ENews Optimum Nutrition APRIL 2011 Sensible Sustainability nEWS VITAMIN D NEWS VITAMIN B12 DEFICIENCY LINKED TO UNEXPLAINED CHRONIC COUGH ION CONFERENCE EAT MORE PROTEIN WITHOUT MORE MEAT: THE TOP 10 NON-ANIMAL SOURCES BooK REVIEW – THE JUICE DIET CoVER StoRy SENSIBLE SUSTAINABILITY SCIEntIFIC MontHly MILK PROCESSING RECIPES SPROUTING RECIPES AND RECIPES TO HELP FERTILITY CASE StUDy IBS 1 | OPTIMUM NUTRITION ENEWS |APRIl 2011 | ISSUE 3 A WORD ENEWS team from the Dear Reader, Welcome to the April issue of Optimum Nutrition ENews. You may have noticed our new logo on the front cover. We are in the process of rebranding and modernising our image. Some of you may have seen it on our posters at the Vitality Show or other communications from us. The website is still under construction but will have new features to enhance your ION experience. We will also be launching a new Membership scheme, so do keep an eye out for news releases. As part of the changes we are delighted to announce the Institute for Optimum Nutrition 2011 Conference: New Beginnings, The Nutritional Needs of Procreation on 18th June 2011, an event not to be missed as this will be part of an ongoing series to update your knowledge. Please see page 4 for more details. We have also secured a special deal with Bonusan for ION graduates. You can have a £100 discount to attend their two day seminar on Introduction to Clinical Psychoneuroimmunology. This will serve as a very good introduction to the Post-Graduate Diploma in Clinical which starts in September. We highly recommend the Diploma course for those who want to add a further dimension to their practice. See page 14 for details. In this issue, Gail Wilson DipION, in our cover story, looks at sustainable food, what it means and how to achieve sustainability. She also provides some highlights from an interview with Stephanie Wood, Campaign Director of the charity School Food Matters, which promotes healthy eating along with growing, cooking and sustainable food in schools. In her second of three Scientific Reviews on milk, Claire Braysher DipION reviews research into the processing of milk and the implications on health. ION’s Monika Tratnik shares the health benefits of sprouting and provides some practical tips and recipes. As April is National IBS Awareness Month and IBS is a common digestive problem amongst children, Alison Peacham DipION shares a case study from the ION Children’s Clinic. Vitamin D News Vitamin B12 Deficiency linked to unexplained chronic cough Nutri Seminars – Effective, Clinically Proven Approaches & the Latest Research in Detoxification – various dates in May 04 ION Conference – 18th June 2011 05 Eat MORE Protein Without MORE Meat: The top 10 non-animal sources by Ian Marber DipION (as published in the Mail on Sunday) 07 Calling ION Graduates! 08 BOOK REVIEW – The Juice Diet by Christine Bailey 09 COVER STORY: Sensible Sustainability By Gail Wilson 12 ION Workshop – ‘How to’ of healthy weaning – 5th May 2011 APRIL 2011 | ISSUE 3 Editor Gail Wilson dipION Contributors Gail Wilson dipION (Cover Story & Book Review) Ian Marber dipION Claire Braysher dipION (Scientific Monthly) Alison Peacham dipION (Case Study) Monika Tratnik (Recipes) Design Finally, we would like to draw your attention to our next workshops and CPD events, details of which are advertised in this issue and on our website at www. ion.ac.uk/cpdseminars.htm. Jonathan Phillips jon@toccatadesign.com We hope you enjoy this issue and wish you the best of health, Subscriptions the ENEWS Team If you like what you read and you are interested in writing for us, then we would like to hear from you. You can drop us an email at onenews@ion. ac.uk and we will get back to you with further information. In this issue... 03 NEWS ENews Optimum Nutrition 13 ION Open Day – 21st May 14 Bonusan 2 Day Course – Introduction to Clinical Psychoneuroimmunology – 8th & 9th June 2011 15 SCIENTIFIC MONTHLY Milk Processing – homogenisation and pasteurisation by Claire Braysher 18 ION seminar –‘Parkinson’s Disease: Specialised Nutritional Management’ – 12th May 2011 19 RECIPE SPOTLIGHT Sprouting Recipes by Monika Tratnik 22 ION Seminar – Cancer Signs and Natural Approaches 23 ION Home Study Course 24 SUCCESS STORIES: IBS by Alison Peacham DipION 26 The ION Clinic 2 | OPTIMUM NUTRITION ENEWS | APRIl 2011 Gail Wilson 020 8614 9052 gail.wilson@ion.ac.uk General Enquiries onenews@ion.ac.uk Optimum Nutrition monthly is provided by