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The American Diet Has a Sandwich Problem

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61–70 of 129 posts

Re: The American Diet Has a Sandwich Problem

#61

Nothing tortillas can't fix.

Can't tell if this is sarcastic. Hispanic communities suffer from large amounts of obesity, some due to genetic issues, but diet is an overwhelming factor. A proper tortilla has three ingredients: flour, lard and salt. Not exactly a staple in a slimming diet.

Nothing whole-grain corn tortillas made with vegetable oil at home in a press can't fix.

Re: The American Diet Has a Sandwich Problem

#62
post #5

> Twenty years later, a turkey sandwich contained about 820 calories. Not sure where they got those numbers from. Just for comparison - in England, where many people eat sandwiches every day, the range is more like 300-500 for a supermarket sandwich. The meat is processed, but chicken is a fairly popular option, and the bread is thinner and less sweet. Really the main takeaway is to reduce your bread. Carbs are terri…

> Carbs are terrible for diets, don't satiate you and most people eat too many. I think most people's experience is precisely the opposite with regards too satiety - non-sugary carbs are the most important component for satiety. Bread, rice, potatoes - these are all commonly eaten to increase the feeling of fullness.

FWIW, a lot of kinds of bread you see on sandwiches in America have sugar. I don't know what the threshold for "non-sugary" bread is, but after having learned how to make bread during the pandemic, I have to, um, wonder, why bread should have any more than zero.

Re: The American Diet Has a Sandwich Problem

#63

This article references salt consumption multiple times. I thought that was a myth of the past. Salt consumption has almost zero to do with blood pressure. IIRC, it's primarily based on eating more calories than one burns. As always, eat less, move more. https://www.scientificamerican.com/article/its-time-to-end-t...

I'm actually curious about this: if that's true, why do hospitals still do low-salt diets for critical heart disease patients?

Hospitals and the medical system in general are always the last to get a memo about health. I wouldn't touch a good chunk of hospital meals with a ten-foot pole even when I'm in perfect health; the fact that any hospital is feeding patients shit like this[1][2][many such examples] borders on malpractice.

[1] https://twitter.com/DrBenRodgers/status/1508084691269738503 (someone having a diabetic emergency, no less!)

[2] https://twitter.com/moreyraortho/status/1635779523651473409

Re: The American Diet Has a Sandwich Problem

#64
post #5

> Twenty years later, a turkey sandwich contained about 820 calories. Not sure where they got those numbers from. Just for comparison - in England, where many people eat sandwiches every day, the range is more like 300-500 for a supermarket sandwich. The meat is processed, but chicken is a fairly popular option, and the bread is thinner and less sweet. Really the main takeaway is to reduce your bread. Carbs are terri…

> Carbs are terrible for diets, don't satiate you and most people eat too many. I think most people's experience is precisely the opposite with regards too satiety - non-sugary carbs are the most important component for satiety. Bread, rice, potatoes - these are all commonly eaten to increase the feeling of fullness.

I thought I heard somewhere giving bread at restaraunts makes people hungrier and order more somehow. Maybe it is just an urban legend if it really drives satiety more than other foods.

Re: The American Diet Has a Sandwich Problem

#65

> Sandwiches are the number one source of sodium and saturated fat in Americans’ diets, making up about one-fifth of our daily sodium intake and 19% of our daily saturated fat calories 20% of sodium and saturated fat calories for a single meal doesn't really sound very alarming.

Yeah, how many meals do people eat in a day anyways? Like max 5?

I feel most people eat 3 so 20% does not sound alarming at all.

Re: The American Diet Has a Sandwich Problem

#66

This article references salt consumption multiple times. I thought that was a myth of the past. Salt consumption has almost zero to do with blood pressure. IIRC, it's primarily based on eating more calories than one burns. As always, eat less, move more. https://www.scientificamerican.com/article/its-time-to-end-t...

I'm actually curious about this: if that's true, why do hospitals still do low-salt diets for critical heart disease patients?

My understanding is that salt leading to high blood pressure is a problem that affects some people, but not all.

Re: The American Diet Has a Sandwich Problem

#67
The article immediately lost credibility the moment it mentioned sodium as being harmful. Sodium is an important nutrient that's extremely difficult to over-consume under normal kidney function and when not hijacked by other satiety pathways. Even saturated fat isn't a problem. Neither of those things are a problem when consumed absent exogenous carbohydrates.

> “The standard deli sandwich with processed meat and cheese, you’re literally eating a heart bomb,” says Dariush Mozaffarian, a cardiologist and professor of nutrition and medicine at Tufts University.

