Staying Well
 

Chef Stephanie Beine of Millineum



Is Highly Cooked Meat Linked to Prostate Cancer?

African American men have the highest rate of prostate cancer in the world. Part of the problem, according to researchers at Alta Bates Summit Medical Center, might be the result of eating too much meat cooked with high heat.

One potential culprit, they believe, is a group of chemicals called heterocyclic amines (HCAs) that develop in meat that is cooked at high temperatures over direct heat. Early research shows that consuming HCAs may elevate prostate-specific antigen (PSA), which is associated with prostate cancer.

To learn more, researchers from the Markstein Cancer Education and Prevention Services at Alta Bates Summit (partnering with UCSF and Lawrence Livermore National Laboratory) conducted a study of the eating habits of African American men. They surveyed 702 African American men between the ages of 40 and 70 who had no history of prostate cancer, and asked them about their diet over the previous year. The men shared information about their typical food portions, including how often they ate meat and how it was cooked.

One study, published in the journal Prostate Cancer and Prostatic Diseases, reveals that African American men consume twice the amount of HCAs as do their Caucasian counterparts. Chicken appears to have the highest levels of HCAs among all the meats that were assessed, and African American men eat more chicken than do other groups of men, hence increasing their exposure to HCAs.

“We think there are many causes of prostate cancer, and potentially this is one of them,” explains Leslie Paine, M.O.T., O.T.R., manager of the Markstein Services. “So many of the African American men who participated in this study knew someone who had been touched by prostate cancer. Many were participating because they want to help change that.”

Barbecuing, which blackens meat, also creates cancer-causing carcinogens. But research done by Alta Bates Summit and others has shown that when chicken, beef, lamb, or fish is cooked so that it maintains a high, sustained internal temperature — whether it be barbecued, fried, grilled, or broiled — HCAs can form. “Many of the study participants said, ‘My mother always told me to cook the food to death’ to make it safe to eat,” Leslie says. “This cooking method has been passed down, so it’s a cultural issue, as well.”

Another interesting finding: The researchers found that cruciferous vegetables, such as broccoli, can block the effects of HCAs, but only if they are eaten two days prior to eating HCA–laden meat. The study also showed that adding moisture to meat reduces the formation of HCAs, so it’s a good idea to marinate meat prior to cooking it.


Savor Food for Life

Gone are the days when healthy eating meant subsisting on celery sticks and rice cakes. Imagine serving your family and friends fennel and butternut squash tagine, little bowls of spicy aji amarillo mote (chile and hominy) soup, and, for a glorious end to the meal, cardamom poached pear with coconut sorbet. As everyone raves about your culinary skills, you can smile slyly, knowing that the meal is more than just tasty — it’s healthy too.

These are just some of the dishes that Stephanie Beine, a chef at Millennium in San Francisco, teaches people to prepare in her Food for Life Cooking Class series, held in collaboration with Alta Bates Summit. “There’s a strong link between diet and disease prevention, and that’s very powerful,” says Stephanie, who is a registered dietician and received her culinary training at the Natural Gourmet Institute for Food and Health in New York. “To me, eating healthy is more powerful than waiting until you have the heart disease or diabetes or cancer, and then doing something about it.”

Millennium is known for its creative vegetarian fare, and Stephanie loves introducing people to the healthful ingredients she uses. “There are hundreds of fruits and vegetables, and dozens of different whole grains and beans,” she says. “If you have imagination, you can create some really tasty dishes that are healthy. In the classes, people get excited about trying new foods and cooking in the kitchen — which is something that a lot of people don’t do anymore.”

Food for Life is sponsored by The Cancer Project, which promotes cancer prevention and survival through nutrition education, and Whole Foods Market, which donates the food. Classes cover topics ranging from low-fat cooking to immune-boosting foods to replacing meat in the diet.

Stephanie’s classes are held at the Alta Bates Summit Cardiac Rehabilitation Center at 3030 Telegraph Ave. in Berkeley. For class descriptions and schedules, call (510) 869-6737.


Ingredients

14 oz. cooked fresh salmon or 1 can (14 oz.) red salmon, well drained, bones and skin removed
1 cup diced celery
¼ cup minced white onion
1 jar (2 oz.) chopped pimentos, drained
2 to 3 tbsp. reduced-fat mayonnaise
1 tbsp. freshly squeezed lemon juice
2 tbsp. minced fresh chives
1 tsp. finely chopped fresh dill
¾ tsp. paprika
Freshly ground black pepper, to taste
1 tsp. capers
Whole wheat pita bread, cut into wedges (optional)

Cooking Instructions

In a medium-size bowl, mix the salmon with the celery, onion, and pimentos.

In a small bowl, combine the mayonnaise, lemon juice, chives, dill, paprika, and black pepper; add the ingredients to the salmon mixture, and stir to blend.

Top with the capers, and serve immediately with the pita wedges, if desired.

Makes 6 servings.Per serving: 140 calories, 9 g fat, 2 g saturated fat, 14 g protein, 341 mg sodium, 2 g carbs. Recipe courtesy of the American Institute for Cancer Research.


For the Quinoa

½ cup quinoa, rinsed very well and drained
¼ tsp. salt
¾ cup boiling water

Combine the quinoa and salt with the boiling water in a small saucepan. Cover and reduce the heat to a simmer. Cook for 20 minutes or until the water is absorbed. Remove from the heat, and allow the quinoa to steam, covered, for 10 more minutes. Remove the lid and fluff. Transfer to a bowl, and cool before adding to the salad.

For the Dressing

2 tbsp. agave nectar
2 tbsp. Dijon mustard
2 tbsp. rice vinegar
Salt to taste

Whisk together the agave nectar, mustard, and rice vinegar. Season the dressing with salt. Adjust the ingredients to suit your taste.

For the Spinach and Fruit

3 cups (6 oz.) fresh spinach, washed and drained well
Slices of seasonal fresh fruit such as apricots, nectarines, apples, or pears.

To Assemble the Salad

Combine the quinoa, spinach, and fruit in a bowl. Toss well with the dressing.

* Quinoa is a seed that can be found in the grain section of most grocery stores. It is high in complex carbohydrates and protein.

 

 

 
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