Exercise is Medicine by ACSM

May 2025 // Archive

Date based archive
21 May

These two terms sound very similar and are often used interchangeably, but they are very different and have different roles for the digestive system. Gut health is extremely important so understanding the difference can help stomach issues and better movement of food through the system.

Prebiotics are non-digestible and is the fiber of foods that doesn’t get broken down. It can be found in foods such as bananas, the skin of apples, garlic, onions, beans, as well as many other items. This fiber enters the small intestine and is fermented once it reaches the colon. Fermentation helps to increase the good type of bacteria. By boosting total fiber intake, you also boost prebiotic fiber. Prebiotics can be thought of as the fertilizer for the gut. They’re not affected by heat, cold, time, or acid. The nourish the already existing good bacteria present in the gut. They can help treat obesity, bone loss, and digestive disorders. Prebiotics also increase the concentration of calcium and magnesium in the intestine. They can help lower cholesterol too.

Probiotics are live bacteria that increase the fermentation process in foods including kefir, miso, kimchi, and other types. They can be taken in pill forms as well. Many people have found the gastrointestinal benefits of taking probiotics. It is important to understand that probiotics when taken as a supplement are only affective when they are alive. They can easily be affected by heat or stomach acid. There are hundreds of types of probiotics. They have to compete with other bad bacteria in the gut. They have been found to be effective in treating irritable bowl disease, childhood diarrhea, and other bowl infections. Probiotics also help balance out the poor effects of antibiotics. They can also help enhance healthier skin. They can help with colon irritation after surgery.

Food is the best source of prebiotics and probiotics. However, in today’s processed high sugar food, obtaining enough fiber is not always up to par. It is recommended that we consume 25-38 grams of dietary fiber and 5 to 20 grams of prebiotic fiber daily. Both prebiotics and probiotics are most effective when taken or consumed regularly. This even means taking them at the same time of day. We need proper gut health to absorb nutrients, feel comfortable after eating, and of course to process the food that we have consumed. As much as we tend to enjoy food, an upset stomach can ruin any day and make daily activities difficult.

16 May

There does exist a good type of fat. Omega-3 fatty acids are found in fish these and come in two forms that we need which include EPA DHA (docosahexaenoic acid) and EPA (eiosapentaenoic acid). ALA (alphalinolenic acid) is the third type which can be found in plants, nuts, and seeds. It is always best to obtain this type of fat from real food versus supplements at a minimum of two to three times a week. The best sources of food that contain EPA and DHA include tuna, salmon, bluefish, herring, sardines, mackerel, anchovies, and trout. Good sources of ALA include flaxseed, canola, and soybean oil, as well as walnuts.

Of these sources it is important to keep in mind that certain fish contains high levels of mercury, and that additional nuts and oils can add up to calories. There are of course supplements to use as an option, especially for people who don’t eat fish. It is always best to talk to a doctor first. Our body doesn’t produce this fatty acid, so we need to consume about 500 milligrams daily of EPA plus DHA. People with heart disease or heart failure should obtain twice this amount. Post heart attack, this fat has been shown to lower the risk of heart attacked related death by 30%.

Omega-3 can help the body in several ways. They can help with stiffness and joint pain which people with rheumatoid arthritis can benefit from. They also assist with anti-inflammatory medications to do their job. This fat has been known to help with depression. It also acts as an assist to anti-depressant medications to do their job. Omega-3 also helps lower blood fat, which is triglyceride levels. Additionally, it can help lower blood pressure, raise the good HDL cholesterol, and reduce the buildup of plaque in the arteries. In turn, this helps reduce the risk of heart disease. It helps with infant neurological development. Some studies have shown it helps reduce the symptoms of ADHD specifically for children, by improving their thinking, learning, and remembering. It is important for your eye health and is a major structural component. For anyone, this fat can help reduce the mental decline that comes with age as well as fight Alzheimer’s. disease. Omega-3 helps reduce the risk of macular degeneration.

Fat isn’t always bad, and Omega-3 is the type that we need. Our heart especially needs it. The funny part about taking supplements is that some people say the gel pills give them “fish burps”. So, say hello to good fat in your body by eating more foods that contain Omega 3 and say goodbye to fat types that raise red flags to your health. There are plenty of fish ready to help so pick your pleasure a few times per week.

07 May

The walls of the digestive tract play a very important role in our relationship with food. Diverticulosis is a condition that occurs when pockets form in the digestive tract. These pockets, called diverticula, mostly form in the colon (the lower part of the large intestine). The lining of the inner intestine pushes through the weak spots in the outer lining which leads to the pouches being created. The lining of the intestine doesn’t like to be pushed, and forms pouches in its defense. This causes the diverticula to become irritated and inflamed (diverticulitis). This condition is more common in people over 60, possibly due to this pouch effect showing more with age. Research links genetics as a culprit and this is more common in men than woman.

The problem is that these pouches cause stomach discomfort including bloating, diarrhea, cramping, and constipation. These symptoms combined with a colonoscopy or x ray can diagnose diverticulosis. After being able to see the pouches the doctor might run other tests such as a blood sample or ACT scan to look at the digestive tract. There is also a GI series of tests that can better look at the large intestine.

The colon (large intestine) is about 6 feet long. Its primary function is to eliminate waste material from food that was digested by the small intestine. The pouches cause problems and treatment is aimed to reduce their havoc. A doctor might first recommend eating a diet higher in fiber to help alleviate pain and gas. Today’s world of processed carbohydrates has caused many to be fiber deficient. A diet low in fiber can create hard stools that are difficult for the body to pass. Now the colon has to use added pressure (the pressure that causes the diverticula to form). Once these pouches form, they do not go away. Good sources of fiber include fruits and vegetables, legumes, beans, and whole grains. Possible foods to avoid include popcorn, poppy seeds, and sesame seeds. Probiotics can be useful in fighting off diverticulitis with their bacteria power.

There are not exactly any foods that must be avoided having this condition, but there are certain troublesome types to keep at minimum. These include foods high in fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (FODMAPs). Examples of these foods include dairy, beans, brussels sprouts, onions, garlic, and fruits such as apples, plums, and pears.

Stomach discomfort that can be debilitating is very troublesome and frustrating. Talking to a gastroenterologist to find relief is very important. There can be help and hope to alleviate some of this pain and hopefully find a solution such as an antibiotic or fiber supplement to aid in your stomach woes.