Is Gluten-Free a Lifestyle or a Diet Craze?

By Nanci Hellmich, USA TODAY

Many celebrities, including Miley Cyrus and Gwyneth Paltrow, have talked about a gluten-free diet.

Singer and actress Miley Cyrus has talked about a gluten-free diet.

Singer and actress Miley Cyrus has talked about a gluten-free diet.

Perhaps with a boost from such celebrities as Miley Cyrus and Gwyneth Paltrow, the number of Americans showing interest in a gluten-free diet has reached new heights.

Almost a third of adults (29%) in the USA say they want to cut down on the gluten they eat or consume a gluten-free diet, according to new data from the NPD Group, a market research firm. The latest finding is based on interviews with 1,000 adults during the last week of January. Gluten is a protein found in wheat, rye and barley.

That’s the highest percentage since the company began asking the question in 2009.

Some people want to go on a gluten-free diet to lose weight because they’ve heard that’s what celebrities are doing, says Andrea Levario, executive director for the American Celiac Disease Alliance. “What people don’t realize is that many gluten-free products are higher in fat than other products, and people may not lose weight but actually gain weight eating them.”

She says about 1% of the population suffers from celiac disease, which triggers an immune system reaction that causes inflammation in the small intestine when a person eats food containing gluten. Common signs and symptoms of the disease may include diarrhea, iron-deficiency anemia, lactose intolerance, fatigue, joint pain, abdominal pain, migraines, depression, short stature and osteoporosis, Levario says.

“For people with celiac disease, the gluten-free diet is medically prescribed. It is the only course of treatment for this life-long chronic condition. It isn’t a choice; it is a matter of life and death.”

One big problem for people with celiac disease: There’s no standard for gluten-free labeling on products in the USA, she says. “We are looking forward to the administration finalizing one in the near future.”

Some people may have a similar condition called gluten intolerance or non-celiac gluten sensitivity, Levario says. They don’t test positive for celiac disease, yet they have symptoms similar to those in people who have the disease, she says. While celiac disease, wheat allergy, and gluten-intolerance may be treated with similar diets, they are not the same condition, she says.

“Clearly more people are interested in a gluten-free diet than really need it,” says Harry Balzer, NPD’s chief industry analyst.

He thinks the trend is about people’s interest in health and wellness, possibly more than weight loss. “This is the health issue of the day, based on the increase in the number of Americans interested in this subject.”

In practical terms, Balzer says, other NPD data show people are still eating a lot of sandwiches so they’re not skipping bread completely, but they are less likely to have bread with a meal. And when it comes to restaurant meals they are ordering more gluten-free or wheat-free menu items than they were several years ago, NPD found.

Registered dietitian Judi Adams, president of the Wheat Foods Council, says, “we respect all those people who have to go gluten-free, including people with celiac disease or non-celiac gluten sensitivity and some people who have irritable bowel syndrome.

“But the people who are using it as a cleansing diet or calorie-controlled diet are using it as a fad diet, and as we all know fad diets do not work longterm,” she says. “People often gain weight when they go on a gluten-free diet, particularly if they substitute products that are higher in calories, fat and sugar.”

Fiber is just one of the main nutrients people miss out on if they eliminate all grains, she says.

Source: http://www.usatoday.com/story/news/nation/2013/03/05/gluten-free-diet-popularity/1963715/

Celiac Disease: Basics & BeyondCeliac Disease: Basics & Beyond will cover the basics of celiac disease including pathophysiology, diagnosis, and treatment. This 2-hour online CEU course will then go beyond the basics by describing how registered dietitians use the nutrition care process to provide medical nutrition therapy to patients with celiac disease. Two case studies are included to assist the health professional in understanding the patient’s perspective from pre-diagnosis to disease management. This course will be informative for anyone with celiac disease as well as registered dietitians and other health professionals who work with patients with celiac disease. Course #20-76 | 2013 | 26 pages | 17 posttest questions

Professional Development Resources is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists; by the National Board of Certified Counselors (NBCC) to offer home study continuing education for NCCs (Provider #5590); by the Association of Social Work Boards (ASWB Provider #1046, ACE Program); by the National Association of Alcoholism & Drug Abuse Counselors (NAADAC Provider #000279); by the American Occupational Therapy Association (AOTA Provider #3159); by the Commission on Dietetic Registration (CDR Provider #PR001); and by various state licensing boards. Click here to view all accreditations.

