Daily Archives: October 19, 2022

In this installment of our Expert Voices series, Parkinsons News Today asked Christine C. Ferguson, PhD, to answer some of your questions about diet and nutrition for people with Parkinsons disease.

Ferguson is a registered dietitian (RD) and postdoctoral scholar at the University of Alabama at Birmingham, and nutrition research coordinator at the National Center on Health, Physical Activity and Disability. She earned her PhD in human nutrition from the University of Alabama. She has experience working in the clinical setting as an RD, instructing emerging RDs and health professionals in the academic setting, and educating the community of people with disabilities, including those with Parkinsons disease, through organizations such as NCHPAD, the Michael J. Fox Foundation, the Tanner Foundation, and the Parkinson Association of Alabama.

Christine C. Ferguson holds a PhD in human nutrition and is a registered dietitian whos assisted many Parkinsons nonprofits in nutrition education. (Photo courtesy of Christine Ferguson)

There are several diets that are being investigated in Parkinson disease, and it is challenging to recommend a particular diet when this area of research is still new. Since there is not one diet recommended for people with Parkinsons, taking an individualized approach under the guidance of a registered dietitian is advised.

What we do know is that a varied, whole food, plant-based diet is considered a healthy dietary pattern for most individuals, including those with Parkinsons. Plant-based does not mean it is exclusively vegetarian or vegan, but there is a special emphasis on getting most of your nutrients from plant sources rather than animal products.

There is compelling evidence to support recommending diets such as the Mediterranean diet and the Mediterranean-DASH Intervention for Neurodegenerative Delay (MIND) diet, but there is not conclusive research at this time to support these diets in slowing disease progression. Yet, these are both plant-based diets that have evidence to support their prevention of cardiovascular disease and cognitive decline, which is often a priority of people with Parkinson disease.

I usually express concern with any diets or meal plans that recommend cutting out entire food groups, purchasing expensive supplements and packets, and offering quick results. Unfortunately, there is no magic pill or detox treatment that will produce miraculous results in a short timeframe.

A more specific diet I am hesitant to promote is the ketogenic diet, which is a very high-fat and low-carbohydrate diet. From a biochemical perspective, there is evidence to support that aketogenic diet may offer neuroprotective benefits, but there is no data to support any long-term benefit in people with Parkinsons. From a practical perspective, following a true ketogenic diet is challenging to adhere to and even more so to sustain. There are key nutrients from fruits, vegetables, and whole grains that will be missed when cutting back carbohydrates to the degree that it requires. For anyone who is considering this diet, I always recommend they be monitored by a healthcare professional.

A specific food-medication interaction surprised me, and it is the interaction of protein and medications with levodopa (e.g., Sinemet, Rytary, Duopa, Parcopa). Essentially, when someone takes their levodopa medicine simultaneously with food that contains protein, there is the possibility that they are not able to absorb all of their medication. This is due to them needing the same transporter in the small intestine (like needing to use the same door), but the body will choose to absorb protein over the levodopa. The consequence of this can be that the levodopa is not fully absorbed, part of it is excreted, and the person with Parkinsons can experience more side effects since their medication is not working effectively.

What continues to surprise me about this interaction is that it is still not fully understood. Not every person with Parkinsons experiences an increase in symptoms (referred to as off times) after taking their medication when eating food with protein, but we do not know why some people experience it and others do not. There is also evidence to suggest this interaction is not just happening in the small intestine. Rather, it may occur at various other locations within the body, including the blood-brain barrier. There is still a lot more to learn about exactly how protein and this type of medication interacts, including the most effective dietary approaches to mitigate this interaction.

I have already mentioned how protein may be important to some people with Parkinsons who take levodopa. I want to also add that protein is still important for people with Parkinsons because as we all age, we gradually lose muscle mass. Consuming enough protein is needed in order to maintain muscle, physical function, and the ability to perform daily activities.

With vitamins and minerals, there are specific ones that have been studied in relation to Parkinsons. I will add the disclaimer here that it is preferred to get these nutrients from food rather than supplements. If supplements are needed, they should be recommended under the advice of a health professional, especially considering how some may negatively interact with a persons medications. The supplement industry has loopholes in its regulations on quality, so discussing reputable brands with pharmacists, physicians, and/or RDs is also recommended.

