Ulcerative colitis (UC) is a type of inflammatory bowel disease (IBD). It is an autoimmune condition in which the immune system mistakenly attacks the large intestine, causing inflammation and ulcers inside its inner lining. Weight loss is often associated with UC, but some people with the condition may experience weight gain.
Alongside weight changes, the common symptoms of UC include diarrhea, blood in the stool, pain in the abdomen, abdominal cramping, and rectal bleeding.
Some people may also experience fatigue, fever, nausea, or vomiting.
In this article, we examine the possible causes of weight gain with UC. We also discuss how people with UC can lose weight, if necessary.
Several factors may cause a person with UC to experience weight gain. A 2016 study reported that 15-40% of people with IBD also have obesity.
UC itself does not necessarily cause weight gain, with researchers stating that there is “no known association” between IBD and obesity. However, many factors relating to UC may cause weight gain, such as certain medications that doctors prescribe to treat the condition.
During a UC flare, people may reach for more convenient and less nutritious foods, resulting in weight gain. Flares may also lead to a person participating in less physical activity, which may contribute to them gaining weight.
Additionally, some evidence suggests possible shared environmental risk factors between IBD and obesity.
Although many people may think of UC as a condition that causes weight loss, it can also contribute to weight gain. There are many reasons for this, including:
A lack of exercise
Some people may find it difficult to motivate themselves to exercise when they are experiencing a flare of symptoms.
Although people with UC should continue exercising regularly, they may find that lower energy levels prevent them from being active. Healthcare professionals can suggest the most suitable forms of exercise to attempt during a flare.
Corticosteroids, such as prednisone, are medications that reduce inflammation.
One possible side effect of prednisone, as well as other corticosteroids, is weight gain. Weight gain may continue even after a person stops taking the medication, and it can be challenging to reverse.
Other medications to treat UC also have links to weight gain, such as anti-tumor necrosis factor-alpha drugs.
No specific food or diet will help everyone who experiences weight gain from UC lose weight. However, the following weight loss tips may help people moderate their weight.
Maintain a healthy diet
People with UC should eat a nutritious, well-balanced diet full of nutritious foods, including:
- Fruits and vegetables: People should try a variety of fruits and vegetables and remove the peel and seeds if they trigger a flare.
- Fiber rich foods: These include whole grains, beans, nuts, oat bran, and barley. These foods are unsuitable for people with an ostomy or intestinal narrowing, and a person should avoid them if a doctor has advised them to follow a low fiber diet.
- Calcium rich foods: These foods include milk, yogurt, kefir, lactose-free dairy products, and collard greens.
- Protein: Lean meats, fish, tofu, nuts, and eggs are good sources of protein.
- Food with probiotics: People can try including more yogurt, miso, sauerkraut, tempeh, and kimchi in their diet.
When experiencing a flare, a person may tolerate moderate portion sizes of the following foods:
- low-fiber fruits
- lean protein, such as fish, poultry, soy, and eggs
- Refined grains, such as sourdough, white pasta, potatoes, and oatmeal
- vegetables that are fully cooked and do not contain seeds or skin
Specific diets that a person may wish to discuss with a healthcare professional include:
- the Mediterranean diet, also known as the anti-inflammatory diet or IBD-AID
- the Paleolithic diet
- omega-3 enriched diets
- semi-vegetarian diets
- fasting diet
Some people with UC may experience malnutrition due to their body not absorbing all the vitamins and minerals that they consume. These individuals should discuss any significant changes in their diet with a healthcare professional.
Stock up on nutritious, convenient foods
People experiencing a UC flare may eat unhealthy “junk” foods for convenience rather than seeking out healthier alternatives.
Stocking cupboards and the refrigerator with quick, nutritious foods that are enjoyable can help people make food choices that are better for their health and prevent them from snacking on nonnutritious foods.
Avoid trigger foods
Researchers have found that some foods may be more likely than others to cause a person with UC to experience a flare. Some of these foods, such as those high in sugar and fat, can also contribute to weight gain.
By reducing their consumption of foods high in sugar and fat, people with UC may prevent weight gain and decrease flares.
Try a gluten free diet
Some people with IBD find that cutting out gluten helps improve their symptoms. However, no research currently proves this claim. Furthermore, the Crohn’s & Colitis Foundation notes that gluten-free products often contain a higher fat content, contributing to weight gain.
Drink plenty of water
Drinking a glass of water about half an hour before meals can help people feel fuller and eat fewer calories. People who drink water before meals may lose up to 44% more weight than people who do not, according to an older study from 2009.
