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Olive Oil Hunter News #204

Pasta with Green Sauce Recipe, Spotlight on Winter Greens, Reserving Pasta Water, Chill Out in the Sauna and Resolution Reboot

Ready to shake up pasta night? I’ve got just the recipe—a vibrant winter greens sauce that takes just a few minutes to make. It’s delicious on its own or with your favorite protein. Looking for a way to take the edge off winter? A new study suggests that spending time in the sauna is more than relaxing—it’s good for heart health! And speaking of health, if your New Year’s resolutions are fading from view, the University of New Hampshire has ideas for a reboot.

Pasta with Green Sauce

  • Pasta with Green Sauce Pasta with Green Sauce

    This is a tasty yet simple prep for pasta, perfect for a weeknight meal. Roasted garlic adds great depth of flavor—spread any leftover cloves on slices of toasted crusty bread. The garlic can be made in advance and kept in the fridge for about a week (after cooling, squeeze out the softened garlic from each clove and store in a sealed jar). I’ve suggested thin spaghetti for this dish, but choose any shape you like, cooked according to package directions. 

    Ingredients

    • 1 head garlic
    • 5 tablespoons extra virgin olive oil, divided, plus more for drizzling
    • 3 teaspoons coarse sea salt, divided use, plus more to taste
    • 8 ounces spinach, trimmed as needed (see Healthy Ingredient Spotlight in our weekly newsletter)
    • 1 pound thin spaghetti or other pasta
    • 2-ounce chunk Parmigiano-Reggiano, plus more for serving
    • 1/2 teaspoon pepperoncini or red pepper flakes
    • 1/2 teaspoon freshly ground black pepper, plus more to taste

    Directions

    Step 1

    Peel off the papery outer layers from the garlic while keeping the bulb intact. Slice about a 1/2 inch off the top; you can trim the roots but don’t cut them off or the cloves won’t hold together. Place the garlic cut side up on a piece of parchment paper, then drizzle 1/2 tablespoon of olive oil on the exposed cloves. Fold the long sides of the parchment paper over the garlic, then fold the ends underneath to make a packet. Place on a rimmed sheet pan and roast for 45 to 60 minutes, until the cloves are golden and soft and start to shrink away from the peel. 

    Step 2

    Prepare an ice bath by filling a large bowl with ice and cold water; set aside. Fill a stockpot with 4 quarts of water and bring to a boil. Add 2 teaspoons of salt and the spinach. Cook for 2 minutes, then use a spider skimmer or slotted spoon to move the spinach to the ice bath (this chill-down helps retain its color), leaving the pot of boiling water on the stove. 

    Step 3

    Add the pasta to the pot of boiling water and cook until tender, about 10 minutes. When the pasta is half cooked, prepare the sauce. Pare any rind off the cheese, cut it into cubes, place in your food processor, and pulse until the cheese is nearly a powder. Remove 1/4 cup of cheese from the work bowl and set aside. Add in the spinach, 6 cloves roasted garlic, the pepperoncini or red pepper flakes, the remaining salt, and the black pepper. Process until smooth, adding 1/4 to 1/2 cup of liquid from the pasta pot if needed.

    Step 4

    Drain the pasta, transfer it to a large bowl, and toss with the sauce, thoroughly coating it. Serve each portion with a drizzle of olive oil and a sprinkle of the reserved cheese.

    Yields 4 servings

Healthy Ingredient Spotlight: Winter Greens

Healthy Ingredient Spotlight

Winter Greens

Winter Greens: Swiss Chard

Spinach is just one of the many delicious greens available this season. Kale, especially the milder lacinto kale; collard, beet, mustard, and turnip greens; escarole (wonderful in my Italian wedding soup); and Swiss or rainbow chard are other flavorful varieties, delivering vitamins such as A, C, and K; the B vitamin folate; minerals including calcium, potassium, and iron; and a bounty of phytonutrients.

Winter greens make great salads and side dishes. Heartier greens, like kale and collards, do take longer to cook. If you want to try them for my Pasta with Green Sauce, remove any hard ribs and let them boil for 5 minutes before proceeding with the recipe. 

Quick Kitchen Nugget: Reserving Pasta Water

Quick Kitchen Nugget

Reserving Pasta Water

This simple hack, an essential part of classic pasta dishes like cacio e pepe, is a flavorful way of thinning sauces. Pasta water not only adds some salt but also some starch, which lends creaminess to a sauce as it emulsifies with the olive oil in a recipe. Simply ladle out a cup or so of the cooking liquid before draining pasta and use as needed. To really amp up the flavor, experiment with pasta imported from Italy because of the excellent flours used.

For Your Best Health: Chill Out in the Sauna

For Your Best Health

Chill Out in the Sauna

Woman in sauna

Most of us think of the cozy warmth of a sauna as a great way to relax. Now, thanks to a study done by researchers from Lulea University of Technology and Umeå University in Sweden and the Montreal Heart Institute’s EPIC Centre in Canada, we know that the benefits of sauna time go far beyond relaxation to include lower blood pressure, higher energy levels, and improved sleep, adding up to better physical and mental health.

