Paper Watch (5/9/2024): Protein Obsession, Knee OA, Olive Oil, etc.

Our regular feature where we cut through the noise of the thousands of new, health-related papers. We will pick a few recent papers and summarize them in a practical and not anxiety-inducing way for people trying to cut through the chatter of fitness influencers.

Paper Watch (5/9/2024): Protein Obsession, Knee OA, Olive Oil, etc.

Welcome back to our regular feature where we sift through thousands of new, health-related papers, and pick a few to summarize in a practical, simple, and not anxiety-inducing way.

Our main questions on each paper:

  • In simple language, what does it say?
  • Does it have good evidence?
  • Should what it says matter to normal people?
  • What simple thing, if anything, could a normal person do to take advantage of this finding?

Okay, away we go. And, as always, we rate each paper for practicality and level of interest, but we are mostly focused on finding ways to simplify findings. And more than anything else, we want to avoid over-optimization, so if a paper is telling you down to the minute how much sunlight to get at dawn, or that you should only drink coffee during eclipses, we are outta there.


This edition's articles and papers:

  1. Consumption of Olive Oil and Diet Quality and Risk of Dementia-Related Death | Nutrition, Obesity, Exercise https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2818362?utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_term=050624
  2. Protein mania: the rich world’s new diet obsession | Food | The Guardian https://www.theguardian.com/news/2019/jan/04/protein-mania-the-rich-worlds-new-diet-obsession
  3. Effects of physical activity and impact loading rate on knee osteoarthritis | Kerns Verlag TΓΌbingen https://kernsverlag.com/en/effects-of-physical-activity-and-impact-loading-rate-on-knee-osteoarthritis/
  4. Effects of a personalized nutrition program on cardiometabolic health: a randomized controlled trial | Nature Medicine https://www.nature.com/articles/s41591-024-02951-6

Now, here are our takes on the articles and papers:

Paper: Olive Oil and Dementia Risk

Practicality (5/5): πŸƒβ€β™‚οΈπŸƒβ€β™‚οΈπŸƒβ€β™‚οΈπŸƒβ€β™‚οΈπŸƒβ€β™‚οΈ
Interest (4/5): πŸƒβ€β™‚οΈπŸƒβ€β™‚οΈπŸƒβ€β™‚οΈπŸƒβ€β™‚οΈ

Summary

Researchers have found that adults who consume more than a tablespoon of olive oil daily have a 28% lower risk of death from dementia compared to those who rarely use olive oil. This protective benefit was observed regardless of overall diet quality. Furthermore, when unhealthy fats like margarine and mayonnaise were swapped for olive oil, there was also a decreased risk of dying from dementia.

What is the paper's main claim?

  • Consuming olive oil may reduce the risk of dementia-related death.
  • Replacing certain unhealthy fats with olive oil could be beneficial.

Are the methods and/or data it uses appropriate and convincing?

  • The study followed a large group of adults over 28 years, adding reliability to the findings.
  • Researchers adjusted for various factors that could influence the outcome, making the association between olive oil consumption and reduced dementia risk more compelling.

What do we know now that we didn't know before, if anything?

  • Olive oil's benefit extends to cognitive health, not just heart health.

What simple and practical thing could a normal person do knowing this?

  • Consider including more than a tablespoon of olive oil in your daily diet.
  • When cooking or making salads, using olive oil instead of margarine or mayonnaise can be a healthier choice.

Article: Protein Obsession

Practicality (4/5): πŸƒβ€β™‚οΈπŸƒβ€β™‚οΈπŸƒβ€β™‚οΈπŸƒβ€β™‚οΈ
Interest (5/5): πŸƒβ€β™‚οΈπŸƒβ€β™‚οΈπŸƒβ€β™‚οΈπŸƒβ€β™‚οΈπŸƒβ€β™‚οΈ

Summary

Modern diets in developed countries have introduced a widespread obsession with protein, fueling a market rich in protein-augmented products and a societal push for high-protein diets, often exceeding personal health requirements and disregarding the environmental impact. This fixation is driven by a complex interplay of genuine nutritional needs, misdirected health beliefs, industry marketing, and a shifting battleground in the nutrition war between carbs, fats, and proteins.

