General fitness, health and nutrition · Public discussion

Choline Deficiency

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General fitness, health and nutrition
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31 May 2007
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  1. http://www.medicalnewstoday.com/medicalnews.php?newsid=72010

    New Study Indicates That People May Need More Dietary Choline Than
    Previously Thought

    Article Date: 30 May 2007 - 9:00 PDT

    A new study published in the May issue of the American Journal of
    Clinical Nutrition indicates that the current recommended Adequate
    Intake (AI) for choline may, in fact, be inadequate for some people.1
    Choline is an essential nutrient for normal functioning of all cells,
    including those involved with liver metabolism, brain and nerve
    function, memory, and the transportation of nutrients throughout the
    body.

    In this depletion-repletion study, 57 adult subjects (26 men, 16
    premenopausal women and 15 postmenopausal women) were fed a diet
    containing 550 mg of choline for 10 days, then fed less than 50 mg a
    day of choline for up to 42 days.

    * When deprived of the nutrient, 77 percent of men, 80 percent of
    postmenopausal women and 44 percent of premenopausal women developed
    fatty liver or muscle damage.

    * Six men (23 percent) developed these signs while consuming the
    initial 550 mg of daily choline, even though 550 mg is the current AI
    for men.

    * Nineteen percent of the subjects required as high as 825 mg of daily
    choline to prevent or reverse the organ dysfunction associated with
    the low-choline diet, an amount significantly higher than the current
    AI.

    * For all participants, blood homocysteine levels increased during
    choline depletion. Other studies have associated high homocysteine
    levels with heart disease.

    "These study results clearly indicate that some adults, notably men
    and post-menopausal women, need more choline than is recommended by
    the current AI," says study co-author Kerry-Ann da Costa, PhD, a
    research assistant professor at the University of North Carolina at
    Chapel Hill. "We hope these findings will aid the Institute of
    Medicine in refining the Dietary Reference Intake (DRI) of this
    nutrient."

    This study is the most complete study of choline requirements to date
    and is the first to include women. Its division of participants into
    two groups - one receiving dietary supplementation of folic acid and
    one not - also determined that susceptibility to choline deficiency
    was not altered by folic acid supplementation.

    Closing the Choline Gap

    Additional research on the population demonstrated that choline intake
    is far below the current AI, a concern that intakes may be too low to
    meet the needs of many individuals.

    * Research conducted at Iowa State University found that only 10
    percent or less of older children, men, women and pregnant women in
    America get the AI of choline each day.2

    * A separate study presented this month at the National Nutrient Data
    Bank Conference found that choline intake decreases with age and that
    adults ages 71 and older consume an average of about 264 milligrams
    per day - roughly half of the AI for choline.3

    Eggs, beef liver, chicken liver and wheat germ are considered
    excellent sources of choline. Two eggs contain 280 milligrams of
    choline, half the recommended daily supply.

    "Eggs are a practical food that can help people get the choline they
    need, along with several other nutrients, at just 75 calories an egg,"
    says registered dietitian Maye Musk. "Choline is actually found in the
    yolk of the egg, so people who consistently only eat egg whites may be
    missing out on a key nutrient opportunity."

    Why Choline Matters

    The importance of dietary choline has been well-established.

    * A 2004 study in the American Journal of Epidemiology linked poor
    dietary choline to adverse outcomes during pregnancy, including a four-
    fold increased risk of having a baby with a neural tube defect. 4 * A
    research review published in the Annual Reviews of Nutrition suggests
    that choline plays an important role in normal fetal development,
    particularly during the stages that involve knowledge acquirement and
    life-long memory function. 5

    ###

    For more information, on the benefits of choline for pregnant women,
    visit http://www.pregnancyfoodguide.org/ or http://www.enc-online.org/.

    About the American Egg Board (AEB)

    AEB is the U.S. egg producer's link to the consumer in communicating
    the value of 'the incredible edible egg' and is funded from a national
    legislative checkoff on all egg production from companies with greater
    than 75,000 layers in the continental United States. The board
    consists of 18 members and 18 alternates from all regions of the
    country who are appointed by the Secretary of Agriculture. The AEB
    staff carries out the programs under the board direction. AEB is
    located in Park Ridge, Ill. Visit http://www.aeb.org/ for more
    information.

    About the Egg Nutrition Center (ENC)

    ENC was established in 1979 for the purpose of providing commercial
    egg producers and processors, health promotion agencies, and consumers
    with a resource for scientifically accurate information on egg
    nutrition and the role of eggs in the health and nutrition of the
    American diet. The center exists under a cooperative agreement between
    the American Egg Board (AEB) and United Egg Producers (UEP). ENC is
    located in Washington, DC. Visit http://www.enc-online.org/ for more
    information.

    1 Fischer LM, et al. Sex and menopausal status influence human dietary
    requirements for the nutrient choline. Am J Clin Nutr 2007;
    85:1275-85.

    2 Jensen HH, et al. Choline in the diets of the US population: NHANES,
    2003-2004, Iowa State University (presented at Experimental Biology
    2007, Washington DC)

    3 Keast DR, Food sources of choline in the diets of US older adults:
    NHANES, 1999-2004." (presented at the 31st National Nutrient Databank
    Conference, Washington DC) Food sources of choline in the diets of US
    older adults: NHANES, 1999-2004.

    4Shaw GM, et al. Periconceptional dietary intake of choline and
    betaine and neural tube defects in offspring. Am J Epid 2004; 160(2):
    102-109.

    5Zeisel SH. Choline:critical role during fetal development and dietary
    requirements in adults. Annu Rev Nutr, 2006; 26:229-50.

    Contact: Egg Nutrition Media Hotline
    Edelman Public Relations

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    <<snip>>
    Lecithin may therefore be the method of choice for
    accelerating acetylcholine synthesis
    <<snip>>

    Lancet. 1977 Jul 9;2(8028):68-9. Related Articles, Links

    Lecithin consumption raises serum-free-choline levels.

    Wurtman RJ, Hirsch MJ, Growdon JH.

    Consumption of choline by rats sequentially increases serum-choline,
    brain-choline, and brain-acetylcholine concentrations. In man
    consumption of choline increases in levels in the serum and
    cerebrospinal fluid; its administration is an effective way of
    treating

    tardive dyskinesia. We found that oral lecithin is considerably more
    effective in raising human serum-choline levels than an equivalent
    quantity of choline chloride. 30 minutes after ingestion of choline
    chloride (2-3 g free base), serum-choline levels rose by 86% and
    returned to normal values within 4 hours; 1 hour after lecithin
    ingestion, these levels rose by 265% and remained significantly
    raised
    for 12 hours. Lecithin may therefore be the method of choice for
    accelerating acetylcholine synthesis by increasing the availability
    of
    choline, its precursor in the blood.

    PMID: 69151 [PubMed - indexed for MEDLINE]

    ---------------------------------------------------------------------------­­­­-----

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