Detoxification

When children indulge in sugary foods, they turn feral and bounce off every available surface. This is, as most parents can attest, a fact. In this Special Feature, we ask whether this common knowledge holds up to scientific scrutiny.

You are at a party, and there are around 20 children, aged 3–6. The noise is deafening and the candy bowls are empty. Screams of joy fill the air as parents marvel at their offspring’s sugar-induced bedlam.

But what does the science say? Does sugar increase the risk of hyperactivity in children? Perhaps surprisingly, the data says “probably not.”

This will come as a surprise to anyone who has attended a gathering of children where sweet treats are available, so let’s dive into the evidence, or lack thereof.

Sugar and hyperactivity in children

The question of whether sugar influences children’s behavior started to generate interest in the 1990s, and a flurry of studies ensued. In 1995, JAMA published a meta-analysis that combed through the findings of 23 experiments across 16 scientific papers.

The authors only included studies that had used a placebo and were blinded, which means that the children, parents, and teachers involved did not know who had received the sugar and who had been given the placebo.

After analyzing the data, the authors concluded: “This meta-analysis of the reported studies to date found that sugar (mainly sucrose) does not affect the behavior or cognitive performance of children.”

However, the authors note that they cannot eliminate the possibility of a “small effect.” As ever, they explain that more studies on a large scale are needed.

There is also the possibility that a certain subsection of children might respond differently to sugar. Overall, though, the scientists demonstrate that there certainly isn’t an effect as large as many parents report.

Are some children more sensitive to sugar?

Some parents believe that their child is particularly sensitive to sugar. To test whether this might be the case, one group of researchers compared two groups of children:

  • 25 “normal” children aged 3–5
  • 23 children, aged 6–10, whose parents described them as being sensitive to sugar

Each family followed three experimental diets in turn and each for 3 weeks. The diets were:

  1. high in sucrose, with no artificial sweeteners
  2. low in sucrose, but with aspartame as a sweetener
  3. low in sucrose, but with saccharin — a placebo — as a sweetener

The study included aspartame, as the authors explain, because it, too, has been “considered a possible cause of hyperactivity and other behavior problems in children.”

All three diets were free from artificial food colorings, additives, and preservatives. Each week, the scientists assessed the children’s behavior and cognitive performance. After analysis, the authors concluded:

“For the children described as sugar-sensitive, there were no significant differences among the three diets in any of 39 behavioral and cognitive variables. For the preschool children, only 4 of the 31 measures differed significantly among the three diets, and there was no consistent pattern in the differences that were observed.”

In 2017, a related study appeared in the International Journal of Food Sciences and Nutrition. The researchers investigated the impact of sugar consumption on the sleep and behavior of 287 children aged 8–12.

The scientists collected information from food frequency questionnaires and demographic, sleep, and behavior questionnaires. A surprising 81% of the children consumed more than the recommended daily sugar intake.

Still, the researchers concluded that “Total sugar consumption was not related to behavioral or sleep problems, nor affected the relationship between these variables.”

Taking the findings together, it seems clear that if sugar does impact hyperactivity, the effect is not huge and does not extend to the majority of children.

Why does the idea persist?

At this point, some readers might be asking, “If there is no scientific evidence that sugar induces hyperactivity in children, why does it induce hyperactivity in my children?” Some of the blame, it is sad to say, may fall on parental expectations.

A study that underlines this point appeared in the Journal of Abnormal Child Psychology in 1994. The researchers recruited 35 boys aged 5–7 whose mothers described them as being behaviorally “sugar sensitive.”

The children were split into two groups. They all received a placebo, which was aspartame. Half of the mothers were told that their children had each received a placebo, and the others were told that theirs had each received a large dose of sugar.

The scientists filmed the mothers and sons as they interacted and were asked questions about the interaction. The authors explain what they saw:

“Mothers in the sugar expectancy condition rated their children as significantly more hyperactive. Behavioral observations revealed these mothers exercised more control by maintaining physical closeness, as well as showing trends to criticize, look at, and talk to their sons more than did control mothers.”

Also, the media plays a part in perpetuating the myth. From cartoons to movies, the term “sugar rush” has entered common parlance.

Another factor is the setting in which a child might be given excess sugar. The classic scenario is a room full of children at a birthday party. In this environment, they are having fun and are likely to be excitable, regardless of the candy consumed.

Similarly, if candy is a special treat, the simple fact of receiving a delicious reward might be enough to generate a boisterous outburst of high-octane activity.

Where did this idea begin?

The health effects of sugar have been discussed widely over the last century. Even today, much research is dedicated to understanding the full details of this sweet chemical’s power over human health.

In 1947, Dr. Theron G. Randolph published a paper discussing the role of food allergies in fatigue, irritability, and behavioral problems in children. Among other factors, he described sensitivity to corn sugars, or corn syrup, as the cause of “tension-fatigue syndrome” in children, symptoms of which include tiredness and irritability.

In the 1970s, sugar was blamed for reactive or functional hypoglycemia — in other words, a dip in blood sugar following a meal — which can cause symptoms such as anxiety, confusion, and irritability.

These were the two prominent theories that underpinned the belief that children’s behavior is negatively impacted by consuming sugar: It is either an allergic reaction or a response to hypoglycemia. However, neither theory is now backed by the data.

Another lay explanation is that sugary snacks cause a brief spike in blood glucose, an effect called hyperglycemia. However, the symptoms of hyperglycemia include thirst, frequent urination, fatigue, irritability, and nausea. They do not include hyperactivity.

In the late 1970s and early 1980s, there was a fresh surge of interest in the sugar–hyperactivity theory. A number of studies appeared to show that children who were the most hyperactive consumed more sugar.

However, these studies were cross-sectional, meaning that they studied one population of children at one point in time. As the authors of the meta-analysis cited above explain, from these findings, it is impossible to know whether sugar causes hyperactivity or whether hyperactivity drives increased sugar intake.

Ongoing research

Since the 1990s, studies looking at hyperactivity and sugar have trailed off, with most experts considering the case closed. In one domain, however, studies have continued.

For the vast majority of children, sugar will not cause hyperactivity, but the jury is still out for one group of youngsters: those with attention deficit hyperactivity disorder (ADHD).

Scientists have approached this topic from two angles; some studies ask whether a high-sugar diet could increase the risk of developing ADHD, while others investigate whether sugar could exacerbate symptoms of ADHD in kids with the condition.

From the first camp of research, a study published in 2011 followed 107 fifth-graders and found “no significant association […] between total volume of simple sugar intake from snacks and ADHD development.”

Looking for longer-term effects, a systematic review and meta-analysis published in the Journal of Affective Disorders in 2019 assessed “evidence of the association between dietary patterns and ADHD.” The authors concluded that “a diet high in refined sugar and saturated fat can increase the risk” of ADHD and that a diet heavy in fruit and vegetables is protective.

However, they acknowledge that the evidence was generally weak. For instance, of the 14 studies that found a relationship between diet and ADHD, 10 used a cross-sectional or case-control design, both of which are observational and can have methodological problems.

Cross-sectional studies cannot tease apart which came first, the cause or the effect, because they determine the prevalence of both at the same point in time.

Case-control studies provide stronger evidence, as they look back into potential causes, or risk factors, after working out who has the health issue in question. The researchers then explore the occurrence of the risk factors in a similar group of people who do not have the health problem.

However, information about potential causes can be affected by memory bias — for example, people with ADHD may be more likely to report that they had a sugary diet because the association is expected.

The authors of the meta-analysis make another important point; there is some evidence that people with ADHD are more likely to binge eat than people without it. This might mean that increased consumption of foods that activate reward networks in the brain, such as sugary snacks, might be the result of ADHD, rather than a factor that increases the risk of ADHD.

