New Study Reveals That Back Surgery Fails 74% of the Time

Editorial Commentary:

Researchers reviewed records from 1,450 patients in the Ohio Bureau of Workers’ Compensation database who had diagnoses of disc degeneration, disc herniation or radiculopathy, a nerve condition that causes tingling and weakness of the limbs. Half of the patients had surgery to fuse two or more vertebrae in hopes of curing low back pain. The other half had no surgery, even though they had comparable diagnoses.

After two years, just 26 percent of those who had surgery had actually returned to work. That’s compared to 67 percent of patients who didn’t have surgery. In what might be the most troubling study finding, researchers determined that there was a 41 percent increase in the use of painkillers, specifically opiates, in those who had surgery.

“The study [1] provides clear evidence that for many patients, fusion surgeries designed to alleviate pain from degenerating discs don’t work”, says the study’s lead author Dr. Trang Nguyen, a researcher at the University of Cincinnati College of Medicine. [2]

Just a month after back surgery, Nancy Scatena was once again in excruciating pain. The medications her doctor prescribed barely took the edge off the unrelenting back aches and searing jolts down her left leg. “The pain just kept intensifying,” says the 52-year-old Scottsdale, Ariz., woman who suffers from spinal stenosis, a narrowing of the chanel through which spinal nerves pass. “I was suicidal.”

Finally, Scatena made an appointment with another surgeon, one whom friends had called a “miracle worker.” The new doctor assured her that this second operation would fix everything, and in the pain-free weeks following an operation to fuse two of her vertebrae it seemed that he was right. But then the pain came roaring back.

Experts estimate that nearly 600,000 Americans opt for back operations each year. But for many like Scatena, surgery is just an empty promise, say pain management experts and some surgeons.

This new study in the journal Spine [1] shows that in many cases surgery can even backfire, leaving patients in more pain.

The study provides clear evidence that for many patients, fusion surgeries designed to alleviate pain from degenerating discs don’t work, says the study’s lead author Dr. Trang Nguyen, a researcher at the University of Cincinnati College of Medicine. [3]


27 Million Adults With Back Problems

A recent report by the Agency for Healthcare Research and Quality, a federal organization, found that in 2007, twenty-seven million adults reported back problems, with $30.3 billion spent on treatments to ease the pain. While some of that money is spent on physical therapy, pain management, chiropractor visits, and other non invasive therapies, a big chunk pays for spine surgeries.

Complicated spine surgeries that involve fusing two or more vertebrae are on the rise. In just 15 years, there was an eight-fold jump in this type of operation, according to a study published in Spine in July. That has some surgeons and public health experts concerned. [4]

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You may also want to review the recently published European Guidelines for the Management of Acute and Chronic Nonspecific Low Back Pain, which specifically states: 

"Surgery for non-specific CLBP cannot be recommended unless 2 years of all other recommended conservative treatments — including multidisciplinary approaches with combined programs of cognitive intervention and exercises — have failed".

This study re-confirms the findings of the UK BEAM Trial, published in the British Medical Journal in 2004. [5] Those authors stated:

"Manipulation, with or without exercise, improved symptoms more than best care (medical care) alone after three and 12 months.   However, analysis of the cost utility of different strategies shows that manipulation alone probably gives better value for money than manipulation followed by exercise" (page 1381). 

You may also want to read these 3 recent Editorials:

Why Do Spinal Surgery Rates Continue To Rise? 
Chiro.Org Blog ~ April 10th, 2010

New Study Finds Chiropractic Care Superior to Family Physician-directed Usual Care
Chiro.Org Blog ~ October 7th, 2010

If Not Chiropractic Care, Then What’s Your Alternative?
Chiro.Org Blog ~ September 25th, 2010

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REFERENCES:

1.   Long-term Outcomes of Lumbar Fusion Among Workers' Compensation Subjects: An Historical Cohort Study
SPINE (Phila Pa 1976) 2011 (Feb 15);   36 (4):   320–331

2.   Study Says Back Surgery Often Makes Things Worse
The Daily Hit ~ Oct 14, 2010

3.   Back Surgery May Backfire On Patients In Pain
MSNBC.com ~ Oct 14, 2010

4.   Why Do Spinal Surgery Rates Continue To Rise?
Chiro.Org Blog Editorial ~ April 10th, 2010

5.   Findings from the: “United Kingdom Back Pain Exercise and Manipulation (UK BEAM) Randomised Trial”
British Medical Journal 2004 (Dec 11); 329 (7479) 

Send all comments or additions to:    Frankp@chiro.org

Body clock 'alters' immune system

By James GallagherHealth and science reporter, BBC News

The time of the day could be an important factor in the risk of getting an infection, according to researchers in the US.They showed how a protein in the immune system was affected by changes in the chemistry of the body through the day.

