Unhealthy diets may have contributed to as many as 400,000 premature deaths from heart disease and strokes in 2015, a new study estimates.
And, it’s not just the things you should be avoiding — such as salt and trans fats — that are contributing to these deaths. The excess deaths may also be caused by what’s missing in your diet — namely, nuts and seeds, vegetables and whole grains, the researchers said.
“Cardiovascular disease is the number one cause of death in the United States, killing more people in 2015 than any other cause,” said lead researcher Dr. Ashkan Afshin of the University of Washington in Seattle. He’s an acting assistant professor of global health at the university’s Institute for Health Metrics and Evaluation. “Poor diet is the top risk factor for cardiovascular disease death and, therefore, deserves attention from decision-makers in the U.S. when setting health agendas,” Afshin said.
Preventing Heart Disease & Stroke with Proper Nutrition
The study results suggest that nearly half of heart disease and stroke (cardiovascular disease) deaths in the United States might be prevented with improved diets, he explained. Debates on dietary policies in the United States tend to focus on cutting out unhealthy foods and nutrients, such as trans fats, salt and sugar-sweetened beverages. But this study shows that a large number of heart-related deaths may be due to a lack of healthy foods, Afshin reported.
“This study highlights the urgent need for implementation of policies targeting these unhealthy food groups as well healthy foods, such as nuts, whole grains and vegetables,” he said.
The study data came from the U.S. National Health and Nutrition Examination Survey from 1990 to 2012. The researchers also used food availability data from the Food and Agriculture Organization of the United Nations and other sources.
Looking at deaths in the United States from heart and blood vessel diseases for 2015, the investigators found unhealthy diet choices and lack of eating healthier foods had a part in the deaths of more than 222,000 men and over 193,000 women. The study could not, however, prove a direct cause-and-effect relationship.
Low intake of nuts and seeds likely accounted for nearly 12 percent of deaths. Too few vegetables probably contributed to as many as 12 percent of the heart disease and stroke deaths. And, low intake of whole grains may have been responsible for more than 10 percent of those deaths. Too much salt likely accounted for 9 percent of deaths, Afshin said.
Samantha Heller, a registered dietitian, said, “If someone’s diet is low in nuts, seeds, fruit, fiber, whole grains and vegetables, then they are likely replacing those foods with less healthy options, such as deli meats, cheeseburgers, fried chicken, sodas, boxes of mac-and-cheese, sugar-sweetened beverages and other highly processed, junk, fast and prepared foods.” Heller is a senior clinical nutritionist at NYU Langone Medical Center in New York City.
“A crummy diet means the body has to work at Mach-10 to battle the onslaught of biochemical, physiological and inflammatory consequences. No wonder so many of us complain about being exhausted all the time and suffer from very serious and oftentimes preventable cardiovascular diseases,” she said.
Recommended Proper Nutrition
A more plant-based, whole-food approach to eating reduces internal inflammation, which in turn helps protect and heal “gunked up” arteries and an overworked heart. It also enhances the immune system, improves gastrointestinal and brain health, and boosts energy, Heller explained.
Heller recommends simple swaps, such as: sliced avocado, tomato and hummus on whole grain bread instead of a ham and cheese sandwich; a veggie burger topped with salsa instead of a cheeseburger; brown rice, vegetable-edamame paella instead of mac and cheese; a salad pizza instead of a pepperoni pizza.
“The good news is it is never too late or too early to ditch unhealthy foods, dig into a plate of vegetables, legumes, fruits, nuts, seeds and whole grains, and watch how our bodies respond by getting healthier and happier,” Heller said.
The study was funded by the Bill and Melinda Gates Foundation. The findings were scheduled to be presented Thursday at the American Heart Association meeting in Portland, Ore. Study results presented at meetings are typically viewed as preliminary until they’ve been published in a peer-reviewed journal.
SOURCES: Ashkan Afshin, M.D., M.P.H., acting assistant professor, global health, Institute for Health Metrics and Evaluation, University of Washington, Seattle; Samantha Heller, R.D., exercise physiologist and senior clinical nutritionist, NYU Langone Medical Center, New York City; March 9, 2017, presentation, American Heart Association meeting, Portland, Ore.
