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Gut Optimization for Stroke
Prevention
Overview
»Gut-brain axis
»Gut microbiota
»Eubiosis vs. dysbiosis
»Hypertension gut status profile
»Framework
Gut Microbiota
»Definition
~ Community of microorganisms
~ 100 trillion microbial cells
Gut Microbiota
»Causes of changes
~ Mode of delivery
~ Diet during childhood
~ Diet during adulthood
~ Aging
~ Medications
~ Environmental Factors
~ Surgery
Gut Microbiota
»Microbial cells
~ Bacteria
~ Virus
~ Yeast
~ Archaea
Gut Microbiota
~ Dominated by two bacterial phyla
• Firmicutes
• Bacteroidetes
~ Other bacteria
• Actinobacteria
• Proteobacteria
• Verrucomicrobia
• Fusobacteria
Gut Microbiota
~ Firmicutes
• Lactobacillus
• Bacillus
• Clostridium
• Enterococcus
• Ruminococcus
Gut Microbiota
~ Bacteriodetes
• Bacteriodes
• Prevotella
Gut Microbiota
~ Fermentation
• Bacteria
• Fiber
~ Result/Product
~Short-chain fatty acids
~ Butyrate
~ Propionate
~ Acetate
Gut Microbiota
~ Benefits of short chain fatty acids
• Decreases pH in the colon
~ Enhances absorption
~Calcium
~Iron
~Magnesium
Gut Microbiota
~ Benefits of short chain fatty acids
• Maintains intestinal barrier integrity
• Mucus production
• Protection against inflammation
• Source of energy
• Regulator of gene expression
• Participates in cell metabolism
• Acts as a signal molecule
~ Regulate blood pressure
Gut Microbiota
Regulation and influence of
metabolism and physiology of
the host.
Control of proliferation and pathogenic
bacteria present in the intestinal tract.
Stimulation of the immune
system.
Regulation of the acquisition
of nutrients.
Regulation of cell
renewal.
Production of vitamins &
enzymes.
Genes Nutrition
Medications Stress
Environment Sleep
Hypertension Gut Status Profile
»Gut Microbiota Imbalance
~Decreased diversity
~Altered enterotype
~Variation in bacterial populations
Hypertension Gut Status Profile
»Increase in
~ Klebsiella
~ Prevotella
~ Coprobacillus
~ Enterobacter
»Decrease in
~ Anaerotruncus
~ Coprococcus
~ Ruminococcus
~ Clostridium
~ Roseburia
~ Blautia
~ Bifidobacterium
Hypertension Gut Status Profile
»Decreased
~Short-chain fatty acid production
FRAMEWORK
Live Gut
BETTER
Enjoy
moving it
Trust in
the Lord
Tune out
toxins
Eat well
Rest
regularly
Breathe
deeply
through
the
stress
Eat every 4 to
5 hours
Eat enough
Consume
adequate
protein
Consume
adequate
carbohydrates
Consume
adequate fat
Limit caffeine
& alcohol
Autonomic Nervous System
ENTERIC PARASYMPATHETIC SYMPATHETIC
Vagus Nerve
When to breathe
Upon waking up
Getting dressed
Washing the dishes
Take three deep
breaths before each
meal
Before saying grace
Areas to Tune Out Toxins
Food Cookware
Beauty
Products
Household
Cleaning
Products
Dental Care
Products
Food
Organic
Containers
BPA-free
Cookware
Stainless steel
Cast iron
Eating Well
How What
How
BREATHE
DEEPLY
CHEW WELL SLOW DOWN
PROBIOTICS
Probiotics
»Definition
~ Live microorganisms
• Impart health benefits to host
• Allows healthy bacteria in GI tract
~ Inhibits or destroys toxins by other bacteria
Probiotics
»Functions
~ Clear infections from the gut
~ Resolve imbalances
~ Stimulate the immune system
~ Enhances gut’s protective mucus membrane
Foods Containing Probiotics
Yogurt & Kefir
Cottage cheese & Buttermilk
Kimchi
Fermented Tofu
Soy Sauce
Miso
Tempeh
Fresh sauerkraut
PREBIOTICS
Prebiotics
»Definition
~ Non-digestible oligosaccharide substances that feed
probiotics
Foods Containing
Prebiotics
Chicory root
Jerusalem artichoke
Flax
Oatmeal
Onion
Garlic
Leeks
Legumes
Asparagus
Leafy greens
Berries
Bananas
Honey
Chicory root
Jerusalem
Artichoke
Postbiotics
»Definition
~ The end-products of probiotics acting on prebiotic
foods.
