Guest guest Posted April 25, 2005 Report Share Posted April 25, 2005 24 Apr 2005 20:50:38 -0000 " Cancer Decisions " < THE MOSS REPORTS Newsletter (04/24/05) ---------------------- Ralph W. Moss, Ph.D. Weekly CancerDecisions.com Newsletter #181 04/24/05 ---------------------- THE MOSS REPORTS This week conclude my two-part discussion of the role of dietary carotenoids in the prevention of prostate cancer and atherosclerosis. For thirty years I have been studying the world of cancer and writing about both the conventional and the alternative approach to cancer treatment. The fruit of my long involvement in this field is The Moss Reports, a comprehensive library of more than two hundred individual reports on specific cancer diagnoses. For people with cancer and their families, a Moss Report represents an invaluable guide and handbook for the journey ahead. If you would like to order a Moss Report for yourself or someone you love, you can do so from our website, www.cancerdecisions.com, or by calling Diane at 1-800-980-1234 (814-238-3367 from outside the US). We look forward to helping you. CAROTENOIDS AND DISEASE PREVENTION, PART II In addition to investigating the role of carotenoids in the prevention of prostate cancer, scientists have studied the effect of carotenoids on the walls of the major arteries supplying the brain. When the walls of these arteries become thickened due to atherosclerosis, the internal diameter of the arteries narrows until eventually a blockage can occur, causing a stroke. Lutein supplementation has been shown to slow the progression of carotid artery thickening in humans. Some scientists therefore believe that lutein is protective against the early development of atherosclerosis. These studies all point to the vital importance of a diet that includes lots of carotenoid-rich fruits and vegetables. Here is yet more evidence that people seeking to prevent cancer and certain other chronic degenerative diseases should consider going on a diet that emphasizes raw or lightly cooked organic produce, rich in carotenoids. How much to take? There is presently no government recommendation for the daily intake of either lutein or zeaxanthin. However, one can extrapolate from studies that a total combination of about 6 milligrams (mg) per day of these two compounds is associated with a reduced risk of both age-related macular degeneration and cataract formation. The average US adult consumes a total of only 2 to 4 mg per day of lutein and zeaxanthin from foods. One therefore may logically need to change one's diet to get the higher amount, or else take a lutein/zeaxanthin supplement. Most lutein products on the market contain either 6 or 20 mg. It is not clear that products that contain either much less or more much than 6 mg are helpful. Lutein supplements come in either the " ester " or the free form. There is a commercial battle underway between these two, especially between such XANGOLD and FloraGLO lutein. The lutein and zeaxanthin that are found in green vegetables, fruits and certain egg yolks all exist in the free (i.e., non-esterfied) form. According to www.consumerlab.com, both forms are equally well absorbed by the body, but are best absorbed when taken with fats or oils. It is therefore generally recommended that one take lutein or zeaxanthin supplements with meals, preferably high-fat rather than low-fat meals. Here are some reasons to get one's lutein/zeaxanthin in foods rather than in supplements: 1) It is less expensive. 2) If you are NOT getting enough lutein/zeaxanthin it definitely means that you are not eating enough fruit and green leafy vegetables. 3) Lutein and zeaxanthin work better in the presence of other nutrients, such as vitamin C, vitamin E, beta-carotene and zinc. These can also be gotten from nutrient-dense foods. 4) Avocados, an abundant source of lutein, already contain the fat that you need to properly absorb this carotenoid. 