The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
Additional Topics: Weight Loss Eases Back Pain
Back pain and symptoms of sciatica can affect a majority of the population throughout their lifetime. Research studies have demonstrated that people who are overweight or obese experience more back complications than people with a healthy weight. A proper nutrition along with regular physical fitness can help with weight loss as well as help maintain a healthy weight to eliminate symptoms of back pain and sciatica. Chiropractic care is also another natural form of treatment which treats back pain and sciatica utilizing manual spinal adjustments and manipulations.
Nearly half of all deaths from heart disease, stroke and diabetes in the United States are associated with diets that skimp on certain foods and nutrients, such as vegetables, and exceed optimal levels of others, like salt, a new study finds.
Using available studies and clinical trials, researchers identified 10 dietary factors with the strongest evidence of a protective or harmful association with death due to “cardiometabolic” disease.
“It wasn’t just too much ‘bad’ in the American diet; it’s also not enough ‘good,'” said lead author Renata Micha. “Americans are not eating enough fruits, vegetables, nuts/seeds, whole grains, vegetable oils or fish,” she said.
Micha is an assistant research professor at the Tufts University School of Nutrition Science and Policy in Boston.
Data Reveals Overwhelming Statistics
The researchers used data from multiple national sources to examine deaths from cardiometabolic diseases — heart disease, stroke and type 2 diabetes — in 2012, and the role that diet may have played.
“In the U.S. in 2012, we observed about 700,000 deaths due to those diseases,” Micha said. “Nearly half of these were associated with suboptimal intakes of the 10 dietary factors combined.”
Too much salt in people’s diets was the leading factor, accounting for nearly 10 percent of cardiometabolic deaths, according to the analysis.
The study identifies 2,000 milligrams a day, or less than 1 teaspoon of salt, as the optimal amount. While experts don’t agree on how low to go, there is broad consensus that people consume too much salt, Micha noted. Other key factors in cardiometabolic death included low intake of nuts and seeds, seafood omega-3 fats, vegetables, fruits and whole grains, and high intake of processed meats (such as cold cuts) and sugar-sweetened beverages.
Each of these factors accounted for between 6 percent and 9 percent of deaths from heart disease, stroke and diabetes.
“Optimal” intake of foods and nutrients was based on levels associated with lower disease risk in studies and clinical trials. Micha cautioned that these levels are not conclusive. Optimal intake “could be modestly lower or higher,” she explained.
Low consumption of polyunsaturated fats (found in soybean, sunflower and corn oils) accounted for just over 2 percent of cardiometabolic deaths, according to the study. High consumption of unprocessed red meats (such as beef) was responsible for less than one half of 1 percent of these deaths, the analysis showed.
The take-home message: “Eat more of the good and less of the bad,” Micha said.
Proper Nutrition for Optimal Health
Vegetable intake, for example, was considered optimal at four servings per day. That would be roughly equivalent to 2 cups of cooked or 4 cups of raw veggies, she said. Fruit intake was deemed optimal at three daily servings: “For example, one apple, one orange and half of an average-size banana,” she continued.
“And eat less salt, processed meats, and sugary-sweetened beverages,” she said.
The study also found that poor diet was associated with a larger proportion of deaths at younger versus older ages, among people with lower versus higher levels of education, and among minorities versus whites. Dr. Ashkan Afshin is acting assistant professor of global health at the University of Washington’s Institute for Health Metrics and Evaluation.
“I commend the current study’s authors for exploring sociodemographic factors, like ethnicity and education, and their role in the relationship of diet with cardiometabolic disease,” said Afshin, who was not involved in the study. “This is an area that deserves more attention so that we may fully understand the connection between diet and health,” he said.
The study doesn’t prove that improving your diet reduces risk of death from heart disease, stroke and diabetes, but suggests that dietary changes may have an impact.
“It is important to know which dietary habits affect health the most so that people can make healthy changes in how they eat and how they feed their families,” Afshin said.
