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Mood health and cognitive disease.TRANSCRIPT
www.nutraceuticalmag.comMay/June 2010www.nutraceuticalmag.com May/June 2010
mood health
Hormones vary in their
intensity and effects with
time. Consequently, men and
women experience depression
at different times in their lives. Men and
women also differ in their experience of
mood disorders and their response to
antidepressants. Males tend to display
more discernable symptoms of depression,
including anger and restlessness whereas
women tend to suffer the disease in relative
silence. Societal attitudes towards these
diseases have been slow to change. In
the US, South America, Africa and Asia,
many people still attach a moral stigma to
mental illness. This mindset can seriously
undermine the allocation of sufficient
resources and attention to the need for
treatment and a better popular and scientific
understanding and diagnosis of these
conditions. It has only been a few decades
since the mentally ill were routinely packed
off to dismal state-run institutions that did
little more than deeply sedate them and
provide minimal care and attention.
An Increasing Incidence of Cognitive DiseaseNot unlike type 2 diabetes, many cancers
and cardiovascular diseases, most mood
and cognitive disorders are preventable;
we cannot put the blame on any specific
pathogen or genetic abnormality. The
answer to the question of why these
disorders are proliferating is simple: we are
the enemy! Behavioural and environmental
factors such as chronic stress, poor
diet, lack of exercise, hormones and
antibiotics, along with other chemicals
in our foods and pharmaceuticals, and
other endocrine-system-altering chemicals
in our drinking water, polluted air, the
breakdown of supportive social institutions,
substance and alcohol abuse, and poverty
all aggravate both mood and cognitive
Mood HealtH and Cognitive disordersa guide to natural PreventionMood disorders and conditions of impaired or diminished cognition affect more than one in every four persons in the developed world. According to the Diagnostic and Statistical Manual of Mental Disorders, four out of the 10 leading causes of disability in the US and other developed countries are mental disorders. The principal clinical manifestations of mood disorders include personality change, depression, agitation, aggression, addiction and anxiety. The major cognitive disorders are dementia and Alzheimer’s disease, both of which are increasing at an unprecedented rate worldwide. In moderate to serious cases, these afflictions are every bit as debilitating as cancer or heart disease. In fact, in the UK, 92% of hospital consultations for mood disorders require hospital admission; women constitute about 60% of these patients.
disease. In fact, the same lifestyle factors
that are responsible for the general decline
in the physical health of the average
American or European appear to be closely
correlated with the growing number of
people suffering from depression, bipolar
disorders, chronic debilitating anxiety and
Alzheimer’s disease. In fact, the rate of
increase of Alzheimer’s disease correlates
roughly to the increased prevalence of
diabetes and obesity in the population
during the past 10–15 years. A growing
body of compelling peer-reviewed evidence
points to certain nutritional deficiencies and
imbalances as salient factors in both mood
and cognitive disorders. Diet and sedentary
lifestyle clearly play a significant role in
both mental and physical disease.
The current emphasis on pharmaceutical
drugs as the preferred treatment option
has failed both society and those afflicted
with these disorders. If it is true, and
evidence supports this assumption,
that factors such as diet, environment,
sedentary lifestyle and self-destructive
habits such as smoking and binge drinking
are instrumental in causing or, at the very
least, exacerbating mood and cognitive
disease, it is unlikely that the answer lies in
new pharmaceutical agents or treatments.
After four decades of research, no truly
efficacious pharmaceutical treatment
for Alzheimer’s disease or dementia has
been developed — and we are only now
beginning to understand the biochemical
modalities that characterize the brain of a
typical Alzheimer’s sufferer. Drugs do exist
that are somewhat effective in treating the
more severe symptoms of depression,
anxiety and bipolar disease; yet, these
are all short-term solutions whose side-
effects are often as disruptive as the
disease they are meant to treat. Lithium,
for example, commonly prescribed to treat
bipolar disorder, must be taken in such
high doses that it causes severe adverse
effects that include a dulled personality,
flat lifeless emotions, memory loss,
tremors or obesity. Consequently, the
patients often refuse to take this and other
medications or risk drug toxicity if the
dose is not carefully monitored.
Given the enormous expense of care
facilities equipped to deal with a patient
suffering from such debilitating symptoms
and the lack of public financial assistance,
the burden is falling on their families.
Doubly troubling is that this is happening
at the very time when the children have
gone off to work or university and mum
and dad were looking forward to the stage
in their lives wherein they could finally
enjoy the fruits of their careers. Instead,
the spectre of bankruptcy looms, as well
as a fear that they themselves will soon
begin to experience the ominous early
symptoms of Alzheimer’s or dementia.
Preventive Lifestyle ModificationsThere may be another approach to the
prevention and treatment of depression,
anxiety, bipolar disorders, Alzheimer’s
disease and dementia worth seriously
considering; one that eschews drugs in
favour of some relatively simple lifestyle
modifications and a greater emphasis on
talk or psychotherapy. We know that strong
correlations have been observed between
some of our daily behaviours and lifestyle
choices and the increase in the incidence
of both cognitive and mood disorders.
