Nutrition News

Nutrition and Mental Health

Nutrition and Mental Health

As a nutrition and dietetics student I developed an interest in the field of behavioral health nutrition. The idea that nutritional deficiencies or a variety of medical disorders could produce symptoms that mimicked psychiatric abnormalities [1] resonated with me early in my academic exploratations. The links between nutrition and mental health appeared to be a promising new area of investigation. In the past decade, research on the gut microbiome has documented compelling evidence that the bacteria flora in our intestines have a direct link to our brain and that these pathways are bidirectional [2]. As a registered dietitian nutritionist (RDN) working with patients with co-existing mental health conditions, I have observed an association between diet and depression. Practice experience has shown that dietary improvement can reduce some depressive symptoms [3]. Given that mental illness is a major public health problem, an emerging field known as nutritional psychiatry has received increased attention [4].

There are established links between depression and chronic diseases such as obesity [5], metabolic syndrome [6], and type 2 diabetes [7]. There are also associations between depressive symptoms and inflammatory bowel disease [8], as well as disordered eating [9]. Recent evidence suggests that altering the composition of the gut microbiome can lead to depressive-like behavior in animal models [10]. Because the human microbiome is highly influenced by foods that we eat, there may be an opportunity to improve depressive-like symptoms through dietary interventions. Randomized controlled human trials have shown that nutrition interventions can provide alternative or adjunct treatment for depression in common conditions such as obesity and type 2 diabetes [11]. The most common dietary recommendation is a Mediterranean-style diet with early trials showing a reduction in depressive symptoms [12,13]. Given the likelihood that nutrition can improve some depression-related symptoms, targeted dietary interventions should be considered a public health priority.

References

  1. Pollak, J., Levy, S., and Breitholz, T., Screening for medical and neurodevelopmental disorders for the professional counselor. Journal of Counseling & Development, 1999. 77(3): p. 35-358.
  2. Evrensel, A., and Ceylan, M.E., The gut-brain axis: the missing link in depression. Clinical Psychopharmacology and Neuroscience, 2015. 13(3): p. 239-244.
  3. Li, Y., et al., Dietary patterns and depression risk: a meta-analysis. Psychiatry Research, 2017. 253: p. 373-382.
  4. Marx, W., et al., Nutritional psychiatry: the present state of the evidence. Proceedings of the Nutrition Society, 2017. doi:10.1017/S0029665117002026
  5. Garcia-Toro, M., et al., Obesity, metabolic syndrome and Mediterranean diet: impact on depression outcome. Journal of Affective Disorders, 2016. 194: p. 105-108.
  6. Ohmori, Y, et al., Associations between depression and unhealthy behaviors related to metabolic syndrome: a cross sectional study. Asia Pacific Journal of Clinical Nutrition, 2017. 26(1): p. 130-140.
  7. Dipnall, J.F., et al., The association between dietary patterns, diabetes and depression. Journal of Affective Disorders, 2015. 174: p. 215-224.
  8. Bhandari, S., et al., Association of inflammatory bowel disease (IBD) and depressive symptoms in the Unites States population and independent predictors of depressive symptoms in an IBD population: a NHANES study. Gut and Liver, 2017. https://doi.org/10.5009/gnl16347
  9. Kim, O. et al., Binge eating disorder and depressive symptoms among females of child-bearing age: the Korea Nurses Health Study. BMC Psychiatry, 2018. 18:13.
  10. Wong, M-L., et al., Inflammasome signaling affects anxiety- and depressive-like behavior and gut microbiome composition. Molecular Psychiatry, 2016. 21: p. 797-805.
  11. O’Neil, A., et al., A randomized, controlled trial of a dietary intervention for adults with major depression (the “SMILES” trial): study protocol. BMC Psychiatry, 2013. 13:114.
  12. Parletta, N., et al., A Mediterranean-style dietary intervention supplemented with fish oil improves diet quality and mental health in people with depression: a randomized controlled trial (HELFIMED). Nutritional Neuroscience, 2017. doi:10.1080/1028415X.2017.1411320
  13. Sanchez-Villegas, A., et al., Mediterranean dietary pattern and depression: the PREDIMED randomized trial. BMC Medicine, 2013. 11:208

 

Nutrition and Mental Health

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From Private Practice to Public Health

David- Tell us more about your background and private practice. Tell us about your current vision, and your decision to get your doctorate.

