by Bianca Garilli, ND, IFMCP Within the past few decades the rates of obesity, metabolic syndrome and diabetes throughout the world have risen dramatically.  Although there are many potential causes for this rise, one such contributor may be increased antenatal intake of sugary drinks.1 Intake of as little as 0.6 servings per day (standard deviation of 0.9 servings) of sugar-sweetened beverages (SSBs) during pregnancy has been associated with adiposity in mid-childhood (median age of 7.7 years) with the greatest association being…

by Bianca Garilli, ND, IFMCP Across the world autism spectrum disorder (ASD) rates vary greatly; making it difficult to confirm definitive numbers particularly in many countries that do not actively track rates or publicly report their statistics. However, data from countries such as Poland where it is reported that 3 in 10,000 children are diagnosed with ASD, or Hong Kong where ASD afflicts 327 in 10,000 children and in the US where in 2015 there were 222 in 10,000 children…

by Ashley Jordan Ferira, PhD, RDN Cellular oxidative stress, the balance between pro-oxidants and antioxidants, may contribute to the pathogenesis of chronic diseases.1 A nutrient-dense dietary pattern, particularly one containing fruits and vegetables, whole grains, nuts, and legumes, confers antioxidant activity in the body. This is important because prior research has demonstrated that increasing the amount of antioxidants in the diet is associated with reductions in cardiovascular disease (CVD), cancer and all-cause mortality.1 However, data linking antioxidant intake and effects…

by Ashley Jordan Ferira, PhD, RDN The global burden of diabetes is staggering, with an estimated 422 million adults living with the chronic disease.1 This prevalence has almost doubled since 1980 alongside the rise in obesity and has been dubbed the “diabesity” phenomenon.1 Diabetes and its myriad comorbidities (heart attack, stroke, kidney disease, nerve damage, limb amputation, vision loss, and pregnancy complications) translate into substantial economic losses to the person affected by the disease, health systems and national economies.1 Effective…

by Ashley Jordan Ferira, PhD, RDN Updated clinical practice guidelines from the 2017 American Heart Association (AHA) Scientific Sessions and co-published in Hypertension1 and the Journal of the American College of Cardiology2 by the American College of Cardiology (ACC) and AHA, revealed a new blood pressure (BP) classification system and updated hypertension (HTN) treatment recommendations, with a clear emphasis on lifestyle approaches. How will these guidelines affect clinical decision-making? These updated, more conservative ACC/AHA criteria will translate into millions of newly diagnosed patients with HTN, shifting many…

by Lewis Chang, PhD  One-year results from a new long-term clinical trial demonstrate that, compared with the usual guideline-based care, a more aggressive weight management program implemented at primary care practices can effectively help patients achieve type 2 diabetes (T2D) remission [1]. Researchers from Newcastle University (Newcastle City, UK) and University of Glasgow (City of Glasgow, UK) conducted a cluster-randomized trial (Diabetes Remission Clinical Trial, or DiRECT) at 49 primary care practices in Scotland and Northeast region of England. A total of…

by Ashley Jordan Ferira, PhD, RDN You may have heard that many Americans are not getting enough vitamin D, calcium, potassium, etc. from their diet. But do you think about omega-3s as a nutrient gap? You should. Research from the National Health and Nutrition Examination Survey (NHANES) demonstrates that> 90% of Americans are not meeting recommendations for omega-3 intake,with key differences observed in age, sex, and ethnicity subgroups.1 Although the cardiovascular benefits of eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) have…

A team of Swiss researchers report on a novel therapeutic approach for migraine reduction: ketone supplementation.1  One in seven American adults suffer from migraine headaches, but effective therapies are lacking.2 Females, especially during reproductive years, are disproportionately affected by migraines, with a migraine prevalence of approximately 20% in females vs. 9% in males.2 Migraines are a leading cause of outpatient and emergency room visits.2 The personal disability and public health burdens from migraines are obvious, but solutions for migraine prevention and treatment are more elusive. Exogenous ketone…

by Ashley Jordan Ferira, PhD, RDN With over 70% of US adults overweight or obese,1 weight loss methods that are effective and sustainable over the long-term are critically needed. A National Institutes of Health (NIH) study led by Kevin D. Hall, PhD investigated how physical activity (PA) and energy intake (EI) impacted long-term weight loss in participants from “The Biggest Loser” TV competition.2 “The Biggest Loser” is a televised weight loss competition involving an intensive diet and exercise program (30…

by Ashley Jordan Ferira, PhD, RDN A food fortification trial demonstrated that 600 IU of daily vitamin D3 had a significantly greater impact than 600 IU of daily vitamin D2 in elevating serum blood levels of 25-hydroxyvitamin D [25(OH)D].1-2 Vitamin D is essential for skeletal health and many emerging extraskeletal physiological processes, but remains one of the most common micronutrient dietary gaps, resulting in widespread hypovitaminosis D globally. Understanding how much vitamin D the body needs daily, in what form, and from what sources…