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The science world has recently been abuzz with the results finding that an isolated American Indian group (the Yanomami) in the Venezuelan  Amazon have the most diverse microbiome (microbial community) ever discovered in humans.About double those found in humans living in the U.S. The scientists suggest that our Western lifestyle with processed foods, antibiotic use, sanitation, use of antibacterials, Cesarean sections, bottle-feeding (instead of breastfeeding) all have reduced microbial diversity in humans living in developed countries such as the United States. It is currently thought that reduced diversity is linked to some chronic diseases and even some cancers.From Nature:

Bacteria bonanza found in remote Amazon village

An isolated American Indian group in the Venezuelan Amazon hosts the most-diverse constellation of microbes ever discovered in humans, researchers reported on 17 April in Science Advances1.Surprisingly, the group's microbiome includes bacteria with genes that confer antibiotic resistance — even though its members, part of the Yanomami tribe, are not thought to have been exposed to the drugs.

But scientists still do not understand all the factors that determine the make-up of a person's microbiome. “We do know that food, environment and chemicals play the big roles,” says Sarkis Mazmanian, a microbiologist at the California Institute of Technology in Pasadena. The wide adoption of antibiotics, rigorous hygiene and processed diets is thought to have have cut down the genetic diversity of microbiomes in the developed world.

This makes the microbiomes of individual Yanomami particularly interesting, Dominguez-Bello says. The researchers took oral, faecal and skin samples from 34 people in a small Yanomami community that was unknown to the Western world until 2008, when it was spotted by helicopter....When researchers analysed the microbial DNA in those samples, they found that the average Yanomami's microbiota had twice as many genes as that of the average US person. More surprisingly, the Yanomami microbiome was even more diverse than those reported for other indigenous groups in South America and in Africa.

From New Scientist: Is super-diverse Amazon microbiome something to strive for?

The Yanomami people in the Venezuelan rainforest have the most diverse population of gut microbes ever seen, far more varied than Western guts. Does it matter?

Hunter-gathering in the rainforests and mountains of northern Brazil and southern Venezuela, the Yanomami eat a high-fibre diet based largely on cassava. For thousands of years, some groups have lived without contact with the rest of the world and are thought to be some of the few remaining communities never to have been exposed to antibiotics, which can wipe out the microbes in your gut.Sequencing the genes in the faecal samples revealed that the Yanomami carried nearly double the diversity of microbial species in their intestines compared with people living in the US. They also had about 30 to 40 per cent more diversity than a less isolated group of Venezuelan hunter-gatherers that has largely maintained its traditional lifestyle but has occasionally used antibiotics and eaten processed foods.

"Our results suggest that Westernisation leads to the reduction of diversity, to different microbiota compositions," Maria Dominguez-Bello of the New York University School of Medicine, who led the research, told a teleconference on Wednesday. Her colleague Jose Clemente of the Icahn School of Medicine at Mount Sinai in New York, said the results suggest that even minimal exposure to modern lifestyle practices such as using antibacterial soaps and cleansers, taking antibiotics and having Caesarean sections, which mean babies don't pass through their mother's birth canal and pick up her microbes, can result in a dramatic loss of microbial biodiversity.

So does a more diverse microbiome make for a healthier person? Possibly. Healthier people do seem to host a more diverse array of microbes but it's hard to know whether one causes the other. There is some evidence that losing certain microbial species is linked to some cancers, plus giving mice antibiotics can make them gain weight, so perhaps a good mix of microbes in your gut can keep you from piling on the pounds.

Walter doesn't recommend striving drastically to make the paltry Western gut look more Yanomamian. Poor sanitation is probably one factor contributing to the Papua New Guinean's high microbial diversity, but they have high levels of infectious diarrhoea as a result – not a situation that Western urbanised nations would want to return to.

Well worth reading in its entirety. In summary: Anyone who is physically capable of activity should try to reach at least 150 minutes of physical activity per week (walking is good) and have around 20 to 30 minutes of that be vigorous activity. This significantly lowers the risk of dying prematurely. (NOTE: the second study mentioned was in the April 8, 2015 post: Physical Activity That Makes You Sweat Is Good ) From the New York Times:

The Right Dose of Exercise for a Longer Life

Exercise has had a Goldilocks problem, with experts debating just how much exercise is too little, too much or just the right amount to improve health and longevity. Two new, impressively large-scale studies provide some clarity, suggesting that the ideal dose of exercise for a long life is a bit more than many of us currently believe we should get, but less than many of us might expect. The studies also found that prolonged or intense exercise is unlikely to be harmful and could add years to people’s lives.

