Top Anti-Inflammatory Foods
- Chronic inflammation damages cells, weakens tissue and makes you age faster, a process called “inflammageing.”
- Inflammation is the link that ties together the most common diseases, including heart disease, diabetes, arthritis and obesity.
- When you eat the right foods, inflammation improves and along with it, the risk for some of the most common diseases.
- If you can reduce inflammation with food, you’ll feel better, you’ll look better, enjoy your life more and save a ton of money on doctors you don’t want to see anyway.
by Dr. John Neustadt
From your first breath to your last, your body is working hard to keep you healthy. Unfortunately, people do a lot to sabotage themselves and then feel sick, tired and just generally crummy.
Diseases that used to be thought of as completely unrelated, we now know have at least one thing in common: chronic inflammation. Chronic inflammation damages cells, weakens tissue and makes you age faster, a process called “inflammageing.”
Inflammation is the most common link that underlies many diseases. “Inflammatory diseases” include atherosclerosis (hardening of the arteries), dementia, arthritis, vasculitis, diabetes, and autoimmune disease. In fact, the suffix “-itis” means inflammation. These also include dermatitis, colitis, uveitis, prostatitis and any disease that have “-itis” in its name. Taken as a whole, inflammatory diseases are the number one cause of disability and death.
Here are some sobering stats:
Diabetes: According to American Diabetes Association, 30.3 million people or 9.4% of the American population, had diabetes in 2015 and it was the 7th leading cause of death in the United States.
Cardiovascular diseases: Cardiovascular diseases (CVDs) accounts for 1 out of every three deaths or approximately 800,000 deaths in the United States. Said another way, if you get together with two of your friends, the grim facts are that one of you will likely die of heart disease. Fortunately, there are things you can do to tip the scale in your favor. Consuming more foods that combat inflammation is an easy one.
Arthritis and Joint Diseases: These affect approximately 350 million people worldwide and nearly 43 million people in the United States or almost 20% of the population. There are more than 100 types of arthritides (yes, that’s the plural of arthritis), with osteoarthritis being the most common. To learn more about osteoarthritis, read my blog, Osteoarthritis: Heart Disease for Joints.
Allergies: These rank among the sixth leading cause of chronic human diseases in the United States and affect more than 50 million Americans each year. Asthma affects more than 24 million people in the United States including more than 6 million children. In 2015, 8.2% of adults and 8.4% of children were diagnosed with hay fever.
Chronic Obstructive Pulmonary Disease (COPD): The third most common cause of death in the United States in 2014, and nearly 15.7 million Americans (6.4%) were reported to have been diagnosed with COPD.
Overweight and Obesity: Overweight (defined as body mass index [BMI] of 25–29.9) and obesity (BMI ≥ 30) are epidemic, with 65% of adults classified as overweight or obese. Nearly one-third of children are either at risk for being overweight or are themselves overweight or obese. Obesity alone contributes to more than 280,000 deaths each year in the United States, and in the coming decades may erode the national gains in life expectancy.
Top Anti-inflammatory Foods
While you can’t control which genes your parents gave you, you can totally control what you put in your mouth. Making the right food choices can reduce inflammation, reduce your risk and improve how you look and feel. As an aside, despite the common belief in the supremacy of your genes, your genes are not your destiny. What you eat day aftr day is more important than your genetics.
Crappy diets cause inflammation and disease, but when you eat the right foods, inflammation improves and along with it, the risk for some of the most common and dangerous diseases. Most people eat a Standard American Diet (SAD). This is radically different from our ancestors’ diets and how our body’s evolved.
The SAD dietary pattern is characterized by a high intake of saturated fatty acids (fats that are solid at room temperature), trans fatty acids (called hydrogenated or partially hydrogenated on packages) and processed foods; and low intakes of mono- and poly-unsaturated fatty acids (fat that’s liquid at room temperature), dietary fiber, and micronutrients (vitamins and minerals).
The most common foods consumed in the SAD are grain (eg, corn) fed beef, processed meat, eggs, French fries, high-fat dairy products, refined grains, sweets, and desserts. All of these are pro-inflammatory. Their consumption should be minimized.
There are two sides to this coin. Yes, you should avoid foods that create inflammation. But you should also emphasize anti-inflammatory foods in your diet. Studies have shown that the more fruits and vegetables people eat, the less inflammation they have.
