(Eat Like an Asian) A Healthy Asian A Posteriori Dietary Pattern Correlates with A Priori Dietary Patterns and Is Associated with Cardiovascular Disease Risk Factors in a Multi-ethnic Asian Population


We identified a “healthy” dietary pattern, similar across ethnic groups, and characterized by high intakes of whole grains, fruit, dairy, vegetables, and unsaturated cooking oil and low intakes of Western fast foods, sugar-sweetened beverages, poultry, processed meat, and flavored rice. This “healthy” pattern was inversely associated with body mass index (BMI; in kg/m2) (−0.26 per 1 SD of the pattern score; 95% CI: −0.36, −0.16), waist circumference (−0.57 cm; 95% CI: −0.82, −0.32), total cholesterol (−0.070 mmol/L; 95% CI: −0.091, −0.048), LDL cholesterol (−0.054 mmol/L; 95% CI: −0.074, −0.035), and fasting triglycerides (−0.22 mmol/L; 95% CI: −0.04, −0.004) and directly associated with HDL cholesterol (0.013 mmol/L; 95% CI: 0.006, 0.021). Generally, “healthy” pattern associations were at least as strong as a priori pattern associations with cardiovascular disease risk factors.


A healthful dietary pattern that correlated well with a priori patterns and was associated with lower BMI, serum LDL cholesterol, total cholesterol, and fasting triglyceride concentrations was identified across 3 major Asian ethnic groups.

Full abstract here.

Eat like an Asian.


Binge-eating mice reveal obesity clues

For example, when offered chocolate for just one hour per day, the animals will compulsively ‘binge’, consuming as much chocolate in one hour as they would over a whole day if it was continually available. They also showed inflexible behaviours, similar to those seen in addiction, choosing to wait for chocolate while ignoring freely available standard chow. Yet, at the same time, the chocolate did not seem to satiate hunger as well as regular food.

The team found that animals on the high fat or chocolate diet also changed their daily routines. They were more likely to eat during the daytime — mice are usually nocturnal and feed at night — and they ate shorter more frequent ‘snacks’ rather than larger, longer-spaced meals.

We had friends over for dinner on Saturday.  While at the store shopping for provisions I saw some gelato on sale for 99 cents.

$0.99!  The only flavor on sale was chocolate.  I bought some.

The next night I had to have some chocolate gelato.  Because it was there!

The mice have proven what I already know.

Read the source article here.

Higher Fruit and Vegetable Intake Associated With Lower Total and Cause-Specific Mortality in a Nonlinear Dose-Response Manner

Results: Our study documented 28,333 deaths during follow-up. The 3rd quintile of fruit and vegetable intake was associated with the lowest hazard ratio (HR) of total mortality (HR, 0.87, 95% CI, 0.83-0.90, P nonlinear <0.001) compared to the 1st quintile. The nonlinear dose-response relationship plateaued at about 5 servings/day (svg/d), but above that level, higher intake was not associated with additional risk reduction. We found similar nonlinear associations for CVD, cancer and respiratory disease mortality. Compared to fruit and vegetable intake <1.5 svg/d, the intake level ≥5 svg/d was associated with HRs (95% CI) of 0.84 (0.75-0.93), 0.82 (0.72-0.93) and 0.55 (0.44-0.67) for cancer, CVD and respiratory disease mortality, respectively. Among individual fruits and vegetables, the associations of intakes with mortality were heterogeneous. Higher intakes of most fruit and vegetable subgroups were associated with lower total mortality, whereas higher intake of starchy vegetable such as peas and corn was not associated with total mortality.

Read the full abstract here.

Non-linear dose response.  What would The Ultimate Vegan do with this data?

Drink More Water

As pediatricians, we advise our patients to “drink more water” all the time — a recommendation that sounds so simple, yet so often under-recognized. In fact, more than half of American children do not drink enough water and one-fourth do not drink any water on a daily basis. Keeping hydrated is important for nearly every system in the body, from blood circulation and nourishment to temperature regulation and waste removal (after all, the human body is made up of 60 percent water).

Have a glass of water while you read the full article.

Taiwanese Vegetarians and Omnivores: Dietary Composition, Prevalence of Diabetes and IFG


The diabetes epidemic in Asia and particularly in China emerged simultaneously with increased meat consumption and higher proportion of energy intake from animal protein and fat [1]. Compared with Westerners, Asians tend to incur diabetes at a younger age and at a lower body mass index (BMI), possibly due to genetic susceptibility in combination with environmental exposures [2]. Vegetarian diets have been associated with a lower prevalence [3] and incidence [4] of diabetes among Seventh day Adventists. Previous clinical trials have shown vegetarian diets improve glycemic control [5] and insulin sensitivity [6]. Although several small studies reported lower glucose level and better insulin sensitivity in Taiwanese vegetarians than omnivores [7][9], no study thus far has examined whether a vegetarian diet protects against diabetes in Chinese ethnic Asian population, a high risk population that may incur diabetes despite having a normal BMI value [2]. Moreover, Asian diets tend to be lower in meat and higher in plant foods compared with Western diet. It remains unknown whether a diet completely avoiding meat and fish would further extend the protective effect of a plant-based diet. In addition, most studies on Asian vegetarians tend to compare vegetarians from religious groups with omnivores from the general population [7]. Religious and spiritual practices (a main determinant of vegetarian dietary practice in Asia) may be associated with social and emotional support which may confound health outcomes [10], [11].


We found a strong protective association between Taiwanese vegetarian diet and diabetes/IFG, after controlling for various potential confounders and risk factors.

The full study report can be found here.


Type of vegetarian diet, obesity and diabetes in adult Indian population

…vegetarianism in India is associated with unique characteristics. It is usually a lifelong pattern and adherence crosses multiple generations; it generally comprises high consumption of whole grains, legumes, nuts and seeds and dairy with spices and seasonings unique to the Indian diet. Hence, the combination/or the pattern of vegetarian diet may yield different findings than similar studies conducted in the West and it is thus possible to assess dietary associations with chronic diseases which have been difficult in the West due to low frequency. This study uses data from the third National Family Health Survey (NFHS-3, 2005–06), a survey of 109,041 Indian households which collected information on a wide range of dietary, societal, lifestyle, and environmental determinants of morbidity and chronic ailments including diabetes [16]. The NFHS-3 provides a unique opportunity to examine associations between types of vegetarian diet and diabetes and obesity in a large, nationally representative sample.

In this large, nationally representative sample of Indian adults, lacto-, lacto-ovo and semi-vegetarian diets were associated with a lower likelihood of diabetes. These findings may assist in the development of interventions to address the growing burden of overweight/obesity and diabetes in Indian population. However, prospective studies with better measures of dietary intake and clinical measures of diabetes are needed to clarify this relationship.

Interesting study with limitations as noted by the researchers.  Go here for the full study report.