Chronic Inflammation and Colon Health

[Music]

[Applause]

do you know what a colostomy bag is

it’s a plastic bag that’s attached to a

hole

that the doctors have inserted into our

abdomen

and we redirect your poop into that bag

because your colon has been ravaged by

cancer

and if we do that it means you’re lucky

because you’re going to live

now i recommend avoiding it if you can

and i recommend avoiding the bellyaches

the constipation

the diarrhea the rectal bleeding

and all the other crappy things that

come with colorectal cancer and its

treatment

so today i’m going to tell you the steps

that you can take

to avoid getting colorectal cancer

especially

at a young age my name is lauren haaseth

i’m the director of the center for colon

cancer research here

at the university of south carolina

now colorectal cancer is the third

leading cause

of cancer death globally so it’s

important

now the good news is for people over 50

years old

old folks like myself colorectal cancer

rates are decreasing

the bad news is for young

adults even very young adults colorectal

cancer rates are

increasing they’ve been increasing for

the last 40 years the lot rises

global and the contributing factors

probably take

hold during childhood so today i’m going

to tell you the steps that you

and your children can take to avoid

getting colorectal cancer

early in life and then i’ll explain to

you the science behind

why these steps

work so meet your colon

your colon’s job is to finish processing

the food

remove the liquid that’s left over and

move it out of your body as poop

inside your colon is your microbiome now

your microbiome

are a bunch of bacteria we’ll just call

them bugs

some are good bugs some are bad bugs but

there’s

trillions literally trillions of these

bugs that govern the health of your

colon

think of them as guardians of your colon

now the good bugs they have long names

like lactobacillus and bifidobacterium

well these bugs help process your food

they regulate your immune system and

they tame

inflammation now the bad bugs

these also have long names like fuso

bacterium

now when there’s a buildup of these bad

bugs this causes

dysbiosis and dysbiosis drives

inflammation and chronic inflammation in

your colon is

really bad over the course of

years if chronic inflammation isn’t

tamed

it will likely lead to colorectal cancer

so the steps i’m going to highlight

today keep your microbiome healthy

tames inflammation and gives you the

best chance

possible avoiding colorectal cancer

so step one more than anything else

across the globe

we have to change the way we eat in the

mid-1900s

the standard american diet began to

change not in healthy ways

this is when we saw the introduction of

processed foods

more fried foods sweets more

artificially

colored foods with a high calorie

content and a low

nutrient value i think fast foods

pre-made box lunches

chips soft drinks now in the latter part

of the century

we saw this the spread of this diet

across the globe think

mcdonald’s for example is in over a

hundred countries

so this food is damaging our colons

across the globe and we’ve actually

parsed out the data to prove it

our lab has fed mice a standard american

diet

and these mice lo and behold get

dysbiosis

they get inflammation and yes they got

colon cancer

now even more convincing was a study

done on

human volunteers of african descent

these were volunteers from the usa and

south

africa and all they did was switch diets

for two weeks

the usa cohort ate the healthy diet from

south africa

the south african cohort ate the

standard american diet

and guess what happened yup

after only two weeks of consuming the

healthy diet from south africa

dysbiosis got better inflammation got

less and there are higher amounts of

butyrate which is a good guy it

tames inflammation after only two weeks

of consuming the standard american diet

the south african cohort had worse

dysbiosis

and worse inflammation so compelling is

the entirety of the data

we now call our standard american diet

by its acronym s a

d literally literally a sad

diet a sad diet really like

our standard american diet is a sad diet

now

so what should we be eating what foods

will

increase the amount of good bugs

decrease the amount of bad bugs

and thereby tame our colon inflammation

well we should be eating a plant-based

diet

or beans some meat more olive oil and

saturated fats more fruits

more vegetables and it’s especially

helpful

to consume foods called prebiotics now

prebiotics

are a part of the plant-based diet

they are the oats they are the barley

they are the legumes

they’re the apples they’re the bananas