This habit is also beneficial because it is crucial for people with UC to stay hydrated due to the loss of fluids from diarrhea.
As well as allowing the brain time to detect satiety, chewing more slowly and thoroughly ensures that the body breaks down food before it reaches the stomach and gastrointestinal (GI) tract.
By chewing slowly, a person is also less likely to introduce air pockets into their GI tract, which can cause gas and discomfort for people with UC.
According to the Centers for Disease Control and Prevention (CDC), adults should aim for at least 150 minutes of moderate-intensity physical activity or 75 minutes of vigorous-intensity physical activity each week to lose weight or maintain a moderate weight.
Going for a short daily walk could help people lose weight and prevent weight gain. Regular physical activity can help improve sleep, memory, and the ability to think and learn.
Other strategies that may help someone lose weight include:
- Cutting down on alcohol: Drinking alcohol can cause a person to experience symptoms of UC and gain weight. People who drink alcohol may find that reducing their intake is an easy way to cut down the number of calories they consume.
- Reducing plate size: People can reduce their portion sizes by replacing their dinner plate with a side plate. A small plate gives the illusion of a full plate while decreasing the portion size.
- Taking steps to improve sleep hygiene: Getting enough sleep can help a person lose weight. Research suggests that low quality sleep is a risk factor for weight gain.
Although people do not usually associate weight gain with UC, it is not uncommon for the condition to have this effect. People with UC may need to monitor their weight to counteract any weight loss or gain due to the condition.
Some people with UC may be unable to lose weight due to their medications. Others may have difficulty getting enough exercise when their symptoms flare up.
If necessary, people with UC can try to lose weight by:
- eating a nutritious, well-balanced diet
- ensuring that they have healthy snacks to hand
- avoiding trigger foods
- trying a gluten free diet
- drinking enough water
- chewing foods slowly
- getting regular exercise
Maintaining a moderate weight is key to reducing the risk of developing several other health conditions.
Guiding the way to thrive
Jan Juc naturopath Rebecca Winkler has always found joy in the practice of cooking nourishing meals for others.
That pastime spilled over into developing recipes and it was during lockdown that her culinary passion led her to become a qualified plant-based chef and a raw dessert chef.
Now the mum-of-two has expertly thrown all of her skills into the mix to achieve a long-held goal of producing a book.
Released as an eBook, with a print version to hopefully follow, 14 Day Whole Food Feast is a comprehensive two-week meal plan designed to nourish the body and delight the tastebuds.
Within its pages are recipes for whole food snacks, lunch and dinner meals, lunchbox ideas, and time-saving tips.
14 Day Whole Food Feast by Rebecca Winkler is available now as an eBook.
“My motivation was both personal and professional,” Rebecca says.
“On a professional note, I found so many patients were having difficulty finding family-friendly, whole food recipes to help them navigate various dietary needs.
“The recipes are easy to follow, a shopping list is provided and time frames are taken into account so slower cooked meals or more time-consuming recipes are saved for weekends.”
Rebecca says the eBook can function purely as a recipe resource or be followed meticulously for a 14-day reset.
“Food prep guidance is given at the start of each week in order to get ahead and be organized as possible.
The eBook includes lunch, dinner and snack ideas, as well as shopping lists and naturopathic advice.
“Dinners are often incorporated into leftovers for lunch the next day and naturopathic guidance is provided around ways to maximize your time by incorporating regular exercise and practicing self-care.”
The idea for the book began to brew in 2019 during a solo trip Rebecca took with colleagues which gave her the space to establish a clear vision for the content she wanted to share.
“I began developing and refining recipe, enlisting a beautiful photographer and graphics team to allow my dream to be realised.
“The long-term plan is to release a number of other eBooks and, eventually, print a hard copy, real-life book to be loved and to splash your chocolate and bolognaise sauce on. The kind of recipe book that you find yourself grabbing time and time again.”
The eBook is filled with nutritious recipes and much more.
So, what are some of Rebecca’s personal favorites featured in her carefully curated eBook?
“Ooh, that’s like trying to choose a favorite child,” she laughs.
“I know it might seem boring, but the slow-cooked bolognaise with hand-made gluten-free fettucine is an absolute favourite.
“We make it weekly in my house and every time my kids exclaim ‘this is the best bolognaise ever’.”
The slow cooked beef pie, kafir lime chicken balls and whole food cranberry bliss balls are also hard to pass up, she says.
Rebecca avoids listing ideal ingredients for people to incorporate into their diet, instead saying the most beneficial ingredients are those that make you feel at your best.
“Not everyone tolerates grains, some don’t tolerate fruit, others have difficulty digesting meat and protein.
