How Does Diet Affect Inflammation Response?

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Discussion Overview

The discussion centers on the relationship between diet and inflammation response, particularly focusing on the role of certain foods and their inflammatory indices. Participants explore various studies and articles related to C Reactive Protein levels and the potential impact of different dietary patterns, such as the Mediterranean diet, on inflammation.

Discussion Character

  • Exploratory
  • Technical explanation
  • Debate/contested

Main Points Raised

  • One participant presents a clinical overview linking diet to inflammation response, referencing studies that suggest an inflammation index for foods based on their effects on C Reactive Protein levels.
  • Another participant questions the validity of the inflammatory index for foods, initially viewing it as dubious but later acknowledging potential merit due to ongoing controlled studies assessing C Reactive Protein levels in relation to heart attack prevention.
  • Discussion includes the contrasting effects of the Mediterranean diet, which is suggested to contain anti-inflammatory components, versus the Western diet, which is associated with increased inflammation markers.
  • Participants note that olive oil is highlighted as a heart-healthy food with a high inflammation index, raising questions about the relationship between fat content and inflammation response.

Areas of Agreement / Disagreement

Participants express differing views on the validity of the inflammation index for foods, with some supporting its relevance based on emerging research while others remain skeptical. The discussion does not reach a consensus on the overall impact of diet on inflammation.

Contextual Notes

Some participants mention limitations in the studies referenced, including variability in experimental control and the potential manipulation of serving sizes on nutritional labels.

jim mcnamara
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A clinical overview of diet and measures of inflammation response - like C Reactive Protein levels.

http://www.ncbi.nlm.nih.gov/pubmed/21139128

This shows a basis for generating an Inflammation index for foods. The higher index number the more inflammation was supressed in ~500 test subjects.

The reason I'm posting this was an article about inflammation indexes for foods, which appeared at first glance to be something the supplement industry was backing. Apparently not.

Another article on the index:
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2777480/

This page lists nutritional information, which I spot checked against the USDA NAL page, and it looks like they almost literally copied the data. Some foods, not all, have an inflammation index.

Example olive oil: http://nutritiondata.self.com/facts/fats-and-oils/509/2
Shows an inflammation index of 1100+ - which is really good to counter inflammation, but is pure fat. Negative numbers indicate that the food exacerbates inflammation.

Compare this to USDA standard nutrition (NAL): http://ndb.nal.usda.gov/ndb/foods/show/611

This USDA list is the accepted standard reference for nutritional values in foods - the kind you see on US nutrition labels. The NAL database is used extensively to create those labels for prepared and canned foods, based on pro-rated amount per recipe ingredient, factored by serving size.

A note on serving size: Take the label value with a grain of salt - it is sometimes manipulated, usually to make crummy (health wise) foods look less awful, or really great foods look even better.

I once bought some boxed frozen pizza at the insistence of my kids. The things were 7 inches in diameter and each pizza plaque was "4 servings". Probably for 4 mice, not for small humans. Sodium, saturated fat, and calories were high, but when you multiplied by 4 the pizza discs exceeded daily values for adults for sodium. We used one for a frisbee, finally one of the dogs decided to eat it. Never bought anymore.
 
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Interesting topic Jim! How does food in general affect inflammation?
 
Based on what I read : C reactive protein (hsCRP test) values are increased in a variety of experiments based on diet. hsCRP does measure inflammation, for example postoperative infections are discovered that way. Some experiments were more controlled than others, which is difficult to do. The other paper is sort of a list of foods and their "inflammatory index". The last link is to a nutrition site which started the whole thing for me. I viewed the inflammatory index for foods as, well, hokum.

The reason I now think it may have merit is that there is now a large population in a controlled study, underway to assess the role of C reactive protein levels, and their role in cause/prevention of heart attacks.
I signed an NDA on the study. So that limits what I can say.

At any rate, companies and funding agencies are not going to spend this kind of money on something with absolutely no merit. So, I spent some time in the NIH site.

The idea is that the proverbial "Mediterranean Diet" in fact provides a lot of dietary components that are either "anti-inflammatory" or are neutral inflammation-wise. The Western Diet - red meat, fries, trans-fat, and all their delicious cohorts are just the opposite, they increase hsCRP.
 
Posted by jim McNamara:

Example olive oil: http://nutritiondata.self.com/facts/fats-and-oils/509/2
Shows an inflammation index of 1100+ - which is really good to counter inflammation, but is pure fat. Negative numbers indicate that the food exacerbates inflammation.

Surprisingly olive oil is one of the top five heart healthy foods. It is in the mediterranean diet you mentioned as related to inflammation.

Olive oil contains a potent mix of antioxidants that can lower your "bad" (LDL) cholesterol but leave your "good" (HDL) cholesterol untouched.

http://www.mayoclinic.com/health/cholesterol/CL00002
 

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