Latest / Stuff You Should Know / Short Stuff: Feed A Cold, Starve a Fever
Transcript
- 0:04Speaker 1: Hey, and welcome to the short Stuff. There's Chuck, and
- 0:06Speaker 1: I'm Josh, and Jerry's here too, sitting in for Dave.
- 0:09Speaker 1: So this is short stuff.
- 0:10Speaker 2: That's right. Call it Old wives Tale edition because this
- 0:16Speaker 2: is about feeding a cold and starving a fever, which
- 0:20Speaker 2: is the old wives tale that when you have a cold,
- 0:22Speaker 2: you should, and originally started out as stuff a cold like,
- 0:25Speaker 2: eat as much as you can, and then if you
- 0:29Speaker 2: have a fever you should try and not eat very
- 0:31Speaker 2: much at all.
- 0:33Speaker 1: Yeah, I think most people have heard that, right, that's
- 0:35Speaker 1: a pretty widespread adage. Yeah. Our friends at the Cleveland Clinic,
- 0:40Speaker 1: not normally known for their etymology resources, but they trace
- 0:44Speaker 1: this back at least half of it to fifteen seventy four.
- 0:48Speaker 1: There's a dictionary that was compiled by a guy named
- 0:50Speaker 1: John Wile's and withal said that fasting is a great
- 0:55Speaker 1: remedy of fever. So you got the second part right there,
- 0:58Speaker 1: starve a fever, right, And it's as far back as
- 1:01Speaker 1: anyone's trace it, although if you kind of want to
- 1:04Speaker 1: expand your definition of what's being discussed here, you can
- 1:08Speaker 1: trace it all the way back to Hippocrates. Right.
- 1:11Speaker 2: Yeah, I'm not sure about this one, he said, the
- 1:13Speaker 2: most most exquisitely slender diet you should have when the
- 1:17Speaker 2: disease is very sharp. So I'm not quite sure what
- 1:20Speaker 2: disease he's talking about there, So I'm not sure if
- 1:22Speaker 2: that counts.
- 1:23Speaker 1: No, But I mean just the phrase most exquisitely slender
- 1:26Speaker 1: diet sounds awesome, so I thought it was worth putting
- 1:29Speaker 1: in there.
- 1:29Speaker 2: Yeah, for sure. If you look at the current use
- 1:32Speaker 2: of the term as we know and love it, it
- 1:34Speaker 2: came about in the eighteenth century, pretty late in eighteenth well,
- 1:38Speaker 2: I guess kind of mid in eighteen fifty three. That's
- 1:41Speaker 2: when they were talking about feed and starve. As far
- 1:46Speaker 2: as cold and fever go.
- 1:48Speaker 1: What's weird, Chuck is I saw that it was this
- 1:50Speaker 1: whole adage that we is, like basically, encouragement is taken
- 1:54Speaker 1: as an encouragement or advice today was originally taken as
- 2:00Speaker 1: like a warning that if you feed a cold, that
- 2:04Speaker 1: cold will turn into a fever and then you'll have
- 2:06Speaker 1: to starve the fever, like and that the reason that
- 2:09Speaker 1: it was ambiguous is because of that comma in the middle.
- 2:12Speaker 2: Yeah, you know, that has proved to me that people
- 2:15Speaker 2: back then were dumb a little bit I don't get
- 2:19Speaker 2: that one, but sure, okay.
- 2:22Speaker 1: But well, what was the whole point? I mean, like,
- 2:24Speaker 1: if the what was the idea that was based on
- 2:26Speaker 1: I guess then.
- 2:27Speaker 2: Yeah, I guess they were basing it on if you
- 2:30Speaker 2: have a fever, then you don't want to eat hot food.
- 2:33Speaker 2: I guess it didn't need.
- 2:34Speaker 1: A lot of cold foods back then, I guess not.
- 2:36Speaker 1: And if you're.
- 2:37Speaker 2: Cold, you want to warm yourself up because there was
- 2:39Speaker 2: only hot food available.
- 2:41Speaker 1: Sure, that was I think what they think the whole
- 2:44Speaker 1: thing was based on. And regardless of how you slice
- 2:47Speaker 1: it though, how you take it as a warning or
- 2:49Speaker 1: anything like that, it's it's pretty much generally viewed as
- 2:53Speaker 1: not good advice by the medical community today. I say,
- 2:57Speaker 1: we take a break and come back and talk about
- 2:59Speaker 1: how this is not really good advice. How about how
- 3:01Speaker 1: about that?
- 3:02Speaker 3: All right, let's do it.
- 3:16Speaker 1: As s K as good you should know.
