This book contains the necessary knowledge and tools to incorporate nutrition into primary care practice. As a practical matter, this effort is led by a dedicated primary care physician with the help of motivated registered dietitians, nurses, psychologists, physical therapists, and office staff whether within a known practice or by referral to the community. It is essential that the nutrition prescription provided by the physician be as efficient as possible. While many team members have superior knowledge in the areas of nutrition, exercise, and psychology, the health practitioner remains the focus of patient confidence in a therapy plan. Therefore, the endorsement of the plan rather than the implementation of the plan is the most important task of the physician.
This book proposes a significant change in attitude of primary health care providers in terms of the power of nutrition in prevention and treatment of common disease. It features detailed and referenced information on the role of nutrition in the most common conditions encountered in primary care practice. In the past, treatment focused primarily on drugs and surgery for the treatment of disease with nutrition as an afterthought. Advanced technologies and drugs are effective for the treatment of acute disease, but many of the most common diseases such as heart disease, diabetes, and cancer are not preventable with drugs and surgery. While there is mention of prevention of heart disease, this largely relates to the use of statins with some modest discussion of a healthy diet. Similarly, prevention of type 2 diabetes is the early introduction of metformin or intensive insulin therapy.
This informative manual is aimed at primary care professionalsâ€”specifically physiciansâ€”who understand the need to incorporate food and nutrition recommendations into patient care yet require guidance that is not readily available from reputable sources. Heber and Li, practicing and research physicians with UCLA's David Geffen School of Medicine, make the case that nutritional guidance is vitally relevant to the physician's realm of care. They discuss how to supplement drugs and surgery with the endorsement of personalized nutrition prescriptions that identify dietary, resistance exercise, and behavior change recommendations to prevent and treat common chronic diseases. Included in the discussion of nutrition-related conditions are topics such as the immune system, gastrointestinal disorders, eating disorders, obesity, diabetes, fatty liver disease, lipid disorders, heart disease and heart failure, hypertension, renal disease, pulmonary function and asthma, elder care, neurodegenerative disorders and cognitive impairment, gene-nutrient interactions, and cancer. Each evidence-based chapter is succinct yet well-referenced.
--A. P. Boyar, CUNY Herbert H. Lehman College
Chapter 1 Incorporating Nutrition into the Primary Care Practice
Chapter 2 Personalization of Nutrition Advice
Chapter 3 Nutrition and the Immune System
Chapter 4 Nutrition and Gastrointestinal Disorders
Chapter 5 Approach to the Overweight and Obese Patient: The Elephant in the Room
Chapter 6 Evolution of Type 2 Diabetes Mellitus
Chapter 7 Managing Diabetes without Weight Gain
Chapter 8 Fatty Liver Disease
Chapter 9 Lipid Disorders and Management
Chapter 10 Nutrition and Coronary Artery Disease
Chapter 11 Hypertension and Obesity
Chapter 12 Nutrition, Chronic Kidney Disease, and Kidney Failure
Chapter 13 Nutrition and Heart Failure
Chapter 14 Pulmonary Function, Asthma, and Obesity
Chapter 15 Frailty, Nutrition, and the Elderly
Chapter 16 Nutrition in Neurodegenerative Disorders and Cognitive Impairment
Chapter 17 Gene–Nutrient Interaction
Chapter 18 Nutrition and the Risk of Common Forms of Cancer
Chapter 19 Nutrition and the Cancer Patient
Chapter 20 Writing the Nutrition Prescription