FATS IN OUR DIET: why we need (some of) them so badly

Fats (or lipids) are a type of nutrient with structural and metabolic functions. But not all fats are created equal and not all fats have the same impact on our health.

Did you know that some vitamins are fats? When it comes to fats, what is best for our health: an “alpha” or an ”omega”, a “cis” or a “trans”? Why can’t be live without eating fats? Why is olive oil healthier than coconut oil?

If you continue reading, I will explain why the properties of fats depend on their structure, so that you can make better informed dietary choices.

Structurally, fats are molecules formed of chains of atoms of carbon and hydrogen. Depending on their core structure, they are divided into two main types: the glycerides (derived from glycerol) and the fatty acids. Typically, whenever we eat any fatty food, our enzymes break down the fat into these two types of components.

Furthermore, fatty acids are molecules that usually exist in their “ester” forms: triglycerides, phospholipids and cholesteryl esters. Triglycerides are the main constituents of our body fat and skin oils, and when in blood they serve as a carrier of fat to the liver. Phospholipids make up most of our cell membranes. Cholesteryl esters are what we commonly known as “blood cholesterol”. This is why your doctor checks all these different types of lipids in your annual blood works, because they reflect on different areas of our metabolism.

Why is it important to know whether fats are SATURATED or UNSATURATED? Inside each molecule, each carbon atom can establish up to 4 bonds with other atoms (just like a spider with 4 legs could touch other 4 spiders). According to the number of bonds between the carbon atoms, we call fats “saturated” (with no double bonds) or “unsaturated” (with one or more double-bonded carbons in the chain, thus called mono-unsaturated or poly-unsaturated). As a mnemonic, back to my example of the spider, think that if a spider touches four different spiders who tell her four different stories, the poor thing feels overwhelmed with information and thus feels “saturated”.

Saturated fats are abundant in lard and coconut oil; while unsaturated fats are abundant in olives and avocados. Examples of unsaturated fatty acids are palmitoleic acid, oleic acid, myristoleic acid, linoleic acid, and arachidonic acid. These are the substances that are analysed in food quality and food fraud tests.

CIS or TRANS? Unsaturated fats (the ones with double carbon bonds) can also carry the latin prefixes “cis” (“on this side of things”) or “trans” (“on the other side of”), depending on whether their functional groups are rotated in one sense or the other. Back to the metaphors, think of a hand with its fingers pointing in the same direction of the palm (“cis”) or on the opposite (“trans”). “Cis” fats have the functional groups of the molecule on the same side as the carbon atoms, and they are very common in nature. By contrast, “trans” fats have their functional groups on opposing sides of the carbon chain and are rarer in nature.

“Cis” and “trans” molecules often have different properties. In the food industry, this rotation from “cis” towards “trans” transforms oils into margarine, which reacts less with oxygen in the air, becomes less rancid and thus has longer shelf life. This is what you are eating when you ingest “partially hydrogenated oil” as part of snacks and fast food. And here is when you remember having heard about the negative effects of trans fats and their link to coronary artery disease and type 2 diabetes, right? 

But hold on there, because there is one last bit of basic fat chemistry that you must know about before we move into discussing their function and properties.

ALPHA or OMEGA? You have also heard us scientists refer to fats with Greek letters, like alpha or omega. This Greek letter alludes to the non-acid end of the fatty acid chain, which is called the omega end. In general, the molecule of a fatty acid is a chain of carbon atoms, with a carboxyl group (–COOH) at the beginning and a methyl group (–CH3) at the end. The Greek letters refer to the relative position of the carbon atoms within the chain: the carbon next to the beginning is labelled as carbon α (alpha), and the carbon next to the end is the ω (omega). And now we add numbers to mark where is the first double-bonded carbon, because this has a great impact on their function in our body. For example, if you read about an omega-3 fatty acid, this means that the third carbon counting from the end happens to be the first one with a double bonded carbon.

Functionally, fats play a key role in our metabolism. Some fats are essential for us to live and yet we cannot synthesize them from other components, so we need to ensure we eat them as part of our diet. The two essential fatty acids for humans are alpha-linolenic acid (ALA, an omega-3 fatty acid) and linoleic acid (LA, an omega-6 fatty acid). And, as I also mentioned at the very beginning, some vitamins are also fats: vitamins A, D, E and K. Thus, it is essential we consume some fats in our diet. Some of the food sources of ω-3 and ω-6 fatty acids are fish, olive oil and walnuts, for instance.

Whenever our metabolism decomposes the fats we ingest, glycerol and fatty acids are released. Glycerol can then go on to be transformed into glucose by the liver and thus become a source of energy. In the absence of glucose, the brain can also function on ketones. This is the rationale for the “keto diet”.