Nutrition There are two essential components to a
nutritional strategy. The first is to observe
some general dietary guidelines and
the second is to consider some specific
nutrients that may have an impact on
mood and cognition. The connection
between diet and mood and cognitive
disorders and the putative neuroprotective
properties of various nutrients has been
well established.
General Guidelines• Practice mild caloric restriction. Reduce
the total number of carbohydrate calories
consumed by about 10% without
compromising general nutrition.
• Limit meat consumption to one meal
per week and only consume organic,
hormone- and antibiotic-free meat if you
must consume it at all.
• Make green leafy vegetables your first
priority and only eat meats, grains, nuts
and other foods after eating at least one
portion of green leafy veggies every day.
• Eliminate all foods and beverages that
contain High Fructose Corn Syrup (HFCS)
and limit the consumption of all sugars
to no more than 20 g/day. For sugar
substitutes, consider stevia or xylitol, but
not aspartame, sorbitol or saccharin.
• Avoid all fast food franchises unless you
are certain that the food offered is free
from chemical additives, extra salt, extra
sugar and trans fats.
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www.nutraceuticalmag.comMay/June 2010
• Limit your consumption of all animal
fats and dairy products to no more than
200 g/week.
• Consume primarily low glycaemic index
foods for energy needs. Examples
include fruit, vegetables, wholemeal
bread, beans, brown rice and nuts.
• Drink alcoholic beverages in moderation.
Red wine is better than spirits but
excessive alcohol is toxic … regardless
of the source.
Specific Mood Health Foods • Omega-3 oils are supported by a
compelling body of scientific evidence.
A vegetable source of omega-3 is far
preferable to fish oil as the source.
Biotivia’s Green Omega-3 is one such
supplement that contains as much
DHA and EPA as fish oil without the
risk of heavy metals, pesticides,
agricultural chemicals and other marine
contaminants. Fish oil capsules can
become rancid in a matter of a few
weeks whereas Green Omega-3 has a
shelf-life of more than 2 years.
• Red wine has been shown to contain a
wide spectrum of beneficial polyphenols
and other antioxidants and has been
associated with the so-called French
Paradox. Consumption should be limited
to 2–3 glasses per day. To obtain sufficient
amounts of the compound resveratrol, a
sirtuin activator, it is necessary to take a
good quality supplement.
• Make green tea your beverage of choice
for hydration during the day. Make a
concentrated blend of green tea and
cinnamon and store it in the fridge. Then,
when you feel like a drink, blend it down to
suit your taste with hot or cold filtered water.
• Get one gram of calcium daily, preferably
from veggie sources such as spinach,
sprouts, grains and nuts.
• It is now generally accepted that most
people are deficient in vitamin D, which
is carried in the bloodstream to the liver
and converted into the prohormone,
calcidiol. If at least 30% of your body
is not exposed to 30 minutes of direct
sunlight every day, you should consider
taking a vitamin D supplement. As daily
doses of more than 50,000 units can
be toxic, a reasonable dose comprises
15,000 units per day. It is very difficult to
obtain adequate amounts of this vitamin
from food alone and vitamin D deficiency
is closely correlated with increased rates
of certain cancers, neurological diseases
and various other illnesses.
An Extraordinary New Supplement By now, almost everyone has heard of
resveratrol, the so-called miracle molecule.
What is not so well known is that this
phytoalexin — found in grape skins, peanuts
and, in much higher concentrations, in
the Chinese Giant Knotweed plant — may
modulate certain pathways and biological
processes that exert neuroprotective
effects. Resveratrol is a potent anti-
inflammatory, antioxidant and epigenetic
agent, which is why this compound is being
investigated by researchers and physicians
as a possible therapy to at least slow the
progression of Alzheimer’s disease. Chronic
inflammation is a by-product of cytotoxicity,
one of the modalities that appears to
characterize the brains of Alzheimer’s
patients. Several epidemiological studies
indicate that the moderate consumption of
wine is associated with a lower incidence
of Alzheimer’s disease. These findings
demonstrate a proteasome-dependent
antiamyloidogenic activity of resveratrol and
suggest that this natural compound has
therapeutic potential in Alzheimer’s disease.
Your Brain on ResveratrolA peer-reviewed, double-blind human
clinical trial was recently published that
concluded that Biotivia’s Bioforte, as both
a single capsule and two-capsule dose,
increased brain blood flow in 24 students at
Northumbria University in the UK. This finding
elucidates a possible role for this nutrient in
the prevention and treatment of cognitive
diseases. Several other studies have clearly
demonstrated the in vivo neuroprotective
properties of the red wine-derived polyphenol,
resveratrol, strongly supporting the notion
that natural metabolites of resveratrol may
have biological activities. Furthermore, recent
findings have shed light on the potential
role of resveratrol in transcription- and
degradation-dependent antiamyloidogenic
mechanisms, suggesting that natural
metabolites or potent synthetic analogues of
resveratrol may have therapeutic potential in
Alzheimer’s disease.
mood health
For more informationJames BetzBiotivia Bioceuticals LLC1 River Place, Suite 1001New York, New York 10036, USA.Tel. +1 800 458 [email protected]
After four decades of
research, no truly efficacious
pharmaceutical treatment
for Alzheimer’s disease or
dementia has been developed.