An important final word

Sugar, it seems, does not cause hyperactivity in the vast majority of children. In the future, larger, longer studies might detect a small effect, but current evidence suggests that the association is a myth.

This, however, does not discount the fact that a diet high in sugar increases the risk of diabetes, weight gain, tooth cavities, and heart disease. Monitoring children’s, and our own, sugar intake is still important for maintaining good health.

Olusola Malomo, a leading Lagos nutritionist/Publicity Secretary of Nutrition Society of Nigeria, has called for regular intake of 100% fruit juice and regular exercise among others, as measures to boost the immune system and combat the Coronavirus Disease (COVID-19) pandemic. He gave the advice at his monthly healthy living dialogue.

While noting that COVID-19 is a respiratory infection which causes fever, tiredness, sore throat and in severe cases, shortness of breath and respiratory difficulty, he said that the World Health Organization (WHO) and other global public institutions have confirmed that the severity of the COVID-19 infection is linked with the overall state of the body’s immune system. He stated that this is the reason why people with pre-existing health challenges are most vulnerable to the contagion.

Quoting the Harvard Medical School in its Harvard Health Publishing, Malomo revealed that deficiency in Zinc, Iron, Copper, Folic Acid, Vitamins A, B6, C (which is contained in large quantity in fruit juice) and E have negative impacts on immune responses.

He said: “CNN reported that the United States retail sales of orange juice jumped about 38 percent in the four weeks ending on March 28, 2020, when compared to the same period last year. Also, the Florida Department of Citrus disclosed that there was a spike in demand for 100% orange juice within the same period.”

“During the five weeks the Federal Capital Territory, Lagos and Ogun were on lockdown, shops and supermarkets had run out of orange fruit juice stock in the first two or three weeks of the restriction.”

“In fact, less than a week into the lockdown, my favorite Chivita 100% Real Orange Fruit Juice which would have made the stay-at-home less boring for me, had rapidly been purchased off the shelves in Lagos. The scramble for unavailable raw fruits in the open markets started in earnest as the restriction on movement cut off a large chunk of the supplies.”

The expert, however, stated that fruit juice intake is just one of the many ways to boost one’s immune system. Others measures according to him include getting adequate sleep, thorough cooking of meat, maintaining good hygiene, moderate intake of alcohol and exercising regularly.

“Regular exercise is an essential component of healthy living. It improves cardiovascular function, helps control body weight, removes toxins in the body, increases blood circulation and lowers blood pressure. The result of these is a strengthened immune system that protects the body against infections and diseases. Regular exercise is most valuable when one shuns junk food and sticks to healthy eating habits and a balanced diet,” he noted. It is difficult to ascertain the level of good hygiene maintained by those who sell raw fruits, and considering that good hygiene is essential to combat COVID-19, Malomo said pure fruit juices, where available, can be substituted for raw fruits. He, however, cautioned against the consumption of brands whose production processes are not trusted.

In the short-term, eating too much sugar may contribute to acne, weight gain, and tiredness. In the long-term, too much sugar increases the risk of chronic diseases, such as type 2 diabetes and heart disease.

According to the Centers for Disease Control and Prevention (CDC), people in the United States consume too much added sugar. Added sugars are sugars that manufacturers add to food to sweeten them.

In this article, we look at how much added sugar a person should consume, the symptoms and impact of eating too much sugar, and how someone can reduce their sugar intake.

How much sugar is too much? 

According to the Dietary Guidelines for Americans 2010-2015, on average, Americans consume 17 teaspoons (tsp) of added sugar each day. This adds up to 270 calories.

However, the guidelines advise that people limit added sugars to less than 10% of their daily calorie intake. For a daily intake of 2,000 calories, added sugar should account for fewer than 200 calories.

However, in 2015, the World Health Organization (WHO) advised that people eat half this amount, with no more than 5% of their daily calories coming from added sugar. For a diet of 2,000 calories per day, this would amount to 100 calories, or 6 tsp, at the most.

Symptoms of eating too much sugar

Some people experience the following symptoms after consuming sugar:

  • Low energy levels: 2019 study found that 1 hour after sugar consumption, participants felt tired and less alert than a control group.
  • Low mood: A 2017 prospective study found that higher sugar intake increased rates of depression and mood disorder in males.
  • Bloating: According to Johns Hopkins Medicine, certain types of sugar may cause bloating and gas in people who have digestive conditions, such as irritable bowel syndrome (IBS) or small intestinal bacterial overgrowth (SIBO).

Risks of eating too much sugar 

Consuming too much sugar can also contribute to long-term health problems.

Tooth decay

Sugar feeds bacteria that live in the mouth. When bacteria digest the sugar, they create acid as a waste product. This acid can erode tooth enamel, leading to holes or cavities in the teeth.

People who frequently eat sugary foods, particularly in between mealtimes as snacks or in sweetened drinks, are more likely to develop tooth decay, according to Action on Sugar, part of the Wolfson Institute in Preventive Medicine in the United Kingdom.

Acne

2018 study of university students in China showed that those who drank sweetened drinks seven times per week or more were more likely to develop moderate or severe acne.

Additionally, a 2019 study suggests that lowering sugar consumption may decrease insulin-like growth factors, androgens, and sebum, all of which may contribute to acne.

Weight gain and obesity

Sugar can affect the hormones in the body that control a person’s weight. The hormone leptin tells the brain a person has had enough to eat. However, according to a 2008 animal study, a diet high in sugar may cause leptin resistance.

This may mean, that over time, a high sugar diet prevents the brain from knowing when a person has eaten enough. However, researchers have yet to test this in humans.

Diabetes and insulin resistance

2013 article in PLOS ONE, indicated that high sugar levels in the diet might cause type 2 diabetes over time.

The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) add that other risk factors, such as obesity and insulin resistance, can also lead to type 2 diabetes.

Cardiovascular disease

A large prospective study in 2014 found that people who got 17–21% of their daily calories from added sugar had a 38% higher risk of dying from cardiovascular disease (CVD) than those who consumed 8% added sugars. For those who consumed 21% or more of their energy from added sugars, their risk for CVD doubled.

High blood pressure

In a 2011 study, researchers found a link between sugar-sweetened beverages and high blood pressure, or hypertension. A review in Pharmacological Research states that hypertension is a risk factor for CVD. This may mean that sugar exacerbates both conditions.

Cancer

Excess sugar consumption can cause inflammationoxidative stress, and obesity. These factors influence a person’s risk of developing cancer.

A review of studies in the Annual Review of Nutrition found a 23–200% increased cancer risk with sugary drink consumption. Another study found a 59% increased risk of some cancers in people who consumed sugary drinks and carried weight around their abdomen.

Aging skin

Excess sugar in the diet leads to the formation of advanced glycation end products (AGEs), which play a role in diabetes. However, they also affect collagen formation in the skin.

According to Skin Therapy Letter, there is some evidence to suggest that a high number of AGEs may lead to faster visible aging. However, scientists need to study this in humans more thoroughly to understand the impact of sugar in the aging process.

How to eat less sugar

A person can reduce the amount of added sugar they eat by:

  1. checking food labels for sweeteners
  2. reducing foods with added sugar
  3. avoiding processed foods in general

Checking food labels

Added sugar and sweeteners come in many forms. Ingredients to look out for on a food label include:

  • brown sugar
  • fructose
  • glucose
  • sucrose
  • maltose
  • honey
  • corn sweetener
  • corn syrup
  • high fructose corn syrup
  • raw sugar
  • molasses
  • malt syrup
  • evaporated cane juice
  • agave nectar
  • maple syrup
  • invert sugar
  • fruit juice concentrates
  • trehalose
  • turbinado sugar

Some of these ingredients are natural sources of sugar and are not harmful in small amounts. However, when manufacturers add them to food products, a person might easily consume too much sugar without realizing it.

