Green Tea and Coffee Really Do Cut Stroke Risk!
I found the report of this newest survey on National Public Radio’s The Salt:
A Daily Habit Of Green Tea Or Coffee Cuts Stroke Risk
by ALLISON AUBREY
March 15, 2013
Whether it’s green tea that warms you up, or coffee that gives you that morning lift, a new study finds both can help cut the risk of suffering a stroke.
The study, published in the American Heart Association journal Stroke, included 82,369 men and women in Japan.
Researchers found that the more green tea a person drank, the more it reduced the risk of suffering a stroke.
“It’s almost a 20 percent lower risk of stroke in the green tea drinkers” who drank four cups a day, compared with those who rarely drank green tea, explains Dr. Ralph Sacco of the University of Miami. (He’s the past president of the American Heart Association, and we asked him to review the study for us.)
And with coffee, researchers found just one cup per day was also associated with about a 20 percent decreased risk of stroke during a 13-year follow-up period.
“I was still feeling rather surprised” about the findings, Dr. Yoshihiro Kokubo, the study’s lead author, tells The Salt in an email. Kokubo is a researcher at the Department of Preventive Cardiology, National Cerebra and Cardiovascular Center in Osaka, Japan.
Kokubo says that green tea contains compounds known as catechins, which help regulate blood pressure and help improve blood flow. The compounds also seem to promote an anti-inflammatory effect. Kokubo says coffee, which contains caffeine and compounds known as quinides, likely influences our health through different mechanisms.
It’s not just the Japanese who seem to benefit from drinking coffee and green tea. Over the past few years, researchers in the U.S. have documented similar reductions in heart disease risk among Americans.
“The accumulating evidence from a variety of studies is suggesting that green tea and coffee may be protective,” says Sacco.
And, in addition, recent studies have linked a regular coffee habit to a range of benefits — from a reduced risk of Type 2 diabetes to a protective effect against Parkinson’s disease.
It’s interesting to note how much the thinking about caffeine and coffee has changed.
In the 1980s, surveys found that many Americans were trying to avoid it; caffeine was thought to be harmful, even at moderate doses.
One reason? Meir Stampfer of the Harvard School of Public Health says back then, coffee drinkers also tended to be heavy smokers. And in early studies, it was very tough to disentangle the two habits.
“So it made coffee look bad in terms of health outcomes,” says Stampfer.
But as newer studies began to separate out the effects of coffee and tea, a new picture emerged suggesting benefits, not risks.
Researchers say there’s still a lot to learn here — they haven’t nailed down all the mechanisms by which coffee and tea influence our health. Nor have they ruled out that it may be other lifestyle habits among coffee and tea drinkers that’s leading to the reduced risk of disease.
And experts say when it comes to preventing strokes and heart attacks, no food or drink is a magic bullet. It’s our overall patterns of eating and exercise that are important.
“It’s a whole lifestyle approach, and we need to remember that,” says Sacco.
So if you are already in the habit of drinking coffee or green tea, this study is one more bit of evidence that you can go ahead and enjoy it.
Women’s Rights a Threat to Society?
Society changes. Cable television has had a huge influence, travel to other countries changes perceptions, education gives a wider perspective, The genie is out of the bottle; women are equal people. No woman should need someone else’s permission to travel, work, or to use contraception.
Egypt’s Muslim Brotherhood: Women’s Rights Could Destroy Society, Countries Should ‘Reject And Condemn’ UN Declaration
Reuters | Posted: 03/14/2013 5:40 pm EDT
By Michelle Nichols
UNITED NATIONS, March 14 (Reuters) – Egypt’s ruling Muslim Brotherhood warns that a U.N. declaration on women’s rights could destroy society by allowing a woman to travel, work and use contraception without her husband’s approval and letting her control family spending.
The Islamist party of President Mohamed Mursi outlined 10 reasons why Muslim countries should “reject and condemn” the declaration, which the U.N. Commission on the Status of Women is racing to negotiate a consensus deal on by Friday.
The Brotherhood, which was elected to power in June, posted the statement on its website, http://www.ikhwanweb.com, on Thursday.
