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Javier E

Here's what the government's dietary guidelines should really say - The Washington Post - 0 views

  • If I were writing the dietary guidelines, I would give them a radical overhaul. I’d go so far as to radically overhaul the way we evaluate diet. Here’s why and how.
  • Lately, as scientists try, and fail, to reproduce results, all of science is taking a hard look at funding biases, statistical shenanigans and groupthink. All that criticism, and then some, applies to nutrition.
  • Prominent in the charge to change the way we do science is John Ioannidis, professor of health research and policy at Stanford University. In 2005, he published “Why Most Research Findings Are False” in the journal PLOS Medicin
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  • He came down hard on nutrition in a pull-no-punches 2013 British Medical Journal editorial titled, “Implausible results in human nutrition research,” in which he noted, “Almost every single nutrient imaginable has peer reviewed publications associating it with almost any outcome.”
  • Ioannidis told me that sussing out the connection between diet and health — nutritional epidemiology — is enormously challenging, and “the tools that we’re throwing at the problem are not commensurate with the complexity and difficulty of the problem.” The biggest of those tools is observational research, in which we collect data on what people eat, and track what happens to them.
  • He lists plant-based foods — fruit, veg, whole grains, legumes — but acknowledges that we don’t understand enough to prescribe specific combinations or numbers of servings.
  • funding bias isn’t the only kind. “Fanatical opinions abound in nutrition,” Ioannidis wrote in 2013, and those have bias power too.
  • “Definitive solutions won’t come from another million observational papers or small randomized trials,” reads the subtitle of Ioannidis’s paper. His is a burn-down-the-house ethos.
  • When it comes to actual dietary recommendations, the disagreement is stark. “Ioannidis and others say we have no clue, the science is so bad that we don’t know anything,” Hu told me. “I think that’s completely bogus. We know a lot about the basic elements of a healthy diet.”
  • Give tens of thousands of people that FFQ, and you end up with a ginormous repository of possible correlations. You can zero in on a vitamin, macronutrient or food, and go to town. But not only are you starting with flawed data, you’ve got a zillion possible confounding variables — dietary, demographic, socioeconomic. I’ve heard statisticians call it “noise mining,” and Ioannidis is equally skeptical. “With this type of data, you can get any result you want,” he said. “You can align it to your beliefs.”
  • Big differences in what people eat track with other differences. Heavy plant-eaters are different from, say, heavy meat-eaters in all kinds of ways (income, education, physical activity, BMI). Red meat consumption correlates with increased risk of dying in an accident as much as dying from heart disease. The amount of faith we put in observational studies is a judgment call.
  • I find myself in Ioannidis’s camp. What have we learned, unequivocally enough to build a consensus in the nutrition community, about how diet affects health? Well, trans-fats are bad.
  • Over and over, large population studies get sliced and diced, and it’s all but impossible to figure out what’s signal and what’s noise. Researchers try to do that with controlled trials to test the connections, but those have issues too. They’re expensive, so they’re usually small and short-term. People have trouble sticking to the diet being studied. And scientists are generally looking for what they call “surrogate endpoints,” like increased cholesterol rather than death from heart disease, since it’s impractical to keep a trial going until people die.
  • , what do we do? Hu and Ioannidis actually have similar suggestions. For starters, they both think we should be looking at dietary patterns rather than single foods or nutrients. They also both want to look across the data sets. Ioannidis emphasizes transparency. He wants to open data to the world and analyze all the data sets in the same way to see if “any signals survive.” Hu is more cautious (partly to safeguard confidentiality
  • I have a suggestion. Let’s give up on evidence-based eating. It’s given us nothing but trouble and strife. Our tools can’t find any but the most obvious links between food and health, and we’ve found those already.
  • Instead, let’s acknowledge the uncertainty and eat to hedge against what we don’t know
  • We’ve got two excellent hedges: variety and foods with nutrients intact (which describes such diets as the Mediterranean, touted by researchers). If you severely limit your foods (vegan, keto), you might miss out on something. Ditto if you eat foods with little nutritional value (sugar, refined grains). Oh, and pay attention to the two things we can say with certainty: Keep your weight down, and exercise.
  • I used to say I could tell you everything important about diet in 60 seconds. Over the years, my spiel got shorter and shorter as truisms fell by the wayside, and my confidence waned in a field where we know less, rather than more, over time. I’m down to five seconds now: Eat a wide variety of foods with their nutrients intact, keep your weight down and get some exercise.
Javier E

