Sunday, September 6, 2009

Culture in a Pill

How to live. How to get the most out of life. Somehow we have become convinced that the treasure chest of life's enjoyment is unlocked by the key to perfect health. Perfect health is something that we measure in numbers, for no other reason than because we have found no better measurement and it fits into the protocol of modern science.

We can't really rely on asking people how they feel, because how one feels is not objective, so we instead measure weight, height, bone density, blood pressure, muscle mass, tooth color, hair texture, oxygen consumption. If you fit into the ideal, that you have achieved success and therefore qualify for the gift of happiness. Of course, there is always room for improvement, so if for some reason you have achieved the right measurements and are still un-fulfilled, you might want to try getting your teeth a few shades lighter.

The concept of the "French Paradox" illustrates what happens when one culture tries to describe what is happening within another from outside of the cultural context. What is the French paradox? As Americans who struggle to tailor our diets to fit within the recommended pyramid structure (in order to stay healthy) we are baffled by the French with their diet of fine cheeses, white bread, rich sauces, and wine. The French seem to have lower incidence of chronic disease and trimmer waistlines, and yet they eat from the top of the pyramid! How can that be, we cry out!!

Nutrition sciences, do to lack of funding, rely on technology from pharmaceutical companies when analyzing food. As a result, we place a lot of significance on what is in food, and less significance on how the food is eaten. American scientists rush to find the key to life hidden within the French diet rather that observing the differences in how the two different cultures approach the dinner table (or the drive through dinner drop-off).

A team of young scientists in white lab coats are unleashed on France. They take out the measuring tape and calculate BMI, and abdominal fat. They measure blood pressure, insulin resistance and cardiovascular disease. Yes indeed, the French seem to meet the requirements for optimal health and therefore the gift of happiness. The American scientists sit back and scratch their heads. There must be something in their food that we don't know about.

In 2006 a team of scientists at Harvard medical school purified a polyphenolic compound found in red wine which originates in grape skins called resveratrol and fed it to mice, along with a high fat diet. (reference: Vol 444| 16 November 2006| doi:10.1038/nature05354) The results were amazing. The mice, while they had no less propensity toward obesity, maintained youthful liver profiles. They lived much longer lifespans than their non-resveratrol consuming controls. They had improved insulin sensitivity and cholesterol, and decreased organ pathology.

Current regulations in the United States do not require FDA regulation of supplements. Anyone can place a supplement on the market, and until somebody reports getting hurt, people are free to experiment on themselves at will. Resveratrol, though it is a promising longevity pill in certain animals, has not been tested much in humans yet. The team of scientists from Harvard launched a product line of resveratrol and could probably all now retire!

One recent human study reported that resveratrol is metabolized quickly and is not highly bioavailable in humans from supplements. The study found reveratrol to be safe in the short term at doses of up to 150 mg 6 times per day, however. (Mol. Nutr. Food Res. 2009, 53, S7 –S15). (The S in front of the reference means that this article was published in a supplement journal and did not have to be scientifically peer reviewed, so take it with a grain of salt!)

If you are looking for the key to health as measured by western science, you can play lab rat with yourself in the supplement aisle of your local co-op or by clicking on the ads which have no doubt found their way to this page by my mention of the word "resveratrol". Of course you could also try the pursuit of a perfect moment and enjoy a fine cheese, some fresh baked bread, and some grapes with a loved one, at a leisurely pace, under the umbrella of a late summer sky.

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