Below are some of my top picks for foods that are chock full of healthy nutrients and are powerfully anti-inflammatory.
Avocados are an excellent source of fat. One cup (about 1 small/medium avocado) provides 20-25 grams of fat. Fat has gotten lots of bad press, but healthy fat is good for you and our bodies require it. The polyunsaturated fat in fish and the monounsaturated fat in avocado are two types of healthy fats.
Fat increases the absorption of fat-soluble nutrients, such as vitamins A, E, D, K and phytonutrients such as carotenoids, which are powerfully anti-inflammatory. Avocado also contains phytosterols including beta-sitosterol, campesterol, and stigmasterol. These nutrients also combat inflammation. Including one avocado per day into a person’s diet has been shown to lower risk of heart disease, cholesterol, and decrease oxidative stress.
Cherries are a nutrient dense food with relatively low calories. They contain significant amounts of important nutrients and bioactive food compounds. These include fiber, polyphenols, carotenoids, vitamin C, potassium, tryptophan, serotonin and melatonin.
Given the high concentrations of bioactive compounds in cherries, it’s not surprising that cherries promote health. Results from published animal and human studies suggest that consumption of cherries may reduce the risk of several chronic inflammatory diseases including, arthritis, cardiovascular disease (CVD), diabetes, and cancer.
Additional evidence suggests that cherry consumption may improve sleep, cognitive function, and recovery from pain after strenuous exercise. Like all foods, cherries’ health benefits and phytochemicals work synergistically. The anti-inflammatory effects of cherries are the result of polyphenols, melatonin, carotenoids and vitamins E and C.
Fish are a rich source of omega-3 fatty acids. These important fats combat anti-inflammatory. A study that evaluated fish consumption in patients with Rheumatoid Arthritis (RA) found that those folks who ate fish two times or more each week had a nearly 50% decrease in C-reactive protein (CRP) compared to people who ate fish less than once a month. CRP is a blood marker for inflammation and an indicator of disease activity. In their study they also found that consuming fish oil dietary supplements was also associated with a lower CRP, although consuming fish was more than twice as effective as taking the dietary supplement.
Garlic is an ancient food that originated in Asia. Today about 80% of world’s garlic is cultivated in China. Garlic has a rich history as a spice in foods and in medicine. In traditional medicine, garlic is used to treat conditions of the digestive system and respiratory system, as well as the flu. Garlic is an essential component of my Quick and Easy Cold and Flu Killer broth.
More than 200 chemicals with diverse properties have been found in garlic extracts. Sulfur compounds in garlic are what give it its characteristic flavor and are also powerful antioxidants and anti-inflammatory.
Olive oil is a staple in the Mediterranean diet. Olive is high in polyunsaturated fat and polyphenols. Of the different types of olive oil, extra virgin olive oil (EVOO) has the highest concentration of helpful polyphenols and should be the one you buy.
A 2017 review article in the journal Nutrients, evaluated the health benefits of consuming EVOO as part of an overall healthy dietary pattern, such as the Mediterranean diet. The researchers concluded that EVOO can help reduce inflammation, and reduces the risk for diabetes mellitus, heart disease and obesity.
To preserve its health benefits, it’s best to consume EVOO at room temperature. You can sauté with it, but olive oil is not a high-heat oil. It goes rancid if it gets too hot. When olive oil gets to about 410 degrees Fahrenheit, it reaches its “smoke point” and you’ll see smoke start coming from the pan. When that happens with an oil, the oil is going bad and creating harmful free radicals. Try putting room-temperature olive oil on salads, or only using it to cook using low heat.
Pineapples (Ananas comosus) contain bromelain, which helps reduce inflammation. Bromelain has been clinically evaluated for its use as an anti-inflammatory agent for inflammation of the colon, chronic pain, rheumatoid arthritis (RA), soft tissue injuries, and asthma.
In addition to bromelain, pineapple is also high in vitamin C; manganese; copper; B vitamins such as vitamin B1, B5, B6 and folate; and fiber. Many of these nutrients, including vitamin C, manganese and B vitamins are used by the body as antioxidants and to promote healthy levels of inflammation.
Eating pineapple can provide all of these healthy nutrients, but the clinical trials looking at the ability of Bromelain to reduce pain and inflammation are so overwhelmingly positive that I included it in my Joint Relief formula to attack inflammation and pain where they start, at the cellular, molecular and genetic levels.
