Sunday, July 20, 2008

Pokemon Deludge Dress

Omega-3: new evidence

Several studies show evidence increasingly 'convincing on the role of omega-3, not only to protect against cardiovascular disease, but also a kind of "farmaconutrizione" per il cervello. Ne riporto di seguito uno molto interessante che potete trovare integralmente qui .


"Food is like a pharmaceutical compound that affects the brain," said Fernando Gómez-Pinilla, a UCLA professor of neurosurgery and physiological science who has spent years studying the effects of food, exercise and sleep on the brain. "Diet, exercise and sleep have the potential to alter our brain health and mental function. This raises the exciting possibility that changes in diet are a viable strategy for enhancing cognitive abilities, protecting the brain from damage and counteracting the effects of aging."

Gómez-Pinilla analyzed more than 160 studies about food's affect on the brain; the results of his analysis appear in the journal Nature Reviews Neuroscience.

Omega-3 fatty acids -- found in salmon, walnuts and kiwi fruit -- provide many benefits, including improving learning and memory and helping to fight against such mental disorders as depression and mood disorders, schizophrenia, and dementia, said Gómez-Pinilla, a member of UCLA's Brain Research Institute and Brain Injury Research Center.

Synapses in the brain connect neurons and provide critical functions; much learning and memory occurs at the synapses, Gómez-Pinilla said.

"Omega-3 fatty acids support synaptic plasticity and seem to positively affect the expression of several molecules related to learning and memory that are found on synapses," Gómez-Pinilla said. "Omega-3 fatty acids are essential for normal brain function.

"Dietary deficiency of omega-3 fatty acids in humans has been associated with increased risk of several mental disorders, including attention-deficit disorder, dyslexia, dementia, depression, bipolar disorder and schizophrenia," he said. "A deficiency of omega-3 fatty acids in rodents results in impaired learning and memory."

Children who had increased amounts of omega-3 fatty acids performed better in school, in reading and in spelling and had fewer behavioral problems, he said.

Preliminary results from a study in England show that school performance improved among a group of students receiving omega-3 fatty acids. In an Australian study, 396 children between the ages 6 and 12 who were given a drink with omega-3 fatty acids and other nutrients (iron, zinc, folic acid and vitamins A, B6, B12 and C) showed higher scores on tests measuring verbal intelligence and learning and memory after six months and one year than a control group of students who did not receive the nutritional drink. This study was also conducted with 394 children in Indonesia. The results showed higher test scores for boys and girls in Australia, but only for girls in Indonesia.

Getting omega-3 fatty acids from food rather than from capsule supplements can be more beneficial, providing additional nutrients, Gómez-Pinilla said.

Scientists are learning which omega-3 fatty acids seem to be especially important. One is docosahexaenoic acid, or DHA, which is abundant in salmon. DHA, which reduces oxidative stress and enhances synaptic plasticity and learning and memory, is the most abundant omega-3 fatty acid in cell membranes in the brain.

"The brain and the body are deficient in the machinery to make DHA; it has to come through our diet," said Gómez-Pinilla, who was born and raised in salmon-rich Chile and eats salmon three times a week, along with a balanced diet. "Omega-3 fatty acids are essential."

A healthy diet and exercise can also reduce the effect of brain injury and lead to a better recovery, he said.

Recent research also supports the hypothesis that health can be passed down through generations, and a number of innovative studies point to the possibility that the effects of diet on mental health can be transmitted across generations, Gómez-Pinilla said.

A long-term study that included more than 100 years of birth, death, health and genealogical records for 300 Swedish families in an isolated village showed that an individual's risk for diabetes and early death increased if his or her paternal grandparents grew up in times of food abundance rather than food shortage.

"Evidence indicates that what you eat can affect your grandchildren's brain molecules and synapses," Gómez-Pinilla said. "We are trying to find the molecular basis to explain this."

Controlled meal-skipping or intermittent caloric restriction might provide health benefits, he said.

Excess calories can reduce the flexibility of synapses and increase the vulnerability of cells to damage by causing the formation of free radicals. Moderate caloric restriction could protect the brain by reducing oxidative damage to cellular proteins, lipids and nucleic acids, Gómez-Pinilla said.

The brain is highly susceptible to oxidative damage. Blueberries have been shown to have a strong antioxidant capacity, he noted.

In contrast to the healthy effects of diets that are rich in omega-3 fatty acids, diets high in trans fats and saturated fats adversely affect cognition, studies indicate.

Junk food and fast food negatively affect the brain's synapses, said Gómez-Pinilla, who eats fast food less often since conducting this research. Brain synapses and several molecules related to learning and memory are adversely affected by unhealthy diets, he said.

