Showing posts with label MS. Show all posts
Showing posts with label MS. Show all posts

Monday, April 10, 2023

April, Parkinson's Awareness Month
Nutrition and Parkinson's Disease




Nutrition and Parkinson's Disease Webinar



Kathrynne Holden is a registered dietitian who specializes in nutrition for Parkinson's disease (PD). Drawing on her former hospital experience, she has pioneered the understanding of the unique nutrition needs of people with Parkinson's. Her aim is to provide the knowledge needed to prevent nutrition-related hospitalizations, make the best use of PD medications, and maintain an independent lifestyle.




“Some Parkinson medications can cause edema
(a build-up
 of fluid in the tissues,
often in the ankles, lower legs, and wrists).
If you have edema, it’s important to get plenty
of potassium in the diet,
avoid too much salt
 and highly-processed
foods (potato chips, canned soups
, pickles for example),
and stay in close touch with your physician.”
- Kathrynne Holden, MS, RD

Kathrynne Holden has written books and articles for the public, produced and has authored the professional's manual "PARKINSON'S DISEASE: Guidelines for Medical Nutrition Therapy." She has also developed the first nutrition risk assessment tool specific to PD. Kathrynne regularly speaks at Parkinson's symposiums and conferences and has conducted presentations in the United States, Canada, Australia, and the United Kingdom.

Research. Gerald C. McIntosh, M.D., Kathrynne E. Holden, M.S., R.D.: Risk for malnutrition and bone fracture in Parkinson's disease: a pilot study. Journal of Nutrition for the Elderly. Spring 1999; Vol. 18, No. 3.

Abstract. Conditions relating to Parkinson's disease include tremors, impaired balance, falls, constipation, food-medication interactions, and anorexia. Weight loss, bone thinning, and muscle wasting are common, raising the risk for malnutrition and bone fracture. This pilot study examines the lifestyle and dietary choices of 24 Parkinson's patients. Unplanned weight loss and falls were common, and most had multiple risk factors for malnutrition and fracture. Results support findings in previous studies and call for early nutrition intervention to help prevent fractures, muscle wasting, bowel impaction, and dehydration. The findings indicate that such intervention could prevent hospitalizations and related costs.



Review of the literature on
Nutrition and Parkinson's Disease

There is no special diet for people with Parkinson's disease. The nutritional goals include:
  • Eat well-balanced meals.
  • Consume adequate calories to maintain body weight within a normal range.
  • Minimize food and drug interactions.
  • If chewing, choking or excessive coughing becomes a problem, provide food consistency easily tolerated.
  • Feeding may become difficult and a referral to an occupational therapist may be necessary for adaptive eating utensils.
Eat Well-Balanced Meals
Eat a variety of foods. Include foods rich in fiber, such as fruits, vegetables, whole grains, legumes, bran, cereals, rice, and pasta. Limit intake of salt, sugar, and foods high in saturated fats and cholesterol. Drink eight cups of water per day. Balance exercise and food in order to maintain your weight within a healthy range. Ask your doctor if alcohol will interfere with any of your medications.

Medication and Food Interactions
Medication used to treat Parkinson's disease may cause nausea. Let your doctor know if nausea is a problem. There are several ways to control nausea, including:
  • Drink clear liquids, such as water, broth, fruit juices without pulp (apple juice, grape juice or cranberry juice), Clear sodas, sports drinks, and plain gelatin.
  • Avoid juices with pulp and orange and grapefruit juices.
  • Eat and drink slowly.
  • Beverages should be consumed between meals, not with the meal.
  • Choose bland foods such as saltine crackers. Avoid greasy and fried foods.
  • Eat smaller meals, more frequently throughout the day.
  • Foods should be eaten cold or at room temperature.
  • After eating keep your head elevated and avoid brushing your teeth.
Some medications for Parkinson's disease may cause thirst or dry mouth. Include 8 or more cups of liquid each day, unless other medical conditions require you to limit your fluid intake. Add sauces to foods to make them moister. Try sour candy or an ice pop to help increase saliva.

Malnutrition may become a problem for a person diagnosed with Parkinson's disease. This could be related to depression, nausea, difficulty feeding, problems with swallowing, chewing, coughing, and/or a loss of interest in food.

