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18 Nov 2015
3 min read
FENS 2015 Berlin

Type 2 diabetes risk: overview of recent studies

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Type 2 diabetes is a disease that currently affects some 387 million people worldwide, and is expected to affect 205 millions more by the year 2030 according to International Diabetes Federation. The possible effects of dairy consumption on diabetes prevention remain controversial largely  owing  to  their  saturated  fat  content,  which are  conventionally perceived  as  having  an  adverse  impact  on  health. However,  yogurt is a nutrient-dense food  and  contains  high-quality  protein,  vitamins  (A,  D,  B2,  B12), and minerals (calcium, magnesium, and potassium), which have been shown to have beneficial effects on type 2 diabetes risk.

Prospective studies show a decreased risk of diabetes for frequent yogurt consumption.

Dr. Jordi Salas-Salvadó (PhD Human Nutrition at the Faculty of Medicine and Health Sciences, Rovira i Virgili University, Spain) focused in his research on the potential role of dairy consumption in the prevention of type 2 diabetes (T2D). When comparing the risk of developing T2D for each dairy food subtype, scientific data indicated that other forms of dairy, like milk and cheese, did not offer a similar preventive effect as yogurt.

Recent studies found that saturated fatty acids (SFAs) with an odd number of carbon atoms in their chain (15 and 17) were associated with a lower risk of developing type 2 diabetes. Odd-chain SFAs are well-established markers of eating dairy fats, which is consistent with several recent studies that found a protective effect against type 2 diabetes through yogurt and dairy consumption.

Dr Salas reviewed recent published evidence supporting that frequent yogurt intake is consistently and negatively associated with the risk of type 2 diabetes in young as well as middle-aged individuals and that this association was independent of the fat content of the diet.

A healthy dietary pattern incorporating yogurt consumption, may be protective against type 2 diabetes in older adults at high cardiovascular risk.

The study recently published by Jordi Salas-Salvado’s team and performed in older adults at high cardiovascular risk confirms the existing results and namely those of the two most recent studies in that field of research. In US,  Chen et al. showed that yogurt consumption was associated with a risk reduction  of type 2 Diabetes of 17%  and in UK, O’Connor et al showed that yogurt consumption was associated with a larger risk reduction of type 2 diabetes of 28%.

The specificity of the renowned PREDIMED cohort used in this Spanish study enables authors to explore different approaches in terms of dairy consumption habits during the 4 years of follow-up. The results demonstrated that the risk reduction was maintained for both low-fat (32%) and whole fat (34%) yogurt consumption. The increased consumption of total low-fat dairy and total yogurt during the follow-up was also inversely associated with type 2 diabetes risk. Moreover, substituting 1 serving/day of a combination of biscuits/chocolate or whole grain biscuits/homemade pastries for 1 serving/day of yogurt was associated with a 40 and 45% reduction risk, respectively.

Watch now the slideshow from Prof. Jordi Salas-Salvadó:

Check out all sources and read more on the research of Prof. Jordi Salas-Salvadó
References:
  1. Chen M, et al. Dairy consumption and risk of type 2 diabetes 3 cohorts of US adults and an updated meta-analysis. BMC Med 2014; 12:215.
  2. O’Connor L.M., et al. Dietary dairy product intake and incident type 2 diabetes: a prospective study using dietary data from a 7-day food diary, Diabetologia May 2014, Vol 57(5), pp. 909-17.
  3. Díaz-López A, et al. Dairy product consumption and risk of type 2 diabetes in an elderly Spanish Mediterranean population at high cardiovascular risk. Eur J Nutr 2015 Feb 7.
18 Nov 2015
1 min read
FENS 2015 Berlin

Prevention of type 2 diabetes: what about yogurt?

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18 Nov 2015
4 min read
Expert interviews

Interview behind the scenes (part 2) : Prof. Jordi Salas-Salvadó, Universitat Rovira i Virgili

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Jordi Salas-Salvadó is a professor of Human Nutrition and Bromatology for the Faculty of Medicine and Health Sciences at the Rovira i Virgili University in Spain. He is well known for his expertise in obesity, type 2 diabetes mellitus, metabolic syndrome and cardiovascular disease. Read here part II of the interview.

How can yogurt intake play a role in weight management, as obesity is an important mediator for Type 2 Diabetes?

