121 Dietitian

The Role of a Gastro Nutritionist

The Role of a Gastro Nutritionist

The Role of a Gastro Nutritionist Your Partner in Digestive Health and Wellness In the complex world of digestive health, a gastro nutritionist stands out as a beacon of specialised knowledge and support. If you’ve been grappling with persistent digestive issues or simply want to optimise your gut health, you might have come across this term. But what exactly is a gastro nutritionist, and how can they help you? Let’s delve into this topic and explore the most asked questions about gastro nutritionists and their role in promoting digestive wellness. What is a Gastro Nutritionist? A gastro nutritionist, also known as a gastrointestinal nutritionist, is a healthcare professional (Dietitian) who specialises in the relationship between nutrition and digestive health. They combine in-depth knowledge of the digestive system with expertise in nutrition to help individuals manage various gastrointestinal conditions and optimise their overall digestive health. What qualifications do they have? The minimum requirement is a BSc Hons in Dietetics or a related science degree with a postgraduate diploma or higher degree in Dietetics. Dietetic courses are structured to include biochemistry, physiology, applied sciences and research methods which underpin nutrition and dietetics. It can be confusing who to select but it is important to know that a Dietitian can also call themselves a nutritionist – a nutritionist CANNOT call themselves a Dietitian. What Does a Gastro Nutritionist/Dietitian Do? What Does a Gastro Nutritionist/Dietitian Do? A gastro nutritionist’s role is multifaceted. They work with clients to: Assess current dietary habits and their impact on digestive health Develop personalised nutrition plans to manage specific digestive conditions Provide education on the relationship between diet and digestive health Offer guidance on appropriate supplements Support clients in making sustainable dietary changes Collaborate with other healthcare professionals to ensure comprehensive care Who Can Benefit from Seeing a Gastro Nutritionist? A wide range of individuals can benefit from the expertise of a gastro nutritionist, including: Those diagnosed with specific digestive conditions (e.g., IBS, IBD, GERD) Individuals experiencing persistent digestive symptoms without a clear diagnosis People looking to optimise their gut health and overall wellbeing Those with food intolerances or allergies affecting their digestive system Individuals recovering from gastrointestinal surgeries Anyone seeking to improve their relationship with food and eating habits Now, let’s address some of the most commonly asked questions about gastro nutritionists: Q: What is the difference between a Nutritionist and a Dietitian A: Dietitians are trained as specialists in Nutrition not only for all aspects of improving diet and health but for medical health conditions. They are qualified with BSc/MSc and work in all aspects of healthcare in Hospitals, community and private practice to name a few. Nutritionists however are not all qualified and do not work in hospitals as they do not have medical/ specialised training. In general, they help patients gain an understanding of how nutrients impact their bodies and can help develop healthy eating plans around that understanding. Q: How is a gastro nutritionist