The Complete Guide to Nutrition in Primary Care / Edition 1

by Darwin Deen, Lisa Hark

Overview

The Complete Guide to Nutrition in Primary Care

Edited by
Darwin Deen, MD, MS
Lisa Hark, PhD, RD

Clinicians and patients agree that primary care office visits should include routine nutrition assessment and counseling. But how do you fit it into an already crowded consultation? And what is the most up-to-date advice?

With The Complete Guide to Nutrition in Primary Care, Drs. Deen and Hark provide the necessary tools. This comprehensive overview of nutrition answers your questions on:

• Nutrition as Preventive Medicine
• Nutrition through the Lifecycle
• Improving Health by Changing Diet and Lifestyle Behaviors
• Vitamins, Minerals, Dietary Supplements, and the Alternative
• Successful Changes to the Environment

This timely paperback contains everything the primary care clinician needs to counsel patients on diet and lifestyle issues. Keep it close at hand for the frequent consultation it is sure to receive.

Dr. Darwin Deen is one of the nation’s foremost authorities on nutrition. Currently Professor of Clinical, Family and Social Medicine and Director of Medical Student Education at the Albert Einstein College of Medicine in New York, he has trained a generation of physicians on the connection between nutrition and health. He has played a leading role in revising medical school curricula to incorporate nutrition training. An award-winning teacher and noted author, he serves as Chair of the Task Force on Medical Nutrition Education of the American College of Nutrition and co-chairs the Group on Nutrition of the Society of Teachers of Family Medicine. His years of experience as a family physician make him perfectly suited to advise clinicians on counseling their patients on diet and lifestyle.

Dr. Lisa Hark is a renowned family nutrition expert, with more than 20 years of experience in nutrition counseling and promoting the benefits of healthy eating in children and adults. As Director of the Nutrition Education Program at the University of Pennsylvania School of Medicine in Philadelphia, she developed a model medical school curriculum and textbook, Medical Nutrition and Disease, which has become one of the most widely used texts in nutrition education. She was given the Excellence in Medical/Dental Nutrition Education award from the American Society for Nutrition. Dr. Hark was also the host of the TV show, “Honey, We’re Killing the Kids,” which airs on TLC, and is a widely sought after speaker who communicates nutrition concepts effectively to health professionals, patients, and the media.

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Product Details

ISBN-13:	9781405104746
Publisher:	Wiley
Publication date:	07/10/2007
Edition description:	Twelfth ed.
Pages:	464
Product dimensions:	5.80(w) x 8.90(h) x 1.10(d)

About the Author

Dr. Darwin Deen is one of the nation's foremost authorities on nutrition. Currently Professor of Clinical, Family and Social Medicine and Director of Medical Student Education at the Albert Einstein College of Medicine in New York, he has trained a generation of physicians on the connection between nutrition and health. He has played a leading role in revising medical school curricula to incorporate nutrition training. An award-winning teacher and noted author, he serves as Chair of the Task Force on Medical Nutrition Education of the American College of Nutrition and co-chairs the Group on Nutrition of the Society of Teachers of Family Medicine. His years of experience as a family physician make him perfectly suited to advise clinicians on counseling their patients on diet and lifestyle.

Dr. Lisa Hark is a renowned family nutrition expert, with more than 20 years of experience in nutrition counseling and promoting the benefits of healthy eating in children and adults. As Director of the Nutrition Education Program at the University of Pennsylvania School of Medicine in Philadelphia, she developed a model medical school curriculum and textbook, Medical Nutrition and Disease, which has become one of the most widely used texts in nutrition education. She was given the Excellence in Medical/Dental Nutrition Education award from the American Society for Nutrition. Dr. Hark was also the host of the TV show, "Honey, We're Killing the Kids," which airs on TLC, and is a widely sought after speaker who communicates nutrition concepts effectively to health professionals, patients, and the media.

