Diet is becoming a crucial factor in maintaining estrogen levels in post menopausal women.
Menopause and health, diet is crucial
The number of women living with the menopause is growing, therefore more people are at risks from illnesses connected with life after the menopause. A recent study investigating estrogen levels and gut health in post menopausal females found a relationship between microbial diversity (the different types of microbes) and circulating estrogen. The implications of this are huge because low estrogen is linked to a wide range of health issues. Typically the diversity of microbes in the human digestive system (gut microbiota) can be altered with changes to diet, for example a greater emphasis on plant based foods, and the use of probiotics and prebiotics. This suggests that women’s health generally, including fertility might be improved simply through alterations to diet.
One of the most important factors in the amount of circulating estrogens in women is the gut microbiome (the population of microbes in our gut). The greater the diversity of gut bacteria generally speaking the higher the levels of estrogen will be. Low levels of estrogen are associated with a wide range of illnesses in older women such as: obesity, cancer, polycystic ovary syndrome, heart disease and even cognitive function. It is suggested that bariatric surgery, fmt and medication (metformin) can alter the gut microbiome and therefore limit estrogen-driven disease. But the evidence suggests that changes to diet alone may be able to have a significant impact on estrogen levels
I’d like to highlight four of the issues raised by the research:
There appears to be a strong relationship between what women eat and levels of circulating estrogen.
Different treatments exist to increase estrogen, but dietary changes alone might deliver significant benefits.
The benefits of increased circulating estrogen through improved diet may be available to women of any age and might be linked to improved fertility.
This study reflects a general pattern in health seen in human microbiome research, that a healthy gut is linked to reduced risks of developing a wide range of illnesses.
Lentils appear to have an important role to play in human health and wellbeing., particularly obesity.
A simple message; loose weight and improve your health by eating lentils.
I’m not really an advocate of taking the pleasure out of eating food, people must choose to eat what they want, what they can afford and what suits their lifestyle. I am however disappointed with the lack of relevant health messages provided for consumers (it is in some regards why this blog was started). I think the humble lentil illustrates this point particularly well. Lentils (in general) have a number of qualities not widely known about or discussed in the mainstream, they are high in fibre, low in fat, good sources of protein, they are widely available, easy to grow and relatively inexpensive. It should also be mentioned that they are ingredients in some very popular dishes including soups, stews and daals. Lentils are good for us on so many levels that the government and the NHS should be funding extensive lentil related research and promotions. We also now know that lentils are an excellent prebiotic.
In the context of food, prebiotics are fibre able to pass through the digestive system to the large bowel (colon), where they feed and thus encourage the growth of helpful bacteria.
At around 1% fat, lentils are a useful addition to the food cupboards of people striving to maintain a healthy body weight. There is also evidence that their prebiotic effects may also offer support in the fight against obesity. There is a growing body of scientific research suggesting that less calories and more prebiotics are correlated with lower levels of obesity. Prebiotics are now known to increase the quality and quantity of gut bacteria in the colon and lead to the augmentation in the production of short chain fatty acids (SCFA). SCFA are linked to both increased efficiency in the use of calories and decreased obesity. Overall, the evidence suggests that eating lentils regularly is associated with reductions in levels of obesity. Lentils also tend to make you feel full, which has obvious implications for health and diet.
Another key issue to mention is that lentils are high in protein, up to 20g in a 100g serving. This is particular useful for vegans and vegetarians whom sometimes struggle to find enough protein in plant based food. As well as protein you can expect to receive significant proportions of wider nutritional needs in from lentils, such as around half your daily recommended intake of Thiamine (B1), VB6, Folate (B9), Iron, Phosphorus and Zinc.
It should be pointed out again that lentils are tasty and versatile, their consumption doesn’t have to be a chore. The take home point is that by eating lentils three or four times a week you might be able to significantly improve your health and wellbeing in a number of ways. Always interested in receiving and publishing your lentil recipes!
To fully explore the benefits of lentils would require a series of articles but if anyone is interested in the specific role lentils have in reducing obesity, take a look at the work by Dil Thavarajah , Pushparajah Thavarajah, Casey R. Johnson and Shiv Kumar here.
There may be a relationship between kefir and obesity.
I’m becoming increasingly convinced of the benefit of fermentation, that enriching beneficial gut bacteria has widespread effects on wellbeing and health. I’m still near the beginning of this journey and learning all the time. I’ve posted a series of articles linked to kefir, not because I’m an expert, but based of the apparent benefits accrued over the last two months from a small glass of kefir each day. I should also say that Maggie has lost a lot of weight over the time she has been drinking kefir, but, she has also been exercising. However weight loss isn’t my only reason for writing about this subject. A few months ago I felt obliged to take a course of antibiotics, I think it was a mistake ( I am aware of the downsides of this kind of medication) but it’s water under the bridge now. The subsequent decline in my overall health was striking. I started to have trouble concentrating and sleeping, I got a cold, suffered from reflux and saw an augmentation in weight.