- 3:27Speaker 2: Okay, So people have basically always said that this was
- 3:31Speaker 2: a bad idea. There was a writer and Gentlemen's Magazine
- 3:35Speaker 2: in seventeen eighty five that said it was perhaps more
- 3:40Speaker 2: destructive demandkind than the plague itself. This advice, which is
- 3:43Speaker 2: definitely overstating things but people these days say, no, that's
- 3:49Speaker 2: not good advice. First of all, if you have a cold,
- 3:53Speaker 2: you may not want to eat very much. You may
- 3:55Speaker 2: not be very hungry, So like, for God's sake, don't
- 3:58Speaker 2: just make someone stuff themselves full just because they're sick
- 4:02Speaker 2: with a cold. It's not going to do anything for you.
- 4:04Speaker 1: Now, And that's bad enough. But the actual harm is
- 4:08Speaker 1: in the second part starving a fever, because pretty much
- 4:12Speaker 1: everybody in the medical community agrees that if you feel
- 4:15Speaker 1: hungry while you're sick, you should go ahead and eat,
- 4:18Speaker 1: because your appetite can come and go, and it can
- 4:20Speaker 1: be so thin you want to take advantage of it
- 4:23Speaker 1: when it does show up. And even more to the point,
- 4:27Speaker 1: if you starve yourself on purpose while you have a fever,
- 4:30Speaker 1: you're robbing yourself of some really much needed nutrients and
- 4:34Speaker 1: calories that your body really needs, specifically when you have
- 4:37Speaker 1: a fever.
- 4:38Speaker 2: Yeah, if your metabolism is kicking in in a substantial way,
- 4:41Speaker 2: it's gonna you know, if you're just laying around in bed,
- 4:45Speaker 2: that'll make you eat up more of your calories and
- 4:47Speaker 2: nutrients than you that you have in your body, So
- 4:51Speaker 2: you're going to want as much as you can. So
- 4:53Speaker 2: if you're hungry, cold fever or whatever, by god, eat
- 4:57Speaker 2: something or drink something. Definitely need to stay hydrated. Even
- 5:01Speaker 2: if you're not hungry. There are plenty of ways to
- 5:03Speaker 2: get you know, nutrients and liquid.
- 5:05Speaker 1: Into you, right. And the reason that your metabolism would
- 5:09Speaker 1: jack up when you have a fever is because your
- 5:11Speaker 1: body's literally raising your core temperature to try to cook
- 5:15Speaker 1: out the virus that's got you in its grips. Yeah,
- 5:19Speaker 1: I don't even need.
- 5:20Speaker 2: Fevers are no fun, but I love when I when
- 5:24Speaker 2: I'm sick and I get a fever and the fever happens,
- 5:27Speaker 2: I'm like, okay, Like this is my body doing its thing,
- 5:29Speaker 2: so I feel good about it.
- 5:31Speaker 1: Yeah. Yeah, it is kind of weird. It's like almost
- 5:34Speaker 1: giving it like a grudging salute, like way to go body, exactly.
- 5:37Speaker 2: It didn't feel great, but oh there's no better feeling
- 5:40Speaker 2: than like breaking that fever, you know.
- 5:42Speaker 1: Oh for sure the worst is when the fever comes
- 5:45Speaker 1: on in the morning and you've got fever all through
- 5:47Speaker 1: the night. Fever is that? Okay?
- 5:52Speaker 2: So make sure that was an accident.
- 5:55Speaker 1: You said, can you imagine the coincidence? Like what would
- 5:58Speaker 1: the odds be of.
- 5:59Speaker 2: That don't know a natural songwriter.
- 6:01Speaker 1: I guess so you said that you want to drink,
- 6:04Speaker 1: especially if like you can't eat solid foods. At least
- 6:07Speaker 1: try to drink things that have calories, like a sports
- 6:10Speaker 1: drink with electrolytes like they had in Idiocrisy, and or
- 6:17Speaker 1: like thin broths like a chicken broth can have a
- 6:19Speaker 1: bunch of calories in it. Even vegetable broths have some calories,
- 6:23Speaker 1: so you want to get it wherever you can. The
- 6:24Speaker 1: key here is this, even if you don't want to
- 6:27Speaker 1: eat at all, that's okay. Like most people, especially in
- 6:31Speaker 1: the developed world, aren't on the edge of nutrition. We
- 6:34Speaker 1: all have some reserves that can last us the few
- 6:36Speaker 1: days we're not hungry while we're sick. What we don't
- 6:39Speaker 1: have is a reserve enough of fluids to keep us
- 6:42Speaker 1: going for very long. So you have to It's not
- 6:44Speaker 1: a choice. You have to stay hydrated one way or another.
- 6:48Speaker 2: Yeah, that same article from Gentlemen's Magazine from way back
- 6:51Speaker 2: when suggested some other things of the time. Barley water,
- 6:55Speaker 2: which sounds not too bad, small beer, mm, one of those.
- 7:01Speaker 2: You ever seen those little little little baby beers, they're
- 7:04Speaker 2: like eightouncers or whatever.