different from a regular nutritionist? A: While all nutritionists/ Dietitians have a broad understanding of nutrition, a gastro nutritionist/Dietitian has specialised knowledge about the digestive system and how different foods and nutrients interact with it. They are particularly skilled in managing digestive health conditions through dietary interventions. Q: Do I need a referral to see a gastro nutritionist? A: In most cases, you don’t need a referral to see a gastro nutritionist. However, if you’re seeking treatment for a specific medical condition, it’s a good idea to consult with your GP or gastroenterologist first. Q: What can I expect during my first appointment with a gastro nutritionist? A: Your first appointment will typically involve a comprehensive assessment of your medical history, current symptoms, dietary habits, and lifestyle factors. The gastro nutritionist will use this information to develop a personalised nutrition plan tailored to your specific needs and goals. Q: How long will I need to work with a gastro nutritionist? A: The duration of treatment varies depending on your individual situation and goals. Some people might only need a few sessions, while others may benefit from ongoing support. Your gastro nutritionist will discuss this with you based on your progress and needs. Q: Can a gastro nutritionist help with weight management? A: Yes, many gastro nutritionists can assist with weight management, especially when it’s related to digestive health issues. They can help you develop a balanced, gut-friendly approach to weight management. Q: Will I need to follow a very restrictive diet? A: Not necessarily. While some conditions may require temporary dietary restrictions, the goal is usually to develop a balanced, varied diet that supports your digestive health. Your gastro nutritionist will work with you to find an approach that’s both effective and sustainable. Q: Can a gastro nutritionist help with food intolerances? A: Absolutely. Gastro nutritionists/Dietitians are well-equipped to help identify and manage food intolerances. They can guide you through elimination diets and help you develop a nutritionally balanced diet that avoids trigger foods. Q: How does a gastro nutritionist differ from a gastroenterologist? A: A gastroenterologist is a medical doctor who specialises in diagnosing and treating digestive disorders. A gastro nutritionist/Dietitian, on the other hand, focuses specifically on the role of nutrition in digestive health. Often, these professionals work together to provide comprehensive care. Q: Can a gastro nutritionist help with conditions like IBS or IBD? A: Yes, gastro nutritionists/Dietitians are particularly skilled in helping manage conditions like Irritable Bowel Syndrome (IBS) and Inflammatory Bowel Disease (IBD) through dietary interventions. Q: Will I need to take supplements? A: This depends on your individual situation. If you have nutrient deficiencies or specific health concerns, your gastro nutritionist might recommend certain supplements. However, the focus is usually on obtaining nutrients through a balanced diet where possible. Q: How quickly can I expect to see results? A: The timeline for improvement can vary greatly depending on your specific condition and how closely you follow the recommended plan. Some people notice improvements within a few weeks, while for others, it may take

