Safety Alert

Help your patients reduce exposure to synthetic chemicals in foods. 
By Nataliya Schetchikova, PhD
The Endocrine Society recently alerted the public and the health care community about the possible health threat posed by endocrine-disrupting chemicals (EDCs) abundant in the environment, food and consumer products. The statement presented strong evidence that exposure to synthetic chemicals can lead to adverse reproductive outcomes, including infertility and cancerand mounting evidence for effects on other endocrine systems, including thyroid, neuroendocrine, obesity and metabolism, and insulin and glucose homeostasis.¹
Numerous research studies have linked chemicals with an increased risk of chronic diseases. Pesticides in particular have been associated with leukemia in children,² prostate3 and breast cancers,^3-5 and allergic rhinitis and respiratory conditions.⁶ The degree of risk depends on many factors, among them the age of the person, as well as the dosage and length of exposure. The risk is especially great in people who get exposed to chemicals occupationallysuch as farmers and agricultural workers.^7,8
But even for the regular consumer, there is no escaping chemicalsand food presents a significant source of exposure, says Sarah Reilly, a certified holistic nutritionist practicing in California. Yearly, 800 million pounds of pesticides are used in agricultureits three pounds a person, she says. When we are eating a chemically grown strawberry, we get exposed to at least eight different pesticides, which produce a synergistic effect on the body, exponentially multiplying toxicity.
Evidence shows that we get exposed to many chemicals on a daily basis, which leads to deleterious effects on health, says Andrew Chernaik, MD, a hospitalist practicing in the Denver area. Exposure to additives, preservatives and pesticides over time can lead to cancer, cardiovascular disease and Alzheimers. It can also affect fetuses in pregnant women and babies through breast-feeding, leading to birth defects, as well as affect fertility.
While some are looking for harder evidence that chemicals are indeed harmful, others prefer to use a more common-sense approach to health. The American food supply contains a lot of foods that arent used in other countries. Other governments ban chemicals from foods because they havent been proven safe; in the United States, we allow them because they havent been proven dangerous, says Robyn OBrien, MBA, author of The Unhealthy Truth: How Our Food Is Making Us Sick and What We Can Do About It.According to the Cancer Society, the United States has the highest levels of cancer in the world. If you moved here from another country, like Japan, your risk of cancer increases four-fold, she adds.
A Word About Plants
The main principle in decreasing the effect of carcinogenic chemicals on health is consuming a plant-based diet, which is rich in antioxidants, says Dr. Chernaik. Animal proteins facilitate integration of carcinogens into our own DNA. Plant foods can help minimize the effect, he explains.
Traditionally, practitioners have advocated organically grown foods as a way to reduce exposure to agricultural pesticides. While the advice is still valid, now they are finding antibiotics and hormones in organic produce fertilized with the manure of commercially raised animals, says Juanee Surprise, DC, DAAPM, FAAIM, DCBCN, secretary of the Chiropractic Board of Clinical Nutrition.
For patients who dont have the luxury to eat all organic, Reilly recommends checking www.foodnews.org for a list of most pesticide-contaminated foods, compiled by the Environmental Working Group based on data from tests collected by the U.S. Department of Agriculture.
Dr. Chernaik agrees that its more important to buy some foods from organic sources than others. Organic bananas can be about 40 percent more expensive, but because of the banana peel, you dont get as much benefit as from eating organic tomatoes, potatoes, kale, apples or pears, he says.
Its also important to consume foods that support the liverthe detox center of the body, says Reilly. She recommends avocado, leafy greens and liver-loving bitter foods, such as mustard and dandelion greens, basil, cilantro, artichokes, asparagus and kale. Vitamin C is also beneficial for both reducing the oxidative stress and improving the liver function, she adds.
Avoiding Processed Products
Another major source of dietary exposure to chemicals is packaged, processed products. And although it may be hard to find the list of ingredients, especially in cosmetics, its important to read labels on products, says Dr. Surprise. If you see a long ingredient name that requires you to have a PhD in chemistry to pronounce it, or abbreviations such as MSG or BHT, put the product back on the shelf, she adds.
OBrien agrees. Buy fresh bread from the store to avoid high-fructose corn syrup and other chemicals. Our grandmothers didnt cook with jars of Yellow 5 or acids we cant pronounce.
To stay away from processed foods, Cynthia Drasler, a chemical-free-living expert, an international radio show host and a former pharmaceutical researcher, recommends shopping around the periphery of the grocery store. Shelves on the inside contain all the processed foods, she explains.
Draser also warns about genetically modified ingredients, which are not labeled as such. She explains that while genetically modified foods havent been proven dangerous, they havent been proven safe eitherand points out that a large supply of soy and corn in the United States is genetically modified.
Baby Steps
For patients who have relied on processed foods for years, it may be easier to take small steps to reducing exposure to chemicals. You dont have to grow your own organic vegetable garden to minimize your risk, says OBrien, founder of AllergyKids (www.allergykids.com), an organization designed to protect American children with autism, allergies, ADHD and asthma.
OBrien, whose book presents many simple steps for freeing the diet from chemicals, recommends:
Removing synthetic hormones from foods, such as buying RBGh-free milk.
Reducing exposure to food coloring, which is synthetically derived and petroleum-based. First switch from blue yogurt to white yogurt with sprinkles on top. Its not perfect, but does a good job.
Instead of buying pre-packaged pizza, engage kids in making mini-pizzasputting tomato sauce and cheese on top of an English muffin.
For OBrien, whose youngest daughters allergy drastically improved on a chemical-free diet, the inconvenience of changing family habits is a fair price to pay for better health. My goal is to feed my children the way mothers around the world have, she says.
References
1. Diamanti-Kandarakis E, et al. Endocrine-disrupting chemicals: an Endocrine Society scientific statement. Endocr Rev. 2009 Jun;30(4):293-342. www.endo-society.org/journals/scientificstatements/upload/edc_scientific_statement.pdf
2. Soldin OP, et al. Pediatric Acute Lymphoblastic Leukemia and Exposure to Pesticides. Ther Drug Monit. 2009 Jun 30.
3. Landau-Ossondo M, et al. Why pesticides could be a common cause of prostate and breast cancers in the French Caribbean Island, Martinique. An overview on key mechanisms of pesticide-induced cancer. Biomed Pharmacother. 2009 Jun 12.
4. Valern PF, et al. Differential effects exerted on human mammary epithelial cells by environmentally relevant organochlorine pesticides either individually or in combination. Chem Biol Interact. 2009 Aug 14;180(3):485-91. Epub 2009 May 5.
5. Fortes C, et al. Reliability of self-reported household pesticide use. Eur J Cancer Prev. 2009 May 8.
6. Fukuyama T, et al. Allergic reaction induced by dermal and/or respiratory exposure to low-dose phenoxyacetic acid, organophosphorus, and carbamate pesticides. Toxicology. 2009 Jul 10;261(3):152-61. Epub 2009 May 23.
7. Hoppin JA, et al. Pesticide use and adult-onset asthma among male farmers in the Agricultural Health Study. Eur Respir J. 2009 Jun 18.
8. Mills PK, Dodge J, Yang R. Cancer in migrant and seasonal hired farm workers. J Agromedicine. 2009;14(2):185-91.

