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American Society of Nephrology

An apple a day keeps kidney stones away

More fruits and veggies, less salt prevents stones from forming

Researchers have found another reason to eat well: a healthy diet helps
prevent kidney stones. Loading up on fruits, vegetables, nuts, low-fat
dairy products, and whole grains, while limiting salt, red and processed
meats, and sweetened beverages is an effective way to ward off kidney
stones, according to a study appearing in an upcoming issue of the
Journal of the American Society Nephrology (JASN).

    Because kidney stones
are linked to higher rates of hypertension, diabetes, increased body
weight, and other risk factors for heart disease, the findings have
considerable health implications.

Because a DASH-style diet may affect the development of hypertension,
diabetes, and other chronic diseases associated with kidney stones, the
researchers also performed an analysis limited to study participants
without hypertension or diabetes. Even among those individuals the DASH
diet reduced the risk of kidney stones.

Many of the medications used to treat kidney stones have unpleasant side
effects. This study indicates that adopting a DASH-style diet may be an
effective alternative.



High-Carb, High-Fat Diets Superior to High-Protein Diets in Improving
Cognitive Performance

Deborah Brauser

September 1, 2009 — Diets high in carbohydrates or fat can lead to
significantly better cognitive-performan ce
and inflight-testing scores
in pilots than diets high in protein, according to results reported in a
poster presentation at the Military Health Research Forum (MHRF) 2009 in
Kansas City, Missouri.

In addition, a high-carbohydrate diet helped study pilots sleep better,
and a high-fat diet appeared to lead to significantly faster short-term
memory.

"We started out thinking that the high-protein diet would lead to being
the sharpest afterward," said colead investigator Glenda Lindseth, RN,
PhD, licensed registered dietician and professor of nursing at the
University of North Dakota (UND) in Grand Forks.
"But we were surprised
by our findings that it was actually the high-carb or high-fat diets
that were the best. Eating a diet that's high in protein just isn't
going to help you perform optimally."

The Lindseths report that human error has been implicated in 70% to 80%
of civil- and military-aviation accidents and in up to 91% of
general-aviation accidents.
In addition, lack of proper nutrition was
rated as the top stressor in the daily lives of professional airline pilots

Little Research on Diet and Cognition


There is currently little research on the potential connection between
dietary intake and cognition. So in this study, the investigators sought
to compare diets high in carbohydrates, fat, and protein to test their
effects on cognition, flight performance, and sleep patterns.

During the first week, participants were randomized to receive 1 of 4
diets (3 full meals and 2 snacks) for 4 days: a diet high in
carbohydrates, a diet high in fat, a diet high in protein, or a control
diet. After a 2-week "phase-out" period, all pilots then randomly
received a different study diet. This process was repeated until all
pilots had received all 4 diets.

Worse Performance With High-Protein Diet


Results showed that overall flight-performance scores for the pilots
consuming a high-protein diet were significantly worse (P < 05) than for
those consuming a high-carbohydrate or a high-fat diet.

In addition, high-carbohydrate diets produced shorter sleep latencies
than the other diets, especially the control diet (P < .03). In fact,
the researchers found that if the pilots ate the high-carbohydrate diet,
they seemed to sleep better, fall asleep quicker, and wake up less often.

"We're certainly not saying you always have to eat high fat," said
Glenda Lindseth. "The take-away message is that a diet that is well
balanced and has a lot of carbohydrates and a reasonable amount of fat
in it is best for pilots to perform well cognitively. "


Findings Likely Generalizeable

In an interview with Medscape Psychiatry, Karen Tountas, PhD, MHRF
conference chair and the event's peer-reviewed medical research program
manager, said:
"I think this is a very exciting study. They've focused
on working with pilots but anything we can find out about diet and its
relationship to cognition [will likely] translate across all people.
[This study] does open up avenues of more questions to be asked."

"We know the brain's primary source of energy is glucose — that is
sugar, just straight sugar,"
Captain E. Melissa Kaime, MD, director of
the Congressionally Directed Medical Research Programs (CDMRP), part of
the US Army Medical Research and Materiel Command, told Medscape Psychiatry.

"In some ways it shouldn't surprise us that a diet high in carbohydrates
is good for the brain because that's the glucose it needs. But we all
know that there are other problems in society too, such as an obesity
epidemic. So we want to certainly feed the brain but we don't want to
overfeed it or the rest of the body."

"We're trying so hard to keep people healthy and we want the magic
bullet — the 1 pill or the 1 vaccine that fixes everything." Captain
Kaime said that this study is just 1 more that says the solution "is in
your diet. And that is actually good news. Because if the solutions are
. . . common sense and practical and available, [something] that you
don't have to go out and buy with a prescription and that is at your
fingertips anyway, that just makes it all the more powerful."


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