Egypt has joined Iran, Russia and the Vatican – dubbed an “unholy alliance” by some diplomats – in threatening to derail the women’s rights declaration by objecting to language on sexual, reproductive and gay rights.
The Muslim Brotherhood said the declaration would give “wives full rights to file legal complaints against husbands accusing them of rape or sexual harassment, obliging competent authorities to deal husbands punishments similar to those prescribed for raping or sexually harassing a stranger.”
U.S. Ambassador Susan Rice last week touted at the commission – a global policy-making body created in 1946 for the advancement of women – progress made by the United States in reducing the rate of violence against women by their partners.
“All 50 states in our union now have laws that treat date rape or spousal rape as just as much of a crime as rape by a stranger,” Rice said. “We cannot live in truly free societies, if women and girls are not free to reach their full potential.”
The contrasting views show the gap that needs to be breached in negotiations on the declaration, which this year is focused on urging an end to violence against women and girls. The commission failed to agree a declaration last year on a theme of empowering rural women due to similar disagreements.
WORLD IS WATCHING
Egypt has proposed an amendment, diplomats say, that would allow countries to avoid implementing the declaration if it clashed with national laws, religious or cultural values. But some diplomats say this would undermine the entire declaration.
The Muslim Brotherhood warned the declaration would give girls sexual freedom, legalize abortion, provide teenagers with contraceptives, give equality to women in marriage and require men and women to share duties such as child care and chores.
It said the declaration would allow “equal rights to homosexuals, and provide protection and respect for prostitutes” and “equal rights to adulterous wives and illegitimate sons resulting from adulterous relationships.”
A coalition of Arab human rights groups – from Egypt, Lebanon, the Palestinian Territories, Jordan and Tunisia – called on countries at the Commission on the Status of Women on Thursday to stop using religion, culture, and tradition to justify abuse of women.
“The current positions taken by some Arab governments at this meeting is clearly not representative of civil society views, aspirations or best practices regarding the elimination and prevention of violence against women and girls within our countries,” said the statement issued by the Coalition for Sexual and Bodily Rights in Muslim Societies.
Michelle Bachelet, a former president of Chile and head of U.N. Women, which supports the commission, said the commission was unable to reach a deal a decade ago when it last focused on the theme of women’s rights and ending violence against women.
“Ten years later, we simply cannot allow disagreement or indecision to block progress for the world’s women,” Bachelet told the opening session of the commission last week. “The world is watching … the violence needs to stop.” (Editing by Mohammad Zargham)
Distracted Driving #1 Killer of U.S. Teens
Horrifying article. I would have thought they would be talking about texting, which we can see for ourselves has people, young and old, swerving all over the highway, but no – the culprit is PASSENGERS! The death rate for teens in cars increases with each additional passenger!
The papers are full of heartbreaking obituaries, young people, men and women, who had so much potential, so much life ahead of them, and now they are gone. Heartbroken parents think of the years of joy they will miss.
Fatal Distraction: Teen Drivers And Passengers Are A Deadly Mix
Studies show that one passenger in a teen driver’s car increases fatality risk by 44%, two passengers doubles the risk
Sharon Silke Carty
AOL Auto News
Teen driving safety is one of those problems that is easy to ignore: So often the tragedies are spread out throughout small towns around the country. One lost life here, two lost there. We don’t often piece all those crashes together and realize what’s happening to our children.
Sometimes to get change, you need a tipping point. Maybe this week will be it: Since Sunday, 15 teenagers have died in major car accidents around the U.S. Six died after crashing into a pond in Ohio. Five died when they crashed into a tanker truck in Texas. Four died when they crashed into a creek in Illinois.
And that’s just the crashes that were major and notable enough to make national news. One teen in Colorado died Sunday when the teen driver of a car he was in crashed into the side of a mobile home. Three died in Indiana when the drivers, in two trucks, ran stop signs and collided head-on. A 15-year-old driver in Maryland died when he was fleeing police in a car. And there are others, many which don’t make the news. Crashes that don’t end in fatalities but left serious damage: traumatic brain injuries, crippling spinal cord issues.
“The numbers are so small and spread out geographically,” said Timothy Hollister, a teen driving safety advocate in Connecticut whose book, “Not So Fast: Parenting Teen Drivers Before They Get Behind The Wheel”, comes out in September. “It’s only when you put the numbers together nationally that people even begin to take notice.”
