Reference: Tessier A-J, Cortese M, Yuan C, et al. Consumption of olive oil and dietary quality and risk of dementia-related death. JAMA Network Open. 2024;7(5):e2410021. doi:10.1001/jamanetworkopen.2024.10021.
A recently published analysis of two large, long-term studies found that consuming half a tablespoon or more of olive oil per day lowered the risk of dying of dementia by up to 34% in both women and men. The protective effect of olive oil consumption was even greater in women.
More than 92,000 participants from the Nurses’ Health Study (NHS) and the Health Professionals Follow-Up Study (HPFS) were included in this analysis. The NHS started in 1976 and enrolled 121,700 female registered nurses (ages 30–55). The HPFS began in 1986 as a similar study in men, enrolling 51,525 male healthcare professionals (ages 40–75).
Study participants responded every other year to detailed food frequency questionnaires (FFQ) about their consumption of specific foods. Questions about olive oil were added in 1990. Total olive oil intake was determined by three responses: olive oil used for salad dressings, olive oil added to food or bread, and olive oil used for baking or frying at home.
Olive oil intake frequency was categorized as follows:
• Never, or less than once per month • Less than 4.5 grams (about one teaspoon) per day • Between 4.5 and 7 grams per day • More than 7 grams (about half a tablespoon) per day
About two-thirds of the study participants (65.6%) were women, about a third (34.4%) were men, and the average age at the start of the study was 56 years. Each participant’s FFQs from 1990 to 2014 (or for as long as the participant remained in the study) were totaled and averaged. Average olive oil intake was 1.3 grams per day in both studies.
Participants in the highest olive oil intake group—half a tablespoon or more of olive oil per day— reduced their risk of dying of dementia by 28% to 34%, compared to study participants who never or very rarely consumed olive oil. These results were regardless of other dietary habits and factored in socio-demographic and lifestyle differences.
Deaths due to dementia were confirmed by physician’s review of medical records, autopsy reports, or death certificates of study participants.
It has been proposed that consuming olive oil may lower the risk of dementia-related death by improving blood vessel health, yet the results of this analysis were not impacted by hypertension or high cholesterol in participants.
Limitations of this analysis include its predominantly non-Hispanic white population of healthcare professionals, which reduces the ability to generalize these results across more diverse populations. Also, the FFQs did not dis-tinguish among types of olive oil, which differ in their amounts of polyphenols and other bioactive compounds.
Horiatiki Salad Recipe and The MIND Diet for Brain Health: More Benefits of Olive Oil
I’m a huge fan of both Greek and Middle Eastern salads, the ingredients of which are not only delicious but also mainstays of the MIND (Mediterranean-DASH Intervention for Neurodegenerative Delay) diet, a way of eating designed for brain health. It’s an offshoot of the super-healthy Mediterranean diet and the DASH (Dietary Approaches to Stop Hypertension) diet. Why the distinction? Because the latest research on the MIND diet shows it can slow aging as well as reduce dementia risk. Add this to the list of the benefits of olive oil—it’s one of the super foods that MIND suggests including every day.
Pork Medallions with Berry Sauce Recipe, Spotlight on Raspberry Vinegar, How to Dredge, A New Approach for Managing IBS, and Standing Desks for Better Health
Members of the Fresh-Pressed Olive Oil Club know that I’m a huge fan of pork tenderloin. This boneless cut allows for a faster prep and a more elegant presentation than chops.The recipe I’m sharing uses the Raspberry Vinegar from my new T. J. Robinson Curated Culinary Selections quartet of vinegars to deglaze the pan (deglazing is a quick trick for creating an instant sauce). It add sweet-tangy notes I know you’ll enjoy.
This edition of the newsletter also focuses on new research for people bothered by IBS with an easier-to-follow alternative to the FODMAP diet. The other study I’m sharing looked at different types of workstations to discover which style could be better for easing the aches and pains that come from sitting for hours in front of a screen.
Pork Medallions with Berry Sauce
Healthy Ingredient Spotlight
Raspberry Vinegar
Look at the ingredients on a supermarket (or even gourmet store) bottle of “raspberry” vinegar and chances are real raspberries won’t be listed, but artificial flavors and colors and sugar will be. For a true raspberry vinegar crafted from raspberries and nothing but raspberries, I’m thrilled to introduce you to the ultimate Raspberry Vinegar from Gölles, the Austrian purveyor of all-fruit vinegars. If you’re used to artificially flavored vinegars, prepare to be blown away. This vinegar is tart and bracing because it is crafted from real fruit using time-honored traditions, and the only sugar comes from the berries themselves.
“It was important for us to make it in a pure way—it has one ingredient: raspberries,” said Alois Gölles, whose father started their family-run business in the 1950s. “Our approach is to make raspberry juice, ferment it into raspberry wine, and then transform that wine into vinegar—no adorations, no other ingredients. We do the same with all our fruits, whether quince or apples or pears. And that’s why our products taste unique: it’s the fruit and nothing else. That means no preservatives either,” said Alois.
Raspberry Vinegar lends itself perfectly to dressings made with nut oils, such as walnut or hazelnut. Use it on fruit-based salads and to add balance to fruity desserts that would otherwise taste too sweet, such as a raspberry sorbet (you’ll find my recipe for that sorbet along with 29 other dishes in the report that comes with my vinegar collection). Make it part of a chicken or mushroom marinade, and use it to deglaze your pan when making reduction sauces. Raspberry Vinegar also adds punch to drinks, from your morning mixed fruit power smoothie to a raspberry shrub spritzer.
Quick Kitchen Nugget
How to Dredge
To get a nice “crisp” on sautéed proteins like pork, chicken, and beef, it helps to dredge (or lightly coat) the meat in seasoned flour. But it’s important to do this once your pan is hot enough to start cooking and not before, or else the flour will turn gummy. Heat your frying or sauté pan over medium-high heat; when it’s hot (a drop of water will sizzle and evaporate), add your olive oil, then quickly dip both sides of one piece of the meat in the flour, shake off any excess, and place the meat in the oil. Repeat with the remaining pieces. Tip: A wide pie plate is perfect for both mixing seasonings into the flour and for dredging.
For Your Best Health
A New Approach for Managing IBS?
IBS, or irritable bowel syndrome, is more common than you might think, affecting between 10 and 15 percent of the population. If you’ve been diagnosed with IBS, you’ve likely attempted the FODMAP diet, which excludes a wide range of foods that have FODMAPs or fermentable oligosaccharides, disaccharides, monosaccharides, and polyols—short-chain carbohydrates that are poorly absorbed in the small intestine. Problem foods run the gamut from wheat, dairy, beans, and lentils to very specific fruits and vegetables, which is why you often need an app to help identify them and stay on track. Following the FODMAP diet is a complex process because you eliminate the foods, then add them back one at a time to try to identify the ones that bother you the most. Now scientists at Lund University in Sweden have developed an alternative and far less restrictive approach to quelling IBS symptoms like pain and tightness in the abdomen, diarrhea, and/or constipation: reducing sugars and starches.
A few years ago, Bodil Ohlsson, MD, PhD, professor at Lund University and consultant at Skåne University Hospital, decided to investigate the role of sugars and starches in IBS following a geneticist’s discovery: A genetic variation that hinders the breakdown of sugars and starches in the gut is overrepresented among people with IBS. Dr. Ohlsson’s first study of a starch- and sucrose-reduced diet (SSRD) found that, after four weeks, participants who ate significantly less sugar and starch, including sweet treats and highly processed foods, greatly reduced IBS symptoms. For the current study, she and her team decided to compare the two approaches head-to-head.
“One hundred and fifty-five patients diagnosed with IBS were included and randomly allocated to follow either SSRD or low FODMAP for four weeks,” said Dr. Ohlsson. Participants in both groups had to follow the basic principles of each diet, but they chose how often they ate.
Results were impressive. In both groups, IBS symptoms improved in 75 percent to 80 percent of the patients, which, Dr. Ohlsson said, “was even better than we expected.” In addition, weight loss after four weeks was greater in the SSRD group. Sugar cravings also decreased the most in this group, which is a positive sign, as IBS patients weigh more on average than healthy people do, Dr. Ohlsson added.
“We wouldn’t really even call SSRD a diet. It’s how everyone should eat, not just those with IBS. And unlike low FODMAP, SSRD is easy to understand and easier to follow. You can eat everything when you are invited to dinner, just less of certain things. If you rest your stomach for the rest of the week, you can indulge a little one day!” she said.