The study compared the demographic characteristics, health status, and lifestyle habits of sauna users and nonusers. People who frequented saunas one to four times a month had fewer diagnoses for hypertension. They also reported less pain, higher happiness and energy levels, and more satisfying sleep.

When people are in a sauna, their core temperature rises so they sweat more to cool down, a process facilitated by increased blood flow. When blood vessels are exposed to sustained heat for several minutes, they dilate to boost blood flow, thereby removing heat from the body and cooling the body down. “In time, this dilation mechanism helps increase blood vessel elasticity and may thus explain the lowering of blood pressure,” said Earric Lee, PhD, a postdoctoral researcher at the EPIC Centre.

After exposure to heat, the body begins to cool but does not merely return to the baseline homeostatic temperature: It actually drops even lower. As a result, sleep quality increases, as people enter the same state as when they start to fall asleep and their body temperature drops.

Endorphins are also released into the bloodstream when the body is exposed to heat. “This may be one of the reasons why we feel so good after a sauna,” said Dr. Lee. “That same sensation of well-being may mask our aches and pains. They may not disappear completely, but we do feel better.”

Dr. Lee wants to go a step further and find out whether sauna use may also benefit cardiac rehabilitation patients. The idea is to place patients suffering from heart disease in a sauna immediately after exercise and determine, based on their response, whether heat multiplies the positive effects of physical activity.

“While I was doing my doctorate in Finland,” said Dr. Lee, “we conducted a study with sedentary individuals presenting cardiovascular risk factors. Even though the study period was only eight weeks long, we noted a decrease in blood pressure, improved cardiovascular condition, and lower cholesterol levels.” He’d now like to revisit this protocol and apply it to cardiac rehabilitation patients for 12 weeks to see whether they reach improved outcomes over those of individuals who only follow the cardiac rehabilitation program without going to the sauna.

Fitness Flash: Resolution Reboot

Fitness Flash

Resolution Reboot

Having a hard time keeping New Year’s resolutions going? That’s perfectly normal, according to Katie Godshall, LCSW-BACS, a clinical assistant professor in the College of Health and Human Services at the University of New Hampshire and an expert in the field of mental health—change can be hard. But before throwing in the towel, it’s important to remember why those resolutions were important to you in the first place.

“Don’t get overwhelmed with feelings of guilt and disappointment if the resolutions aren’t working for you,” said Dr. Godshall. “The most important thing is to be kind to yourself. Chances are your resolutions were focused on healthier choices for the new year, so rather than piling on the self-doubt and other bad feelings, take a moment to look at why your resolutions may not be working.”

Resolutions usually start out with a lot of motivation and drive, but over time the momentum can slow, causing people to quit altogether. Before giving up, ask yourself “what, how, and why” questions. “Make sure you’re being realistic,” she advised. “Ask yourself, what are you trying to accomplish? How are you trying to get it done? Why is it important? And make sure you’re not tackling too much too soon. Be honest with yourself, and if it’s not working for you, it’s perfectly fine to step back, reassess, and adjust—otherwise you’re doing yourself a disservice and may be just as unhappy sticking with the resolutions as you would be if you quit.” 

Dr. Godshall suggests reframing your view. Think of it not as quitting but as resetting your goals. You might even decide to pick another time of year that may better fit your goals. “We’re just coming off the holidays, filled with indulgence and chaotic schedules, so some people may already be starting off on a bad foot,” said Dr. Godshall. “Maybe use this time to prepare and set yourself up for success. For example, research good running sneakers, do some stretching, and opt to start a running routine in the spring, when the weather is nicer.”

Here are her tips for a resolution reboot:

Examine and reset goals. Maybe your resolution is too ambitious. Make sure it’s flexible enough to fit into your daily schedule.

Be kind to yourself. Rethinking goals is still moving forward—it’s not giving up, it’s adjusting, so avoid feeling guilty or thinking you’ve failed.

Resist perfection. Resolutions are supposed to help, not bring you down. Redirect and focus on what works best for you.

Find a resolution partner. Having someone—a friend, family member, or coworker—to collaborate with can give you external reliance and accountability.

Celebrate success. Recognize small milestones. Focus on your progress even if the road was bumpy. 

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Olive Oil Hunter News #202

Chicken Scallopini with Olives Recipe, Spotlight on Balsamic Vinegar, Making Chicken Scallopini, The Future of Personalized Disease Prevention Plans and Exercise for Better Sleep

Looking to elevate midweek dinners? This chicken recipe is made with thin slices of cutlets, often called scallopini, which cook up quickly, and it’s finished with a sauce that comes together in just a few more minutes. I’m also sharing a fascinating look at the future of personalized health—how advances in technology may one day pinpoint your unique health risks and help you prevent them. One thing you can do right now is to learn how to get better sleep using exercise as an aid.

Chicken Scallopini with Olives

  • chicken scallopini with olives Chicken Scallopini with Olives

    Grated hard cheese, like Parmigiano-Reggiano, makes a great addition to panko for breading chicken. Olives and diced tomatoes combine for a zesty sauce. Choose whatever olives you like best. For a milder taste, I love Castelvetrano olives; for a stronger taste, go for Kalamata. 

