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Tuesday 30 April 2019

We are literally eating ourselves to death

One in five deaths globally are linked to poor diet, experts said recently, warning that overconsumption of sugar, salt and meat was killing millions of people every year.
We are literally eating ourselves to death
While adding salt to food, as seen in this filepic, enhances its taste, we are unfortunately oversalting our food to the extent of consuming 86% more sodium than is healthy.

The United Nations estimates that nearly a billion people worldwide are malnourished, while nearly two billion are “overnourished”.
But the latest study on global diet trends, published in The Lancet, showed that in nearly every one of the 195 countries surveyed, people were also eating too much of the wrong types of food and consuming worryingly low levels of healthier produce.
For example, the world on average consumes more than ten times the recommended amount of sugar-sweetened beverages, and 86% more sodium (salt) per person than is considered safe.
The study, which examined consumption and disease trends between 1990-2017, also cautioned that too many people were eating far too few whole grains, fruit, nuts and seeds to maintain a healthy lifestyle.
Of the 11 million deaths attributed to poor diet, by far the largest killer was cardiovascular disease, which is often caused or worsened by obesity.
“This study affirms what many have thought for several years – that poor diet is responsible for more deaths than any other risk factor in the world,” said study author Christopher Murray, director of the Institute for Health Metrics and Evaluation at the University of Washington in the United States.
“Our assessment suggests the leading dietary risk factors are high intake of sodium or low intake of health foods.”
The report highlighted large variation in diet-related deaths between nations, with the highest-risk country Uzbekistan having ten times the food-based mortality rate of the lowest-risk, Israel.
In January 2019, a consortium of three dozen researchers called for a dramatic shift in the way the world eats.
The EAT-Lancet report said that the global population must eat roughly half as much red meat and sugar, and twice as many vegetables, fruits and nuts, in order to avert a worldwide obesity epidemic and avoid “catastrophic” climate change.
Authors of the recent study noted that economic inequality was a factor in poor dietary choices in many countries.
It found that on average, reaching the “five-a-day” fruit and vegetable servings advocated by doctors cost just 2% of household income in rich nations, but more than a half of household income in poorer ones.
“This study gives us good evidence of what to target to improve diets, and therefore health, at the global and national level,” said Oyinlola Oyebode, associate professor at Warwick Medical School in the United Kingdom, who was not involved in the research.
“The lack of fruit, vegetables and whole grains in diets across the world are very important – but the other dietary factor highlighted by this study is the high intake of sodium.” – AFP Relaxnews

https://www.star2.com/health/2019/04/16/salt-sugar-diet-nutrition/


Monday 29 April 2019

Curious Cook: A time for gut feelings – Part 2

Scientists now think that human gastrointestinal microbiota should be classified as a human organ after discovering hormones that it produces can affect the body, brain and the enteric nervous system.

Curious Cook: A time for gut feelings รข€“ Part 2

Overindulging in food can distress your human gastrointestinal microbiota. Photo: VisualHunt


People are not just people. They are an awful lot of microbes too.
This quote from The Economist (2012) reflects the realisation that human gastrointestinal microbiota (HGM) is not just a collection of icky bugs lounging around in our guts. In fact, scientists now think that HGM should be classified as a human organ – many endocrinologists (specialists in hormonal disorders) certainly view the HGM as an organ in its own right after discovering hormones produced by HGM can affect the body, brain and the enteric nervous system (ENS, our body’s second brain).
Influential HGM-produced hormones include serotonin, dopamine, noradrenaline, gamma-aminobutyric acid, acetylcholine, histamine, etc. The hormones are not produced by single strains of bacteria either – as an illustration, dopamine is output by bacteria such as Bacillus cereusB. mycoidesB. subtilisProteus vulgarisSerratia marcescensS. aureus, etc.
Not all kinds of bacteria can survive in the HGM, being restricted to four specialised groups called Actinobacteria, Bacteroidetes, Firmicutes and Proteobacteria. A recent revision indicates there are about 100 billion (instead of the oft-quoted 100 trillion) bacteria in adult human guts and there are probably over a thousand species and sub-species of bacteria.
Investigating HGM bacteria is difficult as many are so specialised that they survive only in intestines and cannot be cultured. They are crucial for various digestive processes – without HGM, many foods are simply indigestible. For example, humans have no enzymes for digesting most complex carbohydrates – these can only be processed by HGM. The outputs from HGM include vitamins, minerals, short chain fatty acids (SCFA) and other nutrients which are passed through the gut walls into the bloodstream – it also supplies between 10% and 15% of the energy for adults.
HGM also enhances the immune system; intestinal bacteria produce antimicrobial compounds which help attack and destroy pathogens (disease-causing microorganisms) present in the intestines and these compounds can be adopted by the body – an example is anti-inflammatory compounds produced by Faecalibacterium prausnitzii.
Cohabiting bacteria within HGM do not attack each other – they manage themselves via a fascinating mechanism called quorum sensing.