Of the other nutrients that have been studied in Parkinsons, the few I will highlight here are vitamin D, Coenzyme Q10 (CoQ10), and fish oil. People with Parkinsons have an increased risk of vitamin D deficiency, and this may be related to the area of the brain that is affected by the disease process. Vitamin D deficiency can lead to increased risks of osteoporosis and bone fractures, so it is important to make sure you are getting enough. Food sources of vitamin D include dairy (traditional dairy alternatives, like soy, almond, oat milks, that are fortified with vitamin D are OK, too!), fortified cereals and juices, eggs, and fish (salmon, tuna, sardines have the highest amount).

CoQ10 is of interest in Parkinsons, as it acts as an antioxidant that can be neuroprotective. Its also been shown that people with Parkinsons may be deficient in CoQ10, but this is something that is checked through routine medical care. While some studies support CoQ10 supplementation in decreasing disease severity, there are inconsistent results in others. It has been shown that a moderate dose (no more than 2,400 mg/day) is not harmful to people with Parkinsons. Food sources of CoQ10 include fatty fish (salmon, tuna, mackerel, sardines) and whole grains.

I have already recommended fish intake because of it being a natural source of vitamin D and CoQ10, and I will continue to emphasis fish consumption because of it containing omega-3 fatty acids. This is a type of healthy, unsaturated fat that has been shown to be beneficial for heart and brain health. Again, consuming fish in its food form is going to be recommended over taking fish oil as a supplement. However, if a person dislikes fish, fish oil supplements of 1,000 mg is generally well-tolerated. To note, other nonfish sources of omega-3 fatty acids include ground flaxseeds, chia seeds, walnuts, and vegetable oils (olive, canola, avocado).

Building a healthy plate includes whole grains, lean proteins, fruit and vegetables, and low-fat dairy. While this may not be groundbreaking information to some, I do think we tend to overcomplicate it. You dont have to have an incredibly complex and strict diet to be healthy. Find recipes that make sense for your ability, the equipment you have access to, and what tastes good! Remember that making small changes is also key, because drastically changing your diet overnight will not be sustainable for long. Look at your average diet right now, and pick one to three things that seem simple to change. It can be something like switching from sweet tea to half sweet/unsweet tea, baking your french fries rather than frying, or eating one doughnut when you normally eat two. Building a nutrition plan can feel overwhelming, and if that is the case, I recommend finding an RD to help. You can find one near you using this link through the Academy of Nutrition and Dietetics, or you can ask your physician for a referral.

I will also share that people with Parkinsons and other physical disabilities are eligible to participate in an eight-week, virtual wellness program through the National Center on Health, Physical Activity and Disability called the Mindfulness, Exercise and Nutrition to Optimize Resilience (MENTOR) Program. We are able to offer this program for free, and it doesnt cost anything except your time, because it is funded through the Centers for Disease Control and Prevention. I help with the nutrition component of the program, and we have excellent RDs who teach weekly classes that include cooking demonstrations with adaptive tools, and they offer free nutrition counseling during the program. The nutrition content is intended to help build a foundational understanding in nutrition, and there is not a specific diet that is pushed. In addition to the nutrition component, participants can attend an exercise class for all abilities, mindfulness classes, and group health coaching sessions. You also get some great workout equipment, too! More information can be found here.

First, I wish more people in general saw an RD. At least in the United States, RDs are not commonly a part of most peoples healthcare team, including people with Parkinson disease. There is an incredible amount of misinformation shared on the internet and social media, and it is difficult to sort through it all and determine what is credible. One of the many ways RDs can help is by clarifying this misinformation and providing practical suggestions to making healthy lifestyle changes.

Expert Voices is a monthly series involving a Q&A with an expert in the Parkinsons space about a specific topic. These topics and questions are curated from a survey in which we ask readers what they want to learn more about from experts. If youd like to submit topics or questions for consideration in a future installment of the series, clickhere to take the survey.

Parkinsons News Todayis strictly a news and information website about the disease. It does not provide medical advice, diagnosis, or treatment. This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.

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Expert Voices: Diet and Nutrition for People With Parkinson's... - Parkinson's News Today

Laura Contin, Account Director at the European Specialist Sports Nutrition Alliance (ESSNA) joined a panel discussion at NutraIngredients' Sports And Active Nutrition Summit Europe (SANSE) earlier this month (October 6) to talk about the state of play of the industry when it comes to regulatory affairs and overall compliance in the sector.

As has been the case for many years, the majority of the sports and active nutrition industry seeks to comply with consumer protection rules and legislation but Contin said there is always a handful of companies still looking to sell products containing illegal substances or market products with misleading information or health claims.