The study was published March 7 in the Journal of the American Medical Association.
In an accompanying journal editorial, researchers from Johns Hopkins University urged caution in interpreting the findings.
According to Noel Mueller and Dr. Lawrence Appel, the results may be biased by the number of dietary factors included, the interaction of dietary factors and the authors’ “strong assumption” that evidence from observational studies implies a cause-and-effect relationship.
Still, the editorialists concluded that the likely benefits of an improved diet “are substantial and justify policies designed to improve diet quality.”
SOURCES: Renata Micha, R.D., Ph.D., assistant research professor, Friedman School of Nutrition Science and Policy, Tufts University, Boston; Ashkan Afshin, M.D., Sc.D., acting assistant professor of global health, Institute for Health Metrics and Evaluation, University of Washington, Seattle; March 7, 2017, Journal of the American Medical Association
The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
Additional Topics: Weight Loss Eases Back Pain
Back pain and symptoms of sciatica can affect a majority of the population throughout their lifetime. Research studies have demonstrated that people who are overweight or obese experience more back complications than people with a healthy weight. A proper nutrition along with regular physical fitness can help with weight loss as well as help maintain a healthy weight to eliminate symptoms of back pain and sciatica. Chiropractic care is also another natural form of treatment which treats back pain and sciatica utilizing manual spinal adjustments and manipulations.
Early birds may have a leg up over night owls when it comes to health and weight, new research suggests.
Investigators in Finland found that morning people tend to eat better and earlier in the day than late-to-bed types. The result: a higher risk of obesity for the night owls, said study lead author Mirkka Maukonen, of the National Institute for Health and Welfare in Helsinki.
“We found that night owls had postponed timing of food intake, and less favorable eating patterns with higher intakes of sucrose, fat and saturated fat in the evening hours than early birds,” said Maukonen, a doctoral candidate in the department of public health solutions. Sucrose is a type of sugar.
Registered dietitian Lona Sandon, of the University of Texas Southwestern Medical Center at Dallas, wasn’t surprised by the findings. She said physiology and biology likely play a role.
“Past research has shown that hormones that impact appetite and metabolism — the way our body uses or stores energy — are produced at different levels throughout the day and night,” said Sandon, who wasn’t involved in the study. “The amount of sleep and time period of sleep may affect the production of these hormones, and therefore drive differences in appetite or food choices as well as body composition and weight,” she explained.
What Can Night Owls Do?
“Changing sleep habits, just like changing dietary habits, is tough for many people,” said Sandon. “But it just may be worthwhile for people to try for one’s health.”
The researchers found that night owls also engaged in less routine physical activity, had more difficulty sleeping, and were more likely to smoke. And fewer night owls ranked themselves as being in good overall health or shape, relative to morning people. The study team focused on nearly 1,900 Finnish adults ages 25 to 74 who had participated in a national nutritional study or a national heart disease study in 2007.
For the nutrition study, participants completed 48-hour food diaries that tallied daily caloric intake and consumption of carbohydrates, sugar, fiber, protein, fat and saturated fatty acids, and alcohol. Weekday and weekend meal times were also recorded.
The other study looked at total hours slept daily and routine wake-up time. The time of day participants worked and/or performed hard physical tasks was also evaluated. Nearly half the participants were deemed to be morning people, while just 12 percent qualified as night owls. About 39 percent fell somewhere in between, the researchers said.
Total daily caloric consumption was similar for early and late risers. But night owls consumed 4 percent fewer calories before 10 a.m. each day and had less energy in the morning, a pattern that continued throughout the earlier daylight hours.
“It could be that this lighter eating generates increased feelings of hunger during the late afternoon and evening hours and thus leads to less healthy food choices with more sugar and fat,” Maukonen said.
Night owls tended to consume fewer carbohydrates, proteins and fats throughout the day, with one exception: sugar. They took in significantly more sugar in the morning and after 8 p.m. than early birds. They also gravitated toward more fat and saturated fatty acids at night. On weekends, the nutritional gap widened, the study found.