Patients who experience swallowing difficulties should consult a physician. The doctor may recommend a swallow study to determine the food consistency best tolerated. If feeding becomes difficult, a referral to an occupational therapist may be necessary for adaptive eating utensils.

The Parkinson's Disease Foundation (PDF) is a leading national presence in Parkinson's disease research, education, and public advocacy. PDF is working for nearly one million people in the US who live with Parkinson's by funding promising scientific research and supporting people with Parkinson's, their families, and caregivers through educational programs and support services. Since its founding in 1957, PDF has funded over $85 million worth of scientific research in Parkinson's disease, supporting the work of leading scientists throughout the world.

Click the following link to learn more about Parkinson's Awareness Month.

Saturday, August 8, 2020

International Assistance Dog Week



International Assistance Dog Week was established due to the efforts of Marcie Davis, a paraplegic for over 35 years and CEO of Davis Innovations, a consulting firm based in Santa Fe, NM.


International Assistance Dog Week





      Diabetes alert dog smells blood sugar changes




America's VetDogs CFC


Description of the Various Types of Assistance Dogs

Guide Dogs. Assist people with vision loss, leading these individuals around physical obstacles and to destinations such as seating, crossing streets, entering or exiting doorways, elevators and stairways.

Service Dogs. Assist people with disabilities with walking, balance, dressing, transferring from place to place, retrieving and carrying items, opening doors and drawers, pushing buttons, pulling wheelchairs and aiding with household chores, such as putting in and removing clothes from the washer and dryer.

Hearing Alert Dogs. Alert people with a hearing loss to the presence of specific sounds such as doorbells, telephones, crying babies, sirens, another person, buzzing timers or sensors, knocks at the door or smoke, fire and clock alarms.

Seizure Alert/Seizure Response Dogs. Alert or respond to medical conditions, such as heart attack, stroke, diabetes, epilepsy, panic attack, anxiety attack, post-traumatic stress and seizures.

Medical Alert/Medical Response Dogs. Alert to oncoming medical conditions, such as heart attack, stroke, diabetes, epilepsy, panic attack, anxiety attack, and posttraumatic stress disorder.

Assistance dogs are allowed to accompany their human partners to places of business including restaurants and shops. Under state law and the Americans with Disabilities Act (ADA), they are guaranteed equal access to any and all establishments and accommodations; no extra charge can be levied because of the dog.

Resources.
International Assistance Dog Week (www.assistancedogweek)
Working Like Dogs (
http://www.workinglikedogs.com/)
Assistance Dogs International (http://www.assistancedogsinternational.org/)
International Association of Assistance Dog Partners (http://www.iaadp.org/)

Monday, May 16, 2011

Barbara Ruhs, MS, RD, LDN
on the Mediterranean Diet
and Supermarket Dietetics

“Larger national chains offer great career opportunities for dietitians,
especially if RDs aim for executive positions that implement
health and wellness as part of a company’s overall business strategy.”
- Barbara Ruhs, MS, RD, LDN 

Barbara Ruhs, MS, RD, LDN is our guest blogger, the "Neighborhood Nutritionist", "Supermarket Dietitian" and Bashas' in-house dietitian. She provides grocery shoppers with the necessary tools and resources to improve health and manage a food budget.

Barbara graciously agreed to answer some questions about the Mediterranean Diet.

May is National Mediterranean Diet Month
1. What makes the Mediterranean Diet unique?
In 1993 when The Mediterranean Diet was introduced by Oldways and the Harvard School of Public Health, it was unique from other pyramids and eating plans as it introduced the idea of “healthy fats” and also made the dietary recommendation that some alcohol in moderation had health benefits.  This was somewhat radical information back then.

In addition, the concept of “traditional diets” being the basis of a healthy diet was quite foreign (literally) to Americans. What exactly is a traditional American diet?! Thanks to Oldways (literally, Old-Ways!), The Mediterranean Diet, emphasized the benefits of a “back to basics” approach – eating  WHOLE foods as well as setting a context (with family & friends) as a “method” as to how to maximize the benefits of eating a healthy diet. 

As a dietitian, I love the entire concept of the “Med” diet approach to educating consumers on how to choose a healthy diet. It’s practical and focuses on what to eat vs. what NOT to eat.

