1 00:00:00,470 --> 00:00:03,648 Music 2 00:00:03,648 --> 00:00:06,629 Angela Guo: So, it's the old adage on what you eat 3 00:00:07,140 --> 00:00:12,800 when I eaτ sugary or caffeinated food I often find myself, like unable to focus 4 00:00:13,394 --> 00:00:18,230 So, eating healthier foods has a significant impact on 5 00:00:18,230 --> 00:00:23,410 how well I can focus, as well as how quick I can think. 6 00:00:23,950 --> 00:00:25,594 Sanjay Gupta: That's Angela Guo. 7 00:00:25,982 --> 00:00:28,978 She's a 17-year old senior at Adlai Stevenson High School 8 00:00:29,309 --> 00:00:31,070 in Lincolnshire, Illinois. 9 00:00:31,568 --> 00:00:34,954 And that adage she just cited, "You are what you eat", 10 00:00:35,398 --> 00:00:37,522 that's been around since the 1800's. 11 00:00:37,928 --> 00:00:42,218 People have known for a long time just how much food affects us. 12 00:00:42,818 --> 00:00:45,650 But it's not just in term of long-term health, 13 00:00:45,966 --> 00:00:48,123 but also short-term mood. 14 00:00:48,664 --> 00:00:51,509 AG: Food really helps us maintain a safe clarity 15 00:00:51,509 --> 00:00:52,931 and so eating healthier foods 16 00:00:52,931 --> 00:00:54,354 has had a significant impact 17 00:00:58,691 --> 00:01:02,043 on how well I can focus, as well as how quick I can think. 18 00:01:05,008 --> 00:01:06,089 SG: She may only be in high school 19 00:01:06,089 --> 00:01:07,171 but Angela has already made 20 00:01:07,171 --> 00:01:10,117 the crucial connection between what she puts in her mouth 21 00:01:10,494 --> 00:01:12,950 and how quickly that affects her brain. 22 00:01:13,510 --> 00:01:15,729 She even believes that simple understanding 23 00:01:16,078 --> 00:01:18,259 gave her a real advantage when she competed 24 00:01:18,259 --> 00:01:21,277 in the National Science Olympiad tournament earlier this year. 25 00:01:22,006 --> 00:01:27,245 Announcer: First place: National champions of the 2023 Science Olympiad 26 00:01:27,245 --> 00:01:33,023 National Tournament: Adlai Stevenson High School of Illinois, let's go!! 27 00:01:33,663 --> 00:01:35,785 SG: Now at this tournament earlier this year, 28 00:01:35,951 --> 00:01:38,957 Angela and her team mates went up against thousands of students 29 00:01:38,957 --> 00:01:40,179 from around the country. 30 00:01:40,179 --> 00:01:41,835 They were competing in events highlighting chemistry, 31 00:01:41,835 --> 00:01:44,595 and Earth science and biology. 32 00:01:44,870 --> 00:01:48,006 But here is the thing: the entire time on Angela's team 33 00:01:48,244 --> 00:01:50,259 you really didn't see much sugar around. 34 00:01:50,430 --> 00:01:53,037 Instead, there were lots of healthy snacks. 35 00:01:54,310 --> 00:01:56,969 AG: So, even at school, I'd bring my own lunch 36 00:01:57,171 --> 00:02:00,687 and it's just that aspect of knowing what goes into your meals 37 00:02:00,911 --> 00:02:03,645 is like really important. It kind of gives you peace of mind. 38 00:02:04,093 --> 00:02:08,185 SG: The team did really well, and now as they prepare for more tournaments, 39 00:02:08,477 --> 00:02:12,944 Angela, who's now is team captain, says, "Sure, they do study hard, 40 00:02:13,192 --> 00:02:17,791 but what they eat, how they eat, that's also top of mind. 41 00:02:18,312 --> 00:02:22,627 AG: When we do travel for Science Olympiad our coaches always makes sure that 42 00:02:22,629 --> 00:02:24,570 our like bus is well stocked with 43 00:02:24,570 --> 00:02:26,512 fruits and water. 44 00:02:26,852 --> 00:02:31,249 SG: So Angela, seems pretty convinced that food helps her focus 45 00:02:31,249 --> 00:02:33,447 and perform well academically. 46 00:02:33,866 --> 00:02:37,203 Of course, that makes sense but the question today, 47 00:02:37,409 --> 00:02:41,970 "What is the empirical evidence to support that and how does it work? 48 00:02:42,319 --> 00:02:44,659 How exactly does food impact the brain? 49 00:02:44,969 --> 00:02:48,330 And how do we really know when our brain is well nourished?" 50 00:02:48,330 --> 00:02:50,301 Uma Naidoo: Sugar is not good for our brain. 51 99:59:59,999 --> 99:59:59,999 But I also want people to understand we need sugar for our bodies 52 99:59:59,999 --> 99:59:59,999 and our brain, 53 99:59:59,999 --> 99:59:59,999 so it's where you get the sugar that's important. 54 99:59:59,999 --> 99:59:59,999 SG: Look, a lot of people worry about how food influences the way we look, 55 99:59:59,999 --> 99:59:59,999 how much weight we may gain -- I get that -- 56 99:59:59,999 --> 99:59:59,999 or the likelihood we're going to be high risk for diseases, 57 99:59:59,999 --> 99:59:59,999 like diabetes and hypertension. 