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| Dr. Magryta |  | |
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Issue: #36
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August 26, 2013
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Volume 3, Letter 36
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August 26, 2013
The future of our health may lie in the next 500 words. I have long held that the root cause of most disease is multifactorial and that prevention is the key.
How do we prevent disease in our youth? Is the critical time from conception until 2 years old?
Elizabeth Mumper has looked at this question
in relation to Autism spectrum disorders and proposed some provocative ideas in a new article.
Let us look at each piece independently:
1) Environmental toxicants: Whether it is airborne pollutants or pesticides or home cleaning agents, the avoidance of chemicals is believed to reduce the risk of neurobehavioral disorders.
2) Breastfeeding: We know that a lack of breastfeeding is associated with an increase in many diseases. This is likely due to the altered gut flora that ensues. Whether Autism is reduced by breastfeeding remains to be independently proven. There is absolutely no question, however, that breastfeeding is the way!
3) Probiotics: Through genomic analysis we now know that your diet can change your gut flora in one day. The chronic poor quality american diet coupled with caesarian deliveries and cow's milk formula feeding are disrupting the normal gut ecosystem. Giving mothers and newborns dietary probiotics can reset the balance and reduce disease in the offspring.
4) Nutritional factors: Mother's of children with autism reported taking fewer multivitamins and lower mean folic acid levels during pregnancy. MTHFR, methyltetrahydrofolate reductase, gene defects are a main cause of abnormal gene methylation (reading) and disease. Mothers that have a diet loaded with vegetables and fruits while taking prenatal vitamins appears to be key.
5) Avoiding antibiotics: Using antibiotics only when absolutely necessary during childhood will prevent the gut microbiome from being altered in a negative way.
6) Avoiding acetaminophen: This medicine is believed to alter the chemical detoxification and sulphation pathways related to glutathione. At critical times it may be true that acetaminophen has a negative effect on the clearance of chemicals and therefore genes are being affected.
7) Vaccine use: a hot and controversial topic.
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| What to do? | |
Whether you initially agree with Dr. Mumper's article, assessment or principles is up to you. I will ask you, however, to look at each of the 7 proposed principles and weigh the merits of them and why you would not consider doing them if she turns out to be correct.
1) Minimizing environmental toxicants: No question here! Using organic food is preferable although cost can be an issue. Look at www.ewg.org , for the clean 15 and dirty 12. Avoiding household chemicals is a no brainer. Clean with vinegar, watered down bleach and citrus. Avoid herbicides and pesticides in and around your home (at least during the pregnancy and early years).
2) Breastfeed till at least 6 months! There should be no argument here if one is physically able. This is critical for all disease prevention. Breastfed mothers must eat well however, poor quality chemically laden foods will pass through to the offspring via the milk.
3) Taking Probiotics during pregnancy is a good idea and useful for any newborn that has allergic, autoimmune, developmental or gastrointestinal issues in the first year of life. Yogurt is not likely to be as effective.
4) Nutritional intake: taking prenatal vitamins, eating organic and fresh foods, avoiding processed foods and additives all seems reasonable.
5) Avoiding antibiotics where possible makes absolute sense. Be involved in the process of disease management. Ear infections often respond to careful watch and wait approaches. The data supports this approach with close follow up.
6) Avoiding acetaminophen is a good idea as the research continues to emerge on its safety. I see very few places where we need to use acetaminophen in childhood. Discuss the drugs use with your physician.
7) Vaccine schedules: Dr. Mumper's group utilized a modified vaccine schedule. See her schedule in the article. The schedule gets the major vaccines for meningitis, diptheria, pertussis, tetanus and polio in before 7 months of age where the risk is highest. Others like hepatitis B, chicken pox, rotavirus and MMR are pushed back. Discuss these risks and benefits with your physician. This is a hot button issue.
If Dr. Mumper is correct or even partially correct, it seems to me that we need to wake up and listen to the voices of the unborn that are at risk of a preventable problem. Using this primer for health while the study is repeated would be prudent.
Evaluate and decide what is right for your child,
Dr. M
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The newsletter archive can be found in the links section. New readers can now go back in time to learn about the future!
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Copyright � 2010-2013 Christopher J. Magryta, MD. Readers, please note: The information provided in this newsletter is for educational and informational purposes only. It is not a substitute for advice and treatment provided by your physician or other healthcare professional and is not to be used to diagnose or treat a health issue.
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Chris Magryta
Salisbury Pediatric Associates
Touchstone Pediatrics |
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