2. Is Bashas' only available in Arizona?
Yes, Bashas’ Family of Stores is a locally owned and operated grocery chain since 1932. Bashas’ Family of Stores is special in many ways as a retail grocer. The chain operates 4 different formats (store types). Bashas’ is the mainstream grocery chain. Food City is their Hispanic format featuring many exotic fruits & vegetables (nopales, agave, and nearly 30 different varieties of chili peppers). AJ’s Fine Foods is the upper-scale, gourmet format that offers locally-made chocolates, craft beers, gourmet cheese, a sushi bar, a gourmet deli destination with Panini’s, pizzas and more, as well as a gourmet produce section featuring unique items like baby portabellas and maitake mushrooms, a vast array of specialty produce items (dragonfruit, gooseberries) and more. Finally, Bashas’ is truly unique from any other retailer as they operate several reservation stores, “Dine” (there is an accent on the “e”)…pronounced “dee-nay.” This is a Navajo term that translates to “The People.” Dine stores are fully staffed with Native American residents living on the reservation(s) and 10% of all profits go directly back to a reservation scholarship fun. Bashas’ is truly a great company to work for!

3. How are the colored tags on foods useful to someone on the Internet?
The colorful nutrition tags are most useful to shopper in the stores as they are unavoidable reminders to shoppers of products unique nutritional qualities. It helps shoppers to find better nutritional values – a shopper can compare products for price & quality and now they can evaluate based on nutritional content too.

Online, the tags can serve as an educational tool to help any person learn how to shop for healthier options. The nutrition qualifications for the tags are in compliance with the FDA’s nutrition labeling standards. In addition, many of the tags have additional nutrition requirements. Making the criteria a bit stricter for products was a great opportunity for me as a dietitian to apply my skills from a variety of different career experiences. My background in public health, academics, athletics and private-practice allowed me to view this project as a possible solution to help a broad audience improve personal health.

4. Can someone in Florida easily follow the Mediterranean Diet?
Absolutely! Finding olive oil, avocados, beans, leafy greens, seafood, nuts and whole grains is as simple as visiting your local grocery store. You don’t need to travel to Italy to enjoy pizza nor do you need to be surrounded by the Mediterranean sea to enjoy traditional Greek favorites like tzaziki (yogurt dip with dill),  hummus (mashed chickpeas with tahini/sesame paste), or delectable kalamata olives. Feed your imagination!


In addition to working with Bashas’, Barbara has a thriving private practice specializing in Public Health and Nutrition Education, Retail Food/Grocery Industry, Sports Nutrition, Eating Disorder Therapy, Healthy Weight Management (Non-Diet Approach), and Entrepreneur-ism and Mentoring.

Supermarket Dietitians:
A New Paradigm for Public Health

by Barbara Ruhs, MS, RD, LDN

To learn more about Barbara Ruhs, visit the following links:




About Dietitians-Online.com

Dietitians and Dietetic Associations Worldwide provide an opportunity to explore numerous specialties, cultural diversities, advances in research, legislative news, current events, ADA campaigns, new recipes and creative ideas. 

When seeking nutrition advise, verify the organization and/or individual is a reliable resource. Check credentials, look for a Registered Dietitian (RD) or Accredited Practising Dietitian (APD). If in doubt, contact your countries dietetic association for additional information.

a. USA: Registered Dietitian (RD);  administered by the American Dietetic Association.
b. Australia: Accredited Practising Dietitian (APD); administered by the Dietitians Association of Australia.
c. United Kingdom: Registered Dietitian (RD);  administered by the British Dietetic Association.
d. South Africa: Registered Dietitian (RD);  administered by the Association for Dietetics in South Africa.
e. Canada: Registered Dietitian (RD);  Dietitians of Canada.
f.  International Confederation of Dietetic Associations.


A dietitian . . . .
  • Is a person with qualifications in nutrition and dietetics, recognized by national authority(s). The dietitian applies the science of nutrition to the feeding and education of individuals or groups in health and disease.
  • Receives a minimum of a Bachelor's degree with course work approved by the national dietetic authority.  Courses include food and nutrition sciences, foodservice systems management, business, economics, computer science, sociology, biochemistry, physiology, microbiology and chemistry.
  • Completes a supervised professional practice of at least 500 hours.
  • Passes a national examination prepared by the countries dietetic and nutrition authority.
  • Completes continuing education in order to maintain one's credentials.


