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tv   In Good Shape  Deutsche Welle  July 10, 2020 6:30pm-7:01pm CEST

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beethoven is for us. beethoven is for. beethoven 202250th anniversary here. hello and welcome to in good shape one of the many myths at the beginning of the corona crisis was that alcohol could kill the virus. could that be the reason that the consumption of alcohol has increased in many regions of the world since the break if that is so this could be a very dangerous development especially for our liver our liver is our main
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metabolic organ that gets rid off many toxins one of the most frequent disease is the liver and it's not only due to alcohol consumption. software specialist philip packer is heading to his next appointment with a customer the 37 year old often drives long distances for his work he usually doesn't have much time to eat and must settle for something quick typically he'll stop at a roadside restaurant for some fast food. to be given to me because obviously i try to eat a healthy diet freshly cooked things like chicken or other meat or a salad. but unfortunately it often doesn't work out i just have to stop off at a fast food place for a burger and fries. fill the pecker is one meter 81
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tall and weighs $93.00 kilos that's a little above the ideal weight like many people every 2 years he goes to his g.p. for a general checkup including a blood test but his last visit to the doctor showed his liver values were 5 times what they should be he was surprised because he feels absolutely fine. no pain no dizziness nothing all completely normal. still the test results bothered him so we got an appointment with hepatologist. he says it's no small matter of blood tests show liver enzymes are seriously elevated as in for the packers case they now need to investigate what's causing it . just always say that the liver suffers quietly to begin with you know it is little if anything you might feel a bit of
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a twinge in your liver and that's it even if it goes unchecked for years or even decades. with a liver cirrhosis. and then it can be too late comes into the 1st conducts an ultrasound and immediately it becomes clear that philip had his liver isn't in great condition after being shot you can see that the liver tissue is slightly lighter in color than the kidney tissue and that indicates the beginning of fatty liver disease. a so-called fibro scan is used to measure how much fat has been deposited in the liver in the past patients had to undergo a painful biopsy but these days it's a lot easier for cases like this one the test shows that our patient needs to be treated shot mr. the liver is only one aspect fatty liver disease also means you are at greater risk of cardiovascular disease where you may get a hardening of the arteries or even a heart attack so it's twice as important to do something about it. more and more
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patients are developing problems like philip. the liver serves many vital functions such as filtering the blood coming from the digestive tract but when we eat too much of the wrong kinds of foods it's staunch to store fat and can no longer work properly it begins to swell and can reach twice its size that can be liver cirrhosis and eventually organ failure. is nowhere near that stage the good news for him is that his liver can still make a complete recovery but only if he makes some changes to his lifestyle and diet to fit avoid eating too much fast or sugar at least a circuit is contained in many foods fruit juices are one example of the things that have been sweetened and often it's fructose that's been used which is especially bad it's like pure alcohol for the liver. cool. it's been a healthy shock for the patient since the diagnosis he started exercising regularly
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he goes jogging 3 times a week for 30 minutes and he's also changed his diet introducing a lot more salads and healthy snacks and his efforts have paid off just one month later the liver enzyme levels in his blood have dropped significantly and his test results are now almost normal. travel ism is always active so you can reverse things very quickly but only if you're disciplined and i think mr heck is certainly being disciplined he was highly motivated. plans to keep up the good work it may not always be easy but the benefits are great . you know a lot about the liver but now i'm sitting next to a man who knows everything about it. from the german red cross western clinic in berlin thanks for having me today you just saw a patient who was in his prime healthy he was not an alcoholic but he hadn't had
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a litter how could this be fed to store in the liver in most cases as a dispersants between too much fat or too much sugar and in decreased use of it so when this is in balance the liver is there to store fat for better times which usually do not come in the western world but could that mean that a lot of people have said liver without even knowing it yes indeed said prevalence of fat liver is more than 30 percent in the western world and even though kids have a high incidence of fatty liver was after 20 to 30 percent of kids who do have an increase in pet a logic storage of fat in the liver not long ago affect the liver was considered as something quite trivial but it's not is it the opposite is the case so when the liver does not function anymore we haven't decreased production of proteins which means decreased muscle production it is good for cutting off blood it's important for a lot of functions without
