Mediterranean diet may offset genetic risk for stroke

Compared to a low-fat diet, eating fish and olive oil improved health

Eating a fish-rich diet may help counteract some bad effects of having a genetic variant linked to diabetes, a new study suggests.

A common variation of the gene called TCF7L2 has been linked to higher risk of type 2 diabetes. The variant, known as the T form, may also raise the risk of heart disease and stroke, but studies have had mixed results. Part of the uncertainty may stem from people’s diets, a study published August 13 in Diabetes Care suggests.

Researchers analyzed data from more than 7,000 people who were assigned to eat one of three diets for seven years: a low-fat diet or one of two Mediterranean diets — one heavy in fish, olive oil and complex carbohydrates such as whole grains, or one that emphasized nuts instead of oil.

People with two copies of the gene’s T form who stuck to either Mediterranean diet had lower blood sugar levels than did people with the same genetic risk who ate the low-fat diet. And the Mediterranean diet erased any genetic discrepancy in stroke risk. People with two copies of the T form had three times the stroke risk on the low-fat diet.

Sticking to the diet was important: People who consistently cheated on the Mediterranean diet did not get the health benefits.

Tina Hesman Saey is the senior staff writer and reports on molecular biology. She has a Ph.D. in molecular genetics from Washington University in St. Louis and a master’s degree in science journalism from Boston University.

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