they’re the asparagus

now the good bugs in our colon consume

these prebiotics and spit out

anti-inflammatory

metabolites in short

these foods help our colon fight the

good fight

now we can also help our microbiome by

consuming

probiotics now prebiotics feed

the good bugs in your microbiome the

probiotics

are the good bugs in our microbiome the

most commonly found

probiotic in the usa is yogurt so these

foods

help build up the good bugs fight off

the bad bugs and tame

inflammation in your colon and if you

can’t imagine

adding any of these foods to your daily

diet

you can walk down to your local drug

store and buy them as

supplements so what else can we do

to lower our risk of colorectal cancer

when we’re young

well you’re going to have to get off

your butts and i’ll tell you why

you might not believe this but recent

studies have shown

that the longer you watch tv

the higher your risk of colorectal

cancer the most shocking study

found that women who watch over two

hours of tv

per day have a 70 percent

increased risk of colorectal cancer 70

percent

now it’s not the tv watching per se

that gives you the colorectal cancer

it’s lounging around it’s a sedentary

behavior

that’s going to increase dysbiosis and

inflammation

and tv watching isn’t the only sedentary

behavior that’s become more popular in

recent years

more of us spend time at desk jobs than

ever before

we spend more time looking at our phones

and

all of us know somebody who spends

hours on a weekend binge watching

netflix

or playing video games so how do we fix

us

well i won’t tell you to quit

your desk job and find one that requires

you to stand all day

but i will join the ranks of advocating

for hourly office laps or walking

meetings

now i won’t tell you to quit watching tv

but i will tell you it’s better to watch

tv while

riding a stationary bike or walking on a

treadmill

so get your steps in every day make time

for exercise

and your colon will thank you for it

so over the last 40 years we’ve seen a

rise

in factors that we must combat

to maintain colon health so far

we’ve gone through a standard american

diet and

increased sedentary behavior but there’s

a third factor one that’s

not so visibly obvious but just as

insidious as the others

and that’s stress stress has been

increasing for the last 40 years

the rise is global and perhaps saddest

of all

stress has been increasing dramatically

in our children now scientifically

more and more studies are showing that

different

causes of stress lead to dysbiosis

and we already know that dysbiosis

drives inflammation

what’s even worse is long-term stress

common amongst all

ages can lead to a slow burning of your

colon

it’s a process called inflammation and

it feels as good as it sounds

so it’d be easy for me to vaguely tell

you to manage your stress levels but

that really wouldn’t be

tangibly helpful to you

and while there’s a hundreds of causes

of stress and i couldn’t imagine

going through them all in the little

time that we have

i will mention a few things that you can

do

to prevent stressors that have been

scientifically proven

to lead to dysbiosis number one

is get your sleep adults need eight

hours of sleep

children ten hours of sleep set a

regular sleep schedule

set the room temperature do everything

that you can do

to get a good night’s sleep every night

number two is create predictability know

what’s in your short-term

future and prepare for it

before you go to bed at night set out

your clothes

pack your lunch to-do lists are great

check them off imagine like a to-do list

for colon health that’d be cool prepare

for things that upset you every day

if you’re an angry driver understand

there will always be idiots on the road

accept that fact let it go and your

colon will thank you

so all these things seem a bit hyper

vigilant

but they’re actually simple and they’ll

knock a bunch of stress off your

shoulders

so number three is social support

community

family a happy marriage all

will reduce your stress levels

exceptionally stressful moments will

always

arrive but honestly they’ll always

recede

managing your ongoing stress is a surest

way

of preventing inflammation and it’s key

to colorectal

health now we don’t

know yet everything there is to know

about colorectal cancer but what we do

know

is diet exercise and stress

are important for colon health and key

to preventing colorectal cancer

we’re also finding out that dysbiosis

can pass

from parent to offspring so for your

own sake and your future family’s sake

i urge you to eat well

stress less and move more thank you

[Applause]

[音乐]

[掌声]

你知道什么是结肠造口袋吗?