    Ingredients

    • 3 tablespoons whole wheat flour 
    • 1 teaspoon coarse sea salt
    • 1 teaspoon freshly ground black pepper
    • 2 large eggs, well beaten
    • 1/2 cup freshly grated Parmigiano-Reggiano
    • 1/2 cup panko or fine fresh breadcrumbs
    • 1/4 cup extra virgin olive oil, plus more for drizzling
    • 4 boneless, skinless chicken breasts cut scallopini-style (see Healthy Ingredient in our weekly newsletter)
    • 4 ounces mushrooms, sliced
    • One 28-ounce can diced tomatoes
    • 1 cup pitted olives
    • 1/4 cup chopped fresh basil
    • 1 tablespoon capers with their brine
    • 1 tablespoon balsamic vinegar of Modena, such as Condimento Barili Exclusivi, plus more for drizzling

    Directions

    Step 1

    Set out three glass pie plates or wide bowls. In one, add and mix the flour, salt, and pepper; in another, place the beaten eggs; and in the third, add and mix the grated cheese and breadcrumbs. 

    Step 2

    Heat a large frying pan over medium heat. When hot, add the olive oil and, working quickly, dip a chicken piece in the flour, then the egg, and then in cheese-breadcrumbs, and add to the pan. Repeat with as many pieces as will fit without crowding; if necessary, cook in two batches. Sauté until the undersides are brown and crispy, about 5 minutes, then flip and continue to sauté until cooked through, about another 3 minutes or until an instant-read thermometer reads 165°F. Add the mushrooms to the pan and sauté lightly.

    Step 3

    If you cooked the chicken in batches, return them all to the pan. Add the tomatoes with all their juice, the olives, basil, capers, and brine and bring to a low boil. Cook for 5 minutes, using a spatula to scrape up any fond on the bottom of the pan. Drizzle on the vinegar and serve. Pass more vinegar and olive oil for drizzling.

    Yields 4 servings

Healthy Ingredient Spotlight: Balsamic Vinegar

Healthy Ingredient Spotlight

Balsamic Vinegar

A true balsamic vinegar crafted according to time-honored techniques in Modena, Italy, is the perfect balance of acidity, sweetness from grape must (the juice of freshly pressed grapes—skins, seeds, and stems), and woodiness from aging in special barrels. As a finishing touch, it imparts richness and complexity to savory dishes. And unlike commercial sauces and salad dressings, it has no added sugar—just natural sweetness from the grapes. 

Because you don’t want to cook it, balsamic is typically added as a last step or a garnish of sorts—it’s perfect drizzled over filet mignon or a fine risotto. It’s also a wonderful way to sauce mature or fresh cheeses, charcuterie, steamed vegetables, and savory tarts. I especially love it over strawberries, ice cream (especially vanilla olive oil ice cream), and flourless chocolate cake. 

Quick Kitchen Nugget: Making Chicken Scallopini

Quick Kitchen Nugget

Making Chicken Scallopini

Pounding chicken for scallopini

Slicing chicken into scallops is not as complicated as it sounds. The most important tool is a sharp, non-serrated knife, and the most important part of the technique is placing the palm of one hand straight out on the top of the breast as it lies flat on your cutting board—point your fingers toward the ceiling and away from your knife. With an average-sized breast, make one horizontal cut in the length of the breast to separate it in two. For a very large breast, you might be able to fillet it into 3 pieces—the top slice will most likely have less surface area than the others, and that’s fine. 

To make the pieces even thinner (the ideal thickness for fast cooking is about 1/4 inch), you can pound them between two pieces of parchment paper with a kitchen mallet or one end of a rolling pin. Start gently to avoid pounding a hole in the scallopini, and go across each piece in a uniform pattern for even thickness. 

For Your Best Health: The Future of Personalized Disease Prevention Plans

For Your Best Health

The Future of Personalized Disease Prevention Plans

Most of us know about general guidelines for healthy living, such as eating nutritious foods and getting daily exercise. But what if you could combine these lifestyle habits with a personalized plan that takes into account your unique risks for developing specific diseases in order to help catch and treat them early or prevent them altogether? According to Victor Ortega, MD, PhD, associate director for the Mayo Clinic Center for Individualized Medicine in Arizona, science is drawing closer to making personal health forecasts possible.

That’s because of new and sophisticated technologies that capture data spanning entire genomes, Dr. Ortega said. The complex scores are compiled from a combination of data from thousands to hundreds of thousands of a person’s DNA sequence variants. This type of large genome-wide data has the potential to predict disease risks, including heart disease, diabetes, and certain cancers.

Each person has millions of genetic variants, each having a small effect. But together, these variants can increase the risk of getting a condition. A polygenic risk score estimates the overall risk someone has of getting a disease by adding up the small effects of variants throughout an individual’s entire genome. 

“Imagine knowing your genetic predisposition for having a heart attack in your 50s or if you’re in the top 5% of the population for the risk of cancer or diabetes based on data from your whole genome. With this knowledge, you could make informed lifestyle choices and receive enhanced screenings to mitigate that risk,” Dr. Ortega said.

