Monthly Archives: October 2017

Could Probiotics Improve Health Outcomes After Injury?

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Fermented foods can provide natural sources of good bacteria.

From hearing your stomach grumble when it’s hungry to the gurgling sounds of indigestion, the gut reminds us everyday of its important presence in our health. Gut bacteria are vital to keeping balance in the body. Also, gut bacteria make sure that any food consumed is being used for energy.  However, recent research has shown that gut bacteria may also be crucial for positive health outcomes after injury.

What is gut bacteria?

Gut bacteria is part of a community of microorganisms such as fungi and viruses that live in the gut microbiome. Also, gut bacteria get along well with the cells of the gastrointestinal (GI) tract and are not known for causing disease. Functions of gut bacteria include:

  • breaking down nutrients to be used for energy
  • protecting the body from toxic invaders
  • breaking down and eliminating drugs from the body

Imbalances of gut bacteria in the body can lead to conditions such as inflammatory bowel disease (IBD).  Also, gut bacteria live in harmony with the immune system and work together to keep the body safe from “bad” bacteria. However, an imbalance in “good” versus “bad” bacteria in the gut could have an impact on immune system function.

Gut bacteria and Injury

A study of 12 critically injured adults in the journal Trauma Surgery & Acute Care Open looked at the status of gut bacteria health over time. Stool samples were taken 24 hours and 72 hours after admission to the hospital.  After 72 hours, three types of bacteria had been depleted in the injured group, while two types of bacteria had risen.  More studies need to be done to explore this finding more. However, the researchers suggest that gut bacteria structure could affect patient outcomes after traumatic injury.  Furthermore, probiotics may be one future treatment to help improve patient outcomes in these cases.

What are probiotics?

Probiotics, which means “for life,” are live microorganisms meant to have positive health benefits.  You may see on store shelves many probiotic medicines containing bacteria from the groups Lactobacillus and Bifidobacterium.  However, since each strain of bacteria benefits a different function in the gut, the more types of strains in a probiotic, the potentially greater health impact. Probiotics may be helpful in preventing diarrhea caused by infections and antibiotics as well as in treatment of those with irritable bowel syndrome (IBS). Basic functions of probiotics may include:

  • maintaining a diverse community of microorganisms
  • maintain a protective barrier for the gut to keep out pathogens
  • recover balance after infection, antibiotic treatment, or other disturbances
  • Stop growth of and fight off unwanted microorganisms
  • Nourish and strengthen the immune system

Biovia30 by VitaSciences provides 30 million colony forming units per dose of diverse strains to help restore balance in the gut and promote immune system strength. Furthermore,  Biovia30 contains various strains of Bacillus, Lactobacillus, and Bifidobacterium to help you build up “good” bacteria stores and keep “bad” bacteria out.

Other ways to protect the gut

  • Eat plenty of fruits, vegetables, and other fiber-rich foods to help promote diversity of gut bacteria.
  • Stop smoking or don’t start since smoking can negatively affect gut bacteria and the immune system. Not only does smoking constrict blood vessels, but it also causes inflammation in the body which can cause cell damage.
  • Find healthy ways to manage stress such as yoga, meditation, or exercise since stress can alter gut bacteria populations. Stress is one of the contributing factors of IBS.
  • Lower saturated fat intake to help lower numbers of inflammatory microbes in the gut.
  • Consume phytonutrients such as polyphenols and tannins found in colorful berries, beans, nuts, seeds, and teas. These compounds can nourish microbes in the digestive tract.

Probiotics shown great promise for helping to treat various health conditions. However, potential benefits of probiotics must be confirmed by further research. Please contact your healthcare provider before starting any new supplement regimen.

Sources:

Conlon, M. A., & Bird, A. R. (2015). The Impact of Diet and Lifestyle on Gut Microbiota and Human Health. Nutrients, 7(1), 17–44. http://doi.org/10.3390/nu7010017

Jandhyala, S. M., Talukdar, R., Subramanyam, C., Vuyyuru, H., Sasikala, M., & Reddy, D. N. (2015). Role of the normal gut microbiota. World Journal of Gastroenterology : WJG, 21(29), 8787–8803. http://doi.org/10.3748/wjg.v21.i29.8787

Medline Plus (October 26, 2017) “Gut Bacteria May Change Rapidly After Severe Injury.”

National Center for Complementary and Integrative Health (October 2016) “Probiotics: In Depth”


    • Can you treat a migraine without pain medicine?