Now you know a bit more about the chemical basis of unsaturated fats like those present in olive oil. Yet there is scientific debate around what kind of unsaturated fats are the healthiest: the mono- or the poly-unsaturated.

Arguably, the reality may lay in striking a correct balance between the quantities we ingest of both of them along with other nutrients, our lifestyle habits and the environmental factors we are exposed to. In this regard, the Mediterranean Diet is the cornerstone of the Mediterranean lifestyle and possibly one of the contributing factors to Spaniards longevity and high quality of life.

Olive oil itself is much more than a compendium of monounsaturated fats. Extra virgin olive oil (EVOO) is a natural juice rich in chlorophylls, carotenoids, phenolic compounds (such as oleocanthal, oleurepein and hydroxytyrosol), flavonoids, coenzymes, antioxidants and many other substances. The levels of these substances vary according to tree type, cultivar, crop stage, year of harvest and other parameters.

Numerous medical studies point at the healthy benefits of consuming extra virgin olive oil, as it seems to reduce the incidence or prevent many cardiovascular, neurodegenerative and inflammatory conditions and even have positive effects when used as part of a therapy.

This is the reason for extra virgin olive oil producers investing so much effort in growing the most resilient and highest yielding tree varieties, protecting them against pests and climate change, harvesting olives at the right ripening time and extracting their juice in the most effective and efficient way possible, so that nutrients are preserved. This laborious process of olive oil production requires tremendous amounts of manpower, dedication and knowledge, fuelled by continuous research and innovation along many fronts.

Therefore, it is important for us all to strike a good balance of nutrients in our diets, and to include a reasonable amount of “healthy fats” such as extra virgin olive oil.  

Recent European research and innovation advances on artificial intelligence and health: what and how it is done

The world around us is undergoing a massive digital transformation, revealing artificial intelligence as a powerful system of tools and processes to generate, store, manage and utilise data in novel ways and to integrate inputs from a myriad of players all at once. This feat is expediting the ways through which we generate solutions to our current challenges. One recent example is the way in which clinical research has been done throughout the COVID pandemic, delivering new vaccines faster than ever before.

Yet so much more can and should be done to exploit the phenomenal potential that artificial intelligence features. The European Union has been investing in derisking the advancement of artificial intelligence in health from a variety of angles. One of the better-known ways or tools is to fund frontier research at the level of individual projects. 

But there are also other ways to trigger novel developments and real advances in artificial intelligence and health that can benefit society. Here below I will discuss two interesting types of European Union funding instruments supporting the creation of new networks and supporting new companies.      

The first one is to help create new networks of key players (knowledge generators and knowledge users) around one common strategic goal, through instruments like the Coordination and Support Actions. Let me show you these 6 examples below:  two finished projects (Clinnova and IC-Health) and three  ongoing ones (DiHECO, DigitalHealthEurope, and IDIH).

IC-Health : Improving digital health literacy in Europe. This project focused on co-creating 35 Massive Open Online Courses (MOOCs) to enhance EU citizens’ skills on how to search, understand and appraise online health information. The project targeted five different population cohorts: children, adolescents, pregnant and lactating women, the elderly and citizens affected or susceptible to be affected by diabetes.  https://scanbalt.org/scanbalt-news/ic-health-massive-open-online-courses-moocs-to-help-improve-the-digital-health-literacy-of-european-citizens-available/

DiHECO : Digital Healthcare ECOosystem research and innovation capability building. This project focuses on the creation of a multi-sided platform for facilitating the organisation of digital healthcare services, but without taking ownership of those services (somewhat similar to what UBER and AirB&B do). The project is coordinated by Kauno Technologijos Universitetas in Lithuania. https://cordis.europa.eu/project/id/952012/fr

DigitalHealthEurope : Support to a Digital Health and Care Innovation initiative in the context of Digital Single Market strategy. This project supports key EU policy priorities supporting healthcare in the Digital Single Market and citizen empowerment, in issues such as citizens’ secure access to health data across borders, managing better data to advance research, disease prevention and personalised healthcare. The project has published a series of good practices on the MAFEIP website, created a twinning marketplace to foster links across partners, and made recommendations for the European Health Data Space.  https://digitalhealtheurope.eu/resources/mafeip/

IDIH : International Digital Health Collaboration for Preventive, Integrated, Independent and Inclusive Living. This project aims to promote international cooperation to advance digital health in the EU and 5 key strategic countries (USA, Canada, China, Japan and South Korea) to support active and healthy ageing through innovation. This forum has four thematic groups: Preventive care, Integrated care, Independent and connected living and Inclusive living. https://idih-global.eu/

