.

    An estimated 7.2 million Americans over age 65 currently live with Alzheimer’s disease. That number is expected to nearly double to 13.8 million by 2060. These increases reflect more than demographic shifts; they point to a growing public health crisis that requires a proactive new approach. While chronological age is the strongest known risk factor for cognitive decline, losing cognitive function is not an inevitable part of aging.

    “While deaths from cardiovascular disease have declined since 2000, deaths from Alzheimer’s disease have surged by more than 140%,” said commentary coauthor Charles H. Hennekens, MD, the First Sir Richard Doll Professor of Medicine and Preventive Medicine and senior academic advisor at Schmidt. “At the same time, it is estimated that up to 45% of dementia risk could be attributed to modifiable lifestyle and environmental factors.”

    Lifestyle risk factors like physical inactivity, poor diet, obesity, alcohol use, and conditions such as hypertension, diabetes, depression, and social or intellectual isolation are believed to contribute to cognitive decline. The authors point out that the same therapeutic lifestyle changes proven effective for reducing risks of cardiovascular and other major diseases may also help reduce cognitive decline, potentially with additive effects when multiple risk factors are present.

    The commentary highlights the recently published results from POINTER, the first large-scale US-based randomized trial to test whether intensive lifestyle changes can improve cognitive outcomes in older adults at high risk of decline. In this trial, participants who were assigned at random to a structured, team-based lifestyle intervention showed statistically significant and clinically meaningful improvements in global cognition over two years. These gains were especially notable in executive functions such as memory, attention, planning, and decision-making. The intervention emphasized regular physical activity, a combination of Mediterranean and DASH-style diets, cognitive stimulation, and social engagement reinforced through ongoing professional guidance and group support.

    These findings are similar to an earlier Finnish trial, the FINGER trial, in which participants with elevated cardiovascular risk scores assigned at random to a multidomain lifestyle approach experienced cognitive benefits. “The data from both these landmark large-scale randomized trials demonstrate that lifestyle changes—previously shown to reduce heart disease and cancer—also hold transformative potential for brain health,” Dr. Hennekens said.

    The researchers also speculated about biological mechanisms that may underlie these benefits. Physical activity, for example, increases brain-derived neurotrophic factor, which supports hippocampal growth, while also improving blood flow and reducing inflammation. Healthy dietary patterns like the Mediterranean and DASH diets can lower oxidative stress and improve insulin sensitivity as well as risks of cardiovascular disease. Quitting smoking may help preserve brain structure and white matter integrity, and regular social and cognitive engagement promotes neuroplasticity and mental resilience.

    “The implications for clinical practice, public health, and government policy are potentially enormous,” said Parvathi Perumareddi, DO, coauthor and an associate professor of family medicine at Schmidt. “Clinicians now have powerful evidence-based tools to help their patients prevent or slow cognitive decline, tools that go beyond medications, are generally low-risk, and are cost-effective. Public health agencies could adopt the framework of trials like POINTER and FINGER to develop brain health programs.”

    “While more research is needed, the current totality of evidence supports a clear path forward: invest in lifestyle-based strategies to protect brain health,” said Dr. Hennekens. “Doing so will not only benefit individuals at risk but also serve as a powerful tool for reducing national and global health care burdens related to cognitive decline.”

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  • Pepper-and-herb-crusted filet Pepper-and-Herb-Crusted Filet

    Balsamic vinegar enhances this most tender cut of beef and adds richness to the pan juices.

    Ingredients

    • 8 garlic cloves, peeled 
    • 2 tablespoons coarse sea salt
    • 1/3 cup extra virgin olive oil, plus 2 tablespoons for searing 
    • 1 tablespoon Condimento Barili Exclusivi, plus more for drizzling
    • 1 tablespoon fresh coarsely cracked black pepper
    • 2 tablespoons fresh thyme leaves
    • 1/4 cup fresh rosemary needles from a 3- or 4-inch sprig 
    • 2 tablespoons grainy mustard
    • One 3-pound center-cut beef tenderloin, trimmed as needed

    Directions

    Step 1

    Preheat your oven to 450ºF. In a small food processor, process the garlic and salt until the garlic is finely chopped. Add the 1/3 cup olive oil, vinegar, black pepper, thyme, and rosemary, and process until the herbs are evenly chopped. Stir in the mustard and set aside.