Fitness Flash
“I’m Still Standing…”
The well-known perils of sitting at a desk all day long include daytime exhaustion, high blood pressure, and musculoskeletal discomfort, just to name a few. Although devices such as standing desks can ease physical symptoms and even boost productivity, the specific effects of different workstation configurations weren’t always clear. To get some answers, a team of researchers from the Texas A&M University School of Public Health decided to compare predominantly standing (or stand-biased), traditional, and sit-stand (hybrid) workstations by measuring the computer usage and activity levels of 61 office workers for 10 days.
Participants were divided into one of three study groups according to the type of workstation they used—stand-biased, sit-stand, or traditional—with those using traditional seated workstations serving as the control group. The researchers defined sit-stand workstations as desktop units with a fully height-adjustable work surface paired with a traditional office chair. Stand-biased desks were defined as fixed work surfaces at approximately standing elbow height in conjunction with a drafting stool or chair with an extended cylinder, or seat post.
The researchers collected data on the amount of time the workers spent at their workstations, along with demographic data and information on how they used office equipment such as footrests, monitor arms, keyboard trays, or anti-fatigue mats. They also asked participants about their discomfort levels.
To monitor physical activity, researchers provided participants with an activity sensor that ran for one workweek to quantify and measure the participants’ activity levels and energy expenditures. To measure productivity, the team monitored participants’ workstation computer use through hidden and silent data-logging software. The resultant files for each participant were downloaded and aggregated to ensure a minimum of 10 workdays of computer use data, which were analyzed using statistical analysis software.
“What makes our research unique is our use of computer utilization as a possible indicator of, and proxy for, work productivity in all three workstation types,” said Kaysey Aguilar, DrPH, MPH, instructional clinical professor at the School of Public Health. “We found no significant difference in the number of key clicks between the three groups, but the stand-biased group had a significantly higher word count and more errors than the traditional group. In addition, the 24-hour activity data revealed that the stand-biased group had significantly more standing time, less sitting time, and fewer transitions per hour compared to their traditional counterparts.”
The study also found that while 80 percent of office workers using a traditional desk and chair experienced lower back discomfort, that number dropped to just over 50 percent among workers with stand-biased desks.
“The bottom line is that the risk of health issues from sedentary work can be alleviated through alternative desk options, like sit-stand or stand-biased workstations,” Aguilar says. “These are win-win solutions because they benefit worker’s health while maintaining the high productivity employers expect.”
Pork and fruit is a winning culinary combination. Rather than using the more traditional apples, this recipe calls for a double dose of berries, both whole blackberries and pure raspberry vinegar to create a tart foil for the pork. For a delicious side dish, a grain, such as bulgur or barley, mixed with caramelized onions would be ideal, adding sweetness to the plate.
1/3 cup white wine or homemade or low-sodium store-bought chicken stock
2 cups fresh blackberries, rinsed and patted dry
4 springs fresh thyme or 1/2 teaspoon dried thyme
Directions
Step 1
Mix the flour, salt, and pepper in a pie plate. Cut the tenderloin into medallions about 3/4- to 1-inch thick.
Step 2
Heat a frying pan large enough to hold the medallions over medium heat. When hot, add the oil, then quickly coat both sides of each medallion in the flour mixture, shake off any excess, and add to the pan. Sear for 3 minutes on each side or until brown. Transfer the medallions to a dish.
Step 3
Deglaze the pan with the vinegar. Add the wine or broth and the berries, and briefly bring to a boil. Add the medallions back into the pan, reduce the heat to a simmer, cover, and cook until an instant-read thermometer reaches 145°F, about 5 more minutes. Divide the medallions among four dinner plates. Raise the heat on the stove back to medium, and use a potato masher to partially purée the berries; cook for 3 more minutes until the sauce thickens slightly. Spoon the berry sauce over the medallions.
Potato Frittata Recipe, Spotlight on Condimento Bianco Senape and Blackcurrants, Steaming Potatoes, and A Surprising Benefit of Exercise for Women
Autumn is a wonderful time to get together with family and friends, and what better way than over brunch? If you’re looking for a simple yet satisfying dish, my potato frittata fits the bill. It features Condimento Bianco Senape, a unique vinegar in my brand new collection of artisanal vinegars from the T. J. Robinson Curated Culinary Selections. Sweet, fragrant, and with a hint of mustard, it’s crafted in the style of a fine Italian balsamic (read below to learn why there’s actually no such thing as “white balsamic”). You’ve never tasted anything like it before—get ready to fall in love!
Also in this issue…I’m sharing fascinating research on blackcurrants, a powerful member of the berry family that might hold the answer to protecting women’s bones in midlife and beyond. Keep reading and you’ll also find out about a surprising benefit of exercise.
Potato Frittata
Healthy Ingredient Spotlight
Condimento Bianco Senape
I want to set the record straight—“white balsamic” is not a recognized type of vinegar in Italy. That’s because, by its very nature, balsamic vinegar must be made solely with grape must (grape juice made from all parts of the grapes) that naturally darkens to its signature purple-brown color. That being said, my new Condimento Bianco Senape, or White Condiment with Mustard, is reminiscent of a fine balsamic because it’s crafted in the perfect ratio of two parts white cooked grape must to one part white wine vinegar by the amazing vinegar producers known for their balsamic vinegars, Società Agricola Acetomodena in Modena, Italy. Both the grape must and wine vinegar are made solely from Acemodena’s own Trebbiano grapes, which give it its unique light color, and not their Lambrusco ones, which give traditional balsamic its deep color.
The idea for creating a complex, mustard-seed infused white wine vinegar in the sweet style of balsamic came from Patrizia Vecchi, the wife of Acetomodena owner Paolo Vecchi. She was inspired by the ancient Roman cooking technique of using a white vinegar along with honey and mustard to get a delicious crust on spit-roasted pork. The white mustard seeds, which are entirely edible, add a subtle layer of flavor to my Condimento Bianco Senape that would be lost in a traditional balsamic.
You’ll use this mustard vinegar to effortlessly create a rich and silky vinaigrette just by whisking in fresh-pressed olive oil and a bit of salt and pepper. I love its sweetness yet will also blend it with other vinegars when I want a bit more tartness. Use it as a marinade for poultry, pork, and fish. Drizzle it on steak and burgers, gourmet sandwiches with prosciutto and other meats, bruschetta with tomatoes, fresh salads like rocket with pine nuts and a drizzle of honey, and my eggless Caesar salad which along with the potato frittata are just two of the many recipes included in the Vinegar Report that comes with the collection.
Quick Kitchen Nugget
Steaming Potatoes
Steaming potatoes keeps them from falling apart and preserves more of their nutrients than boiling. Simply scrub and slice or cube your potatoes and arrange them in a steamer basket set over two inches of simmering water in a stockpot. You can load the basket with two layers of potatoes, but try to keep some space between the pieces for the steam to get through. The potatoes are done when the tip of a knife easily pierces the flesh; start checking after 25 minutes.
For Your Best Health
Blackcurrants for Better Bones?
Research done at the University of Connecticut (UConn) has identified blackcurrants, a tart berry known in French foods and liqueurs as cassis, as a potential way of countering the bone density loss experienced by women in the years surrounding menopause.
For many years, Ock Chun, PhD, MPH, professor of nutritional sciences in UConn’s College of Agriculture, Health and Natural Resources (CAHNR), has been investigating the berry’s potential to ameliorate a host of conditions including postmenopausal bone loss and osteoporosis. One of her previous studies showed that in mice, blackcurrant supplements helped prevent bone density loss postmenopause, and that the best time to start taking these supplements is in the transition between pre- and postmenopause, before bone loss has significantly progressed. With these findings in hand, Chun and her team wanted to see whether the benefits would translate to people. The new study, published in the Journal of Nutritional Biochemistry, found that the supplements prevented the loss of, and in some cases even increased, whole-body bone mineral density in women.
The study involved 40 perimenopausal and early postmenopausal participants between the ages of 45 and 60. They were randomly assigned to take either one or two capsules of blackcurrant powder (392 milligrams per capsule) or a placebo daily for six months. The researchers found that the supplements prevented the loss of whole-body bone mineral density and that the group of participants who took two capsules a day actually showed overall increases in bone mineral density at the end of the six-month trial period.
