
Seed oils dey bad for your health?
You fit get bottle of sunflower oil or canola (rapeseed) oil inside your kitchen cupboard. You fit use am cook, spray ontop salad, seed oils dey popular across di world.
But dis seed oils don become centre of debate online.
For recent years, seed oils don dey collect plenty attack from social media wia some pipo dey claim say e dey "toxic", "poisonous" and dey damage pipo health.
Some critics don give some seed oils nickname as 'di hateful eight' - dis dey refer to di eight popular seed oils canola, corn, cottonseed, grapeseed, soy, rice bran, sunflower and safflower - and dey blame dem say na dem dey cause heart diseases and type 2 diabetes.
Question be weda na true true say seed oils be di enemy, abi pipo just dey fight dem for no reason?
Seed oils dey connected to heart issue?
Some pipo wey dey tok against seed oil dey focus on di high omega 6 fatty acid wey dey inside am. Omega 6 fatty acid na essential fatty acid, wey mean say we need dem, but we no fit produce dem oursefs.
For recent years, some scientists don argue say omega 6 fit cause chronic inflammation (e fit increase risk of developing diseases wey include heart disease and cancer).
But trials wey dem do show say omega 6 fatty acid no dey increase inflammation, na so Dariush Mozaffarian tok. Im be professor and doctor for di Food is Medicine Institute for Tufts University for Massachusetts, US.
"New research show say omega 6 fatty acids dey give rise to unique natural molecules like lipoxins, wey get powerful anti-inflammatory effects for body, na so Mozaffarian tok.
For recent research wey cover over 200,000 pipo for US wey dey around age 30, di researchers find out say pipo wey dey chop more of plant oil (including seed oils) dey less likely to die from cardiovascular diseases or cancer. On di oda hand, pipo wey dey take in more of butter dey likely to die during di same period.
Plenti observational studies about how omega 6 dey affect our hearts dey. Dem dey look into data of diet and health and find out say di two get relationship.
But some observational studies dey rely on account of wetin di pipo tok say dem eat, na so Matti Marklund tok. Im be professor of human nutrition for Johns Hopkins Bloomberg School of Public Health for US. E add say dis fit be problem as pipo fit no remember wetin dem eat or dem fit no dey honest about dia diet.
Anoda way to measure omega 6 intake na to measure how much di amount of omega 6 individual components and ingredients dey inside pesin diet. However Marklund add say e dey difficult to translate how much of food pesin chop into quantities.
Plenty studies wey dey investigate di effects of omega 6 fatty acids on our health dey focus on linoleic acid. Dis na omega 6 fatty acid wey dey in high amounts inside seed oil. Dem don find out say e dey lower bad LDL cholesterol inside blood.
For study wey dem do for 2019, Marklund focus on levels of fatty acid for blood of participants from 30 observational studies - wey some role for upto 30 years. E look at how many of dem develop cardiovascular disease and die from am. E find out say di ones wey get di highest levels of linoleic acid for blood, na dem get di lowest risk of developing cardiovascular disease.
Anoda allegation dem sama seed oils be say e dey harmful to pipo wey dey eat plenty of omega 6 if you compare am wit pipo wey dey take plenti omega 3.
Some confusion dey between omega 6 and health of di heart, na wetin Christopher Gardener tok, I'm be Director of nutrition studies for Stamford Prevention Research Centre for US.
Dis na sake of role wey omega 6 dey play wen blood clots happun, Gradner say pipo dey relate am only to stroke and heart attack.
E say Omega 3 dey do more of blood thinning. "If you get wound for your hand and you want make e clot, you gas need balance."
Meanwhile, scientists conclude for analysis of 30 studies wey dem conduct for 2019 say pipo wey get higher amounts of linoleic acid for dia blood dey 7% less likely to develop heart disease.
Linoleic (acid) fit improve cholesterol to reduce di risk of cardiovascular disease, and improve glucose metabolism wey dey reduces di risk of type 2 diabetes, na so Marklund tok.
Seed oils and 3.6 ratio
Anoda common accuse wey dem sama on seed oils be say to eat plenty omega 6 compared to eating omega 3 dey harmful.
For western world, omega 6 fatty acid dey account for around 15% of our total energy intake. Average person ratio of omega 3 to omega 6 fit be upto 50:1. However e suppose be like 4:1 to reduce our risk of cardiovascular disease, according to one study like dat.