the Institute for Optimum Nutrition. The editorial expressed in this title are not necessarily those of the publisher. ION does not recommend or guarantee third-party products advertised or mentioned in this newsletter. Errors or omissions are in no way the responsibility of ION. Information is correct at the time of distribution. ION advises that you consult a health professional (e.g. nutritional therapist, GP) before embarking on a nutritional regime. The Institute for Optimum Nutrition, Avalon House, 72 Lower Mortlake Road, Richmond, Surrey, TW9 2JY. Company No. 2724405 Registered Charity No.1013084 NEWS Vitamin D3 more potent than vitamin D2? There has been much research into the efficacy of vitamin D2 and vitamin D3, both of which are available in supplement form. In 2008, Holick MF et al. found vitamin D2 to be as effective as D3 at maintaining circulating levels if 25-hydroxyvitamin D, 25(OH)D, a measure of vitamin D status. All be it on a very small scale of 33 healthy adults, a recently published single-blind randomised trial in the Journal of Clinical Endocrinology & Metabolism showed vitamin D3 to be of more benefit. The subjects were given 500IU of either vitamin D2 or D3 for 12 weeks and the results showed that vitamin D3 was approximately 87% more potent at raising and maintaining 25-hydroxyvitamin D. Vitamin D3 also raised subcutaneous fat of vitamin D3 nearly threefold higher than with vitamin D3 and increased storage compared to vitamin D2. Reference: Heaney RP et al (2010) Vitamin D3 is more potent than vitamin D2 in humans. Journal of Clinical Endocrinology & Metabolism. doi:10.1210/jc.2010-2230 Vitamin D deficiency is associated with higher allergy risk UltraClear Plus pH EFFECTIVE, CLINICALLY PROVEN APPROACHES & THE LATEST RESEARCH IN DETOXIFICATION Presented by Sarah Gill BSc DO YOU SEE PATIENTS WITH THE FOLLOWING SYMPTOMS? Come along to this hands-on lecture to find out how to support their detoxification pathways: • Low energy / fatigue • Weight gain • Mood swings • Irritability • Depression • Dermatitis • Hypo/hyperglycaemia • Premature aging • Allergic symptoms • Hormonal imbalances • Digestive dysfunction • Grey shadows under the eyes • Increased allergic reactions or intolerance Belfast – Tuesday 10th May 6-8pm – S0311 Edinburgh – Wednesday 11th May 6-8pm – S0411 Manchester – Tuesday 17th May 6-8pm – S0511 Bristol – Wednesday 18th May 6-8pm – S0611 London – Thursday 19th May 6-8pm – S0711 Places at these events are limited and at just £25 are bound to sell quickly. Book early to secure your place. Simply call our dedicated seminar team on freephone 0800 634 0276. Students receive 20% discount. 3 | OPTIMUM NUTRITION ENEWS | April 2011 In the past few months we have highlighted the many benefits of vitamin D, particularly for immunity and bone health. Now, results from the US National Health and Nutrition Examination Survey 2005-2006, published in the Journal of Allergy and Clinical Immunology, show increased allergic sensitisation to environmental and food allergens in children and adolescents with vitamin D deficiency. Vitamin D levels of less than 15 ng/mL were associated with peanut, ragweed and oak allergies. The Vitamin D Council states that levels should be above 50 ng/mL. The authors concluded that vitamin D deficiency is associated with higher levels of IgE (a protein made in response to allergens by the immune system) sensitization in children and adolescents. Reference: Sharief S et al (2011) Vitamin D levels and food and environmental allergies in the United States: Results from the National Health and Nutrition Examination Survey 2005-2006. The Journal of Allergy and Clinical Immunology. doi:10.1016/j.jaci.2011.01.017 New Beginnings The Nutritional Needs of Procreation Conference 2011 Saturday 18th June 2011 HALLAM CONFERENCE CENTRE 44 HALLAM STREET, LONDON W1W 6JJ Tickets are now on sale for the Institute for Optimum Nutrition 2011 conference, an event not to be missed. The focus of the conference is the nutritional needs of creating life, from pre-conceptual care through to breast-feeding. The rich and exciting programme includes a wide range of highly respected speakers, each selected to present the latest research and findings in their specialist fields. If you are a Nutritional Therapist, complementary practitioner or just interested in the nutritional needs of procreation, then call now to book your place. of tage FFER n a v O ad Take LY BIRD ore f