The researchers looked at changes to the gut microbiome and immune system, which interact to play a key role in bone metabolism. They found that the blackcurrant supplements decreased levels of proteins called interleukin-1 beta and RANKL. Interleukin-1 beta stimulates the expression of RANKL, which causes bone resorption and thus a decrease in bone density. “The reduction in RANKL is important because that can cause shifts toward excessive bone resorption, so we’d want to see a decrease in that,” said graduate student Briana Nosal, first author of the paper.
Taking the supplements also increased Ruminococcus 2, bacteria found in the gut microbiome that help degrade polysaccharides and fibers. This is a key function that transforms the foods we eat into energy. This led the researchers to infer that it could be one of the bacteria driving the protective effects blackcurrant has on bones. “It’s all related, and there’s a lot of research showing the gut can regulate various systems in the body,” Nosal said.
The researchers identified a total of four proteins that had increased expression in the group of participants who took two daily supplement capsules. These could serve as potential biomarkers for the changes in bone density that they observed and potentially allow researchers or medical professionals to quickly and easily assess whether the blackcurrant supplementation is benefiting bone density.
This study is especially important for perimenopausal and early postmenopausal women who have or are at risk of developing osteoporosis. While medications for osteoporosis do exist, compliance is low due because of side effects. If a blackcurrant supplement can improve bone density without the same side effects, it could prove to be an effective alternative.
As the research team continues to study the relationship between blackcurrant and its benefits to the body, they’ll try to better understand why exactly they’re seeing these results and “how all our findings connect to each other,” Nosal said. “Conducting that multifaceted research will really paint the picture of how everything works, the different mechanisms, and what we can do for next steps.”
Fitness Flash
A surprising Benefit of Exercise for Women
Recent research led by Donald S. Wright, MD, MHS, of the Department of Emergency Medicine at Yale School of Medicine and published in the American Journal of Preventive Medicine found that sticking with an exercise program is linked to older women staying out of the hospital.
This retrospective study evaluated 718 older adults with a mean age of 69.5; three-quarters were women. The researchers compared the outcomes of those who participated in a structured, individualized exercise training program at a privately owned gym in their community for at least three months (411 participants) to the outcomes of those who did not. The structured program consisted of guided sessions of cardiovascular, strength, and flexibility training monitored by exercise physiologists. Participants completed a baseline physical assessment and quarterly reassessments of physical performance including measuring vital signs, strength (bicep curl or grip strength), mobility (as measured by the ability to easily go from sitting to standing), balancing on one leg, and aerobic capacity. These data were paired with regional hospital data and a national mortality database. Participants were followed for over two years.
When the researchers compared outcomes of older adults who participated in the exercise program with outcomes of those who did not, they found that the risk for all-cause hospitalization was 46 percent lower among the women in the exercise program. Surprisingly, this benefit was not seen among the men.
The researchers pointed out that the study doesn’t establish cause and effect between exercise and not needing healthcare, just a link, albeit a positive one for women. It’s also not known whether the people who dropped out of the structured exercise program exercised independently, potentially narrowing the observed differences between the groups. They also warned that participants may not be fully representative of the broader US population because they were all from one area of the country and had all been motivated to sign up for the gym program on their own.
Elegant enough for a brunch party, this egg-and-potato dish is also easy enough for a casual weekend breakfast. The potatoes can be steamed a day or two in advance.
Cut the potatoes into 1/4-inch slices. Steam them on a steamer rack over simmering water until tender, about 25 minutes.
Step 2
In a bowl, whisk the eggs until no whites show, then whisk in the cheese, milk, black pepper, and 1 teaspoon salt until well combined.
Step 3
Heat a 14-inch skillet over medium heat. When hot, add the olive oil and the leeks. Sprinkle with a big pinch of salt and sauté until the leeks soften and turn light brown, about 10 minutes. Layer on the potato slices, overlapping them a bit. Pour on the egg mixture. Cover the pan and cook without disturbing over medium heat until the eggs firm up, about 8 minutes. Drizzle on the vinegar, cover the pan again, and remove from heat. Let stand for 10 minutes before slicing into wedges. Drizzle each portion with more olive oil and vinegar.
Spinach-and-Cheese-Stuffed Shells Recipe, Spotlight on San Marzano Tomatoes, Grating Parmigiano-Reggiano, Reducing Type 2 Diabetes Risk, and A Motivation Reboot
As the nights get cooler, warm, nourishing meals become even more tempting palate-pleasers. My recipe for stuffed shells truly satisfies—it’s one of the new seasonal recipes in the latest edition of my online cookbook Savor the Season: Autumn 2024. Put together family style, it’s a great dish for large gatherings—everyone can dig in on their own. It’s also a very filling meatless option. You’ll read why that’s important in the diabetes-prevention research I’m sharing. Then, to get a motivation boost for healthier living, take a look at some top tips from a leading fitness expert to help you stay on track with your exercise goals.
Spinach-and-Cheese-Stuffed Shells
Healthy Ingredient Spotlight
San Marzano Tomatoes
These uniquely shaped Italian tomatoes have long been considered the ultimate in sweetness, but as we’ve seen with olive oil and balsamic vinegar, it’s important to know what’s real and what isn’t. True San Marzano tomatoes are grown in Sarnese-Nocerino, near still-active Mount Vesuvius in the Campania region of Italy. The volcanic soil is responsible for the tomato’s near-perfect balance of sweetness and acidity.
In recent years, consumers in the US have sued companies whose labels imply that the cans contain San Marzano tomatoes when they don’t. This is not to say that other tomatoes aren’t tasty, but if you want the real thing, look for labels with two essential logos: the red-and-yellow DOP (denominazione d’origine protetta,ordesignation of protected origin) stamp from the EU and the colorful logo of the Agro Sarnese-Nocerino Consorzio, which is the local consortium that makes sure the tomatoes are grown according to its rules. Also, San Marzano tomatoes are always canned whole, peeled, and only in their own juice.
Quick Kitchen Nugget
Grating Parmigiano-Reggiano
If you’re a regular Newsletter reader, you know that only Parmigiano-Reggiano is true “Parmesan” cheese and it will have the word imprinted with a dot pattern all around the rind. How you grate it for a recipe, like my stuffed shells, or for a garnish on, say, Caesar salad, is more nuanced. It depends in part on whether the cheese is to seamlessly meld into a sauce, for instance, or stand out in the form of generous shavings. A sturdy vegetable peeler is a great way to get thin, narrow shavings: Run it along the edge of the wedge. For wide shavings, run a cheese plane over the surface of your wedge. Need a small amount of finely grated cheese? Pull out your microplane grater and shave the cheese right over your dish. For a larger amount, try a box grater—its four sides offer many options (place it over a large sheet of parchment paper to catch the gratings). If you want a very large amount, look to your food processor. Most steel blades will turn cubes into shreds. For a near-powder that will melt easily, Cuisinart has a very fine cheese grating blade that works in seconds—just cut off the rind, cut the cheese into pieces that will fit in the machine’s feed tube, and process.
For Your Best Health
Reducing Type 2 Diabetes Risk
We know about the risks for heart disease and some forms of cancer associated with eating too much red and processed meat. Now an analysis of studies that included nearly two million people across 20 countries has also linked these foods to a higher risk for developing type 2 diabetes, a chronic condition that has reached epidemic proportions in the US, according to the National Institutes of Health. (Earlier studies made the association but had varying results.) This research, published in The Lancet Diabetes and Endocrinology, also looked at whether there’s a link between poultry and diabetes.
The team of scientists, led by researchers at the University of Cambridge in the UK, found that eating 50 grams of processed meat a day—that’s about 2 slices of ham—was associated with a 15 percent higher risk of developing type 2 diabetes in the next 10 years. Eating 100 grams of unprocessed red meat a day—that’s roughly a 3-ounce steak—was associated with a 10 percent higher risk. Eating 100 grams of poultry a day was associated with an 8 percent higher risk, but when further analyses were done to test the findings under different scenarios, the association for poultry consumption became weaker, whereas the associations with type 2 diabetes for both processed meat and unprocessed meat persisted.
Professor Nita Forouhi of the Medical Research Council (MRC) Epidemiology Unit at the University of Cambridge, a senior author on the paper, said, “Our research provides the most comprehensive evidence to date of an association between eating processed meat and unprocessed red meat and a higher future risk of type 2 diabetes. It supports recommendations to limit the consumption of processed meat and unprocessed red meat to reduce type 2 diabetes cases in the population. While our findings provide more comprehensive evidence on the association between poultry consumption and type 2 diabetes than was previously available, the link remains uncertain and needs to be investigated further.”