Celiac Disease: Basics & Beyond – New Online CEU Course

It seems that everybody knows somebody with celiac disease or who is avoiding foods containing gluten. Is this because there is a higher level of awareness and more people are being diagnosed with celiac disease? Or is this because of a rise in popularity of a gluten-free diet and people self-diagnosing celiac disease? A gluten-free diet, the diet prescribed for those with celiac disease, is being touted as a 2013 health trend.

Celiac Disease: Basics & BeyondIn order to be able to provide care to their clients and patients, both with and without celiac disease, health professionals should understand the basics of celiac disease and a gluten-free diet.

Celiac Disease: Basics & Beyond will cover the basics of celiac disease including pathophysiology, diagnosis, and treatment. This 2-hour online CEU course will then go beyond the basics by describing how registered dietitians use the nutrition care process to provide medical nutrition therapy to patients with celiac disease. Two case studies are included to assist the health professional in understanding the patient’s perspective from pre-diagnosis to disease management. This course will be informative for anyone with celiac disease as well as registered dietitians and other health professionals who work with patients with celiac disease. Course #20-76 | 2013 | 26 pages | 17 posttest questions

About the Author:

Alexia Lewis, MS, RD, LD/N, is a registered dietitian licensed in the state of Florida. She is the wellness dietitian for the University of North Florida where she does one-on-one nutrition counseling, facilitates healthy eating groups, presents nutrition workshops and cooking demonstrations, and promotes healthy lifestyle habits through food and nutrition. Alexia has also been a nutrition instructor for undergraduate nutrition students at the University of North Florida and has taught Food Fundamentals, Nutrition Education, Nutrition Counseling and Communication, and other classes. Alexia is the president of the Jacksonville Dietetic Association for the 2012-2013 year. Alexia is a nutrition speaker, writer, and blogger (http://alexialewisrd.com) whose goal is “nutrition made easy.”

CE Information:

Professional Development Resources is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists; by the National Board of Certified Counselors (NBCC) to offer home study continuing education for NCCs (Provider #5590); by the Association of Social Work Boards (ASWB Provider #1046, ACE Program); by the National Association of Alcoholism & Drug Abuse Counselors (NAADAC Provider #000279); by the American Occupational Therapy Association (AOTA Provider #3159); by the Commission on Dietetic Registration (CDR Provider #PR001); and by various state licensing boards. Click here to view all accreditations.

Dysphagia – Overview & Helpful Handouts

Source: RD411.com

Dysphagia: What Is Dysphagia?

I recently was diagnosed with dysphagia. What does that mean?

dysphagiaDysphagia means difficulty swallowing. Often people complain that food “gets stuck” in the throat. This leads to a diagnosis of dysphagia.

Swallowing is a complex process that involves more than 50 pairs of muscles and many nerves. Food is moved from the mouth to the stomach in three stages. In the first stage, food is prepared for swallowing as it is moved around the mouth by the tongue. The second stage begins when the tongue pushes food or liquid to the back of the mouth. The third stage begins when food or liquid enters the esophagus. Dysphagia can occur in any of these three stages.

What causes dysphagia?

Some people are born with swallowing problems, but in many cases they develop as a result of a physical illness or medical condition. Dysphagia has many causes, including stroke, Parkinson’s disease, multiple sclerosis, other neurological disorders, and muscular disorders, such as myasthenia gravis or muscular dystrophy. Cancers of the head, neck, and mouth and/or cancer treatment also may cause dysphagia.

Why should I worry about dysphagia?

In some people, dysphagia is serious. If you are unable to consume enough food and fluids to stay healthy because you cannot swallow, weight loss or nutritional problems can result. In the worst cases, dysphagia can result in aspiration pneumonia. This occurs when food enters the lungs instead of the esophagus, causing bacterial infection, pneumonia, and occasionally death.

How is dysphagia treated?

Speech and language pathologists are skilled at using medical tests to determine the scope and severity of dysphagia. In some cases, dysphagia is treated with surgery or medication. In others, treatment might involve muscle exercises or using special eating techniques. Some patients must change the texture of the foods and fluids they eat to make swallowing easier. When dysphagia is severe, eating and drinking orally is not recommended. In these cases, providing nutrition via a feeding tube is recommended.