Driving is the No. 1 killer of teens in this country, accounting for about 25 percent of teen deaths each year. About 3,000 to 5,000 teens die annually in car wrecks, enough to fill the halls of a large high school. Or two.
Recently, the Governor’s Highway Safety Association release preliminary figures for 2012 that show a troubling trend: After 10 years of declining, teen driving deaths are on the rise.
Although teen crashes seem random and unpredictable, they actually often follow a predictable pattern: It’s likely a group of teens heading nowhere in particular, probably late at night, and going fast. Often, they’re not wearing seatbelts.
Researchers have identified the dangerous habits of young drivers, who can’t ever be considered safe behind the wheel because they are simply too novice. There’s a common thread for many fatal crashes: More than one passenger in the car, especially if those passengers are male.
The Passenger Effect
A study released last year by AAA said passengers have a huge impact on fatalities: Fatality rates went up 44 percent with one passenger under 21 years old, doubled with two passengers, and quadruples when carrying three or more passengers who are under 21 years old.
Many graduated drivers license (GDL) laws regulate how many passengers teens can have in the car before they are awarded a full license. Parents who are concerned about their teens behind the wheel want to pay close attention to this rule: Make sure your teens are driving alone mostly, with no more than one passenger. Don’t let them carpool to and from school events. Don’t let them head out for the evening with a bunch of other kids teens in one car. Remember that other passengers are a huge distraction that can turn into a fatal distraction.
Laws regarding passengers in vehicles driven by teens are “the single least enforced and most ignored rule,” Hollister said. “It’s the one piece that could make a difference. That’s parents putting convenience ahead of safety, and not understanding the dangers that every passenger in a teen driver’s car adds an additional risk.”
Long Term Care Insurance: Buy it Young
I have a whopping bill to pay, and while I hate to do it, it is necessary. Women in my family live a long time. People in America are living longer. While retirement funds can look generous at the time you retire, health care costs and late-life care can eat those funds down to nothing . . . and then what?
It’s not like the old days. There was a time when we didn’t live so long, and women didn’t work. Who, these days, has time to stay home and care for the ailing elderly? Because we live longer, by the time we become ailing-elderly, our children are borderline elderly themselves, unable to do the heavy lifting that comes with helping the elderly do even the smallest of everyday tasks, bathing, grooming, eating, dressing – it takes strength.
I found this article on AOL’s Daily Finance page.
Long-Term Care Insurance Should Be Part of Your Financial Plan
by Michele Lerner, Mar 12th 2013 5:00AM
In the world of insurance products, long-term care insurance is a relative newcomer. It was introduced in the late 1970s, but in recent years, it has become a much more important element of retirement planning thanks to twin rises in health care costs and longevity. (Life expectancy in 1930 was just 59.7; in 2010 life expectancy for Americans was 78.7.)
Many people associate long-term care insurance with nursing homes, but it also pays for in-home care and assisted living facilities. According to the American Association for Long-Term Care Insurance, 50 percent of long-term care insurance benefits in 2011 went to pay for in-home care, 31 percent for nursing home care, and 19 percent for an assisted living facility.
How Long-Term Care Insurance Works
Each long-term care insurance policy is slightly different, but most benefits kick in based on a similar definition of “disability”: either you have severe cognitive impairment or you need help with at least two daily living activities. These activities include bathing, dressing, eating or using the bathroom.
In other words, you don’t just automatically receive the benefits when you think you could use some help or when you move into a retirement community. Policies are typically purchased with fixed daily benefits for a fixed period of time such as three years or five years.
Can You Cover These Costs Without It?
On an hourly, daily and monthly basis, the cost of the kinds of services covered by long-term care insurance really add up.
A 2012 MetLife Survey of Long-term Care Costs found:
The national average monthly base rate in an assisted living community cost $3,550 in 2012.
The national average daily rate for a private room in a nursing home cost $248; a semi-private room ran $222 per day.
The national average daily rate for adult day services was $70.
The national average for hourly rates for home health aides was $21.
While many people recognize the value of having insurance coverage to help pay for their care when they age, not everyone purchases it.
