The Gut-Brain Connection: How Bowel Habits Impact Brain Health
By: Dr. Gabriel Rodriguez
The human digestive system is complex and intricately linked to overall health and wellbeing. In recent years, an increasing body of research has revealed important connections between the gut and the brain. Scientists have found that the trillions of microbes that reside in our intestines, known as our gut microbiome, communicate with and impact the brain in many ways. An unhealthy gut environment can contribute to inflammation, impact mood and behavior, and may even influence conditions like anxiety, depression and neurodegenerative diseases. Optimizing bowel habits and gut health is emerging as an important consideration for supporting brain health.
The Brain in Our Bellies
The gut contains over 100 million neurons embedded in the intestinal lining, which is why the intestines are often referred to as our “second brain.” The gut and brain constantly communicate via the vagus nerve, the central nervous system highway that connects the brain to the major organs. Substances produced in the gut, including serotonin, dopamine and short-chain fatty acids, are transported to the brain and can alter its functioning.
Meanwhile, the gut microbiome produces many neurotransmitters and compounds that also make their way to the brain and can affect everything from appetite to emotions. Amazingly, gut microbes can even influence gene expression in the brain. This bidirectional communication network between the gut and central nervous system is known as the gut-brain axis. Imbalances in the gut have been shown to impair brain function and the connection between gut dysbiosis and neuroinflammation is well established.
Gut Inflammation and Mental Health
Chronic inflammation in the gastrointestinal tract is believed to be a key factor underlying depression and other mood disorders. One study found that people with major depressive disorder had significantly higher levels of lipopolysaccharide compounds in their blood, suggesting increased gut permeability or “leaky gut.” This allows bacteria, toxins and undigested food particles to escape from the intestines into the bloodstream, potentially triggering systemic inflammation.
Several studies indicate that probiotics may alleviate depression and anxiety. One clinical trial had participants consume a probiotic supplement for three weeks and found they had significantly reduced anxiety, depression and levels of the stress hormone cortisol compared to the placebo group. Optimizing the gut microbiome with prebiotics and probiotics can reduce inflammation and may have therapeutic effects for mood disorders.
The Gut and Neurodegeneration
There is also extensive research linking gut dysfunction to neurodegenerative diseases like Alzheimer’s and Parkinson’s. For example, many Alzheimer’s patients have GI issues like constipation, which is associated with increased risk of dementia. One study found that constipation occurred 30 years prior to the onset of Parkinson’s disease symptoms. Impaired bowel motility allows toxins to accumulate and may permit proteins linked to neurodegeneration to travel to the brain via the vagus nerve.
The gut microbiome of Alzheimer’s patients lacks diversity and anti-inflammatory short-chain fatty acids. Parkinson’s patients have reduced levels of Prevotella, which produce metabolites that support neuron health. Animal studies indicate gut dysbiosis contributes to the accumulation of amyloid plaques and alpha-synuclein proteins characteristic of Alzheimer’s and Parkinson’s. Modifying the microbiome may help delay progression of these neurodegenerative diseases.
Diet, Bowel Habits and the Brain
Diet directly influences the diversity and composition of the gut microbiome, which in turn impacts the brain. Diets high in processed, fried and sugary foods fuel gut inflammation while fiber-rich plant foods provide microbiome-nourishing prebiotics. The Mediterranean diet pattern high in fruits, vegetables, nuts, fish and olive oil has been associated with lower risk of depression and cognitive decline. Antioxidants in colorful berries and greens combat neuroinflammation. Fermented foods like sauerkraut, kimchi and yogurt deliver beneficial probiotics.
Regular bowel movements are vital for clearing toxins, preventing reabsorption of harmful metabolites and maintaining a healthy gut ecology. Physical activity, hydration, magnesium supplements and probiotic foods can all help support regularity. Conversely, chronic constipation allows toxins to recirculate through the intestines and enter the bloodstream en route to the brain. Promoting daily bowel elimination is an important and often overlooked factor for brain health.
Conclusion:
The gut-brain axis is a complex communication network that is still being elucidated. However, the evidence clearly demonstrates important links between the gut microbiome, bowel habits, inflammation and brain health. Optimizing our diet, promoting regular bowel movements, reducing intestinal permeability and supporting a diverse, anti-inflammatory gut ecology appear to be effective strategies for protecting both mental and cognitive function. The health of our second brain in the intestines may be just as vital for our overall well being as the one in our skull. Further research will continue to uncover how tending to our gastrointestinal system can help nurture a healthy mind and body throughout life.
Bibliography:
Carabotti, M., Scirocco, A., Maselli, M.A., & Severi, C. (2015). The gut-brain axis: interactions between enteric microbiota, central and enteric nervous systems. Ann Gastroenterol, 28(2), 203–209.
Cryan, J.F., & Dinan, T.G. (2012). Mind-altering microorganisms: the impact of the gut microbiota on brain and behavior. Nat Rev Neurosci, 13(10), 701-712.
Foster, J.A., & McVey Neufeld, K.A. (2013). Gut-brain axis: how the microbiome influences anxiety and depression. Trends Neurosci, 36(5), 305-312.
Houser, M.C., & Tansey, M.G. (2017). The gut-brain axis: is intestinal inflammation a silent driver of Parkinson's disease pathogenesis? NPJ Parkinson's Dis, 3, 3.
Mayer, E.A., Knight, R., Mazmanian, S.K., Cryan, J.F., & Tillisch, K. (2014). Gut microbes and the brain: paradigm shift in neuroscience. J Neurosci, 34(46), 15490-15496.
Rea, K., Dinan, T.G., & Cryan, J.F. (2016). The microbiome: A key regulator of stress and neuroinflammation. Neurobiol Stress, 4, 23-33.
Sampson, T.R., & Mazmanian, S.K. (2015). Control of brain development, function, and behavior by the microbiome. Cell Host Microbe, 17(5), 565-576.
Silk, D.B., Davis, A., Vulevic, J., Tzortzis, G., & Gibson, G.R. (2009). Clinical trial: the effects of a trans-galactooligosaccharide prebiotic on fecal microbiota and symptoms in irritable bowel syndrome. Aliment Pharmacol Ther, 29(5), 508-518.