The Nutritional State of the Nation: Does it Affect Covid-19?

A number of diseases and disorders share common risk factors of low intakes of vegetables, fruits, and whole grains, excess calorie intake, body fat, and high animal fat intake. These risk factors are associated with the development of chronic inflammation and oxidative stress, conditions that are strongly related to the development of heart disease, diabetes, osteoporosis, Alzheimer’s disease, cancer and other chronic diseases that include stroke, osteoporosis, and obesity.

Metabolic syndrome is a cluster of at least three of five conditions: hypertension, high blood sugar, obesity, high triglycerides, and low HDL cholesterol that increase the risk for cardiovascular disease. These diseases are all related to our diets and other lifestyle factors – namely exercise and smoking habits.

A new study in the journal Diabetes Care is the first to look at the impact of metabolic syndrome on outcomes for Covid-19 patients. “Together, obesity, diabetes and prediabetes, high blood pressure and abnormal cholesterol levels are all predictors of higher incidences of death in these patients and were more than three times more likely to die from the disease.

“The more of these diagnoses that you have, the worse the outcomes”, says lead author Joshua Denson , assistant professor of medicine and pulmonary and critical care medicine physician at Tulane University of Medicine.

“The underlying inflammation that is seen with metabolic syndrome may be the driver that is leading to these more severe cases.” Dr. Denson adds.  In this study, the most common conditions were hypertension (80%), obesity (65%), diabetes (54%), and low HDL (39%.)

Dr. Denson would advise anyone who meets the criteria for metabolic syndrome to be vigilant in taking measures to reduce risk or exposure to the coronavirus.  “It doesn’t matter if you’re young or old, we took that into account” he says.

 

 

 

 

 

 

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Food Additives and the Metabolic Syndrome

 

What is the metabolic syndrome?

The metabolic syndrome is cluster of conditions that increase the risk of heart disease, stroke, and diabetes.

Metabolic syndrome includes high blood pressure, high blood sugar, excess body fat around the waist, and abnormal cholesterol levels. The syndrome increases a person’s risk for heart attack and stroke. Weight loss, exercise, a healthy diet, and smoking cessation can help. Medications may also be prescribed.

In the current study presented, the results support the emerging concept that perturbed host–microbiome interactions resulting in low-grade inflammation can promote obesity and its associated metabolic effects. Moreover, they suggest that the broad use of emulsifying agents might be contributing to an increased societal incidence of obesity/metabolic syndrome and other chronic inflammatory diseases.

Emulsifiers as a food additive act as detergents to  reduce stickiness, control crystallization and prevent separation. They are commonly used in many processed foods such as mayonnaise, ice cream, peanut butter, chocolate, salad dressings to create a smooth texture, prevent separation and extend shelf life.

Commonly used emulsifiers in modern food production include mustard, soy and egg lecithin, mono-and diglycerides, polysorbates, carrageenan, guar gum and canola oil. Lecithin in egg yolks is one of the most powerful and oldest forms of an animal-derived emulsifier used to stabilize oil in water. These ingredients are required by law to be included on a food’s ingredient label. Emulsifiers can disrupt the tight seal called tight junctions formed by the intestinal tract lining, enabling gut bacteria to cross and gain access to nearby immune cells, promoting metabolic toxemia.

Even though these ingredients are on the Generally Recognized As Safe (GRAS) list , many have not been thoroughly tested. Testing can occur if an ingredient is found to causes a health problem.

Conclusions:
The mice study presented below was concluded by the co-author, Andrew Gewirtz, PhD, as saying, “We suspect some emulsifiers act like detergents, upsetting the friendly bacteria in the microbiota, which triggers low-grade inflammation and causes excess  eating and weight gain”. A follow-up study suggested the changes in gut bacteria from emulsifiers could trigger bowel cancer;  however, more recent findings confirmed that emulsifiers remained safe at the estimated exposure levels. However, based on the study, the use of these emulsifiers may need some revision.

Bottom Line:  The current use of emulsifiers in the food production system may affect the health of the microbiome and parameters of the metabolic syndrome. This in turn can contribute to a higher risk of several chronic diseases, namely obesity and/or diabetes type 2. Consumers are encouraged to read labels and consume less highly processed foods and substitute more minimally processed foods to prevent these occurrences.

UPDATE: Source: Medical News Today, August, 2020

A new study has found that people with metabolic syndrome, which refers to a cluster of conditions that increase a person’s risk of cardiovascular issues, are more likely to have worse COVID-19 outcomes — including requiring ventilation and death.

The research, which appears in the journal Diabetes Care, August, 2020, provides further information on the underlying risk factors that affect the severity of COVID-19.

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