This doesn’t mean that late nights will doom you to obesity, however. The study only found an association between night owl habits and risk for poorer health, not a direct cause-and-effect relationship.
Still, tweaking your schedule can’t hurt, suggested Maukonen.
“Whether you are an early bird or a night owl, it is influenced half and half by your genes and by your daily timetables you want to adopt,” Maukonen said. “Therefore, one thing that could benefit night owls is a greater flexibility in working time schedules, so that night owls may live more according to their internal biological time and not against it.”
The study results were published recently in the journal Obesity.
SOURCES: Mirkka Maukonen, MSc, Ph.D. candidate, department of public health solutions, National Institute for Health and Welfare, Helsinki, Finland; Lona Sandon, R.D., program director, and assistant professor, clinical nutrition, School of Health Professions, University of Texas Southwestern Medical Center at Dallas; Feb. 23, 2017, Obesity
The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
Additional Topics: Whole Body Wellness
Following a balanced nutrition as well as engaging in regular physical activity and sleeping properly are all proper lifestyle habits which can help increase and maintain overall health and wellness. Many common complications associated with improper lifestyle habits, such as obesity, diabetes, heart disease and cancer, however, the risk of developing these can be prevented with a few lifestyle changes. In addition, visiting a chiropractor and receiving chiropractic care can help maintain and improve the overall health of the spine as well as its surrounding structures.
If you’re eager to save money while eating right, stick close to your own kitchen, researchers say.
“Frequent eating out was associated with lower diet quality, more ’empty calories’ and higher diet costs” compared to home cooking, said study author Adam Drewnowski.
The troublemakers for regular restaurant-goers are solid fats, calories, alcohol and added sugar, added Drewnowski, who directs the University of Washington’s Center for Public Health Nutrition. The findings come from surveys of more than 400 Seattle-area residents.
The healthier-at-home results shouldn’t come as a surprise, said Lona Sandon, a Dallas nutritionist who wasn’t involved in the study.
“Preparing your food at home gives you control over what goes on your plate,” said Sandon, an assistant professor of clinical nutrition at the University of Texas Southwestern Medical Center at Dallas.
Eating Out vs Cooking at Home
Americans spend half their food dollars on meals consumed outside the home, but only about one in five meets nutritional recommendations set forth by the U.S. Department of Agriculture. Moreover, by the 1990s Americans were getting about one-third of their daily calories outside the home, the researchers said. With that in mind, between 2011 and 2013 they questioned 437 adults between the ages of 21 and 55 who were the principal food shoppers in their household. They asked how often they had eaten in or eaten out in the prior week. “Outside” included restaurants, fast-food locales, food stands, grocery stores and vending machines.
In turn, the nutritional value of each participant’s diet was measured according to the U.S. Healthy Eating Index (HEI). This assesses whether someone gets the right combination of fruit, vegetables and other nutritional elements.
Roughly half the participants frequently cooked dinner at home — six times or more a week, the team found. One-third cooked dinner often (four to five times a week), while about 15 percent rarely did so (three or fewer times a week). Those who ate more frequently at home scored higher on the healthy eating index than the others. They also spent less overall — on food consumed outside and at home — than those who ate out more often.
Food bills for the group that cooked in the most averaged $273 a month per person versus $364 a month for those who ate out most often.
“The saving in not going out more than made up for the slight increase in at-home costs,” explained Drewnowski.
Fat, alcohol and added sugar “reduced the [healthy eating] scores for people who went out to eat often,” he noted. “But people eating at home also got more vegetables and fruit.” Still, “cooking at home is not for everyone,” he acknowledged. The point to remember is that eating out doesn’t have to be a no-no, he said.
Better choices can be made by those who “prize convenience” over home cooking, Drewnowski said. Many options are available, he noted. For example, “vegetables do not need to be steamed. They can be grilled, baked and sauteed, with some oil and salt. Or made into soups.”
If you decide to prepare your own meals, Sandon offers some advice: “Cooking at home does not have to be time-consuming or require advanced cooking skills to make a healthy, balanced meal that meets the dietary guidelines.”
