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Juice CleansesWhether you're considering turning to a juice cleanse to lose weight or because your body needs to "detoxify," it is important to first weigh the pros and cons of this short, but restrictive diet trend. 

Juice cleansing is a diet where a person almost exclusively drinks fruit and vegetable juices for as long as 10 days or as short as just a day or two," says Amanda Beaver, wellness dietitian at Houston Methodist. "While it might sound healthy, it's best to look at what the science says about juice cleanses before giving in to the hype.

The positive side of juice cleansing is probably pretty obvious — you're consuming plenty of fruits and vegetables, which we know should make up half of our plate. According to Beaver, studies have shown that fruit and vegetable juices can boost levels of important vitamins and antioxidants, including folate, vitamin C, vitamin E and beta carotene. So, in theory, a juice cleanse is helpful for people who find it hard to eat enough fruits and vegetables. But, as the old saying goes: Too much of a good thing can be a bad thing.

According to Rachel Nall of Medical News Today, doctors have identified several risks of juice cleanses. Drinking large quantities of juice may be harmful to those with kidney disorders. Certain types of juice contain oxalate, an acid that can contribute to kidney stones and other kidney problems. Cleansing diets are usually low in calories. A reduced calorie intake may result in temporary weight loss, but this change is rarely long-lasting.

Furthermore, if a person consumes juices that are unpasteurized or have not had another treatment to remove bacteria, they are at greater risk of illness. This is especially true for very young and older people as well as those with weakened immune systems. If a juice cleanse includes laxatives or other methods of bowel stimulation, a person could lose too many nutrients in their stool. This can lead to dehydration and imbalanced electrolytes.

Consuming an insufficient number of calories can cause a person to experience symptoms relating to low blood sugar because the body does not have enough energy. Examples of these symptoms include fainting, weakness, dehydration, headaches, and hunger.

Juice cleanses are a controversial topic within the medical community because they do not usually offer long-term solutions for weight loss or wellness. Most experts will recommend a balanced, healthful diet instead. The evidence to support the possible benefits of juicing tends to be anecdotal. There appears to be more evidence suggesting that a juice cleanse can have a negative impact on the body, for example, by reducing kidney function. With this and despite the regimen, still nothing beats drinking of water after eating or drinking beverages to flush food particles and chemicals into the stomach and for the food waste and other by-products out from the body. 

 

PNC-ZDS Marie Claire A. Gaas

References:

  1. Are Juice Cleanses Actually Good for You?

By Katie McCallum, Jan. 6, 2020: https://www.houstonmethodist.org/blog/articles/2020/jan/are-juices-cleanses-actually-good-for-you/

 

  1. What are the pros and cons of a juice cleanse?

Medically reviewed by Gerhard Whitworth, R.N., Written by Rachel Nall, MSN, CRNA on September 21, 2018: https://www.medicalnewstoday.com/articles/323136

HCS battle CovidThe Philippines, being a third world country, has great concerns in the healthcare system even before the COVID-19 pandemic struck. The scenario in some public hospitals is not quite good with overflowing admitted patients, some are occupying the hallways of the hospital just to be admitted and monitored by doctors. With the surge of COVID-19 early in 2020, the country and the global community were caught off-guard. Countries were overwhelmed with the health emergency even the developed countries. In the Philippines, this health crisis event aggravated the pre-pandemic situation and is very evident that the country was not prepared beforehand to face the challenges of the pandemic. The following presents the healthcare system situation in the Philippines:

1. Equipment and facility

It has been an ever-growing concern of every hospital in the Philippines whether private or the government sector on the shortage of COVID testing kits that is necessary to monitor the health of the patients. Availability of medical-grade Personal Protective Equipment (PPE) fell short resulting in diminishing the healthcare workforce as they were also infected and placed under quarantine status. Recently, this has been resolved with the appropriation of funds and assistance from non-government organizations, civil society organizations and people’s organizations.

2. Scarcity of employed health personnel

Hospitals also reported inadequate staffing especially in the number of nurses and medical technologists, these two professions were very crucial in the process of healing the sick. While doctors were very hesitant to act and address the needs of the infected individuals as this was new to every one of us during the 1st quarter of the year 2020. Studies were not established and there was no cure or vaccine at the early phase of the COVID spread.

3. Availability of vaccines 

It was not new for all of us that vaccines are our only way to save us from COVID threats. And all our healthcare workers should be the priority to receive the first dose of vaccines. Although there were a lot of worries and concerns accompanying the rolling out of vaccination such as its unknown reverse reactions which recently have been reporting the increased risk of morbidity related to the vaccinations. 