The current broad guidelines from governmental and health organizations call for 150 minutes of moderate exercise per week to build and maintain health and fitness. But whether that amount of exercise represents the least amount that someone should do — the minimum recommended dose — or the ideal amount has not been certain.

In the broader of the two studies, researchers with the National Cancer Institute, Harvard University and other institutions gathered and pooled data about people’s exercise habits from six large, ongoing health surveys, winding up with information about more than 661,000 adults, most of them middle-agedUsing this data, the researchers stratified the adults by their weekly exercise time, from those who did not exercise at all to those who worked out for 10 times the current recommendations or more (meaning that the exercised moderately for 25 hours per week or more). Then they compared 14 years’ worth of death records for the group.

They found that, unsurprisingly, the people who did not exercise at all were at the highest risk of early death. But those who exercised a little, not meeting the recommendations but doing something, lowered their risk of premature death by 20 percent. Those who met the guidelines precisely, completing 150 minutes per week of moderate exercise, enjoyed greater longevity benefits and 31 percent less risk of dying during the 14-year period compared with those who never exercised.

The sweet spot for exercise benefits, however, came among those who tripled the recommended level of exercise, working out moderately, mostly by walking, for 450 minutes per week, or a little more than an hour per day. Those people were 39 percent less likely to die prematurely than people who never exercised. At that point, the benefits plateaued, the researchers found, but they never significantly declined. Those few individuals engaging in 10 times or more the recommended exercise dose gained about the same reduction in mortality risk as people who simply met the guidelines. They did not gain significantly more health bang for all of those additional hours spent sweating. But they also did not increase their risk of dying young.

The other new study of exercise and mortality reached a somewhat similar conclusion about intensity.  {NOTE: SEE APRIL 8, 2015 POST FOR DETAILS}

The following is a list of nutrients that some researchers (from the Institute of Food Technology) think of as especially beneficial to the brain. Other researchers may (or probably will) focus on other nutrients. I am posting it even though I generally dislike articles that talk about "superfoods" or an itemized list of foods that one should eat to the exclusion of others. Because, of course, focusing on some nutrients may leave out many just as important nutrients.

Also, medical thinking changes over time and what was once considered "unhealthy" may later be considered a wonderful food (remember when eggs, nuts, and coconuts were almost considered evil?). And vice versa (remember when margarine with partially hydrogeneated oils and trans-fats was considered healthier than butter?) And study after study says it is better to eat the foods, rather than take supplements. So keep in mind that the following nutrients are found in whole foods and in a varied diet. And when they mention a specific food such as blueberries, remember that ALL berries have benefits (though they vary), so eat a variety of berries. Same with nuts - eat a variety and not just walnuts. From Science Daily:

Eight nutrients to protect the aging brain

Brain health is the second most important component in maintaining a healthy lifestyle according to a 2014 AARP study. As people age they can experience a range of cognitive issues from decreased critical thinking to dementia and Alzheimer's disease. In the March issue of Food Technology published by the Institute of Food Technologists (IFT), contributing editor Linda Milo Ohr writes about eight nutrients that may help keep your brain in good shape.

1. Cocoa Flavanols: Cocoa flavanols have been linked to improved circulation and heart health, and preliminary research shows a possible connection to memory improvement as well. A study showed cocoa flavanols may improve the function of a specific part of the brain called the dentate gyrus, which is associated with age-related memory (Brickman, 2014). {NOTE: good sources are cocoa and dark chocolate}

2. Omega-3 Fatty Acids: Omega-3 fatty acids have long been shown to contribute to good heart health are now playing a role in cognitive health as well....Foods rich in omega-3s include salmon, flaxseed oil, and chia seeds.

3. Phosphatidylserine and Phosphatidic Acid: Two pilot studies showed that a combination of phosphatidylserine and phosphatidic acid can help benefit memory, mood, and cognitive function in the elderly (Lonza, 2014). {NOTE: good sources are fish and meat}

4. Walnuts: A diet supplemented with walnuts may have a beneficial effect in reducing the risk, delaying the onset, or slowing the progression of Alzheimer's disease in mice (Muthaiyah, 2014).