Discovering the Power of a Gut Health Clinic

gut health clinic

Discovering the Power of a Gut Health Clinic Your Path to Digestive Wellness with a Gut Health Expert In today’s fast-paced world, where stress is high and processed foods are abundant, more and more people are experiencing digestive issues. From bloating and discomfort to more serious conditions like Irritable Bowel Syndrome (IBS), gut health problems can significantly impact our quality of life. This is where a gut health clinic and a gut health expert come into play. In this article, we’ll explore the benefits of visiting a gut health clinic and working with a gut health expert to achieve optimal digestive wellness. Understanding the Importance of Gut Health Before we delve into the role of a gut health clinic and expert, it’s crucial to understand why gut health is so important. Your gut, often referred to as the ‘second brain’, plays a vital role in your overall health and well-being. It’s not just responsible for digesting food; it also impacts your sleep, performance, weight, hormones, immune system, mental health, and even your skin health. A healthy gut contains a diverse community of microorganisms, collectively known as the gut microbiome. When this microbiome is in balance, it helps with digestion, produces essential vitamins, and even influences your mood and energy levels. However, when it’s out of balance, it can lead to a host of health issues. What is a Gut Health Clinic? A gut health clinic is a specialised healthcare facility focused on diagnosing, treating, and managing various digestive disorders. Unlike general medical practices, a gut health clinic has a specific focus on the digestive system and related issues. These clinics are staffed by professionals who have extensive knowledge and experience in dealing with gut health problems. At a gut health clinic, you can expect to receive comprehensive care tailored to your specific digestive issues. This might include: Detailed assessments of your digestive health Specialised diagnostic tests Personalised treatment plans Nutritional counselling Ongoing support and monitoring Liaising with other health professionals involved in your journey The Role of a Gut Health Expert A gut health expert, often a gastroenterologist or a specialised gut health dietitian, is a professional who has dedicated their career to understanding and treating digestive disorders. These experts have in-depth knowledge of the digestive system, the gut microbiome, and how different foods and lifestyle factors can impact gut health. When you work with a gut health expert, you benefit from: Specialised Knowledge: Gut health experts stay up to date with the latest research and treatments in digestive health. Personalised Approach: They can create tailored treatment plans based on your specific symptoms, medical history, and lifestyle. Comprehensive Care: A gut health expert looks at your health holistically, considering factors like stress, sleep, and exercise alongside diet. Advanced Diagnostic Capabilities: They have access to and knowledge of specialised tests that can provide deeper insights into your gut health. Experience with Complex Cases: Gut health experts have seen a wide range of digestive issues and can often help even when other treatments have failed. Why Visit a Gut Health Clinic? You might be wondering whether you really need to visit a specialised gut health clinic. Here are some reasons why it could be beneficial: Persistent Digestive Issues: If you’ve been experiencing ongoing symptoms like bloating, abdominal pain, diarrhoea, constipation, gastritis, heartburn, or reflux a gut health clinic can help identify the root cause and advise. Unresolved Problems: If you’ve tried over-the-counter remedies or general dietary changes without success, a gut health clinic can offer more targeted solutions. Suspected Food Intolerances: A gut health expert can help you identify food intolerances or sensitivities that may be causing your symptoms and address. Chronic Conditions: If you have been diagnosed with conditions like IBS, Crohn’s disease, ulcerative colitis, or diverticular disease, ongoing care at a gut health clinic can help manage your symptoms effectively. Preventive Care: Even if you’re not experiencing severe symptoms, visiting a gut health clinic can help you maintain optimal digestive health and prevent future issues. Sports/Athletes: If you are doing your best to train and exercise but are constantly troubled by you gut we can help fix this to improve your performance. What to Expect at a Gut Health Clinic Your first visit to a gut health clinic typically involves a comprehensive assessment of your digestive health. This may include: Detailed Medical History: The gut health expert will ask about your symptoms, medical history, diet, and lifestyle. Completing a pre-clinic questionnaire is a common and helpful approach to reduce time spent in the clinic collecting your information. Physical Examination by a Dr: This may include examining your abdomen and checking for any visible signs of digestive issues. Diagnostic Tests: Depending on your symptoms, you may need to undergo tests such as blood tests, stool analysis, or breath tests, these will be advised if required. Nutritional Assessment: A detailed look at your current diet and how it might be impacting your gut health. Completing a pre-clinic food diary is really helpful, allowing your Dietitian to see your usual intake, your symptoms and much more. Treatment Plan: Based on all the information gathered, the gut health expert will create a personalised treatment plan for you. The Benefits of Working with a Gut Health Expert Collaborating with a gut health expert can provide numerous benefits: Accurate Diagnosis: Gut health issues can be complex and often mimic other conditions. A gut health expert has the knowledge and tools to accurately diagnose your problem. Targeted Treatment: Rather than a one-size-fits-all approach, a gut health expert can provide treatments specifically tailored to your condition and circumstances. Nutritional Guidance: A gut health expert can provide detailed advice on which foods to eat or avoid based on your specific gut health issues. Lifestyle Recommendations: Beyond diet, a gut health expert can advise on lifestyle changes that can improve your gut health, such as stress management techniques or exercise routines. Ongoing Support: Gut health issues often require long-term management. A gut health expert can provide ongoing support and

