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andDisease
Nutrition, Health,
andDisease
A Guide toModern Living
10 9 8 7 6 5 4 3 2 1
Keywords
cancer, dengue fever, Zika, microcephaly, sugar, daily diet
Contents
Abstract...................................................................................................v
Preface...................................................................................................ix
Chapter 1 Rice Consumption and Hypertension................................1
Chapter 2 Etiology of Nasopharyngeal Carcinoma and Nutrition.......7
Chapter 3 Salt of Our Lives..............................................................17
Chapter 4 Nutritional and Health Issues and Public Policies.............25
Chapter 5 Strategies to Strike out Sugar............................................35
Chapter 6 Zika Virus........................................................................45
Chapter 7 Risk Factors of Microcephaly...........................................55
Index....................................................................................................63
Preface
The third book in the mini-series about Nutrition, Health and Disease
has to be inspired by the huge space for contribution in diseases such as
cancer. The name cancer has been given to a number of diseases, several
of which are curable. I was first pulled into the field by my interest and
research into prostate cancer. Then, the frequency of breast cancer among
women called for my attention and study. According to the US Centers
of Disease Control and Prevention [1], the risk factors for breast cancer
include the following:
Getting older. The risk for breast cancer increases with age; most
breast cancers are diagnosed after age 50.
Genetic mutations.
Early menstrual period.
Late or no pregnancy.
Starting menopause after age 55.
Not being physically active.
Being overweight or obese after menopause.
Having dense breasts.
Using combination hormone therapy.
Taking oral contraceptives (birth control pills).Certain forms of
oral contraceptive pills have been found to raise breast cancer risk.
Personal history of breast cancer.
Personal history of certain non-cancerous breast diseases.
Family history of breast cancer.
Previous treatment using radiation therapy.
Women who took the drug diethylstilbestrol (DES).
Drinking alcohol.Studies show that a womans risk for breast
cancer increases with the more alcohol she drinks.
Research suggests that other factors such as smoking, being exposed
to chemicals that can cause cancer, and night shift working also
may increase breast cancer risk.
x PREFACE
The above was compiled after much research in each topic. For in-
stance, factor number seven above probably came from works like
reference [2]. The question to ask, however, is whether there are too many
risk factors to be very useful for the ordinary woman in the street. In
mid-October 2016, there was an interesting article in the Miami Herald
about breast cancer, as October is designated Breast Cancer Month in
the United States. It is clear from the Miami Herald article [3] that one
of the key interviewees of the article (whom we shall call MR) claimed
she ate nutritiously, and had no family history of breast cancer. The ones
that stand out as not addressed when looking at the checklist above are
oral contraceptives and drinking alcohol. She claimed that she was eat-
ing nutritiously. That point is also in question, when observing that
she was rather overweight. The obesity could be coming from eating
gluten-containing compounds and sugar and/or sugar substitutes. Her
general assessment of her own nutrition may not be strict enough, and
she may be indeed consuming preservatives (via bacon, ham, sausages,
for instance). Simply, it could be that the amount of exercise performed
in relation to number of calories consumed daily may be out of balance.
Observing how MR is a relatively new mother (with a young baby), the
guess about not enough exercise may not be far off the mark.
In a study by the Avon Foundation [4], it was reported that the
breast cancer mortality rates among women were as follows: 19.04% for
Puerto Ricans, 18.78% for Mexicans and 17.89% for Cubans, 10.5%
for Central and South Americans in the United States. Between 2010
and 2014, the breast cancer mortality rate for black women was 30.7%,
and for non-Hispanic white women was 22.41% [4]. My perception
about these figures would suggest number of calories consumed to be
less in general among the Hispanic women as compared to either black
women or non-Hispanic white women. In other words, the link be-
tween obesity at all ages and breast cancer needs to be studied. Obvi-
ously, to establish the fact needs research work. This goes back to my
point that MR in the Miami Herald article was at risk (before she was
diagnosed with breast cancer), and obesity was probably one of the fac-
tors. Statistically speaking, MR would not be representative of her racial
group for breast cancer.