Review and meta analysis wey World Health Organization do for 2022 report say higher omega 6:3 ratio dey associated wit greater risk of cognitive decline and ulcerative colitis, wey be chronic inflammatory bowel disease.
For di oda side, dem link higher omega 3:6 ratio to reduced risk of depression.
Di scientists wey conduct di WHO study conclude say higher omega intake of omega 6 fatty acid from sees oils dey unlikely to increase your risk of death and disease - but add say dem need more quality research.
But while some scientists dey argue say you no suppose get too much omega 6 for your system pass omega 3, Marklund say e better to take more omega 3, dan to reduce your omega 6, as both get health benefits.
How dem dey process seed oils
Unlike oda oils, na from plant dem dey from extract seed oils. Some dey concerned say dem dey extract seed oils wit hexane - wey be chemical wey dem make from crude oil - but little evidence dey wey suggest say di process fit cause issue.
Researchers don recently find out say omega 6 fit cause growth of one specific type of breast cancer. While some evidence suggest say hexane fit dey linked to plenty health conditions, after dem extract am, dem dey deodorise and bleach am to remove and additives.
Scientists fit tok say hexane extract dey normal for food processing, and say di process of deodorizing and bleaching it Dey help remove potential harmful compounds," na so Gardener tok.
Seed oils wey dem use cold-press method dey avoid di process completely, as di process involve to squeeze di seeds to extract di oil - but dis result dey more expensive.
Seed oils for cause growth of tumours?
Upon say plenty research dey wey show di potential benefits of omega 6 on our health, Researcher don recently find out say dis fatty acid fit fuel di growth of specific type of breast cancer. Di findings fit also get implications say di impact of omega 6 consumption on oda diseases.
Cancer cells dey use nutrients as fuel to grow and multiply but till now, dem bin get limited research wey dey look at di role wey omega 6 fatty acid dey play.
But study wey dem publish for March dis year find mechanism wey linoleic acid, wey be omega 6 fatty acid dey use grow and multiply inside patients wey get triple negative breast cancer (TNBC).
Dis na di most aggressive sub-type of di disease and na one wey no dey respond to therapies.
Studies wey dem carry out before suggest say nothing dey link omega 6 fatty acid or any small increase in risk, na so Nikolaos Koundouros tok, im be postdoctoral associate for Weill Cornell Medicine Research Centre for New York. But e add say di studies no take into account say multiple sub-types of breast cancer dey, and e dey different from patient to patient unto how dem dey survive or ontop wetin dey cause dem, plus how dem dey respond to therapy.
TNBC be like e dey respond pass for linoleic acid, na so Koundouros tok.
Koundouros and oda team of researchers discover for lab say wen pesin take omega 6, TNBC cells go activate protein complex wey dey linked to tumor growth and progression. E get anoda protein wey dey in large amount for TNBC tumours, e dey take fatty acids and lipids throughout di body and inside cells to wia dem suppose be.
Koundouros explain say dese proteins, along wit omega 6 fit dey responsible for oda chronic diseases like obesity and diabetes.
Dis research fit bring new info about how to treat TNBC patients, but e no get wider implications for everyone, na so Koundouros tok.
E say "e dey important to remember say omega 6 fats dey essential for some reasons , if you cut dem off, you fit get bad side effects".
Which seed oil?
Some seed oils like canola and soya bin oil don get more studies pass odas and e get more balanced evidence base.
"All dese dey provide balanced combination of healthy fats, including monounsaturated fats, omega 6 polyunsaturated fats, and omega 3 polyunsaturated fats," na wetin Mozaffarian tok.
E add say Canola oil get similar anti inflammatory effects and dey produce better improvements for blood cholesterol levels dan olive oil wey dem dey hail as di healthiest of all oils.
One meta analysis dem do 27 trials on show say canola oil dey significantly reduce LDL cholesterol wen you compare am to sunflower oil and saturated fat, while anoda one find out say e dey dramatically reduce body weight especially for pipo wey get type 2 diabetes.
"Canola oil dey produce excellent benefits for blood cholesterol levels, and dey modestly reduce body weight. Healthy fats wey dey inside canola oil especially omega 6 polyunsaturated fat dey also improve blood glucose, insulin resistance and insulin production," na so Mozaffarian tok.
Dem also find out say soya bean dey improve cholesterol levels when you compare am to saturated fat. One study find out say pipo wey dey consume more of soya bean oil get lower risk of death from all causes; 6% lower risk for every 5kg dem consume daily.
Which seed oil be di healthiest?
