A Clinician’s Guide for Trending Cardiovascular Nutrition Controversies

Freeman, Andrew M.; Morris, Pamela B.; Aspry, Karen; Gordon, Neil F.; Barnard, Neal D.; Esselstyn, Caldwell B.; Ros, Emilio; Devries, Stephen; O’Keefe, James H.; Miller, Michael; Ornish, Dean; Williams, Kim A.; Batts, Travis; Ostfeld, Robert J.; Litwin, Sheldon E.; Aggarwal, Monica; Werner, A; Allen, Kathleen; White, Beth; Kris-Etherton, Penny M.

doi:10.1016/j.jacc.2018.05.030

Cited by 85 publications

(22 citation statements)

References 133 publications

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“…Nuts have an increased interest in research for its association to healthy outcomes [51]. Nuts are mainly composed of polyunsaturated fatty acids (PUFA) in addition to complex carbohydrate and fiber, tocopherols, minerals, phytosterols, and polyphenols [52]. Its consumption, in moderate quantity, is considered a part of the Mediterranean Diet pattern and recommended to an all-world population [51].…”

Section: Discussionmentioning

confidence: 99%

“…Further, the PREDIMED trial study showed the beneficial effects of nut intake, as well as olive oil, on the occurrence of chronic diseases including cardiovascular disease and type 2 diabetes [54]. In other trials including patients affected by type-2 diabetes, a higher nut intake was associated with an improved blood glucose control [52]. Even if there is coherence with literature, a limitation of these evidences is collected from capillary levels of cholesterol, triglycerides, and glucose and children not properly fasting.…”

Section: Discussionmentioning

confidence: 99%

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Relation between Dietary Habits, Physical Activity, and Anthropometric and Vascular Parameters in Children Attending the Primary School in the Verona South District

et al. 2019

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The aim of this school-based study was to identify the possible association between diet and physical activity, as well as the anthropometric, vascular, and gluco-lipid parameters. We administered two validated questionnaires for diet and physical activity (Food Frequency questionnaire (FFQ), Children-Physical Activity Questionnaire (PAQ-C)) to children at four primary schools in Verona South (Verona, Italy). Specific food intake, dietary pattern, and physical activity level expressed in Metabolic Equivalent of Task (MET) and PAQ-C score were inserted in multivariate linear regression models to assess the association with anthropometric, hemodynamic, and gluco-lipid measures. Out of 309 children included in the study, 300 (age: 8.6 ± 0.7 years, male: 50%; Obese (OB): 13.6%; High blood pressure (HBP): 21.6%) compiled to the FFQ. From this, two dietary patterns were identified: “healthy” and “unhealthy”. Direct associations were found between (i) “fast food” intake, Pulse Wave Velocity (PWV), and (ii) animal-derived fat and capillary cholesterol, while inverse associations were found between vegetable, fruit, and nut intake and capillary glucose. The high prevalence of OB and HBP and the significant correlations between some categories of food and metabolic and vascular parameters suggest the importance of life-style modification politics at an early age to prevent the onset of overt cardiovascular risk factors in childhood.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Relation between Dietary Habits, Physical Activity, and Anthropometric and Vascular Parameters in Children Attending the Primary School in the Verona South District

et al. 2019

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“…Key active compounds are caffeine, chlorogenic acids, diterpenes, cafestol, and kahweol [7,30]. Coffee is rich in vitamin B3 and magnesium [6], and brewed coffee maintains the potassium concentration of the original seeds [31]. Caffeine is the most studied coffee component.…”

Section: Literature Reviewmentioning

confidence: 99%

Consumers’ Perceptions of Coffee Health Benefits and Motives for Coffee Consumption and Purchasing

2019

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Coffee is popular worldwide and consumption is increasing, particularly in non-traditional markets. There is evidence that coffee consumption may have beneficial health effects. Consumers’ beliefs in the health benefits of coffee are unclear. The study aimed at analyzing consumers’ perceptions of coffee health benefits, consumption and purchasing motives of coffee consumers with positive perceptions of coffee health benefits, and willingness to pay for coffee with associated health claims. Data were collected through a face-to-face survey with consumers, resulting in a convenience sample of 250 questionnaires valid for data elaboration. Results were elaborated with factor analysis and logistic regression analysis. Findings revealed that a relevant minority of consumers believed that coffee could have positive health effects. The consumer with a positive perception of coffee health benefits is mostly male, young, works, is familiar with non-espresso-based coffee, consumes a limited amount of coffee (generally not for breakfast and often in social settings), and buys coffee at retail outlets. Consumers drink coffee for its energetic and therapeutic effects. Coffee consumption is still price-driven, but consumers are interested in purchasing coffee with associated health claims. There is the opportunity to improve the perception of coffee health benefits in consumers’ minds.

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“…A variety of whole foods were offered during each class to provide examples of foods that promote health. The science of nutrition strongly supports diets rich in fruits, vegetables, legumes, whole grains, nuts in moderation, and limited quantities of lean meats, fish, low fat/nonfat dairy, salt, and oils to lower CVD risk factors (Freeman et al, 2017;Freeman et al, 2018). Proponents of lifestyle medicine argue a whole foods, plant-based diet is the healthiest option for lowering biomarkers such as BMI and BP (Kahleova et al, 2017;Kahleova et al, 2018), managing CVD (Doughty et al, 2017), maximizing chronic disease prevention (Bodai et al, 2018;Evans et al, 2017), and in some cases reversing coronary artery disease (Esselstyn et al, 2014).…”

Section: Discussionmentioning

confidence: 99%

Nurse-Led Intervention Promoting Healthy Lifestyle Behaviors in a Yazidi Community

2020

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Introduction: Immigrating to a new country poses many challenges, including managing daily health care in a new environment. Yazidis experiencing long-standing ethnoreligious persecution in Northern Iraq, fled their homeland seeking safety and refuge in the United States, where approximately 10,000 Yazidi immigrants reside. Method: The researchers collaborated with Yazidi community members to design the healthy lifestyle intervention and ensure cultural sensitivity. Six weekly classes addressed healthy lifestyle behaviors. Data were collected on health promoting activities, biomarkers, and participants’ experiences with the intervention. Results: Participants reported doing slightly more health promoting activities postintervention. Age-related health promoting activities were significantly different at baseline, χ2(2) = 6.093, p = .048, but not postintervention, χ2(2) = 0.212, p = .899. Median loss in biomarkers trended toward clinically significant findings. Participants recommended more strategies to manage stress. Discussion: The pilot study provided an empowering example of nurses collaborating with community members to design a culturally sensitive intervention.

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A Clinician’s Guide for Trending Cardiovascular Nutrition Controversies

Cited by 85 publications

References 133 publications

Relation between Dietary Habits, Physical Activity, and Anthropometric and Vascular Parameters in Children Attending the Primary School in the Verona South District

Relation between Dietary Habits, Physical Activity, and Anthropometric and Vascular Parameters in Children Attending the Primary School in the Verona South District

Consumers’ Perceptions of Coffee Health Benefits and Motives for Coffee Consumption and Purchasing

Nurse-Led Intervention Promoting Healthy Lifestyle Behaviors in a Yazidi Community

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