Reducing foods that contain added sugar

Some food products contain large amounts of added sugars. Reducing or removing these foods is an efficient way to reduce the amount of sugar a person eats.

The Dietary Guidelines for Americans 2010–2015 state that soda and other soft drinks account for around half a person’s added sugar intake in the U.S. The average can of soda or fruit punch provides 10 tsp of sugar.

Another common source of sugar is breakfast cereal. According to EWG, many popular cereals contain over 60% sugar by weight, with some store brands containing over 80% sugar. This is especially true of cereals marketed towards children.

Swapping these foods for unsweetened alternatives will help a person lower their sugar intake, for example:

  • swapping soda for water, milk, or herbal teas
  • swapping sugary cereals for low sugar cereal, oatmeal, or eggs

Avoiding processed foods

Manufacturers often add sugars to foods to make them more appealing. Often, this means people do not realize how much sugar a food contains.

By avoiding processed foods, a person can get a better sense of what their food contains. Cooking whole foods at home also means someone can control what ingredients they put into their meals.

When to see a doctor

People should see their doctor if they experience the symptoms of high blood sugar. According to the NIDDK, symptoms include:

  • increased thirst and urination
  • increased hunger
  • fatigue
  • blurred vision
  • numbness or tingling in the hands or feet
  • unexplained weight loss
  • sores that do not heal

These symptoms may indicate a person has diabetes. A doctor can test for diabetes by taking a urine sample.

People should also speak to a doctor if they experience other symptoms after eating sugar, such as bloating.

Summary

Consuming too much added sugar has many adverse impacts on health, including tiredness and weight gain, and more severe conditions, such as heart disease. Added sugars are present in many processed foods and drinks.

People can reduce their sugar intake by knowing what to look for on food labels, avoiding or reducing common sources of sugar, such as soda and cereals, and prioritizing unprocessed whole foods.

If a person is concerned about weight gain, symptoms that may indicate diabetes, or other symptoms they experience after eating sugar, they should speak to a doctor.

After examining the link between metabolites in urine and overall health, researchers created a 5-minute test to reveal a person’s nutritional fingerprint.

Research finds a new way to look at the relationship between what we eat and our health.

It might seem obvious that good nutrition is linked to good health. Still, it has proven difficult to identify specific links between foods and health outcomes. Two new studies from scientists at Imperial College London (ICL), United Kingdom, and various collaborators report insights from the analysis of metabolites in urine.

The researchers have created a 5-minute urine test that can capture a person’s “nutritional fingerprint.”

“Diet is a key contributor to human health and disease, though it is notoriously difficult to measure accurately because it relies on an individual’s ability to recall what and how much they ate. For instance, asking people to track their diets through apps or diaries can often lead to inaccurate reports about what they really eat,” explains study author Joram Posma, of ICL’s Department of Metabolism, Digestion, and Reproduction.

“This research reveals this technology can help provide in-depth information on the quality of a person’s diet and whether it is the right type of diet for their individual biological makeup.” — Joram Posma, study co-author

The first study reveals links

Scientists from ICL and their collaborators — from Northwestern University in Chicago, IL, the University of Illinois at Chicago, and Murdoch University in Australia — authored the first of the two studies. It appears in the journal Nature Food.

Metabolites are molecules that the body produces during cellular metabolism, and some are measurable in a person’s urine.

Working with 1,848 study participants in the U.S., the researchers were able to identify associations between 46 different metabolites and food types.

Co-author Paul Elliot, Chair in Epidemiology and Public Health Medicine at ICL, explains:

“Through careful measurement of people’s diets and collection of their urine excreted over two 24-hour periods, we were able to establish links between dietary inputs and urinary output of metabolites that may help improve understanding of how our diets affect health. Healthful diets have a different pattern of metabolites in the urine than those associated with worse health outcomes.”

Metabolites were linked with the ingestion of alcohol, citrus fruit, fructose (fruit sugar), glucose, red meats, and other animal proteins, such as chicken. Nutrients, including vitamin C and calcium, were also associated with metabolites in the study.

Metabolites’ associations with health outcomes also became apparent in the data. For instance, the scientists found that the metabolites formate and sodium were linked to obesity and higher blood pressure.

The second study and the 5-minute fingerprint

For the second research project, which also appears in Nature Food, the ICL team worked again with scientists from Murdoch University, along with researchers from Newcastle University and Aberystwyth University, both in the U.K.

The study reports that the scientists were able to produce an easy-to-administer urine test that could reveal a person’s metabolite profile in the form of a Dietary Metabotype Score (DMS).

Study author Isabel Garcia-Perez, of Imperial College, says:

“Our technology can provide crucial insights into how foods are processed by individuals in different ways — and can help health professionals, such as dietitians, provide dietary advice tailored to individual patients.”

In evaluating the test, the scientists conducted experiments with 19 people whom they instructed to follow one of four types of diets (ranging from very healthful to unhealthful) strictly based on the World Health Organization’s (WHO’s) guidelines. The healthiest adhered 100% to the WHO recommendations, and the least healthy just 25% of them.

The study authors found that even among those who reported following the same diet, there were differences in the DMS.

WHO recommendations contain a great deal of latitude in the choice of specific foods. One recommendation, for example, is, “Fruit, vegetables, legumes (e.g., lentils and beans), nuts, and whole grains (e.g., unprocessed maize, millet, oats, wheat, and brown rice).”

The researchers found that, in general, the more healthful the person’s diet, the higher the DMS. Those with higher scores also had lower blood sugar and excreted an increased amount of energy from the body in the urine.

The study characterizes the difference between high energy urine and low energy urine as meaning that a person with a higher DMS would be losing 4 extra calories a day, which equates to about 1,500 calories a year, and would thus avoid about 215 g of body fat annually.

Next up for the team is investigating the use of this new technology in people at risk of cardiovascular disease.

Rethinking diets

Aside from the obvious value of the 5-minute test, the studies suggest that it may be time to use the new findings to personalize healthful food recommendations.

Newcastle University’s John Mathers says:

“We show here how different people metabolize the same foods in highly individual ways. This has implications for understanding the development of nutrition-related diseases and for more personalized dietary advice to improve public health.”

The link between specific metabolites, foods, and outcomes also raises other considerations, according to ICL’s Gary Frost, another co-author:

“These findings bring a new and more in-depth understanding to how our bodies process and use food at the molecular level. The research brings into question whether we should rewrite food tables to incorporate these new metabolites that have biological effects in the body.”

Can extracts of lemongrass (Cymbopogon citratus) and cocoa (Theobroma cacao) be effectively used to induce labour during childbirth?

A recent study published in Nigerian Journal of Basic and Applied Sciences concluded: “This study has shown that T. cacao and C. citratus stimulate uterine activity and may therefore be useful in the management of uterine contractility disorders.”

Induction of labour refers to techniques for stimulating uterine contractions to accomplish delivery prior to the spontaneous onset of such contractions.

Conventionally, oxytocin is used for induction of labour in women with an unscarred uterus. Oxytocin is a peptide hormone and neuropeptide. It is normally produced in the hypothalamus and released by the posterior pituitary. It plays a role in social bonding, sexual reproduction, childbirth, and the period after childbirth.

However, oxytocin like most other conventional medicines has its adverse side effects and limitations.

Consequently, there is a need to develop new drugs from natural products for the safe and effective management of female reproductive disorders and researchers have investigated two commonly consumed natural products on uterine function.