Pepperoni Turns Partisan - NYTimes.com - 0 views

  • If you want to know what a political party really stands for, follow the money
  • Major donors, however, generally have a very good idea of what they are buying, so tracking their spending tells you a lot.
  • what do contributions in the last election cycle say? The Democrats are, not too surprisingly, the party of Big Labor (or what’s left of it) and Big Law: unions and lawyers are the most pro-Democratic major interest groups.
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  • Republicans are the party of Big Energy and Big Food: they dominate contributions from extractive industries and agribusiness. And they are, in particular, the party of Big Pizza.
  • pizza partisanship tells you a lot about what is happening to American politics as a whole.
  • Why should pizza, of all things, be a divisive issue
  • The immediate answer is that it has been caught up in the nutrition wars
  • the pizza sector has chosen instead to take a stand for the right to add extra cheese.
  • The rhetoric of this fight is familiar. The pizza lobby portrays itself as the defender of personal choice and personal responsibility. It’s up to the consumer, so the argument goes, to decide what he or she wants to eat, and we don’t need a nanny state telling us what to do.
  • it doesn’t hold up too well once you look at what’s actually at stake in the pizza disputes.
  • Nobody is proposing a ban on pizza, or indeed any limitation on what informed adults should be allowed to eat. Instead, the fights involve things like labeling requirements — giving consumers the information to make informed choices — and the nutritional content of school lunches, that is, food decisions that aren’t made by responsible adults but are instead made on behalf of children.
  • Nutrition, where increased choice can be a bad thing, because it all too often leads to bad choices despite the best of intentions, is one of those areas — like smoking — where there’s a lot to be said for a nanny state.
  • diet isn’t purely a personal choice, either; obesity imposes large costs on the economy as a whole.
  • But you shouldn’t expect such arguments to gain much traction
  • For one thing, free-market fundamentalists don’t want to hear about qualifications to their doctrine
  • Also, with big corporations involved, the Upton Sinclair principle applies: It’s difficult to get a man to understand something when his salary depends on his not understanding it
  • nutritional partisanship taps into deeper cultural issues.
  • At one level, there is a clear correlation between lifestyles and partisan orientation: heavier states tend to vote Republican, and the G.O.P. lean is especially pronounced in what the Centers for Disease Control and Prevention call the “diabetes belt” of counties, mostly in the South, that suffer most from that particular health problem
  • At a still deeper level, health experts may say that we need to change how we eat, pointing to scientific evidence, but the Republican base doesn’t much like experts, science, or evidence. Debates about nutrition policy bring out a kind of venomous anger — much of it now directed at Michelle Obama, who has been championing school lunch reforms — that is all too familiar if you’ve been following the debate over climate change.
  • It is, instead, a case study in the toxic mix of big money, blind ideology, and popular prejudices that is making America ever less governable.
Javier E

The Government's Bad Diet Advice - NYTimes.com - 0 views

  • How did experts get it so wrong?
  • the primary problem is that nutrition policy has long relied on a very weak kind of science: epidemiological, or “observational,” studies in which researchers follow large groups of people over many years. But even the most rigorous epidemiological studies suffer from a fundamental limitation. At best they can show only association, not causation.
  • Instead of accepting that this evidence was inadequate to give sound advice, strong-willed scientists overstated the significance of their studies.
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  • Much of the epidemiological data underpinning the government’s dietary advice comes from studies run by Harvard’s school of public health. In 2011, directors of the National Institute of Statistical Sciences analyzed many of Harvard’s most important findings and found that they could not be reproduced in clinical trials.
  • In 2013, government advice to reduce salt intake (which remains in the current report) was contradicted by an authoritative Institute of Medicine study. And several recent meta-analyses have cast serious doubt on whether saturated fats are linked to heart disease, as the dietary guidelines continue to assert.
  • In clearing our plates of meat, eggs and cheese (fat and protein), we ate more grains, pasta and starchy vegetables (carbohydrates). Over the past 50 years, we cut fat intake by 25 percent and increased carbohydrates by more than 30 percent, according to a new analysis of government data. Yet recent science has increasingly shown that a high-carb diet rich in sugar and refined grains increases the risk of obesity, diabetes and heart disease — much more so than a diet high in fat and cholesterol.
  • Today, we are poised to make the same mistakes. The committee’s new report also advised eliminating “lean meat” from the list of recommended healthy foods, as well as cutting back on red and processed meats. Fewer protein choices will likely encourage Americans to eat even more carbs. It will also have policy implications: Meat could be limited in school lunches and other federal food programs.
  • It’s possible that a mostly meatless diet could be healthy for all Americans — but then again, it might not be. We simply do not know. There are no rigorous clinical trials on such a diet, and although epidemiological data exists for adult vegetarians, there is none for children.
  • We have to start looking more skeptically at epidemiological studies and rethinking nutrition policy from the ground up.
  • Until then, we would be wise to return to what worked better for previous generations: a diet that included fewer grains, less sugar and more animal foods like meat, full-fat dairy and eggs
lenaurick

IQ can predict your risk of death, and 8 other smart facts about intelligence - Vox - 0 views