它是一个塑料袋,附在

医生插入我们

腹部的一个洞上

,我们将你的粪便重新放入那个袋子,

因为你的结肠已经被癌症蹂躏了

,如果我们 这样做意味着你很幸运,

因为你现在要活

所以今天我要

告诉你可以采取哪些步骤

来避免患上结肠直肠癌,

尤其是

在年轻时我的名字是 lauren haaseth

我现在是南卡罗来纳大学结肠癌研究中心的主任

结直肠癌是

全球癌症死亡的第三大原因,所以

现在很重要的是,对于

像我这样的 50 岁以上的人来说,结直肠癌的发病

率正在

下降 坏消息是对年轻人来说,

即使是非常年轻的成年人,结直肠癌的

发病率也在

增加,

在过去的 40 年里,他们一直在增加,全球范围内的数量正在上升

,而促成因素

可能

在童年时期就已经存在,所以今天我

要告诉你的步骤 您

和您的孩子可以采取一些措施来避免

在生命早期患上结肠直肠癌,然后我将向您解释

为什么这些

步骤有效的科学原理,以便满足您的结肠

您的结肠的工作是完成

食物加工,

去除残留的液体并

移动 它从你体内排出,因为

结肠内的粪便是你的微生物组现在

你的微生物组

是一堆细菌,我们

称之为虫子

有些是好虫子有些是坏虫子,但

实际上有数万亿的这些

虫子控制着你的健康

结肠现在将它们视为结肠的守护者

它们具有长名称的好细菌,

例如乳酸杆菌和双歧杆菌,

这些细菌有助于处理

它们调节的食物 你的免疫系统,

它们

现在可以驯服炎症 这些坏虫子现在

也有很长的名字,比如扶桑

细菌 当这些坏虫子积聚时,

这会导致生态失调,而生态失调会导致

炎症和

结肠中的慢性炎症在

多年的过程中真的很糟糕,

如果 慢性炎症不

被驯服,

它可能会导致结直肠癌,

所以我今天要强调的步骤是

保持你的微生物组健康

驯服炎症,并给你

最好的

机会避免结直肠癌,

所以我们在全球范围内比其他任何事情都更重要一步

必须改变我们在

1900 年代中期的

饮食方式 标准的美国饮食开始

以不健康的方式改变

这是当我们看到加工食品的引入

更多油炸食品 甜食 更多

热量和低

营养的人工着色食品 价值 我认为快餐

预制盒饭

薯片 软饮料 现在在

本世纪下半叶

我们看到了 这种饮食

在全球传播

老鼠你瞧,它们会出现

生态

失调,它们会发炎,是的,它们会患上

结肠癌,

现在更有说服力的是

对非洲裔人类志愿者进行的一项研究,

这些志愿者来自美国和

南非,他们所做的只是改变饮食

两周 同伙吃了来自

南非

的健康饮食

好家伙,

在食用标准美国饮食两周后就可以缓解炎症,

南非队列的生态失调更严重,

并且 更严重的炎症 如此引人注目的是

我们现在

用它的首字母缩写来称呼我们的标准美国饮食的全部数据

字面意思是悲伤的

饮食 悲伤的饮食真的像

我们的标准美国饮食现在是一种悲伤的饮食

所以我们应该吃什么食物

增加 好虫子

的数量减少了坏虫子的数量

,从而

很好地控制了我们的结肠炎症 我们应该吃植物性

饮食

或豆类 多吃肉 多吃橄榄油和

饱和脂肪 多吃水果

多吃蔬菜

食用称为益生元的食物特别有帮助 现在

益生元

是植物性饮食的一部分

他们是燕麦 他们是大麦

他们是豆类

他们是苹果 他们是香蕉

他们是芦笋

现在我们结肠中的好虫子会消耗

这些益生元并吐出

简而言之,

这些食物可以帮助我们的结肠进行抗炎代谢物的

战斗,

现在我们还可以通过食用益生菌来帮助我们的微生物群,