Five years ago, after completion of my master’s degree in Family and Consumer Sciences and becoming a Registered Dietitian Nutritionist (RDN) I founded a company called Nutrition in Recovery which specializes in treating patients with challenging eating and substance use disorders (SUDs). The group now comprises six RDNs who supervise educational groups at SUD treatment centers throughout Los Angeles. My continuing interest in this patient population led me to develop specialized dietary and educational curriculum for people in early recovery. When possible, I have used evidence-based principles to better manage patients with nutrition-related abnormalities. This has led to three journal publications, two book chapters, two poster exhibits, seven webinars, and over 20 podium presentations. I have also written six articles for the Behavioral Health Nutrition Dietetic Practice Group who recognized my work with the “Excellence in Practice” award presented at the national Food and Nutrition Conference and Expo (FNCE) in October 2017. I have also been a master’s thesis committee member for students enrolled at California State University, Long Beach. What I am particularly proud of is my commitment to research and academics from my private practice setting.

I am finishing my first year as a Ph.D. student in Community Health Sciences at UCLA, hoping to improve the role of nutrition interventions in patients with various SUDs. My overall goal is to reduce the incidence of disordered eating in early recovery and to improve the quality of life for patients with disabling addictive disorders.  SUDs are associated with malnutrition, preference for nutrient-poor food, compromised gastrointestinal health, and disordered eating. Given the current addiction epidemic, consideration should be given to prioritizing efforts to improve eating habits and overall health in recovery programs. Nutrition interventions during recovery may promote abstinence and prevent or minimize the onset of chronic illness including eating disorders (EDs). Currently there is an urgent need for improved treatment modalities for SUDs to prevent overdose and death, reduce healthcare burden, and to improve quality of life. Nutrition protocols in SUD treatment are not widely utilized. My goal is to develop evidence-based guidelines for nutrition interventions for various addictive disorders, which will hopefully lead to better policies and procedures.

Introducing the concept of food and nutrition into an SUD treatment program faces many obstacles. Many patients in early recovery are not ready for multiple health behavior changes, since most are simply trying to get past the immediate crisis of addiction and the associated life adjustments of abstinence. In several of the treatment centers where I work, patients are surprised when they discover that making small nutritional changes (such as drinking water or eating breakfast) can impact energy levels, overall sense of wellness, and optimism about being sober. There are numerous questions that relate to food, SUDs, disordered eating, and recovery that remain unanswered. Can nutrition be used to improve SUD outcomes? What is the best practice for treating co-occurring eating and substance use disorders? How can RDNs help with recovery from mental health disorders? What policy implications can address food addiction on a societal level? What new programs can be developed for underserved populations that struggle with SUD and nutrition-related challenges?

My goal in pursuing a doctorate in public health is to produce data that guides treatment. I am confident that my work in this area will create better evidence to improve funding for nutrition services, creating opportunities for dietitians to work in publicly-funded as well as underserved SUD treatment centers. RDNs desperately need more evidence of effectiveness in order to advance our profession. With new information, it may be possible to change the way we approach SUD treatment, but more importantly to improve the recovery process amidst the current opioid crisis.

About Nutrition in Recovery

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Food Politics Video

Nutrition in Recovery is thrilled to announce our new monthly newsletter! Get the latest information on Nutrition for Addiction! Check out our latest video on Food Politics!

Nutrition in Recovery is a group practice of Registered Dietitian Nutritionists and other health professionals who specialize in the treatment of addictions, eating disorders, body image, mental health, as well as general wellness.

We send out a monthly Newsletter summarizing the latest research linking nutrition and mental health. Each newsletter will include a short video with some helpful hints and actions you can implement to improve mental, spiritual, and physical wellbeing for yourself and for your clients. You will be among the first to hear the findings and insights from cutting-edge data, and we are providing references so you can do your own research if interested.

Within the next year you can look forward to the following topics being covered:

Alcoholic Liver Disease

Attentional Bias

Vaping (E-cig)

Bariatric Surgery

Child Nutrition

Circadian Rhythms

Men and Eating Disorders

View last month’s video on Night Eating Syndrome

Nutrition in Recovery

Please SIGN UP HERE so you will not miss out on this revolutionary information!

