Carvings October 1, 2024

In the News

The flu season begins today

          Today marks the official start of the influenza season and this post is a reminder that it should be a top priority for everyone, especially those of us who are old enough to be on Medicare.

From a prior post: The influenza vaccines that have been developed over the last half-century are far from perfect, but to quote an old saw: “The perfect is the enemy of the good.” Some vaccines have low efficiency, perhaps about 25 percent, but some are much better and it will take a few months before we know how effective the latest version is. As I have noted numerous times over the past several decades, the flu vaccine might not keep you from getting that disease but the evidence has been consistent that it will keep you out of the hospital, and from dying. Remember that influenza weakens the immune system, which is why nearly all influenza-related deaths are not due to the virus itself but to secondary bacterial invaders, many of which are now resistant to almost all antibiotics. The problem of antibiotic-resistant bacteria continues to worsen and many of these are circulating in hospitals.

           Another benefit: a nine-year study involving more than four million adults showed that the influenza vaccine reduced the incidence of all forms of stroke by about 25 percent. Previous research indicated that there is a similar reduction in heart attacks in vaccinees. Conversely, there is a significantly greater risk of heart attack and stroke following natural influenza virus infection.

            As of this week there is almost no influenza activity in the U.S., but you should plan on getting the vaccine no later than the end of October. It remains effective for about six months, which will take you through the end of the flu season in the Spring.

Lifestyle

Vitamin C deficiency versus inadequacy

            If your car runs out of gas (deficiency) it stops. If you fill the tank with poor quality gas it will sputter and barely make it up a steep grade (inadequacy). A publication in the journal Nutrients revealed that the same concept applies to vitamin C.

            Scurvy is a debilitating and often fatal disease caused by an absolute deficiency of vitamin C and was the scourge of seafarers until a British naval physician convinced the admiralty to provision its ships with fruit, especially citrus (hence “limeys”, a term describing British sailors). The Nutrients article notes that persons with inadequate levels of vitamin C are 2.3 times more likely to suffer from coronary artery disease than those with normal levels.

            During the recent pandemic it was noted that severe, sometimes fatal infections were associated with “vitamin C deficiency”. (Note: even researchers misuse the term “deficiency” when they really mean “inadequacy”, as embarrassingly noted in the article.)

            Vitamin C is a critical nutrient that helps to control inflammation, which is a driver not only of heart disease, but also of cancer, stroke and osteoporosis, among other maladies. Further, it is necessary for the proper maintenance of connective tissue, the element that literally holds our cells and tissues together. When it fails the result is bleeding in the gums and other tissues, tooth loss, neurologic disorders, weakness and death – the hallmarks of scurvy.

            It’s well-known that organized medicine, with a few exceptions, claims that vitamin supplementation is foolish. Yet a report from the University of Colorado points to the occurrence of frank scurvy among children, most of whom have poor eating habits. Those researchers also observe that the nutrient value of today’s mega-farmed plant foods is considerably lower in vitamins, minerals and protein than those grown 75 years ago.

The lesson: vitamin deficiencies are not common but vitamin inadequacies are. Even the American Medical Association, in a pair of landmark publications in 2002, (Journal of the American Medical Association June 19, 2002, Vol. 287, No. 23, P. 3127) urged that everyone should take a multivitamin/multimineral every day, a position completely opposite that of earlier recommendations and sadly still espoused by some physicians today.

Carvings July 15, 2024

In the news

Increasing rates of colon cancer in young persons

          In less than a generation – from the year 2000 to 2023 – the incidence of colon cancer in persons below the age of 40 has doubled or tripled in some parts of the world. Colon cancer is one of the most common forms of cancer, not far behind number one, lung cancer. Three main causes of this increase have been emerging in the past few years: increased sugar consumption, low intake of fiber, and taurine, an ingredient in energy drinks. All three are associated with disruption of the good germs that inhabit the large intestine, the site of colon cancer.

