Sigma Nutrition Radio

In this episode, we take a deep dive into the commonly held belief that protein is the most satiating macronutrient. It's an idea that shows up frequently in both clinical guidance and popular nutrition discourse: if you want to feel fuller, eat more protein. But how robust is that claim when you drill into the details of the evidence? To explore this, Alan and Danny examine the complex interplay between protein intake, satiety, and energy intake. We look at both historical and recent literature, including work from Kevin Hall's group, that raises important questions about how much of protein's supposed appetite-suppressing effect is due to the protein itself versus other influential variables—such as eating rate, food texture, and energy density. This is an important topic, not just for academic curiosity, but for its practical implications. If our assumptions about protein and satiety are oversimplified or overstated, that has knock-on effects for how we design diets aimed at appetite regulation, weight management, or obesity prevention. So whether you're a researcher, a clinician, or simply someone interested in understanding the mechanisms behind how we eat, this episode aims to provide clarity on where the science currently stands—and where it might be leading. Timestamps [03:18] The impact of protein on satiety [04:49] Historical context of protein and satiety [07:30] Mechanisms of protein-induced satiety [16:31] Research methods and measurements [21:39] Studies on protein and satiety [27:51] Analyzing specific studies [35:51] Understanding high protein meals and their effects [37:31] Acute vs. chronic effects of high protein intake [45:59] Other meal characteristics [53:21] Real-world implications of protein intake [01:01:19] Summarizing the impact of protein on satiety Related Resources Subscribe to Sigma Nutrition Premium Join the Sigma email newsletter for free Enroll in the next cohort of our Applied Nutrition Literacy course Go to episode page Related studies: Fazzino et al., Nature Food, volume 4, pages144–147 (2023) Weigle et al., Am J Clin Nutr. 2005 Jul;82(1):41-8 Smeets et al., J Nutr. 2008 Apr;138(4):698-702 Blatt et al., J Am Diet Assoc. 2011 Feb;111(2):290-4.

Global food systems have been increasingly subjected to financial speculation, leading to adverse consequences for growers, consumers, and public health. But what are the systemic vulnerabilities that impact food security, equitable access to nutritious food, and the broader socio-political frameworks influencing these outcomes? Understanding the financial mechanisms shaping food production and distribution is highly relevant for health professionals, policy makers, and researchers concerned with nutrition, equity, and global health systems. This episode urges a critical re-evaluation of current food policies and invites consideration of more ethical, resilient approaches to safeguarding food systems. Professor Martin Caraher is Emeritus Professor of Food and Health Policy at the Centre for Food Policy, City St. Georges, University of London. His research encompasses food poverty, food security, the role of food aid, and the broader implications of food systems on public health. Timestamps [01:12] Financialization of food: an overview [05:27] Speculation and its impact on food prices [13:10] Global food security and policy responses [17:20] Corporate concentration in food systems [34:03] Potential solutions and future directions Related Resources Go to episode page Prof. Caraher's Recommended Reading List Join the Sigma email newsletter for free Subscribe to Sigma Nutrition Premium Enroll in the next cohort of our Applied Nutrition Literacy course Episode #344: Prof. Martin Caraher – Food Poverty & Food Aid Provision X: @MartinCaraher and @NutritionDanny

Seed oils have recently become a hotly debated topic in nutrition, fueled by sensational claims on social media. In this episode, the central theme is examining whether seed oils are truly harmful or if they've been unjustly demonized. The discussion tackles prevalent claims – that seed oils drive inflammation, oxidation, and chronic disease – and compares them against the current scientific evidence. This is highly relevant to nutrition science and clinical practice today, as many patients and practitioners are encountering conflicting information about vegetable oils. By exploring the origins of seed oils, their biochemical effects, health outcome data, and the misinformation ecosystem, the episode aims to clarify how omega-6 rich seed oils fit into a healthy diet and what evidence-based guidelines say. Timestamps 01:00 Understanding terms: PUFA, Linoleic Acid, Omega-6 05:20 Do seed oils cause inflammation? 12:44 Omega-3 and omega-6 16:43 Inflammatory markers and linoleic acid 19:22 Oxidation and cooking oils 26:25 Refining processes and health concerns 30:32 Health outcomes and polyunsaturated fats 35:18 Evidence cited by anti-seed oil proponents 43:48 Conclusions Related Resources Join the Sigma email newsletter for free Subscribe to Sigma Nutrition Premium Enroll in the next cohort of our Applied Nutrition Literacy course Sigma Statement: Seed Oils on Trial: Is the Panic Justified? Related podcast episodes: 502: Sydney Diet-Heart Study – Is Linoleic Acid Causing Heart Disease? 504: Vegetable Oil vs. Saturated Fat – Analysis of the LA Veterans Study 505: Oslo Diet-Heart Study: Cholesterol-lowering Diets & Cardiovascular Events 329: Diet & Inflammation

In this Quack Asylum episode, Danny and Alan critically examine the claims surrounding “detoxification protocols” – specialized diets, cleanses, or supplements marketed to eliminate toxins from the body for better health. The central theme is whether these detox plans actually improve health outcomes or if they're built on pseudoscience and fear. Many alternative health proponents argue that modern life exposes us to countless toxins that accumulate in our bodies, causing chronic diseases, and thus we must undergo periodic detox regimens to cleanse ourselves. There is genuine concern about environmental pollutants and chemicals – indeed, numerous substances in our food, water, and air can be harmful at sufficient doses​. Nutritional science also recognizes that certain nutrients (e.g. vitamins, antioxidants) play roles in the body's natural detox pathways. However, there's a large gap between acknowledging real toxic exposures versus endorsing commercial “detox” diets or products. Many people, including health professionals, encounter patients or clients interested in detox plans, so understanding the science (or lack thereof) behind these claims is important. Timestamps [03:20] Claim 1 – Mark Hyman [06:10] The purpose of today's episode [08:22] Claim 2 – Chris Kresser [11:30] Detoxification Pathways in the Body [25:46] Glutathione, heavy metals and other nutrients [50:30] Do nutrients support detox pathways [55:20] Unhinged claims: Mold and mycotoxin toxicity [01:04:54] One more unhinged claim [01:09:10] Conclusions Related Resources Subscribe to Sigma Nutrition Premium Join the Sigma email newsletter for free Go to episode page Enroll in the next cohort of our Applied Nutrition Literacy course

Emulsifiers are a ubiquitous component of the modern food supply, found in everything from salad dressings and dairy products to pastries and sauces. Traditionally regarded as safe by regulatory agencies, emulsifiers play a vital role in enhancing the texture, stability, and shelf-life of countless processed foods. Yet, in recent years, emerging research has prompted a reevaluation of this assumption, raising intriguing questions about whether regular consumption of these additives might have previously overlooked health consequences. Recent epidemiological studies have suggested possible associations between higher emulsifier intake and chronic health issues. Concurrently, mechanistic research has provided some biological pathways through which emulsifiers could disrupt gut health. This episode aims to critically examine the scientific literature surrounding dietary emulsifiers, differentiating credible evidence from speculation, and outlining what can—and cannot—be concluded about their potential risks. Timestamps [01:18] Emulsifiers in food: definition, function, and common uses [05:15] Regulatory approval and traditional safety evaluations [09:32] Epidemiological studies on emulsifiers: nutriNet-santé cohort [14:55] Emulsifiers and cardiovascular disease risk [26:12] Emulsifiers and type 2 diabetes risk [30:01] Emulsifiers and cancer risk [35:05] Mechanistic insights: emulsifiers, gut health, and inflammatory bowel disease (IBD) [47:15] Practical recommendations and clinical implications Related Resources Subscribe to Sigma Nutrition Premium Go to episode page (with study links) Join the Sigma email newsletter for free Enroll in the next cohort of our Applied Nutrition Literacy course

Nutrition is increasingly being considered as a modifiable factor that may influence neurodevelopmental outcomes. While severe deficiencies in certain nutrients are known to have dramatic effects, there is growing interest in the potential impact of more subtle insufficiencies — particularly during critical windows such as pregnancy, infancy, and early childhood. In conditions like ADHD, dyslexia, and autism spectrum condition (ASC), questions have been raised around whether specific nutrients may play a role in cognitive performance, attention, or learning. Could low choline intake be a contributing factor to altered brain function? Are individuals with neurodevelopmental conditions more likely to have different nutrient needs or metabolic profiles? And how might practical dietary strategies fit into a broader management approach? In this episode, Dr. Emma Derbyshire discusses the evidence on choline and other brain-related nutrients in the context of neurodiversity. Timestamps [02:02] Guest background [05:38] Choline: what it is and why it matters [07:26] Research challenges: measuring choline and study design issues [10:49] Maternal intake: choline's role in fetal brain development [14:24] Choline & neurodevelopmental disorders (ADHD, ASC, dyslexia) [17:14] The choline gap: intake vs. requirements [23:05] Supplementation: adequacy vs. excess and safety concerns [25:05] Food sources: choline in the diet & intake planning [30:14] Nutrition as a tool in ADHD and dyslexia management [38:45] Other key nutrients (omega-3s, iron, iodine, magnesium, water) Related Resources Go to episode page Join the Sigma email newsletter for free Subscribe to Sigma Nutrition Premium Enroll in the next cohort of our Applied Nutrition Literacy course Book: Nutrition for ADHD and Dyslexia: Unlocking the Potential for Learning and Wellbeing Dr. Derbyshire's website: https://www.nutritional-insight.co.uk/