Do you know someone who might be interested in the link between nutrition and mental health or any of the topics mentioned above? Please forward this to them so they can join us and don’t keep us a secret!

Thank you for all your support as we embark on the journey of improving the health and wellbeing of our clients and their loved ones.

Have thoughts about Food Politics? Reach out to us, we would love to hear your thoughts!

 

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David Wiss Speaking Schedule 2018

Mr. David Wiss has a passion for speaking at the podium. He is not afraid of large crowds. He loves to create PowerPoint presentations summarizing the latest research related to nutrition and substance use disorder, as well as other topics such as eating disorders, microbiome, food politics, and public health. Here you will find the David Wiss speaking schedule for 2018.

Speaking Schedule 2018 

Tuesday March 6, 2018 12:00pm – 2:30pm

Sober College: 6022 Variel Avenue, Los Angeles, CA 91367

DESCRIPTION

Nutrition and Fitness in Recovery
CAMFT#140434

David Wiss, MS, RDN & Ken Niemann, MA, DC

About the Course:
We all know how important it is to pay attention to nutrition and fitness. Maintaining Body/Mind balance is especially important for those in recovery. Join the amazing David Wiss, founder of Nutrition in Recovery, and the ever-energized Ken Niemann, Fitness Director for Sober College, as they discuss the different elements of nutrition and fitness that help with neurochemical balance and optimized physical well-being.

2 Free CEUs for Addiction & Mental Health Professionals*

Open to all who register here. Free. Lunch provided.

Schedule:
12:00pm – 12:30pm – Check-in & Lunch (Not included in CE Hours)
12:30pm – 2:30pm – “Nutrition and Fitness in Recovery” (CE Course)

Friday March 16, 2018 1:15pm – 2:15pm

Alabama Dietetic Association Annual Meeting

Birmingham Jefferson Civic Center (East Hall), Birmingham, Alabama

TITLE: Nutrition for Substance Use Disorder Recovery: Gut-Brain

David Wiss MS RDN 

Lecture Objectives:

  1. Discuss the impact of addictive substances on nutritional status and gastrointestinal health
  2. Explore disordered and dysfunctional eating patterns in addicted populations
  3. Propose nutrition therapy guidelines for specific substances and for poly-substance abuse

 

More information and registration here

Saturday April 14, 2018 One Day Conference 9:00am – 3:45pm

Los Angeles District of the California Academy of Nutrition and Dietetics Annual Conference:

“One Size Does Not Fit All: Promoting Diverse Perspectives in Dietetics”

TITLE: Shortcomings of the Evidence Base in Dietetics 10:50am – 11:20am

David Wiss MS RDN 

Learning Objectives:

  1. Describe the challenges with conducting nutrition-related research
  2. Identify limitations, sources of bias, and other conflict in the current evidence base
  3. Suggest practice strategies when evidence is limited

 

More information and registration here

Saturday June 2, 2018 2:00pm – 3:30pm

West Coast Symposium on Addictive Disorders (WCSAD)

La Quinta, CA. May 31 – June 3, 2018

TITLE: Nutrition for Substance Use Disorder Recovery: Gut-Brain

David Wiss MS RDN 

DESCRIPTION

The prevalence of substance use disorders continues to rise with a significant impact on families, communities, and the healthcare system. The current opioid crisis suggests a need to re-assess entrenched treatment protocols for addictive disorders. Classically, treatment includes mental health services such as psychopharmacology and individual and group therapy sessions. There is little data about the role of physiological recovery particularly nutrition during early recovery. It is well known that substance use disorders are associated with neglected health including nutritional deficiencies. There is recent evidence linking the gut and brain, suggesting that proper dietary intake is critical for mental health. Substance use disorder treatment protocols may benefit from including nutrition services as a treatment modality.

Learning Objectives:

  1. Discuss the impact of addictive substances on nutritional status and gastrointestinal health
  2. Explore disordered and dysfunctional eating patterns in addicted populations
  3. Propose nutrition therapy guidelines for specific substances and for poly-substance abuse

 

More information here (registration opens in March)

Thursday July 12, 2018 1:15pm-2:15pm

9th Annual National Collegiate Recovery Conference – Associate of Recovery in Higher Education

Houston, TX. July 9- July 12, 2018.

