Cherries and Joint Pain

Cherries Can Reduce Gout Attacks, and Other Joint Pains

Remarkably, not all joint pain can be adjusted away with skillful hands ... not even mine. A new study out of Boston University corroborated by other studies reports how a natural remedy of tart cherry extract ... or simply a bowl of cherries, and in some cases cherries plus medication can reduce some forms of chronic joint pain, and other acute attacks of gout by up to 75 %.  Eating about 30 pieces of the sweet fruit within 48 hours of a gout attack may even cut the risk of recurrence of the painful arthritic condition by 35 percent.

The single most important thing you can do however, to prevent acute bouts of joint pain, is to drink plenty of water throughout the day... everyday. Generally speaking, two thirds your body weight in fluid ounces.  For someone weighing 150 pounds about 99 ounces or 3 quarts of water consumed slowly all-day-long should become a daily ritual for everyone.

Drink Plenty of Water Throughout the Day

When so-called conventional medicine discovers something that natural health professionals have been saying for years, I always find it amusing.

This November 2012 study from Boston University found among 633 patients, there was a direct relationship between eating cherries and reducing painful attacks of gout, or pseudogout a condition characterized by recurrent attacks of inflammatory arthritis, and in some cases chronic unrelenting joint pain without a history of specific injury or known onset.

Not too shocking, the more cherries someone eats the better the results are. Those who eat one serving a day were able to reduce their attacks by 35%; two servings a day reduced attacks by 40%; and 3 servings of cherries had reduced attacks by as much as 51%. Eating up to three servings of cherries, about one and a half cups, seemed to be the magic number for preventing a serious gout attack.

These researchers also found that patients who combined a daily helping of cherries with the common gout medication called allopurinol had the chance to further reduce their attacks by as much as 75%.

Why does this occur? An excessive amount of uric acid in your diet develops into tiny little razor sharp crystals. In some, those crystals are monosodium urate (MSU, the ones found in gout), and the others are calcium pyrophosphate dehydrate (CPPD, the ones found in pseudogout). Because of super-saturation, these crystals become deposited in and around the joints triggering intense inflammation. Uric acid is a waste byproduct of metabolism and normally excreted through the kidneys in urine. When the process is impaired, uric acid accumulates in the blood stream until the concentration is sufficient enough for crystals to form and are deposited in and around the joints causing the pain, swelling and inflammation associated with gout. It usually attacks the big toes but can sometimes affect the rest of the foot, ankles or knees and less commonly, the elbows and shoulders sometimes mistaken as a rotator cuff injury.

Alcohol consumption, or chronic dehydration along with a high protein diet increases your chances of gout 

Those who are predisposed are generally sensitive to certain other kinds of food. These include organ meats like liver, sweetbreads, kidneys and brain as well as pork, red wine, and orange colored cheeses like cheddar.

Alcohol consumption, or chronic dehydration coupled with a high protein diet and other foods for instance shellfish, and small wild game are rich in the chemical purine, and can also increase the frequency of gout for those who are predisposed. You'd probably be best served to limit your consumption of mushrooms, asparagus, peanuts, lentils and peas because they are higher in purines than other foods.  In doing so, I recommend a healthy diet that reduces inflammation by including fish oil or flaxseed oil rich in Omega-3 essential fatty acids, and in some persons high doses of folate.

The enigma behind cherries' gout-fighting powers isn't entirely understood. Dr. Allan Gelber who co-wrote the commentary to the study found in the journal Arthritis & Rheumatism with Dr. Daniel Solomon, said perhaps the vitamin C content of the fruit or potentially the strong anti-inflammatory effect of their high antioxidant content.

"Anthocyanins are an antioxidant pigment found in cherries and other red and purple fruits and vegetables. They seem to stabilize the free radical molecules responsible for causing inflammation and cell and tissue damage."

Fine tuned however, and in the right combinations,

magic can happen...

It's  well known how many plant flavinoids and compounds called anthocyanins reduce joint inflammation. These are the same substances abundantly found in curcumin, quercetin, ellagic acid, resveratrol, Jatoba extract, and grape seed extract, but unfortunately not everyone has the capacity to benefit equally either because of absorption problems, or its simply lacking in their diets. Fine tuned however, and in the right combinations magic can happen. One such product receiving widespread attention and favor, now with 14 clinical studies found in peer-reviewed journals supporting its use and efficacy is Protandim, a Nrf2 synergiser.  Protandim is a once-a-day patented formulation of five plant substances available without a prescription, and allows the body to express its own abundant antioxidant producing ability without interference.

Oddly enough, after the study above was released, the FDA sent a letter to various cherry-based product manufacturers warning them not to use the study results to make assertions about the benefits of their products.