This is a segment from one of our Premium-exclusive AMA (ask me anything) episodes, where we answer questions submitted by Premium subscribers. To listen to the full episode, you'll need to be a Premium subscriber and access the episode on the private Premium feed. Questions Answered in This Episode [02:00] Why does the Mediterranean diet emphasize monounsaturated fats over polyunsaturated fats when the latter seem more beneficial for heart health? [08:48] What dietary patterns or foods best support strength and recovery in premenopausal women, especially on a plant-based diet? [20:33] Are there specific foods or supplements that help regenerate or protect connective tissue in conditions like EDS? [28:39] What does the current evidence say about the keto diet during cancer treatment, and are there specific cancers where it might be beneficial? [43:31] What are the biochemical processes behind fat loss, including fat mobilization, transport, and any potential short-term cardiovascular risks? [59:48] What is the most effective system for organizing, structuring, and retrieving accumulated knowledge over time? [1:10:37] Do you agree with Dr. Tom Dayspring that a significant percentage of people are hyper-absorbers of dietary cholesterol, making food cholesterol impactful for them? [1:14:35] Is consuming 2g of protein per pound of body weight safe if calorie intake is high and well-balanced? Links Subscribe to Sigma Nutrition Premium Go to sigmanutrition.com

The intersection of nutrition, dermatology, and skin health is an area of growing interest, yet one that remains riddled with misinformation and oversimplified claims. The influence of dietary patterns, specific nutrients, and lifestyle factors on conditions such as acne, eczema, psoriasis, and skin aging has been widely debated, with varying levels of evidence supporting different interventions. While some nutritional strategies may play a role in optimizing skin health, the challenge lies in distinguishing practical, evidence-based approaches from overstated or anecdotal claims. A significant issue in this space is the naturalistic fallacy—the belief that diet alone can replace medical treatments, or that conventional dermatological interventions should be avoided in favor of “natural” approaches. This has led to widespread vilification of certain foods, such as dairy, gluten, and sugar, despite a lack of strong supporting data. Similarly, supplements and probiotics are often promoted with broad claims, while their actual efficacy is highly context-dependent—varying based on individual nutrient status, disease severity, and baseline dietary intake. In this episode, Dr. Thivi Maruthappu, a consultant dermatologist and researcher in nutritional dermatology, joins Danny Lennon to explore the current state of evidence in this field. Guest Information Dr Thivi Maruthappu MA PhD FRCP ANutr is a consultant dermatologist, nutritionist and leading researcher. As the UK's first and only dual-qualified dermatologist and nutritionist, her pioneering expertise bridges the gap between diet and skin health. Dr Thivi continues to work in the NHS and has her own practice based at London's renowned Cleveland Clinic. Dr Thivi studied Medicine at Oxford University and completed Dermatology training in London. She undertook a PhD to understand the links between our skin and internal health and this research featured in top tier scientific journals. She is one of a handful of dermatologists to have completed training in severe eczema and psoriasis during a fellowship at St John's Institute of Dermatology, London and achieved a Certificate in Nutrition Science from Stanford Medical School, USA. Timestamps [02:52] Start of interview [03:37] Dr. Maruthappu's background and expertise [05:57] Sunscreen and skin health: myths and facts [12:15] Effective skincare ingredients [16:07] The role of nutrition in skin health [20:25] Dairy and skin conditions [24:10] Collagen supplements: do they work? [27:45] Probiotics for skin health [31:35] Research outcomes and challenges [35:20] Practical applications in clinical practice [43:05] Key ideas segment (premium-only) Related Resources Join the Sigma email newsletter for free Subscribe to Sigma Nutrition Premium Enroll in the next cohort of our Applied Nutrition Literacy course Dr. Maruthappu's website

Discussions around ultra-processed foods (UPFs) and their role in public health have gained significant traction in recent years. While some advocate for categorizing and regulating these foods due to their potential negative health effects, others argue that such classifications can oversimplify the issue and detract from more actionable dietary changes. In this episode, Dr. Duane Mellor, a registered dietitian and researcher, joins us to explore the complexities of the UPF debate. Rather than dismissing the concept outright, Dr. Mellor emphasizes the importance of nuanced discussion, bridging the gap between research findings and practical, evidence-based dietary guidance. Throughout this conversation, we unpack the broader implications of ultra-processed foods in the food system, consider how added fat, salt, and sugar contribute to public health challenges, and explore realistic approaches for dietary improvements. Guest Information Dr. Duane Mellor, PhD is a registered dietitian, academic researcher and science communicator. Dr. Mellor is currently working in clinical dietetics, working to support people, families and carers living with diabetes. Previously Dr. Mellor worked in medical education at Aston University, holding the position of Associate Dean for Public Engagement in the College of Health and Life Sciences. After initially working in the areas of clinical trials, Dr. Mellor's other research interests focused on improving nutrition and health by working with communities to celebrate their heritage through food and help tackle barriers resulting from societal inequalities. Timestamps [03:02] Interview start [06:39] Understanding the NOVA classification [09:53] Potential pitfalls and policy implications [14:52] Food science and technology perspectives [20:47] Challenges in food classification [26:13] Health equity and policy considerations [42:31] Communication and public perception [50:30] Final thoughts and advice [51:15] Key ideas segment (Premium-only) Related Resources Join the Sigma email newsletter for free Subscribe to Sigma Nutrition Premium Enroll in the next cohort of our Applied Nutrition Literacy course Paper: Mellor, 2024 – The role of food science and technology in navigating the health issues of ultra-processed foods Go to sigmanutrition.com

In the realm of health psychology, our understanding of eating behaviors extends beyond mere physiological hunger cues. Research indicates that factors such as learned associations, cultural influences, and individual perceptions play pivotal roles in shaping our dietary choices. Recognizing this complexity is essential for developing effective dietary interventions that move beyond simplistic recommendations, acknowledging the intricate web of cognitive, emotional, and societal factors at play. A significant discussion within nutrition science centers on the regulation of eating patterns, particularly the balance between internal cues and external structures. While intuitive eating emphasizes responding to one's internal hunger signals, studies suggest that these signals are often influenced by external factors such as distractions and learned behaviors. An alternative approach, known as “pinned eating,” proposes structuring meals around fixed times and contexts. In this episode Prof. Jane Ogden, Professor of Health Psychology at the University of Surrey, discusses these concepts and some of the research her group has carried out. Guest Information Professor Jane Ogden is a distinguished health psychologist at the University of Surrey, with over three decades of experience in researching eating behavior, weight management, and women's health. She earned her PhD from the Institute of Psychiatry in London in 1990 and has since contributed extensively to the field through her research and publications. Throughout her career, Professor Ogden has authored several influential books, including “Health Psychology: A Textbook,” now in its seventh edition, and “Thinking Critically about Research.” Her work is widely recognized, leading to her receiving an honorary Doctor of Science from the University of Buckingham in 2022. Timestamps [02:01] Interview start [02:41] Understanding eating behaviors and influences [10:33] Integrating psychology into nutrition practice [13:58] Pinned Eating [16:46] Critique of Intuitive Eating [21:30] Eating behaviors and hunger as a perception [26:34] Taste preferences and acquisition in children [29:10] Cultural and contextual meanings of food [33:25] Disgust and food presentation [35:29] Health communication and obesity [44:28] Future research in health psychology [47:23] Key ideas segment (Premium-only) Links: Subscribe to Sigma Nutrition Premium Join the Sigma email newsletter for free Go to Sigma Nutrition website Enroll in the next cohort of our Applied Nutrition Literacy course Study: Ogden et al., 2020 – The impact of intuitive eating v. pinned eating on behavioural markers: a preliminary investigation

Sleep is one of the most critical yet often overlooked components of health, performance, and overall well-being. Poor sleep quality or insufficient sleep can disrupt circadian rhythms, impair glucose metabolism, and alter hunger signals, leading to increased food intake, reduced insulin sensitivity, and other undesirable outcomes. In this episode, we bring together expert discussions from some of the leading researchers in sleep science, to explore what defines high-quality sleep, the mechanisms behind sleep regulation, and the factors that influence sleep-wake cycles, from light exposure to psychological stress. Timestamps Note: Full episode only available on Sigma Nutrition Premium. [02:14] The importance of sleep duration and timing [05:32] Exploring sleep intensity and architecture [07:50] Defining good quality sleep [12:46] The two process model of sleep regulation [19:06] What is sleep? [24:47] Socioeconomic factors and sleep [34:30] The impact of blue light on sleep [47:10] Wake drive and sleep pressure [52:44] Stress, anxiety, and sleep [58:27] Common sleep disorders [01:06:26] Sleep and eating behavior Related Resources Join the Sigma email newsletter for free Subscribe to Sigma Nutrition Premium Enroll in the next cohort of our Applied Nutrition Literacy course Episodes referenced: 38: Dan Pardi, PhD 316: Michael Grandner, PhD 209: Amy Bender, PhD 433: Greg Potter, PhD 328: Meeta Singh, MD 536: Ian Dunican, PhD 61: Kirk Parsley, MD

There is research suggesting that industrialization has significantly altered the composition of our gut microbiota, with certain microbial species now absent in many industrialized populations. Given the known associations between gut microbiome diversity and health, researchers have begun investigating whether restoring lost microbial species and adopting dietary patterns similar to those of non-industrialized populations could lead to measurable health benefits. In a newly-published study, the investigators aimed to explore whether L. reuteri could be successfully reintroduced into the microbiome through the “Restore Diet” and whether such a shift would result in improvements in key cardiometabolic and inflammatory markers. One of the authors, Dr. Anissa Armet, is on the podcast to discuss this area and both the potential and limitations of microbiome restoration efforts. Timestamps [03:48] Interview start [08:45] Understanding gut microbiome restoration [11:44] Challenges in microbiome research [21:03] Study design and objectives [43:23] Key findings and results [47:46] Future research directions [01:04:04] Key ideas segment (premium-only) Links Join the Sigma email newsletter for free Subscribe to Sigma Nutrition Premium Enroll in the next cohort of our Applied Nutrition Literacy course Free Book: The NiMe Diet: Scientific Principles and Recipes Paper: Cardiometabolic benefits of a non-industrialized-type diet are linked to gut microbiome modulation Dr. Armet's free, open-access High Protein Cookbook for Muscle Health During Cancer Treatment

