During childhood our parents would always encourage us to eat our greens, and how we wouldn’t grow up to be big and strong without them!

The benefits of green vegetables may be bigger than we first thought however, after researchers discovered that not only can general health and development be boosted, but eating one or two cups of lightly steamed broccoli per day could act as a treatment for those suffering with asthma.

The study, led by a research team based at the University of Melbourne, showed how consuming vegetables from the cruciferous family — which also comprises of kale, cabbage, brussels sprouts, cauliflower and bok choy — may help to reverse lung damage and protect against inflammation causing asthma symptoms. The key is the naturally occurring sulforaphane that is found in broccoli and the other green vegetables.

In Britain alone there are an estimated 5.4 million asthmatic, which includes 1.1 million children. However, the lung condition is rife in many parts of the world, with numerous factors linked to the development of it such as being exposed to tobacco smoke – especially if the mother was smoking during pregnancy – and a family history of asthma or other allergic conditions means you are more likely to get it.

Moreover, aspects of modern lifestyles are believed to play a role in an increased risk of asthma. A diet high in processed foods, living in an area with high air pollution and being raised in a home where there is a pet – especially a cat – are all believed to be contributing factors.

“In Australia, asthma affects one in ten people and it’s something that is on the rise,” said University of Melbourne honours student Nadia Mazarakis, who undertook research on the topic with supervisor Dr Tom Karagiannis.

“Laboratory tests have shown that consumption of broccoli changes the formation of the airway and may make clear breathing easier for those who suffer from asthma and allergies,” said Ms Mazarakis.
“Blockages in the airway were reversed almost entirely. Using broccoli to treat asthma may also help for people who don’t respond to traditional treatment.”

The findings come as there are increasing studies into healthcare that try to involved diet together with prescription medication treatments.

It has been stressed though that research is still in an early stage and at no point during an asthma attack or breathing difficulties should usual medical advice be disregarded. Basically, asthma inhalers are still a must!

Ms Mazarakis will be presenting the findings of the study at the 2014 Undergraduate Research Conference about Food Safety in Shanghai, China.

Salford schoolboy dies from an asthma attack

Tributes have been paid to a football-mad Salford schoolboy after he tragically died from an asthma attack. Ben O’Neill, 12, played for local team Bar Hill JFC in Irlams o’th’ Height and was a huge Manchester United supporter.

The 12-year-old Buile Hill High School pupil suffered a sudden asthma attack at his home in Salford last week.

Ben’s mother, Nicola Newns 35, said: “It was not expected at all. Ben woke up at 2am coughing, which is the usual sign that he was having an attack. I ran to get his inhaler, but he had stopped breathing within seconds.”

She added: “We live just across the road from Salford Royal Hospital and the paramedics were here within a minute even though it felt like an hour. They worked on him for 48 minutes but there was nothing they could do. Ben’s brother, Jacob, has brittle asthma too, and he has been in hospital four times on a ventilator in intensive care. Ben has never had as severe attacks as Jacob, and I always feared something might happen to Jacob, but not Ben.”

Asthma is a health problem that afflicts around 5.4 million people in the UK; approximately 1 in every 12 adults and 1 in every 11 children has asthma. Although the cause of asthma is open to debate and not yet fully understood, the lung problem is known to run in families, as demonstrated with Ben and his brother, and more needs to be done to raise asthma awareness – a view shared by Ben’s mother.

She says: “He was loved by everyone that knew him – he was full of energy and a clown, he made you laugh. He had played football for a season with Barr Hill. His brothers played for them and he wanted to be like them too. I think people need to be educated about asthma. I would hate this to happen to another family. People think that asthma is just a bit of a wheeze which can be sorted out with an inhaler, but the type Ben had isn’t.”

A one minute’s silence was held in his memory prior to all matches at the weekend in the Salford league Ben played in and 50 people have donated over £500 so far as part of an appeal fund to cover Ben’s funeral costs. The funeral will take place this Friday at St James and All Souls Church near Salford Precinct. “Not one person who met him wouldn’t smile at his memory”, says his mother.

Kay Boycott, chief executive of Asthma UK, spoke on Ben’s tragic death, commenting: “It’s always distressing to hear that a child has died due to asthma, and our thoughts go out to Ben’s family and friends and this very sad time. Sadly many people don’t realise how serious asthma is because it’s so common. One in every eleven children are receiving treatment for asthma, yet every year it kills enough children to fill a classroom.”

How losing weight helped one woman’s asthma symptoms

Sally, 45, a hairdresser from Aldington in Kent, was horrified when the nurse at her asthma clinic requested that she step onto the scales.

Like many other women, Sally had decided to avoid all scales out of fear, but stepping onto them gave her a startling shock – she could be officially classed as ‘obese’ weighing 11st at only 5 ft 2in tall.

“They saw on my notes that I suffered from asthma, but this was the first time anyone in the medical profession had weighed me”, she says.

“The problem was that I didn’t feel fat because the weight had crept on so gradually during and after my pregnancies. Then when the children left things on their plates, I’d pick at the leftovers.”