TITLE: Nutrition for Substance Use Disorder Recovery: Gut-Brain

David Wiss MS RDN 

DESCRIPTION

The prevalence of substance use disorders continues to rise with a significant impact on families, communities, and the healthcare system. The current opioid crisis suggests a need to re-assess entrenched treatment protocols for addictive disorders. Classically, treatment includes mental health services such as psychopharmacology and individual and group therapy sessions. There is little data about the role of physiological recovery particularly nutrition during early recovery. It is well known that substance use disorders are associated with neglected health including nutritional deficiencies. There is recent evidence linking the gut and brain, suggesting that proper dietary intake is critical for mental health. Substance use disorder treatment protocols may benefit from including nutrition services as a treatment modality.

Learning Objectives:

  1. Describe the connection between gastrointestinal health and mental health, particularly as it related to alcoholand opiates.
  2. Explain the rationale behind offering nutrition services in addiction treatment settings
  3. Apply  knowledge learned about the importance of nutrition for addiction recovery at theirworkplace or treatment center.

 

More information here

Friday July 27, 2018 10:15am – 11:45am

The Adolescent and Young Adult Collective

Los Angeles, CA July 26- July 27, 2018

TITLE: Nutrition for Mental Health: Understanding the Gut-Brain Axis

David Wiss MS RDN 

DESCRIPTION

With a changing food environment and an evolving human brain, adolescents and young adults are facing new challenges in developing a meaningful relationship to food. Most recently, we have discovered that the microorganisms inhabiting our gastrointestinal tract (the “second brain”) impact mental well-being. Do we need educational protocols for the second brain? This presentation will discuss the implications of gut health and the importance of nutrition in recovery from substance use disorders, eating disorders, depression, and anxiety.

More information here

Sunday October 21, 2018 1:30pm-3:00pm

The Food and Nutrition Conference and Expo (FNCE)

Washington, D.C. October 20-23, 2018

TITLE: Nutrition Interventions Amidst an Opioid Epidemic: The Emerging Role of the RDN

David Wiss MS RDN 

DESCRIPTION

The evolving opioid crisis continues to create a devastating impact on individuals, families, communities, and the healthcare system. Emerging evidence supports the positive impact of nutrition interventions during recovery from alcohol and drug abuse. This presentation will outline the various roles of the RDN as a member of the treatment team.

More information here

More events to be posted soon!

We hope to see you at one of these conferences!

 

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Night Eating Syndrome Video

Nutrition in Recovery is thrilled to announce our new monthly newsletter! Get the latest information on Nutrition for Addiction! Check out our latest video Night Eating Syndrome!

Nutrition in Recovery is a group practice of Registered Dietitian Nutritionists and other health professionals who specialize in the treatment of addictions, eating disorders, body image, mental health, as well as general wellness.

We will be sending out a monthly Newsletter summarizing the latest research linking nutrition and mental health. Each newsletter will include a short video with some helpful hints and actions you can implement to improve mental, spiritual, and physical wellbeing for yourself and for your clients. You will be among the first to hear the findings and insights from cutting-edge data, and we are providing references so you can do your own research if interested.

Within the next year you can look forward to the following topics being covered:

Food Politics

Alcoholic Liver Disease

Attentional Bias

Vaping (E-cig)

Bariatric Surgery

Child Nutrition

Circadian Rhythms

Men and Eating Disorders

View last month’s video on Impulsivity

Nutrition in Recovery

Please SIGN UP HERE so you will not miss out on this revolutionary information!

Do you know someone who might be interested in the link between nutrition and mental health or any of the topics mentioned above? Please forward this to them so they can join us and don’t keep us a secret!

Thank you for all your support as we embark on the journey of improving the health and wellbeing of our clients and their loved ones.

Have thoughts about Night Eating Syndrome? Reach out to us, we would love to hear your thoughts!

Read more

Impulsivity Video

Nutrition in Recovery is thrilled to announce our new monthly newsletter! Get the latest information on Nutrition for Addiction! Check out our seventh of many videos! This video is on impulsivity!

Nutrition in Recovery is a group practice of Registered Dietitian Nutritionists and other health professionals who specialize in the treatment of addictions, eating disorders, body image, mental health, as well as general wellness.