5. Citicoline: Citicoline is a natural substance found in the body's cells and helps in the development of brain tissue, which helps regulate memory and cognitive function, enhances communication between neurons, and protects neural structures from free radical damage.... {NOTE: Citocoline is synthesized in the body from choline, so see foods high in choline}

6. Choline: Choline, which is associated with liver health and women's health, also helps with the communication systems for cells within the brain and the rest of the body. Choline may also support the brain during aging and help prevent changes in brain chemistry that result in cognitive decline and failure. A major source of choline in the diet are eggs. { NOTE: Good sources of choline are eggs, meat, fish, beans, and cruciferous vegetables.}

7. Magnesium: Magnesium supplements are often recommended for those who experienced serious concussions. Magnesium-rich foods include avocado, soy beans, bananas and dark chocolate.

8. Blueberries: Blueberries are known to have antioxidant and anti-inflammatory activity because they boast a high concentration of anthocyanins, a flavonoid that enhances the health-promoting quality of foods. Moderate blueberry consumption could offer neurocognitive benefits such as increased neural signaling in the brain centers.

This research found that the beneficial gut bacteria Lactobacillus rhamnosus GG (LGG) interacts and facilitates (modifies the activity) of other gut bacteria. This isn't surprising. All our microbiomes are communities or ecosystems of microbes. But the really important bacteria have been called keystone species by other researchers. From Medical Xpress:

New research sheds light on how popular probiotic benefits the gut

In recent years, research into the benefits of gut bacteria has exploded. Scientists across the globe are examining how these microbes can help improve health and prevent disease. One of the most well-known of these is Lactobacillus rhamnosus GG (LGG). This strain of bacteria, which is part of many popular probiotic products, has a reputation as a helpful microbe. Researchers have found evidence that it can help with intestinal problems, respiratory infections and some skin disorders. Some research suggests that it may even help with weight loss. But a key question has remained unanswered: How does LGG actually produce benefits?

Now, researchers at the University of Maryland School of Medicine (UM SOM) have come up with an explanation. It appears that LGG may act as a facilitator, modifying the activity of other gut bacteria....Claire M. Fraser, PhD, professor of medicine at the UM SOM, as well as director of the Institute for Genome Sciences, studied the effect of LGG on a group of elderly subjects.

She and her collaborator, Dr. Patricia Hibberd at Massachusetts General Hospital, tested 12 subjects, who ingested LGG twice a day for 28 days. She analyzed gut bacteria before and after this regimen, and found that ingesting LGG led to increases in several genes that foster several species of gut bacteria, including Bacteroides, Eubacterium, Faecalibacterium, Bifidobacterium and Streptococcus. These microbes have been shown to have a range of benefits in humans, including the promotion of a healthy immune system. (Fraser notes that LGG may also have direct effects, in addition to its ability to modify the overall ecosystem.)

"This is a new idea, that some probiotics may work by affecting the overall ecosystem of the gut," said Prof. Fraser. "Previously we tended to think that LGG and other probiotics worked directly on the host. I think this finding has many exciting implications." For one, Fraser says, it lends support to the idea that we need to look at the microbes in the gut as an interconnected ecosystem rather than a series of solitary bacteria. Modifying the behavior of microbes already in the gut may be just as important as adding any single species to this population.

Scientists warn about endocrine disruption from 4 common chemicals in an analysis just released. This is absolutely depressing because the 4 chemicals (benzene, toluene, ethylbenzene, xylene) are so pervasive in indoor air. Especially that at levels considered "safe" by the EPA there may be disruption of our hormones (endocrine systems).

Of course the 4 chemicals are already known to have health effects on the human body other than what is discussed in this study. For example, toluene has a number of central nervous system effects. The EPA says toluene , which is found in highest concentrations in indoor air from the use of common household products (paints, paint thinners, adhesives, synthetic fragrances, and nail polish). Outside - the biggest source of toluene is from automobile emissions.