Every five years, the U.S. Dietary Guidelines are updated based on the latest scientific evidence to help shape national nutrition recommendations. A panel of experts was assembled to review the existing research, evaluate new findings, and provide recommendations that will inform the next edition of the guidelines. One of the committee members involved in this process is Professor Christopher Gardner, a leading nutrition scientist at Stanford University, who joins us to share key insights from the committee's work. In this discussion, Professor Gardner provides an inside look into how the committee evaluated dietary patterns, the role of plant-based proteins, and the ongoing debate surrounding ultra-processed foods. He explains the rigorous process of reviewing scientific literature, the challenges in translating research into policy, and the critical role of health equity in shaping the recommendations. By exploring these themes, this episode aims to provide clarity on the scientific foundation behind the upcoming dietary guidelines. Whether you're a nutrition professional, researcher, or someone interested in how dietary recommendations are formed, this conversation sheds light on the key discussions shaping the future of nutrition policy. Timestamps [03:38] Interview begins [07:18] The rigorous process behind formulating dietary guidelines [12:10] Key questions addressed and major findings from the report [25:41] Identifying nutrients of concern and refining dietary patterns [33:39] The importance of health equity in dietary recommendations [36:04] Reassessing dairy's role in different population groups [41:05] Shifting the focus towards plant-based protein sources [47:52] The debate on ultra-processed foods and public health implications [58:24] Key Ideas segment (Premium-only) Related Resources Enroll in the next cohort of our Applied Nutrition Literacy course Subscribe to Sigma Nutrition Premium Join the Sigma email newsletter for free Scientific Report of the 2025 Dietary Guidelines Advisory Committee Previous episode with Prof. Gardner: Episode 223

Understanding the complexities of diet-disease relationships requires a nuanced approach to nutritional science. Unlike other scientific disciplines, nutrition research often grapples with the inherent challenges of studying dietary patterns and nutrient intakes in free-living populations over long periods. The cumulative effects of dietary exposures, combined with the necessity to control for confounding factors such as total energy intake and population-specific dietary habits, highlight the need for rigorous study designs and careful interpretation of findings. Despite their utility, these methods are often misunderstood or misrepresented in public discourse. Addressing these misunderstandings requires a clear communication of key principles underpinning nutritional science, including the role of cumulative exposure, the importance of contextualizing absolute and relative risks, and the necessity of evaluating the long-term effects of dietary patterns. This episode aims to provide a comprehensive overview of these essential ideas, equipping readers with the tools to critically appraise the evidence and engage meaningfully with the ongoing conversation around nutrition research. Timestamps [03:26] Understanding nutrition science: core concepts [06:01] Standards of proof in nutrition research [19:39] Unique challenges in nutrition research [26:30] High vs. low exposure in nutrition studies [34:34] Challenges in nutrition randomized control trials [39:29] Understanding null by design in nutrition trials [41:58] The importance of temporal relationships in diet and disease [43:55] Relative risk vs. absolute risk [57:16] The role of substitution and adjustment in nutrition studies Related Resources Enroll in the next cohort of our Applied Nutrition Literacy course Join the Sigma email newsletter for free Subscribe to Sigma Nutrition Premium Episodes referenced: 531: Correlation, Causation & Cliché 478: Exposures in Nutrition – Why They're Crucial to Understand 511: Null By Design – When “No Effect” Doesn't Mean No Effect 378: Nutritional Epidemiology 472: Compared To What? – Understanding Food Substitution Analysis & Adjustment Models

This episode focuses on the intersection of nutrition, lifestyle, and women's health, with a particular emphasis on managing complex conditions such as PCOS, endometriosis, and premenstrual dysphoric disorder (PMDD). Registered dietitian Marjorie Nolan Cohn shares insights from over two decades of clinical practice, highlighting the importance of addressing foundational health behaviors—such as adequate sleep, hydration, and nutrient-dense dietary patterns—before introducing targeted interventions like supplementation. Marjorie explores the nuanced relationship between body weight, metabolic health, and fertility, while addressing misconceptions around weight loss as a primary health goal. The episode examines the role of long-term, individualized care in improving symptoms and outcomes for women experiencing significant menstrual-related challenges. Practical considerations for practitioners, including strategies to build trust, identify key barriers, and provide holistic support, are outlined alongside the importance of interdisciplinary collaboration to improve care quality. Marjorie Nolan Cohn is a registered dietitian with a Masters Degree in Food and Nutrition Science from the Indiana University of Pennsylvania. She is the Clinical Director of Berry Street, a company providing virtual in-network nutritional counseling to people across the US. Timestamps [04:32] Beginning of the interview [08:39] The role of nutrition in fertility [13:40] Understanding PCOS and endometriosis [16:28] Barriers to accurate women's health diagnoses [19:03] Exploring diet and lifestyle strategies [23:28] Addressing challenges in women's health and nutrition [39:01] Closing remarks and final takeaways Related Resources Join the Sigma email newsletter for free Subscribe to Sigma Nutrition Premium Enroll in the next cohort of our Applied Nutrition Literacy course Guest website: Berry Street

Over the past couple of decades, renowned researcher Dr. Marie-Pierre St-Onge has uncovered fascinating links between how we sleep and what we eat, revealing how these two lifestyle factors influence energy balance, cardiovascular health, and metabolic function. In this episode we'll explore Dr. St-Onge's findings on sleep regularity and its association with reduced mortality risk, providing actionable insights for optimizing your lifestyle. With a focus on combining rigorous methodologies and controlled dietary interventions, her research sheds light on the complex mechanisms connecting sleep, diet, and metabolic health. Timestamps: [03:39] Dr. St-onge's academic journey and evolution of her research interests [07:03] Overcoming methodological challenges in sleep and nutrition research [10:20] The importance of sleep regularity for health [15:44] Exploring the bidirectional connection between diet and sleep [23:40] Unpacking the mechanisms linking diet to sleep quality [37:33] Practical recommendations for optimizing sleep and diet Links: Join the Sigma email newsletter for free Subscribe to Sigma Nutrition Premium Enroll in the next cohort of our Applied Nutrition Literacy course Article: How Sleep & Nutrition Interact – Alan Flanagan, PhD Go to episode page

Multivitamin and multimineral supplements have long been a topic of both scientific inquiry and public debate. While they are often marketed as convenient solutions for achieving nutritional adequacy, their true value remains contentious. Are these supplements essential insurance policies against nutrient deficiencies, or are they merely expensive placebos? Importantly, how should we weigh their potential benefits against the lack of robust evidence for long-term health outcomes such as reduced mortality or chronic disease risk? These questions demand a nuanced exploration, grounded in the context of specific populations and individual needs. Ultimately, the role of multivitamin supplements cannot be assessed in isolation but must be viewed through the lens of context and specificity. How do we balance the biological plausibility of benefits against the variability of individual diets, the presence of fortification policies, and the challenges of achieving dietary adequacy in certain life stages? These considerations invite a more thoughtful and less binary discussion about whether, when, and for whom multivitamins are a worthwhile addition to the diet. Timestamps [00:22] The debate on multivitamins: worthless or beneficial? [00:53] Rationale behind multivitamin use [04:04] Modern nutritional adequacy and multivitamins [07:10] Evidence supporting multivitamin use [23:39] Long-term health outcomes and multivitamins [41:43] Cognitive outcomes [50:18] Pregnancy and multivitamin use Related Resources Join the Sigma email newsletter for free Subscribe to Sigma Nutrition Premium Enroll in the next cohort of our Applied Nutrition Literacy course Shaun Ward Article: Multivitamin Madness: There's More to Life than Death Studies mentioned: MacPherson et al., 2013 meta-analysis of randomized controlled trials Jenkins et al., 2021 meta-analysis COSMOS trial – Vyas et al., 2024 analysis of three substudies Loftfield et al., 2024 – Multivitamin Use and Mortality in 3 Cohorts Blumberg et al., 2017 nutritional adequacy paper

While the fitness industry often emphasizes short-term goals such as rapid weight loss or aesthetic improvements, a growing body of evidence highlights the importance of fostering long-term habits for health and wellbeing. Understanding how psychological frameworks intersect with physical health behaviors is key to empowering clients and overcoming the challenges posed by rigid dieting practices or the influence of social media culture. Bodybuilding and fitness culture serve as both a microcosm and an extreme example of the challenges faced in this space. As the boundaries between physique sports and general fitness blur, many enthusiasts adopt unsustainable habits without fully understanding their long-term implications. How can fitness professionals effectively guide clients toward intrinsic motivations and healthier relationships with food and exercise while balancing the reality of external pressures? In this episode, Laurin Conlin offers her insights based on her coaching experiences, as well as formal training in exercise sciences and mental health counselling. Dr. Eric Trexler co-hosts the episode with Danny Lennon. Timestamps [05:41] Challenges in dieting and coaching practices [09:58] Bridging physical and mental health through coaching practices [13:15] Recognizing and navigating disordered eating behaviors in fitness clients. [22:01] The physiological and psychological challenges in physique sports. [34:52] Fitness culture and social media influence [37:19] Misunderstanding intuitive eating [41:23] Using motivational interviewing and reflective listening to guide clients [52:13] Integrating mental health practices in fitness and nutrition coaching [62:13] Key Ideas segment (Premium-only) Related Resources Go to episode page Join the Sigma email newsletter for free Subscribe to Sigma Nutrition Premium Enroll in the next cohort of our Applied Nutrition Literacy course Sports Nutrition Association Get research reviews from Dr. Eric Trexler and collegues

