The Truth about them French Fried’ Potaters?

Sarah Emslie
Rashida Ghauri, MD, ABIHM
Baber Ghauri, MD, ABIHM

How Healthy are Potatoes?

Russet Potatoes

Potatoes are the most commonly eaten vegetable in America with the average American eating over 50 lbs a year! We use them in hundreds of dishes and prepare them in dozens of different ways, from chips and fries to baked, mashed, and roasted, and the list goes on. As a result, the potato industry is a multi-billion dollar business, with the value of potato crops grown in the US valued at around $3.73 billion dollars in 2013 alone. As with any other industry this results in a push to produce more and bigger potatoes, which as discussed in our Nutritional Inflation post, often leads to potatoes that have less nutritional value. Although inexpensive, commonly eaten, and with wide variety of recipes, potatoes contain much less nutritional value than many other vegetables in your produce isle, and even less than their ancient ancestors. We’ll tell you how to squeeze the most value out of your favorite spuds!!

A Brief History of Potatoes

The Incas and other native tribes have grown potatoes in South America for thousands of years. They served a wide variety of uses, ranging from healing broken bones to measures of time. Another wild ancestor of potatoes in North America known as an apio contained high levels of cancer fighting compounds and was used as a paste to treat skin tumors by the Sioux. The potatoes that were discovered by the Spanish explorers and were brought back to Europe, however, did not retain many of these medicinal uses and quickly became one of the most important staple crops in the Old World, so much so that countries like Ireland became primarily dependent on them for food. Heck, we’ve even seen potatoes powering small lights at the local science fair- potatoes can do almost anything!

Pot-uh-oh: Glycemic Index

Nowadays potatoes are commonly associated with the starch family of foods than as a vegetable, partially because we have bred them for their starch. Compared to their ancestors, which were much higher in protein and cancer fighting compounds, modern varieties of potato can contain over 28 times less phytonutrients. In addition, starchy foods like potatoes are rapidly becoming a contributing factor in the exponentially rising incidence of type 2 diabetes. This trend has to do with how quickly a food releases sugar into the blood stream, also known as the glycemic index.

Some foods release small amounts of sugar over a longer period of time, these are low-glycemic index foods. These foods more closely resemble the diet that our ancestors ate, and the diet that our bodies have evolved to handle. With the increases in sugar and starch content in modern foods, and larger amounts of processing that go into creating pre-made food products, a large majority of foods in the typical American diet are high-glycemic index foods. The largest common contributor to high-glycemic index foods is the now infamous high fructose corn syrup (HCFS). The sugars in these foods are released very quickly in a shorter amount of time into the bloodstream. Because of this overload of sugar, the body (particularly the pancreas) has to quickly produce larger amounts of insulin to deal with it and the brain has a very hard time determining how to counteract the effects of HFCS. If this cycle of massive dumps of sugar into the bloodstream triggering a corresponding response of insulin release can eventually desensitize muscle and fat cells against insulin, putting even more strain on the pancreas to produce yet more insulin. This quickly turns into a vicious cycle that is the pathogenesis of Type II diabetes. This wouldn’t be so bad if insulin was not an anabolic hormone that in excess will lead to deposition of fat into your body starting with the midsection (trunk) and rapidly spreading throughout.

High-glycemic index foods raise blood sugar much more than low- glycemic index foods. This requires the pancreas to work harder to produce enough insulin to counteract the effects of these foods.

Fixing the Phytonutrient Problem

There are ways to combat the loss of phytonutrients and the high-glycemic nature of potatoes.

Bring Down the Index!

Not all potatoes have high-glycemic index, but for those that do, with a little planning, you can take matters into your own hands and reduce your intake of high-glycemic potatoes. The smaller potatoes in grocery stores with smoother skin, which are often billed as boiling potatoes or new potatoes are actually have low-glycemic index because of their immature composition makes the sugars less available to those that eat them. These potatoes are harvested earlier in the season and have a blunted rise in blood sugar than their larger more mature counterparts, which are often advertised as baking potatoes.
But what if you or your loved ones are really craving baked potatoes, but still want to avoid the blood sugar spike that comes with them? This is where the planning comes in. By cooking the potatoes a day ahead of time and chilling them for a day, the blood sugar response to the potatoes can be decreased by up to 25%. The heating of the potatoes followed by chilling modifies the sugars in the potato into a form that is released more slowly into your bloodstream, turning it into a food that your body and pancreas are much more equipped to handle and lowering your risk for diabetes and cardiovascular disease for the long-term.