We will be sending out a monthly Newsletter summarizing the latest research linking nutrition and mental health. Each newsletter will include a short video with some helpful hints and actions you can implement to improve mental, spiritual, and physical wellbeing for yourself and for your clients. You will be among the first to hear the findings and insights from cutting-edge data, and we are providing references so you can do your own research if interested.

Within the next year you can look forward to the following topics being covered:

Night Eating Syndrome

Food Politics

Alcoholic Liver Disease

Attentional Bias

Vaping (E-cig)

Bariatric Surgery

Child Nutrition

Circadian Rhythms

Men and Eating Disorders

View last month’s video on Trauma & Disordered Eating

Nutrition in Recovery

Please SIGN UP HERE so you will not miss out on this revolutionary information!

Do you know someone who might be interested in the link between nutrition and mental health or any of the topics mentioned above? Please forward this to them so they can join us and don’t keep us a secret!

Thank you for all your support as we embark on the journey of improving the health and wellbeing of our clients and their loved ones.

Have thoughts about impulsivity? Reach out to us, we would love to hear your thoughts!

Read more

Trauma & Disordered Eating Video

Nutrition in Recovery is thrilled to announce our new monthly newsletter! Get the latest information on Nutrition for Addiction! Check out our sixth of many videos! This video is on trauma & disordered eating!

Nutrition in Recovery is a group practice of Registered Dietitian Nutritionists and other health professionals who specialize in the treatment of addictions, eating disorders, body image, mental health, as well as general wellness.

We will be sending out a monthly Newsletter summarizing the latest research linking nutrition and mental health. Each newsletter will include a short video with some helpful hints and actions you can implement to improve mental, spiritual, and physical wellbeing for yourself and for your clients. You will be among the first to hear the findings and insights from cutting-edge data, and we are providing references so you can do your own research if interested.

Within the next year you can look forward to the following topics being covered:

Impulsivity and Decision Making
Night Eating Syndrome
Food Politics

View last month’s video on ADHD & Disordered Eating

Monthly Newsletter

Please SIGN UP HERE so you will not miss out on this revolutionary information!

Do you know someone who might be interested in the link between nutrition and mental health or any of the topics mentioned above? Please forward this to them so they can join us and don’t keep us a secret!

Thank you for all your support as we embark on the journey of improving the health and wellbeing of our clients and their loved ones.

Have thoughts about trauma & disordered eating? Reach out to us, we would love to hear your thoughts!

Read more

ADHD & Disordered Eating Video

Nutrition in Recovery is thrilled to announce our new monthly newsletter! Get the latest information on Nutrition for Addiction! Check out our fifth of many videos! This video is on ADHD and disordered eating!

Nutrition in Recovery is a group practice of Registered Dietitian Nutritionists and other health professionals who specialize in the treatment of addictions, eating disorders, body image, mental health, as well as general wellness.

We will be sending out a monthly Newsletter summarizing the latest research linking nutrition and mental health. Each newsletter will include a short video with some helpful hints and actions you can implement to improve mental, spiritual, and physical wellbeing for yourself and for your clients. You will be among the first to hear the findings and insights from cutting-edge data, and we are providing references so you can do your own research if interested.

We will only send out one video per month and you can unsubscribe at any time!

Within the next year you can look forward to the following topics being covered:

Trauma and Eating Disorders
Impulsivity and Decision Making
Night Eating Syndrome
Food Politics

View last month’s video on Social Media and Body Image

Monthly Newsletter

Please SIGN UP HERE so you will not miss out on this revolutionary information!

Do you know someone who might be interested in the link between nutrition and mental health or any of the topics mentioned above? Please forward this to them so they can join us and don’t keep us a secret!

Thank you for all your support as we embark on the journey of improving the health and wellbeing of our clients and their loved ones.

Read more

Nutrition for Opioid Overdose

Nutrition for Opioid Overdose

On September 15, 2017 The Academy of Nutrition and Dietetics issued a statement to the CDC regarding Nutrition Interventions and Drug Overdose Response Investigation (DORI) Data Collections. The statement was written by Registered Dietitian Nutritionist David Wiss and essentially advocates the role of nutrition for opioid overdose.

