Diet and nutrition Archive

Eating more unprocessed, plant-based foods is one of the best ways you can protect your heart.

What do you usually eat for breakfast? How about for lunch and dinner? These questions are standard fare during a consultation with Dr. Ron Blankstein, a preventive cardiologist at Harvard-affiliated Brigham and Women's Hospital. The answers help him tailor the dietary advice he gives, which can have a profound effect on the future health of his patients' hearts.

"Most people really aren't aware of the importance of a healthy diet, or they're confused about what they should be eating," says Dr. Blankstein. About five years ago, he revamped his own diet to follow what the current evidence suggests is the best way to avoid heart disease: a whole-food, plant-based style of eating. "I find that when I tell my patients I follow this diet myself, they're far more likely to buy into it," he says. (For an idea of what he typically eats, see "A day of plant-based meals.")

Ask the doctor

Q. Just before the holidays, I heard that a study said it was okay to eat red meat. Previously, you've said just the opposite. Help!

A. We got lots of letters like yours. The bottom line is that we stick by our longstanding advice: avoid frequent meals of red meat, and especially processed meat.

Research we're watching

Replacing just one sugary drink each day with water may reduce your risk of developing diabetes, according to a study published online Oct. 3, 2019, by Diabetes Care. Researchers from Harvard's T.H. Chan School of Public Health looked at more than two decades' worth of data collected in three long-term studies, involving more than 192,000 adults. By tracking beverage intake over time, they found that people who increased their consumption of sugary drinks (including 100% fruit juice) by more than 4 ounces a day over four years had a 16% increase in diabetes risk over the next four years. Turning to "diet" versions might not help, either: an 18% jump in diabetes risk occurred in people who increased their intake of artificially sweetened drinks by more than 4 ounces a day over the same period, although some of that risk could have reflected other factors, said researchers.

The bottom line: If you want to reduce diabetes risk, it's better to skip sweet drinks and stick to unsweetened tea, coffee, or water. When people drank one of those beverages once a day instead of a sweetened drink, diabetes risk dropped by 2% to 10%.

Editor's note: This year, we're highlighting grains and seeds on this page. Starting in February, we'll showcase a different grain or seed every month, with nutritional information and suggestions for adding these healthy foods into your diet. Here's some general background about these plant-based foods and why they're beneficial for cardiovascular health.

What, exactly, is a whole grain? Technically, they're dry, hard seeds of plants. Some are from grasses known as cereal grains, such as wheat, rice, corn, and oats. Others are from plants in different botanical families, such as quinoa, amaranth, and buckwheat, known as pseudo grains or pseudo cereals. A whole grain is one that contains all three layers of the grain kernel: the bran, the endosperm, and the germ.

Research we're watching

Eating more plant-based protein may help you live longer, a new study suggests.

The study included 70,000 Japanese men and women ages 45 to 74 with no history of cancer, heart disease, or stroke. They filled out detailed diet questionnaires at the start of the study and again every five years.

In the journals

Research continues to explore the possible benefits of omega-3 fish oil supplements, especially for heart health, and a recent review of existing data suggests they may protect against heart attack and coronary artery disease.

Researchers from Harvard's T.H. Chan School of Public Health and Brigham and Women's Hospital examined 13 trials, involving almost 128,000 people, to look for any association between omega-3 supplements and the risk of heart attacks, strokes, coronary artery disease, and death from cardiovascular disease. Their results were published online Sept. 30, 2019, by the Journal of the American Heart Association.

In the journals

A study published online Sept. 4, 2019, by the International Journal of Cancer showed a possible connection between regular mushroom consumption and a lower risk of prostate cancer.

The researchers recruited more than 36,000 men ages 40 to 79. They recorded various health information, such as physical activity, family and medical history, and diet. Information on diet included 39 foods and beverages. The men were then followed for a period ranging from 13 to almost 25 years.

Ask the doctors

Q. I know that osteoporosis is linked to hereditary factors that I can't change. But are there things I can do to reduce my risk?

A. It's true that many risk factors for osteoporosis, such as your sex, age, and genes, are not things you can change. But there are things you can do to improve your bone health. This includes adopting a healthy diet that is rich in calcium and getting enough vitamin D, which can help maintain and improve bone health. Regular exercise can also help strengthen your bones or prevent bone loss. In particular, activities that put stress on your bones, such as jumping, running, and weight-bearing exercises, can stimulate bone cells to produce proteins that bolster bone strength. In children, these activities can actually increase bone density. While adults don't gain the same degree of benefit that kids do, exercise can still have moderate effects on bone, helping to maintain strength that might otherwise be lost. To further protect bone health, cut down on unhealthy habits, such as smoking or drinking excess amounts of alcohol. If you have risk factors for osteoporosis, you might also want to talk to your doctor about whether any of your medications might be harming your bone health.

Healthful protein, slowly digested carbohydrates, fruit or vegetables serve up best morning mix

As you sleep, your body is hard at work digesting yesterday's dinner. By the time you wake up, your body and brain are demanding fresh fuel. "Breaking the fast" is a key way to power up in the morning. Do it right and the benefits can last all day.

If you miss the day's first meal, notes Dr. David S. Ludwig, a nutrition expert at Harvard-affiliated Children's Hospital Boston, you may start off with an energy deficit and have to tap into your energy reserves.

Nonprofit groups offer services that can help you age in place.

 Image: © fstop123/Getty Images

The holidays are a time of giving, but they're also a time to put yourself on the receiving list and assess whether you should be taking advantage of free health-related services offered by nonprofit organizations. Services are widely available, often regardless of income. But you might not know they exist. "Most older adults aren't introduced to support services until they're hospitalized or they work with a case manager or social worker," explains Barbara Moscowitz, a geriatric social worker at Harvard-affiliated Massachusetts General Hospital. "You don't have to wait for such an event."

What's available

On the local level, you can often find free or low-cost dental clinics, emotional support groups, meal or grocery delivery services, transportation, in-home health evaluations, exercise classes, health education classes, home evaluations for fall prevention, companion programs, caregiver respite services, or programs to help you navigate difficult chronic health conditions and their treatment.