A 2012 Generational Research project by Financial Finesse showed that just 10 percent of people age 45 to 54 have purchased long-term care insurance, and only 16 percent of people age 55 to 64 have it.
Why are people forgoing coverage? It comes down to cost, according to the AARP.
How Much Does Coverage Cost?
Long-term care insurance can vary widely depending on your age at the time of purchase, the length and amount of coverage, and policy characteristics including whether your benefits are adjusted for inflation and the length of any waiting period before benefits are paid, among other things.
According to the American Association for Long-Term Care Insurance, the average annual premium for long-term care insurance in 2012 for a policy for a 50-year old with a daily benefit of $200 for three years of coverage and a 3 percent automatic compound inflation coverage was $2,235. Your policy can’t be cancelled (except for non-payment) and premiums for long-term care insurance cannot be increased on an individual basis for your age or health reasons. Still, insurance companies can raise the premiums for an entire class of policyholders (such as everyone age 75 and older).
Obviously, the older you are when you purchase long-term care insurance, the more expensive the policy and the higher the likelihood that you will be turned down for the coverage. Underwriters look at your health records as well as mortality risk to determine your eligibility for coverage.
Some companies give you a discount if you’re married because they assume spouses are likely to take care of each other longer before resorting to a nursing home.
Four Reasons You Need Long-Term Care Insurance
So how do you know if you need this kind of insurance? If you have more limited retirement savings, long-term care insurance should probably be part of your financial plan. And even if you have $2 million or $3 million in the bank for your retirement and future health care needs, don’t dismiss these policies before you examine the benefits more closely. Consider, for example:
How much longer we’re living these days. The longer you live, the higher your chances of needing some type of long-term care, either in your home, in a nursing home or in an assisted living facility.
Rising health care costs. AARP says that health care costs have historically outpaced the overall rate of inflation. If you need to live in a nursing home for more than a year or two, you could need $250,000 or more to pay for it.
How far your retirement investments will really take you. Your 401(k) may look good when you retire at 65, but if you need to pay for assisted living or even a home health aide the income generated by your retirement investments could get eaten away very quickly. If one spouse needs to live in a nursing home but the other can stay at home, you’ll need enough savings to cover two separate living expenses.
Your family’s emotional and financial health. Even wealthy families often choose to purchase long-term care insurance because the policy can make decisions about how to care for loved ones easier by giving them more options. Instead of draining their inheritance, your family members can use insurance benefits to pay for home health care or to cover some of the expense of a more costly nursing home.
Financial experts suggest purchasing long-term care insurance between age 55 and 64, but remember that the younger you are when you buy it, the lower your premiums will be. If you or your parents are 50 or 55, it’s time to discuss your options with an insurance agent.
CDC Issues Warning on New Virus
Initial reports of this deadly virus came out a short time ago, and now the Center for Disease Control has issued a warning:
Deadly New Virus Warning Issued By CDC After Novel Coronavirus Causes 8 Deaths
The Huffington Post | By Dominique Mosbergen
Posted: 03/08/2013 2:58 pm EST | Updated: 03/08/2013 5:35 pm EST
In a cautionary report on Thursday, the Centers for Disease Control and Prevention (CDC) warned of a deadly new virus that has sickened more than a dozen people and killed eight in the Arabian peninsula and the U.K. so far.
No cases of the new virus — a coronavirus that experts say had previously never been seen in humans — have been reported in the United States. Still, the CDC has advised anyone visiting countries in or near the Arabian peninsula, including Iraq, Israel, Saudi Arabia and the United Arab Emirates, to see a doctor if a fever or symptoms of a lower respiratory illness develop within 10 days of their travels.
As Reuters points out, the new virus is “part of the same family of viruses as the common cold and the deadly outbreak of Severe Acute Respiratory Syndrome (SARS) that first emerged in Asia in 2003.”
Since April last year, a total of 14 people were confirmed to have been infected by the new coronavirus. Nine of them were infected in either Saudi Arabia, Qatar or Jordan; three people in the U.K. have also been infected.
“In the U.K., an infected man likely spread the virus to two family members. He had recently traveled to Pakistan and Saudi Arabia and got sick before returning to the U.K.,” according to a CDC release on the virus. The man’s son, one of the family members who was infected, died last month.