Today, we are full of uncertainties and worries in our country but we have to stand still and help our healthcare team to fight against this devastating COVID-19 pandemic. Concerted efforts must be made by all knowing that our health system is on the brink of exhaustion to accommodate those infected by the virus. As the tagline of the Bayanihan Act says… “We Can Heal as One”, together we need to win the battle against this invisible enemy by doing our part through the habit of responsibly observing COVID guidelines and protocols in our family and in the community. 

 

NO II Joanna Marie E. Baltazar

 

References: 

1. Hospital experiences responding to the COVID-19 pandemic: Results of the National Pulse Survey March 23-27, 2020

https://oig.hhs.gov/oei/reports/oei-06-20-00300.pdf

2. Hospital report challenges in responding to the COVID-19 pandemic

https://ascopost.com/news/april-2020/hospitals-report-challenges-in-responding-to-the-covid-19-pandemic/

NNC Successfully Commenced NMCOn July 1, 2021, the National Nutrition Council (NNC) successfully conducted the 47th Nutrition Month Kick-off Activity via virtual platform and facebook livestream with the theme "Malnutrisyon Patuloy na Labanan, First 1000 days Tutukan!". It was headed by the Executive Director of NNC Dr. Azucena M. Dayanghirang together with other invited dignitaries and personalities with high influence to champion nutrition.

By virtue of Presidential Decree 491 or the Nutrition Act of the Philippines, Nutrition Month is an annual campaign held every July to create greater awareness among Filipinos on the importance of nutrition. The law also mandates the NNC to lead and coordinate the nationwide campaign.

This year’s celebration calls for all members of society to work together towards continued efforts to address malnutrition amid the COVID-19 pandemic and guided by the Philippine Plan of Action for Nutrition 2017-2022 as the framework. And emphasizes the need for scaling up interventions in the first 1000 days of life through the strengthened implementation of Republic Act 11148 (Kalusugan at Nutrisyon ng Mag-Nanay Act). The campaign aims to raise awareness on the nutrition issue and encourage various stakeholders to participate and engage in activities to improve nutrition. It is a whole society approach to promote good nutrition and disseminate information in the prevention and reduction of malnutrition. 

“We need to drive nutrition education and ensure we have enabling settings for these learnings to be practiced. Thus, we need to ensure communities are food secure and that healthier food choices are available and accessible” said Health Undersecretary Maria Rosario Vergeire.

There are supportive laws in support to nutrition that promote and protect children’s nutrition include Republic Act (RA) 11148 or the Kalusugan at Nutrisyon ng Mag-Nanay Act RA 10028 of the Expanded Breastfeeding Promotion Act, RA 11210 or the Expanded Maternity Leave Act, and Executive Order 51 or the Philippine Milk Code. Among the other milestones related to the reduction of stunting and malnutrition in the country is the Philippine Plan of Action for Nutrition 2017-2022 that provides the framework to address malnutrition, including stunting, and its underlying factors. “Let us all work together to eliminate all forms of malnutrition, raise a new #Laking1000 generation of Filipinos achieving their full potential. Be one of the spoons us, along with other #NutritionChampions, to advocate for good nutrition among Filipinos beginning in the first 1000 days of life! Sa PPAN panalo ang bayan.”, ED Dayanghirang said in her call to action. 

 

AA VI Angelyn P. Intal, RND

 References:

  1. 2021 Nutrition Month Talking Points

https://www.nnc.gov.ph/component/phocadownload/category/58-region-10-policies-plan-activities?download=2985:2021-nutrition-month-talking-points

  1. 2021Nutrition Month Kick-off Event via Zoom and NNC Facebook Livestream

https://fb.watch/6u4WohutdM/

The battle on efficacy between ethyl and isopropylAs COVID-19 pandemic continues to persist, people are relying on disinfectants for an extra layer of protection against the virus. One of these is rubbing alcohol, which has been considered a necessity now anywhere we go. Most alcohol-based hand antiseptics contain either ethanol, isopropanol or a combination of these products. Alcohol is effective against the influenza virus. The World Health Organization (WHO) suggests that 70% ethyl alcohol is a powerful broad-spectrum germicide and is considered generally superior to isopropyl alcohol. However, both provide adequate germicidal properties.

 

The antimicrobial activity of alcohols results from their ability to denature proteins. Alcohols containing 60 to 80 percent alcohol are most effective, with higher concentrations being less potent (WHO Guidelines on Hand Hygiene in Health Care). Ethyl alcohol and isopropyl alcohol are the same actually when it comes to disinfectant properties. Ethanol is typically used in concentrations of 70 percent because higher concentrations evaporate too quickly and lower concentrations aren’t as effective. Isopropyl, on the other hand, evaporates at a similar rate and destroys bacterial and viral cells by the same mechanism. However, it is not as effective at dehydrating living tissue and so is a better solution for disinfecting skin than ethanol. 