A speech and language pathologist can determine what course of treatment is best for you.

What types of fluid modifications are recommended for dysphagia treatment?

Sometimes when a person has dysphagia, it is necessary to thicken liquids to make swallowing them easier. Liquids are thickened to the consistency of honey, nectar (such as apricot nectar), or pudding. If thickened liquids are recommended, it is necessary to have every liquid consumed, including water, coffee, juices, and milk, of the recommended consistency.

How are liquids thickened?

Speech and language pathologists recommend using a commercial thickener, which is a powder that is mixed into beverages to thicken them. Many health care facilities purchase prethickened water, milk, coffee, and juice to take the guesswork out of thickening fluids. For home use, you can purchase thickening powder at drug stores.

What types of texture modifications are recommended for foods?

The National Dysphagia Diet recommends three levels—dysphagia pureed, dysphagia mechanically altered, and dysphagia advanced.

Dysphagia pureed diet: Foods are pureed and homogenous, with all foods, including meats, vegetables, and breads, of pudding-like consistency.

Dysphagia mechanically altered diet: Foods that are moist, soft textured, and easily formed into a food bolus for swallowing are allowed. Foods are well cooked and soft. Meats are ground or minced.

The dysphagia advanced diet: Foods are of nearly regular texture, but very hard, sticky, or crunchy foods are not included.

A registered dietitian or speech-language pathologist can provide specific information about what foods are allowed on each diet.

Helpful Handouts:

Dysphagia: Scoop It, Mold It, Pipe It—Rice and Pasta

Dysphagia Level 1 Diet (dysphagia pureed)

Dysphagia Level 2 Diet (mechanically altered)

Dysphagia Level 3 Diet (dysphagia advanced)

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Could a Diet Help Prevent Alzheimer’s?

Via Scoop.itHealthcare Continuing Education

The low-fat, low-glycemic diet often promoted for general health and well-being may lower the risk of developing Alzheimer’s disease if adopted early in life, researchers say.

But starting such an eating plan after symptoms surface doesn’t seem to help prevent deterioration of brain function, according to new research published online June 13 in Archives of Neurology.
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Food and Sex and Love

Posted by Bill Bradley @ http://confessionsofanoverweightdietitian.blogspot.com/2011/03/what-have-we-become.html#comment-form

The Diet Obsession

The Diet Obsession

Have we become so confused, so jaded that our purpose in life is to lose 20 pounds?

We go to any extreme, starving ourselves or stuffing our bodies with fatty sausage to reach our goal weight. It becomes our obsession, haunts us when we’re out, becoming the main topic of conversation. We buy books, listen to tapes, search for special diet foods to reach our dream. We put on a disguise of the healthy person and we forget. We forget the things that will actually help us lose weight, feel healthy and alive. We ignore our real purpose as we hide behind food and liquor and television and movies and sex.
In the name of “health,” we forget ourselves. If we were truly in our bodies would we drink a sugary chemical filled shake in the name of weight loss? Would we take a diet pill that could give us a heart attack? Would we eat at an all you can eat Chinese buffet, force feeding our bellies with barbecued spareribs, fried chicken fingers and soft serve ice cream? Would we listen to the advice of self proclaimed gurus telling us what to eat instead of listening to the wisdom of our own unique bodies? We have cast aside our truer purpose: loving, giving to others, living in nature for the addiction of the perpetual diet.

What will they say? What will they say at our funerals? Will they speak of contributions, how we helped others, how we changed lives? Or will they draw a blank only remembering our obsessions with ourselves and our bodies?

It is never too late to begin.

Take some time away from computers, cell phones, cable television, friends and family and give yourself time to be in silence. Become aware of your body. Sit in silence long enough and you will begin to know what your body really needs, what foods and actions really nourish it. Give yourself permission to experience what real hunger feels like instead of the psychological hunger of unfelt emotions or unrelieved stress. Most importantly, let a new you emerge, one who not only knows and acts on what is best for themselves, but has a deeper purpose that has to do with healing and truly living the precious life we have been given. This is the way out and the way in. It is what I am practicing today. Peace.
Bill Bradley is a Registered Dietitian, lecturer and writer. He has led over 1,200 workshops including many on the health benefits of Mediterranean cuisine and lifestyle. His two books are: Foods of Crete: Traditional Recipes from the Healthiest People in The World and Things to do with Black Bean Stew