Join Stacy of Real Everything and Dr. Sarah of The Paleo Mom as they bust myths and answer your questions about a nontoxic lifestyle, nutrient-dense diet, Autoimmune Protocol, and parenting.
Friday Jun 18, 2021
Friday Jun 18, 2021
Friday Jun 18, 2021
The Whole View, Episode 461: Oats-M-G, Are These Actually Healthy?
Welcome back to episode 461! (0:28)
Stacy has mentioned in the past how great she feels when she includes some oats in her diet. She clarified that it's not something she loads up on daily.
Finding high-quality, gluten-free, and non-glyphosate was a game-changer for her as well.
For years, Stacy and Sarah have talked about how grains were problematic for digestion, proper absorption of nutrients, and gut health. However, it's important to revisit how we look at food with a scientific approach as often as possible.
Both Stacy and Sarah's health journeys took a path through the Paleo Diet to a point where they are now very open to experimenting with foods they were not maligned to for a long time.
For Sarah, that means revisiting the science of these foods to get away from the idea of grouping foods together and instead look at the pros and cons of individual foods and how they can fit into an overall healthy diet to empower others to experiment.
Sarah is a self-described Thrive Market junkie, and many of the (non-sponsored) products she and Stacy will be discussing can be found on their site.
They also have a great feature called subscribe and save, where you can save money on products you buy regularly!
Sarah and Stacy have received many questions on this topic. This question in particular resonated the most:
First off, I ADORE you both. I feel like you are my best friends and just don't know it yet :) I want to eat raw heads of lettuce (I've done this for years!) and get angry about poorly conducted research with Sarah, and go lift heavy weights while discussing clean beauty with Stacy. I can't get enough of you guys!
So, my question is related to oats. Because my diet has been restrictive for so long while I've tried to heal my digestive system after being diagnosed with celiac three years ago, I have now developed anaphylactic responses to a lot of paleo foods. I was really happy this month when I was successfully able to reintroduce rice and oats, finding them to actually feel calming on my stomach. Because my list of paleo foods that I am reacting to keeps growing longer the more I rely on them, I am finding myself turning to these other foods like legumes, rice, and oats, on a daily basis in order to simply get enough food in. While I seem to tolerate it, it makes me nervous that I may be doing long term damage. I know you have discussed briefly how rice and some beans are actually not bad for the gut, but that was still always with the caveat of them being eaten "occasionally." And I don't think I've heard you discuss oats much at all.
Could you perhaps address the effect of GF oats on the microbiome, as well as the overarching effects of a diet that includes a lot of these "non paleo" foods, but in the context of an otherwise veggie and fruit rich diet with only healthy fats, high quality meat and organ meats, and no refined sugars?
Thank you! I love you both and am so thankful for all you do! - Anna
Dogma of Paleo and Other Rigid Diets
Stacy shares how much this question resonates with her. She first started on this health journey from guilt and feeding into the dogma of paleo that glorifies some foods and demonizes others. (8:00)
In fact, what qualifies as a "paleo" food will vary from person to person.
It's okay to lean into foods that make you feel good even if they don't fit a diet "framework" of what good and bad for you.
For example, it was easy for Sarah to lump oats in with wheat and other grains and not critically evaluate it independently.
Paleo has a very rigid set of rules, and it's important to Sarah to give listeners the tools and confidence needed to find what works best for them as individuals.
Even if you stray from the framework of a particular diet but still identify with the term Paleo, there's nothing wrong with that.
What works today might not work two years from now. It's okay to change to something better suited for what we need in a moment.
Stacy stresses that they are not here to tell you what good, bad, and qualifies under a certain label.
Health Benefits of Oats
Oats have been very well studied for at least 30 years and have some well-established health benefits. (16:27)
Whole grain oat products have shone to positively impact coronary heart disease, diabetes, satiety/weight management, low glycemic index, and blood pressure.
These characteristics are mainly attributed to the high content of oat-specific beta-glucans, which are soluble food fibers.
However, some people don't do well with oats. This is likely due to gluten cross-contamination.
Gluten is a prolactin that is inflammatory that increases intestinal permeability, and is linked to adiposity signals. But avenin, prolamin type lectin, may not be as bad.
Oats are often grouped in with wheat and barley as problematic, but not because oats themselves are a problem.
Avenins are present at a lower concentration (10%–15% of total protein content) in oat as compared to gluten in wheat (80%–85%).
The avenins in the genus Avena are free of the known CD immunogenic epitopes from wheat, barley, and rye. T cells that recognize avenin-specific epitopes have been found very rarely in CD patients.
In fact, avenins are highly digestible and don't come out half-digested like gluten often does.
