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CURRENT
ISSUE APRIL 28, 2003
COVER STORY: FOOD HABITS
How to Diet on Indian Food
Despite hundreds of diets, nutritionists and slimming
centres, there is considerable confusion about what constitutes the right
diet in Indian food.
By Shefalee Vasudev
Thirty-two-year-old
Suhasini Nindrajog is consumed with dieting. Overweight by about 10 kg,
she dreams incessantly of a pencil-thin figure. Nindrajog has tried everything-from
the globally famous Dr Robert Atkins' diet to a blood group diet to depressive
weeks of just bananas and milk. She seems to be among those whose purses
are the only things that lose weight at slimming centres. "I eat
salads, boiled, steamed foods, don't snack and even skip meals at times,"
she says. "But nothing works. Besides, I feel lethargic all the time."
THE DIET DILEMMA: Doesn't have to be Health
vs Taste
Quite in contrast, Neeraj Bhalla, a fit looking 39-year-old, says he
eats all the time. "Because food is for eating," reasons Bhalla
with a satiated smile. He starts his day with two cups of tea, followed
by a breakfast of stuffed parathas, curd and pickle, a big lunch ("I
eat out almost every day") and a heavy dinner with at least one non-vegetarian
gravy dish. "In between meals, I eat what I like-pastries, chocolates,
aloo bhujia or biscuits-but I don't put on weight at all."
Both Nindrajog and Bhalla are on polarised trips in life, but it seems
that the desired results of their eating pursuits have got mixed up. While
Nindrajog suffers from excessive water retention, Bhalla is one of those
few lucky gluttons who are genetically predisposed to being lean, besides
having a high basal metabolic rate (BMR) that helps them burn more calories
than they eat. But while he may keep fat at bay, it does not mean he is
healthy. Both Nindrajog and Bhalla know nothing about the golden rule
of dieting-moderation. A clever thumb rule of eating right that many Indians
seem to be clueless about.
The good news, proven by studies old and new, is that traditional Indian
food and methods of cooking offer the best options for a diet that is
safe, palatable and promotes health without denying the pleasure of taste.
So say goodbye to the obsession with western diets that enveloped India
some years back. If dieting has to be consistent and successful, it must
originate from one's own kitchen and the availability in one's own country.
It cannot be an imported reality.
FOOD MYTHS
MYTH: Zero-fat diets are best. FACT: Fat from some source is necessary.
MYTH: Crash dieting makes weight loss faster. FACT: Crash diets can lead to permanent organ damage and
loss of lean muscle and tissue.
MYTH: Vegetarians can't build muscle. FACT: Vegetarians derive protein required to build muscle
from grains, pulses and soya bean.
MYTH: Giving up smoking increases weight. FACT: Only if cigarettes are replaced with food.
MYTH: Bananas are fattening. FACT: There is only half a gram of fat and 95 calories in
one banana.
MYTH: Diabetics should completely avoid potatoes and rice. FACT: Prescribed proportions are safe.
MYTH: Alcohol is good for the heart. FACT: Alcohol has empty calories which turn into fat. Ethyl
alcohol in alcoholic drinks increases blood pressure and weakens
heart muscles.
MYTH: Curd, sour foods, astringent fruits
and banana are cold and can induce cough. Nuts, dry fruits and honey,
being warm, cure common cold. FACT: There are no hot or cold foods. Individual allergic reactions
strengthen these myths.
Unfortunately, this objective is hindered by research on food which is
published sporadically in corners of various publications without proper
analysis. This leads to great confusion. One day, wine and alcohol are
good for the heart, the next, they are killers. One study proves the importance
of sugar in a diet, another rubbishes it. This contributes to uncertainty
about good carbs (carbohydrates) vs bad carbs and good cholesterol vs
bad cholesterol. Those keen to knock those kilos chase dieticians and
doctors, but seem to be going in circles, attaining little.