Another way to foster research and innovation in health and artificial intelligence is to support entrepreneurs and small and medium sized enterprises (SMEs). Let me show you 4 examples below:

CONCILIO : Development of a global, inclusive, digital health concierge. This grant funded a digital health company that delivered evidence-based, peer-referrals in each medical field to help patients anywhere identify the best specialist. The project was based on a previous proof of concept with over 15,000 doctor names across 9 specialities. https://cordis.europa.eu/project/id/761753/fr

Glucostratus : Bringing the benefits of interactive digital health to the care of elderly persons with diabetes. This project carried out a feasibility study to bring digital health to the care of elderly persons with diabetes. By means of a smart blood glucose meter sending data to the cloud platform, both healthcare professionals and patients could access data and take early action accordingly. https://cordis.europa.eu/project/id/816000/it

IDH – Digital Health Hub Europe. This grant supported a feasibility study around the readiness of the Digital Life Sciences “Access” model and how it could develop in a number of EU healthcare markets. https://cordis.europa.eu/project/id/672499/fr

MEDIKURA: Digital Infrastructure for Drug Safety in Europe. This project developed an operating system for patient safety, enabling pharma companies to capture, enrich, and analyse drug-related data provided by patients and doctors and thus save costs, deliver more targeted therapies and accelerate data-driven drug discovery. https://cordis.europa.eu/project/id/827483/fr

In research policy, choosing the adequate instrument to trigger action is essential. Now that it finishes, Horizon 2020 has provided a gigantic ecosystem of options for researchers, innovators, entrepreneurs and societal players to select modalities of making advances in a myriad disciplines that impact our daily lives.

In health research, there have been some truly promising results leveraging on artificial intelligence solutions. Many more will surely emerge in the coming months, not only derived from the last calls of Horizon 2020 but also the first ones to be published by its successor programme starting in 2021: Horizon Europe.

Stay tuned 🙂

WHAT A DIFFERENCE A CHICKPEA MAKES: important research on legumes

Good health and wellness often relies on a healthy balanced diet, regular physical activity, good overall hygiene habits and some common sense preventive and therapeutic measures whenever needed.

Ever since the World Health Organisation (WHO) launched the “Global Strategy on Diet, Physical Activity and Health” (2003) where fruits and vegetables were acknowledged as important components of a healthy diet and key players in preventing major diseases, many more studies and policies have continued to promote the benefits of their daily intake.

Among plant-based foods, legumes and pulses are particularly interesting, granting great benefits not only for human health but also for soils and the environment. By virtue of the symbiotic bacteria present in their root nodules, legumes help fix atmospheric nitrogen to the soil, acting as natural fertilizers and reducing our dependency on oil&gas-derived ones. For that reason, they are an affordable element in crop rotation for farmers worldwide.

Pulses are also a sustainable source of healthy nutrients, serving as an affordable food and feed staple with a long shelf life (which also reduces food waste). Legumes are a significant source of protein, dietary fiber, carbohydrates, vitamins and minerals, with little fat. Their starches are broken down by our gut microbiome (the bacteria living in our intestines) and further transformed into other molecules necessary for our metabolism such as short-chain fatty acids. Legumes consumption needs not be monotonous because they come in a myriad of shapes, colours and flavours: red beans, black beans, peas, chickpeas, brown lentils, black lentils, orange lentils, etc.

Yet in some regions, legume farming is being left aside for some more profitable cultures. Public intervention (and funding!) can help unravel new ways in which legume value chains can help boost the economy and continue to enrich our meals.

There are interesting research and innovation projects focusing on legume-based farming and food-feed chains. Two interesting examples funded by the European Union are projects LEGVALUE and TRUE, which will run until 2021.

The goal of EU project LEGVALUE is to identify opportunities for innovation in markets, value chains and producers and processors working with legumes and pulses. See their collection of case studies across Europe. http://www.legvalue.eu/

EU project TRUE focuses on identifying routes to increase sustainable legume cultivation and consumption across Europe, building a Decision Support Tool for primary producers, agronomists, processors, associated businesses and decision makers to match the pedo-climatic zones and farm network types. They have also delivered 24 cases studies and Legume Innovation Networks in 3 climatic regions: ‘Atlantic’, ‘Continental’ and ‘Mediterranean’. https://www.true-project.eu/

I hope this post encourages you to include more legumes in your diet and even your local economy, contributing to sustainable food production and food security.

PERSONALISED NUTRITION – What is it, why should you care and what is new?

Nutrition impacts human health and wellness to a great extent. Yet in terms of daily meals, just like in many other fields, one size does not fit all.