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    migraine, headache, medicine, painIf you have ever had a migraine headache, you know the pain is so intense that a trip to the hospital may be in store.  In this case, the ER staff may use an opioid  pain medicine as a first resort. However, a recent study has shown that this commonly used drug, also known for its addictive qualities, may not be the best choice for migraine relief.

    What is a migraine?

    A migraine headache involves a throbbing pain, usually on one side of the head, usually along with other symptoms. Nausea, vomiting, blurred vision, and sensitivity to light are some of the most common symptoms of such headaches. Pain can occur for hours, or even days, and warning symptoms such as  constipation, mood changes, neck stiffness, increased thirst, or frequent yawning may precede a migraine.  In rare cases, right before a migraine you may get aura symptoms such as flashes of light or blind spots.  In the 24 hours after, you may have symptoms such as confusion, moodiness, dizziness, and weakness.

    Aspirin, ibuprofen, acetaminophen, or a combination of acetaminophen, aspirin and caffeine may be used for treatment of most migraines. More severe cases may require medications such as Triptan or Ergot, which help constrict blood vessels and block pain pathways.  However, opioids are used if a person cannot tolerate such medicines.

    Migraine Relief Research

    A recent study in the journal Neurology looked at 127 patients who had at least trips to the New York emergency department for migraine headaches.  Half of the patients received the opioid hydromorphone and the other half received an IV of the dopamine-releasing drug prochlorperazine.

    After 48 hours of treatment, sixty-percent of people from the prochlorperazine group versus thirty-percent of the hydromorphone group felt relief.  In addition, the prochlorperazine group was 30-percent less likely to ask for more pain medicine after treatment than the opioid group (6-percent versus 36-percent).  This study suggests that anti-dopaminergic drugs may provide more relief to migraine headache sufferers than opioids. However, you should be sure to talk with your healthcare provider to find the best treatment for you.

    Natural Ways to Relieve Migraine Pain

    • Learn to cope (LTC) : This treatment gradually exposes patients to headache triggers to help them become desensitized to such triggers.
    • Practice consistent overall wellness: Be sure to get a good night’s sleep of at least 6 to 8 hours of sleep each night and eat healthy, balanced meals every day. Also, be sure to find healthy ways to manage stress such as doing yoga, engaging in relaxation breathing, or taking a walk daily.
    • Stay active: Regular exercise can help not only manage stress, but can also prevent migraines.  Exercise reduces such headaches by reducing tension in the body. Furthermore, staying active can help reduce body weight.  Since obesity is thought to be a risk factor for migraine headaches, weight loss could reduce such risk.
    • Other medicinal treatments: Cardiovascular or anti-seizure drugs, antidepressants, and Botox may be prescribed to help prevent migraine headaches. However, for the more natural route, reach for Migravent by Vita Sciences.  Migravent contains natural ingredients such as PA-free butterbur, CoQ10, magnesium,  and riboflavin. This formula has been found to help prevent migraines and support reduced frequency of such headaches and related symptoms.

    Disclaimer: Please be sure to talk to your healthcare provider before starting any new medication.

    -written by Staci Gulbin, MS, MEd, RD, LDN

    Sources:

    Mayo Clinic (April 26, 2017) “Migraine”

    Medline Plus (October 18, 2017) “Skip Opioid Treatment for Migraine in the ER”


    • Could Excess Weight Shorten Your Life?

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    age, healthy eating, apple, green, aging, healthAccording to the National Institutes of Health, the average American can live an average of 79 years.   However, did you know that a few small lifestyle changes could add years to your life? It was found that for every few pounds you lose you could be adding years to your life.

    A recent study in Nature Communications looked at genetic data from 600,000 people in North America, Europe and Australia. Smoking, body fat, thought processes and the genes related to such can affect life span.

    Of all conditions observed, smoking and traits linked with lung cancer were found to have the greatest impact on reducing life span. Smoking one pack of cigarettes a day over a lifetime can lead to a loss of seven years of life.  However, if a person quits smoking, they can get back those years and live as long as someone who has never smoked.

    Obesity is a common risk factor for heart disease and diabetes. However, body fat percentage and other factors linked with diabetes were found to decrease life span. Two months of life can be lost for every 2.2 pounds of excess body fat. This could be related to the increased risk of obesity-related conditions related to excess weight, but the direct reason for this result is not confirmed.

