A new cookbook ties healthy eating to good sleep
For Marie-Pierre St-Onge, the director of Columbia University's Center of Excellence for Sleep and Circadian Research, years of studying the relationship confirmed it.
Data from large-scale population studies showed that eating a lot of saturated fat and simple carbohydrates made it harder to get deep, restorative sleep, she said. The inverse was also true. People who don't get enough sleep, for example, were more likely to be obese.
'It's a cycle of having poor sleep leading to poor dietary choices, and lower dietary quality that further propels poor sleep,' St-Onge said.
If bad food could keep you awake, she wondered, can good food help you sleep? Her research led to a new cookbook, 'Eat Better, Sleep Better,' co-written with Kat Craddock, editor-in-chief of the food magazine Saveur.
St-Onge said the answer is yes. The book's recipes reflect her findings that people with high-fiber diets report better sleep, and the dishes rely heavily on what she called sleep-supporting ingredients.
Nuts, seeds and whole grains such as barley, buckwheat and kasha contain melatonin, a compound the body also produces naturally to regulate the circadian rhythm. Research suggests the anti-inflammatory properties of ginger and turmeric improve sleep quality, as do the phytochemicals in brightly colored fruits and vegetables like squash, cherries, bananas and beefsteak tomatoes, St-Onge said.
Besides the properties of particular ingredients, the combination of certain foods is key to encouraging your body to produce the hormones it needs to fall and stay sleep, she said. Tryptophan, for example, is an essential amino acid only found in food, but it requires nutrients such as magnesium, zinc and B vitamins to be converted into melatonin and serotonin.
St-Onge noted that people shouldn't expect to fall dead asleep after loading up on certain ingredients at dinner. Food has to be processed, with chemical reactions transforming nutrients over time before they are absorbed.
'It's making sure you have a healthy diet across the day to have the nutrients at the ready,' she said.
Recipes were developed for every meal of the day, plus snacks and desserts, the authors said. The two then arranged them into a 28-day meal plan designed to improve your sleep.
Craddock said developing the recipes came naturally because the research stressed using a variety of foods she likes to cook with anyway. The challenge was making sure the recipes fell within the nutritional requirements.
'My instincts are to go hard on bacon and butter and cheese and heavy cream, and she pared a lot of that back,' Craddock said.
Instead of bacon, Craddock said, she could achieve similar flavors with a little olive oil and smoked paprika. 'It was a bit of a dance back and forth between my more restaurant approach to making foods delicious and her nutritional goals.'
Creole gumbo recipe, for instance, is inspired more by a vegetarian version often served during Lent than the heavier traditional one. The andouille often used — a pork product high in saturated fat — is swapped out for healthier chicken sausage. Adding more than a pound of mixed greens makes it more like a vegetable stew, and brown rice adds a complex carbohydrate.
With numerous charts and scientific research, the book is a practical guide to improving your diet in general. But Craddock said it also introduces people to international ingredients and dishes so they might think beyond what they eat every day.
'If you dig a little deeper and look a little further, there are healthful and flavorful and exciting ingredients from many cultures that are right in our own backyard,' she said.
Hashtags

Try Our AI Features
Explore what Daily8 AI can do for you:
Comments
No comments yet...