The team used theglobal InterConnect project for their work. It’s an approach that allows researchers to analyze individual participant data from diverse studies, rather than being limited to published results. This enabled the authors to include as many as 31 studies in this analysis, 18 of which had unpublished findings on the link between meat consumption and type 2 diabetes. By including this previously unpublished study data, the authors considerably expanded the evidence base and reduced the potential for bias from the exclusion of existing research, they explained.
Said Professor Nick Wareham, director of the MRC Epidemiology Unit and a senior author on the paper, “InterConnect enables us to study the risk factors for obesity and type 2 diabetes across populations in many different countries and continents around the world, helping include populations that are underrepresented in traditional meta-analyses…Using harmonized data and unified analytic methods across nearly two million participants allowed us to provide more concrete evidence of the link between consumption of different types of meat and type 2 diabetes than was previously possible.”
Fitness Flash
A Motivation Reboot
ACE Fitness, the leading organization for fitness professionals, recently published an inspiring blog on staying motivated, written by fitness expert Len Kravitz, PhD, coordinator of exercise science at the University of New Mexico, and students in his Introduction to Exercise Science course. Here are some of the ideas, abbreviated for space, that can help keep you on track with health and fitness goals, important because, as Dr. Kravitz pointed out, 80 percent of adults don’t meet current guidelines for aerobic exercise or resistance exercise. “These tips help target a person’s self-efficacy to adopt an exercise program and avoid dropping out,” he wrote. “As you read through this list, identify those strategies that resonate with you and fit best with your lifestyle, then incorporate those that will make the biggest impact.”
Set realistic health and fitness goals. Make sure they match your abilities, health, and lifestyle. Also break down even short-term three-month goals into smaller, more achievable segments of two to three weeks.
Create a weekly schedule that includes blocks of time for exercise. This helps with consistency.
Diversify. Mix up activities within each type of exercise—cardio, strength training, and flexibility.
Track your progress. Seeing your achievements in black and white helps keep you enthusiastic.
Create or join a network of fitness friends. Exercise loves company!
Give yourself rewards. Treat yourself to new exercise clothes or gear, flowers, or something special you’ve been eyeing.
Aim for consistency over intensity. Slow and steady wins the race.
Set reminders. Use your smartphone to ping you 15 minutes before your scheduled workouts.
Create a vision board. This is a real or virtual poster composed of photos, drawings, and quotes that inspire you.
Go small if needed. Some people find it easier to work out in 10-minute sessions—build up to three a day and you’ll meet daily recommendation of 30 minutes.
Get guidance. Consider hiring a personal trainer to provide expertise, guidance, education, and motivation tailored to you. This could be the smartest money you’ll ever spend on yourself and pay big dividends.
This dish doesn’t just taste great; its pretty presentation will wow family and guests alike. You can make my fresh tomato sauce up to three days in advance, or use 3 cups of your favorite high-quality store-bought sauce for faster prep.
Ingredients
For the tomato sauce:
3 tablespoons extra virgin olive oil
4 large garlic cloves, minced
1 cup grated yellow or Vidalia onions
One 6-ounce can tomato paste
1/2 cup red wine
One 28-ounce can whole tomatoes, preferably San Marzano
1/2 teaspoon dried oregano
Pinch of sea salt, more to taste
For the shells:
1 pound jumbo pasta shells
2 teaspoons sea salt
1 pound mozzarella
1 pound ricotta cheese
2 cups freshly grated Parmigiano-Reggiano cheese, divided use
1 cup cooked spinach, well chopped
2 tablespoons extra virgin olive oil, plus more for baking
1 egg, beaten
1/2 teaspoon dried oregano
1/4 teaspoon freshly grated nutmeg
1/4 teaspoon freshly ground black pepper
Directions
Step 1
Make the sauce: Heat a large saucepan. When hot, add the olive oil, garlic, and onions, and sauté until soft but not browned. Push the vegetables to the outside of the pan and add the tomato paste in the center. Sauté the paste until it browns, to release its flavors. Deglaze the pan with the red wine, then add the tomatoes, oregano, and salt. Use a potato masher to gently crush the tomatoes. Simmer for 20 minutes (or more) while you prepare the shells.
Step 2
Make the stuffed shells: Bring a large pot of water to a rapid boil and add the shells and the salt. Cook according to package directions for al dente (don’t overcook, as the shells will soften more in the oven).
Step 3
While the shells are boiling, line a rimmed sheet pan with parchment paper and set aside. Preheat your oven to 375°F. Cut the mozzarella into small cubes. Place the cubes in a large bowl along with the ricotta, 1 cup grated Parmigiano-Reggiano, spinach, olive oil, egg, oregano, nutmeg, and black pepper; mix thoroughly.
Step 4
Drain the shells, place them on the prepared sheet pan, and use a small spoon to stuff them with the spinach-cheese mixture. Lightly coat a large round or rectangular baking dish with olive oil and add three-quarters of the sauce; use an offset spatula to spread it out evenly.
Step 5
Place the filled shells in the baking dish in a festive pattern, brush the tops of the shells lightly with olive oil, and cover with the rest of the Parmigiano-Reggiano. Bake for 30 minutes or until the cheese topping is thoroughly melted and slightly browned. Serve with the rest of the tomato sauce on the side.
These cookies take inspiration from buttery shortbread. They come together in minutes, taste sublime, and pack in a good amount of fiber thanks to the whole wheat pastry flour, the hazelnuts, and even the chocolate!
Ingredients
3/4 cup pastry flour
3/4 cup whole wheat pastry flour
1/2 cup confectioner’s sugar
1/4 teaspoon sea salt
1/2 cup extra virgin olive oil
2 ounces bittersweet chocolate, coarsely chopped
2 ounces roasted and skinned hazelnuts, coarsely chopped
Directions
Step 1
Preheat your oven to 350°F. In a large bowl, whisk together the flours, sugar, and salt. Add the olive oil, chocolate, and hazelnuts, and mix with your hands to form a dough.
Step 2
Transfer the dough to a piece of parchment paper about 13 inches by 18 inches and pat it down to flatten it a bit. Top with another piece of parchment and roll out the dough to roughly a 10-inch square. Pop it in the fridge for about 20 minutes to firm up slightly.
Step 3
Discard the top piece of parchment and use a serrated knife to cut the dough into 20 cookies. Carefully separate the cookies (use a small offset spatula if needed), putting about an inch of space between them.
Step 4
Slide the parchment with the cookies onto a large cookie sheet. Bake for 25 minutes, rotating the cookie sheet halfway through. Let the cookies cool to room temperature before eating.
Chocolate Hazelnut Cookies Recipe, Spotlight on Hazelnuts and Chocolate Chunks, Weight Loss Diets for YOU, and Evening Activity for Better Sleep
How often do you want to indulge in a sweet treat yet wish that it could be healthier? I’ve got you covered with melt-in-your-mouth cookies! They have a nice dose of fiber, one of the key elements mentioned in a new study on weight loss. And if you’re looking for ways to get more sleep, you’ll be intrigued by the other study I’m sharing—it found that short bursts of activity in the evening may help.
Chocolate Hazelnut Cookies
Healthy Ingredient Spotlight
Hazelnuts
Hazelnuts are one of the unsung stars in the nut category, with a sweet taste that’s best when roasted but not salted. These crunchy nuts pack a lot of nutrients into a single ounce: 3 grams of fiber, 4 grams of protein, and 17 grams of fat—76 percent of which are healthy monounsaturated fats and 12 percent are healthy polyunsaturated fats. Hazelnuts also provide great amounts of vitamin E and the minerals copper and manganese, plus some B1, B6, and magnesium. Toss a handful into salads and vegetable dishes for an added layer of flavor. Ground hazelnuts can be used for baking as well as a substitute for breadcrumbs.
Because their brown skins can be bitter, remove them when using in a dessert recipe. The simplest way is to boil them for 2 minutes in water and baking soda in these proportions: 1 cup hazelnuts, 2 cups water, and 3 tablespoons of baking soda. Drain and, when cool enough to handle, use your fingers to pop the nuts out of their skins.
Briefly roasting hazelnuts brings out their sweetness. Spread your skinned nuts in a single layer in a rimmed sheet pan and place in a 350°F preheated oven for 10 minutes or until you can smell their aroma. Note: To save time, you can roast hazelnuts in their skins, then transfer them to a clean dish towel and rub them vigorously; this technique will remove most, though usually not all, of the skins.
