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Is there a downside to eating beets? Exploring the potential health risks

5 min read

While lauded for their nutritional benefits, about 10-14% of the population experiences beeturia, a harmless red discoloration of urine after consuming beets. So, is there a downside to eating beets beyond a momentary scare?

Quick Summary

Potential drawbacks of eating beets include the risk of kidney stones due to high oxalates, digestive problems for those with IBS, and blood pressure fluctuations.

Key Points

  • High Oxalate Content: Beets, especially the greens, contain high levels of oxalates, which can increase the risk of calcium oxalate kidney stones in susceptible individuals.

  • Digestive Issues for Some: The fructans in beets, a type of FODMAP, can cause bloating, gas, and stomach upset for those with irritable bowel syndrome (IBS) or sensitive guts.

  • Blood Pressure Concerns: While beneficial for high blood pressure, excessive beet consumption can potentially lower blood pressure too much in individuals with hypotension.

  • Beeturia is Harmless: The red discoloration of urine or stool after eating beets, known as beeturia, is harmless but can be startling and may be linked to iron deficiency in some cases.

  • Moderation is Key: Eating beets in moderation as part of a balanced diet minimizes the potential risks and allows you to enjoy their nutritional benefits without adverse effects.

In This Article

Beyond the Vibrant Hue: The Nutritional Upsides

Before delving into potential drawbacks, it's worth noting why beets are so celebrated in the first place. Beets are a nutritional powerhouse, packed with essential vitamins and minerals while remaining low in calories. A single serving offers a good amount of folate, manganese, and potassium. Furthermore, their high concentration of dietary nitrates is converted to nitric oxide in the body, which helps to relax and widen blood vessels. This effect is known to lower blood pressure and boost exercise performance by improving oxygen use. Beets also contain powerful antioxidant and anti-inflammatory pigments called betalains, which help protect cells from damage. However, even with these benefits, it is crucial to understand that moderation is key, as is awareness of specific health conditions.

The Potential Downsides of Beet Consumption

For most people, eating beets in moderation poses no issues. However, certain compounds and their effects can be problematic for some individuals. Awareness of these factors allows for smarter dietary choices and can prevent potential health complications.

The High Oxalate Concern

Beets are high in oxalates, natural compounds that can bind with calcium. In individuals prone to kidney stones, particularly calcium oxalate stones, this can lead to an increased risk of formation. While the root contains oxalates, the beet greens are especially rich in them. For those with a history of kidney stones or a predisposition to them, a high intake of beets or their greens could be detrimental. Oxalates also have an 'antinutrient' property, potentially interfering with the absorption of certain minerals if consumed in very high amounts. Cooking beets, especially boiling, can help reduce the oxalate content by leaching them into the cooking water.

Digestive Discomfort from FODMAPs

Beets contain short-chain carbohydrates known as fructans, which are a type of FODMAP (Fermentable Oligosaccharides, Disaccharides, Monosaccharides, and Polyols). For individuals with a sensitivity to FODMAPs, such as those with irritable bowel syndrome (IBS), consuming beets can trigger unpleasant digestive symptoms. These can include bloating, gas, stomach pain, and diarrhea. The sensitivity varies among individuals, and while some may tolerate small amounts, others may experience significant discomfort.

Risk of Hypotension

The nitrate content in beets, which benefits those with high blood pressure, can have the opposite effect on individuals who already have low blood pressure, a condition known as hypotension. Excessive consumption could lower blood pressure further, leading to symptoms like dizziness, lightheadedness, and fatigue. For those on blood pressure medication, a large, sudden increase in beet intake could interfere with their treatment and should be discussed with a doctor.

Beeturia: The Harmless, Alarming Side Effect

One of the most widely known side effects of eating red beets is beeturia, the passing of pink or reddish-colored urine or stool. This is caused by the betalain pigments in the beet that are not fully broken down and absorbed during digestion. While visually alarming, beeturia is generally harmless. However, studies have shown it to be more prevalent in people with certain conditions, such as iron deficiency or malabsorptive diseases. If the discoloration persists after beets are out of your diet, or if you experience other symptoms, it warrants a doctor's visit to rule out other causes.

