Guest guest Posted January 21, 2005 Report Share Posted January 21, 2005 Healthy Aging Naturally, Providing Juice for the Joints JoAnn Guest Jan 20, 2005 21:19 PST By: Karlene Karst, Dietician Source: Health N Vitality Magazine Date Published: July 2003 Aging Process We live in an aging population. By 2020, the proportion of the population aged 60 and over is projected to reach: 23% in North America, 17% in East Asia, 12% in Latin America and 10% in South Asia. Europe will retain it's title of " oldest " region in the world. By 2020, 25% of Europe will be over age 60. Although it is inevitable that we will age, a question often asked is how can we age healthily? Normal aging represents the universal biological changes that occur with getting older. The World Health Organization has said, " the process of aging is strongly influenced by the effects of environmental, lifestyle and disease states that in turn, are related to or change with aging but are not due to aging itself. " Successful aging can be defined as the ability to maintain low risk of disease and disease related disability, high mental and physical function and active engagement with life. Nutrition plays a major role in determining our state of health and our susceptibility to many diseases. By improving nutritional practices, many diseases could be potentially delayed including, arthritis, osteoporosis, cardiovacular disease, and stroke, thus saving billions of dollars in annual health care costs. Nutrients such as multivitamins, B vitamins including folic acid, antioxidants including vitamin C and vitamin E, calcium and vitamin D, and essential fatty acids (EFAs) have the potential for improving health and delaying the onset of many age related diseases. Arthritis- EFAs can Help! The Centre for Disease Control in Atlanta, Georgia released the results of a new study showing that 70 million (or one in three) Americans suffer from arthritis. More than four million Canadians live with this disease that can lead to disability, deformity and even death. While arthritis can affect people of any age, there seems to be a connection to the aging process. Osteoarthritis Osteoarthritis affects 60-65% of people over age 65, and with the aging baby boomers, this population is expected to grow 30-50% over the next 20 years. Osteoarthritis is really the case of too much stress on a normal joint or normal stress on a damaged joint. People whose jobs require them to put strain on the joints, athletes or people with excess weight are at higher risk of developing osteoarthritis. Obese people are twice as likely as people with normal weight to suffer from osteoarthritis. There is a range of pain involved from mild to severe and disabling. Rheumatoid Arthritis (RA) The second most prevalent type of arthritis, rheumatoid arthritis, is an autoimmune disease. The body's immune system forms antibodies that attack the synovial membranes and the fluid that lubricates the joints. Rheumatoid arthritis can progress gradually but in 25% of sufferers it will hit hard and fast. Rheumatoid arthritis shares similar symptoms with osteoarthritis, swollen joints and stiffness or pain that is more apparent in the morning. Causes of Arthritis Osteoarthritis is present in 70% of the elderly; however, it is not completely inevitable or unavoidable. Other factors come into play and if they are addressed, osteoarthritis may never arise. Guard against repetitive use or damage to joints due to occupation, injury or athletics. Poor nutrition, dehydration and environmental or food allergies can aggravate osteoarthritis progression. Excess weight puts even more strain on the joints. Rheumatoid arthritis is suspected to have a number of potential causes that include heredity and obesity, but may also be a result of bacterial or viral infection, an overactive immune system, vaccines, nutritional deficiencies and stress-induced hormonal disruption. Conventional Treatment Options: Arthritis Drug Dangers Present conventional treatments aim to reduce or alleviate the pain and inflammation of the affected joints and improve mobility. These treatments include analgesics, salicylates, non-steroidal anti-inflammatory drugs (NSAIDs), corticosteroids and reconstructive surgery. The most widely prescribed are NSAIDs, ranging from ASA (Aspirin, Entrophen, Novasen) to ibuprofen (Motrin). These drugs are associated with a large number of side-effects, such as gastric ulcers (salicylates, NSAIDs), renal failure (NSAIDs) and immunosuppression (corticosteroids). A new family of NSAIDs called COX-2 inhibitors (Celebrex and Vioxx) work by attacking inflammation (they block the COX-2 enzyme that produces bad prostaglandins). The COX-2 inhibitors were initially believed to be much safer than standard NSAIDS, yet long-term use and research are showing some serious concerns. Health Canada issued a warning advisory in 2002 for Celebrex, stating that hundreds of serious adverse reactions have been reported with nearly 70 cases of stomach bleeding and 10 deaths since its release in 1999. Natural Treatment Options: Juice for the Joints Research demonstrates that essential fatty acids affect levels of pain mediators and suggests that EFA supplementation may be potentially useful in decreasing the pain associated with arthritis, by working in a similar way to NSAIDs. Thus, through slowing destruction and damage to cartilage and joints, decreasing inflammation and preventing inflammatory-induced destructive processes from occurring, and possibly affecting levels of pain mediators, EFA supplementation can help chronic inflammatory degenerative diseases of joints. Marya Zilberberg reports that gamma linolenic acid (GLA, found in borage and evening primrose oil) is not only safe, but it is also an effective natural therapy. In her review of close to 40 clinical papers on GLA, Zilberberg noted that GLA consistently reduces inflammation and joint stiffness without any of the serious side-effects associated