 

According to the World Health Organization (WHO), an experimental study revealed that ethyl alcohol-based products showed significant reductions of the tested surrogate for a non-enveloped human virus; however, activity was not superior to non-antimicrobial or tap water controls. In general, ethanol has greater activity against viruses than isopropanol. Proper hand hygiene is an important part of the response to COVID-19. Handwashing with soap and water for at least 20 seconds is essential, especially after going to the bathroom, before and eating, and after coughing, sneezing, or blowing one’s nose. In times when access to water and soap is unavailable, it is recommended to use hand rubbing alcohol to disinfect hands but make sure your hands are not visibly dirty as this can cause alcohol less effective from its intended use. Thus, make it a habit to wash and disinfect your hands regularly to keep you and your family safe and healthy.

 

-PNC-ZDN Rowence F. Zorilla

 

References:

1. Coping with Covid-19: The craze for disinfectants

https://www.pna.gov.ph/articles/1113049

2. Use of disinfectants: alcohol and bleach

https://www.ncbi.nlm.nih.gov/books/NBK214356/

3. WHO Guidelines on Hand Hygiene in Health Care (Advanced Draft)

https://www.who.int/patientsafety/information_centre/Last_April_versionHH_Guidelines%5B3%5D.pdf

4. Policy for Temporary Compounding of Certain Alcohol-Based Hand Sanitizer Products During the Public Health Emergency Immediately in Effect Guidance for Industry

https://www.fda.gov/media/136118/download

5. Ethyl or isopropyl alcohol?

https://journal.com.ph/lifestyle/health-and-wellness/ethyl-or-isopropyl-alcohol/

How Essential is Magnesium to our BodyMagnesium is an important nutrient. It is a mineral that plays a vital role in over 300 enzyme and biochemical reactions in the human body. With its main role acting as a cofactor or helper molecule in the biochemical reactions, it helps improve muscle and nerve functions, regulating blood pressure, and supporting the immune system according to Megan Ware, RDN, L.D. According to Franziska Spritzler, it plays several important roles in our body and brain health. Magnesium is the fourth most abundant mineral in the human body. In fact, the National Institutes of Health Office of Dietary Supplements states that an adult body contains around 25 grams (g) of magnesium, 50–60% of which the skeletal system stores. The rest is present in muscle, soft tissues, and bodily fluids. However, you may not be getting enough of it even if you eat a healthy diet. 

Magnesium also plays a role in exercise performance. During exercise, you may need 10–20% more magnesium than when you’re resting, depending on the activity based on a study conducted by Nielsen et al. Furthermore, Magnesium helps move blood sugar into your muscles and dispose of lactate, which can build up during exercise and cause fatigue. A study conducted by Emily K Tarleton et al shows that Magnesium plays a critical role in brain function and mood, and low levels are linked to an increased risk of depression. One analysis in over 8,800 people found that people under the age of 65 with the lowest magnesium intake had a 22% greater risk of depression.  

In addition, people who get the most magnesium have a lower risk of type 2 diabetes. Moreover, supplements have been shown to lower blood sugar in some people. Recent studies also show that it has the properties that help lower blood pressure in people with elevated levels but does not seem to have the same effect in those with normal levels.

Magnesium is safe and widely available. It is absolutely essential for good health. The Food and Nutrition Board of Institute of Medicine recommends that the daily intake for magnesium in men is 400–420 mg per day and 310–320 mg per day for women. Some foods which are good to excellent sources of magnesium are pumpkin seeds, boiled spinach, dark chocolate, black beans, cooked quinoa, almonds, cashews, mackerel, avocado and salmon.

Getting enough magnesium is essential for maintaining good health. Be sure to eat plenty of magnesium-rich foods or take a supplement if you’re unable to get enough from your diet alone. For without getting enough of this important mineral, your body can’t function optimally.