As a pulmonologist and genomic scientist, Dr. Ortega is leading a charge to breathe new life into precision medicine advancements. His mission is rooted in a deep commitment to health equities and inspired by his grandmother. “My grandmother died of asthma, and that should not have happened. She was Puerto Rican like me, and Puerto Ricans have the highest severity and frequency of asthma of any ethnic group in the world,” Dr. Ortega said. “They also represent less than 1% of people in genetic studies. So, I’ve made it a life mission to develop cures and diagnostics for people like my grandma and for all people.” 

Some people who don’t have a high risk score for a certain disease can still be at risk of getting the disease or might already have it. Other people with high risk scores may never get the disease. People with the same genetic risk can have different outcomes, depending on other factors such as lifestyle determining one’s lifelong environmental exposures, also called the exposome. Dr. Ortega said that getting to the point where all people know their polygenic risk scores will require a solid foundation of “omics” research and datasets, cutting-edge technologies, and further discoveries of gene-disease links, all of which are within his team’s expertise and capabilities. Omics is an emerging multidisciplinary field of biological sciences that encompasses genomics, proteomics, epigenomics, transcriptomics, metabolomics, and more.

“It’s going to take considerable work and planning, but it really is the way of the future,” he said. In the shorter term, Dr. Ortega plans to transition more omics discoveries from research laboratories to the clinic. Omics data can help identify the molecular culprits driving a person’s disease, as well as biomarkers that can lead to the development of targeted treatments and diagnostics.

Recent omics discoveries at the Mayo Clinic Center for Individualized Medicine have enabled scientists to predict antidepressant responses in people with depression and discover a potential therapeutic strategy for bone marrow cancer. Scientists have also used omics to pinpoint genetic variations that potentially increase the risk for severe COVID-19, uncover potential clues for preventing and treating gliomas, and unravel the genetic mystery of a rare neurodevelopmental disorder.

Dr. Ortega is leading the development of a polygenic risk score framework for Mayo Clinic, beginning with interstitial lung disease. This condition, marked by the progressive scarring of lung tissue, is influenced by both rare gene variants and a collection of more common variants, all of which are captured together in polygenic risk scores.

Drawing from his years of extensive clinical experience in treating patients with severe respiratory illnesses, Dr. Ortega is also working to expand genomic testing to a broader set of diseases. He highlights the center’s collaborative Program for Rare and Undiagnosed Diseases as an effective model that he hopes to amplify. The program proactively engages healthcare teams across Mayo’s clinical practice to conduct targeted genomic testing for patients with a suspected rare genetic disease. Expanding this strategy to more diseases will help build collaborations across Mayo and educate more clinicians on genomics. It may also ensure that the most effective genomic sequencing tests are given to patients, ultimately improving patient care and outcomes.

Fitness Flash: Exercise for Better Sleep

Fitness Flash

Exercise for Better Sleep

“Engaging in winter sports and recreational activities is an excellent way to support cardiovascular health and overall well-being,” said Alexander P. Sah, MD, FAAOS, orthopedic surgeon and spokesperson for the American Academy of Orthopaedic Surgeons (AAOS), the world’s largest medical association of musculoskeletal specialists. “However, cold weather brings unique risks that shouldn’t be ignored. Each year, healthcare facilities across the country see an uptick in bone and joint injuries tied to winter activities, many of which are preventable with the right preparation and safety measures.”

Meditate before bed for restful sleep

When you’re heading outdoors to enjoy your favorite cold-weather activities as well as when snuggling up in front of a roaring fire, consider these safety tips from Dr. Sah and fellow bone and joint health experts at AAOS to keep winter conditions from making routine activities hazardous:

Protect your back when shoveling snow. Lifting injuries can happen quickly and are very painful. Bend at the knees to use the large leg and glute muscles instead of your back when picking up heavy items. Don’t twist or rotate while lifting, especially when shoveling. Bend your knees and pivot your whole body, not just your torso. 

Tread lightly and move confidently. If you live in a wintry climate, icy surfaces can lurk anywhere. In fact, the Centers for Disease Control and Prevention reports that approximately 1 million Americans are injured annually because of falling on ice and snow. Wear shoes with good traction to prevent slipping and falling, or buy slip-on shoe gear that adds traction when walking on ice. 

Ski smart. Anterior cruciate ligament tears in the knee joint are common among skiers and snowboarders. Many injuries occur from falling backward or twisting the knee. Research has shown that keeping arms forward and hips over the knees can reduce the risk of injury. Adjust your bindings to meet your ability. 

Don’t get burned. Practice caution with all types of open flames, such as candles and fireplaces, as well as when using your kitchen stove, and keep children and pets far away from them. Know what to do in case of a burn: Treat minor burns with cool running water, a sterile bandage, and an over-the-counter pain reliever. Serious burns require immediate medical attention.