The official statement which is reproduced below can be viewed HERE

Re: Drug Overdose Response Investigation (DORI) Data Collections (Docket No. CDC-2017-0055)

The Academy of Nutrition and Dietetics (the “Academy”) appreciates the opportunity to submit comments to the Centers for Disease Control and Prevention (CDC) in response to the data collection published in the July 17, 2017 Federal Register regarding the Drug Overdose Response Investigation (DORI) Data Collections (Docket No. CDC-2017-0055). The Academy is the world’s largest organization of food and nutrition professionals, with more than 100,000 members comprised of registered dietitian nutritionists (RDNs), nutrition and dietetic technicians, registered (NDTRs), and advanced-degree nutritionists. We are committed to improving the nation’s health through food and nutrition and providing medical nutrition therapy (MNT) and other nutrition counseling services to meet the health needs of all citizens, including those with eating disorders (EDs) or substance use disorders (SUD).

The Academy supports the proposed data collection as necessary for the proper performance of the functions of the agency, particularly given the practical utility resulting from the collections. We respectfully offer recommendations below from Academy member David A. Wiss, MS, RDN, on behalf of our Behavioral Health Nutrition Dietetic Practice Group for potential improvements to the data collections and as support for the claim that nutrition can play a very important role in promoting wellness during the recovery process, thereby helping to reduce relapse and accidental overdose or death.

Eating Patterns and Substance Use Disorders

There are several studies that document substandard eating patterns during drug use, including inadequate intake leading to micronutrient deficiencies [1-6] and malnutrition [7-11]. Abnormal preference for sweetened foods and beverages have been documented in alcoholics [12-14] and other SUDs [15, 16] particularly opioids [17-25]. While micronutrient deficiencies and malnutrition are often corrected by abstinence and recovery, dysfunctional eating patterns such as bingeing and night-eating are often exacerbated during sobriety. Early recovery should be considered a critical time to get nutritional support (e.g. dietary counseling) by a qualified professional such as an RDN.

The overlap between SUDs and EDs has received significant attention in the scientific literature [26-41]. Authors have recently begun to suggest that these disorders be treated concurrently rather than separately. In members’ personal experience working in both fields, patients will oscillate between treatments and are seldom treated concurrently. While it is true that RDNs are a requirement for ED treatment, there is no present requirement for RDNs in SUD treatment settings. Based on members’ experience working with SUD treatment centers, the use of RDNs is rare most likely because nutrition services are not covered by insurance for SUD. We note that the failure to address food and body image issues in SUD treatment is likely contributing to poor outcomes.

It is predictable that individuals entering treatment for SUD will find other substances to abuse, including food [42-45], caffeine [46, 47], and nicotine [46, 47]. While some would argue that it makes sense to allow unlimited access to such substances during early recovery, others believe that the lack of nutrition and health standards are contributing to poor treatment outcomes. Evidence suggests that gastrointestinal health is linked to mental health [48-51] with strong implications for anxiety and depression. Given what is known about the importance of gut health, it seems that improved health and nutrition should be considered a prime intervention for SUD recovery. RDNs in treatment settings are highly qualified to discuss health habits including caffeine and nicotine in the context of nutrition and gastrointestinal health.

Nutrition Education and Interventions During Treatment

Several studies have demonstrated links between nutrition education and positive outcomes in SUD treatment settings [52-57]. Some of the studies have suggested that nutrition education has led to reduced rates of relapse, but higher quality research with greater sample sizes are needed to confirm these findings. Given the opioid epidemic and alarming number of overdose and deaths, however, it seems unwise to wait for more data before using nutrition as an intervention strategy.

Nutrition interventions during recovery may promote abstinence and prevent or minimize the onset of chronic illness, improving resource allocation. A review article from the United Kingdom on the role of healthy eating advice as part of drug treatment in prisons concluded that “substance-misuse is a major factor in recidivism and if this could be reduced through improvement of nutritional status, it could be a cost effective means of helping to tackle this problem” [58]. Given the opioid epidemic, public health measures necessitating nutrition standards in treatment settings should be considered critical. There is a timely need for specialized nutrition expertise in SUD treatment centers, and RDNs are highly qualified for the job.