Related Articles

2 days ago
Dollar store food shopping isn't derailing American diets: Study
Dollar stores tend to sell less healthy food, but households that shop there appear to compensate by making healthier purchases elsewhere, a new study suggests. Researchers from Tufts University in Boston analyzed more than a decade of household food purchasing data from 183,000 U.S. households between 2008 and 2020. The study, published Monday in the Journal of the Academy of Nutrition and Dietetics, found that dollar stores now account for 6.5% of household calories, double the 3.4% they made up in 2008. To track the healthfulness of household food purchases and diet quality, the team looked at data from the Healthy Eating Index (HEI), which ranges from 0 to 100. The HEI measures how closely a person's diet aligns with national dietary guidelines, considering factors such as fruit and vegetable intake, whole grains and fat consumption. Higher scores indicate better alignment with these recommendations. Researchers excluded non-food items like alcohol and tobacco, as well as fresh foods like fruits, vegetables, meats, and seafood, which don't have standard nutrition labels. Meals eaten outside the home, such as those at restaurants, were also not included in the assessment. Households with substantial purchases at dollar stores had an HEI score of 46.3, which was similar to the 48.2 score of those with moderate purchases and the 50.5 score of those with no purchases. "Purchases directly from dollar stores were less healthy, but even households that bought a lot from dollar stores had overall diets similar in healthfulness to those who bought less -- suggesting they may be getting healthier options from other places," Dr. Wenhui Feng, a professor of health care policy research at Tufts University School of Medicine and lead author of the study, told ABC News. Families were likely strategizing by purchasing certain items at dollar stores for affordability, while continuing to buy healthier items at other grocery stores, Feng suggested. The study also found overall that household diet quality remained consistent long-term, even as the share of food calories from dollar stores doubled. "Most of what dollar stores sell is likely ultra-processed -- packaged, ready-to-eat foods that tend to be higher in salt and additives that aren't necessarily healthy," Dr. Marie-Pierre St-Onge, a professor of nutritional medicine at the Columbia University Irving Medical Center, who was not involved in the study, told ABC News. St-Onge said this is troubling given the rapid growth of dollar stores, especially in low-income and rural areas. In these areas, dollar stores play a much larger role in food access, sometimes serving as one of the few nearby retail options, she noted. But St-Onge added that the issue probably won't be solved by simply restricting dollar stores. "Everyone should have access to affordable, healthful foods no matter where they're sold," she said. "If dollar stores are more prevalent in certain neighborhoods, improving their offerings would be a great step." Feng stressed that food accessibility is clearly a nuanced issue that requires work beyond just stopping the expansion of dollar stores. Even if the issue of access is solved, he said that nutritional inequality may still exist due to consumer preferences and economic constraints. "I don't think there is one policy that can make food purchase immediately healthier. We should approach this as part of the greater discussion about food access and food affordability," Feng said.
Yahoo
2 days ago
- Yahoo
Patient's heartbreaking final words before death
"I want to go home." These were the last words spoken to a father by a young woman who died within hours of complications arising from elective weight loss surgery. Brooke Tiddy was admitted to St George Private Hospital in Sydney on September 19, 2018 for bariatric surgery recommended by her doctor, who assessed her as "super super obese". But her hopes for a new lease on life were dashed when the 32-year-old died two days later. An inquest into her death seeks to assess the effectiveness of the hospital's processes and prevent similar deaths. On Monday, her parents and two sisters remembered the mental health support worker as "an energetic and enthusiastic soul who would do anything for anyone". Ms Tiddy had been "deeply motivated to improve her health" and was "nervous but excited" when she embarked on the journey "she would never have a chance to complete". Her family said the passionate baker's life was cut tragically short by a failure to investigate her underlying health issues before her surgery. "This oversight cost Brooke her life and shattered her family's and friends' trust in the health system," they said in a statement. "We hope (this inquest) will lead to measures that ensure such preventable tragedies never happen again". The inquest was told Ms Tiddy lived with an "extremely rare" condition known as sponastrime dysplasia, which affects the muscles and skeletal system. Her surgeon Dr Vytauras Kuzinkovas said he hadn't previously heard of the condition and didn't do any research about it until after Ms Tiddy's death. One of the associated features is a narrowing of the airways which was ultimately found to be Ms Tiddy's cause of death, the inquest was told. An autopsy found her airways had severely narrowed to the approximate diameter of a drinking straw, which almost certainly occurred before the surgery. Dr Kuzinkovas said Ms Tiddy downplayed her asthma and depression and didn't reveal she had croup or narrow airways during an initial consultation. An in-depth assessment of her medical history would have likely revealed such risk factors, he said, but he hadn't thought it was needed at the time. With the benefit of hindsight, Dr Kuzinkovas accepted Ms Tiddy was a high-risk patient whom he would have referred to specialists before surgery. Intensive care unit staff looking after Ms Tiddy were not informed about her sponastrime dysplasia and its significance, the inquest was told. If he had been aware of the link between her condition and narrowed airways, ICU doctor Michael O'Leary said he would have called in a specialist. "This has been the worst experience I've had in my career. I felt very alone that night," he said. "The only thing looking back on it I would do differently would be to get someone else to give me a hand." Dr O'Leary said he wasn't sure whether a pre-operative assessment would have prevented MsTiddy's death because what they really needed was to access her full medical history. "In a sense we were set up to fail in this case because there was all of this information that was kept from us," he said. The inquest continues on Tuesday.


