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ENERGY NEEDS OF THE BODY: BASAL METABOLISM
The body uses glycogen, simple sugars, fatty acids, glycerol, and amino acids to supply energy. The breakdown of these substances requires numerous steps and ‘is exceedingly complex. The rate of breakdown depends upon the total daily energy requirement: the basal metabolism, the amount of voluntary activity, the influence of food, and the needs for growth.
Basal metabolism, sometimes called the “cost of living,” accounts for more than half of the energy requirements of most people. It includes the involuntary activities of the body (activities over which we have no control) while resting but awake. The breathing, the beating of the heart, the circulation of the blood, the metabolic activities within the cells, the keeping of muscles in good tone, and the maintenance of the body temperature require energy.
For measuring the basal metabolism the following conditions are observed: (1) the individual is awake but lying quietly in a comfortable room; (2) he is in the post-absorptive state; that is, he has had no food for 12 to 16 hours; (3) his body temperature is normal; and (4) he is not tense or emotionally upset.
For his basal metabolism the adult requires about one kilocalorie per kilogram per hour. Thus, a woman weighing 55 kg (121 lb) would have a basal metabolism of approximately 1320 kcal (1 x 55 x 24). A man weighing 70 kg (154 lb) would have a basal metabolism of 1680 kcal (1 x 70 x 24).
Several factors affect the rate of basal metabolism. The first of these is body size. The larger a person is the greater is the amount of lean muscle tissue and the greater is the skin surface area. Thus a tall, well-built man has a greater skin surface and will have a higher basal metabolism than a short, fat man of the same weight.
The amount of muscle tissue has an effect on the basal metabolism. An athlete with firm muscles has a higher rate than a non-athlete with poorly developed, flabby muscles. Usually men have a higher rate than women, because men, as a rule, have more muscle tissue, and women have more deposits of fat.
Rapid growth increases the basal metabolism greatly. Infants in proportion to body size have a very high rate of metabolism. The metabolism is also high during the rapid growth period of adolescence and the last trimester of pregnancy when the fetus is greatly increasing in size.
After the age of 25 years the metabolism declines about 2 per cent for each ten years. Thus, at 65 years the basal metabolism would be about 92 per cent of the metabolism of a young adult. Many men and women become overweight during middle age because they fail to reduce their caloric intake as their metabolism goes down.
The thyroid gland produces thyroxine, an iodine-containing hormone that regulates the rate of energy metabolism. If too much thyroxine is produced, the metabolism will increase; if too little thyroid hormone is manufactured, the metabolism will be correspondingly lower. The level of protein-bound iodine (PBI) in the blood is now widely used by physicians in place of the basal metabolism test to determine the activity of the thyroid.
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ALLERGY EFFECTS ON THE BODY: THE PANCREAS
The pancreas is along, narrow gland which stretches from the spleen to about the middle of the duodenum. It has three main functions. Firstly, to provide digestive juices for everything that goes through the duodenum. These digestive juices contain pancreatic enzymes in an alkaline solution to provide the right conditions for the digestive process to be completed in the small intestine. Secondly, the pancreas produces insulin, the hormone which controls blood sugar by the metabolism of sugar and other carbohydrates. Thirdly, it produces sodium bicarbonate to neutralise acids coming from the stomach and so provide the right environment for the pancreatic enzymes to be effective.
Anti-Allergic/Asthma
Parkinson And AlzheimerClinical ecologists have discovered that production of insulin by the pancreas is directly related, not only to the intake of carbohydrates, but also to the ingestion of all types of food. They have also noticed that insulin production is altered by allergenic foods. Accordingly, this abnormal insulin reaction can be used to identify the offending allergen, by giving a person a standard dose of the suspected food, or chemical, and observing his blood sugar level after a measured time.
The pancreas therefore is an important organ in the mediation of both addiction and allergy. Very often it is the first organ in the body to be significantly affected by any allergen.
