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Healthy Lifestyle May Prevent Half of All Cancer Deaths

To see how lifestyle changes might affect cancer risk, Harvard researchers compared the incidence of cancer between those with a healthy lifestyle and those without, in a group of more than 135,000 adults. A healthy lifestyle was defined as not smoking or having quit at least 5 years prior, no or moderate alcohol (up to 1 drink per day for women, up to 2 drinks per day for men), having a BMI of 18.5-27.5, and getting at least 75 minutes of vigorous physical activity per week, or 150 minutes of moderate activity. Only participants meeting all of these criteria were classified as the healthy lifestyle group. The researchers found that 20-40% of cancer cases and about half of all cancer deaths can be potentially prevented through lifestyle changes (not smoking, keeping a healthy body weight, exercising regularly, and not drinking too heavily).
JAMA Oncology. 2016 May 19. [Epub ahead of print] (Song M et al.)

French Diet Emphasizes Small Portions, Wholesome Ingredients

The famous ‘French Paradox’ (a phenomenon in which the French remain relatively healthy, despite their affinity for seemingly indulgent foods, like cheese and bread) has been a somewhat elusive research topic, but scientists are eager to dig deeper. To learn more about how the French eat, researchers used national survey data from more than 2,600 adults to categorize French diets into the most common eating patterns. The most prevalent diet (representing nearly one quarter of the population) was the “small eater diet,” filled with a variety of different foods, but in small portions. Other commonalities among the French diets include an affinity for seafood (70% reported eating it in the past week), bread (94% for all breads, 35% for whole grain), vegetables (99%), fruit (85%), full fat traditional cheeses (89%), and alcohol (68%, typically wine). The French also reported eating fried food and sodas relatively infrequently, at only 29% and 32%, respectively.
British Journal of Nutrition. 2016 May 18;116(2):300-315 (Gazan R et al.)

Pulses May Help You Lose Weight, Even if You Don’t Cut Calories

To see how eating pulses (beans, peas, lentils, and chickpeas) affects weight loss, Canadian researchers reviewed data from 21 six-week or longer randomized clinical trials, spanning 940 (predominately overweight and obese) participants total. Overall, the studies found that, compared to diets without pulses, diets with one 0.5-0.75 cup serving of pulses per day resulted in a 0.74 pound (0.34 kg) weight loss, even without cutting calories. The scientists concluded that eating pulses “may be a beneficial weight-loss strategy because it leads to a modest weight-loss effect even when diets are not intended to be calorically restricted.”
The American Journal of Clinical Nutrition. 2016 May;103(5):1213-23. (Kim SJ et al.)

Avocados Can Make Up Nutrient Shortfalls During Pregnancy

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.)

Spice-Focused Nutrition Education Helps Nudge Urban Teens Toward Healthy Foods

Nutrition education is a valuable tool to fight increasing obesity rates among teens, especially for those at a higher risk, such as African-Americans. Researchers compared a nutrition education curriculum focusing on spices and herbs (“Spice MyPlate”) to a basic nutrition education program based on USDA MyPlate guidelines on 110 (predominantly African-American) teens in Baltimore, Maryland. Twelve spices and herbs were chosen for the core focus of the Spice MyPlate curriculum: cinnamon, black pepper, red pepper, basil, garlic, oregano, thyme, nutmeg, ginger, turmeric, rosemary, and cumin. Participants in the Spice MyPlate group reported they were more likely to eat vegetables, low-fat dairy, and lean protein after the intervention. They also reported that they would be more likely to eat vegetables and whole grains if they were flavored with spices and herbs.
American Journal of Health Promotion. 2016 May;30(5):346-356. (D’Adamo CR et al.)

