Latest / Hardiness with Dr Paul Taylor / An eggcellent dietary habit to keep your brain healthy and help prevent Alzheimer's Disease
Transcript
- 0:05Speaker 1: Hey, everyone, welcome to another edition of Wisdom Wednesdays. Today,
- 0:09Speaker 1: I want to talk about a simple dietary habit that
- 0:13Speaker 1: could very significantly reduce your risk of dementia and Alzheimer's
- 0:19Speaker 1: disease and also maintain your cognitive function as you get older.
- 0:26Speaker 2: And it's all about eggs.
- 0:28Speaker 1: So eggs have been traditionally pretty well maligned from nutrition.
- 0:34Speaker 1: We were told ten or fifteen years ago that we
- 0:36Speaker 1: shouldn't eat eggs because they were high in cholesterol, and
- 0:40Speaker 1: that scarred a lot of people off for many, many years.
- 0:43Speaker 1: And we know that that is actually bullshit because the
- 0:47Speaker 1: cholesterol that you eat has a very very minimal impact
- 0:52Speaker 1: on your actual blood cholesterol, and many people would actually
- 0:56Speaker 1: question cholesterol as a marker of any thing. But putting
- 1:01Speaker 1: that aside, I want to talk about a number of
- 1:05Speaker 1: different studies that basically point towards the idea of higher
- 1:11Speaker 1: egg consumption, particularly if you value your brain. So the
- 1:14Speaker 1: first study that I wanted to talk about is something
- 1:17Speaker 1: called the Adventist Health Study too. So this was looking
- 1:21Speaker 1: at forty thousand adults. They were seven day adventists, and
- 1:25Speaker 1: they followed these guys for fifteen years, and what they
- 1:29Speaker 1: find is that those who had a higher egg intake
- 1:33Speaker 1: had a twenty seven percent lower incidence of Alzheimer's disease. Now,
- 1:39Speaker 1: some people have kind of criticized that study a little
- 1:42Speaker 1: bit because they are a very healthy group and you
- 1:47Speaker 1: have what's called the healthy user bias. But they were
- 1:51Speaker 1: measuring people against each other within the same group, and
- 1:54Speaker 1: they find that the reference range in this study was
- 1:58Speaker 1: people who rarely eggs or had less than two a week,
- 2:02Speaker 1: so they were the best line, and they compared the
- 2:04Speaker 1: other groups to those. So they find that those who
- 2:08Speaker 1: had two to four eggs a week, which they classified
- 2:11Speaker 1: as moderate intake, they had a twenty percent reduction in
- 2:14Speaker 1: Alzheimer's disease, and those who had five plus eggs a week,
- 2:19Speaker 1: and they had a twenty seven percent reduction. So this
- 2:23Speaker 1: is what we say, what we call a dose response,
- 2:26Speaker 1: and this is one of the things that actually strengthens
- 2:31Speaker 1: the evidence when you're looking at observational studies. Is there
- 2:36Speaker 1: this dose response I EAD, if you do more of something,
- 2:39Speaker 1: then the signal gas to get stronger.
- 2:42Speaker 2: And that is exactly what they find in this study.
- 2:46Speaker 1: And there is a mechanism, a very plausible understanding mechanism
- 2:50Speaker 1: which again is another one of the processes that we go, Okay,
- 2:54Speaker 1: it's an observational study, but.
- 2:56Speaker 2: Now there's greater evidence. Is there a dose response?
- 2:59Speaker 1: Is there a pla lausible biological mechanism, And the plausible
- 3:03Speaker 1: mechanism is all about acetyl coline. So acetyl coline is
- 3:07Speaker 1: a neurotransmitter and memory runs on acetyl coline. Alzheimer's it
- 3:12Speaker 1: turns out, destroys the neurons that actually make it, now colin,
- 3:17Speaker 1: which is found in eggs. In fact, it is eggs
- 3:20Speaker 1: are the highest source of coline in any food, and
- 3:24Speaker 1: coaline is known to cross the bloodbing barrier and it's
- 3:28Speaker 1: then converted to acetyl coline, the neurotransmitter inside these cholinergic neurons.
- 3:35Speaker 1: And these neurons are the ones that protect the basal
- 3:39Speaker 1: four bran to the cortex and the hippocampus and form
- 3:43Speaker 1: the brain's memory and attention infrastructure. And it has been
- 3:48Speaker 1: shown that seventy five percent of these cholinergic neurons actually
- 3:53Speaker 1: die in Alzheimer's disease, and their projections to the cortex
- 3:58Speaker 1: and the hippocampus are the first the collapse before the
- 4:01Speaker 1: plaque pathology becomes severe. So it's upstream of those plaques
- 4:07Speaker 1: that are associated with Alzheimer's disease. And then the next
- 4:10Speaker 1: study I wanted to talk about was actually published in
- 4:14Speaker 1: twenty fourteen, and this actually followed a bunch of people
- 4:19Speaker 1: for a number of years and some of them ended
- 4:22Speaker 1: up with Alzheimer's disease. But what they were able to
- 4:25Speaker 1: show was that by tracking levels of phospho lipids in
- 4:31Speaker 1: their actual brand, they find that phosphittal coalings started to
- 4:36Speaker 1: drop off in the group that developed Alzheimer's disease about
- 4:41Speaker 1: three years before the diagnosis, whereas the healthy controls they
- 4:46Speaker 1: maintained the consistent level of phosphittal coalings in their briants.