Monday, April 11, 2011

Parkinson's Awareness Month
Nutrition and Parkinson's Disease
Kathrynne Holden, MS, RD


Michael J. Fox with Muhammad Ali:
Living With Parkinson's


Nutrition and Parkinson's Disease
Kathrynne Holden is a registered dietitian who specializes in diet for Parkinson's disease (PD). Drawing on her former hospital experience, she has pioneered understanding of the unique nutrition needs of people with Parkinson's. Her aim is to provide the knowledge needed to prevent nutrition-related hospitalizations, make the best use of PD medications, and maintain an independent lifestyle.


“Some Parkinson medications can cause edema (a build up of fluid in the tissues,
often in the ankles, lower legs, and wrists). If you have edema, it’s important to get plenty of potassium in the diet, avoid too much
salt and highly-processed
foods (potato chips, canned
soups, pickles for example), and stay in
close touch with your physician.”
- Kathrynne Holden, MS, RD

Kathrynne Holden has written books and articles for the public, produced and has authored the professional's manual "PARKINSON'S DISEASE: Guidelines for Medical Nutrition Therapy." She has also developed the first nutrition risk assessment tools specific for PD. Kathrynne regularly speaks at Parkinson symposiums and conferences, and has conducted presentations in the United States, Canada, Australia, and the United Kingdom.

Research. Gerald C. McIntosh, M.D., Kathrynne E. Holden, M.S., R.D.: Risk for malnutrition and bone fracture in Parkinson's disease: a pilot study. Journal of Nutrition for the Elderly. Spring 1999; Vol. 18, No. 3.

Abstract. Conditions relating to Parkinson's disease include tremor, impaired balance, falls, constipation, food-medication interactions, and anorexia. Weight loss, bone thinning and muscle wasting are common, raising risk for malnutrition and bone fracture. This pilot study examines the lifestyle and dietary choices of 24 Parkinson's patients. Unplanned weight loss and falls were common, and most had multiple risk factors for malnutrition and fracture. Results support findings in previous studies and call for early nutrition intervention to help prevent fractures, muscle wasting, bowel impaction, and dehydration. The findings indicate that such intervention could prevent hospitalizations and related costs.





To learn more about the work of
Kathrynne Holden, MS, RD visit:








Review of the literature on
Nutrition and Parkinson's Disease

There is no special diet for people with Parkinson's disease. The nutritional goals include:
  • Eat well-balanced meals.
  • Consume adequate calories to maintain body weight within a normal range.
  • Minimize food and drug interactions.
  • If chewing, choking or excessive coughing becomes a problem, provide food consistency easily tolerated.
  • Feeding may become difficult and a referral to an occupational therapist may be necessary for adaptive eating utensils.
Eat Well-Balanced Meals
Eat a variety of foods. Include foods rich in fiber, such as fruits, vegetables, whole grains, legumes, bran, cereals, rice and pasta. Limit intake of salt, sugar and foods high in saturated fats and cholesterol. Drink eight cups of water per day. Balance exercise and food in order to maintain your weight within a healthy range. Ask your doctor if alcohol will interfere with any of your medications.

Medication and Food Interactions
Medication used to treat Parkinson's disease may cause nausea. Let your doctor know if nausea is a problem. There are several ways to control nausea, including:
  • Drink clear liquids, such as water, broth, fruit juices without pulp (apple juice, grape juice or cranberry juice), Clear sodas, sports drinks and plain gelatin.
  • Avoid juices with pulp and orange and grapefruit juices.
  • Eat and drink slowly.
  • Beverages should be consumed between meals, not with the meal.
  • Choose bland foods such as saltine crackers. Avoid greasy and fried foods.
  • Eat smaller meals, more frequently throughout the day.
  • Foods should be eaten cold or at room temperature.
  • After eating keep your head elevated and avoid brushing your teeth.
Some medications for Parkinson's disease may cause thirst or dry mouth. Include 8 or more cups of liquid each day, unless other medical conditions require you to limit your fluid intake. Add sauces to foods to make them moister. Try sour candy or an ice pop to help increase saliva.