Go Purple

Purple Potatoes

You may have noticed some strange looking purple potatoes in the corner of the potato display in your local supermarket, maybe you even tried them one time as a novelty. As it turns out, despite their strange appearance and compared to their more conventional brown, red, and white cousins, these colored tubers contain 28 times more phytonutrients than our usual Russet potatoes, and an incredible 166 times more phytonutrients than some varieties of white potato! This is not a small number by any means, so while purple mashed potatoes or purple hash browns would certainly take some getting used to, they are more than worth their weight nutritionally. 

NOTE: Your smaller eaters may require a special sales pitch- it can be done…

Choose Brightly and Cook Wisely

Another trick, which can be applied equally to all varieties of potatoes, is choosing the brightest colors possible and eating the skins of the potatoes. Using both of these parameters to buy and eat your potatoes will ensure the greatest phytonutrient content possible, and preparing or eating them with a healthy fat like olive oil will make these nutrients more accessible to your body.

Never GMO!

As potatoes are stem tubers that come out of the ground, they are very susceptible to carry pesticides and other chemicals that can concentrate in the soil. Fortunately, the cost of organic potatoes is not that much more than their mutated friends due to their ubiquity.


While potatoes can only dream to be as nutritious as vegetables like kale or brussel sprouts, their low cost and versatility will keep them as a superstar among Americans. Luckily, you can take some simple steps at the grocery store and in their preparation at home to enhance their nutritional value and lower any long-term risks associated with their high-glycemic index. Following these simple guidelines will help you and your loved ones get more nutritional value out of your favorite foods!


  1. Allan, Barbara J. “What Is the Glycemic Index? – Nutrition to You.” Nutrition to You. Nutrition to You, 08 Apr. 2014. Web. 10 Aug. 2016.
  2. Bosse, Alena, and Michael Boland. “Potato Profile.” Agricultural Marketing Resource Center. USDA Rural Development, Apr. 2014. Web. 10 Aug. 2016.
  3. Khazan, Olga. “The Most-Eaten Vegetable in the U.S. Is the Potato.” The Atlantic. Atlantic Media Company, 11 June 2014. Web. 10 Aug. 2016.
  4. “Potatoes.” Washington State Potatoes. Washington State Potato Commission, n.d. Web. 10 Aug. 2016.
  5. Robinson, Jo. Eating on the Wild Side: The Missing Link to Optimum Health. New York: Little Brown, 2013. Print.

Nutritional Inflation?!?! Who’d a Thunk it?

Rashida Ghauri, MD, ABIHM
Sarah Emslie
Baber Ghauri, MD, FHM, FACP, ABIHM


We all understand that the value of the dollar is based on the relationship between the number of actual dollars in circulation and the number of precious resources we have in our federal reserves. When there are too many dollars floating around, economists call it inflation and suddenly your dollar is worth less today than yesterday. There is clear evidence that a similar thing is also happening with our food supply! Food today does not nearly have the same value as it did twenty years ago. We’re not talking about Twinkies here; we’re talking about apples, carrots, and other whole foods. As an example of this, most obese people are nutritionally deficient, causing them to seek more nutritional value through more eating. Depending on the sugar and fat content of what they eat, they are usually entering the vicious cycle that leads to metabolic syndrome X, diabetes, and serious heart disease.
Nutritional inflation is something that most of us have never heard of and the purpose of this post is to help us understand the lethality of this phenomenon. There are several factors contributing to nutritional inflation:
  1. Selective breeding
  2. Crop management
  3. Modern farming methods
  4. Supply-chain management

Selective Breeding

One of the most important and furthest reaching factors in the loss of nutritional value of fruits and vegetables over the years is the selective breeding that humans have performed on plants. Tracing different crops back through history to their wild ancestors reveals that farmers always chose the sweetest and best tasting varieties to begin planting on farms, understandable when nutrition was not as understood as it is now. Studies of the nutritional content of plants now show that the most bitter and sour varieties have the most significant nutritional content in the form of compounds called phytonutrients. These compounds have been shown to fight cancer, cardiovascular diseases, and many other modern scourges. However, since our brains are wired to want sweeter, starchier food, we’ve often bred these compounds out of our crops. For example, Native Americans gathered wild dandelions in abundance in the springtime.  These plants have seven times more phytonutrients than our modern spinach. Their bitter taste made them not widely consumed and have never truly been domesticated in the way that other crops have because of it. Despite the low demand, it makes sense that they sell at premium cost at most grocery stores underlining the idea that the market cost of most food is directly proportional to its nutritional value.