  • But according to Stuart Ritchie, an intelligence researcher at the University of Edinburgh, there's a massive amount of data showing that it's one of the best predictors of someone's longevity, health, and prosperity
  • In a new book, Intelligence: All that Matters, Ritchie persuasively argues that IQ doesn't necessarily set the limit for what we can do, but it does give us a starting point
  • Most people you meet are probably average, and a few are extraordinarily smart. Just 2.2 percent have an IQ of 130 or greate
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  • "The classic finding — I would say it is the most replicated finding in psychology — is that people who are good at one type of mental task tend to be good at them all,"
  • G-factor is real in the sense it can predict outcomes in our lives — how much money you'll make, how productive of a worker you might be, and, most chillingly, how likely you are to die an earlier death.
  • According to the research, people with high IQs tend to be healthier and live longer than the rest of us
  • One is the fact that people with higher IQs tend to make more money than people with lower scores. Money is helpful in maintaining weight, nutrition, and accessing good health care.
  • IQ often beats personality when it comes to predicting life outcomes: Personality traits, a recent study found, can explain about 4 percent of the variance in test scores for students under age 16. IQ can explain 25 percent, or an even higher proportion, depending on the study.
  • Many of these correlations are less than .5, which means there's plenty of room for individual differences. So, yes, very smart people who are awful at their jobs exist. You're just less likely to come across them.
  • The correlation between IQ and happiness is usually positive, but also usually smaller than one might expect (and sometimes not statistically significant)," Ritchie says.
  • It could also be that people with higher IQs are smart enough to avoid accidents and mishaps. There's actually some evidence to support this: Higher-IQ people are less likely to die in traffic accidents.
  • Even though intelligence generally declines with age, those who had high IQs as children were most likely to retain their smarts as very old people.
  • "If we know the genes related to intelligence — and we know these genes are related to cognitive decline as well — then we can start to a predict who is going to have the worst cognitive decline, and devote health care medical resources to them," he says.
  • Studies comparing identical and fraternal twins find about half of IQ can be explained by genetics.
  • genetics seems to become more predictive of IQ with age.
  • The idea is as we age, we grow more in control of our environments. Those environments we create can then "amplify" the potential of our genes.
  • About half the variability in IQ is attributed to the environment. Access to nutrition, education, and health care appear to play a big role.
  • People’s lives are really messy, and the environments they are in are messy. There’s a possibility that a lot of the environmental effect on a person’s intelligence is random."
  • Hurray! Mean IQ scores appear to be increasing between 2 and 3 points per decade.
  • This phenomenon is know as the Flynn effect, and it is likely the result of increasing quality of childhood nutrition, health care, and education.
Javier E

Vitamins Hide the Low Quality of Our Food - NYTimes.com - 0 views

  • we fail to notice that food marketers use synthetic vitamins to sell unhealthful products. Not only have we become dependent on these synthetic vitamins to keep ourselves safe from deficiencies, but the eating habits they encourage are having disastrous consequences on our health.
  • vitamins spread from the labs of scientists to the offices of food marketers, and began to take on a life of their own.
  • Nutritionists are correct when they tell us that most of us don’t need to be taking multivitamins. But that’s only because multiple vitamins have already been added to our food.
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  • Given the poor quality of the typical American diet, this fortification is far from superfluous. In fact, for products like milk and flour, where fortification and enrichment have occurred for so long that they’ve become invisible, it would be almost irresponsible not to add synthetic vitamins.
  • synthetic vitamins are as essential to food companies as they are to us. To be successful in today’s market, food manufacturers must create products that can be easily transported over long distances and stored for extended periods.
  • They also need to be sure that their products offer some nutritional value so that customers don’t have to go elsewhere to meet their vitamin needs. But the very processing that’s necessary to create long shelf lives destroys vitamins, among other important nutrients. It’s nearly impossible to create foods that can sit for months in a supermarket that are also naturally vitamin-rich.
  • Today, it would be easy to blame food marketers for using vitamins to deceive us into buying their products. But our blindness is largely our own fault.
  • we’ve entered into a complicit agreement with them: They depend on us to buy their products, and we depend on the synthetic vitamins they add to those products to support eating habits that might otherwise leave us deficient
  • extra vitamins do not protect us from the long-term “diseases of civilization” that are currently ravaging our country, including obesity, heart disease and Type 2 diabetes — many of which are strongly associated with diet.
  • natural foods contain potentially protective substances such as phytochemicals and polyunsaturated fat that also are affected by processing, but that are not usually replaced. If these turn out to be as important as many researchers suspect, then our exclusive focus on vitamins could mean we’re protecting ourselves against the wrong dangers. It’s as if we’re taking out earthquake insurance policies in an area more at risk for floods.
  • And adding back vitamins after the fact ignores the issue of synergy: how nutrients work naturally as opposed to when they are isolated. A 2011 study on broccoli, for example, found that giving subjects fresh broccoli florets led them to absorb and metabolize seven times more of the anticancer compounds known as glucosinolates, present in broccoli and other cruciferous vegetables
  • And yet we refuse to change our eating habits in the ways that would actually protect us, which would require refocusing our diets on minimally processed foods that are naturally nutrient-rich.
  • The popularity of dietary supplements and vitamin-enhanced processed “health” foods means that even those of us who try to do right by our health are often getting it wrong.
  • we mustn’t let it distract us from an even more fundamental question: how we’ve allowed the word “vitamin” to become synonymous with “health.”
Javier E

Experts Want More Studies of Diet's Role for the Heart - NYTimes.com - 0 views

  • when it comes to diet and heart disease, doctors — and patients — have been going on hunches.
  • Dr. Estruch said he and his colleagues were so buoyed by the success of their study that they were planning another one. They intend to randomly assign people to consume the Mediterranean diet or to exercise while following a similar diet that is lower in calories. The hope is that adding weight loss and exercise will prevent even more heart disease.
  • for now, chaos reigns. The public is bombarded with diet advice, often contradictory and often lacking a rigorous scientific grounding, medical experts said.
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  • “Diets are an extreme case of accepting evidence we want to believe,”
  • That includes doctors, he added, who overlook that the evidence for the low-fat diets they often recommend is the sort “we would never accept in the practice of medicine.”
  • Doctors are in a bind, said Dr. Daniel J. Rader, a heart disease specialist at the University of Pennsylvania. When patients ask what to eat, he said, “you have to give them something.”
  • the best they have are studies that look at intermediate markers of risk, like cholesterol levels. In the end, he said, “most doctors just give dietary platitudes.”
julia rhodes