    Finally, those with an open mind may live longer than those who were not. For every year of studying done beyond school, a year is added to a person’s life. This could be related to those studying more having sharper minds as they age, but it is not confirmed why. By maintaining mental sharpness, you are helping to keep the body’s software up to date which aids in overall wellness.

    Other Ways to Add Years to Your Life

    If you want to add years to your life, there are many things you can do.

    • Eat better:  A balanced diet of fruits and vegetables provide fiber that can help manage weight and keep blood glucose levels stable.
    • Stay active: A good balance of cardio, resistance, and flexibility exercises can help you stay young as you age. Resistance exercises such as lifting weights, working with resistance bands, or performing push-ups, can help maintain lean mass. Lean mass can help keep you more mobile as you age and in turn prevent injury. In addition, lean mass can keep bones and joints strong and improve insulin resistance.
    • Sleep more: While you sleep, the body regulates fluid, blood glucose, levels, and blood pressure. Therefore without the recommended 6-8 hours of sleep a night, you may be putting yourself at risk for chronic disease. If you have trouble sleeping, try  reducing screen time before bed, getting blackout blinds, stop eating and drinking two hours before bedtime, or get a white noise machine. Check with your healthcare provider if pain or other health issues that may be keeping you up at night.
    • Practice preventative health: Be sure to visit your doctor every year or more often to check for chronic disease risk factors. Knowing your numbers such as blood pressure, blood glucose, cholesterol, triglycerides, and vitamin levels are important for health tracking. If any of your numbers are out of range, you could increase risk for chronic disease and decrease quality of life.
    • Take a multivitamin: To ensure you are getting your daily nutrients, try the Zestia multivitamin by Vita Sciences. Zestia contains a combination of fruit and vegetable extracts, probiotics, and digestive enzymes to help support an optimal quality of life.

    Sources:

    Harvard Health Publishing (accessed October 16, 2017) “Tips for  longer life”

    Medline Health News (October 13, 2017) “Good Lifestyle Choices Adds Years to Your Life” 

    National Institutes of Health News in Health (June 2016) “Can You Lengthen Your Life?” 


    • Could Hypertension Increase Dementia Risk in Women?

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    Ifhypertension, blood pressure, brain, memory, dementia you have high blood pressure, heart disease may be the health concern most on your mind. However, high blood pressure can be a risk factor for more than just heart conditions.  A recent study has found that women in their 40’s with high blood pressure have an increased risk of dementia.

    What is high blood pressure?

    A systolic blood pressure of 140 mm Hg or higher and a diastolic blood pressure of 90 mm Hg or higher defines a diagnosis of high blood pressure, or hypertension.  Systolic blood pressure is a measure of the pressure when the heart contracts, while diastolic blood pressure is a measure of the pressure in between heart beats.

    Hypertension occurs when there is some sort of damage or blockage that causes a narrowing of the blood vessels.  This narrowing slows the flow of blood and oxygen to tissues and organs in the body. Over time, this delayed oxygen and blood flow can cause damage to cells in the body that can lead to disease. Therefore, high blood pressure can lead to increased risk of diabetes, kidney damage, stroke, and vision loss.

    Hypertension and Dementia

    A recent study in the journal Neurology looked at the medical records of about 5600 patients over 15 years to see who developed dementia.  Those women in their 40’s with hypertension had up to a 73-percent risk of developing dementia.  Although, the same was not true of women in their 30’s or of men in their 40’s.  However, further studies must be done to determine the reason for these results.

    Previous studies have found a link between high blood pressure and dementia, but it was not clear if hypertension before the age of 50 was a risk factor for the condition. However, it is clear that the brain is a metabolically active organ that requires oxygen to function properly. Without oxygen, brain cells starve and become damaged causing disease and dysfunction.  In order to get enough oxygen, blood flow to the brain must be healthy. Therefore, anything that prevents or delays blood flow, such as hypertension, could lead to cell damage in the brain as is seen in dementia.

    Hypertension Prevention

    To lower your risk of diseases such as dementia, take the following steps to prevent or control hypertension.