The study is titled “Ex-Vivo Uterine Activity of Theobroma Cacao (Malvaceae) Aqueous Seed Extract and Cymbopogon Citratus (Poaceae) Aqueous Leaf Extract – A Preliminary Investigation.”

Commonly called lemongrass, Cymbopogon citratus belongs to the plant family Graminae. To the French it is citronelle, citronella in Portuguese. In Nigeria, the Edos call it eti, Efik, ikon eti, Hausa, tsauri, Ibibio, myoyaka makara, Igbo (Owerri), achara ehi and Yoruba, kooko oba.

Until now, lemon grass is used in different parts of the world in the treatment of digestive disorders, fevers, menstrual disorder, rheumatism and other joint pains. The essential oil of the plant is used for the treatment of skin diseases.

Theobroma cacao, also called the cacao tree and the cocoa tree, is a small evergreen tree in the family Malvaceae, native to the deep tropical regions of Mesoamerica. Its seeds, cocoa beans, are used to make chocolate liquor, cocoa solids, cocoa butter and chocolate.

The ex-vivo uterine activity of Theobroma cacao (cocoa) aqueous seed extract and Cymbopogon citratus (lemon grass) aqueous leaf extract was investigated on non-pregnant mouse uteri. The effect of T. cacao (0.1 mg/mL) and C. citratus (0.1 mg/mL) on spontaneous uterine contractility and in the presence of oxytocin (11.54 nM) was examined.

This study showed that T. cacao elicited a significant increase in the amplitude of spontaneous uterine contractions with no significant change in the frequency, which was similarly observed with C. citratus leaf extract. An increase in amplitude and frequency of oxytocin-induced uterine contractions was observed in the presence of T. cacao while in the presence of C. citratus there was a significant reduction in amplitude and a non-significant reduction in the frequency of oxytocin-induced uterine contractions.

The researchers concluded: “The uterotonic effect of both extracts in the absence of agonists, as observed from this study maybe as a result of constituents with agonistic activity on intracellular calcium. This study has shown that T. cacao and C. citratus have stimulated uterine activity and may, therefore, be useful in the management of uterine contractility disorders.”

Also, a study published in the journal bioRxiv evaluates the potential of essential oil from Cymbopogon citratus (CEO) as an anti-inflammatory and antioxidant agent.

According to the study titled “In silico and In vitro evaluation of the anti-inflammatory and antioxidant potential of Cymbopogon citratus from North-western Himalayas”, CEO showed significant DPPH radical scavenging activity, as compared to Ascorbic acid (vitamin C). CEO also exhibited significant in-vitro anti-inflammatory activity as compared to diclofenac sodium.

Diclofenac sodium (Voltaren) is used to relieve pain, swelling (inflammation), and joint stiffness caused by arthritis.

Chemical constituents of the oil were determined using Gas Chromatography/Mass Spectroscopy, showed that 8-methyl-3,7-Nonadien-2-one (E), α-Pinene, limonene, citral, limonene oxide and Epoxy-α-terpenyl acetate were the major constituents.

According to the study, the in silico molecular docking study showed phytocompounds of CEO (Caryophyllene oxide and β-caryophyllene) have considerable binding potential with 1HD2 and 5IKQ receptors. PASS prediction of these phytocompounds also confirmed strong anti-inflammatory activity of C. citratus. The ADMET analysis also showed that these phyto-compounds are safer to replace the synthetic drugs with side effects. “This work establishes the anti-inflammatory potential of CEO as an alternative to existing therapeutic approach to the treatment of inflammation and also a natural source of antioxidant compounds,” it noted.

The researchers concluded: “C. citratus is one of the important herbs, which play an important role in human health due to the presence of phytochemicals which are responsible for its biological activity. However, the quantification of these phytochemicals in C. citratus is affected by geographical and climatic conditions. In the current investigation, CEO was examined for its chemical composition, in vitro antioxidant and anti-inflammatory activity, to provide a justification for its health benefits. CEO exhibit good DPPH radical scavenging activity, while FRAP and ABTS activity of CEO was very low which may be due to the combined effect of several phytocompounds.

“However, CEO showed significant anti-inflammatory activity. In silico prediction and molecular docking studies showed that Caryophyllene oxide and β-Caryophyllene contributed to antioxidant and anti-inflammatory activity of CEO.

However, except α-Pinene (hepatotoxic), all the phytocompounds were found to qualify ADME/T condition and are less toxic in nature.

“In a nutshell, the present study opens new avenues for the plant C. citratus to be used as safe and less toxic alternatives to synthetic drugs used in complications arising due to oxidative stress and inflammation.”

Researchers have also examined the cytotoxicity and antiviral activity evaluation of Cymbopogon spp hydroethanolic extracts.

The study was published in Brazilian Journal of Pharmaceutical Sciences.

Cymbopogon citratus and C. nardus are noteworthy among the several existing plant species displaying medicinal properties, due to the potential pharmacological activity of these species, including antiviral, antibacterial, antifungal and anti-trypanosomal activities.

The objective of this study was to carry out in vitro toxicity tests of plant extracts from both species and analyze potential antiviral activity against Human mastadenovirus serotype 5 (HAdV-5). Two cell lines (A549 and VERO) were used and mitochondrial and lysosomal viability was determined by the MTT and neutral red assay, respectively, after two exposure times (24 hours and six days).

The aim of these assays was to counteract the behavior of the extracts against the different cell lines and determine their non-toxic concentration range, in order to evaluate possible antiviral activity against HAdV-5. Plaque reduction and inhibition index of viral titer assays were performed using the maximum non-cytotoxic concentrations (MNCC) of each extract.

“The results indicate MNCC at 625 μg/mL for all extracts, except for Cymbopogon nardus obtained with 80% ethanol (CN80), which showed toxicity at concentrations higher than 312.5 μg/mL. CN80 was the only extract that displayed potential activity against HAdV-5, at a concentration of 75 μg/mL, becoming a candidate for extract fraction purification and/or the isolation of substances related to the observed antiviral activity.”

The Cymbopogon genus is widely distributed worldwide and applied in popular medicine for different therapeutic purposes. Biological activities are closely related to their constituents, such as phenolic acids, flavonoids and alkaloids, among other secondary metabolites. In different countries, the popular use of species belonging to this genus indicates applicability as a tranquilizer, antiseptic, antipyretic, anti-inflammatory and analgesic compound and insect repellent, among others.

Cymbopogon citratus (CC), a species are commonly known as “lemongrass”, has been used in the pharma­ceutical, food, perfumery and cosmetic industries for various purposes, while Cymbopogon nardus (CN), known as “citronella grass”, has been used as an insect repellent due to its intense aroma. Several reports in the scientific literature of antibacterial, antifungal and anti-trypanosomal activities are available.

Furthermore, these species have also been evaluated concerning possible antiviral activity. Some studies have demonstrated ethanolic extract CN activity against herpes simplex virus serotype 1 (HSV-1), as well as against measles using hexane-extracted fractions. In addition, the antiviral action of CC has been reported for its methanolic extract against dengue virus serotype 1, and for its essential oil against HSV-1, hepatitis A virus and murine norovirus.

Nigerian researchers have also demonstrated the efficacy of lemon grass and some other plant extracts as storage protectants.

The study published in the Journal of Biotechnology Biomaterials is titled “Efficacy of Some Plant Extracts as Storage Protectants against Callosobruchus maculatus.”

The researchers include Mojisola Esther Ojebode, Charles Openiyi Olaiya and Kayode Olayele Karigidi of the Nutritional and Industrial Biochemistry Research Laboratories, University of Ibadan, Oyo State; Adegoke Emmanuel Adegbite of the Department of Biological Sciences, Ondo State University of Science and Technology, Okitipupa, Ondo State; and Tosin Oluwaseun Ale of the Pharmaceutical Chemistry Research Laboratories, University of Ibadan.