Some ways to lower exposure to these 4 chemicals: Read product labels. When using a product that says to use with proper ventilation - open the windows and let the room ventilate!  Don't smoke. (For example: the EPA says tobacco smoke contains benzene and accounts for nearly half the national exposure to benzene) The study researchers themselves said the EPA should be paying more attention to these air contaminants. I read this at Scientific American, but the following excerpts are from EHN.

From EHN: Scientists warn of hormone impacts from benzene, xylene, other common solvents.

Four chemicals present both inside and outside homes might disrupt our endocrine systems at levels considered safe by the U.S. Environmental Protection Agency, according to an analysis released today. ...continue reading "More Problems With Four Common Chemicals"

A big question for many adults is: how can one age well and live to a ripe old age? The author of the book The Blue Zones has dedicated a lot of time to studying communities throughout the world where there are a lot of centanarians and they age well (healthy). What are their secrets to aging well? The answer seems to be: while the diets vary, overall they have a lot of plant based whole foods, they have a lot of physical activity, are committed to their families, take time to de-stress, and they have social networks with healthy behaviors. From NPR:

Eating To Break 100: Longevity Diet Tips From The Blue Zones

Want to live to be 100? It's tempting to think that with enough omega-3s, kale and blueberries, you could eat your way there. But one of the key takeaways from a new book on how to eat and live like "the world's healthiest people" is that longevity is not just about food.

The people who live in the Blue Zones — five regions in Europe, Latin America, Asia and the U.S. researchers have identified as having the highest concentrations of centenarians in the world — move their bodies a lot. They have social circles that reinforce healthy behaviors. They take time to de-stress. They're part of communities, often religious ones. And they're committed to their families.

But what they put in their mouths, how much and when is worth a close look, too. And that's why Dan Buettner, a National Geographic explorer and author who struck out on a quest in 2000 to find the lifestyle secrets to longevity, has written a follow up to his original book on the subject. The new book, called The Blue Zones Solution, is aimed at Americans, and is mostly about eating.

Why should we pay attention to what the people in the relatively isolated Blue Zone communities eat? Because, as Buettner writes, their more traditional diets harken back to an era before we Americans were inundated with greasy fast food and sugar. And to qualify as a Blue Zone, these communities also have to be largely free of afflictions like heart disease, obesity, cancer and diabetes. So clearly they're doing something right.

But in a nutshell,Buettner in 2004 rounded up a bunch of anthropologists, demographers, epidemiologists and other researchers to travel around the world to study communities with surprisingly high percentages of centenarians. He and the scientists interviewed hundreds of people who'd made it to age 100 about how they lived, then did a lot of number crunching to figure out what they had in common. A year after that book was published, the team announced they'd narrowed it down to five places that met all their criteria. They gave them official Blue Zone status: Ikaria, Greece; Okinawa, Japan; Ogliastra Region, Sardinia; Loma Linda, Calif.; and Nicoya Peninsula, Costa Rica

In the new book, which was released April 7, Buettner distills the researchers' findings on what all the Blue Zones share when it comes to their diet. Here's a taste: - Stop eating when your stomach is 80 percent full to avoid weight gain. Eat the smallest meal of the day in the late afternoon or evening. Eat mostly plants, especially beans. And eat meat rarely, in small portions of 3 to 4 ounces. Blue Zoners eat portions this size just five times a month, on average.Drink alcohol moderately and regularly, i.e. 1-2 glasses a day.

Ikaria, Greece You may remember this Blue Zone from Buettner's wonderful 2012 New York Times Magazine article entitled "The Island Where People Forget To Die." As we've reported, health researchers have long praised the Mediterranean diet for promoting brain and physical health and keeping chronic diseases at bay. 

"Their tradition of preparing the right foods, in the right way, I believe, has a lot to do with the island's longevity," writes Buettner. And "what set it apart from other places in the region was its emphasis on potatoes, goat's milk, honey, legumes (especially garbanzo beans, black-eyed peas, and lentils), wild greens, some fruit and relatively small amounts of fish."Ikaria has a few more "top longevity foods:" feta cheese, lemons and herbs like sage and marjoram that Ikarians use in their daily tea...The Ikarians do eat some goat meat, but not often.

Sardinia, Italy ...Buettner writes that the Sardinians explain their exceptional longevity with their assets such as "clean air," "locally produced wine," or because they "make love every Sunday." But when Buettner brought along a researcher to dig deeper, they found that pastoralism, or shepherding livestock from the mountains to the plains, was most highly correlated with reaching 100.

