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The last post was about several reviews of vitamin D studies, and how when people are put randomly into different groups and then followed for a while - that the studies generally are not finding the same wonderful effects of higher levels of vitamin D in the blood that observational studies are finding - instead finding no effect or mixed results. Some issues with observational studies: the groups are self-selected, some are a one time snapshot of a person (thus one can't tell what happens over time); and can't prove cause and effect (can only say there is an association or link). [See all posts about vitamin D.]

But anyway, today's post is about some more vitamin D studies, all published in 2018. All of them find health benefits from higher blood levels of vitamin D. What is an ideal level of vitamin D varies from study to study, and some are observational - thus can only say "find an association with" in the findings. The fifth study finds beneficial effects from higher doses of vitamin D, and the participants were randomly assigned to the groups (good!). Click on links to read details. All excerpts are from Science Daily:

Vitamin D deficiency linked to greater risk of diabetes

An epidemiological study conducted by researchers at University of California San Diego School of Medicine and Seoul National University suggests that persons deficient in vitamin D may be at much greater risk of developing diabetes. The findings are reported in the April 19, 2018 online issue of PLOS One ...continue reading "Five Studies Looking at Vitamin D and Health"

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The controversy over whether people should be supplementing with vitamin D or not, and whether there are health benefits or harms from vitamin D supplementation is heating up. While observational studies have found health benefits with higher vitamin D blood levels, the beneficial results have generally not held up (or mixed findings) when people were randomly assigned to groups (randomized clinical trials). Most agree that blood levels of under 20 ng per mL is too low, but an issue is what is a desirable blood level? Should healthy people routinely supplement?

Having higher blood levels of vitamin D from sunshine appears to be good (it's the sunshine vitamin, after all). It's the taking of a vitamin D supplement that is now controversial and being debated. By the way, if one decides to take a vitamin D supplement, then the D3 form is desirable (rather than D2).

It was pointed out that a number of negative health effects can occur in those taking more than 4000 IU daily of vitamin D. For example, it may cause toxic effects such as renal impairment, hypercalcemia, or vascular calcification. In  2014, 3% of all U.S. adults and 6.6% of adults older than 60 years reported taking a vitamin D supplement of 4,000 or more IU per day. [See all vitamin D posts - most discuss observational studies finding benefits.]

The following are articles from Medscape (the medical site) and American Family Physician discussing recent research that is not finding health benefits with vitamin D supplementation, or mixed findings (e.g. one review found it may be protective in lowering death from any reason or from cancer; also reduce the number of upper respiratory infections)Therefore, some medical groups suggest that vitamin D screening is an unnecessary test, a waste of money,  and shouldn't be routinely done in healthy individuals. Note that many, many trials are going on right now to try to settle the vitamin D supplement issue (whether there are health benefits or not). ...continue reading "Mixed Findings In Vitamin D Supplement Studies"

Does the type of iron in supplements and additives matter for your health? OK, this was a preliminary study and done in a lab using human cells, which means much more research needs to be done, but... It may be that different forms of iron in supplements and additives have slightly different effects in the human body, specifically the intestines. Ferrous sulphate so far looks good (had no effect on the cancer cells studied), while 2 other forms of iron - ferric citrate and ferric EDTA - may actually promote the formation of colon cancer. That is, they may be considered carcinogenic.

Ferric EDTA and ferric citrate have been observed to promote colon cancer in studies using mice. Bottom line: When buying supplements and foods, check labels to make sure the iron is in the form of ferrous sulphate, and not ferric citrate or ferric EDTA. From Science Daily:

Certain iron supplements may influence the development of colon cancer ...continue reading "Perhaps The Type Of Iron Supplement Matters"

New research published in The Lancet estimates that lead exposure results in about 400,000 deaths every year in the USA - which includes about 250,000 deaths from cardiovascular disease. The study looked at "historical exposure" to lead, which means they looked at a person's lead exposure years ago (which could have been from many sources, such as breathing lead contaminated dust, drinking water from leaded pipes, from lead paint, leaded gas, or eating from cans that have been soldered with lead). What was noteworthy in this study following over 14,000 adults was that there were increased death rates even from low lead blood levels (concentrations of lead in blood lower than 5 μg/dL).