Explaining some of the challenges involved here, Contin pointed out there are gaps in monitoring and enforcement due to a lack of resources but also inadvertent doping is an important issue with recent researchshowing that 10 15% of supplements on the market may suffer from low levels of contamination.

Some companies may unwittingly use unauthorised ingredients or use unauthorised claims due to simple lack of expertise, she added.

But the Rapid Alert System for Food and Feed (RASFF) in the EU enables swift action when risks to public health are detected in the food chain and non-compliant businesses may face up to 250,000 costs for failing to comply.

More recently, the industry has voluntarily made significant progress in raising the levels of quality assurance for its products, for instance by adopting testing and certification programmes such as Informed Sport, NSF International and Cologne List.

As part of the Farm to Fork Strategy, the European Commission is planning to introduce harmonised and mandatory front-of-pack nutrition labelling (FOPNL) and nutrient profiles to improve food information to consumers and tackle the consumption of foods high in fat, salt or sugar (HFSS).

Sports nutrition products are by design made with higher levels of certain nutrients (usually sodium or carbohydrates/sugar) to cater for the specific dietary needs of people engaged in physical activity. The clear benefits of these nutrients for sportspeople have been acknowledged by the European Food Safety Authority (EFSA). However, sports nutrition products may, due to their composition, score poorly on FOPNL and nutrient profiles. As a result, they may not be allowed to bear health claims, depriving consumers of valuable information. As such, nutrient profiles would not improve the understanding of sports nutrition food products but would rather penalise consumers and prevent them from making healthy, informed choices.

ESSNA has launched a targeted campaign and has been actively engaging with policymakers to raise awareness of the need for exemption of sports nutrition products from the nutrient profiles and FOPNL legislations.

Ahead of the Commission adoption of the legislative proposal on FOPNL and nutrient profiles, expected in February 2023, ESSNA launched asurveyto gather the sports and active nutrition industrys expert views on the impact of FOPNL for the sector. The results of the survey confirmed that a FOPNL based on the dietary needs of the general population would create obstacles with regards to the communication of the benefits of sports nutrition products and would pose significant economic challenges for the industry. Stakeholders stressed the costs of product reformulation and showed that some businesses may face costs of up to 4.000.000 for redesigning product labelling.

Legal framework

Sports nutrition, like all food products sold in the EU, must comply with the general food legislation. This includes general safety and labelling requirements, nutrition and health claims rules, and regulations on foods substances and additives.

On top of that, the Food Supplements Directive and the Fortified Foods Regulation covers certain sports nutrition products with specific compositional and labelling requirements.

Plus theres the Novel Food Regulation which governs any new ingredients.

The European Specialist Sports Nutrition Alliance (ESSNA) the trade body for the sports and active nutrition sector in Europe, has developed and made publicly available itsFramework on Tackling Inadvertent Doping. This explains how products can become contaminated and provides guidance and advice to the industry on how this problem can be minimised.

ESSNA has a dedicatedwebpagewhich consumers and businesses can use to bring any suspicious products to the attention of the group.

ESSNA members abide by ESSNAs strict Code of Practice which ensures that their products are compliant with the law. ESSNA has also made available a kitemark for its members.

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The regulatory state of play of the sports and active nutrition sector - NutraIngredients.com

LONDON, Oct. 17, 2022 (GLOBE NEWSWIRE) -- According to The Business Research Companys research report on the digestive health supplements market, the rising prevalence of digestive diseases is expected to propel the growth of the digestive health supplement market going forward. A digestive disease is any health problem that affects the digestive tract. These problems can range from mild to severe. Digestive health supplement like probiotics, prebiotics, and enzymes, helps in digestive problems like diarrhea, constipation, inflammatory bowel disease, irritable bowel disease, urinary tract infection, and other gastrointestinal-related digestive problems. For instance, according to the International Foundation for Gastrointestinal Disorders, irritable bowel syndrome is the most common functional GI disorder with a prevalence rate of 1015% globally. Additionally, it is one of the most common conditions that require a visit to a doctor. Thus, the rising prevalence of digestive diseases will increase sales and awareness of digestive health supplements, thereby, driving the growth of the digestive health supplement market.

Request for a sample of the global digestive health supplements market report

The global digestive health supplements market size is expected to grow from $12.74 billion in 2021 to $13.97 billion in 2022 at a compound annual growth rate (CAGR) of 9.6%. The Russia-Ukraine war disrupted the chances of global economic recovery from the COVID-19 pandemic, at least in the short term. The war between these two countries has led to economic sanctions on multiple countries, surge in commodity prices, and supply chain disruptions, affecting many markets across the globe. The digestive health supplements market is expected to grow to $20.13 billion in 2026 at a compound annual growth rate (CAGR) of 9.6%.

