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Drop that Pill

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Multi-vitamin medicines may take you closer to diabetes:-

For decades, health-conscious people have been popping multi-vitamin tablets to stay healthy and prevent their body from “rusting”. But it may not be such a good idea, scientists now say, as the pills may actually make you prone to diabetes. In a major blow to the multi-billion dollar vitamin industry, researchers in Australia have gathered enough scientific evidence to show that synthetic antioxidants contained in multi-vitamin pills stunt the body’s ability to release insulin, an important hormone required to maintain healthy blood glucose levels.

Antioxidants, which are primarily multi-vitamin supplements, help the body maintain good health and vitality by mopping up what scientists call “reactive oxygen species” or ROS, a natural by-product of metabolism. Extremely reactive, the latter are capable of damaging cell structures and DNA, if not continuously removed from the system. Normally, a healthy body is capable of scavenging these harmful compounds on its own. But when one is chronically ill, this ability is severely compromised, thus creating a need for an external supply of antioxidants.

“Whether antioxidants really help depends on the user’s state of health,” says Tony Tiganis, associate professor of biochemistry and molecular biology at the Cellular Signalling and Human Disease Laboratory, Monash University, Australia, and leader of the study team.

The study, which appeared in the latest issue of the journal Cell Metabolism, suggests that mopping up the entire quantity of ROS from the body is not a good idea. That is because a low level of ROS can promote insulin response and attenuate insulin resistance in the early stages of type 2 diabetes. Insulin response can be best described as the body’s ability to release insulin — which removes sugar (or glucose) from blood, storing it away in muscles and fat cells.

“This is the first ever study to show that ROS can promote insulin sensitivity in vivo to prevent the development of insulin resistance,” Tiganis told KnowHow.

Experimenting with laboratory mice, Tiganis and his colleagues showed that the animals which lacked the ability to eliminate normal levels of ROS do not become insulin resistant even when put on a high-fat diet as they otherwise would have. These health benefits could be attributed to the increased release of insulin and uptake of ROS in their muscles, say the researchers.

“It is a pathbreaking study, the conclusions of which go against the prevailing scientific opinion that increase in oxidation (release of ROS) inhibits insulin action and predisposes one to diabetes,”
says Anoop Misra, internal medicine specialist at Fortis Hospital, New Delhi.

However, one must be careful in embracing the findings, cautions Misra. “The authors themselves say that only a subtle increase (and not gross) in oxidation can enhance sensitivity to insulin and that too in the early phase of the onset of diabetes.”

In practical terms, the general use of antioxidants (which are available in India in a wide variety, as vitamins and “strength giving” and “anti-ageing” pills) is best avoided, he observes.

It is not for the first time that the growing multi-vitamin industry is getting a bad press. Early last year, a study by Danish researchers — which appeared in the Journal of American Medical Association — showed that certain antioxidants could cut short the lifespan of an individual.

The study, which was an analysis of 67 random studies covering 2,00,000 people on antioxidant supplements, showed that some supplements — including vitamin A, beta-carotene and vitamin E — were capable of increasing mortality. Yet another suggested that an overdose of antioxidants could make men vulnerable to prostrate cancer.

In May this year, a team of researchers from Germany and the US showed that vitamin supplements could negate the health-promoting benefits of physical exercise. Published in the Proceedings of National Academy of Sciences, the study said supplements might lower the activity of several genes that are responsible for the body’s natural ROS scavenging mechanism.

Tiganis and other scientists, however, argue that they are not totally against intake of antioxidants. The body requires them and there are several natural sources of antioxidants such as fruits and vegetables. “There is a delicate balance; too much of a good thing… might be bad,” he says.

“I think healthy individuals should not take antioxidant supplements, but exercise and follow a healthy diet. It is possible that antioxidants may improve insulin sensitivity in obese diabetics,” he observes.

As a next step, the scientists are planning to work out at what stage ROS change from being beneficial to harmful.

So think again before you pop those pills in the morning.

Source: The Telegraph (Kolkata, India)

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Coconut Oil Could Ward Off Type 2 Diabetes.

Diet Rich  Coconut Oil Could Stop Type 2 Diabetes.  A diet rich in coconut oil could ward off Type 2 diabetes.

………..CLICK & SEE.
The oil, used in foods such as margarine, helps prevent insulin resistance.

This is where muscle and fat cells stop reacting to insulin, the hormone that helps to mop up excess sugar in the blood.
Australian scientists used mice to compare the effects of coconut oil-rich foods with a lard-based diet, consumed by many in the developed world.
The results showed coconut-fed mice were much less likely to develop resistance to insulin. Previously, coconut oil has had a mixed reception because it is high in saturated fat, which is linked to high cholesterol.