Rubbish. Neither of those things are a "heart bomb." We can debate whether they should be eaten, but that's dishonest hyperbole.

> Sandwiches contribute 7% of daily added sugars, the same percentage as breakfast cereals and bars.

Added sugar isn't that relevant. When you consume bread, those carbohydrates are converted into glucose anyway.

> Excess sodium increases blood pressure, which raises the risk of heart disease and stroke.

Define excess.

> People also eat an extra nearly 100 calories on the days they eat sandwiches,

Calories are a unit of heat. The human body doesn't have a calorie counter. It's an electrochemical system that responds to mass with hormones. 100 "calories" is so trivial here it's laughable. Good luck measuring to the degree of hundreds of calories. The average person doesn't have adequate tools to do this, nor would it even be worthwhile in the first place.

> Our sandwiches weren’t always this bad for us.

The bread in a sandwich is not good for you at all. Doesn't matter how much fiber you leave in it.

> Each serving a day of processed meat is associated with a 42% increased risk of heart disease and a 19% increased risk of diabetes, according to a review of research co-authored by Dr. Mozaffarian and published in the journal Circulation in 2010. More recent research has found similar results. Eating processed meats has also been linked to an increased risk of certain types of cancer.

Processed meat may not be a good thing.

However, this is not "risk." It's an association with heart disease, diabetes, etc. Not the "risk" of either. Risk requires cause and effect.

> Be sparing with mustard [...] who calls them “salt vehicles.”

Horseshit. There's no reason for a healthy person to avoid mustard other than that it's not required nutritionally. A squirt of mustard on your sandwich is an absolutely trivial amount of sodium.

> Ketchup is often high in added sugars, too.

Yeah, it's high in sugar. But then again, why eat bread if that's going to raise your blood glucose more than a squirt of ketchup?

> Load your sandwich with tomato, lettuce and other vegetables for fiber and important nutrients.

You don't need to eat any of those, and there's especially no reason to eat leaves.

> Peanut butter has protein and healthy fats that keep you full.

It's also usually full of added sugar, unless you go out of your way to get sugar-free peanut butter, which is often hard to find.

> Choose jam low in added sugar, too; it’s even better if you can see chunks of whole fruit.

A nutritionist shouldn't be recommending to eat jam or jelly of any kind.

Re: The American Diet Has a Sandwich Problem

#68
post #5

> Twenty years later, a turkey sandwich contained about 820 calories. Not sure where they got those numbers from. Just for comparison - in England, where many people eat sandwiches every day, the range is more like 300-500 for a supermarket sandwich. The meat is processed, but chicken is a fairly popular option, and the bread is thinner and less sweet. Really the main takeaway is to reduce your bread. Carbs are terri…

> Carbs are terrible for diets, don't satiate you and most people eat too many. I think most people's experience is precisely the opposite with regards too satiety - non-sugary carbs are the most important component for satiety. Bread, rice, potatoes - these are all commonly eaten to increase the feeling of fullness.

I've done keto and been satiated on zero carbs, and when dieting I simply cut down on bread and remove potatoes/rice from my meals entirely and I have not noticed any real difference. If I eat a ton of vegetables (particularly broccoli, cauliflower, sprouts, kale etc.) and some chicken breast, I find it to be very filling indeed.

Other people have said I am demonising carbs, perhaps there is a middle ground (something like brown rice) that could add to the satiation without spiking glucose levels.

Re: The American Diet Has a Sandwich Problem

#69
2 slices of white bread is about 180 calories

1 tbsp of mayo is 90 calories

Oscar Meyer sliced turkey is 45 calories, let's double that and make it 90

Total of 360 calories. Seems perfectly reasonable.

20oz soft drink is 250 calories, 1-3/4 oz bag of Doritos is 260, this adds 510 calories, for a total of 870

The problem is fast food. Head over to Arby's, and the Marketfresh Roast Turkey Ranch & Bacon Sandwich is 800 calories. We'll skip the soft drink and fries.

Re: The American Diet Has a Sandwich Problem

#70
post #20

> Each serving a day of processed meat is associated with a 42% increased risk of heart disease and a 19% increased risk of diabetes The wording of this either is confusing or is a huge understatement. Does this mean that eating a serving a day for some time period correlates with a huge increase in heart disease and diabetes or, read literally, that each day you eat a serving of processed meat correlates to a huge i…

The explanation that would make sense to me is

y = x ^ 1.42

Where x is the average number of servings of processed meat per day and y is the annualized risk of death due to heart disease.

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