Why Seven African Nations Joined Anti-Monsanto Protests Last Weekend | ThinkProgress - 0 views

  • One of the company’s most compelling arguments for its quest to spread GMOs is that Monsanto products are the solution to world hunger
  • The company’s defenders claim that opposing GMOs is a luxury of Western privilege that denies developing countries vital resources to feed impoverished communities
  • According to Food Sovereignty Ghana, seven African countries held anti-Monsanto rallies on Saturday
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  • “GMO will make Ghanaian farmers poor” and “Our Food Under Our Control!!!”
  • Monsanto is also part of the New Alliance for Food Security and Nutrition, a group of private corporations tasked by the G8 to invest in solutions to African hunger over the next decade.
  • Hating Monsanto is “a luxury when you’re surrounded by food 24/7,” writes one defender, who argues that spreading negative sentiment against the company actually “impedes global economic growth.” Even Britain’s Environmental Secretary, Owen Paterson, said organizations fighting the spread of GMOs are “absolutely wicked” and “cast a dark shadow over attempts to feed the world.”
  • But African farmers also have very legitimate concerns about Monsanto’s reputation for investigating, suing, and ruining farmers who try to save GM seeds.
  • ood Sovereignty Ghana warns against the “control of our resources by multinational corporations and other foreign entities,” and the “avaricious calculations behind the proposition that food is just another commodity or component for international agribusiness.”
  • they call for “collective control over our collective resources.”
  • ontroversial GM golden rice, which is supposed to pump up Vitamin A levels in regular rice to make it more nutritious, could well be a promising use of technology
  • However, golden rice is still mainly theoretical after a decade of research.
  • hunger is not caused by a food shortage but by “a lack of purchasing power and/or the inability of the rural poor to be self-sufficient.”
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    Who has the right to decide liberties, farmers or NGOs?
charlottedonoho

Smarter Every Year? Mystery of the Rising IQs - WSJ - 0 views

  • That’s because absolute performance on IQ tests—the actual number of questions people get right—has greatly improved over the last 100 years. It’s called the Flynn effect, after James Flynn, a social scientist at New Zealand’s University of Otago who first noticed it in the 1980s.
  • They found that the Flynn effect is real—and large. The absolute scores consistently improved for children and adults, for developed and developing countries. People scored about three points more every decade, so the average score is 30 points higher than it was 100 years ago.
  • The pace jumped in the 1920s and slowed down during World War II. The scores shot up again in the postwar boom and then slowed down again in the ’70s. They’re still rising, but even more slowly. Adult scores climbed more than children’s.
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  • Genes couldn’t change that swiftly, but better nutrition and health probably played a role. Still, that can’t explain why the change affected adults’ scores more than children’s. Economic prosperity helped, too—IQ increases correlate significantly with higher gross domestic product.
  • “Life history” is another promising theory. A longer period of childhood correlates with better learning abilities across many species.
  • The best explanation probably depends on some combination of factors. Dr. Flynn himself argues for a “social multiplier” theory. An initially small change can set off a benign circle that leads to big effects. Slightly better education, health, income or nutrition might make a child do better at school and appreciate learning more. That would motivate her to read more books and try to go to college, which would make her even smarter and more eager for education, and so on.
  • The fact that more people go to school for longer likely played the most important role—more education also correlates with IQ increases. That could explain why adults, who have more schooling, benefited most.
  • The thing that really makes humans so smart, throughout our history, may be that we can invent new kinds of intelligence to suit our changing environments.
Javier E