Unlike gliadin peptides, oat peptides are also sensitive to digestion by pepsin, trypsin, and chymotrypsin in the gastrointestinal tract. They are unlikely to have any clinical relevance.
Some cultivars of oats are gluten cross-reactors, meaning that if your body forms antibodies against gluten. But this appears to be a fairly low-frequency cross-reactivity and even not a problem for most people with celiac.
High Likelihood of Cross Contamination
However, oats are often processed on the same wheat, making the potential contamination pretty high.
For example, the U.S. specification for No. 1 oats allows the presence of up to 2% foreign material, which could be all wheat and barley!
So yes, the biggest con of oats is that it's frequently contaminated with gluten. As we discussed on a recent show, upwards of 55% of people, have at least one gluten sensitivity gene.
Stacy references Oat O's and Thrive Market (not sponsored on this show!) for reduced risk of cross-contamination and what she personally leans on.
For more information, Sarah recommends:
Although oats fare better than other grains, they are nutritionally underwhelming per calorie. (26:50)
A 100-gram (2/3 cup) serving of oats has a moderate glycemic load (37) but serves a fairly high (389) in calories.
That serving of oats does provide an impressive 246% DV for manganese and 40-50% DV for vitamin B1, magnesium, and phosphorous. It also provides 20-30% DV of iron, copper, zinc.
Not too shabby... but not crazy impressive either.
Sarah has been calculating Nutrivore Scores, and oats are the third-highest grain after corn and buckwheat. She adds that this is neither a pro nor a con for oats but shouldn't really be considered a "foundational" part of your diet, but rather fit in for added benefits.
Revisit 29:30 to figure out what Stacy is talking about with more context.
Oats and the Microbiome
That same 100-gram serving contains a whopping 10.6 grams of fiber, including being particularly rich in a very special soluble fiber: mixed linkage beta-glucan. (34:31)
This is a highly fermentable fiber that feeds anaerobic microbes in the gut and significantly increases the production of the short-chain fatty acids butyric and propionic acids. Oats contain 3-7% beta-glucan!
Studies show over and over again that beta-glucans from oats significantly increase the growth of very important probiotic strains of Bifidobacterium as well as the Lactobacillus-Enterococcus group.
And oat beta-glucans seem to be better than beta-glucans from other grains.
One study showed that an oat-based diet resulted in higher Bifidobacteria levels than either a barley-based or wheat-based diet supplemented with equivalent amounts of beta-glucan.
In addition, these high levels of beta-glucan appear to be the "magic ingredient" behind oat's most famous properties, including their cholesterol-lowering effects.
This occurs because beta-glucan increases the viscosity of the chyme in the upper GI tract, leading to increased binding and secretion of bile acids.
In turn, plasma cholesterol becomes a substrate for newly formed bile, causing blood levels to decrease.
Beta-glucans contribute to the maintenance of normal blood cholesterol levels.
Consumption of beta-glucans from oats and barley as part of a meal (4 g/30 g carbohydrates) contributes to reducing the blood glucose rise after that meal (EU 432/2012).
Oat grain fiber contributes to an increase in fecal bulk (EU 432/2012).
Reducing saturated fat consumption contributes to the maintenance of normal blood cholesterol levels (EU 432/2012).
Oat beta-glucan (3 g/day) has been shown to actively lower/reduce blood cholesterol. High cholesterol is a risk factor in the development of coronary heart disease (EU 1160/2011).
In addition, oat fibers increase the fecal bulk, which contributes to a normal stool and positively impacts the functioning of the microbiome.
Oats in particular also have high bioactive potential and relatively high lipid content relative to other grains. Their unique composition contributes some special benefits to gut health compared to other whole grains.
Surprise! Oats Are Super Digestible
Protein content in the oat groat is relatively high (15%–20% by weight), as is the digestibility of oat protein (90%), and the majority (85%–90%) of oat protein consists of globulins. (43:15)
This is in contrast to wheat, in which the vast majority consists of gluten.
Starch (about 60% of the total dry weight) is a major component of the oat grain. The amylopectin: amylose ratio is about 3, and the digestibility of oat starch is about 100%.
Oat starch digests slowly, partly due to high amounts of fiber and the high oil content in whole grain oat, which retards stomach emptying and improves digestion.
This results in a gradual supply of glucose to the intestine, which maintains a long feeling of satiety. As a result, whole grain oat foods have a low glycemic index (GI), which is advantageous in cases of diabetes and obesity.
Compared to other cereals, oat grains have a relatively high oil content of on average 7% oil, but some varieties can have up to 18%:
- The three most abundant fatty acids are palmitic (C16:0; 20%), oleic (C18:1; 35%), and linoleic (C18:2; 35%) acids, which account for about 90%–95% of the total fatty acids.
