Guest guest Posted January 25, 2005 Report Share Posted January 25, 2005 Antioxidant Foods and Supplements JoAnn Guest Jan 25, 2005 15:48 PST http://www.raysahelian.com/antioxidant.html Antioxidant Foods Just about everybody has heard the word “antioxidant.” Over the past few years, articles touting the benefits of antioxidants—such as vitamins C and E—have been touted in countless magazine and newspaper articles. Yet, even with all this press, most people don’t have a good understanding of the concept of oxidation and anti-oxidation. I recently asked a number of my patients if they really knew what the word “antioxidant” meant. Although the majority of these patients were taking antioxidants, only a few understood what they were or how they really worked. Antioxidant Dosage Guidelines: The following is an antioxidant dosage recommendation for the average person who has no major medical problems. Please discuss with your health care practitioner the appropriateness of the above dosages for your particular condition. Each person is unique and each doctor has a different set of guidelines since it is almost impossible to know for sure the ideal dosage for each person. Additional powerful antioxidants to consider are acetyl-l-carnitine and CoQ10 . Vitamin E—20 to 400 units a few times a week of the mixed tocopherols and tocotrienols. Since vitamin E is fat soluble, it stores in fat cells and does not have to be taken every day. Vitamin C—100 to 500 mg a day. Selenium—20 to 100 mcg most days. Lipoic acid—20 to 50 mg a few times a week. Carotenoids and flavonoids may be obtained through fruits and vegetables, however supplements can be extremely helpful. Index of Supplements and Herbs - by Ray Sahelian, M.D. Understanding Antioxidants A common way used to describe " oxidation " is a piece of metal in the process of 'rusting'. The process that occurs in the body is obviously different since we are made of living tissue. During the normal metabolism (or breakdown) of carbohydrates, fats, and proteins for energy production, certain molecules are " generated " that can 'damage' the contents within cells. These destructive molecules often contain an " unstable oxygen atom " missing an electron. You may recall from high school or college chemistry that atoms, such as hydrogen and oxygen, have a pair of electrons spinning around them. An atom with only one electron in its orbit is very unstable. Chemists call this atom a 'free radical " . This free radical can then steal an electron from a neighboring molecule and hence cause it to be damaged. The process of this damage is called oxidation. Cigarette smoke, fried foods,transfatty acids, ozone, excessive sun exposure, car exhaust, certain drugs, radiation, and air pollution are common causes of oxidation. The body had developed ways to " counteract " these oxidants by producing 'antioxidants'. An antioxidant is any chemical, natural or synthetic, that has the ability to neutralize oxidants (toxins or free radicals), thus protecting our cells from being damaged. There’s often a good balance between oxidation and anti-oxidation. A certain amount of oxidation in the body is necessary in order to fight infections or do repair work within cells. However, when a shift occurs leading to a " preponderance " of oxidation, without adequate antioxidant support, the body undergoes what is called “oxidative stress.” The body normally produces powerful natural antioxidants—such as superoxide dismutase (SOD), glutathione, and catalase— to help fight these oxidants. Many antioxidants are also consumed through the diet, particularly fresh organic fruits and vegetables. When excessive oxidation occurs for prolonged periods, it can take a toll on the system. Changes occur in cells which include damage to fatty acids, inactivation of enzymes, deterioration of cell membranes, breakdown of proteins, and damage to the DNA. For instance, if oxidants damage DNA, the eventual consequence could be a higher likelihood of cancer. If the damage occurs in arteries that supply blood to the heart, it could lead to hardening of the arteries and a heart attack. All these changes lead to disease and premature aging. Over the past few years, scientific evidence has slowly accumulated indicating that taking antioxidant supplements could potentially reduce the risk of certain illnesses and maintain brain health. There is, as of now, no proof that ingesting antioxidants prolongs life span in humans, but enough evidence has accumulated on the benefits of antioxidants that one should not casually dismiss their potential in improving quality of life and slowing the progression of certain chronic degenerative disorders. But with the thousands of antioxidants available in our foodstuffs and the dozens available as supplements, which ones should you take, and in what dosages? This chapter will provide you with practical guidelines. What Can Antioxidants Do for You? As a rule, you are not likely to notice any immediate cognitive benefits