    • Eat a well-balanced diet of lean proteins, fiber-rich fruits and vegetables, whole grains, low-fat dairy, and healthy fats such as nuts, seeds, avocado, and plant-based oils.  Be sure to limit your intake of sugary and salty processed foods which can increase hypertension risk.
    • Stay active most days of the week.  Walking, jogging, biking, dancing, and swimming are some ways you can stay active to keep your heart healthy. Try to be active for 30 minutes a day for most days of the week to help manage your weight and blood pressure.
    • Limit alcohol intake to no more than one drink a day for women and no more than 2 drinks a day for men.  Over this limit, alcohol can raise blood pressure and can also make it difficult to manage a healthy weight.
    • Control weight since those who are overweight or obese have a higher risk for hypertension than those of a healthy weight.
    • Don’t smoke since smoking can deprive your body of oxygen since it constricts blood vessels. In turn, smoking can increase risk of hypertension and related health issues.
    • Take all prescribed medications to help manage hypertension so that damage to the body’s cells can be limited.
    • Add in heart-healthy vitamins and supplements to your routine such as Presura by Vita Sciences. Presura contains a combination of hawthorn berry, niacin, and garlic extract to help support healthy blood pressure levels. Be sure to contact your healthcare provider before starting any new supplement regimen. It is important to make sure that any new supplements will not interact with your current prescribed medicines.

    -written by Staci Gulbin, MS, MEd, RD, LDN

    Sources:

    American Heart Association (October 2016) “Changes You Can Make to Manage Blood Pressure”

    American Heart Association (October 2016) “Understanding Blood Pressure Readings”

    Medline Plus (October 4, 2017) “High Blood Pressure in 40’s a Dementia Risk for Women?”

    National Institute on Aging (March 1, 2015) “High Blood Pressure” 


    • Monitor Your Way To Improved Diabetes

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    blood glucose, monitor, diabetes, finger stick

    No finger sticks with CGMS.

    When you have diabetes, checking your blood glucose levels is just something yo know yo have to do. However, daily checks may not be enough to treat everyone with diabetes. The FDA has recently approved the continuous glucose monitoring system as an effective treatment for diabetes.

    What is continuous glucose monitoring?

    Continuous glucose monitoring, or CGMS, is a way to measure blood glucose levels in real time without the need for a finger stick. Glucose levels in the tissue fluid are measured by a tiny electrode that is placed under the skin. This data is sent through a transmitter to the monitor where your blood glucose readings are displayed.  The CGMS will alert you to high and low blood glucose levels so you can take action. However, one finger stick every 12 hours may be required to calibrate the device and ensure that readings are accurate.

    CGMS can be a great way to find out how certain activities, foods, medicines, or other life events such as illnesses may be affecting your blood glucose levels.  Also, this device is great for anyone who is having frequent highs and lows or looking improve their A1C. A patient usually wears the CGMS for about 10 to 14 days. Then you will visit a diabetes specialist to review results and devise a plan of action to correct any issues that may present themselves.

    Control Blood Glucose Levels

    Along with CGMS, there are plenty of ways you can stay on top of your blood glucose.

    • Visit your diabetes health care provider often so you can stay on top of any potential issues before they become complications.
    • Check your blood glucose levels at home to track your progress. By tracking your highs, lows, and in betweens, you can figure out what times of day you need to  improve your diabetes numbers.
    • Eat balanced meals and snacks throughout the day that contain a rich source of fiber and protein. Focus your carbohydrate intake on whole grains like brown rice and oats as well as fiber-rich fruit, vegetables, and legumes. This is because fiber slows down digestion, in turn helping improve blood glucose levels
    • Stay active each day to help manage your weight and improve insulin sensitivity.
    • Track your eating to make sure you are eating at regular intervals and not eating too many carbohydrates at any one meal. Tracking your eating can keep you accountable. If you can identify what parts of your meal plan need improvement, then you will be able to better control your diabetes.
    • Take diabetes-friendly supplements such as Glucarex by Vita Sciences. Glucarex contains a blend of compounds such as chromium, alpha lipoic acid, and cinnamon to help support weight loss, metabolism, and blood glucose level control.

    -written by Staci Gulbin, MS, MEd, RD, LDN

    Sources:

    Joslin Diabetes Center (accessed October 2, 2017) “How Does Fiber Affect Blood Glucose Levels?” http://www.joslin.org/info/how_does_fiber_affect_blood_glucose_levels.html

    Medtronic (accessed October 2, 2017) “Continuous Glucose monitoring”

    Preidt, R. (September 28, 2017) “FDA Approves New Continuous Glucose Monitor for Diabetes”

    Wynn, P. (March 10, 2017) “New Diabetes Products for 2017: Glucometers and CGMS”