Objectives You will be able to 1. State the benefits of using an Integrative Nutrition Model 2. Describe the five key areas that impact, and are impacted by, the biological information that food, nutrients, and herbs provide. 3. Review case examples The Common Condition Our Integrative Center 4 Pillars of Wellness Take a Trip to the Moon What does it mean? collaborative Integrative little bit of “everything” Integrative Nutrition Optimal Wellness Disease Prevention Disease Treatment No deficiency Integrative Nutrition Evidence-based Collaborative Compassionate Holistic Personalized What about Functional? What is “functional nutrition?” IFM’s Functional Medicine Tree http://www.functionalmedicine.org/getstarted/resources/ What is Functional Medicine/Nutrition? Functional Medicine addresses the underlying causes of disease using a systems-oriented approach not just treating symptoms engages both patient and practitioner in a therapeutic partnership involves understanding the origins, prevention, and treatment of complex, chronic disease. Hallmarks of a functional approach include: Patient-centered care. Promotes health as a positive vitality; not just the absence of disease. Listen to the patient’s story, tailors treatments that address the individual’s unique needs. An integrative, science-based healthcare approach Look “upstream” to consider the patient’s history, physiology, and lifestyle that can lead to illness. Consider the unique genetic makeup of each patient, along with both internal (mind, body, and spirit) and external (physical and social environment) factors that affect total functioning. Integrating best medical practices. Traditional Western medical practices “alternative” or “integrative” medicine, creating a focus on prevention through nutrition, diet, and exercise use of the latest laboratory testing and other diagnostic techniques prescribed combinations of drugs and/or botanical medicines, supplements, therapeutic diets, detoxification programs, or stress-management techniques. Reference: http://www.functionalmedicine.org/about/whatisfm/ Nutrition is a critical component of Integrative and Functional Medicine! Nutrition = a key part of prevention and a key part of therapy Research is exploding in areas that link food, nutrients, herbs, nutrigenomics, and prevention and treatment of chronic conditions and disease states. Consumer demand for more natural approaches to optimizing health, and a more holistic, personcentered and collaborative team management is driving the need for RDs to be skilled providers in Integrative Nutrition. What differentiates an DIFM-RD? Employs a systems assessment of a person’s biochemical individuality to develop a nutrition care plan Includes information from emerging sciences such as nutritional genomics Recognizes Client uniqueness Focuses on addressing the root cause of disease and preventive care Strives to help the client achieve optimal health, not just the absence of disease “Food as Medicine” whole foods therapies targeted supplements and mind/body modalities…. and is based firmly in the Integrative Medicine model. Let’s learn about functional nutrition. Chronic Pain Nutrition – Foundational Eating Plan – Anti-Inflammatory Function – Tart Cherry Juice, Salmon, Avocado, Flaxseed Supplementation – Boswelia, Fish Oil, Turmeric Adjunctive – Dry Needling, Yoga, Mindfulness Therapy, Neurac, Graston Testing – HS-CRP, Cortisol, ESR GI Issues Nutrition – Foundational Eating Plan – Elimination/Immune Health Plan Function – Kombucha, Kimchi, Miso, Artichokes, Greek Yogurt Supplementation – Probiotics, DGL, Aloe, Marshmallow Root, L-Glutamine Adjunctive – MBSR, Somatic Education, Massage, Yoga Testing – SIBO, Food Sensitivities, HS-CRP Obesity or Diabesity Nutrition – Foundational Eating Plan – Hi Protein and Clean Foods Function – Ceylon Cinnamon, Green Tea Supplementation – Fenugreek, Multiple Vitamin, Alpha Lipoic Acid, Adjunctive – Exercise, Yoga/Meditation Testing – Insulin Response Test, TSH, Vitamin D Sports Specific Nutrition – Foundational Eating Plan – Individualized Fueling and Hydration Protocol Function – Crystalized Ginger Supplementation – Probiotics, DGL, Aloe, Marshmallow Root, L-Glutamine Adjunctive – MBSR, Somatic Education, Massage, Yoga Testing – SpectraCell Micronutrient Test, VO2 Max Depression Nutrition – Foundational Eating Plan – Tryptophan Rich Complex Carbs w. Protein Function – Salmon, Avocado, Pumpkin Seeds, Black Berries, Saffron Supplementation – SAMe, 5-HTP, B12, Vitamin D, Probiotics, Fish Oil Adjunctive – Psychotherapy, Yoga, Neurac, Somatic Education, Exercise Testing – Vitamin B12, Vitamin D, TSH, Iron Resources Institute for Functional Medicine. Center for Mind Body Medicine Jeffery Bland, MD and Mark Hyman, MD James Gordon, MD Dietitians in Integrative Functional Medicine Kathie Madona Swift, MS, RD Arizona Center for Integrative Medicine – University of Arizona (Integrative Medicine Fellowships) Food as Medicine Conference