Table of Contents

Editors vii

Contributors viii

Preface xi

Section 1 Nutrition as preventive medicine

1 Nutrition and the primary care clinician 3
Darwin Deen and Katherine Margo

2 Changing the office culture to make it work 15
Arlo Kahn and Jane White

3 Methods of weight control 31
Cathy Nonas, Jennifer Williams, and Valentine J Burroughs

Section 2 Nutrition through the life-cycle

4 Growing up healthy 57
Susan Konek and Diane Barsky

5 Feeding the mother-to-be 85
James M Nicholson, Catherine Sullivan and Morghan B Holt

6 Staying healthy in later life 109
Connie Watkins Bales and Heidi K White

Section 3 Improving health by changing diet and lifestyle behaviors

7 Dyslipidemia, hypertension and metabolic syndrome 135
Frances Burke and Philippe Szapary

8 Diabetes, pre-diabetes and hypoglycemia 161
Marion J Franz and Richard Wender

9 Gastrointestinal disorders 179
Marianne Aloupis and Thomas Faust

10 Everything else 201
Marion Vetter and Katherine Chauncey

Section 4 Vitamins, minerals, supplements and alternative nutrition

11 Vitamins 223
Randee Silverman and Jeremy Brauer

12 Minerals 249
Randee Silverman and Jeremy Brauer

13 Dietary and nutritional supplements 275
Joel S Edman and Elizabeth Horvitz

14 Considering the alternatives 293
Benjamin Kligler, Joel S Edman and Mary Beth Augustine

Section 5 Successful changes to the environment

15 It’s all about changing behaviors 311
Darwin Deen and Alice Fornari

16 Community counts 327
Kathryn M Kolasa

17 Cultural considerations 341
Kim M Gans and Charles B Eaton

Appendices 365

Review questions 385

Review answers 428

Index 435

What People are Saying About This

From the Publisher

"Due for release in July, this guide arms health professionals and consumers with nutritional information for preventing obesity-related diseases. Essential for expanding knowledge and research into preventative medicine." Optimum Nutrition, Summer 2007

“The authors note…the unique contributions that registered dietitians can make in the…prevention and management of chronic disease.”
Doodys Review

Editorial Reviews

Reviewer: Kristina L Penniston, PhD, RD (University of Wisconsin School of Medicine and Public Health)
Description: In this book, the authors bring to bear their collective experience in educating clinicians about the importance of nutrition for preventing and managing disease. The book is unique in that it not only provides factual and scientifically sound nutrition information but also strategies to incorporate nutrition therapy into practice. Appendixes list food sources of many of nutrients that are most often deficient in the diet, a section contains review questions, and a good index competes the book.
Purpose: Designed as a reference, the purpose of the book is to serve as a common-sense nutrition resource for practicing clinicians. Given that nutrition education of non-nutrition clinicians is minimal at best, the book is much needed.
Audience: It is written for medical professionals of all types. The authors are a credible team as Dr. Deen has long been involved in training physicians on nutrition and health and Dr. Hark, a registered dietitian, has extensive experience in nutrition counseling.
Features: Specific sections on the most common diseases, such as cardiovascular disease, diabetes, GI disorders, as well as on less common diseases, provide essential nutrition information. Unique feature are the additional sections devoted to implementing structural changes in the primary care setting to include nutrition screening and assessment. While information on vitamins, minerals, and even basic nutrition therapy for patients with various diseases is available in many other books, the authors here make a unique contribution by going further and providing primary care practitioners with practical information about such things as reimbursement for nutrition-related problems, medical coding, assessing patients' barriers to adherence to nutrition therapy, prioritizing nutrition interventions, and specific suggestions for helping patients change their behaviors. Additionally, the chapter on supplements and alternative nutrition therapies provides a useful starting point for practitioners who may wish to learn more about such therapies.
Assessment: This book should find a place on the shelves of primary care clinicians who take nutrition seriously. While the authors provide encouragement to clinicians to conduct nutrition screening and assessment of their patients, they also note the unique contributions that registered dietitians can make in the provision of medical nutrition therapy for prevention and management of chronic disease.

Doody's Review Service

This work is intended for practicing primary physicians,nurses, and those going into these fields. It is meant as a generaloverview for those who need to include a routine nutritionassessment into their patients' visits. It would be a welcomeaddition in health care collections.” (American ReferenceBooks Annual, Vol. 39 (2008))

"Due for release in July, this guide arms health professionalsand consumers with nutritional information for preventingobesity-related diseases. Essential for expanding knowledge andresearch into preventative medicine." (Optimum Nutrition, Summer2007)

“The authors note…the unique contributions thatregistered dietitians can make in the…prevention andmanagement of chronic disease.”
(Doodys Review)

From the Publisher