Lies, Damned Lies, and Medical Science - Magazine - The Atlantic - 0 views

  • How should we choose among these dueling, high-profile nutritional findings? Ioannidis suggests a simple approach: ignore them all.
  • even if a study managed to highlight a genuine health connection to some nutrient, you’re unlikely to benefit much from taking more of it, because we consume thousands of nutrients that act together as a sort of network, and changing intake of just one of them is bound to cause ripples throughout the network that are far too complex for these studies to detect, and that may be as likely to harm you as help you
  • studies report average results that typically represent a vast range of individual outcomes.
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  • studies usually detect only modest effects that merely tend to whittle your chances of succumbing to a particular disease from small to somewhat smaller
  • The odds that anything useful will survive from any of these studies are poor,” says Ioannidis—dismissing in a breath a good chunk of the research into which we sink about $100 billion a year in the United States alone.
  • nutritional studies aren’t the worst. Drug studies have the added corruptive force of financial conflict of interest.
  • Even when the evidence shows that a particular research idea is wrong, if you have thousands of scientists who have invested their careers in it, they’ll continue to publish papers on it,” he says. “It’s like an epidemic, in the sense that they’re infected with these wrong ideas, and they’re spreading it to other researchers through journals.
  • Nature, the grande dame of science journals, stated in a 2006 editorial, “Scientists understand that peer review per se provides only a minimal assurance of quality, and that the public conception of peer review as a stamp of authentication is far from the truth.
  • The ultimate protection against research error and bias is supposed to come from the way scientists constantly retest each other’s results—except they don’t. Only the most prominent findings are likely to be put to the test, because there’s likely to be publication payoff in firming up the proof, or contradicting it.
  • even for medicine’s most influential studies, the evidence sometimes remains surprisingly narrow. Of those 45 super-cited studies that Ioannidis focused on, 11 had never been retested
  • even when a research error is outed, it typically persists for years or even decades.
  • much, perhaps even most, of what doctors do has never been formally put to the test in credible studies, given that the need to do so became obvious to the field only in the 1990s
  • Other meta-research experts have confirmed that similar issues distort research in all fields of science, from physics to economics (where the highly regarded economists J. Bradford DeLong and Kevin Lang once showed how a remarkably consistent paucity of strong evidence in published economics studies made it unlikely that any of them were right
  • His PLoS Medicine paper is the most downloaded in the journal’s history, and it’s not even Ioannidis’s most-cited work
  • while his fellow researchers seem to be getting the message, he hasn’t necessarily forced anyone to do a better job. He fears he won’t in the end have done much to improve anyone’s health. “There may not be fierce objections to what I’m saying,” he explains. “But it’s difficult to change the way that everyday doctors, patients, and healthy people think and behave.”
  • “Usually what happens is that the doctor will ask for a suite of biochemical tests—liver fat, pancreas function, and so on,” she tells me. “The tests could turn up something, but they’re probably irrelevant. Just having a good talk with the patient and getting a close history is much more likely to tell me what’s wrong.” Of course, the doctors have all been trained to order these tests, she notes, and doing so is a lot quicker than a long bedside chat. They’re also trained to ply the patient with whatever drugs might help whack any errant test numbers back into line.
  • What they’re not trained to do is to go back and look at the research papers that helped make these drugs the standard of care. “When you look the papers up, you often find the drugs didn’t even work better than a placebo. And no one tested how they worked in combination with the other drugs,” she says. “Just taking the patient off everything can improve their health right away.” But not only is checking out the research another time-consuming task, patients often don’t even like it when they’re taken off their drugs, she explains; they find their prescriptions reassuring.
  • Already feeling that they’re fighting to keep patients from turning to alternative medical treatments such as homeopathy, or misdiagnosing themselves on the Internet, or simply neglecting medical treatment altogether, many researchers and physicians aren’t eager to provide even more reason to be skeptical of what doctors do—not to mention how public disenchantment with medicine could affect research funding.
  • We could solve much of the wrongness problem, Ioannidis says, if the world simply stopped expecting scientists to be right. That’s because being wrong in science is fine, and even necessary—as long as scientists recognize that they blew it, report their mistake openly instead of disguising it as a success, and then move on to the next thing, until they come up with the very occasional genuine breakthrough
  • Science is a noble endeavor, but it’s also a low-yield endeavor,” he says. “I’m not sure that more than a very small percentage of medical research is ever likely to lead to major improvements in clinical outcomes and quality of life. We should be very comfortable with that fact.”
Javier E

Older Americans Are 'Hooked' on Vitamins - The New York Times - 1 views

