Health
How Bitter Leaf Helps Curb Weight
Daily intake of bitter leaf has been found to help check weight gain.
Bitter leaf is a common Nigeria’s indigenous staples as it is used as spice in food and vegetable in soups. Recent discovery by researchers say it may help to promote weight loss and lower bad cholesterol levels in the blood by decreasing the amount of dietary fat that is absorbed in the intestines.
In a new study, adding bitter leaf to the diet had a lowering effect on bad and total cholesterol concentration at both 5% and 10% dietary incorporation levels under laboratory conditions in animals.
Administration of methanol extract of Vernonia colorata at 1000mg/kg and 200mg/kg significantly downregulated weight gain in animals fed a high-fat diet relative to the untreated group that was fed a high-fat diet only.
Experts, in the study, said bitter leaf may be useful in weight loss regimen, reducing dietary obesity and also serve as a potential drug lead in the search for natural products for the treatment of diseases associated with dyslipidemia, a condition in which there is abnormally high cholesterol or fat in the blood.
The study assessed the effect of feeding both a high-fat diet (HFD) and methanol extracts of Vernonia colorata (MEVC) on lipid profile (amount of cholesterol and fat in the blood) and body weight changes in 30 Wistar albino male rats aged between 10 and 12 weeks.
It was in the 2021 edition of the journal, Biokemistri. It involved Ijeoma Nina Eke-Ogaranya and Anthony Chibuzor Nnamudi at the PAMO University of Medical Sciences, Port Harcourt, Rivers State, in collaboration with Ifeoma Irene Ijeh at the Michael Okpara University of Agriculture, Umudike, Abia.
Different amounts of the extract of Vernonia colorata were administered orally on a daily basis. Body weight was measured weekly while the amount of cholesterol and fat in the blood was measured at the end of the study which lasted for 10 weeks.
The study found that the bad cholesterol and fat lowering effects of extracts of Vernonia colorata were similar to Orlistat, the drug designed to treat obesity. It also resulted in a dose-dependent decrease of 22.2% and 15.8% in body weight of animals that were administered 1000mg/kg and 200mg/kg of methanol extract relative to a 12.5% decrease in the Orlistat group.
There was a significant decrease in LDL cholesterol concentration upon concomitant feeding of a high-fat diet and administration of methanol extract of Vernonia colorata relative to the high-fat diet control group.
Obesity is a complex disease involving an excessive amount of body fat. Obesity is not just a cosmetic concern; it is a medical problem that increases the risk of other diseases and health problems, such as heart disease, diabetes, high blood pressure and certain cancers. High-fat foods rich in cholesterol and triacylglycerols have been implicated in these conditions.
Although there are genetic, behavioural, metabolic and hormonal influences on body weight, obesity occurs when there is overeating, especially in high-fat foods and physical inactivity. So, many therapies, therefore, target achieving weight reduction through dietary modulation.
Vernonia colorata is a perennial shrub that is found throughout Central and West Africa. It has broader, wildly hairy leaves and it is less bitter-tasting than Vernonia amygdalina. Hence, it can be described as a sweet-bitter leaf due to its characteristic non-bitter taste.
Vernonia colorata is similar to Vernonia amygdalina (commonly referred to bitter leaf, onugbu or ewuro), in appearance and nutrient content. They share many of the vernacular names and uses are the same.
Bitter leaf is commonly used in traditional medicine. Leaf decoctions are used to treat fever, malaria, diarrhoea, dysentery, hepatitis and cough as a laxative and as a fertility inducer. They are also used as medicine for scabies, headache and stomach-ache. In Nigeria, its leaves are placed on a wound as a substitute for iodine.
Lemon Juice and Diabetes — Experts
It is not easy to control blood sugar. Many diabetics have difficulty regulating the amount of sugar in their blood, leaving them at greater risk of headaches and lethargy as well as future heart attacks and nerve damage. But a new study found that lemon juice, not tea, can help to modify how food is digested and to reduce sugar spikes after meals.
In the study, the researchers tested the impact of black tea and lemon juice on the glycemic response to bread and subsequent energy intake in healthy adults. They gave equal portions of bread (100 g) and 250 ml of water, black tea or lemon juice and later measured their blood glucose concentrations.
The researchers noted that tea had no effect on the glycemic response but lemon juice significantly lowered the mean blood glucose concentration peak by 30 per cent. It delayed more than 35 minutes. None of the tested beverages had an effect on the energy available for the body to use all the time as reported in the European Journal of Nutrition.
The researchers stated: “the effect of lemon juice was similar to what has been repeatedly observed with vinegar and other acidic foods. Including acidic beverages or foods in starchy meals thus appears to be a simple and effective strategy to reduce their glycemic impact.”