Keep it simple, she said. Just try to ensure that every meal is composed half of fruits and vegetables, one-quarter of whole grains, and one-quarter of lean protein.
“Every meal does not have to be a master piece,” Sandon added. “Start simple with something like mac and cheese. Add a side of steamed broccoli and carrots with grilled chicken breast or salmon, and you have a balanced meal.”
SOURCES: Adam Drewnowski, Ph.D., director, Center for Public Health Nutrition, University of Washington, Seattle; Lona Sandon, Ph.D., R.D.N., assistant professor, clinical nutrition, and program director, school of health professions, University of Texas Southwestern Medical Center at Dallas; Feb. 28, 2017, American Journal of Preventive Medicine, online
The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
Additional Topics: Weight Loss Eases Back Pain
Back pain and symptoms of sciatica can affect a majority of the population throughout their lifetime. Research studies have demonstrated that people who are overweight or obese experience more back complications than people with a healthy weight. A proper nutrition along with regular physical fitness can help with weight loss as well as help maintain a healthy weight to eliminate symptoms of back pain and sciatica. Chiropractic care is also another natural form of treatment which treats back pain and sciatica utilizing manual spinal adjustments and manipulations.
I’ve been baking quite a bit of bread lately, and I thought it was high time to share some new bread recipes. Almost a year ago, I posted a top-rated recipe for a traditional two-step, 24-hour sourdough bread. I love that recipe, and I think that it makes a really delicious, sour bread. However, sometimes I want my bread to come out less sour, or I don’t have the time to do the two-stage sourdough process. This recipe I use for a bread that only takes one rise – then it’s shaped and baked.
1-Step Sourdough Bread Recipe
First mix: 10 minutes First rise: 6-12 hours Bake time: 45 minutes
Whisk together until blended in the bowl of a stand mixer with the paddle attachment or in a large bowl with a fork:
460 g Spring Water (don’t use tap water or any chlorinated water) 30g whole psyllium husk (or 20g finely ground psyllium husk)
Mix into the liquid with the paddle attachment or by hand with a wooden spoon:
Pre-shape the dough into a ball and keep it seam-side up in the bowl. Cover the bowl with plastic wrap and let stand at room temperature for 6-12 hours. Keep an eye on it starting at the 6-hour mark.
When the bread has risen significantly, and you think it’s getting close to time, heat your oven to 450 degrees F with a cast-iron dutch oven inside. You will know the bread is ready to bake when it has risen quite a bit, and a fingermark gently poked against the surface of the dough doesn’t fill in immediately anymore. Once it passes the “finger test” and the oven is hot, you can shape the loaf, although it’s better to under-proof a little than over-proof. (If you need to go longer than 12 hours on the rise, put the dough in the refrigerator after the bread shows a significant rise. You can leave it in the fridge for up to a day or maybe three, then shape and bake.)
Carefully invert the bread onto a piece of parchment paper. Shape the bread into a slightly tighter ball by tucking the sides of the dough underneath all around the edge. Dust the top with flour if desired. Score the loaf with slashes 1/2 inch deep.
Using the parchment paper to lift it, carefully place the shaped loaf inside the hot dutch oven. Spritz the bread and all around the cast-iron pan before covering it with the lid. Bake the bread for 25 minutes inside the dutch oven, remove it to the rack, and bake another 20 minutes or until deeply browned. Remove the bread to cool on a rack, or for a crispier crust, let it cool in the oven with the door propped ajar.
Ashley Graham is definitely about that gym life. And we know this because the 29-year-old model has been posting her sweat sessions on Instagram as of late. Her workout of choice: hitting it hard with Dawin Peña, co-founder and trainer at The DogPound, a boutique training studio in NYC.
Thanks to a recent Instagram story posted by the America’s Next Top Model judge, we happened to get a glimpse into one of Graham’s evening exercise routines. Let me tell you, it is a killer upper-body circuit that hit the triceps, biceps, chest, and back. And she finished off with some core work.
