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Showing posts from April, 2017

Metabolically Healthy Obesity - An Oxymoron Or Medical Reality?

Dennett, C. (2017). Metabolically healthy obesity - an oxymoron or medical reality? Today’s Dietitian. 19(1) 30. http://www.todaysdietitian.com/newarchives/0117p30.shtml           What is metabolically healthy obesity? This is a phenomenon of sorts where some individuals are healthy despite long-standing  obesity and metabolic syndrome. It challenges there paradigm that obesity itself will lead to metabolic and cardiovascular disorders. It  is estimated that only about 6% of obese people are considered metabolically healthy, having no risk factors whatsoever other than  their weight itself. Overall research suggests that these individuals still have a higher risk of chronic illnesses than metabolically  healthy people with lower BMIs, but do have a lower chance than their obese counterparts. Theories suggest metabolically healthy  obesity my be a results of genetic disposition, diet and lifestyle factors, or both. Another reason is that BMI can not accurately 

Yoga in dietetics practice

Van Pelt, J. (2017). Yoga in dietetics practice. Today’s Dietitian. 19 (4) 36.  http://www.todaysdietitian.com/newarchives/0417p36.shtml           Yoga is now the most studied complementary and alternative medicine (CAM) therapy. Many research studies and  systemic reviews have been published either using yoga alone, or adjunctively to treat a range of medical conditions. The  popularity of yoga has been, in part, due to the dissatisfaction with pharmaceutical costs and side effects, as well as an  increased interest in holistic health. The Ornish Program is an integration of yoga and dietetics; it combines diet, exercise,  and lifestyle changes that have shown to prevent and even reverse heart disease. The program was founded by Dr. Dean  Ornish, MD, who is also a yoga instructor. The program includes one hour of yoga every day, along with a low-fat  vegetarian diet, a support group, and additional exercise.            Science has demonstrated that the

Managing Chronic Kidney Disease in Long-term Care

Managing Chronic Kidney Disease in Long-term Care McKee, J. (2007). Managing Chronic Kidney Disease in Long-term Care. Today's Dietitian . 9(6) 52. FS   According to the National Kidney and Urologic Diseases Clearinghouse, there are over 20 million Americans over the age of 20 that are affected by Chronic Kidney Disease. As a dietitian, the main goal of slowing the progressing of the disease is by managing the patient's diet to reduce protein intake and monitor blood flow and glomerular filtration rates (GFRs). Because this is a progressive disease, there are five stages of CKD. Stage 1 and 2 are when the kidney disease is relatively unrecognized and unnoticed because there simply are no symptoms. This is when creatinine  levels are increased or there is excess protein in the urine. Stage 3 CKD is when there is an experience of uremia, anemia, an apparent high blood pressure, and slight metabolic disorder. The individual may be feeling fatigue,

Nonalcoholic Fatty Liver Disease

McCarthy, E. (2014). Nonalcoholic fatty liver disease.  Today's Dietitian. 16 (1) 48. http://www.todaysdietitian.com/newarchives/010614p48.shtml           Nonalcoholic fatty liver disease is the most common liver disease in the United States. It is characterized by the accumulation of triglycerides in in liver cells of people who do not abuse alcohol. There are various levels of nonalcoholic fatty liver disease, ranging from fat accumulation and inflammation, to cirrhosis and liver failure, to eventual kidney failure, heart failure, and death.           A majority of obese people in the United States (80-90% estimated) also have NAFLD and 36% of these have an aggressive form of NAFLD. A high BMI does not necessarily mean fatty liver disease. There have been more and more cases recently with NAFLD patients who have a normal BMI, but do have central adiposity and insulin resistance. This suggests a direct correlation between hepatic fat content and visceral adiposit

Thyroid Disease and Diet

Thyroid Disease and Diet Harris, C. (2012). Thyroid Disease and Diet-Nutrition Plats a Part in Maintaining Thyroid Health  Today's Dietitian . 14(9) 40. http://www.todaysdietitian.com/newarchives/070112p40.shtml FS The thyroid gland is a critical organ that helps with regulation of vital body functions. The thyroid gland is located a little ways below one's adam's apple and it regulates: breathing, heart rate, central and peripheral nervous systems, body weight, muscle strength, menstrual cycles, etc. Though it is only the size of a 2-inch shaped butterfly, it nearly affects every organ in the body and any abnormalities of the thyroid, can severely affect multiple bodily processes. The most common thyroid  condition is hypothyroidism followed by hyperthyroidism (also known as Graves Disease) . Iodine is the vital nutrient that is essential for thyroid function. Deficiencies of iodine may cause an inflammation of autoimmune antibodies that can further complicated an

Substance Abuse & Nutrition

Salz, A. (2017). Substance abuse and nutrition. Today's Dietitian. 12 (12) 44. http://www.todaysdietitian.com/newarchives/120914p44.shtml            Nutrition therapy for substance abuse is very complex. The risks and treatment plans depend on the substance of  choice and environmental conditions such as mental health, family support, and financial status. Proper nutrition and  hydration are key to the healing process because they help restore physical and mental health.  Substance abuse in  general often leas to a lack of proper nutrition.  Macronutrient and micronutrient deficiencies can lead to symptoms of  depression, anxiety, and over all low energy (all of which can lead to a relapse). Mental health and physical health are  equally important in the treatment of substance addiction.  Individualized nutrition counseling and comprehensive nutrition  education have been found to significantly improve  three-month sobriety success rates. Medical nutrition therapy an