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Olive Oil Hunter News #183

Late Summer Fruit Salad Recipe, Spotlight on Nectarines, Zesting-then Squeezing, Ultra-Processed Foods (UPFs) and Your Sleep, Preventing Falls

It’s still stone fruit season—the perfect excuse for a luscious fruit salad with a zesty dressing. My recipe is a great example of healthy eating that still tastes indulgent. Enjoying “whole” foods, meaning foods in their most natural state, is the antidote to the dangers of ultra-processed foods, which now include insomnia. Read more on this below, along with a new advisory on avoiding falls for people over 65—food for thought for anyone at risk for falling, regardless of age.

Late Summer Fruit Salad

  • Stone fruit salad Late Summer Fruit Salad

    Stone fruit—nectarines, peaches, and plums—are the stars of this juicy dessert, with figs, berries, and a sweet and citrusy dressing in supporting roles. This salad, high in antioxidants, also makes a delicious breakfast

    Ingredients

    • 2 nectarines
    • 2 plums
    • 2 peaches
    • 1/4 cup extra virgin olive oil
    • 2 tablespoons apple balsamic vinegar 
    • 1 tablespoon local honey 
    • Zest and juice of 1 lime (see “Quick Kitchen Nugget” in newsletter)
    • 1 tablespoon chopped spearmint leaves 
    • 2 fresh figs, quartered
    • 1 cup whole blackberries, rinsed and patted dry

    Directions

    Pit and section the stone fruit, then place in a large serving bowl. In a small bowl, whisk together the olive oil, vinegar, and honey. Whisk in the lime juice, zest, and mint. Pour the dressing over the fruit in the bowl and toss gently. Allow the juices and the dressing to meld for 30 minutes. Just before serving, arrange the figs and blackberries on top of the stone fruit.

    Yields 4 servings

Healthy Ingredient Spotlight: Nectarines

Healthy Ingredient Spotlight

Nectarines

Nectarines and plums

Think of nectarines as peaches’ little siblings. The main difference between the two popular fruits is simply genetic—nectarines lack the fuzz gene that peaches have. Also, nectarines tend to be smaller and firmer yet sweeter and more intensely flavored and scented than peaches…a strong aroma is a key sign of ripeness. 

As with peaches, there are dozens of varieties to choose from, though they fall into the same main categories: freestone and cling free (cling-free varieties making slicing much easier) as well as white and yellow flesh. Nectarines are antioxidant rich and have twice the amount of vitamin A and slightly more vitamin C and potassium than peaches, along with vitamin E, B vitamins, calcium, fiber, and some iron. 

To ripen nectarines, store them at room temperature until they’re no longer firm. If you can’t eat them right away, you can refrigerate them, but for no more than three to five days.

Quick Kitchen Nugget: Zest, then Squeeze 

Quick Kitchen Nugget

Zest, then Squeeze 

Whenever a recipe calls for zest and juice from a piece of citrus, always zest first, optimally with a handheld Microplane grater. It’s not only easier than trying to zest halves, but you’ll also get the most zest. When juiving, if you’re using a handheld press, always position the fruit cut-side down into the empty cup to extract the most juice.

For Your Best Health: Why Those Chips Are Wrecking Your Sleep

For Your Best Health

Why Those Chips Are Wrecking Your Sleep

We know that ultra-processed foods (UPFs) are the unhealthiest food choices because they have the highest levels of saturated fats, starches, and added sugars plus all sorts of additives like artificial colors and flavors; are devoid of nutrients; and have virtually no fiber. Packaged baked goods and snacks, frozen foods, and processed meats are typically considered ultra-processed. Much of the research on the detriments of UPFs has looked at the links between these foods and health conditions such as diabetes, obesity, and cancer. Now a new study has added sleep problems, including chronic insomnia, to that list. This can have a snowball effect on health because sleep disorders and insomnia have independently been linked with anxiety and depression as well as health conditions like diabetes and heart disease. With sleep health now a wellness goal on its own right, a better diet can be one way to get there.

Lead investigator Marie-Pierre St-Onge, PhD, associate professor of nutritional medicine and director of Columbia University Irving Medical Center of Excellence for Sleep & Circadian Research, said, “At a time when more and more foods are highly processed and sleep disturbances are rampant, it is important to evaluate whether diet could contribute to adverse- or good-quality sleep. Our research team had previously reported associations of healthy dietary patterns, like the Mediterranean diet, with a reduced risk of insomnia and poor sleep quality (both cross-sectionally and longitudinally), and high-carbohydrate diets with an elevated risk of insomnia.”

Sleepy woman holding pillow and yawning

For this cross-sectional study, Dr. St-Onge and some of her colleagues included 38,570 French participants with a mean age of 50 who completed a sleep questionnaire and at least two 24-hour dietary records. An analysis revealed a statistically significant association between ultra-processed food intake and chronic insomnia, independent of participants’ sociodemographic, lifestyle, diet quality, and mental health status. Overall, the study participants got 16 percent of their daily energy from UPFs. Nearly 20 percent of participants reported symptoms of chronic insomnia, and this group tended to eat more ultra-processed foods.