- 7:05Speaker 1: Well, yeah, I looked that up. That was so they
- 7:07Speaker 1: called that for low alcohol beer. Like I guess session
- 7:11Speaker 1: beers basically would be a small beer.
- 7:13Speaker 2: Right, Well, I don't know, but that makes sense.
- 7:16Speaker 1: Small beer, yeah, small beer.
- 7:18Speaker 2: We called me and my friends Eddie and Allison called
- 7:21Speaker 2: those tiny beers tweets. I don't know what. I think
- 7:25Speaker 2: Alice had made up the word and it just kind
- 7:28Speaker 2: of stuck. And the fun thing about drinking those is
- 7:30Speaker 2: you look like Andre the Giant.
- 7:32Speaker 1: Yes, I know exactly what you mean. I loved doing
- 7:35Speaker 1: that too.
- 7:35Speaker 2: What else, apple water, linseed, t toast and water that
- 7:39Speaker 2: maybe the toast in water, remember that.
- 7:41Speaker 1: I'm pretty sure that's what it is. I bet it
- 7:43Speaker 1: is water gruel sweetened with honey. Yeah. So I looked
- 7:50Speaker 1: all over to see if anybody had conducted a study
- 7:53Speaker 1: on whether this was true or not, and thank god
- 7:55Speaker 1: our friends over in the Netherlands in two thousand and two,
- 8:00Speaker 1: a group of Dutch researchers conducted a study and they
- 8:04Speaker 1: wanted to see whether feeding or calorie restriction has any
- 8:10Speaker 1: effect on whether you have a cold or fever or
- 8:12Speaker 1: anything like that. And what's astounding is that they found
- 8:15Speaker 1: that it actually does have an effect like your on
- 8:19Speaker 1: the level of your immune system with the types of
- 8:21Speaker 1: cells that are produced.
- 8:23Speaker 2: That's right, they starved well, I guess fasted same thing
- 8:28Speaker 2: sure for both groups for twenty four hours. And then
- 8:32Speaker 2: the cold feeders they gave a meal replacement drink, so
- 8:37Speaker 2: not hot food in this case. And so after they
- 8:40Speaker 2: had this you know, sustenance, I guess, their blood levels
- 8:44Speaker 2: of an immune protein called interferin gamma went really really
- 8:48Speaker 2: sky high average increase of four hundred and fifty percent.
- 8:52Speaker 2: And interferon plays a role in regulating our response to
- 8:56Speaker 2: infections in our immune system, so you would think like, hey,
- 8:59Speaker 2: eating is like exactly what you want to do.
- 9:02Speaker 1: Right, And then kind of as expected the other group,
- 9:05Speaker 1: the group that had to fast, their interfere on gamma
- 9:08Speaker 1: levels actually went down by about eighty three percent, so
- 9:12Speaker 1: they lost some robustness to their immune response because they
- 9:16Speaker 1: weren't eating. So so far you're kind of like, all right,
- 9:19Speaker 1: this makes sense for sure. The surprise came with a
- 9:22Speaker 1: different kind of immune cell called inter luken four, which
- 9:26Speaker 1: they found actually rows in the group that was fasting.
- 9:30Speaker 2: Yeah, by an average of almost four hundred percent compared
- 9:34Speaker 2: the four fifty for the other and I think there
- 9:37Speaker 2: was one patient who's fasting levels rose more than eleven
- 9:39Speaker 2: hundred percent.
- 9:40Speaker 1: Wow.
- 9:41Speaker 2: And this is also an important part of our immune response,
- 9:45Speaker 2: but it's different kinds of immune responses. So if you're
- 9:49Speaker 2: thinking like, well, hey, if I starve myself, then this
- 9:53Speaker 2: one's going to go up, Like you don't know which
- 9:55Speaker 2: cells you need, So it's not sort of a a
- 10:00Speaker 2: roulette game you should try and play by starving yourself.
- 10:03Speaker 1: No, for sure, that interfere on that helps produce antibodies
- 10:08Speaker 1: like for specifically targeted to an infection, and the inter
- 10:11Speaker 1: luken uses our bodies like innate response like sicking cytokines
- 10:16Speaker 1: that you normally have laying around in your body on it.
- 10:18Speaker 1: So yeah, you can't game the whole thing. So that's
- 10:21Speaker 1: why doctors across pretty much the board say, if you're
- 10:24Speaker 1: sick and you feel like you can eat, like you're hungry,
- 10:27Speaker 1: eat something for sure.
- 10:29Speaker 2: Yeah, because what you want is a little bit of
- 10:31Speaker 2: both and ideally more of both, but not a whole
- 10:35Speaker 2: lot of one and a lot less of the other.
- 10:37Speaker 1: Well put, especially when people rewind and listen to a
- 10:40Speaker 1: couple of foods I hope so well, Chuck, said you
- 10:44Speaker 1: hope so, which means everybody short stuff is out.
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