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Trending Nutrition Controversies #3: Top Controversies in 2021 - 08/02/22

Doi : 10.1016/j.amjmed.2021.07.046 
Monica Aggarwal, MD a, , Andrew M. Freeman, MD b, Emilio Ros, MD, PhD c, Kathleen Allen, MS, RD d, Geeta Sikand, MA, RD e, Karen Aspry, MD f, Penny Kris-Etherton, RD, PhD g, Stephen Devries, MD h, i, Koushik Reddy, MD j, Tamanna Singh, MD k, Sheldon E. Litwin, MD l, m, James O'Keefe, MD n, Michael Miller, MD o, Bruce Andrus, MD p, Ron Blankstein, MD q, Columbus Batiste, MD r, Danielle Belardo, MD s, Christopher Wenger, DO t, Travis Batts, MD u, Neal D. Barnard, MD v, w, Beth A. White, DNP, NP-C x, Dean Ornish, MD y, z, Kim A. Williams, MD aa, Robert J. Ostfeld, MD, MSc bb
a Division of Cardiology, University of Florida, Gainesville 
b Division of Cardiology, Department of Medicine, National Jewish Health, Denver, Colo 
c Lipid Clinic, Endocrinology and Nutrition Service, Institut d'Investigacions Biomèdiques August Pi I Sunyer (IDIBAPS), Hospital Clínic, Barcelona and Ciber Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, Spain 
d Geisel School of Medicine at Dartmouth, Hanover, NH 
e Heart Disease Prevention Program, University of California Irvine, Irvine 
f Division of Cardiology, Lifespan Cardiovascular Institute, and Brown University, Providence, RI 
g Department of Nutritional Sciences, Penn State University, University Park 
h Gaples Institute for Integrative Cardiology, Deerfield, Ill 
i Northwestern University Feinberg School of Medicine, Chicago, Ill 
j Division of Cardiology, James A Haley VA Medical Center, University of South Florida, Tampa 
k Division of Cardiovascular Medicine, Heart, Vascular, Thoracic Institute, Cleveland Clinic, Cleveland, Ohio 
l Division of Cardiology, University of South Carolina, Charleston 
m Ralph H Johnson Veterans Affairs Medical Center, Charleston, SC 
n Saint Luke's Mid America Heart Institute, Kansas City, Mo 
o Division of Cardiology, University of Maryland School of Medicine, Baltimore 
p Division of Cardiology, Dartmouth Hitchcock Medical Center, Geisel School of Medicine at Dartmouth, Lebanon, NH 
q Division of Cardiology, Brigham and Women's Hospital and Harvard Medical School, Boston, Mass 
r Division of Cardiology, Kaiser Permanente Riverside Medical Center, Riverside, Calif 
s Institute of Plant-Based Medicine, Newport Beach, Calif 
t Division of Cardiology, WellSpan Health, York, Penn 
u Division of Cardiology, Department of Medicine, Wilford Hall Ambulatory Surgical Center, San Antonio, Tex 
v Adjunct Faculty, George Washington University School of Medicine, Washington, DC 
w Physici Committee for Responsible Medicine, Washington, DC 
x Division of Cardiology, Marshall Health/Joan C. Edward School of Medicine, Huntington, WV 
y Preventive Medicine Research Institute, Sausalito, Calif 
z Deparment of Medicine, University of California, San Francisco, San Francisco 
aa Division of Cardiology, Rush University Medical Center, Chicago, Ill 
bb Division of Cardiology, Montefiore Health System, Bronx, NY 

Requests for reprints should be addressed to Monica Aggarwal, MD, University of Florida, Division of Cardiovascular Medicine, PO Box 100288, 1329 SW 16thStreet, RM 5120.2, Gainesville, FL, 32608.University of FloridaDivision of Cardiovascular MedicinePO Box 100288, 1329 SW 16thStreet, RM 5120.2GainesvilleFL,32608

Highlights

Sufficient data exists to recommend limiting or avoiding non-nutritive (artificial) sweeteners.
Sufficient evidence suggests cardiovascular health benefits of consuming minimally processed cacao, soy, and plant-based nitrates.

El texto completo de este artículo está disponible en PDF.

Abstract

Each year, patients are bombarded with diverging and even contradictory reports concerning the impact of certain additives, foods, and nutrients on cardiovascular health and its risk factors. Accordingly, this third review of nutrition controversies examines the impact of artificial sweeteners, cacao, soy, plant-based meats, nitrates, and meats from grass compared to grain-fed animals on cardiovascular and other health outcomes with the goal of optimizing clinician-led diet counseling.

El texto completo de este artículo está disponible en PDF.

Keywords : Artificial sweeteners, Chocolate, Grass- vs corn-fed meats, Nutrition, Plant-based meats, Plant-based nitrates, Soy


Esquema


 Funding: None.
 Conflicts of Interest: KAllen, GS, KAspry, KR, TS, SEL, MM, BA, RB, DB, CW, BAW, KAW report none. MA reports royalties as an author and honoraria as a speaker and receiving educational and research grants from the Gatorade Foundation, Purjes Foundation, Heavener Foundation, and Weil Foundation. AMF reports nonpromotional speaking and consulting with Boehringer Ingelheim, and serving on advisory boards with Regeneron, The Medicines Company, and United Therapeutics. ER reports grants for research through his institution from the California Walnut Commission, fees for lectures and participation in Health Research Advisory Group, and support for travel and accommodation; serving as nonpaid member of its Scientific Advisory Council; receiving grants for research through his institution and fees for lectures and advisory board, and support for travel and accommodation from Alexion; receiving fees for lectures from Amarin; and that CIBEROBN is an initiative of ISCIII, Spain. PK-E reports serving on the Seafood Nutrition Partnership Scientific and Nutrition Advisory Council and research funding from the Hass Avocado Board and the McCormick Spice Institute. SD reports he is the executive director of the educational nonprofit Gaples Institute that offers continuing medical education approved nutrition courses for sale to health professionals. Courses are developed entirely through philanthropy to the Gaples Institute, a nonprofit that does not seek or receive corporate support but he receives no royalties or personal consideration of any kind from the sale of these courses. JOK reports being Chief Medical Officer and Founder of CardioTabs with an ownership interest. CB reports serving as President Inland Empire Chapter of American Heart Association, on The Plantrician Project Board of Advisors, Heart Health Nation Board of Directors, and Game Changers Foundation Board of Directors. TCB reports honoraria as a speaker for non-promotional educational content for TCNQ Consultant Services and Phillips Healthcare, Ultrasound Division. NDB reports serving without financial compensation as president of the Physicians Committee for Responsible Medicine and Barnard Medical Center, nonprofit organizations providing education, research, and medical care related to nutrition and royalties as an author and honoraria as a speaker. DO reports consulting with Healthways and TerraVia and receives royalties as an author and honoraria as a speaker. RJO reports research grants from the Purjes and Greenbaum Foundations and consulted for Better Therapeutics; a speaker for Main Street Vegan Academy and the International Plant-Based Nutrition Healthcare Conference; on the Board of Directors, (uncompensated) for T. Colin Campbell Center for Nutrition Studies, sits on the Scientific Advisory Board (uncompensated) for Physician Committee for Responsible Medicine, and consults for Brightplate.
 Authorship: All authors had access to the data and a role in writing this manuscript.


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Vol 135 - N° 2

P. 146-156 - février 2022 Regresar al número
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