There are various reasons for the diet-sleep link. First, people who eat more saturated fat, trans fat, sodium, and free or added sugars tend to eat less fruit, vegetables, legumes, and seafood, which are all sources of sleep-promoting compounds, the researchers pointed out. Also, ultra-processed foods are highly inflammatory and can negatively affect the gut microbiome—and the gut microbiome is known to play a role in the quality of your shuteye. 

Fitness Flash: Preventing Falls

Fitness Flash

Preventing Falls

The US Preventive Services Task Force (USPSTF), a volunteer group of experts in different fields from across the country, recently issued its guidance regarding preventing falls in people over age 65. According to the CDC, over 14 million Americans, or one in four adults ages 65 and older, report falling each year, and for about 37 percent, doing so resulted in an injury that required medical treatment or restricted their activity for at least one day.

After its review of existing research, the USPSTF concluded with moderate certainty that exercise interventions provide a moderate net benefit and that multifactorial interventions, such as three-dimensional exercises (movement through all three spatial planes or dimensions: forward and back, side to side, and up and down), provide a small net benefit in preventing falls and fall-related morbidity in older adults at increased risk for falls. Effective exercise interventions include supervised individual physical therapy and group exercise classes. 

While the USPSTF stated that it’s difficult to identify specific components of exercise that are particularly effective, the most commonly studied exercise components were gait, balance, and functional training, followed by strength and resistance training, flexibility, and endurance training. A smaller number of trials included three-dimensional exercise, such as group dance or tai chi classes. The most common frequency and duration for exercise interventions was two to three sessions per week for 12 months, although the duration of the studies ranged from two to 30 months. 

The USPSTF also recommended that a program be tailored to each individual based on the findings of a health and risk factor assessment that might include balance, gait, vision, postural blood pressure, medication, environment, cognition, and psychological health. This could be done by your doctor or another expert familiar with your health history so that he or she can factor in any chronic medical conditions, medications taken, and alcohol use as well whether you had a prior fall, all of which could affect your fall risk. 

The USPSTF statement included a reminder about the multiple health benefits associated with physical activity that go beyond fall prevention: a lower risk of cardiovascular disease events, cardiovascular disease mortality, and all-cause mortality, as well as lower blood pressure, lower risk of type 2 diabetes, and lower risk of high cholesterol. It added: “The US Department of Health and Human Services recommends that adults do at least 150 to 300 minutes per week of moderate-intensity—or 75 to 150 minutes per week of vigorous-intensity—aerobic physical activity, as well as muscle-strengthening activities of moderate or greater intensity and that involve all major muscle groups, twice a week or more.” 

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Olive Oil Hunter News #179

Peaches-and-Cream Tart Recipe, Spotlight on Peaches, Resilience and a Diverse Gut Microbiome, Plus Secrets of Sleep

There’s nothing quite like biting into a summer peach, but when you want to make a peach dessert that has a wow factor, this tart delivers! Juicy peaches, sweet custard, and flaky pastry—who could ask for more? A lot of attention has been paid to having a healthy microbiome, and a new study adds a surprising benefit: emotional resilience. There’s also new research on another high-priority wellness item: sleep and how changes in your sleep pattern could signal health issues.

Peaches-and-Cream Tart

  • Peaches-and-cream tart Peaches-and-Cream Tart

    This recipe layers pastry cream and peach slices on freshly baked puff pastry, topped with a jam glaze. Both the peaches and the cream can be made in advance. Though there are a few steps to assembling the tart, using packaged all-butter puff pastry makes it very easy. Do read labels because many puff pastry manufacturers use artificial ingredients and no real butter in their dough. Look for the Dufour brand for flaky goodness. Note: If you already have jam with seeds, just increase the amount to 3/4 cup and pass it through a fine sieve after heating.

    Ingredients

    For the pastry cream:

    • 4 tablespoons cornstarch
    • 1/2 cup granulated sugar
    • Pinch of fine sea salt
    • 6 egg yolks
    • 2 cups whole milk 
    • 3/4 cup heavy cream
    • 2 tablespoons extra virgin olive oil
    • 2 teaspoons pure vanilla extract or paste

    For the tart:

    • 8 medium ripe peaches, about 5 ounces each
    • 2 tablespoons honey
    • 2 tablespoons extra virgin olive oil
    • 1 package frozen puff pastry, about 14 ounces, thawed according to label directions
    • All-purpose or whole wheat pastry flour 
    • 1 medium egg
    • 1/2 cup seedless raspberry jam

    For serving:

    Directions

    To make the pastry cream, in a heat-safe bowl, whisk together the cornstarch, sugar, and salt. Add the yolks and whisk until the mixture is light yellow. 

    Step 1

    Place the milk and the heavy cream in a saucepan and scald them—you should see a light skin start to form as the liquid reaches a simmer, but don’t let it come to a boil. Vigorously whisk 1/4 cup of the liquid into the egg mixture, and then slowly whisk in the rest. Transfer the mixture back to the saucepan and bring to a boil over medium heat, whisking constantly. Let it boil for 3 minutes as you continue to whisk; it should become quite thick. 

    Step 2

    Remove from the heat and transfer to a glass serving bowl, then whisk in the olive oil and vanilla. Let it cool slightly, then press a round of parchment paper over the surface to prevent a skin from forming and chill until cold and firm, about 3 hours or overnight.

