Medical Forum / Diseases and Disorders / Diabetes / August 2007
Hazards of Too Much Choline
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Will, T2 - 08 Aug 2007 14:35 GMT Hello friends,
As many of you know, I spend a couple of hours every day, just browsing journals and reports of new research. Well, today I came across something that may be of interest to many of you, having to do with dietary choices.
Here is a link to an abstract of an article arising from research that indicates that there may be some dangers associated with a surfeit of choline in the diet. Choline, an essential nutrient in the nature of a B vitamin, is found in red meat, poultry, and dairy products. Anyway, the study, just published online today in the Journal of the National Cancer Institute (Oxford Univ. Press) indicates that there was a positive association between choline intake and cholorectal cancer risk. Again, I would note, just as in yesterday's discussions regarding sodas, association does not necessarily equate to causation, and in the conclusion, the authors note that there may be other factors. Also worthy of note about this particular study is that it involved only women subjects.
Conclusions: Our findings do not support an inverse association between choline intake and risk of colorectal adenoma. The positive association between choline intake and colorectal adenoma that we observed could represent effects of other components in the foods from which choline was derived and should be investigated further.
http://jnci.oxfordjournals.org/cgi/content/abstract/djm082
What I get from this is that while there is risk from virtually everything, we still have to live.... So, it stands to reason that this is just one more reason to take our nutrition from a well balanced variety of sources, with moderation, and not from one type of food, exclusively.
In a section in the abstract entitled "Context and Caveats" the researchers noted the following:
CONTEXT AND CAVEATS Prior knowledge
Epidemiologic studies have suggested that lower dietary intake of folate and methionine and higher intake of alcohol are associated with an increased risk of colorectal adenoma (polyps in the colon or rectum that may develop into colorectal cancer). All of these dietary factors are involved in a biochemical pathway(s) referred to as one-carbon metabolism. Choline and betaine in the diet also affect one-carbon metabolism, but their association with the risk of colorectal cancer was not known.
Study design
Dietary intake of choline and betaine and incidence of colorectal adenoma were assessed by a questionnaire that was sent to a large group of female nurses every 2 years, and statistical methods were used to assess the association between choline intake and the risk of colorectal adenoma.
Contribution
Increased dietary intake of choline was associated with an elevated risk of colorectal adenoma. The association with betaine intake was not clear.
Implications
Additional work will be needed to clarify the relationship between choline and risk of colorectal adenoma.
Limitations
Other components of the diet, the intakes of which are highly correlated with choline consumption, may be the source of the increased risk of colorectal adenoma that was observed.
Will, T2
Loretta Eisenberg - 08 Aug 2007 21:56 GMT Wil, was this a new study. The reason ask is because I was told years ago not to have too much red meat to help prevent colorectal cancer.
Loretta
Will, T2 - 08 Aug 2007 22:16 GMT > Wil, was this a new study. The reason ask is because I was told years > ago not to have too much red meat to help prevent colorectal cancer. Yes, Loretta. It was published just today. If I recall correctly, it was first submitted in Dec., 2006, and accepted for publication a couple of months ago...
You are correct about the earlier warnings against not eating too much red meat. I have heard that for a long time, myself. Some of those earlier warnings, though, may have related to nitrosamines and nitrites that are formed in the cooking process, especially on hot surfaces, which would be a completely different issue than excessive choline in the diet. Other studies, as I recall, were simple correlations between red meat and incidence of colorectal cancer. As far as I know, this is the first study that targets and studies choline as a factor. The paradox is that choline is considered an essential nutrient in the human diet, but too much of it may in some way be related to, or causative of, intestinal polyps that are precursors to cancerous lesions....
Will, T2
Susan - 08 Aug 2007 22:42 GMT >>Wil, was this a new study. The reason ask is because I was told years >>ago not to have too much red meat to help prevent colorectal cancer. > > Yes, Loretta. It was published just today. If I recall correctly, it was > first submitted in Dec., 2006, and accepted for publication a couple of > months ago... It didn't warn against choline, though. They don't know what caused the effect.
