Beans vs. Rice in Decreasing Diabetic Risks

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Sep 6, 2011, 11:15:05 AM9/6/11
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New York (Reuters Health) -- Beans and rice are a classic combination
throughout the western hemisphere, but a study in Costa Rica finds
that the bean half of the equation may be better for health.

Among nearly 2,000 men and women, researchers found that people who
regularly swapped a serving of white rice for one of beans had a 35
percent lower chance of showing symptoms that are usually precursors
to diabetes.

"Rice is very easily converted into sugar by the body. It's very
highly processed, it's pure starch and starch is a long chain of
glucose," said Frank Hu, a professor of nutrition and epidemiology at
the Harvard School of Public Health in Boston, who was part of the
study team.

"Beans compared with rice contain much more fiber, certainly more
protein and they typically have a lower glycemic index -- meaning they
induce much lower insulin responses," he told Reuters Health.

Hu's group looked at the diets of nearly 1,900 Costa Rican men and
women participating in a study of risk factors for heart disease
between 1994 and 2004. None of the participants had diabetes at the
start of the study.

As Costa Rica has become richer and more urbanized, rice consumption
has risen while intake of beans has fallen, Hu said. Meanwhile, the
rate of diabetes in the country has soared.

The extra rice might be at least partly to blame, the Harvard group
concludes. They found that people who ate more white rice over time
had higher blood pressure and elevated levels of sugar and harmful
fats in their blood as well as lower levels of "good" cholesterol.

Those factors, along with a high waist circumference, are all elements
of the so-called metabolic syndrome, which is a major risk factor for
both type 2 diabetes and heart disease.

People who ate at least two servings of beans for every serving of
white rice tended to be at lower risk for metabolic syndrome. In those
who substituted a serving of beans for a serving of white rice the
risk of metabolic syndrome was reduced by 35 percent, the researchers
report in American Journal of Clinical Nutrition.

Although rice may be a larger part of diets outside the U.S., the
findings have important implications in this country, Hu said.
Americans are consuming more rice than ever, up from 9.5 pounds per
person in 1980 to 21 pounds per person in 2008, government figures
show. Consumption of dry beans is markedly lower, at about seven
pounds a year per person, according to the U.S. Department of
Agriculture.

That's a bad trend, said Hu, especially if people are eating white
rice rather than brown rice. From the body's perspective, a serving of
white rice "is like eating a candy bar - the fiber and other nutrients
are stripped away," said Hu, who added that the trend "will have long-
term metabolic effects."

"It would be useful to introduce more legumes, including beans, into
our diet to replace white rice and some of the red meat," he told
Reuters Health.

The Harvard team's findings do not prove that white rice raises
diabetes risk or that beans lower it.

In previous research, Hu and his colleagues have found that eating
brown rice may protect against type 2 diabetes.

"It doesn't surprise me that you get better health outcomes in bean
eaters," said David Jenkins, a nutrition researcher at the University
of Toronto who developed the concept of the glycemic index to help
diabetics gauge the effect various foods would have on their blood
sugar. "Beans are notable among plant foods" for having a modest
effect on blood sugar, he explained.

Although Jenkins said the health benefits of different beans might
vary, "as a class they hang together pretty well, and much more
uniformly than other foods."

SOURCE: Adam Marcus on American Journal of Clinical Nutrition
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