from taking the antioxidants discussed in this chapter. Therefore, do not expect any dramatic changes in mood, energy, alertness, and memory. Antioxidants can be compared to health insurance. You pay your monthly fee but don’t often get the benefits until years later when you need a hospital bill paid. Antioxidants serve to protect your brain cells, proteins, and DNA from the gradual damage that occurs with the aging process. However, chapter 12 discusses other nutrients that have antioxidant benefits, such as CoQ10 and lipoic acid, which are mind energizers—they have immediate " cognitive " effects. What Conditions Do Antioxidants Benefit? It’s quite likely that, over the long run, antioxidants could slow the progression of heart disease, cancer, age related cognitive decline, Alzheimer’s disease, Parkinson’s disease, and perhaps other conditions, though there is no definite proof yet. What Are Some Examples of Oxidants? There are quite a number of " damaging oxidants " that we are exposed to on a daily basis. The most common are hydroxyl (OH), superoxide (O2), hydrogen peroxide (H202), and ozone (03). Brain Cells need Antioxidants The cell membrane of 'neurons' is made mostly of " phospholipids " , which contain fatty acids. Nerve fibers that travel from the brain to the spinal cord, and from the spinal cord to the rest of the body, are also insulated with a white-colored fatty substance called myelin. With time, these fats can become " oxidized " , interfering with proper nerve activity. The process of fats becoming oxidized is called " lipid peroxidation " . The oxidation of fats contributes to brain aging and can accelerate degenerative disorders such as Alzheimer’s disease. You may recall from chapter 7 that the brain contains a great deal of " polyunsaturated fatty acids " , such as DHA, which is particularly " susceptible " to oxidation. As we age, many of these fatty acids in the brain become " damaged " due to 'oxidation' and they " lose " some of their " double bonds " , thus becoming more " saturated " . Neurons in the brain become less " efficient " the more the " fatty acids " become saturated. Antioxidants can thus play a protective role in keeping the fatty acids in the brain healthy. After all, about 60 percent of the brain is made of fat. Antioxidants and Memory Although many antioxidant pills do not immediately influence cognition and memory, they very well could have a positive effect in the long run. Researchers at the University of Bern, in Switzerland, evaluated a total of three hundred male and one hundred thirty female volunteers, aged sixty-five to ninety-four, over twenty-two years. In 1971, they measured blood levels of three antioxidants: vitamin E, vitamin C, and beta-carotene. They also performed extensive memory testing. They found that higher levels of antioxidants, particularly vitamin C and beta-carotene, were associated with better performance in memory testing. The researchers state, " These results indicate the important role played by antioxidants in brain aging and may have implications for prevention of progressive cognitive impairments. " The researchers only tested blood levels of three antioxidants. It is quite likely that a number of other antioxidants play a role in helping us preserve memory and mental capacities in our later years. For instance, an eight-month study in rats showed administration of extracts from blueberries and spinach, either alone or with vitamin E, was able to " slow damage " to brain cells due to the " aging process " (Joseph 1998). In this chapter I will briefly discuss some of the well-known antioxidants and also mention others that should be considered as part of a comprehensive antioxidant mind-preserving program. It’s More than the ACES For many years I heard doctors recommend the ACES—vitamins A (as beta-carotene), C, E, and the mineral selenium— as if they were the only important antioxidants. We now know there are thousands of substances that can act as " free radical scavengers " . Dozens of antioxidant products are available over the counter. Please keep in mind that many foods, plants, herbal extracts, and other edible substances such as mushrooms, royal jelly, bee propolis, seaweed, and others, contain beneficial antioxidants and nutrients. Vitamin C Also known as ascorbic acid, vitamin C was isolated in 1928. This vitamin serves as an excellent antioxidant and could protect brain cells, including cells in the eye. The eye is highly susceptible to damage by sunlight, oxygen, various chemicals, and pollutants. Because of an aging Western world population and a continued depletion of ozone, having adequate antioxidants in the eye is very important. But how much vitamin C is enough to protect our cells? Ever since Nobel Prize winner Linus Pauling extolled the benefits of megadosing with vitamin C, the medical community has been debating the optimal dosage intake of this vitamin. Although many doctors stood firm for a long time asserting that the RDA of 