Our kidneys have many important functions; besides filtering waste, they help control blood pressure, help make red blood cells, and more. The eGFR (estimated glomular filtration rate) is a blood lab that is used to assess kidney function, as low eGFR levels can indicate kidney damage or even kidney failure. In a 15 year study following 900 adults (free of stroke and coronary artery disease), researchers analyzed diet and eGFR status. The researchers found that people most closely following the Mediterranean Diet were least likely to have a low eGFR, and least likely to have a high rate of eGFR decline (which would have indicated a worsening of kidney function).
Clinical Journal of the American Society of Nephrology. 2014 Nov 7;9(11). (Khatri M et al.)
Low bone mineral density causes bones to become weaker, increasing the chance of fractures and osteoporosis. To determine the relationship between diet and bone health, researchers analyzed the food intakes and bone mineral density of over 1800 Korean adults. Four different dietary patterns emerged from this data (rice and kimchi; eggs, meat, and flour; fruit, milk, and whole grains; and fast food and soda). The ‘fruit, milk and whole grains’ pattern was associated with higher bone mineral density at multiple sites for both men and women, while ‘rice and kimchi’ pattern was only associated with higher bone mineral density in the arms. The other food patterns were not linked with bone health.
European Journal of Clinical Nutrition. 2014 Nov 5. [Epub ahead of print] (Shin S et al.)
Rye, the principal grain consumed in traditional Scandinavian diets, is a fiber-rich food associated with satiety, weight management, and blood sugar control. In a European study, 158 people were assigned to either a standard Nordic diet (with lots of refined grains) or a healthy Nordic diet (rich in whole grains, fruits, vegetables, and low fat dairy) consuming their usual calorie level. Whole grain wheat and rye intake was verified using blood biomarkers. Researchers found that a high intake of whole grain rye (as measured using a plasma biomarker) was associated with decreased LDL (“bad” cholesterol), and an improved LDL to HDL ratio, while the biomarker for whole wheat consumption was not associated with any change in cholesterol.
PLoS One. 2014 Oct 23;9(10):e110827. (Magnusdottir OK et al.)
Whole grains are starting to gain recognition as being rich sources of antioxidants, but many wonder if these antioxidants are affected during processing, such as bread baking. To test this theory, scientists at the University of Maryland measured phenolic acid (antioxidant) content in flour, dough, and bread fractions from three whole and refined wheat varieties. As expected, “all phenolic acids measured were more abundant in whole wheat than refined samples.” The researchers also found no significant change in antioxidant levels after the breads were baked. “Thus, the potential phytochemical health benefits of total phenolic acids appear to be preserved during bread baking.”
Journal of Agricultural and Food Chemistry. 2014 Oct 20 [Epub ahead of print] (Lu Y et al.)
Think a meat-centric diet is the best way to keep your blood sugar in check? Think again! Researchers in the United States and Japan reviewed studies that investigated the relationship between vegetarian diets and blood sugar control in people with type two diabetes. Analyzing data from the 255 adults included in the studies, scientists reported that a plant-based vegetarian diet helps adults with type 2 diabetes improve glycemic control, lower cholesterol intake by 173mg, and trim about 140 calories from their diets each day.
Cardiovascular Diagnosis and Therapy. 2014 Oct;4(5):373-382. (Yokoyama et al.)
Metabolic syndrome is a dangerous cluster of 3 or more conditions: central obesity (storing fat around your middle), high blood pressure, high triglycerides (a type of fat in your blood), high LDL (bad) cholesterol, low HDL (good) cholesterol, and high blood sugar. Metabolic syndrome greatly increases your risk for heart disease and diabetes, but luckily, researchers found a delicious way to reverse the condition. Scientists in Spain reviewed data collected during the PREDIMED study in which over 7,400 adults at risk of heart disease were randomly assigned to eat 1 of 3 diets: Mediterranean Diet supplemented with extra-virgin olive oil, Mediterranean Diet supplemented with nuts, or a control diet (patients received advice on a low-fat diet). Researchers found that while the Mediterranean diet was not associated with the onset of metabolic syndrome, reversal of the condition (decrease in central obesity and/or high blood sugar) occurred in nearly one third of patients eating either version of the delicious and nutritious Mediterranean diet.
Canadian Medical Association Journal. 2014 Oct 14. Pii:cmaj.140764. [Epub ahead of print] (Babio N et al).
