Should I stop being vegetarian to reduce my risk of diabetes?

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Q. I am a healthy, normal weight woman in my early 20s. I am also a vegetarian. Because there is a strong family history of type 2 diabetes (both parents and all four grandparents), my doctor suggested I adopt a relatively low-carb diet to reduce the risk of getting the disease myself.  But does going low-carb require me to give up my vegetarian lifestyle? Can a plant-based diet also reduce my risk, even if it’s high in complex carbs like whole grains and beans?

A.The good news is that being a vegetarian does substantially reduce the risk of getting Type 2 diabetes, despite the fact that vegetarians diets tend to be higher in carbohydrates than omnivorous diets.  Much of this risk reduction has to do with the fact that vegetarians are less likely to be overweight.

However, does this still hold true when diabetes runs in the family? Keep in mind that genes aren’t the only things that are passed down from generation to generation.  We also tend to inherit lifestyle habits and eating patterns. Continue reading “Should I stop being vegetarian to reduce my risk of diabetes?” >

Fish Oil to Reduce Cholesterol?

Q. I’ve listened to your podcast on fish oil and omega-3s and shared it with some people I know who take fish oil. But today my physician told me that my “bad” cholesterol is borderline and that a way to get it down without statins would be to take fish oil twice a day. I’m wondering what you think about that.

A.   In the podcast you’re referring to, I was talking mostly about prophylactic or preventive use of fish oil supplements.  Here’s the point I was trying to make:  Taking fish oil supplements, which are high in omega-3s,  is one way to balance out  diet that’s too high in omega-6 fats. But another way to improve that balance is to reduce your intake of omega-6.   Reducing omega-6 intake (which come mostly from vegetable oils and processed foods) can reduce the need to take fish oil supplements.

Continue reading “Fish Oil to Reduce Cholesterol?” >

Living Well to 100

What would it take to live to 100—in good health? An international consortium of researchers recently gathered at Tufts University in Boston to debate the answer. This meeting brought together heavy-hitters from every corner of medical research—cardiovascular medicine, endocrinology, nutrition, obesity management, experimental genetics, sleep research, and more.

After two days of research presentations on every aspect of the aging process, the panelists were asked to consider:

What are the top five things we should do if we want to live well to 100?

You might be surprised at the answers. It’s not about expensive medical interventions, drugs, or futuristic technology. According to the best available research, it all comes down to a few simple habits—things we all can do.

Continue reading “Living Well to 100” >

Are you a TOFI?

And, no, this article has nothing to do with soybean curd! I’m referring to some new research that is really going to change how we look at health, weight, and body size.

By now, I’m sure you’re familiar with the BMI (body mass index). It’s a formula that combines your height and weight to tell you whether you are underweight, overweight, or like Goldilocks, just right. You can calculate your BMI here and then find your category:

BMI Categories:

· Underweight = <18.5
· Normal weight = 18.5-24.9
· Overweight = 25-29.9
· Obesity = BMI of 30 or greater
(Note: The BMI categories may not apply to people with greater than average muscle mass, such as body-builders.)

But now, researchers are saying that a having normal BMI isn’t good enough. Continue reading “Are you a TOFI?” >

Will Taking Vitamins Improve Your Health?

It’s a hotly debated question among health researchers. New studies come out every year but we don’t seem to be getting any closer to a definitive answer. About half the studies show that people who take vitamins are healthier and the other half find that taking vitamins makes no difference…or, in a few cases, actually make things worse. I have to admit that I’ve held, at various times in my career, different views on the question.

(See also this Nutrition Diva podcast episode on Multivitamins.)

We know that the nutrients in food play important roles in keeping us healthy. Calcium helps prevent osteoporosis, folic acid helps prevent neural tube defects, antioxidants repair cellular damage, and so on down an ever expanding list of nutrients and co-factors. It seems like supplementing an (imperfect) diet with additional nutrients is a reasonable way to make sure we’ve got our bases covered.

If we’re talking about a 25¢ one-a-day multivitamin, I guess the vitamin as insurance policy makes sense. But it’s gotten way more complicated than that. For one thing, the list of “basic” nutrients gets longer and longer. A multivitamin used to involve 15 or so nutrients (A, B, C, D, E, and a few minerals.) Now, a typical multi boasts several dozen compounds, from astaxanthan to vanadium. But it’s still not truly complete. Next to it on the shelf you’ll find the anti-oxidant booster, the bone health formula, the immune booster, plus the the formulas for your eyes, skin, nails, hair, memory, joints, and prostate. Before you know it, you’re forking out a couple hundred bucks and month and swallowing a fistful of vitamins every day. But are you getting your money’s worth?

Continue reading “Will Taking Vitamins Improve Your Health?” >