Even if you already have heart disease, it’s never too late to improve your health. Researchers analyzed the eating habits and health status of 3,562 adults with heart disease, to see how different eating patterns relate to further health complications down the road (like death or heart attacks). Those most closely following a Mediterranean diet were 20% less likely to die from all causes and 22% less likely to have a cardiovascular event (like a heart attack) during the 7-year follow up. On the other hand, a “Southern Diet” (lots of added fats, fried food, eggs, organ meats, processed meats, and sweetened beverages) was linked with a higher risk of death from all causes during the 7-year follow up.
Journal of the American Heart Association. 2018 Jul 12;7(14). pii: e008078. (Shikany JM et al.)
A traditional Mediterranean diet has frequent but small portions of fermented dairy (like artisan cheeses or Greek yogurt), a food group widely associated with bone health. To see how a Mediterranean diet relates to bone health, researchers randomly assigned 1,142 elderly European adults to a Mediterranean diet with a vitamin D3 supplement, or a control group with pamphlets on healthy eating tips. After 1 year, the Mediterranean diet & vitamin D intervention had no effect on bone mineral density for most participants. However, in the small subset of participants (54 people) who already had osteoporosis, the Mediterranean diet & vitamin D intervention significantly reduced the rate of bone loss at the femoral neck, but had no effect on lumbar spine or whole-body bone-mineral density.
American Journal of Clinical Nutrition. 2018 Jul 11. [Epub ahead of print.] (Jennings A et al.)
If your DNA is a shoelace, telomeres are the plastic endcaps, that protect it. Shorter telomeres are linked with many age-related diseases, such as heart disease and cancer. To see how diet relates to telomere length, scientists analyzed the eating habits and telomere length of 4,758 adults in the US. Most closely following a Mediterranean diet (or other similar healthy diets, like the DASH diet or Healthy Eating Index) was associated with significantly longer telomere length in women, but not in men.
American Journal of Epidemiology. 2018 Jun 15. doi: 10.1093/aje/kwy124. [Epub ahead of print] (Leung CW et al.)
When it comes to good nutrition, every little bite adds up. To see how much eating healthier could impact healthcare costs, researchers analyzed the relationship between diet, health problems, and healthcare spending. They found that if Americans were to make their diets even 20% more Mediterranean, the US would save $25.7 billion dollars per year. Similarly, if Americans were to make their diets align 20% more with the Healthy Eating Index 2015 (which emphasizes healthy foods like whole grains, lean proteins, fruits, vegetables, nuts, and dairy), the US could save $38.1 billion per year. If Americans’ diets were to align an impressive 80% with the Mediterranean diet or Healthy Eating Index 2015, the US could save $135 billion or $66.9 billion per year, respectively. (Note that findings presented at meetings are considered preliminary until published in a peer-reviewed journal.)
Presentation at the American Society for Nutrition Scientific Sessions and Annual Meeting. Boston, MA. June 11, 2018. (Scrafford, C et al.)
Air pollution is a concern in many countries around the world, so researchers wonder whether a healthy diet may offset some of these risks. To test this theory, researchers followed more than half a million people across 6 states in the US, estimating their exposure to air pollutants and assessing their eating patterns. Those most closely following a Mediterranean diet were significantly less likely to die from all causes and heart disease specifically over the 17-year study period than those not following a Mediterranean diet, even at the same level of air pollution exposure. The researchers suspect that the antioxidants in the healthy foods of the Mediterranean diet may play a role in this relationship. (Note that findings presented at meetings are typically viewed as preliminary until they’ve been published in a peer-reviewed journal.)
Presented at the American Thoracic Society International Conference. San Diego, California. May 21, 2018
At first glance, Japanese and Mediterranean cuisines might seem worlds apart. However, the overall eating patterns share more similarities than one might think. Researchers analyzed the diets and long-term (50-year) data on death from heart disease in 12,763 men in the Seven Countries Study from the 1960s. The researchers noted a very similar eating pattern between the Mediterranean group and the Japanese group, with lots of seafood and vegetables, and low amounts of animal foods and animal fat. They also found that eating more vegetables and starch, and more closely following a “Mediterranean” diet (as the Mediterranean and Japanese groups did) were linked with significantly lower risks of death from heart disease. Sweets, animal foods, and hard fats (like butter or lard) were linked with increased risk.