The Truth About Gluten – Separating Fact from Fiction

The Truth About Gluten - Separating Fact from Fiction

The Truth About Gluten – Separating Fact from Fiction Gluten has emerged as a contentious topic in the health and wellness world over recent years, frequently sparking discussions and considerable confusion amongst consumers and experts alike. This complex protein, found primarily in wheat, barley, and rye, has become a focal point of numerous dietary trends and medical debates. In this comprehensive blog post, we aim to shed light on the often misunderstood subject of gluten, carefully examining its role in nutrition and health. We shall endeavour to unravel the intricate web of information surrounding gluten, systematically addressing and dispelling common misconceptions that have bombarded popular media and online forums. By presenting evidence-based facts and expert opinions, this blog should provide you with a clear, unbiased understanding of gluten’s impact on human health. Furthermore, we will delve into the crucial question of who should genuinely consider eliminating gluten from their diet and explore the underlying reasons for such dietary modifications. This discussion will encompass various medical conditions, including coeliac disease, non-coeliac gluten sensitivity, and wheat allergy, highlighting the distinct challenges faced by individuals with these diagnoses. What is Gluten? Gluten is a complex group of proteins predominantly found in wheat, barley, and rye grains. These proteins play a vital role in the structure and texture of many baked goods and other food products. Gluten’s unique properties give dough its characteristic elasticity, allowing it to stretch and rise during the baking process, whilst also helping it maintain its shape once cooked. The two primary proteins that form gluten are glutenin and gliadin, which combine when flour is mixed with water. This combination creates a network of proteins that gives bread its chewy texture and allows it to trap air bubbles, resulting in a light and airy final product. Its prevalence extends beyond just bread and pasta; gluten can be found in a wide array of processed foods, including sauces, soups, and even some unexpected items like sweets and crisps. The widespread use of gluten is due to gluten’s ability to act as a binding agent, thickener, and flavour enhancer in various food applications. For individuals with coeliac disease or gluten sensitivity, awareness of gluten’s presence in foods is particularly important for maintaining their health and well-being. As a result, the food industry has seen a significant increase in gluten-free alternatives to cater to these dietary requirements. Common Myths about Gluten Myth 1: Gluten is bad for everyone. Gluten, a protein found in wheat, barley, and rye, has been the subject of much debate in recent years regarding this. However, it is crucial to understand that gluten is only harmful to individuals with specific medical conditions such as coeliac disease or non-coeliac gluten sensitivity. For the vast majority of the population, gluten is a harmless protein that can be safely consumed as part of a balanced diet. Coeliac disease affects approximately 1% of the population, whilst gluten sensitivity is estimated to affect up to 6% of people. Myth 2: Gluten-free diets are inherently healthier. Contrary to popular belief, gluten-free diets are not necessarily healthier for those without gluten-related disorders. In fact, they can often lack essential nutrients found in gluten-containing grains, such as fibre, iron, and B vitamins. Many gluten-free products are highly processed and may contain added sugars, fats, or artificial ingredients to improve taste and texture. It’s important to note that a well-planned gluten-free diet can be healthy, but it requires careful consideration to ensure nutritional adequacy. Here at 121 Dietitian, we have been creating gluten-free diets for years so appreciate how confusing this can all be and here to help if you are struggling too. Myth 3: Gluten causes weight gain. The suggestion that gluten directly causes weight gain is not supported by scientific evidence. Weight gain is not linked to gluten consumption but rather to the overall diet and calorie intake. Factors such as portion sizes, total caloric intake, quality of foods selected and the balance of macronutrients play a more significant role in weight management. Some individuals may experience weight loss when adopting a gluten-free diet, but this is often due to not knowing what to eat, ongoing symptoms reducing appetite, and the change from high-calorie, processed foods rather than the absence of gluten itself. Understanding Gluten-Related Disorders Coeliac Disease Coeliac disease, also spelt celiac disease in some parts, is a complex autoimmune disorder that affects the digestive system. This condition is triggered by the consumption of gluten, a protein found in wheat, barley, and rye. When individuals with coeliac disease ingest gluten, their immune system responds by attacking the small intestine, leading to damage of the intestinal lining. The symptoms of coeliac disease can vary significantly from person to person, but commonly include a range of digestive issues such as abdominal pain, bloating, diarrhoea, and constipation. Additionally, sufferers may experience anaemia due to poor nutrient absorption, which can result in fatigue, weakness, and shortness of breath. Other symptoms may include unexplained weight loss, skin rashes, and neurological problems like headaches or brain fog. Diagnosis of coeliac disease typically involves a two-step process. Initially, blood tests are conducted to detect specific antibodies that are elevated in people with the condition. If these tests suggest coeliac disease, the next step is usually a biopsy of the small intestine. This procedure involves taking small tissue samples to examine for damage characteristic of the disease. It’s important to note that for accurate diagnosis, individuals must continue to consume gluten before and during the testing process. Treatment for coeliac disease primarily involves strict adherence to a gluten-free diet, which allows the small intestine to heal and symptoms to improve. With proper management, most people with coeliac disease can lead healthy, symptom-free lives. Coeliac History The understanding of coeliac disease has evolved significantly over centuries. The earliest known description dates back to the 2nd Century AD, when Aretaeus of Cappadocia, a Greek physician, detailed a malabsorptive diarrhoea affecting children. In 1888, English paediatrician Samuel Gee observed that children suffering from chronic indigestion