But coconut fat is now known to be made up of so-called ‘medium chain’ fatty acids, regarded as healthier than the long-chain fatty acids found in animal products such as butter or lard.

Source: Mail online:23rd. Sept. 2009

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Low Fat Recipe

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Bariatric surgery may help cure diabetes:-

In these days of take-one-get-one-free, a surgical procedure for curbing obesity too comes with a freebie. Get under the scalpel to get rid of excess fat and your diabetes will be gone, forever.

Independent experts say that they are not surprised by the finding, as being overweight or obese leads to diabetes and so when obesity is treated — surgically or otherwise — diabetes can also disappear, at least briefly. Normally, the beneficial effect lasts up to two years for those who undergo weight-loss surgery, commonly known as bariatric surgery.

The researchers — who did the study at Pune’s Ruby Hall Clinic — however, assert that there is an element of surprise in their findings. They found that the anti-diabetic mechanisms kicked in much before substantial weight loss had occurred. This means that the remission of diabetes did not happen just because the patients had their obesity problem under control, but something else. “It seems certain gastro-intestinal hormones are at play here,” says Shashank S. Shah, a bariatric surgeon at Ruby Hall Clinic, a co-author of the study.

The researchers — led by David E. Cummings, professor at the University of Washington School of Medicine, Seattle — also found that not just the obese, but thinner diabetics too can benefit from such surgery. The study was published in the latest issue of the journal Surgery for Obesity and Related Diseases.

India currently has more than 42 million known cases of diabetes. The numbers will, it is feared, shoot up to 59 million by 2025, according to the World Diabetes Foundation, a Denmark-based organisation.

The researchers used one of the most popular forms of bariatric surgery called gastro bypass surgery. The procedure makes the stomach smaller and allows food to bypass part of the small intestine. But as of now, only extremely obese people — who have a body mass index (BMI) of 40 kg/m2 (or a BMI of 35 with metabolic complications like diabetes) — are advised bariatric surgery.

The researchers chose 15 people — both men and women — in their forties who have been extremely diabetic for three to 13 years. Nearly 80 per cent of them were on insulin before the surgery was performed, while the rest were on oral medicines.

Cummings says they chose people of Indian descent because of their higher risk of developing Type 2 diabetes at lower BMI levels than those of other ethnic communities such as Caucasians. According to the World Health Organisation, the BMI of overweight adult Indians is 23-25 kg/m2, while for the obese it could be more than 25 kg/m2. In the case of other populations, the latter value is more than 30 kg/m2. This is because for any given BMI, the body fat percentage is 3 to 5 per cent higher in Indians than in others. The subjects selected for the study had BMI values in the range of 22 to 35 kg/m2.

“Our patients had very high diabetes at the outset (with very high levels of blood sugar despite the use of anti-diabetes medicines). In spite of this, all of them experienced complete diabetes remission,” says Cummings. Moreover, the effect was very fast: 80 per cent of the patients had no evidence of diabetes by the first month following the surgery while the rest showed complete remission by three months, he adds. The duration of follow-up lasted another six months.

According to Cummings, the results were several notches better than reported elsewhere. On an average, bariatric surgeries conducted in the past reported diabetes remission in only 84 per cent of cases.

Another interesting finding that emerged from the study is that lean patients had better diabetes remission than those who were fatter.

Kesavadev Jothydev, who runs a specialist diabetes clinic in Thiruvananthapuram, Kerala, says that the results are not surprising. But bariatric surgery is a major process and entails several short and long-term risks. “When part of the gut is removed (or bypassed), absorption of some vitamins and minerals are permanently impaired. This requires lifelong supplementation,” he says.

Bariatric surgery may sound like an attractive option, but only to those who are lazy and do not want to shed the extra kilos through dieting and exercise. Jothydev fears that it may in the long run be misused if wrong messages are conveyed. “Currently, in India, bariatric surgery is permitted only for those with a BMI of more than 32.5 kg/m2,” says Anoop Misra, head of the department of diabetes and metabolic diseases, Fortis Hospitals, New Delhi. “Depending on weight loss, this procedure leads to a marked benefit in all diseases associated with obesity”.

Cummings, however, discounts the risks involved in bariatric surgery. “The operative risks of bariatric surgery have been decreasing steadily over the past several years, largely owing to progressively better and less invasive laparoscopic techniques,” he told KnowHow.

