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Gonda K, Hai T, Suzuki K, Ozaki A, Shibusa T, Takenoshita S, Maejima Y, Shimomura K. Effect of Ficus pumila L. on Improving Insulin Secretory Capacity and Resistance in Elderly Patients Aged 80 Years Old or Older Who Develop Diabetes After COVID-19 Infection. Nutrients 2025; 17:290. [PMID: 39861420 PMCID: PMC11767592 DOI: 10.3390/nu17020290] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2024] [Revised: 01/08/2025] [Accepted: 01/13/2025] [Indexed: 01/27/2025] Open
Abstract
(1) Background: It has been reported that people affected by COVID-19, an infectious disease caused by SARS-CoV-2, suffer from various diseases, after infection. One of the most serious problems is the increased risk of developing diabetes after COVID-19 infection. However, a treatment for post-COVID-19 infection diabetes has not yet been established. In this study, we investigated the effects of Ficus pumila L. extract, which has traditionally been used to reduce blood glucose levels in Okinawa, on patients who developed diabetes after COVID-19 infection. (2) Methods: In total, 128 rehabilitation patients aged 80 years old or older who developed diabetes after COVID-19 infection were included. The HOMA-β (Homeostatic model assessment of β-cell function) and HOMA-IR (Homeostatic model assessment of insulin resistance) were assessed to evaluate the glucose tolerance. (3) Results: The HOMA-β decreased and HOMA-IR increased in patients who developed after diabetes after COVID-19 infection. Subsequently, 59 patients were given Ficus pumila L. extract and their HOMA-β and HOMA-IR improved after ingestion. On the other hand, the control group of patients who did not consume Ficus pumila L. showed no improvement in both HOMA-β and HOMA-IR. (4) Conclusions: Ficus pumila L. extract, ingested by patients who developed diabetes after COVID-19 infection, stimulated insulin secretion capacity and improved insulin resistance.
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Affiliation(s)
- Kenji Gonda
- Department of Breast and Thyroid Surgery, Jyoban Hospital of Tokiwa Foundation, Iwaki City 972-8322, Fukushima, Japan;
- Department of Gastrointestinal Tract Surgery, Fukushima Medical University, 1 Hikarigaoka, Fukushima City 960-1295, Fukushima, Japan
- Department of Bioregulation and Pharmacological Medicine, Fukushima Medical University, 1 Hikarigaoka, Fukushima City 960-1295, Fukushima, Japan; (K.S.); (Y.M.); (K.S.)
| | - Takeshi Hai
- Department of Internal Medicine, Daido Central Hospital, 1-1-37 Asato, Naha City 902-0067, Okinawa, Japan;
| | - Kouichi Suzuki
- Department of Bioregulation and Pharmacological Medicine, Fukushima Medical University, 1 Hikarigaoka, Fukushima City 960-1295, Fukushima, Japan; (K.S.); (Y.M.); (K.S.)
- Department of Internal Medicine, Daido Central Hospital, 1-1-37 Asato, Naha City 902-0067, Okinawa, Japan;
| | - Akihiko Ozaki
- Department of Breast and Thyroid Surgery, Jyoban Hospital of Tokiwa Foundation, Iwaki City 972-8322, Fukushima, Japan;
- Department of Gastrointestinal Tract Surgery, Fukushima Medical University, 1 Hikarigaoka, Fukushima City 960-1295, Fukushima, Japan
| | - Takashi Shibusa
- Department of Internal Medicine, Jyoban Hospital of Tokiwa Foundation, Iwaki City 972-8322, Fukushima, Japan;
| | - Seiichi Takenoshita
- Department of Drug Research for Astatine-221 Targeted Alfa Therapy, Fukushima Medical University, 1 Hikarigaoka, Fukushima City 960-1295, Fukushima, Japan;
| | - Yuko Maejima
- Department of Bioregulation and Pharmacological Medicine, Fukushima Medical University, 1 Hikarigaoka, Fukushima City 960-1295, Fukushima, Japan; (K.S.); (Y.M.); (K.S.)
| | - Kenjyu Shimomura
- Department of Bioregulation and Pharmacological Medicine, Fukushima Medical University, 1 Hikarigaoka, Fukushima City 960-1295, Fukushima, Japan; (K.S.); (Y.M.); (K.S.)