  • When she was a young physician, Dr. Martha Gulati noticed that many of her mentors were prescribing vitamin E and folic acid to patients. Preliminary studies in the early 1990s had linked both supplements to a lower risk of heart disease.She urged her father to pop the pills as well: “Dad, you should be on these vitamins, because every cardiologist is taking them or putting their patients on [them],” recalled Dr. Gulati, now chief of cardiology for the University of Arizona College of Medicine-Phoenix
  • But just a few years later, she found herself reversing course, after rigorous clinical trials found neither vitamin E nor folic acid supplements did anything to protect the heart. Even worse, studies linked high-dose vitamin E to a higher risk of heart failure, prostate cancer and death from any cause.
  • More than half of Americans take vitamin supplements, including 68 percent of those age 65 and older, according to a 2013 Gallup poll. Among older adults, 29 percent take four or more supplements of any kind
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  • Often, preliminary studies fuel irrational exuberance about a promising dietary supplement, leading millions of people to buy in to the trend. Many never stop. They continue even though more rigorous studies — which can take many years to complete — almost never find that vitamins prevent disease, and in some cases cause harm
  • There’s no conclusive evidence that dietary supplements prevent chronic disease in the average American, Dr. Manson said. And while a handful of vitamin and mineral studies have had positive results, those findings haven’t been strong enough to recommend supplements to the general American public, she said.
  • The National Institutes of Health has spent more than $2.4 billion since 1999 studying vitamins and minerals. Yet for “all the research we’ve done, we don’t have much to show for it,” said Dr. Barnett Kramer, director of cancer prevention at the National Cancer Institute.
  • A big part of the problem, Dr. Kramer said, could be that much nutrition research has been based on faulty assumptions, including the notion that people need more vitamins and minerals than a typical diet provides; that megadoses are always safe; and that scientists can boil down the benefits of vegetables like broccoli into a daily pill.
  • when researchers tried to deliver the key ingredients of a healthy diet in a capsule, Dr. Kramer said, those efforts nearly always failed.
  • It’s possible that the chemicals in the fruits and vegetables on your plate work together in ways that scientists don’t fully understand — and which can’t be replicated in a table
  • More important, perhaps, is that most Americans get plenty of the essentials, anyway. Although the Western diet has a lot of problems — too much sodium, sugar, saturated fat and calories, in general — it’s not short on vitamins
  • Without even realizing it, someone who eats a typical lunch or breakfast “is essentially eating a multivitamin,”
  • The body naturally regulates the levels of many nutrients, such as vitamin C and many B vitamins, Dr. Kramer said, by excreting what it doesn’t need in urine. He added: “It’s hard to avoid getting the full range of vitamins.”
  • Not all experts agree. Dr. Walter Willett, a professor at the Harvard T.H. Chan School of Public Health, says it’s reasonable to take a daily multivitamin “for insurance.” Dr. Willett said that clinical trials underestimate supplements’ true benefits because they aren’t long enough, often lasting five to 10 years. It could take decades to notice a lower rate of cancer or heart disease in vitamin taker
  • For Charlsa Bentley, 67, keeping up with the latest nutrition research can be frustrating. She stopped taking calcium, for example, after studies found it doesn’t protect against bone fractures. Additional studies suggest that calcium supplements increase the risk of kidney stones and heart disease.
  • People who take vitamins tend to be healthier, wealthier and better educated than those who don’t, Dr. Kramer said. They are probably less likely to succumb to heart disease or cancer, whether they take supplements or not. That can skew research results, making vitamin pills seem more effective than they really are
  • Because folic acid can lower homocysteine levels, researchers once hoped that folic acid supplements would prevent heart attacks and strokes.In a series of clinical trials, folic acid pills lowered homocysteine levels but had no overall benefit for heart disease, Dr. Lichtenstein said
  • When studies of large populations showed that people who eat lots of seafood had fewer heart attacks, many assumed that the benefits came from the omega-3 fatty acids in fish oil, Dr. Lichtenstein said.Rigorous studies have failed to show that fish oil supplements prevent heart attacks
  • But it’s possible the benefits of sardines and salmon have nothing to do with fish oil, Dr. Lichtenstein said. People who have fish for dinner may be healthier as a result of what they don’t eat, such as meatloaf and cheeseburgers.
  • “Eating fish is probably a good thing, but we haven’t been able to show that taking fish oil [supplements] does anything for you,
  • In the tiny amounts provided by fruits and vegetables, beta carotene and similar substances appear to protect the body from a process called oxidation, which damages healthy cells, said Dr. Edgar Miller, a professor of medicine at Johns Hopkins School of Medicine.Experts were shocked when two large, well-designed studies in the 1990s found that beta carotene pills actually increased lung cancer rates.
  • Likewise, a clinical trial published in 2011 found that vitamin E, also an antioxidant, increased the risk of prostate cancer in men by 17 percent
  • “Vitamins are not inert,” said Dr. Eric Klein, a prostate cancer expert at the Cleveland Clinic who led the vitamin E study. “They are biologically active agents. We have to think of them in the same way as drugs. If you take too high a dose of them, they cause side effects.”
  • “We should be responsible physicians,” she said, “and wait for the data.”
Javier E

