Dairy consumption and cardiometabolic diseases: systematic review and updated meta-analyses of prospective cohort studies

Purpose of Review Dairy products contain both beneficial and harmful nutrients in relation to cardiometabolic diseases. Here, we provide the latest scientific evidence regarding the relationship between dairy products and cardiometabolic diseases by reviewing the literature and updating meta-analyses of observational studies. Recent Findings We updated our previous meta-analyses of cohort studies on type 2 diabetes, coronary heart disease (CHD), and stroke with nine studies and confirmed previous results. Total dairy and low-fat dairy (per 200 g/d) were inversely associated with a 3–4% lower risk of diabetes. Yogurt was non-linearly inversely associatedwith diabetes (RR = 0.86, 95%CI: 0.83–0.90 at 80 g/ d). Total dairy and milk were not associated with CHD (RR~1.0). An increment of 200 g of daily milk intake was associated with an 8% lower risk of stroke. Summary The latest scientific evidence confirmed neutral or beneficial associations between dairy products and risk of cardiometabolic diseases

On the effects of roughness on the nonlinear dynamics of a bolted joint: a multiscale analysis

Accurate prediction of the vibration response of friction joints is of great importance when estimating both the performance and the life of build-up structures. The contact conditions at the joint interface, including local normal load distribution and contact stiffness, play a critical role in the nonlinear dynamic response. These parameters strongly depend on the mating surfaces, where the surface roughness is well known to have a significant impact on the contact conditions in the static case. In contrast, its effects on the global and local nonlinear dynamic response of a build-up structure is not as well understood due to the complexity of the involved mechanisms. To obtain a better understanding of the dependence of the nonlinear dynamic response on surface roughness, a newly proposed multiscale approach has been developed. It links the surface roughness to the contact pressure and contact stiffness, and in combination with a multiharmonic balance solver, allows to compute the nonlinear dynamic response for different interface roughness. An application of the technique to a single bolted lap joint highlighted a strong impact of larger roughness values on the pressure distribution and local contact stiffness and in turn on the nonlinear dynamic response

An advanced underplatform damper modelling approach based on a microslip contact model

High-cycle fatigue caused by large resonance stresses remains one of the most common causes of turbine blade failures. Friction dampers are one of the most effective and practical solutions to limit the vibration amplitudes, and shift the resonance frequencies of the turbine assemblies far from operating speeds. However, predicting the effects of underplatform dampers on the dynamics of the blades with good accuracy still represents a major challenge today, due to the complex nature of the nonlinear forces at the interface, characterised by transitions between stick, slip, and separation conditions. The most common modelling approaches developed recently are based on the explicit FE model for the damper, and on a dense grid of 3D contact elements comprised of Jenkins elements, or on a single 2D microslip element on each surface. In this paper, a combination of the two approaches is proposed. A 3D microslip element, based on a modified Valanis model is proposed and a series of these elements are used to describe the contact interface. This new approach allows to implicitly account for the microscale energy dissipation as well as the pressure-dependent contact stiffness caused by the roughness of the contact surface. The proposed model and its predicting capabilities are then evaluated against a simplified blade-damper model, based on an underplatform damper test rig recently developed by the authors. A semi-analytical contact solver is used to tune the parameters of the contact element starting from the profilometer measurements of the real damper surface. A comparison with a more simplistic modelling approach based on macroslip contact elements, highlights the improved accuracy of the new model to predict the experimental nonlinear response, when information about the surface roughness is available

Ultrasonic monitoring of friction contacts during shear vibration cycles

Complex high-value jointed structures such as aero-engines are carefully designed and optimized to prevent failure and maximise their life. In the design process, physically-based numerical models are employed to predict the nonlinear dynamic response of the structure. However, the reliability of these models is limited due to the lack of accurate validation data from metallic contact interfaces subjected to high-frequency vibration cycles. In this study, ultrasonic shear waves are used to characterise metallic contact interfaces during vibration cycles, hence providing new validation data for an understanding of the state of the friction contact. Supported by numerical simulations of wave propagation within the material, a novel experimental method is developed to simultaneously acquire ultrasonic measurements and friction hysteresis loops within the same test on a high-frequency friction rig. Large variability in the ultrasound reflection/transmission is observed within each hysteresis loop and is associated with stick/slip transitions. The measurement results reveal that the ultrasound technique can be used to detect stick and slip states in contact interfaces subjected to high-frequency shear vibration. This is the first observation of this type and paves the way towards real-time monitoring of vibrating contact interfaces in jointed structures, leading to a new physical understanding of the contact states and new validation data needed for improved nonlinear dynamic analyses