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Kreouzi M, Theodorakis N, Constantinou C. Lessons Learned From Blue Zones, Lifestyle Medicine Pillars and Beyond: An Update on the Contributions of Behavior and Genetics to Wellbeing and Longevity. Am J Lifestyle Med 2024; 18:750-765. [PMID: 39507913 PMCID: PMC11536469 DOI: 10.1177/15598276221118494] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2024] Open
Abstract
Blue Zones are regions of the world that have a higher number of individuals who live longer than the expected average. The current paper revisits principles previously identified to be common in Blue Zones and to be contributing to longevity (move naturally, eat wisely, improve resilience to stress, get adequate sleep, keep strong family ties, stimulate strong community support, respect for the planet and having a purpose in life'), compares these to the 6 pillars of Lifestyle Medicine (healthy eating, exercising, avoidance of smoking and other risky substances, stress management, restorative sleep, and forming and maintaining relationships) and reviews new studies investigating the association between behavioral factors and longevity. In addition to the role of behavior, the review also discusses the important role of genetics and emphasizes the importance of conducting further research to understand how behavioral and genetic factors may affect molecular pathways with consequent effects on wellbeing and longevity.
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Affiliation(s)
- Magdalini Kreouzi
- Department of Basic and Clinical Sciences, University of Nicosia Medical School, Nicosia, Cyprus (MK, CC); Department of Internal Medicine, Limassol General Hospital, Limassol, Cyprus (NT)
| | - Nikolaos Theodorakis
- Department of Basic and Clinical Sciences, University of Nicosia Medical School, Nicosia, Cyprus (MK, CC); Department of Internal Medicine, Limassol General Hospital, Limassol, Cyprus (NT)
| | - Constantina Constantinou
- Department of Basic and Clinical Sciences, University of Nicosia Medical School, Nicosia, Cyprus (MK, CC); Department of Internal Medicine, Limassol General Hospital, Limassol, Cyprus (NT)
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Gonda K, Kanazawa H, Maeda G, Matayoshi C, Hirose N, Katsumoto Y, Kono K, Takenoshita S. Ingestion of Okinawa Island Vegetables Increases IgA Levels and Prevents the Spread of Influenza RNA Viruses. Nutrients 2021; 13:nu13061773. [PMID: 34067427 PMCID: PMC8224673 DOI: 10.3390/nu13061773] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2021] [Revised: 05/17/2021] [Accepted: 05/17/2021] [Indexed: 12/12/2022] Open
Abstract
Background: It has been hypothesized that flavonoid ingestion stimulates immunity, promotes health, and prevents human illness. The aim of this analysis was to evaluate the association of the levels of immunoglobulin A (IgA) with the prevention of influenza infections and with the polyphenols contained in Okinawan vegetables. Methods: IgA, immunoglobulin G (IgG), immunoglobulin M (IgM), and soluble interleukin-2 receptor (sIL-2R) levels were measured in 44 outpatients who regularly ingested vegetables grown on Okinawa Island (200–300 g/day for ≥ 300 days/year) with no history of influenza infection and in 73 patients who ingested the vegetables irregularly or not at all with a history of influenza infection. Results: The patients who regularly ate Okinawan vegetables had higher IgA, IgG, and IgM levels than those who did not. On the other hand, patients who did not consume Okinawan vegetables and had influenza had lower IgA, IgG, and IgM levels. In addition, the IgA and IgG levels showed significant positive correlations with the sIL-2R levels in both groups. Conclusions: It may be beneficial to eat vegetables abundant in polyphenols every day. Secretory IgA antibodies are an important part of the immune defense against viral diseases. People who ingest Okinawan vegetables have high IgA levels and might be more likely to develop immunity against influenza RNA viruses.
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Affiliation(s)
- Kenji Gonda
- Department of Medicine, Daido Central Hospital, 1-1-37, Asato, Nah City 902-0067, Okinawa, Japan; (H.K.); (C.M.)
- Department of Gastrointestinal Tract Surgery, Fukushima Medical University, 1, Hikarigaoka, Fukushima City 960-1295, Fukushima, Japan;
- Fukushima Medical University, 1, Hikarigaoka, Fukushima City, Fukushima 960-1295, Japan;
- Correspondence: ; Tel.: +81-98-869-0005
| | - Hideto Kanazawa
- Department of Medicine, Daido Central Hospital, 1-1-37, Asato, Nah City 902-0067, Okinawa, Japan; (H.K.); (C.M.)
| | - Goki Maeda
- Department of Regional Agricultural System Section, Okinawa Prefectural Agricultural Research Center, 820, Makabe, Itoman City 901-0336, Okinawa, Japan;
| | - Chisa Matayoshi
- Department of Medicine, Daido Central Hospital, 1-1-37, Asato, Nah City 902-0067, Okinawa, Japan; (H.K.); (C.M.)
