new perspectives on nutrition
Post on 19-Oct-2014
979 views
DESCRIPTION
A presentation that takes a new look at nutrition for Crohn’s and Ulcerative Colitis patients.TRANSCRIPT
![Page 1: New Perspectives on Nutrition](https://reader035.vdocuments.site/reader035/viewer/2022081412/54446debafaf9f9c098b4820/html5/thumbnails/1.jpg)
New Perspectives on Nutrition
for Crohn’s and Ulcerative Colitis Patients
Frank W. Jackson, M.D.GastroenterologistCamp Hill, PA
![Page 2: New Perspectives on Nutrition](https://reader035.vdocuments.site/reader035/viewer/2022081412/54446debafaf9f9c098b4820/html5/thumbnails/2.jpg)
Plan
Plain Talk on Diet Gut Bacteria Probiotics Prebiotics Hydrogen Sulfide Gas and Ulcerative
Colitis Food Emulsifiers and Crohn’s
![Page 3: New Perspectives on Nutrition](https://reader035.vdocuments.site/reader035/viewer/2022081412/54446debafaf9f9c098b4820/html5/thumbnails/3.jpg)
![Page 4: New Perspectives on Nutrition](https://reader035.vdocuments.site/reader035/viewer/2022081412/54446debafaf9f9c098b4820/html5/thumbnails/4.jpg)
References Jackson GI Medical: www.jacksongi.com
Ulcerative Colitis Diet Crohn’s Disease Diet Crohn’s Patients: Plug Your Leaky Gut!
Crohn’s and Colitis Foundation of America ccfa.org
Search: Diet and Nutrition Mayo Clinic
mayo.org Search: Ulcerative Colitis, Lifestyle and Home Remedies Search: Crohn’s Disease, Lifestyle and Home Remedies
![Page 5: New Perspectives on Nutrition](https://reader035.vdocuments.site/reader035/viewer/2022081412/54446debafaf9f9c098b4820/html5/thumbnails/5.jpg)
Plain Dietary Talk for Crohn’s and Colitis
Protein – weight Dairy Products Complex Carbs &
Adequate Fats Vitamins
Multi-vitamin B12 & Crohn’s Vitamin D
Minerals Calcium Iron Selenium
Fish, Fish Oil & Flax Seed
Herbs
![Page 6: New Perspectives on Nutrition](https://reader035.vdocuments.site/reader035/viewer/2022081412/54446debafaf9f9c098b4820/html5/thumbnails/6.jpg)
Lactose Intolerance 12-16 Oz. Skim Milk in
AM If no…
Cramping Diarrhea Excess Flatus…
In 4-5 hours, then You don’t have Lactose
Intolerance (If symptoms do occur,
see your physician)
![Page 7: New Perspectives on Nutrition](https://reader035.vdocuments.site/reader035/viewer/2022081412/54446debafaf9f9c098b4820/html5/thumbnails/7.jpg)
Minerals Calcium
Dairy Products
Iron Consider Supplement
Selenium Brazil Nuts
1-2/Day
![Page 8: New Perspectives on Nutrition](https://reader035.vdocuments.site/reader035/viewer/2022081412/54446debafaf9f9c098b4820/html5/thumbnails/8.jpg)
Herbs An herb is any plant which is dried & ground up! 100’s of different chemicals/molecules in every plant
Broccoli Apples Ginko Echinacea St. John’s Wort Spinach
BUT: Use only recognized food herbs. Avoid other herbs.
![Page 9: New Perspectives on Nutrition](https://reader035.vdocuments.site/reader035/viewer/2022081412/54446debafaf9f9c098b4820/html5/thumbnails/9.jpg)
Gut Bacteria Microbiota
Mostly colon bacteria Over 1,000 species Trillions and trillions!
What we know now The colon is a health
organ when the good bacteria grow and proliferate
Take care of it! Don’t abuse it!
