General fitness, health and nutrition · Public discussion

Riboflavin / Parkinson's / diet

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General fitness, health and nutrition
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23 September 2003
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  1. Braz J Med Biol Res. 2003 Oct;36(10):1409-17. Epub 2003 Sep 16. Links

    High doses of riboflavin and the elimination of dietary red meat promote the recovery of some motor
    functions in Parkinson's disease patients.

    Coimbra CG, Junqueira VB.

    Setor de Neurologia, Hospital do Servidor P blico Municipal de S o Paulo, S o Paulo, SP, Brasil.

    Abnormal riboflavin status in the absence of a dietary deficiency was detected in 31 consecutive
    outpatients with Parkinson's disease (PD), while the classical determinants of homocysteine levels
    (B6, folic acid, and B12) were usually within normal limits. In contrast, only 3 of 10 consecutive
    outpatients with dementia without previous stroke had abnormal riboflavin status. The data for 12
    patients who did not complete 6 months of therapy or did not comply with the proposed treatment
    paradigm were excluded from analysis. Nineteen PD patients (8 males and 11 females, mean age SD =
    66.2 8.6 years; 3, 3, 2, 5, and 6 patients in Hoehn and Yahr stages I to V) received riboflavin
    orally (30 mg every 8 h) plus their usual symptomatic medications and all red meat was eliminated
    from their diet. After 1 month the riboflavin status of the patients was normalized from 106.4 34.9
    to 179.2 23 ng/ml (N = 9). Motor capacity was measured by a modification of the scoring system of
    Hoehn and Yahr, which reports motor capacity as percent. All 19 patients who completed 6 months of
    treatment showed improved motor capacity during the first three months and most reached a plateau
    while 5/19 continued to improve in the 3- to 6-month interval. Their average motor capacity
    increased from 44 to 71% after 6 months, increasing significantly every month compared with their
    own pretreatment status (P < 0.001, Wilcoxon signed rank test). Discontinuation of riboflavin for
    several days did not impair motor capacity and yellowish urine was the only side effect observed.
    The data show that the proposed treatment improves the clinical condition of PD patients.
    Riboflavin-sensitive mechanisms involved in PD may include glutathione depletion, cumulative
    mitochondrial DNA mutations, disturbed mitochondrial protein complexes, and abnormal iron
    metabolism. More studies are required to identify the mechanisms involved.

    PMID: 14502375 [PubMed - in process]

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

    Who loves ya. Tom Jesus Was A Vegetarian! jesuswasavegetarian.7h.comjesuswasavegetarian.7h.com Man Is A Herbivore!
    pages.ivillage.commanisaherbivore DEAD PEOPLE WALKING
    pages.ivillage.comdeadpeoplewalking

  2. Quoted message said:

    Subject: Riboflavin / Parkinson's / diet From: [email hidden] (doe) Date: 9/23/2003 2:27 AM
    Mountain Daylight Time Message-id: <[email hidden]>

    Braz J Med Biol Res. 2003 Oct;36(10):1409-17. Epub 2003 Sep 16. Links

    High doses of riboflavin and the elimination of dietary red meat promote the recovery of some motor
    functions in Parkinson's disease patients.

    Coimbra CG, Junqueira VB.

    Setor de Neurologia, Hospital do Servidor P blico Municipal de S o Paulo, S o Paulo, SP, Brasil.

    Abnormal riboflavin status in the absence of a dietary deficiency was detected in 31 consecutive
    outpatients with Parkinson's disease (PD), while the classical determinants of homocysteine levels
    (B6, folic acid, and B12) were usually within normal limits. In contrast, only 3 of 10 consecutive
    outpatients with dementia without previous stroke had abnormal riboflavin status. The data for 12
    patients who did not complete 6 months of therapy or did not comply with the proposed treatment
    paradigm were excluded from analysis. Nineteen PD patients (8 males and 11 females, mean age SD =
    66.2 8.6 years; 3, 3, 2, 5, and 6 patients in Hoehn and Yahr stages I to V) received riboflavin
    orally (30 mg every 8 h) plus their usual symptomatic medications and all red meat was eliminated
    from their diet. After 1 month the riboflavin status of the patients was normalized from 106.4 34.9
    to 179.2 23 ng/ml (N = 9). Motor capacity was measured by a modification of the scoring system of
    Hoehn and Yahr, which reports motor capacity as percent. All 19 patients who completed 6 months of
    treatment showed improved motor capacity during the first three months and most reached a plateau
    while 5/19 continued to improve in the 3- to 6-month interval. Their average motor capacity
    increased from 44 to 71% after 6 months, increasing significantly every month compared with their
    own pretreatment status (P < 0.001, Wilcoxon signed rank test). Discontinuation of riboflavin for
    several days did not impair motor capacity and yellowish urine was the only side effect observed.
    The data show that the proposed treatment improves the clinical condition of PD patients.
    Riboflavin-sensitive mechanisms involved in PD may include glutathione depletion, cumulative
    mitochondrial DNA mutations, disturbed mitochondrial protein complexes, and abnormal iron
    metabolism. More studies are required to identify the mechanisms involved.

    PMID: 14502375 [PubMed - in process]

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

    In case anyone didn't know .. riboflavin is an .. iron .. binder ..