    Step 2

    Heat a large cast-iron skillet or Dutch oven over medium-high heat. When hot, add the 2 tablespoons olive oil and then the beef, searing it on all sides until nicely browned, 3 to 4 minutes per side, making quarter turns with tongs. Transfer the meat to a cutting board and let cool slightly.

    Step 3

    Coat the tenderloin evenly on all sides with the reserved herb mixture, and then transfer it to a meat rack set in a roasting pan. Roast it until the internal temperature reaches your desired doneness on an instant-read thermometer, about 20 to 30 minutes for medium-rare (depending on its thickness). Let it rest for at least 10 minutes to seal in the juices before you carve it into thick slices. Serve with a drizzle of pan juices and a few drops of vinegar.

    Yields 8 servings

  • Cold Seafood Salad Olive Oil Hunter News #238

    Cold Seafood Salad Recipe, Spotlight on Yuzu Rice Wine Vinegar, Overcooking Shellfish, Controlling High Blood Pressure, Plus Exercise and Your Appetite

    I love elegant dishes that deliver on taste with a minimum of effort, and my take on a seafood salad is perfect at any time because the ingredients are always available—flash-freezing makes it possible to find them year-round in the freezer case. Another reason to love this dish is that it doesn’t call for any added salt, a contributor to high blood pressure. Read on for other ways to limit sodium in your diet.

    Cold Seafood Salad

    Healthy Ingredient Spotlight: Austrian Red Wine Vinegar

    Healthy Ingredient Spotlight

    Yuzu Rice Wine Vinegar

    Condimento Bianco Menta

    Each year, as I contemplate the potential vinegar choices for the T. J. Robinson Curated Culinary Selections, I always want to include a rather exotic one to surprise and delight you. Yuzu Rice Wine Vinegar is exactly that. 

    Rice wine vinegar is such an important ingredient in Asian cooking. It’s made from sake, the beloved rice-based Japanese drink. The sake for this vinegar is American-made, a junmai-grade sake from California. Junmai means that it’s pure—nothing other than rice is added to the fermenting mixture. The rice wine is not seasoned, meaning it has no sugar added; it has just the mellowness that comes from aging.

    For a completely one-of-a-kind creation, I had the idea to enhance this vinegar with yuzu. Yuzu is an Asian citrus fruit with a strong perfumed aroma and a highly complex flavor profile with notes of grapefruit, lemon, and mandarin orange—it’s tart, sweet, and floral all at the same time. Its thick and bumpy rind goes from green to yellow as it ripens, and its milky yellow juice has deep flavor. It took a lot of experimenting with proportions to find just the right balance of yuzu juice and rice wine so that both tastes would come through, and then it was rounded out with organic blue agave for a little bit of sweetness. The result is a sweet-tart vinegar with a flavor that will wow you as much as it did me.

    Quick Kitchen Nugget: Don’t Overcook Shellfish

    Quick Kitchen Nugget

    Don’t Overcook Shellfish

    No one likes rubbery seafood—one bad experience can turn you off to these gifts from the ocean. It’s especially easy to overcook calamari and scallops since, unlike shrimp, their color doesn’t change dramatically when they’re done. However, they do go from translucent to opaque, often in just a few minutes. If you keep cooking beyond this point, they will become tough. Even if you scoop them out of the cooking liquid, the cooking process will continue until the heat dissipates, which is why I suggest dropping them in an ice bath right away.

    Shrimp and whole lobsters will turn a bright red-orange as soon as they’re done. Seafood in the shell, like clams, mussels, and oysters, should be steamed on a rack over simmering water just until their shells open. This can take as little as 5 minutes or up to 10, depending on size, so keep watch. They don’t need the ice bath, but it should be used right away.

    For Your Best Health: Controlling High Blood Pressure

    For Your Best Health

    Controlling High Blood Pressure

    Despite strong evidence that salt substitutes can safely lower sodium intake and reduce high blood pressure, very few Americans use them, according to preliminary research presented at the American Heart Association’s Hypertension Scientific Sessions 2025. A new analysis of nearly 20 years of national health data found that usage peaked at just over 5% and then declined, even among those with hypertension. Researchers say this represents a major missed opportunity to improve heart health.

    High blood pressure occurs when the force of blood flowing through the blood vessels is consistently too high. High blood pressure can lead to other serious events such as heart attack and stroke. Data from 2017 to 2020 showed that 122.4 million American adults had high blood pressure and that high blood pressure contributed to more than 130,000 deaths. Too much sodium and too little potassium in the diet are risk factors for high blood pressure.