The findings, published in the journal Immunity, showed the time of an infection changed its severity.

An expert said drugs were likely to take advantage of the body clock in the near future.

Plants, animals and even bacteria go through a daily 24-hour routine, known as a circadian rhythm. Jet lag is what happens when the body gets out of sync with its surroundings after crossing time zones.

It has been known that there are variations in the immune system throughout the day. Researchers are now drilling down into what causes the details.

The immune system needs to detect an infection before it can begin to fight it off. Researchers at Yale University School of Medicine were investigating one of the proteins involved in the detection process - Toll-like receptor nine (TLR9), which can spot DNA from bacteria and viruses.

In experiments on mice, the scientists showed that the amount of TLR9 produced and the way it functioned was controlled by the body clock and varied through the day.

Immunising mice at the peak of TLR9 activity improved the immune response, the researchers said.

They said humans with sepsis, blood poisoning, were known to be at a greater risk of death between 02:00 and 06:00.

Time link

When testing mice, the severity of sepsis depended on the time of day infection started and coincided with changes in TLR9 activity.

Prof Erol Fikrig, who conducted the study at Yale University, said they had found a "direct molecular link between circadian rhythms and the immune system", which could have "important implications for the prevention and treatment of disease".

He added: "It does appear that disruptions of the circadian clock influence our susceptibility to pathogens."

Dr Akhilesh Reddy, who is researching circadian rhythms at the University of Cambridge, said it was "known long ago" that timing had an impact on the immune system, but this was "one of the first forays" into the reasons why.

The implications for healthcare could mean that drugs need to be given at certain times of day in order to make them more effective, or drugs could be made which actually target the body clock to put the immune system into its most active phase.

Dr Reddy said drug companies were "all switching onto this" and were "now screening drugs at different times of the day".

He could see the body clock impacting medicine "within 10 years".

Medical Funnies

Is Mercedes Benz, Jaguar, Maserati, etc. the "alternative" to GM?

Truth is Chiropractic is the #2 form of healthcare on the planet.  We are not alternative although that name gets used to insult and demean us.

Fortunately, our patients know better.

Our patient generally come from the swollen ranks of the failures of medicine.  People that took the drugs, went to the physio, had the surgery and STILL they got no relief.  With chiropractic they got the relief they needed.

Have a chuckle at this, it's not anti-chiropractic, but keep everything in perspective.  What chiropractic does it does the best.

How can I prevent neck strain while sleeping?

Without even realizing it, you may be putting stress and strain on your neck muscles at night. But there are steps you can take to prevent neck pain, even as you sleep.

If your neck could talk, what position would it tell you it wanted to be in while you slept? It would say please keep me in gentle flexion (chin towards chest) in a neutral position.  When I roll on my side, keep my head straight, don't make me bend my neck.  Definitely don't let my head drop down to the mattress.

If you don’t use a pillow, use one: You need one to give your neck muscles support. Specifically, use a pillow that supports your neck. 

“Memory foam” that molds to the curve of your head and neck is one of the worst choices. It lets the weight of your head press the foam down, bending your neck sideways and putting a strain on your muscles.

Avoid pillows that are too high or stiff. These will keep your neck flexed overnight and can cause morning pain and stiffness.

The double-humped, wave-like pillow works just as well for side-sleepers as back-sleepers.  I've used one for years. remember that no pillow is designed for more than 6 months use.  Replace your pillows at least twice a year.

DO NOT sleep on your stomach, you probably wouldn’t want to hear your neck’s views about that. Since it’s unwise to sleep with your face buried in a pillow, given the need to breathe, you’ve got to twist your head. If you’ve been a lifelong stomach sleeper, it might be tough to switch sleeping positions now. Still, start the night sleeping in a well-supported back or side position.  I've found the change can be made in less than 2 weeks and will give you back a life time of healthy sleeping.