Quick Kitchen Nugget
Chopping Your Own Chocolate Chunks
I like to fold chocolate chunks rather than store-bought chips into recipes because I can use my favorite chocolate bars and not be limited by the few cacao options in the baking aisle of my supermarket. Simply place your favorite bar on a secure cutting board and use a serrated knife to make cuts along its length, starting from one of the short sides.
For Your Best Health
Weight Loss Diets: Do It Your Way…With These Suggestions
“Flexibility and personalization are key to creating programs that optimize dieters’ success at losing weight and keeping it off,” said Manabu T. Nakamura, PhD, a professor of nutrition at the University of Illinois Urbana-Champaign and the leader of the new study “Successful dietary changes correlate with weight‐loss outcomes in a new dietary weight‐loss program.”
The research involved a group of dieters who participated in a regimen called the “Individualized Diet Improvement Program,” or iDip, which uses data visualization tools and intensive dietary education sessions to increase dieters’ knowledge of key nutrients, enabling them to create a personalized, safe, and effective weight-loss plan. “Sustainable dietary change, which varies from person to person, must be achieved to maintain a healthy weight. The iDip approach allows participants to experiment with various dietary iterations, and the knowledge and skills they develop while losing weight serve as the foundation for sustainable maintenance,” explained Dr. Nakamura.
Based on the dietary guidelines issued by the Institutes of Medicine, the iDip team created a one-of-a-kind, two-dimensional quantitative data visualization tool that plots foods’ protein and fiber densities per calorie and provides a target range for each meal. The pillars of iDip are increasing protein and fiber consumption—80 grams of protein and 20 grams of fiber a day—as part of a 1,500-calorie or less daily diet.
Starting with foods they habitually ate, the dieters created their individualized plans. And, indeed, in addition to personalization and flexibility, participants who consumed greater amounts of protein and fiber had the greatest success. In tracking dieters’ protein and fiber intake, the team found a strong correlation between protein and fiber consumption and weight loss at 3 and at 12 months. “[This] suggests that participants who were able to develop sustainable dietary changes within the first three months kept losing weight in the subsequent months, whereas those who had difficulty implementing sustainable dietary patterns early on rarely succeeded in changing their diet in the later months,” Dr. Nakamura said. The team hypothesized that this correlation could also have been associated with some dieters’ early weight-loss success, which may have bolstered their motivation and adherence to their program.
At the one-year mark, successful dieters (41 percent of participants) had lost 12.9 percent of their body weight, compared with the remainder of the study sample, who lost slightly more than 2 percent of their starting weight. “The research strongly suggests that increasing protein and fiber intake while simultaneously reducing calories is required to optimize the safety and efficacy of weight loss diets,” said first author and University of Illinois alumna Mindy H. Lee, registered dietitian-nutritionist for the iDip program.
Dr. Nakamura emphasized the importance of preserving lean mass while losing weight, especially when using weight-loss drugs. “Recently, the popularity of injectable weight-loss medications has been increasing,” he said. “However, using these medications when food intake is strongly limited will cause serious side effects of muscle and bone loss unless protein intake is increased during weight loss.”
Body composition analysis indicated that iDip dieters maintained their lean body mass, losing an average of 7.1 kilograms of fat mass and minimal muscle mass at the six-month interval. Among those who lost greater than 5 percent of their starting weight, 78 percent of the weight they lost was fat.
The project was funded by the US Department of Agriculture’s National Institute of Food and Agriculture, and the National Institute of Health’s National Institute of Biomedical Imaging and Bioengineering.
Fitness Flash
Evening Activity for Better Sleep
Rigorous exercise before bed has long been discouraged because it can be stimulating, but researchers from University of Otago in Dunedin, New Zealand, found that short bursts of light activity can lead to better sleep.
For the study, published in BMJ Open Sport & Exercise Medicine, participants completed two four-hour evening sessions of prolonged sitting broken up with 3-minute activity breaks every half hour. The scientists found that after the intervention the participants slept 30 minutes longer.
Lead author Jennifer Gale, PhD candidate in the Department of Human Nutrition at Otago, said that sitting for long periods is associated with an increased risk of diabetes, cardiovascular disease, and death. “We know that for many of us, our longest period of uninterrupted sitting happens at home in the evening. In our previous studies we have found that getting up and doing two to three minutes of exercise every 30 minutes reduces the amount of sugar and fat in your bloodstream after a meal. However, many sleep guidelines tell us we shouldn’t do longer bouts of higher intensity exercise in the hours before sleep, so we wanted to know what would happen if you did very short bouts of light intensity activity repeatedly throughout the evening.”
The activity breaks involved three exercises: chair squats, calf raises, and standing knee raises with straight-leg hip extensions. “These simple body-weight exercises were chosen because they don’t require equipment or a lot of space and you can do them without interrupting the TV show you are watching,” said primary investigator Meredith Peddie, PhD, senior lecturer in the Department of Human Nutrition. “From what we know from other studies, you could probably get a similar effect if you walked around your house, marched on the spot, or even danced in your living room. The most important thing is that you get out of your chair regularly and move your body.”
The fact that this exercise resulted in longer sleep is particularly important, the researchers pointed out, because insufficient sleep can negatively affect diet and has been associated with heart disease and type 2 diabetes. “We know higher levels of physical activity during the day promote better sleep, but current sleep recommendations discourage high-intensity exercise before bed because it can increase body temperature and heart rate resulting in poor sleep quality,” Dr. Peddie said. She added, “It might be time to review these guidelines as our study has shown regularly interrupting long periods of sitting is a promising health intervention.”
Seared Scallops with Farro Recipe, Spotlight on Farro and Scallops, A Fresh Look at Health and Fitness Apps, Plus 15 Minutes to Change Your Health
Craving shellfish, but hesitant to make it at home? Scallops are a great seafood choice and simple to prepare—a quick sear is all it takes for these sweet bites. My recipe pairs them with farro, a fantastic ancient grain. Both are high in nutrients and fit perfectly in a health-conscious diet. If you’re looking for more ways to boost health, two studies from researchers at the University of South Australia are full of easy-to-implement ideas to help people reach their goals.
Seared Scallops with Farro
Healthy Ingredient Spotlight
Get Familiar with Farro
Ancient grains are having a resurgence thanks to growing interest in eating foods that haven’t been refined or altered genetically to make mass production easy. Farro is one of these tasty whole grains though it might not be as well-known as barley and quinoa…yet!
Grown for centuries in the swath of land in the Middle East known as the Fertile Crescent, farro’s popularity first spread across Europe, notably Italy. Its nutty flavor and toothsome texture make it extremely versatile—it’s delicious as a hot side dish, a cold salad, an enrichment to soups and stews, and a breakfast bowl with yogurt and fruit.
Rich in protein, farro is also a great source of fiber if you choose whole, which is intact, or semi-pearled, which has some of the bran removed. As with dried beans, whole farro benefits from an overnight soak in water before cooking on the stove—put 1 cup in a bowl, cover with water, and pop in the fridge. To cook, drain the farro and add to a pot along with 3 cups of water, bring to a boil and simmer for 10 to 15 minutes; the texture should be similar to pasta cooked al dente, slightly firm and chewy, not mushy or gummy.
To extend shelf life, store farro with other whole grains and nuts in the fridge or freezer.
Quick Kitchen Nugget
Selecting Scallops
With their sweet taste and firm texture, scallops are a succulent seafood that sautés quickly. You can enjoy them in a traditional garlic and parsley sauce or a tomato-based preparation, or season them with exotic spices. They can be costly but there’s no waste and they’re a great source of protein and other nutrients, including some of the B vitamins and the minerals selenium, zinc, iron, and phosphorus.
Since scallops aren’t typically sold in the shell, like oysters, clams, and other shellfish, you don’t run the risk of getting an “old maid,” or a piece that doesn’t open. But there’s more to choosing scallops than meets the eye. Specifically, you want to always ask for “dry scallops,” which are natural, and avoid “wet” scallops. As the experts at New York’s famed Fulton Fish Market, which ships scallops nationwide, explain, “wet scallops are treated with water and a chemical solution (sodium tripolyphosphate, or STPP) to preserve [them] and keep them white. They have a faint chemical taste and are near-impossible to sear because of the high water content. They release water when cooked, causing them to steam instead of sear.” Always ask if the scallops aren’t marked as being dry.