Understanding SIBO and the Role of a SIBO Dietitian

sibo dietitian near me

Understanding SIBO and the Role of a SIBO Dietitian Your Guide to Digestive Wellness Small Intestinal Bacterial Overgrowth, commonly known as SIBO, is a digestive condition that’s gaining more attention in the medical community. If you’re struggling with persistent digestive issues, you might have come across this term. But what exactly is SIBO, and how can a SIBO dietitian help? Let’s dive into this topic and explore the most commonly asked questions about SIBO and the role of a specialised dietitian. What is SIBO? SIBO occurs when there’s an abnormal increase in the overall bacterial population in the small intestine, particularly types of bacteria not commonly found in that part of the digestive tract. This overgrowth can lead to various uncomfortable and sometimes debilitating symptoms. What are the symptoms of SIBO? While anyone can develop SIBO, certain factors can increase your risk: Bloating and abdominal distension Abdominal pain or discomfort Diarrhoea or constipation (sometimes alternating) Excessive gas or flatulence Nausea Fatigue Nutrient deficiencies Who is at risk of developing SIBO? While anyone can develop SIBO, certain factors can increase your risk: Previous abdominal surgeries Conditions that affect gut motility (e.g. IBS, diabetes) Chronic use of certain medications (e.g. proton pump inhibitors) Immune system disorders Structural abnormalities in the digestive tract A SIBO dietitian is a registered dietitian who specialises in treating Small Intestinal Bacterial Overgrowth. They have in-depth knowledge of how diet affects SIBO and can provide personalised nutritional advice to manage symptoms and support treatment. How can a SIBO dietitian help? A SIBO dietitian can assist in several ways: Developing a personalised diet plan to manage symptoms Providing guidance on appropriate supplements Offering support throughout the treatment process Helping to identify and address underlying nutritional deficiencies Assisting with the reintroduction of foods after treatment What dietary approaches might a SIBO dietitian recommend? Depending on your specific case, a SIBO dietitian might suggest: A low FODMAP diet The Specific Carbohydrate Diet (SCD) An elemental diet A combination or modification of these approaches It’s important to note that these diets should be followed under the guidance of a professional to ensure nutritional adequacy. Now, let’s address some of the most commonly asked questions about SIBO and SIBO dietitians: Q: How is SIBO diagnosed? A: SIBO is typically diagnosed through breath testing, which measures the levels of hydrogen and methane gases produced by bacteria in your small intestine. However, some practitioners may diagnose based on symptoms and response to treatment. Q: Can SIBO be cured? A: While SIBO can be successfully treated, recurrence is common. The goal of treatment is to eliminate the overgrowth, identify and address the underlying cause, and prevent recurrence. Q: How long does SIBO treatment usually last? A: The duration of treatment can vary depending on the individual and the severity of the condition. It typically involves a combination of antimicrobial treatments for 2-6 weeks, followed by a period of dietary