European Journal of Clinical Nutrition. 2018 May 17. (Kromhout D et al.) [Epub ahead of print.]
Study after study links a healthy body with a healthy mind, especially in aging populations. To see if diet relates to depressive symptoms, researchers evaluated the eating habits and mental health of nearly 400 Italian adults in their 90s. Those consuming more olive oil and fruit were significantly less likely to have depression than those not getting much olive oil or fruit, though the relationship between higher Mediterranean diet scores and lower risks of depression was not strong enough to be statistically significant.
Journal of Nutrition, Health, & Aging. 2018 May;22(5):569-574. (Pagliai et al.)
Hearing loss is the third most common health problem in the US, so scientists wonder if there might be a relationship between diet and hearing over time. To test this relationship, researchers followed more than 81,000 women for 2 decades, tracking their eating patterns and health outcomes. Those most closely following a Mediterranean-inspired diet were 30% less likely to develop hearing loss over the 20-year study than those not following a Mediterranean diet. Similarly, people whose diets closely adhered to a DASH diet or the Alternative Healthy Eating Index (both of which also prioritize vegetables, fruits, and whole grains, and limit red meat and sweets), were also less likely to develop hearing loss over time.
Journal of Nutrition. 2018 May 11. (Curhan SG et al.) [Epub ahead of print]
Compared with other cooking oils, olive oil has a relatively low smoke point, leading some to wonder how this might impact its healthfulness. In this study, researchers analyzed 10 common cooking oils by heating them up across different temperatures and for different periods of time and analyzing their stability and the production any potentially harmful compounds (such as polar compounds). Interestingly, extra virgin olive oil and coconut oil produced significantly lower levels of harmful polar compounds than the other oils, while refined vegetable oils (canola, grapeseed, and rice bran oils) produced the most. Since these experiments were done on the oils themselves, without food, more research is needed to see how cooking different foods in different oils might impact the production of harmful compounds.
ACTA Scientific Nutritional Health. 2018 May 5;2(6):2-11. (Guillaume C et al.)
When pasta dough is extruded through dies during processing, it compacts the starch structure. This is why pasta is a low Glycemic Index (GI) food with a gentler impact on blood sugar. In this study, researchers analyzed the results of 32 randomized controlled trials on the impact of low GI diets with pasta. They found that people eating pasta in the context of a low GI diet can lose weight and improve their BMI. However, there was no noted difference in abdominal fat, waist size, or waist-to-hip ratio after eating low GI diets with pasta.
BMJ Open. 2018 Apr 2;8(3):e019438. doi: 10.1136/bmjopen-2017-019438. (Chiavaroli L et al.)
Keep the pasta, lose the pounds! Pasta is a low Glycemic Index food, meaning that it doesn’t spike your blood sugar. To see how low glycemic diets with pasta relate to weight, researchers analyzed 32 randomized clinical trial comparisons involving 2,448 adults (who were mostly middle aged and overweight or obese). Compared with high Glycemic Index diets, the low Glycemic Index diets with pasta (about three ½ cup servings per week) were linked with modest weight loss (0.63 kg, or 1.4 pounds), even without cutting calories.
BMJ. 2018 April 4;8(3):1-13. (Chiavaroli L et al.)
Fatty liver is most commonly associated with alcoholism, but obesity and excess body fat can be risk factors for fatty liver as well (which can eventually develop into liver disease). In a study of 1,521 adults, those most closely following a Mediterranean diet were significantly less likely to have fatty liver in the following year. Specifically, each 1-point increase on the Mediterranean diet score was linked with 26% lower odds of developing fatty liver the next year. Diets reflecting the Alternative Healthy Eating Index (another diet scoring tool that emphasizes fruits, vegetables, and whole grains, and limits red meat and sweets) were also linked with a smaller, but still significantly lower risk of fatty liver.
Gastroenterology. 2018 Mar 28. [Epub ahead of print]. (Ma J et al.)