Fiber is Key for a Healthy Gut Microbiome

The gut microbiome is a fascinating new area of research, with implications in the prevention of many chronic diseases. To see how diet might play a role, researchers at the University of Alberta in Canada analyzed data on microbiome depletion. They found that dietary fiber is “the only factor that has been empirically shown to be important” to a healthy, diverse microbiome, but that unfortunately, most people do not eat enough fiber to meet the daily recommendation (which is 25-38g per day for most adults in the US). Fiber rich foods include many whole grains, vegetables, fruits, pulses, nuts, and seeds.
Trends in Endocrinology & Metabolism. 2016 May;27(5):239-42. (Deehan EC et al.)

Higher Fruit Intake Linked to Lower Risk of Breast Cancer

Fruit is a central component of a healthy diet, but new research suggests that fruit intake throughout various points in the lifecycle might be especially important. To see how our teenage eating habits might impact us later in life, Harvard researchers analyzed the diets and health outcomes of more than 44,000 women. They found that women who reported eating 3 servings of fruit per day in adolescence were 25% less likely to develop breast cancer in adulthood than those who reported eating only a half serving of fruit per day.
British Medical Journal. 2016 May 11;353:i2343. (Farvid MS et al.)

Wine Linked with Lower Risk of Type 2 Diabetes

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.)

Whole Grain Bread, Fiber, Fruit May Contribute to Healthy Gut Microbiome Diversity

While there is still much to learn about the gut microbiome, what we do know is that certain microbes appear to be more beneficial than others, and that a large diversity of different microbes seems to be protective. To figure out what constitutes a “normal” gut microbiome, European researchers combined microbiome data from nearly 4,000 people across the US and Western Europe. The researchers found that even within this large sample size, they have not yet uncovered the total richness of gut diversity. The scientists also analyzed a number of lifestyle and health factors to see if they might affect microbiome composition. After medication use and stool consistency, dietary factors (preference for whole grain bread, high fiber intake, and high fruit intake) were pinpointed as probable contributors of healthy gut diversity. 
Science. 2016 Apr 29;352(6285):560-4. (Falony G et al.)

Mediterranean Diet May Help Prevent Heart Disease

Researchers analyzed the diets of more than 15,000 adults at risk of heart disease from 39 countries to see if their eating habits were more representative of the Mediterranean diet or the Western diet. In those most closely following a Mediterranean diet, each 1 point increase on the Mediterranean Diet Score was linked with a 7% lower risk of a major heart problem (heart attack, stroke, or death) over the 4 year follow up. Similarly, researchers also calculated a simplified Mediterranean Diet Score for the participants (based only on daily consumption of fruits and vegetables, and weekly consumption of fish and alcohol), and found that each 1 point increase in the simplified Mediterranean Diet Score was linked with a 10% lower risk of major heart problems. Fish and tofu/soybeans were the only individual food groups that were significantly associated with a lower risk of heart problems after adjusting for education, health, and lifestyle factors. Consumption of specific foods common to the Western diet was not significantly linked with heart disease risk in this analysis, leading the scientists to conclude that “Greater consumption of healthy foods may be more important for secondary prevention of coronary artery disease than avoidance of less healthy foods.”
European Heart Journal. 2016 April 24. [Epub ahead of print.] (Stewart RAH et al.)

Plant Based Diets Can Better Feed a Growing Population, without Deforestation

Forests are an important harbor of biodiversity and carbon storage, so cutting into forests to create more cropland could be very harmful to the ecosystem. To see how we can feed a growing world without cutting into forests, Austrian researchers analyzed 500 different scenarios with varying levels of cropland expansion, dietary patterns, and crop yields.  They found that “a large range of options exist to feed a no-deforestation world,” by 2050, but greatly varied based on what types of foods we’d choose to eat. For example, their models found that if the current North American diet (lots of meat and highly processed foods) continues to expand globally, only 15% of the scenarios involving this eating pattern are feasible. However, “all vegan scenarios and 94% of the vegetarian scenarios are feasible,” indicating the overall sustainability of plant based diets.
Nature Communication. 2016 Apr 19;7:11382. (Erb KH et al.)

Med Diet & Diets with Whole Grains May Lower Risk of High Blood Pressure After Gestational Diabetes

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.)

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