If it seems like an extravagance to buy a specially shaped pillow, consider these two points. First, a good night’s sleep is really important for your health. Second, we spend a third of our lives sleeping. Why skimp on how you live a third of your life?  Your bed is important too.

Grains Contain Anti-Nutrients

In the United States, we're told that grains (especially whole grains) are an important part of a balanced diet, necessary for obtaining our daily requirement of healthy nutrients and fiber.

However, according to a growing number of experts, including Dr. Loren Cordain, a professor at Colorado State University and an expert on Paleolithic lifestyles, humans are NOT designed to eat grains, and doing so may actually be damaging to your gut.

Dr. Cordain explains:

"There's no human requirement for grains. That's the problem with the USDA recommendations. They think we're hardwired as a species to eat grains. You can get by just fine and meet every single nutrient requirement that humans have without eating grains. And grains are absolutely poor sources of vitamins and minerals compared to fruits and vegetables and meat and fish."

Ironically, since we're often told that whole grains are the best for our health, the high-fiber bran portion of grain – a key part that makes it a whole grain -- actually contains many of the anti-nutrients.But the problem isn't only that there are superior sources of nutrients; grains actually contain anti-nutrients that may damage your health. Dr. Cordain states:

"Grains are the seeds of a plant. They're its reproductive material, and plants don't make their reproductive material to give away for free to other animals. If they did they'd become extinct, and so the evolutionary strategy that many plants, particularly cereal grains have taken to prevent predation is to evolve toxic compounds so that the predator of the seeds can't eat them, so that they can put their seeds in the soil where they're meant to be to grow a new plant and not in the gut of an animal to feed it."

Grains -- Especially Whole Grains -- Increase Intestinal Permeability

There is a growing body of scientific evidence showing that grains, as well as legumes, contain anti-nutrients and other problem substances that may increase intestinal permeability. This includes:

Gliadin

Gliadin is the primary immunotoxic protein found in wheat gluten and is among the most damaging to your health.  Gliadin gives wheat bread its doughy texture and is capable of increasing the production of the intestinal protein zonulin, which in turn opens up gaps in the normally tight junctures between intestinal cells (enterocytes).

In celiac disease the body will make antibodies to gliadin after it is digested by the intestinal enzyme tissue transglutaminase, resulting in severe autoimmune damage to the delicate, absorptive surfaces of the intestines. It does not, however, require full blown celiac disease to suffer from the adverse effects of this protein. In fact, it is likely that our intolerance to gliadin and related wheat proteins is a species-specific intolerance, applicable to all humans, with the difference being a matter of the degree to which it causes harm. 

This helps to explain why new research clearly shows gliadin increases intestinal permeability in both those with, and thosewithout, celiac disease.

Lectins

Lectins are a key mechanism through which plants protect themselves against being eaten, and are found in highest concentrations in their seed form -- which makes sense, considering that seeds are the plants'  "babies" and whose survival ensures the continuation of their species.

When animals consume foods containing lectins, they may experience digestive irritation, along with a wide range of other health complaints. The degree to which the adverse effects are expressed depends largely on how long that species has had to co-evolve with that particular form of plant food it is eating.  Since humans have only been consuming unsprouted grains and beans in large amounts for approximately 500 generations, we still suffer far more than certain rodents and birds, who have had thousands of generations longer to adapt to this way of eating.

We are mostly exposed to lectins from grains, beans, dairy products and nightshade plants, such as potato, tomato, and chili peppers. However, bread wheat (Triticum aestivum) has a prominent role to play in lectin-induced adverse effects, due to the fact that it is a relatively new form of wheat, and contains wheat germ agglutinin (WGA) – a particularly resilient and problematic lectin, considering it is not eliminated through sprouting and is actually found in higher concentrations in whole wheat.

Studies indicate that it has the potential to contribute to a wide range of adverse health effects, including gut inflammation and damage to your gastrointestinal tract:

