The Nuance
How the Western Diet Is Wreaking Havoc on Our Guts
Experts say a range of factors — including how we eat — may explain the rise of IBD and other gut disorders
Gut health in America is poor and seems to be getting worse. According to a 2020 study led by researchers at the University of North Carolina, roughly one in four U.S. adults regularly experiences diarrhea, constipation, stomach pain, or other symptoms of gastrointestinal dysfunction.
Meanwhile, about the same proportion of Americans — one in four— has gastroesophageal reflux disease (GERD), a condition in which the stomach’s contents migrate up into the throat and food pipe, causing heartburn and other symptoms. GERD used to be relatively rare among people under the age of 50, but a 2018 report from Case Western Reserve University in Ohio found that between 2006 and 2016, the prevalence of GERD rose steadily among younger adults — especially those in their thirties.
Some experts have speculated that these and other discouraging trends in disease prevalence may be partly attributable to “diagnosis creep,” or the steady expansion of diagnostic criteria so that an ever-broader group of people qualify as sick. (A problem that a physician may have once shrugged off as “the runs” or “a little…
