Diet Therapy with Celiac Disease, PKU, and Allergies Mary Helen Mays, Ph.D., MPH, MBA, RD NS335 Unit 9.

Mary Helen Mays, Ph.D., MPH, MBA, RD

NS335

Unit 9

It has been a pleasure to be your instructor over the past 9 weeks. I really mean this when I say it: NS 335 is my favorite class to teach. I hope that each of you can walk away from this class with new knowledge about nutrition therapy and the complex diseases we covered. I also hope that you all will stay in touch! I enjoy helping students with recommendation letters (grad school, jobs etc) as well as searching for jobs in the health field.

Please let me know if there is anything that I can do as an instructor to improve the quality of instruction. I wish you each the very best in your academic and professional endeavors.

Celiac Disease

Sensitivity to a flour protein (gluten)

Tends to run in families

www.advgastro.com/Celiac_Disease.htm

Symptoms of Celiac DiseaseDiarrheaSteatorrhea2-4 bowel movements dailyLoss of appetite and weightEmaciationFTT in children (bloated belly)

http://www.pigur.co.il/imgceliac/celiac.jpg

Diet Therapy with Celiac DiseaseThe basic principle of diet therapy for celiac

disease is to exclude all foods containing gluten-chiefly buckwheat, malt, oats, rye, barley, and wheat.

Table 25-1 and 25-2 for a sample food list and menu plan.

Patient Education

•Gluten-Free diet

•Gluten-Free specialty foods

•Nutritional needs

For more information…http://www.celiac.com/ some informationhttp://www.glutenfreemall.com/ Has cookbooks, self-help books, food productsCheck out your local health food/natural food

stores (Like Whole Foods, Trader Joes, etc)

Food AllergiesPrevalent in

childhood2-8% of

Americans has some form of food allergy

Food allergy versus food intolerance

Difficulties in Allergy ManagementEven a small amount of the allergy food can

cause a reactionSome patients allergic to one item at one

time are not at anotherSome react to an allergen only when they are

tired, frustrated, or emotionally upset.People can be allergic to almost any food

chemical

Let’s look up about some different allergiesCow’s Milk AllergyKola Nut ProductsEggsPeas / LegumesCitrus FruitsTomatoesWheat and other GrainsSpicesArtificial Food Colors

http://www.northvalleyallergy.com/_images/foodallergy_connectivity.jpg

Phenylketonuria (PKU)Phenylketonuria (PKU) is a genetic disorder in which a baby lacks or has very low levels of the

enzyme phenylalanine hydroxylase (PAH).www.webmd.com

Causes…

It’s inherited!Thanks Mom & Dad!

Symptoms…Symptoms usually develop within a few months

after birthEarly symptoms of PKU include a musty odor to

the skin, hair, and urine. Babies may lose weight from vomiting and frequent diarrhea, and may be irritable, have skin problems, and be sensitive to light.

If not treated the child can become severely mentally retarded.

DiagnosisThe Guthrie test –

involves analyzing the blood drawn from a child’s heel

46 states mandate that all newborns be screened for PKU. The remaining states practice voluntary screening.

Treatment Diet!!!!Infant formulas: LofenalacAge-Related:Analog, Maxamaid, MaximumSee Table 28-1Table 28-2 for 1 year olds suggested

phenylalanine, energy, and protein intakeExchange Lists for Young Children

developedTable 28-4 Has Menu Plan for 9 Month Old

http://depts.washington.edu/pku/essentials.html

For more information

www.pkunews.org

http://ghr.nlm.nih.gov/condition=phenylketonuria

www.pku.com

Great Information and some sample menus for older children