    “Overall, less than 6% of all US adults use salt substitutes, even though they are inexpensive and can be an effective strategy to help people control blood pressure, especially people with difficult-to-treat high blood pressure,” said lead study author Yinying Wei, MCN, RDN, LD, and PhD candidate in the departments of applied clinical research and hypertension section, cardiology division, at UT Southwestern Medical Center in Dallas. “Healthcare professionals can raise awareness about the safe use of salt substitutes by having conversations with their patients who have persistent or hard-to-manage high blood pressure.”

    Salt substitutes are products that replace some or all of the sodium with potassium. Potassium salt tastes similar to regular salt, except it can have a bitter aftertaste if it’s been heated. Many foods contain some sodium in their natural state; however, the largest amount of sodium comes from processed and packaged foods and meals prepared at restaurants. The American Heart Association recommends consuming no more than 2,300 mg of sodium a day, with an ideal limit of less than 1,500 mg per day for most adults, especially for those with high blood pressure. For most people, cutting back by 1,000 mg a day can improve blood pressure and heart health.

    The investigation focused on people with high blood pressure, and an additional analysis was conducted among adults eligible to use salt substitutes, including people with normal kidney function and those not taking medications or supplements that affect blood potassium levels. Some salt substitutes contain potassium, and they can raise blood potassium to dangerous levels in people with kidney disease or those taking certain medications or potassium supplements. Excessive potassium can lead to irregular heart rhythms. People with high blood pressure who are thinking about switching from regular salt to a salt substitute should first consult with a healthcare professional.

    The study did have some limitations, said the authors. First, information about salt substitute use was self-reported, so there may have been underreporting or misclassification. In addition, all types of salt substitutes were included in the analysis; therefore, the analysis could not specifically separate potassium-enriched salt from other types of salt substitutes. Finally, the survey data did not capture how much salt substitute the participants used.

    “Future research should explore why salt substitute use remains low by investigating potential barriers, such as taste acceptance, cost, and limited awareness among both patients and clinicians,” said Wei. “These insights may help guide more targeted interventions.”

    Salt substitutes aren’t the only options for adding more flavor to foods. According to the American Association of Heart Failure Nurses, pure herbs and spices, such as garlic, onion, and chili powder, are great choices. Just make sure you aren’t using garlic salt or onion salt. 

    Fitness Flash: Exercise and Your Appetite

    Fitness Flash

    Exercise and Your Appetite

    Researchers at Baylor College of Medicine, Jan and Dan Duncan Neurological Research Institute (Duncan NRI) at Texas Children’s Hospital, Stanford University School of Medicine, and collaborating institutions recently shared new insights into how exercise helps with weight loss. They discovered a mechanism by which the compound Lac-Phe, which is produced during exercise, reduces appetite in mice, leading to weight loss. The findings appeared in Nature Metabolism.

    “Regular exercise is considered a powerful way to lose weight and to protect from obesity-associated diseases, such as diabetes or heart conditions,” said co-corresponding author Yang He, PhD, assistant professor of pediatrics-neurology at Baylor and investigator at the Duncan NRI. “Exercise helps [people] lose weight by increasing the amount of energy the body uses; however, it is likely that other mechanisms are also involved.”

    The researchers previously discovered that Lac-Phe is the most increased metabolite—a product of the body’s metabolism—in blood after intense exercise, not just in mice but also in people. They had also shown that giving Lac-Phe to obese mice reduced how much they ate and helped them lose weight without negative side effects. But until now, scientists didn’t fully understand how Lac-Phe helps suppress appetite.

    “Understanding how Lac-Phe works is important for developing it or similar compounds into treatments that may help people lose weight,” Dr. He said. “We looked into the brain as it regulates appetite and feeding behaviors.”

    The researchers studied two types of brain cells in mice: AgRP neurons, which stimulate hunger and are found in the arcuate nucleus of the hypothalamus, and PVH neurons, found in the paraventricular nucleus of the hypothalamus. Normally, AgRP neurons send signals that inhibit PVH neurons, making you feel hungry. But when AgRP neurons are turned off, PVH neurons become more active, reducing appetite.