Humans are very diverse across the globe, and certain conditions, diseases or individual specificities make some nutrients more adequate than others. Geographical and socioeconomical disparities also influence the demand and supply, and ultimately, the choices we make every day.

Personalised nutrition is the “haute couture” of all diets: an attempt to determine and produce the most appropriate food intake for each individual, based on variety of factors such as physical and psychological characteristics, socioeconomical determinants and cultural preferences, etc. It is an approach that can suit all types of populations, not only people suffering from malnutrition, allergies, dietary intolerances or specific diseases. 

Many questions remain under discussion still: What exactly drives our food choices? What evidence should inform our dietary decisions? What technologies can assist us in making these choices and managing our health in a more efficient and sustainable way? To what extent do regulatory frameworks influence? How can we all cooperate to better understand and gear farm-to-fork processes and individual behaviours in order to achieve an improved overall health? How can we best combine our best public and private resources to deliver solutions that cater to the entire population? 

I find these EU-funded projects below particularly interesting, as they tackle this challenge from complementary angles:

· NUTRISHIELD: Fact-based personalised nutrition of the young

· PROTEIN: Personalised nutrition for healthy living

· PREVENTOMICS: Empowering consumers to prevent diet-related diseases through -omics

· STANCE4HEALTH: Smart technologies for personalised nutrition and consumer engagement

Together, these 4 projects feature fascinating research and innovation approaches ranging from new uses of artificial intelligence, big data and cell phone devices, to leveraging on human gut microbiota (the bacteria living in our intestines) or blood biomarkers in specific populations like the young. These projects have attracted 78 institutions and companies that will be working together until year 2022, funded by the European Union with over 27,5 M euro.

On June 2019, I had the pleasure to chair a debate session on “Healthy Diets and Food” with the coordinators of these projects. We discussed synergies and joint challenges, and upcoming opportunities to make their work results even more impactful. We all left still yearning for more time to plan further work together. Information on this event can be retrieved here: https://ec.europa.eu/info/events/horizon-2020-calls-proposals-2018-coordinators-day-2019-jun-06_en

I hope this brief article spurs your interest in personalised nutrition and the research and innovation being done in Europe.

If you are interested in staying abreast, please stay tuned 🙂

ADVANCES IN THE SCIENCE BEHIND THE MEDITERRANEAN DIET: the fascinating research improving the production of high-quality olive oil in Europe

Olive oil, one of the pillars of the so-called Mediterranean Diet, is a premium dietary ingredient full of healthy nutrients. In order to obtain this “liquid gold”, olives need to be carefully harvested from olive trees, selected, cleaned, and grinded into a paste. This paste is then malaxed (mixed) so that the small oil droplets combine into bigger ones. This process can be accelerated and yield can be increased using heat or solvents, but this lowers the quality of the nutrients present end product. This is why high quality olive oils obtained only by mechanical means are a bit more pricey – because they are the real deal. Then the oils are centrifuged, separated and filtered, so that the final product can be bottled and placed in the market.

The European Union is the world leader in olive oil production, churning out about 70% of the global share. Yet Europe deeply cares about guaranteeing the high quality of its olive oil and preventing and combating food fraud (such as adulterated oils) though a series of policies, laws and certifying agencies. In this regard, there is legislation like the 2011 EU Regulation establishing olive oil characteristics and analysis methods officially approved.

In parallel, Europe also keeps investing and innovating around this healthy food ingredient. Among the many ongoing EU-funded projects, these below are five examples that I find particularly interesting because they ensure high quality of the olive oil and protect us consumers:

How to ensure only the best olives are pressed? Project EVOOLUTION is delivering a sorting solution for incoming olives, scanning olives and identifying the defective or suboptimal ones, so that they can be discarded and do not downgrade the quality of the overall product. This project is coordinated by a Spanish SME called Multiscan Technologies S.L., and more information on the project can be found here:https://cordis.europa.eu/project/rcn/216763/factsheet/en

How to improve olive oil process efficiency and ensure the best quality? Two fine examples here:

Project ALMAZARA 4.0 is applying novel smart near-infrared spectroscopy and robotics to deliver intelligent sensors that help control the quality of olive oil as it is being produced. This saves the mill’s operators time and money while providing them with valuable information about quality and healthy content in their olive oil production. This project is coordinated by a Spanish company called Integracion Sensorial y Robotica S.L. with participation of University of Jaen, and here is the project link: https://cordis.europa.eu/project/rcn/216751/factsheet/en

