19. PHYTONUTRIENTS Flashcards

This module covers: • What phytonutrients are and their classifications. • The following key phytonutrients: - Catechins and epicatechins, quercetin, naringin, isoflavonoids, lignans, proanthocyanidins, anthocyanins, resveratrol, phytosterols, isothiocyanates, indole-3-carbinol, carotenoids.

1
Q

What are phytonutrients?

A

Phytonutrients (phytochemicals) are chemical compounds produced by plants which are beneficial to human health and help prevent various diseases.
They are found in fruits, vegetables, tea, nuts, grains, beans, herbs and spices and give foods taste, fragrance, colour and other characteristics.

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2
Q

Phytonutrients are normally a by-product of glycolysis or photosynthesis. What is the difference between primary and secondary metabolites formed this way.

A

Primary metabolites:
* Are compounds necessary for plant survival such as proteins, carbohydrates, lipids, enzymes and chlorophyll.

Secondary metabolites:
* Are synthesised by the plant in reaction to its environment — an adaptive response.
* Evolve to facilitate the survival of the plant.
* Deter predators and protect from infection.

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3
Q

Outline the roles of secondary metabolites in plants

A
  • Protection against herbivores, plant pathogens and against other plants.
  • Protection against physical stressors such as ultraviolet light.
  • Signals for communication and to attract pollinators.
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4
Q

What is the role of secondary metabolites in the human body?

A

Secondary plant metabolites in the human body have the potential to:
* Function as antioxidants (e.g. quercetin, abundant in red onions).
* Regulate the cell cycle.
* Increase detoxification of carcinogenic and other toxic compounds.
* Reduce DNA damage (e.g. lycopene in tomatoes).
* Mimic or interact with hormones and other body chemistry (e.g. lignans in flaxseeds can support oestrogen levels when low).

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5
Q

Why do organic plants have higher phytonutrient levels?

A

They have to protect themselves in their environment as they don’t get ‘support’ from pesticides, fertilisers and ‘perfect’ conditions.

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6
Q

What factors can determine the levels of phytonutrients in plants?

A

Difference in phytonutrients in plants can be due to:
* Chemotype of plant.
* Soil and water conditions.
* Fungi and mycorrhizae.
* Insect friends and foes.
* Climate.
* Seasonal cycles.
* Variability of plant part.
* Bacteria, virus and pathogens.
* Humans and other animals around them.

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7
Q

True or False:

All phytonutrients are beneficial to the human body

A

False.
Some phytochemicals are dangerous or toxic to the body.

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8
Q

Which class of phytonutrients include morphine, vinblastine and digoxin and can be very poisonous?

A

Alkaloids

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9
Q

Which phytonutrients found in beans, grains and legumes may prevent the absorption of minerals?

A

Phytates

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10
Q

What benefits do the following colours of phytonutrients confer. Give examples of foods containing each:
1. Blue, black, purple
2. Green
3. Red
4. Orange, yellow
5. White, brown

A
  1. Antioxidant to fight free radicals, support heart health, circulation and vision. Blueberries, blackberries, red cabbage, aubergines, black olives.
  2. High in chlorophyll and nutrients, supports liver detoxification, binds with toxins in the gut preventing absorption into the body. Kale, spinach, collard, broccoli, brussels sprouts, parsley, lettuce, avocado, watercress, cucumber.
  3. Reduces inflammation, high in vitamin C and supports the prostate. Tomatoes, guava, watermelon.
  4. Improves immune system, vision and joint health. Carrot, squash, sweet potatoes, orange, papaya, corn, melon, peppers, pumpkin, turmeric.
  5. Supports heart, circulation and liver detox. Garlic, onions, leeks, ginger, white cabbage, mushrooms, parsnips.
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11
Q

Phytonutrients are classified according to different chemical compounds and their properties.
Name the five main classes.

A
  1. Phenols and polyphenols
  2. Terpenes
  3. Phytosterols
  4. Organosulphur compounds
  5. Alkaloids
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12
Q

Flavonoids belong to the polyphenol family and has six subgroups. List three of these with one example each.

A
  • Flavonols (e.g. kaempferol - in kale, spinach; quercetin - in red onions and apples).
  • Flavones (e.g. apigenin - in parsley, celery, chamomile).
  • Isoflavones (e.g. genistein and daidzein - in soybeans).
  • Flavanones (e.g. naringin - in grapefruit).
  • Anthocyanins (e.g. cyanidin - in red grapes, blackberry, blueberry).
  • Flavanols or catechins (e.g. epicatechin - in green tea, cocoa).
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13
Q

Name three classes of phytonutrients in the polyphenols category

A
  • Flavonoids
  • phenolic acids
  • lignans
  • stilbenes

Also:
- quinones
- tannins

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14
Q

Which flavonoid can be found most notably in green tea? Outline three functions and the associated therapeutic uses for this substance.

