2013-05-05 1 Ge kroppen föda och själen näring! Del 2 Hur äter Du människa – Vad tycker Dina celler och skyddsbakterier? Stig Bengmark MD PhD, UCL, London University, UK [email protected]www.bengmark.com Arrangemang av Pingstkyrkan & Radio Falköping i samarbete med Hälsofrämjandet DNA – Not Your Destiny! Anand P et al Pharm Res 2008;25:2097-2116 Stressors like a calorie-rich diet turn genes on and off, activate epigenetic markers, modify histones, & seem to affect what gets passed down to the offspring DESCRETE PERSISTANT INFLAMMATION - A MOTHER OF DISEASE Bengmark S. J Clin Nutr 2004;23:1256-1266 Increase of ChDs 1850 – 2005 parallel to: 100 % increase in consumptionof saturated fats 2500 % production of milk/cow (2 l/d => 50 l/d ) 10000 % increase in refined sugar intake (1 lb => 100 lb) DESTABILIZING FACTORS Excess of refined processed foods: dys- functioning proteins (AGEs & ALEs), fats, sugars, hormones & chemicals; pharma, environmental toxins etc. increases pro-oxidant actions, stimulates over- expression of inflammatory messengers, reduces flora, increases membrane leakages, destabilizes the immune system Contributory are: Lack of physical activity Mental and physical stress Vitamin D deficiency decreases resistance to disease MAJOR HEALTH THREATS & life expectancy Stress ? years Low physical activity ? years Obesity ? years Alcohol abuse 4 - 5 years Tobacco abuse 8 - 12 years Food abuse 20 - 25 years
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ENDOTOXIN & METABOLIC SYNDROMEPussinen PJ et al. Diabetes Care 2011; 34:392–397
ALZHEIMER, NEUROINFLAMMATION &
ENDOTOXIN (LPS)Piazza A, Lynch MA Biochem Soc Trans. 2009;37:303-307
FATTY ACIDS & INFLAMMATION(in vitro) Weatherill AR et al J Immunol 2005;174:5390-5397
• The saturated fatty acid, lauric acid, upregulates in dendritic cells and produce inflammation:
• Expression of costimulatory molecules (CD40, CD80, & CD86)
• MHC class II
• Cytokines (IL-12p70 and IL-6) &
• Increased T cell activation
• In contrast, the n-3 polyunsaturated fatty acid, docosahexaenoic acid inhibits inflammation:
• LPS-induced up-regulation of the co-stimulatory molecules
• MHC class II, and cytokine production
• LPS-induced T cell activation induced
PALMITATE-INDUCED INFLAMMATIONOberbach A et al PLoS One 2010; 28;5:e10882
Saturated free fatty acids (FFAs) especially palmitic acid (16:0),and
stearic acid (18:0) stimulate macrophage activation of NFκ-B &
expression of pro-inflammatory cytokines.
PALMITATE & ASTROCYTE INFLAMMATION(in vitro) Gupta S et al J Neurochem 2012;120 :1060-1071
HIGH FAT DIET & ALLERGYWoods LG et al J Allergy Clin Immunol 2011;127:1133-1140
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VEGAN DIET & HEALTHKatcher HI et al Ann Nutr Metab 2010;56:245–252
Employees ( insurance company) with overweight and/or diabetes received either a low-fat vegan diet or regular food for 22 weeks. The vegan group reported improvements in: ● general health (p = 0.002)
● physical functioning (p = 0.001)
●mental health (p = 0.03)
● general vitality (p = 0.004)
● overall diet satisfaction (p = 0.001)
● reduced food costs (p = 0.003), but
● increased difficulty finding foods when eating out
Bill Clinton Turns 65
– and Vegan!Friday Aug 18.2011
Once known for his love of barbecue and
impromptu stops at McDonald's, former
President Bill Clinton has radically changed
his diet, dropped weight and improved his health.
The former junk food lover now calls himself a vegan,
shunning meat, eggs, dairy and almost all oil."I like the vegetables, the fruits, the beans, the stuff I eat now," Clinton tells CNN.
After experiencing periodic heart problems leading up to the 2004 surgery,
Clinton has now lost 20 lbs. and says:
"I feel good, and I also have … more energy."
