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Published on Leave a comment on Doctors Recommend Mediterranean Style Diet For Health
Fast food Credit: Wikipedia

Say it over and over to yourself: Don't eat highly processed foods, don't eat foods with additives (e.g., emulsifiers, colors), don't eat foods/beverages with high fructose corn syrup, don't eat lots of pre-packaged foods or fast foods.

Why? This kind of high fat, low-fiber Western diet (which most of us eat), is linked to lots of health problems  and also an unhealthy gut microbiome. Cancer, diabetes, heart disease!

Instead, eat a Mediterranean style diet - a diet rich in fruits and vegetables, whole grains, seeds, nuts, whole grains, legumes. Also, lots of olive oil. This is a high fiber diet linked to good health and a healthy gut microbiome.

Research finds harms (e.g., harmful alterations of the gut microbiome or intestinal lining, cancer) from ingredients added to highly processed foods, such as emulsifiers, carrageenan, artificial sweeteners, maltodextrin, carboxymethyl cellulose, polysorbate-80, artificial colors and flavors, high fructose corn syrup, etc. Bottom line: Try to avoid any ingredient that's not normally in your kitchen! Read ingredient lists on labels.

Excerpts from a commentary (transcript of podcast) by Dr. D. Johnson from Medscape: Forget Fad Diets, Here's the One You Need

Hello. I'm Dr David Johnson, professor of medicine and chief of gastroenterology at Eastern Virginia Medical School in Norfolk, Virginia. Welcome back to another GI Common Concerns.

All of us routinely see diet recommendations on the Internet — like TikTok — or in new books. Every possible diet seems to receive this promotional push, although the evidence behind them is often lacking.

So what do we mean when we talk about a "healthy diet"? ...continue reading "Doctors Recommend Mediterranean Style Diet For Health"

Published on Leave a comment on Farts and Good Gut Health

Those who enjoy a little "potty humor" will like the results of a recent nutrition study comparing the results of a Western style diet (high fat, low fiber) to a high fiber Mediterranean diet. The high fiber diet resulted in much larger, softer stools, and an increase in stomach noises and farting. (Yes, they weighed their stools and counted daily farts!) There was no change in the number of stools per day.

In the study 18 healthy men followed both types of diets for two week periods (first one diet, then a break, and then the other diet). The high fiber diet (54.2 grams fiber per day) resulted in numerous beneficial changes, especially nurturing healthy gut bacteria and metabolic improvements. The low fiber Western diet only had an intake of 4.7 g fiber per day. Interestingly, all participants were told to avoid fermented dairy products (e.g. yogurts) during the study.

The high fiber diet resulted in greater numbers of beneficial bacteria in the gut without any major changes in the core microbiome (microbial community). There were also numerous gut microbial metabolic improvements while on this diet. Interestingly, men who already had a more diverse gut microbiota (which is a sign of health) and routinely already ate more fiber rich plants foods, had less farting and stomach noises during the study.

Think of it this way: your diet is what feeds and nurtures the microbes living in your gut. Some microbes are associated with chronic diseases, and some with health - so you want to nurture the health-associated bacteria by eating a diet rich in plant foods (Mediterranean style diet).

By the way, a recent study found that eating fermented foods is a quick way to increase gut microbial diversity and health. It's beneficial to add some fermented foods (e.g. yogurt, kimchi, sauerkraut, kefir) to your regular diet.

From New Scientist: Men fart more when eating a plant-based diet due to good gut bacteria

Plant-based diets cause men to fart more and have larger stools, researchers have found – but that seems to be a good thing, because it means these foods are promoting healthy gut bacteria.  ...continue reading "Farts and Good Gut Health"

Published on Leave a comment on The Foods We Eat and Breast Cancer

Once again, a study found that the foods we eat are associated with our risk for breast cancer. Results from a long-running European study found that certain foods (alcohol, wine, beer) are associated with an increased risk of breast cancer, while other foods (foods high in fiber, certain fruits such as apples and pears, and higher carbohydrate intake) are associated with a lower risk of breast cancer.

This study used data from the European Prospective Investigation into Cancer and Nutrition (EPIC) study, which enrolled 272,098 women (between 1992 and 2000) from 10 European countries. Women filled out an extensive nutritional questionnaire (to assess intake of 92 foods and nutrients) at the beginning, and then they were followed for about 15 years.

It has long been known that higher alcohol intake raises breast cancer risk, especially risk of postmenopausal breast cancer, and this study supports that. Fruits (esp. apples and pears) were associated with a lower risk of breast cancer - and they were also a main source of fiber foods, as well as carbohydrates.

What was not discussed in the study was that along with having many nutrients and high amounts of fiber, produce also contains multitudes of microbes. A recent study found that one apple alone has millions of bacteria! When we eat fresh fruits and vegetables, we are introducing microbes into the gut, as well as feeding beneficial gut microbes (and ultimately lowering chronic inflammation).

Unfortunately they only asked the women about foods one time at the beginning of the study. The women could have changed their dietary patterns over the next 15 years, especially since so many new foods have become popular and widely available. Also, looking at the food list - there was no mention of olive oil, which researchers view as anti-inflammatory, and lowering the risk of breast cancer.