“My advice is to listen and take note of how your body feels when you eat.
“Are you bloated, do you have pain in your gut, loose stools, headaches or fatigue?
Rebecca is a qualified naturopath, as well as being a plant-based chef and raw dessert chef.
“I am more inclined to advise people to source good quality ingredients, grow what they can, and cook from scratch as much as time and money allows.
“Eat three meals a day and snack only if you are hungry, growing, pregnant or exercising.
“Try to consume 30-35ml of water per kg of body weight. Add plenty of vegetables, fresh herbs, variety and colour.
“Our gut flora thrives on variety, so mix up your veggies, fruits, grain, legumes and proteins. Eat the rainbow.”
To get the most out of the eBook, the author suggests reading it from cover-to-cover and choosing a 14-day period where you are at home and have minimal social engagements.
Rebecca is passionate about naturopathy which she describes as a holistic, comprehensive view of the body in its entirety and “a wonderful adjunct to Western Medicine for patients as it ensures medical due diligence is exercised, adequate diagnostic testing where appropriate and an individualized approach to restoring health”.
Rebecca’s advice is to “eat the rainbow” when it comes to healthy food choices.
She says many of her clients are seeking ways to regain optimal health following extended periods of lockdown during the pandemic.
“There is no doubt that most of us found ourselves allowing more in alcohol and comfort foods over lockdown, which is nothing to feel ashamed about.
“In such a difficult, confining and overwhelming time, we sought comfort where ever it may lie for us.
“This is not a failure, it was merely a way for so many to cope. I never judge anyone’s choices, I merely try to support, understand and listen.
“Often we already know what we need to do to rebuild or move forward, simply sharing and being heard without shame or judgment is therapeutic.
“I cannot describe to you the genuine joy that seeing people thrive provides.”
14 Day Whole Food Feast retails for $19.95 and on the Rebecca Winkler website. Discover more and contact Rebecca via her Facebook page, Instagram @rebeccawinklernaturopath or email [email protected]
Get to know farro and other superfood whole grains
By Casey Barber, CNN
Quinoa has reached a level of superfood status not seen since the great kale takeover of the aughts. Equally embraced and mocked in pop culture, it’s become the symbol of the grain bowl generation. It’s not the only whole grain that’s worth bringing to the table, however.
The world of whole grains is wide, and if quinoa and brown rice have been the only grains on your plate, it’s time to expand your palate. Here’s an introduction to whole grains, along with tips for cooking and enjoying them.
What’s a whole grain?
The term “whole grains” encompasses all grains and seeds that are, well, whole. They retain all their edible parts: the fiber-rich outer bran layer; the carbohydrate-rich endosperm center, which makes up the bulk of the grain itself; and the inner core, or germ, which is packed with vitamins, protein and healthy fats.
On the other hand, refined grains such as white rice and all-purpose flour have been milled to remove the bran and germ, stripping away much of the fiber, protein and vitamins, and leaving only the starchy endosperm.
“A lot of people don’t realize that whole grains contain several grams of protein in addition to vitamins and antioxidants,” said Nikita Kapur, a registered dietitian nutritionist in New York City. With every serving of whole grains, “you get a ton of minerals, B vitamins and fiber, which is especially important for good health.”
So-called “ancient grains” fall under the umbrella of whole grains, though the phrase is more of a marketing term than a marker of a more nutritious option. Ancient grains refer to whole grains like millet, amaranth, kamut and, yes, quinoa that have been the staple foods of cultures for several hundred years. They are not hybridized or selectively bred varieties of grains, like most modern wheat, rice and corn.
And though quinoa has gotten all the press as a whole grain superfood, there’s good reason to try others. Trying a variety of whole grains isn’t just a way to mix up your same-old side dish routine. It’s also a chance to get a wider portfolio of minerals and more into your diet.
“Suffice to say, we need to have a more diverse plant-based diet” to get the full complement of recommended nutrients in our meals, Kapur said, “and we can’t get it from the same 10 or 20 foods.
“One grain might have more manganese, another more zinc or magnesium, and another more protein,” she added. “Try one as a pasta, one as a porridge — you do you, as long as there’s a variety.”
Familiar foods like oats, corn, brown and other colors of rice, as well as wild rice (which is an aquatic grass), are all considered whole grains, but there are many others you’ll want to add to your regular repertoire.
Some whole grains to get to know
amaranth is a tiny gluten-free grain that can be simmered until soft for a creamy polenta-like dish, but it also makes a deliciously crunchy addition to homemade energy bars or yogurt bowls when it’s been toasted. To toast amaranth seeds, cook over medium heat in a dry pan, shaking frequently until they begin to pop like minuscule popcorn kernels.