References

  1. Gawad, S.S.A.E., et al., Effects of drug addiction on antioxidant vitamins and nitric oxide levels. J. Basic Appl. Sci. Res., 2010. 1(6): p. 485-491.
  2. Hossain, K.J., et al., Serum antioxidant micromineral (Cu, Zn, Fe) status of drug dependent subjects: Influence of illicit drugs and lifestyle. Subst Abuse Treat Prev Policy, 2007. 2: p. 12.
  3. Mannan, S.J., et al., Investigation of serum trace element, malondialdehyde and immune status in drug abuser patients undergoing detoxification. Biol Trace Elem Res, 2011. 140(3): p. 272-83.
  4. Santolaria-Fernandez, F.J., et al., Nutritional assessment of drug addicts. Drug Alcohol Depend, 1995. 38(1): p. 11-8.
  5. Varela, P., et al., Human immunodeficiency virus infection and nutrtiional status in female drug addicts undergoing detoxification: anthropometric and immunologic assessments. Am J Clin Nutr, 1997. 191997(66): p. 504S-508S.
  6. Islam, S.K.N., K.J. Hossain, and M. Ahsan, Serum vitamin E, C and A status of the drug addcits undergoing detoxification: influence of drug habit, sexual practice and lifestyle factors. European Journal of Clinical Nutrition, 2001. 55: p. 1022-1027.
  7. Baptiste, F., Drugs and diet among women street sex workers and injection drugs user in Quebec City. Candian Journal of Urban Research, 2009. 18(2): p. 78-95.
  8. Saeland, M., et al., High sugar consumption and poor nutrient intake among drug addicts in Oslo, Norway. Br J Nutr, 2011. 105(4): p. 618-24.
  9. Anema, A., et al., Hunger and associated harms among injection drug users in an urban Canadian setting. Substance Abuse Treatment, Prevention, and Policy, 2010. 5(20).
  10. Nazrul Islam, S.K., et al., Nutritional status of drug addicts undergoing detoxification: prevalence of malnutrition and influence of illicit drugs and lifestyle. Br J Nutr, 2002. 88(5): p. 507-13.
  11. Ross, L.J., et al., Prevalence of malnutrition and nutritional risk factors in patients undergoing alcohol and drug treatment. Nutrition, 2012. 28(7-8): p. 738-43.
  12. D., M., et al., Carbohydrate craving by alcohol-dependent men during sobriety: Relationship to nutrition and serotonergic function. Alcoholism: Clinical and Experimental Research, 2000. 24(5): p. 635-643.
  13. Kampov-Polevoy, A., J.C. Garbutt, and D. Janowsky, Evidence of preference for a high-concentation sucrose solution in alcoholic men. Am J Psychiatry, 1997. 154(2): p. 269-270.
  14. Krahn, D., et al., Sweet intake, sweet-liking, urges to eat, and weight change: relationship to alcohol dependence and abstinence. Addict Behav, 2006. 31(4): p. 622-31.
  15. Janowsky, D.S., O. Pucilowski, and M. Buyinza, Preference for higher sucrose concentrations in cocaine abusing-dependent patients. J Psychiatr Res, 2003. 37(1): p. 35-41.
  16. Hamamoto, D.T. and N.L. Rhodus, Methamphetamine abuse and dentistry. Oral Dis, 2009. 15(1): p. 27-37.
  17. Alves, D., et al., Housing and employment situation, body mass index and dietary habits of heroin addicts in methadone maintenance treatment. Heroin Addict Relat Clin Probl, 2011. 13(1): p. 11-14.
  18. Canan, F., et al., Eating disorders and food addiction in men with heroin use disorder: a controlled study. Eat Weight Disord, 2017.
  19. McDonald, E., Hedonic mechanisms for weight changes in medication assisted treatment for opioid addiction. 2017.
  20. Morabia, A., et al., Diet and opiate addiction: A quantitative assessment of the diet of non-institutionalized opiate addicts. British Journal of Addiction, 1989. 84: p. 173-180.
  21. Neale, J., et al., Eating patterns among heroin users: a qualitative study with implications for nutritional interventions. Addiction, 2012. 107(3): p. 635-41.
  22. Nolan, L.J. and L.M. Scagnelli, Preference for sweet foods and higher body mass index in patients being treated in long-term methadone maintenance. Subst Use Misuse, 2007. 42(10): p. 1555-66.
  23. Richardson, R.A. and K. Wiest, A Preliminary Study Examining Nutritional Risk Factors, Body Mass Index, and Treatment Retention in Opioid-Dependent Patients. J Behav Health Serv Res, 2015. 42(3): p. 401-8.
  24. Waddington, F., et al., Nutritional intake of opioid replacement therapy patients in community pharmacies: A pilot study. Nutrition & Dietetics, 2015. 72(3): p. 276-283.
  25. Zador, D., P.M. Lyons Wall, and I. Webster, High sugar intake in a group of women on methadone maintenance in South Western Sydney, Australia. Addiction, 1996. 91(7): p. 1053-1061.
  26. Baker, J.H., et al., Eating disorder symptomatology and substance use disorders: prevalence and shared risk in a population based twin sample. Int J Eat Disord, 2010. 43(7): p. 648-58.
  27. Buckholdt, K.E., et al., Emotion regulation difficultes and maladaptive behaviors: Examination of deliberate self-harm, disordered eating, and substance misuse in two samples. Cognitive Therapy and Research, 2015. 39: p. 140-152.
  28. Bulik, C.M., M. Slof, and P. Sullivan, Comorbidity of eating disorders and substance-related disorders. Medical Psychiatry, 2004. 27: p. 317-348.
  29. Calero-Elvira, A., et al., Meta-analysis on drugs in people with eating disorders. Eur Eat Disord Rev, 2009. 17(4): p. 243-59.
  30. Cohen, L.R., et al., Survey of eating disorder symptoms among women in treatment for substance abuse. Am J Addict, 2010. 19(3): p. 245-51.
  31. Courbasson, C.M., C. Rizea, and N. Weiskopf, Emotional Eating among Individuals with Concurrent Eating and Substance Use Disorders. International Journal of Mental Health and Addiction, 2008. 6(3): p. 378-388.
  32. Czarlinski, J.A., D.M. Aase, and L.A. Jason, Eating disorders, normative eating self-efficacy and body image self-efficacy: women in recovery homes. Eur Eat Disord Rev, 2012. 20(3): p. 190-5.
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FNCE 2017 Reflection