Pro-inflammatory--WGA stimulates the synthesis of pro-inflammatory chemical messengers (cytokines) in intestinal and immune cells, and has been shown to play acausative role in chronic thin gut inflammation.	Immunotoxicity--WGA induces thymus atrophy in rats , and anti-WGA antibodies in human blood have been shown to cross-react with other proteins, indicating that they may contribute to autoimmunity . In fact, WGA appears to play a role in celiac disease (CD) that is entirely distinct from that of gluten, due to significantly higher levels of IgG and IgAantibodies against WGA found in patients with CD, when compared with patients with other intestinal disorders.
Neurotoxicity-- WGA can cross your blood-brain barrier through a process called "adsorptive endocytosis," pulling other substances with it. WGA may attach to your myelin sheath and is capable of inhibiting nerve growth factor, which is important for the growth, maintenance, and survival of certain target neurons.	Excitotoxicity-- Wheat, dairy, and soy contain exceptionally high levels of glutamic and aspartic acid, which makes them all potentially excitotoxic.  Excitotoxicity is a pathological process where glutamic and aspartic acid cause an over-activation of your nerve cell receptors, which can lead to calcium-induced nerve and brain injury. These two amino acids may contribute to neurodegenerative conditions such as multiple sclerosis, Alzheimer's, Huntington's disease, and other nervous system disorders such as epilepsy, ADD/ADHD and migraines.
Cytotoxicity—WGA has been demonstrated to be cytotoxic to both normal and cancerous cell lines, capable of inducing either cell cycle arrest or programmed cell death (apoptosis).	Disrupts Endocrine Function—WGA may contribute to weight gain, insulin resistance, and leptin resistance by blocking the leptin receptor in your hypothalamus. It also binds to both benign and malignant thyroid nodules , and interferes with the production of secretin from your pancreas, which can lead to digestive problems and pancreatic hypertrophy.
Cardiotoxicity—WGA has a potent, disruptive effect on platelet endothelial cell adhesion molecule-1, which plays a key role in tissue regeneration and safely removing neutrophils from your blood vessels.	Adversely Affects Gastrointestinal Functionby causing increased shedding of the intestinal brush border membrane, reducing the surface area, and accelerating cell loss and shortening of villi. It also causes cytoskeleton degradation in intestinal cells, contributing to cell death and increased turnover, and decreases levels of heat shock proteins in gut epithelial cells, leaving them more vulnerable to damage.

As we noted earlier, the highest amounts of WGA is found in whole wheat, including its sprouted form, which is touted as being the most healthful form of all ... The traditional ways of addressing many of these anti-nutrients is, in fact, by sprouting, fermenting and cooking. However, lectins are designed to withstand degradation through a wide range of pH and temperatures. WGA lectin is particularly tough because it's actually formed by the same disulfide bonds that give strength and resilience to vulcanized rubber and human hair.

New Report Warns of the Sugar in Cereals Marketed to Kids

One of the most common ways we consume grains is in the form of cereal, many of which are marketed to kids and adults alike as "health foods." But cereal is anything but healthy, not only because of the grain it contains but also because many (particularly those for kids) contain excessive amounts of sugar.

A new report from the Environmental Working Group (EWG) revealed that many popular children's cereal brands contain more sugar than snack cakes and cookies. For instance, one cup of Kellogg's Honey Smacks, which is nearly 56 percent sugar by weight, has more sugar than a Twinkie, while a one-cup serving of 44 other children's cereals analyzed contain more sugar than three Chips Ahoy! cookies.

If you need a recap of why sugar is a health disaster, you can find one here. However, as it pertains to leaky gut, you should know that sugar, like grains, can upset the balance of bacteria in your digestive tract, encouraging damage to your intestinal lining that can lead to leaky gut. So, sugary children's cereals are a double-edged sword, assaulting your fragile gastrointestinal tract with both damaging sugar and grains. Please do your kids a great favor and offer them a healthier breakfast instead.

Are Grains Causing Your Leaky Gut Symptoms? This Food is the "Antidote"

As you might suspect, leaky gut can cause digestive symptoms such as bloating, gas and abdominal cramps, but it can also cause or contribute to many others you may not, such as fatigue, skin rashes, joint pain, allergies, psychological symptoms, autism and more.

It's a vicious cycle because once your digestive tract has been damaged, it allows various gut contents to flood into your bloodstream where they wreak havoc on your health. The key to preventing this lies in altering your diet to eliminate the offending foods -- including sugars and grains -- as well as introduce healthier ones that will support a proper balance of bacteria in your gut. To restore gut health, and prevent leaky gut from occurring, eating traditionally fermented foods is essential.

Dr. Natasha Campbell-McBride explains:

"Fermented foods are essential to introduce, as they provide probiotic microbes in the best possible form … fermented foods will carry probiotic microbes all away down to the end of the digestive system. Fermentation predigests the food, making it easy for our digestive systems to handle, that is why fermented foods are easily digested by people with damaged gut. Fermentation releases nutrients from the food, making them more bio-available for the body: for example sauerkraut contains 20 times more bio-available vitamin C than fresh cabbage."