How to Navigate a 'Quarterlife' Crisis - The New York Times - 0 views

  • Satya Doyle Byock, a 39-year-old therapist, noticed a shift in tone over the past few years in the young people who streamed into her office: frenetic, frazzled clients in their late teens, 20s and 30s. They were unnerved and unmoored, constantly feeling like something was wrong with them.
  • “Crippling anxiety, depression, anguish, and disorientation are effectively the norm,”
  • her new book, “Quarterlife: The Search for Self in Early Adulthood.” The book uses anecdotes from Ms. Byock’s practice to outline obstacles faced by today’s young adults — roughly between the ages of 16 and 36 — and how to deal with them.
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  • Just like midlife, quarterlife can bring its own crisis — trying to separate from your parents or caregivers and forge a sense of self is a struggle. But the generation entering adulthood now faces novel, sometimes debilitating, challenges.
  • Many find themselves so mired in day-to-day monetary concerns, from the relentless crush of student debt to the swelling costs of everything, that they feel unable to consider what they want for themselves long term
  • “We’ve been constrained by this myth that you graduate from college and you start your life,” she said. Without the social script previous generations followed — graduate college, marry, raise a family — Ms. Byock said her young clients often flailed around in a state of extended adolescence.
  • nearly one-third of Gen Z adults are living with their parents or other relatives and plan to stay there.
  • Many young people today struggle to afford college or decide not to attend, and the “existential crisis” that used to hit after graduation descends earlier and earlier
  • “Start to give your own inner life the respect that it’s due,”
  • Experts said those entering adulthood need clear guidance for how to make it out of the muddle. Here are their top pieces of advice on how to navigate a quarterlife crisis today.
  • She recommends scheduling reminders to check in with yourself, roughly every three months, to examine where you are in your life and whether you feel stuck or dissatisfied
  • From there, she said, you can start to identify aspects of your life that you want to change.
  • Ms. Byock said to pay attention to what you’re naturally curious about, and not to dismiss your interests as stupid or futile.
  • But quarterlife is about becoming a whole person, Ms. Byock said, and both groups need to absorb each other’s characteristics to balance themselves out
  • However, there is a difference between self-interest and self-indulgence, Ms. Byock said. Investigating and interrogating who you are takes work. “It’s not just about choosing your labels and being done,” she said.
  • Be patient.
  • Quarterlifers may feel pressure to race through each step of their lives, Ms. Byock said, craving the sense of achievement that comes with completing a task.
  • But learning to listen to oneself is a lifelong process.
  • Instead of searching for quick fixes, she said, young adults should think about longer-term goals: starting therapy that stretches beyond a handful of sessions, building healthy nutrition and exercise habits, working toward self-reliance.
  • “I know that seems sort of absurdly large and huge in scope,” she said. “But it’s allowing ourselves to meander and move through life, versus just ‘Check the boxes and get it right.’”
  • take stock of your day-to-day life and notice where things are missing. She groups quarterlifers into two categories: “stability types” and “meaning types.”
  • That paralysis is often exacerbated by mounting climate anxiety and the slog of a multiyear pandemic that has left many young people mourning family and friends, or smaller losses like a conventional college experience or the traditions of starting a first job.
  • “But there’s a sense of emptiness and a sense of faking it,” she said. “They think this couldn’t possibly be all that life is about.”
  • On the other end of the spectrum, there are “meaning types” who are typically artists; they have intense creative passions but have a hard time dealing with day-to-day tasks
  • “These are folks for whom doing what society expects of you is so overwhelming and so discordant with their own sense of self that they seem to constantly be floundering,” she said. “They can’t quite figure it out.”
  • “Stability types” are seen by others as solid and stable. They prioritize a sense of security, succeed in their careers and may pursue building a family.
  • Stability types need to think about how to give their lives a sense of passion and purpose. And meaning types need to find security, perhaps by starting with a consistent routine that can both anchor and unlock creativity.
  • perhaps the prototypical inspiration for staying calm in chaos: Yoda. The Jedi master is “one of the few images we have of what feeling quiet amid extreme pain and apocalypse can look like,
  • Even when there seems to be little stability externally, she said, quarterlifers can try to create their own steadiness.
  • establishing habits that help you ground yourself as a young adult is critical because transitional periods make us more susceptible to burnout
  • He suggests building a practical tool kit of self-care practices, like regularly taking stock of what you’re grateful for, taking controlled breaths and maintaining healthy nutrition and exercise routines. “These are techniques that can help you find clarity,”
  • Don’t be afraid to make a big change.
  • It’s important to identify what aspects of your life you have the power to alter, Dr. Brown said. “You can’t change an annoying boss,” he said, “but you might be able to plan a career change.”
  • That’s easier said than done, he acknowledged, and young adults should weigh the risks of continuing to live in their status quo — staying in their hometown, or lingering in a career that doesn’t excite them — with the potential benefits of trying something new.
  • quarterlife is typically “the freest stage of the whole life span,
  • Young adults may have an easier time moving to a new city or starting a new job than their older counterparts would.
  • Know when to call your parents — and when to call on yourself.
  • Quarterlife is about the journey from dependence to independence, Ms. Byock said — learning to rely on ourselves, after, for some, growing up in a culture of helicopter parenting and hands-on family dynamics.
  • there are ways your relationship with your parents can evolve, helping you carve out more independence
  • That can involve talking about family history and past memories or asking questions about your parents’ upbringing
  • “You’re transitioning the relationship from one of hierarchy to one of friendship,” she said. “It isn’t just about moving away or getting physical distance.”
  • Every quarterlifer typically has a moment when they know they need to step away from their parents and to face obstacles on their own
  • That doesn’t mean you can’t, or shouldn’t, still depend on your parents in moments of crisis, she said. “I don’t think it’s just about never needing one’s parents again,” she said. “But it’s about doing the subtle work within oneself to know: This is a time I need to stand on my own.”
Javier E

Mediterranean Diet Can Cut Heart Disease, Study Finds - NYTimes.com - 0 views

  • About 30 percent of heart attacks, strokes and deaths from heart disease can be prevented in people at high risk if they switch to a Mediterranean diet rich in olive oil, nuts, beans, fish, fruits and vegetables, and even drink wine with meals, a large and rigorous new study has found.
  • The magnitude of the diet’s benefits startled experts. The study ended early, after almost five years, because the results were so clear it was considered unethical to continue.
  • The diet helped those following it even though they did not lose weight
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  • they used very meaningful endpoints. They did not look at risk factors like cholesterol or hypertension or weight. They looked at heart attacks and strokes and death. At the end of the day, that is what really matters.”
  • it did so using the most rigorous methods. Scientists randomly assigned 7,447 people in Spain who were overweight, were smokers, or had diabetes or other risk factors for heart disease to follow the Mediterranean diet or a low-fat one.
  • “Now along comes this group and does a gigantic study in Spain that says you can eat a nicely balanced diet with fruits and vegetables and olive oil and lower heart disease by 30 percent,” he said. “And you can actually enjoy life.”
  • One group assigned to a Mediterranean diet was given extra-virgin olive oil each week and was instructed to use at least 4 four tablespoons a day. The other group got a combination of walnuts, almonds and hazelnuts and was instructed to eat about an ounce of the mix each day. An ounce of walnuts, for example, is about a quarter cup — a generous handful. The mainstays of the diet consisted of at least three servings a day of fruits and at least two servings of vegetables. Participants were to eat fish at least three times a week and legumes, which include beans, peas and lentils, at least three times a week. They were to eat white meat instead of red, and, for those accustomed to drinking, to have at least seven glasses of wine a week with meals.
  • They were encouraged to avoid commercially made cookies, cakes and pastries and to limit their consumption of dairy products and processed meats.
  • The participants stayed with the Mediterranean diet, the investigators reported. But those assigned to a low-fat diet did not lower their fat intake very much. So the study wound up comparing the usual modern diet, with its regular consumption of red meat, sodas and commercial baked goods, with a diet that shunned all that.
proudsa