Malnutrition may become a problem for a person diagnosed with Parkinson's disease. This could be related to depression, nausea, difficulty feeding, problems with swallowing, chewing, coughing and/or a loss of interest in food.

Patients who experience swallowing difficulties should consult a physician. The doctor may recommend a swallow study to determine the food consistency best tolerated. If feeding becomes difficult, a referral to an occupational therapist may be necessary for adaptive eating utensils.

The Parkinson's Disease Foundation (PDF) is a leading national presence in Parkinsons disease research, education and public advocacy. PDF is working for the nearly one million people in the US who live with Parkinsons by funding promising scientific research and supporting people with Parkinsons, their families and caregivers through educational programs and support services. Since its founding in 1957, PDF has funded over $85 million worth of scientific research in Parkinsons disease, supporting the work of leading scientists throughout the world.

Click the following links to learn more about Parkinson's Awareness Month and World Parkinson's Disease Day.

Monday, January 24, 2011

Lorena Drago, MS, RD, CDN, CDE
Nutrition Expert

My next stop on my Dietitian journey through the Internet brings me to the
Hispanic Foodways and Lorena Drago, MS, RD, CDN, CDE
 

"Food is not just nourishment, it's part of culture.
It helps people celebrate, mourn and mark life's important moments."
- Lorena Drago, MS, RD, CDN, CDE

Lorena Drago is a registered dietitian, certified diabetes educator, author and consultant. She is senior associate director of Ambulatory Care Nutrition Programs at Lincoln Hospital in the Bronx and maintains her own private practice.

Lorena is the owner of Hispanic Foodways, which specializes in the multicultural aspects of diabetes self-management education, creating culturally and ethnically-oriented nutrition and diabetes education materials. She is the author of Beyond Rice and Beans: Caribbean Latino Guide to Eating Healthy with Diabetes and a contributing author and co-editor of Cultural Food Practices and Diabetes.

Lorena has appeared on several TV shows speaking about diabetes management, including The Early Show, CNBC's dLife TV and New York’s “ Diálogo con Glenis” a live Spanish community cable show, where she discusses nutrition and diabetes, topics especially relevant to the Latin community of the Bronx.

Lorena served on the American Association of Diabetes Educators board of directors and volunteered as a nominating committee chair of the Member Interest Group Latinos and Hispanics in Dietetics and Nutrition; chair of the American Diabetes Association Latino Committee and as past president of the Metropolitan New York Association of Diabetes Educators in 2004.

Drago graduated from Hunter College of the City University of New York with a Masters of Science degree in Food and Nutrition, and received her BA in Home Economics, Food and Nutrition from Queens College.

AADE 2009 - Lorena Drago
Interviewed by Hope Warshaw



Summary: Beyond Rice and Beans: Caribbean Latino Guide to Eating Healthy with Diabetes. Written in Spanish and English, the book features new food pyramids and menu plans specifically designed for the Latin American palate from all over the Caribbean. It is a great resource for dietitians and people who want to manage their diabetes but don't want to sacrifice cultural identity. The book shows Latin Americans with diabetes how they can easily design meals that fit into a healthy lifestyle without giving up taste or familiar staples. Included are a Latin American food dictionary, advice on handling holiday meals and how to decipher Spanish food labels.

To learn more about Lorena Drago and the Hispanic Foodways visit the following links:
Websites. Hispanic Foodways; Lorena Drago
Facebook. Hispanic Foodways
LinkedIn. Lorena Drago
Twitter. @lorenadrago


Thank you for joining me. Dietitians and Dietetic Associations Worldwide have provided me an opportunity to explore numerous specialties, cultural diversities, advances in research, legislative news, current events, ADA campaigns and creative new recipes.

Until next time, have a healthy journey.

Tuesday, January 11, 2011

Susan Weiner RD, MS, CDE
Nutrition Expert


Traveling the Internet and discovering the many talented dietitians is a wonderful experience.  I have learned about the numerous specialties, cultural diversity, advances in research, legislative news, current events, ADA campaigns, new recipes and I even made some new friends along the way.

This week my journey takes me to
Susan Weiner Nutrition
.

