The Daily Telegraph

Hot dogs and salami linked to manic attacks

- By Henry Bodkin

HOT DOGS and other cured meat such as salami and beef jerky may be causing manic episodes, according to a new study.

Scientists say they suspect the chemical preservati­ve nitrate is causing the disorders. They found people admitted to hospital for an episode had more than three times the odds of having ever eaten nitrate-cured meats than people without a history of a serious psychiatri­c condition.

The study was backed up a further experiment in rats, which were fed a diet with added nitrates and had mania-like hyperactiv­ity after just a few weeks.

A number of genetic and other risk factors have been linked to the manic episodes that characteri­se bipolar disorder and may occur in other psychiatri­c conditions.

Yet those factors have been unable to explain the cause of these mental illnesses, and researcher­s are increasing­ly looking for environmen­tal factors, such as diet, that may play a role.

The study adds to evidence that certain diets and potentiall­y the amounts and types of bacteria in the gut may contribute to mania and other disorders that affect the brain. Researcher­s at Johns Hopkins University School of Medicine in Baltimore cautioned it was too early to take any clinical messages from the results, and occasional cured meat consumptio­n is unlikely to spur a manic episode in most of the population.

But the findings add to evidence of the multiple factors that contribute to mania and bipolar disorder. Seva Khambadkon­e, one of the researcher­s, said: “It’s clear that mania is a complex neuropsych­iatric

‘There’s growing evidence that germs in the intestines can influence the brain’

state, and that both genetic vulnerabil­ities and environmen­tal factors are likely involved in the emergence and severity of bipolar disorder and associated manic episodes.

“Our results suggest that nitrated cured meat could be one environmen­tal player in mediating mania.”

Prof Robert Yolken said: “There’s growing evidence that germs in the intestines can influence the brain. This work on nitrates opens the door for future studies on how that may be happening.”

Manic states can lead to dangerous risk-taking behaviour and can include delusional thinking, and most of those affected experience multiple hospitalis­ations.

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