60 mg for this vitamin was adequate, more and more doctors are now realizing that higher dosages can confer additional antioxidant benefits. However, the optimal daily intake of vitamin C has not yet been determined, nor is it likely to be determined soon. Nevertheless, we now suspect that excessively high intake of vitamin C, expect perhaps in the therapy of a particular medical condition, may not be necessary. A study published in the American Journal of Clinical Nutrition points that large doses of ingested vitamin C may be excreted without being utilized (Blanchard 1997). When the dosage of vitamin C given to a group of healthy men was increased from 200 mg a day to 2,500 mg a day, blood levels increased only negligibly. James Blanchard, Ph.D., a professor of pharmacological sciences at the University of Arizona in Tucson, reports that the blood levels of vitamin C generally reflect the levels found in the rest of the body. Recommendations Most people should have adequate antioxidant protection with vitamin C at a dose of 100 to 500 mg per day. The majority of our intake of vitamin C should be obtained from fruits and vegetables, which additionally provide hundreds of beneficial carotenoids and flavonoids that often work synergistically with vitamin C. Many people take more than one antioxidant on a daily basis. Since antioxidants help " protect " each other from being " destroyed " , the amount required for each one would be 'lessened' when taken together (synergistically). Carotenoids These are a group of compounds that impart some of the orange color in vegetables and fruits. At least a few hundred of these carotenoids are found in our produce. Beta-carotene is the best known, but others are becoming more popular including lycopene (found in organic tomatoes, watermelon, and many pink/red colored produce), lutein, zeazanthin, and others. Many carotenoids have anti-tumor, antibacterial, antiviral, anti-inflammatory, and antihistaminic actions. A diet rich in fruit and vegetables is likely to help prevent age-related " mental decline " . Recommendations Most healthy individuals do not need to take supplements of carotenoids since they can be easily found in produce. I recommend consuming a variety of foods and vegetables on a daily basis. There is a potential risk of causing an imbalance when supplementing with high doses of only one carotenoid, such as beta-carotene, at the expense of the others. It’s possible, though, that someday we may discover that certain medical conditions may respond to supplementation with specific carotenoids. Flavonoids Similar to the carotenoids, " flavonoids " are plant substances that have important antioxidant properties. Many have anti-tumor, antibacterial, antiviral, anti-inflammatory, and antihistaminic actions. Some of the well-known flavonoids include quercetin, apigenin, rutin, and flavones. A certain type of flavonoids, called proanthrocyanidins, is found in extracts of pine bark and grape seeds. Polyphenols are another group of beneficial flavonoids. One such polyphenol, known as catechin, is found in green tea and other teas. You can find polyphenols in organic fruits, vegetables, herbs, wine, and certain legumes, lentils and beans. Recommendations Flavonoid supplements are sold either individually, in combination with other flavonoids and carotenoids, or in combination with other nutrients. I recommend your diet include a wide range of organic fruits (citrus, berries), whole grains, herbs, raw nuts, seeds, and organic vegetables (garlic, onions, broccoli). It’s possible we may someday determine that additional supplementation with specific flavonoids could potentially be beneficial in certain medical conditions. Glutathione This antioxidant, made from the combination of three amino acids cysteine, glutamate, and glycine, forms part of the powerful natural antioxidant " glutathione peroxidase " (GP) which is found in our cells. GP plays a variety of roles in cells, including " DNA synthesis " and repair, " metabolism " of toxins and carcinogens, enhancement of the " immune system " , and prevention of " fat oxidation " . However, glutathione is predominantly known as an " antioxidant " protecting our cells from damage caused by the free radical " hydrogen peroxide " . Glutathione also helps the other antioxidants in cells stay in their active form. Brain glutathione levels have been found to be lower in patients with Parkinson’s disease. Glutathione is found in foods, particularly organic fruits and vegetables. " Cyanohydroxybutene " , a chemical found in broccoli, cauliflower, brussels sprouts and cabbage, is also thought to increase glutathione levels (Davis 1993). Although glutathione is available in 'pill form' over the counter, its utilization by the body is questionable since we don’t know if it can 'easily' enter cells, even after it is " absorbed " in the bloodstream. Certain nutrients help raise tissue levels of glutathione including NAC, methyl donors, lipoic acid and