The researchers are now planning to conduct a larger study involving nearly 100 patients in four countries — India, Brazil, Chile and the US. “We would also try to ascertain the exact mechanism involved in diabetes remission,” says Shah.

However, one word of caution from the researchers: the process is recommend to only those who have exhausted other options of medication and lifestyle modification. “Bariatric surgery remains an aggressive intervention and it should be reserved for cases in which medical and behavioural strategies to control diabetes have proven ineffective,” warns Cummings.


Source
: The Telegraph (Kolkata, India)

 
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Large Thighs ‘May Protect Heart’

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Men and women with thighs over 60cm (23.6in) in circumference have a lower risk of heart disease and early death, a study of 3,000 people suggests.

…………Click to see tge picture.
The relationship remains even when body fat, smoking and blood cholesterol are taken into account, a Danish team says.

Those with narrow thighs may not have enough muscle mass to deal with insulin properly, raising the risk of diabetes and, in turn, heart disease, they say.

Experts cautioned that the research needed corroborating.

Some said it was too early to change current advice on eating and exercise for heart health, but the researchers said thigh size could be used as a marker for at-risk patients.

The study, published in the British Medical Journal, followed men and women in Denmark for more than 10 years.

They were measured for height, weight and thigh, hip and waist circumference and their overall percentage of body fat was calculated.

The thigh measurement was taken just below the gluteal fold, which is the crease caused by your buttocks.

” It’s a very simple, very crude measure but it seems to have an individual effect. And it may be a way for doctors to assess risk ”  Says Professor Berit Heitmann  of  Copenhagen University Hospital
.
Researchers also looked at the activity levels of the participants, whether they smoked, their blood pressure and cholesterol levels.

They then monitored incidence of heart disease over 10 years and death rates over 12-and-a-half years.

‘Crude measure’
During this time, 257 men and 155 women died, 263 men and 140 women developed cardiovascular disease and 103 men and 34 women suffered from heart disease.

The team at the Copenhagen University Hospital found that those with the smallest thighs – below 55cm – had twice the risk of early death or serious health problems.

Professor Berit Heitmann, who led the research, said: “The increased risk was independent of abdominal and general obesity and lifestyle and cardiovascular risk factors such as blood pressure.

“Additionally we found that the risk was more highly related to thigh circumference than to waist circumference.

It’s a very simple, very crude measure but it seems to have an individual effect. And it may be a way for doctors to assess risk.

“The nice thing is that if you have a small thigh you can do something about it through exercise.”

Previous studies have suggested that a waist circumference of over 35in (88.9cm) for a woman and 40in (101.6cm) for a man indicated a high risk of developing diabetes and heart disease.

Professor Heitmann’s team says the risk of narrow thighs could be associated with too little muscle mass.

They say this can lead to the body not responding to insulin properly, increasing the risk of type 2 diabetes and, in the long-run, heart disease.

Too little fat can also lead to adverse changes in the way the body breaks down food.

‘Great news’
British Heart Foundation senior cardiac nurse Judy O’Sullivan said: “There is insufficient evidence to confirm that a low thigh circumference affects a person’s risk of developing cardiovascular disease.

“However, low muscle mass is associated with low levels of physical activity which is an established risk factor for developing heart disease.”

Tam Fry, of the National Obesity Forum, agreed that the research needed further corroboration, saying: “This is a very interesting and slightly counter-intuitive piece of work but it has to be respected because of the numbers looked at and the duration of the research.

“This must be great news for people with larger thighs. What I find fascinating is that researchers are now going back to the drawing board and looking for every possible way of mitigating obesity.”

HOW TO INCREASE YOUR THIGHS
*Go to a gym and train three times a week
*Exercise all the muscles in your thighs
*Use a weight you can only just lift 10 times in a row
*Over 3 months you will increase thighs by 6% to 10%
Source: Loughborough University

Source: BBC NEWS:Sept.4.2009

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Exercise Fights Fatty Liver Disease

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Counseling patients with non-alcoholic fatty liver disease on how to increase physical activity leads to health benefits that are independent of changes in weight.

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Non-alcoholic fatty liver disease is the most common form of chronic liver disease in developed countries. It is associated with obesity, insulin resistance and type 2 diabetes, and is characterized by elevated liver enzymes.

Currently, patients with non-alcoholic fatty liver disease are encouraged to alter their lifestyles, but the focus has been on weight loss through dietary changes. But when patients were encouraged to be active for at least 150 minutes per week, they showed improvements in liver enzymes and other metabolic indices, which were not connected to weight loss.

Resources:
Eurekalert July 1, 2009
Hepatology July 2009 Volume 50 Issue 1, Pages 68-76

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