I didn’t really connect these things with the antibiotics until I noticed that my bowel movements changed significantly. If you are new to the gut bacteria scene you might feel a little uncomfortable around talk about bowel movements, don’t be. A regular healthy bowel movement is one of the signs of a healthy balance in gut bacteria. So when I noticed I wasn’t going to the toilet regularly I though about the possible impact of antibiotics on my gut. I started to take kefir more regularly whilst keeping my usual prebiotic and probiotic consumption at the same level. The difference was gradual but pretty much everything started to improve after about five days. Two months later things are back where there were before the antibiotics. I’m much healthier, bowels are back to normal and……..I’ve lost weight without any exercise.
This isn’t a morality narrative about the harm of antibiotics. I believe antibiotics represent a life saving technology, and in the right place and time are essential. It’s their inappropriate overuse which I think is harmful.
My own anecdote is that I think it took two months to return the state of my gut bacteria to somewhere like normal, and I am a daily consumer of natural prebiotics and probiotics. In all of this story things pretty much fitted my modest understanding of the underlying science except the weight loss. I know that lack of diversity in gut bacteria is correlated with obesity generally but I hadn’t come across any research papers linking kefir to weight loss. If you can improve your gut health and pull your body weight closer to its optimum level this has to be a win-win. So I started to look through the scientific literature. The most recent research is featured here.
Are their differences in traditional and commercial kefir?
This is the second part of the feature, you’ll find part one here.
Despite my scientific training, regular followers of my blogs will have realized I have an established scepticism for extravagant scientific claims. I am a fan of science generally but feel the need to maintain a discriminating eye and treat each scientific claim on its merits. However a recent study into the relationship between kefir and obesity has been worth a closer look.
In a research paper titled Traditional kefir reduces weight gain and improves plasma and liver lipid profiles more successfully than a commercial equivalent in a mouse model of obesity, Bourrie, Cotter and Willing found that kefir appeared able to meditate metabolic health. This study compared the ability of traditional with commercially produced kefir to mediate mouse weight gain, plasma cholesterol, and liver triglycerides. Four traditional and one commercially available kefirs were used in the experiment. Commercial kefir was shown to have no beneficial effect whilst two of the traditional kefirs demonstrated a reduction in the rate of weight gain and increase in blood cholesterol. This was (as far as I know) the first ever study comparing mass produced with traditionally produced kefir, so the research must be regarded as preliminary. It was a study with mice so the extent to which results can be generalised to humans is uncertain.
The research concluded that when also considered in relation to the modulation of the gut microbiome, traditional kefir has the potential to mediate obesity through the improvement to metabolic dysfunction.
The report also explained that different forms of traditional kefir do not generate identical microbial populations. It is assumed that this could be linked to variable health benefits. Further that whilst Lactobacillus, Lactococcus, and Leuconostoc would be expected to be found in most forms of kefir, acetic acid bacteria was not found in a majority of commercial products. Research has also suggested that traditional kefir possesses highly complex fungal communities (including, S. cerevisiae, Pichia fermentans, Kazachastania unispora, and Kluyveromyces marxianus and lactis) not always found in commercial products.
In conclusion, three take home points:
This is preliminary research, it’s early days!
Traditional kefir may support improved cholesterol and fatty acid metabolism.
Traditional kefir appear to offer a much greater microbial diversity to the host than commercially produced kefir.
There is growing evidence that gut bacteria is linked to obesity. Preliminary experiments with mice appear to be supported by human studies.
Ongoing research into the role of the microbiome (bacteria in the gut) in human wellbeing is at a very early stage. But the frequency of media headlines linking gut bacteria to health is growing. As with all areas of science, claims which have not been verified in clinical trials and subsequently replicated must be treated with caution. Nevertheless the evidence of a relationship between gut microbiome diversity and obesity has been repeatedly demonstrated in mice.
The microbiome is a term used to describe all of the genetic material of a microbiota, the entire range of microorganisms present in a particular context, in this case the human gut.
There have been a number of studies which show that obese mice tend to have fewer different types of gut bacteria than thin mice. The thinking is that a greater range of gut bacteria is likely to positively influence the way that the digestive system breaks down food. Having more (types of) bacteria is linked to efficient processing of what we eat, with the results of a tendency not to be obese. Recent research reported in The Independent looked at the weight gained by 1,632 female twins over nine years. The study calculated that only 41% of the weight increase could be explained by genetic factors.
On closer inspection it was estimated that becoming slimmer or maintaining the same weight was connected to the consumption of dietary fibre (typically found in whole grains, fruit and vegetables). The study also discovered that the women who had gained weight, had a lower diversity of gut bacteria. These findings were in line with similar studies with mice. Although not yet conclusive the overall evidence linking the shape of our body and the composition of our microbiome is growing.