Eating disorders and disordered eating behaviors represent complex, multifaceted challenges that affect individuals across all demographics, yet they remain widely misunderstood and under-recognized. These issues often extend beyond the stereotypical images associated with eating disorders, touching everything from rigid “clean eating” obsessions to the normalized extremes of diet culture. At the heart of these behaviors lies a disruption in one's relationship with food, often fueled by societal pressures, unrealistic body ideals, and a pervasive focus on aesthetics over health. While these challenges are tenacious, recovery and improved relationships with food are possible with the right interventions, resources, and awareness. In this episode, Danny talks to Dr. Jillian Lampert, a registered dietitian with a PhD in public health nutrition, with a speciality in eating disorders and disordered eating. Timestamps [02:56] – What are eating disorders? a breakdown of core concepts [05:15] – Beyond stereotypes: the widespread impact of eating disorders [14:41] – Disordered eating in sports and fitness: risks and realities [19:41] – Guidance for practitioners: recognizing and addressing red flags [22:50] – Barriers in treating eating disorders: challenges and solutions [43:50] – Advocacy and systemic change: the future of eating disorder care Related Resources Join the Sigma email newsletter for free Subscribe to Sigma Nutrition Premium Enroll in the next cohort of our Applied Nutrition Literacy course Go to episode page The Emily Program Eating Disorders Coalition for Research, Policy, & Action (EDC) National Alliance for Eating Disorders

In a world flooded with information, discerning fact from fiction in fitness and nutrition has never been more challenging—or more important. The rise of social media and democratized science has given everyone a platform, but not all voices are equal. How do we navigate a landscape where influencers with massive followings wield the same credibility as seasoned experts? Why do pseudoscientific trends gain traction while nuanced evidence gets lost in the noise? In this episode we also dive into the evolution of coaching, examining how the obsession with quantifiable metrics has shifted the focus away from human connection. How can professionals balance the drive for scalable success with the need for meaningful client relationships? And what lessons can we draw from decades of shifts in the fitness industry to stay resilient amid rapid societal and technological changes? Timestamps [04:33] Eric's personal journey and influence [06:08] Evolution of bodybuilding coaching [10:32] Challenges in interpreting scientific research [17:35] Historical trends in diet and nutrition [25:49] Information overload and misinformation [43:07] Understanding fractional counting in hypertrophy [44:24] Challenges in communicating scientific concepts [47:27] The psychology of persuasion [49:07] The role of marketing in science communication [54:46] Balancing data and intuition in coaching [01:03:59] Navigating the future of nutrition coaching [01:08:34] Building trust and connection with clients Related Resources Go to episode page Join the Sigma email newsletter for free Subscribe to Sigma Nutrition Premium Enroll in the next cohort of our Applied Nutrition Literacy course Dr. Helms' MASS Research Review is a monthly publication that includes easy-to-read breakdowns of the latest training and nutrition research

IGF-1 (Insulin-Like Growth Factor 1) has emerged as a hot topic in health and nutrition discussions, often linked to longevity, cancer risk, and metabolic health. On one hand, IGF-1 is essential for growth, repair, and metabolic regulation; on the other, it is sometimes associated with disease processes, including cancer and cognitive decline. For those intrigued by the intersection of nutrition, biomarkers, and disease prevention, IGF-1 offers an opportunity to explore how science grapples with these complexities. Claims about manipulating IGF-1 through dietary changes — whether by reducing protein or adopting fasting protocols — are common. But does the evidence support these claims? If you're curious about IGF-1 and the relationships between diet, disease, and healthy aging, in this Premium-exclusive episode Danny and Alan discuss this fascinating topic. To listen to the full episode, subscribe to Sigma Nutrition Premium Timestamps [02:21] IGF-1 and Diet: Examining the Relationship [09:15] IGF-1 as a Biomarker: Challenges with Sensitivity and Specificity [11:54] IGF-1 and Cancer Risk: Insights and Complexities [25:51] IGF-1 in Aging: Cognitive Function and Longevity Considerations [43:38] Key Takeaways: IGF-1, Diet, and Practical Advice Related Resources Join the Sigma email newsletter for free Subscribe to Sigma Nutrition Premium Enroll in the next cohort of our Applied Nutrition Literacy course Murphy et al., 2020 – observational and Mendelian randomization analyses

Fitness pursuits can bring various benefits. However, within the modern fitness industry there is a complex interplay of body image ideals, societal pressures, and disordered eating behaviors. Research continues to illuminate how certain practices and messaging within the industry—such as the overvaluation of leanness or the impact of social media personas—can fuel body dissatisfaction and disordered eating. For fitness coaches and enthusiasts alike, this raises important questions: What defines success in fitness? How can individuals engage in training and nutrition without falling into harmful traps? And how can professionals align their practices with values that support long-term well-being for themselves and their clients? In this episode, Michelle Carroll, a PhD researcher in clinical psychology, explores these questions in depth. Drawing on her academic work and personal experiences, she discusses the implications of fitness industry norms, the challenges of online coaching, and practical steps for fostering healthier relationships with food and body image. Timestamps [01:15] Defining disordered eating and body image [03:47] Motivations behind this research [05:37] Impact of the fitness industry on body image [08:29] Challenges and misconceptions about body image [14:26] Physical capital and pressures on fitness professionals [18:20] Consequences of harmful fitness industry messaging [35:04] Positive changes and gaps for future research [40:16] Practical advice for professionals and individuals Related Resources Go to episode page Join the Sigma email newsletter for free Subscribe to Sigma Nutrition Premium Enroll in the next cohort of our Applied Nutrition Literacy course Michelle's website Michelle on Instagram: @michellecarroll1 Disordered Eating Informed – Course

Healthspan, healthy ageing, and chronic disease are pivotal topics in today's health discourse, emphasizing not just the length of life but the quality of those additional years. Focusing on healthspan means striving for a longer period of life free from disease and disability, which is increasingly important as global life expectancies rise. Healthy ageing involves adopting lifestyle habits that promote physical, mental, and social well-being throughout the lifespan, thereby reducing the risk of chronic diseases such as heart disease, diabetes, and neurodegenerative disorders. Addressing chronic diseases risk requires a proactive approach centered on prevention and early intervention. By prioritizing healthspan and healthy ageing, individuals can significantly decrease the likelihood of developing chronic illnesses, leading to improved quality of life and reduced healthcare costs. Sigma Nutrition Radio has consistently addressed these critical themes across many episodes. In this episode, we go back over some of the best episodes of 2024 in this area, including discussions on Alzheimer's, cholesterol-lowering medications, impact of exercise, and the debate about red meat. Timestamps (03.12) Alzheimer's: Genetic susceptibility vs. modifiable factors (14.59) Heart disease: the “risk factor, disease, event” framework (22.10) The strength of evidence we have for the impact of exercise on mortality and longevity (28.23) Why high blood pressure is so problematic (37.23) Where do we see risk for unprocessed red meat? (48.34) The evolution over the years of dietary fat research (53.20) Claims about the proposed risks of consuming seed oils (56.16) How does fat quality impact heart disease risk? (60.35) History of Portfolio Diet research for reducing LDL-C Episodes referenced: 512: Alzheimer's Disease – Drs. Ayesha & Dean Sherzai 525: Cholesterol-Lowering Medication – Dr. Paddy Barrett 524: Strength & Fitness Levels for Reducing Chronic Disease Risk & Promoting Health Ageing – Jordan Feigenbaum, MD 527: How to Prevent & Treat Hypertension – Dr. Mohammed Alo, DO 528: Is Unprocessed Red Meat Problematic for Our Health? 532: Dietary Fat: Evidence vs. Misinformation – Alice Lichtenstein, DSc 515: Does Dietary Fat Quality Causally Affect Atherosclerosis Risk? – Jacob Christensen, PhD 507: Does a Higher Portfolio Diet Score Reduce Heart Disease? – Andrea Glenn, PhD Links: Join the Sigma email newsletter for free Subscribe to Sigma Nutrition Premium Enroll in the next cohort of our Applied Nutrition Literacy course Go to episode page

Navigating the complex and often underemphasized requirements of professional standards, legal considerations, and insurance can be challenging for sports nutrition practitioners and personal trainers. Many professionals, especially early in their careers, may overlook or minimize these responsibilities, focusing primarily on the practical and enjoyable aspects of helping clients achieve their goals. However, staying informed and adhering to these standards is not only essential for providing ethical, competent service but is also crucial for minimizing liability. Ignoring or misinterpreting scope-of-practice guidelines and insurance limitations can leave well-meaning professionals exposed to significant legal and financial risks that could have lasting consequences on their careers. In this episode, Alex Thomas joins Danny Lennon and Eric Helms to discuss the essential, if often overlooked, responsibilities that define a successful and resilient career in sports nutrition. Together, they explore best practices for insurance, scope of practice, and the importance of aligning with professional organizations that provide educational and legal support. Timestamps [01:57] The SNA Introduction [03:31] The importance of professional standards [09:58] Legal consequences and real-world examples [15:23] Insurance and scope of practice [23:27] Navigating the gray areas in nutrition practice [30:51] Legal risks in nutrition advice [34:50] Ethical dilemmas and referral networks [36:53] Emerging trends and risks in nutrition services [48:49] Becoming a competent sports nutrition professional Links Go to episode page Join the Sigma email newsletter for free Subscribe to Sigma Nutrition Premium Enroll in the next cohort of our Applied Nutrition Literacy course Sports Nutrition Association

Carbohydrate metabolism and metabolic health have become central themes in the science of nutrition, with questions about fuel utilization, the impact of different diets, and the potential of ketone supplements driving new research. As researchers continue to uncover how the body adapts to various energy sources, there are emerging insights into how glucose tolerance, glycogen utilization, and even ketogenic diets influence not only physical performance but also long-term health outcomes. Understanding how the body responds to different energy sources, particularly in relation to carbohydrate restriction, brings crucial context to popular nutrition strategies and the potential benefits—or trade-offs—they offer. In this episode, Professor Javier Gonzalez joins to discuss these topics in detail, exploring the latest findings on how dietary choices affect athletic performance, chronic disease risk, and the mechanisms underlying metabolic adaptations. You will gain insight into topics like reactive hypoglycemia, carbohydrate oxidation, and why individualized responses to diet matter. Timestamps [01:36] Understanding carbohydrate metabolism [06:33] The role of glucose in metabolic health [09:59] Exercise and glucose dynamics [17:35] Carbohydrate intake and athletic performance [25:03] Diet impact on exercise and metabolism [30:44] Pre-workout carbohydrates and reactive hypoglycemia [35:31] Recent study: Ketogenic diet vs. sugar restriction [41:09] Future research directions in metabolic health [45:07] Ketone esters and their role in exercise performance [49:22] Carbohydrate metabolism and common misconceptions Links Go to episode page Join the Sigma email newsletter for free Subscribe to Sigma Nutrition Premium Enroll in the next cohort of our Applied Nutrition Literacy course Paper: Ketogenic diet but not free-sugar restriction alters glucose tolerance, lipid metabolism, peripheral tissue phenotype, and gut microbiome: RCT 