| | - Naoto Hirose
- Department of Research and Development section, Okinawa Industrial Technology Center, 12-2, Suzaki, Uruma City 904-2234, Okinawa, Japan;
| | - Yukiteru Katsumoto
- Department of Faculty of Science, Fukuoka University, 8-19-1, Nanakuma, Jonan City 814-0180, Fukuoka, Japan;
| | - Koji Kono
- Department of Gastrointestinal Tract Surgery, Fukushima Medical University, 1, Hikarigaoka, Fukushima City 960-1295, Fukushima, Japan;
| | - Seiichi Takenoshita
- Fukushima Medical University, 1, Hikarigaoka, Fukushima City, Fukushima 960-1295, Japan;
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Suzuki K, Gonda K, Kishimoto Y, Katsumoto Y, Takenoshita S. Potential curing and beneficial effects of Ooitabi (Ficus pumila L.) on hypertension and dyslipidaemia in Okinawa. J Hum Nutr Diet 2021; 34:395-401. [PMID: 32845065 PMCID: PMC8048928 DOI: 10.1111/jhn.12806] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2020] [Revised: 07/14/2020] [Accepted: 07/17/2020] [Indexed: 11/29/2022]
Abstract
BACKGROUND Over 30% of the population of Okinawa Prefecture have a high body mass index. The incidence of hypertension and dyslipidaemia has also increased in recent years. We found that Ooitabi (Ficus pumila L.), a plant native to Okinawa, was useful for hypertension. During ancient times, the extracts of Ooitabi leaves were used for making Ishimaki tea in some areas of Okinawa Prefecture. The plants in Okinawa are rich in antioxidants, and four flavonoid glycosides, including rutin, have been identified in Ooitabi. METHODS In the present study, we conducted clinical verification tests on the effects of drinking Ishimaki tea on outpatients with hypertension and dyslipidaemia. Of 3814 Japanese patients who underwent medical check-ups in Okinawa, 38 individuals with high blood pressure, dyslipidaemia, liver dysfunction and gout visited our hospital as outpatients and were asked to drink Ishimaki tea. RESULTS After 3 months, there were significant reductions in body mass index, systolic and diastolic blood pressure, total cholesterol, low-density lipoprotein cholesterol, γ-glutamyltrans peptidase, uric acid and ratio of blood vessel insulin resistance. CONCLUSIONS Ooitabi extract can lower blood pressure and improve lipid abnormalities and has likely contributed to the well-known health and longevity of the population in Okinawa.
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Affiliation(s)
- K. Suzuki
- Daido Obesity and Metabolism Research CenterNahaJapan
- Daido Central HospitalNahaJapan
| | - K. Gonda
- Daido Obesity and Metabolism Research CenterNahaJapan
- Daido Central HospitalNahaJapan
- Department of Bioregulation and Pharmacological MedicineFukushima Medical UniversityFukushimaJapan
| | - Y. Kishimoto
- Executive Office of the GovernorOkinawa Prefectural GovernmentNahaJapan
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Gonda K, Suzuki K, Sunabe Y, Kono K, Takenoshita S. Ficus pumila L. improves the prognosis of patients infected with HTLV-1, an RNA virus. Nutr J 2021; 20:16. [PMID: 33573641 PMCID: PMC7877332 DOI: 10.1186/s12937-021-00672-x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2021] [Accepted: 02/07/2021] [Indexed: 12/14/2022] Open
Abstract
Human T-cell leukemia virus type 1 was isolated as the retrovirus to be identified in humans. Here, we focused on Ficus pumila L. as a factor that be effective against human T-cell leukemia virus type 1. The significant and novel findings is that symptoms of patients with drinking Ficus pumila L. extracts did not worsen despite a lack of aggressive pharmacotherapy against adult T-cell leukemia, a human T-cell leukemia virus type 1-associated myelopathy, or T-cell leukemia virus type 1 uveitis. Twenty-eight of the 194 inpatients who underwent showed high levels of human T-cell leukemia virus type 1. Among human T-cell leukemia virus type 1-infected patients, those who were administered Ficus pumila L. extracts had no human T-cell leukemia virus type 1-related symptoms, while those who were not administered Ficus pumila L. extracts had human T-cell leukemia virus type 1-related diseases and a significantly poorer prognosis. This suggests that the Ficus pumila L. extracts may show some utility against virus infection.
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Affiliation(s)
- Kenji Gonda
- Daido Central Hospital, 1-1-37 Asato, Naha, Okinawa, 902-0067, Japan. .,Fukushima Medical University, 1 Hikarigaoka, Fukushima, 960-1295, Japan.
| | - Koichi Suzuki
- Daido Central Hospital, 1-1-37 Asato, Naha, Okinawa, 902-0067, Japan.,Fukushima Medical University, 1 Hikarigaoka, Fukushima, 960-1295, Japan
| | - Yumi Sunabe
- Fukushima Medical University, 1 Hikarigaoka, Fukushima, 960-1295, Japan
| | - Koji Kono
- Fukushima Medical University, 1 Hikarigaoka, Fukushima, 960-1295, Japan
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