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Diet Quality of Food from Schools and Grocery Stores Improves from 2003-2018, Partly Due to Increasing Whole Grains

Researchers studied the healthfulness of foods from different sources (schools, grocery stores, restaurants) in a group of 20,905 children and 39,757 adults in the period from 2003-2004 to 2017-2018. During this time, the proportion of children eating food of poor diet quality from schools decreased by more than half, from 56% to 24%. Most of these improvements occurred after 2010, in line with the Healthy Hunger Free Kids Act (which updated school nutrition standards) and were associated with kids eating more whole grains and less saturated fat, sugary drinks, and salt at schools. Additionally, the proportion of people eating food of poor diet quality from grocery stores decreased from 53% to 45% in kids and from 40% to 33% in adults, largely due to eating more whole grains and fewer sugary drinks. Food from restaurants tended to be less healthy, with very small improvements in diet quality over the study period. The researchers also found that school food improvements after 2010 were the most equitable improvements, as nutrition improved more evenly across racial and sociodemographic lines. On the other hand, most of the improvements in nutrition from grocery store or restaurant foods tended to be concentrated in high-income households.
JAMA Network Open. 2021 Apr 1;4(4):e215262. doi: 10.1001/jamanetworkopen.2021.5262. (Liu J et al.)

Maternal Mediterranean Diet May Relate to Children’s Weight Later in Life

Childhood obesity is a rising public health concern and a strong predictor of obesity later in life. Previous studies have discovered that mothers’ diets during pregnancy can potentially impact children’s weight and their risks of developing obesity. This study evaluated how mothers’ dietary patterns during pregnancy affect their children’s BMI (body mass index). A total of 1,459 women participated in the study and completed a questionnaire about the food they ate during pregnancy. Their children were followed up for 15 years to measure their weight and height change. The findings showed that children whose mothers had closely followed the Mediterranean diet during pregnancy are more likely to grow faster and have lower BMI than their peers during childhood. However, the researchers cautioned that differences in breastfeeding might partly explain the BMI differences across the groups. Thus, more studies are needed.
American Journal of Clinical Nutrition. 2021 Mar 15;nqaa398. doi: 10.1093/ajcn/nqaa398. (Monthé-Drèze C et al.)

Mediterranean Diet Linked with Slower Prostate Cancer Progression, Better Survival

Many patients diagnosed with prostate cancer don’t need immediate intervention, so strictly monitoring the disease progression is critical. This study collected data from 410 men diagnosed with prostate cancer and measured how closely they were following the Mediterranean Diet. After 36 months of follow-up, those most closely following a Mediterranean diet were less likely to have significant disease progression, and were more likely to have a better rate of survival.
Cancer. 2021 Mar 1; 127(5):720-728. doi:10.1002/cncr.33182. (Gregg JR et al.)

Mediterranean Diet Linked with 20% Lower Risk of Dementia

Dementia is an age-related disease causing memory loss and confusion, and over 50 million people suffer from dementia globally. Because there is currently no effective treatment for it, prevention is pivotal. To investigate whether the Mediterranean Diet has a protective effect on dementia, the researchers studied 16,160 middle-aged adults and followed them for over 20 years. Among all the participants, 459 were diagnosed with dementia. When comparing the dietary patterns between those with and without dementia, the researchers found that those most closely following the  Mediterranean diet,  were 20% less likely to develop dementia. However, the results were not statistically significant when looking at Alzheimer’s dementia.
Nutrients. 2021 Feb 22;13(2):700. doi: 10.3390/nu13020700. (Andreu-Reinon ME et al.)

Parboiling Reduces Arsenic and Preserves Nutrients in Rice

Arsenic is a naturally occurring element found in varying degrees in all soils and water, meaning that some foods, like rice, naturally contain low levels of arsenic depending on where and how it’s grown. Luckily, certain cooking and processing methods can dramatically decrease the level of arsenic rice. In this study, researchers found that parboiling your brown rice can remove up to 54% of unwanted heavy metals like arsenic from your rice (outperforming soaking or rinsing), and can also preserve important micronutrients such as zinc. You can achieve this at home by boiling your rice for 5 minutes and setting it aside for when you’re ready to cook it. You can also buy parboiled rice at the store.  
The Science of the Total Environment. 2021 Feb 10;755(Pt 2):143341. doi: 10.1016/j.scitotenv.2020.143341.(Menon M et al.)

