The Wall Street Journal - 07.03.2020 - 08.03.2020

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THE WALL STREET JOURNAL. **** Saturday/Sunday, March 7 - 8, 2020 |C5


BYMARKBITTMAN AND
DAVIDL.KATZ

REVIEW


Cities Built


By Royal


Command


IN 1420, THE YONGLE
Emperor moved China’s
capital from Nanjing to
the city then known as
Beiping. To house his
government he built the Forbidden
City, the largest wooden complex in
the world, with more than 70 palace
compounds spread across 178 acres.
Incredibly, an army of 100,000 arti-
sans and one million laborers fin-
ished the project in only three years.
Shortly after moving in, the emperor
renamed the city Beijing, “northern
capital.”
In the 600 years since, countless
visitors have marveled at Yongle’s
creation. As its name suggests, the
Forbidden City could only be entered
by permission of the emperor. But
the capital city built around it was
an impressive symbol of imperial
power and social order, a kind of 3-D
model of the harmony of the uni-
verse.
Beijing’s success and longevity
marked an important leap forward in
the history of purpose-built cities.
The earliest attempts at building a
capital from scratch were usually hu-
bristic affairs that vanished along
with their founders. Nothing remains
of the fabled Akkad, commissioned
by Sargon the Great in the 24th cen-
tury B.C. following his victory over
the Sumerians.
But the most vainglorious and ul-
timately futile capital ever con-
structed must surely be Akhetaten,
later known as Amarna, on the east
bank of the Nile River in Egypt. It
was built by the Pharaoh Akhenaten
around 1346 B.C. to serve as a living
temple to Aten, the god of the sun.
The pharaoh hoped to make Aten the
center of a new monotheistic cult,
replacing the ancient pantheon of
Egyptian deities. In his eyes, Amarna

was a glorious
act of personal
worship. But
to the Egyp-
tians, this hastily erected city of mud
and brick was an indoctrination
camp run by a crazed fanatic. Nei-
ther Akhenaten’s religion nor his city
long survived his death.
In 330 B.C., Alexander the Great
was responsible for one of the worst
acts of cultural vandalism in history
when he allowed his army to burn
down Persepolis, the magnificent
Achaemenid capital founded by Dar-
ius I, in revenge for the Persian de-
struction of Athens 150 years earlier.
Ironically, the year before he de-
stroyed a metropolis in Persia, the
Macedonian emperor had created
one in Egypt. Legend has it that Al-
exander chose the site of Alexandria
after being visited by the poet
Homer in a dream. He may also have
been influenced by the advantages of
the location, near the island of
Pharos on the Mediterranean coast,
which boasted two harbors as well
as a limitless supply of fresh water.
Working closely with the famed
Greek architect Dinocrates, Alexan-
der designed the walls, city quarters
and street grid himself. Alexandria
went on to become a center of Greek
and Roman civilization, famous for
its library, museum and lighthouse.
No European ruler would rival the
urban ambitions of Alexander the
Great, let alone Emperor Yongle, un-
til Tsar Peter the Great. In 1703, he
founded St. Petersburg on the
marshy archipelago where the Neva
River meets the Baltic Sea. His goal
was to replace Moscow, the old Rus-
sian capital, with a new city built ac-
cording to modern, Western ideas.
Those ideas were unpopular with
Russia’s nobility, and after Peter’s
death his successor moved the capi-
tal back to Moscow. But in 1732 the
Romanovs transferred their court
permanently to St. Petersburg,
where it remained until 1917. Some-
times, the biggest urban-planning
dreams actually come true.

GETTY IMAGES

HISTORICALLY SPEAKING


AMANDA FOREMAN


The monument of
Peter the Great in
St. Petersburg.

The constant noise of new diet theories can make every choice seem
wrong, but there are tried-and-true ways to achieve good nutrition.

WeActuallyKnow


WhatWeShouldEat


ILLUSTRATIONS: ROBERT NEUBECKER

former and less of the latter.
But the best approach is to focus
on actual foods rather than to fix-
ate on their components. From a
food-by-food vantage point, some
principles emerge that will outlast
all diet fads.
Beans:A few years ago, a theory
that natural proteins called lectins
in beans and legumes might be bad
for us gave rise to a bestselling
book trying to talk people out of
eating them. But we already knew,
based on massive evidence, that
people eating beans and legumes
routinely had bet-
ter health, not
worse.