Lead exposure has been declining since the 1970s after lead was eliminated (banned) from paint and gasoline, but this study looked at adults born in the years when lead exposure was higher during childhood and adulthood. Baseline data (blood lead levels) was collected between 1988 and 1994 and then individuals were followed for the next 2 decades. The researchers found that there was a dose response curve - the higher the blood lead level, the higher the death rate from any cause (all-cause mortality), from cardiovascular disease, and from ischaemic heart disease in the next two decades.

Lead is a naturally occurring heavy metal, but it's also a poisonous substance for humans, and accumulates in teeth and bones. Lead can pass through the blood-brain barrier in children and fetuses and kill brain cells (and cause neurological damage). Lead can enter blood vessels and harm the endothelial cells that line the blood vessels. This process hardens arteries and causes plaque to form in blood vessels, increasing blood pressure, and the risk of heart disease and stroke. Lead can damage the kidneys, which play an important role in regulating blood pressure, and so increase a person’s risk of heart disease and stroke.

The Centers for Disease Control and Prevention (CDC) have stated that there are no safe blood levels of lead for children (zero is best), and the researchers of this study believe the same is true for adults. From Science Daily:

Historical lead exposure may be linked to 256,000 premature deaths from cardiovascular disease in adults in United States each year

New estimates suggest that 256,000 premature deaths from cardiovascular disease -- including 185,000 deaths from ischemic heart disease -- in the USA may be linked to historical lead exposure in middle-aged and older adults (people currently aged 44 years or over), according to an observational study following 14,300 people for almost 20 years, published in The Lancet Public Health journal.  ...continue reading "Even Low Level Lead Exposure Is Linked to Later Health Problems"

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Of course! The results of this study made perfect sense to me - that losing your wealth or savings in late middle-age is such a mental shock ("negative wealth shock") that it increases the risk of death for any reason ("all cause mortality") tremendously over the next 20 years. About 50% increased risk of death. For example, if you have to live off your savings after you get laid off or can't work due to illness, and perhaps even lose your house to foreclosure, is STRESSFUL beyond belief. Almost incomprehensible to anyone who has not personally gone through it.

On top of that, a person may then not be able to afford to go to the doctor, even if there is a problem, once they're financially stressed. And of course they may never financially recover because the "negative wealth shock" happened at an older age (the people were 51 to 61 at the start of the study).

Other research conducted at time of the Great Recession showed significant associations between negative wealth shocks and short-term health changes - including increased risk of depression, anxiety, suicide, impaired cardiovascular function, and substance abuse. And now we know that long-term there is an increased risk of death. From Science Daily:

Losing your nest egg can kill you

A sudden loss of net worth in middle or older age is associated with a significantly higher risk of death, reports a new Northwestern Medicine and University of Michigan studyWhen people lose 75 percent or more of their total wealth during a two-year period, they are 50 percent more likely to die in the next 20 years, the study found.  ...continue reading "Losing Your Wealth In Late Middle-Age and Increased Risk of Death"

The last post dealt with the link between highly processed food and increased risk of cancer. Now an interesting article written by Dr. Lisa Mosconi (Associate Director of the Alzheimer’s Prevention Clinic at Weill Cornell Medical College/New York -Presbyterian Hospital) refers to that study when discussing research about lifestyles (and especially diet) and later Alzheimer's disease.

It'll be interesting to see how this research plays out - is her approach stressing diet (and avoiding ultra-processed food and trans fats) and lifestyle correct or not? Much of what she says definitely makes sense and is supported by research, such as the negative health effects of chronic inflammation, and how eating actual, real foods has beneficial health effects. On the other hand, vitamin, mineral, and fish oil supplements generally don't show those health benefits (as she discusses here).

Currently there are a number of theories about causes of Alzheimer's disease (including the role of microbes), as well as a number of drug treatments that so far have gone nowhere. If Dr. Mosconi's research interests you, then read the interview she did in 2017. [In the interview she talks about the importance of exercise, intellectual stimulation, social networks, and the benefits of eating real foods rather than supplements. She recommends: drink water, eat fish, eat vegetables and fruit, eat glucose rich foods, and don't eat highly processed and fast foods.]  From Quartz:

The road to Alzheimer’s disease is lined with processed foods

Dementia haunts the United States. There’s no one without a personal story about how dementia has touched someone they care for. But beyond personal stories, the broader narrative is staggering: By 2050, we are on track to have almost 15 million Alzheimer’s patients in the US alone. ... It’s an epidemic that’s already underway—but we don’t recognize it as such. The popular conception of Alzheimer’s is as an inevitable outcome of aging, bad genes, or both.  ...continue reading "Ultra-Processed Foods and Alzheimer’s?"

