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Chronic Disease Information

Adiponectin and Metabolic Syndrome

by David on April 20, 2009

Adiponectin, a hormone produced by fat cells, has received a great deal of attention in recent years. This protein has been associated with beneficial outcomes in obesity, cardiovascular disease, and type 2 diabetes.1,2

These three conditions frequently occur in the same individual – this relationship has been termed metabolic syndrome.

Fat cells, it turns out, are not merely fat. Fat cells are metabolic factories and they are involved in both healthy and unhealthy processes. Too much fat, of course, leads to a range of negative health outcomes. Overweight and obesity are strongly associated with increases in type 2 diabetes and cardiovascular disease. More recently, overweight and obesity have been correlated to increases in risk for breast cancer.

But fat cells in and of themselves are not bad news. Fat cells become problematic when there are too many of them. Fat cells in normal quantities secrete a number of hormones involved in keeping the body healthy, including adiponectin.

In relation to diabetes, for example, adiponectin may reduce inflammation, improve insulin sensitivity, and improve glycemic control.

Adiponectin is also a work-horse in keeping the heart healthy and helping prevent cardiovascular disease.3 The hormone’s beneficial effects are produced by its direct action on cardiovascular tissue. Under stressful conditions adiponectin protects the heart and blood vessels by stimulating cellular responses and inhibiting inflammatory activity.

Also, low levels of adiponectin have good predictive value for development of cardiovascular disease. So it’s important for all of us to raise the levels of adiponectin in our bloodstream. How do we encourage our fat cells to produce more of this critical hormone?

The answer – like so much else in the ongoing effort to improve our health, welfare, and well-being – is consume more fruits and vegetables and more whole grains. Additionally, magnesium has been associated with increases in circulating adiponectin.

Magnesium is found in whole grains, green vegetables such as spinach, nuts, seeds, and beans. In addition, magnesium chelate supplements are an excellent source of this important mineral.

Fruits and vegetables and whole grains have low glycemic indexes. They contain complex carbohydrates that cause insulin to be released slowly and effectively. Additionally, these foods are very good sources of dietary fiber – fiber is partly responsible for increasing adiponectin levels.

For those who are gluten intolerant or who have celiac disease, many gluten-free whole grains are available. These include amaranth, quinoa, buckwheat, corn, brown rice, and montina.

Human physiology, the prevention and treatment of disease, and nutrition are deep and complex subjects. Two critical common denominators are the need for daily fresh fruts and vegetables and the need for daily servings of whole grains. A third necessary ingredient is to ensure we’re getting our daily requirements of vitamins and minerals.

The long-lasting benefits in the prevention and treatment of obesity, type 2 diabetes, and cardiovascular disease are profound.

1Cassidy A, et al: Plasma adiponectin concentrations are associated with body composition and plant-based dietary factors in female twins. J Nutr 139(2):353-358, 2009
2Qi L, et al: Dietary glycemic index, glycemic load, cereal fiber, and plasma adiponectin concentration in diabetic men. Diabetes Care 28(5):1022-1028, 2005
3Shibata R, et al: Adiponectin and cardiovascular disease. Circ J 73(4):608-614, 2009

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Gluten intolerance and celiac disease are caused by a permanent intolerance to gluten, and are associated with many autoimmune disorders including rheumatoid arthritis and lupus. Numerous research studies have also demonstrated an association between celiac disease and various cognitive and psychiatric disorders, including schizophrenia.

One study investigated whether gluten intake is a risk factor in causing cerebral impairment in a group of patients with celiac disease.1 Cerebral function, of course, is responsible for all conscious mental activity, including thinking, speaking, purposeful movement, and remembering and reasoning.

The patients’ brains were imaged using single-photon emission computed tomography (SPECT). SPECT imaging allows researchers and laboratories to investigate brain metabolism, based on assessing the amount of blood flow to specific regions.

Seventy-one percent (24 of 34) patients with celiac disease) showed abnormal cerebral perfusion. The more significant deficiencies were localized in the frontal cortex. Importantly, more significant abnormalities were found in patients on an unrestricted diet, compared to those on a gluten-free diet.

The study’s authors concluded that, at least in the frontal cortex, brain function abnormalities may be improved by a gluten-free diet.

In another study investigating the relationship between cognitive impairment and celiac disease2, the authors identified a trend of frontal-subcortical impairment. A small sample of 13 patients were evaluated - these patients all had progressive cognitive decline which began within two years of symptomatic onset or severe symptomatic exacerbation of celiac disease.

The most common neurologic/psychiatric findings were personality changes, loss of memory, and confusion.

Gluten withdrawal enabled three of 13 patients to improve or stabilize cognitively. The authors stress the importance of treatment - specifically, gluten withdrawal - given the possible association between celiac disease and progressive cognitive impairment.