The best part: it only took Graham 2 minutes and 48 seconds to get through these moves. (Yep, I timed her). Granted, you have to take into account that she probably rested here and there, and did a few more sets and reps than she let us in on, but even with those considerations, this is still a great workout option for when you are short on time.
Our suggestion: Cycle through this 11-move circuit 3 times. If you do that, you are looking at about a 10- to 12-minute upper body blaster that you can knock out the next time you are in the gym. Oh, and you also might want to download the playlist Graham was rocking too—Sean Paul’s “Gimme The Light,” Mr. Probz’s “Waves,” Kid Cudi’s “The Pursuit of Happiness,” Eddie Money’s “Take Me Home Tonight” and Future’s “Real Sisters”—because it was kind of fire!
Now get that upper body (and those abs) in shape…because summer is coming!
Rope Triceps Extension
Stand with feet hip-width apart, hinge forward slightly and grab each end of the cable ropes; palms face in. Keeping upper arms straight and close to body, pull down using forearms, lowering the rope until arms are fully extended and at either side of legs. Pause and then slowly return back to start. (Graham did 10 reps.)
Overhead Triceps Extension
Stand with back to cable machine, feet staggered, one foot in front of the other, and knees slightly bent; hinge forward. With arms overhead and bent backwards to about 90-degrees, hold cable rope in each hand; palms face in. Keeping elbows close to ears, pull ropes down until arms are fully extended. Pause and then return to start. (Graham did 9 reps.)
Rope Biceps Curl
Stand with feet shoulder-width apart, legs bent slightly and end of cable ropes grasped between hands; palms face in. Pull ropes up toward shoulders using forearms; upper arms stay fixed. Lower back down to start, and then repeat. (Graham did 9 reps.)
Start seated on a bench with legs wider than hip-width apart, feet planted, and arms extended up on a diagonal with ends of cable ropes grasped between hands; palms face in. Squeezing back, pull ropes down towards torso; keep arms close to body. Pause and then slowly return to start. (Graham did 8 reps.)
Seated One Arm Row
Start seated on a bench with legs wider than hip-width apart and feet planted. Place left hand on hip while right arm is extended up on a diagonal with cable handle grasped in hand; palm face down. Squeezing back, pull rope down towards torso, twisting hand out so that palm faces in; keep arm close to body. Hold, and then slowly return back to start. Repeat on opposite side. (Graham did 7 reps.)
Seated Lat Pulldown
Start seated with back straight, knees under knee pad and bar in hands (overhand grip) slightly wider than shoulder-width apart. Without moving torso, pull bar down to chest while squeezing shoulder blades together. Pause, and then slowly return to start. (Graham did 7 reps.)
Lie faceup on a bench with feet planted on floor and a dumbbell in each hand. Extend arms straight up over chest; palms face in. Keeping a slight bend in elbows, slowly open arms out until they are in line with chest and hands are parallel to floor. Pause and then raise arms back up to start. (Graham did 6 reps.)
Standing Biceps Curls
Stand with feet wider than hip-width apart and knees slightly bent. Hold a dumbbell in each hand in front of body; palms face up. Bend elbows and curl the right hand up toward the right shoulder. As you slowly lower the right hand back down, begin repeating the motion with the left hand. Continue alternating. (Graham did 4 reps per arm.)
In & Out
Start seated with arms behind you and hands on floor; fingers facing feet. Lean back, raise legs and bend knees. With abs tight, extend legs straight out as you lower back down slightly. Pull legs back in and lift torso back up. Continue repeating. (Graham did 17 reps.)
Lie faceup with arms and legs extended straight out. Simultaneously raise your right leg and left arm as you crunch up, bringing the two together over the stomach. Lower back to start. After desired number of reps, repeat with opposite arm and leg. (Graham did 10 reps.)
Crunches
Lie faceup with legs extended straight up, a light bend in knees, feet crossed at the ankles (left over right) and hands lightly on back of head. Crunch up and then lower back to start. Repeat. (Graham did 15 reps.)
