For most people, the mention of probiotics conjures up images
of yogurt. But don’t dismiss the microbes as a marketing gimmick or food fad.
The latest probiotic research suggests that live-active cultures of these
friendly bacteria can help to prevent and treat a wide variety of ailments.
"There is an increasing interest in probiotic
interventions," wrote the authors of one of the most recent studies, a
meta-analysis of previous research in a recent issue of the Journal of the
American Medical Association. Those researchers found that probiotics were
particularly useful against a common gastrointestinal problem:
antibiotic-associated diarrhoea (AAD). But studies show that probiotics can
help with a great deal more -- warding off infection and boosting immune
systems, as well as helping to improve women’s health and perhaps even fighting
obesity.
The word "probiotic" is a compound of two Greek
words: "pro," to signify promotion of and "biotic," which
means life. Their very definition is something that affirms life and health.
That's true even by modern standards: the World Health Organization defines a
probiotic as any living microorganism that has a health benefit when ingested.
Similarly, the USDA defines a probiotic as "any viable microbial dietary supplement
that beneficially affects the host."
That doesn't mean that all probiotics or probiotic-containing
foods are created equal. So what should you look for? "There is a lot of
'noise' in this space as more and more 'food products' are coming out with Probiotics,"
Dr. Shekhar K. Challa, a gastroenterologist and the author of Probiotics for
Dummies tells The Huffington Post. "Unfortunately it is impossible to
quantitate the CFU's of probiotics in most food products."
CFUs -- or colony-forming units -- are a microbiological term
that describes the density of viable bacteria in a product. In other words, the
CFU tells you how rich in probiotics a food actually is -- and how much will be
available to your body.
Dr. Challa recommends the following unpasteurized probiotic
rich foods:
Plain unflavoured yogurt
Kefir
Sauerkraut
Miso
Pickles
Tempeh
Kimchi and
Kombucha tea.
So what can
probiotics help you with?
Digestive Health
Each of us has more than 1,000 different types of bacteria
that live in our digestive tracts, helping us to break down food and absorb
nutrients. But when we take antibiotics -- medicine that is designed to kill
destructive, illness-causing bacteria -- the drugs can also kill the healthy
intestinal flora that helps us digest. About 30 per cent of the patients who
take antibiotics report suffering from diarrhoea or some other form of
gastrointestinal distress, according to the recent JAMA study on probiotics and
antibiotic-associated diarrhoea. As a result, doctors commonly prescribe taking
probiotics to "repopulate" the digestive tract with healthful
bacteria. The study found that it was a viable solution for many.
But probiotics can also help with other types of digestive
issues. Research has shown that probiotics can be helpful for people with irritable
bowel syndrome, or IBS -- a hard-to-treat condition that can have a range of
intestinal symptoms, such as abdominal pain, cramps, bloating, diarrhoea and
constipation. In one study, female IBS patients experienced some alleviation of
symptoms like abdominal pain and irregularity when they were given a supplement
of the bacterial strain, Bifid bacterium infantis.
Even for those without an urgent problem, probiotics can help
with overall digestive management. Challa argues in his book, Probiotics for
Dummies, that good bacteria help "crowd out" bad bacteria. That's
because the intestine is lined with adherence sites where bacteria latches on.
If the sites are populated with good-for-you microbes, there's no place for a
harmful bacterium to latch on.
Urinary Health
Probiotics make a nice compliment to antibiotics among people
who suffer from urinary tract infections, according to the research.
What's more, there's emerging evidence that regular
probiotics can help prevent bad bacteria from invading the urinary tract by
maintaining a population of healthy bacteria on the tract's adherence sites.
Infections of the urinary tract are extremely common,
especially in women. Most infections disappear with antibiotics, but about 30
to 40 per cent might return, according to literature from the University of
Maryland Medical Centre.
Allergies
Allergy research is still preliminary, but at least one
large, high quality study found a relationship between women taking probiotics
during pregnancy and a 30 per cent reduction in the instance of childhood
eczema (an early sign of allergies) in their infants.
Researchers selected women who had a history of seasonal
allergies -- or whose partners had histories of allergies. The infants who
received probiotics in-vitro also had 50 per cent higher levels of tissue
inflammation, which is thought to trigger the immune system and reduce allergy
incidence.
Women's Health
Just like the digestive tract, the vagina relies on a
precarious balance of good and bad bacteria. When that balance is off, it can
result in one of two very common, though thoroughly uncomfortable infections:
bacterial vaginosis and yeast infections. In fact, bacterial vaginosis can
actually lead to a yeast infection.
Some small studies have found that L. acidophilus can help
prevent infection, manage an already active one or support antibiotics as a
treatment, though it's worth noting that the probiotics were taken as vaginal
suppositories, rather than orally in food.
Probiotics may also have a special role in maternal health,
as pregnant women are particularly susceptible to vaginal infections. And
bacterial vaginosis has been indicated as a contributing factor to pre-term labour,
making probiotics a potential boon for foetal health.
Immunity
Surprisingly, one of the main functions of healthful bacteria
is to stimulate immune response.
By eating probiotic-rich foods and maintaining good
intestinal flora, a person can also help to maintain a healthy immune system.
And that has real world effects: for example, in one small study of students,
those who were given a fermented dairy drink (instead of milk) displayed
increased production from lymphocytes -- a marker of immune response.
Obesity
In 2006, Stanford University researchers found that obese
people had different gut bacteria than normal-weighted people -- a first
indication that gut flora plays a role in overall weight.
Some preliminary research shows that probiotics can help
obese people who have received weight loss surgery to maintain weight loss. And
in a study of post-partum women who were trying to lose abdominal fat, the
addition of lactobacillus and bifid bacterium capsules helped reduce waist
circumference.
It's still unclear how probiotics play a role in weight loss
-- and there is some controversy about how significant the
probiotics-associated weight loss is.
But as long as the probiotics source is low-calorie and
healthful, itself, it is an innocuous method to attempt.
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