Unlike other farmed seafood, line-farmed scallops, often produced by small-scale farmers in Maine, are a sustainable alternative to wild-caught. They feed naturally in the ocean as do other farmed bivalves, like mussels and oysters.
The big question is often whether to buy sea scallops—the large round ones—or small, nugget-like bay scallops. The answer often depends on taste and timing. Sea scallops are usually available year-round, while bay scallops, notably the famed ones from the Northeast’s Nantucket Bay and Peconic Bay, are available in season, which runs from November through March.
For Your Best Health
A Fresh Look at Health and Fitness Apps
Calorie counters and step trackers have sometimes gotten mixed reviews when it comes to their usefulness as diet and exercise aids. But a new analysis by researchers at the University of South Australia (UniSA) in Adelaide that looked at data from 206,873 people across 47 studies found that digital health tools, like mobile apps, websites, and text messages, can indeed pack a real punch when it comes to getting results.
Specifically, electronic and mobile health interventions can help people achieve:
1,329 more steps per day
55 minutes more moderate-to-vigorous exercise per week
45 minutes more overall physical activity per week
7 hours less sedentary behavior per week
103 fewer calories consumed per day
20 percent more fruits and vegetables consumed per day
5.5 grams less saturated fat consumed per day
1.9 kilograms of weight loss over 12 weeks
Improved sleep quality
Less severe insomnia
“With the rise of preventable chronic diseases like obesity, cardiovascular disease, and type 2 diabetes, finding mechanisms that can help reduce people’s risk is important,” said UniSA’s Dr. Ben Singh, the paper’s lead researcher. “Our study found that digital and mobile health interventions can have a positive effect on people’s health and well-being, not only helping them to increase their physical activity and reduce sedentary behavior, but also improving their diet and quality of sleep.
“Given the wide accessibility and popularity of health apps, their capability to tailor information and deliver timely reminders and prompts, and scalability to diverse populations, they could be a very effective intervention to promote better health. Making positive changes to your health and well-being can be a challenge—it’s always easier to add kilos to your waistline than it is to reduce them—but by incorporating digital tools into your everyday life, you’re more likely to achieve positive outcomes.”
The research identified consistent findings across different age groups, health behaviors, interventions, and health populations, indicating that digital health apps could help underpin broader public health campaigns. While the researchers recommend more study to better understand the impacts among specific groups of people, at the top line, digital health apps appear to be a win-win for all. Their study were published in the open-access journal npj Digital Medicine.
Fitness Flash
Got 15 Minutes to Change Your Health?
In a separate study led by UniSA’s Dr. Singh, researchers found that it takes just 15 minutes and a touch of gamification to put people involved in company wellness programs on the path to success. Assessing results from 11,575 participants across 73 Australian, New Zealand, and UK companies, UniSA researchers found that a gamified six-week workplace wellness program called the 15 Minute Challenge led to substantial increases in physical activity levels, with 95 percent of participants meeting (36 percent) or exceeding (59 percent) physical activity guidelines.
In addition, participants’ average daily physical activity levels increased by 12 minutes per day (85 minutes per week) throughout the six-week challenge, with a median daily exercise duration of 45 minutes. Participants also reported improvements in fitness (14 percent), energy (12 percent), overall health (8 percent), sleep quality (8 percent), and mood (7.1 percent).
The WHO recommends that adults ages 18 to 64 do at least 150 to 300 minutes of moderate-intensity aerobic physical activity or at least 75 to 150 minutes of vigorous-intensity aerobic physical activity over a week.
“Regular physical activity provides significant physical and mental health benefits,” said Dr. Singh. “It plays a key role in preventing and managing chronic disease, such as cardiovascular disease, type 2 diabetes, and cancer, and it also reduces symptoms of depression and anxiety. Yet around half of Australian adults do not meet the recommended levels of physical activity. With the majority of adults spending much of their waking time working, workplaces present ideal settings for promoting physical activity. The 15 Minute Challenge presents an effective mechanism to help boost employee health and well-being in the workplace.
“In this study we showed that as little as 15 minutes of physical activity per day can make a big difference when it comes to people’s health and well-being. And while the program only required 15 minutes of daily activity, most people tended to do more. The 15-minute goal essentially serves as an accessible starting point, especially for people who are particularly sedentary. So, it reduces barriers to entry and helps build the habit of regular exercise. Ultimately, the 15 minutes is a catalyst for increased physical activity, with many participants ending up exceeding the minimum goal and moving closer to or surpassing national recommendations.”
UniSA professor Carol Maher, PhD, a co-researcher on the study, said that part of the program’s success is in the gamification and the social aspects of the app. “Encouraging and keeping your teammates accountable through friendly competition is central to the 15 Minute Challenge app, and a key part of what motivates participants to stay committed and connected,” Dr. Maher said. “The program encourages team collaboration to track rankings and display cumulative exercise. Achievements are clearly noted, and successes are celebrated. So, it’s certainly a tool that engages people to work together and have fun.
“What we need to remember, however, is that addressing inactivity is everyone’s responsibility. So, if an employer can initiate an effective, enjoyable, and cost-effective option to support their employees, it’s a win-win. Physically active employees are happier and healthier; they are more productive, more satisfied, less stressed, and less likely to get sick. Sustainable, scalable initiatives like the 15 Minute Challenge that can support employees to change their health and well-being for the better should be on every employer’s agenda.”
This dish comes together in short order yet makes for an elegant presentation. The technique also lends itself to shrimp (if you make that swap, use one pound of peeled shrimp).
Ingredients
1 tablespoon onion powder
1 tablespoon garlic powder
2 teaspoons sweet paprika
1/2 teaspoon fine sea salt
1/2 teaspoon freshly ground black pepper
1 pound dry sea scallops
3 tablespoons extra virgin olive oil
2 garlic cloves, minced
1/2 cup white wine or clam juice
2 tablespoons butter
2 cups cooked farro
2 tablespoons chopped fresh flat-leaf parsley
Directions
Step 1
Mix the onion powder, garlic powder, paprika, salt, and pepper in a pie plate. Heat a large skillet. While the pan is heating, pat the scallops with a paper towel and dredge in the spice mixture. When the pan is ready, add the olive oil and the scallops. Sear the scallops until browned and crispy on the edges, about two minutes on each side, then transfer them to a dish.
Step 2
Add the minced garlic to the pan and sauté until soft, about 3 minutes. Deglaze the pan with the wine or clam juice and add the butter, swirling it until it melts into the pan juices. Add the cooked farro and toss to coat. Sprinkle with the parsley. Mound equal amounts of the farro on 4 plates and add equal amounts of scallops.
Yields 4 servings
For Your Best Health
The MIND Diet for Brain Health: More Benefits of Olive Oil
According to a new study from researchers at the Columbia University Mailman School of Public Health and The Robert Butler Columbia Aging Center, a very specific brain-boosting diet has been linked to reduced dementia risk and a slower pace of aging. The study, “Diet, Pace of Biological Aging, and Risk of Dementia in the Framingham Heart Study,” published in the Annals of Neurology, also explains how the diet helps slow down the processes of biological aging.
“Much attention to nutrition in dementia research focuses on the way specific nutrients affect the brain,” said Daniel Belsky, PhD, associate professor of epidemiology and a senior author of the study. “We tested the hypothesis that healthy diet protects against dementia by slowing down the body’s overall pace of biological aging.”
The researchers used data from the second generation of the Framingham Heart Study, the Offspring Cohort. Participants were 60 years of age or older and free of dementia and had available dietary, epigenetic, and follow-up data. Follow-up was done at nine examinations, approximately every 4 to 7 years, which included a physical exam, lifestyle-related questionnaires, blood sampling, and, starting in 1991, neurocognitive testing. Of 1,644 participants included in the analyses, 140 developed dementia.
To measure the pace of aging, the researchers used an epigenetic clock called DunedinPACE developed by Dr. Belsky and colleagues at Duke University and the University of Otago in Dunedin, New Zealand. The clock measures how fast a person’s body is deteriorating as they grow older, “like a speedometer for the biological processes of aging,” explained Dr. Belsky.
“We have some strong evidence that a healthy diet can protect against dementia,” said Yian Gu, PhD, associate professor of neurological sciences at Columbia University Irving Medical Center and the other senior author of the study, “but the mechanism of this protection is not well understood.” Past research linked both diet and dementia risk to an accelerated pace of biological aging. “Testing the hypothesis that multi-system biological aging is a mechanism of underlying diet-dementia associations was the logical next step,” explained Dr. Belsky.