A recent study published in BMJ (British Medical Journal) found a link between high consumption of ultra-processed food and higher rates overall of cancer, but also a higher risk of breast cancer. Specifically, a 10% increase in the proportion of ultra-processed foods in the diet was associated with a greater than 10% increase of overall cancer and 11% increase of breast cancer during the 6+ years of the study.

Alarmingly (because of the health implications), several surveys (in Europe, the US, Canada, New Zealand, and Brazil) have suggested that ultra-processed food products are now between 25 to 50% of calories eaten every day.

Ultra-processed food is food that is highly processed. It is food that is mass produced and packaged, as well as foods that have manufactured substances in them - such as hydrogenated oils (also contains trans fats), protein isolates, additives, preservatives, artificial or natural flavors, colors, nitrites (in processed meat), titanium dioxide (nanoparticles), etc.

The food packaging can leach chemicals such as pthalates (endocrine disruptors). The list goes on and on and on. All of these things in ultra-processed foods may be involved in causing health problems, including cancer.

They are typically also poorer nutritionally and higher in salt than unprocessed or minimally processed foods. These ultra-processed foods that are so popular are all around us - in fast food, in mass produced desserts and breads, packaged snacks, soups, cold cuts, margarine, frozen or shelf stable ready to eat meals, instant foods, sodas and drinks, etc.

On the other hand, unprocessed or minimally processed foods are fresh, dried, ground, chilled, frozen, pasteurised, or fermented foods such as fruits, vegetables, legumes (beans), rice, pasta, eggs, meat, fish, or milk. There are also “processed culinary ingredients”  which are salt, vegetable oils, butter, sugar, and other substances extracted from foods and used in kitchens to transform unprocessed or minimally processed foods into "culinary preparations" (meals).

The study did NOT find any association with unprocessed, minimally processed, or processed culinary ingredients with cancer. Only with the ultra-processed food. Instead, the study found that higher consumption of “minimally/unprocessed foods” (and lower ultra-processed food) was associated with lower risks of overall cancer and breast cancer.

So an apple is unprocessed, and plain apple sauce made with just apples is minimally processed, while a packaged apple dessert with additives added is ultra-processed. Think of it as "transformed food". Also keep in mind that your beneficial gut microbes like unprocessed or minimally processed food - especially those high in fiber. You know - a diet rich in fruits, vegetables, whole grains, seeds, nuts, legumes (beans).  ...continue reading "Ultra-Processed Food and Risk of Cancer"

A number of recent studies and articles have discussed the effectiveness of diet in treating or preventing depression with the main conclusion that yes, it helps. Now an observational study (that will be presented in April) found that elderly people following the DASH diet most closely were 11% less likely to become depressed over time than those that did not.

Researchers studying 964 elderly participants over six and a half years found that those who followed the DASH diet, which emphasizes whole grains, fruits, and vegetables, had lower rates of depression, while those who ate a traditional Western diet were more prone to depression. The DASH (Dietary Approaches to Stop Hypertension) diet also emphasizes low sodium (salt) to lower blood pressure, as well as foods rich in nutrients (such as potassium, calcium, and magnesium) that are thought to lower blood pressure.

The study's lead author L. J. Cherian (at Rush Medical Center in Chicago) said that "we need to view food as medicine”. Yes. Eating more fruits and vegetables, whole grains, legumes, seeds, nuts have many health benefits (such as cardiovascular benefits, improving the gut microbes) -  a win-win. From Science Daily:

Diet shown to reduce stroke risk may also reduce risk of depression

People who eat vegetables, fruit and whole grains may have lower rates of depression over time, according to a preliminary study that will be presented at the American Academy of Neurology's 70th Annual Meeting in Los Angeles, April 21 to 27, 2018. The study found that people whose diets adhered more closely to the Dietary Approaches to Stop Hypertension (DASH) diet were less likely to develop depression than people who did not closely follow the diet. In addition to fruit and vegetables, the DASH diet recommends fat-free or low-fat dairy products and limits foods that are high in saturated fats and sugar. Studies have shown health benefits such as lowering high blood pressure and bad cholesterol (LDL), along with lowering body weight ...continue reading "DASH Diet Linked To Lower Rate of Depression"

A recent study of pregnant women found new health problems with the pesticide glyphosate, which is the active ingredient in the weedkiller Roundup (made by Monsanto).