PREFACE
xi
This third book in the mini-series, like the others prior, looks at health and
disease, and the role of nutrition. There is a lot of information on the World
Wide Web from different cultures regarding food and nutrition. The big dis-
eases around the world tend to be common, e.g., cancer, Alzheimers disease,
and viral diseases spread by vectors like mosquitoes. To help reduce some of
the confusion, this book will deal with nutritional issues as they pertain to
public health and policies. This monograph will be apt for an epidemiology
or a nutritional course. The book could be used as one of the textbooks for a
whole course, as well as used to prepare modules in existing courses, or as a
supplementary text in nutrition related with epidemiology. Everyone should
be able to find use for the book as a guide to modern living. Written not just
as a reference for epidemiology students, it is also for the educated person who
wants to take back control of his/her nutritional choices rather than surrender
that to the food industry or the fast-food restaurants. The holistic view of the
human body provides guidelines for health through good nutrition via food.
This universal appeal cannot be denied. All chapters are summarized with a
wise view and understanding of the published information, where applicable.
I acknowledge with thanks the academic journals in which all my
papers have been published prior to the publication of this book. The
insightfulness of Ms. Peggy Williams of Momentum Press who predicted
the public service value of my work is acknowledged with thanks.
References
1. CDC. Breast Cancer, U.S. Centers of Disease Control and Prevention.
Retrieved 10/16/16. http://www.cdc.gov/cancer/breast/basic_info/risk
_factors.htm.
2. Carmichael AR, Bates T. Obesity and breast cancer: a review of the
literature. The Breast, 13(2), 2004, 8592.
3. Veciana-Suarez A. For Many Hispanics, Fighting a More Aggressive
Enemy, the Miami Herald, 10/15/16, 1A, 2A.
xii PREFACE
Rice Consumption
andHypertension
Abstract
Arsenic in the drinking water is the cause of hypertension. Studies
claiming this finding included people from Bangladesh, Inner Mongolia,
China, and Taiwan. Rice consumption could include ingestion of natu-
ral arsenic from the environment. A study in Bangladesh confirmed this
fact, because groundwater contaminated with environmental arsenic is
used widely for the cultivation of the main food crop, rice. It was found
that the greater the aggregate arsenic intake, the greater the occurrence
of hypertension. The US Food and Drug Administration informs that
unlike other food grains, rice grains pick up arsenic from the soil and
water. We are informed that people excrete the inorganic arsenic and the
mono- and dimethylated metabolites in the urine. The particular refer-
ence also informed that ingested arsenic in fish is excreted in 2 days. It is
argued in this work that for Asians and others who consume rice daily,
there is always some level of arsenic in the body. Hence, a link is deduced
between daily rice consumption and incremental rise in blood pressure,
which may or may not lead to hypertension.
Keywords
Arsenic, blood pressure, paddy, water
who consume rice daily, compared to others who consume other grains
instead. Whether this increment will lead to hypertension is not obvious,
and needs careful scientific studies.
In the past, there was even a trial to use a rice diet as therapy for
hypertensive vascular disease [11]. Hence, the deduction in the current work
is rather new. It definitely goes against the premise used in [11] which was
published in 1948. There was also a study regarding high blood pressure and
salt consumption among the Japanese [12]. It was found that there were sig-
nificant difference in salt ingestion, and great quantities (greater than 20 g) of
salt were eaten in the northeastern region where the mortality owing to apo-
plexy and the blood pressure level of the residents were high. The reduction of
salt is a ubiquitous advice for hypertensive patients in Asia. References about
salt and hypertension include [13,14]. In [15] it was reported about the con-
troversy regarding the link between sodium consumption and hypertension.
It can be seen that the complex metabolic syndrome, at one time referred
to as Syndrome X [16], can complicate matters in any m ature person.
Thus, a complication arises to hinder an easy deduction that hypertension
can result from daily arsenic intake of rice, when discussing mature persons.