A 2010 study found the single
largest reduction in heart disease
risk among women who replaced
beef with beans. Another pub-
lished in 2016, which followed
more than 100,000 people for
more than 30 years, showed mark-
edly lower mortality when more
calories came from plant protein—
notably beans—than from animal
protein. Beans are one of the most
common foods in the world’s “blue
zones,” where people routinely live
to 100.
Meat:In an influential report
published last year, the EAT-Lancet
Commission on food, planet and
health concluded that per-capita
meat consumption in developed
countries needs to go down by
nearly 90% to keep food production
within sustainable boundaries. For-
tunately, we don’t have to choose
between what is best for our health
and for sustaining the planet: They
match. Both would benefit greatly if
we shift our diets toward more
plant-based nutrition.
To be fair, whether meat-eating
is good for us is a question compli-
cated by the sort of meat we’re
considering. Nearly 35% of the calo-
ries in the flesh of modern, grain-
fed beef cattle comes from fat,
much of it saturated. Grass-fed beef,
chicken and lean turkey each pro-
vide incremental improvement. But
the meat our ancestors ate had a

far more beneficial nutritional pro-
file—which is still the case for wild
game today because of its varied
diet and unimpeded exercise.
Dairy:Are milk products good or
bad? Yes—depending on what
dairy, what farm, your metabolism,
your genes and what it replaces in
your diet. Milk (either whole or
skim) is a good thing if it is replac-
ing Coke or Pepsi. Good cheese is
an upgrade from cheese puffs.
Greek yogurt is a far better snack
than pork rinds.
But you are subject to nutritional
liabilities, not benefits, if the milk
replaces water, because it increases
your intake of saturated fats. Opting
for cheese over raw almonds or
choosing yogurt over bean salad are
dietary downgrades. Those swaps
get you less of the nutritional ne-
cessities that today’s diets tend to
lack, such as fiber and antioxidants.
Dairy can confer health benefits,
but an optimal diet doesn’t require
dairy. Similarly, eggs make a better
breakfast than doughnuts, but
partly due to their cholesterol they
lose out to steel-cut oats with
mixed berries and nuts.
Fish:A 2010 study from Harvard
showed that cardiovascular disease
in women was reduced when pro-
tein from beans replaced protein
from meat and poultry—and even
fish. Salmon and other fish rich
in omega-3 fatty acids are good
if they displace red and pro-
cessed meat. But what about if
they substitute for beans and len-
tils? Recent studies suggest not, but
we need more long-term research
to be sure.
There is no one best diet. Good
diets can be low or high in fat or
carbohydrates, as long as they are
made up of wholesome foods, and
mostly plants. The quintessentially
healthy Mediterranean diet is high
in fat, most of it unsaturated, much
of it from olive oil, nuts, seeds and
avocado. But the famous diet of
long-lived residents of Okinawa is
low in fat because it is centered
around diverse vegetables, grains
and soybeans, with very limited
meat, poultry and fish.
If you adopt an eating pattern
that has stood the test of genera-
tions, you are almost certain to be
better off than with a diet intro-
duced as breaking news. We are
overdue in America for a grown-up
conversation about diet for health.
If you agree, pull up a chair.

Mr. Bittman is the author of
many food books, including
“How to Cook Everything.” Dr.
Katz, a specialist in preventive
medicine and public health, is
the founding director of the Yale-
Griffin Prevention Research Cen-
ter. This essay is adapted from
their new book, “How to Eat: All
Your Food and Diet Questions
Answered,” published by Hough-
ton Mifflin Harcourt.

