Wednesday, 28 August 2013
Friday, 23 August 2013
Warning to prescribe paracetamol for osteoarthritis
NICE warns against prescribing paracetamol for osteoarthritis | News Article | Pulse Today
Experts were "extremely concerned" about the link of higher doses of paracetamol for patients with osteoarthritis to cardiovascular, gastrointestinal and renal adverse events.
It becomes more and more difficult to offer patients a workable solution for their pains. This proves again that prevention is better - and easier - than cure.
Arthritis is one of many inflammatory diseases. It is important to feed your body with an anti-inflammatory diet, which fits to your genes.
Experts were "extremely concerned" about the link of higher doses of paracetamol for patients with osteoarthritis to cardiovascular, gastrointestinal and renal adverse events.
It becomes more and more difficult to offer patients a workable solution for their pains. This proves again that prevention is better - and easier - than cure.
Arthritis is one of many inflammatory diseases. It is important to feed your body with an anti-inflammatory diet, which fits to your genes.
Monday, 5 August 2013
Breastfeeding Duration Linked to Intelligence in Childhood
Breastfeeding Duration Linked to Intelligence in Childhood
(HealthDay News) – Breastfeeding duration is associated with receptive language at age 3 and intelligence at age 7, according to a study published online July 29 in JAMA Pediatrics.
Mandy B. Belfort, MD, MPH, from Boston Children's Hospital, and colleagues examined the correlations between breastfeeding duration and exclusivity and child cognition at ages 3 and 7, and assessed whether maternal fish consumption modifies these associations. Data were collected from 1,312 mothers and children from a prospective cohort study that enrolled mothers from April 1999 through July 2002 and followed the children to age 7.
The researchers found that longer breastfeeding duration correlated with higher Peabody Picture Vocabulary Test score at age 3 years and with higher intelligence on the Kaufman Brief Intelligence Test at age 7 years, after adjustment for sociodemographics, maternal intelligence, and home environment. There was no correlation between breastfeeding duration and Wide Range Assessment of Memory and Learning scores. Greater beneficial effects of breastfeeding were noted on the Wide Range Assessment of Visual Motor Abilities at age 3 years for women who consumed ≥2 servings of fish per week vs. <2 servings.
"In summary, our results support a causal relationship of breastfeeding in infancy with receptive language at age 3 and with verbal and nonverbal IQ at school age," the authors write. "These findings support national and international recommendations to promote exclusive breastfeeding through age 6 months and continuation of breastfeeding through at least age 1 year."
Friday, 12 July 2013
Fats – the good, the bad and the UGLY
Udo Erasmus wrote an excellent book called “Fats that Heal, Fats that Kill”. Fats can be divided into three categories: The good, the bad and the UGLY!
Ugly fats are fats, that can do you real harm. Why is this? Every cell in our body is like a box. And the wall of this box is made out of essential fatty acids and proteins. It is like building a house: If you don't have good building material, the house will not be of good quality.
If your diet contains “ugly” fats, your body will have to use those as cheap alternatives for essential fatty acids to build new cells. The problem with the ugly fats is, that they can make the cell walls rigid. Rigid cells cannot communicate well with other cells – they do not function well.
So what are these “ugly” fats? They were originally created as a substitute for butter in the 1800s. Margarine is made by hydrogenation of oils in the presence of a nickel catalyst. The high temperatures used in the process tend to “flip” the structure of some of the oils into the “trans” form, which results in partially hydrogenated “trans fats”.
Not only do trans fatty acids provide no known benefit to human health; there is a clear link between trans fatty acid intake and an increase in LDL cholesterol (bad cholesterol). Trans fats also lower levels of HDL cholesterol (good cholesterol), and therefore increase the risk of coronary heart disease.
The other problem is, that the oils commonly used are Omega-6 fats, which are pro-inflammatory, especially if consumed in big amounts. They also decrease the beneficial effect of the good Omega-3 fats.
According to Wikipedia there are no brands of spreads on sale in the UK which contain partially hydrogenated oils. But to my knowledge this is no guarantee that these fats are not used as ingredients in products.
The Food Authority of Australia also states that “commercially produced fats such as margarine spreads, fats used in deep frying and fats used in pastry doughs, are likely to contain some trans fats.”
When you go shopping next time, why not check the labels for words like “margarine”, “hydrogenated”, “trans fat” and “vegetable fat”. I do not touch foods with these ingredients.
Are you ready for an "oil change"?
Have a healthy week,
Dr Oliver Frey, MD MRCGP
Thursday, 11 July 2013
Food and Genes – the science of Nutrigenomics
As
a busy GP in several NHS practices in Suffolk and Essex I see
patients with a variety of chronic conditions, from arthritis to IBS.
Many of them are not aware that changes to their diet could
potentially improve their symptoms.
Our
food is like fuel for a car: There is nothing wrong with Petrol or
Diesel, but putting either of them in the tank of a car that requires
different fuel, the engine will certainly not do well.
A
couple of years ago whilst practising in Switzerland I saw a patient
who suffered from rheumatoid arthritis. He had been taking
Methotrexate, a very powerful drug, for over 10 years. The potential
side effects worried him and he asked for my help. We discovered that
he had a gluten intolerance. After stopping gluten, his symptoms
improved so drastically, that he decided to wean himself off the
Methotrexate.
We
have to keep in mind that our genetic plan is probably a couple of
million years old, and our diet has changed drastically in that time.
Dairy, cereals and eggs are now a staple in our diet, but they were
not in the past. For some of us our genes just cannot keep up with
that change.
Have
you ever felt bloated after a meal? Chances are you ate something
that does not fit to your genetic plan. Your digestive system aims to
break down your foods into the smallest particles which are absorbed
as building material or fuel. With some foods it might struggle to do
this completely and instead the “left-over” pieces are broken
down by bowel bacteria. They produce as by-product acid and gas.
The
acid can “drill” little holes into your gut, leading to the
“leaky gut syndrome”, which can be the start of a variety of
inflammatory diseases.
The
spectrum of possible symptoms is wide: Some people just feel
chronically tired, others suffer from loose bowels, despite normal
investigations.
If
you think that any of these symptoms fit to you, speak to a qualified
practitioner with an interest in functional/nutritional medicine.
After excluding a more sinister cause of your problems, he/she can
arrange tests to find out which foods work together with your genes,
and which not – the science of nutrigenomics.
Best regards and good health,
Dr
Oliver Frey MD MRCGP
Information
presented
in
this
article
is
for
information
only
and
not
intended
as
a
substitute
for
seeking
professional
medical
advice. Dr
Frey
has
a
private
medical
practice
in
Stonham
Aspal
specialising
in
functional/nutritional
medicine.
He
can
be
contacted
by
email
via
contact@dr-frey.com
or
his
website
www.dr-frey.com.
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