Crop Management

A more recent culprit of nutrient loss can be found in the management and development of new crops. With the advent of refrigeration, crops could suddenly be transported across the country and still arrive fresh for consumption.  In addition, new farming equipment allowed for mega-farming producing never before seen yields. This change in the way that farming was done led to a push for higher yield crops, whether through selective breeding of the plants themselves, or the use of fertilizers and pesticides. These higher yielding crops have been consistently associated in studies with a downward trend in nutrient levels. In a study done in 1979 (Hughes et al.), raspberry plants were grown in soil that naturally contained phosphorus. One group was given no additional phosphorus-based fertilizer, and the other two groups were given increasing amounts of 22 ppm and 44 ppm. Although the additional fertilizer created significant increases in the size of the plants themselves, it also caused a drop in almost every mineral that was measured in the plant, with the one exception of phosphorus. The fertilizer created more of the plant itself, but it was less nutritious.
Figure 1. Dilution effects of phosphorus fertilization in red raspberry plants; 1, 22, and 44 ppm added to soil containing 12 ppm (Hughes et al., 1979; dry weight basis). The relative plant dry weight was respectively, 1:1.4:2.2.

Modern farming methods

It isn’t just what humans are putting into the soil that’s detrimental to the nutrition of our food; it’s also what’s being taken out. Modern farming methods are not kind to the soil, farmers often plant the same crop in the same field year after year, stripping the soil of its nutrients and forcing the addition of more chemical fertilizers in future years. Rotating different crops through different fields, or allowing fields to lay fallow for a year or two in between plantings gives the soil time to recuperate its lost nutrients. Restructuring the way that modern agriculture is practiced, and employing more organic growing methods may be one of the keys to recapturing some of the lost nutrients in plants.

Supply-chain management

What happens to crops after they’re harvested is also essential. Before refrigeration was possible, crops were picked at the peak of ripeness and delivered straight to their destination, and they would be on the tables of the people who purchased or picked them within a few days at the most. Sadly except for our local farmer’s markets (and those who have their gardens at home), this is not the case anymore. Food is picked weeks before it is ripe so that it will not spoil in transport, and is often left to languish in holding warehouses for yet more weeks where it is force ripened with ethylene gas before it ever sees the light of a grocery store display. So while the tomatoes you buy at the store may look perfect and red, being taken off of their vine and out of the sun while unripe dramatically reduces their nutritional value.


So with all of these factors out of the general consumer’s control, this article may seem to paint a bleak picture of nutrition in modern times. However, it’s important to remember that there are things that we can do to ensure that we get the most nutrition possible out of our food.
  1. Cutting out as much processed food as possible from one’s diet is a great place to start.  Watch this How It’s Made classic on the 21+ steps it takes to produce household sugar:
  2. Shopping organic or at farmer’s markets when possible is another quick way to get more nutrition in your food. Though not possible for everyone, even the most antiquated grocers understand the value of selling organic and whole foods.
  3. Picking fruits and vegetables from the store with the darkest colors is a great way to ensure greater phytonutrient content even if they aren’t grown organically.
  4. For those who have space, growing your own vegetables in the backyard or pots is the best way to ensure the greatest nutritional content in your fruits and vegetables. You, the farmer, have complete control over the variety, harvest time, fertilizer, and pesticide use, all factors that have a considerable influence on the nutritional content of your harvest!
  5. Ask your grocer!  Even if they don’t know the answer this time, chances are they will the next time.  The more we share this knowledge, the better we’ll eat!!

With the proper knowledge, you can make better choices about your food and help improve the long-term health and wellness of yourself and your loved ones.  The most important thing to remember from this post is that the COST of food is usually directly proportional to its nutritional value.

Want to learn more?  Here is a short video about the nutritional value of many commonly sold foods by the wonderful Dr. Michael Greger, MD,


  1. Davis, Donald R. “Declining Fruit and Vegetable Nutrient Composition: What Is the Evidence?” HortScience. American Society for Horticultural Science, Feb. 2009. Web. 2 Aug. 2016.
  2. Herro, Alana. “Crop Yields Expand But Nutrition Is Left Behind.” World Watch. Eye on Earth, n.d. Web. 2 Aug. 2016.
  3. “Leading Causes of Death.” Centers for Disease Control and Prevention. Centers for Disease Control and Prevention, 27 Apr. 2016. Web. 02 Aug. 2016.
  4. Ray, C. Claiborne. “A Decline in the Nutritional Value of Crops.” The New York Times. The New York Times, 14 Sept. 2015. Web. 02 Aug. 2016.
  5. Robinson, Jo. “Breeding the Nutrition Out of Our Food.” The New York Times. The New York Times, 25 May 2013. Web. 02 Aug. 2016.
  6. Scheer, Roddy, and Doug Moss. “Dirt Poor: Have Fruits and Vegetables Become Less Nutritious?” Scientific American. EarthTalk, 27 Apr. 2011. Web. 02 Aug. 2016.