• SCFA
• Extracellular Polymeric Substances (EPSs)
• Vitamins
• Enzymes
• Cell wall fragments
NUTRITION FOR GOOD GUT
HEALTH
Added Sugar
Refined
Carbohydrates
Food
Additives/Pesticides
Gluten
Personal Triggers
Vegetables &
Fruits
Nuts
Beans/Legumes Whole Grains
Fermented
Foods
Melatonin
»Dark skinned grapes
»Tart cherries
»Strawberries
»Tomatoes
»Peppers
»Pistachios
Gamma Amino Butyric Acid
»Sweet potato
»Soybeans
»Peas
»Tomatoes
»Chestnuts
»Cruciferous vegetables
»Spinach
Magnesium
»Dark chocolate
»Avocados
»Nuts
»Legumes
»Seeds
»Whole grains
Sleep
Dinner
»End dinner 2 –3 hours
before bedtime
Hygiene
»Turn off electronics 1 to 1
½ hrs before bed
»Dim lights
»Meditate/Prayer
Thank You!
References
~ Guinane, C.M. & Cotter, P.D. (2013). Role of the gut microbiota in health
and chronic gastrointestinal disease: understanding a hidden metabolic organ. Ther Adv
Gastroenterol, p. 295-308. DOI:
10.1177/1756283X13482996
~ de la Cuesta-Zuluaga, J., Corrales-Agudelo, V., Carmona, J.A.,
Abad, J.M., Escobar, J.S. (2017). Body size phenotypes comprehensively assesscardiometabolic risk
and refine the association
between obesity and gut microbiota. Intl Jour of Obesity accepted article preview 16 November 2017;
doi: 10.1038/ijo.2017.281.
~ Parnell, L.D. (2012). Advances in technologies and study design. Progress in Molecular Biology and
Translational Science. doi.org/10.1016/B978-0-12-398397-8.00002-2
~ Enserink, M. (2011). Your Gut Bacteria Are What You Eat. Science.
http://www.sciencemag.org/news/2011/09/your-gut-bacteria-are-what-you-eat
~ Jandhyala, S. M., Talukdar, R., Subramanyam, C., Vuyyuru, H., Sasikala, M., Reddy, D. N. (2015).
Role of the normal gut microbiota. World Journal of Gastorenteroloy, 21(29), 8787-8803. DOI:
10.3748/wjg.v21.i29.8787
~ American Gastroenterological Association. Probiotics: what they are and what they can do for you.
Available at: http://www.gastro.org/patient-center/diet-medications/probiotics.
~ Kligler, B., Cohrssen, A. (2008). Probiotics. American Family Physician.
https://www.aafp.org/afp/2008/1101/p1073.html
~ Hawrelak, J. Probiotic Advisor. https://www.probioticadvisor.com/probiotic-essentials-2/dosage/
~ ConsumerLab.com. https://www.consumerlab.com/answers/which-probiotics-require-
refrigeration/probiotic_refrigeration/
~ F. Rincón-León, in Encyclopedia of Food Sciences and Nutrition (Second Edition), 2003
~ F. Shahidi, Nutraceuticals and functional foods: Whole versus processed foods, Trends in Food
Science & Technology, 20 (2009), pp. 376-387
~ Al-Sheraji, S.H., Ismail, A., Manap, M.Y., Mustafa, S., Yusof, R. M., & Hassan, F.A. 2013. Prebiotics
as functional foods: A review. Journal of Functional Foods, 5(4), 1542-1553.
https://doi.org/10.1016/j.jff.2013.08.009
~ Hemarajata, P. & Versalovic, J. (2013). Effects of probiotics on gut microbiota: mechanisms of
intestinal immunomodulation and neuromodulation. Therap Adv Gastroenterol.6(1): 39-51.
doi: 10.1177/1756283X12459294
References
» Denise Mafra, Marcia Ribeiro, Larissa Fonseca, Bruna Regis,
Ludmila F.M.F. Cardozo, Henrique Fragoso dos Santos, Hugo
Emiliano de Jesus, Junia Schultz, Paul G. Shiels, Peter Stenvinkel,
Alexandre Rosado, Archaea from the gut microbiota of humans:
Could be linked to chronic diseases?, Anaerobe, Volume
77, 2022, 102629, ISSN 1075-
9964, https://doi.org/10.1016/j.anaerobe.2022.102629.