Low diversity of gut microbes is associated with obesity and disease, so it’s important for any healthy diet to increase the variety of these friendly bacteria. In a study in Europe, 20 healthy adults were placed on a 3-week diet rich in whole grains (about 40g fiber, mostly from bread and muesli, and less than 2oz red meat) and a 3-week diet rich in red meat (at least 7oz red meat, and minimal fiber), with a 3-week washout in between. After the red meat diet, diversity of gut microbes remained stable, but after the whole grain diet, the diversity significantly increased. Additionally, although the diets were designed to be isocaloric (meaning that both diets had the same amount of calories), the whole grain intervention produced statistically significant decreases in BMI, weight, and body fat mass, leading researchers to hypothesize that “WG products influence energy utilization.”
PLoS One. 2014 Oct 9;9(10):e109606. (Foerster J et al.)
New research suggests that patients taking statins (cholesterol lowering medication) should also consider eating more whole grains for best results. Boston researchers used dietary recall data and cholesterol levels from 4,284 adults age 45 and older from a national nutrition and health survey. While all statin users had lower non-HDL (a combination of LDL and VLDL or “bad cholesterol”) than non-statin users, high whole grain consumption helped even more. Statin patients also eating more than 16 grams of daily whole grains had non-HDL cholesterol levels that were 11 mg/dL lower than those taking statins but not eating as much whole grain. Whole grain intake and statin use were also significantly linked with healthier total cholesterol/HDL-cholesterol ratios and total cholesterol concentrations.
American Journal of Clinical Nutrition. 2014 Oct;100(4):1149-57. (Wang H et al.)
We’ve long known that a Mediterranean inspired diet rich in olive oil is associated with disease prevention, but recent studies are showing promise in disease treatment as well. In an animal study at the University of Illinois, either palmitate (the dietary fat found in animal fats, dairy, and palm oil) or oleate (the dietary fat found in olive oil) was delivered directly to beating rat hearts with heart failure. The palmitate treated hearts continued failing, with depressed fat metabolism and storage. On the other hand, the oleate treated hearts greatly improved, with restored fat content in cells, improved contraction, and normalized fat metabolism genes. In fact, after observing the hearts treated with oleate, the scientists declared that the fat content, turnover, and oxidation in the failing hearts “were indistinguishable from those of the healthy heart.”
Circulation. 2014 September 29, pii [Epub ahead of print] (Lahey R et al.)
Research analyzing the cost of healthy eating suggests that money spent on whole grains is money well spent. In a recent study, scientists collected 3-day food records from 252 youth with type 1 diabetes, then graded them for diet quality and nutrient density. The researchers then calculated the food costs for each participant, to examine the relationship between diet quality and diet cost. The scientists found that higher quality diets came in at a comparable cost to lower quality diets (only $0.68 more per day), as those with the healthiest diets allocated more of their money to whole grains, produce, lean meat, and low-fat dairy, while spending less money on high-fat meat and high-fat dairy. Based on their results, the researchers concluded, “that cost need not be an insurmountable barrier to more healthful eating,” and that “it is possible to improve diet quality without undue financial burden.”
Journal of the Academy of Nutrition and Dietetics. 2014 September 26. Pii: S2212-2672(14)01218-0. [Epub ahead of print] (Nansel T et al.)
The new school lunch regulations represent large changes to the food environment of children, so it’s important to study how kids respond to food that’s provided to them. In an effort to see how changing the food environment affects the eating habits of kids, researchers assigned 83 middle schoolers to either a whole grain or refined grain group for six weeks. Participants and their families were given weekly grains (like pasta or cereal) based on their assigned group, and participants also got grain snacks at school. By providing children and their families with whole grain foods,researchers observed that the whole grain group was able to increase their whole grain intake from 1 to 4 servings per day. These results suggest that changing the food environment of children is a successful way to get them to eat more healthy foods, like whole grains.
Journal of the Academy of Nutrition and Dietetics. 2014 Sep;114(9):1417-23. (Radford A et al.)
A study commissioned by the Australian Breakfast Cereal Manufacturers Forum analyzed 232 articles to investigate the health benefits and risks of eating cereal. The researchers found that while breakfast cereal consumption of any type is associated with diets higher in vitamins and minerals and lower in fat and a lower body mass index and less risk of being overweight or obese, whole grain breakfast cereal consumption provided even more benefits. Specifically, the study found that oat and barley based cereals can help lower cholesterol, and whole-grain or high-fiber breakfast cereals are associated with a lower risk of diabetes and higher intakes of protein, fiber, niacin, folate, calcium, and zinc. Additionally, the study found that those who eat breakfast cereal regularly have higher whole-grain consumption per day.
Advances in Nutrition. 2014 Sep 15;5(5):636S-73S, (Williams PG et al.)