I look forward to our Christmas celebration in a few days, and time spent with family and friends.  Wishing you a happy Christmas, and a New Year filled with God's abundant favor and grace.

Be sure to enjoy yours too, and don't forget the cherry pie!

Bless and be blessed,

Lewis Meltz

"How You Can Hurt Your Chances of Ever Getting Dementia ─Without You Knowing It"

Recently, the first "Baby Boomer" became eligible for Social Security benefits.  It’s difficult to imagine that the massive demographic of people born in the two decades after World War II are entering their Golden Years.  As this shift occurs, it’s evident to holistic health-care providers like Dr. Meltz that now, more than ever, older adults are determined to remain active and vital.

The Brain and Memory

Have you ever experienced something "on the tip of your tongue?"  If you find yourself doing this often, you are not alone. Don't panic or get angry. Instead, relax. Breathe deeply, and think about similar words to the one you can't remember. You can also think about examples of the word, or any other memories you can recall that are associated with whatever you are trying to remember. In most cases, this will help you recall the word you were previously unable to remember.

Fear of any type of cognitive decline, especially dementia, often outpaces concerns about other types of disability. While we can expect some health changes as we get older, dementia is neither normal nor inevitable. Dr. Meltz wants patients to know that there are simple steps they can take now to ward off memory problems later.

When trying to study and commit something to memory, try organizing your notes into related subjects, instead of random topics. Scientists have indicated that this type of mental organization facilitates better recollection down the road. When you are studying for a test, you need to give yourself some breaks. The all-nighter cram sessions don't work well because the information won't be properly processed by your brain in a such a short period. However, you should be cautious. Breaks are important but do not spend too much time procrastinating. It thus becomes vital that you study over a longer period of time than just immediately before a test.  

When learning something new, or trying to memorize something be sure to put the entirety of your focus on the information at hand. Humans store items to be remembered in the long-term memory part of the brain. The only way to do this is to focus on it hard enough and long enough.

What’s Dementia Anyway?

Dementia is defined as the loss of intellectual faculties, including memory, which interrupts social and occupational functioning. Dementia may be sparked by vascular problems, which curtail blood flow to the brain. Other culprits include brain trauma or injury — even if it occurred several years prior to the onset of memory loss. Alzheimer’s disease (AD) is the best known type of dementia; it involves the disruption of normal brain cell function. Two hallmarks of AD are abnormal amounts of protein plaques and tangles within the brain. These usually affect brain regions responsible for learning and memory first. The good news is that a large amount of research shows that certain dietary factors can determine whether the brain stays healthy in old age — or not (J Nutri Health Aging 2006;10:386).

Try a Mediterranean Diet

Increase your intake of fish oils! If you find your memory is not what it used to be, you may not be getting enough Omega-3 fatty acids in your diet. Consider adding a supplement to your diet. 

Mediterranean Diet

Dietary choices for maintaining cognitive well-being may seem obvious, because they are often the same choices that ward off other diseases, such as cardiovascular disease and cancer. The optimal ratio of lean protein (particularly from fish), legumes, fruits, vegetables and monounsaturated fat, mostly in the form of olive oil, makes up what is popularly termed the Mediterranean diet. Other characteristics of this way of eating include low consumption of dairy foods, red meat and eggs. Dr. Meltz teaches patients that the Mediterranean diet is linked with a vast array of health advantages, including warding off dementia. When researchers looked at health effects of the Mediterranean diet, they found a reduced risk of AD. The diet also slowed the progression of the disease in people who had already been diagnosed with AD. Lower mortality rates from AD were also noted. Stricter adherence to the Mediterranean diet brought down mortality rates even more (Neurology 2007;69:1084).

A Medley of Foods is What Counts

As an individual grows older, his or her food choices often become limited. This can negatively skew nutritional intake. One study found a direct correlation between eating a more diverse diet and superior nutritional status. Researchers suggest widening the variety of foods available to older adults in order to prevent health complications of all types later in life (J Am Diet Assoc 2002;102:1096-104). The study also determined that limited food choice correlates with an increased danger of developing health issues.  Don't entertain self-doubt. Some people just assume that memory decline is an inevitable fact of aging. This isn't true all of the time. Even the anticipation that your memory is going to fade works to harm the memory itself. If people question things about your memory, you could eventually doubt yourself. Simply maintaining faith in your ability to recall facts is an important step in strengthening your memory.

Specifically, the study found that eating lots of foods that are easily converted to energy, along with protein, increases the ingestion of vitamins D, B2, B6 and a host of other important B vitamins (J Nutri Sci Vitaminol 2004;50:184-95). B vitamins have long been associated with cognitive function. You can find plenty of B vitamins in foods like salmon, beef, eggs, peanuts, broccoli, asparagus, red peppers, spinach and romaine lettuce.

