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Weekly column for the week of: June 15, 2009
 
Nutrition Wise
 
by Karen Collins, MS, RD, CDN
For American Institute for Cancer Research
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Q: Is Irritable Bowel Syndrome related to risk of colon cancer? What sort of diet is currently recommended?

A: Irritable Bowel Syndrome (IBS) is not related to cancer risk. IBS is a cluster of symptoms that varies among individuals. Symptoms include diarrhea, constipation, abdominal pain and bloating. These symptoms result from spasm or other abnormal function of the bowel, with no physical change that can be seen with an x-ray or colonoscopy. People sometimes confuse IBS with Inflammatory Bowel Disease (IBD), which is linked to some increased risk of colon cancer. IBD is an inflammation in the intestine and physical changes can be seen with a barium x-ray or colonoscopy. Diet can affect IBS but the same recommendations don’t work for everyone. People with IBS may feel better if they avoid or limit foods that may produce extra gas, such as beans, onions, broccoli or cabbage. Symptoms sometimes improve by avoiding milk and other lactose-containing foods, chewing gum, carbonated drinks, caffeine, alcohol or high-fat foods. Some people find improvement by gradually increasing dietary fiber and/or spreading several small meals throughout the day. Certain probiotics may improve symptoms; ask your physician or registered dietitian for help identifying best choices. Yoga and other forms of exercise may help reduce stress-related symptoms and new medications offer relief for many, so keep talking with your doctor about this.

Q: How much caffeine is in coffee yogurt, ice cream and frozen yogurt?

A: It’s not like having a cup of joe, but the level of caffeine may affect people who are sensitive to caffeine or who eat large portions. One popular brand of coffee yogurt contains 36 milligrams (mg) in a six-ounce container, comparable to two or three ounces of brewed regular coffee or a 12-ounce can of some cola soft drinks. Yet a mocha-flavored yogurt contains less than 1 mg in the same size container. Among ice creams and frozen yogurts, some popular brands contain 30 to 35 mg per half-cup. But here’s where portion size may become an issue: for people who use a cereal bowl as an ice cream dish, as calories, sugar and fat also multiply, caffeine can add up to equal more than a cup of coffee.

Q:bCan diet influence jet lag?

A: Jet lag refers to feelings of irritability, insomnia, indigestion and general disorientation that occur when the body's inner clock is not in sync with life at a new destination. Dietary recommendations include drinking plenty of water before, during and after air travel to prevent dehydration from planes’ dry air and avoiding alcohol while in transit. Beyond that, we have little data from well-controlled human studies. Some may find the widely publicized Anti-Jet-Lag Diet helpful, but it has little research support. The only human study involved 186 soldiers and did not have full research controls. Following this diet may pose significant health issues for some people with diabetes or other metabolic disorders, but otherwise is unlikely to cause any harm. You may see reports that melatonin supplements can help our inner clock adjust, but according to the American Dietetic Association, the amounts in over the counter products far exceed what our body needs to promote sleep and are not recommended to prevent jet lag.

Nutrition Wise Column
Nutrition Wise Archives 2009
The American Institute for Cancer Research (AICR) is the cancer charity that fosters research on the relationship of nutrition, physical activity and weight management to cancer risk, interprets the scientific literature and educates the public about the results. It has contributed more than $86 million for innovative research conducted at universities, hospitals and research centers across the country. AICR has published two landmark reports that interpret the accumulated research in the field, and is committed to a process of continuous review. AICR also provides a wide range of educational programs to help millions of Americans learn to make dietary changes for lower cancer risk. Its award-winning New American Plate program is presented in brochures, seminars and on its website, www.aicr.org. AICR is a member of the World Cancer Research Fund International.

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