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Laurie K. Mischley – Food for Thought: Diet & Nutrition in PD (2016)

Food for Thought – Diet & Nutrition in PD
[1 Webrip – MP4, 1 ebook – pdf]

Description

The pdf is slides from the video presentation.Some highlights from the video:About 18 minutes in: exercise discussion starts–first day or two of exercise (30 minutes a day) have little impact but then each day of additional exercise correlates to significantly slower disease progression. Someone exercising 30 minutes, 7 days a week could have a better quality of life 10 years after diagnosis than at time of diagnosis.About 20:30 – people who do yoga are almost 3x more likely to say their disease has reversed in the past 3 months than those practicing any other form of exercise.About 24 minutes in – Glutathione deficiency correlates to Parkinson’s progression.28:55 – social connection is an essential part of treatment (answering “I am lonely” to a survey question was single biggest predictor of poor disease progression). Support groups, whether in connection with group exercise or not, are important!About 36 minutes in – take Omega 3 fatty acids to ward off dementia; once you have dementia, the fish oil doesn’t do much good.36:45 – fish oil helps with dyskinesia, too.37:45 – high homocysteine levels are unbelievably important to everyone – higher levels correlate to dementia, and levodopa increases homocysteine levels; blood work needs to be checked annually, and levels can be reduced with inexpensive supplements.This pragmatic, natural history study offers the first evidence-base for prescribing lifestyle modification (beyond exercise) to patients with PD. The foods shown here to be associated with slower PD progression are common to the Mediterranean diet and support an existing body of literature. Whether iron, beef, dairy, fried foods, diet soda, or canned goods provide environmental insults that accelerate disease progression warrants immediate attention; until further research is conducted, minimizing exposure to these foods is justified.Because weight loss commonly occurs as the disease progresses, any suggestion that patients avoid foods increases the risk of restricting calories and contributing to malnutrition. Patients should be counseled on alternative sources of protein (e.g., beans, nuts, and seeds) and calcium (e.g., almonds, green leafy vegetables, and tofu).Fish oil supplementation is warranted in individuals with a diagnosis of PD and justified based on biological plausibility and the clinical epidemiological data. As fish oil supplements are sold over the counter, there is a tremendous amount of diversity in both content of EPA and DHA, as well as in quality (e.g., presence of contaminants), whereas providers should familiarize themselves with available products and recommend buying from companies that perform analysis on stability, purity, and potency. Consumption of non-fried oily fish, such as herring, sardines, mackerel, and salmon should be encouraged. Because the association between coenzyme Q10 and PD progression was no longer significant after adjusting for income, more research needs to be done before recommending patients to start supplementing coenzyme Q10.Health care providers should routinely review patients’ supplement lists and ensure that the only patients taking iron are those with iron-deficiency anemia being treated under medical supervision. Because iron is commonly added to multivitamins, men and non-menstruating women should not take a multivitamin containing iron, unless recommended by their physician.Source: http://www.parkinson.bc.ca/

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