(Also to be found in oolong tea, black tea, cocoa, black grapes, berries, apples, pears, plums, vinegar.)

A

Catechins & epicatechins

Anti- inflammatory:
* Asthma / eczema.
* Urticaria / hay fever.
* Anti-cancer.
* IBD

Neurological health:
* Parkinson’s (neuroprotective).
* Depression.
* Cognitive disorders.

Cardiovascular health:
* Lowers BP & LDL-cholesterol.
* Increased NO prod. (vasodilation).
* ↓ insulin resistance.

Joint health:
* ↓ joint degeneration in OA & RA
* Protects cartilage by inhibiting proteoglycan and collagen breakdown.

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15
Q

Which abundant flavonoid would you expect to find in red onions? Outline how this substance can benefit cardiovascular and immune health.

A

Quercetin

Cardiovascular health:
- Powerful antioxidant - protects vascular endothelium, inhibits LDL oxidation.
- Vasodilatory effects (via NO release), reduces platelet aggregation, ↓ BP (in hypertensives) via ACE-inhibiting properties.
- Supports endurance by ↑ blood circulation.
* Dosage: 150 mg‒1000 mg per day.

Immune health:
- Anti-inflammatory — inhibits LOX & COX, potent down-regulator of NF-κB.
- Anti-histamine —inhibits mast cell degranulation.
- Reduces inflammation in the brain (protective against Alzheimer’s and Parkinson’s).

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16
Q

How can increasing food sources of quercetin be beneficial for gout sufferers?

A

Quercetin can inhibit xanthine oxidase (normally converts purines → uric acid)

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17
Q

How can the absorption of quercetin into the blood be enhanced?

A
  • Onions and shallots contain quercetin in its unbound (aglycone) form, which may make absorption easier.
  • Quercetin is hydrophobic, so is best absorbed with fats, emulsifiers or apple pectin.
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18
Q

Which flavonoid contained in grapefruit inhibits intestinal CYP3A4 and is therefore contraindicated with numerous medications?

A

Naringin

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19
Q

How can naringin reduce acceleration and complications of diabetes?

A

Naringin inhibits ‘aldose reductase’ (an enzyme associated with diabetic complications by directing glucose into pathways producing inflammatory metabolites).
It reduces diabetic retinopathy and neuropathy.

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20
Q

List three therapeutic uses for Naringin.

A
  • Atherosclerosis (incl. prevention).
  • Hyperlipidaemia.
  • Cancer prevention.
  • Reduces acceleration and complications of diabetes.
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21
Q

Name four good food sources of isoflavonoids

A
  • Mostly soy, but also other legumes e.g. lentils, peas, chickpeas, peanuts.
  • Alfalfa sprouts.
  • Red clover.
  • Brussel sprouts.
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22
Q

What is the difference between a glycone and an aglycone?

A

glycone = attached to a sugar molecule
aglycones = compound without a sugar group attached.

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23
Q

Discuss how compromised digestive capacity affects the absorption of isoflavones from soybeans?

A
  • In soybeans, isoflavones are present as glycosides (bound to a sugar molecule) and need to be split apart to render them active.
  • Digestion or fermentation of soybeans / soy products results in the release / splitting of the sugar molecule from the isoflavone glycoside, leaving an aglycone.
  • Health benefits of soy isoflavones depend on one’s capacity to convert isoflavones to metabolites during digestion.
  • Specifically, some colonic bacteria can convert the soy isoflavone daidzein to equol, a metabolite that has greater oestrogenic activity than daidzein. Equol production depends on the gut flora and is therefore influenced by diet.
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24
Q

Recommend FOUR phytonutrients that could be useful for a client wanting to lower their LDL-cholesterol

A

Consume foods rich in:
1. Catechins / epicatechins: green tea, oolong tea and black tea, cocoa, black grapes, berries, apples, pears, plums, vinegar.
2. Naringin: Citrus fruits (esp. grapefruit), tomato paste.
3. Isoflavonoids: Soy, lentils, peas, chickpeas, peanuts, alfalfa sprouts, red clover, brussel sprouts.
4. Phytosterols: Unrefined vegetable oils, nuts, seeds, whole grains and legumes.