AR be our E nd book 2011 a May 20th As places are selling fast, make sure you take advantage of the Early Bird Offer to ensure you don’t miss out on this major event! Early Bird Offer before 20th May 2011 Bookings after 20th May 2011 ION members/students £89 £99 £79 Programme Starting at the Beginning Nutrition and Pregnancy Folic Acid – an update Obesity, Fertility and Pregnancy EFAs and Gene Expression The Need for Probiotics Maternal Nutrition and the HPA axis Postnatal Depression Case Studies 4 | OPTIMUMFor NUTRITION ENEWS | Aprilplease 2011 further information, Belinda Barnes, Foresight Prof. David Barker Gill Yaz, ASBAH Lowri Turner DipION Prof. Michael Crawford Dr. Nigel Plummer Dr. Tom Fox Alex Rock DipION Nicola Moore DipION, Alison Peacham DipION, Lisa Patient DipION call 020 8614 7800 or visit www.ion.ac.uk Eat MORE protein without MORE meat By Ian Marber DipION, The Food DoctorTM Since the nineties, interest in raw nutrition has been on an impressive increase. The raw food products have been taking over a serious part of shelves in health food shops. T he following article was originally published in the Mail on Sunday online on 13th March 2011. There was this chap, Stanley Green – you might have heard of him – who trudged the West End of London for more than two decades carrying a placard that advocated Less Lust From Less Protein. as incomplete. All animal proteins are complete, but there are alternatives. Here I outline my top 10 non-meat sources that I recommend to patients. A typical portion or serving is 3oz (80g). His wacky theory, outlined in the booklet he sold, was that protein made people aggressive. Stanley died in 1993, and his placard is now in the Museum of London. But it seems his argument lives on. QUINOA Now available from most supermarkets, quinoa is a wholegrain that is a good source of protein and is rich in fibre, too. Unusually for a grain, quinoa offers an impressive 13 per cent of complete protein. Last month the Government announced new health guidelines that we should all eat no more than 1lb of red meat a week, due to cancer risks. That’s about one 8oz steak and two pork chops. Critics rightly voiced concerns that this would mean many of us would not be getting the protein the human body needs for growth and maintenance. The Food Standard Agency currently recommends that around 15 per cent of our daily diet should be proteincontaining foods. So how do we make up the shortfall without eating more meat? Well, for a start, don’t ditch your weekly steak. Just add some of the wide range of non-animal sources of this vital nutrient. Proteins are broken down in the stomach to provide amino acids, which in turn do everything from forming skin, organs, blood cells, and the immune system, to creating hormones and neurotransmitters. There are 23 different types of amino acid, found in all foods. Eight of these, known as essential amino acids, must be obtained from food. The body breaks these down to manufacture the remaining 15, which are called nonessential. The protein containing foods that provide essential aminos are known as complete proteins, and the others 5 | OPTIMUM NUTRITION ENEWS | APRIl 2011 When buying uncooked, simmer in water like you would with rice – adding some vegetable or chicken stock enhances the nutty flavour. Quinoa can also be found ready-cooked, making an excellent fast food. Just two and a quarter portions contains a chicken fillet’s worth of protein. AVOCADO Avocado is two per cent complete protein and it also contains fibre, which aids healthy digestion Unusually for a fruit, avocado does contain protein as well as carbohydrates and omega 6 essential fats, which can help reduce low-density lipoprotein, the unwanted type of blood cholesterol. Avocado is two per cent complete protein – only a little less than whole milk – and it also contains fibre, which aids healthy digestion. In terms of protein content, 15 avocados equal one chicken fillet. Eat MORE protein without MORE meat COCONUT (MILK AND FRESH) PEAS Fresh or frozen, peas are rich in fibre, Vitamin K and minerals as well as Vitamin C. The protein content is about five per cent, and as peas aren’t a complete protein, combine them with chick peas or brown rice, or top with grated cheese to get the whole range of amino acids. Most often associated with Asian food, coconut is a complete protein but is also rich in fibre. Be careful of the fat content as coconut flesh is high in saturated