The evidence's certainty was assessed as ranging from low to moderate. Consuming more legumes was linked to a reduced risk of death from all causes and stroke, yet no connection was found for cardiovascular disease, coronary heart disease, or cancer mortality. The results from this study support the dietary advice promoting higher consumption of legumes.
Although a considerable amount of data exists on the correlation between diet and cardiovascular mortality, research on long-term food group intake, with the potential for cumulative effects on long-term cardiovascular health, is comparatively scant. The review, accordingly, investigated the correlation between chronic consumption of 10 food categories and cardiovascular-related fatalities. We methodically reviewed Medline, Embase, Scopus, CINAHL, and Web of Science, collecting data until the end of January 2022. 22 studies, encompassing a total of 70,273 participants who had cardiovascular mortality, were selected from a pool of 5318 initial studies. Through a random effects model, summary hazard ratios and their 95% confidence intervals were estimated. Our analysis revealed a substantial reduction in cardiovascular mortality associated with prolonged high intake of whole grains (HR 0.87; 95% CI 0.80-0.95; P = 0.0001), fruits and vegetables (HR 0.72; 95% CI 0.61-0.85; P < 0.00001), and nuts (HR 0.73; 95% CI 0.66-0.81; P < 0.000001). A 10-gram increment in daily whole-grain consumption was found to be associated with a 4% reduction in cardiovascular mortality risk, whereas a similar 10-gram increase in daily red/processed meat consumption was linked to an 18% rise in the risk of cardiovascular mortality. direct tissue blot immunoassay Higher consumption of red and processed meats was significantly correlated with a greater risk of cardiovascular mortality, compared to the lowest intake group (Hazard Ratio 1.23; 95% Confidence Interval 1.09 to 1.39; P = 0.0006). No relationship was found between high dairy product intake and cardiovascular mortality (HR 111; 95% CI 092, 134; P = 028), nor between legume consumption and this outcome (HR 086; 95% CI 053, 138; P = 053). From the dose-response analysis, there was a 0.5% reduction in cardiovascular mortality observed for each 10-gram increase in legume consumption per week. High and consistent consumption of whole grains, vegetables, fruits, and nuts, while simultaneously having a low intake of red/processed meat, appears linked to a lower occurrence of cardiovascular mortality, according to our conclusions. Further research into the long-term cardiovascular mortality implications of legume consumption is warranted. specialized lipid mediators CRD42020214679 designates this study in the PROSPERO registry.
The popularity of plant-based diets has soared in recent years, with research highlighting their potential to prevent chronic conditions. However, the types of PBDs are differentiated depending on the diet consumed. PBDs containing substantial amounts of vitamins, minerals, antioxidants, and fiber are often perceived as healthful; however, those rich in simple sugars and saturated fat are conversely considered unhealthful. The type of PBD, as determined by its classification, has a substantial effect on its protective properties against disease. High plasma triglycerides, low HDL cholesterol, impaired glucose metabolism, elevated blood pressure, and increased inflammatory markers are hallmarks of metabolic syndrome (MetS), a condition that also significantly elevates the risk of heart disease and diabetes. Thusly, diets focused on plants could be considered as a favorable option for those with Metabolic Syndrome. The discussion surrounds distinct plant-based diets (vegan, lacto-vegetarian, lacto-ovo-vegetarian, and pescatarian), focusing on the specific influence of dietary components on maintaining a healthy weight, preventing dyslipidemias, managing insulin resistance, controlling hypertension, and minimizing chronic low-grade inflammation.