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25
Q

Discuss the interplay between isoflavones and oestrogen.

A
  • Isoflavones have weak oestrogenic activity.
  • They bind to oestrogen receptors, mimicking the effects of oestrogen in some tissues and antagonising (blocking) the effects of oestrogen in others.
  • Their anti-oestrogenic effects in reproductive tissue could help reduce the risk of hormone-associated cancers (breast, uterine and prostate), while oestrogenic effects in other tissues can help maintain bone density.
  • Reduce menopausal symptoms and support those who have condition of low oestrogen (e.g. amenorrhoea).
  • Consider isoflavones as selective oestrogen modulators.
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26
Q

List FIVE dietary recommendations for a client in order to support their bone mineral density.

A

Increase the following foods in the daily diet:
1. Green tea (catechins)
2. Fermented soy products eg. tempeh (isoflavones, lysine), natto (isoflavones, vitamin K2)
3. Ground flax seed and sesame seed (lignans)
4. Dark green leafy vegetables (Magnesium, vitamin K1)
5. Oily fish / fish oil (Vitamin D & A)

Also: Adequate protein, eliminate junk food, lower caffeine and red meat, use himalayan rock salt or celtic sea salt instead of table salt.

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27
Q

What do you need to be mindful of in terms of soy protein and what dosage could be recommended for menopausal symptoms?

A

Soy protein isolates prepared by an ethanol wash process, generally lose most of their associated isoflavones, while those prepared by aqueous wash processes tend to retain them.
Dosage for menopausal symptoms such as hot flushes: soy protein providing 80–160 mg isoflavones.

28
Q

With which drug may soy protein interact?

A

High intakes of soy protein may interfere with the efficacy of warfarin.

29
Q

What types of soya are NOT to be recommended and why?

A
  • All genetically modified sources of soy must be avoided.
  • Soy protein isolate (SPI) is highly processed, unfermented and may be GMO.
  • Research has found that the compounds in minimally processed soy flour stimulate genes that
    suppress cancer, whilst the highly-processed soy isoflavones stimulate genes that promote tumour growth.
  • Concerns about the safety of soy products stem from the use of industrially-processed products, not its whole form.
  • Also remember that soy is generally difficult to digest (less so when fermented).
30
Q

What soy alternative is said to be the ‘Western equivalent’ of phytoestrogens? Which food is the most abundant source of this phytonutrient?

A

Lignans.
Flaxseeds are the most abundant source.

Also contained in: Sesame seeds, beans and pulses, cruciferous vegetables.

31
Q

Discuss the oestrogen modulating effect of lignans. Include the therapeutic uses with dosages.

A
  • Lignans bind to oestrogen receptors, exerting an oestrogenic effect that is milder than endogenous oestrogens.
  • Where oestrogen levels are low the net effect is to ↑ oestrogenic activity.
  • Where oestrogen levels are high, lignans antagonise endogenous oestrogens.

Therapeutic uses:
* Menstrual irregularities
Dosage: 2 tbsp freshly ground whole flaxseed per day (i.e. seed cycling).
* Menopause support
↓ frequency and intensity of hot flushes; improves vaginal atrophy, cognitive function; supports bone density, ↓ osteoporosis risk. Dosage: 2 tbsp flax per day.

32
Q

How do lignans exert their anti-cancer properties and what is the therapeutic dose?

A

Lignans are useful especially in hormonally-driven breast and prostate cancer. There is also evidence for a role in endometrial and ovarian cancer.
The following anti-cancer mechanisms have been found:
* Modulation of oestrogen metabolism and receptor signalling pathways leading to decreased
cell proliferation and angiogenesis.
* Strong anti-oxidant properties.
* Decreasing 5α-reductase activity, thereby reducing the more biologically potent DHT (prostate).

Therapeutic dosage (flaxseed):
25 g / day (providing 50 mg lignans)

33
Q

Why is it best to consume freshly ground flaxseed?

A

Flaxseeds contain polyunsaturated fatty acids that are unstable and oxidise readily if exposed to oxygen, light and heat.

34
Q

Which drugs may flaxseed interact with?

A

Flaxseed may lower blood glucose levels and might have additive effects when used with anti-diabetic drugs.

35
Q

List FOUR food sources of proanthocyanidins

A
  • Grapes (skin and seeds).
  • Cranberries, blueberries,
    elderberry, bilberries.
  • Cocoa.
  • Apples, cinnamon, cashews.
  • Maritime pine bark (pycnogenol).
36
Q

How are proanthocyanidins beneficial for cardiovascular health?