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a liver we cannot live so when there's an increased starch or a fat then the liver inflames and it comes to scarring of the liver because it's. so when this is cirrhosis a function of the liver decreases in patients who die from liver cirrhosis also the prevalence of liver cancer is enhanced by a fat storage the most common reason for liver cancer in the western world is fed liver so it is not the trivial disease it's an important and life threatening disease. one of the causes for acetylene alcohol consumption just under a liter of beer or approximately $300.00 milliliters of wine can be dangerous for men for women it's even less. any how many people drink alcohol on the regular basis. when diagnosing alcohol addiction doctors often start with the so-called cage test it's a series of questions that require
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a yes or no answer anyone who answers 2 or more of the questions with a yes is in danger of becoming dependent on alcohol we conducted the test on a few people without telling them what it was about starting with the letter c. as in cut down drinking have they ever considered drinking last. night here every day. no i'm not into alcohol. i don't really drink that much sometimes i think it be better to drink less. so i think about how it affects my health because. the next letter is ok as an annoyed if you ever been annoyed by people criticizing your drinking habits as the right does not know it's never been that bad but i do criticize myself in trying to observe my own drinking habit. that's actually no people have to decide for themselves but i have many criticize yes. no my friends never say anything because
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we're all drinking together. then there's as in guilty as you're drinking habits ever made you feel guilty. and i know well actually yes i do feel bad for my body because i know that it's not the healthiest activity so then i feel a bit guilty. no i don't. really. have no role i know my limits. yes occasionally if i've overdone it then i do feel guilty about drinking. and finally there's as an eye opener if you ever needed alcohol 1st thing in the morning to stabilize your nerves or make the start of the day easier. no definitely not no never. mornings almost never cost me. almost maybe around christmas but other than that no night no way morgan's in the mornings on the morning. i just have
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a regular breakfast at my gun some. of the 30 people we asked 5 of them answered at least 2 questions with a yes according to the cage test those subjects have a heightened risk of alcohol addiction dismissal well i'm aware that drinking is very much part of my day and that i drink too much if it doesn't i call it will be but it's going like this well no i don't think i have an alcohol problem. but i think it's a good idea to monitor how much you drink on a solution as i don't on. some of those who took our test were surprised that these innocent questions can indicate a possible dependence on alcohol all of them seem to have their own definition is that most of the whole i think if you lose your ability to see what's happening to you. you might get to the point that you think it's more able to drink in the morning. or to stink and i want to just i think if you drink every day you have a problem but it depends on the reason this is
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a glass of wine you're drinking for pleasure or because you really need it to unwind. but clearly it's not always apparent from the outside whether someone has a problem with alcohol. a lot of people drink some over the day like a glass of wine. or some beer or dinner is this the risk for developing a fatty liver. unfortunately the individual risk to develop fatty liver is very different in humans you can say that you're on the safe side if you do not consume more than one or maximum of 2 units per day so one unit would be a glass of wine or beer or a bottle of beer or contain you want 5 front of them else so how could i as a patient knew that i have a little problem unfortunately symptoms of fed liver developed very very late in some cases even at that time when it's too late already so when you think you might have a fatty liver when you consume too much are called or eat or drink too much go to
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your doctor you can use the ultrasound and check if you have had a liver and then it's up to you. everything with the names it sounds healthy at 1st for example it gets its name from a special sauce fillets. for a long time fotos was even recommended from doctors to diabetics today the industry uses it on a message in processed foods sweets and soft drinks that leads to obesity heart and intestinal diseases and fatty liver. we can't get enough of the stuff although we know how unhealthy sugar is we can stop eating it but one particular sugar is thought to be especially unhealthy and in higher doses over long periods it can be very harmful fruit towse. is funny missional problems related to photos have come to light in recent years it is sugar that has a significant impact on the liver if you eat fructose in large amounts it can lead
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to fatty liver disease. and our fruit toast consumption is on the rise many processed foods contain it as do all sorts of sweet treats highly concentrated fruit towse is being produced on an industrial scale and there is one reason for that it's the most powerful sweetener of all the sugars and ferry cheap to produce . for a long time for us was even considered healthy it used to be recommended for diabetics because it doesn't raise blood sugar levels through toes behaves differently in the body than glucose for example. glucose reaches the bloodstream directly via the small intestine and in doing so raises the sugar levels in the blood with the help of the hormone insulin glucose is transported to the cells and provides them with energy. fruit joe's takes longer than glucose to enter the blood stream from the small intestine the cells can process it so it's sent to the liver to be broken