Appetite and satiety are fundamental concepts shaping how we eat, why we feel hunger, and what keeps us satisfied after meals. From the biological signals sent by our gut to the psychological influences of food cues, understanding these processes can provide valuable insights into how we manage our food intake. In this episode, we delve into the interplay between hormones, food properties, and external factors that regulate appetite and fullness, exploring how these mechanisms work together—or sometimes fail—in modern eating environments. We will examine fascinating topics such as the satiety cascade, sensory-specific satiety, and the impact of nutrient composition on hunger regulation. This episode also highlights how individual differences, such as satiety phenotypes, shape eating behavior, offering a nuanced perspective on the science of satiety. Whether you're interested in applying these concepts to your diet or supporting others in managing hunger, this discussion offers practical takeaways grounded in scientific evidence. To listen to the full episode, subscribe to Sigma Nutrition Premium. Timestamps [02:22] Understanding appetite and satiety [07:28] Biological mechanisms behind hunger regulation [10:57] Sensory and psychological cues affecting food intake [26:54] Nutrient composition and its influence on satiety [43:11] Practical strategies for managing hunger Related Resources Join the Sigma email newsletter for free Subscribe to Sigma Nutrition Premium Enroll in the next cohort of our Applied Nutrition Literacy course

In the realm of nutrition science, individual differences are more profound and impactful than many realize. For decades, we've developed dietary recommendations with a “one-size-fits-all” approach, assuming that most people respond similarly to specific nutrients. But Dr. Martin Kohlmeier, a pioneer in precision nutrition, challenges this very notion. How might an individual's genetic makeup alter their need for certain nutrients? With advances in nutrigenetics, we're beginning to see how personalized nutrition could bridge long-standing gaps in dietary efficacy. Dr. Kohlmeier's work highlights fascinating examples, from the APOE4 gene's influence on cholesterol metabolism to variations in folate metabolism that could affect everything from heart health to birth outcomes. As Dr. Kohlmeier explains, precision nutrition is not simply about adding genetic testing to a wellness regimen. Instead, it requires rethinking nutrition research from the ground up—ensuring studies capture these individual variations and that public health policy moves beyond broad averages. With genetic testing now more accessible than ever, could commercial pressures and oversimplified testing derail the science before it even gets going? In this episode, we dive deep into the potential and pitfalls of precision nutrition, exploring the future of personalized dietary advice and the road to truly individualized health. Timestamps [02:33] Introduction of Dr. Martin Kohlmeier and his background [05:10] Rethinking assumptions in nutrition science [07:42] The role of genetic variations in nutrient responses [13:15] Practical examples of genetic impact on nutrition [22:55] Misinformation and commercial misuse in nutrigenetics [29:48] Case studies: cholesterol sensitivity (APOE4) and folate metabolism (MTHFR) [41:03] Public health implications and the need for tailored research [49:27] Future directions and the path forward for precision nutrition Links Go to episode page Join the Sigma email newsletter for free Subscribe to Sigma Nutrition Premium Enroll in the next cohort of our Applied Nutrition Literacy course Kohlmeier, 2023 – One size does not fit all: on the need for categorical stratification in nutrition science, practice and policy

Sigma Nutrition Premium - Come join us! Get 20% off all subscription options. Examine - The best online database for looking at the evidence of foods, nutrients, supplements and health outcomes just got revamped. MASS Research Review - Get 30% off their breakdowns of the latest training and nutrition research for strength trainees. Alinea Nutrition - Get Alan's deepdive analysis of methodology and study interpretation.

In this episode, we dive deep into the world of ocular nutrition with Professor John Nolan, exploring how specific nutrients can play crucial roles in preserving eye health, improving vision and supporting cognitive function. With age-related macular degeneration (AMD) affecting millions globally, Professor Nolan sheds light on groundbreaking research showing how certain carotenoids—natural pigments found in plant foods—could impact eye health and perhaps even neurodegenerative conditions like Alzheimer's disease. But what are these compounds exactly, and why are they so impactful? Through in-depth clinical studies, Nolan has identified optimal nutrient formulations that could bridge the gap in conditions as diverse as macular degeneration and cognitive decline. He makes a compelling case for why the timing and quality of these interventions could matter as much as diet itself. Finally, this episode goes beyond individual health to consider public health implications, particularly the need for better regulation in the supplement industry and enhanced nutritional education for medical practitioners. Timestamps [01:20] Professor Nolan's academic journey and early inspirations in vision science [02:12] Groundbreaking research on age-related macular degeneration (AMD) [04:24] How carotenoids contribute to eye health and disease prevention [07:27] Expanding from eye research to exploring brain health connections [16:23] Overcoming challenges in developing effective nutritional supplements [20:57] The role of preventative nutrition in eye and cognitive health [27:28] Key findings from major human trials on carotenoids and vision [33:37] Evidence linking carotenoids to cognitive health and aging [42:53] Practical insights for medical practitioners on using nutrition for eye health Links: Go to episode page Join the Sigma email newsletter for free Subscribe to Sigma Nutrition Premium Enroll in the next cohort of our Applied Nutrition Literacy course Caretenoid supplement mentioned by Prof. Nolan: MacuPrime

In the world of sports nutrition, understanding how different supplements and nutrients impact not just physical performance but also cognitive function is rapidly gaining traction. Athletes are constantly seeking that competitive edge, and while many are familiar with the benefits of carbohydrates and caffeine for energy and focus, there's much more at play. Emerging research is highlighting the roles of compounds like creatine and omega-3s, not only for muscle recovery but also for brain health, particularly following traumatic brain injuries (TBI). Beyond the usual suspects of performance nutrition, intriguing compounds like theacrine and tyrosine are entering the conversation. With potential cognitive effects that range from improved focus to faster decision-making, these supplements have sparked interest but also raise questions. How strong is the evidence behind these claims, and where do we draw the line between scientific promise and practical application? How do we apply the science in real-world settings where perfect data may not exist? This episode addresses these questions via the insights of Professor Shawn Arent of University of South Carolina. Timestamps 01:44 – Dr. Arent's key areas of research 04:03 – Defining and understanding cognitive performance in athletes 09:31 – The impact of carbohydrates on cognitive function and decision-making 29:00 – Protein, amino acids, and their role in cognitive function under stress 34:17 – How caffeine enhances cognitive performance: decision-making and reaction time 42:00 – Comparing the effects of theacrine and caffeine on cognitive and physical performance 44:48 – How caffeine dosing impacts sleep and recovery 46:55 – Theacrine, dynamine, and emerging supplements in sports performance 57:56 – Nicotine's potential cognitive benefits and the associated risks for athletes 01:04:56 – Creatine and omega-3s: their roles in brain health and concussion recovery 01:13:05 – Navigating the challenges of applying research to real-world practice Links: Go to episode page Join the Sigma email newsletter for free Subscribe to Sigma Nutrition Premium Enroll in the next cohort of our Applied Nutrition Literacy course Get research reviews from Dr. Eric Trexler and collegues

When discussing cardiovascular health, few topics stir as much debate as cholesterol, particularly in relation to low-carb and ketogenic diets. Recently, there's been significant attention given to a proposed model that suggests high LDL cholesterol may not pose the same cardiovascular risk in certain individuals, specifically those labeled as “lean mass hyper-responders.” This raises important questions: Is it possible that high cholesterol might not be dangerous for everyone? Or are we witnessing a dangerous misinterpretation of the science? In this episode, we break down the ideas behind the “lipid energy model” and explore how it has been framed in the context of low-carbohydrate and ketogenic diets. While proponents claim this model sheds light on how some people can have elevated LDL without increasing heart disease risk, critics warn that miscommunication and oversimplification of these ideas are leading many down a dangerous path. With real-world health decisions hanging in the balance, it's crucial to carefully examine what the science truly says about cholesterol, inflammation, and heart disease. Join us as we dive into the evidence with Dr. Gary McGowan. We'll dissect what the current research supports, what remains speculative, and how social media has amplified both the promising and problematic aspects of this model. If you've ever wondered about the impact of high cholesterol on heart disease risk in the context of ketogenic or low-carb diets, this episode is essential listening. Timestamps 02:27 What are the “Lean Mass Hyper Responder” phenotype and the “Lipid Energy Model” 27:29 Looking at recent publications and the “KETO Trial” 47:06 Public communication and misinterpretation 51:18 Clinical implications of diet-induced dyslipidemia 55:14 Responsibility in scientific communication 57:30 Real-world examples of poor communication or misinterpretation 01:13:27 Ethical concerns with the promotion of the model 01:25:59 Final thoughts Related Resources Go to episode page Join the Sigma email newsletter for free Subscribe to Sigma Nutrition Premium Enroll in the next cohort of our Applied Nutrition Literacy course Find Dr. McGowan at: Triage Method Instagram: @drgarymcgowan Papers discussed in this episode: Norwitz et al., 2022 – The Lipid Energy Model: Reimagining Lipoprotein Function in the Context of Carbohydrate-Restricted Diets Norwitz et al., 2021 – Elevated LDL Cholesterol with a Carbohydrate-Restricted Diet: Evidence for a “Lean Mass Hyper-Responder” Phenotype KETO Trial: Budoff et al., 2024 – Carbohydrate Restriction-Induced Elevations in LDL-Cholesterol and Atherosclerosis