Is Red Dye 40 Toxic? - 0 views

lenaurick

Mediterranean diet may slow aging of the brain - CNN.com - 0 views

  • As we age, our brains naturally shrink and our risk of having a stroke, dementia or Alzheimer's rise, and almost everyone experiences some kind of memory loss
  • Scientists know that people who exercise regularly, eat a healthy diet, avoid smoking and keep mentally stimulated generally have healthier brains
  • Researchers figured this out by looking at the brains of 674 people with an average age of 80. They asked these elderly people to fill out food surveys about what they ate in the last year and researchers scanned their brains. The group that ate a Mediterranean diet had heavier brains with more gray and white matter.
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  • In this study, a higher consumption of fish seemed to make a big difference in keeping your brain young.
  • People who ate a diet close to the MIND diet saw a 53% lower risk of developing Alzheimer's.
  • Even people who ate the MIND diet "most" (as opposed to "all") of the time saw a 35% reduced chance of developing the disease.
  • It has also been shown as a key to helping you live longer. It helps you manage your weight better and can lower your risk for cancer, and cardiovascular diseases.
oliviaodon

Maturation of the adolescent brain - 1 views

  • The adolescent population is highly vulnerable to driving under the influence of alcohol and social maladjustments due to an immature limbic system and prefrontal cortex.
  • Synaptic plasticity and the release of neurotransmitters may also be influenced by environmental neurotoxins and drugs of abuse including cigarettes, caffeine, and alcohol during adolescence.
  • Brain maturation during adolescence (ages 10–24 years) could be governed by several factors, as illustrated in Figure 1. It may be influenced by heredity and environment, prenatal and postnatal insult, nutritional status, sleep patterns, pharmacotherapy, and surgical interventions during early childhood.
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  • During adolescence, the neurocircuitry strengthens and allows for multitasking, enhanced ability to solve problems, and the capability to process complex information. Furthermore, adolescent brain plasticity provides an opportunity to develop talents and lifelong interests; however, neurotoxic insult, trauma, chronic stress, drug abuse, and sedentary lifestyles may have a negative impact during this sensitive period of brain maturation
  •  
    This is a very interesting, but technical, article on the maturation of the adolescent brain and external and internal factors affecting it. 
Javier E

Naturally Nonsense « The Dish - 1 views

  • it’s time to kill this mistaken idea once and for all. Basically everything in modern agriculture is unnatural. “The cereal crops we eat bear little resemblance to their naturally selected ancestors, and the environments in which we grow them are equally highly manipulated and engineered by us,” she writes. “We have, over the last 10,000 years, bred out of our main food plants all kinds of survival strategies that natural selection put in.”
  • “Agriculture is the invention of humans,” she adds. “It is the deliberate manipulation of plants (and animals) and the environment in which they grow to provide food for us. The imperative is not that we should stop interfering with nature, but that we should interfere in the best way possible to provide a reliable, sustainable, equitable supply of nutritious food.”
Javier E

Americans Are Finally Eating Less - The New York Times - 0 views

  • Outside of beverages, there are few clear trends. Experts who have examined the data say the reductions do not mean that Americans are flocking to farmer’s markets and abandoning fast food. Consumption of fruits and vegetables remains low; consumption of desserts remains high. Instead, people appear to be eating a little less of everything. Although consumption in nearly every category has been “cut some,” said Mr. Popkin, “the food part of our diet is horrendous and remains horrendous.”
  • The calorie reductions are seen across nearly every demographic group, but not equally. White families have reduced their calorie consumption more than black and Hispanic families. Most starkly, families with children have cut back more than households with adults living alone, further evidence, experts say, that the public health emphasis on childhood obesity is driving the changes.
  • Perhaps the biggest caveat to the trend is that it does not appear to extend to the very heaviest Americans. Among the most overweight people, weight and waist circumference have all continued rising in recent years.
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  • The recent calorie reductions appear to be good news, but they, alone, will not be enough to reverse the obesity epidemic. A paper by Kevin Hall, a researcher at the National Institutes of Health, estimated that for Americans to return to the body weights of 1978 by 2020, an average adult would need to reduce calorie consumption by 220 calories a day. The recent reductions represent just a fraction of that change.
Javier E

The Economist explains: How teenage brains are different | The Economist - 0 views

  • is there such a thing as a “teenage brain”, and does it help to explain the high rates of recklessness among teenagers?
  • the brain blooms with neural connections until a child reaches the age of 11 or 12, and then it selectively prunes away the underused ones, or “grey matter”, throughout adolescence. As the brain grows more streamlined, it becomes better at processing information.
  • The remaining connections are then made more efficient by a process called myelination, which essentially insulates neuronal axons with a sheath of fatty cell material, or “white matter”. The process of replacing grey matter with white matter does not reach the prefrontal cortex until people are in their early 20s. Studies show a relationship between increased myelination and an improved ability to make decisions and control impulses.
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  • But although it is always tempting to use hard science to explain otherwise perplexing behaviour, neuroimaging research is still in its infancy
  • There is much about the brain that no one understands yet, and there is rarely a clear relationship between a particular brain region and a discrete function, so any links between brain structure and behaviour remain speculative. Indeed, while researchers often take care to show that the relationship between how a brain looks and how someone behaves is correlative, often this link is misinterpreted as a sign of causation
  • Scientists also point out that brain science cannot be understood in a vacuum. All behaviour is a function of many influences, including parenting, socioeconomic status, nutrition, culture and so on
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