The research determined that higher adherence to the MIND diet slowed the pace of aging as measured by DunedinPACE and reduced risks for dementia and mortality. Furthermore, slower DunedinPACE accounted for 27% of the diet-dementia association and 57% of the diet-mortality association.
“Our findings suggest that slower pace of aging mediates part of the relationship of healthy diet with reduced dementia risk, and therefore, monitoring pace of aging may inform dementia prevention,” said first author Aline Thomas, PhD, of the Columbia Department of Neurology and Taub Institute for Research on Alzheimer’s Disease and the Aging Brain. “However, a portion of the diet-dementia association remains unexplained, therefore we believe that continued investigation of brain-specific mechanisms in well-designed mediation studies is warranted.”
“We suggest that additional observational studies be conducted to investigate direct associations of nutrients with brain aging, and if our observations are also confirmed in more diverse populations, monitoring biological aging may indeed inform dementia prevention,” noted Dr. Belsky.
Exactly What Is the MIND Diet?
MIND is a hybrid of the Mediterranean and DASH diets, tailored to reflect key findings from nutrition and dementia research. It details serving sizes of specific foods to focus on and which to limit, primarily those high in saturated fat, which is known to negatively affect brain health.
Foods and portions to eat every day: 1/2 to 1 cup green leafy vegetables, 1/2 cup other vegetables, 2 tablespoons extra virgin olive oil, and three 1-ounce servings of whole grains.
Foods and portions to eat over the course of each week: 5 ounces nuts, 2-1/2 cups berries, 1-1/2 cups legumes, two 3-to-5-ounce servings of skinless poultry, and 3-to-5 ounces fish.
Foods to limit to these weekly totals: three or fewer 3-to-5-ounce servings of red and processed meats, 1 ounce whole-fat cheese, 1 fried or fast food, and 4 sweet servings. If desired, no more than 1 teaspoon of butter or stick of margarine a day.
Mini Pistachio Thumbprint Cookies Recipe, For Your Best Health: The Mediterranean Diet (Still No. 1)
Among the most important news items I share in this newsletter are results of scientific studies on the benefits of olive oil and, in a larger context, the Mediterranean diet. I love to report on research that shows how this way of eating—and living—has positive impacts on heart and brain health and can help ward off serious chronic diseases including diabetes and dementia.
It’s also rewarding to see how the diet has been adopted here in the US and how many of our esteemed institutions, such as the American Heart Association and the Cleveland Clinic, recommend it. An annual survey that so many people appreciate reading is the U.S. News & World Report’s ranking of dietary plans or “Best Diets.” And for the seventh year in a row the Mediterranean diet triumphs in the top spot. I’ll detail the highlights of the magazine’s reasoning right after this delicious recipe for cookies you can enjoy guilt-free—in moderation, of course.
With a minimal amount of sugar, these cookies pack all the heart-healthy benefits of nuts, a key food—along with extra virgin olive oil—of the Mediterranean diet. Though sweets are the smallest food group on the Mediterranean diet food pyramid, we know that an occasional treat can help us stay on track with this healthful way of eating. This recipe shows that you don’t have to make huge sacrifices to enjoy it.
Ingredients
1 cup shelled pistachios
1-1/2 cups almond flour
1/2 cup granulated sugar
2 large egg whites
1/4 teaspoon sea salt
2 tablespoons extra virgin olive oil
1/2 teaspoon almond extract
1 teaspoon vanilla extract or paste
1/4 cup raspberry or apricot all-fruit (no sugar added) preserves, such as Polaner or St. Dalfour
Directions
Step 1
Preheat your oven to 350°F. Line two rimmed sheet pans with parchment paper. Use a spice or coffee bean grinder to pulverize the pistachios (you may need to do this is batches). Transfer to a large bowl along with the almond flour and sugar, and mix thoroughly.
Step 2
In a stand mixer or large bowl with a hand mixer, beat the egg whites and salt at a low speed until frothy, then increase the speed and beat until you get soft peaks. Briefly whip in the olive oil and the extracts. Fold the whites into the nut mixture with a large spatula until fully combined. The dough will be very firm.
Step 3
Using a 1-inch ice cream scoop or melon baller, make dough balls and evenly space them on the parchment-lined pans. Use your thumb to make an indentation in the top of each cookie, flattening the centers and then filling each with a half-teaspoon or so of preserves.
Step 4
Bake just until set, about 15 minutes, rotating the pans halfway through. Wait 5 minutes before transferring the cookies to a rack to cool. When completely cooled, store in an airtight tin.
Yields about 44 cookies
For Your Best Health
The Mediterranean Diet: Still No. 1
According to the U.S. News & World Report 2024 rankings, created in partnership with The Harris Poll and with input from a panel of leading health experts, the Mediterranean diet has once again taken the No. 1 spot in the Best Diets Overall category, thanks to its focus on diet quality and primarily plant-based foods. The Mediterranean diet also claimed the top spot in the categories Best Diets for Diabetes, Best Heart-Healthy Diets, Easiest Diets to Follow, Best Diets for Bone and Joint Health, Best Family-Friendly Diets, and Best Diets for Healthy Eating, and the No. 2 spot in the Best Weight Loss Diets and the Best Plant-Based Diets categories.
One of the reasons it’s both adoptable and adaptable is that there are so many cuisines to choose from when looking for recipes. Dishes that are popular in Turkey and Greece will offer different tastes than those from Italy, France, or Spain or from Morocco and other North African countries. But the unifying elements are the same: the emphasis on vegetables, fruits, extra virgin olive oil, nuts, whole grains, legumes, herbs, spices, and other plant-based foods that leave you feeling satisfied; minimal food processing; and a convivial atmosphere in the kitchen and at the table.
The Mediterranean diet also ranks high for what it leaves out:saturated fat, added sugars, and excess salt—all so prevalent in the typical American diet and so likely to leave you wanting more because foods with a low-nutrient profile are not truly satisfying. Eating them regularly also poses health risks. Eating a Mediterranean-style diet, on the other hand, translates to a longer life, a higher quality of life, and a lower risk of chronic diseases such as cancer, dementia, and heart disease.
The Mediterranean diet food pyramid is a great way to visualize the foods to focus on and how often to eat them. Whole grains, legumes, vegetables, fruit, and olive oil make up most of your daily intake. Seafood can be enjoyed a few times a week; animal proteins like poultry, eggs, cheese, and yogurt less often; and red meat less often still. But you also have a lot of leeway, so you don’t need to feel guilty about eating foods not on the pyramid. Nothing is totally eliminated, though you’re advised to eat foods like sugary desserts, butter, heavily processed foods like frozen meals, candy, and refined grains and oils sparingly.
Mediterranean Food Pyramid
To get started on the Mediterranean diet, or to more closely follow it, U.S. News & World Report suggests these tips:
Think of meat as your side dish and whole grains or vegetables as your main dish.
Look beyond Greek and Italian cuisines for inspiration—in all, 22 countries border the Mediterranean Sea!
As with any diet, do some advance meal planning so you won’t be tempted by convenience foods after a long day at work. For instance, cook up a batch of grains or lentils on the weekend to use for meals throughout the following week.
Make water your main source of hydration. Wine is considered optional and then only in moderation—one to two glasses per day for men and one glass per day for women.
Composed Roasted Beet Salad Recipe with Balsamic Vinegar, Spotlight on Whisks, Speaking More than One Language to Fight Alzheimer’s, and Protecting Against Falls at Every Age
Roasting brings out the flavors of autumn vegetables, making them exceptionally delicious—and the only thing better than drizzling them with extra virgin olive oil is also adding a few drops of rich balsamic vinegar from Modena, Italy. That’s why I’m so excited to announce my third collection of artisanal vinegars from the T. J. Robinson Curated Culinary Selections and the following recipe so that so well highlights my balsamic vinegar, Condimento Exclusivi Barili.
Also in this issue…If you’re looking for new pastimes as the weather changes, consider learning another language—a study review found that the brain reserves you’ll create could delay the arrival of dementia symptoms. And to protect physical health at every age, get to know simple steps to help prevent falls.
This is a great time of year to sample the savory sweetness of yellow beets. Roasting beets intensifies their surprising sweetness, a palate-pleasing contrast to the greens in this recipe. The bold flavors in this salad need just olive oil and balsamic vinegar to dress it, but you’ll need to bypass imposters and source true aceto balsamico from Italy—see the Healthy Ingredient Spotlight in my newsletter.