On Dr. Campbell-McBride's web site you can find recipes for many traditionally fermented foods, including sauerkraut, yogurt, kefir, kvass and more.

If you regularly eat fermented foods such as these that have not been pasteurized (pasteurization kills the naturally occurring probiotics), your healthy gut bacteria will thrive. If these foods do not make a regular appearance in your diet, or you've recently taken antibiotics, a high-quality probiotic supplement will help give your gut bacteria the healthy boost it needs. Once your gut flora is optimized, your leaky gut should improve naturally. As Dr. Cordain explains:

" … when we have a healthy flora of bacteria in our gut, it tends to prevent leaky gut."

Is a Return to the Paleo Diet Right for You?

During the Paleolithic period, many thousands of years ago, people ate primarily vegetables, fruit, nuts, roots and meat—and a wide variety of it. Today, these staples have been largely replaced with refined sugar, high fructose corn syrup, cereal, bread, potatoes and pasteurized milk products… and a much narrower selection of fruits, vegetables, roots and nuts.

This is precisely the recipe for a leaky gut, and all of its associated health problems, which is why simply returning to a Paelo diet by eating foods that are concordant with your genetic ancestry may help you become healthier. This includes focusing on whole, unprocessed foods including vegetables (except corn and potatoes) and free-range organic meats, while avoiding sugars and grains.

As Dr. Cordain states:

"The nutritional qualities of modern processed foods and foods introduced during the Neolithic period are discordant with our ancient and conservative genome. This genetic discordance ultimately manifests itself as various chronic illnesses, which have been dubbed "diseases of civilization." By severely reducing or eliminating these foods and replacing them with a more healthful cuisine, possessing nutrient qualities more in line with the foods our ancestors consumed, it is possible to improve health and reduce the risk of chronic disease."

For Neck Pain, Chiropractic and Exercise Are Better Than Drugs

Seeing a chiropractor or engaging in light exercise relieves neck pain more effectively than relying on pain medication, new research shows.

The new study is one of the few head-to-head comparisons of various treatments for neck pain, a problem that affects three quarters of Americans at some point in their lives but has no proven, first-line treatment. While many people seek out spinal manipulation by chiropractors, the evidence supporting its usefulness has been limited at best.

But the new research, published in The Annals of Internal Medicine, found that chiropractic care or simple exercises done at home were better at reducing pain than taking medications like aspirin, ibuprofen or narcotics.

“These changes were diminished over time, but they were still present,” said Dr. Gert Bronfort, an author of the study and research professor at Northwestern Health Sciences University in Minnesota. “Even a year later, there were differences between the spinal manipulation and medication groups.”

Moderate and acute neck pain is one of the most frequent reasons for trips to primary care doctors, prompting millions of visits every year. For patients, it can be a difficult problem to navigate. In some cases the pain and stiffness crop up without explanation, and treatment options are varied. Physical therapy, pain medication and spinal manipulation are popular options, but Dr. Bronfort was inspired to carry out an analysis because so little research exists.

“There was a void in the scientific literature in terms of what the most helpful treatments are,” he said.

To find out, Dr. Bronfort and his colleagues recruited a large group of adults with neck pain that had no known specific cause. The subjects, 272 in all, were mostly recruited from a large HMO and through advertisements. The researchers then split them into three groups and followed them for about three months.

One group was assigned to visit a chiropractor for roughly 20-minute sessions throughout the course of the study, making an average of 15 visits. A second group was assigned to take common pain relievers like acetaminophen and — in some cases, at the discretion of a doctor — stronger drugs like narcotics and muscle relaxants. The third group met on two occasions with physical therapists who gave them instructions on simple, gentle exercises for the neck that they could do at home. They were encouraged to do 5 to 10 repetitions of each exercise up to eight times a day. (A demonstration of the exercises can be found at www.annals.org).

After 12 weeks, the people in the non-medication groups did significantly better than those taking the drugs. About 57 percent of those who met with chiropractors and 48 percent who did the exercises reported at least a 75 percent reduction in pain, compared to 33 percent of the people in the medication group.

A year later, when the researchers checked back in, 53 percent of the subjects who had received spinal manipulation still reported at least a 75 percent reduction in pain, similar to the exercise group. That compared to just a 38 percent pain reduction among those who had been taking medication.