            A diet that is high in sugar and low in fiber tends to promote the growth of organisms that are linked to increased inflammation, a factor that increases the formation of cancer cells, and in addition increases the risk of heart disease, stroke, diabetes and osteoporosis. Younger persons have a high intake of energy drinks that contain taurine, an ingredient that further promotes the growth of bacteria that promote inflammation. Young persons also have an abysmally low intake of fiber. Instead of the recommended 10 servings a day of fiber-rich plant foods, the average teenager gets less than ONE serving a day, most likely to be iceberg lettuce, a nearly worthless “vegetable.”

            About half of the adolescent population consumes one or more energy drinks every day. This does not bode well for the health of our population by mid-century.

Lifestyle

Are you a food label reader? Two reasons why you should be.

            Some food manufacturers deliberately mislead buyers and they have government’s permission to do so. Perhaps the most egregious example is the deceptive listing of “sugar” to make it look like there’s not as much of it in that product as you might think.

            Food manufacturers are required to list ingredients in order of weight and if they listed the amount of sugar in many foods you might put them back on the shelf. So if they are allowed to list every different type of sugar in pastry, for example, each ingredient would be farther down the list and thus appear to be less detrimental to your health. For example, the nutrient label on a popular supermarket’s almond bear claw coffee cake contains the following TEN different kinds of sugar, each listed separately: sugar, almond paste (which contains sugar), corn syrup, fructose, dextrose (also known as glucose), sucrose, invert sugar (a mixture of glucose and fructose), cornstarch (which breaks down into sugar), maltodextrin and high-fructose corn syrup. Some manufacturers even list glucose and dextrose as separate entities, even though they are one and the same. Except for the relatively small amounts of fructose and glucose found in fruit, none of the other forms were part of the human diet until a couple of hundred years ago. Today the average American takes in approximately one pound of sugar a week – 57 pounds a year. Is it any wonder that more than 80 percent of Americans are either overweight or obese?

            When you pick up a loaf of bread you might think that anything with a brown color is more healthy than white bread. Not necessarily, unless whole wheat or whole grain flour is the only ingredient. The term enriched flour means white flour and some breads have both, suggesting a healthy choice, and there might be much more white flour than brown. On the other hand, the brown color might be due to the addition of molasses, caramel, coffee or cocoa.

            Learn to read labels. It’s not rocket science!

Carvings June 1, 2024

In the news

More confusing research

          The last thirty years or so have seen a surge in publications touting the benefits of omega-3 fats in preventing heart disease and stroke. There have been a few studies that claim no benefit, but almost none have stated that these nutrients can be detrimental to heart health. A recent study from the UK reported that persons with poor heart health did receive benefits from omega-3s but previously healthy persons had a small (6 percent) risk of developing atrial fibrillation, a heart attack, heart failure or stroke.

          Even though this was a large study involving more than 400,000 people, it was observational and did not show direct causation. The authors noted that a limitation of the study was the lack of information regarding the dose and type of fish oil consumed. Takers of fish oil were significantly more likely to be elderly, which could be a factor in more of them developing atrial fibrillation.

          Although healthy persons taking fish oil supplements were more likely to develop heart disease, they were less likely to die than non-takers. The authors’ discussion did not take into consideration other benefits of omega-3 fats, including the lowering of inflammation, reduction in blood pressure, improvement in immune function and a lower risk of sudden cardiac arrest. A circuitous benefit of omega-3 fats is their role in preventing osteoporosis. A fall in an elderly person that results in a fracture leads indirectly to death, especially when that fracture involves the hip or the skull, for very different reasons.

          In an associated commentary, a nutritionist stated that she still recommends an intake of 500 milligrams of omega-3 fats per day, from fish, fish oil or a combination of the two.

And so we come to sardines!

          Sardines are one of the most beneficial foods on the planet, but I can already hear you say “Ugh! Not for me!” From my lecture experience I am well aware that Americans are about evenly split between sardine lovers and sardine haters. An Internet search will come up with nearly 100 recipes for sardine dishes, although I will admit that “sardine pie” did not excite me.

          Because sardines are so low on the food chain there is virtually no risk of mercury contamination that is a challenge in large fish such as tuna. A single four-ounce serving provides more than the recommended amount of omega-3s mentioned above, a fourth of your calcium requirements and as much iron as a hamburger. Canned sardines are convenient, can be stored almost forever and are a whole lot cheaper than beef or larger fish.