Emerging research indicates that the effects of diet on the brain, combined with the effects of exercise and a good night's sleep, can strengthen synapses and provide other cognitive benefits, he added.

In Okinawa, an island in Japan where people frequently eat fish and exercise, the lifespan is one of the world's longest, and the population has a very low rate of mental disorders, Gómez-Pinilla noted.

Folic acid is found in various foods, including spinach, orange juice and yeast. Adequate levels of folic acid are essential for brain function, and folate deficiency can lead to neurological disorders such as depression and cognitive impairment. Folate supplementation, either by itself or in conjunction with other B vitamins, has been shown to be effective in preventing cognitive decline and dementia during aging and enhancing the effects of antidepressants. The results of a recent randomized clinical trial indicate that a three-year folic acid supplementation can help reduce the age-related decline in cognitive function.

In patients with major depression and schizophrenia, levels of a signaling molecule known as brain-derived neurotrophic factor, or BDNF, are reduced. Antidepressants elevate BDNF levels, and most treatments for depression and schizophrenia stimulate BDNF. Here, too, omega-3 fatty acids are beneficial, as is the curry spice curcumin, which has been shown to reduce memory deficits in animal models of Alzheimer's disease and brain trauma. BDNF is most abundant in the hippocampus and the hypothalamus -- brain areas associated with cognitive and metabolic regulation.

The high consumption of curcumin in India may contribute to the low prevalence of Alzheimer's disease on the subcontinent.

In humans, a mutation in a BDNF receptor has been linked to obesity and impairments in learning and memory.

"BDNF is reduced in the hippocampus, in various cortical areas and in the serum of patients with schizophrenia," Gómez-Pinilla said. "BDNF levels are reduced in the plasma of patients with major depression."

Smaller food portions with the appropriate nutrients seem to be beneficial for the brain's molecules, such as BDNF, he said.

Gómez-Pinilla showed in 1995 that exercise can have an effect on the brain by elevating levels of BDNF.

He noted that while some people have extremely good genes, most of us are not so lucky and need a balanced diet, regular exercise and a good night's sleep.

The research was funded by the National Institutes of Health's National Institute of Neurological Disorders and Stroke.


Journal reference :

  1. Gómez-Pinilla et al. Brain foods: the effects of nutrients on brain function . Nature Reviews Neuroscience , 2008, 9 (7): 568 DOI: 10.1038/nrn2421

Wednesday, July 9, 2008

Geovison 8.3 Letöltés

Obesity and gastroesophageal reflux disease (GERD)

by http://www.nutritionupdates. Org


Study 1: Obesity and gastroesophageal reflux disease (GERD)
--------------------------- ------------------------------ --- ---
A new analysis from the Nurses Health Study examines the relationship between body weight and GERD.

Subjects and methods: 10,545 nurses completed a questionnaire on symptoms of GERD. The data was compared with their body mass index (BMI) measured two years earlier.

Results: E 'was shown a sharp increase in the possibility of having symptoms of GERD in the entire spectrum of body weights, BMI from 22 to less obesity. This report has also occurred in relation to the severity of the symptoms of GERD - see chart.

Bibliography: N Engl J Med 2006 Jun 1; 354 \u200b\u200b(22) :2340-8.


Study 2: a meta-analysis confirms the relationship
------------------------------ - ---------------------------- ------
E 'was recently published a meta-analysis on the association between BMI and GERD, esophagitis, and other related gastrointestinal diseases.

Subjects and methods: A total of 9 observational studies (involving about 63,000 individuals, including 7372 cases), six studies have found an association between BMI and symptoms of GERD. The combined odds ratio in 8 studies was 1.43 (95% CI: 1.16-1.77) for overweight (BMI = 25-30) and 1.94 (1:47 to 2:57) for obesity (BMI> 30), overweight and obesity were also associated with a higher risk of esophageal cancer (OR = 1.52 and 2.78, respectively).

Bibliography: Ann Intern Med 2005 Aug 2; 143 (3) :199-211.


Study 3: The schedule of meals is important
------------------------------ ------------- ----------------- -
Japanese researchers have examined whether the timing of meals might affect the risk of having symptoms of GERD.

Subjects and methods: case-control study on 147 patients with GERD and 294 controls without GERD.

Results: The interval between dinner and sleep was strongly associated with the possibility of having GERD. With a range <3 size="2"> Bibliography: Am J Gastroenterol. 2005 Dec; 100 (12) :2633-6

COMMENT
Symptoms of gastroesophageal reflux disease (GERD), such as heartburn and indigestion, are quite common and not just in Western countries (ref. 1, 2). A recent Swedish study reported a prevalence of GERD symptoms by 40% of a large adult population in 15% there was evidence of reflux, gastroscopy (ref. 1). Apart from the effect on quality of life (ref. 3), GERD may cause esophagitis and esophageal cancer to develop (ref. 4).