Dairy consumption has been studied extensively for its possible roles in body weight regulation.  Epidemiologic studies indicate that dairy products, and in particular yogurt, may have the potential to reduce the risk of obesity. In addition, limited findings suggest that yogurt may have a more powerful effect on weight and body fat than other dairy foods, but further randomized controlled trials are needed to confirm this. Potential mechanisms for these findings are unclear, although evidence suggests that the consumption of dairy products, and specifically yogurt, may facilitate body weight and fat loss because dairy products contain calcium, protein — mainly casein and whey — and other bioactive compounds that may favorably affect energy balance. For example, one hypothesis is that dietary calcium plays a critical role in the regulation of body weight by affecting adipocyte intracellular calcium concentration, decreasing fatty acid synthesis while increasing lipolysis, leading to decreased triacylglycerol storage. Another possible mechanism is the inhibition of fat absorption in the intestine, because calcium interacts with free fatty acids to form calcium –fatty acid soaps. The formation of these insoluble complexes increases fecal fat excretion. Finally, it has also been suggested that probiotics from yogurt beneficially influence the inflammatory/anti-inflammatory balance of gut microbiota, which might mediate the lower risk of presenting overweight/obesity, but more research is needed in this regard.

In your study about the benefits of yogurt for the incidence of Type 2 Diabetes, why did you focus specifically on an older population?

Some studies recently reported a strong inverse association between dairy consumption, especially low-fat dairy consumption, and incidence of type 2 diabetes in healthy young adults and middle-aged individuals. However, to our knowledge, no studies have evaluated the effect of dairy consumption in elderly individuals at high cardiovascular risk. Importantly, elderly population is in higher risk of nutritional deficits. Therefore, increasing diary consumption, specially yogurt, by older adults could represent a convenient and economical strategy to enhance their intake of key macronutrients and micronutrients for this age group. Furthermore, yogurt has a relatively long shelf-life, and there are no obstacles in consumption for individuals with chewing difficulty. Last but not least, lactose intolerance is relatively prevalent in older population, thus yogurt is a convenient option due to its lower lactose content, in contrast to other dairy products.

You have examined the Mediterranean diet in particular, is there a difference in the role of yogurt compared to the Western diet? And how is yogurt related to a healthy lifestyle?

Historically, yogurt is a traditional component of Mediterranean, Middle Eastern, and South Asian gastronomies. Overall, although typical Western and Mediterranean diets can have a similar total dairy products content, the dairy products included in the Mediterranean Diet tend to be lower in fat, and specially are in yogurt form. In fact, we concluded, that a healthy dietary pattern incorporating a high consumption of low-fat dairy products and particularly low-fat milk and both low-fat and whole-fat yogurt may be protective against diabetes in older adults at high cardiovascular risk. Interestingly, some authors found that when yogurt consumption was jointly studied with healthy nutritional patterns such as a high consumption of fruit, the beneficial association was even more apparent.

On the other hand, although the relationship is unknown, it has also been reported that those consuming an average of 2.3 servings yogurt per week were more likely than non-consumers to eat more healthy foods, including fruit, vegetables, nuts, fish, and whole grains, and had a smaller proportion of their energy intake from processed meat, refined grains, and beer. Similarly, in our study, individuals who consumed higher amounts of dairy also consumed higher amounts of other foods, such as fruit, legumes, and lower amounts of total meat, fish, nuts, and alcohol, which might also have an impact on diabetes risk. However, the apparently protective relationship of dairy on diabetes persisted in multivariate models that accounted for dietary variables.

18 Nov 2015
2 min read
Diabetes prevention

Dairy consumption indicates a lower risk of metabolic syndrome

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High dairy intake was found to be associated with a lower prevalence of metabolic syndrome in young adults in Brazil, whereby calcium is suggested to influence this correlation.

Previous research described the contribution of milk and yogurt to a lower risk of metabolic syndrome (MetS). This study aimed to assess the association between dairy consumption and the incidence rate of MetS in young adults (23-25 years) in Brazil. Daily food consumption was evaluated with a food frequency questionnaire and the estimated habitual portion of dairy consumption was divided into quintiles. The criteria of the International Diabetes Federation (IDF) and the Joint Interim Statement (JIS) were used to define MetS cases.

Calcium as an important nutrient

The researchers found that a greater dairy consumption was associated with a lower risk of MetS taking into account both IDF and JIS criteria and comparing the last quintile with the first:

Correlation Dairy Consumption

Prevalence of MetS %Risk Reduction of MetS %

IDF Criteria

11,9%

39%

JIS Criteria9%

38%

As significance was lost when data were adjusted for calcium in both models,  they concluded that the nutrient calcium may be responsible for this association.

Reference: Martins, M. et al., Dairy consumption is associated with a lower prevalence of metabolic syndrome among young adults from Ribeirão Preto, Brazil, Nutrition May 2015, Vol 31(5), pp. 716-721.
16 Nov 2015
1 min read
FENS 2015 Berlin

Prof. Jordi Salas-Salvadó: “yogurt to reduce the risk of diabetes”

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Can yogurt be integrated in the diet of people with diabetes?

  • Yogurt certainly has several nutrients that probably have effects on insulin secretion and insulin resistance.