In other words, for a mature person who eats rice daily, and who is not
afflicted with metabolic syndrome, there might be an incremental com-
ponent in the persons blood pressure which is due to arsenic in the body.
Large population scientific studies need to be done to arrive at a conclusion.
As for the possibility of increased rates of metabolic syndrome in Asians
who eat rice daily, it would only come after large population scientific stud-
ies regarding more evidence that rice consumption is a major factor.
Acknowledgment
This work is dedicated to all the people who eat rice, especially those who
consume rice as a staple food.
References
1. Chen CJ, Hsueh YM, Lai MS, Shyu MP, Chen SY, Wu MM, KuoTL,
Tai TY. Increased prevalence of hypertension and long-term arsenic
exposure. Hypertension, 25(1), 1995, 5360.
2. Rahman M, Tondel M, Ahmad SA, Chowdhury IA, Faruquee MH,
Axelson O. Hypertension and arsenic exposure in Bangladesh.
Hypertension, 33(1), 1999, 7478.
3. Kwok RK, Mendola P, Liu ZY, Savitz DA, Heiss G, Ling HL, XiaY,
Lobdell D, Zeng D, Thorp JM, Creason JP. Drinking water a rsenic
exposure and blood pressure in healthy women of reproductive age
in Inner Mongolia, China. Toxicology and a pplied pharmacology,
222(3), 2007, 337343.
4. Chen Y, Factor-Litvak P, Howe GR, Graziano JH, Brandt-Rauf P,
Parvez F, van Geen A, Ahsan H. Arsenic exposure from drinking
water, dietary intakes of B vitamins and folate, and risk of high blood
pressure in Bangladesh: a population-based, cross-sectional study.
American journal of epidemiology, 165(5), 2007, 541552.
Rice Consumption andHypertension 5
Salt T1DM, 37
-cured foods, 9 T2DM, 37, 39
discussion and conclusion, 2122 Tannins, 39
facts and the deduction, 1821 Terasi. See Belacan
introduction, 1718 Think globally, act locally, 26
Salted fish, 7, 8, 910, 11, 12 Tobacco, 36
consumption of, 10 Topsoil, loss of, 2627
Salted foods, consumption of, 19 Toxoplasmosis, 56
Salted shrimps, 9 Type 2 diabetes mellitus, 27
consumption of, 10
Seafood, 18 United States
Seasonal flu virus, 49 diverse genetic makeup of, 58
Seawater, macrocomposition of, 19 Zika virus in, 49
Sexual intercourse, 51 U.S. Environmental Protection
Zika through, 49 Agency, 21, 22
Single-Photon Emission Computed US Food and Drug Administration
Tomography, 28 (USFDA), 1, 2, 31
Sodium chloride, 19
Southeast Asia Virology, 46
nasopharyngeal carcinoma in, 911 Vitamin C, 9, 10, 12, 30
salted fish in, 2931 important role, 3031
Southern China
nasopharyngeal carcinoma in, 911 Water, solubility of chemicals in, 19
salted fish in, 2931 Wheat, health effects of, 2728
SSS. See Strategies to World Health Organization (WHO),
Strike out Sugar 17, 28, 36
Stark malnutrition, 56 Zika as worldwide crisis, 52
Steamed salted fish, 30
Stoccafisso, 8 Yellow fever virus, 50
Stock Fish. See Stoccafisso
Stomach cancer, 22 Zika virus
Mayo Clinic about, 21 background, 4546
rate of, 20 control of, 4850
Strategies to Strike out Sugar (SSS), discussion and conclusion, 5052
3536 and microcephaly, leader of
discussion and conclusion, 40 neighboring country denies
foods for glucose control, 39 link, 5758
literature survey, 3638 symptomatology, 4647
remove from diet, 3839 vector behavior, 48
OTHER TITLE IN OUR NUTRITION AND DIETETICS
PRACTICE COLLECTION
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Introduction to Dietetic Practice by Katie Ferraro
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Nutrition Throughout the Lifecycle by Elizabeth Eilender
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