How quickly things change

The microbial balance of HGM can change quickly, within a day or less, and this is a direct result of what the body has ingested. Problem foods are not always obvious and can mutate over time – what is easily tolerated before may trigger severe issues later, and nobody is really certain why. Idiosyncratic human differences mean that problem foods are not always the same between people, even if they share the same diet.
In Taiwan, my intestinal cramps were so severe that I thought I had developed gluten intolerance. Later, it seemed the Taiwanese buns and noodles made from heavily-processed white flour were a more likely cause – and I never had problems with flour before.
HGM is loosely divided into three enterotypes (effectively a catalogue of the types of bacteria within the HGM), and enterotypes are influenced by diet. The three types are simply classed as Type 1 (where the genus Bacteroides dominate the HGM), Type 2 (where Prevotella is prevalent), and Type 3 (where Ruminococcus is plentiful). Other genera of bacteria always exist within each enterotype – the Types simply indicate the largest bacterial group by proportion.
guts
Problem foods are not always obvious and can mutate over time.
Enterotypes can alter over time, normally due to prolonged dietary changes. Type 1 is associated with digestion of proteins and saturated fats. Type 2 is linked with carbohydrates and simple sugars while Type 3 prefers complex carbohydrates and insoluble fibres – note that these types are only fuzzy classifications which can overlap substantially. A sudden change in diet can promote certain bacteria temporarily (though in general the original enterotype will revert eventually) – but while the enterotype is disrupted, the event may manifest itself as bodily discomfort and/or diarrhoea or constipation.
Other enterotype disruptive agents include tobacco, medications (especially antibiotics), alcohol, stress, pesticides, pollution, bacterial invasion, etc.
Persistent disruption of HGM balance via long-term exposure to problem diets and disruptive agents will simply end up with HGM deterioration.

The effect of a dysfunctional HGM

Dysbiosis (impairment of the HGM) manifests itself in ways which may not appear connected to dietary issues – this is the disconcerting peculiarity: certain health problems do not seem linked to the probable root cause. However it is still too early to confirm direct causal relationships between HGM and disease – but, as an example, some findings about Parkinson’s Disease (PD) are worth noting.
Compared to normal people, patients with PD have much higher concentrations of E. coli bacteria in their guts, along with more bacteria associated with the production of lipopolysaccharides, an endotoxin which aggravates tissue inflammation. PD is also associated with constipation and “leaky gut” syndrome, where intestinal walls are weakened, allowing the dangerous interchange of pathogens and toxins between the intestines and the blood stream – this may be due to degradation of the intestinal mucus lining caused by excessive numbers of bacteria such as Akkermansia muciniphila. An initial major event during the development of PD appears to be damage to the neurons in the ENS which then spreads to the central nervous system and motor neurons in the brain.
Pathologies of other disorders such as autism, kidney disease, liver disease, metabolic syndromes (such as diabetes, obesity, heart disease) and gastrointestinal issues (such as Irritable Bowel Syndrome, Crohn’s Disease, Clostridium difficile infection, etc) now also appear traceable to dysbiosis. Whether a malfunctioning HGM is always the prime cause of these conditions is debatable – but regardless of the root cause, it is indisputable that dysbiosis can be a contributing factor in the progression of many diseases.

Oops – now what?

So if a bout of overindulgence or encounter with a disruptive agent distresses your HGM, there are some things to consider. Firstly, chances are good that balance will be restored over time, though recovery is affected by age – older people take longer to restore their normal enterotypes. However, in some cases, the HGM may never recover if the disruptive event is overwhelming – more on this later.
Next is awareness of the symptoms of disruption, and avoiding things which may further aggravate matters. As a personal example, a sense of unease and constipation are signals which prompt abstinence from alcohol and rich foods. It is now time for fructans and dietary oligosaccharides (insoluble fibres used as food by HGM), eg. inulin (found in leeks, okra, etc) and galacto-oligosaccharides (lentils, chickpeas, etc). By weight, the HGM in adults weigh around 500g – and normal daily excretion removes up to 20% of this mass. With this amount of attrition, HGM needs to feed well to propagate itself, especially after some trauma.
Third point is drink lots of water, particularly if suffering from alcoholic dehydration. Insoluble fibre also needs water to progress through the gut better.
Cheese
Aged cheeses and natural cheese rinds contain lots of good bacteria and can help counter HGM. Photo: The Star/Yap Chee Hong
Yoghurts and drinks fermented with probiotic bacteria are sold in many supermarkets. However, in almost all cases, over 99% of the bacteria (usually from the genera Bifidus and Lactobacillus) are killed by stomach acids before it reaches the intestines – so an alternative may be pills of bacterial spores which can survive stomach acids. Or ingest aged cheeses and natural cheese rinds which contain lots of good bacteria. Whichever option you choose, eat some insoluble fibre beforehand.

Recovering from dysbiosis

Frankly, some people may never recover fully from dysbiosis. Once gut pathogens are firmly established or the intestinal lining is severely compromised, there is no easy return to a harmonious gut environment – for example, treatments such as medications/antibiotics would likely damage the remaining good bacteria as much as the pathogens. Faecal transplants from healthy donors appear thus far the best option to treat dysbiosis-related gastrointestinal problems.

Prevention

As for other diseases now qualitatively linked to faulty HGM, the best preventive options are care and vigilance as reliable diagnostics are presently unavailable. Paying attention to your HGM may really save your life.
I enjoy overindulging occasionally with family and friends, and I do not intend to stop – however I am aware of the obligation to my HGM afterwards and this is something I then manage fastidiously via a temperate diet, or else risk damage and dysbiosis.

https://www.star2.com/food/2018/02/25/curious-cook-time-for-gut-feelings-part-2/


Curious Cook: A time for gut feelings, part 1

It is sheepish to admit, especially as I am normally a demure, diffident person – but nobody has ever accused me of being over-restrained at feasts, especially if fine food, lots of alcohol and good company are present. Needless to say, there are consequences, and in my case it often results in a hazy sense of bodily unease (which lasts for days), combined with a rock-solid bout of constipation.

