First major study of diet and strokes links fried, sugary Southern diet, low on fruits and vegetables, to increased risk

Genuine Kentucky fried platter:
Cornbread, fried catfish, fried green
tomatoes, fried apples and fried okra
(Photo from Ramsey's, Lexington)

By Molly Burchett
Kentucky Health News

People with a Southern diet, or one heavy on fried food and sugary drinks like sweet tea and soft drinks, are more likely to suffer a stroke, a new study finds.

It's the first big look at diet and strokes, and researchers say it might help explain people in the nation's "stroke belt" or southern states suffer more of them, reports Marilynn Marchione of The Associated Press.

These findings have important implications for Kentuckians because stroke accounts for 5.5 percent of Kentucky deaths each year and more than 81 percent of Kentucky adults eat fruit and vegetables fewer than 5 times a day, which is a indicator of risk for stroke:

Heart Disease and Stroke Risk Factors from federal Behavioral Risk Factor Surveillance System national survey	Ky.	U.S.
Eat fruits and vegetables less than 5 times/day	81.6	75.6
Overweight or obese	69.1	62.9
No moderate or vigorous physical activity	55.8	50.5
High total blood cholesterol	38.5	37.6
High blood pressure	30.0	27.8
Cigarette smoking	28.2	19.8
Diabetes	9.9	8.0

"We're talking about fried foods, french fries, hamburgers, processed meats, hot dogs," bacon, ham, liver, gizzards and sugary drinks, said the study's leader, Suzanne Judd of the University of Alabama in Birmingham.  For the study, a southern diet also included jerky, red meat, eggs, and whole milk.


Fried foods tend to be eaten with lots of salt, which raises blood pressure and sweet drinks increases risk for diabetes- both are known stroke risk factors, Judd said.

People who ate about six meals a week featuring these sorts of "Southern" foods had a 41 percent higher stroke risk than people who ate that way about once a month, researchers found.

In contrast, people whose diets were high in fruits, vegetables, whole grains and fish had a 29 percent lower stroke risk, reports Marchione.

"It's a very big difference," Judd said. "The message for people in the middle is there's a graded risk" — the likelihood of suffering a stroke rises in proportion to each Southern meal in a week. 

These findings were reported last week at the American Stroke Association conference. The study was launched in 2002 to explore regional variations in stroke risks and reasons for them.

Stroke death rates in Kentucky vary widely among counties. Here's a county map of the rates, from KentuckyHealthFacts.org, which has a county-by county list:

The map shows stroke rates in ranges per 100,000 population from 2003 through 2007. Purple counties had rates above 69; blue counties ranged from 52 to 69; turquoise were 44 to 52; light blue were 31 to 44 (the number that is about the national average), and tan were 18 to 31.

Walmart, Humana to give discount on healthier grocery choices like veggies, fruit, lean meat, skim milk, certain packaged goods

Starting Oct. 15, more than 1 million members of Humana Inc.'s Healthy Rewards program will start getting a 5 percent credit on about 1,300 healthy food items at all U.S. Walmart stores.  The credit can be used against future purchases at Walmart, which is the largest U.S. food retailer.

Walmart has taken note that "one of the biggest barriers to healthy nutrition is cost," Dr. John Agwunobi, president of health and wellness at Walmart, told Reuters. His company, he said, is trying an overall approach to improve the nutritional value of the food it sells. And because food accounts for more than half of Walmart's annual sales, and since it has tremendous clout in the U.S. market, the hope is that changes at its stores can influence other supermarket chains to do more about healthy eating.

Walmart products eligible for the credit include fresh fruits, vegetables, lean cuts of meat, skim milk, brown rice and packaged goods, the company told Reuters. The program works with a HumanaVitality card provided to members of Humana's rewards unit who receive points for meeting health goals. (Read more)

Kids eat more veggies when school lunch trays make suggestions

Kids are more likely to choose vegetables from the school cafeteria line — and eat them — if their tray contains pictures that subtly suggest the dining option.

That was the result of a University of Minnesota study, in which researchers placed pictures of green beans and carrots in the slots of the partitioned cafeteria trays at Richfield Elementary School.

On a typical day, 42 students took green beans and each student who chose them ate about 19 grams of them, reports Jeremy Olson of the Star Tribune. On the day in which the images were placed in the cafeteria trays, 96 students chose green beans and each student that took them ate about 19.1 grams.

When it came to carrots, 77 students took them and ate 31 grams of them on a typical day. On the day of the study, 238 students took carrots and ate about 27.1 grams. "That means that the students who always took carrots probably ate their usual amount, but that the students who took them for the first time ate less," Olson reports.

"Kids . . . don't want to do what they're told," said Traci Mann, a psychologist and one of five faculty members leading the study. "What kids want to do is . . . what their friends are doing or what they think their friends are doing." (Read more)