Edmonton Journal

Take probiotics during pregnancy

Research suggests helpful bacteria can ward off colic in newborns

- MICHAEL ROIZEN AND MEHMET OZ Mehmet Oz , M.D. is host of The Dr. Oz Show, and Mike Roiz en , M.D. is chie f wellness officer and chair of Welln ess Ins titute at Cl eveland Clinic . Email your health and welln ess qu es tions to Dr. Oz and Dr. Roizen at y

Q: My husband and I feel like we just barely survived a bout of colic with our four-month-old son. My other two kids never had it. What happened this time? — Sally J.

A: I’m sorry your child (and you two) had to go through that. Colic (inconsolab­le crying for at least three hours a day, three days a week) affects about 20 per cent of babies between three weeks and three months of age. What causes it has always been a mystery.

The prevailing theories have been that it has something to do with an immature digestive tract causing gas pains. Or it’s from allergies to ingredient­s in baby formula or sensitivit­y to cow’s milk in the mother’s diet and breast milk. But nothing seems to ease the infant’s (or parents’) agony.

Finally, researcher­s may have discovered a way to prevent colic or soothe its symptoms. While the data aren’t conclusive, it appears that an imbalance in an infant’s gut bacteria (the biome) could be at the heart of the matter. Having the right amount of good and bad bacteria in the gut is essential for everyone’s health. Newborns pick up their initial mixture of bacteria as they pass through the birth canal. They need exposure to the mother’s microorgan­isms to develop a healthy immune system and good digestion.

But certain things, like chronic maternal stress, a C-section, mom taking antibiotic­s while pregnant or an infant getting them shortly after birth, may interfere with the balance of those diverse bacteria. Then the infant’s gut may not get enough “good” lactobacil­li and too much “bad” e-coli, resulting in colic.

A recent study found that giving infants a 90-day dose of the probiotic Lactobacil­lus reuteri helps prevent colic, constipati­on and regurgitat­ion. Other studies (although not conclusive, as we said) show that taking Lactobacil­lus reuteri can reduce the amount of time a baby suffers from colic.

Our advice for moms-tobe: If you’re stressed or take antibiotic­s while pregnant, also take a probiotic. And if your child develops colic, talk to your pediatrici­an about determinin­g a safe source and dose of probiotics for your infant.

Q: No one believes me when I say dieting doesn’t make me lose weight. I cut calories down to 1,400 a day for three months and barely lost eight pounds. What is going on with me? — Beth G.

A: Two popular phrases are part of dieting mythology: “A calorie is a calorie” and “Dieting is all about calories in and calories out.” You, and lots of other folks who feel like they’re losing the weight-loss battle, are proof that those sayings are not entirely true. It’s not to say that calories don’t count: They do, and you will gain weight if you take in more than you burn off in a day. But ...

One study found the significan­t difference between the eating habits of a group of normal weight and overweight folks wasn’t HOW MUCH they ate but WHAT they ate. Overweight folks took in too many calories from saturated fats and refined carbohydra­tes, and too few from whole grains, veggies and fruit.

Plant-based foods are packed with fibre and trace minerals, as well as phytochemi­cals such as allin from garlic, lycopene from tomatoes, isoflavone­s from soy and beta carotene from carrots. They all help nurture good gut bacteria, control inflammati­on and fight obesity by improving glucose regulation and reducing insulin resistance, known to make weight loss difficult.

So don’t give up trying to lose weight. Instead, make two or three food swaps a day. Eat a large apple instead of a granola bar, drink a cup of coffee or tea instead of sweetened soda and munch on baked kale chips instead of french fries. Your goal is nine servings of fruits and veggies a day; stick with unprocesse­d foods and lean protein from fish and skinless chicken. You’ll see a big difference in your weight and what you lose will stay lost.

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