changes, gut healing and maintenance. Q: Will I need to follow a restricted diet forever? A: Not necessarily. While dietary changes are a crucial part of SIBO treatment, the goal is to eventually reintroduce foods and return to a balanced, varied diet. Your SIBO dietitian will guide you through this process. Q: Can probiotics help with SIBO? A: The use of probiotics in SIBO treatment is controversial. Some studies suggest they can be beneficial, while others indicate they might exacerbate symptoms. Your SIBO dietitian can advise on whether probiotics are appropriate for your specific case. Q: How many sessions will I need with a SIBO dietitian? A: The number of sessions can vary depending on your individual needs and progress. Typically, you might have an initial consultation followed by regular follow-ups throughout your treatment and recovery. Q: Can a SIBO dietitian help with other digestive issues? A: Yes, many SIBO dietitians are also experienced in treating other digestive disorders such as IBS, IBD, and food intolerances. Q: What’s the difference between a SIBO dietitian and a regular dietitian? A: While all registered dietitians have a broad knowledge of nutrition, a SIBO dietitian has additional specialised knowledge about SIBO and its treatment. They stay up-to-date with the latest research and treatment approaches for this condition. Q: Can I treat SIBO on my own with diet? A: While dietary changes are a crucial part of SIBO treatment, it’s not recommended to self-treat. SIBO can be complex, and working with a SIBO dietitian ensures you’re following an appropriate, nutritionally balanced approach. Q: Will I need to take supplements? A: Possibly. Many SIBO patients have nutrient deficiencies due to malabsorption. Your SIBO dietitian may recommend specific supplements based on your individual needs and test results. Who can be helped by a SIBO dietitian? A SIBO dietitian can help a wide range of individuals, including: Those diagnosed with SIBO who need guidance on dietary management Individuals with persistent digestive symptoms who suspect they might have SIBO People who have been treated for SIBO and want to prevent recurrence Those with other digestive issues that might be related to SIBO, such as IBS or food intolerances Individuals looking to optimise their gut health in general Even if you haven’t been officially diagnosed with SIBO, but are experiencing persistent digestive issues, a SIBO dietitian can be a valuable resource. They can help you navigate the complex world of digestive health, provide evidence-based advice, and work with you to develop a personalised plan for managing your symptoms. It’s important to remember that while diet plays a crucial role in managing SIBO, it’s often part of a broader treatment approach. A SIBO dietitian will often work as part of a team, collaborating with your doctor or gastroenterologist to ensure comprehensive care. In conclusion, if you’re struggling with digestive issues, particularly those that might be related to SIBO, consulting with a SIBO dietitian could be a significant step towards improving your digestive health. They can provide the knowledge, support, and personalised guidance you need to navigate this complex condition and work towards optimal gut health. Remember,