Curious Cook: A time for gut feelings, part 1
The wooziness from drinking inevitably subsides after a while, but the guts can feel the consequences of bingeing long after. Photo: VisualHunt
Therefore I would not suggest anyone emulate this propensity for overindulgence – especially as I am not unaware of what is happening to the body in these situations. For example, there is increased risk of liver cirrhosis – and several million brain neurons were probably fried by the alcohol.
Perhaps up to 4% of all deaths worldwide are related to alcohol abuse, though surprisingly only around 20% of heavy drinkers actually develop cirrhosis. By heavy drinking, one definition is consuming 100ml (80g) or more of ethanol a day for a period of 10 years or longer.
Many countries use “units of alcohol” (UA) to measure alcohol consumption – a UA is 10ml (8g) of ethanol so a pint of beer would be 2 UA or more (it depends on the strength of the beer). Therefore 100ml (80g) of ethanol is simply 10 UA – and in case you are curious, the reason why 100ml of alcohol is only 80g by weight is because ethanol is lighter than water.
A bottle of wine has around 9-10 UA so to run a 20% chance of developing cirrhosis, statistically one has to drink at least a bottle of wine a day for several years. However, statistics do not really help if there is a genetic disposition for cirrhosis.
This might apply to a significant proportion of humans who are genetically unable to produce enzymes called Aldehyde Dehydrogenases (ALDH1 and ALDH2) which are needed to neutralise acetaldehyde, a toxic compound created during the processing of alcohol in the body.
Prime examples are most Asians who lack the ability to express ALDH1 and ALDH2, so excessive alcohol consumption may be considerably more toxic for them. If you are interested, please read “A cure for hangover and – hic! – other holiday tales“.
Also, statistics indicate that consuming more than 26g of ethanol a day (just over 3 UA) increases the chances of bowel cancer by 21% – as Britain’s general incidence of bowel cancer is 6%, this increases the risk to about 7.25% overall.
gut issues HGM
Statistically, one has to drink at least a bottle of wine a day for several years to run a 20 chance of developing cirrhosis.

The Real Concern

Sobering as the facts about alcohol are, I have another more personal concern. The wooziness from drinking inevitably subsides after a while, but the disquiet is over the onset of intestinal issues after binging on food and alcohol – specifically the general feeling of corporeal unease and constipation which lasts for days.
The background for this worry is a little long-winded, so please bear with me.
My father eventually succumbed to complications after suffering for over 15 years from Parkinson’s Disease (PD). His PD was as severe as it was unexpected – nobody else in the family had the disease and it was immensely tragic watching him descend from an intelligent, outgoing human into someone who needed a handkerchief near the mouth at all times.
The severity of his condition meant that none of the usual PD drugs worked and he eventually contracted a severe infection in a hospital after treatment for respiratory issues. This finally killed him, and not in a pleasant way.
As such, PD is a subject which I keep an eye on – not least because as my father’s son, I have a statistically higher chance of developing this terrifying disease. There is some evidence that the disease may be hereditary (due to indeterminate research into various PARK genes) – but there is more evidence that PD can be caused by environmental factors.
Some characteristics of PD, apart from symptoms such as uncontrollable tremors and lack of motor control, are over-aggregations of proteins called alpha-synuclein (a-syn) in the nervous systems and the abundance of inflammatory compounds called cytokines in the brain – in combination, these compounds seemingly damage the brain neurons controlling motor functions.
Other lesser known symptoms of most PD patients are intestinal problems, mainly constipation.
gut issues


The concern about intestinal well-being is based on sobering research which found links between PD and the human gastrointestinal microbiota (HGM), the colonies of bacteria present in all human intestines.
A 2016 paper from the University of Wisconsin-Madison discovered that patients with PD have a significantly different composition of gut bacteria from normal people – this supported a hypothesis published by the University of Frankfurt in 2003.
When gut material from PD patients were transplanted into the guts of germ-free mice without PD, the test mammals began to display symptoms of PD. Even more curious was an experiment at CalTech where mice specially engineered to overproduce a-syn in their brains did not develop PD symptoms until gut matter from PD patients was implanted into their guts – control faecal material from normal people had a much smaller impact on motor dysfunction on such mice.
Despite the dramatic inferences, I should add that none of this is conclusive proof as yet (there may be other indeterminate causes of PD) – but it is certainly plausible that some relationship exists between a defective HGM and PD.
Interestingly, the Wisconsin-Madison team also provided a possible explanation: the flawed HGM in PD patients may cause significant overproduction of certain short-chain fatty acids (SCFA) (such as acetate, butyrate, propionate, etc) which are known to activate immune responses in neurons.
This was based on experiments where (i) SCFAs were fed to mice; (ii) faecal material from PD patients were transplanted into mice; and (iii) gut matter from normal humans were transplanted into mice – only the first two groups of mice developed symptoms of PD.
The University of Luxembourg and University of Alabama have also detected similar connections between PD and HGM. The Luxembourg paper goes further and suggested a link between a problematic HGM and the sleeping condition called Idiopathic Rapid-Eye-Movement Sleep Behaviour Disorder (iRBD) – and people with iRBD have a higher risk of developing PD in later life.
They also identified a relationship between certain HGM bacteria and depression.
An earlier 2012 joint paper by Harvard Medical School and Oxford University proposed that dysbiosis (an impairment of the HGM) is the root cause of many illnesses, including Irritable Bowel Syndrome, metabolic diseases, allergies, cardiovascular issues and, once again, neurological diseases.
Experiments done on mice at CalTech in 2013 also suggested a link between autism and HGM bacteria called Bacteroides fragilis which are notably lacking in children with autism, though it was unclear whether the link was causal or consequential.