START with Sea of Poppies, by Amitav Ghosh
I recently wrote a book review on River of Smoke, by Amitav Ghosh, which held me spellbound, so riveting that I had to order Sea of Poppies, which is actually the first volume of the trilogy. I had heard a review of River of Smoke on NPR and although it was written as the second volume in a trilogy, it can be read as a stand-alond.
Yes. Yes, it can be read as a stand-alone, but it is so much easier, I can state with authority, if you read them in order. Once I started Sea of Poppies, I also discovered an extensive glossary in the back, several pages, a list of the words, annotated with suggested origins, and it adds so much color to an already brilliantly colored novel. Much of both novels uses words from many cultures, and words that have been formed by another culture’s understanding of the words (some hilarious). If you like Captain Jack Sparrow, you’re going to love the polyglot language spoken by ship’s crews from many nations trying to communicate with one another. It can be intimidating, but if you sort of say the words out loud the way they are written at the beginning, you begin to find the rhythm and the gist of the communication, just as if you were a new recruit to the sea-going vessels of the early 1800’s. I loved it because it captured the difficulties encountered trying to say the simplest things, and the clever ways people in all cultures manage to get around it, and make themselves understood.
Sea of Poppies starts in a small Indian village, with one of the very small poppy gardens, planted on an advance from an opium factory representative, thrust upon the small farmer, with the result that most small Indian farmers converted their entire allotment from subsistence foods to poppies. Ghosh walks us through an opium processing factory, which is a little like walking through the circles of hell. We meet many of the characters we will follow in River of Smoke, and learn how this diverse group bonded into one sort of super-family through their adventures – and misadventures – together.
It is an entirely engrossing work. Sea of Poppies was short listed for the Man Booker award, and was listed as a “Best Book of the Year” by the San Francisco Chronicle, Chicago Tribune, Washington Post and The Economist. The theme is the opium trade, leading to the Opium Wars, with China, and is a chilling indictment of how business interests manipulate a population’s perceptions of national interests to justify . . . well, just about anything, in the name of profit.
The theme is woven through human stories so interesting, so textured, so compelling, that you hardly realize you are reading history and learning about the trade, cultures, travel, clothing, traditions, religions, food, and motivations as you avidly turn the pages.
I can hardly wait for the third volume. Get started now, so you’ll be ready for it when it comes out!
New Virus in Middle East Kills 50% Victims
I found this on WeatherUnderground News this morning. What scares me is that there may be more victims, many more, shepherds who work with goats, laborers, people thought to have very bad colds, maybe even pneumonia, who don’t have the kind of money to fly to London to be diagnosed. If one man spread it to two family members, imagine how many people he had contact with on that airplane flying to London.
LONDON, Feb 27 (Reuters) – The emergence of a deadly virus previously unseen in humans that has already killed half those known to be infected requires speedy scientific detective work to figure out its potential.
Experts in virology and infectious diseases say that while they already have unprecedented detail about the genetics and capabilities of the novel coronavirus, or NCoV, what worries them more is what they don’t know.
The virus, which belongs to the same family as viruses that cause the common cold and the one that caused Severe Acute Respiratory Syndrome (SARS), emerged in the Middle East last year and has so far killed seven of the 13 people it is known to have infected worldwide.
Of those, six have been in Saudi Arabia, two in Jordan, and others in Britain and Germany linked to travel in the Middle East or to family clusters.
“What we know really concerns me, but what we don’t know really scares me,” said Michael Osterholm, director of the U.S.-based Center for Infectious Disease Research and Policy and a professor at the University of Minnesota.
Less than a week after identifying NCoV in September last year in a Qatari patient at a London hospital, scientists at Britain’s Health Protection Agency had sequenced part of its genome and mapped out a so-called “phylogenetic tree” – a kind of family tree – of its links.
Swiftly conducted scientific studies by teams in Switzerland, Germany and elsewhere have found that NCoV is well adapted to infecting humans and may be treatable medicines similar to the ones used for SARS, which emerged in China in 2002 and killed a tenth of the 8,000 people it infected.