So what are those ancient Sardinian shepherds eating? You guessed it: goat's milk and sheep's cheese — some 15 pounds of cheese per year, on average. Also, a moderate amount of carbs to go with it, like flat bread, sourdough bread and barley. And to balance those two food groups out, Sardinian centenarians also eat plenty of fennel, fava beans, chickpeas, tomatoes, almonds, milk thistle tea and wine from Grenache grapes.

Loma Linda, CalifThere's a Blue Zone community in the U.S.? We were as shocked to learn this as you may be. Its members are Seventh-day Adventists who shun smoking, drinking and dancing and avoid TV, movies and other media distractions. They also follow a "biblical" diet focused on grains, fruits, nuts and vegetables, and drink only water. ...Another key insight? Pesco-vegetarians in the community, who ate a plant-based diet with up to one serving of fish a day, lived longer than vegan Adventists.Their top foods include avocados, salmon, nuts, beans, oatmeal, whole wheat bread and soy milk.

There have been a number of studies over the years finding environmental links to testicular cancer (such as some pesticides, smoking, and endocrine disruptors). Now another one - muscle-building supplements with creatine and androstenedione . From Science Daily:

Testicular cancer link found for muscle-building supplements

Men who reported taking muscle-building supplements, such as pills and powders with creatine or androstenedione, reported a significantly higher likelihood of having developed testicular cancer than men who did not use such supplements, according to a new study in theBritish Journal of Cancer. Moreover, said study senior author Tongzhang Zheng, the associated testicular germ cell cancer risk was especially high among men who started using supplements before age 25, those who used multiple supplements and those who used them for years.

"The observed relationship was strong," said Zheng, who led the study at Yale University before joining the Brown University School of Public Health as a professor of epidemiology. "If you used at earlier age, you had a higher risk. If you used them longer, you had a higher risk. If you used multiple types, you had a higher risk." Testicular cancer incidence rose to 5.9 cases per 100,000 men in 2011, from 3.7 cases in 100,000 in 1975, Zheng said. Researchers aren't sure why. The work was inspired by mounting evidence that that at least some supplement ingredients may damage the testes.

To conduct the study, Zheng's research team conducted detailed interviews of nearly 900 men from Massachusetts and Connecticut -- 356 of whom had been diagnosed with testicular germ cell cancer, and 513 who had not. In the interviews, researchers asked the men not only about their supplement use but also about a wide variety of other possible factors such as smoking, drinking, exercise habits, family history of testicular cancer, and prior injury to their testes or groin....The researchers defined "use" as consuming one or more supplements at least once a week for four consecutive weeks or more.

People are living longer these days, but the desire is to age with mental faculties intact. Thus it is great to find research that looks at how one can increase the odds of not having cognitive problems or dementia in old age.

The research here suggests several things one can do, starting in middle-age, that may help in delaying thinking and memory problems: participating in arts, crafts, socializing, and computer activities. The lead researcher Dr. Roberts said: "The key point we want to get across is that you need to start these activities early"....if you start these activities earlier, perhaps in your 20s, "keep doing them throughout your life; don't stop as you get older."

Note that: Mild cognitive impairment (MCI) is an intermediate stage between the expected cognitive decline of normal aging and the more serious decline of dementia. It can involve problems with memory, language, thinking and judgment that are greater than normal age-related changes. From Medical Xpress:

Can arts, crafts and computer use preserve your memory?

People who participate in arts and craft activities and who socialize in middle and old age may delay the development in very old age of the thinking and memory problems that often lead to dementia, according to a new study published in the April 8, 2015, online issue of Neurology.

People age 85 and older make up the fastest growing age group in the United States and worldwide."As millions of older US adults are reaching the age where they may experience these memory and thinking problem called Mild Cognitive Impairment (MCI), it is important we look to find lifestyle changes that may stave off the condition," said study author Rosebud Roberts, MB, ChB, MS, of Mayo Clinic in Rochester, Minn. and a member of the American Academy of Neurology. "Our study supports the idea that engaging the mind may protect neurons, or the building blocks of the brain, from dying, stimulate growth of new neurons, or may help recruit new neurons to maintain cognitive activities in old age."

