1/8 In the midst of a pandemic that predominantly affects people with poor metabolic health, why is nobody talking about nutrition?

A Twitter thread..

This is the ELEPHANT IN THE ROOM discussed in the fab @EuropeScientist article by @DrAseemMalhotra https://abs.twimg.com/emoji/v2/... draggable="false" alt="👍" title="Thumbs up" aria-label="Emoji: Thumbs up">

https://www.europeanscientist.com/en/article-of-the-week/covid-19-and-the-elephant-in-the-room/">https://www.europeanscientist.com/en/articl...

2/8 Evidence (refs at end) tells us some medical conditions are strongly associated with poor outcomes and death https://abs.twimg.com/emoji/v2/... draggable="false" alt="⚠️" title="Warning sign" aria-label="Emoji: Warning sign">in #Covid_19 eg:

Hypertension (high BP) 2.5xhttps://abs.twimg.com/emoji/v2/... draggable="false" alt="⬆️" title="Upwards arrow" aria-label="Emoji: Upwards arrow">
Diabetes 10xhttps://abs.twimg.com/emoji/v2/... draggable="false" alt="⬆️" title="Upwards arrow" aria-label="Emoji: Upwards arrow">
Overweight/obesity (accounts for 73% of https://abs.twimg.com/emoji/v2/... draggable="false" alt="🇬🇧" title="Flag of United Kingdom" aria-label="Emoji: Flag of United Kingdom">hospital admissions with #COVID19 )
Heart disease 10xhttps://abs.twimg.com/emoji/v2/... draggable="false" alt="⬆️" title="Upwards arrow" aria-label="Emoji: Upwards arrow">risk

3/8 What have these conditions got in common?

ANSWER: They& #39;re all associated with poor metabolic health

Some people can be TOFI - Thin Outside Fat Inside

It& #39;s not just about your weight says @DrAseemMalhotra

"THERE’S NO SUCH THING AS A HEALTHY WEIGHT, ONLY A HEALTHY PERSON"

4/8 So why does this matter?https://abs.twimg.com/emoji/v2/... draggable="false" alt="🤷‍♂️" title="Man shrugging" aria-label="Emoji: Man shrugging">

Well, ONLY 12.2% https://abs.twimg.com/emoji/v2/... draggable="false" alt="😲" title="Astonished face" aria-label="Emoji: Astonished face">of peple in https://abs.twimg.com/emoji/v2/... draggable="false" alt="🇺🇸" title="Flag of United States" aria-label="Emoji: Flag of United States"> are considered metabolically healthy and it& #39;s likely the situation is similar in https://abs.twimg.com/emoji/v2/... draggable="false" alt="🇬🇧" title="Flag of United Kingdom" aria-label="Emoji: Flag of United Kingdom">

That& #39;s a real worry https://abs.twimg.com/emoji/v2/... draggable="false" alt="😨" title="Fearful face" aria-label="Emoji: Fearful face">when we& #39;re in a pandemic that has such dreadful outcomes for people with poor metbolic health https://abs.twimg.com/emoji/v2/... draggable="false" alt="🤒" title="Face with thermometer" aria-label="Emoji: Face with thermometer">

5/8 There& #39;s clear evidence that ultra-processed foods are a major contributor to poor metabolic health. So why is the https://abs.twimg.com/emoji/v2/... draggable="false" alt="🇬🇧" title="Flag of United Kingdom" aria-label="Emoji: Flag of United Kingdom"> rushing to re-open fast food https://abs.twimg.com/emoji/v2/... draggable="false" alt="🍔" title="Hamburger" aria-label="Emoji: Hamburger"> restaurants @MattHancock ? https://abs.twimg.com/emoji/v2/... draggable="false" alt="🤔" title="Thinking face" aria-label="Emoji: Thinking face">

This is the last thing we needhttps://abs.twimg.com/emoji/v2/... draggable="false" alt="⚠️" title="Warning sign" aria-label="Emoji: Warning sign">

#Covid_19 FEEDS on fast food https://abs.twimg.com/emoji/v2/... draggable="false" alt="🤒" title="Face with thermometer" aria-label="Emoji: Face with thermometer"> https://www.bbc.co.uk/news/business-52300054">https://www.bbc.co.uk/news/busi...