“Partly because of the way the field has developed post-SARS, we’ve been able to get onto this virus very early,” said Mike Skinner, an expert on coronaviruses from Imperial College London. “We know what it looks like, we know what family it’s from and we have its complete gene sequence.”
Yet there are many unanswered questions.
Spotlight on Saudi Arabia, Jordan
“At the moment we just don’t know whether the virus might actually be quite widespread and it’s just a tiny proportion of people who get really sick, or whether it’s a brand new virus carrying a much greater virulence potential,” said Wendy Barclay, a flu virologist, also at Imperial College London.
To have any success in answering those questions, scientists and health officials in affected countries such as Saudi Arabia and Jordan need to conduct swift and robust epidemiological studies to find out whether the virus is circulating more widely in people but causing milder symptoms.
This would help establish whether the 13 cases seen so far are the most severe and represent “the tip the iceberg”, said Volker Thiel of the Institute of Immunobiology at Kantonal Hospital in Switzerland, who published research this month showing NCoV grows efficiently in human cells.
Scientists and health officials in the Middle East and Arab Peninsular also need to collaborate with colleagues in Europe, where some NCoV cases have been treated and where samples have gone to specialist labs, to try to pin down the virus’ source.
“One Big Virological Blender”
Initial scientific analysis by laboratory scientists at Britain’s Health Protection Agency (HPA) – which helped identify the virus in a Qatari patient in September last year – found that NCoV’s closest relatives are most probably bat viruses.
It is not unusual for viruses to jump from animals to humans and mutate in the process – high profile examples include the human immunodeficiency virus (HIV) that causes AIDS and the H1N1 swine flu which caused a pandemic in 2009 and 2010.
Yet further work by a research team at the Robert Koch Institute at Germany’s University of Bonn now suggests it may have come through an intermediary – possibly goats.
In a detailed case study of a patient from Qatar who was infected with NCoV and treated in Germany, researchers said the man reported owning a camel and a goat farm on which several goats had been ill with fevers before he himself got sick.
Osterholm noted this, saying he would “feel more comfortable if we could trace back all the cases to an animal source”.
If so, it would mean the infections are just occasional cross-overs from animals, he said – a little like the sporadic cases of bird flu that continue to pop up – and would suggest the virus has not yet established a reservoir in humans.
Yet recent evidence from a cluster of cases in a family in Britain strongly suggests NCoV can be passed from one person to another and may not always come from an animal source.
An infection in a British man who had recently travelled to Saudi Arabia and Pakistan, reported on Feb. 11, was swiftly followed by two more British cases in the same family in people who had no recent travel history in the Middle East.
The World Health Orgnisation says the new cases show the virus is “persistent” and HPA scientists said the cluster provided “strong evidence” that NCoV, which like other coronaviruses probably spreads in airborne droplets, can pass from one human to another “in at least some circumstances”.
Despite this, Ian Jones, a professor of virology at Britain’s University of Reading, said he believes “the most likely outcome for the current infections is a dead end” – with the virus petering out and becoming extinct.
Others say they fear that is unlikely.
“There’s nothing in the virology that tells us this thing is going to stop being transmitted,” said Osterholm. “Today the world is one big virological blender. And if it’s sustaining itself (in humans) in the Middle East then it will show up around the rest of the world. It’s just a matter of time.”
Processed Food vs Real Food Experiment
LOL, this is hilarious, and also frightening when you think what might be in the preserved sandwich.
There are four videos showing food non-deterioration, by Melanie Warner, author of Pandora’s Lunchbox: How Processed Foods Took Over the American Meal
Mediterranean Diet Cuts Heart Attacks, Strokes and Deaths by 30%
What I love about the report of this study is that all the related researchers have gone to a Mediterranean diet – see the end of this article 🙂 I found this article at the New York Times.
About 30 percent of heart attacks, strokes and deaths from heart disease can be prevented in people at high risk if they switch to a Mediterranean diet rich in olive oil, nuts, beans, fish, fruits and vegetables, and even drink wine with meals, a large and rigorous new study has found.
The findings, published on The New England Journal of Medicine’s Web site on Monday, were based on the first major clinical trial to measure the diet’s effect on heart risks. The magnitude of the diet’s benefits startled experts. The study ended early, after almost five years, because the results were so clear it was considered unethical to continue.