The possible causes of GERD are numerous, and some fall between these nutritional factors. Excess weight is always mentioned in the popular press (eg, ref. 5), but less frequently in medical texts (eg, ref. 6). As the new studies 1 and 2 show, should be mentioned more often. In fact, one study showed an increased risk of GERD by the weight of the lower limits under the severe obesity.

An interesting explanation for this association is reported in a new English study shows that a recent weight gain (> 5 kg over the previous 12 months) is associated with an increase of 50% of the risk of GERD symptoms compared to that period (ref. 7). While we can not overcome the lack of an RCT, these observations suggest a cause-effect relationship in the overweight-GERD.

The mechanisms responsible for such an association are not hard to imagine. Obesity increases the intra-abdominal pressure and obese patients can have gastro-intestinal motility disorders (ref. 8, 9). However, it is possible say that overweight is associated with all aspects and types of GERD. For example, one study showed that obesity was not associated with laryngeal reflux events (ref. 10).

On the other hand, some studies have shown that overweight patients with GERD have a higher risk than non-overweight to be hospitalized for complications of GERD and esophagitis present and / or Barrett's esophagus (ref. 11, 12) . It would be great news to find that weight loss may not only reduce the symptoms of GERD, like heartburn, but also reduce the risk of cancer of the gastrointestinal tract that are usually associated with this condition.

However this is only speculation. The fact is that, for the moment, the advice often given to patients with GERD to lose weight (if overweight) is not supported by evidence from RCTs (ref. 13).

Other dietary approaches, commonly recommended to patients with GERD include the avoidance of foods that can aggravate the symptoms: fatty foods, chocolate, spices, mint, coffee, alcohol and 'fatty foods' (ref. 13). The patients themselves seem to believe that these foods are associated with the onset of symptoms, and can also report food allergies (ref. 14).

Avoid fatty foods have a rational, because the fats slow gastric emptying and increase lower esophageal sphincter pressure (ref. 13). This can also be a confounder in the association, described by observational studies, between obesity and GERD.

However, some epidemiological data suggest that obesity is a risk factor for GERD, with or without fat (ref. 11). Some studies have shown that fat can increase the reflux, but an equally large number have refuted this association (ref. 15-17). In particular, in one study, the number of total calories consumed seems to be a more important factor in determining the GERD than total fat intake (ref. 18).

There is also evidence that chocolate reduces esophageal sphincter pressure and increases reflux (ref. 19-21). However, there are no RCTs showing that avoiding chocolate reduces the symptoms of GERD (ref. 21). Similar goes for alcohol (ref. 21-23).

The evidence suggests that coffee represents a risk factor for GERD is difficult to interpret with certainty. While some studies suggest that coffee represents a risk factor (ref. 24), unlike others support the idea that it represents a protective factor (ref. 25). Curiously these studies also show that regular use of salt increases the risk. The data on the impact of coffee intake on esophageal sphincter pressure have proved inconsistent (ref. 26). Have been published RCT showing that coffee increases the reflux, while others have not demonstrated this association. The coffee does not reduce the gastric pH (ref. 29) and also the effects of decaffeinated coffee on reflux are not clear (ref. 22, 27, 30).

Limited clinical evidence is available on the effect of spicy foods, in addition to demonstrating that the chili is that capsaicin (a substance found in chili) can influence the onset of heartburn (ref. 31, 32). In a study of Egyptian fiber intake has proven protective against GERD (ref. 33), but the addition of fibers improves reflux in patients fed by enteral (ref. 34). In a trial, the increase in fermentation in the colon through the intake of indigestible carbohydrates was shown to aggravate reflux (ref. 35). Intolerance to protein may have a material effect on reflux in children (ref. 36), but studies in adults showing a significant role of food intolerance on reflux are lacking, as there is no data on the assumption that changes in the flora bowel may be involved in GERD and that therefore the use of probiotics can be helpful (ref. 37).

Despite this lack of convincing evidence from clinical studies, experience teaches us not to ignore comments from patients about the factors that influence the symptoms. Therefore, together with regular drug therapy, an attempt to avoid certain foods may be especially appropriate when the patient notes that these can influence the symptoms. If overweight, lose weight may be worth. And finally, new observational data of study 3 suggest that increasing the interval between dinner and sleep may also represent a successful attempt to reduce the symptoms of GERD.


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