with pharmaceutical drugs. " We saw about a 60-65% reduction in morning stiffness for these patients, " said Zilberg. " In other words if you have two hours of morning stiffness, there is a 1.5 hour reduction compared to a 6.7 minute reduction with a placebo. It is an extremely striking difference. " These results demonstrate the importance of long-term supplementation with large doses of GLA from borage or evening primrose oil for osteoarthritis and rheumatoid arthritis. GLA Reduces the Use of NSAIDs Supplementing with GLA not only results in a decrease in the clinical symptoms of RA, but taking GLA can reduce the effects of NSAIDs by repairing damage to the stomach lining. Studies show that GLA protects the stomach lining against gastric acid that could cause stomach ulcers due to repeated or overuse of NSAIDs. For example, as early as 1988, researchers confirmed that daily supplementation with 540 mg of GLA from evening primrose oil could help patients reduce their usage of NSAIDs and therefore protect their stomach lining. At the beginning of the study, 100% of patients were on their full NSAID dosage; after three months of supplementing with evening primrose oil, 70% of patients were still taking NSAIDs, and after six months only 30% of patients were still taking NSAID at full dosage. This is a remarkable 70% reduction in patients using NSAIDs. GLA Reduces Symptoms In 1993, researchers at the University of Pennsylvania conducted a randomized, double-blind, placebo-controlled, 24-week trial with 37 rheumatoid arthritis patients. Patients in the treatment group received 1.4 g of GLA from borage oil daily, and assessed their symptoms on a daily basis. Treatment with borage oil reduced the number of tender joints by 36%, the tender joint score by 45%, the number of swollen joints by 28%, and the swollen joint score by 41%, whereas the placebo group did not show significant improvement in any measure. The researchers concluded that " Borage oil, in the doses used in this study, is a well-tolerated and effective treatment for rheumatoid arthritis. " Start with two 1,000mg capsules of borage or four 1,000 mg capsules of evening primrose oil with your meal. Increase the number of capsules up to ten per day to achieve relief of symptoms. Some will need as little as 2,000 mg per day for relief and others will require higher doses. If diarrhea occurs, reduce dose. Reduction of symptoms may be observed after one month of supplementation. The full effects of GLA supplementation are seen over longer periods. Studies have shown that borage oil and evening primrose oil are safe and non-toxic, even in large amounts. Fishing for Joint Health The first scientific paper describing the use of fish oil for rheumatoid arthritis was published in the 18th century. Since then, laboratory and clinical studies have revealed the beneficial effects of fish oil in various forms of arthritis. The benefits were attributed to the omega-3 fatty acids EPA and DHA. EPA and DHA reduce the 'formation' of " bad prostaglandins " and regulate " immune factor " production, which controls how long, how fast and how much the immune system acts or reacts. EPA produces the anti-inflammatory prostaglandins (good guys). Fish oils improve joint mobility and reduce the severity of pain and inflammation without any short- or long-term side-effects. A 1998 review of the research confirmed the beneficial effects of fish oil in arthritis. Fish oil, like GLA, reduces symptoms of arthritis, such as pain, number of affected joints and morning stiffness, in a dose dependent manner. Clinical benefits were seen after twelve weeks, with a dosage of 3 g of EPA and DHA per day. Due to the relatively high doses required to obtain clinical improvements, a concentrated fish oil supplement would be recommended. Just like GLA, it also appears that fish oil will help arthritis sufferers reduce the amount of NSAIDs needed, and some may even be able to discontinue usage completely. Some research has studied the usage of EPA and GLA together and their impact on reducing pro-inflammatory substances. A study at Wake Forest University School of Medicine found that patients supplementing with a combination EPA and GLA reduced production of pro-inflammatory substances. A healthy balance between omega-3s and omega-6s is important to reduce the production of inflammatory immune factors. A combination of EPA and DHA up to 3 g is recommended to reduce pain and inflammation. This would be the equivalent of ten 1,000 mg capsules of a natural fish 18/12 supplement or six 1,000 mg capsules of a concentrated 30/20 fish oil supplement. EFAs Help Age Naturally Although arthritis is a condition that we may face as we age, there are natural options such as EFAs that can help ease the pain and suffering, improve quality of life, and improve mental and physical wellbeing. A healthy lifestyle including exercise, relaxation therapies and a nutritious diet rich in essential fatty acids, will help provide the juice our joints crave! For more information, or references for this article, please contact Karlene Karst at kka- About Karlene Karst Karlene Karst is the clinical research and education coordinator at Bioriginal Food and Science Corp. She provides technical and regulatory advice on EFAs, as well as educational seminars, lectures and presentations on the role of EFAs in nutrition and health. Karlene holds a Bachelor of Science degree in Nutrition from the University of Saskatchewan's College of Pharmacy and Nutrition. She is also a registered dietitian and has previously worked as a clinical dietitian. _________________ JoAnn Guest mrsjo- DietaryTi- www.geocities.com/mrsjoguest/Genes AIM Barleygreen " Wisdom of the Past, Food of the Future " http://www.geocities.com/mrsjoguest/Diets.html Mail - Easier than ever with enhanced search. Learn more. Quote Link to comment Share on other sites More sharing options...
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