Eating more green leafy vegetables can significantly
reduce the risk of developing type 2 diabetes, finds research published
online in the British Medical Journal.
The authors, led by Patrice Carter at the University of Leicester,
say there is a need for further investigation into the potential
benefits of green leafy vegetables.
In the last two decades there has been a dramatic increase in the number of individuals developing type 2 diabetes worldwide.
Diets high in fruit and vegetables are known to help reduce both
cancer and heart disease, but the relationship between fruit and
vegetable intake and diabetes remains unclear, say the authors.
The researchers also note that previous research found that in 2002,
86% of UK adults consumed less than the recommended five portions of
fruit and vegetables per day, with 62% consuming less than three
portions. The study says that "it was estimated that inadequate
consumption of fruit and vegetables could have accounted for 2.6 million
deaths worldwide in the year 2000."
Patrice Carter and colleagues reviewed six studies involving over
220,000 participants that focused on the links between fruit and
vegetable consumption and type 2 diabetes.
The results reveal that eating one and a half extra servings of green
leafy vegetables a day reduces the risk of type 2 diabetes by 14%.
However, eating more fruit and vegetables combined does not
significantly affect this risk. Only a small number of studies were
included in the meta-analysis and the benefit of fruit and vegetables as
a whole for prevention of type 2 diabetes may have been obscured.
The authors believe that fruit and vegetables can prevent chronic
diseases because of their antioxidant content. Green leafy vegetables
such as spinach may also act to reduce type 2 diabetes risk due to their
high magnesium content.
The authors argue that "our results support the evidence that 'foods'
rather than isolated components such as antioxidants are beneficial for
health … results from several supplement trials have produced
disappointing results for prevention of disease."
In conclusion, they believe that offering tailored advice to
encourage individuals to eat more green leafy vegetables should be
investigated further.
In an accompanying editorial, Professor Jim Mann from the University
of Otago in New Zealand, and Research Assistant Dagfinn Aune from
Imperial College London, are cautious about the results and say the
message of increasing overall fruit and vegetable intake must not be
lost "in a plethora of magic bullets," even though green leafy
vegetables clearly can be included as one of the five portions of fruit
and vegetables per day.
They argue that given the limited number of studies, "it may be too
early to dismiss a small reduction in risk for overall fruit and
vegetable intake or other specific types of fruits and vegetables and
too early for a conclusion regarding green leafy vegetables
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