    The team discovered that Lac-Phe directly inhibits AgRP neurons, which in turn activates PVH neurons. This chain of events resulted in the mice eating less. The animals’ behavior remained normal, suggesting that Lac-Phe doesn’t cause unpleasant side effects. “We found that Lac-Phe acts on a protein on AgRP neurons called the KATP channel, which helps regulate cell activity. When Lac-Phe activates these channels in AgRP neurons, the cells become less active,” Dr. He said. “When we blocked the KATP channels using drugs or genetic tools, Lac-Phe no longer suppressed appetite. This confirmed that the KATP channel is essential for Lac-Phe’s effects.”

    This research helped explain how exercise can naturally reduce appetite and improve metabolism. “The results also suggest the exciting possibility of targeting this newly discovered mechanism for weight management,” said co-corresponding author Yong Xu, PhD, currently at the University of South Florida.

    Although this study focused on mice, the findings are promising for people. Future research will explore how Lac-Phe works in different metabolic states (like obesity vs. leanness), how it travels to the brain, and whether it can be used safely and effectively as a therapy.

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  • Cold Seafood Salad Cold Seafood Salad

    You can enhance this medley, perfect for a light lunch or dinner, with steamed mussels or, for pure indulgence, lobster chunks.

    Ingredients

    • 1 pound shrimp, peeled and deveined
    • 1/2 pound cleaned calamari, cut into rings 
    • 1 pound sea scallops, preferably the dry type
    • 20 cherry tomatoes, halved
    • 1 small red onion, cut into rings
    • 3 tablespoons extra virgin olive oil
    • 1 tablespoon Yuzu Rice Wine Vinegar
    • Juice of half a lemon, plus more to taste
    • 1/4 cup chopped fresh flat-leaf parsley leaves
    • Freshly ground black pepper to taste

    Directions

    Step 1

    Prepare an ice bath: Set out a very large bowl and fill it halfway with water, then add 2 cups of ice. 

    Step 2

    Boil the shrimp in a large pot of water until pink, about 5 minutes; use a large strainer to scoop them out and into the ice bath to cool. Add the calamari rings to the boiling water and cook for 2 minutes; use the strainer to scoop them out and into the ice bath. Turn the heat in the cooking pot down to a simmer, add the scallops, cover, and take off the heat; wait 4 minutes, and then use the strainer to scoop them out and into the ice bath. After 5 minutes, drain the seafood and place in a serving bowl along with the tomatoes and onion rings.

    Step 3

    Whisk the olive oil, vinegar, and lemon juice in a small bowl. Add the parsley, then pour over the seafood. Toss lightly, taste, and season with pepper and more lemon juice as desired.

    Yields 4 servings

  • Béarnaise Olive Oil Hunter News #237

    Béarnaise Recipe, Spotlight on Austrian Red Wine Vinegar, Who Needs a Dedicated Double Boiler, Shedding Light on Common Allergens and Managing Fitness Setbacks

    Every now and then I want an indulgence, and one I find so tempting is the French classic I mastered in culinary school: béarnaise, the 200-year-old sauce said to have been created by accident by the Parisian chef Jean-Louis-François Collinet. It’s as sumptuous today as it was back then. But you don’t have to be a professional cook to make it at home—all you need are the right ingredients and equipment.  

    Béarnaise

    Healthy Ingredient Spotlight: Austrian Red Wine Vinegar

    Healthy Ingredient Spotlight

    Austrian Red Wine Vinegar

    Condimento Bianco Menta

    Red wine vinegar is a pantry essential, but this one, finely crafted in Austria, is in a class by itself. Rotweinessig is one of the most traditional vinegars in the country—it’s what Austrians use on a daily basis. The Austrian Red Wine Vinegar in my 2026 collection of artisanal vinegars is crafted from fresh wine made from Austria’s own popular Zweigelt grapes. The grapes are grown in the Styria region of the country, which is called the green heart of Austria because of its verdant and hilly landscape and rich agriculture. The wine goes through a second fermentation to convert the alcohol into acetic acid, and then it’s stored for several years in oak barrels, which softens the acidity while maintaining a wonderful fresh taste—mild and harmonious. 

    Quick Kitchen Nugget: Who Needs a Dedicated Double Boiler?

    Quick Kitchen Nugget

    Who Needs a Dedicated Double Boiler?

    A double boiler is simply two stacked pots, though the name is somewhat misleading since only the bottom pot holds boiling liquid (water). The top pot is where you place ingredients that could easily burn, like chocolate or butter, or curdle, like egg-based custards, sauces, and curds. The cooking is done by the steam that rises from the boiling water in the bottom pot, which must be filled with only about 2 inches of water. This prevents the boiling water from touching the top pot. The cooking time is somewhat longer, but it’s less risky than placing delicate ingredients over direct heat.

