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Mediterranean diet associated with 23% reduction in mortality, study finds

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The Mediterranean diet has long been regarded as a heart-healthy option, but a new study has found the diet may help lower the risk of death.

For the study, published in JAMA Network Open Friday, researchers examined 25,315 women over 25 years, finding a higher adherence to the diet was associated with a 23% reduced risk of all-cause mortality. Decreased risks of cardiovascular disease and cancer mortality were also noted.

A Mediterranean diet, patterned on the traditional cuisines of the region, emphasizes fresh fruits and vegetables, fish, legumes, nuts and whole grains.

Researchers collected baseline health information from the participants between 1993 and 1996, which included data on 33 blood biomarkers, self-reported weight, lifestyle and more. The participants, who were all female health care professionals with a mean age of 54.6, then completed health questionnaires every six months during the first year and then annually. Data analysis occurred from 2018 to 2023, using medical and death records to determine mortality and cause of death.

“Participants with higher adherence to the Mediterranean diet generally exhibited healthier lifestyles, including lower BMI and higher intake of fruits, nuts, whole grains, legumes, and fish, while consuming less red and processed meat,” the authors note. “A higher Mediterranean diet score was associated with an overall healthier biomarker profile.”

This isn’t the first time research has pointed to the diet as a healthy way of eating. A study last year found the diet could help reduce the risk of cardiovascular disease in women by 24%, though it was a meta-analysis of that looked at 16 prior studies.

The latest study did have some limitations, however, including a lack of racial and ethnic diversity. Participants were middle aged and older, well-educated females who were predominantly (just over 94%) self-reported as white. This may limit the generalizability of the findings, the authors note. 

Dietary adherence was also assessed through food questionnaires, which could have contained misclassifications. 



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Moderate Masoud Pezeshkian wins Iran’s presidential runoff election

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Reformist candidate Masoud Pezeshkian won Iran’s runoff presidential election Saturday, besting hard-liner Saeed Jalili by promising to reach out to the West and ease enforcement on the country’s mandatory headscarf law after years of sanctions and protests squeezing the Islamic Republic.

Pezeshkian promised no radical changes to Iran’s Shiite theocracy in his campaign and long has held Supreme Leader Ayatollah Ali Khamenei as the final arbiter of all matters of state in the country. But even Pezeshkian’s modest aims will be challenged by an Iranian government still largely held by hard-liners, the ongoing Israel-Hamas war in the Gaza Strip, and Western fears over Tehran enriching uranium to near-weapons-grade levels.

A vote count offered by authorities put Pezeshkian as the winner with 16.3 million votes to Jalili’s 13.5 million in Friday’s election.

Iran's presidential election goes to run-off
Iranian reformist candidate Masoud Pezeshkian speaks at his rally for the presidential elections in Tehran, Iran, on July 3, 2024.

Fatemeh Bahrami/Anadolu via Getty Images


Supporters of Pezeshkian, a heart surgeon and longtime lawmaker, entered the streets of Tehran and other cities before dawn to celebrate as his lead grew over Jalili, a hard-line former nuclear negotiator.

But Pezeshkian’s win still sees Iran at a delicate moment, with tensions high in the Mideast over the Israel-Hamas war in the Gaza Strip, Iran’s advancing nuclear program, and a looming U.S. election that could put any chance of a detente between Tehran and Washington at risk.

The first round of voting June 28 saw the lowest turnout in the history of the Islamic Republic since the 1979 Islamic Revolution. Iranian officials have long pointed to turnout as a sign of support for the country’s Shiite theocracy, which has been under strain after years of sanctions crushing Iran’s economy, mass demonstrations and intense crackdowns on all dissent.

Government officials up to Supreme Leader Ayatollah Ali Khamenei predicted a higher participation rate as voting got underway, with state television airing images of modest lines at some polling centers across the country.

However, online videos purported to show some polls empty while a survey of several dozen sites in the capital, Tehran, saw light traffic amid a heavy security presence on the streets.

The election came amid heightened regional tensions. In April, Iran launched its first-ever direct attack on Israel over the war in Gaza, while militia groups that Tehran arms in the region — such as the Lebanese Hezbollah and Yemen’s Houthi rebels — are engaged in the fighting and have escalated their attacks.

Iran is also enriching uranium at near weapons-grade levels and maintains a stockpile large enough to build several nuclear weapons, should it choose to do so. And while Khamenei remains the final decision-maker on matters of state, whichever man ends up winning the presidency could bend the country’s foreign policy toward either confrontation or collaboration with the West.

The campaign also repeatedly touched on what would happen if former President Donald Trump, who unilaterally withdrew America from the Iran nuclear deal in 2018, won the November election. Iran has held indirect talks with President Joe Biden’s administration, though there’s been no clear movement back toward constraining Tehran’s nuclear program for the lifting of economic sanctions.

More than 61 million Iranians over the age of 18 were eligible to vote, with about 18 million of them between 18 and 30. Voting was to end at 6 p.m. but was extended until midnight to boost participation.

The late President Ebrahim Raisi, who died in a May helicopter crash, was seen as a protégé of Khamenei and a potential successor as supreme leader.

Still, many knew him for his involvement in the mass executions that Iran conducted in 1988, and for his role in the bloody crackdowns on dissent that followed protests over the 2022 death of Mahsa Amini, a young woman detained by police over allegedly improperly wearing the mandatory headscarf, or hijab.



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Biden set for pivotal 24 hours with primetime interview

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President Biden is set for a make-or-break weekend for his political future as his reelection campaign tries to hit reset following last week’s disastrous debate. Biden again vowed to stay in the race Friday at a campaign rally in the battleground state of Wisconsin, and will sit down for a primetime interview with George Stephanopoulos on ABC News. Scott MacFarlane has the latest.

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