    Who loves ya. Tom Jesus Was A Vegetarian! jesuswasavegetarian.7h.comjesuswasavegetarian.7h.com Man Is A Herbivore!
    pages.ivillage.commanisaherbivore DEAD PEOPLE WALKING
    pages.ivillage.comdeadpeoplewalking

  3. [email hidden] (doe) wrote in message

    Quoted message said:


    In case anyone didn't know .. riboflavin is an .. iron .. binder ..

    Doe, Thank you for the abstract. Although I didn't check your above claim, I did read the entire
    study (available free on Medline) and nowhere in the study is there any suggestion that iron is the
    cause for low riboflavin in PD patients. Participants PD patients were put on meatless diet for the
    following reason (quotes): (From the Methods section) "Because the PD patients had a higher
    consumption of red meat (beef

    relatives or neighbors of similar age recruited for controlling the dietary habits), all PD patients
    were required to eliminate all red meat from their diets."

    (And then in the discussion section) "The importance of the elimination of dietary red meat for the
    results reported here is not known. The content of vitamin B2 in meat in general is considerable
    (about 0.2 mg/100 g), and diverse cooking procedures cause only minor (7-18%) loss of this
    micronutrient (25). The daily requirement for individuals above the age of 14 years is £1.3 mg/day.
    Therefore, if the PD patients had a normal absorptive capacity for vitamin B2, their large ingestion
    of red meat (up to 700
    g/day), associated with milk, rice and beans, fruits and vegetables, should have provided a normal
    riboflavin status. In contrast, 31 consecutive PD patients had laboratory evidence for riboflavin
    deficiency (Table 2) suggesting that patients with sporadic PD belong to the subset of the general
    population (10-15%) (3) that may express a flavokinase with low affinity for vitamin B2, leading
    to a decreased absorption."

    Moreover, the authors propose a different explanation altogether in the introduction section::
    "During absorption of riboflavin, flavokinase phosphorylates the vitamin to yield flavin
    mononucleotide (FMN) that, according to the cellular requirements, is transformed into
    flavin-adenine dinucleotide (FAD) by FAD synthase (1,2). Progressive deficiency of riboflavin is
    associated with co-factor loss in a controlled manner, apparently ensuring that essential catalytic
    activity such as that related to aerobic metabolism is preserved (3,4). Low riboflavin status may
    also result from defective absorption. In spite of an adequate dietary intake of riboflavin (FAD,
    vitamin B2), 10-15% of the inhabitants of London and of Florence present low activities of two
    riboflavin-dependent enzymes - erythrocyte glutathione reductase (EGR) and
    pyridoxin(pyridoxamine)-phosphate oxidase (5). The activity of both enzymes was corrected by adding
    their respective co-factors (FAD or FMN) to a test tube assay or by administering high doses of
    riboflavin (24-30 mg per day for 5-8 weeks) to the affected individuals (6). The dependency of both
    FMN and FAD levels on riboflavin absorption (i.e., on flavokinase activity), and the normalization
    of the activities of both FMN- and FAD-dependent enzymes only at a high riboflavin intake, taken
    together, are consistent with the expression of flavokinase isoforms with low affinity for the
    substrate - riboflavin (5). Anderson et al. (5) suggested that the relatively large percent of
    persons with altered riboflavin absorption (10-15%) may reflect the situation in the world
    population rather than being a feature of a particular ethnic group. Low EGR activity may explain
    glutathione depletion with impaired antioxidant defense, the earliest neurochemical abnormality in
    Parkinson's disease (PD), already observed in the substantia nigra before the disorder becomes
    clinically evident (7). Moreover, the reduced bioavailability of FMN and/or FAD may also explain the
    impaired oxidative metabolism of PD patients (8-10)."

  4. Ericam2 said:

    for Parkinson's you need calcium.

    DUH??? Parkinson's was brought about by SOMETHING you were doing or USING that HIT your BRAIN
    STEM! Many items do same..but recently, from researching over 65 million NEW cases since
    1991...have been linked to ASPARTAME..the KILLER sugar substitute put into Soda Pop...and NOW
    appearing elsewhere such as in DANNON Yogurt products. ( fruit blends) One lousy teaspoon of ANY
    medium using this killer will KILL and ANIMAL ( cats and dogs) within minutes..SPASMS leading to
    an horrible DEATH. "Fibro-Mialgia" is another "gift" from same! (YET MONSANTO LIVES ON!!) I
    cannot for the life of me see WHY the STAT's have NOT been collected by a bunch of SMART LAWYERS
    and an horrendous CLASS ACTION SUIT FILED??! Better yet the GOV'T coming DOWN on them for
    releasing a MURDEROUS TERROR into the public Arena?? HAH..FAT CHANCE??

    I have "SLAMMED" DANNON products on the WWW. as awell as in Newspapers and E-mails. If enough
    VICTIMS start to raise a ruckus...perhaps MONSANT MAY ( not likely) STOP the MFGR of same??? It
    is one of the MANY HORRORS of the NEW AGE??

    BTW..CALCIUM is the KEY Mineral that keeps all of us alive...coupled with equal parts of
    Magnesium and Phosphorus...The entire cartilagenous system live better. (Not to mention the
    MOST important chemistry in the DNA of the body PLUS catalization of GLUCOSE, the STUFF of ALL
    Cartilagenous parts including Muscles. A "LACK" of Calcium in needed amounts also DRIVES ALL
    CANCERS!! Get the PIX??? B-0b1

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