‘H


ow should I
eat?” is a ques-
tion that many
Americans ask
daily. Almost
everyone seems confused, and no
wonder: Splashy new diet theories
appear all the time, often counter-
ing what we took to be true just
yesterday.
Consider breakfast, long touted
as the most important meal of the
day. Last year, a meta-analysis of
existing research on breakfast in
the British Medical Journal chal-
lenged the value of the meal, find-
ing that it may contribute to weight
gain. Indeed, in recent years, inter-
mittent fasting has become a popu-
lar weight-loss preoccupation and a
new justification for waiting until
lunchtime for the day’s first meal.
But now, of course, a new study in
the Journal of Clinical Endocrinol-
ogy and Metabolism has arrived to
suggest that having a big breakfast
actually helps to control weight—
evidence directly at odds with the
fashionable 16-hour fast.
So what to do in the morning?
That question is unlikely to be re-
solved, but luckily, it doesn’t have
to be. Eating a big or small break-
fast, or none at all, can be part of a
healthy overall dietary pattern—or
not. Nutritional health is about the
kinds of foods we eat, not just
their calorie count or when we eat
them. Weight is about energy bal-
ance: how the daily intake of fuel
that we metabolize aligns with our
body’s needs.
“Diet” is a word that has been
twisted to mean something that
someone invents for the fastest
possible weight loss. There’s always
a new one to “go on” for short-
term results. But what diet really
means is how you get the nutrition
you need throughout your life.
Before the 20th century, humans
knew what to eat: Little or no junk
(not much existed); animal prod-
ucts in moderation (far less was
available); and relatively unpro-
cessed plant foods in abundance.
That’s what almost all traditional
diets comprised, though there were
variations on this theme that we
might now call low-fat, low-carb,
vegan, pescatarian and so on.
In eras before that, it was even
simpler: Humans ate everything we
could find that wasn’t poisonous,
and as long as we found enough of
it in sufficient variety, we generally
did fine. Just as wild cats eat meat,
pandas eat bamboo and fish eat al-
gae, humans ate what was good for
them. Before there was science, we
knew how to do this, just as we
knew how to breathe air before an-
alyzing its composition.
But beginning in the 19th cen-
tury and accelerating through the
20th, mass production and mar-
keting of new foods began to
dominate. Science and industry
combined to find ways to create
shelf-stable, nutrient-poor, high-
calorie ultra-processed foods,
from cheeseburgers to sodas, as
well as almost anything you see in
a vending machine or next to the
checkout counter. These have gen-
erated a public health crisis that
requires us to relearn what every
human once knew from instinct
and experience.
The now-constant barrage of
headlines about nutrition science
can make us feel like we’re doing
everything wrong. Some people re-
spond by tuning out and continu-
ing to eat what’s familiar. Others
jump on the bandwagon of each
thrilling new diet that promises
everything. Most of these deliver
temporary results from severe re-
strictions that no one can main-
tain. Rapid weight loss is followed
by rapid regain, creating a
desperation that
makes people ea-

ger for the next promise of magic.
The truth is that all good diets
feature one or another balanced as-
semblage of wholesome, real
foods—mostly plants. Even now,
with our instincts suppressed, we
know what a good diet is. We pic-
ture chickpeas, not Doritos; pinto
beans, not jelly beans; broccoli, not
Bratwurst.
Yet the way we eat is the lead-
ing cause of premature death in
the U.S. today. Highly processed
foods, especially meats, and added
sugar and salt are all significant
contributors to heart disease and
other chronic killers. Even our
comparatively high health care

costs are partly due to the
damaging effects of un-
healthy eating and the
pharmaceuticals to treat
them.
So how to assess the daily bar-
rage of diet news? First, we need
some perspective on nutritional re-
search. New findings don’t usually
reverse what we knew before; they
add context, bit by bit. Second, we
should stop obsessing about partic-
ular nutrients—such as whether fat
is “good” or not. The short answer
is that unsaturated fats from nuts,
seeds, fruits and fish tend to be
beneficial, while satu-
rated fats, com-
monly found in
meat and dairy
and far too com-
monly consumed,
tend to be detrimental.
Fiber and added sugars
are simpler to sum up—
in our modern habits we
badly need more of the

Mass
production
and
marketing of
nutrient-poor
foods has
created
a health crisis.

In earlier
eras it was
simple:
If we avoided
what was
poisonous,
and found
enough
variety, we
were fine.
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