![Page 10: New Perspectives on Nutrition](https://reader035.vdocuments.site/reader035/viewer/2022081412/54446debafaf9f9c098b4820/html5/thumbnails/10.jpg)
Prebiotics
Soluble Plant Fibers NOT digested by human gut Fermented by gut bacteria Positive health benefits demonstrated
![Page 11: New Perspectives on Nutrition](https://reader035.vdocuments.site/reader035/viewer/2022081412/54446debafaf9f9c098b4820/html5/thumbnails/11.jpg)
PrebioticsRemarkable Benefits When Colon Bacteria are Fed Well Calcium Bone Density Immunity Good Bacteria Regularity
Allergies/Asthma Triglycerides Cancer Factors Appetite/Weight Bad Bacteria Flatus Smell
![Page 12: New Perspectives on Nutrition](https://reader035.vdocuments.site/reader035/viewer/2022081412/54446debafaf9f9c098b4820/html5/thumbnails/12.jpg)
Oligofructose-Inulin Rich Foods*:Prebiotics
Chicory Root (65% prebiotics by weight)
Jerusalem Artichoke (32%) Dandelion Greens (24%) Garlic (18%) Leek (12%) Onion (9%) Asparagus (5%) Wheat (5%) Banana (1%) Thousands more <1%
The King of Prebiotic Foods: Chicory Root is 65% Prebiotic Fiber by Weight!
*The Journal of Nutrition, 2007
![Page 13: New Perspectives on Nutrition](https://reader035.vdocuments.site/reader035/viewer/2022081412/54446debafaf9f9c098b4820/html5/thumbnails/13.jpg)
Prebiotin
Oligofructose-Enriched Inulin Combines prebiotics
with both shorter and longer molecular chains to nourish entire colon
![Page 14: New Perspectives on Nutrition](https://reader035.vdocuments.site/reader035/viewer/2022081412/54446debafaf9f9c098b4820/html5/thumbnails/14.jpg)
Probiotics - Bacteria
![Page 15: New Perspectives on Nutrition](https://reader035.vdocuments.site/reader035/viewer/2022081412/54446debafaf9f9c098b4820/html5/thumbnails/15.jpg)
Probiotics - Bacteria Healthy: more hype and
hope than fact. UC: VSL#3 – maybe Crohn’s: Unknown Bottom Line for UC and
CD patients Regular/natural yogurt
probably okay Bacteria “Enhanced”
Yogurts, like Activia, and all other probiotics – avoid
Talk to your physician.
![Page 16: New Perspectives on Nutrition](https://reader035.vdocuments.site/reader035/viewer/2022081412/54446debafaf9f9c098b4820/html5/thumbnails/16.jpg)
The Colon
Right (ascending) Colon
Left (descending) Colon
Transverse Colon
![Page 17: New Perspectives on Nutrition](https://reader035.vdocuments.site/reader035/viewer/2022081412/54446debafaf9f9c098b4820/html5/thumbnails/17.jpg)
Ulcerative Colitis 1. Outside Surface
2. Inside Lining Cells
3. Mucus Layer (Biofilm)
4. Bacteria
5. Hydrogen Sulfide Gas
Ulcerative Colitis results in inflammation ofInterior lining cells.
H2S
H2S
![Page 18: New Perspectives on Nutrition](https://reader035.vdocuments.site/reader035/viewer/2022081412/54446debafaf9f9c098b4820/html5/thumbnails/18.jpg)
Hydrogen Sulfide (H2S)
Made by Colon BacteriaLow Concentration = Smelly FlatusMedium Concentration = Irritate Eyes &
AirwaysHigh Concentration = as deadly as Cyanide
A nasty gas!
![Page 19: New Perspectives on Nutrition](https://reader035.vdocuments.site/reader035/viewer/2022081412/54446debafaf9f9c098b4820/html5/thumbnails/19.jpg)
Hydrogen Sulfide (H2S)
Noxious Flatus Odor Made in the Left
(descending) colon Why? H2S bacteria do not grow
in acid environment Left colon is neutral –
neither acidic nor alkaline
![Page 20: New Perspectives on Nutrition](https://reader035.vdocuments.site/reader035/viewer/2022081412/54446debafaf9f9c098b4820/html5/thumbnails/20.jpg)
.org
![Page 21: New Perspectives on Nutrition](https://reader035.vdocuments.site/reader035/viewer/2022081412/54446debafaf9f9c098b4820/html5/thumbnails/21.jpg)
Prebiotics Prebiotic Foods and Oligofructose-Inulin
Formula (Prebiotin) Feeds good bacteria which in turn make short-chain
fatty acids (SCFA) - Energy Pods
Energy Pods (SCFAs) Nourish the colon cell wall itself Create energy Protect mucous layer Acidify the Colon
Prebiotic Energy Pods (SCFA)
![Page 22: New Perspectives on Nutrition](https://reader035.vdocuments.site/reader035/viewer/2022081412/54446debafaf9f9c098b4820/html5/thumbnails/22.jpg)
Does Acidifying the Colon Help U.C.? Prebiotics decrease production of H2S How do we know?