Medscape
6 days ago
- Medscape
Common Painkiller Tied to Heart Failure Risk in Older Adults
The antiseizure medication pregabalin, which is commonly prescribed for chronic pain, has been linked to an increased risk for heart failure (HF), particularly in those with a history of cardiovascular disease (CVD), new data suggested. In a cohort of more than 240,000 Medicare beneficiaries with noncancer chronic pain, initiation of pregabalin was associated with a 48% higher risk for new-onset HF overall and an 85% higher risk in those with a history of CVD than initiation of gabapentin. The study was published online on August 1 in JAMA Network Open . Widely Prescribed Medications Chronic pain affects up to 30% of adults aged 65 years or older. Nonopioid medications, such as the gabapentinoids pregabalin and gabapentin, are widely prescribed for chronic pain, the investigators, led by Elizabeth Park, MD, Columbia University Irving Medical Center in New York City, noted. Pregabalin has greater potency than gabapentin in binding to the α2δ subunit of the L-type calcium channel and therefore may be associated with an increased risk for HF through actions to cause sodium/water retention. To investigate further, investigators evaluated 246,237 Medicare beneficiaries between 2014 and 2018, including 18,622 (8%) new pregabalin users and 227,615 (92%) new gabapentin users. All patients were aged 65-89 years, had chronic noncancer pain, and had no history of HF. The researchers used inverse probability of treatment weighting to adjust for an extensive list of 231 covariates to reduce confounding and attempted to closely emulate a hypothetical target trial in which Medicare patients filled new prescriptions for pregabalin or gabapentin for noncancer pain. During 114,113 person-years of follow-up, 1470 patients had a hospital admission or emergency department visit for HF. The rate of HF per 1000 person-years was 18.2 for pregabalin and 12.5 — translating to roughly six additional HF events annually for every 1000 patients treated with pregabalin — with an adjusted hazard ratio (HR) of 1.48. The difference was even more pronounced in patients with a history of CVD, with an adjusted HR of 1.85. An increased risk for outpatient HF diagnoses was also seen (adjusted HR, 1.27), but there was no difference in all-cause mortality between groups. The authors said the findings further support current recommendations from the European Medicines Agency to exercise caution when prescribing pregabalin to older adults with CVD. The American Heart Association currently lists pregabalin, but not gabapentin, as a medication that may cause or exacerbate HF. Immediate Clinical Implications The co-authors of an invited commentary noted that the study provides 'timely and clinically relevant insights' into the cardiovascular safety of these two widely used gabapentinoids. From a clinical standpoint, the findings have 'immediate clinical implications,' wrote Robert Zhang, MD, with Weill Cornell Medicine, New York City, and Edo Birati, MD, Tzafon (Poriya) Medical Center, Poriya, Israel. For older adults with chronic pain, particularly those with CVD, 'clinicians should weigh the potential cardiovascular risks associated with pregabalin against its analgesic benefits. This is particularly relevant given the growing use of gabapentinoids in older populations and ongoing polypharmacy issues in this age group,' Zhang and Birati advised. 'Furthermore, if pregabalin use is associated with new-onset HF, it raises the possibility that the drug may unmask underlying subclinical cardiovascular disease, which suggests a need for careful cardiac evaluation prior to prescribing this medication,' they added. 'The study serves as an important reminder that not all gabapentinoids are created equal and that in the pursuit of safer pain control, vigilance for unintended harms remains paramount,' the investigators concluded.