"Seeds na one of natures most nourishing gifts; package of beneficial healthy fats,"na wetin Mozaffarian tok.
Why plenty pipo dey attack something like dis dey confuse scientists, some wey dey well studied inside nutrition science. But dis misunderstanding fit dey come from "misplaced combination of partial truths", na wetin Mozaffarian tok.
For instance, some pipo dey link seed oils to ultra-processed foods (UPFs), we some times dey contain seed oils, like canola, corn, soyabean and sunflower oils. For recent years, huge focus dey on di health risk of consuming too many UPFs, including risk of developing type two diabetes and heart diseases.
More like dis:
"But dese dangers dey arise from too much starch, sugar and salt, loss of natural intact food structure and dozens or even hundreds of artificial additives," na so Mozaffarian tok.
But if you wan draw line between pipo wey dey eat more seed oils and unhealthy outcomes, na unto say we too dey eat food wey get plenty sugar and sodium,"na wetin Gardner suggest. E say e get plenty ways to consume seed oils for house wey no involve UPFs, like to use salad or stir-fry.
"I no dey happy to see pipo troway seed oils sake of dis seed oil war," na so Gardner tok.
While some scientists want make dem do more rigorous trials to look into di effects of seed oil consumption ontop our health, odas like Marklund dey argue say already, plenty good quality trials dey ground wey dey show benefits on blood cholesterol, blood glucose and insulin levels for general population.
"Omega 6 fatty acids dey excellent for health," na so Marklund tok. "E dey linked to lower onset of heart disease, stroke, diabetes and even death from all causes."
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His father Benjamin, a school teacher from Freetown, noticed the spots all over his body one morning, when it was time to wash his clothes. 'In that moment, I saw those spots on his body and I said: 'What might this be?'' Over the next couple of days more spots began to appear and Mr Nyandemah decided to seek medical attention, and he's glad he did. 'The infection is much worse now,' he said, peering through the door of the containment room to Paul, who had been caked in calamine lotion to relieve some of the itching. 'Yesterday night they called me and told me that he was crying.' Benjamin is not allowed any closer because of the quarantine rules, and because he has to work and his wife has just given birth to a baby, Paul spends most of his days alone at the facility. He has been in there for three weeks, but he is on the road to recovery. Encouraging people to come to treatment centres like 34 Military Hospital is now a central pillar of the government's strategy to contain the virus. It represents a marked shift from the early days of the outbreak, when those with suspected mpox were told to isolate at home. The advice advocated by everybody, including the Africa CDC and other countries, was 'home management,' said Professor Foday Sahr, the Executive Director of Sierra Leone's National Public Health Agency, which was born from the Ebola epidemic. 'But since we observed that home isolation was not working, we decided that every positive case should be managed in a facility,' he told The Telegraph. 'We quickly activated 1,000 beds countrywide, and then moved to ensure that all positive cases should be extracted from the community and brought into facilities.' Prof Sahr was keen to stress that the decision to switch to treatment centres was 'not a magic bullet' in tackling the outbreak, but it proved decisive when combined with a vaccination campaign and the work of specially trained teams who went into communities and university campuses to warn of the risks and start breaking down the stigma. The jabs, once they arrived, were initially reserved for front-line health workers, but when the NPHA realised that none of them were getting sick, they were able to target close contacts of suspected cases and then open up vaccinations to everyone, he said. 'Sierra Leone has always stood out with vaccination campaigns,' he said. 'What we saw was that the appetite for the vaccine was really, really huge.' Owing to its experience in dealing with outbreaks of haemorrhagic fevers like Ebola and Lassa Fever, Sierra Leone has a wealth of epidemiological talent and experience to draw on. So why was the country overwhelmed? Dr Kenneh, the Chief Medical Officer, conceded that the initial strategy of isolation at home was a mistake. 'To tell you [the truth], we actually underestimated it, because it was a contact disease … Shifting them out of the home – that's what has been working for us, and engaging the community.' Not everyone is convinced by the government's new strategy, however. It is difficult to comprehend the strength of the fear and suspicion around hospitals in Sierra Leone and other parts of West Africa. The terror of Ebola is a recent memory, and many people watched as friends and neighbours left in ambulances never to return. Lunsar, a small mining town a few hours outside of Freetown, was hit hard in that outbreak. Soldiers wielding thermometers manned checkpoints and enforced strict controls on movement. Several outlying villages were placed under quarantine, and entire families were wiped out. With this in her mind, Isatu Kabia, 46, was terrified when her youngest son came down with suspected mpox. She described how she had been assured that she would be allowed to look after him at home, only for an ambulance to arrive and take him away to a government hospital 30 miles away. 