The diet helped those following it even though they did not lose weight and most of them were already taking statins, or blood pressure or diabetes drugs to lower their heart disease risk.
“Really impressive,” said Rachel Johnson, a professor of nutrition at the University of Vermont and a spokeswoman for the American Heart Association. “And the really important thing — the coolest thing — is that they used very meaningful endpoints. They did not look at risk factors like cholesterol or hypertension or weight. They looked at heart attacks and strokes and death. At the end of the day, that is what really matters.”
Until now, evidence that the Mediterranean diet reduced the risk of heart disease was weak, based mostly on studies showing that people from Mediterranean countries seemed to have lower rates of heart disease — a pattern that could have been attributed to factors other than diet.
And some experts had been skeptical that the effect of diet could be detected, if it existed at all, because so many people are already taking powerful drugs to reduce heart disease risk, while other experts hesitated to recommend the diet to people who already had weight problems, since oils and nuts have a lot of calories.
Heart disease experts said the study was a triumph because it showed that a diet was powerful in reducing heart disease risk, and it did so using the most rigorous methods. Scientists randomly assigned 7,447 people in Spain who were overweight, were smokers, or had diabetes or other risk factors for heart disease to follow the Mediterranean diet or a low-fat one.
Low-fat diets have not been shown in any rigorous way to be helpful, and they are also very hard for patients to maintain — a reality borne out in the new study, said Dr. Steven E. Nissen, chairman of the department of cardiovascular medicine at the Cleveland Clinic Foundation.
“Now along comes this group and does a gigantic study in Spain that says you can eat a nicely balanced diet with fruits and vegetables and olive oil and lower heart disease by 30 percent,” he said. “And you can actually enjoy life.”
The study, by Dr. Ramon Estruch, a professor of medicine at the University of Barcelona, and his colleagues, was long in the planning. The investigators traveled the world, seeking advice on how best to answer the question of whether a diet alone could make a big difference in heart disease risk. They visited the Harvard School of Public Health several times to consult Dr. Frank M. Sacks, a professor of cardiovascular disease prevention there.
In the end, they decided to randomly assign subjects at high risk of heart disease to three groups. One would be given a low-fat diet and counseled on how to follow it. The other two groups would be counseled to follow a Mediterranean diet. At first the Mediterranean dieters got more intense support. They met regularly with dietitians while members of the low-fat group just got an initial visit to train them in how to adhere to the diet, followed by a leaflet each year on the diet. Then the researchers decided to add more intensive counseling for them, too, but they still had difficulty staying with the diet.
One group assigned to a Mediterranean diet was given extra-virgin olive oil each week and was instructed to use at least 4 four tablespoons a day. The other group got a combination of walnuts, almonds and hazelnuts and was instructed to eat about an ounce of the mix each day. An ounce of walnuts, for example, is about a quarter cup — a generous handful. The mainstays of the diet consisted of at least three servings a day of fruits and at least two servings of vegetables. Participants were to eat fish at least three times a week and legumes, which include beans, peas and lentils, at least three times a week. They were to eat white meat instead of red, and, for those accustomed to drinking, to have at least seven glasses of wine a week with meals.
They were encouraged to avoid commercially made cookies, cakes and pastries and to limit their consumption of dairy products and processed meats.
To assess compliance with the Mediterranean diet, researchers measured levels of a marker in urine of olive oil consumption — hydroxytyrosol — and a blood marker of nut consumption — alpha-linolenic acid.
The participants stayed with the Mediterranean diet, the investigators reported. But those assigned to a low-fat diet did not lower their fat intake very much. So the study wound up comparing the usual modern diet, with its regular consumption of red meat, sodas and commercial baked goods, with a diet that shunned all that.
Dr. Estruch said he thought the effect of the Mediterranean diet was due to the entire package, not just the olive oil or nuts. He did not expect, though, to see such a big effect so soon. “This is actually really surprising to us,” he said.
The researchers were careful to say in their paper that while the diet clearly reduced heart disease for those at high risk for it, more research was needed to establish its benefits for people at low risk. But Dr. Estruch said he expected it would also help people at both high and low risk, and suggested that the best way to use it for protection would be to start in childhood.