» Li J, Zhao F, Wang Y, Chen J, Tao J, Tian G, Wu S, Liu W, Cui Q,
Geng B, Zhang W, Weldon R, Auguste K, Yang L, Liu X, Chen L,
Yang X, Zhu B, Cai J. Gut microbiota dysbiosis contributes to the
development of hypertension. Microbiome. 2017 Feb 1;5(1):14. doi:
10.1186/s40168-016-0222-x. PMID: 28143587; PMCID:
PMC5286796.
» Wu Y, Xu H, Tu X, Gao Z. The Role of Short-Chain Fatty Acids of
Gut Microbiota Origin in Hypertension. Front Microbiol. 2021 Sep
28;12:730809. doi: 10.3389/fmicb.2021.730809. PMID: 34650536;
PMCID: PMC8506212.

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4. Gut Optimization for Stroke.pdf

  • 1. Gut Optimization for Stroke Prevention
  • 2. Overview »Gut-brain axis »Gut microbiota »Eubiosis vs. dysbiosis »Hypertension gut status profile »Framework
  • 3.
  • 4.
  • 5. Gut Microbiota »Definition ~ Community of microorganisms ~ 100 trillion microbial cells
  • 6. Gut Microbiota »Causes of changes ~ Mode of delivery ~ Diet during childhood ~ Diet during adulthood ~ Aging ~ Medications ~ Environmental Factors ~ Surgery
  • 7. Gut Microbiota »Microbial cells ~ Bacteria ~ Virus ~ Yeast ~ Archaea
  • 8. Gut Microbiota ~ Dominated by two bacterial phyla • Firmicutes • Bacteroidetes ~ Other bacteria • Actinobacteria • Proteobacteria • Verrucomicrobia • Fusobacteria
  • 9. Gut Microbiota ~ Firmicutes • Lactobacillus • Bacillus • Clostridium • Enterococcus • Ruminococcus
  • 10. Gut Microbiota ~ Bacteriodetes • Bacteriodes • Prevotella
  • 11.
  • 12. Gut Microbiota ~ Fermentation • Bacteria • Fiber ~ Result/Product ~Short-chain fatty acids ~ Butyrate ~ Propionate ~ Acetate
  • 13. Gut Microbiota ~ Benefits of short chain fatty acids • Decreases pH in the colon ~ Enhances absorption ~Calcium ~Iron ~Magnesium
  • 14. Gut Microbiota ~ Benefits of short chain fatty acids • Maintains intestinal barrier integrity • Mucus production • Protection against inflammation • Source of energy • Regulator of gene expression • Participates in cell metabolism • Acts as a signal molecule ~ Regulate blood pressure
  • 15. Gut Microbiota Regulation and influence of metabolism and physiology of the host. Control of proliferation and pathogenic bacteria present in the intestinal tract. Stimulation of the immune system. Regulation of the acquisition of nutrients. Regulation of cell renewal. Production of vitamins & enzymes.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 22. Hypertension Gut Status Profile »Gut Microbiota Imbalance ~Decreased diversity ~Altered enterotype ~Variation in bacterial populations
  • 23. Hypertension Gut Status Profile »Increase in ~ Klebsiella ~ Prevotella ~ Coprobacillus ~ Enterobacter »Decrease in ~ Anaerotruncus ~ Coprococcus ~ Ruminococcus ~ Clostridium ~ Roseburia ~ Blautia ~ Bifidobacterium
  • 24. Hypertension Gut Status Profile »Decreased ~Short-chain fatty acid production
  • 26. Live Gut BETTER Enjoy moving it Trust in the Lord Tune out toxins Eat well Rest regularly Breathe deeply through the stress
  • 27.
  • 28. Eat every 4 to 5 hours Eat enough Consume adequate protein Consume adequate carbohydrates Consume adequate fat Limit caffeine & alcohol
  • 29. Autonomic Nervous System ENTERIC PARASYMPATHETIC SYMPATHETIC
  • 31. When to breathe Upon waking up Getting dressed Washing the dishes Take three deep breaths before each meal Before saying grace
  • 32.
  • 33.
  • 34.
  • 35. Areas to Tune Out Toxins Food Cookware Beauty Products Household Cleaning Products Dental Care Products
  • 37.
