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Belly Fat, Depression and Multiple Sclerosis Questions

May 7, 2010 Written by JP       [Font too small?]

This past week I wrote a column featuring questions sent in by regular readers of this site. That blog inspired a whole new series of questions from other interested parties. My answers to today’s inquiries will touch upon several topics including the perplexing issue of middle-aged stomach fat, a natural intervention for multiple sclerosis and a complementary therapy that may help depressed patients avoid frequent relapses.

I’m going to combine two questions into one as a starting point. Yesterday I received an inquiry about my current feelings regarding soy as a regular dietary component. Another reader recently asked me for tips about “spot reducing” fat in the abdominal region. A study that is currently in print in the American Journal of Obstetrics and Gynecology addresses both of these issues in one fell swoop.

A group of 39 postmenopausal African American and Caucasian women took part in a double-blind, placebo-controlled study. Over the course of 3 months half of the participants were given a daily soy protein supplement and the remainder received a placebo which consisted of milk protein (casein). The soy was naturally rich in phytoestrogens while the casein was completely devoid of them.

  • Adiponectin, blood glucose, body fat/body fat distribution, inflammatory markers, insulin and lectin were tested pre and post trial.
  • Changes were only noted in the soy supplemented group as to “reduced total and subcutaneous abdominal fat and interleukin-6″.

It’s interesting to note that there was a difference in how soy affected the respective groups of women. The African American females “primarily lost total body fat”. The Caucasian participants “primarily lost subcutaneous and total abdominal fat”. However, the real question is why these women lost weight at all – in comparison to those using milk protein. Hopefully future studies will determine the underlying mechanism. (1)

Lately, I’ve fielded a few questions about the protective role that Vitamin D may play in the development and progression of multiple sclerosis (MS). The trouble is that much of the research currently available is based on preliminary animal and/or observational studies. That’s beginning to change. A case in point can be found in the April 28th issue of the journal Neurology. There, a 52-week trial is described in which high-dose Vitamin D was administered to 49 patients with MS. A few key findings were registered based on this pilot trial: 1) the patients’ Vitamin D levels at baseline were above average (78 nmol/L) and were elevated to very high levels (413 nmol/L) post-intervention; 2) this dramatic jump in Vitamin D concentrations did not result in significant adverse reactions or abnormal calcium-related measures; 3) the “treatment group patients appeared to have fewer relapse events and a persistent reduction in T-cell proliferation compared to controls”. While preliminary, this study suggests that high-dose Vitamin D therapy is safe and yields beneficial, immunomodulatory effects in those with MS. (2)

Causes of Vitamin D Deficiency

Causes Example
Reduced skin synthesis Sunscreen, skin pigment, season/latitude/time of day, aging, skin grafts
Decreaseed absorption Cystic fibrosis, celiac disease, whipple disease, Crohn disease, gastric bypass, medications that reduce cholesterol absorption
Increased sesquestration Obesity
Increased catabolism Anticonvulsant, glucocorticoid, highly active antiretroviral treatment, and some immunosuppressants
Breastfeeding
Decreased synthesis of 25-hydroxyvitamin D Hepatic failure
Increased urinary loss of 25-hydroxyvitamin D Nephrotic proteinuria
Decreased synthesis of 1,25-dihydroxyvitamin D Chronic renal failure
Heritable disorders Genetic mutations causing rickets, or vitamin D resistance
Acquired disorders Tumor-induced osteomalacia, primary hyperparathyroidism, hyperthyroidism, granulomatous disorders such as sarcoidosis, tuburculosis, and some lymphomas
Source: Journal of the American Board of Family Medicine 22 (6): 698-706 (link)

Some of the most heartbreaking e-mails that are sent to me relate to addiction and/or psychological conditions. This is a difficult area to offer advice as it’s nearly impossible to know what type of alternative therapies are right for someone based on a few lines of an e-mail. That’s why this next study was a very welcome find. I was able to pass this information along and recommend sharing it with both patient and psychiatrist.

One of the most challenging problems in the long term management of depression is finding the appropriate medication/therapy that will sufficiently reduce symptoms and prevent depression relapse. A newly published trial from Geneva University Hospital in Switzerland offers a complementary modality that may improve the odds of success in this arena. Sixty “un-medicated patients in remission from recurrent depression” were randomly assigned to two forms of treatment: 1) Treatment as Usual (TAU) or 2) Mindfulness-Based Cognitive Therapy (MBCT) + TAU. During the course of a 14 month follow up period, it was determined that the MBCT + TAU patients demonstrated a much stronger resistance to relapse as compared to the Treatment as Usual group – 204 days vs. 69 days. For the record, MBCT “combines the ideas of cognitive therapy with meditative practices and attitudes based on the cultivation of mindfulness”. (3)

The current science contained in the above brief summaries helps to inform my opinions. This doesn’t necessarily mean that I think that soy protein is the best solution for reducing middle-aged belly fat or that Vitamin D and mindfulness training are appropriate alternatives in every case of MS and depression. They’re potential pieces to the wellness puzzle. Nothing more and nothing less. How and where to place them requires an individualized approach that should be made along with your health care team.

Be well!

JP

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10 Comments to “Belly Fat, Depression and Multiple Sclerosis Questions”

  1. Nina K. Says:

    Good Morning, JP ☼

    thanks for the infos about vitamin d, especially the causes of vitamin d deficiency, very important facts.

    Wish you and yours a wonderfull weekend, see/read us soon ☻☺☻

    Nina K.

  2. JP Says:

    Good day, Nina!

    Vitamin D is quickly becoming one of the hottest topics in both alternative and conventional medicine. There’s so much solid research being published and in the works. It’s an exciting time! :)

    I hope you and your husband have an excellent weekend as well!

    Be well!

    JP

  3. Mark Says:

    I frequently eat tofu so it’s good to see that benefit of soy.

  4. anne h Says:

    *sigh*
    Sometimes I wonder if here are more questions than answers.
    But it’s great that you can help search though it, JP!

  5. JP Says:

    Mark,

    Hopefully further studies will support these current results. But please keep in mind that this particular trial was carried out using female volunteers only.

    Be well!

    JP

  6. JP Says:

    Anne,

    That’s science! We often get clues rather than definitive answers. What fun would it be if we understood everything?! :)

    Be well!

    JP

  7. liverock Says:

    Just a warning about veggie burgers which some people may be tempted to try to obtain their soy protein.

    Recent research has discovered that non organic veggie burgers use a registered hazardous element called hexane, which is derived from petroleum, in the manufacturing process.

    http://www.nydailynews.com/lifestyle/health/2010/04/14/2010-04-14_some_veggie_burgers_found_to_contain_harmful_substance_hexane_used_to_process_so.html

  8. JP Says:

    Liverock,

    You make a good point. Thank you for connecting the two issues.

    Be well!

    JP

  9. Anonymous Says:

    Vitamin D deficiency is known to have a bad effect on people with MS. It has also been found that a healthy dose of vitamin D administered to children while they grow up reduces their chances of developing multiple sclerosis later in their lives.

    The blog post was very interesting to read. Thank you for a very insightful information!

  10. Anonymous Says:

    This is indeed and inspiring article,for people with MS and not only.

    I do believe that what everybody, healthy or with MS should learn from this is that you can take your life into your own hands, and with will, discipline and faith, you can overcome your MS disabilities!

    Nobody says that it’s easy, but with treatment, a healthy lifestyle, exercise routine and a balanced diet, you can minimize the symptoms and slow down the progression of the disease!

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