Flatus stops smelling
![Page 23: New Perspectives on Nutrition](https://reader035.vdocuments.site/reader035/viewer/2022081412/54446debafaf9f9c098b4820/html5/thumbnails/23.jpg)
.org
![Page 24: New Perspectives on Nutrition](https://reader035.vdocuments.site/reader035/viewer/2022081412/54446debafaf9f9c098b4820/html5/thumbnails/24.jpg)
Crohn’s DiseaseOutside Surface
Cell LiningMucus Layer
Bacteria
Healthy Crohn’sIn Crohn’s, the
bacteria penetrate the mucus layer and invade the
inside lining cells.
![Page 25: New Perspectives on Nutrition](https://reader035.vdocuments.site/reader035/viewer/2022081412/54446debafaf9f9c098b4820/html5/thumbnails/25.jpg)
Bacterial invasion of mucus layer and cell lining in Crohn’s
Healthy Crohn’s
![Page 26: New Perspectives on Nutrition](https://reader035.vdocuments.site/reader035/viewer/2022081412/54446debafaf9f9c098b4820/html5/thumbnails/26.jpg)
Prebiotics Prebiotic Foods and Oligofructose-Inulin
Formula (Prebiotin) Feed good bacteria which in turn make short-chain
fatty acids (SCFA) - Energy Pods
Energy Pods (SCFAs) Nourish the colon cell wall itself Create energy Acidify the Colon Protect mucus layer
Prebiotic Energy Pods (SCFA)
![Page 27: New Perspectives on Nutrition](https://reader035.vdocuments.site/reader035/viewer/2022081412/54446debafaf9f9c098b4820/html5/thumbnails/27.jpg)
EmulsifiersFood Additive: What are they?
Why are Emulsifiers Used? Prolong shelf life Blends and homogenizes water, oil & any liquid Binder Increases Taste Mouthfeel Substitute for Fat and Gluten Allow labeling of foods as fat free, low calorie, etc.
FDA classes them as GRAS (Generally Recognized As Safe) Therefore, manufacturers often do not have to declare on
ingredients label
![Page 28: New Perspectives on Nutrition](https://reader035.vdocuments.site/reader035/viewer/2022081412/54446debafaf9f9c098b4820/html5/thumbnails/28.jpg)
Emulsifiers Who are They? Cellulose (derived from wood chips)
Methyl Cellulose (Citrucel) Carboxy Methyl Cellulose (most used) Hydroxy Propyl Methyl Cellulose
Gum (gum trees & plants – natural, organic) Guar Gum Xantham Gum Gum Arabic Taro Gum
![Page 29: New Perspectives on Nutrition](https://reader035.vdocuments.site/reader035/viewer/2022081412/54446debafaf9f9c098b4820/html5/thumbnails/29.jpg)
Emulsifiers are everywhere
![Page 30: New Perspectives on Nutrition](https://reader035.vdocuments.site/reader035/viewer/2022081412/54446debafaf9f9c098b4820/html5/thumbnails/30.jpg)
Emulsifiers at work…
Oil + Water Oil + Water + Cellulose Emulsifier (Carboxy Methyl Cellulose)
Oil + Water + Xantham Gum
![Page 31: New Perspectives on Nutrition](https://reader035.vdocuments.site/reader035/viewer/2022081412/54446debafaf9f9c098b4820/html5/thumbnails/31.jpg)
WOW!
![Page 32: New Perspectives on Nutrition](https://reader035.vdocuments.site/reader035/viewer/2022081412/54446debafaf9f9c098b4820/html5/thumbnails/32.jpg)
WOW!
![Page 33: New Perspectives on Nutrition](https://reader035.vdocuments.site/reader035/viewer/2022081412/54446debafaf9f9c098b4820/html5/thumbnails/33.jpg)
Food Emulsifiers
A profound experiment on an unsuspecting public
Probably safe for the otherwise healthy For the Crohn’s Patient:
They may damage the mucus layer (biofilm)They may allow invasion of bacteria!
![Page 34: New Perspectives on Nutrition](https://reader035.vdocuments.site/reader035/viewer/2022081412/54446debafaf9f9c098b4820/html5/thumbnails/34.jpg)
Recommendation for UC and CD Patients Good Dietary Health Eat prebiotic rich foods Consider a prebiotic supplement such as
Prebiotin (www.prebiotin.com) Restrict emulsifiers as much as possible.