The Mediterranean diet is well known for its role in heart health, so researchers wanted to know if the foundations of a Mediterranean diet specifically reduced the risk of heart failure. German researchers analyzed the diets of 24,008 middle aged European adults, and followed their health outcomes for 8 years. While a strong adherence to a Mediterranean diet was not significantly related to lower heart failure risk after adjusting for other risk factors, many components of the Mediterranean diet were linked with a lower risk of heart failure, including high fish intake, moderate alcohol intake, and low meat intake. The researchers conclude that “Minor dietary changes could be valuable primary prevention measures, particularly the increase of fish consumption while reducing the intake of meat.”
European Journal of Clinical Nutrition. 2016 Sep;70(9):1015-21. (Wirth J et al.)
The Mediterranean diet is well known for its role in heart disease prevention, but new research suggests that it may also be beneficial for people who already have a history of heart disease. In a preliminary study, researchers followed 1197 Italian adults who had a history of heart disease and analyzed their eating patterns and health outcomes. Those most closely following a Mediterranean diet were 37% less likely to die during the 7-year study period than those not following a Mediterranean diet. In fact, each 2-point increase on the Mediterranean diet score (on a scale of 0-9) was linked with a 21% lower risk of death. This is greater than the risk reduction seen by taking statins (18%), common cholesterol lowering drugs.
Presentation at the European Society of Cardiology. Rome, Italy. August 28, 2016.
Atherosclerosis, plaque build up in the arteries, can lead to dangerous blood clots, but diet can play an important role in prevention. Researchers analyzed the eating habits and heart health markers of 4,082 adults in Spain, and identified three distinct eating patterns: the Mediterranean diet, the Western diet, and the “social-business eating pattern,” a dietary pattern with more calories, red meat, pre-made foods, alcohol, sugary drinks, snacks, and lots of eating out. Those eating a Mediterranean diet had significantly less plaque than those eating a Western or social business eating pattern, with a social-business pattern appearing to be even worse than the typical, unhealthy Western diet (characterized by not enough fruits, veggies or whole grains, and too much red meat, desserts, and sugary beverages).
Journal of the American College of Cardiology. 2016 Aug 23;68(8):805-14.
Research continues to tout the brain benefits of a delicious and nutritious Mediterranean diet. In a review article, Australian researchers analyzed more than a dozen longitudinal and prospective studies (where participants are observed over a long period of time) to determine the link between eating patterns and cognitive health. In the 18 studies, encompassing nearly 60,000 adults total, the scientists found that closely following a Mediterranean diet was associated with “slower rates of cognitive decline, reduced conversion to Alzheimer’s disease, and improvements in cognitive function.” More specifically, the Mediterranean diet was linked with better memory, executive function (which controls behavior, planning, and reasoning), and visual constructs.
Frontiers in Nutrition. 2016 Jul 22;3:22. doi: 10.3389/fnut.2016.00022. [Epub] (Hardman RJ et al.)
A healthy diet need not restrict fat or flavor, at least in the case of the delicious and nutritious Mediterranean diet. Researchers at the Department of Veterans Affairs in the U.S. analyzed data from 56 studies (of at least 100 people in each study) to get a big picture view of the Mediterranean diet. The studies were all controlled trials (one of the strongest types of nutrition studies) and were included so long as the participants followed at least 2 of the 7 characteristics of a Mediterranean diet (such as lots of fruits and vegetables, or a preference for olive oil and other unsaturated fats). The scientists found that a Mediterranean diet (with no restriction on fat) may help prevent heart disease, breast cancer, and type 2 diabetes, but they did not find a significant reduction in mortality.
Annals of Internal Medicine. 2016 Jul 19. (Bloomfield HE et al.) [Epub ahead of print]
In a study of 307 Italian women with early breast cancer, who had undergone treatment and were in complete remission, researchers assigned 199 of the women to their normal diet, but with healthy advice from a dietitian, while the other 108 women were assigned to a Mediterranean diet (with lots of fruits and vegetables, fish, olive oil, and up to one glass of wine per day). After 3 years, breast cancer returned to 11 patients from the standard diet group, but none in the Mediterranean diet group relapsed. This indicates a statistically significant reduced risk of breast cancer recurrence for those following a Mediterranean diet.
Journal of Clinical Oncology. 2016 ASCO Annual Meeting. 2016 June 3-7;34(15):Suppl:e13039. (Biasini C et al).