    You can easily create a makeshift double boiler by placing a large heatproof glass or metal bowl over a saucepan. The bowl should cover the opening of the pot but not be so deep that it touches the boiling water.

    For Your Best Health: Shedding Light on Common Allergens

    For Your Best Health

    Shedding Light on Common Allergens

    Household allergens - woman blowing nose near cat

    Sneezing caused by cats, dust mites, or mold may one day be preventable with a flip of a switch. Researchers at the University of Colorado at Boulder found that UV222 light can alter allergen proteins, reducing allergic reactions without dangerous side effects. Within 30 minutes, airborne allergens decreased by up to 25%, according to their study published in the journal ACS ES&T Air.

    “We have found that we can use a passive, generally safe ultraviolet light treatment to quickly inactivate airborne allergens,” said study author Tess Eidem, PhD, a senior research associate in the Department of Civil, Environmental, and Architectural Engineering. “We believe this could be another tool for helping people fight allergens in their home, schools, or other places where allergens accumulate indoors,” said Dr. Eidem. 

    If you walk into a room where there’s a cat and you sneeze, it’s not actually the cat you are reacting to. It’s likely airborne flecks of a protein produced in its saliva. The protein spreads when the cat licks itself and sends up microscopic flakes of dead skin that float in the air (aka dander). When we inhale these particles, our immune system produces antibodies that bind to the protein’s unique 3D structure, kicking off an allergic reaction.

    Cats, dogs, mice, dust mites, mold, and plants all emit their own unique proteins, with their own unique structure. Unlike bacteria and viruses, these allergens can’t be killed because they were never alive. “After those dust mites are long gone, the allergen is still there,” said Dr. Eidem. “That’s why if you shake out a rug, you can have a reaction years later.”

    Standard methods of reducing allergens, like vacuuming, washing walls, using an air filter, and regularly bathing pets, can work OK but are hard to maintain, long-term studies show. Instead of eliminating the proteins that cause allergies, Dr. Eidem and coauthors Mark Hernandez, PhD, a professor of civil, environmental, and architectural engineering, and Kristin Rugh, a microbiologist in the lab, sought to change their structure, much like unfolding an origami animal, so the immune system wouldn’t recognize them. “If your immune system is used to a swan and you unfold the protein so it no longer looks like a swan, you won’t mount an allergic response,” explained Dr. Eidem. UV light, their study suggests, can do that.

    UV222 lights are already commercially available, mostly for industrial antimicrobial uses. Dr. Eidem envisions a day when companies could engineer portable versions for people to switch on when they visit a friend with a pet or clean out a dusty basement. UV222 systems could also potentially protect workers frequently exposed to allergens, such as those who work around live animals.

    One in three adults and children in the United States have allergies, according to the Centers for Disease Control and Prevention. Dr. Eidem hopes her research, and more to come, can provide some relief or even save lives. “Asthma attacks kill about 10 people every day in the United States, and they are often triggered by airborne allergens,” she said. “Trying to develop new ways to prevent that exposure is really important.”

    Fitness Flash: Managing Setbacks

    Fitness Flash

    Managing Setbacks

    Roadblocks on the route to better fitness are common for almost everyone. Maybe you started off strong, but then, little by little, other responsibilities got in the way and your motivation began to wane. Or maybe you were too ambitious at first and got hurt and sidelined, or you’re simply impatient with the pace of your improvement. Setbacks can be discouraging, but you can overcome them and achieve your goals, say the experts at the American Council on Exercise. Here’s what they suggest:

    • View setbacks as part of your journey rather than as failures. 
    • Keep a progress chart to remind yourself of how far you’ve come.
    • Break big goals into smaller, more attainable steps. If you hope to run a 5K, start by aiming for a 1K or 2K.
    • Pair new habits with existing ones, like doing calf rises while brushing teeth, to help them become permanent. 
    • Build the mental strength needed to navigate challenges and stay committed to goals. This could be through guided meditation or mindful workouts like yoga and tai chi.
    • Try a fitness app that offers daily reminders, progress tracking, and motivational tips. 
    • Celebrate all achievements, even the smallest ones, like every pound lost. 

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  • Béarnaise Béarnaise

    Rich and buttery, this is the ultimate sauce for steak—and the perfect dip for roasted potatoes.

