Friday, January 26, 2018

Need a daily dose of dirt?

kw: book reviews, nonfiction, health, colon health, microbiome, therapies

RePOOPulation — What a lovely word! Coined by Dr. Emma Allen-Vercoe of the University of Guelph in Canada, it is one culmination of the research outlined in a new book by Drs. Brett Finlay and Marie-Claire Arrieta: Let Them Eat Dirt: How Microbes Can Make Your Child Healthier. For that matter, this implies that our inner bugs can help or harm us at any stage of life. Dr. Vercoe grows bacterial populations in "fermenters" (they make for a smelly building), for use in helping patients restore a healthy inner "farm" of bacteria and other microbes.

I grew up when a certain proverb was popular: "They can't grow up right without eating a peck of dirt." Considering how dirty and messy kids could get in the 1950's, '40's and earlier, a peck might just be the beginning (it's about 15 pounds, or a 2-gallon volume). Rightly understood, the parallel maxim "Cleanliness is next to Godliness" didn't refer to never getting dirty, but to washing well, particularly before meals.

Let Them Eat Dirt is a book of advice, but so well written that I didn't mind. And while it is about raising children, actually it is about raising a good (meaning virtuous!) crop of the hundreds or thousands of microbes that populate the gut of everyone. Even kids such as the "bubble boy" are not microbe-free, they are just being extremely well protected from pathogenic ones.

For all you germophobes out there: Experiments with germ-free mice (GF mice) show that animals with no internal nor external population of microbes are fatter, shorter-lived, and more prone to all the chronic diseases that seem to characterize our "clean" Western social system, such as asthma and diabetes.
Definition: microbiome. "a community of microorganisms (such as bacteria, fungi, and viruses) that inhabit a particular environment and especially the collection of microorganisms living in or on the human body. Your body is home to about 100 trillion bacteria and other microbes, collectively known as your microbiome." [Merriam-Webster]
The book's chapters take us through all the stages of a child's life, beginning with the various ways a newborn's microbiome is formed, nurtured, and possibly damaged and restored. (Antibiotics effectively carpet-bomb our microbiome. Being nursed at the breast helps build a baby's microbiome, and at least partially restores the microbiome if the baby had to have antibiotics as an infant.) A baby born vaginally ingests its mother's vaginal and fecal microbes. All the cuddling, kissing, and even pre-chewing food a mother does for her baby continually adds to the microbes that colonize her baby's gut. Don't think that is icky! Unless the mother is desperately ill, that is very, very good. Later on, letting a kid play outside, including the inevitable dirty-hand-in-mouth. (The book's cover shows a grinning boy with really dirty hands, but a spotless face. Ironic!)

The book also outlines research that shows the relationship between many diseases that were formerly very rare or unknown but are now common, at least in the "advanced" societies of the industrialized countries. Not only allergies, asthma and type 2 diabetes, but many cases of autism produce a microbiome with a genetic signature that can be detected by analysis of the bugs found in the feces. With what is known now, many chronic diseases can be diagnosed by analyzing a stool sample. Although this presently costs more than more traditional diagnostic methods, that could change very soon. In fact, it may soon be possible to mail off a stool sample and get back a list of the diseases a person either has now or is prone to getting, plus suggestions how to change one's microbiome so as to forestall them. That's probiotics at a whole new level!

Whatever stage of life you may be, whether or not you'll be raising children soon…whatever. This book is well worth the read, and even taking notes for later reference. Enjoy!

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