Diet and nutrition Archive

Research we're watching

Think you're doing your heart a favor by drinking diet instead of regular soda? That may be wishful thinking, according to a research letter published Nov. 3, 2020, in the Journal of the American College of Cardiology.

Researchers studied nearly 105,000 people who filled out three 24-hour dietary recall surveys every six months. During a 10-year follow-up, researchers tracked the participants' cardiovascular health.

Editor's note: This year, we're highlighting fruits on this page. Starting in February, we'll showcase a different type of fruit or group of related fruits, such as citrus fruits or melons. We'll include ideas about the best ways to add more of these heart-healthy foods into your diet.

If you eat berries with breakfast, snack on a banana, and toss some cubed apple or pear in your dinner salad, you can easily meet the recommended amount of fruit for adults, which is 1.5 to 2 cups per day. But such habits are unusual: Fewer than one in 10 Americans consumes even the minimum recommended amount of fruit, according to a national federal survey.

On call

Q. I eat plenty of fruits and vegetables, but are whole grains also important?

A. Fruits and vegetables seem to get top billing on the healthy food list, but I put whole grains right up there. There are two types of grain: whole and refined. All grains grow as kernels, and each kernel has three layers:

News briefs

Getting enough vitamins through diet (or a multivitamin, if necessary) is one of the best ways to bolster your immune system. And you may wonder if vitamins can also ward off colds and other respiratory conditions. An observational study published Oct. 27, 2020, by BMJ Nutrition Prevention & Health offers encouraging news. Researchers evaluated the self-reported diet information of more than 6,000 British adults over eight years. People who reported the highest intakes of vitamins A and E from both diet and supplements, and high intake of vitamin D just from supplements, had the fewest complaints of respiratory illness, such as colds, asthma, and chronic obstructive pulmonary disease. The study doesn't prove that these vitamins prevented respiratory problems, but other studies have linked them to lower risks for respiratory disease. Vitamins are most effective when they come from diet. Good sources of vitamin A include liver; whole milk; cheese; carrots; and dark, leafy greens. Good sources of vitamin E include vegetable oils, nuts, and seeds. It's difficult to get enough vitamin D from food (such as fish or fortified milk), so taking 1,000 IU of vitamin D₃ provides some insurance.

Image: © o-che/Getty Images

Make this year's batch of New Year's resolutions stick by taking a new approach.

It's a new year, and you've got a resolution in mind. Whether it's aiming for a healthier diet, improving your stress management, or finally committing to that daily workout, achieving your goal probably won't be easy. Resolutions made on New Year's Day are often in the trash bin by Valentine's Day. But this year can be different if you learn how to COACH yourself to success.

Dr. Beth Frates, an assistant professor of physical medicine and rehabilitation at Harvard Medical School, designed a strategy she calls COACH to move you toward your goals. It's a process that can help sidestep pitfalls that may have derailed you in the past.

In the journals

Colon cancer prevention involves following a healthy lifestyle — for instance, exercising and not smoking — and periodically getting a screening test such as a colonoscopy. But what impact do diet and medications have? A recent review of 80 statistical analyses published over the last 40 years explored this question. The review was published online Oct. 1, 2020, by the journal Gut.

Over all, the results were disappointing in that no specific drug, food, or supplement stood out in the body of evidence. Yet some of the reviewed studies did show a link between a lower risk of colon cancer and use of nonsteroidal anti-inflammatory drugs (NSAIDs) — such as aspirin, ibuprofen (Advil, Motrin), and naproxen (Aleve) —and a higher intake of fruits, vegetables, and fiber. But other studies did not.

Schedule shifts can hurt your health. The New Year is a great time to hit the reset button.

Throughout most of human history, the pattern of daily life was regular. Dreary for many, but regular. In recent centuries, "modern" life has introduced many irregularities, including changing work schedules. Advances in information technology mean that many of us are always connected — and that we spend time connecting at all hours. And the COVID-19 pandemic has introduced whole new irregularities into daily life.

One thing is certain: "When your schedule changes, you can lose the regular self-care routines that kept you active, eating right, and managing stress — things we need to control weight and inflammation and fight disease," says Dr. Monique Tello, a primary care physician and healthy lifestyle specialist with Harvard-affiliated Massachusetts General Hospital.

A new report suggests eating chili peppers regularly could lower the risk of dying of cancer or cardiovascular disease. One theory attributes such health benefits to capsaicin, an antioxidant that brings the heat. But just how strong are these findings?

Ask the doctors

Q. I'm trying to eat less sugar. Can you offer any tips that can help?

A. First, congratulations. Cutting down your consumption of sugar can help protect your health in the long term. Sugar-heavy diets have been linked to health conditions, including obesity, diabetes, and heart disease. Most Americans eat far too much sugar. A U.S. government health and diet survey from 2015–16 found that the average American eats about 17 teaspoons of sugar a day. The Dietary Guidelines for Americans recommend eating no more than the equivalent of 12 teaspoons of sugar a day, and the American Heart Association suggests no more than the equivalent of six teaspoons per day. To cut down on your sugar consumption, your first goal should be to focus on incorporating more whole, unprocessed foods into your daily diet. Eating more of these foods can crowd out processed sources of added sugars in your diet.

Make some simple swaps to lighten up traditional fare. But feel free to enjoy small servings of favorite treats, too.

'Tis the season to be jolly — and to indulge in favorite holiday foods and beverages. The weeks between Thanksgiving and New Year's Eve are often full of opportunities to feast on foods high in fat and sugar. The average American packs on an extra pound of weight every year, and at least half of that is gained over the holiday season, according to several studies.

To help curtail that trend, which will help your heart as well as your waistline, try some of the alternative or lighter versions of foods and drinks traditionally served during the December holidays, described below. But there's no need to deprive yourself of special favorites that you have just once a year. "You can weave them in with healthier options," says Liz Moore, a dietitian at Harvard-affiliated Beth Israel Deaconess Medical Center.