A
  • Proanthocyanidins have potent antioxidant properties, preventing LDL oxidation.
  • Enhances nitric oxide, promoting vasodilation.
  • Improves circulation and capillary integrity. Protects capillaries from oxidative stress.

It can be therapeutically used in:
* Cardiovascular disease prevention.
* Atherosclerosis.
* Hypertension.
* Peripheral oedema.
* Diabetic retinopathy
and neuropathy.

37
Q

How are proanthocyanidins beneficial in asthma and eczema?

A

It has immune-modulatory properties:
* Stimulate lymphocyte and macrophage activity.
* Stabilise mast cells — inhibit histamine-producing enzymes.

38
Q

Which medications should be monitored in the case of supplemental proanthocyanidins?

A

Monitor with antihypertensive medication. Caution is advised with
anti-coagulant medications since it may have additive effects.

39
Q

What colours are anthocyanins and their aglycone ‘anthocyanidins’?

A

They are blue, red and purple and are protect plants against UV radiation

40
Q

Name three good food sources of anthocyanin

A

Acai berry, blackcurrant, blueberry, bilberry, cherry, red grape, purple corn.

41
Q

Explain how anthocyanins can be therapeutically useful in:
* Cardiovascular health
* Type 2 Diabetes
* Eye health

A

Cardiovascular
* Antioxidant (scavenging ROS) & anti-inflammatory (inhibit NFκB) = protect against endothelial damage, ↓ LDL oxidation.
* Improves blood lipids — ↑ HDLs, ↓ LDLs, total cholesterol & triglycerides.
* Decreased arterial stiffness & reduces blood pressure.

T2D
* Improves insulin secretion & ↑ insulin sensitivity.
* Thought to activate the enzyme AMPK, which:
Upregulates GLUT4 (transports glucose into cells); Inhibits glucose production in the liver.
* Antioxidant & anti-inflammatory - helps protect against diabetic complications incl. retinopathy & neuropathy.

Eye health
* Protect ocular tissue from oxidative stress.
* Improves night vision (protects photoreceptor cells).

42
Q

Your client is pre-diabetic. Recommend FOUR nutrients or agents that might help to increase insulin sensitivity.

A
  • Anthocyanin
  • Resveratrol
  • Vitamin D
  • Magnesium
  • NAC
  • Myo-inositol
  • Alpha Lipoic Acid
  • Maitake mushroom
43
Q

Explain why anthocyanins can be useful in neurodegenerative conditions such as Alzheimer’s, Parkinson’s and MND

A
  • Able to cross the blood brain barrier to exert neuroprotective effects.
  • Reduce damaging effects of processes that contribute to neurodegeneration including oxidative stress, excitotoxicity and glial inflammation.
  • Support cognitive performance with improvements in memory and learning.
44
Q

List THREE types of medications with which anthocyanins may interact.

A

Many anthocyanins have been identified as inhibitors of BRCP-mediated transport, theoretically increasing bioavailability of certain drugs including:
Anticancer agents (mitoxantrone, topotecan, tyrosine kinase inhibitors)
Antibiotics (fluoroquinolones)
β-blockers (prazosin)

_

Increased risk of bleeding:
Anticoagulants and high intakes of anthocyanins (e.g. from supplements).

45
Q

List FOUR food sources high in resveratrol

A
  • Red grapes (skins).
  • Blueberries, mulberries,
    raspberries, cranberries.
  • Pistachios, peanuts with red skin
  • Cocoa
46
Q

What are the therapeutic uses for resveratrol?

A

Antioxidant:
* Cardiovascular health: Prevents LDL oxidation
* Support fertility (e.g. sperm health)
* Anti-cancer properties

Improves insulin sensitivity
* especially in those with obesity.
It also reduces fat accumulation.

Oestrogen modulation
* A ‘phytoestrogen’. It can inhibit aromatase (reducing testosterone to oestrogen conversation). Oestrogen dominance (e.g. breast cancer)

47
Q

What is the best time of day to take resveratrol supplements?

A

The concentration of resveratrol in the blood is more bioavailable in the morning (due to diurnal variations in its metabolic pathway).

48
Q

What are phytosterols? List three good food sources.

A

Phytosterols are plant-derived lipids that are structurally similar to cholesterol. There are two classes of nutritional significance: Sterols and stanols.
Sources: Wheat germ, sesame oil, pistachios, almonds, brussels sprouts

49
Q

How are phytosterols useful for cholesterol?

