Tuesday, May 27, 2008

American Journal of Clinical Nutrition Highlights - May

  • Nutritional deficiencies are very common in gastric bypass patients despite supplementation with the standard multivitamin preparation. Therefore, careful follow-up is indicated to detect and treat those deficiencies. Bonnie - it is inexcusable that studies and data have not already determined whether injections/sublingual supplements are necessary.

  • Consumption of supplemental doses of turmeric can significantly increase urinary oxalate levels, thereby increasing risk of kidney stone formation in susceptible individuals.

  • High glycemic index, load carbohydrates are associated with postmenopausal breast cancer risk among overweight women and women with large waist circumference.

  • There is no association between dietary fat intake and prostate cancer risk.

  • A positive association exists between dietary acrylamide and renal cell (kidney) cancer risk.

  • A higher intake of flavanoids, dietary components with anticarcinogenic activities, may be associated with lower non-Hodgkins lymphoma risk. Bonnie - Quercetin, citrus bioflavanoids, coffee, tea are great examples. I am also finding that undiagnosed celiac is becoming a major cause of this NHL.

  • Based upon a male runner subject study, the risk of gout is lower in men who are more physically active, maintain ideal body weight, and consume diets enriched in fruit and limited in meat and alcohol.

  • Long-term intake of cereal foods with differing insulin responses may be a factor that modulates the inflammatory status in individuals with metabolic syndrome. For example, rye bread generates a lower insulin response than does wheat bread, even thought the glucose response remains unchanged. Modification of carbohydrate intake by consuming cereal products that elicit a low insulin response can lower inflammation expression, even in the absence of weight loss.

  • Special Insert: Protein Summit 2007
    • Elevated protein intake may represent an effective and practical weight-loss strategy for increased satiety, increase thermogenesis (energy expenditure), and increase fat-free body mass.

    • Optimal protein intake for bone health is likely higher than current recommended intakes, particularly in the elderly. Concerns about protein on acid production are minor. Concern should be on increasing fruit and vegetable consumption to increase alkalinity.

    • High protein, reduced carbohydrate diets have positive effects on individuals exhibiting atherogenic dyslipidemia of metabolic syndrome and glycemic imbalance.

    • The USDA Dietary Guidelines did not address the issue of protein, much less its role in optimal health. It should have received a much higher priority.

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