dimanche 31 janvier 2016
Inflammation, telomere length and health
http://www.sciencedirect.com/science/article/pii/S1568163715300350
samedi 30 janvier 2016
vendredi 29 janvier 2016
jeudi 28 janvier 2016
The debate around vitamin D
At this point, we have seen so many problems with the design of RCT's that get in the way of making public health decisions, i.e., does the nutrient benefit health? At what levels? What can we do?
Dr. Robert Heaney, our Research Director, has published a paper on the appropriate design of nutrient trials and, most of what we see is definitely not designed properly.
In the trial described below, The Vitamin D Antenatal Asthma Reduction Trial (VDAART), there are several areas where the information we need is missing:
- They measured the effect of treatment by dosage treatment group, not by serum level. This will be an ongoing problem with any vitamin D trial. As we have published, there is a 6 fold spread of serum levels at any given dose: for someone taking 2000 IU/day, their level might be anything from 20 ng/ml to 120 ng/ml. A study that only analyzes doses will definitely have weak and incomplete results.
- The lack of accounting for those who were not compliant, even with the dosage model, greatly confuses the interpretation of the data. When you are supposed to have 10 people and only have 7, the average is the sum divided by 10 vs. the sum divided by 7. A great mistake.
- The lack of recognition of the public health impact vs. arbitrary statistical significance. If there is a P-value of 0.05, this means that there is a 5% probability that the results were due to chance, or, that you have a 95% probability that it was NOT chance. With the P-value of 0.051, this means that there is a 5.1% probability that the results were due to chance. When you are making a decision for public health, does 0.1% 'matter'? The focus on this arbitrary cutoff point distracts from the important public health findings in this study. Additionally, if a product is safe and inexpensive, like vitamin D supplements, then a higher P-value should be acceptable. There would be no harm caused and it is highly likely that it would help (with only a 5.1% chance that you are wasting your money).
Dr. Bruce Hollis, PhD, is one of the researchers responsible for the research behind our Protect our Children NOW! campaign. He has been involved in vitamin D research for 35 years. He is passionate about improving health during pregnancy and early childhood through vitamin D.
An Editorial Says New Study Exhibits "Inconclusive Results"
Next, let's address the 6% reduction. This might not be enough to grab headlines, or to make a change in the standard of care for pregnant women. Should we expect only a 6% reduction if all the women actually were taking the vitamin D? And, gave their children vitamin D? Hollis thinks it would be bigger. There were two things that could account for the lower percentage of reduction.
The first is conforming to the daily dose. Compliance with the study medication was approximately 70%, as measured by Medication Event Monitoring System (MEMS). For each participant in the trial, their container of vitamins/placebo recorded the time and date of each opening and closing through integrated micro-circuitry. Unfortunately, non-compliance dilutes any true effect for intent-to-treat analyses, but patients could not be removed from the trial for non-compliance. This non-compliance reduced the vitamin D levels of the treatment group. While the levels did rise, they were not in the recommended range (100 - 150 nmol/L, 40-60 ng/ml ) - but instead averaged 98 nmol/L (39 ng/ml). Hollis speculates that 4,400 IU/day might not be adequate for all pregnant women.
What about their vitamin D levels?
Of course, the analysis we want to see is the comparison of the incidence of asthma according to the vitamin D levels of the mothers (and infants). When this analysis is completed, we predict that those mothers (and infants) who achieved and maintained 40 ng/ml or higher during pregnancy and the first three years of life would indeed have reduced overall asthma rates.
As this study hits the presses, please ask yourself the question about how to interpret this for public health (not a statistical audience): "If the probability is that there is a 94.9% chance that there is at least a 6% reduction in asthma, shall I see that the prenatal person gets vitamin D? Is it safe (yes), is it inexpensive/available?" From there, please make your best public health choice. Take a look at our disease incidence prevention chart for pregnancy."
mercredi 27 janvier 2016
La consommation d'aliments jugés plus naturels diminue-t-elle la consommation de junk Food ?
Il semble dans cette étude que malheureusement il n'y a pas de corrélation inverse entre les deux comportements, manger des aliments sains et manger des produits transformés.
L'alimentation industrielle actuelle et ses conséquences
En revanche il n'est pas non plus contestable que le passage de l'alimentation ancestrale à l'alimentation par produit industriel est parallèle à l'augmentation de l'obésité. cette obésité qui par ses conséquences métaboliques et ses caractéristiques particulières d'obésité centrale entraîne un sur risque de maladies cardio-vasculaires de cancer et de maladies auto-immunes.
Réfléchir au pourquoi de l'augmentation du risque de maladies chroniques sous-alimentation industrielle conduit à au moins deux explications simples :
-premièrement l'hypothèse de carence
les aliments industriels sont pauvres en micronutriments en vitamines et en composer phytochimiques. Cette hypothèse de carence n'a jamais été prouvée elle résulte simplement de la constatation de la pauvreté en micro nutriments des aliments industriels qui sont raffinés, thermiquement transformé est souvent longuement conservé
-deuxièmement l'hypothèse toxique ou genotoxique.
