Diet and nutrition Archive

Q. I've been drinking Fresca since I was in college. Lately I've been reading that diet drinks may cause weight gain and have other bad effects. Is that true?

A. There is some controversy about whether drinking diet soda helps or hurts in maintaining or achieving a healthy weight. Some studies show that people who consume artificially sweetened drinks take in fewer calories and are better able to control their weight. However, other studies show the opposite—that consuming diet drinks may result in weight gain as well as type 2 diabetes.

Beer, wine, and spirits are foods as well as intoxicants that have different effects in women than in men.

In the first episode of the sitcom "Grace and Frankie," the title characters, played by Jane Fonda and Lily Tomlin, are ordering drinks before dinner. When carb-conscious Fonda sends the breadbasket away and asks for a very dry vodka martini, Tomlin reminds her that vodka is made from potatoes. Fonda responds, "Alcohol has its own rules."

Here's how to enhance the foods you already like with heart-healthy plant sources.

According to a recent national food survey by the CDC, 87% of American adults do not eat the minimum daily recommended portions of fruit (1.5 to 2 cups), and 91% are not getting the recommended amount of vegetables (2 to 3 cups a day). The reasons for this unhealthy trend vary. One important factor is that food preferences, including an aversion to fruits and vegetables, form early in life and can be hard to change. "People say, 'I don't like salad' and 'I don't like spinach,' and that's that," says Stacey Nelson, a registered dietitian and manager of clinical nutrition at Harvard-affiliated Massachusetts General Hospital.

Planning ahead can help you navigate the hazards of holiday overindulgence.

Research we're watching

Want to nudge down your cholesterol level? Try a bowl of oatmeal for breakfast. New research adds to earlier evidence that among the whole grains, oats are the most effective choice when it comes to lowering cholesterol.

The findings were gleaned from 24 studies that looked at blood lipids (cholesterol and triglycerides) in people who ate diets featuring whole-grain foods versus non-whole-grain control diets. Compared with the control diets, whole-grain diets lowered total cholesterol levels by an average of 4.6 points. Diets featuring oats proved to be slightly superior, dropping cholesterol levels by 6.5 points, on average. An added bonus: whole-grain diets don't appear to lower beneficial HDL cholesterol. The report appeared in the September 2015 American Journal of Clinical Nutrition.

Avoid food that's been left out on a table for more than two hours, and handle food properly if you're doing the cooking.

You may drink coffee because it tastes good or helps you wake up. But the popular brew is also associated with health benefits, such as reducing the risk for heart disease, stroke, and type 2 diabetes. Now a study from Harvard-affiliated Dana-Farber Cancer Institute published Aug. 17, 2015, in the Journal of Clinical Oncology suggests that regular consumption of caffeinated coffee may be associated with a reduced recurrence of colon cancer, and even a reduced risk of death. The study included nearly 1,000 people with stage 3 colon cancer. They filled out questionnaires about their dietary patterns during chemotherapy, and then again six months after treatment was completed. People who drank four or more cups of coffee per day were 42% less likely to have cancer return than non-coffee drinkers, and were 34% less likely to die from cancer or any other cause.

This type of study doesn't prove that coffee drinking caused the lower chance of cancer recurrence and death. A randomized trial is needed to show cause and effect. But researchers are encouraged by the results. "Regular coffee intake has been associated with a reduced risk of type 2 diabetes, and it may be that through a similar mechanism, coffee may also improve outcomes for people with advanced colon cancer," says Dr. Charles Fuchs, senior author on the paper.

There's no magic pill you can swallow to make you live longer, but what about food? A study from the Harvard School of Public Health published Aug. 4, 2015, in BMJ found that people who ate spicy foods almost every day had a 14% lower risk of death than people who ate spicy foods once a week. Researchers evaluated the health and diet information of almost 500,000 people in China from 2004 to 2008, then followed up with them a few years later. The study was observational, so it didn't show that spicy foods caused people to live longer, only that people who regularly ate spicy food—especially food with fresh and dried chili peppers—were less likely to have died during the study period than those who ate spicy food less frequently. "Some evidence from other studies suggests the bioactive ingredients in spicy foods such as capsaicin may lower 'bad' cholesterol and triglycerides and improve inflammation," says study author Dr. Lu Qi.

If you'd like to add more chili pepper to your diet, stick with something healthy, such as turkey chili or lentil pilaf, and skip the greasy tacos. But be careful: spicy foods may trigger an increase in gastric acid in some people, causing heartburn.