现在益生元可以

喂食 你的微生物组

中的好虫子 益生菌是我们微生物组中的好虫子 在美国

最常见的

益生菌是酸奶,所以这些

食物

有助于建立好虫子,

对抗坏虫子并驯服

结肠中的炎症,如果

可以的话 无法想象

将这些食物中的任何一种添加到您的日常

饮食中,

您可以步行到当地的

药店购买它们作为

补充剂,那么当我们还年轻时,我们还能做些什么

来降低患结肠直肠癌的风险

放下你的屁股,我会告诉你为什么

你可能不相信这一点,但最近的

研究

表明,你看电视的时间越长,

你患结直肠癌的风险就越高。

最令人震惊的研究

发现,每看电视超过两个

小时的女性

一天

患结肠直肠癌的风险增加 70

%

现在 70% 现在不是看电视本身

让你患上结肠直肠癌

而是在周围闲逛 久坐不动的

行为会增加生态失调和

炎症 娱乐

和看电视并不是近年来

变得越来越流行

的唯一

久坐行为 看

netflix

或玩电子游戏,那么我们如何才能很好地解决

我们的

问题我不会告诉你放弃

你的办公桌工作并找到一个需要

你整天站立的工作,

但我现在会加入

倡导每小时办公一圈或步行

会议

的行列 我不会告诉你停止看电视,

但我会告诉你最好

骑固定自行车或在跑步机上走路时看电视,

所以每天都要迈出步伐,腾出

时间锻炼

,你的结肠会感谢你,

所以 在过去的 40 年里,我们已经看到了为维持结肠健康而必须与之抗争的因素的

增加

到目前为止,

我们已经经历了标准的美国

饮食并

增加了久坐行为,但

还有第三个因素

不那么明显 bvious 但和

其他人一样阴险

,那就是压力 压力

在过去 40 年中一直在增加,这种

增加是全球性的,也许最可悲

压力

在我们的孩子身上急剧增加,现在科学上

越来越多的研究表明,

压力的不同原因 导致生态失调

,我们已经知道生态

失调会导致

炎症 更糟糕的是,长期压力

在所有年龄段都很常见,

会导致结肠缓慢燃烧

这是一个称为炎症的过程

,感觉和听起来一样好,

所以它会 我很容易含糊地告诉

你管理你的压力水平,但这

对你

并没有明显的帮助,虽然有数百

种压力原因,我无法想象

在我们拥有的短暂时间内经历所有这些

我 会提到一些你可以

做的事情

来防止已经被

科学证明

会导致生态失调的压力源第一

是让你的睡眠成年人需要

八小时 睡眠时间

儿童 十小时睡眠 设定

规律的睡眠时间表

设定室温

尽你所能

每晚睡个好觉

第二个是创造可预测性

知道你的短期

未来会发生什么,并

在你之前做好准备 晚上睡觉 准备好

你的衣服

打包你的午餐 待办事项清单很棒

把它们核对一下

司机明白

路上总会有白痴

接受这个事实,放手,你的

结肠会感谢你,

所以所有这些事情看起来有点过度

警惕,

但它们实际上很简单,它们会

减轻你的压力,

所以 第三是社会支持

社区

家庭 幸福的婚姻 一切

都会减轻你的压力

压力特别大的时刻总会

到来,但老实说,他们总是会

消退

管理你持续的压力是最可靠的

方式 抑制炎症,这是

结直肠

健康的关键 现在我们

还不知道

关于结直肠癌的所有知识,但我们

知道的

是饮食运动和压力

对结肠健康很重要,也是

预防结直肠癌的关键,

我们也在发现 生态失调

可以

从父母传给后代,所以为了你

自己和你未来的家庭,

我敦促你吃得好,

压力少,多动,谢谢

[鼓掌]