Il existe dans les préparations industrielles un certain nombre de molécules organiques qui ont une toxicité chronique en ce sens qu'elles altèrent des métabolismes particuliers ou qu'elles s'avèrent délétères pour le génome. Si il peut s'agir des composé hétéro cyclique issu de la cuisson à haute température, de molécules organiques plus spécifiques comme….
Mais il faut soulever une troisième hypothèse qui est celle des perturbateurs métaboliques
les produits industriels sont habituellement composés de différents nutriments la plupart extrêmement raffinés. Qu'il s'agisse des acides gras des triglycérides ou des sucres rapides la disponibilité rapide et massive de ces molécules à la différence des aliments crus peu transformés expose l'individu qui ingère ces produits à des perturbations métaboliques comme l'hyper insulinémie en réaction à l'absorption continue de sucres rapides, l'hyperlipémiepostprandial en réaction à l'absorption très rapide et massive de triglycérides, des phénomènes d'addiction liée à la diffusion très rapide dans le cerveau soient de ces produits soient de produits plus complexes comme par exemple les analogues peptidiques des opioides résultant de la digestion du gluten.
Offrez leur de l'eau
Offrez leur de l'eau!
En effet, il apparaît que dans les institutions scolaires il est difficile de recourir à de l'eau pour apaiser sa soif.
En général les alternatives sont des boissons chaudes contenant des adaptogènes comme le thé ou le café, des boissons chaudes contenant du blé et du chocolat et beaucoup de sucre, des boissons froides le plus souvent aromatisé et contenant beaucoup de sucre. Si
Toutes ces boissons sont en général payantes. En revanche l'accès à l'eau simple est beaucoup plus difficile. Offrez leur de l'eau.
http://archpedi.jamanetwork.com/article.aspx?articleid=2480887
http://archpedi.jamanetwork.com/article.aspx?articleid=2480883
mardi 26 janvier 2016
More on US dietary guidelines
http://annals.org/article.aspx?articleid=2481817
http://www.medpagetoday.com/Cardiology/CardioBrief/55722?xid=nl_mpt_DHE_2016-01-19&eun=g432148d0r
lundi 25 janvier 2016
dimanche 24 janvier 2016
vendredi 22 janvier 2016
Ketones and your brain
Original Article
Can ketones compensate for deteriorating brain glucose uptake during aging? Implications for the risk and treatment of Alzheimer's disease
- Stephen C. Cunnane1,2,3,*,
- Alexandre Courchesne-Loyer1,3,
- Valérie St-Pierre1,3,
- Camille Vandenberghe1,3,
- Tyler Pierotti1,4,
- Mélanie Fortier1,
- Etienne Croteau1and
- Christian-Alexandre Castellano1
Article first published online: 14 JAN 2016
DOI: 10.1111/nyas.12999
© 2016 New York Academy of Sciences.
Issue
Annals of the New York Academy of Sciences
Early View (Online Version of Record published before inclusion in an issue)
Additional Information(Show All)
Paleo diet and fatty liver
Strong and persistent effect on liver fat with a Paleolithic diet during a two-year intervention
- 1Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden
- 2Department of Radiology, Uppsala University, Uppsala, Sweden
- 3Department of Food and Nutrition, and Sport Science, University of Gothenburg, Gothenburg, Sweden
- 4Center for Medical Technology and Radiation Physics, Umeå University Hospital, Umeå, Sweden
Accepted article preview online 20 January 2016
jeudi 21 janvier 2016
lundi 18 janvier 2016
dimanche 17 janvier 2016
samedi 16 janvier 2016
vendredi 15 janvier 2016
jeudi 14 janvier 2016
mercredi 13 janvier 2016
Are telomeres non extendable?
Transient delivery of modified mRNA encoding TERT rapidly extends telomeres in human cells
- John Ramunas*,1,
- Eduard Yakubov†,1,2,
- Jennifer J. Brady*,
- Stéphane Y. Corbel*,
- Colin Holbrook*,
- Moritz Brandt*,
- Jonathan Stein‡,
- Juan G. Santiago§,
- John P. Cooke†,2 and
- Helen M. Blau*,3
- *Baxter Laboratory for Stem Cell Biology, Department of Microbiology and Immunology, Institute for Stem Cell Biology and Regenerative Medicine, Clinical Sciences Research Center, Stanford University School of Medicine, Stanford, California, USA; †Falk Cardiovascular Research Center, Stanford University School of Medicine, Stanford, California, USA; ‡SpectraCell Laboratories, Inc., Houston, Texas, USA; and §Department of Mechanical Engineering, Stanford University, Stanford, California, USA
- ↵3Correspondence: Baxter Laboratory for Stem Cell Biology, Stanford University School of Medicine, 269 Campus Drive, CCSR 4215, Stanford, CA 94305, USA. E-mail: hblau@stanford.edu
mardi 12 janvier 2016
lundi 11 janvier 2016
dimanche 10 janvier 2016
samedi 9 janvier 2016
So dietary cholesterol is not a nutrient of concern of overconsumption? Actually? Sure it is new?
