Monday, January 21, 2019

Lutein – Some New Findings

Lutein is an antioxidant, a pigment found in plants, especially in dark green vegetables, and also in pistachio nuts, avocados and egg yolks. Many people with atherosclerosis (hardening of the arteries) have low-grade chronic inflammation that is linked to an increased risk of heart attack.  A research group at Linkoping University in Sweden has studied the ability of lutein to dampen inflammation in immune cells in patients with coronary artery disease. They also showed that lutein can be stored in immune cells, which means that it is possible to build up a reserve of lutein in the body. 
 In a new study the Swedish researchers investigated which method of food preparation is the best way of obtaining lutein. They chose to study spinach, which contains comparatively high levels of lutein and is eaten by many people. Since lutein is degraded by heat, they suggest eating spinach in the form of a smoothie, or finely chopped salad. They also found that adding fat will increase the solubility of the lutein in the fluid of the smoothie.  Although they suggest adding cream, a healthier choice could be adding avocado and/or pistachio nuts to the smoothie or the salad..
My experience with spinach smoothies has been that they are more easily digested if sipped slowly throughout a few hours rather than all at once.  
This study from Linkoping University was published in Food Chemistry,2019, 277:573.
Recent studies from the University of Illinois, published in the journal Frontiers in Aging Neuroscience, have shown that lutein seems to be associated with cognitive benefits.  It also plays an important role in the prevention of age-related macular degeneration. 
The take-home message here – get out your blender and see what you can do to make your green smoothie as delicious as possible. I usually add a few raisins for sweetness. (Remember they are good for your teeth!). If you don't have a blender, try a finely chopped salad with spinach and/or kale. An olive oil dressing will provide the needed fat. 
Sadja Greenwood, MD, MPH  Leave me a message and I’ll answer you.





Monday, January 7, 2019

We Evolved to Exercise

The January, 2019, issue of Scientific American has a great story by Herman Pontzer about how we humans are similar and profoundly different from our cousins –chimpanzees, bonobos, orangutans and gorillas  - with whom we share over 97% of our DNA.  Herman Ponzer is a professor of evolutionary anthropology at Duke University, who has studied hunter gathering humans and apes for many years.  Apes remain healthy at low activity levels, often spending 8-10 hours a day resting, grooming and eating before going to sleep for 9-10 hours. They remain remarkably healthy and lean at these low levels of physical activity, with very little heart disease or diabetes, even in captivity.  

For us human, however, it’s a different story.  We split from chimpanzees and bonobos about 6-7 million years ago.  Recent findings indicate that we gradually became fully upright, walking creatures who could still get up into the trees.  About 1.8 million years ago we began to develop stone tools for butchering animals, indicating that we probably ran them down. At the same time we expanded out of Africa into Eurasia and as far as Indonesia.  The ability to hunt as well as gather was the key.  Relying on meat requires cooperation and sharing. It is thought that these early humans got roughly half their calories from plants and half from meat.  Hunter-gatherers typically walked 12,000 to 18,000 steps a day. 

Our physiology has changed and adapted to this active life.  The brain has evolved to need less sleep – about 7 hours, far less than the apes. Our brain has also evolved to reward prolonged exercise, producing endocannabinoids.  Exercise enables the expansion of the brain in childhood and adulthood, and is known to improve memory.  Our leg muscles are 50% bigger than those in other apes, and we have more red blood cells to carry oxygen to our working muscles.  You can understand that our bodies have evolved to requiredaily physical activity. Exercising muscles release hundreds of signaling molecules.  They reduce chronic inflammation, and lower levels of testosterone, estrogen and progesterone.  This may account for the reduced rate of reproductive cancers among those who exercise regularly.  The morning rise of cortisol is blunted, which may mitigate stress.  Exercise reduces insulin insensitivity and helps to put glucose into muscle glycogen instead of fat.  Diabetes is thus prevented.  Exercise improves the ability of the immune system to stave off infection. Even light activity, such as standing instead of sitting, is helpful.  

Another article in the January Scientific American concerns a genetic mutation that may have occurred in our species 2-3 million years ago, enabling humans to run long distances, sweat to cool off, and hunt their prey to exhaustion.  Biologist Ajit, Varki at UC San Diego is studying this hypothesis. 

The take-home message from these studies is that we have evolved to move – a lot more than most of us are accustomed to.  To stay healthy as we grow from childhood into old age, we need to stay active. This will take social planning – to make more sidewalks, playgrounds and parks in many towns and cities, and keep them safe.  Children of all ages need places to get outside and play.  They may also do sports, skateboard, bicycle, run with a dog, swim or dance. 

 It will take individual planning to bring activity into our adult  lives despite sedentary desk jobs and the pull of screen time.  We can sign up for Yoga, Pilates and walking groups. We can join a gym. I have a sturdy floor bicycle called a Desk Cycle, so while I watch Rachel Maddow or read a book at least I’m moving my legs.  It can fit under a desk.  There are lots of other home exercise machines. Housework counts!  People who are on their feet all day in restaurants and stores still need to think about weekend activity.  We have evolved to move.
Sadja Greenwood, MD, MPH