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Exam please check registrar’s final version of the exam schedule 180 minutes 120 multiple choice questions-120 points -4 short answer question-60 points multiple choice-lecture 7a onwards short answer-whole term. Nutrition care plan
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Exam please check registrar’s final version of the exam schedule 180 minutes 120 multiple choice questions-120 points -4 short answer question-60 points multiple choice-lecture 7a onwards short answer-whole term
Nutrition care plan Due on time please-if problems please ensure I know in advance
Lecture 11a 28 MARCH 2011 Arthritis and Dermatitis
Osteoarthritis (OA) -swelling of the joints -overweight – causes wear of cartilaginous surfaces -such wear results in loss of chondroitin sulphate and glucosamine which are carbohydrate polymers
Rheumatoid arthritis (RA) -autoimmune attack that in part involves loss of chondroitin sulphate and glucosamine
Nutrition approaches to Arthritis -appropriate nutrition may prevent weight gain thus avoiding that cause of osteoarthritis
Nutrition approaches to Arthritis nutraceuticals -chondroitin sulphate -glucosamine -both of these nutraceuticals are meant to replace lost chondroitin sulphate and glucosamine -both readily available OTC and are useless
Nutrition approaches to Arthritis nutraceuticals -fish oils reduce arachidonic derived pro-inflammatory eicosanoids while producing anti-inflammatory eicosanoids in RA but not OA -evening primrose oil, blackcurrant oil, and borage oil reduce arachidonic derived pro-inflammatory eicosanoids while producing anti-inflammatory eicosanoids in RA but not OA -review pathways involved for nutraceutical oils
Class activity-what is the best nutritional approach to arthritis? Why?
Dermatitis Atopic (eczema) -skin inflammation that is due to an immune response -can be due to a food allergy -solution -avoid allergen
Dermatitis-nutraceutical -fish oils reduce arachidonic derived pro-inflammatory eicosanoids while producing anti-inflammatory eicosanoids -evening primrose oil and borage oil reduce arachidonic derived pro-inflammatory eicosanoids while producing anti-inflammatory eicosanoids -as with RA many of these trials include subjects that are on anti-inflammatory prescribed drugs- what is the impact of this?
Dermatitis Sebborheic (scaly) -can be due to biotin deficiency avoid biotin deficiency - can be due to riboflavin deficiency avoid riboflavin deficiency
Scaling eczema-like dermatitis -can be due to linoleic or a-linolenic acid deficiency -this may be a problem with long term TPN
Nutritional remedy for dermatitis (types above) in general -topical application of retinoids (similar in structure to vitamin A) -reduces dermatitis -avoid linoleic or a-linolenic acid deficiency
Dermatitis herpetiformis -causes skin lesions pruritic-itching vesicular-vesicles papular-solid elevation of the skin - all of these lesions are consistent with coeliac disease and are relieved by a gluten-free diet