What is the article's main claim?

  • The fixation on dietary protein is excessive and largely unnecessary in wealthy nations where diets already include abundant protein.

Are the methods and/or data it uses appropriate and convincing?

  • The article uses anecdotal and expert opinions rather than empirical methods, making it more of an exploratory piece than a definitive study.
  • It references many strong studies, however, lending credence to its claims.

What do we know now that we didn't know before, if anything?

  • The phenomenon of protein obsession is seen as part of a historical cycle of nutrition fads.

What simple and practical thing could a normal person do knowing this?

  • Reflect on dietary choices and prioritize balance over trends, focusing on protein as part of a holistic diet rather than an end-all solution.

Paper: Activity Prevents Arthritis

Practicality (4/5): πŸƒβ€β™‚οΈπŸƒβ€β™‚οΈπŸƒβ€β™‚οΈπŸƒβ€β™‚οΈ
Interest (5/5): πŸƒβ€β™‚οΈπŸƒβ€β™‚οΈπŸƒβ€β™‚οΈπŸƒβ€β™‚οΈπŸƒβ€β™‚οΈ

Summary

Research suggests that physical activity, including types that involve high impact on the knees, protect against knee arthritis rather than cause it. In a study using guinea pigs, those with access to more space and the ability to be active had healthier knees than those living a sedentary lifestyle, regardless of whether the floor was hard or cushioned. This adds to a growing body of research showing that to protect your knees, you need not avoid high-impact activities.

What is the paper's main claim?

  • The paper argues that physical activity is beneficial for knee health, contesting the view that it always leads to wear and tear that causes arthritis.
  • The study finds less knee degeneration among active guinea pigs compared to sedentary ones, irrespective of the ground's impact on their knees.

Are the methods and/or data it uses appropriate and convincing?

  • The study's methodologies, involving living conditions that simulated different activity levels and impact rates, are relevant to the hypothesis; however, it's based on guinea pigs, which might not translate directly to human conditions.
  • The effect size appears to be significant, with clear differences between sedentary and active guinea pigs' knee health, but caution is needed when extending these findings to humans due to potential species-specific responses.

What do we know now that we didn't know before, if anything?

  • This study adds to the knowledge that an active lifestyle could be more crucial in maintaining knee health than previously believed.
  • It also provides evidence against the idea that high-impact activities are always detrimental to knee joints.

What simple and practical thing could a normal person do knowing this?

  • Incorporate both low and high-impact physical activities into their routines to help protect knee health.

Paper: Does Personalized Nutrition Matter

Practicality (4/5): πŸƒβ€β™‚οΈπŸƒβ€β™‚οΈπŸƒβ€β™‚οΈπŸƒβ€β™‚οΈ
Interest (5/5): πŸƒβ€β™‚οΈπŸƒβ€β™‚οΈπŸƒβ€β™‚οΈπŸƒβ€β™‚οΈπŸƒβ€β™‚οΈ

Summary

  • The paper investigates the impact of personalized nutrition advice on the health of a diverse adult population.
  • It compares a tailored diet plan based on individual characteristics with standard dietary guidelines over 18 weeks.
  • The study concludes that personalized advice is sometimes more effective in improving specific health measures related to chronic diseases.

What is the paper's main claim?

  • Personalized diets are sometimes more beneficial for cardiometabolic health than generalized advice.
  • This tailored approach leads to better adherence and health results such as weight loss and improved blood markers.

Are the methods and/or data it uses appropriate and convincing?

  • The study used a randomized controlled trial, a strong method for testing effectiveness.
  • There were a large number of participants, giving credibility to the findings.

What do we know now that we didn't know before, if anything?

  • Personalized nutrition plans improve adherence and in some cases have a greater positive impact on health than generic dietary guidelines.
  • The results were mixed, however, suggesting that simply eating properly is probably equally effective.

What simple and practical thing could a normal person do knowing this?

  • Eat better, and get personalized advice if you think it will improve your adherence, but personalized diets alone are not particularly effective.

Back next week with thoughtful and simplifying takes on papers getting attention. And if you see anything you want us to look at, let us know.


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