HEALTH & WELLBEING
Does eating fermented milk products like
yoghurt help ulcerative colitis ( UC ) patients ?
by Andreas Klein
Medical researchers conducted two small placebo-controlled human trials to look at the benefits of fermented milk yoghurt for UC patients .
The first trial looked at 20 UC patients whose symptoms had been brought under control using standard treatments . Taking yoghurt daily for one year
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TOLIVE allowed most patients to remain symptom free . Most patients not taking yoghurt had relapses . For patients who did relapse , if the patient was taking yogurt , they generally had only one relapse . Patients not taking yoghurt had two or more . So , eating daily yoghurt worked , in preventing relapse in most patients , and in significantly reducing the number of relapses if relapse did occur .
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In a second ( 12 week ) trial , researchers looked at 20 UC patients whose symptoms had initially been controlled using standard treatments , but in whom UC symptoms returned , while on medication .
Patients were kept on standard medications - mesalazine or salaz sulphapyridine , and then given either placebo , or a milk yoghurt made using three bacteria , Bifidobacterium ( breve and bifidum ) and Lactobacillus acidophilus .
After 12 weeks patients in the group receiving yoghurt were more likely to : 1 . have symptom improvement , or 2 . be completely symptom free , and their bowel walls tended to look much more healed when viewed by endoscope , and much less injured when
bowel-tissue samples were viewed by microscope .
Finally , those eating daily yoghurt showed marked increases in small fatty acids content in stool . Small fatty acids ( such as butyrate and propionate ) help heal the bowel . Butyrate is the main energy source for the cells lining the colon , and it also reduces bowel inflammation caused by the immune system . In this way butyrate helps heal the bowel . No increases in small fatty acids were seen in the placebo group . The researcher then noted that adding prebiotic foods would further help normalise bowel bacteria composition , making yogurt treatment even more effective , i . e ., a more wholistic approach , leads to a more effective treatment .
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BSc , Adv Dip Nut Med , DRM
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22 ISSUE 161 // OCTOBER 2023 theindependentmagazine . com . au THE HAWKESBURY INDEPENDENT