Mediterranean Diet Linked with Healthy Gut Microbiota, Possible Lower Risk of Alzheimer’s

There are over 100 trillion microorganisms in the gut, which are thought to play a significant role in various aspects of overall health. In this review article, researchers suggest that the connection between the brain and gut may be associated with the development of Alzheimer’s disease because the gut microbiota may induce inflammation throughout the body, potentially provoking cognitive impairment. Recent studies have found that the composition of the gut microbiome significantly differs between those with and without Alzheimer’s disease. Diet also has a strong impact on the gut microbiome, hence affecting the risk of developing Alzheimer’s disease. In particular, following a Mediterranean diet is associated with a slower cognitive degeneration. On the other hand, the Western diet which contains high added sugar, processed meat, refined grains, and saturated fats is associated with greater inflammation.
Nutrients. 2021 Jan 25;13(2):361. Published 2021 Jan 25. doi:10.3390/nu13020361 (Leblhuber F et al.)

Plant Based Diets Can Lower Blood Pressure

Studies have shown that plant-based diets can help lower blood pressure, but researchers wonder how strict you must be with your vegetarian diet to see results. A systematic review of 41 clinical trials was performed to see how different plant-based diets, including some with low levels of animal products (the Mediterranean, Vegan, Nordic, high-fiber, and high-fruit and vegetable diets) impacted blood pressure. The results showed that even plant-based diet with limited animal products can be effective in reducing high pressure, indicating that even small steps to improve health can make a measurable difference. 
Journal of Hypertension. 2021 Jan;39(1):23-37. doi: 10.1097/HJH.0000000000002604. (Gibbs, J.et al)

Mediterranean Diet Linked to Lower Risk of Parkinson’s Disease

Parkinson’s disease is one of the most common progressive nervous system disorders, and previous studies indicate a potential link between diet and the risk of Parkinson’s disease. In this study, 49,261 middle-aged Swedish women were followed up for an average of 10 years to track their eating habits and whether or not they were diagnosed with Parkinson’s. The researchers found that those most closely following a Mediterranean diet had a significantly lower risk of being diagnosed with Parkinson’s Disease, especially among women aged 65 years or older.
Movement Disorders. 2021 Jan;36(1):255-260. doi:10.1002/mds.28314. (Yin W et al.)

Mediterranean Diet Linked with Better Thyroid Health

Our thyroids act as internal thermostats providing our bodies with hormones that help balance our heart, muscle, and digestive function, brain development, and bone maintenance. In this study, researchers analyzed the eating habits and health of 200 people, about half with Hashimoto’s Thyroiditis (an autoimmune disease that attacks the thyroid) and half without. Those most closely following a Mediterranean diet were less likely to have Hashimoto’s Thyroiditis. Eating more animal foods (like meat) and fewer plant foods (like vegetables) was also linked with Hashimoto’s Thyroiditis.  However, more research is needed on how diet might impact autoimmune and thyroid health.
Thyroid. 2021 Jan;31(1):96-105. doi: 10.1089/thy.2020.0299. (Ruggeri RM et al.)

Mediterranean Diet Linked with Lower Disease Activity and Health Risks in People with Lupus

Lupus, an autoimmune disease in which the immune system attacks its own tissues, affects an estimated 1.5 million Americans. In this study, researchers analyzed the eating patterns and health markers of 280 people with systemic lupus erythematosus, the most common type of lupus. Those most closely following a Mediterranean diet were significantly more likely to have lower lupus disease activity and damage accrual and were also significantly more likely to have fewer heart disease risk factors. Additionally the odds of having active lupus or the presence of damage was significantly lower among people who most closely followed a Mediterranean diet.
Rheumatology (Oxford). 2021 Jan 5;60(1):160-169. doi: 10.1093/rheumatology/keaa210. (Pocovi-Gerardino G et al.)

Mediterranean Diet Linked with Less Damage from Lupus

Previous research suggests that the Mediterranean diet may help manage autoimmune diseases, but the degree of usefulness has not yet been researched in depth. In this study of 280 adults with lupus, those most closely adhering to a Mediterranean diet were significantly less likely to have lupus activity and damage or heart disease risk factors. These results suggest that a Mediterranean diet may be a helpful for lupus care and symptom management.
Rheumatology. 2021 Jan 5;60(1):160-169. doi: 10.1093/rheumatology/keaa210. (Pocovi-Gerardino G et al.)

Unsubstantiated Health Beliefs Lead People to Avoid Gluten Unnecessarily

Following a gluten-free diet is required for those with celiac disease or medically diagnosed gluten sensitivities. Because gluten-free foods tend to be less nutritious and may raise the risk of nutrient deficiencies, researchers wanted to know what motivates people to avoid gluten when it is not medically necessary. In this study, 2,982 adults in the US without celiac disease were surveyed about their beliefs regarding gluten-free diets. Compared with people who eat gluten, people without celiac disease who avoid gluten are more likely to believe medically unsubstantiated claims (that gluten-free diets are more nutritious and can improve acne).  
Appetite. 2021 Jan 1; 156:104958. doi: 10.1016/j.appet.2020.104958 (Arslain K et al.)

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