1. Lecture 5C-
18 October 2010
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 ETOH)

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 IS CONTROVERSIAL BECAUSE EXISTING STUDIES DO NOT GIVE CLEAR CUT RESULTS

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
-remove food allergen from diet
-for RA – 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
nutraceuticals

17. 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 % OF ENERGY-essential fatty acid
ALPHA-LINOLENIC % OF DAILY CALORIES- ALA –essential fatty acid

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

19. 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