Product innovation is gaining popularity among the digestive health supplements market trends. Major companies operating in the market are introducing technological innovations such as new ingredients and exploring innovative administration forms to cater to the needs of various age groups to sustain their position in the market. For instance, in April 2021, Bausch Health Companies Inc., a US-based pharmaceutical company, launched a unique proprietary blend of five probiotic strains ingredients, ENVIVE, an over-the-counter probiotic supplement that is formulated to strengthen and protect the digestive system.

Major players in the digestive health supplements market are Amway Corp, Bayer AG, Pfizer Inc, NOW Foods, Alimentary Health Limited, Nestle, Nutricia, Lonza, Natures Bounty, Garden of Life, Zenwise, OLLY Public Benefit Corporation, BASF SE, Herbalife International, and GlaxoSmithKline PLC.

The global digestive health supplements market analysis is segmented by product into prebiotics, probiotics, enzymes, fulvic acid, other product; by form into capsules, tablets, powders, liquids, other form; by distribution channel into supermarkets/hypermarkets, convenience store, specialty store, pharmacies, e-commerce, other distribution channels.

North America was the largest region in the digestive health supplements market in 2021. Asia-Pacific is expected to be the fastest-growing region in the forecast period. The regions covered in digestive health supplements market research report are Asia-Pacific, Western Europe, Eastern Europe, North America, South America, the Middle East, and Africa.

Digestive Health Supplements Global Market Report 2022 Market Size, Trends, And Global Forecast 2022-2026 is one of a series of new reports from The Business Research Company that provide digestive health supplements market forecast size and growth, digestive health supplements market segments and geographies, digestive health supplements market trends, digestive health supplements market drivers and restraints, leading competitors revenues, profiles and market shares in over 1,000 industry reports, covering over 2,500 market segments and 60 geographies.

The report also gives in-depth analysis of the impact of COVID-19 on the market. The reports draw on 150,000 datasets, extensive secondary research, and exclusive insights from interviews with industry leaders. A highly experienced and expert team of analysts and modelers provides market analysis and forecasts. The reports identify top countries and segments for opportunities and strategies based on market trends and leading competitors approaches.

Not the market you are looking for? Check out some similar market intelligence reports:

Wellness Supplements Global Market Report 2022 By Product Type (Dietary Supplements, Vitamin, Mineral, Protein, Herbal), By Functional Food And Beverages (Omega Fatty Acids Fortified Food, Probiotic Fortified Food, Branded Iodinated Salt, Branded Wheat Flour, Energy Drinks, Sports Drinks), By Application (Home Care, Hospital, Chemical) Market Size, Trends, And Global Forecast 2022-2026

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The Digestive Health Supplements Market Is Set To Grow At A More Than 9% Rate Due To Rising Cases Of Digestive Diseases As Per The Business Research...

The number of food incidents rose this past year but recalls and sampling declined, according to the Food Safety Authority of Irelands (FSAI) annual report.

During 2021, 154 warnings about food being recalled or withdrawn from the market were issued, a slight decrease from 2020. FSAI also dealt with more incidents than the year before. The number of complaints from consumers about food or food premises, labelling, and allergens was higher than in 2020. Challenges included the COVID-19 pandemic, Brexit and limited resources.

Warnings included 119 food alerts and 35 allergen warnings. The principal reasons were due to the presence of foreign matter, pathogens such as Salmonella or Listeria, or chemical contaminants like ethylene oxide.

Incidents and fraudFSAI handled 724 food incidents, compared with 663 in 2020. A multi-agency task force was also created to assess the threat posed by cannabis edibles.

The FSAIs microbiological expertise helped the Health Service Executive and a company to resolve an issue with Salmonella contamination of dried soups and sauces.

From September to November this year, FSAI is doing a survey on the microbiological qualityof chilled and frozen coated poultry meat products intended to be eaten cooked for Salmonella.

Work is continuing on the first Irish Food Fraud Strategic Assessment (IFFSA). A total of 171 food fraud investigations were conducted in 2021, up from 76 the year before. FSAI was part of a Garda-led operation on the illegal slaughter of horses.

Food safety concerns identified during these probes led to the removal of more than 46,000 kilograms of food. One case resulted in 51 2,4- Dinitrophenol (DNP) capsules being taken off the market. Work with online platforms such as Facebook and Instagram led to 28 illegal food business pages being taken down.

