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Returning Pizza to Its Healthful Italian Origins

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Dr. Sheldon Margen is professor of public health at UC Berkeley; Dale A. Ogar is managing editor of the UC Berkeley Wellness Letter. They are the authors of several books, including "The Wellness Encyclopedia of Food and Nutrition."

Sometimes it’s hard to remember that pizza, which has become one of the most American of all foods, actually originated centuries ago near Naples, Italy. However, it wasn’t until 1889 that the forerunner of what Americans have come to know as pizza was created. That year, an Italian tavern owner created a pizza out of tomato sauce, mozzarella cheese and basil in the colors of the Italian flag. He dubbed it the Margherita pizza in honor of an Italian queen, and it has endured as the classic Italian pizza.

Shortly after World War II, pizza found its way to America, where it was transformed from a simple, healthy down-to-earth food, to “Pizza Americana.” In classic American style, it became overloaded with cheese and high-fat toppings.

Pizza is now very big business in the United States and abroad. Although in this country the most popular pizza toppings continue to be pepperoni, mushrooms, green peppers and mozzarella, the National Assn. of Pizza Operators tells us that at one time or another, “pizza makers have tried virtually every type of food on pizzas, including peanut butter and jelly, bacon and eggs, mashed potatoes, even oysters, crayfish and dandelions.” (It isn’t hard to imagine why those didn’t catch on.)

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In 1997, Consumer Reports magazine published a list of some of the favorite regional toppings from the biggest U.S. pizza chains overseas.

Australia: calamari.

Germany: sauerkraut, ham and onions.

Greece: feta cheese and olives.

Guatemala: black bean sauce.

Russia: sardines, tuna, mackerel, salmon, onions (not all on the same pizza, we hope).

Hong Kong: Sichuan chicken.

Indonesia: shrimp, bean curd, mushrooms, with spicy sauce.

Malaysia: curry, mutton, onions.

Poland: cabbage and sausage.

Pizza is by no means junk food; it does supply substantial nutritional value. The crust (flour, water, yeast and salt) has complex carbohydrates and fiber, especially if it is made with whole-grain flour. Mozzarella cheese has lots of calcium and is lower in fat than some other varieties. Tomato sauce is high in vitamin C, a powerful antioxidant known as lycopene, and some beta carotene, potassium and folic acid.

Nonetheless, it isn’t hard to turn pizza into a high-fat, high-sodium, high-calorie, artery-clogging nightmare. A typical slice of pizza from your local pizzeria may be loaded with cheese, pepperoni and oil. It could weigh as much as 8 ounces, have more than 600 calories, 30 grams of fat and 1,000 milligrams of sodium (that’s half a day’s worth of fat and sodium). Frozen pizza can be just as bad, but at least you can compare labels before you buy.

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Making pizza at home is easier than you might think, even if you start from scratch with the crust. If you don’t get any particular pleasure out of kneading dough and you’re pressed for time, there are excellent ready-made, refrigerated and frozen pizza crusts on the market. Pita bread also makes a good base for pizza, as does the prebaked, preseasoned crust that you can buy just about anywhere.

Pizza toppings can be about as varied as your imagination will allow. How about chopped tomatoes, roasted potatoes, broccoli, chopped onions, sliced bell peppers (red, green, yellow, brown), spinach, chick peas, leeks, cubes of baked squash, shrimp, tuna, roasted chicken, cooked ground turkey? In fact, just about any leftover vegetables or meats would be great on a pizza.

Dessert pizzas, with sweet crusts made of cookie crumbs or delicate pastry, are becoming very popular, and the toppings can include nonfat yogurt, ricotta cheese, fruits, chocolate or whatever strikes your fancy.

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Here’s a recipe for California Pizza from the “Simply Healthy Lowfat Cookbook” (Rebus, 1995), which includes a simple recipe for a homemade crust that contains a nutritional bonus, carrot juice.

CALIFORNIA PIZZA

* Basil Oil

1/3 cup (packed) fresh basil

leaves

1/4 cup chicken broth

2 teaspoons olive oil

* Pizza Dough (or buy it ready-

made)

1 1/2 cups carrot juice

1 package (1/4 ounce) active dry

yeast

1 teaspoon sugar

3 1/2 cups flour

1/2 teaspoon salt

1/4 teaspoon cayenne pepper

Cornmeal, for dusting the bak-

ing sheet (optional)

* Sauce and toppings (you can

change these toppings if you

wish)

Two 8-ounce cans no-salt-added

tomato sauce

1 large carrot, shredded

1/4 cup chopped fresh basil

1/4 teaspoon oregano

1/4 teaspoon black pepper

2 teaspoons olive oil

2 garlic cloves minced

8 cups (packed) chopped

stemmed spinach

1 1/2 cups shredded part-skim

mozzarella cheese

1 small red bell pepper, cut into

slivers

1 cup yellow pear tomatoes

(halved)

1/2 cup finely slivered red onion

1/4 cup fresh jalapeno pepper

rings

BASIL OIL

Puree basil leaves with chicken broth and olive oil, and set aside.

DOUGH

In small saucepan, warm 1/4 cup of carrot juice to lukewarm. Remove from heat. In small bowl dissolve yeast and sugar in juice. Let sit until creamy, about five minutes. In large bowl, combine flour, salt and cayenne. Beat in yeast mixture and remaining 1 1/4 cups carrot juice. Knead until dough is smooth and elastic. Transfer to bowl that has been sprayed with nonstick cooking spray, cover and place in warm spot until almost doubled (about 45 minutes).

SAUCE

In large nonstick skillet combine tomato sauce, carrot, 2 tablespoons of chopped basil, oregano and black pepper. Bring to a boil. Reduce heat, cover and cook until carrot is tender (about five minutes). Remove from heat. Set aside to cool. In large nonstick skillet, warm oil until hot. Add garlic and cook until soft (about four minutes). Stir frequently. Stir in spinach and remaining basil. Cook until spinach is wilted (four minutes). Drain. Preheat oven to 500.

Punch dough down and turn it out onto lightly floured board. Roll into a 13-inch circle. Sprinkle baking sheet with cornmeal (optional). Place dough on top. Roll inward to form high edge. Spoon sauce over dough and bake on lowest shelf for 10 minutes. Spoon spinach over sauce and sprinkle cheese on top. Arrange other vegetables on top. Continue to bake until crust is browned and cheese is melted. Drizzle basil oil over the top before serving.

Makes six servings, each of which has 472 calories, 16 milligrams beta carotene, 75 milligrams vitamin C, 327 milligrams calcium, 6.1 grams fiber.

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