Queen’s leads consortium to better understand link between healthy living and dementia

Can a healthy lifestyle combat undernutrition and dementia?

 The PROMED-COG (PROtein enriched MEDiterranean diet to combat undernutrition and promote healthy neuroCOGnitive ageing) Consortium brings together unique expertise to better understand how the balance between diet and physical activity could reverse undernutrition during ageing and, ultimately, prevent dementia. 

The research led by Queen’s University Belfast will provide new and critical insight into the role of undernutrition in cognitive health. It will explore how diet and exercise can work to combat undernutrition and the effect of factors – such as age, gender, and genetics -on the risk of dementia in older age. 

One in ten adults aged 60 years+ are undernourished, which means that they have low levels of proteins, calories, vitamins, and minerals caused by reduced food intake or because the body does not process food properly.

Undernutrition has a negative impact on the health of older people as it leads to weight loss and increases the risk of dementia in later life.  

PROMED-COG project co-ordinator, Dr Claire McEvoy from the Centre for Public Health at Queen’s University Belfast, said: “Weight loss increases the risk of dementia by up to 40% but occurs a decade or more before the symptoms of memory loss become apparent.

“This gives us an opportunity to intervene early with preventative strategies to counteract undernutrition and, potentially, the onset of cognitive impairment.” 

Dementia is a major health priority. It already affects around seven million people in Europe, a figure set to double by 2030, with socioeconomic costs rising to over €250 billion. 

While factors, such as age and genetics, influence the onset of dementia and cannot be changed, some lifestyle changes could make a difference. PROMED-COG will use existing datasets in Italy to study the links between undernutrition, cognitive decline, and dementia.

The project will also test the effect of adopting a diet and exercise intervention over six months on undernutrition and cognition in older adults living in Northern Ireland. This will inform the recommendations developed to slow down cognitive decline and prevent dementia in older European citizens.  

Dr McEvoy added: “Dementia is a huge problem affecting our ageing population. There is a significant lack of research in this area and this new grant will bring together a range of European experts to develop evidence-based recommendations for the prevention of undernutrition and cognitive impairment during ageing. 

“This will not only prolong the period of life spent in good health but will also reduce the societal and economic burden of dementia.” 

The European Horizon 2020 Joint Programming Initiative “A Healthy Diet for a Healthy Life”, and ERA-NET Cofund ERA-HDHL (GA N° 696295) has awarded a grant of over 680,000 euros to the PROMED-COG consortium. Led by Queen’s University Belfast, the Consortium includes The National Research Council Italy, The University of Padova, University College Dublin, Wageningen University, and The Friedrich-Alexander-Universität Erlangen-Nürnberg. 

Pet obesity paw-demic: PDSA launches #WeighUp campaign

Survey reveals thousands of Scottish pets have gained weight over lockdown

Latest research has revealed that a whopping 160,000 furry friends have gained weight in Scotland since March 2020 – contributing towards a total of 1.4 million pets across the UK who have done so during lockdown.

Vet charity PDSA says that the worrying findings unveil the true extent of what was already a growing pet obesity epidemic, with the pandemic creating a ticking time bomb threatening the lives of pets across the UK.

The study* of more than 4,500 UK pet owners by leading vet charity, PDSA, and YouGov, also found that 84,000 Scottish owners have fed their four-legged friends more human treats since the start of the coronavirus pandemic, adding further fuel to the pet obesity crisis.

More pet owners in Scotland (9 per cent) report that their pet has gained weight since the start of the pandemic in March 2020, compared to the Midlands (5 per cent). However, Scottish pet owners walk their dog significantly more frequently than in England or Wales, with 55 per cent reporting they walk their dog more than once a day, compared to 43 per cent of people living in England, and 36 per cent of owners in Wales.

PDSA GLASGOW PERCY THE PUG AND OWNER CHLOE

A couch-potato lifestyle and excessive food consumption over lockdown is having drastic consequences for our pets. And the love we feel for our pets could also be contributing to the problem, as according to UK owners who said their pet was overweight, the most common factors preventing their pet from losing weight were:

  • giving in when their pet begs for food (29 per cent),
  • they like feeding treats to their pet (19 per cent),
  • their pet is fussy with food (19 per cent), and
  • they feel giving treats shows how much they love them (15 per cent).

PDSA Vet Susan Hermit said: “Worryingly, the detrimental health effects of obesity in our four-legged family members don’t appear to be well-recognised amongst owners. Three in ten (31 per cent) don’t agree that overweight pets are more likely to suffer from serious diseases, and 35 per cent don’t agree that they are less likely to live as long.

