NSCA Coach 1.2 | Page 20

GASTROINTESTINAL WELLBEING AND OVERALL HEALTH DAWN WEATHERWAX, RD, CSSD, ATC, CSCS V ery few people are aware of how important the health of their digestive system is to their overall wellbeing. One of the main reasons for this phenomenon is that the gastrointestinal (GI) tract is comprised of numerous neurons that release neurotransmitters, much like the brain. Any imbalance can impair the immune system, nervous system, and affect the way the body loses fat and gains muscle (2,6,13). A poor working digestive system can cause a variety of problems. One of the most common dysfunctions is the imbalance between the good and bad bacteria. An imbalance can negatively affect insulin resistance, fermenting unused energy substrates, digestion and absorption, production of vitamins for intestinal tract, hormone production (i.e., cortisol/thyroid), mood, memory, and immune health (6,13,15). When gut flora is balanced it optimally breaks down the food that is consumed. It even breaks down carbohydrates into short chain fatty acids (SCFAs). This process increases mitochondrial function and insulin sensitivity. A healthy gut also affects the rate at which we absorb fatty acids and the amount of calories that are stored as fat. Research shows that some will consume up to 30% more calories to achieve the same level of fullness (15). Lastly, a poor gastrointestinal wellbeing can increase an inflammatory cytokine response and lead to increased cortisol production which is a hormone in your body that depletes lean muscle and holds onto fat in the abdominal region (1,6,7,9,10,12,17,19). Even the food we consume can impact the microflora balance. All oral food consumption has to be digested and absorbed by the gut. If one’s diet is below optimal standards then that individual is susceptible to the possibility of many health problems. A diet free of refined and processed grains, added sugars, and foods that may cause inflammation can help support a healthy mixture of gut microflora (3,16,19). If you have any symptoms such as bad breath, burping after meals, inadequate digestion, burning in the stomach, nausea, bloating, gas, constipation, diarrhea, and foul smelling stools you might seek professional guidance. In addition, if you have a history of allergies, eczema, hormonal imbalances, and any other autoimmune diseases you may take a serious look at your diet and gut health. One of the best ways to address an unhealthy gut is to eliminate, restore, and mend with certain foods and possible supplements. It is highly recommended that you seek out a medical professional or a dietitian to ensure you do this properly. Gastrointestinal wellbeing is important to every individual’s overall health. It also helps maximize muscle gain and fat loss efforts. The following is a short list of recommended nutrients to assist with gastrointestinal wellbeing. 20 FIBER The American Dietetic Association (ADA) supports the consumption of dietary fiber from a variety of plant foods as a means to help digestion (11). In addition, fibers that are incompletely or slowly fermented by microflora in the large intestine promote normal laxation and are integral components of diet plans to treat constipation and prevent the development of diverticulosis and diverticulitis. A diet adequate in foods containing fiber is also usually rich in micronutrients and nonnutritive ingredients that have additional health benefits (11). It has also been shown that a fiber-rich diet is associated with a lower risk of colon cancer (11). Some common food sources recommended for dietary fiber intake include corn bran, wheat, oats, blueberries, avocados, nuts, pears, and peaches (4). GLUTAMINE Humans under catabolic stress show an increased efflux of glutamine from skeletal muscle (5). Because of the combination of reduced dietary intake and increased metabolic demands, patients under catabolic stress may be in a state of glutamine deficiency. Numerous studies showed that supplemental glutamine results in improved GI function (5). Some common sources of glutamine include eggs and turkey (4). ZINC Zinc has an important role in protein synthesis, which ultimately affects GI epithelia, hormone regulation, and the immune system (5). Many clinical trials of zinc supplementation have shown improved outcomes in children with GI diseases (5). Some common food sources recommended for zinc intake include meat (e.g., beef, turkey, poultry), wild rice, nuts, and seeds (4). VITAMIN A Vitamin A affects epithelia cell integrity, immune function, and retinal function (5). Deficiency of Vitamin A can lead to reduced intestinal cell division and differentiation, and has been associated with impaired barrier function of the GI tract (5,18). Some common food sources recommended for vitamin A intake include apricots, sweet potatoes, carrots, kale, peas, and spinach (4). PROBIOTICS Probiotics are defined as live microorganisms in fermented foods that promote good health through establishing an improved balance in intestinal microflora (5). In addition to preventing GI disease, probiotics have been effective in lessening the severity and longevity of several GI conditions (5,8). Some common sources of probiotics are cultured dairy products and yogurt (4). NSCA COACH 1.2 | NSCA.COM