58 99:59:59,999 --> 99:59:59,999 But even though it is harder to measure, food is also deeply connected 59 99:59:59,999 --> 99:59:59,999 to how we feel in the moment and how well the brain functions. 60 99:59:59,999 --> 99:59:59,999 Even as you listen to this podcast, your experience, right now, 61 99:59:59,999 --> 99:59:59,999 is likely affected by what you ate earlier today. 62 99:59:59,999 --> 99:59:59,999 So in this episode, I'm going to find out what's the best fuel for the brain, 63 99:59:59,999 --> 99:59:59,999 what food we should avoid and what it really means 64 99:59:59,999 --> 99:59:59,999 to have a well-nourished brain. 65 99:59:59,999 --> 99:59:59,999 I'm Dr Sanjay Gupta, CNN's Chief medical correspondent 66 99:59:59,999 --> 99:59:59,999 and this is Chasing life. 67 99:59:59,999 --> 99:59:59,999 You know, I love hearing stories like Angela's. 68 99:59:59,999 --> 99:59:59,999 They're so personal. 69 99:59:59,999 --> 99:59:59,999 She's someone who's paying attention to her body and then she's figuring out 70 99:59:59,999 --> 99:59:59,999 what makes her feel good and what it takes to do the activities she loves. 71 99:59:59,999 --> 99:59:59,999 She's being really intentional with her nutrition 72 99:59:59,999 --> 99:59:59,999 and that may save her from having health problems later in life 73 99:59:59,999 --> 99:59:59,999 but it could help optimize her function now. 74 99:59:59,999 --> 99:59:59,999 For me, food is an endless source of fascination. 75 99:59:59,999 --> 99:59:59,999 The way that I think about it is this: 76 99:59:59,999 --> 99:59:59,999 food is one of the most significant ways we allow our outside world to influence 77 99:59:59,999 --> 99:59:59,999 and communicate with our inside world, the world inside of our body and our mind. 78 99:59:59,999 --> 99:59:59,999 That is an awesome task. Food does that. 79 99:59:59,999 --> 99:59:59,999 So, I thought today we would start with the basics. 80 99:59:59,999 --> 99:59:59,999 We know that all food items have calories and calories are by definition energy 81 99:59:59,999 --> 99:59:59,999 but, as you just heard, not all calories are created equal. 82 99:59:59,999 --> 99:59:59,999 Some have more nutrients and do more to promote 83 99:59:59,999 --> 99:59:59,999 overall health and well-being than others. 84 99:59:59,999 --> 99:59:59,999 And that is especially true when it comes to the brain. 85 99:59:59,999 --> 99:59:59,999 But the challenge again: that's hard to measure. 86 99:59:59,999 --> 99:59:59,999 There is no brain scan or blood test that indicates that a particular food 87 99:59:59,999 --> 99:59:59,999 promotes brain health. 88 99:59:59,999 --> 99:59:59,999 So how do we really know? 89 99:59:59,999 --> 99:59:59,999 How do you really know what works for you? 90 99:59:59,999 --> 99:59:59,999 To find out, I return to someone whose work I really respect 91 99:59:59,999 --> 99:59:59,999 both in the clinic and in the kitchen, someone who knows a lot 92 99:59:59,999 --> 99:59:59,999 about this really intricate connection between food and brain health. 93 99:59:59,999 --> 99:59:59,999 Uma Naidoo: if you want, you know, 94 99:59:59,999 --> 99:59:59,999 your brain to really be optimized 95 99:59:59,999 --> 99:59:59,999 lean into the foods you like, but the healthy versions of that. 96 99:59:59,999 --> 99:59:59,999 SG: That' Dr Uma Naidoo; she's a nutritional psychiatrist. 97 99:59:59,999 --> 99:59:59,999 Such a cool field. She's at Harvard medical school. 98 99:59:59,999 --> 99:59:59,999 What she does is that she works with patients to improve 99 99:59:59,999 --> 99:59:59,999 their mental health with the help of medication and food. 100 99:59:59,999 --> 99:59:59,999 She's also a professional chef. She's the author of the books 101 99:59:59,999 --> 99:59:59,999 "This is Your Brain on Food" and "Calm Your Mind with Food." 102 99:59:59,999 --> 99:59:59,999 That one's going to be released later this year. 103 99:59:59,999 --> 99:59:59,999 I should tell you, this is actually Dr Naidoo's second time on the show. 104 99:59:59,999 --> 99:59:59,999 We spoke a few years ago about the broader concept of food as medicine. 105 99:59:59,999 --> 99:59:59,999 And I was so fascinated by the conversation, so affected by it, 106 99:59:59,999 --> 99:59:59,999 I asked her to come back and discuss how food impacts brain health specifically 107 99:59:59,999 --> 99:59:59,999 and brain function. 