Fasting has gained immense popularity as a dietary approach, but what does the scientific evidence say about its health benefits? Studies have explored how fasting might influence metabolic markers, energy expenditure, and even aging. However, while fasting shows promise in some animal models, translating these effects to humans is less clear. A key part of the debate centers on whether fasting offers unique health advantages or whether its benefits stem primarily from reduced calorie intake. Time-restricted eating and intermittent fasting protocols show promise in regulating appetite and reducing energy intake, potentially leading to weight loss. But, when calories are controlled, does fasting still improve health independently? This episode explores the evidence to determine if fasting confers metabolic advantages over non-fasting diets. In addition, we'll take a look at its impact on behavioral patterns and ask if that could play a pivotal role in promoting better health outcomes. To listen to this episode in full, subscribe to Sigma Nutrition Premium. Timestamps: [00:54] Defining fasting [03:44] Historical context and early research [08:01] Mechanisms and claims of fasting [18:15] Types of fasting protocols [22:18] Time-restricted eating and chronobiology [28:29] Energy expenditure and behavioral changes [36:53] Fasting vs. weight loss: independent benefits [41:47] Health markers and weight loss outcomes [43:37] Muscle mass concerns during fasting [47:31] Animal models vs. human studies [51:29] InterFAST study insights [01:00:37] Behavioral vs. metabolic changes [01:11:25] So what do we know? Links: Subscribe to Sigma Nutrition Premium Join the Sigma email newsletter for free Enroll in the next cohort of our Applied Nutrition Literacy course Go to the page for this episode

Body image and self-worth are deeply intertwined concepts that influence how we see ourselves and interact with the world. Many people believe that changing their physique is the key to improving their body image, but is it really that simple? This connection between appearance and self-esteem raises important questions about how we define confidence and whether our sense of worth should be tied to how we look. Our relationship with food plays a crucial role in how we view ourselves. While some see food as fuel, others attach much more significance to their eating habits, often linking dietary choices to discipline, success, or failure. But what happens when these beliefs become too rigid? Understanding how our perceptions of food and body image are shaped is essential for navigating the balance between health, happiness, and personal fulfillment. Physique change, often seen as a positive goal, can bring about unexpected psychological impacts. Pursuing a leaner or more muscular body might boost temporary feelings of confidence, but could it also reinforce negative patterns of thought? In an episode co-hosted with Dr. Eric Trexler, Danny talks with Dr. Gabrielle Fundaro in order to tackle some of these concepts and questions. Timestamps: [04:54] Start of conversation [06:40] Defining body image and self esteem [12:26] Relationship with food and weight controllability beliefs [20:38] Impact of body composition on body image [27:40] Challenges in changing body image perceptions [34:43] Influence of coaches on client body image [41:57] Screening for disordered eating [51:50] Ethical responsibilities of fitness professionals [54:53] Improving body image without physique change [61:02] Key ideas segment (premium-only) Links: Join the Sigma email newsletter for free Subscribe to Sigma Nutrition Premium Get more of Dr. Trexler's research analysis with the MASS Research Review Related previous episodes: See episodes 484 and 367

Some suggest that, since individual lifts or short-duration efforts don't rely heavily on glycogen, carb intake might not be critical for strength athletes. If glycogen depletion isn't a pressing issue, could athletes thrive on lower-carb diets without sacrificing performance? Or could there be overlooked benefits to having greater carbohydrate availablily in those sessions? In strength sports and resistance training, do carbohydrates play an important role or not? Are carbohydrates really necessary for resistance training? How does training volume, intensity and goals impact the carbohydrate requirement? In this episode, Dr. Cliff Harvey and Dr. Eric Helms offer their perspectives on this interesting and practically important issue. Timestamps: [00:03:40] Do carbohydrates have a role in resistance training? [00:12:23] Do individuals respond differently? [00:18:25] Recent research insights [00:35:08] Carbohydrate “sensing” and performance [00:47:17] How to think about carbohydrate needs [00:54:06] Changing views on nutrient timing [01:06:37] Ketogenic diets and muscle gain [01:22:02] Dietary patterns and health – Are macronutrients that important? [01:31:42] Key ideas segment (Premium-only) Links: Subscribe to Premium for study notes and transcript Receive the email newsletter for free Join the waitlist for our Applied Nutrition Literacy course Sports Nutrition Association Get more of Dr. Helm's research analysis with the MASS Research Review SigmaNutrition.com

Omega-3 fatty acids are often viewed as beneficial or, at worst, neutral supplements when it comes to supporting cardiovascular health, lowering triglycerides, and offering anti-inflammatory effects. Much of the focus in recent years has centered on understanding how significant these benefits are, particularly for heart health, with many studies highlighting the potential for omega-3s to play a positive role in reducing cardiovascular risk. However, an emerging concern has complicated the conversation around omega-3 supplementation. Several large trials, including the REDUCE-IT and STRENGTH trials, have suggested that omega-3 supplementation might be linked to an increased risk of atrial fibrillation (AF), a common cardiac arrhythmia characterized by an irregular and often rapid heart rate. These findings have sparked debate over whether omega-3s could contribute to this potentially serious heart condition, leaving clinicians and health-conscious individuals uncertain about the safety of these supplements. However, not all the research supports this elevated risk. This discrepancy raises important questions about how we interpret the data from various studies, the design of those trials, and whether other factors might be influencing these results. Understanding this issue in depth is crucial for making informed decisions about omega-3 supplementation and its potential risks and benefits. In this episode we walk through the studies and the key points to consider. Timestamps: 00:30 Updates on Alan's upcoming study 05:06 Atrial Fibrillation and Omega-3 14:52 RCTs and AFib: Key Studies 29:14 Meta-Analyses and Dose-Response 46:46 Practical Implications and Recommendations 53:53 Key Ideas Segment (Premium-only) Links: Join the Sigma email newsletter for free Subscribe to Sigma Nutrition Premium Go to episode page

This is an “ask me anything” (AMA) episode with Dr. Stephan Guyenet, an expert in obesity neuroscience and eating behavior. This episode was originally published on Sigma Nutrition Premium. If you're interested in subscribing to Sigma Nutrition Premium, then check all the details here. Questions Answered: [04.27] If we surgically remove adipose tissue, do leptin levels suddenly drop? How would this impact hunger over time? [06.56] How does chronic energy restriction (or following a crash diet) affect long-term appetite regulation? [13.21] How do anorexia and pronounced obesity defy the rules of metabolic compensation? [24.12] Why do some SDRIs (serotonin–dopamine reuptake inhibitors) reduce hunger/appetite? [28.02] Can an algorithm really decipher someone's “ideal weight? [33.08] Could the “brain microbiome” impact appetite regulation and/or obesity? [35.34] In our current environment, are the only efficacious interventions drugs and bariatric surgery? [46.01] What should we make of claims by Gary Taubes about insulinogenic foods? [52.37] Is there a maximum duration someone should spend in fat loss (or weight gain) phases? [53.43] Why do some people struggle to gain weight? Links: Join our newsletter Subscribe to Premium View our recommended resources

Questions Answered in This Episode [02:28] Caffeine metabolism and individual variation. [14:47] High-sodium electrolyte supplements & recreational trainees. [32:55] Is a “too low” BMI a problem? [41:38] Are claims about vegan diets being nutritionally insufficient overblown? [51:33] Familial hypercholesterolemia & further lipid-lowering [58:05] Menopause, resistenace training and progressive overload [01:11:56] Does body weight matter if someone has healthy behaviours? This episode is one of our Premium-exclusive AMA (ask me anything) episodes, where we answer questions submitted by Premium subscribers. To listen to the full episode, you'll need to be a Premium subscriber and access the episode on the private Premium feed. Otherwise, you can hear the first question on the public feed of the podcast. Links: Subscribe to Premium Enroll in our course, Applied Nutrition Literacy Learn more about Sigma Nutrition

In the world of combat sports, optimizing performance extends beyond physical training and nutrition—sleep plays a critical role. Maladaptive sleep behaviors, such as inconsistent sleep schedules and inadequate sleep duration, can significantly impair an athlete's performance by reducing cognitive function, reaction time, and recovery ability. Understanding these impacts is crucial for athletes and coaches seeking to enhance performance through more effective sleep strategies. One of the key challenges combat sports athletes face is managing the effects of shift work and irregular event timings, which often conflict with typical training schedules. What are some strategies to mitigate these challenges, such as adjusting sleep schedules in advance? And what are the implications of jet lag for athletes traveling to major competitions? While technology offers valuable tools for tracking sleep, there are potential drawbacks, including reliance on inaccurate data or the psychological effects of constant monitoring. By educating athletes and coaches on best practices for sleep, they can make informed adjustments to training regimens, ultimately enhancing overall performance. In this episode, sleep scientist Dr. Ian Dunican discusses his work related to understanding and improving sleep behaviors in combat sports athletes. Timestamps: 01:43 Introduction to the Episode 04:38 Discussion on Recent Research Paper 09:52 Sleep Behaviors in Athletes 13:11 Questionnaire and Study Findings 20:38 Common Sleep Disorders in Athletes 33:23 Impact of Training Schedules on Sleep 34:25 Practical Tips for Better Sleep 41:17 Phases of Training and Their Importance 42:31 Understanding Chronotypes and Sleep Habits 45:19 Wearable Devices and Sleep Tracking 53:05 Practical Advice for Coaches and Athletes 59:03 Travel, Jet Lag, and Sleep for Athletes Links: Enroll in the next cohort of our Applied Nutrition Literacy course Go to episode page (with links to studies in this episode) Learn more about Sigma Nutrition Subscribe to Premium

Click here to see the syllabus or enroll in the course. In the ever-evolving landscape of nutrition science, staying ahead requires more than just foundational knowledge—it demands a keen ability to navigate the complexities of research with confidence and discernment. For many professionals in the field, the challenge lies not in understanding the science itself but in critically appraising the studies that underpin it. With the sheer volume of research being published, distinguishing between robust, impactful studies and those that fall short can be daunting. This course is designed to bridge that gap, equipping you with the skills to not just read, but truly interpret and evaluate nutrition research. While many nutritionists, academics, and healthcare professionals possess a deep understanding of the biological and physiological aspects of nutrition, they often find themselves questioning the validity of the studies they encounter. Is the methodology sound? Are the results truly significant, or are they simply statistically significant? Can the findings be applied in a real-world context, or do they merely add to the noise? These are the questions that this course empowers you to answer with clarity and precision. Our course goes beyond the surface, delving into the unique challenges of nutrition science as a discipline—where confounding variables, complex interactions, and ever-present biases can easily mislead even the most knowledgeable reader. You will learn to dissect studies with a critical eye, recognize common pitfalls, and understand the nuances that make some studies truly stand out. The result? You'll develop the confidence to separate the wheat from the chaff, making informed decisions and recommendations based on solid evidence, not assumptions. This course is not just about enhancing your skillset; it's about transforming the way you engage with nutrition science. By mastering the art of critical appraisal, you will elevate your practice, contribute more meaningfully to discussions, and, ultimately, help to advance the field with the integrity and rigor that true science demands. Click here to see the syllabus or enroll in the course.