In a remarkable case study3, physicians used SPECT to demonstrate reduced circulation to the left frontal region of the brain in a 33-year-old patient with schizophrenia. The patient had presented with symptoms suggestive of celiac disease, and intestinal biopsy confirmed typical findings. The patient was started on a gluten-free diet, which resulted in a normalization of the SPECT findings and a disappearance of psychiatric symptoms.

The authors stress this was the first case (1997) of SPECT-documented cortical abnormalities disappearing following a gluten-free diet.

For individuals with celiac disease, a recent review article4 stresses the importance of continuing on a gluten-free diet for life. Part of the challenge of maintaining such a food plan is ensuring sufficient nutrition and sufficient intake of all necessary vitamins and minerals. The review affirms that a gluten-free diet is a complex undertaking and patients need comprehensive education in balanced nutrition.

Many excellent web sites offer recipes for gluten-free foods. One of the best is elana’s pantry – a wonderful resource providing delicious easy-to-prepare recipes and a wealth of related information supporting the gluten-free life.

1Usai P, et al: Frontal cortical perfusion abnormalities related to gluten intake and associated autoimmune disease in adult celiac disease. Dig Liver Dis 36(8):513-518, 2004
2Hu WT, et al: Cognitive impairment and celiac disease. Arch Neurol 63(10):1440-1446, 2006
3De Santis A, et al: Schizophrenic symptoms and SPECT abnormalities in a celiac patient. Regression after a gluten-free diet. J Intern Med 242(5):421-423, 1997
4Niewinski MM: Advances in celiac disease and gluten-free diet. J Am Diet Assoc 104(4):661-672, 2008

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Osteoporosis - Getting and Retaining New Bone Mass by Exercising

March 26, 2009

Osteoporosis – a systemic loss of bone mass – affects 10 million Americans. Another 18 million have low bone mass and are on their way to developing osteoporosis. Of those with osteoporosis, 80% are women.
Osteoporosis is both a lifestyle disorder, a result of nutritional deficiency, and a result of postmenopausal hormonal changes. Osteoporosis is a [...]

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Gluten Insensitivity and Gluten Intolerance

March 25, 2009

None of us have the ability to digest gluten – a composite protein found in many grains, most particularly wheat, rye, and barley. The inability to digest gluten results in a range of responses.
Many individuals have no detectable response to this inability, and remain asymptomatic for their entire lives with respect to gluten sensitivity. Others [...]

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Gluten Intolerance - Solutions

March 20, 2009

Gluten intolerance causes a lot of distress to a lot of people. Treatment of gluten intolerance is difficult, and yet definitely doable.
The first key is to get an accurate diagnosis. Gluten intolerance is a notorious masquerader - physicians are easily led astray and offer inaccurate diagnoses and ineffective treatments for conditions ranging from connective disorders [...]

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Gluten Intolerance - Overview

March 19, 2009

Gluten intolerance causes a lot of serious problems for a lot of people. In addition to chronic gastrointestinal distress and upset, gluten intolerance may be associated with numerous other disorders, including

Osteoporosis
Rheumatoid arthritis
Pseudogout
Hashimoto’s thyroiditis
Various gastrointestinal malignancies

And, gluten intolerance may progress to full-blown celiac disease.
The numbers are significant. A recently published multiyear study documented the presence of [...]

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How to Manage Gout

March 9, 2009

Gout is a chronic inflammatory arthritis caused by deposition of uric acid crystals in joints and related soft tissues. Due to a variety of metabolic or physiologic factors, the serum becomes saturated with uric acid and the crystals precipitate into various tissues and organs including joints, kidneys, and skin.
Symptomatic gout is excruciatingly painful. All the [...]

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Strontium - Natural Remedy for Osteoporosis

March 7, 2009

Ten million Americans have osteoporosis. Another 18 million have low bone mass. These 28 million individuals represent almost 10% of all Americans. Of those with osteoporosis, 80% are women.
Osteoporosis is characterized by a loss of bone mass. There are many causes of this loss of bone density, including

Menopause
Age greater than 50
Calcium deficiency
[...]

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Herbal Remedies for Gout - Chronic Pain Relief

February 26, 2009

Gout is a severely painful form of arthritis. The disorder affects more men than women – gout is the most common form of inflammatory arthritis in men. A recent study reported increasing prevalence of gout in people over age 65.1 And, there is an increasing prevalence of gout worldwide.2 At present, more than 2 million [...]

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Devil’s Claw - Anti-Inflammatory Remedy Providing Chronic Pain Relief

February 23, 2009

Devil’s claw is a naturally occurring medicinal, offering potent anti-inflammatory and anti-oxidant benefits. The plant - Harpagophytum procumbens - is native to South Africa, Botswana, and Namibia.
The pain associated with many chronic diseases such as rheumatoid arthritis, degenerative arthritis, and cancer may be reduced by taking natural remedies such as Devil’s Claw. Other chronic diseases [...]

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