108 99:59:59,999 --> 99:59:59,999 I have long said that I think food 109 99:59:59,999 --> 99:59:59,999 can be medicine, I also think just philosophically, 110 99:59:59,999 --> 99:59:59,999 we consciously decide what signals we're going to give to the inside 111 99:59:59,999 --> 99:59:59,999 of our body through food. 112 99:59:59,999 --> 99:59:59,999 What the discussion has primarily focused on has been calories and energy, 113 99:59:59,999 --> 99:59:59,999 and are you going overweight or not. 114 99:59:59,999 --> 99:59:59,999 UN: Correct SG: So what are those foods that are both 115 99:59:59,999 --> 99:59:59,999 good for the brain and can actually get to the brain. 116 99:59:59,999 --> 99:59:59,999 UN: What I think is good, and I think what is helpful for people, 117 99:59:59,999 --> 99:59:59,999 especially in the U.S., is that most people are consuming 118 99:59:59,999 --> 99:59:59,999 the standard American diet 119 99:59:59,999 --> 99:59:59,999 which, as you know, is called sad for a reason. 120 99:59:59,999 --> 99:59:59,999 So any time that we can add those lipid grains and those actual whole foods 121 99:59:59,999 --> 99:59:59,999 onto our plate, you know, and think about it that way and step away 122 99:59:59,999 --> 99:59:59,999 a little bit from those processed fast foods 123 99:59:59,999 --> 99:59:59,999 the healthier we are going to become as a country and I think that that is 124 99:59:59,999 --> 99:59:59,999 because processed, ultra-processed foods are engineered, as you know, 125 99:59:59,999 --> 99:59:59,999 to trick our brain. 126 99:59:59,999 --> 99:59:59,999 So we eat more, we can't stop ourselves. 127 99:59:59,999 --> 99:59:59,999 SG: Yeah, maybe I'm being audacious here in doing a podcast about how to achieve 128 99:59:59,999 --> 99:59:59,999 a most optimally nourished brain. 129 99:59:59,999 --> 99:59:59,999 As you correctly point out, we have a lot of work to do as a country to just 130 99:59:59,999 --> 99:59:59,999 stop doing the bad things, maybe even before we can, uh, really, really focus 131 99:59:59,999 --> 99:59:59,999 on the good things. 132 99:59:59,999 --> 99:59:59,999 But the idea that food itself can be medicine and that can be quantified, 133 99:59:59,999 --> 99:59:59,999 maybe even to the point, for someone like you, prescribed. Are we to the point, 134 99:59:59,999 --> 99:59:59,999 with what we know, data-wise that food can be thought of prescriptive, 135 99:59:59,999 --> 99:59:59,999 like we think of medicine? 136 99:59:59,999 --> 99:59:59,999 UN: So I can't yet say to you, you need to eat ten blueberries over this amount 137 99:59:59,999 --> 99:59:59,999 of time to improve your mood. 138 99:59:59,999 --> 99:59:59,999 But what we do know from pretty large population-based studies that 139 99:59:59,999 --> 99:59:59,999 if you were consuming extra-dark natural chocolate, that it improved depression 140 99:59:59,999 --> 99:59:59,999 by 70% in over 12,000 participants. We know and it was in the candy bars 141 99:59:59,999 --> 99:59:59,999 it was extra dark natural chocolate, which contains serotonin, magnesium, 142 99:59:59,999 --> 99:59:59,999 um, some fiber. So we're not at a point where I can say this number 143 99:59:59,999 --> 99:59:59,999 of blueberries in order to improve your mood, 144 99:59:59,999 --> 99:59:59,999 but we are definitely emerging and growing in the scientific evidence 145 99:59:59,999 --> 99:59:59,999 to be able to say you can construct a nutritional psychiatry plate 146 99:59:59,999 --> 99:59:59,999 for your mood. 147 99:59:59,999 --> 99:59:59,999 You can lean into those leafy green vegetable, 3-5 cups a day. Um, things like 148 99:59:59,999 --> 99:59:59,999 arugula, spinach all contain folate. A low folate is associated with low mood. 149 99:59:59,999 --> 99:59:59,999 So, we can give people guidance around it and really have them understanding that 150 99:59:59,999 --> 99:59:59,999 food is moving in that direction. 151 99:59:59,999 --> 99:59:59,999 SG: Now before we hear more food recommendations, I want to note something 152 99:59:59,999 --> 99:59:59,999 that's, I think, really important here. the term "brain food." 153 99:59:59,999 --> 99:59:59,999 That gets thrown around a lot. But, true brain food meaning any food that actually 154 99:59:59,999 --> 99:59:59,999 impacts the function of the brain has to do something really important. 155 99:59:59,999 --> 99:59:59,999 Its got to get past the blood-brain barrier. 156 99:59:59,999 --> 99:59:59,999 Now, I don't want to get to wonky or technical, but I think it's important 157 99:59:59,999 --> 99:59:59,999 for you to understand this point. Think of the blood-brain barrier as sort 158 99:59:59,999 --> 99:59:59,999 of a body guard for the brain. This barrier prevents the entry of toxins 159 99:59:59,999 --> 99:59:59,999 and pathogens and other molecules that could be harmful to the brain.