1. Lecture 5C
7 Oct. 2016
Lipids III

6. rheumatoid arthritis
pathology
diet
ELIMINATION THERAPY

8. 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 ethanol)

9. 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 in RA is controversial because existing studies do not give clear cut result

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

11. Arthritis continued Nutraceuticals evening primrose oil borage oil
black currant oil
fish oil

12. b) Eczema
Pathology
food allergy or RA associated diet
solution-remove food allergen from diet
for RA associated diet - no proven dietary approach known

13. Eczema continued functional foods fish-a problem
no other proven functional food
nutraceuticals
evening primrose oil
borage oil
black currant oil
fish oil

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

15. Cancer continued
Functional foods
flax-lignans-SDG-
secoisolariciresinol diglycoside
Nutraceuticals
phytosterols

16. Obesity Pathology Diet -reduce total fat intake Functional foods
Functional foods
Nutraceuticals

17. Dietary fat recommendations- p 154
increased oleic acid intake and low in saturated and trans fats, and cholesterol
total fat % of total energy intake-only above 30 % of total calories if consume increased amounts of oleic acid and with low saturated and trans fat intake(CFG)
saturated fat-10 % of total energy intake maximum
linoleic acid % of total energy intake-essential fatty acid
alpha-linolenic acid % of daily calories- ALA is an essential fatty acid

18. Dietary fat recommendations
cholesterol-300 mg /day max in persons not at risk of clinically significant atherosclerosis
eat plenty of vegetables, fruit and grains

19. What is new in lipid research?
Tilakavati Karupaiah and Kalyana Sundram
Modulation of human postprandial lipemia by changing ratios of polyunsaturated to saturated (P/S) fatty acid content of blended dietary fats: a cross-over design with repeated measures
Nutrition Journal 2013, 12:122 doi: /

20. What is new in lipid research?
Nutrition Journal 2013, 12:122 doi: /
Prolonged post-prandial lipemia (elevated plasma triglyceride concentrations) poses significant risks for heart attack in terms of elevated plasma concentrations of chylomicron triglycerides and lowered HDL-c.
Compared to higher polyunsaturated:saturated (P:S) fatty acid diets, a low P:S diet gave the best increase in post-prandial HDL-c levels but low dietary P:S ratios caused an upward trend (non-significant) in post-prandial total plasma triglyceride levels. So caution regarding P:S ratios until there are more definitive results!!