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down and turned into fat. nutritional scientist andreas fritsch has studied the effect of fruit. he conducted an experiment to find out how the. human body breaks it down. to a number of test subjects with varying amounts of fruit toes under this plastic could he was able to gauge how much energy the test subjects used during the experiment. blood samples were taken every 5 minutes to test the sugar levels i missed and you measure how much sugar live a produced how much fast it produced and how much of the sugar was stored despite what. the results of the tests show that too much fruit those leads to weight gain but what's even worse is the damage that fruit does to the liver it basically has the same effect as consuming too much alcohol. then i'd have to live up to
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a few to tweak how it does it has too much to do breaking down the front toes when it comes metabolize it properly and stores it as fat. stores in. the liver terms the bruto seem to fat part of which is transported throughout the body and stored as fat deposits but the liver itself begins to store the fat too that leads to a fatty liver just like consuming too much alcohol does. what's more fruit influences the hormones that regulate appetite. since finding this what makes us feel full stay hungry is a fascinating subject and fructose clearly plays a role in that function. when we consume too much fruit dose the hormone green is produced in the stomachs mucous membrane this hunger hormone signals to
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the brain that we haven't had enough to eat yet. we eat more. often the main problem isn't even solid food we get especially large amounts of fruit in our beverages whether in soft drinks or pee. you are a fruit juice. woman he is so in a flash if you take a bottle like this it contains a leisure about produce just the same sugar content as the apples themselves but if i did the whole leisure it's like eating 8 apples when try to eat 8 apples i get sick of them quickly but i can drink the whole bottle easily in the flesh and it's like think consumers want to reduce their food chosen take should check the labels of soft drinks and processed cream but what about fruit itself don't worry fruit is still healthy it contains less fruit toast and provides fiber and vitamins i have to admit i do love sweets to have to quit them i know you don't but it depends how
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much you and your body's tolerating usually you should not eat more than 25 grams of sugar which is about 6 cubes of sugar but what if i eat sweets and then start for a jog or run if you burn the sugars which are eating this is not a problem but usually people who are not doing sports enough or not exercising eating too much sugar and then they're storing it in the liver which then produces or causes for liver where do we find in daily life sure traps are called traps because you don't think about that a cup of cappuccino usually is about 400 kilo careens appoggiaturas or orange juice contains as many calories as coca-cola so smoothies for example they contain a lot of calories 4 to 500 kilo calories so if you eat or drink 3 of them you have enough calories for the full day children ready to go food pizza soft drinks sweets can they develop at 30 liver yes they can and about 30 percent of the kids
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do have fed liver we all love ready to go food because it is easy to eat and tastes well however the container lot of sugar which is actually not used and stored in the liver which. this is fred liver so you need a balanced diet containing sugars but more importantly proteins and i mean an acid to grow well let's be honest what would be the easiest thing you could give up money the internet your partner we humans find it difficult to eliminate the familiar things from our lives for me personally i could not do without the show and without sugar the people in our next report tried to give up sugar and took part in an exciting experiment. so it's hard to please step on the scale let's see how heavy you are. on the crash or the wood easing less sugar make us
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healthier so. the group of $65.00 people are about to find out they're going to exclude all sweets and added sugar from their diet for the next 3 months. song group laugh and dog who's a doctor specialized in nutrition will monitor them through ios. and hear not fail it's 57 i'm suffering from joint pain and i have a lot of inflammation in my body which could be down to my sugar intake the doctors aren't so sure i want these 3 months for readjust the idea is to get through it and then continue on a lower sugar intake that's what i'm aiming for it's now or never and martin kim has already had a heart bypass his blood pressure and cholesterol levels are too high so he's on medication for the us. to get some states to come off of these cholesterol tablets because of the side effects. if you lose weight by
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changing your diet it's possible we might be able to stop all the medication. blood samples are 1st taken from all the participants the doctors want to monitor how to reduce sugar intake affects their patients metabolism. son who graph and off will check their blood for lives again at the end of the program. so from now on our tests participants will need to be disciplined. it's week one and i'm here off a ladder husband are noticing some changes on the table. we used to have a plate of cookies now we have flowers from. the participants are allowed to ease a maximum of 25 grams of added sugar a day that 8 q 6 teaspoons that's the limit recommended by the world health organization. and half
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a list starting to notice the difference. after 5 days on this new diet my heart burn is gone it has an effect on your partner. the doctor has summoned martin kim gets to the surgery to discuss the results of his blood test despite the medication he's on his blood pressure is too high. and he's overweight he's one meter 80 tall and weighs just under 105 kilos. funds this ultrasound image shows very clearly that you have a fatty liver but that's reversible we can work on that. we jump forward 7 weeks now. the group are having a party to celebrate reaching the halfway point 2 thirds of the participants of managed to stay in the program. but fairly is really missing the sugar. patient i feel like i'm constantly on the edge. she's come to discuss her progress