Why is it important for the elderly population with diabetes to integrate yogurt in their daily diet?

  • People consuming yogurt, independently of the fat content, have a lower risk to develop diabetes. This observation was made in older population at high cardio-vascular risk.
  • Including one yogurt per day into the diet probably reduces the risk of developing diabetes.

What specific yogurt mechanisms are associated with diabetes prevention?

  • The interaction between calcium and fat in the colon probably contributes to decrease body weight.
  • There is the possibility of a probiotic effect and therefore changes of the gut microbiota initiated by yogurt consumption.

Have a look at the coverage of Prof. Jordi Salas-Salvadó’s presentation at the FENS 2015 on the health benefits of yogurt consumption.

16 Nov 2015
1 min read
Recipes

Selected for you: “Breakfast: add a little yogurt”

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Selected for you this week: Tips to make your meals more delicious with yogurt.

  • Make a pretty parfait in a clear glass: layer yogurt, granola and fruit
  • Top waffles and pancakes with yogurt and add strawberries or blueberries
  • In a fruit smoothie, add yogurt for more protein

Source: Dairy Council of California
16 Nov 2015
1 min read
Cardiovascular health

Yogurt consumption associated with a lower risk of metabolic syndrome

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This prospective study evaluated the association between total and different subtypes of dairy products and the incidence of metabolic syndrome (MetS) in Mediterranean elderly at high cardiovascular disease (CVD) risk. Data of 1868 men and women (55-80 years), with no initial indication of MetS, were used. The researchers determined anthropometric, blood chemistry variables and dietary habits by using food frequency questionnaires, containing 137 items.

After a follow-up of 3,2 years, they showed a reduced risk for a higher consumption of low-fat dairy (HR: 0,72), low-fat yogurt (0,73), whole-fat yogurt (0,78) and low-fat milk (0,80) in an elderly Mediterranean population at high CVD risk. The authors conclude that total yogurt consumption, independently from low-fat or whole-fat yogurt, is associated with a lower risk of metabolic syndrome. Only cheese demonstrated an increased risk of MetS (1,31).

Reference: Babio N. et al., Consumption of Yogurt, Low-Fat Milk, and Other Low-Fat Dairy Products Is Associated with Lower Risk of Metabolic Syndrome Incidence in an Elderly Mediterranean Population, The Journal of Nutrition August 2015.
13 Nov 2015
1 min read
FENS 2015 Berlin

Yogurt and weight management: data and insights

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13 Nov 2015
2 min read
Recipes

Fruit and yogurt protein parfaits

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An easy, make-ahead breakfast packed with plenty of protein and heart-healthy fats to give you all day energy.

Ingredients for 5 servings

  • 32 ounces plain Greek yogurt
  • ¼ cup pure maple syrup
  • 1 teaspoon vanilla
  • 2½ cups mixed berries (i.e. raspberries, blueberries, blackberries, etc.)
  • ½ cup raw pumpkin seeds – shelled
  • ¼ cup chopped walnuts
  • ¼ cup chia seeds
  • ¼ cup flax seed meal
  • 1 teaspoon cinnamon
  • ¼ teaspoon ground cloves
  • ¼ teaspoon salt

 Preparation

  1. In a medium bowl, whisk together yogurt, maple syrup and vanilla. Pour into a liquid measuring cup and set aside.
  2. In another bowl, mix together seeds, nuts and spices.
  3. To assemble parfaits, set out five glasses or mason jars and pour in ¼ cup or so of the yogurt mixture into each glass.
  4. Top the yogurt layer with a couple tablespoons of the nut and seed mixture.
  5. Sprinkle a couple tablespoons of berries on top of the nut mixture then begin again with yogurt.
  6. Repeat the layers until all ingredients have been used.
  7. Seal mason jars or cover glasses with plastic wrap until you’re ready to serve.
  8. These will keep in the refrigerator covered with plastic wrap for up to 5 days.

Nutritional information

  • Serving size: 1 glass
  • Calories: 361
  • Fat: 18.6 g
  • Saturated fat: 2.2 g
  • Unsaturated fat: 16.4 g
  • Trans fat: 0
  • Carbohydrates: 40.2 g
  • Sugar: 23 g
  • Sodium: 231 mg
  • Fiber: 12.3 g
  • Protein: 15.1 g
  • Cholesterol: 5 mg
Author: Liz Della Croce
13 Nov 2015
1 min read
Diabetes prevention

World Diabetes Day: a preventive role for yogurt?

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Discover here an infographic on diabetes-friendly food, including yogurt.

infographic IDF VERSION FINAL A1 (O) copy

 

Click here to read more about the benefits of yogurt consumption in reducing the risk of type 2 diabetes.

Source: www.idf.org