• pH 9.0 –watermelon,
asparagus, garlic, carrot
• pH app 8,5 - dates, figs,
apricots, mango, parsley,
lemon, lime, grape fruit,
algae, sea grass
• Green leaves – espec
organic: spinach, arugula,
broccoli, germs, nettles
• Fruits – espec organic:
avocado, pear, apple,
banana, berries, grapes,
peach
• pH app 8.0 - peas,
pumpkin, parsnip
• pH app 7.5 –green beans and
peas, pepper, red beat, broccoli,
various cabbages
• Fish – preferable wild
• Nuts, almonds & seeds – espec
organic: - pumpkin seeds, sesame
seeds, flaxseeds, sun flower
seeds etc
• Various beans and sprouts; chick
peas, black peas etc, buckwheat
• Spices- ginger, turmeric,
cinnamon, cardamom etc
• Himalaya mineral salt, carob,
• coconut
• Vegetable fats – flax oil, coconut
oil , canola oil, olive oil, avocado
oil etc.
DYSBIOSIS-INDUCED METABOLIC DISORDERS Cani PD et al Diabetes 2008;57:1470-1481
LPS concentration 10 to 50 X higher
than those obtained during septic
shockMitaka C. Clin Chim Acta 2005; 351(1-2):17-29
Bifidobacterim
spp.
ENDOTOXIN-THE VILLAIN? ASSOCIATED DISEASES:
Alzheimer Jaeger LB et al. Brain
Behav Immun. 2009; 23: 507–17
Cognitive impairment Lee JW et
al. J Neuroinflammation 2008; 5: 37
Arterio-/Coronary Diseases Heo SK et al Immunol Lett
2008;120:57-64
Diabetes type 1 Nymark M et al
Diabetes Care 2009 32(9): 1689–
1693
Diabetes type 2 Andreasen AS
Intensive Care Med. 2010;36:1548-
1555
Cancer Hsu RY et al Cancer Res.
2011;71(5):1989-1998
Chronic Liver diesases Nolan JP
Hepatology 2010;52:1829-1835.
•ADHD, allergy, ALS, autism,
autoimmune diseases, bipolar
disease, cataracts, chronic
fatigue syndrome, COPD,
fibromyalgia, glaucoma, gulf war
syndrome, HIV, iritis,
macular degeneration, minimal
encephalopathy, multiple
sclerosis, nephropathies,
obesity, osteoporosis,
paradontosis, Parkinson,
polycystic ovary syndrome,
rheumatoid disease, stress,
schizophrenia, stroke, uveitis
FLORA IN WESTERNERS• Lb plantarum, a dominating LAB,
in only 25 % of omnivorous Americans & in 65 % of vegetarian AmericansFinegold SM et al. Human intestinal microflora in health and disease Academic Press, London, UK, 1983. pp 3-31
• Common colonic LAB species present only in
• about 50 % or less of healthy Scandinavians:Lb plantarum 52 %, Lb rhamnosus 26 %,Lb paracasei ssp paracasei 17 %Ahrné S et al. J Appl Microbiol 1998;85:88-94
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MICROBIOTA & OBESITYMillion M et al. Int J Obesity 2012;36:817-825
Obese (n=68) Controls (n=44) P-value
L. plantarum 0 (0%) 8 (18.2%) 0.0004
L. paracasei 10 (14.7%) 17 (38.6%) 0.004
L. reuteri 6 (8.8%) 1 (2.3%) 0.16
L. rhamnosus 3 (4.4%) 4 (9.1%) 0.27
L. ruminis 3 (4.4%) 4 (9.1%) 0.27
L. salivarius 5 (7.4%) 2 (4.5%) 0.43
ENDOTOXIN
& OBESITYFei N, Zhao L. ISME J.
2012. Epub 13 dec
HUMAN GUT MICROBIONTA & OBESITYLey RE et al. Nature 2006; 444:1022-1023
12 obese individuals
Fat- & carbohydrate restricted diet for 52 weeks
The relative numbers of Bacteroidetes
increased & the numbers of Firmicutes
decreased significantly
Increased numbers of Bacteroidetes correlated
with percentage loss of body weight
ENDOTOXIN & OBESITYFei N, Zhao L. ISME J. 2012 Epub 13 dec 2012.
A person weighing 174.8 kg lost 51.4 kg after
23 weeks on traditional Chinese medicinal
foods, whole grains, & prebiotic fibres
recovered totally from hyperglycemia and
hypertension.
The endotoxin-producing Enterobacter cloacae
B29 - found to constitute 35% of the gut
bacteria - decreased to non-detectable.