“Obesity has been a huge problem among UK pets for a number of years and sadly our PAW Report indicates this is only getting worse. It is one of the biggest long-term health concerns for our pet population, because it is so commonly seen by vets and nurses, with vet professionals estimating that up to half of their pet patients they see each week are overweight**. 

“Animals who are overweight have a much greater risk of developing health problems such as arthritis and diabetes – which can have drastic consequences, even shortening their life by up to two years***. We could therefore see this huge obesity problem impact on our pet’s health for years to come.”

Susan adds: “With many owners spending more time at home with their pets since the start of the pandemic, the potential for weight gain due to increased feeding – particularly of treats – was always a concern.

“Unfortunately, we know from previous PAW Reports that some owners struggle to recognise when their pet is overweight or obese and in need of weight loss, which is the first step towards helping them live a longer, happier life. We’ve created a useful free guide to help owners identify if their furry friend is overweight, along with advice on how they can support their pet back to their target weight.

Professor Alex German, Royal Canin Professor of Small Animal Medicine at the University of Liverpool and world-leading expert in cat and dog weight management, adds: “Pet obesity is a growing crisis that is having an impact on the long-term health and happiness of the UK’s pets.

“Both experience and research show that carrying excess weight can have huge health implications, including associations with shorter life expectancy. We all agree that we need to tackle pet obesity urgently, although losing weight can be challenging if you don’t know where to start.

“PDSA’s #WeighUp guide is an invaluable tool to help empower owners to identify the signs of weight gain in their pet in the first place, and also take practical steps to address it.”

Susan concludes: “The good news is that even if your pooch or kitty is in need of a health kick, it’s never too late to help them eat well, exercise and play more, and live longer.

“In most cases, simply adapting their diet, replacing treats with playtime and encouraging them to move more can make a huge difference, and are all the ingredients needed for our pets to maintain a healthy weight, essential for a happy, healthy life.”

For further information about PDSA’s #WeighUp campaign, which is proudly sponsored by Royal Canin, and to download its free guide to help check if your pet is a healthy weight and what to do if not, visit https://pdsa.org.uk/WeighUp.

Weight a minute …

Is losing weight your New Year resolution? Here are some faddy diets to avoid, courtesy of the British Dietetic Association: 

The BDA Announces the Results of its Annual Top 5 Worst Celebrity Diets to Avoid in the New Year

The annual and eagerly anticipated list of the 5 worst celebrity/fad diets to avoid in the New Year has been issued by the British Dietetic Association (BDA). When Christmas has come and gone, January signals a UK-wide dieting frenzy. People up and down the country will be scouring the internet, book shops and magazines searching for the magical quick fix, or even a long term solution to undo the damage of the festive season or to achieve their best body ever.

However, with so many diet books and celebrity-endorsed fitness DVDs on the market, it can be an absolute nightmare understanding who is giving good nutrition and diet advice and who, quite frankly, needs a good talking to!

The BDA has heard it all: the good, the bad, the weird and the whacky! The press office receives literally hundreds of calls from the media every year on this very subject. Here, in the opinion of the BDA, are the top 5 dodgy celeb diets to avoid in 2013.

 5. The 6 Weeks to OMG Diet (new entry)

Celebrity Fans: A-list celebrities, according to the diet’s author Venice A Fulton 

What’s it all about? 

To be the envy of all your friends you are told to exercise first thing in the morning after drinking black coffee, then sit in a cold bath to encourage the body to burn stored fat as it tries to keep warm and delay breakfast til 10am (which for most people would mean skipping breakfast). Fruit should be ditched, snacks are off limits and whilst your plate is loaded with protein, it doesn’t matter if carbs come from broccoli or cola.

BDA Verdict:  

OMG indeed! Six weeks of hell and isolation more like it. Seriously, who has the time, let alone the energy to follow this diet? Guilty of being selective with research rather than a balanced view many people’s routine could not accommodate this and a healthy breakfast and exercise should be encouraged to fit in. The ‘rules’ and competitive dieting element encourage extreme behaviour. Support from friends and family is an important part of weight loss as is taking a long term approach. And what about the other 46 weeks of the year?

4. Alcorexia / Drunkorexia Diet (last year number 2)

 Celebrity Fans: It is widely thought that many top models and other red carpet celebrities are fans of this diet.

What’s it all about? 

It’s when people eat very few calories during the day/week and ‘save’ all the calories they have not eaten then use them to binge drink alcohol.