5) There is a lingering concern over the results of a clinical trial in which smokers who received high doses of synthetic beta-carotene had an increased risk of lung cancer (Goodman 2004) In general, try to eat your produce fresh, organic and minimally cooked or processed. For spinach, the US Department of Agriculture has shown that the raw form contains roughly twice as much zeaxanthin as the cooked. Some foods that are traditionally eaten cooked (e.g., corn or collard greens) can also be eaten raw, especially if marinated first in an oil and vinegar based dressing. Although they are calorie-dense, avocados are a surprisingly good source of carotenoids as well. Freshness is a very important determinant since fresh produce generally contains more of these carotenoids than factory-prepared items. As an example, there are over 2,445 micrograms of lutein + zeaxanthin in raw broccoli, 2,226 in cooked fresh broccoli, but only 830 in broccoli that has been frozen, chopped, cooked, boiled, and then drained. Here are the lutein/zeaxanthin microgram values for various foods: Corn, sweet, yellow, canned, whole kernel, drained solids 528 Persimmons, Japanese, raw 488 Cornmeal, de-germed, enriched yellow 457 Spinach, raw 331 Turnip greens, cooked, boiled, drained, without salt 267 Collards, cooked, boiled, drained, without salt 266 Lettuce, cos or romaine, raw 187 Kale, cooked, boiled, drained, without salt 173 Spinach, cooked, boiled, drained, without salt 179 Tangerines 112 (All values are per 100 grams of the edible portion) Source: USDA, retrieved from http://www.nal.usda.gov/fnic/foodcomp/Data/car98/zea_tble.pdf --Ralph W. Moss, PhD ======================= References and Resources: Beatty S et al. Macular pigment and risk for age-related macular degeneration in subjects from a Northern European population. Invest Ophthalmol Vis Sci 2001 Feb;42(2):439-46. Berendschot TT et al. Influence of lutein supplementation on macular pigment, assessed with two objective techniques. Invest Ophthalmol Vis Sci 2000 Oct;41(11):3322-6. California Avocado Commission. Lutein In avocados and green vegetables can help prevent prostate cancer. Press release. 2004. Retrieved February 25, 2005 from: http://www.avocado.org/health-nutrition/health_463.php Curran-Celentano J et al. Relation between dietary intake, serum concentrations, and retinal concentrations of lutein and zeaxanthine in adults in a midwest population. Am J Clin Nutr 2001 Dec:74(6):796-802. Dwyer JH et al. Oxygenated carotenoid lutein and progression of early atherosclerosis: the Los Angeles atherosclerosis study. Circulation 2001 Jun 19;103(24):2922-7. Goodman GE, Thornquist MD, Balmes J, et al. The Beta-Carotene and Retinol Efficacy Trial: incidence of lung cancer and cardiovascular disease mortality during 6-year follow-up after stopping beta-carotene and retinol supplements. J Natl Cancer Inst. 2004;96:1743-50. Jian L, Du CJ, Lee AH, et al. Do dietary lycopene and other carotenoids protect against prostate cancer? Int J Cancer. 2005;113:1010-4 Lu QY, Arteaga JR, Zhang Q, et al. Inhibition of prostate cancer cell growth by an avocado extract: role of lipid-soluble bioactive substances. J Nutr Biochem. 2005;16:23-30 Marees-Perlman JA et al. Lutein and zeaxanthine in the diet and serum and their relation to age-related maculopathy in the third national health and nutrition examination survey. Am J Epidemiology 2001 Mar 1;153(5):424-32. Moeller SM et al. The potential role of dietary xanthophylls in cataract and age-related macular degeneration. J Am Coll Nutr 2000 Oct;19(5Suppl):522d-527S. Ramalanjaona G. Lutein and Ocular Disease. Alternative Medicine Alert 2002 May; 5(5):54-56. --------------- IMPORTANT DISCLAIMERS The news and other items in this newsletter are intended for informational purposes only. Nothing in this newsletter is intended to be a substitute for professional medical advice. Copyright © The Internet Society (2004). This document is subject to the rights, licenses and restrictions contained in BCP 78, and except as set forth therein, the authors retain all their rights. This document and the information contained herein are provided on an " AS IS " basis and THE CONTRIBUTOR, THE ORGANIZATION HE/SHE REPRESENTS OR IS SPONSORED BY (IF ANY), THE INTERNET SOCIETY AND THE INTERNET ENGINEERING TASK FORCE DISCLAIM ALL WARRANTIES, EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO ANY WARRANTY THAT THE USE OF THE INFORMATION HEREIN WILL NOT INFRINGE ANY RIGHTS OR ANY IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. 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