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December 2008


December 2008

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December 2008



VitaminC lowers heart disease risk factor

A new study led by researchers at the University of California,Berkeley, addsto the evidence that vitamin C supplements can lower concentrations of C-reactiveprotein (CRP), a bio-marker of inflammation that is a powerful predictor ofheart disease and diabetes. This study comes just days after a larger,eight-year trial from USresearchers in Bostonfailed to show that vitamins C or E cut the risk of heart attacks or strokes.

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For some, the effect of taking vitamin C is comparable to taking statin drugs.

But Universityof California scientist and author ofthe newer study, Gladys Block, questions the validity of the Boston study that showed no benefit. Shepoints out that those researchers did not screen study participants forelevations in CRP - defined by the American Heart Association as 1 milligramper liter or greater - which is an important distinction in determining whomight benefit from taking vitaminC.

Vitamin C and CRP

Block’s own studyshows that for healthy, non-smoking adults with an elevated level of CRP, adaily dose of vitamin C lowered levels of the inflammation bio-marker after twomonths compared with those who took a placebo. However, participants who didnot start out with elevated CRP levels saw no benefit from vitamin Csupplementation.

"This is an important distinction; treatment withvitamin C is ineffective in persons whose levels of CRP are less than 1milligram per liter, but very effective for those with higher levels,"said Block. "Grouping people with elevated CRP levels with those who havelower levels [as in the Boston study] can mask the effects of vitamin C. Commonsense suggests, and our study confirms, that biomarkers are only likely to bereduced if they are not already low."

Benefit similar to drug

The researchers said that for people with elevated CRPlevels, the amount of CRP reduction achieved by taking vitamin C supplements inthis study is comparable to that in many other studies of cholesterol-loweringdrugs called statins.

"This finding of an effect of vitamin C is importantbecause it shows in a carefully conducted randomized, controlled trial that forpeople with moderately elevated levels of inflammation, vitamin C may be ableto reduce CRP as much as statins have done in otherstudies," said Block.

In the UC Berkeley study on vitaminC, participants who started out with CRP levelsgreater than 2 milligrams per liter had 34 percent lower levels of CRP withvitamin C compared with a placebo.

"Major studies have found that the level of CRP inthe body predicts future risk of cardiovascular disease, including myocardialinfarction, stroke and peripheral artery disease, as well as diabetes,"said Block. "Some believe CRP to be as important a predictor of futureheart problems as high levels of LDL and low levels of HDL cholesterol."

Source: Universityof California, Berkeley, Nov 12, 2008


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Ginkgo improves dementia symptoms

Two recent studies support earlier research on the use ofginkgo forimproving cognitive function, particularly in older people with dementia and Alzheimer’s disease.

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Seniors with dementia scored better on memory tests and had other improvements.

In the first, researchers from Ukraine enlisted 400 patients withdementia in a randomized, double-blind, placebo-controlled, 22-week study. Theyfound that treatment with a gingko biloba extract(240 mg per day) to be associated with improvements in scores for a simple andshort test for assessing cognitive impairment of memory and attention (SKTtest) and neuropsychiatric symptoms. In addition, caregiver distress scoreswere reduced significantly among caregivers of patients in the ginkgo group, ascompared to a worsening found among caregivers of patients on the placebo. Theresearchers reported significant differences between the ginkgo and placebogroups in terms of apathy/indifference, anxiety, irritability/lability, depression/dysphoria,and sleep/nighttime behavior. They say the results suggest that supplementingwith an extract of gingko biloba may benefit patientswith dementia.

In a second study by German researchers, 404 patientswith mild to moderate dementia (333 with Alzheimer's disease and 71 withvascular dementia) supplemented with the same type and dose of gingko biloba extract for a period of 6 months. Similarly, theherb was found to improve cognitive functioning, non-cognitive symptoms, andfunctional abilities. Patients treated with the gingko had improvements on theSKT cognitive test battery as compared to deterioration or no change inpatients on placebo. Scores on the Neuropsychiatric Inventory (NPI) alsoimproved in patients taking the supplement, compared to either a slightdeterioration or only slight improvement in placebo patients. The researcherssay that supplementation with gingko may be of benefit to patients with mild tomoderate dementia due to either vascular dementia or Alzheimer's disease.

Source: Wien Med Wochenschr,2007;157(13-14):295-300; Alzheimer's and Dementia, July2008


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Vitamin D over winter protects the heart

The temperature might not be the only thing plummetingthis winter. Many people also will experience a decrease in their vitamin Dlevels, which can play a role in heart disease, according to a new reviewarticle.

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Low vitamin D may be a factor in heart disease, says researcher.

Vitamin D deficiency results in part from reducedexposure to sunlight, which is common during cold weather months when days areshorter and more time is spent indoors. "Chronic vitamin D deficiency maybe a culprit in heart disease, high blood pressure and metabolicsyndrome," says Sue Penckofer, PhD, RN, studyauthor and professor at Loyola University, Chicago.

Penckofer uncovered anumber of studies that linked vitamin D deficiency to heart disease. Thesestudies found rates of severe disease or death may be 30 to 50% higher amongsun-deprived individuals with heart disease. Penckoferand colleagues concluded that diet alone is not sufficient to manage vitamin Dlevels. Treatment options to correct this level, such as vitamin D supplements,may decrease the risk of severe disease or death from cardiovascular disorders.