The research was aimed at contributing to the collation and organisation of baseline data on natural insect repelling and insecticidal agents. It also aimed at discovering crop protection agents that would preferentially get rid of pests. The need to develop pest control measures, as an alternative to chemicals is a priority for scientists worldwide. Therefore, it is critical to find a cost effective and non-toxic method to prevent pest attack on the field or stored crops.

The researchers noted: “In this study, Cymbopogon citratus (lemon grass), Citrus sinensis (orange peel) and Azadirachta indica (neem) were used to investigate and evaluate the potency of the fixed and essential oils of these plants as pest control agent for the main storage insect pest of cowpea- Callosobruchus maculatus. All extracts were toxic to adult C. maculatus and prevented egg hatching.

“However, Citrus sinensis showed the highest weevil mortality on the first day of exposure, followed by Azadirachta indica and the least toxic was Cymbopogon citratus in the fixed oil category of extracts while in the essential oil category, Cymbopogon citratus showed 100 per cent adult weevil mortality within one hour of exposure and Citrus sinensis was able to achieve 100 per cent weevil mortality at the third hour of exposure. The Gas Chromatography/Mass Spectrometry (GC/MS) analysis of the essential oils of Cymbopogon citratus and Citrus sinensis was used to identify possible components of the oils comparing with existing data. This led to the development of technique adoptable for small holder farmers and cowpea traders.”

Also, another study published in the journal Clinical Phytoscience investigated the anti-diabetic action of lemongrass tea (LGT) in a type 2 diabetes (T2D) model of rats.

The fructose-streptozotocin (STZ) animal model for T2D was used and the LGT was prepared by boiling for 10 min in water, allowed to cool and administered at 0.25 or 0.5 per cent (ad libitum), for four weeks to the T2D rats.

The LGT showed higher phytochemical contents compared to the cold-water extract. The diabetic untreated animals exhibited significantly higher serum glucose and lipids, insulin resistance (HOMA-IR) index with significantly lower levels of serum insulin, β-cell function (HOMA-β) and liver glycogen compared to the normal animals. Oral supplemented of LGT for four weeks improved these changes comparable to the metformin treated group.

The researchers concluded: “The data suggests that LGT intake had an excellent anti-diabetic effect in a T2D model of rats attributed to the higher content of the ingredients.”

Another study has demonstrated the cellular antioxidant activity of lemon grass against liver cancer cells The results obtained from the study indicate that microemulsions are very good systems for applications of lemon grass in functional food and pharmaceutical industries.

The study is “Enhanced Antioxidant and Antiproliferative Activities of Cymbopogon citratus (DC.) Stapf Essential Oils in Microemulsion.”

The study was published in the journal ACS Sustainable Chemical Engineering.

Cymbopogon citratus essential oils (C.EO) have important applications in the food and pharmaceutical industries. However, the studies on microemulsions of C.EO (M-EO) are very limited though M-EO from other plants has been extensively studied. In this study, C.EO were first extracted by hydrodistillation and characterized by gas chromatography–mass spectrometry analysis with the identification of citronellal (35.7 per cent), citronellol (12.5 per cent), and geraniol (16.6 per cent) being the major oil compounds.

Furthermore, M-EO were prepared using Tween 80 as a surfactant and ethanol as a co-surfactant, and the pseudo-ternary phase diagrams were depicted at different surfactant/cosurfactant (Km) and surfactant + cosurfactant/essential oil (Smix) ratios. The M-EO structure changes were investigated and elaborated through the determination of electrical conductivity and viscosity of the system prepared at a Km of 2:1 and a Smix of 8:2. M-EO was relatively stable after 90 days at an ambient temperature of 25 °C. Extracellular antioxidant activities of M-EO were improved by approximately 47 per cent assessed by oxygen radical absorbance capacity assay and by 184 per cent by peroxyl radical scavenging capacity assay compared to the direct use of C.EO.

The cellular antioxidant activity of M-EO against liver cancer HepG2 cells was 151.1 ± 15.5 μmol quercetin equivalent/mg essential oils compared to negligible activity with C.EO. The EC50 of the antiproliferative activity of M-EO against HepG2 cells was 26.75 ± 2.91 μg essential oils/g, much lower than that (174.22 ± 8.20 μg essential oils/g) of C.EO. In addition, M-EO had little cytotoxicity against human normal cells, L02. The results obtained from this study indicate that microemulsions are very good systems for applications of C.EO in functional food and pharmaceutical industries.

Another study published in the journal Access Microbiology investigated the antiviral activity of leaf extract of lemon grass on viral diseases.

This study determined the in-ovo antiviral effect of crude Methanolic leaf extract of Cymbopogon citratus on Newcastle disease virus.

In ovo is Latin for in the egg. In medical usage, it refers to the growth of live virus in chicken egg embryos for vaccine development for human use, as well as an effective method for vaccination of poultry against various Avian influenza and coronaviruses.

Cold extraction was carried out using analytical grade methanol. Phytochemical screening of the crude extract was carried out using standard procedures. Antiviral assay was carried out in nine-day old specific pathogen free embryonated hens’ eggs in three designs made of five eggs per group (Virus with extract, the virus only and un-inoculated groups) with concentrations ranging from 12.5 to 100 mg ml−1. Egg toxicity of the extract was determined for concentrations of 12.5, 25, 50, 100, 200, 300 and 400 mg ml−1. Inoculated eggs were incubated at 37 °C and observed daily for 96 h for embryo survival and mortality. Spot haemagglutination was carried out on bacteria-free allantoic fluid from the embryonated eggs to detect the presence of the virus.

Phytochemical assay revealed the presence of saponins, flavonoids, steroids, terpenes, phlebotannins and terpenoids. Mild toxicity was observed at concentrations of 100 mg ml−1 and above. There was no haemagglutination of fluid from the eggs inoculated with a combination of Virus and extract at concentrations of 50 and 100 mg ml−1.

The current findings demonstrated that leaf extract of Cymbopogon citratus has potential medicinal value as well as antiviral activity against Newcastle disease virus in-vivo (inside a living organism). The specific mechanism of action remains to be studied to further elucidate on its potential as a therapeutic product for the treatment of Newcastle Disease.

blood donation - beautiful girl in the clinic

Despite lockdown measures being in place to curb the spread of SARS-CoV-2, it is crucial that people still donate blood.

COVID-19’s sudden emergence and rapid spread across the world have fundamentally changed how societies function, requiring radical restrictions on movement.

These lockdowns aim to limit the transmission of the SARS-CoV-2 virus to reduce both the number of people dying after becoming infected and the strain on overloaded intensive care units.

However, while staying at home as much as possible is important, it is also crucial that many essential workers can leave their homes safely. These individuals include care workers in hospitals and the community, public service workers, and people working in food industries, as well as anyone else who plays a key role in helping the country keep functioning, whether there is a pandemic or not.

Donating blood

As well as these key workers, other people who are crucial for maintaining the health of a population are those who donate blood.

A country’s blood supply is integral to supporting people in a critical condition. According to the National Heart, Lung, and Blood Institute (NHLBI), blood transfusions are necessary if a person loses too much blood due to injury or during a surgical procedure. They can also be necessary if a person’s body is not producing blood properly.

Depending on the reason why a person needs a blood transfusion, the NHLBI highlight that it is possible to give four different types of blood product during transfusion: whole blood, red blood cells, platelets, or plasma.

The American Red Cross note that scientists cannot manufacture blood and platelets, and the NHLBI say that the majority of the products given in blood transfusions come from whole blood donations from members of the public.