'It did not make me feel good,' she said. 'I was worried, because I recalled what happened during Ebola. At that time, so many people died. 'I was so worried, I was afraid, and I was frightened. He was on his own and I could not visit him because I could not afford the fare,' she told the Telegraph from the porch of her house. It was several days before Ms Kabia was able to get to the hospital to see her son, Osman Kargbo, 12, and realised he was safe and well. The next morning, The Telegraph watched as Ms Kabia and her son were reunited at the mpox treatment centre in Port Loko. Separated by bright green cord demarcating the red quarantine zone, he lifted his T-shirt to show her the small marks left by his lesions. Later that day he was discharged and was able to return home. The fear of hospitals themselves only partly explains why people are reluctant to visit them. In a small isolation room at the back of a pediatric ward in an MSF-run hospital outside Kenema, in Sierra Leone's East, the mother of a baby sick with mpox was visibly distressed. The two-year-old had arrived at the hospital unconscious and covered in rashes, but her mother, Mami Samai, was now terrified at the thought of being sent away from the MSF-run hospital to a government-run facility. 'She thinks we are here to refer her,' said one of the PPE-clad nurses standing in the doorway. 'I already talked to her and told her we are not here for that. She doesn't want to go.' All mpox care is meant to be free in Sierra Leone, but corruption is widespread and extortion and bribery – even in health centres – are common, and Ms Samai was afraid she would be asked for money. 'I have no relatives who can help,' she said, tears still streaming down her face. Sierra Leone's Health Ministry has launched a major push to bring case numbers right down within the next couple of weeks, but several health and NGO workers The Telegraph spoke to said they were concerned the government's strong emphasis on treatment facilities may be driving people underground. The Telegraph was told of numerous mpox patients who had attempted to self-medicate, often by washing their bodies with alcohol, or else sought out the services of traditional healers. Dr Joshua Sandy, a Public Health Nurse from Lunsar's Hand of St John of God Hospital, warned that mpox could make a resurgence. 'It is possible for this to come back, and more severely than what it is now,' he said. 'In fact, we had the same thing during Ebola: just a few months after the government had announced that the Ebola had ended, we had another upsurge which was very, very difficult.' It was perhaps telling that, at the MSF treatment centre, a new ward was under construction. Nevertheless, it is clear the government has had success in bringing case numbers down. What is less obvious is the extent to which Clade IIb exploded because of factors that are unique to Sierra Leone, and whether an outbreak like this could happen elsewhere. Clade IIb is already in Britain, for example, causing anywhere from one and 41 cases a month for the last two years, according to the latest report from the UK Health Security Agency. The virus is being kept in check by high vaccination rates, but could it explode as it did in Sierra Leone? '[In Africa] we're most likely now going to see an explosion of cases,' said Mr Omah, the researcher. 'But the chances of seeing that in Europe and the Western world is quite low compared to seeing it on the continent.' Ghana and Liberia have both reported dozens of cases already, and last week Gambia reported its first case of Clade IIb. Mr Omah said mpox was zoonotic, meaning it's a disease that has jumped from animals, in this case forest-dwelling rodents. Sierra Leone's mpox outbreak is believed to have begun in this way – from a single person eating an infected animal and then spreading the virus to a sex worker. Risk areas like West Africa will continue to see outbreaks like this unless there is 'a targeted effort to make sure that we vaccinate as many people as possible, to break chains of transmission early on,' he said. Back in the military hospital, a commotion was unfolding over Mr Turay, the man with the compromised immune system. He had been due to leave that evening for Connaught Hospital, in the centre of Freetown, to undergo debriding and reconstructive surgery. The referral papers had been signed, and a bed was ready for him there. But members of his family had arrived and, despite the pleas of the nurses and doctors who had cared for him for weeks, persuaded him to leave the hospital. 'I feel bad because we've tried our best. We've been working so hard to bring him up for weeks,' said Captain Alimany David Fornah, one of the military nurses on the ward. 'But psychology has come into play.' Perhaps they were desperate, perhaps they had lost faith in his carers, perhaps he himself understood that his chances of ever recovering were slim. Whatever the reasoning, he was led out of the hospital, bundled into a car and taken off to a village eight hours away near the border with Guinea, where a traditional healer awaited him.