HGM And Bingeing

Amazingly, it is only within the last few years that science is starting to quantify how seriously important HGM is to overall health – previously it was mostly theories and anecdotal inferences.
You probably know that humans have a second brain called the Enteric Nervous System (ENS) which also significantly affects well-being – this was discovered less than 20 years ago, and the HGM is contained within the ENS. If you are interested, read this short story, “The nine-metre brain“.
Therefore, the concern is that a bad (or excessive) diet can cause some sort of damage to HGM – which in turn can cause problems affecting the health of the rest of the body, including the brain. It is a plausible explanation as to why I (and probably many other people) feel disquieted and constipated for days after serious bingeing on rich food and alcohol.
Note that the ENS is made up of neurons (like the brain) and any activity that can destroy ENS neurons can probably spread to the brain eventually.
As an aside, laxatives are often used to treat constipation, but overuse can cause side-effects and obscure underlying HGM issues. How various laxatives work depends on their chemicals (and it is complicated to explain everything) – but they can be extremely effective (eg. magnesium citrate) so I would not suggest taking laxatives with a sleeping pill.

There will be more on how bad diets and over-indulgence affect the HGM in the next part.

https://www.star2.com/food/2018/02/11/curious-cook-gut-feelings-part-1/

Curious Cook: The peculiar case of food allergies

No story about allergies would be complete without discussing the peculiarly nasty Texas Lone Star tick. It is an aggressive insect which is aroused by the carbon dioxide in the breaths of mammals and it will vigorously pursue its victims. This tick also has vile cousins such as the Castor Bean tick in Europe and the Paralysis tick in Australia.

Curious Cook: The peculiar case of food allergies
The Texas Lone Star tick (Amblyomma americanum) is curious because one bite from this insect can induce a permanent allergy to red meat in humans. This allergy cannot be cured and is spreading rapidly across the USA as warmer temperatures encourage this tick’s migration northwards. The allergy can induce a dangerous reaction called anaphylaxis – untreated, this can lead to death, and many thousands of people are afflicted though actual numbers are unclear as it is not a condition American doctors routinely monitor.

The Alpha-Gal

The interesting aspect of this allergy is that the allergen (or compound causing the allergic reaction) is specific, well-known and therefore easy to research. The allergen is an oligosaccharide (or complex sugar) called galactose-alpha-1,3-galactose, often shortened to alpha-gal. This sugar is found in the muscles of most mammals, except for monkeys, apes and humans – and alpha-gal is also the reason why organ transplants from animals into humans never work.
In unafflicted people, ingested red meat (including alpha-gal) processes normally through the digestive system with no issues. However, the bite of the Lone Star tick introduces a dose of alpha-gal into the bloodstream and presence of alpha-gal in human blood plasma provokes the production of an antibody called Immunoglobulin M (IgM). The presence of IgM then triggers a robust reaction from a potent antibody called Immunoglobulin E (IgE).
People bitten by the lone star tick can develop an incurable allergy to red meat. Photo: Ronald Sarayudej/Flickr
The danger of being allergic to alpha-gal is the body often reacts only after the digestive system has processed the ingested meat, perhaps hours later. So for years, people were keeling over for unknown reasons, resulting in several mysterious deaths of ostensibly healthy people. IgE is normally utilised to immunise the body against parasitic infections from helminths (parasitic worms) such as Schistosoma mansoni, Trichinella spiralis, Fasciola hepatica, etc. Once activated, such immunity exists for life, which is why alpha-gal allergy is incurable, because it becomes part of the body’s range of auto-immune responses.
People with this allergy may also have reactions to fumes arising from cooking meat or skin contact with animals.
Certainty
So one certainty about allergies is that if an allergen is well-known and universally acknowledged to cause a permanent reaction such as alpha-gal allergy, then it is well worth avoiding the vector of transmission, in this case the Lone Star tick.
Nobody knows why alpha-gal is so fiercely targeted by IgM and then IgE – perhaps it is the shape of the molecule (it has a hydroxyl pair in an odd location). Also, in populations where 20% of people have suffered bites from Lone Star ticks, not everyone bitten actually developed alpha-gal allergy.

The less known

But what if allergens are not well known or established? A classic example would be non-coeliac gluten sensitivity (NCGS) where it is still unclear whether the gliadins in gluten, fructans or FODMAPs (Fermentable, Oligo-, Di-, Mono-saccharides And Polyols) are responsible for the condition. This was investigated in my article, The Strange Story of Gluten.