Not everyone is convinced, though. Dr. Caldwell Blakeman Esselstyn Jr., the author of the best seller “Prevent and Reverse Heart Disease: The Revolutionary, Scientifically Proven, Nutrition-Based Cure,” who promotes a vegan diet and does not allow olive oil, dismissed the study.
His views and those of another promoter of a very-low-fat diet, Dr. Dean Ornish, president of the nonprofit Preventive Medicine Research Institute, have influenced many to try to become vegan. Former President Bill Clinton, interviewed on CNN, said Dr. Esselstyn’s and Dr. Ornish’s writings helped convince him that he could reverse his heart disease in that way.
Dr. Esselstyn said those in the Mediterranean diet study still had heart attacks and strokes. So, he said, all the study showed was that “the Mediterranean diet and the horrible control diet were able to create disease in people who otherwise did not have it.”
Others hailed the study.
“This group is to be congratulated for carrying out a study that is nearly impossible to do well,” said Dr. Robert H. Eckel, a professor of medicine at the University of Colorado and a past president of the American Heart Association.
As for the researchers, they have changed their own diets and are following a Mediterranean one, Dr. Estruch said.
“We have all learned,” he said.
Putting TEETH into Anti-Rape Solutions :-)
Thank you, Hayfa, you always find the most amazing articles. What I love about this one is that if everything is where it is supposed to be, nobody gets hurt. Only invasive behavior results in . . . .lets hope excruciating pain 🙂 It also gives an attacker something else to focus on. This invention is a public service.
Rape-aXe: The Anti-Rape Condom
This is so brilliant! An anti-rape female condom invented by Sonette Ehlers.… A South African woman working as a blood technician with the South African Blood Transfusion Service, during which time she met and treated many rape victims. The device, known as The Rape-aXe, is a latex sheath embedded with shafts of sharp, inward-facing microscopic barbs that would be worn by a woman in her vagina like a tampon. If an attacker were to attempt vaginal rape, their penis would enter the latex sheath and be snagged by the barbs, causing the attacker pain during withdrawal and (ideally) giving the victim time to escape. The condom would remain attached to the attacker’s body when he withdrew and could only be removed surgically, which would alert hospital staff and police. This device could assist in the identification and prosecution of rapists.
A medieval device built on hatred of men? Or a cheap, easy-to-use invention that could free millions of South African women from fear of rape, in a country with the world’s worst sexual assault record?
Dubbed the “rape trap”, trademarked “Rapex”, the condom-like device bristling with internal hooks designed to snare rapists has re-ignited controversy over South Africa’s alarming rape rate, even before plans for its production were announced in Western Capethis week.
Some say the inventor, Sonette Ehlers, a former medical technician, deserves a medal, others that she needs help.
The device, concealed inside a woman’s body, hooks onto a rapist during penetration and must be surgically removed.
Ms Ehlers said the rape trap would be so painful for a rapist that it would disable him immediately, enabling his victim to escape; but would cause no long-term physical damage and could not injure the woman.
Some women’s activists call the device regressive, putting the onus on women to address a male problem.
Charlene Smith, an anti-rape campaigner, said it “goes back to the concept of chastity belts” and would incite injured rapists to kill their victims.
“We don’t need these nut-case devices by people hoping to make a lot of money out of other women’s fear,” Ms Smith said.
But Ms Ehlers contends that South Africa’s rape problem is so severe women cannot wait for male attitudes to improve.
“I don’t hate men. I love men. I have not got revenge in mind. All I am doing is giving women their power back,” Ms Ehlers said. “I don’t even hate rapists. But I hate the deed with a passion.”
The United Nations says South Africahas the world’s highest per capita rate of reported rapes – 119 per 100,000 people. Analysts say the total, including unreported rapes, could be nine times higher.
Ms Ehlers sees her invention as particularly attractive to poorer black women, because they often walk long distances through unsafe areas to and from work. She foresees women inserting the device as part of a daily security routine.
She said a majority of women surveyed said they were willing to use the device, which will go into production next year and sell for one rand (20 cents).
Ms Ehlers said she was inspired after meeting a traumatised rape victim who told her, “If only I had teeth down there.”
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