> You are correct about the earlier warnings against not eating too much red > meat. I have heard that for a long time, myself. Some of those earlier [quoted text clipped - 7 lines] > in some way be related to, or causative of, intestinal polyps that are > precursors to cancerous lesions.... No connection of red meat to colon cancer has ever held up to scientific scrutiny. Only the connection to chemically cured meats seems to have any association.
High insulin and glucose, OTOH, are associated with colon cancer, very strongly. My mother was just operated on for a rapid growth colon cancer. She was always incredibly healthy til she was put on statins she didn't need, and Prednisone to treat the statin damage. The cancer grew soon after.
She ate low fat, low red meat.
Susan
Will, T2 - 08 Aug 2007 22:56 GMT > It didn't warn against choline, though. They don't know what caused the > effect. Correct....
> No connection of red meat to colon cancer has ever held up to scientific > scrutiny. Only the connection to chemically cured meats seems to have > any association. You are probably right about that... I just remember hearing about warnings against too much red meat, but I have not really seen any studies making a scientific link. The thing I most recall was the issue related to nitrosamines and nitrites and how they behave in the cooking process.... Chemical curing would be where the nitrosomines come from, which are concverted to nitrites in cooking. At least that is what I seem to recall.
> High insulin and glucose, OTOH, are associated with colon cancer, very > strongly. My mother was just operated on for a rapid growth colon [quoted text clipped - 3 lines] > > She ate low fat, low red meat. That is really bad news about your mom, Susan... I hope she is going to be OK. Sadly, most of us here in asd know people with high insulin and high glucose. What statin was she taking? That sounds very scary.....
Didn't the prednisone just make her glucose ride higher? Over time, predinose can be a very dangerous drug.... and among other things it is known to cause cataracts.
Will, T2
Susan - 08 Aug 2007 23:00 GMT , T2 wrote: The thing I most recall was the issue related to
> nitrosamines and nitrites and how they behave in the cooking process.... > Chemical curing would be where the nitrosomines come from, which are > concverted to nitrites in cooking. At least that is what I seem to recall. Sorta. Nitrosamines are the carcinogens that nitrites or nitrates convert to in cooking.
> That is really bad news about your mom, Susan... I hope she is going to be > OK. Sadly, most of us here in asd know people with high insulin and high > glucose. What statin was she taking? That sounds very scary..... She had NO blockages, her ratios were great, but stupid doctors medicated her LDL numbers anyway. She went on several, even after severe muscle aches and pains developed with each one. She didn't listen to my pleading for her to stop trying them. Her HDL was high and her TGLs were low without them.
> Didn't the prednisone just make her glucose ride higher? Over time, > predinose can be a very dangerous drug.... and among other things it is > known to cause cataracts. The statins and the Prednison did that and caused all her health problems, other than some hearing loss. She's always been extremely fit and active and health conscious. What made her ill was believing in her doctors, that they knew best.
Susan
Will, T2 - 09 Aug 2007 01:10 GMT >Sorta. Nitrosamines are the carcinogens that nitrites or nitrates >convert to in cooking. Yep, you are right... I had it backwards... I just checked.
Here is a link to a brief discussion on the subject from the Linus Pauling Institute, at Oregon State Univ.
http://lpi.oregonstate.edu/f-w00/nitrosamine.html
Will, T2
dumb_fishie99@yahoo.com - 09 Aug 2007 01:44 GMT >x-no-archive: yes > [quoted text clipped - 25 lines] >and active and health conscious. What made her ill was believing in her >doctors, that they knew best. Susan, I'm very sorry to hear about your mother;s health; I hope she gets better.
That is very scary, and makes me want to trust them even less.
Susan - 09 Aug 2007 03:06 GMT > Susan, I'm very sorry to hear about your mother;s health; I hope she > gets better. > > That is very scary, and makes me want to trust them even less. Thanks. She's 85 and has let us know that chemo or radiation are NOT on her agenda no matter what.
Susan
Loretta Eisenberg - 09 Aug 2007 13:31 GMT Susan I am sorry to hear about your mother. If I was her age, I wouldnt want to put myself through that torture and wouldnt either. I admire her convictions Loretta
Loretta Eisenberg - 09 Aug 2007 01:50 GMT Will, all these studies could drive one nuts, so I live by the mantra, everything in moderation and then we still die. :-)
Loretta
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