Studies continue to show that eating a Mediterranean−style diet during pregnancy is linked with improved health outcomes for both the mother and infant. Because some pregnant and lactating women are falling short of dietary recommendations, researchers suggest that incorporating avocados into maternal diets is an easy way for women to get significant sources of nutrients they are currently lacking. Avocados are a Mediterranean−style food, rich in folate, potassium, carotenoids, fiber, monounsaturated fatty acids (MUFA) and antioxidants, all of which pregnant, lactating, and child−bearing age women need especially, in order to reduce the risk of birth complications and defects.
Nutrients. 2016 May;8(5):doi:10.3390/nu8050313. (Comerford KB et al.)
Wine is certainly one of the most popular aspects of the Mediterranean diet, but many wonder if other adult beverages have a similar relationship with disease prevention. To see how different alcoholic drinks relate to type 2 diabetes, Chinese researchers reviewed data from 13 different studies covering 397,296 people. They found that although a moderate amount of beer and spirits was related to a slightly decreased risk of type 2 diabetes (4%, and 5%, respectively), wine was linked with a much more significant decreased risk of type 2 diabetes, at 15%. Furthermore, all levels of wine consumption (up to about 3oz per day – the highest average of the participants) showed a protective effect against type 2 diabetes, but higher levels of beer (more than 3 oz per day) and spirits (more than 23 grams per day – less than one ounce) were linked with a higher risk of type 2 diabetes.
Journal of Diabetes Investigation. 2016 May 10. [Epub ahead of print] (Huang J et al.)
Women who have had gestational diabetes (diabetes during pregnancy) are at an increased risk of developing high blood pressure. To see how diet might relate to this trend, researchers monitored the eating patterns and health records of more than 3,800 women who had previously been diagnosed with gestational diabetes. After adjusting for BMI, age, and other demographic factors, the women most closely following a Mediterranean diet had a 30% lower risk of developing high blood pressure over the 18-year study. Similarly, women following other healthy eating patterns (such as the DASH diet) that emphasized fruits, vegetables, and whole grains, and were low in red and processed meats, had a 24-28% lower risk of developing high blood pressure.
Hypertension. 2016 April 18. [Epub ahead of print.] (Li S et al.)
Those looking to drop the pounds need not eliminate fat from their diet, especially if they follow a Mediterranean diet. To evaluate the Mediterranean diet’s effect on weight loss, researchers reviewed data from 5 randomized controlled trials (one of the strongest types of research studies) encompassing a total of 998 participants. In each of the studies, overweight and obese adults (most having type 2 diabetes or heart disease) were assigned to either a Mediterranean diet, or another diet (low fat, low carbohydrate, or American Diabetes Association diets) for at least a year. Those in the Mediterranean diet groups lost between 9-22 pounds, in line with the results from the low carbohydrate or the American Diabetes Association diet. However, those in the low fat group lost significantly less weight, between 6-11 pounds total. Participants with type 2 diabetes also saw better improvements in blood sugar control on the Mediterranean diet than in other diets.
American Journal of Medicine. 2016 Apr;129(4):407-415.e4. (Mancini JG et al.)
For the past 5 years European researchers have been conducting a study to see how following the Mediterranean diet affects aging among older adults. The study (known as the NU-AGE consortium) recently ended and the preliminary findings are impressive. Following a Mediterranean diet was linked not only with significantly improved inflammatory markers in the body (which are linked to the aging process), but also with reduced bone loss in people with osteoporosis. A more in-depth analysis of the study is expected to yield further support that following a Mediterranean diet is highly beneficial to our health.
Presentation at the NU-AGE Final Conference. Brussels, Belgium. April 5, 2016.
Dietary changes are a key target in obesity prevention programs, so many foods are being studied for their affect on body weight. To see if eating more pulses (the food group that includes beans, peas, lentils, and chickpeas) might help reduce obesity, researchers analyzed 21 randomized control trials looking at pulses’ role in weight, body fat, and waist circumference in overweight and obese adults. Diets that included dietary pulses did not significantly reduce waist circumference. There was a trend in reduction of body fat (-0.34%), but it was not significant as well. Overall, the researchers found that those eating about 1 serving of pulses per day lost, on average, about 0.75 pounds over six weeks. Not surprisingly, results were stronger in weight loss diets (3.8 pounds over 6 weeks) than weight maintenance diets (0.6 pounds over 6 weeks). Although the weight loss was small, this study indicates that a modest serving of pulses may help produce weight loss, even without cutting calories.
The American Journal of Clinical Nutrition. 2016 Mar 30. [Epub Ahead of Print] (Kim SJ et al.)
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