To many, meta-analyses are seen as a research tool that is often regarded as the pinnacle of evidence in nutrition science. But is this accurate? What exactly makes a meta-analysis reliable or flawed? How can we distinguish between a well-conducted study and one that might mislead even the most well-intentioned reader? In this episode, through three concrete examples, we explore the fundamental principles of meta-analyses, focusing on key aspects such as study selection, heterogeneity, and effect sizes. We discuss how these elements can significantly impact the conclusions drawn from a meta-analysis and what you should look out for when interpreting their results. Whether you're a nutrition professional, a researcher, or simply someone interested in the science behind dietary guidelines, this discussion will help you navigate the often murky waters of meta-analytic research. Timestamps: 05:14 Understanding Meta-Analyses 12:11 Example 1: Dairy Consumption and Health 39:06 Example 2: Meta-Analysis on Carbohydrate Intake 54:59 Example 3: Meta-Analysis on Intermittent Fasting 01:02:44 Challenges in Meta-Analysis of Intermittent Fasting 01:13:56 Key Ideas Segment (Premium-only) Links: Enroll in the next cohort of our Applied Nutrition Literacy course Meta-analyses discussed in the episode: Example 1: Dairy Consumption and Health Example 2: Meta-Analysis on Carbohydrate Intake Example 3: Meta-Analysis on Intermittent Fasting Subscribe to Sigma Nutrition Premium

The debate between animal-based and plant-based meat alternatives (PBMAs) has garnered significant attention, especially concerning their impact on cardiovascular health. As PBMAs become increasingly popular, questions about their nutritional profiles and long-term health implications have emerged. Are these alternatives genuinely healthier than traditional meat, or do their highly processed nature and high sodium content undermine potential benefits? This discussion is crucial as dietary choices increasingly influence public health policies and consumer behaviors. Dr. Matthew Nagra's recent review in the Canadian Journal of Cardiology sheds light on these issues by analyzing the nutritional differences between PBMAs and meat. The review highlights the potential cardiovascular benefits of PBMAs, such as lower levels of saturated fat and cholesterol, alongside higher fiber content. However, the review also points out the significant variability in PBMAs' nutritional content, raising questions about standardization and consumer guidance. Understanding these differences is key to making informed dietary decisions and shaping future food industry practices. With growing consumer interest and public health implications, several pertinent questions arise: How do different PBMAs compare in their nutritional impact? What role does food processing play in their health outcomes? How can consumers make the best choices given the variability in PBMAs? In our discussion, Dr. Nagra will cover all these details, providing a comprehensive look at the current state of PBMAs and their role in a healthy diet. Timestamps: 01:59 Introducing Dr. Matthew Nagra 10:48 Nutritional Profiles of Plant-Based Meat Alternatives 14:39 Cardiovascular Risk Factors and Review Findings 21:17 Public Perception and Criticisms 25:10 Practical Advice for Choosing Plant-Based Meat Alternatives 34:29 Future Research Directions 43:51 Key Ideas Segment (Premium-only)   Links: Subscribe to Sigma Nutrition Premium Go to episode page Receive our free weekly email: the Sigma Synopsis Enroll in the next cohort of our Applied Nutrition Literacy course

In the ongoing exploration of weight loss strategies, the timing of food intake has emerged as a fascinating area of study. While traditional advice often focuses on what we eat, growing evidence suggests that when we eat could also play a crucial role in weight management. This concept, known as chrononutrition, examines how our body's internal clock influences the metabolic processes associated with food intake. Could adjusting meal times offer a new pathway to effective weight loss? Recent research has delved into various hypotheses, including the energetic hypothesis, which proposes that meal timing can impact energy expenditure and intake. Studies have shown that consuming more calories earlier in the day could potentially enhance weight loss, independent of total daily calorie intake. This intriguing possibility has led scientists to investigate the mechanisms behind these effects, such as the thermic effect of feeding and diurnal variations in metabolism. Understanding these mechanisms could transform our approach to dietary planning and obesity management. Dr. Alan Flanagan will be covering all the details in this episode, where he explores the latest evidence on meal timing and its impact on weight loss. He will dissect key studies, challenge prevailing assumptions, and provide a comprehensive analysis of the energetic hypothesis. Join us as we navigate the complexities of chrononutrition and uncover whether altering the timing of our meals can truly make a difference in our weight loss journeys. This episode is a Premium-exclusive episode. Subscribe to Sigma Nutrition Premium to listen to the full episode. Links: Subscribe to Sigma Nutrition Premium Enroll in the next cohort of our Applied Nutrition Literacy course Go to Sigma Nutrition Website  

The impact of omega-3 fatty acids on chronic disease risk has been a topic of considerable interest and research. The VITAL trial, which assessed the effects of vitamin D and omega-3 supplements on various health outcomes, including cardiovascular disease and cancer, provided insightful findings. Additionally, numerous other supplement trials have examined different dosages and formulations of omega-3s, yielding mixed results. Some trials have highlighted significant benefits, while others have shown minimal impact, leading to ongoing debates in the scientific community. Reconciling this evidence base requires a nuanced understanding of the study populations, dosages, and specific health outcomes investigated. The variability in results can often be attributed to differences in trial design, such as whether the focus was on primary or secondary prevention, the baseline dietary intake of participants, and the specific types of omega-3 supplements used. Understanding these nuances is crucial for making informed recommendations about omega-3 supplementation for chronic disease prevention. In this episode, Professor JoAnn Manson will delve into the complexities of omega-3 research, discussing the VITAL trial in detail, comparing it with other significant studies, and providing insights into how to interpret and reconcile the diverse findings in the context of chronic disease risk. Timestamps: 03:21 The VITAL Trial Explained 05:39 Biological Mechanisms and Observational Studies 07:25 Primary vs. Secondary Prevention 10:47 Key Findings from the VITAL Trial 13:39 Subgroup Analyses and Future Research 19:58 Dosage Considerations and Risks 23:47 Impact of Omega-3 on Chronic Diseases 32:18 Nuances in Omega-3 Research 44:27 Future Research Directions 48:54 Key Ideas Segment (Premium-only) Links: Subscribe to Premium Go to episode page Receive our free weekly email: the Sigma Synopsis Enroll in the next cohort of our Applied Nutrition Literacy course

In the realm of nutrition science, few topics have sparked as much debate and evolution in understanding as the impact of dietary fat on cardiovascular health. Dr. Alice Lichtenstein, a renowned expert in nutrition and cardiovascular disease, brings clarity to this complex field. Her extensive research at several prestigious institutions has been pivotal in shaping contemporary dietary guidelines. Dr. Lichtenstein delves into the journey from early observational studies that linked high-cholesterol diets to cardiovascular risk to more nuanced insights emphasizing the types of fats consumed. The discussion highlights the critical shift from merely reducing total fat intake to replacing saturated fats with unsaturated fats, reflecting the latest evidence-based recommendations. Furthermore, the conversation addresses the variability in individual responses to dietary changes and the ongoing debate over the most accurate biomarkers for assessing cardiovascular risk. Dr. Lichtenstein also tackles the pervasive issue of nutrition misinformation and underscores the necessity of robust, evidence-based public health guidelines. This episode offers a comprehensive exploration of whole dietary patterns, the importance of examining food choices in context, and the role of public health policy in fostering healthier eating environments. Join us to gain a deeper understanding of how dietary fat influences health and the critical considerations for future nutrition research and recommendations. Timestamps: 03:15 Dr. Lichtenstein's Academic Background 05:47 Evolution of Dietary Fat Research 14:47 Understanding Cholesterol and Lipoproteins 23:47 Dietary Patterns and Public Health 29:51 Seed Oils & Nutrition Misinformation 34:06 Future Directions in Nutrition Research 47:11 Key Ideas Segment (Premium-only) Links: Subscribe to Sigma Nutrition Premium Go to episode page Receive our free weekly email: the Sigma Synopsis Enroll in the next cohort of our Applied Nutrition Literacy course