Globally, a major source of grain-derived carbohydrates is bread. A diet rich in refined grains, lacking in dietary fiber and with a high glycemic index, has been linked to an increased likelihood of developing type 2 diabetes mellitus (T2DM) and other chronic conditions. Henceforth, alterations to the ingredients in the production of bread may influence the health status of the people. The impact of habitual intake of reformulated breads on glycemic management was investigated systematically in healthy adults, individuals at risk for cardiometabolic disorders, and adults with clinically evident type 2 diabetes. The literature search encompassed MEDLINE, Embase, Web of Science, and the Cochrane Central Register of Controlled Trials. A two-week bread intervention study was undertaken with adults categorized as healthy, those at risk of cardiometabolic conditions, and those already with type 2 diabetes. The studies reported on a range of glycemic parameters including fasting blood glucose, fasting insulin, HOMA-IR, HbA1c, and postprandial glucose responses. A random-effects model, employing generic inverse variance, combined the data and the results were presented as mean difference (MD) or standardized mean difference (SMD) between treatments with 95% confidence intervals. Twenty-two studies, encompassing 1037 participants, met the criteria for inclusion. In comparison to standard or control breads, the consumption of reformulated intervention breads resulted in lower fasting blood glucose levels (MD -0.21 mmol/L; 95% CI -0.38, -0.03; I2 = 88%, moderate evidence certainty), although no variations were observed in fasting insulin (MD -1.59 pmol/L; 95% CI -5.78, 2.59; I2 = 38%, moderate evidence certainty), HOMA-IR (MD -0.09; 95% CI -0.35, 0.23; I2 = 60%, moderate evidence certainty), HbA1c (MD -0.14; 95% CI -0.39, 0.10; I2 = 56%, very low evidence certainty), or the postprandial glucose response (SMD -0.46; 95% CI -1.28, 0.36; I2 = 74%, low evidence certainty). Subgroup analyses identified a positive effect on fasting blood glucose, but this effect was restricted to participants with T2DM, a finding with limited confidence. Analysis of our data indicates a beneficial impact of reformulated breads, featuring a high content of dietary fiber, whole grains, and/or functional ingredients, on fasting blood glucose levels in adults, notably in those with type 2 diabetes. CRD42020205458 is the registration code for this trial in the PROSPERO database.
Sourdough fermentation, a synergistic process of lactic bacteria and yeast communities, is receiving increasing public attention for its potential nutritional advantages; yet, the scientific validity of these purported properties remains unclear. The study systematically reviewed clinical evidence to determine the impact of sourdough bread on health. Utilizing both The Lens and PubMed databases for bibliographic searches, the investigation concluded in February 2022. Adults, healthy or unhealthy, who were enrolled in randomized controlled trials to evaluate the effects of sourdough versus yeast bread consumption were the subjects of eligible studies. Following a thorough review of 573 articles, 25 clinical trials were identified and selected based on the inclusion criteria. DC661 inhibitor A total of 542 individuals were constituents of the 25 clinical trials. The retrieved studies examined glucose response (N = 15), appetite (N = 3), gastrointestinal markers (N = 5), and cardiovascular markers (N = 2), encompassing several significant outcomes. Assessing the health advantages of sourdough bread against conventional bread types remains elusive due to the multifaceted interplay of factors, including the specific microbial community present in sourdough, its fermentation processes, and the selection of grains and flours, which can all contribute to the bread's nutritional composition. Nevertheless, research employing specific yeast strains and fermentation processes revealed marked improvements in indices associated with glucose management, satiety, and gastrointestinal well-being after bread intake. Data review indicates the promising potential of sourdough for creating diverse functional foods; however, its intricate and ever-changing microbial ecosystem requires further standardization in order to confirm its clinical health advantages.
Young children in Hispanic/Latinx households within the United States have experienced a disproportionate level of food insecurity. While the existing literature showcases a connection between food insecurity and negative health effects in young children, surprisingly little research has examined the social factors and contributing risks of food insecurity within Hispanic/Latinx households raising children under three, a group particularly susceptible to these issues. This narrative review, employing the Socio-Ecological Model (SEM) framework, examined the determinants of food insecurity specifically within Hispanic/Latinx households having children under the age of three. The literature search was conducted with the help of PubMed and four additional search engines. Inclusion criteria encompassed articles published in English between November 1996 and May 2022, focusing on food insecurity within Hispanic/Latinx households with dependent children under the age of three. Papers were excluded from the pool of available research if their setting was not in the U.S. or if they focused on refugees and temporary migrant workers. From the 27 conclusive articles, data regarding objectives, contextual settings, sampled populations, study designs, food insecurity indicators, and findings were extracted. Each article's evidence was also scrutinized for its strength. The food security status of this population is influenced by individual characteristics (such as intergenerational poverty, education, acculturation, language, etc.), interpersonal dynamics (such as family structure, social support, cultural norms), organizational structures (such as interagency collaboration, organizational rules), community environments (such as food access, stigma, etc.), and public policies (such as nutritional aid programs, benefit restrictions, etc.). A significant portion of the articles were evaluated as medium or above in terms of evidence strength, with a preponderance of focus on factors at the individual or policy level.