Do anti-ageing diets really work?

Three years ago this month, Dr Michael Mosley demonstrated ‘the power of intermittent fasting’ on the BBC programme Horizon.  He based his argument for this regime on evidence that had been mounting for some time that calorie restriction can prolong life.

However, many scientists challenge these assumptions, partly because of a lack of consistency between the various studies on monkeys, mice, rats, and even fruit flies. A review published in 2014 recognised that calorie restriction diets might be inadvertently correcting pre-existing imbalances in nutritional intake in the laboratory animals.

A team of researcher in Sydney took a different approach. They already knew that individuals who were deficient in certain growth factors did not suffer from cancer or diabetes, both of which are associated with the ageing process. They also knew that production of these cellular growth factors required particular amino acids. As amino acids are the building blocks of protein, it made sense to explore the effects of differing amounts of protein in the human diet. They analysed the proportion of protein in people’s diets, drawing on an existing national USA dataset. They also had access to health and mortality information about the people in their sample.

The Sydney team discovered something quite remarkable. Among the age group 50-65, high animal (not plant) protein intake was associated with shorter lives. This high protein group were almost four times more likely to die from cancer, when compared with the low protein group.

For those aged 66 plus, however, the tables turned. For this older group, longevity was associated with high protein intake. Those with a high protein intake were far less likely to develop cancer than those on low protein diets.

These are early days yet, and it is likely to be some time before any clear dietary recommendations can emerge. Much of the current advice for slowing the ageing process is based on having a good intake of antioxidants, dietary fibre and omega-3 fatty acids.

Antioxidants are purported to help moderate DNA damage – genetic mutations and chromosome damage – which can build over time and gradually disable more and more cells. Dietary fibre helps to moderate things such as the sugar and fats in our blood, as well as helping to maintain a healthy bowel. Omega-3 fatty acids are ‘good’ fats, for which many unproved claims are made, and even the case for promoting heart health is debated.

Does improving health through diet increase longevity? Having healthy heart and bowels may not protect us from the inevitable march of cumulative DNA and chromosome damage. Even the link between free radicals and antioxidants may not lengthen life.

It seems we have a long way to go before we can stop ageing in its tracks, but I suspect that many of us would opt for a moderately long and healthy life rather than simply a very long life.

Potato wars

Many a time I’ve picked up a potato when preparing a meal and asked myself is it too green? How green does a potato have to be before you discard it? A quick internet search soon reveals conflicting advice. The Food Safety Authority of Ireland gives a reassuring message that most of the toxins in a green potato are near the skin, so peeling will remove most of the harmful substances. However , if they still taste bitter once cooked, it would be best to discard them. Medline Plus the US National Institutes of Health’s Web site produced by the National Library of Medicine, the world’s largest medical library, takes a more cautious approach, advising never to eat potatoes that are spoiled or green below the skin, and to always throw away the sprouts.

Photo of potatoes, some green
Beware the green potato!

So, what is all the fuss about? The harmful substances we are concerned about in green potatoes are known collectively as glycoalkaloids (GAs). Although we mostly hear about the glycoalkaloid solanine it is accompanied by chaconine, which is more toxic. They are present throughout the plant and protect it from insect pests and fungal infections as well as deterring herbivores. This is definitely good news for the plants! The trick that potato growers need to pull off is to preserve these protective properties in the green shoots while keeping the GAs in the actual potato tubers (the bits we eat) as low as possible.

photo of a whole potato plant
Whole potato plant

One well-kept secret is that all potato tubers contain GAs, even the white ones. If you weigh 50kg, you would need to eat 100mg or more of GAs before you are at risk of developing symptoms of abdominal pain, vomiting, and diarrhoea. 100mg of GAs is typically present in only one kilo of non-green potatoes, although that is a lot for a small person to eat in a day. Peeling potatoes can remove half of the GAs, depending on how thick the peel is, for instance. The average potato consumer should be safe, although there are individual variations in susceptibility.

That is not the whole story. Some varieties of potatoes have much higher levels of GA than others. Behind the scenes of the supermarket shelves, scientists and farmers have been waging a quiet war against certain varieties of potato that have been found with dangerous levels of GA.  Sweden has outlawed one potato variety, which has over three times the recommended maximum levels of GA. GAs also fluctuate in all potato varieties according to growing and storage conditions. Any damage to the tuber causes a local rise in GAs.