The Enterobacter cloacae inoculated in germfree
mice induces obesity and insulin resistance.
ELEMENTAL COMPOSITION OF THE BODYElement Percent by mass Atomic percent (calc.)
Oxygen 65% 25.6%
Carbon 18% 9.5%
Hydrogen 10% 63%
Nitrogen 3% 1.3%
Calcium 1.5% 0.24%
Phosphorus 1.2% 0.24%
Potassium 0.2% 0.03%
Sulfur 0.2% 0.04%
Chlorine 0.2% 0.04%
Sodium 0.1% 0.03%
Magnesium 0.05% 0.01%
Iron 3 g in men, 2.3 g in women
Cobolt, Copper,
Zinc, Iodine< 0.05% each
Selenium, Flour < 0.01% each
MG-DEFICIENCY & METABOLIC DISORDERSMagnesium (Mg), an essential mineral, required
for cellular energy-dependent reactions involving
ATP and the regulation of calcium channel
function.
Subclinical hypomagnesemia
- increases the severity of the systemic
inflammatory response
- worsens the systemic response to endotoxins,
- increases endotoxemia, insulin resistance,
- promotes organ injuries, commonly seen in
critically ill and in various chronic diseases
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MAGNESIUM/s & MORTALITY Reffelmann T et al. Atherosclerosis 2011;219:280-284
Mortality in subjects with Mg++ ≤ 0.73 mmol/l was in comparison to
higher Mg++ concentrations significantly higher for all-cause deaths:
10.95 death vs 1.45 deaths (7x) & for cardiovascular deaths: 3.44
deaths vs. 1.53 deaths (2.4x) per 1000 person years.
MAGNESIUM – A KEY MOLECULE IN CELL REPLICATION
Mg involved in > 300 biochemical processes
Mg deficiency associated with:
• Anxiety and panic Asthma
• Bladder problems, cystitis
• Body aches
• Chronic bowel problems
• Diabetes type 2 &
metabolic syndrome
• Dysmenorrhea
• Eclampsia
• Fatigue
• Headaches, migraine
• Heart disease
• Hypertension
• Hypoglycemia
• Insomnia
• infertility
• Insulin resistanse
• Kidney Disease
• Leg cramps
MAGNESIUM DEFICIENCY – ASSOCIATED
DISEASES cont
• Liver Disease
• Low energi
• Musculoskeletal
conditions
• Muscle twitches
• Nerve problems
• Obesity
• Premenstrual syndrome
• Premature contractions
• Restless legs
• Stroke
• Sudden Infant
Death Syndrome
(SIDS)
• Raynaud's
Syndrome
• Tooth decay
MAGNESIUM & SEPSIS PROTECTION
• Magnesium replacement
provides significant protection
against endotoxin Salem M et al Crit Care Med 1995;23:108-118
• Administration of Mg to animals
with sepsis improves organ
function and survival time Harkema JM et al Crit Care Med 1992;20:263-275
HYPOMAGNESEMIA IN CRITICALLY ILLLimaye CS et al J Assoc Physicians India 2011;59:19-22
52% of patients show Mg-deficiency on
admission to MICU & suffer increased:
• Mortality rate (57.7% vs 31.7%)
• Need for ventilatory support (73% vs 53%)
• Duration of mechanical ventilation
(4.27 vs 2.15 days),
• Rate of sepsis (38% vs 19%)
• Hypocalcemia (69% vs 50%)
• Hypoalbuminemia (80.76% vs 70.8%)
MAGNESIUM – DAILY REQUIREMENT
Children: 1-3 years old: 80 milligrams
4-8 years old: 130 milligrams
9-13 years old: 240 milligrams
14-18 years old (boys): 410 milligrams
14-18 years old (girls): 360 milligrams
Adult: Females: 310 milligrams
Pregnancy: 360-400 milligrams
Breastfeeding women: 320-360 milligrams
Males: 400 milligram
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MAGNESIUM IN FOODS mg/100 gr
• Pumpkin &Squash seeds 540
• Cacao 20-22 % 520
• Wheat bran 355
• Sesame seeds 350
• Wheat germs 290
• Almonds 280