FNCE 2017 Thoughts and Recap

I have attended the Food and Nutrition Conference and Expo for the past several years. Traditionally I have attended as a representative of Dietitians for Professional Integrity, which is an advocacy group we formed back in 2013, to promote responsible and ethical sponsorship within the Academy of Nutrition and Dietetics. In 2016 I wrote a recap which highlights concerns around industry-sponsored continuing professional education (CPE) units for registered dietitian nutritionists (RDNs).  FNCE 2017 was a celebration of 100 years and this theme was certainly central at the event.

I was not planning to attend this year but was alerted that I had won an award, so felt an obligation to show up! My award was for “Excellence in Practice” for Addictions and was presented by the Behavioral Health Nutrition Dietetic Practice Group. The award was presented at a breakfast at 6:30am Monday morning. There was also awards given to an RDN for excellence in practice in eating disorders, mental health, and intellectual and developmental disabilities. We all had a few minutes to give a speech and received little plaques. It’s always great to be recognized for accomplishments.

On Monday I went to a session called “Food Fraud” which was about deception in our food supply. Fake honey, mislabeled seafood etc. The focus was on seafood since there is much fraud happening globally. There is a website with more info. On Monday I spent an hour wondering the expo floor. It has improved from previous years, but of course Monsanto and The Sugar Association were present. It didn’t upset me like it has in the past, and I did not take photos since it is no surprise to anyone that these companies are here. Monday afternoon I attended a talk called “Intolerance vs. Avoidance” which discussed the intersection between food allergies and eating disorders. A certified eating disorder registered dietitian discussed common concerns around food allergies with restrictive patients and those with “orthorexia nervosa” while an MD gave some background on testing for food allergies.

Tuesday I went to talk on “Nutritional Genomics” where the speakers summarized the latest advances in the intersection between genetics and nutrition. They discussed a website called 23 and Me where one can send in a spit sample to get personalized nutrition information. Unfortunately, the recommendations are pretty generic, but I am still curious and will request a kit! The closing keynote was a physicist (Dr. Michio Kaku) who discussed “The Future of the Mind” where he outlined current advances that could revolutionize healthcare. I was most impressed by the contact lens with a screen on it. Digitized healthcare definitely sounds intriguing, but much of what he described seems like a potential disaster for mental and spiritual health. Overall, my experience for FNCE 2017 was different this year. I was not at the event as an undercover journalist. Just another RDN trying to make a difference in people’s lives…

 

FNCE 2017

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