"Most physicians do not routinely test for vitamin Ddeficiency," said Penckofer. "However, mostexperts would agree that adults at risk for heart disease and others whoexperience fatigue joint pain or depression should have their vitamin Dlevels measured."

Source: Loyola UniversityHealth System, Nov 17, 2008


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Can green tea prevent diabetes?

American researchers from the Medical College of Georgiawere startled to find that a compound found in green tea could slow or evenprevent the development of type 1 diabetes in mice.

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Daily green tea consumption may cut disease levels by up to one-third.

Dr. Stephen D. Hsu and colleagues tested the effects ofgreen tea's main antioxidant known as EGCG in lab mice with type 1 (insulin-dependent) diabetes and Sjogren'ssyndrome, which damages moisture-producing glands causing dry mouth and eyes.The researchers fed the mice either plain water or water with 0.2% EGCG. Theyfound that the green tea compound reduced the severity and delayed the onset ofsalivary gland damage associated with Sjogren'ssyndrome, and also dramatically slowed the development of type 1 diabetes inthe rodents. At 16 weeks, 25% of mice given EGCG had developed diabetes,compared to 67% of those given just water.

"Our study focused on Sjogren'ssyndrome, so learning that EGCG also can prevent and delay insulin-dependenttype 1 diabetes was a big surprise," Hsu said.

The study bolsters earlier research showing EGCG can helpprevent autoimmune disease, the researchers conclude.

In a 2006 study, researchers looked at 17,413 men andwomen in 25 communities across Japan,who were between 40 and 65 years old. About half ofthem had diabetes. Participants completed one questionnaire about their health,lifestyle habits, and how much coffee and tea they drank at the outset, andagain at the end of the 5-year follow-up period.

Researchers found that the more green tea and coffeeparticipants drank, the less likely they were to get diabetes. People who dranksix cups or more of greentea or three or more cups of coffee each day wereabout one-third less likely to get diabetes. The link was stronger in womenthan in men.

Sources: Life Sciences, Oct 24, 2008;Ann Intern Med, 144:554-562, 2006


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Peppermint oil, fibre aid IBS

IBS (irritable bowel syndrome) affects up to 20% of allCanadians - predominantly women - and is characterized by abdominal pain and discomfortalong with changes in bowel function, diarrhea, constipation or both.

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Researchers found peppermint oil significantly helpful in 40% of cases.

While some IBS drugs have been pulled from the marketover safety concerns or lack of effectiveness, Canadian researchers now reportthat older treatments, including peppermint oiland soluble fibre. Dr. Alexander Ford of McMaster University in Hamilton and colleaguesreviewed studies comparing the therapies with placebo or no treatment in morethan 2,500 adult patients with the disorder.

"This systematic review and meta-analysis has shownthat fibre, antispasmodics and peppermint oil are allmore effective than placebo in the treatment of irritable bowel syndrome,"the study's authors wrote.

Peppermint oil seemed to be the most promising based onthe number needed to treat. Based on the combined data, the researchersestimated that one in 2.5 patients would get significant relief of symptoms iftreated with peppermint oil, compared to one in five patients takingantispasmodics and one in 11 patients taking fibre.

The beneficial effect of fibreseemed to be limited to soluble forms of fibre(such as psyllium and acacia, or found in foods suchas beans, peas, apples and carrots) rather than insoluble forms such as wheatbran, the researchers said.

Peppermint oil is typically soldin capsules, and the study participants took about 200 mg two or three times aday.

Source: CBC News, Nov 14, 2008


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Vital veggie for smokers?

The cancer preventive properties of broccoli and othercruciferous vegetables appear to work specifically in smokers, according toresearch from the Roswell Park Cancer Institute. Cruciferous vegetables havebeen shown to be protective in numerous studies, but this is the firstcomprehensive study that showed a protective benefit in smokers, specificallyin former smokers, according to lead author Li Tang, PhD.

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"Broccoli is not a therapeutic drug, but for smokerswho believe they cannot quit nor do anything about their risk, this issomething positive," Tang said. "People who quit smoking willdefinitely benefit more from intake of cruciferous vegetables."

Li and colleagues conducted a hospital-based,case-controlled study with lung cancer cases and controls matched on smokingstatus. The study included all commonly consumed cruciferous vegetables, andalso considered raw versus cooked form. Researchers performed statisticalcalculations to take into account smoking status, duration and intensity.

Among smokers, the protective effect of cruciferousvegetable intake ranged from a 20% reduction in risk to a 55% reduction in riskdepending on the type of vegetable consumed and the duration and intensity ofsmoking. For example, among current smokers, only the consumption of rawcruciferous vegetables was associated with risk reduction of lung cancer. Nosignificant results were found for consumption of vegetables in general andfruits.

Researchers further divided their findings by foursubtypes of lung cancer and found the strongest risk reduction among patientswith squamous or small-cell carcinoma. These twosubtypes are more strongly associated with heavy smoking.

"These findings are not strong enough to make apublic health recommendation yet," said Li. "However, strongbiological evidence supports this observation. These findings, along withothers, indicate cruciferous vegetables may play a more important role incancer prevention among people exposed to cigarette-smoking."

In another study this year, US scientists found that a compound in broccoli called sulforaphaneincreases the activity of a gene in human lung cells which protects cells fromdamage caused by toxins. Sulforaphane, which is evenmore concentrated in young broccoli sprouts, has been shown in a number ofstudies to have anticancer properties.

Source: American Association for CancerResearch, Nov 18, 2008; BBC News, Sept 12, 2008