- The largest part is thus unsaturated, but there is more omega-6 than omega-3.
- Alpha-linolenic acid (18:3, omega-3) is notably present in the oat germ.
- The high lipid content can also hurt the sensory quality of oat products because of lipid oxidation, which produces fatty acid hydroperoxides and volatile aldehydes, causing rancidity.
- Therefore, before further processing, oats are kilned—a high-temperature treatment to inactivate especially lipases.
So, Which Oats Are Best?
Sprouted is best! Sprouting happens the seed is trying to turn itself into a plant. However, they are tough to sprout at home unless you buy unkilned oat groats. (48:35)
The nutritional and bioactive properties and key enzymatic activities were studied in sprouted oat powder and compared with those of oat grain powder (control).
Sprouted oat powder was an excellent source of protein (10.7%), β-glucan (2.1%), thiamine (687.1 μg/100 g), riboflavin (218.4 μg/100 g), and minerals (P, K, Mg, and Ca).
This presented better amino acid and fatty acid compositions and levels of γ-aminobutyric acid (54.9 mg/100 g), free phenolics (507.4 mg GA/100 g), and antioxidant capacity (1744.3 mg TE/100 g) than control.
Enhanced protease and α-amylase and reduced lipase activities were observed in sprouted oat powder. Promising features to improve its nutritional, sensorial, and health-promoting properties!
Since 2009 (EC 41/2009) and 2013 (FDA), oat products may be sold as gluten-free in several countries provided a gluten contamination level below 20 ppm. Note: 20ppm may still be too high for celiac or gluten allergy!
Types of Oats
Interestingly, when it comes to oats, the size of the flakes appears to make a difference in how the gut microbiota are affected.
One study found that thick oat flakes, but not thin oat flakes, increased Bifidobacterium levels during fermentation while also producing 2.5 times more butyrate than the thin oat flakes. The authors of this study suggested the resistant starch content of the thick oat flakes may explain these differences.
Steel-cut oats have a little more resistant starch, slightly higher beta-glucans, and higher total fiber than old-fashioned rolled oats. Remember, old-fashioned rolled oats are better than quick oats.
One small study showed slightly higher butyrate production with steel-cut oats than old-fashioned, but it wasn't statistically significant.
Sarah recommends One Degree brands for the best-sprouted oats (not sponsored! Just a Sarah-approved favorite).
Personally, Stacy and Sarah have both Old Fashion and Steel Cut oats currently in their pantries. Sarah recommends using an instant pot as well!
Sarah's ideal recipe is 2 cups steel cut oats, 5-6 Cups of water (depending on how thick you like your porridge), and 1/2 a teaspoon of salt (scale up or down as desires).
In Instapot, cook for 4 minutes on high pressure and then let the pressure naturally decline. Add flavoring as needed, such as maple syrup to slightly sweeten.
Stacy also recommends trying this pumpkin oatmeal recipe, which has always been a crowd-pleaser.
How to Experiment
Sarah recommends starting by utilizing a food journal to see if you're reaching your nutrient targets for the day.
If you are, first cut out the food from your diet for at least two weeks, even including trace amounts.
This ensures you're testing your actual reaction and not the reaction you're currently having while already consuming the food. This helps you isolate and identify.
Next, pick a day to challenge when you're feeling good, slept well, not stressed, and not eating anything else out of the ordinary.
If you're worried about an allergy response, make sure you go slow since they can get really big very fast.
If you check for sensitivity, like mood, stomach, or skin issues, it's okay to go more all-in.
If you're not sure if something was a reaction (mild reactions can be tough), give yourself a few days to reset, and then try again to see if you have the same experience.
If you're thinking about experimenting with oats, Sarah recommends buying sprouted oats (which reduces anti-nutrient content) that are certified gluten-free.
Be sure to follow a methodical reintroduction protocol!
Also, oats are way less likely to be tolerated by people with celiac disease (and potentially other autoimmune diseases) or anyone who has tested positive for wheat/gluten or oats on a food allergy/intolerance screen in the past.
Sarah views oats as a "sometimes food" due to the importance of quality. (1:01:30)
Stacy's philosophy is all about variety and introducing foods to develop a palate. And the more science we look at, the more we can emphasize foods we know are beneficial to our gut and health overall.
It's important not to emphasize "yes" and "no" in terms of food, but instead look at each food as an individual in terms of a healthy diet overall.
Identifying your triggers is very important, and knowing that not every food will work for every person.
Be sure to head over to Patreon for bonus content on how Stacy and Sarah really feel about this topic and more! Your subscription supports this show and gets your questions first in line.
Thank you for your great question, Anna, and thank you, listeners, for joining us! We will see you next week.