Tag Archives: British Association for Nutrition and Lifestyle Medicine

BANT recommends ‘extraordinary measure’ of Vitamin C and Vitamin D supplementation

BANT recommends ‘extraordinary measure’ of Vitamin C and Vitamin D supplementation for all adults as part of a wider prevention strategy for COVID-19.

With the apparent second wave of COVID-19 worsening, BANT recommends all adults supplement 1000mg of Vitamin C and a minimum of 600-800 IU/d vitamin D3 daily, increasing to a higher therapeutic dose of 5000 IU/d should symptoms develop (1). An adequate intake of Vitamins C and D is vital for immune resilience. Food sources of both are imperative for maintenance but unlikely to provide adequate quantities in case of infection. Supplementation of both nutrients at the given levels is safe, effective, and an inexpensive way to encourage individuals to take preventative measures to support their immune system. Vitamin D insufficiency is especially common in northern hemisphere countries where limited exposure to sunlight reduces our ability to naturally synthesise it through skin. For this reason, Public Health England recommend 10 micrograms of Vitamin D daily throughout the winter months.

Vitamin D is a potent immune modifying micronutrient and deficiency has been shown to correspond to a greater risk of respiratory tract infections, and acute respiratory distress in SARS-CoV-2 infections (1). A recent large meta-analysis (looking at 10,933 people in 25 trials), showed that vitamin D supplementation reduced the risk of cold and flu patients developing acute respiratory infections (ARIs) from 60% to 32% (2). Similarly, hospital data on early intervention with Vitamin D supplementation in SARS-CoV-2 infections reduced severity of the infection and lowered ICU admissions (3). The most abundant food sources of Vitamin D are oily fish, mushrooms and egg yolks. Three foods which are often absent in the nation’s regular dietary intake, and which alone cannot provide adequate levels, reinforcing the possible need for supplementation. In some individuals, testing and supplementation via their general practitioner may be best advised.

Evidence on Vitamin C is equally compelling. A potent antioxidant, Vitamin C plays an immuno-protective role to protect against oxidative damage to the cells, helping moderate inflammatory cytokines and reduce both the severity and longevity of infection (4). Whilst Vitamin C is readily available in foods such as citrus fruits and leafy greens, low storage capacity means a regular intake of it is necessary for adequate plasma levels.

BANT urges the government to make clear recommendations as part of a wider prevention strategy for COVID-19 to empower individuals to make informed decisions about their food choices and need for additional supplementation.

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https://www.politicshome.com/members/article/bant-recommends-extraordinary-vitamin-c-and-vitamin-d-supplementation-for-all-adults-as-part-of-a-wider-prevention-strategy-for-covid19

Excluding nutrition from mainstream healthcare has contributed to the catastrophic impact of SARS-CoV-2.

 

For too long nutrition has been dismissed by mainstream healthcare, despite clear evidence that diet and lifestyle choices either contribute to health or increased risk factors for chronic disease. The rising obesity epidemic is proof alone that a more decisive tactic is needed to combat the discord between public health and personalised lifestyle medicine, of which nutrition plays an integral part. As we enter the next wave of COVID-19 restrictions, is it now the time to consider the role nutrition can play in preventative healthcare?

“Long-term failure to provide adequate nutritional guidance to the public and a reliance on generic advice from Public Health England to pick up the shortfall, has undoubtedly contributed to the catastrophic impact of SARS-CoV-2”

notes BANT CEO Satu Jackson. BANT Nutrition Practitioners offer personalised nutritional guidance to individuals and rigorously recommend testing for nutrient deficiencies as part of a preventative strategy for chronic disease. The results of the government’s one-size-fits-all approach to healthcare is evident with obesity levels and metabolic dysregulation continuing to rise exponentially (1) and worsening health of the public now contributing to COVID-19 outcomes.

The emergence of data pointing to nutritional deficiencies in SARS-CoV-2 patients (2) highlights the need for a more unified approach. BANT recommends Vitamin C and D supplementation be considered as part of a preventative strategy for COVID-19 (2) where food sources are unable to adequately support the individual. BANT calls on the government to consider the nutritional status of the public as part of the current pandemic, and to engage with BANT to work towards building a more inclusive and effective healthcare model.