  • 41. Probiotics »Definition ~ Live microorganisms • Impart health benefits to host • Allows healthy bacteria in GI tract ~ Inhibits or destroys toxins by other bacteria
  • 42. Probiotics »Functions ~ Clear infections from the gut ~ Resolve imbalances ~ Stimulate the immune system ~ Enhances gut’s protective mucus membrane
  • 43. Foods Containing Probiotics Yogurt & Kefir Cottage cheese & Buttermilk Kimchi Fermented Tofu Soy Sauce Miso Tempeh Fresh sauerkraut
  • 46. Foods Containing Prebiotics Chicory root Jerusalem artichoke Flax Oatmeal Onion Garlic Leeks Legumes Asparagus Leafy greens Berries Bananas Honey Chicory root Jerusalem Artichoke
  • 47. Postbiotics »Definition ~ The end-products of probiotics acting on prebiotic foods. • SCFA • Extracellular Polymeric Substances (EPSs) • Vitamins • Enzymes • Cell wall fragments
  • 48. NUTRITION FOR GOOD GUT HEALTH
  • 51.
  • 52.
  • 53. Melatonin »Dark skinned grapes »Tart cherries »Strawberries »Tomatoes »Peppers »Pistachios
  • 54. Gamma Amino Butyric Acid »Sweet potato »Soybeans »Peas »Tomatoes »Chestnuts »Cruciferous vegetables »Spinach
  • 56. Sleep Dinner »End dinner 2 –3 hours before bedtime Hygiene »Turn off electronics 1 to 1 ½ hrs before bed »Dim lights »Meditate/Prayer
  • 58. References ~ Guinane, C.M. & Cotter, P.D. (2013). Role of the gut microbiota in health and chronic gastrointestinal disease: understanding a hidden metabolic organ. Ther Adv Gastroenterol, p. 295-308. DOI: 10.1177/1756283X13482996 ~ de la Cuesta-Zuluaga, J., Corrales-Agudelo, V., Carmona, J.A., Abad, J.M., Escobar, J.S. (2017). Body size phenotypes comprehensively assesscardiometabolic risk and refine the association between obesity and gut microbiota. Intl Jour of Obesity accepted article preview 16 November 2017; doi: 10.1038/ijo.2017.281. ~ Parnell, L.D. (2012). Advances in technologies and study design. Progress in Molecular Biology and Translational Science. doi.org/10.1016/B978-0-12-398397-8.00002-2 ~ Enserink, M. (2011). Your Gut Bacteria Are What You Eat. Science. http://www.sciencemag.org/news/2011/09/your-gut-bacteria-are-what-you-eat ~ Jandhyala, S. M., Talukdar, R., Subramanyam, C., Vuyyuru, H., Sasikala, M., Reddy, D. N. (2015). Role of the normal gut microbiota. World Journal of Gastorenteroloy, 21(29), 8787-8803. DOI: 10.3748/wjg.v21.i29.8787 ~ American Gastroenterological Association. Probiotics: what they are and what they can do for you. Available at: http://www.gastro.org/patient-center/diet-medications/probiotics. ~ Kligler, B., Cohrssen, A. (2008). Probiotics. American Family Physician. https://www.aafp.org/afp/2008/1101/p1073.html ~ Hawrelak, J. Probiotic Advisor. https://www.probioticadvisor.com/probiotic-essentials-2/dosage/ ~ ConsumerLab.com. https://www.consumerlab.com/answers/which-probiotics-require- refrigeration/probiotic_refrigeration/ ~ F. Rincón-León, in Encyclopedia of Food Sciences and Nutrition (Second Edition), 2003 ~ F. Shahidi, Nutraceuticals and functional foods: Whole versus processed foods, Trends in Food Science & Technology, 20 (2009), pp. 376-387 ~ Al-Sheraji, S.H., Ismail, A., Manap, M.Y., Mustafa, S., Yusof, R. M., & Hassan, F.A. 2013. Prebiotics as functional foods: A review. Journal of Functional Foods, 5(4), 1542-1553. https://doi.org/10.1016/j.jff.2013.08.009 ~ Hemarajata, P. & Versalovic, J. (2013). Effects of probiotics on gut microbiota: mechanisms of intestinal immunomodulation and neuromodulation. Therap Adv Gastroenterol.6(1): 39-51. doi: 10.1177/1756283X12459294
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