Study by A.K.Heath et al. (in Breast Cancer Research). Excerpts from Medscape: Nutrient-Wide Association Study of 92 Foods and Nutrients and Breast Cancer Risk

Six foods and nutrients were identified as associated with risk of breast cancer in the EPIC study (10,979 cases). Higher intake of alcohol overall was associated with a higher risk of breast cancer, as was beer/cider intake and wine intake, whereas higher intakes of fiber, apple/pear, and carbohydrates were associated with a lower risk of breast cancer.   ...continue reading "The Foods We Eat and Breast Cancer"

Published on Leave a comment on Feed Your Gut Microbes With A Mediterranean Diet

Once again a study found that a diet rich in fruits, vegetables, whole grains, seeds, legumes, nuts, fish, and extra virgin olive oil is beneficial to the huge numbers of microbes living in our gut (the gut microbiome). This type of fiber-rich dietary pattern is generally called the Mediterranean diet.

The Mediterranean diet is associated with health in a number of ways: lower frailty in elderly persons, lowered risk of death and a number of diseases, as well as lowered levels of inflammation. Chronic inflammation is linked to cancers and a number of diseases - thus the goal is to keep inflammation levels down.

Researchers found that elderly persons eating a Mediterranean style diet for one year had beneficial effects on their gut microbes (after all, they were feeding the good gut microbes), which in turn resulted in less frailty, better cognitive function (including memory), and lower levels of chronic inflammation. There was an increase in beneficial microbes that are associated with health and lower levels of inflammation.

On the other hand, the group of persons eating their usual Western style diet (low in fiber, high in fats , meats, sugar, highly processed foods) did not show beneficial changes in their gut microbiome. They showed negative changes (deterioration) in the type of gut microbes,  and also higher levels of chronic inflammation. After all, they were feeding the microbes associated with poor health and inflammation.

What was interesting was that they looked at the gut microbial communities of 612 persons (aged 65-79 years) who lived in five different countries (Poland, Netherlands, UK, France and Italy) - both at the start (baseline) and after a year. At baseline they could see that country-specific patterns in dietary habits were also reflected in the microbiome profiles.

And after a year there were similar positive changes in the gut microbes in all of those eating a Mediterranean style diet, especially with an increase in "keystone species" - those that are especially important for gut health, but also linked to better health and better cognitive (mental) functioning.

Some of the beneficial bacteria that increased in the Mediterranean diet group: Faecalibacterium prausnitzii, along with Roseburia (R.hominis), Eubacterium (E. rectale, E. eligens, E. xylanophilum), Bacteroides thetaiotaomicron ,Anaerostipes hadrus, and Prevotella copri. A majority of these species are associated with health benefits [e.g. production of short chain fatty acids (SCFAs) and lower risk of frailty] and with anti-inflammatory properties. They also are associated with a lower risk for diseases such as type 2 diabetes and colorectal cancer. 

In contrast, the control group that ate a normal Western diet (fats, processed foods, low in fiber, high in meat and sugar) had an increase in  Ruminococcus torques, Collinsella aerofaciens, Coprococcus comes, Dorea formicigenerans, Clostridium ramosum, Veillonella dispar, Flavonifractor plautii and Actinomyces lingnae. An increase in the abundances of R. torques, C. aerofaciens, C. ramosum and V. dispar have been associated with type 2 diabetes and colorectal cancer, atherosclerosis, cirrhosis, and inflammatory bowel disease.

A key finding was that the findings suggest that eating a Mediterranean style diet "modulates the microbiome in a direction positively associated with health". In other words, the benefit of the diet was that it fed beneficial gut microbes that improved health.

Note that these beneficial microbes are NOT found in any supplements or probiotics. You must eat the fiber-rich whole foods!

From Medical Xpress: Mediterranean diet promotes gut bacteria linked to 'healthy ageing' in older people  ...continue reading "Feed Your Gut Microbes With A Mediterranean Diet"

Published on Leave a comment on Eating Lots of Fiber Has Health Benefits

How many times have you heard to eat lots of fruits, vegetables, whole grains, nuts, legumes (beans), and seeds? Study after study finds that eating a diet rich in these foods is linked to all sorts of health benefits. A big reason is that they have lots of fiber - which feeds beneficial microbes in our gut. A recently published review of studies in the prestigious journal Lancet examined studies done over the past 40 years and found numerous health benefits.

The researchers found that people consuming high levels of dietary fiber and whole grains have a lower risk of death from heart disease (cardiovascular mortality) and death from any cause. They also have a lower incidence of heart disease, stroke, type 2 diabetes, and colorectal cancer (as compared to those eating less fiber). There was a dose-response effect - in other words, the more fiber eaten daily, the lower the incidence of these diseases and deaths. They also found that a high fiber diet is also linked to lower cholesterol levels, lower weight, and lower blood pressure.

This study viewed 25 to 29 grams per day as a high fiber diet, but said the findings suggest that higher levels of fiber would be even more protective. Which means put down that delicious white bread and sugary cereal and start eating whole grain foods! Nowadays the average person eats less than 20 grams of fiber per day, but guidelines say to eat at least 30 grams per day. The researchers pointed out that getting fiber from real food is best.

From Science Daily: High intake of dietary fiber and whole grains associated with reduced risk of non-communicable diseases

People who eat higher levels of dietary fiber and whole grains have lower rates of non-communicable diseases compared with people who eat lesser amounts, while links for low glycaemic load and low glycaemic index diets are less clear. Observational studies and clinical trials conducted over nearly 40 years reveal the health benefits of eating at least 25g to 29g or more of dietary fiber a day, according to a series of systematic reviews and meta-analyses published in The Lancet.  ...continue reading "Eating Lots of Fiber Has Health Benefits"