The researchers stated in the European Journal of Nutrition that “the effect of lemon juice was similar to what has been repeatedly observed with vinegar and other acidic foods. Including acidic beverages or foods in starchy meals thus appears to be a simple and effective strategy to reduce their glycemic impact.”
To fuel the body, starch in food is broken down into sugars by enzymes in saliva, first in the mouth and then the stomach. Further conversion happens in the intestine and liver to produce glucose that is transported around the body via the bloodstream.
The hormone insulin plays a vital role in helping cells refuel with sugar. Blood sugar levels rise in diabetics when the body either does not produce enough insulin or if it is overwhelmed with large amounts of glucose. An unruly blood sugar levels set the stage for a host of complications if left untreated.
Diet plays a role in managing blood sugar levels. There is increasing evidence, however, that certain foods can help lower glucose.
The inhibition of enzymes that breaks down the starch in food during digestion could constitute an opportunity to slow down the release, and ultimately the uptake, of starch-derived glucose in the stomach, hence preventing a spike in blood sugar level.
Lemon juice, which is packed with polyphenols, is often mixed with water to help flush toxins out of the body. It is a miracle potion for those looking to shed some extra pounds and a go-to drink after a nasty hangover.
Also in another study, researchers from Université Paris-Saclay discovered that lemon juice slows the body’s digestion system, suppressing the conversion of carbohydrates into sugar and therefore suggested that by adding lemon juice to their mealtimes, diabetics could help level off the spikes in blood sugar that affect their daily lives. It was published in the journal Food Chemistry.
According to them, “lemon juice had a remarkable effect. The results provide a strong biochemical rationale for the development of dietary strategies to improve the glycaemic impact of starch-rich diet.”
The research had assessed how different drinks influence the actions of the salivary enzymes in breaking down starch at the start of that chain. Laboratory experiments recreated conditions in the stomach with bread digested in the presence of black tea, green tea, coffee, wine, vinegar and lemon juice.
The enzymes were seen to slow down markedly in the acidic conditions provided by teas, wine and vinegar, but tended to recover their efficacy over the subsequent 30 to 60 minutes.
However, when pH levels dropped below 2.5, as with lemon juice, there was a “complete interruption of starch hydrolysis during the gastric phase of digestion.”
Researchers believe that lemon juice intake may reduce blood sugar levels spikes in a small time frame of 45 minutes. They stated that those who drank lower amounts of lemon juice also had lower blood glucose than those who drank none. The difference, however, was not significant.
They recruited 12 subjects, all aged between 20 to 30 years, who were divided into three different groups.
The first control group ate 200 grammes of cooked rice, while a second group was given 15 grammes of lemon juice, followed by 200 grammes of cooked rice. The third group of participants was given 30 grammes of lemon juice followed by 200 grammes of cooked rice.
Lemon juice was mixed with water, and all subjects were instructed to eat food within 10 minutes of drinking their beverage. They all had their blood sugar levels measured at zero, 15, 30, 45, 60, 90 and 120 minutes after consumption.
Lemon water may not directly impact the blood sugar levels, causing it to come down, but it is packed with soluble fibres, which also help keep the heart healthy by regulating cholesterol and stabilising blood pressure.
Squeezing lemon juice and drinking it with water may not amount to your daily recommended intake of fibre or vitamin C. But it is dubbed by American Diabetes Association as “Diabetes Superfood” because it is full of fibre, vitamin C, folate and potassium, which would help benefit a healthy diabetic diet.
Adapted from the Nigerian Tribune
By Kevin Nengia
Health
‘How Micro RNA Research Won Nobel Prize’
Two United States scientists who unraveled the human micro RNA have won the Nobel Prize in Physiology or Medicine 2024.
Victor Ambros and Gary Ruvkun won the coveted prize for their work on microRNA as their discoveries help explain how complex life emerged on earth and how the human body is made up of a wide variety of different tissues.
MicroRNAs influence how genes – the instructions for life – are controlled inside organisms, including humans.
Every cell in the human body contains the same raw genetic information, locked in our DNA.
However, despite starting with the identical genetic information, the cells of the human body are wildly different in form and function.
The electrical impulses of nerve cells are distinct from the rhythmic beating of heart cells. The metabolic powerhouse that is a liver cell is distinct to a kidney cell, which filters urea out of the blood.
The light-sensing abilities of cells in the retina are different in skillset to white blood cells that produce antibodies to fight infection.
So much variety can arise from the same starting material because of gene expression.
The US scientists were the first to discover microRNAs and how they exerted control on how genes are expressed differently in different tissues.