A green potato is a signal of a GA ‘hotspot’, a protective response by the plant to exposure of the tuber above the soil. The green pigment itself, chlorophyll, is harmless. Removing the green parts of the tuber does indeed greatly reduce the amount of GAs left in the potato. Some GAs are also lost in cooking, but mainly though leaching into the cooking water as they need very high temperatures before they are destroyed. Unfortunately, the ‘lazy cook’s’ method of microwaving whole potatoes for a quick meal is a sure way of carefully preserving all the GAs present.

Am I still going to eat potatoes? Yes. Am I going to throw away any green potatoes? I might be more likely to in future.

Information sources:

  • Machado, R. M. D., Toledo, M. C. F. and Garcia, L. C. (2007) ‘Effect of light and temperature on the formation of glycoalkaloids in potato tubers’, Food Control, vol 18, no. 5, pp. 503-508.
  • Mensinga, T. T., Sips, A. J. A. M., Rompelberg, C. J. M., van Twillert, K., Meulenbelt, J., van den Top, H. J. and van Egmond, H. P. (2005) ‘Potato glycoalkaloids and adverse effects in humans: an ascending dose study’, Regulatory Toxicology & Pharmacology: RTP, vol 41, no. 1, pp. 66-72.
  • Valcarcel, J., Reilly, K., Gaffney, M. and O’Brien, N. (2014) ‘Effect of Genotype and Environment on the Glycoalkaloid Content of Rare, Heritage, and Commercial Potato Varieties’, Journal of Food Science, vol 79, no. 5, pp. T1039-T1048.

Image credits: Chase Studio / Photo Researchers and JANE SHEMILT / SCIENCE PHOTO LIBRARY, both of Universal Images Group

In praise of Brassica oleracea

 

Cauliflower
Cauliflower

There can be few edible plant species that are quite as impressive as Brassica oleracea. It is difficult to appreciate that Brussels sprouts, cabbage, kale, cauliflower, brocolli and kohl rabi all belong to this single species. I sometimes liken it to the domestic dog, in all its glorious breeds and varieties, originating from the wolf, Canis lupus.

Brussels sprouts
Brussels sprouts

Brassica oleracea vegetables are a good source of Vitamin C, although the levels of this vitamin are heavily dependent on growing and storage conditions as well as the preparation method. Brocolli and sprouts retain their Vitamin C much better than kale during storage, an indication that growing your own kale and picking and eating on the same day are well worth it. Vitamin C is commonly accepted to possess therapeutic properties protecting against cardiovascular disease, cancer, supporting the production of collagen (e.g. in skin and bones), and promoting iron absorption.

Cabbage
Cabbage

In addition to Vitamin C, Brassica oleracea is also a good source of Vitamin E and carotenoids (the most well-known carotenoid is beta-carotene, the chemical that gives carrots their characteristic orange colour and gives us Vitamin A). All these vitamins act as antioxidants in the body, mopping up toxic compounds known as free radicals, and protecting against malignancy.

While the evidence in support of vitamin supplements is weak, the health-promoting effects of eating vegetables such as brassicas are gaining ground. Moreover, scientists are beginning to suggest that the unique chemical make-up of brassicas can boost health in ways other vegetables cannot achieve. Brassicas happen to be very well endowed with phytochemicals, which are substances derived from plants, that support human health. Phytochemicals include vitamins and a range of other substances that have active biological effects on our bodies.

Kohlrabi
Kohlrabi

One of the key health-promoting components of Brassica oleracea are glucosinolates, which are phytochemicals unique to brassica vegetables.  As with Vitamin C, glucosinolates can be lost or damaged during cooking by mechanisms such as breakdown by plant cell enzymes, heat degradation, and leaching into the cooking water. A recent investigation of cooking methods found that steaming, microwaving at high power and stir-frying helped to reduce the amount of these valuable compounds lost in cooking, in comparison to boiling or fermentation.

Stir-frying brocolli
Stir-frying brocolli
Purple sprouting brocolli Credit : Nigel Cattlin / Photo Researchers / Universal Images Group
Purple sprouting brocolli

Glucosinolates have a role in promoting the health of the liver and in protecting against cancer. Plant breeders and food scientists are beginning to work together to find ways of improving glucosinolate content, durability and better ways of processing our vegetables to further enhance their health-promoting potential.

If you are keen to grow your own, it’s a good idea to check your soil acidity first. You can obtain very inexpensive kits online or from your local garden centre. Brassica oleracea is susceptable to a fungal disease known as club root in acid soils. So, if your pH turns out to be less than 7, you should consider adding lime to the soil. The best time to do this is when you dig the soil over in the winter. Growing your own is highly rewarding, and the plants can look quite magnificent.

