Saturday, July 26, 2008
Margarin dilarang di California
Thursday, July 17, 2008
Suplementasi gizi meningkatkan fungsi intelektual
A Prospective Study in Guatemala
Arch Pediatr Adolesc Med. 2008;162(7):612-618.
Objective To estimate the association of improved nutrition in early life with adult intellectual functioning, controlling for years of schooling. Design Prospective cohort study. Setting Four villages in Guatemala, as well as locations within Guatemala to which cohort members migrated. Participants Individuals who had participated as children in a nutrition supplementation intervention trial from March 1, 1969, through February 28, 1977 (N = 2392). From May 1, 2002, through April 30, 2004, adequate information for analysis was obtained from 1448 of 2118 individuals (68.4%) not known to have died. Interventions Individuals exposed to atole (a protein-rich enhanced nutrition supplement) at birth through age 24 months were compared with those exposed to the supplement at other ages or to fresco, a sugar-sweetened beverage. We measured years of schooling by interview. Main Outcome Measures Scores on the Serie Interamericana (InterAmerican Series) tests of reading comprehension and the Raven Progressive Matrices, obtained from May 1, 2002, through April 30, 2004. Results In models controlling for years of schooling and other predictors of intellectual functioning, exposure to atole at birth to age 24 months was associated with an increase of 3.46 points (95% confidence interval, 1.26 to 8.18) and 1.74 points (95% confidence interval, 0.53-2.95) on the InterAmerican Series and Raven Progressive Matrices tests, respectively. There was no statistical interaction between exposure to atole at birth to age 24 months and years of schooling on either outcome (P = .24 and P = .60, respectively). Conclusion Improved early-life nutrition is associated with increased intellectual functioning in adulthood after taking into account the effect of schooling.
Author Affiliations: Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia (Drs Stein, DiGirolamo, Ramakrishnan, Yount, and Martorell and Ms Wang); and Unit of Public Policies, Institute of Nutrition of Central America and Panama, Guatemala City, Guatemala (Drs Grajeda and Ramirez-Zea).
Tuesday, July 15, 2008
Makanan sehat mengurangi risiko diabetes dan penyakit jantung
Penelitian ini menilai hubungan pola makan dan risiko diabetes, penyakit jantung koroner (PJK), dan kematian. Analisis prospektif dilakukan terhadap 7.731 pria dan wanita berumur rata2 50 tahun dan difollow up selama 15 tahun.
Berdasarkan pola makan dibagi dalam 4 kelompok:
2. Manis (roti putih, biscuit, cakes, daging olahan, high-fat dairy products, n=1042)
3. Mediterranean-like (buah, sayur, nasi, pasta, wine, n=1361)
4. Sehat (buah, sayur, whole-meal bread, low-fat dairy, dan sedikit alkohol, n = 2663)
Kesimpulan penelitian ini membuktikan bahwa pola makan yang sehat dapat mengurangi risiko diabetes dan PJK.
American Journal of Clinical Nutrition 87(5):1414-1421, May 2008© 2008 to the American Society for Nutrition
Dietary patterns and 15-y risks of major coronary events, diabetes, and mortality
Eric J Brunner, Annhild Mosdøl, Daniel R Witte, Pekka Martikainen, Mai Stafford, Martin J Shipley and Michael G Marmot
Background: Few studies have examined the long-term effect of habitual diet on risks of incident diabetes, coronary heart disease, and mortality.
Objective: We analyzed the prospective relation of dietary patterns with incident chronic disease and mortality during 15 y of follow-up in the Whitehall II study.
Design: We conducted a prospective analysis (106 633 person-years at risk) among men and women (n = 7731) with a mean age of 50 y at the time of dietary assessment (127-item food-frequency questionnaire). Coronary death or nonfatal myocardial infarction and incident diabetes were verified by record tracing and oral-glucose-tolerance tests.
Results: Cluster analysis identified 4 dietary patterns at baseline. The patterns were termed unhealthy (white bread, processed meat, fries, and full-cream milk; n = 2665), sweet (white bread, biscuits, cakes, processed meat, and high-fat dairy products; n = 1042), Mediterranean-like (fruit, vegetables, rice, pasta, and wine; n = 1361), and healthy (fruit, vegetables, whole-meal bread, low-fat dairy, and little alcohol; n = 2663). Compared with the unhealthy pattern, the healthy pattern reduced the risk of coronary death or nonfatal myocardial infarction and diabetes; hazard ratios (95% CI) were 0.71 (0.51, 0.98) and 0.74 (0.58, 0.94), respectively, after adjustment for age, sex, ethnicity, dietary energy misreporting, social position, smoking status, and leisure-time physical activity. Dietary pattern was not associated with all-cause mortality. Residual confounding by socioeconomic factors was unlikely to account for the observed dietary effects.
Conclusions: The healthy eating pattern reduced risks of diabetes and major coronary events. Such dietary patterns offer considerable health benefits to individuals and contribute to public health.