In the realm of nutrition science and health, understanding the intricate relationship between various factors and health outcomes is crucial yet challenging. How do we determine whether a specific nutrient genuinely impacts our health, or if the observed effects are merely coincidental? This intriguing question brings us to the core concepts of correlation and causation. You've likely heard the adage “correlation is not causation,” but what does this truly mean in the context of scientific research and public health recommendations? Can a strong association between two variables ever imply a causal relationship, or is it always just a statistical coincidence? These questions are not merely academic; they are pivotal in shaping the guidelines that influence our daily lives. For instance, when studies reveal a link between high sodium intake and hypertension, how do scientists distinguish between a mere correlation and a true causal relationship? Similarly, the debate around LDL cholesterol and cardiovascular disease hinges on understanding whether high cholesterol levels directly cause heart disease, or if other confounding factors are at play. Unraveling these complexities requires a deep dive into the standards of proof and the different models used to assess causality in scientific research. As we delve into these topics, we'll explore how public health recommendations are formed despite the inherent challenges in proving causality. What methods do scientists use to ensure that their findings are robust and reliable? How do they account for the myriad of confounding variables that can skew results? By understanding the nuances of these processes, we can better appreciate the rigorous scientific effort that underpins dietary guidelines and health advisories. Join us on this exploration of correlation, causation, and the standards of proof in nutrition science. Through real-world examples and critical discussions, we will illuminate the pathways from observational studies to actionable health recommendations. Are you ready to uncover the mechanisms that bridge the gap between scientific evidence and practical health advice? Let's dive in and discover the fascinating dynamics at play. Timestamps: 01:32 Understanding Correlation and Causation 03:54 Historical Perspectives on Causality 06:33 Causal Models in Health Sciences 14:53 Probabilistic vs. Deterministic Causation 30:52 Standards of Proof in Public Health 36:44 Applying Causal Models in Nutrition Science 58:54 Key Ideas Segment (Premium-only) Links: Enroll in the next cohort of our Applied Nutrition Literacy course Go to episode page Subscribe to Sigma Nutrition Premium Receive our free weekly email: the Sigma Synopsis Related episode: 343 – Understanding Causality in Nutrition Science

Regression to the Mean (RTM) is a statistical phenomenon where extreme values on one measurement tend to move closer to the average on subsequent measurements due to natural variability. In this Premium-exclulsive episode, Danny gives an explanation of this concept with some examples in nutrition research. Subscribe to Sigma Nutrition Premium Go to episode page

The concept of “learning how to learn” focuses on meta-learning, which involves improving one's own learning strategies. Instead of just absorbing information, meta-learners refine the skills that make learning itself more effective. Cognitive science supports various learning strategies by exploring how the brain processes information. Techniques such as spaced repetition, active recall, and interleaving can improve long-term retention and understanding. Improving abilities in specialized areas, like reading and interpreting research, involves strategic approaches. Similarly, becoming more knowledgeable about nutrition requires staying updated with the latest research and critically evaluating findings to boost proficiency and confidence in the field. In this podcast episode, Scott Young discusses these themes, offering insights from his work on learning optimization. He shares practical methods for improving learning efficiency, particularly in reading research and expanding knowledge in nutrition. Scott's expertise provides a valuable framework for enhancing cognitive abilities and achieving more effective learning outcomes. Links:  Subscribe to Sigma Nutrition PREMIUM Scott Young's Website  SigmaNutrition.com Receive our free weekly email: the Sigma Synopsis Related Episode: #188: Barbara Oakley, PhD – How to Learn, Study & Get Better With Science Timestamps 02:13 Introduction to Topic 04:41 Conversation with Scott Young Begins 06:56 Insights on Learning and Cognitive Science 12:42 Effective Learning Strategies 20:27 Overcoming Mental Barriers 31:14 Effective Teaching Strategies 35:14 The Importance of Feedback in Learning 38:52 Optimizing Your Learning Environment 44:29 Translating Complex Information for a General Audience 52:32 Key Ideas (Premium-Only) Subscribe to Sigma Nutrition PREMIUM

In episode 529 of Sigma Nutrition Radio, we discuss all things related to cholesterol, atherosclerosis, heart disease, and dietary fat. The discussion extensively covers the impact of LDL cholesterol and ApoB on atherosclerotic plaque progression, cardiovascular events, and the benefits of early LDL lowering interventions, particularly through the use of PCSK9 inhibitors alongside statins. We address misconceptions prevalent in the low-carb and carnivore communities, dissect claims regarding saturated fats, and elucidate why atherosclerosis predominantly affects arteries and not veins. The episode sheds light on the nuanced mechanisms of cholesterol metabolism, the significance of different lipid particles, and the limited dietary impact on LP(a) levels. Comprehensive evidence-based insights and practical recommendations for dietary patterns and cardiovascular health interventions are provided, offering clarity on these complex topics. Note: This discussion is hosted by Simon Hill, and originally appeared as an episode of The Proof podcast. Links: Subscribe to Sigma Nutrition Premium Receive our free weekly email: the Sigma Synopsis Episode with Professor Chris Packard Timestamps: 07:19 Understanding Cholesterol and Lipoproteins 14:35 The Role of ApoB in Cardiovascular Risk 25:10 Atherogenic Lipoproteins and Their Impact 37:42 Causal Pathways and Biomarkers in Heart Disease 47:02 Understanding Residual Risk and Triglycerides 49:46 Paul Saladino's Claims on LDL and Metabolic Health 01:03:01 Addressing Concerns About Lowering Cholesterol 01:16:16 The Importance of Early Intervention in Cholesterol Management 01:23:36 The Future of Cholesterol Management and Gene Editing 01:28:24 Atherosclerosis in Arteries vs. Veins 01:36:08 Dietary Interventions to Lower ApoB Levels 01:47:55 Modifying Keto Diet for Better Health Outcomes 01:56:33 Plant-Based Diets and Fat Consumption 02:05:10 Understanding Lp(a) and Its Impact on Health Subscribe to Sigma Nutrition Premium

The consumption of red meat, specifically the distinction between unprocessed and processed varieties, has been a subject of considerable debate in nutritional science and public health. There is a fair amount of confusion and lack of clarity surrounding this issue. While the harmful effects of processed meat are well-documented and less controversial, the evidence concerning unprocessed red meat is less consistent. This inconsistency often leads to a gray area in scientific discussions and public perception. In examining unprocessed red meat, we encounter a spectrum of claims, including minimal evidence of harm, context of overall diet and mechanistic concerns. Epidemiological evidence shows varied health outcomes related to red meat consumption across different populations. These variations underline the importance of defining and measuring “high” and “low” intake levels accurately in research. The challenges in nutrition research, including methodological flaws in meta-analyses and the rapid dissemination of simplified study results, can impact public health recommendations. Misinterpretations can arise from comparisons within narrow intake ranges or from studies failing to specify absolute intake levels. This podcast episode's goal is to clarify existing evidence, acknowledge areas needing further research, and explore why this topic is significant in the broader context of nutrition science, aiming to equip healthcare professionals with the knowledge needed to make nuanced and effective dietary recommendations. Links: Receive our free weekly email: the Sigma Synopsis Want to advance your understanding of nutrition science? Check out our course. Go to episode page for this episode Subscribe to Sigma Nutrition PREMIUM Timestamps 01:00 Introduction to the issue 03:16 Processed vs. unprocessed red meat 05:54 Health guidelines and recommendations 06:56 Epidemiological evidence and dose thresholds 09:55 Biological mechanisms and plausibility 21:00 Criticisms and misinterpretations in research 40:42 Substitution analyses and dietary patterns 46:37 Mendelian randomization and genetic studies 56:31 Effect modifiers and confounders 01:13:18 Key Ideas Segment (Premium-only)

Hypertension, commonly known as high blood pressure, is a silent yet prevalent health issue that affects millions of people worldwide. Often going unnoticed until significant damage has been done, hypertension can lead to severe cardiovascular complications if not properly managed. Mechanistically, the causes of hypertension are complex, involving both genetic and lifestyle factors. The management of hypertension presents multifaceted challenges, encompassing both pharmaceutical treatments and lifestyle modifications. From a prevention and management standpoint, understanding the interplay between genetics and lifestyle is crucial. This raises several important questions… To what extent do genetic factors contribute to hypertension risk compared to lifestyle choices, and how does this interaction influence disease progression? What role does lifestyle play in managing hypertension, and is there evidence supporting the influence of specific dietary patterns and nutrients, particularly sodium and potassium, on blood pressure control? How do exercise and physical activity impact blood pressure, and what types of exercise are most beneficial for individuals with or at risk of hypertension? What are the main categories of antihypertensive medications, and how do these drugs work to lower blood pressure? What are the potential side effects, and how should clinicians decide on the best treatment approach for individual patients? In this episode, we are joined by Dr. Mohammed Alo, a board-certified cardiologist and internal medicine specialist, who will help us understand the intricacies of hypertension and how it can be effectively controlled. Links: Go to episode page dralo.net/ Receive our free weekly email: the Sigma Synopsis Subscribe to Sigma Nutrition Premium Timestamps: 03:28 Dr. Alo's Background and Expertise 08:40 Understanding Blood Pressure and Its Implications 10:26 Causes and Diagnosis of High Blood Pressure 12:42 Lifestyle Modifications and Treatment Options 30:26 Medications for Blood Pressure Management 38:34 Combination Therapy and Patient Variability 43:11 Debunking Myths About Sodium and Blood Pressure 57:29 Exercise and Lifestyle Interventions

Food science and behavior are intimately connected. One critical but often overlooked facet of this connection is food texture and its substantial impact on eating behavior and energy intake. Food texture encompasses characteristics such as hardness and structure. It categorizes food into liquids, semi-solids, and solids, each with a wide range of textures—from dry and crispy to elastic and more substantial. This classification deeply affects how we consume food. The time it takes to chew and swallow a food item can vary greatly based on its texture. Different textures can also influence the speed at which satiety signals are triggered. Eating rate is a highly individual trait, stable over time, and consistent across different contexts. Some people are naturally slower eaters, while others consume food quickly. This variance can have significant implications for energy intake and body weight. In this episode, Dr. Marlou Lasschuijt, an assistant professor in the Sensory Science and Eating Behaviour group at Wageningen University, discusses the above topics and their implications. Links: Subscribe to Sigma Nutrition Premium (for study notes and transcripts) Go to episode page The Restructure Project Receive our free weekly email: the Sigma Synopsis Timestamps: 00:14 Introduction 00:47 Dr. Lasschuijt's Research Focus 04:23 Understanding Food Texture and Eating Behavior 06:37 Impact of Food Texture on Satiation and Eating Rate 16:55 Applications and Innovations in Food Science 18:31 Unanswered Questions 25:34 Practical Recommendations  27:00 Current and Upcoming Research Projects