"It is the modernisation of the square meal that has led to problems
and confusion," says Dr Kamala Krishnaswamy, former director of the
Hyderabad-based National Institute of Nutrition. Krishnaswamy, one of
the country's foremost nutrition experts who has written a number of books
on Indian food, says that while people are aware of the protective properties
of Indian spices (see box) they have forgotten the traditional methods
of cooking, washing, seasoning and eating food. "The way north Indian
food is currently seasoned and cooked is particularly problematic,"
she says.
TASTY BUT NASTY: Biryanis retain saturated
fats
For various reasons, the term "Indian food" has a quicker association
with parathas, puris, butter chicken, chaat, pakoras and the bhujiya and
gujiya variety than it has with Bengal gram, millet, besan ki roti, appams,
idlis, Gujarati steamed dhoklas and khakhdas (dry, paper thin, non-oily
snacks) or steamed momos. Given the possibility of health food in the
variety that India's regional cuisines offer, an Indian health food cafe
is waiting to be discovered. It is about going back to grandma's recipes
armed with the awareness that recent research has provided.
What intervenes are the trappings of a developing society. The popularity
of junk food with the burger brigade, which wants bread for breakfast
instead of roti, poha or upma, and the new taste for processed foods have
made the Indian dining table a stage for the worst food combos. Oily puris
with tinned baked beans or pork sausages. Crisps, colas, cutlets and sandwiches
as snacks. Chocolate souffles and tarts with rabri and kaju barfi. It
isn't surprising then that despite so many people going on and off supervised
diets, the Indian population is showing a steady increase in obesity and
chronic degenerative disorders like diabetes, cancers and cardiovascular
problems.
THE BIG NO-NOS
Butter, ghee, vanaspati contain contain transfatty acids, which
increase bad cholesterol.
Don't use the same oil for re-frying or cooking.
Use of cooking soda removes Vitamin B complex.
Avoid cooking without a lid, it destroys Vitamin C.
Processed and tinned foods have a high fat content.
Refrigerated food should not be repeatedly reheated.
Chopped vegetables should not be exposed to light for long or left
in water. Their nutrition is lost.
Don't drink tea with meals.
Tea has tannin which prevents absorption of minerals.
Do not wash pulses and rice too much before cooking. This causes
loss of nutrients and fibre.
High-carbohydrate pastries break quickly into sugar, releasing
excess insulin. This prevents serotonin levels from rising, so the
body keeps demanding more.
Don't sprinkle extra salt over cooked foods.
Don't have late, heavy dinners. They induce acidity.
Don't give colas to small children in their water bottles or feeding
sippers. They easily get addicted to flavourings, sugar and colour.
Don't be a gourmet at every meal, be a nibbler.
Don't use sesame, coconut or mustard oils unless they are refined.
Refining removes colour, odour and toxic impurities.
Don't buy minced meat because the proportion of
fat mixed in the meat is high and cannot be separated while cooking.
At the Asian Congress of Nutrition held in Delhi recently, several studies
on nutrition, some concentrating specifically on Indian foods, revealed
the critical link between dietary habits and health. Even as India is
still resolving its malnutrition issues, 20 per cent of the urban Indian
population consumes 70 per cent of total fat. The same 20 per cent also
consumes the maximum junk food eaten in the country.
Meet the Arora family, which like many north Indian households, took
great pride in their kitchen from where their cook would churn out sweets,
pakoras, biryani, chicken and mutton with thick spicy gravy and dry vegetables
dripping with oil. "I used to save money to buy dry fruits for my
son. And I would insist that he eat his chappati with ghee or butter on
it," says a defeated Suma Arora. Defeated because her husband, brother-in-law
as well as her 35-year-old son, whom she fed with so much indulgence in
childhood, have all been diagnosed with arterial blocks. Arora didn't
know, till disaster struck, that dry fruits and excessive ghee increase
cholesterol levels.
TOO MUCH OF A GOOD THING: Eating out is fine
as long as you know how to do it right
While most nutritionists have their own list of bugaboos contributing
to conflicting ideas on dieting, they do agree on certain basics. The
fact that there is no ideal diet for all people and there is no formula
for a miracle diet. That dieting is temporary, but healthy eating is a
lifetime commitment. That proper eating will not show results unless it
is combined with regular, moderate exercise. "It's about understanding
your body, understanding the various qualities in the food you eat and
their balance," says Dr Veena Jain, senior vice-president (operations)
at weight-loss clinic VLCCc. Balance is a key word. Even the best of diets
fail if they are imbalanced because the body begins to experience recurrent
fatigue.