Turmeric (Curcuma longa) root has been used for centuries in India, China, and Indonesia for food and medicine, turmeric root—which has a rich, yellow color—is found in the Indian spice curry. Traditionally, turmeric has been used to treat a wide range of ailments. It has been and is still applied to wounds and burns topically, and it’s taken internally for liver and digestive complaints.
A potent anti-inflammatory, turmeric works in two main ways: it suppresses an enzyme called cyclooxygenase (COX) that creates proinflammatory signals in the body, and it inhibits nuclear factor kappa beta (NF-kB), a gene that enhances production of proinflammatory molecules. The ability of the antioxidants in turmeric to decrease free radicals is similar to that in vitamins C and E. Since the antioxidant activities of turmeric are not degraded by heat (unlike most vitamins), even using the spice in cooking provides benefits. The research on Turmeric is so convincing that I included turmeric standardized extract in my Supreme Multivitamin, MitoForte and Joint Relief formulas.
The Bottom Line
The bottom line is that consuming healthy fats and more fruits and vegetables can reduce inflammation and your risk for the most common causes of disability and death. And if you can do that with food, providing your body the nutrients it needs to thrive, you’re going to feel better, enjoy your life more and save a ton of money on doctors you don’t want to have to see anyway.
Allison DB, Fontaine KR, Manson JE, Stevens J, VanItallie TB. Annual deaths attributable to obesity in the United States. JAMA. 1999;282(16):1530-1538. [Article]
Ammon HP. [Boswellic acids (components of frankincense) as the active principle in treatment of chronic inflammatory diseases]. Wien Med Wochenschr. 2002;152(15-16):373-378. [Article]
Brien S, Lewith G, Walker A, Hicks SM, Middleton D. Bromelain as a Treatment for Osteoarthritis: a Review of Clinical Studies. Evid Based Complement Alternat Med. 2004;1(3):251-257. [Article]
Cooreman WM, Scharpe S, Demeester J, Lauwers A. Bromelain, biochemical and pharmacological properties. Pharm Acta Helv. 1976;51(4):73-97. [Article]
Coussens LM, Werb Z. Inflammation and cancer. 2002;420(6917):860-867. [Article]
Danesh J, Whincup P, Walker M, et al. Low grade inflammation and coronary heart disease: prospective study and updated meta-analyses. BMJ. 2000;321(7255):199-204. [Article]
Darshan S, Doreswamy R. Patented antiinflammatory plant drug development from traditional medicine. Phytother Res. 2004;18(5):343-357. [Article]
Fontaine KR, Redden DT, Wang C, Westfall AO, Allison DB. Years of Life Lost Due to Obesity. JAMA. 2003;289(2):187-193. [Article]
Garrido M, Espino J, Toribio-Delgado AF, et al. A jerte valley cherry-based product as a supply of tryptophan. Int J Tryptophan Res. 2012;5:9-14. [Article]
Grundy SM. Inflammation, Hypertension, and the Metabolic Syndrome. JAMA. 2003;290(22):3000-3002. [Article]
Hedley AA, Ogden CL, Johnson CL, Carroll MD, Curtin LR, Flegal KM. Prevalence of Overweight and Obesity Among US Children, Adolescents, and Adults, 1999-2002. JAMA. 2004;291(23):2847-2850. [Article]
Izaka KI, Yamada M, Kawano T, Suyama T. Gastrointestinal absorption and antiinflammatory effect of bromelain. Jpn J Pharmacol. 1972;22(4):519-534. [Article]
Jaber R. Respiratory and allergic diseases: from upper respiratory tract infections to asthma. Prim Care. 2002;29(2):231-261. [Article]
Jayachandran S, Khobre P. Efficacy of Bromelain along with Trypsin, Rutoside Trihydrate Enzymes and Diclofenac Sodium Combination Therapy for the treatment of TMJ Osteoarthritis – A Randomised Clinical Trial. J Clin Diagn Res. 2017;11(6):ZC09-ZC11. [Article]