The researchers found that women  with higher levels of glyphosate are more likely to have shorter pregnancies. Another major finding was that almost all the pregnant women (93%) in this study had detectable levels of glyphosate in their urine. I posted about this study earlier, but now it has been published in the journal Environmental Health.

All the pregnant women were living in central Indiana (in the cornbelt) in a mix of areas (suburban, urban, and rural), and whether they had well or public drinking water. In case you don't know, it is not good for a baby to be born early, and there can be lifelong health consequences - so every extra week (till full term) is good during pregnancy.

The researchers found higher levels of glyphosate in women living in rural areas (farm areas) and those drinking greater than 24 ounces a day of caffeinated beverages. The researchers thought that diet (food) and inhalation of contaminated dust were the major ways that the glyphosate got into the pregnant women.

Glyphosate is the most heavily used herbicide (a type of pesticide) in the world. Nearly 300 million pounds were applied in the U.S. in 2015, with much of the application in the Midwest. Scroll down to see a USGS map of glyphosate (Roundup) use in 2015 in the US. You can see that incredibly huge amounts of glyphosate are used in the midwest on farmland - greater than 88.6 pounds per square mile! (it's the dark brown areas on the map). Top crops it's used on are corn, soybeans, and canola, especially genetically modified Roundup Ready crops.

It is also used as a dessicant right before harvest ("preharvest") on many crops. This is why crops have glyphosate residues on them, and why so many streams and lakes are contaminated (due to agricultural runoff). About 90% of corn and soybean crops grown in the United States are Roundup Ready, and then these grains are used in most processed foods. Note: glyphosate (Roundup) can not be used on organic crops.

The herbicide has been linked to a number of health problems, including cancer, birth defects, endocrine disruption, and reproductive problems. (Posts on glyphosate.)  There are currently hundreds of lawsuits from farmers and others claiming that Roundup gave them cancer.

...continue reading "Popular Weedkiller Found In Pregnant Women"

The researchers of a recent study caution about the regular use of lavender and tea tree essential oils (e.g. in lotions or soaps) - that the oils may act as endocrine disruptors (chemicals that disrupt hormones and their actions in the body). Earlier research found a link between regular use of lavender essential oil and tea tree oil and abnormal breast growth in boys - called prepubertal gynecomastia. The condition went away after they stopped using the products.

Now researchers examined 8 common chemical components of lavender and tea tree oils for endocrine disrupting activity in lab tests - and yes, they found varying degrees of endocrine-disrupting activity in the chemicals. The researchers (from the National Institute of Environmental Health Sciences or NIEHS) warn that endocrine disrupting chemicals found in these 2 essential oils are also found in 65 other essential oils.

Note that essential oils are widely available, but they are not regulated by the FDA. Bottom line: No matter the age, avoid prolonged use of lavender and tea tree oil in personal care products, including "aromatherapy" -  especially important for children and pregnant women. The results were presented today at the 100th annual meeting of the Endocrine Society (ENDO) in Chicago. From Science Daily:

Chemicals in lavender and tea tree oil appear to be hormone disruptors

A new study lends further evidence to a suspected link between abnormal breast growth in young boys -- called prepubertal gynecomastia -- and regular exposure to lavender or tea tree oil, by finding that key chemicals in these common plant-derived oils act as endocrine-disrupting chemicalsLavender and tea tree oil are among the so-called essential oils that have become popular in the United States as alternatives for medical treatment, personal hygiene and cleaning products, and aromatherapy. Various consumer products contain lavender and tea tree oil, including some soaps, lotions, shampoos, hair-styling products, cologne and laundry detergents.   ...continue reading "Are Some Essential Oils Endocrine Disruptors?"