But is that enough? Clearly, women don't have to worry about prostate cancer studies. Likewise, men shouldn't have to worry about ovarian cancer, Chaz Bono notwithstanding . But what about age? We specialize our training into pediatrics, adults & geriatrics (that's me), claiming that each age group has its own niche. Trickier still is the question of race which is fraught w/political overtones. Having been born & raised in the States in a Western culture, I suspect that my thinking process is closer to my Caucasian colleagues than my ethnic counterparts across the Pacific. But what about ethnic physiology? Is there a difference?
For instance, we know that following the Mediterranean diet, based upon Caucasians, is associated with lower risk of vascular events. But while this way of eating might not come easily to blacks & Hispanics due to culture differences, would the Mediterranean diet make a difference in these non-Caucasian races? In a population-based cohort study of 2,568 participants, average 69yo, 55% Hispanic, 24% black, and 64% female, followed for 9yrs published early online this month prior to print next month in the American Journal of Clinical Nutrition , the authors noted that the closer one followed the Mediterranean diet, the lower one's risk for vascular death.
Based upon this study, we can comfortably recommend eating more fish & legumes, fruits & vegetables, plus whole grains & monounsaturated fat as well as drinking alcohol (wine) in moderation to patients regardless of ethnicity in an attempt to decrease vascular mortality.