ADHD and Pesticides

More evidence has come about that links pesticide exposure with ADHD. The study, published in Environmental Health Perspectives, adds to evidence that organophosphatepesticides can affect the human brain. Researchers at the University of California Berkeley tested pregnant women for evidence that organophosphate pesticides had actually been absorbed by their bodies, and then followed their children as they grew. Women with more chemical traces of the pesticides in their urine while pregnant had children more likely to have symptoms of attention deficit hyperactivity disorder, or ADHD, at age 5, the researchers found.

Organophosphates are designed to attack the nervous systems of bugs by affecting message-carrying chemicals called neurotransmitters including acetylcholine, which is important to human brain development.

The researchers tested Mexican-American women living in the Salinas Valley of California, an area of intensive agriculture. They looked for breakdown products or metabolites from pesticides in urine samples from the mothers during pregnancy and from their children as they grew. A tenfold increase in pesticide metabolites in the mother’s urine correlated to a 500 percent increase in the chances of ADHD symptoms by age 5, with the trend stronger in boys.

In May a different team found children with high levels of organophosphate traces in the urine were almost twice as likely to develop ADHD as those with undetectable levels.

There are about 40 organophosphate pesticides such as malathion registered in the United States. Studies have also linked exposure to Parkinson’s, an incurable brain disease.

From a naturopathic perspectives, there are tests that can be performed to evaluate levels of organophosphates. This is not only important for children with ADHD, but also patients with any underlying neurological disease, as well as cancer. If identified, treatment protocols to facilitate pesticide detoxification (using natural substances) can be utilized.

Green Tea and Metabolic Syndrome

Because metabolic syndrome is something I tend to see on a weekly basis, it’s always good to see new information on what can help to control and reverse this condition. The latest research points out the benefits of green tea in treating metabolic syndrome. It’s also well known that green tea contains weight-loss promoting properties, among many other beneficial compounds. 

Here is a summary of the research findings:

Reference: “Green tea minimally affects biomarkers of inflammation in obese subjects with metabolic syndrome,” Basu A, Lyons TJ, et al, Nutrition, 2010 Jun 1; [Epub ahead of print]. (Address: Nutritional Sciences, Oklahoma State University, Stillwater, Oklahoma, USA).
Summary: In a randomized, controlled study involving 35 obese subjects with metabolic syndrome, results indicate that green tea intake may exert cardioprotective benefits. The subjects were randomized to receive green tea (4 cups/d), green tea extract (2 capsules and 4 cups water/d), or no treatment (4 cups water/d) for 8 weeks. At intervention end, green tea (drink and capsule) intake was associated with significant reduction of plasma serum amyloid alpha, compared with control. Thus, the authors of this study conclude, “green tea significantly reduced plasma serum amyloid alpha, an independent cardiovascular disease risk factor, in obese subjects with metabolic syndrome.”

Weight Gain and Fatty Acids-Born Into Obesity?

For years, the naturopathic profession has emphasized the importance of balancing the ratio between omega 3 and omega 6 intake. The standard American diet is overloaded with omega 6 fatty acids, while being deficient in omega 3, which can lead to a chronic inflammatory state, increasing the risk of cancer and other serious diseases. Now, a new study in the Journal of Lipid Research has found that a high omega 6:omega 3 ratio may not only lead to insulin resistance in individuals, but may actually predispose their offspring to a life-long struggle with obesity.

In addition to high consumption of fast foods and refined carbohydrates, the high omega 6:omega 3 ratio in the American diet is largely due to the shift from grass-fed to grain-fed livestock. For meat eaters, this means seeking out sources of locally raised or grass-fed livestock, along with incorporating more wild game (bison, venison) into the diet. In general, a diet that is well-balanced with fruits, vegetables, fish, and healthy oils should insure a healthy balance of omega fats. Supplementation with fish oil and ground flax seeds is also recommended, to further bolster your omega 3 intake.

Dementia and Vitamin E

The July 2010 edition of Archives of Neurology contains a study that demonstrates an inverse relationship between vitamin E intake and dementia risk, including Alzheimer’s. Participants in the study were followed for roughly a decade, and those who had the highest dietary intake of Vitamin E were shown to have the lowest incidence of dementia. Overall, higher vitamin E intake was linked to a 25% reduction in dementia risk.

Food sources of vitamin E include wheat germ, spinach, broccoli, almonds, and hazelnuts. Although this study didn’t take vitamin E supplementation into consideration, you still may want to consider supplementing with 200 IU of natural, mixed-tocopherol on a daily basis for optimal health benefits.