The medicine and physiology prize winners are selected by the Nobel Assembly of Sweden’s Karolinska Institute.
They said: “Their groundbreaking discovery revealed a completely new principle of gene regulation that turned out to be essential for multicellular organisms, including humans.
“It is now known that the human genome codes for over 1,000 microRNAs.”
Health
WHO Begins Regulation On Antibiotic Waste
The World Health Organisation (WHO) has begun acting to curb effects of antibiotic pollution.
The new guidance on wastewater and solid waste management for antibiotic manufacturing sheds light on this important but neglected challenge ahead of the United Nations General Assembly (UNGA) High-Level Meeting on antimicrobial resistance (AMR) taking place on 26 September 2024.
The emergence and spread of AMR caused by antibiotic pollution could undermine the effectiveness of antibiotics globally, including the medicines produced at the manufacturing sites responsible for the pollution.
Despite high antibiotic pollution levels being widely documented, the issue is largely unregulated and quality assurance criteria typically do not address environmental emissions. In addition, once distributed, there is a lack of information provided to consumers on how to dispose of antibiotics when they are not used, for example, when they expire or when a course is finished but there is still antibiotic left over.
“Pharmaceutical waste from antibiotic manufacturing can facilitate the emergence of new drug-resistant bacteria, which can spread globally and threaten our health. Controlling pollution from antibiotic production contributes to keeping these life-saving medicines effective for everyone,” said Dr Yukiko Nakatani, WHO Assistant Director-General for AMR ad interim.
Globally, there is a lack of accessible information on the environmental damage caused by manufacturing of medicines.
“The guidance provides an independent and impartial scientific basis for regulators, procurers, inspectors, and industry themselves to include robust antibiotic pollution control in their standards,” said Dr Maria Neira, Director, Department of Environment, Climate Change and Health, WHO. “Critically, the strong focus on transparency will equip buyers, investors and the general public to make decisions that account for manufacturers’ efforts to control antibiotic pollution.”
Health
Kebbi Harmonises Doctors’ Salaries To Curb Brain Drain
In a concerted effort to curb brain drain, the Kebbi State Government has harmonised medical doctors’ salaries to be at par with their colleagues in the federal government’s tertiary health facilities.
Kebbi State Commissioner for Health, Musa Inusa-Isma’il, disclosed this at the handing over of ambulances to the state-owned health facilities at the Ministry of Health in Birnin Kebbi yesterday.
Inusa Isma’il, according to a statement by Ahmed Idris, the Chief Press Secretary to the governor, said the essence of the harmonisation was to retain the existing medical doctors and attract more to the services of the state.
According to him, the doctors across the state had already started enjoying the new salaries from August 2024.
He said the release of the vehicles was in fulfilment of Governor Nasir Idris’ promise to uplift health care services in the state.
“His Excellency said I should inform you, the beneficiaries of this gesture, that the vehicle should be strictly used for the intended purpose. It should not be used for anything else.
“If there is no referral case, each of the vehicles must be parked at the hospital by 6 pm. The governor said you should warn your drivers against reckless driving as well as violating the instructions.
“We should also do everything possible to reciprocate the gesture by working according to the terms and conditions attached,” he advised.
The benefiting health facilities included Sir Yahaya Memorial Hospital, Birnin Kebbi; State Teaching Hospital, Kalgo; General Hospital, Argungu; General Hospital, Yauri; General Hospital, Zuru; and General Hospital, Bunza.
In his speech, the permanent secretary of the ministry, Dr Shehu Koko, recalled that the ambulances were handed over to the ministry last Friday by the governor for the onward handover to the benefiting hospitals.
He observed that the ambulances would go a long way in improving the referral system in the state, adding that delays in reaching the secondary and tertiary facilities would be eliminated.
The permanent secretary attributed the high rate of maternal mortality in the country to delays in getting to the health facilities for proper medical care.
“We believe with the provision of these ambulances, part of the gaps we have in our referral system will be addressed, whereby patients who require secondary healthcare could be easily transported to secondary and tertiary health centres, where they can get such help,” he said.
In a goodwill message, Commissioner for Information and Culture Alhaji Yakubu Ahmed expressed gratitude to the governor for the support he has given to the ministry to excel.
While advising the beneficiaries to use the vehicles judiciously, the commissioner advised that services and maintenance of the vehicles must be prompt to derive the maximum benefits from the vehicles.
The commissioner also highlighted some achievements recorded by the government in the last year, including beautification of the state capital, completion of a multimillion-naira ultramodern state secretariat, road construction, construction and renovation of classrooms and upgrading of some health facilities, among others.