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Bogden et al. Daily micronutrient supplements enhance delayed hypersensitivity in skin test response in older adults. Am J Clin Nutr. 60:437-447,1994
Fogarty, et al. Dietary Vitamin E, Ige and atopy. Lancet 356:1573, 2000
Meydani, Effect of functional food ingredients: Vitamin E modulation of cardiovascular Diseases and immune function in elderly. Am J Clin Nutr. 71:6; p. 1665-1668, 2000
Shankar andPrasad. Zinc and Immune Function. Am J Clin Nutr. 68:447-63, 1998
Sazawal S. et al. Zinc supplementation reduces incidence of acute and lower respiratory infection in infants and preschool children. Pediatrics. 102-5, 1998
Simopoulos. Essential Fatty acids in health and chronic disease. Am J Clin Nutr. 70:560-9, 1999
Hardman AE. Physical Activity and Cancer Risk. Proc Nutr Soc. 60(1), 107-13, 2001
Hawkes, WC et al. Dietary selenium on the immune system in healthy men. Biol Trace Elem Res. 81:31; 189-218,2001

Other Findings

How does the immune system work?
Benefits of Antioxidants
Benefits of Physical Activity
Tips for achieving balance in fatty acid intakes

 

Connie Guttersen, RD PhDYou Are What You Eat

by Connie Guttersen, RD PhD,
author of the Sonoma Diet

The saying, "you are what you eat" holds absolute truth. A closer look within our body, and the cells of which we are made-up, reflects the actual types of fats we typically eat. These fats or fatty acids make up the outer covering of our cells, known as cell membranes. There are several types or categories of fats. They include saturated fats (primarily from animal products, tropical oils and hydrogenated fats), monounsaturated fats (olives, nuts, avocados, and canola oil), and polyunsaturated fats (vegetable / seed oil and fish oils).

Our immune systems are affected by the types of fatty acids we consume. This is because different families of compounds known as eicosanoids, are produced based on the amounts, balance and types of fatty acids in our diets. These different eicosanoids play a role in the body's ability to fight infection, hypertension, heart disease, diabetes, rheumatoid arthritis, and ulcerative colitis.

California-Style Grilled PizzettaThe primary source of the production of the eicosanoids comes from polyunsaturated oils. Within this category, the omega 6 (vegetable oils) and the omega 3 (fish and some plant oils) are the parent fatty acids for the formation of different types of eicosanoids.

These two groups, omega 6 and omega 3, actually compete for the production of their own specific groups of eicosanoids. When there is too high of an intake of omega 6--as compared to the omega 3--a shift in the production of eicosanoids occurs and the body is more inclined towards cardiovascular disease and inflammation.

On the other hand, the proper balance of omega 3 eicosanoids (primarily those coming from fatty fish sources) helps immune function and has a beneficial effect on heart disease and inflammation. Recent studies recommend a ratio of 2.3 : 1 for omega 6 to omega 3 fatty acids. Today, our ratio of omega 6 to omega 3 fatty acids is approximately 10 : 1--with some parts of the United States as high as 20 : 1.

This is a far cry from what scientists say we were eating about 10,000 years ago. Back then we consumed equal amounts of omega 6 and omega 3 fats-- and had a low intake of saturated fats. We had great sources of omega-6 and omega-3 acids from wild plants, animals and fish.

The onset of the industrial revolution saw a marked shift in the way we ate. The balance between omega 6 to omega 3 changed considerably, as we increased our use of vegetable oils and changed the way we feed livestock. We've also increased the amount of saturated fats and hydrogentated fats in our diets. (Just read the ingredient lists on processed foods.)

Tomato Citrus Marinated OlivesOne way to achieve a healthier ratio of omega 6 to omega 3 is by increasing our intake other types of healthy fats, like those found in monounsaturated oils, olives, nuts, avocados, and canola oil), in place Cod Cakes with California Ripe Olive “Gremolata”of the seed / vegetable oils. You can also consume more fish and other plant sources of omega 3, and minimize excessive intakes of saturated fats.

 

How does the immune system work?
The immune system is the most incredible system in the body for our key defense against infection and disease. From the common cold to heart diseases and other serious ailments, the immune system generates compounds capable of recognizing and eliminating invaders. The immune system is a network of organs called lymphoid organs. These organs are distributed throughout the body and produce the body's disease fighting agents.

Our immune system has two basic lines of defense: the natural or innate immunity; and, the acquired immunity. The first, our natural or innate immunity, is the line of defense we are born with. The basic barriers such as skin, internal body temperature and mucous membranes are included, as well as the macrophages, monocytes, and neutrophils that can engulf, kill, and digest whole microorganisms. Our second line of defense, also referred to as acquired immunity, provides the immune system with a memory bank of special reactions to different infections one has experienced. In some cases, once you have been exposed to a particular microorganism, the body develops a natural resistance for it by creating antibodies. This is quite similar to the basis of how vaccines work.

Lymphocytes are the primary cells of this system. The response of the lymphocytes, in particular the T lymphocytes or T-cells, are a factor involved in acute infections, aging, rheumatoid arthritis, type I diabetes, cancer, and cardiovascular disease.

As the scientific world continues to learn more, there is continuous confirmation for the importance of good nutrition and a healthy lifestyle for a strong immune response. A balanced diet with a wide variety of foods in moderation is the advice we have been given for many years. Some nutrients for maintaining function are zinc, selenium, beta carotene, vitamin C and E, as well as some of the phytochemicals. All of these nutrients are primarily found in fruits, vegetables, whole grains, and nuts.