Dr. Bronfort said it was a “big surprise” to see that the home exercises were about as effective as the chiropractic sessions. “We hadn’t expected that they would be that close,” he said. “But I guess that’s good news for patients.”

In addition to their limited pain relief, the medications had at least one other downside: people kept taking them. “The people in the medication group kept on using a higher amount of medication more frequently throughout the follow-up period, up to a year later,” Dr. Bronfort said. “If you’re taking medication over a long time, then we’re running into more systemic side effects like gastrointestinal problems.”

He also expressed concern that those on medications were not as empowered or active in their own care as those in the other groups. “We think it’s important that patients are enabled to deal with as much control over their own condition as possible,” he said. “This study shows that they can play a large role in their own care.”

High Fat Low Carb

High Fat diets are good for you. Just ditch the carbs.

Junk food really DOES mess with your brain! Research shows trans fats causes brain damage

Not only does it rot your teeth and add inches to your waistline, but now researchers have discovered that junk food actually hurts your brain.

By consuming trans fats, found often in fried or processed food, the chemicals send mixed and damaging signals to the brain and lessens its ability to control appetite.

Essentially, by eating junk food, your brain becomes less and less able to tell what you have eaten and continues to make you fee as if you are hungry so that you proceed to eat more.

It's clear that trans fats are bad -- both for your heart and now, we see, for your brain,' said Dr Gene Bowman of Oregon Health & Science University.

Given the somewhat complicated nature of trans fats, it is harder for shoppers to spot goods that contain loads of the molecule. Trans fat is the common name for unsaturated fats which are harder for the body to digest given its double carbon-carbon bond.

Brain injury comes as the latest addition to a long list of health problems that stem from the consumption of unsaturated fat. Coronary heart disease, high cholesterol, obesity and diabetes.

The battle against trans fats is not a new one.

While restaurants in New York and Switzerland have been banned from serving dishes that have high levels of trans fats, there are still plenty of everyday foods that are stealthily hiding the destructive ingredients.

Cinnabon rolls, Girl Scout cookies, microwavable popcorn, and crackers- like Saltines and Ritz- are some of the worst offenders, and that's ignoring the obvious choices like French fries or fried chicken.

Though Mr Bowman conducted a relatively limited study among elderly white Oregonians, his findings have been backed up by countless earlier studies that highlight the difference between the yummy taste and disgusting after-effects of junk food.

Low-Carbohydrate Diets More Successful Than Standard Dieting

• Intermittent, low-carbohydrate diets were superior in lowering blood levels of insulin, which can lead to cancer.
• Low-carbohydrate diet two days per week resulted in greater weight loss than standard daily dieting.

SAN ANTONIO — An intermittent, low-carbohydrate diet was superior to a standard, daily calorie-restricted diet for reducing weight and lowering blood levels of insulin, a cancer-promoting hormone, according to recent findings.

Researchers at Genesis Prevention Center at University Hospital in South Manchester, England, found that restricting carbohydrates two days per week may be a better dietary approach than a standard, daily calorie-restricted diet for preventing breast cancer and other diseases, but they said further study is needed.

“Weight loss and reduced insulin levels are required for breast cancer prevention, but [these levels] are difficult to achieve and maintain with conventional dietary approaches,” said Michelle Harvie, Ph.D., SRD, a research dietician at the Genesis Prevention Center, who presented the findings at the 2011 CTRC-AACR San Antonio Breast Cancer Symposium, held Dec. 6-10, 2011.

Harvie and her colleagues compared three diets during four months for effects on weight loss and blood markers of breast cancer risk among 115 women with a family history of breast cancer. They randomly assigned patients to one of the following diets: a calorie-restricted, low-carbohydrate diet for two days per week; an “ad lib” low-carbohydrate diet in which patients were permitted to eat unlimited protein and healthy fats, such as lean meats, olives and nuts, also for two days per week; and a standard, calorie-restricted daily Mediterranean diet for seven days per week.

Data revealed that both intermittent, low-carbohydrate diets were superior to the standard, daily Mediterranean diet in reducing weight, body fat and insulin resistance. Mean reduction in weight and body fat was roughly 4 kilograms (about 9 pounds) with the intermittent approaches compared with 2.4 kilograms (about 5 pounds) with the standard dietary approach. Insulin resistance reduced by 22 percent with the restricted low-carbohydrate diet and by 14 percent with the “ad lib” low-carbohydrate diet compared with 4 percent with the standard Mediterranean diet.