Nutritionist and Fitness Manager Himanshu Kapoor at Delhi's J. Wellness
Centre says that most of her clients are in the 30-plus age group and
complain of low energy levels and fatigue. "I advise small, frequent
meals instead of starvation diets," she says, adding that deprivation
only leads to bingeing and eventually, overeating.
HOW TO EAT OUT RIGHT
Avoid eating at roadside restaurants. They use poor grade oils,
which are reused over days.
Clear soups and green salads are the best appetisers.
Opt for missi rotis (those made from coarser grains) and phulkas
instead of naans and roomali rotis which use maida.
Have only one gravy dish. Thick gravies retain saturated fats.
Thumb rule: less is more in gravies.
Stick to one type of cuisine. Don't combine bhel and kachoris with
American chopsuey. Or pork vindaloo with sambhar vada.
While ordering non-vegetarian, choose chicken or fish. Red meat,
and pork increase bad cholesterol.
Drink wine or water instead of colas with meals. Wines are compatible
with Indian food, but colas create gaseous discomfort.
When you order, state whether you want your food steamed, stir-fried,
sauted, grilled or baked.
A three-course meal is big enough. But a five-course
one? Avoidable.
Kapoor says most diets rebound after people stop supervision because
they are given measured food packets at slimming centres but are not advised
about the basic properties of food. As soon as a particular diet finishes,
savoury foods lure dieters back into old habits. "Indian food has
great possibilities for an optimum diet, we just need to modify our ways
of cooking," she says. Options should be explored within the tandoori
and grilled variety of Indian food and rotis stuffed with green, leafy
vegetables.
Crash or starvation diets are the most dangerous, and research has proved
they can cause fluctuations in blood sugar levels and a sudden slump in
metabolic rates. Studies released at the recent Nutrition Congress also
showed that certain crash diets could lead to permanent organ damage.
A fact that Malini Deshmukh's story validates. Deshmukh, a 23-year-old
overweight girl, misinformed by bits and pieces on dieting in magazines,
went on a self-styled starvation diet. She collapsed twice during an out
of town assignment and had to be flown back. "I was later diagnosed
with multiple deficiencies and was sternly told to revert to good, nutritious
food in healthy proportions," says Deshmukh, who had to spend seven
days in hospital and go through a battery of tests while suffering blackouts
that stemmed from general weakness.
HOMEGROWN JUNK FOOD: Popular foods like golgappas,
papri chaat, chhole bhature and samosas have high fat and salt content
Nutritionists speak in unison when they emphasise that breakfast should
be the biggest meal of the day: fulfilling, interesting and balanced so
that the body, hungry for the longest gap between last night's meal and
the morning, gets recharged. Lunch should be the next in size, with rice,
rotis, dal, vegetables/ non-veg and curd. Dinner should be smallest-simple
and frugal (see box).
While the spectrum of food that Indian kitchens offer may be a New Age
dietician's delight, the fact remains that given current cooking styles,
Indian food needs to be modified. Indications about recommended oils,
the maximum quantity of oil a person should consume per day, the effects
of re-heating leftover food and the reuse of oil for re-frying are needed.
"We have completely forgotten the suitability of food according to
personal nature and body types," says Delhi's Dr Shikha Sharma, who
falls back on the legendary ayurvedic classifications of people and types
to counsel her clients.
IDEAL ADULT DIET
MORNING
2 glasses lukewarm water
BREAKFAST
5 almonds + 1/2 tsp til (sesame) + 1 fig
Low fat milk with fruits.
Or poha/ methi roti
LUNCH
2 missi rotis sauted vegetable or non-veg dish with dal and salad
(quantity: 75 per cent of breakfast).