They were so slow to understand that it could discredit other advices...
Grassfed and grainfed cattle do have opposite footprint on environment
Energy use, blue water footprint, and greenhouse gas emissions for current food consumption patterns and dietary recommendations in the US
Michelle S. Tom
, Paul S. Fischbeck
, Chris T. Hendrickson
This article measures the changes in energy use, blue water footprint, and greenhouse gas (GHG) emissions associated with shifting from current US food consumption patterns to three dietary scenarios, which are based, in part, on the 2010 USDA Dietary Guidelines (US Department of Agriculture and US Department of Health and Human Services in Dietary Guidelines for Americans, 2010, 7th edn, US Government Printing Office, Washington, 2010). Amidst the current overweight and obesity epidemic in the USA, the Dietary Guidelines provide food and beverage recommendations that are intended to help individuals achieve and maintain healthy weight. The three dietary scenarios we examine include (1) reducing Caloric intake levels to achieve “normal” weight without shifting food mix, (2) switching current food mix to USDA recommended food patterns, without reducing Caloric intake, and (3) reducing Caloric intake levels and shifting current food mix to USDA recommended food patterns, which support healthy weight. This study finds that shifting from the current US diet to dietary Scenario 1 decreases energy use, blue water footprint, and GHG emissions by around 9 %, while shifting to dietary Scenario 2 increases energy use by 43 %, blue water footprint by 16 %, and GHG emissions by 11 %. Shifting to dietary Scenario 3, which accounts for both reduced Caloric intake and a shift to the USDA recommended food mix, increases energy use by 38 %, blue water footprint by 10 %, and GHG emissions by 6 %. These perhaps counterintuitive results are primarily due to USDA recommendations for greater Caloric intake of fruits, vegetables, dairy, and fish/seafood, which have relatively high resource use and emissions per Calorie.
It is a shame for the french press to publish such a paper on the subject ...
http://www.ouest-france.fr/leditiondusoir/data/652/reader/reader.html?t=1452275613863#!preferred/1/package/652/pub/653/page/6
Carnegie Mellon University press release
http://www.cmu.edu/news/stories/archives/2015/december/diet-and-environment.html
vendredi 8 janvier 2016
Un peu de rationalité
Athérome, il y a une corrélation avec les particules LDL du sang que l'on dénombre en mesurant le cholestérol qu'elles contiennent, le cholestérol est vital pour les membranes de toutes les cellules et il faudrait se priver de cholestérol?
jeudi 7 janvier 2016
mardi 5 janvier 2016
Dysnutrition about fructose
http://www.wjgnet.com/1007-9327/full/v19/i8/1166.htm
Low fat is only a product from advertising
lundi 4 janvier 2016
samedi 2 janvier 2016
Immunodepression in sport
Review
Immunology and Cell Biology , (22 December 2015) | doi:10.1038/icb.2015.109
SEARCH PUBMED FOR
Immunological aspects of sport nutrition
Michael Gleeson
Abstract
Prolonged bouts of exercise and heavy training regimens are associated with depression of immune system functions that can increase the risk of picking up opportunistic infections such as the common cold and influenza. Some common sport nutrition practices including high-carbohydrate diets and carbohydrate ingestion during exercise, training with low-glycogen stores, intentional dieting for weight loss, ingestion of high-dose antioxidant supplements and protein ingestion post exercise may influence immune system status in athletes. In order to maintain robust immunity, athletes need to consume a well-balanced diet that is sufficient to meet their requirements for energy, carbohydrate, protein and micronutrients. Dietary deficiencies of protein and specific micronutrients are well known to be potential causes of immune dysfunction and an adequate intake of some essential minerals including iron and zinc and the vitamins A, D, E, B6 and B12 are important to maintain a healthy immune function. Vitamin D may be a particular concern as recent studies have emphasised its importance in limiting infection episode incidence and duration in both the general population and in athletes and many individuals exhibit inadequate vitamin D status during the winter months. There is only limited evidence that individual amino acids, β-glucans, herbal extracts and zinc are capable of boosting immunity or reducing infection risk in athletes. The ingestion of carbohydrate during exercise and daily consumption of probiotics, vitamin D3, bovine colostrum and plant polyphenol containing supplements or foodstuffs currently offer the best chance of success, particularly for those individuals who are prone to illness.
It is amazing how little evidence exists about prevention of CVD by shifting to omega 6 PUFA
You should read at least the abstract before buying a liter of sunflower or corn oil for cooking or seasoning your food.
In the world of little evidence another observational study:
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3886748/
In this table DPA is the winner:
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3886748/table/tbl04/
This table about seafood is impressive:
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3886748/table/tbl07/
Eventually a great paper of D. Mozaffarian
http://circ.ahajournals.org/content/130/15/1245.long