As her weight increased, Sally was finding it more difficult to control her asthma symptoms, meaning even doing basic things such as walking  up the stairs and looking after  her children, Maizie, now 12, and Merrin, nine, left her breathless.

What Sally didn’t realise is that weight loss is the key for an overall improvement in health for those overweight or obese, but especially so for asthmatics. Studies have shown that people with asthma who are also overweight or obese could see an improvement in their symptoms if they lose weight and this should be included in any asthma management program.

The asthma clinic nurse that Sally spoke to then recommended she should lose weight and would no doubt see an improvement to her asthma symptoms.

Sally says: “It was a real wake-up call. I knew that I had to do something about it or my asthma would just get worse because I would become more immobile and reluctant to exercise.”

Deborah Waddell, clinical lead nurse at the charity Asthma UK, explains: “Obese people find their asthma much harder to control.”

Asthma began for Sally following a severe episode of flu at the age of 19 – Upper respiratory infections are typically caused by cold and flu viruses and are a one of a number of triggers for asthma.

Her asthma gradually got worse. “Getting up the stairs was very scary because the wheezing was so loud.  And it stayed at the same level in my 30s and into my 40s. I couldn’t run after the children at the park.”

Sally now uses a brown preventer inhaler every morning for protection and a quick-acting blue reliever Ventolin inhaler when symptoms start to arise. Sally’s symptoms worsen during the winter, when feeling stressed, or when coming into contact with pet hair.

Despite the fact many people with asthma tend to avoid all exercise on fear of it triggering an attack, Sally began an exercise regime, which has actually been a huge benefit as asthma can boost the lung capacity in asthmatics.

She now goes running three times a week for four miles, attends a weekly spinning class and cycles for journeys where the car is not a necessity.

“I lost a stone-and-a-half in eight months and it made a huge difference,” says Sally. “It really brought the asthma under control and made the attacks less frequent and less severe – I have just one a month instead of three a week. When I was 11st, my body was struggling to  cope with the weight, especially climbing stairs, but the fitter you are, the stronger your  lungs become.”

Eating more fibre could ease asthma symptoms

The results from animal studies suggest that asthma treatment may bizzarely come in the form a diet rich in fruit and vegetables.

Tests on mice, as reported in the journal Nature Medicine, has found that a high-fibre diet can impact the balance of microbes in the gut and make airways either more or less susceptible to the inflammation involved in allergic airway conditions such as asthma.

Asthma is a long-term respiratory disorder, where the air passages within the lungs unexpectedly become inflamed, narrowed, and swollen. This then prevents airflow into and out of the lungs. Attacks often occur in response to an allergen, cold air, exercise, or emotional stress. It is these triggers which create an inflammatory cascade in the bronchial tree.

The last three decades have witnessed a surge in rates of allergy-triggered asthma, in particularly in the more developed nations. Many health experts have attributed this to changes in dietary habits, such as a decrease in our fibre intake.

The reported stated: “In recent decades, there has been a well-documented increase in the incidence of allergic asthma in developed countries and coincident with this increase have been changes in diet, including reduced consumption of fibre.”

Therefore, Dr Benjamin Marsland of the University Hospital of Lausanne in Switzerland and colleagues, decided to study the variations in the immune and inflammatory responses of mice when the amount of fibre in their diet changed.

They discovered that those mice on a low-fibre diet experienced more lung inflammation after coming into contact with dust mites. In comparison, mice given food enriched with pectin – found in cell walls of plants – suffered with less allergic airway problems.

It was established that this boost in soluble fibre – most often contained in fruit and vegetables – was converted into short-chain fatty acids. These fatty acids increase resistance to irritation in the immune system.

For those who may struggle to adapt their diet to include more fibre, the researchers say that a fatty acid supplement may be instead taken to ease asthma symptoms.

Dr Marsland, spoke to BBC News, saying: “There’s a very high probability it works in humans, the basic principle of fibre being converted to short-chain fatty acids is known. But we don’t know what amount of fibre would be needed and the concentrations of short-chain fatty acids required might be different. It is early days, but the implications could be far reaching…Moreover, these data can be interpreted within the context of epidemiological studies showing as fibre content in the diet has decreased, the incidence of allergies has increased. Taken together, our findings support the concept intervention strategies targeting diet are a valuable approach for not only intestinal diseases but also respiratory inflammatory diseases.”

It would be foolish though to suggest asthma sufferers should disregard their blue reliever and brown preventer asthma inhalers just yet and merely rely on consuming more fibre. A diet rich in fibre may well be beneficial for asthmatics but it is generally recommended for everybody as it can to help to lower cholesterol, decrease the risk of heart disease and lessen the risk of some types of cancer.

Scientists discover gene that could lead to targeted asthma treatment

Young children with asthma may benefit from targeted treatment in the near future after US scientists discovered a ‘rogue’ gene – CDHR3 – which could be the cause of severe asthma in youngsters.

CDHR3 has been found to be particularly active within epithelial cells that line the inner surfaces of the airways. A faulty version of the gene can result in environmental triggers inducing allergic responses, the scientists found. CDHR3 is one of four genes that has been linked to the development of asthma; but the other three were already known as being associated with asthma.