    Step 3

    When you’re ready to assemble the tart, cut each peach into thin slices and place them in a large baking dish or on a wide plate. Drizzle on the honey and olive oil; toss gently to coat and set aside. 

    Step 4

    Heat your oven to 425°F. Scatter a handful of flour on a 17-inch by 13-inch piece of parchment paper and unfold the thawed dough on top of it. Use a rolling pin to roll out the seams; trim as needed to make a neat rectangle—it should be roughly 13 inches by 10 inches. Slide the parchment paper with the dough onto a rimmed sheet pan. With a sharp knife or pizza cutter, score a 1/2-inch border within the edges of the puff pastry without cutting completely through the dough. Prick the inner rectangle of dough lightly with a fork, making an even pattern across the surface. Refrigerate for 15 minutes. 

    Step 5

    Whisk the egg in a small bowl and lightly brush it over the pastry. Bake the tart until it’s puffed and golden, 25 to 30 minutes. Let it cool to room temperature, about 15 minutes (it may deflate a bit). Spread the pastry cream over the inner rectangle, using an offset spatula to smooth the surface. Top with even rows of peach slices. Briefly warm the jam in your microwave and use a clean pastry brush to dab it over the peaches.

    Serve right away.

    Serves 10

Healthy Ingredient Spotlight: Choosing Peaches

Healthy Ingredient Spotlight

Choosing Peaches

Fresh peaches on a branch

Unlike some fruits that can ripen on your counter, peaches are best when allowed to ripen on the tree. Since this rarely happens with peaches grown on a commercial scale, look for peaches at farmers’ markets. Their natural fragrance should tell you they’re ready to savor. 

There are two main types of peaches. Clingstone peaches, available from the middle of June, are especially sweet yet aren’t as easy to separate from their stone, or pit. Freestone peaches, which easily come away from the stone, make their appearance in late July. The lush orange-to-reddish color of peaches comes from their rich flavonoid content. Other nutrients include good amounts of vitamin C and some A, E, and K; the B vitamins niacin and folate; and minerals like iron, choline, potassium, magnesium, phosphorus, manganese, zinc, and copper.

Quick Kitchen Nugget: Freezing Peaches

Quick Kitchen Nugget

Freezing Peaches

Freezing fresh ripe peaches allows you to enjoy them past their season, though you’ll want to use them within a few months of freezing for optimal flavor. Rinse the peaches, pat dry, then cut them into slices or chunks. Line one or more rimmed sheet pans with parchment paper and arrange the slices on the paper, leaving some space between them. Freeze until solid, then place the slices in freezer-safe containers, filling each one to the max so that there’s little to no room for air, a cause of freezer burn. 

For Your Best Health: Resilience and a Diverse Gut Microbiome

For Your Best Health

Resilience and a Diverse Gut Microbiome

A new UCLA Health study titled “Stress-resilience impacts psychological wellbeing as evidenced by brain–gut microbiome interactions,” has found that resilient people exhibit neural activity in the brain regions associated with improved cognition and regulating of emotions, and are more mindful of and better at describing their feelings. What’s truly interesting is that the same people also exhibit gut microbiome activity linked to a healthy gut with reduced inflammation.

For the study, rather than examine microbiome activity and composition linked to disease conditions—like anxiety and depression—the researchers flipped the script and studied the gut microbiome and brain in healthy, resilient people who effectively cope with different types of stress, including discrimination and social isolation.

“If we can identify what a healthy resilient brain and microbiome look like, then we can develop targeted interventions to those areas to reduce stress,” said Arpana Gupta, PhD, senior author and co-director of the UCLA Goodman-Luskin Microbiome Center. This is believed to be the first study to explore the intersection of resiliency, the brain, and the gut microbiome.

Dr. Gupta and her team focused on methods to cope with stress, because research has shown that untreated stress can increase the risk of heart disease, stroke, obesity, and diabetes. While stress is an inevitable part of life, knowing how to handle stress may help keep people from developing diseases.

To conduct the study, published in Nature Mental Health, the researchers surveyed 116 people about their resiliency, like having trust in one’s instincts and positive acceptance of change, and separated them into two groups. One group ranked high on the resiliency scale and the other group ranked low. The participants also underwent MRI imaging and gave stool samples two or three days before their scans.

The researchers found that people in the high-resiliency group were less anxious and depressed, less prone to judge, and had activity in regions of the brain associated with emotional regulation and better cognition compared to the group with low resiliency. “When a stressor happens, often we go to this aroused fight-or-flight response, and this impairs the breaks in your brain,” Dr. Gupta said. “But the highly resilient individuals in the study were found to be better at regulating their emotions, less likely to catastrophize, and [better at keeping] a level head,” added Desiree Delgadillo, PhD, postdoctoral researcher and one of the first authors.

The high-resiliency group also had different microbiome activity than the low-resiliency group. Namely, the high-resiliency group’s microbiomes excreted metabolites and exhibited gene activity associated with low inflammation and a strong and healthy gut barrier. A weak gut barrier, otherwise known as a leaky gut, is caused by inflammation and impairs the gut barrier’s ability to absorb essential nutrients needed by the body while blocking toxins from entering the gut.