“It is interesting that the diet that only restricts carbohydrates but allows protein and fats is as effective as the calorie-restricted, low-carbohydrate diet,” Harvie said.

Dietitians Are Buying Coke’s Line: Sugar, Fluoride, Artificial Colors are SAFE for Children!

The credentialing arm of the American Dietetic Association, the Commission on Dietetic Registration (CDR), has approved a program created by the The Coca-Cola Company Beverage Institute for Health and Wellness.This covers what it calls “urban myths” about the safety of food ingredients. Participating in this program will earn registered dietitians Continuing Professional Education unit credits.

“Children’s Dietary Recommendations: When Urban Myths, Opinions, Parental Perceptions & Evidence Collide,” tells dietitians that fluoride, sugar, artificial colors and nonnutritive sweeteners have been “carefully examined for their effects on children’s health, growth, and development.” The presenter, Dr. Ronald Kleinman, “explores prevalent misconceptions about these food ingredients” and suggests ways the dietitian can help quell unnecessary “concern among parents about their children’s health.”

At first glance, Dr. Kleinman should know what he is talking about. He is physician-in-chief at Massachusetts General Hospital for Children, chief of the Pediatric Gastrointestinal and Nutrition Unit, and Associate Professor of Pediatrics at Harvard Medical School. Couldn’t sound better, could it? But he has also received a great deal of money from industry sources—like artificial infant formula manufacturers Mead Johnson and Nestle Ltd. His study on optimal duration of breastfeeding was funded by Gerber Products. He also served as a paid expert witness for Gerber when they were sued for deceptive advertising. And he contributed to a brochure intended for children entitled “Variety’s Mountain” produced by the Sugar Association.

Now he’s being sponsored by the Coca-Cola Company and telling dietitians that the ingredients in Coke which everyone is alarmed about are safe. The dietitians, in turn, will be telling parents that their fears are unfounded, and Coke can sell more Coke to kids.

Program materials include gems like “[a] majority of studies so far have not found a link between sugar and behavior in children generally or children diagnosed with attention deficit hyperactivity disorder.” This is certainly news to us, since we have seen many studies that say the opposite. Apparently the dietitians are to teach us that any connection between artificial colors and neurotoxicity, or fears of the dangers of fluoride, are imaginary and come from hysterical (or at least unduly concerned) parents.

As we reported recently, sugar and artificial sweeteners are anything but safe. Fluoride poses a significant risk to the kidneys. And commonly used food dyes pose risks which include hyperactivity in children, cancer (in animal studies), and allergic reactions. Even the Center for Science in the Public Interest, an organization that supports nuking food, agrees with this. And the British government and European Union have taken actions that are virtually ending the use of dyes throughout Europe.

The ADA is sponsored by the soda and junk food industries—which we feel greatly tarnishes the organization’s credibility. And you may recall that the ADA has mounted a state-by-state campaign to make sure that its Commission is the only one which will be accepted as a credentialing body for both registered dietitians and nutritionists.

There are, of course, significant philosophical differences between nutritionists and dietitians—they represent two different fields of study and practice. By accepting only a single credentialing agency—one run by the dietitians, not nutritionists—state boards are establishing a “one-size-fits-all” standard which removes all competition, essentially handing the ADA a government mandated monopoly over nutritional therapy.

Unfortunately, the Nevada bill we told you about last month passed both the Assembly and the Senate and was signed by the governor on June 5th. While some amendments were made, the most troubling parts of the bill still remain: only registered dietitians can practice “dietetics,” which is defined by the law to include nutrition assessment, evaluation, diagnosis, counseling, intervention, monitoring and treatment—everything that a good nutritionist does and should do.

We also told you about an ADA bill in New York, S.3556. The state’s Senate Finance Committee met on June 13 and decided to pass the bill to the Rules Committee so that it could be considered on the Senate floor. They are trying to rush these bills through, because next week the Assembly is scheduled to finish its work for the year, unless the chair calls a special session in the fall. Please click on our New York Action Alert here.

The ADA’s power grab is a complete travesty. We will keep fighting it state by state until we restore competition in nutritional counseling and stop gagging PhD-trained nutritionists who don’t become dietitians.