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Doctors May Not Be Equipped for Diet Counseling

One of the great ironies of the healthcare system is that doctors are often untrained in the most basic of wellness practices: nutrition. In a survey of 236 physicians at a large US medical center (including cardiologists and internal medicine doctors and trainees), fewer than 14% felt adequately trained to discuss nutrition with their patients. Nearly all doctors (90%) recognized the Mediterranean Diet as protective against heart disease, but fewer than half (46%) realized that low-fat diets have not been proven to reduce heart disease risk. Additionally, many doctors had trouble identifying foods high in various nutrients, such as which fish are high in omega-3 fatty acids. These data highlight the importance of making reliable nutrition resources (specifically those relating to well researched eating patterns, such as the Mediterranean diet) available to the medical community. (Note: If you’re a healthcare professional who would like to learn more about the Mediterranean Diet, see here.)
Presentation at the American College of Cardiology’s 64th Annual Scientific Session. San Diego CA. March 15, 2015. 

Med Diet Cuts Heart Disease Risk by Nearly Half

Researchers have given us yet another reason to fill our plates with fruits, vegetables, whole grains, legumes, olive oil, and nuts! A European study followed more than 2,500 Greek adults for over a decade, tracking their medical records, lifestyle habits, and eating patterns. Those who most closely followed the Mediterranean Diet were 47% less likely to get heart disease, regardless of their smoking habits, age, family history, or other lifestyle factors. The scientists estimate that every one-point increase on the Mediterranean Diet score (a measure of how closely participants followed the Mediterranean Diet, on a scale of 1 to 55) is associated with a 3 percent drop in heart disease risk, so every little bit counts. In fact, the researchers found that the Mediterranean Diet was even more protective against heart disease than physical activity!
Presentation at the American College of Cardiology’s 64th Annual Scientific Session. San Diego CA. March 15, 2015.

Plant-Based Diets May Reduce Colorectal Cancer Risk

Colorectal cancer is the leading cause of cancer mortality, so learning more about dietary prevention is an important area of research. Scientists at Loma Linda University in California analyzed food patterns and health data from over 77,000 adults for an average of 7 years. After controlling for demographic and lifestyle factors (including age, smoking, physical activity, and family history), the researchers found that those who ate vegetarian diets had an approximately 20% lower risk of colorectal cancer compared with nonvegetarians. Researchers also found that pesco-vegetarians in particular (vegetarians who eat fish) had a much lower risk of colorectal cancer. These results support other studies linking the Mediterranean diet (a plant-based diet that features fish) with a decreased risk for colorectal cancer.
JAMA Internal Medicine. 2015 March 9. [Epub ahead of print] (Orlich MJ et al.)

Opportunities for Whole Grains in Manufactured Foods

To encourage people to switch from refined to whole grains, it’s important to make tasty, convenient whole grain foods more widely available. In this review, researchers explore various tactics (sprouting, extrusion, fermentation, enzyme use, etc.) for increasing whole grain content in foods, while improving their sensory qualities along the way. Amid ample evidence that acceptance is similar for both whole grain and refined grain food products, the experts urge whole grain food makers to apply some of these technologies, and lure customers in with better products, not just with health messages. 
Critical Reviews  in Food Science and Nutrition. 2015 Mar 6:0. [Epub ahead of print] (Schaffer-Lequart C et al.)

Peanuts Linked to Lower Mortality Across Different Ethnicities

Nuts and peanuts (technically legumes) are largely recognized as health promoting foods, but experts wondered if these benefits extend across all ethnic groups and income levels. In this study, researchers at Vanderbilt University analyzed nut intake in over 200,000 people, including a large group of Asian men and women in China, and a large group of low-income black and white men and women in the southeastern United States. For those with the highest nut consumption (mostly peanuts), mortality from all causes significantly decreased 17-21%, depending on ethnicity. Death from heart disease specifically (including ischemic heart disease) also significantly decreased across all ethnic groups for those eating the most nuts. The researchers identified this study as “strong evidence that the association of nut/peanut consumption with mortality does not vary by ethnicity “ or income level. Additionally, they conclude that “consumption of nuts, particularly peanuts given their general affordability, may be considered a cost-effective measure to improve cardiovascular health.”
JAMA Internal Medicine. 2015 Mar 2. [Epub ahead of print] (Luu HN et al.)

Cardioprotective Effect of Mediterranean Diet

Ventricular hypertrophy, or the thickening and enlargement of heart ventricles due to the accumulation of scar tissue, is thought to be a root cause of many heart ailments. To investigate how diet relates to this condition, researchers analyzed eating patterns and left ventricular mass (the size of the left ventricle of the heart, where enlargement is most common) of over 1,700 adults without history of heart attack or stroke. The scientists found that those most closely adhering to a Mediterranean Diet had a left ventricular mass that was 4% less than the rest of the study population, a reduction greater than that observed in people with moderate-to-heavy physical activity (another factor that supports heart health). In fact, for each point increase on the Mediterranean Diet Score (0-9), left ventricular mass was 1.98g lower (average left ventricular mass was 189g).
American Journal of Cardiology. 2015 Feb 15;115(4):510-4. (Gardener H et al.)