    Ingredients

    • 1/4 cup Austrian Red Wine Vinegar
    • 1 shallot, minced
    • 1/2 teaspoon freshly ground black pepper
    • 1 tablespoon fresh tarragon leaves, chopped, or 1 teaspoon dried
    • 12 tablespoons unsalted butter
    • 2 egg yolks
    • 1 tablespoon water
    • Coarse sea salt to taste

    Directions

    Step 1

    In a small saucepan, bring the vinegar, shallot, black pepper, and tarragon to a boil. Lower the heat and cook until the vinegar is reduced by half. Pour into the top of a double boiler (or a metal or heatproof glass bowl that will fit over a saucepan) and allow to come to room temperature. 

    Step 2

    Melt the butter in the microwave or a small saucepan and set aside. Fill the bottom of the double boiler (or another saucepan) with 2 inches of water, bring to a boil, and then lower the heat to a simmer. Whisk the egg yolks and water into the vinegar reduction and place the mixture over the simmering water. Whisk continuously until it doubles in volume. Then slowly whisk in the butter, about 2 tablespoons at a time. Continue whisking vigorously until the sauce becomes thick but is still pourable. Taste and season with salt, if desired. 

    Step 3

    Remove the double boiler/saucepan from the heat. The sauce can sit while you cook your steak. Whisk gently before serving, if needed.

    Yields a scant cup, enough for 4 steaks

For Your Best Health: Managing Depression: Using Scents to Unlock Memories 

For Your Best Health

The MIND Diet for Brain Health: More Benefits of Olive Oil

According to a new study from researchers at the Columbia University Mailman School of Public Health and The Robert Butler Columbia Aging Center, a very specific brain-boosting diet has been linked to reduced dementia risk and a slower pace of aging. The study, “Diet, Pace of Biological Aging, and Risk of Dementia in the Framingham Heart Study,” published in the Annals of Neurology, also explains how the diet helps slow down the processes of biological aging.

“Much attention to nutrition in dementia research focuses on the way specific nutrients affect the brain,” said Daniel Belsky, PhD, associate professor of epidemiology and a senior author of the study. “We tested the hypothesis that healthy diet protects against dementia by slowing down the body’s overall pace of biological aging.”

The researchers used data from the second generation of the Framingham Heart Study, the Offspring Cohort. Participants were 60 years of age or older and free of dementia and had available dietary, epigenetic, and follow-up data. Follow-up was done at nine examinations, approximately every 4 to 7 years, which included a physical exam, lifestyle-related questionnaires, blood sampling, and, starting in 1991, neurocognitive testing. Of 1,644 participants included in the analyses, 140 developed dementia. 

To measure the pace of aging, the researchers used an epigenetic clock called DunedinPACE developed by Dr. Belsky and colleagues at Duke University and the University of Otago in Dunedin, New Zealand. The clock measures how fast a person’s body is deteriorating as they grow older, “like a speedometer for the biological processes of aging,” explained Dr. Belsky.

“We have some strong evidence that a healthy diet can protect against dementia,” said Yian Gu, PhD, associate professor of neurological sciences at Columbia University Irving Medical Center and the other senior author of the study, “but the mechanism of this protection is not well understood.” Past research linked both diet and dementia risk to an accelerated pace of biological aging. “Testing the hypothesis that multi-system biological aging is a mechanism of underlying diet-dementia associations was the logical next step,” explained Dr. Belsky.

The research determined that higher adherence to the MIND diet slowed the pace of aging as measured by DunedinPACE and reduced risks for dementia and mortality. Furthermore, slower DunedinPACE accounted for 27% of the diet-dementia association and 57% of the diet-mortality association.

“Our findings suggest that slower pace of aging mediates part of the relationship of healthy diet with reduced dementia risk, and therefore, monitoring pace of aging may inform dementia prevention,” said first author Aline Thomas, PhD, of the Columbia Department of Neurology and Taub Institute for Research on Alzheimer’s Disease and the Aging Brain. “However, a portion of the diet-dementia association remains unexplained, therefore we believe that continued investigation of brain-specific mechanisms in well-designed mediation studies is warranted.”

“We suggest that additional observational studies be conducted to investigate direct associations of nutrients with brain aging, and if our observations are also confirmed in more diverse populations, monitoring biological aging may indeed inform dementia prevention,” noted Dr. Belsky.

Exactly What Is the MIND Diet?