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with the doctor although she's lost 40 loads in weight she's still not satisfied because instead of eating chocolate she's not started on potato chips instead. the t.v. commercials don't help i've noticed that when you're watching t.v. in the evening you're constantly getting ads for something sweet or food in general . but i think losing 4 kilos in just under 8 weeks is a lot after all the only thing we've changed is reducing the amount of free sugars i think that's a huge achievement martin kim it's on the other hand is surprised how easy it's been to reduce his sugar intake he's also been exercising a lost and has lost 7 kilos. brilliantly with changing your diet. and you're losing weight and what about the other participants the 3 months passed and the final blood test is about to reveal all. more than 40
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participants have held out to the end. joint pain is much better and she no longer needs to take a course on. it's been a huge success especially if it carries on like this i saw my orthopedist yesterday and he was very impressed he says i have to keep it up to. her lab results also look promising her. astral levels liver and fibroid values have all improved that means she's now less at risk of developing diabetes. you've managed to make the change it would be great if you could now keep that up. mat incriminates has lost nearly 9 kilos and the blood tests shows that his cholesterol levels have sunk to. your blood results of improved across the board i'm very pleased. if he
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continues to lose weight he might soon be able to come off the cholesterol tablets . 3 months with a radically reduce sugar intake have paid off nearly all the participants have lost weight and feel better for us and most of them want to continue on a low sugar diet. so if i would keep away from sugar completely my liver would heal so what's your job as a specialist unfortunately there are no effective drugs against liver so our drop a suspicion is to convince our patients to make your lifestyle change also we should treat hypertension efficiently we should treat your sugar efficiently both our risk factors for developing fatty liver so what should the patient do the human being is weak so what you have to do you have to change your diet you have to eat more proteins more amino acid less sugar you have to start with exercise and usually you cannot start with a 2 or 5 kilometers walk but you should start slowly you know to burn more calories
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than you eat as a g.p. and know that it's very difficult for my patients to go for a complete lifestyle change so how could it work yes indeed it's takes a lot of times and effort to convince a patient to change your life it's convenient to go on as you already did for 20 or 30 years to enjoy red wine or to enjoy a good food however sometimes a patient has to experience a trauma or or problem you to think about his own health and changed his life thanks so much for this very interesting talk it was a pleasure thank you very much so exercise is good against a fatty liver and when i exercise i get my best ideas what about you and if you're a bit like me send me your best ideas. in good shape your weekly health show in detail do covers many aspects of health care look at what's new in medical treatments nutrition fitness and beauty. we
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discuss these topics in-depth respectful list and give you the chance to pose your own questions so to get in touch. you may ask yourself is today so over yet no it's not it's over in 3 to. to.
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africa. he's known as the plastic man of. our new fund that's been campaigning for 15 years to get people in senegal to use less plastic ones in the. corona restrictions are forcing him to stay at home counting up the fight. eco comfort.
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30 minutes on d. w. . we know this is a scary time for the coronavirus is changing the world changing our lives so please take care of yourself good systems wash your hands if you can date. how we deal with you for here for you we are working tirelessly to keep you informed on all of our platforms we're all in this to get on together make it. stay safe everyone. stay safe stay safe please stay safe. are they friends so long to be with you that she was here for you which it was lovely i'm full of fun i'm up in the for his new mission or are they and i mean he's going to finish the feasts you live feel pushed you to go with him but he's usually a little he's going to go get my shit my debit card for i just almost trump flooding
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the pluton were 2 part documentary analyzes the difficult relationship between russia and the u.s. and between their presidents how does their was only and their dangerous mutual admiration affect the rest of the world to some bullies trump and putin starts august 3rd on d w like. oh. my god just i was food for the russians so. how to run steve. so many different walks of life. some are compact and honestly trying to put all of this comes straight from the heart to its former c.e.o. even when there's no money dilution the marsh fork in trucks come. from the 1st glimpse of the logs to their final resting place the russians are
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w documentary. this is the news live from berlin from cathedral to mosques to museums now the iconic high as ophelia is a muslim house of worship once again turkey's president formally changes the. last just moments after a turkish cold gives its go ahead to national critics call the decision a provocation. and remembering the victims of the service record it's a genocide is 25 years old w. hears from survivors of the massacre who will never.


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