Kale growing Credit : Food and Drink Photos / Universal Images Group
Kale

Photo credits Universal Images Group: Brocollli and Kohlrabi – Nigel Cattlin;  Brussel sprouts – Michael P. Gadomski; Cabbage and cauliflower – Dorling Kindersley; Kale – Food and Drink Photos; brocolli stir-fry David Munns / Science Photo Library

Related articles

Forget the antioxidant pills https://theconversation.com/forget-the-antioxidant-pills-just-stick-with-veggies-45409

Brilliant brassica http://blog.tgac.ac.uk/brilliant-brassica/

Living with hand eczema

Have you ever experienced extreme itching and burning on your fingers and hands? If your skin erupts in clusters of tiny blisters filled with clear fluid, it’s possible you have a type of eczema called pompholyx. This is something I have personally been dealing with and trying to make sense of for the last two and a half years, and it seems a fitting subject for my first blog entry on the topic of health and science.

http://upload.wikimedia.org/wikipedia/commons/0/00/Finger_Pompholyx_1.tif
Finger Pompholyx 1

About 10 percent of people experience hand eczema, and it has a considerable impact on quality of life. It can be caused by contact with irritant chemicals or allergic reactions to non-irritant substances, and it is often claimed that emotional stress or a history of childhood eczema are key factors. Heat, cold, and sweating are also common triggers. Its impact on quality of life can be due to the centrality of our hands for every aspect of daily living and the extreme inconvenience of available measures to minimise exposure to hazards and to protect sore and itchy skin on fingers and hands. Itching is the number one source of distress, and itching on hands can be particularly harrowing.

The physiology of itching is still poorly understood. It is likely that certain chemical (e.g. insect bite) or physical (e.g. wool fibres) stimuli activate itch receptors that cause the brain to interpret the sensation as an itch. One of my personal theories is that the pressure of tense pinpoint pompholyx blisters onto the itch receptors also aggravates the itch. The inevitable scratching makes the skin sore and over-sensitive. Use of steroid creams and ointments leaves skin very dry and even more sensitive. Once the blistering has exhausted itself, the skin often starts to peel off. In my case, this occurred in the areas where the blisters had previously appeared.

Flakyhand
Peeling fingers and palm

At the peeling stage, loss of the tough epidermal layer that normally protects hands from wear and tear leaves the skin particularly fragile and vulnerable. When this first happened to me, I became acutely aware of how I used to take the skin on my palms for granted. Without this layer, I was unable to handle paper without causing my fingertips to bleed from the friction, and all sensations (heat, cold, touch) were magnified and distorted.

The epidermis also forms a barrier against micro-organisms. The bacterium Staphylococcus aureus commonly colonises the skin of people with eczema. This bacterial colonisation aggravates eczema. I have had some protracted episodes of skin flaking and erosion as a result. As you can infer from the close-up of my thumb, this state makes normal life impossible. Even the cotton gloves I have come to rely on would get caught up in the rough (and surprisingly sharp) edges of peeling skin.

Photo of infected and flaky thumb
Infected and flaky thumb

It is important to seek medical advice in case of infection. Extreme cases result in skin breakdown to the extent that the skin becomes ‘raw’ and tissue fluid weeps out. Cotton gloves are frequently recommended for protecting hands when carrying out any tasks that involve coming into contact with irritants. As many of these situations involve getting hands wet, thin vinyl (or PVC) gloves over the top of cotton gloves can provide a waterproof layer. These PVC gloves are not very strong when doing heavy cleaning or gardening jobs, and it is possible to get hold of thick PVC gloves if you have allergies to rubber or latex. I often wear these over the top of cotton + thin PVC gloves, as it makes it easier to slide the thicker gloves on.

Finding a soothing emollient cream or ointment and applying frequently is also important. It can be easy to just soldier on and hope the problem will go away, but if it doesn’t, make sure you get medical help. Probably one of the most useful things to consider with persistent hand eczema is to get some patch testing done. Patch testing involves applying a range of known contact allergens to the skin on the back for 48 hours, and then observing for signs of inflammation. In the UK, you will need a referral to a specialist clinic by your GP.

Here are a few online sources of useful information: http://www.patient.co.uk/doctor/Eczema-on-Hands-and-Feet.htm http://www.patient.co.uk/doctor/pompholyx-pro http://www.eczema.org/

Severe hand eczema: Major new clinical trial compares treatments “head to head”. http://www.bbc.co.uk/programmes/p03tqv2c