Crossover

At first glance, there would not seem much of a connection between house dust mites (HDM) and crustaceans. But studies have indicated an allergic link between them – probably due to a protein called tropomyosin. This protein is also present in mammals and is explained in my article, A Tender Moment.
However, tropomyosins in invertebrates differ in molecular structure from tropomyosin in vertebrates. A 2016 paper researching an increase in crustacean allergies in Singapore suggested the rise was linked to tropomyosin found in HDM. Large scale studies indicate crustacean allergies now affect over 5% of Singaporean teenagers, over 7% of the population of Taiwan and around 7 million Americans.
Studies have found a link between house mites and an allergy to crustaceans like crabs. Photo: Richard Eriksson/Flickr
How this crossover sensitisation occurs may be explained in an earlier 2007 US paper which suggested that invertebrate tropomyosins are digested/decomposed into larger peptide fragments (such as Pepsin A) than meat-based tropomyosins – a peptide is a short chain of amino acids (which are building blocks of proteins).
For HDM, the tropomyosin may have entered the bloodstream via contaminated food or possibly via the nasal cavity. These large peptide fragments in the bloodstream may be detected as foreign bodies, especially by IgE antibodies, thus provoking an autoimmune reaction to the invertebrate tropomyosins. In Singapore, research found 72.4% of crustacean-sensitised children were also sensitive to HDM. Another small study of 95 Canadians had a 90.5% rate of dual-sensitisation.
The strong link suggests that it does not matter if an allergy to HDM proteins led to crustacean sensitivity or the other way around. If you are interested, some problematic HDM species identified are Dermatophagoides farinae and Dermatophagoides pteronyssinus. The allergy to crustacean tropomyosin is the most sensitive allergic reaction known to man – a very tiny amount can trigger deadly anaphylaxis and it is the allergy which sends the most people into hospitals every year.

Gut and general allergens

How the impairment of the human gastrointestinal microbiota (HGM) and a condition called dysbiosis may have an impact on allergies and other even worse conditions is discussed in my article, A Time For Gut Feelings.  Also, a comprehensive review of some environmental/food allergens and the hygiene hypothesis is on The Strange Story of Gluten, Part 2.

Genes

A 2015 study claimed that human eczema involves only as few as 21 genes in our genome of around 20,000 genes. This is followed by a 2018 paper claiming that hay fever is due to the expression of only up to 41 genes. Hay fever is interesting because it was only first documented in the 19th century. A physician called John Bostock searched the whole of Britain at the time for patients but could only come up with 28 sufferers.
Hay fever is more common now even though the air is supposed to be cleaner. Photo: Lee Wright/Flickr
Nowadays, hay fever is an epidemic – and the multitude of hay fever medications on chemist shelves prove it. The oddity is air in most places has been getting cleaner, not dirtier, since the 19th century – this should logically reduce incidences of hay fever. Therefore, even if hay fever has a genetic basis, other factors must be involved as humans have had the same genes for many thousands of years.

Energy requirement

The human immune system is a powerful system which prevents infections arising from breaches of the skin, respiratory system or from ingestion of tainted foods. It requires a surprising amount of energy. Battling an infection can raise body temperatures by, say, around 1°C and this will draw 150% of the energy used by a highly energetic organ such as the heart.
In addition, energy is required to produce new antibodies, macrophages and other defensive cells/structures and transport them to the required destinations.
Early avoidance
The UK-based Learn Early About Peanut allergy study involved 600+ infants between 4 to 11 months old with severe eczema and/or egg allergy – these subjects are normally prone to also develop an allergy to peanuts in later life.
From 11 months, randomly-selected infants were fed peanuts and overall results collated when they reached age 5. The data was startling. Of the children fed with peanuts, only 3% developed an allergy to peanuts while 17% of the children who had avoided peanuts acquired an allergy to peanuts. The conclusion was therefore: Early avoidance of an allergen is likely to later cause an allergy to the allergen.
An allergy to peanuts can be avoided if children are exposed to them earlier in life. Photo: Andrew Malone/Flickr
Avoidance of allergens may explain the exponential rise in hay fever cases in the modern world. Even in the 19th century, the people most likely to develop allergies were the wealthy, who insulated their homes from the dust and pollen outside. Studies into genetically-related people living in different environments (e.g. urban Finnish and rural Russians of Karelia) also established that urban communities with less exposure to environmental allergens are more likely to develop allergies.

Possibility

Allergies can occur any time in life and it is curious why immune systems suddenly choose to attack previously benign substances for seemingly no reason. One explanation might be the inherent strength of our immune system, which had evolved to protect humans against challenging environments.
Our Palaeolithic ancestors were nomads, continually encountering wildly-different foods along with bacterial, fungal and parasitic fauna in different locations. Survival relied on strong immune systems capable of constantly countering a broad spectrum of hazards.
It is therefore feasible modern allergen-free environments can result in autoimmune responses being misled and over-sensitised towards compounds which would normally not be threats. The full capacity of an under-utilised immune system can get misdirected towards anything arbitrarily considered foreign or anomalous, even if it is harmless.

The sun

A joint US/Australian study into geographic patterns of food allergies has found a link to non-exposure to sunlight (and possibly a deficit of Vitamin D). A lack of sunlight, especially in heavily urbanised areas, causes infants to triple the risk of getting an egg allergy and up to 11 times more risk of a peanut allergy.

Conclusion

Our immune system had evolved in natural environments which were vastly different from the modern, urban conditions most humans now live in. A lack of contact/access to natural allergens/conditions/sunlight is probably a significant driver in the epidemic of modern-day allergies. This is supported by strong links between rising numbers of allergies and urbanisation, though there are still other factors involved.

https://www.star2.com/food/2019/03/10/curious-cook-allergies/

Curious Cook: Glyphosate, the free stuff we do not really want

Despite the highly plausible health risks regarding alcohol, I still like drinking good wines. What I am less keen on is the extra stuff I am also ingesting with the wines, like a chemical called glyphosate.