Benefits of Antioxidants
Dietary antioxidants play a key role for preventing diseases and minimizing the metabolic effects due to the aging process and oxidative damage. Aging is associated with a decline in immune status. This is partly due to the life-long exposure to free radicals and the resulting damage which occurs in the cells, as well as to a decrease in T-cells. It is not uncommon for T-cells to lose approximately 50% of their power by the time people reach their 70's. Nutrients such as Vitamins C, E, beta carotene, zinc, selenium, and phytochemicals decrease the oxidative damage within the body, which simply comes from normal life-long metabolic function as well as free radicals obtained via smog, excessive sunlight, cigarettes and other pollutants. As we understand more about the balance between dietary antioxidants and the processes which contribute to oxidative damage, it appears that the amounts of dietary antioxidants required for normal function of the immune system in elderly populations are higher than what is recommended in the current RDA. There are many foods which provide good sources of dietary antioxidants.

Studies have found interesting news on the benefits of antioxidants for immune function. In one study, long term supplements of beta carotene (50 mg every other day, for 10-12 years) were associated with an enhanced activity of natural killer cells. Researchers from the University of Nottingham found that adults who consumed the most vitamin E had fewer allergy related antibodies in their blood. High levels of these antibodies are associated with asthma and allergies. Asthma may also be related to DNA damage occurring from oxidation. It is known that vitamin E protects DNA from oxidative damage and thus may reduce asthma risk. Meydai et al. (please refer to the recommended reading to the left) also found beneficial results using vitamin E supplements. In his study, he investigated the long term effect of vitamin E supplements in healthy older adults, ages greater than 65 years. The supplement doses of vitamin E consisted of 60, 200, or 800 IU for 235 days. All three doses improved immune function, however, individuals taking the 200 IU dose showed the best immune response. This study concluded that 200 IU per day was the optimal amount of vitamin E to increase immune response in elderly populations. This study also found that individuals taking the vitamin E supplements had 30% less self reported infections than did the placebo group. This is an important study since more than 40% of older Americans have a vitamin E intake below the RDA. In looking at dietary sources of vitamin E, nuts, seeds, oils, and whole grains, it would be difficult to reach a daily intake of 200 IU from diet alone. A vitamin E supplement in addition to a healthy diet is the best approach.

Zinc also plays a key role in immune function and also acts as an antioxidant. A dietary zinc deficiency results in a depressed immune system and in skin problems such as dermatitis. Several studies have demonstrated the ability of zinc supplements to reduce infectious diseases, with one reporting a 45% reduction in the incidence of acute lower respiratory infections. Zinc supplements also have beneficial effects when administered during infections--for example, zinc lozenges for the common cold. Skin dermatitis has also been shown to improve with zinc supplements. Studies with pre-school children showed that zinc supplementation during gastro-intestinal infections reduced the duration of the illness by 30%. Short term intakes of zinc, which are 2-3 times the RDA, are generally considered safe in preschool children and adults; however additional studies suggest that supplements higher than these levels may result in anemia and depressed immune function. As for any nutritional supplement, caution should be taken for any excessive doses.

Benefits of Physical Activity
Exercise has a positive effect on the immune system within minutes of starting the activity. During this initial time period, the body's first line of defense, the white blood cells, increase in number and make the immune system more efficient. Regular exercise also prevents the natural decline in immune function that comes from aging. Research has found that regular exercise can bring T-cell levels of a 65 year old to levels as high as people in their 30's.

Evidence is also accumulating that shows regular exercise is associated with a reduced risk of some cancers--particularly colon cancer. The risk of colon cancer was reduced by 40 to 50% s as compared to those who were least active. Regular exercise can keep the colon in shape by maintaining the specific muscles involved in peristalsis, (the intestinal muscular action which aids in digestion) and thereby speeding the passage of food through the intestines. Breast cancer risk can also be decreased by regular exercise. This is primarily due to a hormonal effect since exercise decreases the levels of estrogen in the body and also decreases excessive body fat stores which contribute to elevated estrogen levels.

Tortilla “Espagn-olive”

But, as mentioned earlier, balance is the key. Strenuous and prolonged exercise may actually impair health and depress the immune system. It is especially important to have an adequate supply of dietary antioxidants since exercise requires extra oxygen and produces a higher level of free radicals. Dr. Neiman, who has conducted studies of exercise and the immune system, found that after numerous periods of strenuous exercise, there was an increase of damaged white blood cells as a result of free radical damage. Vitamin C and E may be the most important antioxidants involved in maintaining the balance for health in exercising individuals.

So as we look to the foods we eat--and the foods you prepare for others-- it's important to remember balance. A wide variety of foods in moderation is the basis, but you can also focus on certain key nutrients that may enhance immune function and overall health.

Table 3.
Tips for achieving balance in fatty acid intakes

  • Do not overly restrict dietary fats. You may not get enough essential fatty acids. Fats such as omega 3 from fish and monounsaturated fats are actually beneficial to health and immune function.

  • Replace sources of linoleic acid, primarily omega 6, with oils that are rich in linolenic acid like canola oil, and flaxseed oil - and with monounsaturated rich oils like olive oil.

  • Limit intake of trans fatty acids by decreasing use of margarine and other processed food.

 

 

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