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FFA Issue 18 July 2003 - NEWS BITES

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Maintaining good hydration with a variety of beverages.

A recently published study which monitored hydration parameters of two groups of healthy, sedentary individuals found that including or excluding plain water as part of daily fluid intake had no impact on hydration status       

Twenty-seven males, during two three-day periods in a 24 hour controlled environment, consumed one of two diets in a randomised, crossover trial. One group drank water and other beverages; and another group drank a variety of beverages, but no water. The levels of physical activity and the environments were the same for all who participated in the study. Body weight and 24-hour urine volumes and twenty-four hour creatinine levels were measured. Pre-and post-trial urine samples and 24-hour urines were assayed for osmolality, specific gravity, chloride, sodium and potassium, and sodium/potassium ratios were calculated. Using these parameters, no differences were found between hydration status of the two groups.    

“All people need to think about drinking enough fluids to stay hydrated, especially during the hot summer months.” says Kristin Reimers, a member of the research group “Choosing the beverages you enjoy can have a positive impact on your hydration status.”

Grandjean A.C. et al,  (2003) Journal of the American College of Nutrition, Vol. 22, No. 2, 165-173  

TV watching is linked with risk of obesity and Type 2 diabetes

A large prospective cohort study of American middle-aged women has found a direct positive association between time spent watching TV and onset of Type 2 diabetes, and obesity.            

The study followed women who were free of diagnosed diabetes, coronary heart disease, cancer and in the case of those tracked for obesity, had a BMI of less than 30. After 6 years the researchers found that for every 2 hours/day increment in TV watching the risk of becoming obese increased by 23%, and risk for onset of Type 2 diabetes increased by 14%. Conversely, 1 hour/day of brisk walking reduced the risk of becoming obese by 24% and the risk of developing Type 2 diabetes was reduced by 34%. Other forms of sedentary behaviour such as prolonged periods of sitting or standing at work and in the home were also significant, although less strong,  predictors for the onset of diabetes and obesity.        

The researchers point out that this analysis of sedentary behaviour and its clinical associations is one of the first large scale studies that has analysed the association between specific sedentary activities and the onset of chronic degenerative disease. The authors cite a 1997 study which found that American women on average watch 34 hours of television per week, and other studies which have found that metabolic rate whilst watching TV is lower than metabolic rate during other forms of sedentary activities such as reading, and sewing. 

The authors suggest that limiting TV viewing time to 10 hours per week, and establishing a 30 minutes of brisk walking per day habit, could reduce risk of developing Type 2 diabetes by 43% and the risk of obesity by 30%.               

The study by Hu et al, was published in the Journal of the American Medical Association 9/4 2003, Vol 289: No. 14, pp1785-1791.    

Heart-healthy diets research results

A recent study published in the Lancet found that heart disease risk amongst Asian populations was significantly reduced by augmenting the traditional Indian diet, with a diet designed to boost linolenic acid intake, with nuts, fruits and vegetables, wholegrains, and vegetable oils rich in alpla-linolenic acid, such as canola and mustard oils. The study involved a randomised trial among 1000 patients with a history of risk factors associated with coronary vascular disease, such as angina, and Type 2 diabetes.         

After two years, those following the intervention diet were found to be consuming twice as much linolenic acid as the control group, who were consuming a more typical Asian diet. The intervention group experienced significantly less cardiac events, including fatal and non-fatal heart attacks and episodes of angina.           

Another study published in April 2003 European Journal of Clinical Nutrition, of 11,000 Italian residents, who had had a heart attack, and were advised to more closely follow Mediterranean-style diet, with increased consumption of fish, fruits, olive oil, plus raw and cooked vegetables, also found significant health benefits. After 6.5 years, there was a linear decrease in mortality from any cause amongst the intervention group. 

The economic consequences of micronutrient deficiencies

A recent study, commissioned by the Micronutrient Initiative of the economic cost of iron deficiencies in ten developing countries, estimated that on average these countries lost 0.6% of gross domestic product (GDP), as a result of iron deficiency amongst the adult working population. A further 3.5% of GDP is lost as a result of iron-deficiency anaemia amongst children, whose learning and physical performance potential is seriously impaired by iron deficiency.             

According to Sue Horton, a University of Toronto economics professor and lead author of the study, ‘The Economics of Iron Deficiency’. “One in three of the world’s population suffers from anaemia so this has tremendous economic consequences...........A loss of 4 per cent of GDP even in poor countries translates into billions of dollars lost.”     

The authors recommend iron fortification as an extremely important and inexpensive dietary intervention.  The World Bank is cited, estimating that the economic and social payoffs of micronutrient intervention are up to 84 times programme costs.               

The study was published in Food Policy, February 2003, Vol. 28, No. 1, pp. 51-75.          

 

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