DINNER
Soup (veg or non-veg)
Roti, vegetable (quantity:
50 per cent of lunch) Courtesy: Dr Shikha Sharma
But dieting, being a trendy religion, has many gurus, each with a different
philosophy. While Sharma's success rate as a dietician is considered enviable,
her classification of diets based on blood groups is not universally accepted.
"Blood group diets can never really work and nowhere in the world
has any study proven that they do," says
Dr A. P. Simopoulos of the Centre for Genetics, Nutrition and Health,
Washington DC, USA. Then why do crash diets show initial positive results?
Simopoulos says, "It makes a lot of sense to have an expert exclusively
devoted to your eating patterns-that is what creates the success response."
Sharma concedes that behavioural counselling of clients is a huge contributor
to success. "People need to be motivated to lose weight. Besides,
somebody has to sit them down and tell them that what is good for their
neighbour or sister is not necessarily good for them."
GO GRILLED: A wheat-based tandoori roti is
a healthier alternative to a mada naan
Simopoulos, who has studied the good and bad of Indian food, talks particularly
about the harmful effects of ghee. Ghee has fried many a debate. No one
recommends it. Ghee or vanaspati, the brand sold as a ghee substitute
in India, is pure, saturated fat which increases the amount of bad cholesterol
in the body.
Even then, the answer to the most common question: "Should ghee
be completely avoided?" is in the negative. Sharma says, "It
is wrong to throw all fat content out from meals" and that fat from
various sources is better than depending on a single oil, but it is the
limit of the total intake that is crucial. "A maximum of one tablespoon
(15 gm) per person per day is fine."
HEALTHY CLONES
Try roasted or baked namkeens instead of fried.
Brown or de-starched rice is better.
Saute vegetables instead of deep frying them.
Make low-cal bhel with steamed sprouts, dry masalas, herbs and
lemon.
Eat vegetable raita instead of boondi raita.
Quick appetiser: saute sliced cabbage in one teaspoon of olive
oil.
Eat idlis with curds instead of sambhar.
Instead of milk and pure ghee, make sooji (semolina) barfi without
milk.
Use jaggery instead of sugar in halwa.
Make kheer with rice, green gram and jaggery. Don't add milk.
Steamed momos: avoid the maida covering, use a coarser
flour instead.
A lot of Indian food, especially north Indian, Gujarati and Rajasthani
dishes, depends on excess oil, which is a big no-no (see box). All plant
and vegetable oils are fine, provided they are minimally used. While south
Indian food has some of the best bets in healthy eating in terms of idlis,
appams, rasam, upma and uttapam, the use of coconut oil detracts from
their merit. "The way oil is re-used in Indian kitchens creates poisonous
substances," adds Jain. For instance, tawa-fried vegetables, served
especially at Indian wedding parties, are cooked on simmering heat and
use the same oil for hours, making it toxic.
While the elusive definition of a balanced diet is still under the grater,
there is consensus among nutritionists that vegetables should be eaten
in abundance. Plenty of salads with multi-coloured raw fruits and vegetables
make the diet a high-fibre one. "Apart from making the diet bulky,
fibre delays the absorption of carbohydrates and fats and therefore has
great satiety value," says Krishnaswamy, adding that Indian traditions
of scrubbing vegetables and fruits instead of peeling them and washing
vegetables before instead of after cutting them, protects the Vitamin
C in them.
Sharma thinks that a lot of people will start eating right if the myths
woven around food are debunked (see box). Try telling that to Indian grandmothers
who swear by the theory of hot and cold foods. Curd and astringent fruits
are cold, sesame ladoos with almond and honey laced milk are warm and
dry fruits and nuts are hot. On the contrary, curd has great probiotic
(as opposed to antibiotic), protective values which help the body defend
itself against infections. "It is also a myth that vegetarianism
is healthy while non-veg foods are bad," says Sharma, clarifying
that some people lose more weight and at a faster rate through moderate
helpings of non-vegetarian food. Fish, a highly recommended food, is protein-rich
and is wonderful for those suffering from heart problems, hypertension,
diabetes and migraines. "There are no hot or cold foods," says
Dr Sushma Sharma, who teaches nutrition at Delhi's Lady Irwin College,
"but some people are allergic to certain foods and fruits, which
strengthens the myths." Responding to the myth that spicy food eaten
at night makes people ill, Krishnaswamy says, "Eating a heavy, late
dinner is bad because people go to bed before the body starts digesting
the food. This can induce acidity."