The new study, published in the journal Nature Genetics involved a thorough comparison of the genetic codes, or genomes, of 3,695 Danish children and adults who have asthma. This comprised of a number of children younger than the age of six.

Data extracted children of both European and non-European ancestry was then used to replicate the findings, which are consistent with previous research suggesting other genes associated with the onset of childhood asthma are responsible for over-sensitive immune reactions.

Lead researcher Dr Hakon Hakonarson, from the Children’s Hospital of Philadelphia (Chop) in the US, said: “Because asthma is a complex disease, with multiple interacting causes, we concentrated on a specific phenotype – severe, recurrent asthma occurring between ages two and six. Identifying a risk-susceptibility gene linked to this phenotype may lead to more effective, targeted treatments for this type of childhood asthma.”

Dr Hakonarson added: “Asthma researchers have been increasingly interested in the role of the airway epithelium in the development of asthma. Abnormalities in the epithelial cells may increase a patient’s risk to environmental triggers by exaggerating immune responses and making the airway overreact. Because the CDHR3 gene is related to a family of proteins involved in cell adhesion and cell-to-cell interaction, it is plausible that variations in this gene may disrupt normal functioning in these airway cells, and make a child vulnerable to asthma.”

The researchers now hope their findings will lead to a more targeted treatment a condition which affects a staggering 5.4 million Britons; many of whom will probably be struggling in the coming months due to the fact that cold winter weather can exacerbate asthma symptoms.

Even a basic cold virus can trigger a serious asthma attack and worsen symptoms for around 90% of people with asthma and According to Asthma UK, three quarters of people with asthma blame cold for triggering their symptoms. Common symptoms are: coughing, wheezing, shortness of breath, tightness in your chest and difficulty speaking in full sentences.

Asthma UK have five important pieces of advice that are vital in controlling your asthma symptoms during the cold weather:

1. Keep taking your regular preventer medicines as prescribed by your doctor.

2. If you know that cold air triggers your asthma, take one or two puffs of your reliever inhaler before going outside.

3. Keep your blue reliever inhaler with you at all times.

4. Wrap up well and wear a scarf over your nose and mouth – this will help to warm up the air before you breathe it in.

5. Take extra care when exercising in cold weather. Warm up for 10–15 minutes and take one or two puffs of your reliever inhaler before you start.

Brits still have a poor perception of asthma

Considering there are a staggering 5.4 million asthmatics in Britain, it could be assumed that the majority of us are pretty clued-up on the serious lung condition asthma. Unfortunately, the results of a new survey suggest this could be far from the truth.

Research conducted by supermarket giant Asda showed that whilst 94% acknowledge asthma as a serious health condition, 1 in four respondents could not recognise key symptoms associated with asthma. In fact, 17% incorrectly believed blocked sinuses are a sign of the lung condition.

An additional 15% of those surveyed simply thought feeling dizzy was asthma-related and 13% bizarrely assumed having itchy eyes was somehow a key symptom of asthma. In reality, the primary common symptoms of asthma are having a shortness of breath, wheezing (accompanied by a whistling sound), chest tightness/pain/pressure, coughing (especially at night or early in the morning).
Sufferers usually find their symptoms to be particularly worse at night time, after exposure to cold air, exercise-induced, or brought-on by a reaction to an allergen – similar to hay fever sufferers.

Other wrong assumptions held by Brits include thinking there is a permanent cure for the lifelong condition; incredibly a third of us believe this to be true. Moreover, 15% merely think that asthma is something that only ‘unfit’ people have.

This is clearly untrue though and many are obviously forgetting the countless famous asthma sufferers who have reached the top of their field, such as the multimillionaire and recently retired footballer David Beckham and cyclist Laura Trott, who won gold at the London 2012 Summer Olympic Games in the Team Pursuit and Omnium events.

However, asthma attacks still cause around 1,140 deaths each year and a substantial number of those could have been avoided with more awareness about the condition and how to efficiently control it. Only 37% of Brits have a decent knowledge about asthma medication or can differentiate between the purpose of blue and brown inhalers.

Unfortunately, this perhaps demonstrate a worrying lack of awareness about the fact a person’s asthma can be better controlled with regular and correct utilisation of brown preventer inhalers such as the commonly used Qvar Beclometasone and Easi-Breathe inhalers. Over time, the brown preventers are effective at reducing the need for blue inhalers – which are taken immediately to relieve asthma symptoms and essential in treating asthma attacks.

Visit the ‘Asthma and Allergies’ area of the Medical Specialists Pharmacy website for a full list of all the preventer and reliever inhalers we provide for suitable patients.

If you have already been prescribed an inhaler, have lost your inhaler, or run out and cannot get a prescription immediately, we are able to supply you an inhaler to help your asthma symptoms. You can undergo a quick and easy confidential online consultation with one of our GMC-registered Doctors and if suitable, they will write you a prescription which is passed to our in-house RPSGB–registered Pharmacists and dispensed to a location of your choice, all within just 24 hours!*

*Allow extra time for overseas deliveries.