Analysis of blade-tip casing interaction using harmonic balance method

This paper presents an application of the harmonic balance method for modelling the blade-tip casing interaction. A new nonlinear element has been implemented in the in-house code FORSE in order to take into account the contact with friction that can occur when blade tip touches the abradable coating of the casing. This approach permits to efficiently calculate the frequency response of the blade excited by the contact of the casing. Numerical results presented in this paper agree with other observations proposed in the literature both numerical and experimental

Digital health behaviour change interventions targeting physical activity and diet in cancer survivors: a systematic review and meta-analysis

Purpose: The number of cancer survivors has risen substantially due to improvements in early diagnosis and treatment. Health behaviours such as physical activity (PA) and diet can reduce recurrence and mortality, and alleviate negative consequences of cancer and treatments. Digital behaviour change interventions (DBCIs) have the potential to reach large numbers of cancer survivors. Methods: We conducted a systematic review and meta-analyses of relevant studies identified by a search of Medline, EMBASE, PubMed and CINAHL. Studies which assessed a DBCI with measures of PA, diet and/or sedentary behaviour were included. Results: 15 studies were identified. Random effects meta-analyses showed significant improvements in moderate-vigorous PA (7 studies; mean difference (MD) = 41 minutes per week; 95% CI: 12, 71) and body mass index (BMI)/weight (standardised mean difference (SMD) = -0.23; 95% CI: -0.41, -0.05). There was a trend toward significance for reduced fatigue and no significant change in cancer-specific quality of life (QoL). Narrative synthesis revealed mixed evidence for effects on diet, generic QoL and self-efficacy and no evidence of an effect on mental health. Two studies suggested improved sleep quality. Conclusions: DBCIs may improve PA and BMI among cancer survivors and there is mixed evidence for diet. The number of included studies is small and risk of bias and heterogeneity was high. Future research should address these limitations with large, high-quality RCTs, with objective measures of PA and sedentary time. Implications for cancer survivors: Digital technologies offer a promising approach to encourage health behaviour change among cancer survivors

Role of diet in type 2 diabetes incidence: umbrella review of meta-analyses of prospective observational studies

OBJECTIVE: To summarise the evidence of associations between dietary factors and incidence of type 2 diabetes and to evaluate the strength and validity of these associations. DESIGN: Umbrella review of systematic reviews with meta-analyses of prospective observational studies. DATA SOURCES: PubMed, Web of Science, and Embase, searched up to August 2018. ELIGIBILITY CRITERIA: Systematic reviews with meta-analyses reporting summary risk estimates for the associations between incidence of type 2 diabetes and dietary behaviours or diet quality indices, food groups, foods, beverages, alcoholic beverages, macronutrients, and micronutrients. RESULTS: 53 publications were included, with 153 adjusted summary hazard ratios on dietary behaviours or diet quality indices (n=12), food groups and foods (n=56), beverages (n=10), alcoholic beverages (n=12), macronutrients (n=32), and micronutrients (n=31), regarding incidence of type 2 diabetes. Methodological quality was high for 75% (n=115) of meta-analyses, moderate for 23% (n=35), and low for 2% (n=3). Quality of evidence was rated high for an inverse association for type 2 diabetes incidence with increased intake of whole grains (for an increment of 30 g/day, adjusted summary hazard ratio 0.87 (95% confidence interval 0.82 to 0.93)) and cereal fibre (for an increment of 10 g/day, 0.75 (0.65 to 0.86)), as well as for moderate intake of total alcohol (for an intake of 12-24 g/day v no consumption, 0.75 (0.67 to 0.83)). Quality of evidence was also high for the association for increased incidence of type 2 diabetes with higher intake of red meat (for an increment of 100 g/day, 1.17 (1.08 to 1.26)), processed meat (for an increment of 50 g/day, 1.37 (1.22 to 1.54)), bacon (per two slices/day, 2.07 (1.40 to 3.05)), and sugar sweetened beverages (for an increase of one serving/day, 1.26 (1.11 to 1.43)). CONCLUSIONS: Overall, the association between dietary factors and type 2 diabetes has been extensively studied, but few of the associations were graded as high quality of evidence. Further factors are likely to be important in type 2 diabetes prevention; thus, more well conducted research, with more detailed assessment of diet, is needed. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42018088106