Diabetes Increases Cancer Risk

Evidence is proving that diabetes may double the risk of pancreatic, liver, and endometrial cancer, while also significantly increasing the risk of colorectal, breast and bladder cancer. It’s still uncertain whether this is due to the disease itself, or the treatments that are being used for diabetes. However, it does strongly suggest that inflammation plays an underlying role, and how important it is to detect and treat diabetic changes as early as possible. Here is an article taken from Medscape that goes into more detail about this discovery:

June 16, 2010 — People with diabetes are at increased risk of certain cancers — but why?

Could it be that some diabetes treatments trigger or promote cancer? Or do the underlying causes of diabetes also underlie cancer?

These are the questions put before an expert panel from the American Diabetes Association and the American Cancer Society (ACS).

Their conclusion: We aren’t sure.

Even so, lifestyle changes that prevent or reverse diabetes will certainly cut cancer risk, says panel member Susan M. Gapstur, PhD, ACS vice president of epidemiology.

“The full biologic link between diabetes and cancer has not been completely defined,” Gapstur tells WebMD. “But first of all we should prevent diabetes. Then we can prevent some cancers. And for those who do have diabetes, it should be controlled as much as possible through a healthy lifestyle.”

Diabetes doubles the risk of liver, pancreas, and endometrial cancer. It increases the risk of colorectal, breast, and bladder cancer by 20% to 50%. But it cuts men’s risk of prostate cancer.

People with diabetes tend to have some known risk factors for cancer: older age,obesity, poor diet, and physical inactivity. And problems common in diabetes — too-high insulin levels, too-high blood sugar levels, and inflammation — increase cancer risk.

“No matter what science ultimately reveals … we already know what we need to do to lower risk for both cancer and diabetes,” Alice Bender, RD, of the American Institute for Cancer Research, says in a news release. “Eat a healthy, varied, predominantly plant-based diet, be physically active every day, and maintain ahealthy body weight.”

Do Diabetes Treatments Raise Cancer Risk?

There is evidence, but not definitive proof, that diabetes treatments affect cancer risk.

Metformin, the most commonly used diabetes drug, seems to lower cancer risk. But there’s also evidence from some studies — contradicted by others — that insulin, particularly long-acting insulin glargine (Lantus), may increase cancer risk.

Mo
reover, there are at least theoretical concerns that other relatively new diabetesdrugs may affect cancer risk. Unfortunately, the panel found too little data to form an opinion on this question.

Because there is no definitive link between diabetes treatment and cancer, the panel strongly advises people with diabetes — except those at extremely high risk of cancer — not to make treatment decisions based on fear of cancer.

“Clearly those being treated for diabetes need to be talking with their doctors about the importance of regular cancer screenings as recommended by the American Cancer Society,” Gapstur says.

The consensus panel’s report appears in the July/August issue of the ACS journalCA: A Cancer Journal for Clinicians.

Carbohydrates and Heart Disease

Clinically, I’ve seen consistent improvements in heart disease markers when implementing a low glycemic diet. The glycemic index is an indicator of how high the carbohydrate portion of a food causes blood sugar to rise-this is especially important for diabetic patients, but is also useful when trying to limit the effect of carbohydrates on the body. A new study published in the Archives of Internal Medicine found that eating lots of high-glycemic-index foods puts women at higher risk of developing heart disease. Some highlights from the study are as follows:

 
• Women with the highest carbohydrate intake were twice as likely to develop heart disease as women with the lowest intake.

• Only high-glycemic-index carbohydrates were associated with heart disease risk; low-glycemic-index carbohydrates were not.

• Having a high dietary glycemic load more than doubled the risk of heart disease in women.

• No relationship between heart disease and carbohydrate intake, high-glycemic index food consumption, or dietary glycemic load was seen in men.

 
The bottom line is that all carbohydrates aren’t created equal-paying close attention to the glycemic-index of foods, along with incorporating foods that help to keep the glycemic load down (nuts, beans, lentils, seeds), is a proven method of lowering your heart disease risk.

Local Food

Here is a great article discussing the local food movement, and why the realities are proving to be a challenge, despite the desire for schools and other institutions to make the shift: http://www.npr.org/templates/story/story.php?storyId=125905759&sc=17&f=1001

For local food resources in the New Haven/Shoreline region, visit www.ctnofa.org and www.cityseed.org.