B12. However, there appears to be a feedback inhibition in glutathione synthesis. This means that if glutathione levels are excessively increased with the help of nutrients, the body may " decrease " its 'natural production'. The frequent use of " acetaminophen " (Tylenol) *depletes* " glutathione levels " . Recommendations Glutathione is sold in pills with dosages ranging from 50 to 250 mg. Glutathione is a promising antioxidant. However, due to the inconsistencies in the medical literature on the ability of glutathione to enter tissues and cells when ingested orally, and the possibility of feedback inhibition, I can’t confidently recommend supplementation with this nutrient until more information is published. Selenium This mineral forms part of a very important enzyme normally present in our bodies called " glutathione peroxidase " . The richest sources of selenium are alaskan salmon and other seafood, followed by whole grain organic cereal products and raw nuts. The average intake of selenium in the American diet is 70 to 100 micrograms a day. Occasional supplementation with 20 to 100 micrograms of this mineral appears to be safe. Selenium in much higher amounts can act as an oxidant and thus is counterproductive (Spallholz 1997). As with most supplements, low-dose use seems to be a cautious approach. Summary Pick up any health magazine and you are likely to see ads promoting dozens of different antioxidants. Many of them have a scientific basis to support their antioxidant properties. However, you can’t just take all of them. What should you do? First, keep in mind that as of yet there is no definite proof that antioxidant supplements will keep your brain young. However, there is enough promising evidence to convince me to recommend the antioxidants mentioned in the sidebar. Second, make sure you obtain the bulk of your antioxidants through fresh organic foods. Carotenoids and flavonoids can be easily obtained through fruits, vegetables, herbs and whole foods. If you do wish to take additional supplements, I recommend a multi-oxidant pill that contains small amounts of many antioxidants as opposed to large amounts of just one or two. You could even have two or three different products on your kitchen counter and alternate their use so you don’t get the same antioxidants in the same dosages all the time. Remember that the body needs some oxidation in order to fight certain germs. Effects of 6-month multivitamin supplementation on serum concentrations of alpha-tocopherol, beta-carotene, and vitamin C in healthy elderly women. Int J Vitam Nutr Res. 2004 Mar;74(2):161-8. OBJECTIVE: The aim of this study was to evaluate the effect of supplementation with nutritional doses of antioxidant nutrients on the serum concentrations of ascorbic acid, alpha-tocopherol, and beta-carotene in healthy elderly women. METHODS: The study was performed as a randomized placebo-controlled, double-blind trial. Two hundred forty-one free-living, healthy women aged 60 years and older were recruited by newspaper advertisement in Hanover, Germany and its environs. As 21 women dropped out, data of 220 women (aged 60-91 years median 63 years) were included in this evaluation. Subjects were randomly assigned to receive either a multivitamin/mineral or placebo capsule with identical appearance for six months containing 36 mg 36mg vitamin E, 150 mg vitamin C, and 9 mg beta-carotene. Serum concentrations of vitamin C, alpha-tocopherol, and beta-carotene were measured initially and after six months of supplementation. Data were analyzed with the SPSS 10.0 program. RESULTS: Median serum concentrations of alpha-carotene and vitamin E increased significantly in the supplemented group (p=0.000), whereas no significant modifications were observed in the placebo group. Median vitamin C concentration of the supplemented group did not differ from baseline after intervention, but that of the placebo group was significantly decreased after six months (p=0.000). In comparison to estimated desirable serum concentrations of > 30 micromol/L vitamin E, 50 micromol/L vitamin C, and > 0.4 micromol/l beta-carotene at baseline, lower concentrations were found in 21.1%, 6.9%, and 1.0% of all subjects, respectively. After supplementation none of the members of the supplemented group had tocopherol concentrations below 30 micromol/L and only one woman of the supplemented group had a serum beta-carotene concentration below 0.4 micromol/L. The change in serum concentrations of vitamin C and E in the supplemented group depended on the status at baseline. CONCLUSION: A six-month supplementation with physiological doses of antioxidant vitamins improves the blood concentration of these nutrients even in relatively well-nourished elderly women or, as seen for vitamin C, prevents reduction of serum concentrations. Prevalence of suboptimal serum concentrations can be reduced. _________________ 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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