• Soya beans 265
• Cashew nuts 260
• Rosehip, dry 240
• OAT bran 235
• Peanuts 190
• Beans 190
• Peas 150
• Lentils 80
• Spinach 79
• Prunes 52
• Avocado 41
• Banana 35
• CHEESE 35
• Broccoli 23
• FRENCH FRIES 35
• BREAD, whole wheat 24
• HAMBURGERS 20
• KETCHUP 18
• MILK 15
• CREAM 14
• BUTTER 3
ZINC IN FOODS mg/100 g
(Daily need: 10 -15 mg) • Wheat germ 18
• Dry yeast 14
• Sesame seed 10.2
• Flaxseed, dry 7.8
• Pumpkin seed 7.5
• Squash seed 7.5
• Cacao 7.0
• Pecan nuts 5.5
• Sunflower seeds 5.1
• Liver 4-7
• BEEF 4-6
• Soy protein 4.4
• Brazil nuts 4.2
• Peas 3.8
• Lentils 3.1
• Peanuts 3.1
• BACON 3.0
• Walnuts 3.0
• CHEESE 2-3
• BREAD whole wheat 1
FRENCH FRIES 0.4
• Milk 0.4
• CREAM 0.3
• BREAD, Wheat 0
SELENO-ENZYMES DEFICIENCIESFoster HD Med Hypotheses 2007;69:1277-1280
• Selenium• depressed glutathione peroxidase
oxidative stress
• depressed CD4 T lymphocytes
• depressed trijodothyronine
• myocardial infarction
• Kaposi’s sarcoma
• depression
• Cysteine• depressed glutathione
• poor wound healing
• abnormal immune function
• psoriasis
• infections and cancers
• Glutamine• depression
• compromised gut barrier integrity
(relaxation of tight junctions)
• diarrhea
• muscle wasting
• Tryptophan• depressed niacin and serotonin
• immune incompetence
• neuroendocrine disregulation
• polyneuropathy
• dementia
• dermatitis
• diarrhea
CYSTEINE IN FOODSmg/100 gr food
• Wheat germs 750
• Gelatin 670 Lamb 600
• Sesami seeds 520
• Wheat bran 440
• Oat 390
• Almonds 360
• Walnuts 350
• Peanuts 340
• Beans, dried 315
• Soya beans, dried 310
• Chicken 290
• Turkey 280
• Parmesan cheese 270
• Peas, dried 240
• Lentils, dried 230
• HAMBURGERS 110
• CHEESE 100
• Banana 60
• Figs 60
• FRENCH FRIES 28
• KETCHUP 5
METHIONINE IN FOODSmg/100 g food
• Brazil nuts 1010
• Sesame seeds 900
• Cheese 900
• Gelatin 670
• Roast chicken 801 Swiss cheese 784
• Baked codfish 679
• Fish 600
• Chicken 570
• Beef 560
• Pumpkin seeds 550
• Roast ham 535
• Dry yeast 520
• Sunflower seeds 490
• Wheat germs 470
• Soya beans, dried 410
• Hard boiled egg 392
• HAMBURGERS 360
• Beans, dried 325
• Peanuts, dried 280
• Peas, dried 260
• Almonds 230
• Cereals app 200
• Lentils, dried 190
• Banana 75
• Tofu 74
• KETCHUP 11
VITAMIN K IN FOODS mcg/portion
• Brussels sprouts,1/2 cup 460
• Broccoli, 1/2 cup 248
• Cauliflower, 1/2 cup 150
• Swiss Chards * 1/2 cup 123
• Spinach, raw, 1 cup 120
• BEEF, 3.5 oz 104
• PORK, 3.5 oz 88
• EGGS, whole, large 25
• Strawberries, 1 cup 23
• Oats, 1oz, dry 18
• MILK, 8 oz, whole 10 * mangold
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HEALTH – TEN COMMANDMENTS
7 NOS (restrict) & 3 YES (increase) 1. Restrict intake of IGF-1-inducing foods (refined carbohydrates)
2. Restrict intake of IGF-1-rich foods (dairy products)
3. Restrict intake of highly pro-inflammatory fructose
4. Restrict intake of foods heated above 100o
5. Restrict exposure to in microbe-derived highly inflammatory
endotoxin
6. Restrict exposure to chemicals including pharmaceutical drugs
7. Eliminate/Minimize intake of foods rich in proteotoxins such as
casein, gluten and zein (corn)
8. Increase the intake of fresh and raw greens, fresh spices and
vegetables -
9. Increase intake of ancient anti-oxidant-rich, high fiber, low-calorie