Pollution Is In The Air

Not that we really needed a study to prove it, but here is an interesting summary of a study from the American Lung Association highlighting the severity of pollution in the US:

http://www.npr.org/templates/story/story.php?storyId=126366926&sc=17&f=1001

What You Should Know About Vitamin D

Vitamin D seems to be a popular topic in the news lately, and many of my patients often have questions about the use of this vitamin. Following is a brief summary of how you can optimize your own vitamin D levels.

Multiple factors influence vitamin D levels

Vitamin D is produced in the body via sunlight. It is also obtained from foods such as oily fish (salmon, mackerel, sardines), fortified milk, cereals, and from supplements. Low vitamin D levels may be caused by a lack of sun exposure, lack of dietary vitamin D, malabsorption, side effects from medications or supplements, chronic diseases such as kidney or liver disease, and other causes. In addition, seniors, infants and toddlers, dark-skinned people, and pregnant or breastfeeding women may be particularly at risk for low vitamin D levels. Now, we are discovering there are other factors that may affect vitamin D levels.

The new study explored the importance of skin pigmentation, total cholesterol, and baseline blood levels of vitamin D (measured as 25- hydroxy vitamin D) on vitamin D production after ultraviolet B (UVB) exposure. Participants in this study had four UVB exposures several days apart to the chest and back, and each exposure was equivalent to about 30 minutes of sun exposure in the middle of a clear summer day in Denmark. Results showed:

• Of the 182 participants screened for baseline vitamin D, 67% were considered vitamin D insufficient and 18% were vitamin D deficient

• Baseline levels of vitamin D were higher in people who ate fish at least once a week

• Among a group of 50 participants, researchers found significantly higher vitamin D production after UVB exposure in participants with a low baseline vitamin D level compared with those with a higher baseline level

• Fair-skinned and dark-skinned people had similar increases in vitamin D levels after UVB exposure

• There is an association between total cholesterol and vitamin D production, and a low cholesterol level might hinder vitamin D production

Checking vitamin D levels

Here are some tips regarding vitamin D levels:

Talk with a doctor. A healthcare professional can help you decide whether or not it is important to check your vitamin D level. People who live in areas with little sunlight or who are at risk or suffering from chronic diseases such as cardiovascular disease or cancer may especially want to discuss the topic of vitamin D with a doctor.

Be careful with sun exposure. Many physicians recommend brief amounts of time (less than 15 minutes a day) of sun exposure for general health, but studies have shown that sun exposure may not be enough to raise vitamin D levels that are low. Further, excess sun can increase the risk of skin cancer, and the authors of this study do not recommend UVB treatment for low vitamin D levels for that reason. Instead they recommend treating low vitamin D levels with vitamin D supplements. Talk with your doctor about treatment strategies for low vitamin D levels.

(J Invest Dermatol 2010;130: 546-53)

PMS and Vitex

Clinically, I’ve seen such great results with this herb, so it’s nice to see further confirmation that it’s truly effective!

Vitex and PMS in Chinese Women

Chinese women suffering from moderate to severe premenstrual syndrome (PMS) were studied in a prospective, double-blind, placebo controlled, parallel-group, multi-center clinical trial. A Vitex agnus castus extract, VAC BNO 1095, contained 4.0 mg of dried ethanolic (70%) extract of VAC, corresponding to 40 mg of the herbal drug and was given once daily throughout the three cycles during the treatment phase. Two hundred and seventeen women were randomly assigned to the treatment group or the placebo group.

The mean total Premenstrual Syndrome Diary (PMSD) score decreased from 29.23 at baseline to 6.41 at the end of the third cycle for the Vitex group and from 28.14 at baseline to 12.64 at the end of the third cycle for the placebo group. The difference in the PMSD score from baseline to the third cycle was significantly lower in the treatment group than in the placebo group. The Premenstrual Tension Syndrome Self-Rating Scale (PMTS) decreased from 26.17 at baseline to 9.92 for the treatment group and from 27.10 to 14.59 for the placebo group; similar positive results to the PMSD scores.

Comments: Vitex extracts have so far been the best investigated botanical therapies for PMS and several placebo controlled clinical trials have been done that confirms its efficacy. The current study adds to the clinical relevance of this plant in the treatment of moderate to severe symptoms of PMS. In addition, no significant adverse events were reported.

He Z, Chen R, Zhou Y, et al. Treatment for premenstrual syndrome with Vitex agnus castus: A prospective, randomized, multi-center placebo controlled study in China. Maturitas 2009; 63:99-103. 

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