Curious Cook: Glyphosate, the free stuff we do not really want

A recent documentary on French TV highlighted that every wine they tested had detectable levels of glyphosate, a component of the herbicides commonly used at vineyards and most commercial crop farms.
Glyphosate was also found in varying quantities in the urine of every person they tested, so it appears that exposure to this ubiquitous compound is part of modern living for many millions of people. Therefore, this chemical is what this article will investigate.
One reason why glyphosate (also known as n-phosphonomethylglycine) is so ubiquitous is because the Monsanto patents expired in 2000 and now the compound is produced around the world by several other manufacturers. Since its introduction in 1974, it is estimated over nine billion kilograms of glyphosate has been sprayed on farmlands worldwide.
Should we worry?
A little research into how glyphosate works as a herbicide finds that the compound inhibits the shikimic acid pathway in plants. If you want to know more, glyphosate specifically obstructs the enzyme, 5-enolpyruvoylshikimate 3-phosphate synthetase, which is indirectly required by plants for the biosynthesis of essential aromatic amino acids such as phenylalanine, tyrosine and tryptophan.
The shikimic pathway is found only in plants, fungi and bacteria. Therefore, in theory, glyphosate is highly unlikely to be toxic to mammals, insects, birds, fish, etc.
Two opinions
At this point, it is worth noting two different, but important, opinions about glyphosate. One is the assessment by the influential IARC (International Agency for Research on Cancer, part of the World Health Organisation) that glyphosate is a Group 2A risk – this means the IARC classified it as “probably carcinogenic to humans”.
Most fruits and vegetables have traces of glyphosate. Photo: Karen Cropper/Flickr
This is the same group of risk as for red and industrially-processed meats which contain nitrites or nitrates. For more information, please read my article Processed meats: WHO says it’s bad on Star2.com.
The other opinion is shared by the highly-respected European Food Safety Authority (EFSA) and the Environmental Protection Agency of the USA (EPA). Discounting the EPA for the moment, the EFSA report was particularly interesting as it specifically addressed the earlier findings of the IARC during a new assessment and still came out with the conclusion glyphosate is “unlikely to pose a carcinogenic hazard to humans”.
To complicate matters, on 11 August 2018, a US court awarded damages of US$289 million (RM1.17 billion) against Monsanto for allegedly causing a man to develop terminal non-Hodgkin’s lymphoma due to the use of Roundup products which contain glyphosate. So, what is the reality?
The research
It turns out that everybody is a little bit right. The informative EFSA report provided an interesting clue in a paragraph which states, “Regarding carcinogenicity, the EFSA assessment focused on the pesticide active substance and considered in a weight of evidence all available information.”
In short, the EFSA report (and the EPA assessment) was based on testing only the compound glyphosate while the IARC status was based on products and formulations that contain glyphosate.
Toxicity
According to a University of Caen study in 2018, the ancillary chemicals added to glyphosate formulations make a huge difference to the toxicity of such products. A range of herbicides containing glyphosate were analysed, along with the surfactants, diluents and other chemicals added to enhance the efficiency of glyphosate.
Traces of glyphosate are found in most vineyards. Photo: Nat Welch/Flickr
This was not as easy as it sounds as US and EU packaging do not list additives in full if the producer deems them as “inert” substances, and there is little regulatory clout to demand proof of the “inert” nature of such additives.
But it is clear such additives have a very significant impact. Tests with glyphosate alone and formulations containing glyphosate (FCG) elicited wildly different responses – in test human cells, glyphosate alone generally had no effect but most of the FCGs were established to be highly toxic, killing human cells within 90 minutes.
This is a sobering finding, and one group of problematic additives identified is polyoxyethylenamines (POEA) derived from petroleum. But POEA is not the only contaminant found in FCGs – nonylphenol polyethoxylates (NPEOs), poisonous metals such as arsenic, chromium, nickel and lead are also often found in FCGs. When applied persistently, these chemicals and metals remain in the ground, can contaminate future crops and also leach into groundwater causing further damage via pollution.
Oddly, the study also very surprisingly found that glyphosate is very much less toxic for plants than the additives in FCGs. After numerous tests, the study stated plainly glyphosate is usually the least effective herbicide chemical in the tested FCGs and that the bulk of herbicidal effects were due to the additives in FCGs, and not glyphosate itself.
French farmers
The Caen study might tie in with another multi-institute French study in 2010 which researched the link between Parkinson’s Disease (PD) with persistent occupational exposure to chemicals such as herbicides, insecticides, fungicides, herbicides, rodenticides, crop treatments, etc.
The study covered 237,917 French farming workers in 2007, and found that for all age groups investigated, the incidence of PD was roughly double that of the general French population. However, as stated, the study does not only cover herbicides, and indeed the research only confirms there may be serious dangers involved with farm chemicals in general, at least in relation to PD.
Regarding cancers, the evidence is less conclusive. Large scale studies like the Agricultural Health Study (AHS) in the USA and the French Agriculture & Cancer (AGRICAN) study found that mortality rates from most cancers were not abnormal compared to the general public. Some deviations applied to multiple myeloma, lip and prostate cancers, and even so, they do not affect the overall death rates of farm workers.
This may be due to the “healthy worker” effect as farm workers are more physically active which tends to make them healthier than average. The favourable effects of such healthier lifestyles may conceal, mask or counter the negative effects of exposure to farm chemicals. As such, the French National Institute of Health and Medical Research warned against making “simplistic” assumptions from the data.
Analysis of the AGRICAN data also suggested an increased risk of PD, especially with users of dithiocarbamate-based fungicides, rotenone and the herbicides diquat and paraquat. Curiously, glyphosate was not amongst the compounds analysed for some (unknown) reason.
Consumers
Farmers are constantly and often heavily exposed to pesticides, but so too are consumers who are exposed to these chemicals via residues on fruit, vegetables and meat. There is not much good that comes from ingesting pesticides (such as insecticides) because in sufficiently high doses they are almost always seriously toxic to humans.
Even everyday breakfast meals like cereal have glyphosate. Photo: Ben Siedelman/Flickr
However, we are discussing glyphosate today and the weight of evidence suggests it is not onerously toxic to humans by any scientific measure. It may affect the shikimic acid pathway in human gut bacteria and kill some of them, but this also happens when ingesting many other compounds, such as artificial sweeteners or simply unbalanced quantities of junk food.
The warning
So it appears the main and very real dangers of glyphosate lie within the chemical additives in FCGs. In this respect, it may be suggested consumers are being starved of data they need to make an informed choice about foods treated with glyphosate and other compounds.
At present, glyphosate is found in foods ranging from breakfast cereals through to fruits, vegetables and many meats. While probably not toxic by itself, the presence of glyphosate may be a warning indicator of the likely toxic compounds that accompany it.