Buckwheat is gluten-free and botanically related to rhubarb, but these polygonal seeds (also called groats) don’t taste anything like fruit. You might already be familiar with buckwheat flour, used in pancakes and soba noodles, or Eastern European kasha, which is simply toasted buckwheat.
Faro is the overarching Italian name for three forms of ancient wheat: farro piccolo, or einkorn; farro medio, or emmer; and farro grande, or spelled. The farro you typically find at the store is the emmer variety, and it’s a rustic, pumped-up wheat berry that’s ideal as a grain bowl base. Or make an Italian-inspired creamy Parmesan farro risotto.
Freekeh is a wheat variety that’s harvested when unripe, then roasted for a surprisingly smoky, nutty flavor and chewy texture. Freekeh’s taste is distinctive enough that it steals the spotlight in your meals, so use it in ways that highlight its flavor. It’s fantastic in a vegetarian burrito bowl paired with spicy salsa, or in a warming chicken stew.
kamut is actually the trademarked brand name for an ancient type of wheat called Khorasan, which features large grains, a mild taste and tender texture. It’s a good, neutral substitute for brown rice in a pilaf or as a side dish. Or try this high-protein grain in a salad with bold flavors like arugula, blood orange and walnut.
millet is a gluten-free seed with a cooked texture similar to couscous. Teff is a small variety of millet that’s most frequently used as the flour base for Ethiopian injera flatbread. Try raw millet mixed into batters and doughs for a bit of crunch, like in this millet skillet cornbread recipe, or use either teff or millet cooked in a breakfast porridge.
How to cook any whole grain
While cooking times vary for each grain, there’s one way to cook any whole grain, whether it’s a tiny seed or a large, chewy kernel: Boil the grains like pasta.
Bring a large pot of water to a boil and add a handful of kosher salt. Add the grains and cook, tasting as you go, until tender. Small grains like amaranth and quinoa can cook fully in five to 15 minutes, while larger grains like farro and wild rice can take anywhere from 30 minutes to one hour — so keep an eye on your pot and check it frequently.
Drain well in a mesh strainer (to catch all those small grains) and either use immediately or allow to cool slightly, then refrigerate for later meals. Cooked whole grains can also be portioned, frozen and stored in airtight bags for up to six months.
If you want to cook your whole grains in an Instant Pot or other multicooker, this chart offers grain-to-water ratios for many of the grains mentioned here.
The CNN Wire
™ & © 2021 Cable News Network, Inc., a WarnerMedia Company. All rights reserved.
Casey Barber is a food writer, illustrator and photographer; the author of “Pierogi Love: New Takes on an Old-World Comfort Food” and “Classic Snacks Made from Scratch: 70 Homemade Versions of Your Favorite Brand-Name Treats”; and editor of the website Good. foods Stories.
Travel: A quaint county seat with Mayberry charm | Lifestyles – Travel
I finally ventured out for my first road trip of 2022 earlier this month. It’s been way too long since I took a little trip and it was long overdue. My last little getaway was in Chicago the week of Christmas. The day I returned I wasn’t feeling very well and an at-home test confirmed that I had COVID — again.
The first time was in November 2020 and it was a severe case that landed me in the hospital with pneumonia and difficulty breathing and then many months of recovery. Luckily this time around it just lasted a couple of weeks. At the same time I was pushing through COVID we were in the process of moving. And my Dad, who had tested positive for COVID not long before me, passed away. So, it’s been a heck of a start to 2022. A getaway was much needed.
It was a brief 24 hours in the Indianapolis area, but as always I packed a bit in and had a lot of good food. On our way down we stopped off in Rensselaer for lunch at Fenwick Farms Brewing Co. and took a little walk to check out the murals that are part of the Ren Art Walk. That evening I attended a media opening of the newly reopened Dinosphere exhibit at the Children’s Museum of Indianapolis.
People are also reading…
It’s a place I adore and still enjoy visiting even though my kids are teenagers and young adults now. I love being greeted by the huge Bumblebee character on the way in from what is probably my favorite action move, “The Transformers.” The largest children’s museum in the world has so much to see and I’ve loved having the chance to explore it both with and without my kids.
After the event it was a quick overnight at Staybridge Suites in Plainfield, and in the morning we headed to Danville. Danville is the county seat of Hendricks County. I adore county seats with downtown squares and this is one of my favorites. On an earlier visit there we were in town for the Mayberry in the Midwest festival, which had lots of activities related to the classic TV show “The Andy Griffith Show” that was set in the fictional town of Mayberry.