Regional climate model projections underestimate future warming due to missing plant physiological CO 2 response

Many countries rely on regional climate model (RCM) projections to quantify the impacts of climate change and to design their adaptation plans accordingly. In several European regions, RCMs project a smaller temperature increase than global climate models (GCMs), which is hypothesised to be due to discrepant representations of topography, cloud processes, or aerosol forcing in RCMs and GCMs. Additionally, RCMs do generally not consider the vegetation response to elevated atmospheric CO2 concentrations; a process which is, however, included in most GCMs. Plants adapt to higher CO2 concentrations by closing their stomata, which can lead to reduced transpiration with concomitant surface warming, in particular, during temperature extremes. Here we show that embedding plant physiological responses to elevated CO2 concentrations in an RCM leads to significantly higher projected extreme temperatures in Europe. Annual maximum temperatures rise additionally by about 0.6 K (0.1 K in southern, 1.2 K in northern Europe) by 2070–2099, explaining about 67% of the stronger annual maximum temperature increase in GCMs compared to RCMs. Missing plant physiological CO2 responses thus strongly contribute to the underestimation of temperature trends in RCMs. The need for robust climate change assessments calls for a comprehensive implementation of this process in RCM land surface schemes

Spanish Mediterranean diet and other dietary patterns and breast cancer risk: case–control EpiGEICAM study

Background:Although there are solid findings regarding the detrimental effect of alcohol consumption, the existing evidence on the effect of other dietary factors on breast cancer (BC) risk is inconclusive. This study aimed to evaluate the association between dietary patterns and risk of BC in Spanish women, stratifying by menopausal status and tumour subtype, and to compare the results with those of Alternate Healthy Index (AHEI) and Alternate Mediterranean Diet Score (aMED).Methods:We recruited 1017 incident BC cases and 1017 matched healthy controls of similar age (±5 years) without a history of BC. The association between ‘a priori' and ‘a posteriori' developed dietary patterns and BC in general and according to menopausal status and intrinsic tumour subtypes (ER+/PR+ and HER2− HER2+ and ER−/PR− and HER2−) was evaluated using logistic and multinomial regression models.Results:Adherence to the Western dietary pattern was related to higher risk of BC (OR for the top vs the bottom quartile 1.46 (95% CI 1.06–2.01)), especially in premenopausal women (OR=1.75; 95% CI 1.14–2.67). In contrast, the Mediterranean pattern was related to a lower risk (OR for the top quartile vs the bottom quartile 0.56 (95% CI 0.40–0.79)). Although the deleterious effect of the Western pattern was similarly observed in all tumour subtypes, the protective effect of our Mediterranean pattern was stronger for triple-negative tumours (OR=0.32; 95% CI 0.15–0.66 and Pheterogeneity=0.04). No association was found between adherence to the Prudent pattern and BC risk. The associations between ‘a priori' indices and BC risk were less marked (OR for the top vs the bottom quartile of AHEI=0.69; 95% CI 0.51–0.94 and aMED=0.74; 95% CI 0.46–1.18)).Conclusions:Our results confirm the harmful effect of a Western diet on BC risk, and add new evidence on the benefits of a diet rich in fruits, vegetables, legumes, oily fish and vegetable oils for preventing all BC subtypes, and particularly triple-negative tumours