 

  • https://www.gov.uk/government/statistics/statistics-on-obesity-physical-activity-and-diet-england-2020-ns
  • Serum levels of vitamin C and vitamin D in a cohort of critically ill COVID-19 patients of a north American community hospital intensive care unit in may 2020. A pilot study https://pubmed.ncbi.nlm.nih.gov/32964205/
  • Evidence that Vitamin D Supplementation Could Reduce Risk of Influenza and COVID-19 Infections and Deaths, 2020, https://www.mdpi.com/2072-6643/12/4/988

 

Visit our Politics Home portal for the latest press releases from BANT.

https://www.politicshome.com/members/article/excluding-nutrition-from-mainstream-healthcare-has-contributed-to-the-catastrophic-impact-of-sarscov2

Compelling Evidence on Vitamin D status & severity of COVID-19 symptoms

Compelling Evidence on Vitamin D status and severity of COVID-19 symptoms prompt MP David Davis to speak out

 

“A cheap way of tackling COVID-19 is being ignored”

warns British MP and former cabinet minister David Davis in the face of mounting evidence that Vitamin D status reduces COVID-19 severity. BANT agrees that in the absence of an effective anti-viral therapy for COVID-19, a Vitamin D supplement regime should be extended to the general population, as a preventive measure to help mitigate the grave public health risks associated with COVID-19 infection.

Vitamin D insufficiency is common in northern countries throughout the winter months, with limited daylight hours and sun exposure. Whilst BANT recommends firstly sourcing nutrients through food, there are few natural foods containing adequate Vitamin D. This has been greatly aided by an increase in fortified foods, particularly in the dairy and cereal categories, however, they do not necessarily provide adequate therapeutic doses to support the immune system against infection. The evidence on the immune modulating effects of Vitamin D is nothing new. BANT Nutrition Practitioners often include Vitamin D testing, and where appropriate, supplementation in clinical practice. Public Health England recommend a daily supplement containing 10 micrograms Vitamin D during autumn and winter months (1).  Supplementation should be considered as part of a wider therapeutic protocol to optimise immune resilience and lower the risk factors associated with poor Vitamin D status in individuals.

Whilst Vitamin D is not a silver bullet, BANT warns that ignoring Vitamin D status is risking the outcomes of those most susceptible to COVID-19 infection. Optimising Vitamin D status can only be beneficial, especially to people who fall into this at-risk group. To this end, BANT urges the government to take decisive action and issue clearer guidance to the public.

 

 

Visit our Politics Home portal for the latest press releases from BANT.

Compelling Evidence on Vitamin D status and severity of Covid-19 symptoms prompts MP David Davis to speak out

 

 

Nutrition Evidence Alert – September 2020

As the mornings get cooler and the news is full of predictions of a second wave of Coronavirus, many Nutrition Practitioners are wondering what role the nutrition profession will play in supporting recovery from this health crisis. Nutrition Evidence is here to bring you the latest science available to inform your clinical decisions in this area, so you can feel confident in your practice.

It is now clear that those with certain co-morbidities are more susceptible to serious complications from infection with Covid-19.  Many of the conditions identified fall under the umbrella of Metabolic Syndrome.

This month, we begin a series of alerts focusing on Metabolic Syndrome.  Over the next few months, we will be bringing the latest scientific research to your inbox on the different biochemical processes that have gone wrong and lead to metabolic disorder. To begin your dive into this vast subject, check out this short list of recent systematic reviews, before diving through the 26 randomised controlled trials released within the last 10 years.

Happy exploring.

 

Newly Indexed Articles for September 2020

The following articles are featured as “recommended reading” this month:

New Insights about How to Make an Intervention in Children and Adolescents with Metabolic Syndrome: Diet, Exercise vs. Changes in Body Composition. A Systematic Review of RCT. in Nutrients, 2018

Paleolithic nutrition for metabolic syndrome: systematic review and meta-analysis. in The American journal of clinical nutrition, 2015

The Effect of a Multidisciplinary Lifestyle Intervention on Obesity Status, Body Composition, Physical Fitness, and Cardiometabolic Risk Markers in Children and Adolescents with Obesity. in Nutrients, 2019

Effect of a Nutritional and Behavioral Intervention on Energy-Reduced Mediterranean Diet Adherence Among Patients With Metabolic Syndrome: Interim Analysis of the PREDIMED-Plus Randomized Clinical Trial. in JAMA, 2019

Effect of Vitamin D Supplementation on Obesity-Induced Insulin Resistance: A Double-Blind, Randomized, Placebo-Controlled Trial. in Obesity (Silver Spring, Md.), 2018

Comparison of low calorie high protein and low calorie standard protein diet on waist circumference of adults with visceral obesity and weight cycling. in BMC research notes, 2018

Non-Nutritive Sweeteners and Their Implications on the Development of Metabolic Syndrome. in Nutrients, 2019

The Fluid Aspect of the Mediterranean Diet in the Prevention and Management of Cardiovascular Disease and Diabetes: The Role of Polyphenol Content in Moderate Consumption of Wine and Olive Oil. in Nutrients, 2019