ACA News Extra…

Categories of endocrine-disrupting chemicals

• Industrial solvents/lubricants and their byproducts: polychlorinated biphenyls (PCBs), polybrominated biphenyls (PBBs), dioxins
• Plastics: bisphenol A (BPA)
• Plasticizers: phthalates
• Pesticides: methoxychlor, chlorpyrifos, dichlorodiphenyltrichloroethane (DDT)]
• Fungicides: vinclozolin
  Pharmaceutical agents: diethylstilbestrol (DES).

ACA News Extra…

A Hands-on Approach to Nutrition
While some patients may be motivated to revise their diets with simple encouragement from their doctor, others may need more guidancewhich is not always realistic to provide in a practice setting.
To bridge the gap with his patients, Dr. Chernaik started gathering small groups of patientssix at a timefor three-to-four-hour educational sessions. While he discusses dietary choices and preferences with each patient, others watch an educational DVD, followed by a group lecture on the benefits of healthy diet. The program also includes a hands-on componenta cooking demonstration and food sampling led by Dr. Chernaiks wife, Diane, together with advice on where to buy the ingredients.
The results of the program, which advocates plant-based meal plans, exceeded Dr. Chernaiks expectations. Patients reported a better sense of well-being and between 8 and 12 pounds of weight loss a month, with no caloric restrictions, as well as improvement in irritable bowel syndrome and cholesterol levels.
In fact, the program is doing so well that Dr. Chernaik started marketing it to local primary care physicians and promoting it in local health clubs. In addition to the educational sessions, his services include developing customized meal plans. Initially, I thought it would be a large market for diabetic patients, since evidence shows success of plant-based diets to get diabetics off medication. But its patients with weight loss who seem to be most interested in it.