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EVENING PRIMROSE OIL AND SCHIZOPHRENIA
Evening primrose oil has a significant effect on certain aspects of schizophrenia, particularly on the ‘flat’ emotions and social withdrawal common in schizophrenics. It also improves overall psychiatric status and memory, as well as helping reduce the abnormal, involuntary movements (tardive dyskinesia) in schizophrenic patients who are on neuroleptic drugs.
Schizophrenics have abnormalities in essential fatty acids. They are low in the 1 series prostaglandins, and high in the 2 series prostaglandins. No one knows exactly what causes these abnormalities but they seem to be related partly to abnormalities in the essential fatty acid precursors of prostaglandins. In schizophrenics, the levels of linoleic acid, dihomo-gammalinolenic acid (DGLA) and arachidonic acid in red blood cell membranes are below normal.
There also seems to be an abnormality in both the delta-6 and the delta-5-desaturase enzyme, which would inhibit the conversion of linoleic acid to GLA and from DGLA to prostaglandin El. The arachidonic acid may be being used up at an excessive rate to form 2 series prostaglandins.
Since schizophrenics are low in essential fatty acids and PGE1, it makes sense to try evening primrose oil as part of any treatment, as it is a rich source of EFAs, and as it converts to PGE1.
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ALZHEIMER’S DISEASE: INVOLUNTARY INCONTINENCE OF URINE

The most common cause of this, especially in elderly women, is an infection in the urine. Severe or repeated infection may mean that the infection goes further up the urinary tract (to the bladder or kidneys) or that there is some abnormality (stones or tumour) in the bladder or kidneys themselves.
Many women suffer from stress or urge incontinence. This is often the result of childbirth, where the muscles around the bladder have been stretched and so cannot keep the opening tightly closed. Usually this means that the person wets himself if they cough, laugh or strain (and overcome the muscles trying to keep the bladder opening closed). Some women however have muscles so weak that they wet themselves soon after they stand up. The same weakness can cause a prolapse, where in its most severe form the womb drops down and can be seen. Usually the prolapse is not so bad, but still causes incontinence.
When constipation is a problem the hard motions in the back passage can push against the bladder and make it pass water. If the bulk of the motions is very big, then the pressure can stop the bladder emptying at all and the bladder fills up (retention). This can happen acutely and be very painful and needs the obstruction removing quickly. Occasionally it happens more slowly and the full bladder keeps going by emptying a little all the time, i.e. the person leaks urine almost continuously. This is a big problem in men because the prostate gland sits at the bottom of the bladder and it commonly gets bigger as men get older. A stage is reached where it begins to cause symptoms (passing small amounts of water frequently and with difficulty) and then it can block off the exit to the bladder in the same way as being very constipated can – indeed constipation and a large prostate gland in men is asking for trouble.
A woman’s vagina (front passage) and the tube (urethra) leading up to and just into the bladder is covered by a delicate lining that needs female hormones to keep it moist and supple. In some women after the menopause (change of life) the hormone levels drop so low that the lining becomes dry and painful and more liable to infections. The bladder opening is also affected and the woman can then become incontinent of urine. The application of hormone creams or the taking of hormone tablets relieves this condition.
Another common cause of incontinence of urine is known as the unstable bladder. As described before, our bladders fill up with urine and as they do so we receive messages telling us how full it is. Within limits, only when we are ready do all the openings relax and the bladder contracts, pushing out the urine. All these actions take place because the nerves around the bladder, etc., use chemical messengers to tell the muscles to relax and contract. In the unstable bladder these chemicals are at fault and the bladder begins to contract when it has only a smallish quantity of urine in it and before it has told the brain it is ready – indeed, before the person is ready. The condition appears to occur more commonly in those suffering from dementia but can occur in anyone (women more than men). The classic tale is of a carer taking someone to the toilet, where they remain quite a while, then on the way out or just back in the living room the person is incontinent. It appears willful, but is not. The condition can be diagnosed from the history and the absence of other causes, but usually a cystometrogram is done. In this test a small catheter (tube) is passed into the bladder and another one into the back passage. The bladder is filled with water and in the unstable bladder contractions of the bladder can be seen occurring too soon. Some exercises and drugs appear to help a lot, but mainly in the unconfused group who need to be able to cooperate with the treatment.