A stomach ache can strike for all kinds of reasons, from contaminated food to chronic disease. It passes, sure, but the pain, headache, diarrhea, vomiting and other classic symptoms of stomach flu ensure a crummy couple of days
It can be tough to know what to put in your body when you’re dealing with an upset stomach, but there are a few surefire foods. Ginger, scientifically, is a good place to start. �Ginger and also turmeric, which is a member of the ginger family, seem to be anti-inflammatory,� says Dr. Emeran Mayer, a professor of digestive diseases at UCLA. Both ginger and turmeric are roots, he says, and may have developed special antibacterial properties in order to withstand contamination from microorganisms in soil. Skip the sugary commercial ginger ales, which contain little real ginger, and sip water infused with ginger or turmeric instead, he advises.
You won�t want to eat in the throes of vomiting, but starting to sip water and other beverages right away is a good idea, says Dr. Joseph Murray, a gastroenterologist at Mayo Clinic. Because you�re getting rid of essential vitamins and nutrients with every trip to the bathroom, it�s important to replenish your body�s electrolytes�namely salt, but also potassium and glucose (sugar), he says. If the word �electrolytes� makes you think of Gatorade, you�re not far off. But Gatorade and other sports drinks may not contain enough salt to replenish your depleted stores. �Diluted tomato juice is pretty good, mostly because it�s salty,� Murray says.
Related
Once you�ve stopped vomiting and your stomach feels a bit better, you will want to eat. But don’t sit down for a big meal; nibble food throughout the day instead, Murray explains.
Research from Penn State University�s Hershey Medical Center recommends what every parent knows as the BRAT foods: bananas, white rice, applesauce and toast. Eating only these four foods may be too restrictive (and could lead to malnourishment, especially among kids). But foods like these are good choices, because the harder your inflamed stomach has to work to digest something, the more likely it is to act up, Murray says. Foods that are easy for the body to break down�simple, minimally seasoned carbohydrates like saltine crackers, as opposed to hardier fare like whole grains and leafy greens�are less likely to trigger stabs of pain or a dash to the toilet.
There are plenty of foods you should avoid. Pass on dairy foods, because an upset stomach is likely to have problems digesting and absorbing lactose, Murray explains. �Even in the days or weeks after you�ve recovered, you may experience a temporary bout of lactose intolerance while your gut recovers,� he says. Also, skip high-fat foods (like nuts, oils and avocado), spicy dishes, alcohol and coffee, which may all aggravate a recovering stomach, says Dr. Joel Mason, a gastroenterologist and professor of medicine and nutrition at Tufts University.
What about probiotics? While Mason and other experts say there�s promising research on probiotics for relief of gut-related conditions, there�s still not good evidence to support swallowing probiotic-rich foods to cure a stomach ache. One problem with probiotics is that the micro-organic makeup of your gut is different from everyone else�s. �There are also hundreds of probiotic strains, and the effect each has may be determined by your [gut�s] microbiome composition,� UCLA�s Mayer explains. �In the future, we may be able to map your microbiome simply and inexpensively, and make appropriate probiotic recommendations.� But we�re just not there yet.
Another issue is that nearly all the research linking probiotics to relief of gut-related issues has looked at freeze-dried probiotics in capsules or tablets, Mason says. �Eating yogurt or Kefir or other probiotic foods to relieve symptoms may be effective, but that hasn�t yet been shown.�
While probiotic supplements are likely safe for most people, Mason says ingesting probiotics could in some cases be risky. �When you consume a probiotic, you�re consuming billions of bacterial or fungal spores,� he explains. In �the vast majority of instances,� that won�t hurt you. �But if you have an impaired immune system, there�s pretty good documentation that ingesting these organisms can set off very serious infections�even life-threatening infections,� he explains.
If you want to roll the dice with probiotics, you�re best off sticking to those found in traditional food sources like sauerkraut, kefir, and kombucha. �Eat those three, and you�ll get a wide range of probiotics,� Mayer says. There may not be strong evidence yet to show they can relieve an achy stomach, “but they�re what I would give to my own family,� he says.
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