For example, if you favour a VLC diet (very low calorie) to follow the Alcorexia Diet, you could be banking around 1,500 calories a day, which then gives you 10,500 calories to drink during the week. This amounts to:

  • 45      pints of lager (based on a single pint being around 230 kcals). With a      pint of lager being 2 units, this gives you a weekly alcohol intake of 90      units.
  • 201      shots of spirits (based on a single shot being around 52 kcals). With a      single shot of spirit being 1 unit, this gives you a weekly alcohol intake      of 201 units.
  • 52      alcopops (based on a single alcopop being around 200 kcals). With a single      alcopop being 1 unit, this gives you a weekly alcohol intake of 52 units.
  • 131      glasses of red wine, or 26 bottles (based on a glass of red being around      80 kcals). With a single glass being 1 unit, this gives you a weekly      alcohol intake of 131 units).

To put this in context, the safe weekly alcohol unit intake is 28 units for men and 21 units for women.

BDA Verdict:  

Don’t have a few too many! Following a VLC diet alone is madness, as you will most certainly not be getting the calories, vitamins and nutrients your body needs to survive and function. In addition, you will feel weak, tired, have no energy and could become very irritable. Alcohol has little nutrition other than calories. To avoid food in order to ‘bank’ your calories so you can go a use them on alcohol is absolutely stupid and could easily result in alcohol poisoning and even death.

3. ‘Party Girl’ IV Drip Diet (new entry)

Celebrity Fans: Rihanna and Simon Cowell are reportedly fans of this diet. 

What’s it all about? 

These kinds of IV drips were originally used to treat severely malnourished and clinically ill patients. However, people who are feeling run down are paying hundreds of pounds to have a bag of solution (usually around 250ml) injected, usually including vitamins B and C, magnesium and calcium.

BDA Verdict:

You must be a bit of a drip to do this. There is very little evidence that this even works in well people. Even if it did, as food and drink contains packages of nutrients then eating food and drinking water or other healthy drinks is preferable to having an IV drip inserted into your body? This also carries possible side effects to such as dizziness, infection, inflammation of veins and, ultimately, anaphylactic shock!

2. The KEN (Ketogenic Enteral Nutrition) Diet (new entry)

Celebrity Fans: It is widely thought that many top models and other celebrities are fans of this diet.

What’s it all about? 

The KEN involves eating absolutely nothing at all. Instead, for ten days per cycle a liquid formula is dripped directly into the stomach via a plastic tube that goes up the patient’s nose and is taped on to their face. At the other end of the tube is an electric pump, which works day and night to deliver two litres of the formula over 24 hours. While on the KEN, dieters can go about their lives as normal but must carry the pump and liquid in a bag or backpack and hang it by their bed at night. They are allowed to unhook themselves from the pump for one hour a day and can drink water, tea, coffee (with no milk, sugar or sweeteners) or sugar-free herb teas with the tube in. 

BDA Verdict: 

You KEN not be serious! It is shocking that people are electing to have naso-gastric (NG) tubes inserted in order to lose weight, usually reserved to sick or chronically ill people. Not only that but one of the side effects is having to take laxatives because this diet provides absolutely no fibre! Nice touch!

1. Dukan Diet (last year number 1)

 Celebrity Fans: Carole Middleton, Jennifer Lopez and Gisele Bundchen are reportedly fans of this diet.

What’s it all about? 

A complicated four-phase diet that starts off with a ‘no carb/protein only’ approach that promotes rapid weight loss.

BDA Verdict:  

Dukan not sustain this! There is little solid science behind this. The diet works on restricting foods, calories and portion control. Cutting out food groups is not advisable. This diet is so confusing, time consuming, very rigid and, in our opinion, so very hard to sustain. Even ex Dr (as of 2012) Dukan himself warns of the associated problems like lack of energy, constipation and bad breath. That sounds lovely!

Speaking about these and other fad diets, Sian Porter, consultant dietician and Spokesperson for the BDA, said:

“As much as we all would love it to be the case, there is no magic solution to losing weight and keeping it off long term. There is no wonder diet you can follow without some associated nutritional or health risk and most are offering a short-term fix to a long term problem. It may be obvious, but if you want to lose weight you need to make healthier choices, eat a nutritionally balanced and varied diet with appropriately sized portions, and be physically active. In a nutshell the solution for most is to, eat fewer calories, make better choices and move a bit more!

“On a serious note, glamorous images of celebrities saturate our daily media in all forms. These celebs have an army of people to help them to keep looking good, which is essential to their livelihood and plenty of money to do whatever they think it takes. You need to remember too, a lot of these images are airbrushed and retouched to give celebrities an unachievable body image that does not exist in real life, yet many aspire to. Some people look at these images and will try anything they think will help them achieve the ‘perfect’ body. If you have some weight you need to lose, then do it in a healthy, enjoyable and sustainable way. In the long term this will achieve the results you are after.”

For more information and tips about healthy weight loss, please visit www.bdaweightwise.com.