A

Well documented to lower LDL-cholesterol by:
* Displacing dietary cholesterol from micelles (spheres of lipids) decreasing absorption.
* Disrupting incorporation of cholesterol into chylomicrons impeding transport from enterocytes to the circulation.
* Increasing intestinal clearance of cholesterol.

50
Q

How can phytosterols benefit prostate health?

A
  • Beta-sitosterol (60‒130 mg / day) has shown to improve urinary symptoms and ↑ urinary flow in patients with BPH.
  • Inhibits 5-alpha-reductase and aromatase (reducing the formation of DHT & oestradiol which stimulate prostate growth).
51
Q

Discuss the anti-cancer therapeutic action of phytosterols

A
  • Diets rich in phytosterols are associated with reduced risk of cancer.
  • Mechanisms supported by
    experimental research include:
    ‒ Inhibiting cell proliferation
    ‒ Inducing cell cycle arrest and apoptosis
    ‒ Reducing angiogenesis
  • Possible anti-tumour effects by enhancing immune surveillance and detection of cancer cells.
52
Q

Why would you recommend phytosterols for a client with asthma or allergies?
Which foods might be beneficial in this regard?

A

In conditions associated with Th2 dominance (e.g. allergy, asthma), phytosterols play a role in immune modulation, increasing T-helper 1 (Th1) cell activity and thus help to re-establish balance where the immune response is Th2 dominant.

Good sources include: Wheat germ, sesame oil, pistachios, almonds, brussels sprouts, avocado, rye bread, macadamia nuts, olive oil.

53
Q

Discuss the TWO highly therapeutic compounds found in broccoli sprouts.

A

As with other sprouts, broccoli sprouts are nutritionally rich and contain sulphur compounds called ‘glucosinolates’.
The glucosinolates in brassica vegetables produce two highly therapeutic compounds: sulforaphane and I3C (20–50 times more abundant in broccoli sprouts than broccoli).
- I3C promotes phase II liver detoxification, and is able to support the liver’s deactivation of oestrogen.
- As a result, broccoli sprouts can be used in cases of oestrogen dominance, such as that typically seen in endometriosis, fibroids, breast and ovarian cancer.
- For these clients, aim for up to 50 g of broccoli sprouts / day (or consider supplementing I3C)
- Sulforaphane Induces phase II detoxification enzymes; down regulates phase I enzymes (useful in a liver support protocol).
- Anti-inflammatory (through inhibition of the NF-kB and TNF-α).
- Anti-carcinogenic, through various mechanisms, including: –
- Inducing expression of the tumour-suppressing p21 gene.
- Induction of phase II enzymes — enhancing the detoxification and elimination of activated carcinogens.
- Increasing antioxidant defense and inhibiting angiogenesis.

54
Q

Detail the benefits and clinical application of I3C

A

Oestrogen modulation:
- Selectively binds to oestrogen receptors acting as an oestrogen antagonist.
* Influences phase I CYP enzymes to ↑ the conversion of oestradiol to the weaker / protective form of oestrogen (2-hydroxyestrone) over 4 and 16- hydroxyestrone (carcinogenic potential).
- Inhibits aromatase, reducing conversion of testosterone to oestrogen.
Can be clinically used in conditions associated with oestrogen dominance, e.g. fibroids and endometriosis, oestrogen sensitive cancers (e.g. breast) and benign prostatic hypertrophy.

Cervical intraepithelial neoplasia (CIN):
- I3C modulates important risk factors for CIN
(and in turn, cervical cancer) including elevated oestrogen and heightened inflammation.
- Reduces activity of the pro-inflammatory NF-kB, reduces cytokines that drive cellular changes.

Breast and prostate cancer:
- Regulates oestrogen and androgen levels / activity.
- Induces cell cycle arrest, activates tumour suppressor genes, reduces angiogenesis and supports DNA repair.
- Antagonises the effects of dihydrotestosterone (DHT).

55
Q

What is the best cooking method for retaining the isothiocyanate (ITC) content of cruciferous vegetables?

A

Steaming is the preferred cooking method.
Stir-frying or boiling cruciferous vegetables for 9–15 minutes has shown to reduce glucosinolate content by 18-59%.

56
Q

What safety considerations should be kept in mind when recommending isothiocyanate supplements or increased brassica vegetables?