The Role of Plant-Based Diets in Promoting a Healthy Gut

plant points and 30 plant checklist

The Role of Plant-Based Diets in Promoting a Healthy Gut In recent years, the connection between our diet and gut health has become increasingly the focus as the link between gut to overall health is so important. Plant-based diets, in particular, have emerged as a powerful tool for promoting a healthy gut microbiome. In this article we will be exploring the benefits of plant-based eating for gut health and introduce two key concepts: the ’30 plants a week checklist’ and ‘plant points’. Why Plant-Based Diets Matter for Gut Health Plant-based diets are rich in fibre, vitamins, minerals, and phytochemicals, all of which play crucial roles in maintaining a healthy gut. Here’s how: Fibre: Plants are the primary source of dietary fibre, which acts as fuel for beneficial gut bacteria. As these bacteria ferment fibre, they produce short-chain fatty acids that feed the gut lining and help reduce inflammation. Diversity: A varied plant-based diet introduces a wide range of nutrients and compounds that support a diverse gut microbiome. This diversity is the key to a resilient and healthy gut ecosystem. Antioxidants and phytochemicals: Many plant foods are rich in antioxidants and phytochemicals, which can help reduce oxidative stress and inflammation in the gut. Prebiotics: Certain plant foods contain prebiotics, which specifically feed beneficial gut bacteria. The ’30 Plants a Week Checklist’ One effective strategy for improving gut health is the ’30 plants a week checklist’. This concept encourages individuals to consume 30 different plant foods each week. Here’s why it’s beneficial: Diversity: By aiming for 30 different plants, you naturally increase the variety in your diet. Nutrient density: Different plants offer different nutrients, ensuring a wide range of beneficial compounds for your gut. Mindful eating: The checklist encourages more conscious food choices and meal planning. To implement the ’30 plants a week checklist’, consider: Including a variety of fruits, vegetables, nuts, seeds, legumes, and whole grains in your meals. Experimenting with new plant foods each week. Using herbs and spices, which also count towards your plant diversity. Plant Points: A Simple Way to Track Your Plant-Based Progress. The concept of ‘plant points’ is another useful tool for those looking to increase their plant intake for better gut health. Here’s how it works:​ Assign one point to each unique plant food you eat. Aim to accumulate as many plant points as possible throughout the week. Challenge yourself to increase your plant points over time. Plant points can make the journey towards a more plant-based diet fun and engaging. It’s not just about eating more plants, but about eating a wider variety of plants. Implementing a Plant-Based Diet for Gut Health. While moving towards a more plant-based diet can seem daunting, here are some practical tips to get started: Start slowly: Begin by adding one to two new plant food to your diet each week. Make simple swaps: Replace some animal-based products with plant-based alternatives in familiar recipes. Embrace whole foods: Choose whole plant foods over processed alternatives when possible. Plan your meals: Use the ’30 plants a week checklist’ as a guide for meal planning. Stay hydrated: Adequate water intake is crucial for gut health and helps your body process the increased fibre intake. This advice is important for all ages – many children do not eat enough fibre. For small children however you need to be careful as small tummies can fill up too much with low energy foods. A Dietitian can help create a healthy diet for your child if you are needing assistance. Potential Challenges and Solutions While plant-based diets offer numerous benefits for gut health, they may present some challenges: Digestive discomfort: A sudden increase in fibre intake can cause bloating or gas. Solution: Increase your plant intake gradually and stay well-hydrated. Nutrient concerns: Some worry about getting enough protein or certain vitamins on a plant-based diet. Solution: Ensure a varied diet and consider speaking with a registered dietitian for personalised advice. Social situations: Eating out or at social gatherings might seem challenging. Solution: Plan ahead, focus on the plant-based options available and if you know there is not going to be much then be more conscious in the meals and snacks around the event. An Example: Breakfast: Oatmeal with: Blueberries, flaxseeds, milk Snack: mix with: Almonds, Walnuts, 4-5 sultanas Lunch: salad with: Quinoa, Chickpeas, Cucumber, peppers, tomatoes, red onion Parsley Snack: Veggie sticks with Carrots, Celery, and cream cheese Dinner: Stir-fry with: Brown rice, Broccoli, peas, red cabbage, Tofu or prawns with ginger, Soy sauce, and Garlic Dessert: Fruit 6-8 Strawberries Adopting a more plant-based diet can significantly benefit your gut health. The ’30 plants a week checklist’ and ‘plant points’ system are excellent tools to help you increase the diversity and quantity of plant foods in your diet. Before I go I just want to mention that it is still important to continue to eat proteins from various sources. The message for change to more plants is that populations across the globe are eating beige foods only with proteins from processed poor-quality choices which is damaging their health. Protein from good-quality lean meats, poultry, and fish should not be removed. They should remain as part of this balanced approach if you are not vegan or vegetarian. Eggs, meat alternatives like tofu and tempeh and dairy are also important parts of the diet to regularly consume. Eat them alongside a rainbow and you will be doing the best you can.  So, the key message here is every step towards a more plant-rich diet is a step towards better gut health and if you’re struggling with gut health issues or need personalised guidance on implementing a plant-based diet, then consider seeking professional help. If you are experiencing gut health issues or looking to optimise your diet for better gut health check out Gillian’s specialist programmes at 121 Dietitian. My expertise and personalised approach a tailored plan will be created for you to improve your gut health and overall wellbeing. With over 30 years of experience in dietetics