6/8 How quickly can changing my diet make a difference?

@DrAseemMalhotra says benefits in weeks
@DrPaulMason says in days

Fastest reversal of #T2DM @lowcarbGP and I have seen with dietary change occurred in 38 days https://abs.twimg.com/emoji/v2/... draggable="false" alt="💪" title="Flexed biceps" aria-label="Emoji: Flexed biceps">

BENEFITS ARE QUICK
THERE& #39;S TIME TO ACT - IF YOU START NOW

7/8

5 ways to improve your metabolic health FAST:

1https://abs.twimg.com/emoji/v2/... draggable="false" alt="⬇️" title="Downwards arrow" aria-label="Emoji: Downwards arrow">ultra-processed food (typically those with >5 ingredients on the label)https://abs.twimg.com/emoji/v2/... draggable="false" alt="🍔" title="Hamburger" aria-label="Emoji: Hamburger">https://abs.twimg.com/emoji/v2/... draggable="false" alt="🍕" title="Slice of pizza" aria-label="Emoji: Slice of pizza">
2https://abs.twimg.com/emoji/v2/... draggable="false" alt="⬇️" title="Downwards arrow" aria-label="Emoji: Downwards arrow">sugar https://abs.twimg.com/emoji/v2/... draggable="false" alt="🍩" title="Doughnut" aria-label="Emoji: Doughnut">
3 Swap starchy carbs eg rice https://abs.twimg.com/emoji/v2/... draggable="false" alt="🍚" title="Cooked rice" aria-label="Emoji: Cooked rice">potatohttps://abs.twimg.com/emoji/v2/... draggable="false" alt="🥔" title="Potato" aria-label="Emoji: Potato">pasta https://abs.twimg.com/emoji/v2/... draggable="false" alt="🍝" title="Spaghetti" aria-label="Emoji: Spaghetti"> breadhttps://abs.twimg.com/emoji/v2/... draggable="false" alt="🍞" title="Bread" aria-label="Emoji: Bread">for green veghttps://abs.twimg.com/emoji/v2/... draggable="false" alt="🥦" title="Broccoli" aria-label="Emoji: Broccoli">
4 Cook from fresh using REAL foodhttps://abs.twimg.com/emoji/v2/... draggable="false" alt="🐔" title="Chicken" aria-label="Emoji: Chicken">https://abs.twimg.com/emoji/v2/... draggable="false" alt="🐄" title="Cow" aria-label="Emoji: Cow">https://abs.twimg.com/emoji/v2/... draggable="false" alt="🐟" title="Fish" aria-label="Emoji: Fish">https://abs.twimg.com/emoji/v2/... draggable="false" alt="🥦" title="Broccoli" aria-label="Emoji: Broccoli">https://abs.twimg.com/emoji/v2/... draggable="false" alt="🍆" title="Aubergine" aria-label="Emoji: Aubergine">https://abs.twimg.com/emoji/v2/... draggable="false" alt="🍅" title="Tomato" aria-label="Emoji: Tomato">
5 Avoid seed oils

8/8 Want more info...

https://realfoodcampaign.org.uk"> https://realfoodcampaign.org.uk  and @Food_campaignUK is excellent on what REAL food actually means. Great blog too, take a https://abs.twimg.com/emoji/v2/... draggable="false" alt="👀" title="Eyes" aria-label="Emoji: Eyes">

References:

https://www.nature.com/articles/s41574-020-0353-9

https://www.nature.com/articles/... href=" https://www.ncbi.nlm.nih.gov/pubmed/32231171 

https://www.ncbi.nlm.nih.gov/pubmed/32... href=" https://thefatemperor.com/ep-71-dr-aseem-malhotra-we-can-transform-our-viral-resilience/

https://thefatemperor.com/ep-71-dr-... href=" https://thefatemperor.com/ep68-dr-paul-mason-fascinating-discussion-on-avoiding-viral-impacts-crucial-info/">https://thefatemperor.com/ep68-dr-p... https://www.health.harvard.edu/blog/how-does-cardiovascular-disease-increase-the-risk-of-severe-illness-and-death-from-covid-19-2020040219401">https://www.health.harvard.edu/blog/how-...

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https://realfoodcampaign.org.uk