According to the Centers for Disease Control and Prevention (CDC), blood transfusions are lifesaving procedures that occur every day in hospitals across the United States. There are more than 13.2 million blood donors in the U.S., who are crucial for the country’s blood supply. The Food and Drug Administration (FDA) point out that someone needs a blood transfusion every 2 seconds.

Without ready access to supplies of blood, many people would not be able to undergo lifesaving blood transfusion procedures.

“Dramatic reduction” in blood donations during lockdown

As with all the other resources that a country depends on, supply and demand largely determine its blood reserves. At a local level, if there is a significant accident causing a loss of blood from many people, blood reserves may become stretched as the demand increases.

Conversely, too few people donating blood can put pressure on the blood reserves, as the supply of blood cannot meet the demand.

The physical distancing policies that authorities have implemented during the SARS-CoV-2 outbreak have put severe pressure on the supply of blood in the U.S.

According to Dr. Peter Marks, Director of the FDA’s Center for Biologics Evaluation and Research, “[t]he COVID-19 pandemic has caused unprecedented challenges to the U.S. blood supply. Donor centers have experienced a dramatic reduction in donations due to the implementation of physical distancing and the cancellation of blood drives.”

Dr. Marks describes people who donate blood as “part of our critical infrastructure industries.” Despite the physical lockdown measures, it is crucial that people continue to donate blood.

It is the responsibility of local governments to encourage people to donate blood and to help them do it in a safe way that does not significantly increase their risk of getting or passing on SARS-CoV-2.

In short, the benefits of giving blood at this critical stage of the pandemic far outweigh the negative consequences of the increased number of people traveling from their homes.

Donating blood safely

While it is crucial that people continue to donate blood, doing so safely is, of course, also important.

As with other people who are critical to the functioning of society and thus unable to stay at home, people who donate blood should adhere to physical distancing policies when traveling outside, wear masks in areas where they are unable to keep 6 feet apart from other people, and frequently wash their hands to reduce their chances of catching or spreading the virus.

As Dr. Marks points out, blood donation centers are ideally placed to manage the donations of blood safely during the pandemic, as they are highly skilled in infection control practices.

In Dr. Marks’ words, “[b]lood donation centers always take steps to prevent staff and donors who are not feeling well or who have a fever from reaching the donor area, and they are now taking additional social distancing precautions wherever possible, consistent with the President’s Coronavirus Guidelines for America.”

“Donating blood is safe and takes only a little of your time. At many blood donation centers, those who are interested in donating can make an appointment to minimize the time it takes to donate blood. Centers can arrange to call a donor’s mobile phone when they’re ready for the donor to come in.”

The CDC have issued advice to blood and plasma collection facilities on how to operate safely during the pandemic. They recommend:

  • maintaining good respiratory hygiene and cough etiquette
  • following hand hygiene practices
  • cleaning and disinfecting surfaces regularly
  • placing seats 6 feet apart in waiting areas and the collection area
  • ensuring that donation center workers do not work if they have COVID-19 symptoms
  • making sure that all staff are aware of the latest policies and safety procedures in response to the pandemic

Various organizations can help a person find a local blood donation center where they can schedule an appointment. These organizations include:

  • AABB
  • America’s Blood Centers
  • American Red Cross
  • Armed Services Blood Program
  • Blood Centers of America

Dutch researchers studying COVID-19 patients admitted to Canisius Wilhelmina hospital have applauded benefits of vitamin K after discovering link between deficiency and the worst coronavirus outcome.

The research was undertaken in partnership with the Cardiovascular Research Institute Maastricht, one of Europe’s largest heart and vascular research institutes, which studied 134 patients hospitalised for Covid-19 between 12 March and 11 April.

Meanwhile, Iyayi Efianayi Foundation has counselled Nigerians on different measures to protect themselves and manage the pandemic. The recommendations, which were contained in a statement by president of the foundation, Dr. Caesar Osaheni-Iyayi, are outcomes of research instituted by the foundation as part of its effort to equip Nigerians with survival information.

While harping on importance of strong immune system and functioning of the circulatory system in management of COVID-19, Osaheni-Iyayi emphasized the need for more exposure to sunlight and appealed to the National Centre for Disease Control (NCDC) to increase the time that patients at the treatment centres are exposed to sunlight from 15 minutes to at least one hour between 10 and 11a.m.

His words: “Studies have shown that for white people, 15 minutes is sufficient but for black people we have to stay for over an hour. Vitamin D is useful for the absorption of calcium and phosphorous but there is a new concern in Norway and America. People found out many black people were dying disproportionately to the population compared to the white. And what is the commonality between all these black people is that they lack vitamin D.

The same scenario, the statement disclosed played itself out in Holland where a group of black Ethiopians domiciled in a particular region with less than one percent of the entire population while about 48 percent of the death in Holland is attributed to the group.

“We know that the primary function of vitamin D is to aid the absorption of calcium and phosphorus, but it is also linked to promotion of immunity. So, what we want to say at this point is that if our people cannot be allowed to stay under the sun at the NCDC centre for more than 15 minutes, then they should be given vitamin D supplements. Vitamin D3, it is inexpensive, it contains 1000 international units. That is how vitamin D is measured. We are not too sure whether they are giving them zinc, we know they are getting vitamin E. Zinc is also important in the buildup of immunity”.

As researchers embark on seeking funding for a clinical trial, a scientist working on the project, Dr. Rob Janssen emphasised that in light of the initial findings, he would encourage a healthy intake of vitamin K, except to those on blood-clotting medications such as warfarin.
On the ‘Hot Water Therapy’, Dr. Osaheni-Iyayi said: “There are other things I want to talk about. It is a bit on the offside. Many people will regard it as something that should not be practiced in modern day era, but it makes sense. I know many doctors and nurses in Nigeria, America and Europe that are using this system to deal with coronavirus.

What we know about coronavirus is that at 27’Celsius, some people say 57’Celsius, coronavirus will not be able to survive. So, what our grandparents did when we were children was that they will get a hot bucket of water, because water boils at a 100’Celsius, seat in front of you, give you a small stool and cover you completely with a blanket. Because you must breath, you will be breathing in hot steam that will be may be about 70’Celsius. It will be going into your lungs and coronavirus is supposed to be forming inflammations in your lungs.

“So, that is another way to address it. I know many doctors in America that when they return home from their offices, the first thing they do is to seat down, cover themselves with blanket and hot water, but I don’t know why they are not talking about it. I do not know what the reason is. They are doing it and because of that, they are able to go to work freely without interruption.

“We are talking about how we in Nigeria can survive. These are some of the points that we have put together on behalf of Iyayi Efianayi Foundation.”

As at May 21, globally 5,209,860 were COVID-19 positive, 2,092,757 had recovered while 334,878 persons were pronounced dead. In Africa, there were 101,684 positive cases, 40,588people have recovered with 3,115 deaths. Nigeria has 7,016 positive cases, 1,907 had recovered while 211 people have died of the virus. One major precaution that is often repeated in campaigns against the virus is the need to be hygiene conscious, reason citizens were told to regularly wash or sanitise their hands aside maintaining social distance and wearing facemasks.

But is there a place for good diet and nutrition in the management of COVID-19 spread and treatment according to experts. They have argued that malnutrition severely weakens immunity, increasing people’s chances of getting ill, staying ill, and dying because of illness

President, Federation of African Nutrition Societies and the immediate past President, Nutrition Society of Nigeria, Professor Ngozi Nnam stated that though diet is not a risk factor in contracting Coronavirus, diet can help in curbing it, as it plays a significant role in helping individual’s recovery process.