Operation Opson results in 2021 included seizures of the DNP capsules, 384 kilograms of food of animal origin, and 2 kilograms of a seafood-type product. Ireland published five cases relating to food supplements and meat in the EU Commissions Administrative Assistance and Cooperation and Food Fraud Network database.

In 2020, FSAI co-founded the International Heads of Food Agencies Forum with the Saudi Food and Drug Authority and Food Standards Australia New Zealand as well as continuing its role as secretariat at the European Heads of Food Safety Agencies for 2020 to 2022.

Enforcement and samplingIn 2021, there were 1,727 more food business operators in Ireland compared with 2020. There was a decline from 2019 to 2021 in inspections carried out but the figure went up from 2020.

Food inspectors served businesses with 47 closure orders, two improvement orders and 10 prohibition orders, and took 10 prosecutions against companies. Prosecutions doubled and closure orders also increased from 2020 when some premises were shut due to the COVID-19 pandemic but such orders were still below 2019 levels.

Types of recurring issues were poor cleaning and sanitation of premises; poor personal hygiene; lack of running water; inadequate handwashing facilities; incorrect food storage; lack of, or an ineffective, pest control program; structural problems from a lack of maintenance; and lack of, or an inadequate, food safety management system.

One prosecution involved Arrabawn Co-Operative Society, which was convicted and fined 40,000 ($39,200) on eight counts for breaches of food law at its liquid milk processing plant in Kilconnell, Co Galway in court in November 2021. An investigation found documents had been illegally forged or altered and then provided to customers, third-party auditors and to the FSAI and DAFM officers.

A number of food microbiology laboratories had to redirect staff and facilities to support testing of clinical samples for the COVID-19 virus, reducing their capacity to carry out official food controls.

In 2021, 49,658 samples were taken and tested compared with 50,261 in 2020. The decline from 56,755 in 2019 reflects the need to comply with social distancing requirements and premises being shut or not operating due to the pandemic, according to the report.

More than 3,414 consumer complaints were handled by the FSAIs advice line in 2021, with 36 percent relating to unfit food and 24 percent to poor hygiene standards.

(To sign up for a free subscription to Food Safety News,click here.)

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FSAI highlights incidents, recalls and fraud in its annual report - Food Safety News

The global market for CBD will likely reach $4.09 billion by 2030, expanding at a CAGR of 9.5%, says Frost & Sullivan

SAN ANTONIO, Oct. 19, 2022 /PRNewswire/ -- The acceptance of cannabidiol (CBD) as an ingredient for supplements, food and beverages (F&B), and personal care products attracts the participation of large companies in the CBD market. Frost & Sullivan's recent analysis, Global CBD Ingredients Growth Opportunities, finds that the global trend in legalizing CBD and scientific research supporting its benefits to human health will inflate demand for CBD ingredients. The global market for CBD is expected to reach $4.09 billion by 2030 from $1.80 billion in 2021, registering impressive expansion at a compound annual growth rate (CAGR) of 9.5%.

For further information on this analysis, please click here.

"In the medium to long term, CBD and other cannabinoids and terpenoids will find acceptance as part of daily consumer products," said Matias Guarnera, Chemicals, Materials & Nutrition Analyst at Frost & Sullivan. "Additionally, with the resolution of regulatory issues in the days ahead, CBD will become a common ingredient in F&B, dietary supplements, and personal care products."

Guarnera added: "Increasing awareness of mental health problems and accepting cannabinoids and the endocannabinoid system as part of the human body willshape a different future for the health and wellness industry. Similarly, the convergence of the classic pharmaceutical and food industries with hemp companies will define the unfolding of this industry."

To take advantage of the expanding CBD industry, market participants should:

Global CBD Ingredients Growth Opportunitiesis the latest addition to Frost & Sullivan's Chemicals, Materials & Nutrition research and analyses available through the Frost & Sullivan Leadership Council, which helps organizations identify a continuous flow of growth opportunities to succeed in an unpredictable future.

About Frost & Sullivan

For over six decades, Frost & Sullivan has helped build sustainable growth strategies for Fortune 1000 companies, governments, and investors. We apply actionable insights to navigate economic changes, identify disruptive technologies, and formulate new business models to create a stream of innovative growth opportunities that drive future success. Contact us: Start the discussion

Global CBD Ingredients Growth Opportunities

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Global Cannabidiol Legalization Trend to Shape the CBD Market's Future Growth - PR Newswire