Page 14 - Today's Dietitian (March 2020)
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Integrative Nutrition     By Jamie Santa Cruz



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                                                           contain much less).  Mushrooms of all types are low in calories,
                                                           very low in fat and sodium, and cholesterol-free.
                                                             What’s more, mushrooms are high in several key vitamins,
                                                           including the B vitamins riboflavin (B 2) and niacin (B 3). They
                                                           contain only low amounts of vitamin B 12, but the form of B 12
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                                                           found in mushrooms appears to be highly bioavailable.  Unlike
                                                           plant foods, mushrooms can be a good source of vitamin D
                                                           if they’re exposed to ultraviolet light.  Mushrooms also are
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                                                           important sources of various minerals, including potassium,
                                                           phosphorus, and selenium (the latter of which is an excellent
                                                           antioxidant).
                                                             Finally, mushrooms are important sources of two other bio-
                                                           active compounds, namely the antioxidants glutathione and
                                                           ergothioneine.  Although glutathione can be found in signifi-
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                                                           cant amounts in other foods, mushrooms are one of the only
                                                           significant dietary sources of ergothioneine. According to
                                                           Beelman, ergothioneine has received significant attention in
                                                           recent research as a potential key to good health and longevity.
                                                           “All mammals, including humans, make a genetically coded,
                                                           highly specific transporter for this molecule,” suggesting an
        Mushrooms as Medicine                              important role in the functioning of the human body, Beel-
                                                           man says. “Red blood cells distribute it around the body, and it
        Do their potentially health-promoting compounds    tends to accumulate in tissues that are under the most oxida-
        have a place in disease treatment?                 tive stress, because it’s an antioxidant. This kind of indicates
                                                           that the body wants to use [ergothioneine] as a defense against
        M          ushrooms have been used as medicine for thou-  1  take, oyster, and shiitake are the mushroom varieties with
                                                           oxidative stress and inflammation.” Porcini, king oyster, mai-
                   sands of years, including in the early Greek, Egyp-
                                                           the highest amounts of ergothioneine; standard white button
                   tian, Roman, Chinese, and Mexican civilizations.
                                                           mushrooms contain much lower quantities.
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                   Although medicinal use of mushrooms has only
                   recently begun to take off in the United States,   Medicinal Properties and Health Benefits
        new research suggests that mushrooms indeed may be a potent   According to Solomon P. Wasser, PhD, a professor emeritus in
        remedy for a variety of health conditions.         the department of evolutionary and environmental biology at
          The term “medicinal mushroom” usually refers to more   the University of Haifa in Israel, mushrooms and other fungi
        exotic, specialty mushrooms, says Robert Beelman, PhD, a pro-  are thought to possess more than 200 different medicinal
        fessor emeritus of food science and director of the Center for   functions. They have antitumor, immunomodulating,
        Plant and Mushroom Foods for Health in the Pennsylvania   antioxidant, radical scavenging, antiviral, antibacterial,
        State University College of Agricultural Sciences. But even the   antifungal, hepato-protective, and antidiabetic effects, among
        common white button mushroom widely eaten in the United   other qualities. In turn, mushroom consumption is thought to
        States still has some medicinal value. A medicinal mushroom   impact the risk of a range of conditions and diseases. “I have
        “is any mushroom that has medicinal properties, and that   changed the English proverb,” Wasser says. “Instead of apples,
        would be true of all mushrooms,” Beelman says.     ‘One mushroom per day keeps the doctor away.’”

        Nutrition and Bioactive Components                 Cancer
        Although mushrooms often are classified as vegetables for the   According to Wasser, some of the best evidence for the ben-
        purpose of dietary recommendations, they’re neither plants   efit of medicinal mushrooms relates to cancer.  “Medicinal
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        nor vegetables, but rather fungi. They’re relatively high in pro-  mushrooms are especially important for the prevention and
        tein, with each 100-g serving of white button mushrooms   treatment of oncological diseases,” Wasser says. “There are
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        containing about 3 g protein.  In addition, mushrooms are an   real drugs from medicinal mushrooms—for example, kres-
        important source of carbohydrates, which compose about one-  tin, lentinan, schizophyllan—that are being used especially in
        half of mushroom dry matter. Specifically, mushrooms con-  Asia (Japan, Korea, China) for treatment in different kinds of
        tain chitin, a form of dietary fiber found in the exoskeletons of   cancer. Mushroom compounds are very important as immuno-
        insects and crustaceans but not in plants. In addition, mush-  modulators that enhance our immune system.”
        rooms contain beta-glucans and other polysaccharides, which   Much of the research on mushrooms and cancer has focused
                                                      1,2
        are bioactive compounds that stimulate the immune system ;   on breast cancer. Test tube experiments have isolated spe-
        beta-glucans traditionally have been the primary focus of   cific compounds from different species of mushrooms and
        medicinal interest in mushrooms. Some species of mushrooms   have shown that they inhibit breast cancer growth.  In addi-
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        are much richer in beta-glucans than others (oyster and enoki   tion, a meta-analysis of 10 different observational studies
        contain relatively high amounts; white button and maitake   found that increased mushroom intake was associated in a

        14 TODAY’S DIETITIAN • MARCH 2020
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