“Resilience truly is a whole-body phenomenon that affects not only your brain but also your microbiome and what metabolites that it is producing,” Dr. Gupta said. “We have this whole community of microbes in our gut that exudes these therapeutic properties and biochemicals, so I’m looking forward to building upon this research,” Dr. Delgadillo added.

The team’s future research will study whether an intervention to increase resilience will change brain and gut microbiome activity. “We could have treatments that target both the brain and the gut that can maybe one day prevent disease,” Dr. Gupta said.

As a reminder, you can boost the health of your gut microbiome by eating a diet with plenty of high-fiber foods like legumes, vegetables, and fruits, plus fermented foods like yogurt and pickles, and by limiting packaged and sugary processed foods and foods from animals fed with antibiotics. According to a separate study published in the journal Nutrients, the Mediterranean diet, with its high fiber content and bioavailability, and more than twice the important insoluble fiber in a typical Western diet, has been linked to having a beneficial microbiome.

Fitness Flash: Secrets of Sleep

Fitness Flash

Secrets of Sleep

Your sleep tracker might give you information not only about your sleep but also about potential chronic conditions. This is one of the findings of a study in the journal NPJ Digital Medicinethat analyzed data from 5 million nights of sleep across roughly 33,000 people. The researchers identified five main types of sleep, or sleep phenotypes, which can be further divided into 13 subtypes. They also found that how and how often a person switches between sleep phenotypes could offer two to 10 times more information relevant to detecting health conditions than just relying on a person’s average sleep phenotype alone.

Using data collected from Oura Ring, a smart ring that tracks sleep, skin temperature, and other variables, the researchers looked at individual people over a series of months, noting whether they had chronic health conditions such as diabetes and sleep apnea, or illnesses such as COVID-19 and the flu. They found that people would often move between sleep phenotypes over time, reflecting a change their health conditions and creating what resembles a person’s travel log through the data-driven sleep landscape the researchers created.

“We found that little changes in sleep quality helped us identify health risks. Those little changes wouldn’t show up on an average night or on a questionnaire, so it really shows how wearables help us detect risks that would otherwise be missed,” said Benjamin Smarr, PhD, one of the study’s senior authors and assistant professor at Jacobs School of Engineering and Halicioglu Data Science Institute at the University of California San Diego (UCSD).

In addition, the researchers highlighted that tracking changes in sleep over the long term at the population scale could unlock new insights that are relevant for public health, such as information on certain changes in patterns through these sleep landscapes that might be related to diseases.

Woman waking up rested

Sleep styles 

The researchers identified some trends that help intuitively separate the five sleep phenotypes.

Phenotype 1: This is what we think of as “normal” sleep—people get about eight hours of uninterrupted sleep for at least six days in a row. This is the type of sleep recommended by the National Institutes of Health and the most common sleep type researchers found.

Phenotype 2: People sleep continuously about half the nights, but they only sleep for short periods of time in bouts of less than three hours on the other nights.

Phenotype 3: People sleep mostly continuously, but they experience interrupted sleep around one night each week. The interrupted night is characterized by one period of relatively long sleep of about five hours, and one period of short sleep of less than three hours.

Phenotype 4: People again sleep mostly continuously, but they experience rare nights in which long bouts of sleep are separated by a mid-sleep waking.

Phenotype 5: People only sleep for very short periods of time every night. This phenotype was the rarest the researchers found and represents extremely disrupted sleep.

Tracking changes in sleep type

To measure how sleep phenotypes changed over time, Varun Viswanath, a fifth-year PhD student at Jacobs and the paper’s lead author, constructed a spatial model of all 5 million nights in which the phenotypes were represented as different islands composed of mostly similar weeks of sleep. Different patterns emerged over time that allowed the researchers to model each individual’s routes between islands.

From there, what helped distinguish people with chronic conditions, such as diabetes and sleep apnea, was not their average phenotype. Instead, it was how frequently they switched between islands in this sleep landscape. In this way, even if someone switched phenotypes only rarely, the fact that they did switch could still provide useful information about their health.

The data showed that it is rare for most people to go multiple months without a few nights of disrupted sleep. “We found that the little differences in how sleep disruptions occur can tell us a lot. Even if these instances are rare, their frequency is also telling. So it’s not just whether you sleep well or not—it’s the patterns of sleep over time where the key info hides,” said study co-author Edward Wang, PhD, assistant professor in the electrical and computer engineering department at UCSD.

Conversely, people did not tend to remain in patterns defined by broken sleep. But how often they visited specific disrupted-sleep patterns said a lot about how well they were doing. “If you imagine there’s a landscape of sleep types, then it’s less about where you tend to live on that landscape, and more about how often you leave that area,” said Viswanath.

This work is the first to show that researchers can quantify the changing dynamics of people’s sleep over time and use this quantification to give people better insights into their sleep health. The research also suggests that these changes in sleep may indicate a higher risk for a wide range of conditions such as chronic illness or vulnerability to infection.

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