Nutrition Archive

Some studies suggest a possible link. But don't switch to regular sugary sodas — try infused water instead.

For diet soda fans, recent news reports linking these popular drinks to a higher risk of stroke may have been alarming. A closer look at the study behind the headlines suggests there's no need to panic. But beverages naturally low in calories are probably a healthier option than artificially sweetened drinks.

For starters, observational studies like this one (see "Diet soda and the brain: The latest findings") cannot prove cause and effect. Also, only 97 people had strokes during the 10-year follow-up, which means only two or three of those strokes could possibly be attributed to drinking diet soda, says Dr. Kathryn Rexrode, an associate professor of medicine at Harvard-affiliated Brigham and Women's Hospital who co-authored an earlier, larger study looking at soda consumption and stroke risk.

How can you keep snacking from derailing your healthy eating program, not to mention weight control? Try these tips.

Don't skip meals. Skipping meals may seem like a good way to cut calories, but in fact this just makes you so hungry later in the day that you're vulnerable to devouring mega-portions of snack food, in order to supply your body with easily digested sugars.

Fish is an excellent source of protein, and its healthy oils protect against cardiovascular disease. Because a diet rich in seafood protects the heart and aids neurological development, fish remains an important component of a healthy diet.

However, nearly all fish and shellfish contain traces of mercury, a toxic metal, and some seafood contains other contaminants known as persistent organic pollutants (POPs). As small fish are eaten by larger fish up the food chain, concentrations of mercury and POPs increase, so that large, predatory deep-ocean fish tend to contain the highest levels. That makes it best to avoid eating large fish, such as shark, swordfish, tilefish, and king mackerel. As long as you avoid these higher sources of mercury, the benefits of eating fish far outweigh the risks of mercury in fish.

It's no secret that alcohol affects our brains. Although excessive drinking is linked to an increased risk of dementia, decades of observational studies have indicated that moderate drinking has few ill effects. However, a recent British study seems to have bad news for moderate drinkers.

Research we're watching

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Do you swallow a daily multivitamin, hoping to make up for a less-than-ideal diet? Sorry, but this strategy won't stave off heart disease, according to a study published online April 5, 2017, by JAMA Cardiology.

Previous research has also failed to find convincing evidence that a daily multivitamin lowers the risk of heart disease or cancer. But these studies didn't always account for the participant's dietary habits, which could potentially skew the results. In theory, people with poor diets might reap greater benefits from vitamins than those who eat healthier diets.

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New research may help explain why diets rich in animal-based foods are linked to a higher risk of heart attack.

The average American diet contains about 300 milligrams per day of choline, a nutrient found in meat, eggs, and milk. Earlier research found that when gut bacteria feed on choline, they make a compound called TMA. In the liver, TMA is converted to TMAO — a compound closely tied to heart disease risk.

On call

Q. I have heard that exercising on an empty stomach burns more fat and at a faster rate. Is this true?

A. When the body is in a fasting state, several backup mechanisms ensure your muscles and brain get the necessary sugar for fuel. During exercise, after your body's sugar stores are exhausted, the body then taps into stored fat and turns that into sugar or turns protein from muscle into sugar. This has led to the hypothesis that exercising when the body is already "sugar starved" will lead to more rapid fat burning.