A
  • Some glucosinolates degrade to goitrin and thiocyanate, compounds referred to as goitrogens. They decrease the thyroids uptake of iodine. In those with low thyroid function ensure good intake of iodine and limit brassica vegetables to 1‒2 serves / day.
  • Safety of purified isothiocyanates / supplements
    during pregnancy and lactation have not been established.
57
Q

What is the general therapeutic dosage range of I3C?
How much is one head of cabbage likely to provide?

A

200–800 mg daily

1200mg

58
Q

Apart from I3C (and DIM), outline five other ways of supporting oestrogen clearance.

A
  • Optimise soluble and insoluble fibre intake (e.g. whole grains, legumes, nuts / seeds) to bind and excrete oestrogen via bowel.
  • Optimise the gut microbiome (e.g. probiotics / prebiotics) to prevent the de-conjugation of excreted oestrogens.
  • Support methylation with folate, B6, B12 rich foods.
  • Avoid dairy and oestrogen-mimicking agents,
    e.g. BPA (in plastic, cans), dioxins (e.g.
    pesticides), phthalates (e.g. in cosmetics).
  • Avoid smoking, alcohol and caffeine to avoid over-burdening the liver, preventing it from detoxifying oestrogen.
59
Q

To which class of phytonutrients do carotenoids belong? In which colour fruit and vegetables would you expect to find it?

A

Carotenoids belong to the terpene class of phytonutrients, with more than 750 naturally occurring in nature. They are the source of the yellow, orange, and red colours of many plants.
They can also be found in green vegetables.

60
Q

Explain the therapeutic uses of the carotenoids Lutein and Zeaxanthin in eye health.

A
  • Both carotenoids collect in the macula of the eye and absorb up to 90% blue light.
  • They protect retinal cells from oxidative stress.
  • Shown to protect against visual fatigue and improve visual contrast sensitivity.
  • Lutein is thought to promote efficient neuronal signalling, improving vision.
  • Lutein inhibits NF-kB signalling, reducing
    inflammation associated with eye disorders including uveitis.
  • They support vision and protect against eye strain.

Also useful in conditions such as:
* Age-related macular degeneration.
* Cataracts.
* Diabetic retinopathy.

61
Q

How much carotenoids would you expect 1 cup of cooked spinach or kale to contain and how could absorption thereof be enhanced?

A

One cup of cooked spinach or kale contains anywhere between 3 and 20 mg of the two carotenoids combined, with a much higher ratio of lutein.
* Carotenoids are fat-soluble; consume with a small amount of fat to increase absorption.
* Lightly steaming helps liberate carotenoids from the cell increasing their bioavailability.

62
Q

What is lycopene and which foodstuff is the highest source of this phytonutrient?

A

Lycopene is a fat-soluble red pigment produced by plants. It is a non-vitamin A carotenoid.

Tomato is the highest source, specifically in paste and purée form.

63
Q

Name four other fruits apart from tomatoes that are good sources of lycopene.

A
  • Guava.
  • Pink grapefruit.
  • Watermelon.
  • Papaya.
64
Q

Detail the anti-cancer benefits of lycopene.

A
  • Lycopene is a powerful antioxidant which impedes reactions initiated by free radicals, preventing oxidative damage to DNA.
  • It modulates expression of cell cycle regulatory proteins, inhibiting cancer cell growth.
  • It decreases inflammation (which mediates tumour growth) through reductions in COX-2, interleukin-1 and 6 and TNF-α. It also inhibits NF-kB.
  • Increased intake is associated with decreased risk for several cancer types including prostate, breast, cervix, lung, stomach, pancreas and colorectal.
65
Q

Why would you recommend lycopene to a client with signs of declining prostate health?

A
  • Lycopene naturally accumulates in in the prostate and intake has been shown to inhibit progression of benign prostatic hyperplasia and to decrease elevated PSA.
  • Additionally, it has been shown to induce apoptosis and suppress cell growth in androgen-sensitive cell lines.
  • Increased dietary intake and higher blood levels of lycopene are linked with lower prostate cancer risk.
66
Q

How can lycopene be of benefit to Cardiovascular health?

A

Lycopene prevents oxidation of circulating LDLs, reducing uptake by macrophages in the arterial wall, ↓ plaque formation.
Intake of tomato juice is linked with improvements in endothelial dysfunction.

67
Q

Which of the following would you expect to contain the highest amount of lycopene?
A. Fresh organic tomatoes
B. Tomato juice
C. Cooked, puréed tomatoes

A

C. Cooked, puréed tomatoes.

Lycopene is better absorbed from foods sources
that have been processed using methods such as cooking (heating) and also juicing. This liberates it from the cell matrix.
Mixing with oils and fats also increases bio-availability.