Waist to hip ratio

waist to hip ratio by gillian killiner

Understanding Your Waist-to-Hip Ratio – A Key Indicator of Gut Health We are always looking for ways to improve our health but how do you know what to check to tell if there is a problem? Well, one simple yet powerful measurement can provide valuable insights into your overall health, including your gut health: is the waist-to-hip ratio (WHR). In this blog we are going to explore the significance of the waist-to-hip ratio, how to measure it correctly, and its connection to gut health. What is the Waist-to-Hip Ratio? The waist-to-hip ratio is a measurement that compares the circumference of your waist to that of your hips. This measurement known as a “ratio” is considered a more accurate indicator of health risks associated with where your weight is distributed on your body than the well-known measurement called the body mass index (BMI) which is not that sensitive. The waist-to-hip ratio is a great ratio to use in addition to the (BMI) identifying issues with body composition and potential health risks. You want to be metabolically healthy. What this means is that your body can act in response to food in a beneficial way that reduces your risk of conditions such as obesity, type 2 diabetes, heart disease, stroke, kidney disease, and non-alcoholic fatty liver disease in addition to a healthy gut. Research from the American Diabetes Association suggested that WHR is more accurate than BMI for predicting the risks of cardiovascular disease and premature death. A study with more than 15,000 adults showed that a high WHR was linked to an increased risk of early death — even in people with a moderate BMI. Certain people unfortunately won’t be able to get an accurate measure using WHR, including people who are shorter than 5 feet tall and people who have a BMI of 35 or higher. WHR is also not recommended for use in children. How to Measure Your Waist-to-Hip Ratio: To calculate your waist-to-hip ratio, its really easy all you need to take are two measurements: I suggest taking your measurements in the morning, after using the bathroom, ideally in just underwear without additional clothing around your waist and hips. Waist Measurement Stand up straight and breathe out gently. Find the midpoint between the bottom of your ribs and the top of your hips (usually just above your belly button). Wrap a tape measure around your waist at this point. Make sure the tape is snug but not digging into your skin. Measure this breathing out normally. Hip Measurement Stand with your feet together. Measure around the widest part of your hips and buttocks. Ensure the tape measure is level all the way around. To calculate your waist-to-hip ratio: Divide your waist measurement by your hip measurement. For example, if your waist is 80 cm and your hips are 100 cm, your waist-to-hip ratio would be 0.8. A healthy waist-to-hip ratio is For men: below 0.9 For women: below 0.85 A higher ratio indicates more fat stored around your waist, which is associated with a higher risk of health problems. The Connection Between Waist-to-Hip Ratio and Gut Health Your waist-to-hip ratio is more than just a number; it’s a window into your gut health. Here’s how: Visceral Fat: A higher waist-to-hip ratio often indicates more visceral fat – the fat that surrounds your organs, including those in your digestive system. Excess visceral fat can lead to inflammation and disrupt the balance of your gut microbiome. Inflammation: Abdominal fat is metabolically active and can produce inflammatory substances. This chronic low-grade inflammation can negatively impact your gut health, potentially leading to issues like leaky gut syndrome. Hormonal Balance: Your waist-to-hip ratio can reflect hormonal imbalances, which can affect gut function. For instance, high cortisol levels (often associated with stress) can lead to increased abdominal fat and disrupt gut health. Digestive Issues: A higher waist-to-hip ratio is often associated with digestive problems like bloating, constipation, and acid reflux. These issues can be both a cause and a consequence of poor gut health. Improving Your Waist-to-Hip Ratio and Gut Health If your waist-to-hip ratio is higher than the recommended range, don’t worry. There are several steps you can take to improve both your ratio and your gut health: Diet: Focus on balanced, flexible diet rich in fibre, which feeds beneficial gut bacteria. Include plenty of fruits, vegetables, whole grains, and legumes. Exercise: Regwaist-to-hip ratio. ular physical activity, especially a combination of cardio and strength training, can help reduce abdominal fat and improve your Stress Management: Chronic stress can lead to increased abdominal fat storage. Incorporate stress-reduction techniques like meditation, yoga, or deep breathing exercises into your routine. Sleep: Adequate sleep is crucial for maintaining a healthy gut and managing weight. Aim for 7-9 hours of quality sleep each night. Hydration: Drinking plenty of water supports digestive health and can help manage weight. Your waist-to-hip ratio is more than just a number; it’s a valuable indicator of your overall metabolic health, and a good indicator that your gut health may not be optimal. By understanding and monitoring your waist-to-hip ratio, you can gain insights into potential health risks and take proactive steps to improve your gut health and overall well-being. Remember, small changes in diet, exercise, and lifestyle can lead to significant improvements in your waist-to-hip ratio and, consequently, your gut health. This article offers a high-level view and we must consider various factors that can impact waist-hip ratio. These factors include acute illness, surgery, accidents, pregnancy, and breastfeeding, which should be excluded when taking measurements. Additionally, during specific periods such as these, measurements may be inaccurate, and other health parameters including blood tests, temperature, energy levels, mood, and muscle strength should be considered for maintaining optimal health. Menopause, especially perimenopause, is a time of fluctuating weight due to hormonal changes, which can make waist-hip ratio measurements unpredictable. It’s advisable to continue monitoring every 2 months, even if the trend is not as desired. During this time, it’s important to focus on eating