Plenty of Orange and Yellow = Sufficient Vit. A

Vit. A Rich Foods

Another supplement to consider is beta-carotene — the pigment that makes carrots and squash orange. As part of the landmark Physician’s Health Study, researchers at Harvard University examined different aspects of health for 4,000 people over a period of about 18 years. The study showed that people 65 and older who had taken beta-carotene for the entire length of the 18-year study scored significantly higher in tests for general cognition and verbal memory than a group who received only placebo (Arch Intern Med 2007;167:2184-90).

One of the most beneficial things you can do for your memory is exercising. When you are exercising, your blood will flow to your brain in a better way and it will keep your brain healthier. Given that memory is essentially a function of the brain, ensuring that it remains healthy is a great way to preserve mental recall. In addition, exercise lowers the risk of diabetes. Diabetes has been shown to have a detrimental effect on brain function and memory.

Focus Your Attention on Fish

Omega-3 EFA's

Some ancient societies were convinced that eating fish boosts brain power. While this sounds like an old wives’ tale, science is proving this concept to be accurate: More and more studies point to fish consumption as a key component of cognitive fitness. Many types of fish contain large amounts of important fats known as omega-3 fatty acids. Scores of reports show that omega-3s can maintain brain health effectively, and even prevent dementia. A new French study looked at more than 8,000 older people, adjusting the group for other dementia-influencing factors, and found that people who ate fish weekly reduced their risk of AD by as much as 35 percent. The study also found that the risk of developing dementia is raised by 50 percent if you don’t eat fish or take fish oil (Neurology 2007;69:1921-30).

An earlier study had already determined that daily consumption of about 1 gram of a fish oil supplement is associated with a 50 percent reduction in dementia (Am J Clin Nutr 2006;83:1494S-1498S). Most scientists now accept that omega-3 fatty acids are involved in the prevention of dementia, along with many other diseases and disorders (JNutri Health Aging 2006;10:386-99). We should be adding omega-3s to our diet in some form, perhaps as part of a healthy diet, which includes regular servings of fish (Arch Gerontol Geriatr 2007;44 Suppl 1:143-53). One note of caution: Due to water pollution, many fish contain high levels of toxins and heavy metals, such as mercury and PCBs, which affect brain health. Larger, longer-lived species are most susceptible to contamination. Whenever possible, avoid swordfish, tilefish, shark, snapper and king mackerel, all of which are known to have high levels of mercury.

Getting Your Garlic

Garlic is another traditional ingredient taken for cognitive health. One animal study found that consumption of garlic, specifically aged garlic extract (AGE), actually stopped deterioration in the brain’s hippocampus, the area which plays a key role in memory function. Researchers also concluded that AGE has the potential to prevent the progression of Alzheimer’s disease (Phytother Res 2007;21:629-40).

And, researchers at Tufts University School of Medicine determined that AGE seems to offer neuronal protection, which can improve learning and memory retention. They conclude that AGE actually prevents cerebrovascular disease and lowers the risk of dementia and Alzheimer’s disease (J Nutri 2006;136:810S-812S).

Remember, invest enough time in getting adequate sleep. Both long-term and short-term memory can be affected by lack of sleep. If your brain is not operating at 100% efficiency, memory will be impaired. Get a little more rest each night to keep your memory sharp.

Happy Hour Happens Everyday

One of the most intriguing suggestions for keeping dementia at bay is alcohol consumption. While chronic alcohol abuse is linked to the development of dementia, one or two glasses per day may bolster brain health. French researchers found that light or moderate alcohol intake, between one and three drinks per day, may significantly cut the risk of dementia. The same study also showed a decreased danger of stroke, which is itself a major risk for vascular dementia (Biol Res 2004;37:189-93).

Eating an Apple a Day

If you don’t like to drink alcohol, you could substitute apple juice. An animal research project at the University of Massachusetts used apple juice concentrate to show that antioxidant rich foods, such as apples, can prevent decline in cognitive performance related to aging and dietary deficiencies (J Alzheimers Dis 2006:287-91).

Have a Regular Coffee Break

Coffee Break

Your favorite cup of coffee may prevent dementia, too. Specifically, one animal study determined that drinking a moderate amount of coffee — about five cups per day — may delay or reduce the risk of developing AD   (Neuroscience 2006;142:941-52).  Think positively to make your memory better. People who entertain negative thoughts or undergo lots of stress will have a greater inability to remember things than people who are positive or are less stressed. Your doctor or a counselor can advise you on ways to reduce your stress level.

Putting it all Together

That's why this chiropractic office, especially Dr. Meltz  is committed to helping patients achieve overall wellness. That’s why we focus on teaching patients about nutrition and disease prevention. If you’re interested in learning more about how specific foods and nutrients fight disease, ask us about additional educational materials and learning opportunities.

Lewis Meltz