Joshipura KJ, Hu FB, Manson JE, et al. The effect of fruit and vegetable intake on risk for coronary heart disease. Ann Intern Med. 2001;134(12):1106-1114. [Article]
Kasemsuk T, Saengpetch N, Sibmooh N, Unchern S. Improved WOMAC score following 16-week treatment with bromelain for knee osteoarthritis. Clin Rheumatol. 2016;35(10):2531-2540. [Article]
Kelley DS, Adkins Y, Laugero KD. A Review of the Health Benefits of Cherries. Nutrients. 2018;10(3). [Article]
Kelly GS. Bromelain: a literature review and discussion of therapeutic applications. Alt Med Rev. 1996;1(4):243-257. [Article]
Kerver JM, Yang EJ, Bianchi L, Song WO. Dietary patterns associated with risk factors for cardiovascular disease in healthy US adults. Am J Clin Nutr. 2003;78(6):1103-1110. [Article]
Kim YJ, Kim HJ, No JK, Chung HY, Fernandes G. Anti-inflammatory action of dietary fish oil and calorie restriction. Life Sci. 2006;78(21):2523-2532. [Article]
Krinsky NI, Johnson EJ. Carotenoid actions and their relation to health and disease. Mol Aspects Med. 2005;26(6):459-516. [Article]
Maurer HR. Bromelain: biochemistry, pharmacology and medical use. Cell Mol Life Sci. 2001;58(9):1234-1245. [Article]
McCune LM, Kubota C, Stendell-Hollis NR, Thomson CA. Cherries and health: a review. Crit Rev Food Sci Nutr. 2011;51(1):1-12. [Article]
Moutia M, Habti N, Badou A. L. Evid Based Complement Alternat Med. 2018;2018:4984659. [Article]
Pahwa R, Jialal I. Chronic Inflammation. In: StatPearls. Treasure Island (FL)2019. [Article]
Pavan R, Jain S, Shraddha, Kumar A. Properties and therapeutic application of bromelain: a review. Biotechnol Res Int. 2012;2012:976203. [Article]
Pineapple. The George Mateljan Foundation. Accessed July 31, 2019. [Web page]
Schmidt MI, Duncan BB, Sharrett AR, et al. Markers of inflammation and prediction of diabetes mellitus in adults (Atherosclerosis Risk in Communities study): a cohort study. Lancet. 1999;353(9165):1649-1652. [Article]
Schulze MB, Hoffmann K, Manson JE, et al. Dietary pattern, inflammation, and incidence of type 2 diabetes in women. Am J Clin Nutr. 2005;82(3):675-684; quiz 714-675. [Article]
Souza PAL, Marcadenti A, Portal VL. Effects of Olive Oil Phenolic Compounds on Inflammation in the Prevention and Treatment of Coronary Artery Disease. Nutrients. 2017;9(10). [Article]
Stehouwer CDA, Gall M-A, Twisk JWR, Knudsen E, Emeis JJ, Parving H-H. Increased Urinary Albumin Excretion, Endothelial Dysfunction, and Chronic Low-Grade Inflammation in Type 2 Diabetes: Progressive, Interrelated, and Independently Associated With Risk of Death. Diabetes. 2002;51(4):1157-1165. [Article]
Taussig SJ, Batkin S. Bromelain, the enzyme complex of pineapple (Ananas comosus) and its clinical application. An update. J Ethnopharmacol. 1988;22(2):191-203. [Article]
Tedeschi SK, Bathon JM, Giles JT, Lin TC, Yoshida K, Solomon DH. Relationship Between Fish Consumption and Disease Activity in Rheumatoid Arthritis. Arthritis Care Res (Hoboken). 2018;70(3):327-332. [Article]
Tsui PF, Lin CS, Ho LJ, Lai JH. Spices and Atherosclerosis. Nutrients. 2018;10(11). [Article]
Walker AF, Bundy R, Hicks SM, Middleton RW. Bromelain reduces mild acute knee pain and improves well-being in a dose-dependent fashion in an open study of otherwise healthy adults. Phytomedicine. 2002;9(8):681-686. [Article]
Wang L, Bordi PL, Fleming JA, Hill AM, Kris-Etherton PM. Effect of a moderate fat diet with and without avocados on lipoprotein particle number, size and subclasses in overweight and obese adults: a randomized, controlled trial. J Am Heart Assoc. 2015;4(1):e001355. [Article]
Xu H, Barnes GT, Yang Q, et al. Chronic inflammation in fat plays a crucial role in the development of obesity-related insulin resistance. J Clin Invest. 2003;112(12):1821-1830. [Article]
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