Mediterranean Diet Linked with Better Heart Health

The Mediterranean diet is not as pervasive in Mediterranean nations as it once was, but research indicates that adopting this traditional pattern of eating could have widespread benefits. Researchers in Turkey analyzed the eating habits of 900 adults without heart disease, then monitored their health for 5 years. Men and women most closely following a Mediterranean diet were significantly less likely to have a heart attack or need a stent to open up their blood vessels. Additionally, the men most closely following a Mediterranean diet had significantly lower rates of coronary artery disease (the most common type of heart disease) and coronary bypass grafts (surgery to improve blood flow to the heart). However, in women, the lower rates of coronary artery disease and coronary bypass grafts were not statistically significant.
International Journal of Clinical and Experimental Medicine. 2015 Feb 15;8(2):2860-6. (Hoscan Y et al.)

Even 1 Family Meal per Week Linked with Better Weight in Teens

Researchers at the University of Minnesota found that even small steps towards more family meals can make a positive difference. In a study of over 2,000 young adults, the scientists found that children eating one or two family meals together each week had a 45% less likely risk of being overweight ten years later than those who never ate family meals together. Eating three or more family meals together was related to a lower risk of both overweight and obesity. These results were especially strong in African Americans.
Journal of Pediatrics. 2015 Feb;166(2):296-301. (Berge JM et al.)

Plant-based Diets Improve Heart Disease Markers in Overweight Kids

Plant-based diets have proven effective at reducing heart disease markers in adults, but with a large proportion of overweight and obese children, experts wonder if dietary interventions are effective on kids as well. In a small study in the Midwestern US, twenty-eight overweight and obese children (average age = 15) and their parents were assigned to either a plant-based vegan (no animal products at all), no-added fat diet (with only moderate avocado and nuts) or an American Heart Association diet (high in fruits, vegetables, and whole grains, but also includes low fat dairy, some plant oils, lean meat and fish, and permits some refined grains) for four weeks. The plant-based group significantly improved nine different risk factors of heart disease (including improved blood pressure, cholesterol, and weight), while the American Heart Association Diet significantly improved four risk factors.
The Journal of Pediatrics. 2015 Feb 11. [Epub ahead of print] (Macknin M et al.)

Med Diet May Reduce Alzheimer’s Risk by Half

The Mediterranean diet, famous for its link with healthy aging, may also cut the risk for Alzheimer’s. Researchers studied the relationship between eating patterns and Alzheimer’s in 923 retired adults in Chicago over an average of 4.5 years.  The scientists rated participants’ diets based on how closely they adhered to the Mediterranean diet, the DASH diet (a healthy diet used to treat hypertension that emphasizes fruits, vegetables, whole grains, low fat dairy, and limited sweets and salt) and the MIND diet. The MIND diet is a hybrid Mediterranean-DASH diet that emphasizes foods associated with brain health, including whole grains, green leafy vegetables, berries, nuts, olive oil, and fish. Those most closely following the Mediterranean diet were 54% less likely to develop Alzheimer’s dementia (more than any other diet group). Comparatively, those most closely following the DASH diet were 39% less likely to develop Alzheimer’s dementia. The group most closely following the MIND diet (which shares many similarities with the Med diet) was 53% less likely to develop Alzheimer’s dementia than the group with the lowest MIND diet scores, and even those moderately following the MIND diet were at a 35% lower risk. 
Alzheimer’s and Dementia. 2015 Feb 11. pii: S1552-5260(15)00017-5. [Epub ahead of print] (Morris MC et al.)

Antioxidant in Olive Oil has Anti-Cancer Properties

A worthy star of the Mediterranean diet, olive oil gains much of its prestige from the various antioxidants that it contains. To see how one of these antioxidants affects cancer growth, New York scientists extracted oleocanthal (OC), a compound in extra virgin olive oil, and applied it to a variety of cancer cells.  According to the scientists, “Amazingly, OC induced cell death in all cancer cells examined – as rapidly as 30 minutes after treatment,” but did not cause cell death in noncancerous cells. This finding opens up a new field in the area of cancer research, as scientists are eager to find more ways to treat and prevent this devastating disease. While guzzling olive oil is by no means a cure for cancer, these findings support existing research that enhancing your meals with olive oil is a delicious and nutritious practice to build a long and healthy life.
Molecular and Cellular Oncology. 2015 Jan 23. [Epub ahead of print] (LeGendre O et al.)

The Cuisine of Puglia as an Example of the Traditional Mediterranean Diet

Puglia is a beautiful region in Southern Italy. In this article, researchers use Puglia as an example of the Mediterranean diet’s connection between both good taste and good health, highlighting typical, nutritionally balanced dishes (such as fave bianche e cicorie, orecchiette e cime di rapa, soup of pulses and whole wheat, savory anchovy pie, and salads). The authors also analyze the climate and vegetation of the region, noting that the abundance of olive oil and wheat, and the wide assortment of interesting local vegetables helps contribute to this mostly plant-based diet.
International Journal of Gastronomy and Food Science. 2015 January;2(2):63-71. doi.org/10.1016/j.ijgfs.2014.12.001. (Renna M et al.)

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