Drugs, as mentioned before, can put a great strain on the bladder. Diuretics (water tablets) especially are the main culprits. They can be either strong or weak; the most common include:
• Strong diuretics
frusemide/Frumil/Frusene
bumetamide/Burinex, Burinex К
• Weak diuretics
bendrofluazide/Aprinox, Berkozide, Centyl
Dyazide, Moduretic
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DELUSIONS
A delusion is a false belief having no foundation in fact. Usually it is incorrigible and fails to respond to any reasonable demonstration of its logical absurdity. A delusion is not consistent with the social and cultural background of its possessor. Most delusions are paranoid and many of these involve delusions of persecution. Most commonly doctors encounter delusions in relation to depressed people. This is not surprising as a depressive illness regularly generates hypochondriasis or delusions of ill health. Symptoms which a happy person ignores or shrugs off come to dominate the ruminations of depressed people. Every symptom becomes replete with sinister implications.
Home Remedies
Husbands and wives of people suffering from delusions as part of a mental illness, acquire non confrontational means of living with their spouses. They may say “You might believe that but I don’t”, as opposed to arguing the toss, which as a rule serves only to increase distress and not change the delusion one iota. Skills necessary to cope with a deluded relative can be acquired via mental health support groups such as The Association of Relatives And Friends of the Mentally III (ARAFMI).
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Other names: Eldepryl
DEALING WITH THE CAUSE OF INSOMNIA: THE UNFULFILLED MIND
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Parkinson And AlzheimerThere can be physical reasons for light, broken sleep, particularly lack of exercise, so a good start to dealing with malsomnia is to ensure that you take regular, physically tiring exercise. But broken sleep may also be a message that you need to do something about your daytime life. Dr Lambley suggests that sufferers are anxious, nervous people who are afraid of taking risks; over-protective of themselves, they avoid confrontations and challenges. They may be people who try very hard to be ‘good’, avoiding conflict and therefore only partly living. They can also be people who have retired from work that made life meaningful, and instead of enjoying the rest that they looked forward to, feel bored and unfulfilled.
Like the rushers-round, they are not really working towards what they really want, and they are also depriving themselves of the conflicts and challenges that generate REM sleep and dreaming. The inner voices here may be connected with over-protective or over-critical parents. Many people have found it difficult to reach their full potential because a mother or father dealt them the double message: ‘It’s really important to be a success — but of course, you are not good enough!’ Which is enough to immobilize some people for a long time.
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EYE CARE: TIPS FOR CONTACT LENS WEARERS
Here are some miscellaneous tips for contact lens wearers:
1. Wait a half hour after awakening before inserting your lenses to give your sleep-swollen corneas a chance to return to normal.
2. A short nap with lenses in place won’t be harmful, but remember not to go to bed for the night with your contacts on.
3. Insert lenses prior to putting on face or eye makeup. Water-soluble eye makeup is best for lens wearers.
4. Wash your hands before putting in a lens to avoid introducing irritating substances into the eyes.
5. Never touch the inner surface of the lens, which rests against the cornea.
6. If you must use aerosol deodorants and hair sprays (and for the sake of the environment it’s recommended that you do not), apply them before installing your contact lenses.
7. Have new lenses rechecked after ten days and again in a month to be sure they are not damaging the eyes. Repeat such examination once a year.
8. See an ophthalmologist if you develop lasting irritation, redness, pain, blurred vision, or any other eye abnormality, whether or not directly connected to your wearing of contact lenses.
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