The study involved 256 people with an average age of 87 who were free of memory and thinking problems at the start of the study. The participants reported their participation in arts, such as painting, drawing and sculpting; crafts, like woodworking, pottery, ceramics, quilting, quilting and sewing; social activities, such as going to the theater, movies, concerts, socializing with friends, book clubs, Bible study and travel; and computer activities such as using the Internet, computer games, conducting web searches and online purchases.

After an average of four years, 121 people developed mild cognitive impairment. Participants who engaged in arts in both middle and old age were 73 percent less likely to develop MCI than those who did not report engaging in artistic activities. Those who crafted in middle and old age were 45 percent less likely to develop MCI and people who socialized in middle and old age were 55 percent less likely to develop MCI compared to those who did not engage in like activities. Computer use in later life was associated with a 53 percent reduced risk of MCI.

On the other hand, risk factors such as having the APOE gene, having high blood pressure in middle age, depression and risk factors related to blood vessels increased the risk of developing MCI.

More benefits of exercise or physical activity (this time lowering risk of early death), especially if there are short bursts of vigorous activity. The researchers suggest it for people of all ages.

From Science Daily: Working up a sweat: It could save your life

Physical activity that makes you puff and sweat is key to avoiding an early death, a large study of middle-aged and older adults has found. The researchers followed 204,542 people for more than six years, and compared those who engaged in only moderate activity (such as gentle swimming, social tennis, or household chores) with those who included at least some vigorous activity (such as jogging, aerobics or competitive tennis). They found that the risk of mortality for those who included some vigorous activity was 9 to 13 per cent lower, compared with those who only undertook moderate activity.

"The benefits of vigorous activity applied to men and women of all ages, and were independent of the total amount of time spent being active," said lead author Dr Klaus Gebel from James Cook University's Centre for Chronic Disease Prevention."The results indicate that whether or not you are obese, and whether or not you have heart disease or diabetes, if you can manage some vigorous activity it could offer significant benefits for longevity."

The current advice from the World Health Organization -- and health authorities in countries including the US, UK and Australia -- is for adults to accumulate at least 150 minutes of moderate activity or 75 minutes of vigorous activity per week.

So who should get huffing and puffing, and how much do you need to do? "Our research indicates that even small amounts of vigorous activity could help reduce your risk of early death," Dr Gebel said."Previous studies indicate that interval training, with short bursts of vigorous effort, is often manageable for older people, including those who are overweight or obese."

Another excellent reason to exercise - for better erectile and sexual function in men! The researchers say that their research supports the idea that "that exercise might one day be prescribed as a treatment for erectile dysfunction".

And they're not talking about that much exercise: the highly active men in the study did a moderately intense activity such as brisk walking, cycling, or tennis at least an hour 3 to 4 times a week. Other research has suggested that erectile dysfunction can be reversed naturally by changing lifestyle factors see October 27, 2014 post Reversing Erectile Dysfunction Naturally). From Reuters:

Older men who exercise more have better erectile function

Men who exercise more have better erectile and sexual function, suggests a small study of older overweight men. The authors say their results support the idea that exercise might one day be prescribed as a treatment for erectile dysfunction.

Vidal and colleagues examined exercise habits and sexual function in 295 healthy men who were part of a research project evaluating prostate cancer risk at the Durham Veterans Affairs Medical Center in North Carolina. On average, the men were about 62 years old, and they were all overweight or obese. Roughly one third had diabetes or a history of chest pain or heart attacks. About three quarters were current or former smokers. Ninety-three men, or about a third of the group, were African-American.

Men were scored based on a measure known as metabolic equivalent of task (MET) hours per week and placed in four categories ranging from sedentary, with three or fewer MET hours/week, to highly active, with at least 18 MET hours/week. Most often, the men were sedentary, with 44 percent reporting little activity. But a substantial proportion, 26 percent, were highly active.Researchers also questioned the men about their sexual function, focusing on their ability to get erections and have orgasms, as well as the quality and frequency of their erections...Added up, responses could lead to a total score from 0 to 100....Men who reported more frequent exercise also reported higher sexual function scores. Half of the highly active men reported sexual function scores of at least 70, compared with a median score of about 33 for sedentary men.

SOURCE: bit.ly/1NilZYI The Journal of Sexual Medicine, online March 20, 2015.