According to her, healthy diet is very important at this time, because consuming diet rich in food nutrients will boost the immunity. “COVID-19 is a virus, with no vaccine to treat it at present, so we are relying on body immunity to fight and kill it. Some people after testing positive will receive care and days after, they will test negative, it is because their body immunity is high. Yet, some people that went to the isolation centre with them will still be receiving treatment, ten days after they are still positive.

“The treatment they are getting is not for the virus, the treatment is to take care of the manifestations, as a result of the virus attacking the body system. So, the virus would be suppressed, if the individual’s immune system is high, because the individual has the ability to fight back the virus.

“The implication is that we should be taking adequate diet rich in nutrients that can help boost our immune system. And such nutrients are Vitamin A, B complex, D and E, because vitamins are good at boosting the immune system. And the foods that are rich in these vitamins are within reach. We have fruits and vegetable, which are often neglected in meals. So, at this time, we need to take a lot of fruits and vegetable, including avocado peer. Then, the normal legumes and cereals; all help us to grow well; rice, beans, yam very important with vegetable.”

The nutritionist, nonetheless, said Nigerians should not wrongly believe that with high immune system, they cannot contract Coronavirus, good nutrition only helps to weaken the virus when it enters the body, as the high immune system will suppress and not allow it to thrive.

The professor of nutrition noted that taking unhealthy diet would lead to malnutrition, which makes the body immunity to be very low, and if such a person gets infected with COVID-19, the virus will continue to thrive and multiply in the body system, with the system unable to fight and kill it.

“And the likelihood of recovery will be longer, and the person is likely to develop complications as a result of COVID-19. The numbers that are being announced is not the actual number of people that are infected with COVID-19, the number is much higher, because many people are infected without knowing, their immune system is suppressing it and there will be no manifestation of symptoms sometimes till they recover. Some may even have mild manifestation, but because they are not very sure they have it, they do not call the Nigeria Centre for Disease Control (NCDC) officials, yet they will recover, because their immune system has suppressed the virus, so that is the place of nutrition.

“Mind you, we have avenues for all these nutrients, like vitamin D, just coming out during the early morning sun, the skin will synthesize enough Vitamin D from the sunlight. You don’t need money for that, just stay in the sun during mid-day for 30 minutes.”

Nnam said as the country continues to battle the pandemic, it is important government and all stakeholders step up nutrition advice to get people informed about healthy eating.

She noted that some Nigerians do not feed well, not necessarily because they do not have money to buy food to feed well, but because they are not well informed. “They do not buy food that they can combined for adequate diet. Some will buy expensive food, thinking it will give adequate diet; it might not necessarily be, so people need to be informed.

“Some people say it might be difficult for the poor to eat adequate diet, no, because not all nutritious foods are expensive. The rains are here; vegetables are cheaper in the market now. And some of the foods are still within the reach of the poor because most of the locally available foods are rich in these nutrients; the protein foods- beans and crayfish are good components,” Nnam said.

Dr Patience Ikeme Ogbuli, a nutritionist, said “By healthy nutrition, we mean adequate consumption of fresh fruits and vegetables, nuts, protein of high biological value, and reasonable daily calorie, less consumptions of sweet foods and beverages, and adequate intake of water daily.  Safe and healthy practices that will help build immune health include limited alcohol and tobacco consumption, possibly total cut off tobacco, daily exercises, adequate sleep and less stressful lifestyle.

“It is rather unfortunate that it took COVID-19 pandemic to expose the poor immune health of Nigerians. The majority of Nigerians due to insufficient finances, power failure, excessively long working hours, and lack of access to fresh fruits and vegetables depend on vendor and street foods for daily subsistence. Indomie, bread, high carbohydrate foods and snack, and sugary beverages, and low protein foods are the mainstay nutrition in Nigeria. It cannot be a mistake that hunger, malnutrition and poor unhygienic environments will kill many Nigerians before COVID-19 may find them to finish the job.

“It behooves the stakeholders of our nation to consider the pandemic of hunger, starvation, and filthy environment and attack it more aggressively than the pandemic of COVID-19. The former has killed and will continue to kill more Nigerians than COVID-19.”

On availability of advice on nutrition advice, Ogbuli said advice would make sense if the people have good chance of adhering to the advice. Rather, she said government should improve food supply and make them affordable. “We have enough people in the nation to do the job of nutrition education. It takes job restoration, improvement in job creation, and improved wages to begin to heal the nation.” She said that it is the responsibility of all stakeholders to change the picture of the pathetic nutritional status of many Nigerians, not just that of government alone.

On her part, a Clinical Nutritionist, Funmilola Wunmi Ijiwola stated that healthy food doesn’t necessarily mean expensive, as the key point in achieving healthy diet is knowing the right quantity and quality of nutrients to be included in a meal. She advised Nigerians to eat seasonal foods, which are cheaper. “Beans with sweet potato and grated crayfish cooked with palm oil makes an adequate diet. Also, eating avocado pear with bread and vegetable, which is now in season, are rich in fatty acid and protein. Using fruits in season as snacks also contributes to healthy eating and good health status.”

She noted that malnutrition causes a general imbalance of nutrient composition in the body, it’s either low nutrient, which is deficiency or too much nutrient, which is excess. “If their is an imbalance, the body doesn’t function well and the malfunction will eventually lead to symptoms that can be corrected with adequate diet or lead to a permanent damage of some organs or system in the body.”

Ijiwola also implored government to step up advocacy for good nutrition, because food is the first ‘drugs’ to make the body function well and ensure good health. “If our food intake is taken care of, there won’t be need for treatment of disease conditions. Good nutrition is the perfect description of prevention is better than cure”

Dr Abimbola Odusote, also a nutritionist stated that a virus as COVID-19 attacks the body and the body fights back to overcome it, so if the body is not healthy and the immunity is not strong, the virus would overwhelm the person.

“A person can build his immune system through what he feeds his body. It cam also be through rest, reduction of stress, adequate exercise, sunlight and fresh air. This is the time to up our micronutrients, eat lots of fruits, vegetables and remove the junk foods. Those giving out palliatives should consider what are in the packs- are they packaged processed foods? Why not consider adding fresh fruits and vegetables to the packs? We have lots of fruits rotting away that can be put to good use.”

Odusote said it is important that people learn what foods to buy with little money, which is why nutrition advice at this time is important.

According to a new study analyzing the data of thousands of people, an excessive intake of a certain kind of amino acid — present in protein-rich foods — is associated with a higher cardiometabolic risk.

person slicing meat
A new study in humans adds to the evidence that protein-rich foods, such as meat, may have a negative effect on heart health.

Many people follow diets that are high in protein, which can help with weight loss and building muscle mass.

However, increasingly, researchers are starting to question whether protein-rich foods provide enough benefits to offset the potential risks.

For the most part, various recent studies have suggested that high protein foods may affect the health of the heart and the cardiovascular system.

For example, a study in animal models that Medical News Today covered last week found that diets that are high in protein may be directly responsible for cardiovascular problems, such as atherosclerosis.

Now, hot on its heels, a new study in humans points out a link between eating foods with a high sulfur amino acid content — typically high protein foods — and an increased cardiometabolic risk.

The research — the findings of which appear in EClinicalMedicine — comes from Pennsylvania (Penn) State University in State College.

Proteins comprise tiny compounds called amino acids, which vary in their components. Some contain atoms of the element sulfur, which gives them their name: sulfur amino acids.

Cardiometabolic risk and diet

Two sulfur amino acids occur in protein-rich food. These are methionine, an essential amino acid, and cysteine, a semi-essential amino acid.

The human body needs these amino acids to function well, and it must obtain them from a food source. The body cannot synthesize essential amino acids, and it cannot make enough of the semi-essential ones.