https://www.star2.com/food/2019/03/24/curious-cook-glyphosate-free-stuff-not-really-want/


Never ever give honey to young babies - MUST READ

We had a new granddaughter arrive recently, and automatically my wife offered the standard French advice to refrain from giving her any honey-based drinks for at least a year. Then it occurred to me that I do not know the reason for this common warning, so it was worth investigating.
It turns out it involves the most toxic poison known to humans, Botulinum Type H (BTX-H), which needs a dose of only two nanograms or less per kilo of body weight to be lethal – this is known as the Lethal Dose (LD). By contrast, the very lethal poison batrachotoxin, commonly known as curare, has a LD of two micrograms, 1,000 times less powerful by volume than botulinum H toxin.

Honey can be dangerous to babies under one. Photo: Harsha K R/Flickr
And the reason why babies should not be given honey is because spores of clostridium botulinum bacteria are not infrequently found in honey. The digestive systems of very young babies are not able to kill such bacteria in their stomachs until they are over a year old. Left to breed, clostridium botulinum will produce enough botulinum toxin (BTX) to provoke health issues quickly.
Note that BTX is the cause of botulism, not the bacteria. The bacteria are widespread in the environment and many food products – it is impossible to avoid over a normal lifetime.
However, people normally do not get infected because the bacteria cannot survive exposure to oxygen or highly acidic conditions (pH 4.6) – regular stomach acid (pH between 1.5-3.5) will destroy any ingested bacteria. But BTX is unaffected by stomach acid and needs heat treatment at temperatures of 85°C or more for five minutes to deactivate the toxin. The bacteria can also enter the bloodstream via wounds, and then propagate.
There are several varieties of BTX which are classified as Types A through H, though most are not as lethal as Type H. The cosmetic treatment botox, for example, is based on BTX A or B.
All types of BTX profoundly affect the function of an important neurotransmitter called acetylcholine – this disrupts normal nerve signalling and causes muscle paralysis. Therefore botox treatments work by relaxing muscles on the face and reducing the effect of wrinkly skin.
The good news is antidotes exist for most types of BTX poisoning, provided treatment is received in time (although they can have side-effects) – however, this does not apply for BTX-H because it is highly unlikely to be survivable.

This article is extracted from:-
Curious Cook: Pesticides and other thoughts - MUST READ


Curious Cook: Pesticides and other thoughts - MUST READ

Part of the research into glyphosate for the last article provided additional free insight into the use of pesticides and treatments for fresh vegetables and fruits. The interesting aspect was not only the surprising amount of residues but also the frequent use of multiple chemicals on single crops.
Curious Cook: Pesticides and other thoughts

Strawberries
As an example, the Environmental Working Group (EWG) has identified strawberries as probably the most contaminated fruit in terms of pesticides and fruit treatment compounds. A quick search through the United States Department of Agriculture (USDA)’s Pesticides Data Program (PDP) database revealed that strawberries for human consumption in the USA can be treated with combinations of over 70 different active compounds, with varying degrees of toxicity.
However in the amounts detected, the USDA and the Environmental Protection Agency (EPA) have indicated there are no severe threats to human health provided the residue levels are kept below recommended limits. Note there may be more chemicals used but the PDP database did not indicate every possible compound used on commercial strawberries; for example, glyphosate was not included.

