Page 42 - Today's Dietitian (March 2020)
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CPE Monthly     By Ana Gabriela Reisdorf, MS, RD, CDE



                                                                            relationship between the microbiome
                                                                            and digestion of macro- and micro-
                                                                            nutrients. It also reviews research related
                                                                            to the gut microbiome and malnutrition
                                                                            and obesity. It’s designed to help dieti-
                                                                            tians understand the interplay between
                                                                            the microbiome and nutritional status.

                                                                            What Is the Gut Microbiome?
                                                                            There are 10 trillion to 100 trillion
                                                                            microbes on the human body, with
                                                                            most living in the gut. The number
                                                                            of microbes that exist on one human
                                                                            body is greater than the number of all
                                                                            the humans who have ever lived. The
                                                                            gut microbiome refers to the collection
                                                                            of bacteria, yeast, and other micro-
                                                                            organisms that live inside the digestive
                                                                                 3
                                                                            tract.  With so many microbes living
                                                                            among us, it’s no surprise that they’re
                                                                            intricately connected to our health.
                                                                              More than 90% of gut microbes
                                                                            belong to one of two general groups
                                                                            of the 70 different phyla that have
                                                                            been identified—Bacteroidetes and
                                                                            Firmicutes.  And within these two
                                                                                     4
                                                                            classifications are many different
                                                                            individual species. Most adults have
                                                                            from 400 to 500 species of bacteria
                                                                            in their lower gut or colon at any
                                                                            given time.  The mouth, stomach, and
                                                                                     5
                                                                            small intestine have their own unique
                                                                            microbiome. What makes the study of
                                                                            microbes and human health even more
        The Gut Microbiome and
        Nutritional Status                                                     Learning Objectives
                                                                               COURSE CREDIT: 2 CPEUs

        W            ith the initiation of the   obesity, and CVD.  Between the research   After completing this continuing edu-
                                                        2
                                                                               cation course, nutrition professionals
                                          stemming from the Microbiome Project
                     Human Microbiome
                                                                               should be better able to:
                                          and the increased interest in this area
                     Project in 2007, inter-
                                                                               1. Describe what the gut microbiome
                     est in the microorgan-
                                          stand more about the impact of the gut
                     isms that live within   of study, scientists have begun to under-  is.
        us has skyrocketed. The project ini-  microbiome, not just on the develop-  2. Distinguish the impact of the micro-
        tially aimed to document the variety of   ment of disease but also on nutritional   biome on overall nutritional status.
        microbes found on the human body but   status. There’s also more of an under-  3. Translate the role of the gut micro-
        has expanded to include further evalu-  standing of how diet, in turn, influ-  biome in digestion and absorption of
        ation of their impact on our health and   ences the health of the gut microbiome.   macro- and micronutrients.
        longevity. One of the goals of the proj-  Although the exact mechanisms aren’t   4. Assess how the microbiome influ-
        ect is to gain a deeper understanding   yet clear, research has begun to iden-  ences malnutrition and obesity.
        of human nutritional needs by learning   tify a complex symbiotic relationship   Suggested CDR Learning Codes
        how microbes influence our ability to   between overall health and the health of   2070, 2090, 5220, 5280
        use nutrients from food. 1        the microbiome.                       Suggested CDR Performance Indicators
          Research is discovering that multiple   This continuing education course   8.1.3, 8.1.4, 8.3.6, 10.4.4
        disease states are affected by the micro-  examines the current research on
        biome including allergies, autoimmune   the gut microbiome’s influence on       CPE Level 2
        disease, depression, cognitive decline,   nutritional status. It discusses the

        42 TODAY’S DIETITIAN • MARCH 2020
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