Showing posts with label risk assessment. Show all posts
Showing posts with label risk assessment. Show all posts

Wednesday, September 08, 2010

Low Carb Diet Rich in Animal Fat and Protein Increases Risk of Death

/PRNewswire/ -- Those who adhered to a diet low in carbohydrates but rich in animal-based fats and proteins increased their risk of death - especially by cancer, according to a study published in the Annals of Internal Medicine, led by Simmons College nutrition professor Teresa Fung, Sc. D.

This study is the first of its kind to demonstrate the link between different types of low carbohydrate diets and mortality. It also sought to determine the long-term impact of low carbohydrate diets, which have been promoted as an effective option for weight loss and improving health.

Conversely, the study found that a diet low in carbohydrates but rich in plant-based fats and proteins was associated with a lower risk of mortality.

Fung, who teaches at the Simmons College School of Health Sciences, led the study with colleagues at the Harvard School of Public Health and Channing Laboratory, Brigham and Women's Hospital.

"This research indicates that all low carb diets are not the same, and the differences have an indelible impact," Fung said. "One that is based on plant foods is a better choice than one that is based on animal foods."

The study is based on two cohorts of participants: more than 85,000 women enrolled in the Nurse's Health Study (ages 34 to 59) who provided dietary information for 26 years; and more than 44,500 men enrolled the Health Professional's Follow Up Study (ages 40 to 75) who provided dietary information for 20 years. All participants included in the study were free of heart disease, cancer or diabetes. The Nurses' Health Study is based at Channing Laboratory, Brigham and Women's Hospital and the Health Professionals' Follow-up Study is based at Harvard School of Public Health.

In determining health risk, the study created low carbohydrate scores for the women and men, based on a multi-year evaluation of their diet intake with a focus on the proportion of carbohydrates, and fat and protein - whether derived largely from animal or vegetable-based sources.

During follow ups with the men and women, the study found that those who had a diet made up of more animal-based sources and a low-carbohydrate intake , scored higher for association with "all-cause" mortality and cancer mortality., Those who had a diet made up of more plant-based sources and a low-carbohydrate intake, scored lower for association with "all-cause" mortality, and cancer and cardiovascular mortality.

Participants with a higher animal low carbohydrate score were heavier and were more likely to be smokers, whereas those with a higher vegetable low carbohydrate score consumed more alcohol and whole grains. Variations in lifestyle and other dietary issues, such as smoking status, family history of colorectal cancer, aspirin use, and history of hypertension were controlled in the analyses.

The National Institutes of Health funded the study, "Low-Carbohydrate Diets and All-Cause and Cause-Specific Mortality: Two Cohort Studies."

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Friday, October 03, 2008

FDA Issues Interim Safety and Risk Assessment of Melamine and Melamine-related Compounds in Food

The U.S. Food and Drug Administration (FDA) today issued the results of its interim safety and risk assessment of melamine and melamine-related compounds in food, including infant formula.

A safety/risk assessment is a scientifically based methodology used to estimate the risk to human health from exposure to specified compounds. It is based on available data and certain scientific assumptions in the absence of data. The purpose of the FDA interim safety/risk assessment was to identify the level of melamine and melamine-related compounds in food which would not raise public health concerns. The interim safety/risk assessment evaluated the melamine exposure in infant formula and in other foods.

The safety/risk assessment, prompted by reports of melamine contamination of milk-derived ingredients and finished food products containing milk manufactured in China, was conducted by scientists from FDA's Center for Food Safety and Applied Nutrition and the Center for Veterinary Medicine. The FDA reviewed scientific literature on melamine toxicity.

Infant Formula

FDA is currently unable to establish any level of melamine and melamine-related compounds in infant formula that does not raise public health concerns. In large part, this is because of gaps in our scientific knowledge about the toxicity of melamine and its analogues in infants, including:

  1. the consequences of the continuous use of infant formulas as the sole source of nutrition;
  2. the uncertainties associated with the possible presence and co-ingestion of more than one melamine analogue; and
  3. for premature infants with immature kidney function, the possibility that they may be fed these formulas as the sole source of nutrition and thus on a body weight basis experience greater levels of intake for a longer time than is experienced by term infants.

There is too much uncertainty to set a level in infant formula and rule out any public health concern. However, it is important to understand that this does not mean that any exposure to any detectable level of melamine and melamine–related compounds in formula will result in harm to infants.

Other Food Products

In food products other than infant formula, the FDA concludes that levels of melamine and melamine-related compounds below 2.5 parts per million (ppm) do not raise concerns. This conclusion assumes a worst case exposure scenario in which 50% of the diet is contaminated at this level, and applies a 10-fold safety factor to the Tolerable Daily Intake (TDI) to account for any uncertainties. The TDI is an estimate of the maximum amount of an agent to which an individual could be exposed on a daily basis over the course of a lifetime without an appreciable health risk.

FDA continues to screen products, collaborate with foreign governments and their regulatory agencies, and monitor reports of contamination from international sources to help ensure that potentially contaminated products from foreign sources are examined if imported into the United States. If products are adulterated because they contain melamine and/or a melamine-related compound, the agency will take appropriate actions to prevent the products from entering commerce.

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