Dietary patterns Archive

Drinking no more than four or five 8-ounce cups of coffee per day—equal to about 400 milligrams of caffeine—helps people get the drink's health benefits with a lower risk of caffeine side effects like anxiety and nervousness.

In the journals

Men need sufficient protein to help maintain muscle mass and strength as they age. A study published online July 13, 2020, by JAMA Internal Medicine suggests the source of that protein also may dictate how long they live. Scientists examined the diets of more than 400,000 people ages 50 and older, who consumed protein from plant sources, red meat, and eggs. They were then followed for more than 16 years. Those who ate mostly plant protein instead of red meat or egg protein had a 13% to 24% lower risk of death from any cause.

How much plant protein is enough? The researchers found that men in particular had a 12% lower risk of death for every 10 grams of plant protein per 1,000 calories they consumed. The experts suggested that the benefits could increase if men ate even more plant protein. Guidelines recommend that healthy older adults need 1.2 grams of daily protein for every kilogram of body weight. A 175-pound man would need about 95 grams. Good sources of plant protein include almonds (about 17 grams per 1/2 cup), tofu (20 grams per cup), lentils (about 18 grams per cup), and black beans and chickpeas (15 grams per cup).

Research we're watching

Eating a daily serving of cabbage, cauliflower, broccoli, or brussels sprouts is linked to a lower likelihood of harmful calcium buildup in the aorta, the body's largest artery, according to a new report.

The study featured 694 older Australian women who were initially enrolled in a study looking at diet, supplements, and bone fractures. The spine imaging tests used in the study also revealed the amount of calcification in the abdominal portion of the aorta. So researchers used those data to explore the link between diet and aortic calcification, a sign of plaque buildup (atherosclerosis) that leads to cardiovascular disease. The study, which was published online July 17, 2020, by the British Journal of Nutrition, found 46% lower odds of extensive abdominal aortic calcification among women who ate at least 45 grams of cruciferous vegetables daily (equal to one serving; about a half-cup) as compared with women who ate less than 15 grams of cruciferous veggies a day. The vegetables contain substances such as fiber that help discourage atherosclerosis.

Broccoli, brussels sprouts, and other cruciferous vegetables are associated with fewer calcified fatty plaques in the aorta.

New guidelines suggest doing more of the same. The problem is that many people don't.

You never forget your first gout attack. The severe pain, swelling, and redness hits hard and fast. The initial attack often strikes your big toe's large joint, but later ones might affect the foot or ankle. Other hot spots include the knees, hands, and wrists.

First-line treatment is quite effective and includes anti-inflammatory medications, ice therapy, and rest. A combination of diet and lifestyle changes and prescription drugs — an approach called urate-lowering therapy, or ULT — is typically recommended if attacks recur or become more severe.

News briefs

If you'd like to try a vegan diet but can't imagine nixing all animal products, consider two recent findings. One, published online July 22, 2020, by The BMJ, comes from researchers at Harvard and Tehran University. They analyzed 32 studies about protein intake that included more than 715,000 people, with follow-up periods ranging from three-and-a-half years to over three decades. Combining data from multiple studies, the researchers calculated that getting 3% more of total calories in the form of plant protein (like beans, nuts, and whole grains) lowered people's risk for premature death by 5%. Another study, published online July 13, 2020, by JAMA Internal Medicine, looked at the survival rates of more than 416,000 people who'd reported their diet and lifestyle information 16 years earlier (when they were 50 to 71 years old). In this study, shifting just 3% of calorie intake from animal protein (meat, poultry, fish, or dairy products) to plant protein corresponded with a 10% decrease in death from any cause over that period, for both men and women. In particular, replacing eggs and red meat with plant proteins appeared to reduce death risk by as much as 24% in men and 21% in women — especially in people with high intake of eggs and red meat. The new findings don't prove that favoring plant-based proteins will add years to your life, but many other studies have associated high intakes of red and processed meats with shorter life span.

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Growing evidence shows that intermittent fasting leads to significant weight loss. A recent study contradicted these findings, but the way this study was designed and implemented raises some questions about its conclusions.

Calcium is billed as the bone-building nutrient. But some experts argue that we should pay more attention to exercise and vitamin D.

Starting on your 51st birthday, current government guidelines say you're supposed to consume 1,200 milligrams (mg) of calcium daily. With advancing years, both men and women begin to experience a decline in the density of bones that makes them weaker and more likely to break. In essence, your bone becomes more porous, and calcium supposedly fills in the holes.

But the amount of calcium adults need continues to be debated. The critics say there's little evidence that high intake has more than a marginal effect on bone density and fracture prevention. They say exercise and reversing vitamin D deficiency are not promoted enough and are more important for bone health. Professor Walter Willett, chair of the nutrition department at the Harvard School of Public Health, is one of the leading lights in the critical camp.

The benefits of multivitamins are looking doubtful. Can we do without them?

The answer is a qualified yes – we can do without them, as long as you eat a well-balanced diet rich in fruits and vegetables.

In the past, doctors often suggested a standard multivitamin with minerals each day. They don't cost much, and earlier studies had shown some benefits. For example, it appeared that folic acid and other B vitamins might lower the risk of heart disease, stroke and possibly cancer. But more recent studies have shown no added benefit of multivitamins for healthy people that eat a balanced diet.