SPICES AND SEASONINGS SPECIAL PROTECTIVE QUALITIES:
TURMERIC: Antiseptic, anti-inflammatory
FENUGREEK SEEDS: High fibre content, reduces blood glucose.
CINNAMON: Lung cleansing.
CLOVES: Rich in anti-oxidants.
DRY RED CHILLIES: Anti-infection.
ONIONS AND GARLIC: Prevent blood clots, anti-carcinogenic,
antibiotic.
SAFFRON: Soothing, soporific.
BLACK PEPPER: Heals sore throats.
Most normal, healthy people need a daily intake of approximately 2,400
calories, depending upon gender, BMR, activity levels, height and appetite.
But combined with moderate and consistent exercise, a calorie deficit
diet-consuming fewer calories than stated in optimum diet plans-will do
away with the need for special food plans. This can be done by understanding
how many calories common Indian foods have (see box). A healthy diet should
include all foods: energy yielding (cereals, sugars, fats and oils), body-building
(milk and its products, meat, fish, eggs, pulses and nuts) and protective
(like green leafy vegetables, fresh fruit, curd, meat). "The tradition
of a glass of milk a day was very good, but few people drink milk now,"
says Krishnaswamy, adding that the best naturally available calcium is
in milk.
Foods popular among children and adolescents are the ones most under
fire. Junk foods-cross-breed butter-chicken pizzas, fried aloo-tikki burgers,
aerated drinks, processed foods like instant noodles, tinned non-vegetarian
eats, French fries, chips and crisps-are writing a dangerous footnote
in the future health of Indian children. A study conducted last year at
the All India Institute of Medical Sciences (AIIMS) by Dr Umesh Kapil,
titled "Obesity Among Affluent Adolescent Schoolchildren of Delhi",
found that 23.1 per cent boys and 27.7 per cent girls were overweight
and 8 per cent out of the total 1,000 students studied were obese. The
study also revealed that a majority of adolescents ate snacks between
meals, relied on fast food (94.2 per cent), eating it three to seven times
a week on average. Worse, they missed at least one square meal a day.
"Junk food should be junked," says Sushma Sharma, commenting
on the high salt and fat content of fast foods and the empty calories
in aerated drinks. Clearly, awareness of the good and bad in food should
start early in life as vulnerability towards certain illnesses begins
in childhood itself.
While Indian children are still surfing on the delights of junk food,
their parents are moving towards the other end of the spectrum. Sudden
panic about weight leads many to opt for marketed health foods like diet
colas, diet chocolates and beer, sugar substitutes for tea and coffee,
special oils and flours and packaged sprouts. "Old traditional foods
and flours are being marketed under trendy brand names," says Dr
Kusum Khanna, director of Delhi University's Institute of Home Economics,
adding that jowar, bajra, ragi, and whole-wheat flours are mixed to form
these special flours. But she does agree that diet colas, diet chocolate
and low-cal sugar substitutes are real dietary saviours. The lack of information
about branded health foods is just another indicator that diet counselling
should be an industry that does more than just helping people survive
starvation. A bitter flipside of dieting that Nindrajog is still coming
to terms with.
The new Indian food pyramid gives basic guidelines (see graphic) but
it will take more than that to improve India's food habits. Many experts
in the food and nutrition industry insist that it should be mandatory
to print nutritional information (calorie value, content, allergic possibilities)
on packaged food so that dieticians, nutritionists and the consumers can
choose right. Correct eating is not about not eating gulab jamuns and
aloo tikkis, it is about eating them at the right time, in the right quantity
and enjoying them. Kapoor's dictum could be useful, "It is wise eating,
not dieting, that works. Dieting has a beginning and an end, but wise
eating has a lifetime continuity."
Now, isn't that a good enough reason to order a large, healthy meal?