MIND is a hybrid of the Mediterranean and DASH diets, tailored to reflect key findings from nutrition and dementia research. It details serving sizes of specific foods to focus on and which to limit, primarily those high in saturated fat, which is known to negatively affect brain health. 

Foods and portions to eat every day: 1/2 to 1 cup green leafy vegetables, 1/2 cup other vegetables, 2 tablespoons extra virgin olive oil, and three 1-ounce servings of whole grains. 

Foods and portions to eat over the course of each week: 5 ounces nuts, 2-1/2 cups berries, 1-1/2 cups legumes, two 3-to-5-ounce servings of skinless poultry, and 3-to-5 ounces fish.

Foods to limit to these weekly totals: three or fewer 3-to-5-ounce servings of red and processed meats, 1 ounce whole-fat cheese, 1 fried or fast food, and 4 sweet servings. If desired, no more than 1 teaspoon of butter or stick of margarine a day.

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Olive Oil Hunter #169

Elevated Grilled Cheese Sammies Recipe, Spotlight on Arugula, Avocado and Cast Iron Skillets, and How to Manage Chronic Pain with Exercise

Comfort foods are oh so yummy but often don’t have the best health profile. My version of the classic grilled cheese packs high-nutrient foods that deliver on taste, too. One of them is avocado, a food that’s not only good for you on its own but also seems to encourage healthier eating in general, according to a study I’m sharing. You’ll also read about a healthy therapy to help forestall or ease chronic pain. 

Elevated Grilled Cheese Sammies

  • Gourmet Grilled Cheese Sandwich Elevated Grilled Cheese Sammies

    Even finicky eaters rush to the kitchen when grilled cheese sandwiches are on the menu. With a few ingredient upgrades, this lunch or dinner mainstay tastes even more delicious.

    Ingredients

    • Extra virgin olive oil, as needed
    • 2 ounces Manchego cheese, shredded
    • 1 ripe avocado, cut into thin slices
    • 1 ripe pear, cut into thin slices
    • 1 tablespoon fig jam
    • 1-2 cups arugula
    • 4 thin slices crusty whole wheat bread

    Directions

    Step 1

    Brush one side of each slice of bread with olive oil. Build the sandwiches on two of the slices, layering the ingredients equally in this order: a sprinkling of cheese, avocado slices, pear slices, fig jam, arugula, the rest of the cheese, and the top slice of bread. 

    Step 2

    If using a panini press, brush the outsides of the bread with olive oil and heat the press and grill the sandwiches as directed. If using a griddle, heat over medium heat; when hot, add two tablespoons of olive oil in two separate pools and place a sandwich over each pool. Press down on the sandwiches with a large spatula or an empty cast iron skillet (see “Quick Kitchen Nugget” below). When the bottoms have browned, flip the sandwiches and repeat.

    Makes 2 servings

Healthy Ingredient Spotlight: Amazing Arugula

Healthy Ingredient Spotlight

Amazing Arugula

Arugula, pear and manchego salad

We often talk about sensing the spiciness of arugula when doing our fresh-pressed olive oil tastings—the tender greens are full of zesty flavor. If arugula isn’t already on your shopping list, it’s time to add it. The cool weather of spring and fall is its ideal growing environment. Young, or “baby,” arugula is milder in taste—though still peppery—than more mature or late-season harvests.

Though often found in bagged lettuce mixes, arugula (Eruca vesicaria) is actually a cruciferous vegetable, part of the same family as broccoli, cabbage, and kale—and just as packed with nutrients, including antioxidants. In addition to vitamins A, C, K, and folate and the minerals calcium, iron, potassium, and magnesium, arugula has glucosinolates, natural substances that offer some protection from certain types of cancer, such as cancers of the breast, prostate, colon, and lung (glucosinolates are also responsible for that spicy bitterness). 

Arugula makes a great addition to hot and cold sandwiches, focaccia, and pizzas—just be sure to add it after your pizza is cooked, or the high temperature of the oven will burn it quickly. 

Baby arugula tends to come prerinsed, but when growing your own or buying a bunch from the greengrocer, just before eating submerge the leaves in a large bowl of cool water and agitate them to remove any dirt. Wait two minutes, then scoop out the leaves with a spoon strainer, pat dry, and enjoy. 