Ingredients
4 large yellow beets
2 tablespoons extra virgin olive oil, divided use, plus more for drizzling
1 tablespoon balsamic vinegar from Modena, plus more for drizzling
4 cups assorted salad greens
2 ounces Parmigiano-Reggiano shavings
1 ounce chopped hazelnuts
Directions
Preheat your oven to 400°F. Line a rimmed sheet pan with parchment paper. Trim the beets but don’t peel them, and cut into quarters. Transfer to the sheet pan and toss with 1 tablespoon olive oil. Roast until tender, up to one hour. Out of the oven, roll up the beets in the parchment paper and allow them to sit for 10 minutes; this makes it easy to now take off the peels. Toss them with the rest of the olive oil and the tablespoon of vinegar. Divide the greens among four plates and top with equal amounts of beets, cheese shavings, and hazelnuts. Drizzle with more olive oil and vinegar.
Yields 4 servings
Healthy Ingredient Spotlight
Authentic Balsamic Vinegar
As those of you who have already been enjoying the vinegars of the T. J. Robinson Curated Culinary Selections know, after years of requests from members of the Fresh-Pressed Olive Oil Club, I made it my mission to source the best artisanal vinegars on the planet. That meant distinguishing true aceto balsamico or balsamic vinegar from its many pretenders.
With so many bottles on store shelves labeled “balsamic,” it’s important to know how to choose correctly. First and foremost, the vinegar must be completely crafted in Modena, a city within the Emilia-Romagna region of Italy, according to exacting, centuries-old standards enforced by the local consortiums. Anything else is, quite simply, not balsamic vinegar. Beyond this, the ultimate quality of a Modena balsamic depends on the skill of the producer, including knowing what wood to pick for each period of aging.
When in Italy, I always look forward to walking through the pristine olive groves at Acetomodena, the producer of my collection’s balsamic vinegar.
A few different types of balsamic vinegars are available within the strict guidelines. There is Aceto Balsamico Tradizionale DOP (Denominazione di Origine Protetta or Protected Origin Denomination), which can take generations to make and is wildly expensive. That’s because it’s crafted exclusively from cooked grape must—all parts of the grapes are used—and aged for a minimum of 12 years and sometimes 25 years or even longer. A few ounces cost well over a hundred dollars, so it’s not used for cooking or making vinaigrettes but for drizzling sparingly on foods as a finishing touch.
The next is Aceto Balsamico di Modena IGP (Indicazione Geografica Protetta or protected geographical indication). It must be made from grape must and wine vinegar only and aged in wooden barrels for at least two months, but can be aged for as long as three years, which allows it to get sweeter and more harmonious as it achieves the perfect ratio of density to acidity. Many companies take the industrial route, rapidly boiling down the grape must, which often imparts the taste of burnt toast, and aging for the bare minimum.
Choosing the best vinegars for you can be as complex as choosing the best fresh-pressed olive oil. I love working with Gary Paton of Società Agricola Acetomodena in Modena and tasting just how nuanced “balsamic vinegar” can be, depending on the aging process.
The Acetomodena balsamic in my collection is a special IGP vinegar called Condimento Barili Exclusivi. The “condiment” designation allows producers more freedom to craft a vinegar that goes beyond strict IGP requirements with a taste akin to that of the Aceto Balsamico Tradizionale—it has the perfect balance of acidity, sweetness from grape must, and woodiness from the barrel aging.
Why you should have this vinegar in your kitchen: A pure balsamic vinegar, sweet and thick, is a culinary essential. It adds the perfect finish to cheeses, salads, grilled foods from vegetables to meat, and even desserts, like strawberries and figs.
Quick Kitchen Nugget
Whisks Aplenty
Having a few well-made whisks makes important cooking prep steps nearly effortless. But with so many sizes—and shapes—available, how do you know which ones you really need?
Start with a French whisk, long and narrow with numerous loops of wire, or tines, great for beating eggs and making egg-based sauces, custards, and curds. Add a balloon whisk, an overall large whisk that balloons to more of a ball shape at the end, for combining large volumes of dry or wet ingredients and whipping cream and egg whites if you don’t have a stand or hand mixer. Balloon whisks typically have fewer loops than smaller whisks so that ingredients don’t get caught in them. A very small mini-whisk is ideal for beating small quantities of vinaigrette, a single egg, or cocoa and milk for a cup of hot chocolate. There are more exotic shapes you can buy, like a flat whisk for reaching all around a saucepan and a coiled whisk (with a small oval of coiled wire at the end), if you’re an equipment lover.
Most important is whisk construction. Cheaply made whisks fail early on—the wires pop out of the handle or they just don’t have enough loops to be effective. Look for whisks made of high-quality, dishwasher-safe stainless steel. To avoid scratching nonstick saucepans, you’ll also want whisks made of silicone—just keep in mind that they’re more fragile and tend to require more arm work on your part.
For Your Best Health
Sprechen Sie Deutsch?
Or Italian, French, or Spanish? Today may be a great day to start! A new review conducted at UCLA and published in the Journal of Alzheimer’s Disease examined the numerous and often conflicting studies on whether regularly speaking two or more languages can help fight Alzheimer’s.
According to the review’s results, being bi- or multi-lingual does increase the brain’s cognitive reserve, a protective effect thought to stem from the executive control involved in managing multiple languages. The review acknowledged that findings in the various studies reviewed were not consistent when it came to factors like the age at which people should start learning another language, how proficient they need to be in it, or how often they need to use it. There also isn’t hard evidence that it can prevent Alzheimer’s, but most did find that the increased cognitive capacity and resilience of the brain’s frontal lobe from learning languages can delay the emergence of dementia symptoms by about 4 to 5 years. And that delay has a potentially significant impact on the course of the disease for those who get it. Another positive is that learning a new language can be fun in the here and now, especially with easy-to-access programs like Duolingo and Babbel, which have apps for your smartphone and free trials.
Fitness Flash
Protecting Against Falls At Every Age
We face not only mental but also physical perils as we age, and one of the most devastating can be a fall that breaks a bone, especially a hip. UNLV assistant professor, physical therapist, and board-certified neurological clinical specialist Jennifer Nash, DPT, CNS, explains it’s hard to recover from a hip fracture, and afterward, many people are unable to live on their own. More than 95% of hip fractures are caused by falling, usually by falling sideways. Women account for three-quarters of all hip fractures, often because of osteoporosis, which weakens bones and makes them more likely to break. Recovery from a broken hip can be grueling. It can land you in the hospital for a week and possibly a care facility afterward to continue healing.
During recovery, every activity of daily living, including any exercise, can be painful. That pain can create a vicious cycle when it comes to physical inactivity: The less you do, the less you will be able to do. Decreased activity leads to decreased strength and function, which leads to deconditioning, increased fear of activity, and decreased quality of life. This can all lead to even greater inactivity, Dr. Nash points out.
The answer is to do your best to prevent a fall in the first place with a plan based on guidelines from the National Council on Aging:
Participate in a good balance and exercise program. Try a community exercise program or get started on an individualized program with the help of a physical therapist.
Check in with your healthcare provider. Review any medications you’re taking for side effects that include dizziness. In fact, if different specialists have prescribed different medications for you, ask your primary care doctor or pharmacist to review them all for negative interactions. Have your blood pressure checked—some people experience dizziness from a blood pressure drop when they stand up from seated exercises or just from being in a chair.
Have your vision and hearing checked annually. Three components make up the body’s balance system: vision, proprioception (the ability to sense where you are with your feet), and the vestibular system (the inner ear). Dr. Nash says hearing is important for your balance. If you can’t hear someone coming up behind you, you might get startled and trip. Or maybe you can’t hear someone warning you about an uneven surface, which could lead to a fall. At a certain age, she says that, compared to single-focus lenses, bi-focal or tri-focal lenses can be problematic because they can lead you to look through the reading lens to climb stairs or uneven surfaces, and that can create depth-perception issues.
Create a safe home environment. Remove any and all tripping hazards like loose cords and clutter along the floor, even throw rugs. Improve your lighting, especially on stairs, which should have at least one railing. Add grab bars in key areas like the shower and near the toilet. Make sure there’s a night light on the path to the bathroom to lessen the chance of falling if you wake up in the middle of the night to go.
And if you ever do experience a fall and hit your head, call your doctor right away and ask about getting evaluated for a traumatic brain injury or TBI. Don’t wait for symptoms to appear.