“Beans are an inexpensive meat substitute, which can save money
and add years to your life. They are high in fiber, rich in vitamins,
antioxidants, and phytochemicals. Beans are the
versatile way to add protein and fiber
to your diet without busting your food budget.”
- Susan Weiner RD, MS, CDE

Susan Weiner is a Registered Dietitian, Certified Diabetes Educator and Certified Dietitian and Nutritionist. She is currently in private practice in New York. 
Experiences

1. Contributing medical producer for dLife TV and serves as a member of dLifes medical advisory board.  dLife - For Your Diabetes Life is an educational resource for people with diabetes as well as professionals in the diabetes community. 
2. Nutritionist and certified diabetes educator for the diabetes program TheBestLife.com, Bob Greene’s health and weight loss website. She provides articles to the site and is available to answer the “ask the expert” diabetes questions. Susan contributed  consultation in The Best Life Guide to Managing Diabetes and Pre-Diabetes (Simon & Schuster 2009). This book launched TheBestLife.com website.
3. Well respected lecturer for many professional organizations including the American College of Sports Medicine.

4. Susan was the official sports nutritionist for the American Diabetes Association Walk America program; as well as the Sports Nutritionist for the Elite Runners Distance Camp at the Olympic Training Center in Lake Placid New York.
5. Featured guest on numerous radio and television shows including  the “1010 wins radio winning womens breakfast series” and Fox News. She has been interviewed on  various nutrition and diet topics. 
6. A valued contributor to many books on a variety of nutrition topics (primarily weight management and diabetes). Susan has written articles and has been quoted in several publications including Men’s Health, New York Newsday, Woman’s Day, Better Homes and Gardens, Fitness Magazine, Sports Illustrated for Women, Blue Cross Blue Shield Health Supplement and the New York Daily News.
7. Adjunct professor of nutrition at Queens College in New York for over 13 years and taught at the Academy of Applied Personal Training Education at Hofstra University.
8. Consultant and spokesperson for several food companies. 
Education and Certification
Susan earned her Masters Degree in Applied Physiology and Nutrition from Teachers College, Columbia University in New York City. Her dual masters degree in “Applied Physiology and Nutrition” afforded her the opportunity to practice as a nutritionist and exercise physiologist. She is certified in “Adult Weight Management”, through the American Dietetic Association.

                       Professional Affiliations
*
The American Dietetics Association
*
The American Diabetes Association, Professional Section
*
New York State Dietetics Association
*
American College of Sports Medicine
*
American Association of Diabetes Educators
*
National Association of Eating Disorders

 To learn more about Susan Weiner Nutrition visit any of the following links.

Friday, November 19, 2010

Wendy Jo Peterson, MS, RD
Registered Dietitian and Nutrition Expert

Wendy Jo Peterson, MS, RD
Roadie Nutritionist (TM) at Fuelin' Roadie (TM)


“Avoid committing goals to memory. Instead write it out with pride and
post it where it will remind you of the goals you have set.”


Wendy Jo Peterson is the Owner of Edible Nutrition; and is a well-known blogger known as Roadie Nutritionist (TM) at Fuelin' Roadie (TM). Wendy Jo combines her culinary background and her experience as a Registered Dietitian to help her clients meet their nutrition and health goals.

Wendy Jo has over 10 years of experience. Her focus is to help her clients achieve their optimal wellness while meeting their nutrition goals.  As a former culinary arts teacher and swim coach, Wendy Jo utilizes a unique approach to enhancing her client’s health and taps into their edible nutrition!

Wendy Jo received her Bachelor Science in Food Science and Nutrition from San Diego State and completed her internship through Utah State University. She received her Master’s of Science in Nutrition from San Diego State University. In addition, she become a Spanish Linguist. Wendy Jo has formal culinary training from such schools as: Florida Culinary Institute, Scottsdale Culinary Institute, and Johnson & Wales University.

The Roadie Nutritionist (TM) at Fuelin' Roadie (TM) is a website created by Wendy Jo in November 2009. The website is dedicated to musicians and keeping them healthy. She also has a blog which takes you around the country as she describes the music and foods she encounters. It is a wonderful place to visit.

To learn about the nutritional services provided by Wendy Jo, visit: Edible Nutrition.

Welcome to Edible Nutrition's Blog
 

Jill Jayne Rockstar Nutritionist
with the Roadie Nutritionist, Wendy Jo
 

Dietitian Blog List