Quick Kitchen Nugget: Cast Iron Skillet: A Makeshift Panini Press

Quick Kitchen Nugget

Cast Iron Skillet: A Makeshift Panini Press

The value of a panini press is that it grills both sides of a sandwich at once and compacts the contents for better cheesy goodness. But you can achieve a similar effect by placing a cast-iron skillet on top of your sandwich on a griddle or grill. You’ll still have to flip the sandwich, but the skillet’s weight will compress it as it toasts on each side. If you use this method, don’t brush the top outer piece of bread with oil until you’re ready to flip it, to keep the oil from transferring to the skillet. 

For Your Best Health: An Avocado a Day…

For Your Best Health

An Avocado a Day…

A group of researchers from Wake Forest University School of Medicine, Tufts University, the David Geffen School of Medicine at the University of California Los Angeles, Loma Linda University, and Penn State University examined how the food-based intervention of eating one nutrient-dense avocado per day could impact overall diet quality. Surprisingly, only 2% of American adults eat avocados on a regular basis, even though they’re high in fiber and healthy fats, among many other nutrients. The study was published in the journal Current Developments in Nutrition  

“Previous observational research suggests avocado consumers have higher diet quality than non-consumers. So, we developed this study to determine if there is a causational link between avocado consumption and overall diet quality,” said Kristina S. Petersen, PhD, associate professor of nutritional sciences at Penn State. 

For the research, 1,008 participants were split into two groups. One group continued their usual diet and limited their avocado intake during the 26-week study, while the other group incorporated one avocado per day into their diet.

Researchers conducted phone interviews with participants before the study began and at a few points throughout to determine what their dietary intake was like in the previous 24 hours and evaluated their diets using the Healthy Eating Index to see how well they adhered to the Dietary Guidelines for Americans, which was used as a measure of overall diet quality.

“We found that the participants who had an avocado per day significantly increased their adherence to dietary guidelines,” Dr. Petersen said. “By improving people’s adherence to dietary guidelines, we can help to reduce their risk of developing chronic conditions and prolong healthy life expectancy.…In our study, we classified avocados as a vegetable and did see an increase in vegetable consumption attributed to the avocado intake, but also participants used the avocados to replace some unhealthier options…as a substitute for some foods higher in refined grains and sodium.”

Dr. Petersen has conducted similar studies investigating the impact of food-based interventions, including the relationship between pistachios and diet quality. She added that more research is needed to determine what other food-based strategies and behavioral strategies could also be used to improve adherence to dietary guidelines.

Fitness Flash: Physical Activity for Chronic Pain Protection

Fitness Flash

Physical Activity for Chronic Pain Protection

Researchers from UiT The Arctic University of Norway, the University Hospital of North Norway (UNN), and the Norwegian Institute of Public Health knew from an earlier study of  more than 10,000 adults that those who were physically active had a higher pain tolerance than those who were sedentary—and the higher the activity level, the higher the pain tolerance. They next wanted to understand how physical activity could affect the chances of experiencing chronic pain years later and whether this is related to how physical activity affects our ability to tolerate pain. So, they embarked on new research involving almost 7,000 people recruited from the large Tromsø survey, the Norwegian database that has collected data on people’s health and lifestyle over decades.

They obtained information about the participants’ exercise habits during their free time and whether they experienced pain that lasted for 3 months or more, including widespread or severe pain. 

“We found that people who were more active in their free time had a lower chance of having various types of chronic pain 7-8 years later. For example, being just a little more active, such as going from light to moderate activity, was associated with a 5% lower risk of reporting some form of chronic pain later,” said doctoral fellow Anders Årnes at UiT and UNN, one of the researchers behind the study. He adds that for severe chronic pain in several places in the body, higher activity was associated with a 16% reduced risk.

Exercise to manage chronic pain

The researchers found that the ability to tolerate pain played a role in this apparent protective effect. “This suggests that physical activity increases our ability to tolerate pain and may be one of the ways in which activity helps to reduce the risk of severe chronic pain,” said Årnes.

When it comes to exercising if you already have chronic pain, the researcher said: “Physical activity is not dangerous in the first place, but people with chronic pain can benefit greatly from having an exercise program adapted to help them balance their effort so that it is not too much or too little. Healthcare professionals experienced in treating chronic pain conditions can often help with this. A rule of thumb is that there should be no worsening that persists over an extended period, but that certain reactions in the time after training can be expected.”

The research, “Does pain tolerance mediate the effect of physical activity on chronic pain in the general population? The Tromsø Study,” was published in the journal Pain.

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