However, as with many other nutrients, if they are present in excessive quantities, amino acids can end up doing more harm than good.

This is what Penn State researchers noticed when they looked at the diets and health status of 11,576 individuals, whose data they accessed via the third National Health and Nutrition Examination Survey (NHANES III), which the Centers for Disease Control and Prevention (CDC) conducted.

The researchers came up with a composite cardiometabolic disease risk score assessing each participant’s risk of developing cardiometabolic problems, such as heart disease, stroke, and diabetes.

To do this, they measured the levels of tell-tale biomarkers — including cholesterol, triglycerides, glucose (sugar), and insulin — in the participants’ blood following a 10–16 hour fast.

“These biomarkers are indicative of an individual’s risk for disease, just as high cholesterol levels are a risk factor for cardiovascular disease,” explains study co-author Prof. John Richie.

“Many of these levels can be impacted by a person’s longer-term dietary habits leading up to the test,” Prof. Richie adds.

The researchers also analyzed information about the participants’ dietary habits, which included nutrient intake calculations. They excluded from the study any individuals who reported having an overly low intake of sulfur amino acids.

‘First epidemiologic evidence’

The team’s final analysis, which accounted for body weight measurements, revealed that the participants had an average intake of sulfur amino acids that was almost 2.5 times higher than the estimated average requirement of 15 milligrams per kilogram of body weight per day.

“Many people in the U.S. consume a diet rich in meat and dairy products, and the estimated average requirement is only expected to meet the needs of half of healthy individuals,” points out study co-author Xiang Gao.

“Therefore, it is not surprising that many are surpassing the average requirement when considering these foods contain higher amounts of sulfur amino acids,” says Gao.

Moreover, the investigators found that participants with higher sulfur amino acid intakes also tended to have higher composite cardiometabolic risk scores.

This association remained in place even after the researchers accounted for confounding factors, including age, biological sex, and a history of health conditions such as hypertension and diabetes.

As for the source of the sulfur amino acids, the team said that they were present in almost all foods, excluding grains, fruit, and vegetables.

“Meats and other high protein foods are generally higher in sulfur amino acid content,” notes lead author Zhen Dong, Ph.D.

“People who eat lots of plant-based products like fruits and vegetables will consume lower amounts of sulfur amino acids. These results support some of the beneficial health effects observed in those who eat vegan or other plant-based diets,” Dong adds.

The researchers caution that the current findings are, so far, only observational, pointing to an association rather than verifying causality.

“A longitudinal study would allow us to analyze whether people who eat a certain way do end up developing the diseases these biomarkers indicate a risk for,” notes Prof. Richie.

Nevertheless, he stresses that the recent study shows that researchers should pay more attention to the possible risks associated with dietary amino acids.

“For decades, it has been understood that diets restricting sulfur amino acids were beneficial for longevity in animals. This study provides the first epidemiologic evidence that excessive dietary intake of sulfur amino acids may be related to chronic disease outcomes in humans.”

– Prof. John Richie

A new trial suggests that people who eat walnuts every day may have better gut health and a lower risk of heart disease.

Nuts can be a great source of nutrients and a very healthful “pick-me-up” snack.

Walnuts, in particular, are high in protein, fat, and they are also a source of calcium and iron.

Given walnuts’ nutritional potential, some researchers have been looking at whether these nuts might actually help prevent specific health issues.

In 2019, researchers from Pennsylvania State University in State College found that individuals who replaced saturated fats with walnuts — a source of unsaturated fats — experienced cardiovascular benefits, particularly improvements in blood pressure.

The investigators explain that walnuts contain alpha-linolenic acid, which is a type of omega-3 fatty acid that is present in plants.

Following up from that research, the team — which includes assistant research professor Kristina Petersen and Prof. Penny Kris-Etherton — have recently conducted another study to find out more about walnuts’ benefits to health.

The new study — whose findings appear in the Journal of Nutrition — suggests that incorporating walnuts into a healthful diet may benefit the gut and thus lead to better heart health.

“There’s a lot of work being done on gut health and how it affects overall health,” notes Prof. Kris-Etherton.

“So, in addition to looking at factors like lipids and lipoproteins, we wanted to look at gut health. We also wanted to see if changes in gut health with walnut consumption were related to improvements in risk factors for heart disease,” she says.

‘A small change to improve your diet’

The researchers conducted a randomized, controlled trial involving 42 participants with overweight or obesity aged 30–65.

They wanted to see if — and how — adding walnuts to a person’s diet might influence gut health.

To begin with, the research team asked the participants to follow a standard Western diet for 2 weeks.

Then, at the end of this period, the researchers randomly split the study participants into three groups. One group followed a diet that included whole walnuts, the second group ate a diet that included alpha-linolenic acid but in the same quantity that the walnuts would contain. The third group followed a walnut-free diet in which the researchers replaced alpha-linolenic acid with oleic acid.

The participants followed their assigned diet for 6 weeks and then switched diets until each person had followed all three eating plans.

The researchers collected fecal samples from all participants at the end of each diet regimen period. This allowed them to analyze any changes regarding the bacterial populations present in the gastrointestinal tract.

Prof. Kris-Etherton, Petersen, and their colleagues found that individuals who ate 3 ounces (oz) of walnuts as part of an otherwise healthful diet experienced improvements in heart health. The scientists say that these changes were likely mediated by improvements in gut health, as suggested by changes in gut bacteria.

“The walnut diet enriched a number of gut bacteria that have been associated with health benefits in the past,” explains Petersen.

“One of those is Roseburia, which has been associated with protection of the gut lining,” she adds. “We also saw enrichment in Eubacteria eligens and Butyricicoccus.”

The researchers explain that E. eligens has associations with a variety of different aspects of irregular blood pressure. They add that an increase in the population of this bacterium may thus suggest a lower cardiovascular risk.

They also note that an increase in Lachnospiraceae has links with lower blood pressure, total cholesterol, and “bad” cholesterol measurements.

The study did not find any significant associations between any changes in gut bacteria following the walnut-free diets and risk factors for heart disease.

“Replacing your usual snack — especially if it’s an unhealthful snack — with walnuts is a small change you can make to improve your diet,” notes Petersen.

“Substantial evidence shows that small improvements in diet greatly benefit health. Eating 2 to 3 oz of walnuts a day as part of a healthful diet could be a good way to improve gut health and reduce the risk of heart disease.”

– Kristina Petersen

Just how healthful are walnuts?

The authors of the current study explain that walnuts may bring different health benefits due to the variety of nutrients that they contain.

Co-author Regina Lamendella, who is an associate professor of Biology, emphasizes that “[f]oods like whole walnuts provide a diverse array of substrates — like fatty acids, fiber, and bioactive compounds — for our gut microbiomes to feed on.”

She continues, “this can help generate beneficial metabolites and other products for our bodies.”

Going forward, the research team wants to find out whether whole walnuts might influence other measurements that determine a person’s health, too.

“The study gives us clues that nuts may change gut health, and now we’re interested in expanding that and looking into how it may affect blood sugar levels,” says Prof. Kris-Etherton.

Yet, while nutritious and healthful, do walnuts really have a significant impact on our well-being? The researchers who conducted this study suggest they might.

However, they do disclose that their trial received some funding from the California Walnut Commission, which represents the walnut growers of California. As other research suggests, studies funded by stakeholders often raise issues about trust among the general public.

Other researchers have also concluded that walnuts are “optimal healthful foods.” There are few reports of health risks associated with walnuts for people who do not have a nut allergy or gastrointestinal problems.

For now, the research into how much of a difference walnuts can make for a person’s health continues.