Category Archives: Live longer

Coeliac Disease and Gluten free diet

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Coeliac disease is a condition that affects about one per cent of the general population but about half of these people are unaware of it. This is because it causes a variable level of discomfort according to the dietary regime of those affected.
Essentially it is an immune disease that causes an inflammatory reaction to Gluten, a protein commonly found in wheat, barley and rye. When gluten is eaten the immune system reacts with variable levels of inflammation damaging the lining of the small intestine. The healthy surface shows small finger like projections, called villi, that are essential for absorbing nutrients. In Coeliac people they can be damaged, shortened or disappear altogether, causing a Syndrome called “Malabsorption”.

The typical symptoms of Coeliac disease are :
severe or occasional diarrhoea, excessive wind and/or constipation
persistent or unexplained gastrointestinal symptoms, such as nausea and vomiting
recurrent stomach pain, cramping or bloating
sudden or unexpected weight loss (but not in all cases)
mouth ulcers
skin rash (dermatitis herpetiformis)
liver abnormalities
neurological (nerve) problems such as ataxia (poor muscle coordination) and neuropathy (numbness and tingling in the hands and feet)

When a coeliac condition is suspected it is essential, before performing thr routine tests, that gluten is not eliminated from the diet, in order not to have unreliable results.
A simple blood test will show an elevated number of Antibodies to Gluten and the presence of the genes involved. In case of children this is usually enough to confirm diagnosis and establish the appropriate dietary regime. In adults patients a more invasive endoscopy is performed, together with a gut biopsy, to confirm the diagnosis and to establish the level of damage to the lining of the small intestine.

Once the condition is confirmed a strictly gluten free diet, meticulous on avoiding any cross contamination, allows those people to live a healthy and happy life.
All types of rice, potato, corn (maize), plain meat, fish, eggs, cheese, milk, most yoghurts, fruits, vegetables and pulses (peas, beans and lentils) are naturally gluten-free and are suitable for the diet.
And there is now a considerable market for products that are produced with alternative components for what is naturally gluten rich.

In recent years a gluten free diets has become increasing popular and somehow fashionable among the general population but there is no scientifically proven advantage in imposing such a restricted dietary regime to people who are not affected by this alteration of the immune system.

To learn more about Coeliac Disease and get help and advice click the link below:

A different strategy to lower cholesterol: Plant Sterols and Stanols

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What is Cholesterol

The body uses cholesterol to help build cells and produce hormones. Too much cholesterol in the blood is widely accepted as a major cause in developing anomalies inside arteries, known as plaques that increase your chances of having a heart attack or a stroke. Cholesterol  is carried in the blood stream in the form of lipoprotein, mainly two types:

  • HDL (high-density lipoprotein) the “ Good Cholesterol” because HDL may also reduce inflammation and a high HDL level is linked with a lower risk of heart disease.
  • LDL (low-density lipoprotein). A certain level of LDL in your blood is normal and healthy because LDL moves cholesterol to the parts of your body that need it. But it is sometimes called “bad cholesterol” because a high level may increase your chances of developing heart disease.

How to lower cholesterol

High levels of cholesterol, especially in the LDL form, require treatment with powerful cholesterol lowering drugs, called statins. Mild form of Hypercholesterolemia can be treated with diet, exercise, and some selected natural foods, particularly those containing plant sterols and stanols. Plant sterols and stanols are substances that occur naturally in small amounts in many grains, vegetables, fruits, legumes, nuts, and seeds. Since they have powerful cholesterol-lowering properties, manufacturers have started adding them to foods. You can now get stanols or sterols in margarine spreads, orange juice, cereals, and even granola bars.

On a molecular level, sterols and stanols look a lot like cholesterol. So when they travel through your digestive tract, they get in the way. They can prevent real cholesterol from being absorbed into your bloodstream. Instead of clogging up your arteries, the cholesterol just goes out with the waste.

One important study of people with high cholesterol found that less than an ounce of stanol-fortified margarine a day could lower “bad” LDL cholesterol by 14%. The results were published in The New England Journal of Medicine.

A more recent study from the University of California Davis Medical Center looked at the effects of sterol-fortified orange juice. Of 72 adults, half received regular orange juice and half the fortified OJ. After just two weeks, the people who drank the stanol-fortified juice had a 12.4% drop in their LDL cholesterol levels. The results were published in the journal Arteriosclerosis, Thrombosis, and Vascular Biology.

The National Cholesterol Education Program recommends that people who have high cholesterol get 2 grams of stanols or sterols a day.
“Supplements that are fortified with sterols have been marketed but are not yet backed by evidence based science and do not offer as many benefits as getting sterols and stanols as they naturally occur.”

You have always to consult with your doctor before deciding what approach is indicated to lower your cholesterol levels.