Lecture 5C- 18 October 2010 LIPIDS III

rheumatoid arthritis pathology diet ELIMINATION THERAPY  

RHEUMATOID ARTHRITIS CONTINUED ELIMINATION DIET DONG DIET-SIMPLE FOODS (SEAFOOD, VEGGIES, AND RICE WHILE ELIMINATING ADDITIVES, PRESERVATIVES, RED MEAT, HERBS, DAIRY PRODUCTS, SPICES, CARBONATED DRINKS AND ETOH)  

ARTHRITIS AND DIET CONTINUED ELIMINATION THERAPY NO DIFFERENCE BETWEEN DONG AND PLACEBO DIETS FOR RA PATIENTS   OTHER DIETARY ELIMINATION STUDIES HAVE COME UP WITH THE SAME THING ROLE OF DIET IS CONTROVERSIAL BECAUSE EXISTING STUDIES DO NOT GIVE CLEAR CUT RESULTS

ARTHRITIS CONTINUED functional foods fish-doesn’t work -no other proven examples of functional foods  

ARTHRITIS CONTINUED nutraceuticals evening primrose oil borage oil black currant oil fish oil

b) Eczema pathology food allergy or RA associated diet -remove food allergen from diet -for RA – no proven dietary approach known

ECZEMA CONTINUED functional foods fish-a problem no other proven functional food   nutraceuticals evening primrose oil borage oil black currant oil fish oil

Cancer pathology diet saturated fat does not cause cancer but promotes once it gets started- not conclusive but reduce saturated fat

Cancer continued functional foods flax- lignans-sdg- secoisolariciresinol diglycoside-   nutraceuticals phytosterols

Obesity pathology diet reduce total fat intake   functional foods nutraceuticals

DIETARY FAT RECOMMENDATIONS 30 % OR LESS OF ENERGY (UP TO 35 % IF REASONABLE ENERGY INTAKE AND LOW IN SATURATED AND TRANS FATS, AND CHOLESTEROL) SATURATED FAT LESS THAN 10 % OF ENERGY LINOLEIC- 5-10 % OF ENERGY-essential fatty acid ALPHA-LINOLENIC- 0.6-1.2 % OF DAILY CALORIES- ALA –essential fatty acid

DIETARY FAT RECOMMENDATIONS CHOLESTEROL TO LESS THAN 300 MG /DAY EAT PLENTY OF VEGETABLES, FRUIT AND GRAINS

What is new in lipid research 2007 JAMA 298:1420-1428 INCREASED OMEGA 3 INTAKE REDUCES THE RISK OF TYPE 1 DIABETES IN CHILDREN AS MEASURED BY REDUCED ISLET IMMUNITY