Raw vs. Cooked Beets: A Comparison

The preparation method of beets can significantly influence their nutritional profile and potential side effects. Here is a comparison of raw versus cooked beets:

Feature Raw Beets Cooked Beets (Boiled/Steamed)
Nutrient Retention Maximum, especially heat-sensitive nutrients like Vitamin C, folate, and antioxidants. Lower, as nutrients can leach into water or degrade with heat.
Oxalate Content High levels, particularly in the leaves. Lower, as boiling leaches oxalates out into the water.
Digestibility Can be difficult for some due to high fiber and fructan content. Generally easier to digest as heat softens the fibers.
Nitrate Potency Higher, with potential for a more potent blood pressure-lowering effect. Lower nitrate concentration, though still beneficial.

Who Should Exercise Caution?

Certain individuals should be more mindful of their beet intake or consult a healthcare professional before significantly increasing it.

  • Kidney Stone Sufferers: Those with a history of calcium oxalate kidney stones should limit or avoid high-oxalate foods like beets and beet greens.
  • IBS or Sensitive Gut: People with irritable bowel syndrome or other digestive sensitivities may find that the fructans in beets trigger discomfort.
  • Hypotension: Individuals with naturally low blood pressure should consume beets in moderation due to their blood pressure-lowering effects.
  • Diabetics: While beets have benefits for blood sugar management, their natural sugar content and moderate glycemic index mean portion control is important, especially for concentrated beet juice.

How to Mitigate the Risks of Beets

For most people, the downsides of beets can be managed with simple strategies:

  1. Practice Moderation: Enjoying beets as part of a varied diet is the best approach. Avoid excessive daily consumption.
  2. Boil Beets: If you are concerned about oxalates, boiling is an effective way to reduce the concentration.
  3. Pair with Calcium: Consuming beets with a source of calcium, like yogurt or cheese, can help bind oxalates in the gut before they can be absorbed.
  4. Stay Hydrated: Drinking plenty of water is essential for flushing out waste products and can help prevent kidney stone formation.
  5. Start Slowly: If your diet is low in fiber, gradually introducing beets can help your digestive system adjust and prevent discomfort.

Conclusion: The Verdict on Beets

For the average person, the numerous health benefits of beets far outweigh the potential downsides, provided they are consumed in moderation. Beets offer powerful nutrients that support heart health, athletic performance, and digestive function. However, for those with pre-existing conditions such as a history of kidney stones or IBS, awareness and moderation are essential. By understanding the risks, such as high oxalates and FODMAP content, and taking simple steps like cooking beets or controlling portion sizes, most individuals can safely enjoy this nutritious root vegetable. If in doubt, consulting a healthcare provider or a registered dietitian is always the best course of action before making significant changes to your diet.

Helpful Resource: For more information on dietary nitrates and their health implications, you can visit the Healthline article on beet benefits.

Frequently Asked Questions

Yes, beets contain high levels of oxalates, which can contribute to the formation of calcium oxalate kidney stones in individuals who are prone to them or have a history of the condition.

Beeturia, the red or pink discoloration of urine or stools after eating beets, is generally harmless. It is caused by beet pigments not fully broken down by the body. However, it can be more common in those with iron deficiency.

For some people with Irritable Bowel Syndrome (IBS), beets can be a problem. They contain fructans, a type of fermentable carbohydrate, which can cause gas, bloating, and other digestive discomfort.

Yes, because beets are known to lower blood pressure due to their nitrate content, a high intake should be discussed with a doctor, especially for those on blood pressure-lowering medication, to avoid an unsafe drop.

Boiling beets can reduce their oxalate content. Pairing them with a calcium-rich food can also help bind oxalates in the gut. Eating in moderation and starting with small portions is also recommended.

Eating a small to moderate portion of beets daily is generally safe for most people. However, daily high intake is not advised, especially for those with specific health concerns like kidney stones or IBS.

Yes, beet greens are edible and nutritious, but they contain significantly higher levels of oxalates than the root itself. Individuals prone to kidney stones should be particularly cautious with their consumption.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.