Project OLIVE-SOUND applies ultrasound detectors to the extraction process machinery, allowing continuity of the malaxation process. This project is coordinated by Pieralisi MAIP in Italy. More info:   https://www.olive-sound.com/

How do we guarantee fresh, high-quality olive oil in the market and detect counterfeit oils containing bad fraudulent blends? Two interesting projects here, too:

Project OLEUM is generating novel, more effective and harmonized analytical solutions to detect illegal blends and combat food fraud around olive oil. This project is coordinated by University of Bologna, IT and have set up an OLEUM Network with partners from Spain, Italy, Portugal, Croatia, Greece, Austria, The Netherlands, Belgium, Denmark, United Kingdom and many others. More information: http://www.oleumproject.eu/ 

Project STEPTHEFRAUDINOLIVEO is developing a digital seal of excellence based on blockchain, to improve traceability of olive oil and detect fraud. This project is coordinated by a Spanish company called Hashed Blocktac S.L. More information:  https://cordis.europa.eu/project/rcn/223042/factsheet/en

My intention is just to give you a flavour (no pun intended) about this fascinating domain, and to encourage you to go for high-quality European extra virgin olive oil (EVOO). Much research and innovation are behind each drop you use 🙂 

Please feel free to explore synergies with these EU-funded projects!

#extravirginoliveoil #evoo #aove #EuropeanUnion #EuropeanInnovation

YOU SAY TOMATO, I SAY TOMATE : European research on this nutritious food

Most of us love to eat tomatoes. But what’s in a name (or in this case, in a fruit)?

Why should we eat them on a regular basis and what is Europe doing to guarantee a sustainable supply of healthy and nutritious tomatoes for us all?

The tomato (or tomate, as we call it in Spanish) is a well-known actor within the healthy Mediterranean Diet. The fruit or berry of the Solanum lycopersicum plant of any of its thousands of varieties, tomatoes come in different sizes, colours and shapes: from the tiny, marble-sized cherry tomatoes, to the larger pear tomatoes and the lobulated, humongous beef tomatoes.

Aside from being tasty and visually appealing, tomatoes are rich in caroteinoids with antioxidant properties (alpha- and beta-carotene, lutein, and lycopene), vitamins C and E and other nutrients like potassium.

Tomato nutrients have also been reported to act in synergy with other nutrients from other vegetables, yielding very positive health benefits. In this regards, rats fed with tomato and broccoli and tomato extracts combined have shown lesser cancer incidence. In humans, there are promising studies correlating tomato intake to lower pancreatic cancer incidence.

When mixed or even cooked with olive oil, tomato carotenoids are much better absorbed by the body. Lycopens and flavonols are very abundant in the tomato peel, so it is best not to peel these fruits if we wish to profit from all their properties. Numerous scientific studies report that consumption of extra virgin olive oil and tomato-based products is associated with cardiovascular benefits. This is great news for all gazpacho, salmorejo and sofrito lovers around the world.

Yet in the face of challenges such as climate change, Europeans acknowledge it is important to ensure the sustainable production of nutritious and flavourful tomatoes. Many players must play their part, ranging from farmers who plant and fertilise their soils, to distributors, retailers and food makers who bring this food to the shop shelves and finally to our plates.

The European Union is the world’s second largest tomato producer after China (source: FAOSTAT, United Nations). Inside Europe, the two main producers are Italy and Spain. Europe takes great care in ensuring safe and nutritious food products. European scientists and entrepreneurs funded by the Horizon 2020 Programme for Research and Innovation are making great strides forward in different fronts: from mapping and banking the many existing natural varieties with different traits, to developing new varieties with higher resistance to high temperatures or water shortages, or pest and microbial diseases.

Just to give you a taste (no pun intended), here below I would like to quickly highlight some examples of interesting H2020 Projects featuring very smart collaborations between public and private players from all over the European Union and beyond: TOMRES, TOMGEM and TRADITOM.

TOMRES (finished in 2020) sought to enhance the resilience of tomatoes and optimise multiple combined stresses in order to efficiently manage the use of water and nutrients. https://www.tomres.eu/

TOMGEM (finished in 2020) developed new tomato breeds with improved resistance to harsh temperatures. https://tomgem.eu/

TRADITOM (finished in 2018) supported agricultural diversification by building a map and a repository of traditional tomato varieties, their methods of cultivation and disease resistance traits: http://traditom.eu/

Other projects funded by the Horizon 2020 Programme focus on other interesting aspects of the tomato production world such as pests, plant nutrients, etc.

Please feel free to explore these websites for more details on these and other European Union projects delivering many new advances useful for improved human health, food safety, food security, agricultural diversification, soil protection, climate change management and global trade.

Cheers and until my next post here!