The Lyon Diet-Heart Study: Implications

There's something ironic about the Mediterranean diet used in the Lyon diet heart study, the one that dramatically reduced participants' risk of heart attack and all-cause mortality relative to the prudent diet control group: it wasn't actually a Mediterranean diet.

The concept of the Mediterranean diet as protective against heart disease may have originated in Dr. Ancel Keys' Seven Countries study, in which he compared the food habits and cardiovascular mortality statistics both between and within seven European countries. Countries surrounding the Mediterranean, and in particular the Greek island of Crete, had the lowest cardiovascular death rates. The Cretan diet is high in monounsaturated fat, relatively low in saturated fat, low in omega-6, and high in omega-3 fatty acids, including fat from seafood and the plant omega-3 alpha-linolenic acid. It also includes abundant green vegetables. This became the inspiration for the modern American concept of the "Mediterranean diet". The part about low omega-6 tends to be omitted.

Of course, if you look at modern heart attack mortality statistics by country, France is the lowest in Europe. France is a Mediterranean country, yet happens to have a very high intake of saturated fat per capita. So the cardiologist-approved version of the Mediterranean diet isn't exactly accurate.

The Lyon study departs even further from the traditional Mediterranean diet. Neither the Cretan nor the French diet are low in fat, yet participants were encouraged to reduce their fat intake. The Cretan diet includes some animal fat and eggs, while Lyon participants were encouraged to avoid these. And finally, the margarine. You could be guillotined for using margarine instead of butter in France, and I'm sure the Cretans aren't too fond of it either. Yet the margarine used in the Lyon study was rich in omega-3 alpha-linolenic acid, a critical factor.

Previous intervention trials such as MRFIT, the Women's Health Initiative (WHI) dietary modification trial, and others, exhaustively tested the hypothesis that reducing total fat intake reduces cardiovascular mortality. It doesn't. A dozen trials have also tested the idea that reducing saturated fat reduces cardiovascular mortality. It doesn't. Increasing fiber doesn't, according to the DART trial. Increasing fruit and vegetables modestly doesn't, according to WHI.

So what's left that's unique about the Lyon trial? It was the only trial to dramatically reduce omega-6 consumption, to below 4% of calories, while increasing omega-3 consumption from plant and seafood sources. In my opinion, that combination is the only plausible explanation for the large reduction in heart attacks and total mortality. That combination also happens to be a consistent feature of the real Mediterranean diet. In both Crete and France, omega-6 intake is relatively low, and omega-3 intake is relatively high. They also eat more real food than processed food in general, a factor that I don't underestimate.

Where do we go from here? Obviously I'm not going to recommend eating omega-3 enriched margarine. Mediterranean countries don't need industrial goop to avoid a heart attack, and neither do you. Anyone who's been to France knows they don't deprive themselves over there. They eat real food and they enjoy it.

The way to preserve the essential elements of the Mediterranean diet without becoming an ascetic is to eat fats that are low in omega-6, and find a modest source of omega-3. That means eating full-fat dairy if you tolerate it, fatty meat if you enjoy it, organs, seafood, olive oil in moderation, coconut oil, butter, lard, and tallow. Along with a diet that is dominated by real, homemade food rather than processed food. Some people may also wish to supplement with small doses of high-vitamin cod liver oil, fish oil or flax. I consider the latter to be inferior to animal sources of omega-3, but it can be useful for vegetarians.

Weight Loss - A Few Success Tips

Young woman eating a melon

By Marilyn Roberts

Not every diet or exercise plan will suit everyone. So you
need to find the one that works for you. You will likely
have to try different diets and programs before you find the
one that pays off for you.

The downfall for a lot of dieters is when their high weight
loss expectations are not met and they give up. Choose a
realistic goal and separate it into easily reachable
increments. As an example: if you want to lose 20 pounds,
then set up a schedule of losing one pound a week for 5
months. This isn't fast weight loss but a pound a week is
pretty easy to do so you have less chance of being
disappointed and giving up.

Some people like to exercise when they are dieting and this
certainly helps. Even if you do not like to exercise, you
could at least try walking.

If you don't want to go outside you can buy walking tapes
where you just walk in place in front of your TV screen.
Even 15 minutes of walking every day can make a significant
difference in your weight loss efforts.

If you know that you are going to be eating out on a certain
date and you know you will not be sticking to your diet,
plan for it. One easy way to do this is to have an all fruit
day on the day before you eat out or on the day after you
eat out.

Give yourself permission to eat as much fruit as you want,
but don't eat anything else. If it is going to really be a
diet buster meal, you could eat only fruit the day before
and the day after your meal out. This way you won't feel
guilty while you are enjoying your meal out. If you plan it
right you can have your cake and eat it too!

Reward yourself when you have reached a certain goal, such
as your pound a week, but don't go overboard. Just pick
something to eat that normally you cannot have while on a
diet. This will help you keep going. If you give up
everything you like, chances are you will not stay on your
diet. If you can look forward to that little treat, such as
your favorite candy bar, your dieting will be much more
tolerable and easier to maintain.

These were just a few tips to help you stay on your diet and
have weight loss success. You need to individualize your
dieting methods as only you know what is tolerable for you
and what you will actually stick to.


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Why Protein Is Crucial For a Healthy Body

Mixed nuts

When learning about healthy eating, one of the most important nutrients is protein. Of course, all nutrients are crucial for our bodies to be as healthy as possible, but without protein in our diets every single day, our bodies will not be as strong as they should be. Protein can be found in a number of food sources, so if you’re interested in eating a healthier diet, you should consider learning more about protein.

We need to eat foods rich in protein every day because, unlike some other nutrients, it cannot be stored in the body. That means that if you eat more protein than necessary, your body will simply cause it to pass through your system. Therefore, you really can’t eat too much protein! However, because protein cannot be stored in the body problems may arise surrounding this nutrient as well. If you don’t get enough protein on any given day, your body has no back-up plan for producing protein on its own or using reserved protein from previous days. Therefore, protein is very important to consider when you are planning your meals.

Essentially, protein builds muscles, which is why you will see bodybuilders especially concerned with protein. When you lift weights to work out, you body makes tiny tears in the muscles. Proteins are then used to repair these healthy tears in the body, building the muscle slightly bigger with every workout. Even if you do not work out, your body’s muscle deteriorates, as you body needs the energy. Muscle provides energy, just like fat. Having protein in the body helps you to rebuild any muscle lost.

Protein also helps a person’s body in other ways, mainly with the maintenance of hormones. Hormones in the body do a number of things, such as regulate organ function, account for stimulation, create metabolism, and affect mood. Proteins are used in the making of some of these different hormones, so if you go more than a day or two without eating foods rich in proteins, your entire body will suffer.

How can you make sure that you re getting enough proteins? Simply put, look for foods with protein as a key component on the label. Some great foods to consider include chicken, beef, eggs, and fish, although vegetarians can also get proteins in their diets by eating nuts, beans, soy products, and a variety of other foods. You should have some of these foods in your diet every single day to ensure that you are providing your body with the proteins it needs to stay healthy.


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