- 4:51Speaker 1: And so it was this drop off that actually drove
- 4:55Speaker 1: or precipitated the diagnosis a few years later. And then
- 5:01Speaker 1: if we then broadened the lens a little bit to
- 5:04Speaker 1: look at other cohort studies, there are five different cohort
- 5:09Speaker 1: studies that pretty much found the same thing. So the
- 5:13Speaker 1: first study was the Adventist Health study that I talked
- 5:16Speaker 1: about right at the start, where they followed forty thousand
- 5:19Speaker 1: people over fifteen years, and they found that those who
- 5:23Speaker 1: had five plus eggs a week had a twenty seven
- 5:25Speaker 1: percent reduction in Alzheimer's incidents versus those who who didn't
- 5:29Speaker 1: need eggs or at them very rarely. And then another
- 5:32Speaker 1: finish study that was published in twenty nineteen. They had
- 5:36Speaker 1: two and a half thousand participants and they followed these
- 5:38Speaker 1: guys for twenty two years and they looked at levels
- 5:42Speaker 1: of phosphoryl coaling and they found that those in the
- 5:45Speaker 1: highest twenty five percent had a twenty eight percent reduction
- 5:50Speaker 1: in dementia incidents versus those in the lowest quartile. Then
- 5:54Speaker 1: the Framingham Offspring studies you may have heard the Framingham
- 5:57Speaker 1: Study in the United States has a huge study that's
- 6:01Speaker 1: been ongoing, and then they followed the kids their offspring.
- 6:05Speaker 1: This study was published in the American Journal of Clinical
- 6:08Speaker 1: Nutrition in twenty twenty two. There was over three thousand
- 6:11Speaker 1: participants followed for sixteen years, and they find that those
- 6:15Speaker 1: who had low total coaling intake less than two hundred
- 6:19Speaker 1: and twenty milligrams per day, they had a significant increased
- 6:24Speaker 1: risk of developing Alzheimer's or other forms of dementia. Then
- 6:29Speaker 1: another cohort study in the United States published in the
- 6:33Speaker 1: Journal of Nutrition in twenty twenty four. They're over one
- 6:36Speaker 1: thousand people followed for almost seven years, and they find
- 6:40Speaker 1: that having more than one egg a week versus those
- 6:43Speaker 1: who had less than one egg a week was a
- 6:46Speaker 1: forty seven.
- 6:47Speaker 2: Percent reduction in Alzheimer's dementia.
- 6:50Speaker 1: And then one of the UK biobank studies you've heard
- 6:53Speaker 1: me talk about this before, there's a huge amount of
- 6:55Speaker 1: people that have been studied for many, many years. In
- 6:58Speaker 1: this sub cohort the published in the American Journal of
- 7:01Speaker 1: Clinical Nutrition twenty twenty five, they had one hundred and
- 7:05Speaker 1: twenty five thousand people followed for nearly twelve years, and
- 7:09Speaker 1: they find that having moderate intakes of coling about three
- 7:13Speaker 1: hundred and thirty milligrams a day, and they had a
- 7:16Speaker 1: twenty percent lower dementia incident than those who were in
- 7:21Speaker 1: the second are sorry in the lowest quartile.
- 7:25Speaker 2: So taken together, all.
- 7:28Speaker 1: Of those different studies showing the exact same thing and
- 7:32Speaker 1: having that plausible biological mechanism really starts to present this
- 7:40Speaker 1: as strong evidence. And it turns out that egg eaters
- 7:44Speaker 1: hit the coaling target they recommended intake for coling at
- 7:50Speaker 1: twenty four times the rate of non egg eaters, right,
- 7:54Speaker 1: so fifty seven percent of egg consumers meet the adequate
- 7:58Speaker 1: intake of coling on a daly and only two and
- 8:01Speaker 1: a half percent of non egg consumers do. So this
- 8:06Speaker 1: isn't subtle. This is very very significant.
- 8:09Speaker 2: So what does this mean for us?
- 8:12Speaker 1: Three eggs a day if you're a woman actually hits
- 8:15Speaker 1: that intake just on its own, just from eating three
- 8:18Speaker 1: eggs a day, if you're a man eating four eggs
- 8:21Speaker 1: a day and gives you that intake, and there is
- 8:25Speaker 1: no other food that practically comes anywhere close to eggs
- 8:31Speaker 1: in terms of cooling an intake.
- 8:33Speaker 2: So this for me is pretty strong signal.
- 8:38Speaker 1: There is consistent reports across all different observational studies. There's
- 8:44Speaker 1: a very strong plausible biological mechanism, and a load the
- 8:50Speaker 1: proof isn't causal for me, it's certainly enough to get
- 8:56Speaker 1: eggs down your neck on a regular basis.
- 8:59Speaker 2: That's it this week, folks, Catch you next time.