Danville definitely has that charming, inviting, friendly small town vibe that feels like it could be a sitcom setting. We ate at the Mayberry Cafe where old episodes play on television screens and the menu is full of down-home, made-with-love comfort foods, with a specialty being “Aunt Bee’s Famous Fried Chicken.” I tried it and it was very tasty. The whole place made me smile like Opie after a fishing outing with his dad.
This time our dining destination was The Bread Basket. I had tried their desserts at a few events, but it was my first time dining in. It’s located in a house that was built for the president of Central Normal College in 1914 and is cute and cozy. It’s a breakfast and lunch spot, so plan to go early and be prepared for a wait during peak times (but it’s well worth it).
My Dilly Turkey Sandwich on fresh wheat nut bread with an Orchard Salad was delicious. I loved that they had a combo option where you could pick a half sandwich and half salad or cup of soup. But the desserts are the real star here. I stared at that dessert case for several minutes — and I wasn’t the only one.
I was seated next to it, and watched intently each time they removed a pie or cake from the case to cut a slice. I tried the Hummingbird Cake, which was a perfect treat without being too rich, and then noticed another that was so unique I had to get a slice to take home — the Blackberry Wine Chocolate Cake. If you go there and are overwhelmed with choices, go with this. You won’t regret it.
After lunch, we made our way over to the Hendricks County Historical Museum & Old County Jail, which is just off the square. For someone like me who loves history, this was a wonderful stop to incorporate into our day. It was built in 1866 and used as a jail all the way up until 1974. You can go into the old jail cells (two on the female side and four on the male side) and tour the sheriff’s home.
An exhibit has information and artifacts from when Central Normal College existed (later Canterbury College). There’s also a temporary chronological exhibit about music and musicians, featuring many Hoosier hitmakers.
After the visit, I took a breezy little walk around the square, where I was reminded that there is a nostalgic old movie theater. The historic Danville Royal Theater dates back to the early 1900s and shows current movies for just $5 a ticket.
It was then getting close to dinner time, so we decided to eat before we headed back home. A place in the nearby town of North Salem had been recommend to me and I am so glad we took time to visit. I chatted for a few minutes with Damiano Perillo, owner of Perillo’s Pizzeria. He’s a native of Palermo, the capital of Sicily. The food is authentic and almost all of it is made fresh daily, including their garlic rolls, marinara and alfredo sauces. The New York-style pizzas are perfection.
They even have a nearby garden where they grow many of the fresh vegetables and herbs used in their dishes. They have gluten free pastas, too, and the lady at the next table had some and was raving about it. We also tried the homemade Sicilian cannoli and the limoncello flute, and trust me when I say to definitely not skip dessert.
There was one last food stop. Although we had just eaten, I realized we’d be driving right by Rusted Silo Southern BBQ & Brewhouse in Lizton and just couldn’t pass it up. I made my husband pull in and pick up some food to go. We got the brisket and their house made pimento cheese, chorizo and kielbasa and took it home. I was introduced to it last fall and there is a reason they have been voted Best BBQ in the Indy area four years in a row. I loved hearing about how this eatery located next to a railroad literally stops trains in their tracks to get food from this award-winning BBQ joint.
All three of these places — The Bread Basket, Perillo’s Pizzeria and Rusted Silo are ones that you should absolutely include in your itinerary if you happen to be in the Indianapolis area.
Start exploring magnificent places with our weekly travel newsletter.
Guiding the way to thrive
Expert’s nutrition tips for runners
For the 55-and-over crowd, March 27-April 3, 2022 | Local News
Is Pasta Bad for You? A Registered Dietitian Explains
Wheat Bread Vs. White Bread: Which Is Healthier?
A dietitian’s guide to the ideal office lunch
Recipes with Whole Wheat Pasta12 months ago
Is Pasta Bad for You? A Registered Dietitian Explains
Whole Grain Benefits1 year ago
Wheat Bread Vs. White Bread: Which Is Healthier?
Whole Grain Pasta Nutrients12 months ago
A dietitian’s guide to the ideal office lunch
Whole Grain Benefits11 months ago
This Diet Has Been Linked to Sudden Cardiac Death, Study Shows
Whole Grains Health1 year ago
Hot Lemon Water Before Bed: Benefits, Risks, and Nutrition
Whole Grain Benefits1 year ago
What is the best bread for acid reflux?
Recipes with Whole Wheat Pasta1 year ago
What’s new in the dairy aisles in May
Recipes with Whole Wheat Pasta1 year ago
The 7 Best Dog Foods for Senior Dogs in 2021