 

PNC-ZDS Marie Claire A. Gaas

References:

  1. Magnesium: Fact Sheet for Health Professionals

National Institutes of Health Office of Dietary Supplements: https://ods.od.nih.gov/factsheets/Magnesium-HealthProfessional/

  1. Why do we need magnesium?

Medically reviewed by Miho Hatanaka, RDN, L.D. — Written by Megan Ware, RDN, L.D. on January 6, 2020: https://www.medicalnewstoday.com/articles/286839

  1. Update on the relationship between magnesium and exercise

F H Nielsen and  H C Lukaski: https://pubmed.ncbi.nlm.nih.gov/17172008/

  1. Magnesium intake and depression in adults

Emily K Tarleton and Benjamin Littenberg: https://pubmed.ncbi.nlm.nih.gov/25748766/

  1. Oral magnesium supplementation reduces ambulatory blood pressure in patients with mild hypertension

Lina S Hatzistavri et al: https://pubmed.ncbi.nlm.nih.gov/19617879/

  1. DRI DIETARY REFERENCE INTAKES FOR Calcium, Phosphorus, Magnesium, Vitamin D, and Fluoride

Food and Nutrition Board Institute of Medicine NATIONAL ACADEMY PRESS Washington, D.C: https://www.nap.edu/read/5776/chapter/1

Food AllergyThe body’s immune system keeps you healthy by fighting off infections and other dangers to good health. According to the College of Allergy, Asthma and Immunology, a food allergy reaction occurs when your immune system overreacts to a food or a substance in a food, identifying it as a danger and triggering a protective response. While allergies tend to run in families, it is impossible to predict whether a child will inherit a parent’s food allergy or whether siblings will have a similar condition. The Centers for Disease Control & Prevention reports that the prevalence of food allergy in children increased by 50 percent between 1997 and 2011. Researchers estimate that 32 million Americans have food allergies, including 5.6 million children under age 18. A study conducted by Alison Joanne Lee et. al specifies that shellfish (crustaceans and mollusks) allergy in Asia is the most common food allergy in older children and adults and the leading cause of food-induced anaphylaxis in South-East Asia, Hong Kong and Taiwan. Population surveys show prevalence rates in teenagers in the Philippines and Singapore of 5.12% and 5.23% respectively.

So, what is a Food Allergy? The Food Allergy Research and Education (FARE) defines Food Allergy as a medical condition in which exposure to a food triggers a harmful immune response. The immune response called an allergic reaction occurs because the immune system attacks proteins to the foods that are normally harmless. The proteins that trigger the reaction are called allergens.

 

Food allergy reactions are serious and can be life-threatening. Every three minutes, a food allergy reaction sends someone to the emergency room. For people who are allergic to certain types of food, one small mistake can mean an entire day of swollen tissues, vomiting, abdominal cramps, painful blisters, difficulty breathing, and in worse cases, coma and death. Serious Allergic Reactions Require Immediate Treatment. Once a serious allergic reaction (anaphylaxis) starts, the drug epinephrine is the only effective treatment. Epinephrine (also called adrenaline) should be injected within minutes of the onset of symptoms. More than one dose may be needed.

The most common foods that trigger food allergies in the Philippines are wheat, eggs, milk, shellfish and peanuts. Wheat, which can be found in a variety of foods including breads, cereals and pizza can cause dermatitis to swollen airways and anaphylaxis. Eggs are the leading cause of eczema (a type of skin allergy) attacks in children. The primary trigger is the protein in egg white, although allergies to yolk are uncommon. Crustaceans (crabs and shrimps) and mollusks (mussels, clams and similar seafood) can be just as harmful when consumed by an allergic individual. 

Milk is also considered as one of the top causes of allergies in children, although many become desensitized by age three. While some peanut allergy symptoms run mild (runny nose and rashes), reactions can also be as frightening as airway obstruction and collapse may occur.

There's no perfect test used to confirm or rule out a food allergy. Your doctor will consider a number of factors before making a diagnosis. These factors include your symptoms, your family history of allergies, physical examination, skin test and blood test. We may be able to diagnose allergies but until now, there is no direct cure for food allergies. However, in the meantime, if you suspect you have a food allergy, avoid exposure to the food altogether until your doctor's appointment. If you do eat the food and have a mild reaction, over-the-counter antihistamines may help relieve symptoms. If you have a more severe reaction and any signs and symptoms of anaphylaxis, seek emergency help.

PNC-ZDS Marie Claire A. Gaas

References:

1. Food Allergy

College of Allergy, Asthma and Immunology: https://acaai.org/allergies/types/food-allergy

2. Facts and Statistics of Food Allergy

https://www.foodallergy.org/resources/facts-and-statistics

3. Food allergy in Asia: how does it compare?

Alison Joanne Lee, Meera Thalayasingam and Bee Wah Lee: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3563019/#:~:text=Population%20surveys%20show%20prevalence%20rates,5.23%25%20respectively%20%5B42%5D.

4. Most common food allergies in the Philippines

https://www.benadryl.com.ph/food-allergies

5. Diagnosis of Food Allergy and treatment

https://www.mayoclinic.org/diseases-conditions/food-allergy/diagnosis-treatment/drc-20355101#:~:text=If%20you%20suspect%20you%20have,of%20anaphylaxis%2C%20seek%20emergency%20help.