ATMS Journal Winter 2025 (Public Version) | Page 17

( ALA)( c18:3), omega-3 stearidonic acid( SDA)( c18:4) and omega-6 gamma linolenic acid( GLA)( c18:3) which are efficiently converted endogenously to other biologically active forms. Its potent anti-inflammatory effects are instigated by modulating eicosanoid synthesis and cytokine production.( 4) A standout feature of BA seed oil is its high natural concentration of stearidonic acid( SDA), which is efficiently converted into eicosapentaenoic acid( EPA), a precursor to anti-inflammatory prostaglandins.( 9) BA has been shown to effectively improve several markers of inflammation including TNF-alpha, the ratio of EPA to arachidonic acid( EPA: ARA ratio), Interleukin-10 and Interleukin 10:6 ratio.( 9-12) Upon ingestion, BA’ s uniquely complete and balanced plant-derived lipid profile generates the broadest spectrum of anti-inflammatory oxylipins achievable through an essential fatty acid source.
Polyphenols found in fruits, vegetables, tea, and coffee exhibit anti-inflammatory properties by reducing oxidative stress and inhibiting pro-inflammatory pathways.( 13) The consumption of polyphenol-rich foods has been associated with lower levels of inflammatory markers.( 14) Phenolic compounds and flavonoids can interact with reactive oxygen species( ROS)/ reactive nitrogen species( RNS) and terminate chain reactions before cell
viability is deleteriously affected.( 15) Plant-centred whole food diets have been associated with reduced inflammation due to their high antioxidant and fibre content.( 16) Studies have demonstrated lower CRP and IL-6 levels in individuals following plant-based dietary patterns.( 17) Furthermore, case series using a protocol centred on raw leafy green vegetables, particularly cruciferous, plant sources of omega-3 and water with the intention of improving cellular function and reducing inflammation, have shown remarkably fast resolution of autoimmune conditions.( 18)
Dietary Fibre plays a crucial role in modulating inflammation by influencing gut microbiota composition and the production of short-chain fatty acids( SCFAs).( 19) High-fibre diets are associated with lower CRP levels and reduced risk of inflammatory diseases.( 20, 21)
Lifestyle Interventions for Inflammation
Sleep and Inflammatory Regulation Chronic sleep deprivation and sleep disturbances are associated with increased inflammatory markers, including CRP and IL-6, and contribute to systemic inflammation and immune system dysregulation.( 22-24) Educating patients on sleep hygiene practices is important in a holistic treatment approach.
Moderate Exercise and Systemic Inflammation Regular physical activity exerts antiinflammatory effects by reducing adipose tissue inflammation and increasing the activity of antioxidant enzymes.( 25) Moderate exercise has been shown to decrease levels of TNFalpha and IL-6.( 26-28)
Stress Management and Healthy Relationships Psychological stress is a known contributor to chronic inflammation through the activation of the hypothalamic-pituitary-adrenal( HPA) axis and the sympathetic nervous system.( 29) Engaging in stress-reducing activities such as meditation and maintaining strong social relationships has been shown to lower inflammatory biomarkers.( 30,31)
Conclusion
Chronic inflammation is a key driver of many chronic diseases. At a time when the cost of living crisis can adversely impact the health choices that patients make, it is reassuring to know that

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