Strawberries are one of the most contaminated fruits. Photo: Ted Rabbitts/Flickr
The European Food Safety Authority (EFSA) is probably more thorough in its monitoring of crop residues. It had also reviewed and published the Maximum Residue Limits (MRL) for over 485 chemicals which may be found on strawberries, though not all of them are regulated or actually permitted to be used – these MRLs are limits used by producers and test laboratories to analyse for food safety issues.
There were 109 chemicals originally approved for use on strawberries, including neonicotinoids (or neonics), often called “bee killers”. Since April 2018, three major neonics (clothianidin, imidacloprid and thiamethoxam) are banned from use in open fields though it seems thiamethoxam may still be applied in enclosed industrial greenhouses. The same detailed levels of EFSA documentation and processes apply for all other kinds of food crops.
Again, the EFSA suggests that permitted chemical residues in strawberries and other crops are safe for human consumption if they do not exceed their MRLs.
The dirty list
To be honest, the following list of fruits and vegetables was originally drawn up by the EWG, an organisation probably more known as an environmental lobbyist group than a proper scientific research outfit.
However, after struggling with the PDP and the EFSA pesticides databases, it became clear that there is no such thing as easy access to information regarding toxicity, dosage, frequency of application and consumer removal of many crop treatments without reading through the documentation of every formulation containing these chemicals and the diluents/surfactants used with such chemicals.
So after checking various items on the list as best as I could (and finding no significant discrepancies), I am assuming the EWG had done its homework properly when compiling the following list.
So, based on the analysis from the EWG, crops with the most treatment residues are: strawberries, spinach, kale, nectarine, apples, grapes, peaches, cherries, pears, tomatoes, celery, potatoes and hot peppers.
Potatoes are one of the crops with the highest pesticide residue. Photo: Sethoscope/Flick
The EWG also states that nearly 70% of all produce sold in the United States is contaminated with pesticide residues, though it does not warn that all such produce is necessarily bad for health, provided all such residues are below the recommended MRLs. It merely suggests that long-term ingestion or over-ingestion of such residues may have a detrimental effect on health, which is likely to be true for sections of the population.
The above list are vegetables and fruits which are commonly targeted by insects, fungi, bacteria and other pests, and are therefore often sprayed with various compounds to prevent loss of production. Regarding potatoes, major treatments are also applied after harvest to prolong the crop storage life. In Britain in 2004, 2,677,280 tonnes of potatoes were treated with various compounds such as imazalil, thiabendazole and/or stored using ethylene, a gas which inhibits the sprouting of tubers. The main treatment was fumigation with chlorpropham, which was applied to 2,257,603 tonnes, or over 84% of the potato crop for that year.
The clean list
Of all commercial fruit and food crops, the following were found by the EWG to contain the lowest amount of pesticide residues: avocados, sweet corn, pineapples, sweet peas (frozen), onion, papayas, eggplants, asparagus, kiwis, cabbage, cauliflower, cantaloupes, broccoli, mushrooms and honeydew melons.
Cauliflower is on the clean list. Photo: Liz West/Flickr
Most of the above either have thick, inedible skins which need to be removed before eating or have hydrophobic surfaces which repel water.
In summary, if it is not possible/feasible to consume organic produce, it might be worthwhile to focus on picking more of your greens and fruits from the clean list above.
A likely carcinogen
As a comment, imazalil (also known as enilconazole or chloramizole) is one of the most common pesticides found on fruits. A huge proportion of oranges and other citrus fruits as well as potatoes are routinely treated with imazalil, even though both the EPA and the World Health Organisation’s International Agency for Research on Cancer (IARC) categorise imazalil as “likely to be carcinogenic to humans”.

Oranges are treated with a chemical that is reputed to be carcinogenic. Photo: Frederique Voisin Demery/Flick
The concentration of this compound is mostly on the fruits’ skin and therefore exposure should be minimal if the skin of the fruit is discarded. This may not be so easy if fruits such as grapes are treated with the chemical (which is the case in many countries).
To remove residues, the best suggestion is to soak and wash produce in a 1% baking soda (sodium bicarbonate) water solution for 12-15 minutes, as the alkalinity apparently destabilises and loosens pesticide molecules.
Honey and babies
We had a new granddaughter arrive recently, and automatically my wife offered the standard French advice to refrain from giving her any honey-based drinks for at least a year. Then it occurred to me that I do not know the reason for this common warning, so it was worth investigating.
It turns out it involves the most toxic poison known to humans, Botulinum Type H (BTX-H), which needs a dose of only two nanograms or less per kilo of body weight to be lethal – this is known as the Lethal Dose (LD). By contrast, the very lethal poison batrachotoxin, commonly known as curare, has a LD of two micrograms, 1,000 times less powerful by volume than botulinum H toxin.

Honey can be dangerous to babies under one. Photo: Harsha K R/Flickr
And the reason why babies should not be given honey is because spores of clostridium botulinum bacteria are not infrequently found in honey. The digestive systems of very young babies are not able to kill such bacteria in their stomachs until they are over a year old. Left to breed, clostridium botulinum will produce enough botulinum toxin (BTX) to provoke health issues quickly.
Note that BTX is the cause of botulism, not the bacteria. The bacteria are widespread in the environment and many food products – it is impossible to avoid over a normal lifetime.
However, people normally do not get infected because the bacteria cannot survive exposure to oxygen or highly acidic conditions (pH 4.6) – regular stomach acid (pH between 1.5-3.5) will destroy any ingested bacteria. But BTX is unaffected by stomach acid and needs heat treatment at temperatures of 85°C or more for five minutes to deactivate the toxin. The bacteria can also enter the bloodstream via wounds, and then propagate.
There are several varieties of BTX which are classified as Types A through H, though most are not as lethal as Type H. The cosmetic treatment botox, for example, is based on BTX A or B.
All types of BTX profoundly affect the function of an important neurotransmitter called acetylcholine – this disrupts normal nerve signalling and causes muscle paralysis. Therefore botox treatments work by relaxing muscles on the face and reducing the effect of wrinkly skin.
The good news is antidotes exist for most types of BTX poisoning, provided treatment is received in time (although they can have side-effects) – however, this does not apply for BTX-H because it is highly unlikely to be survivable.
Summary
In summary, when ingesting food stored in a low-acid, low oxygen environment (such as packaged foods or old tins), make sure to heat it to 85°C for at least five minutes – this should also be done for re-sealed food stored at inadequate cold temperatures (above 3°C). And never ever give honey to young babies.

https://www.star2.com/food/2019/04/15/curious-cook-pesticides-and-other-thoughts/