fat. Use the milk or grate flesh over rice or make a Thai curry with peas and rice. Nine servings equals one chicken fillet. BROWN RICE CHICK PEAS Brown rice is a wholegrain that is rich in minerals as well as a high-fibre food which gives it a low score on the glycaemic index. Low in fat and yet high in protein, chick peas are a great addition to the diet. They are inexpensive, too, so make a nutritious low-cost alternative to poultry and meat. Chick peas are 23 per cent protein, but aren’t complete, so mix with another bean, some rice or, as in houmous, some sesame seeds. It contains around 2.5 per cent protein. Not complete, so combine brown rice with other incomplete proteins to offer all the essential amino acids. MISO SOUP Made from fermented soya beans, miso soup is a traditional Japanese food. Soya beans contain isoflavones that can help reduce overall cholesterol and also combat hypertension, and offer more than 12 per cent complete protein. Miso also contains probiotics similar to those that are found in live yogurt, so can help combat bloating and improve digestion. Three bowls equals one chicken fillet. PEANUT BUTTER Peanuts contain resveratrol, the same antioxidant found in red wine, which helps protect the heart Peanut butter is 28 per cent protein, and contains monounsaturated fats which can offer some degree of protection against cardiovascular disease. Peanuts also contain resveratrol, the same antioxidant found in red wine, and protective of heart health. It is an incomplete protein. 6 | OPTIMUM NUTRITION ENEWS | APRIl 2011 BEETROOT Beetroot is low in calories and rich in several antioxidants, including betanin, which has anti-inflammatory properties and promotes efficient liver function. It is a complete protein and so useful to add to other protein foods. Six small beetroots equal one chicken fillet. three per cent complete protein. OATS These are just under three per cent complete protein. Oats are also rich in betaglucans which have been shown to reduce overall cholesterol levels. Oats are rich in manganese and a good source of selenium, both potent antioxidants. Oats have a low score on the glycaemic index and can help keep you feeling fuller for longer. Eleven servings equal one chicken fillet. www.thefooddoctor.com Calling ION graduates! ION is keen to strengthen its network of graduates and improve good practice, the flow of knowledge, research and publishing. Would you like to write in one of our publications? We always like to hear from talented writers who wish to share their knowledge and recent research. Would you like to present one of our short courses or workshops or Taste of Optimum Nutrition Days? As you know, we are continuing to build our programme of CPD events and short courses throughout this year (see http:// www.ion.ac.uk/cpdseminars.htm for more details). We are interested in hearing from enthusiastic, actively practicing Nutritional Therapists with ideas for presentations to both members of the public and other practitioners. We are also offering A Taste of Optimum Nutrition days, the aim of which will be to inform the public about ION and its services and courses, as well as educating them about the importance of nutrition. We also wish to promote our graduates so we would like to give ION graduates the opportunity to talk at these events about the role of nutrition in general and their career, present a short workshop or case studies and promote their business. Initially, these events will be held at ION, with a view to extending them further if possible. Do you have any feedback on our CPD events? We would also really appreciate any feedback on the topics we are already covering and any requests for areas in which you would like to update your knowledge. If you are interested in presenting, writing or have any feedback or requests please do get in touch by sending an email to onenews@ion.ac.uk more information, 7 |For OPTIMUM NUTRITION email ENEWSinfo@ion.ac.uk | APRIL 2011 or visit www.ion.ac.uk Many thanks! BOOK REVIEW by Gail Wilson The Juice Diet by Christine Bailey (ISBN 978-1844839483) You may recognise the name Christine Bailey from some of the delicious recipes she has provided for ENews over the last few months. The Juice Diet contains 100 nutritious, colourful and delicious recipes to awaken your taste buds. The book gives clear menu plans for different durations from a weekend plan to a week plan and a maintenance plan, as well as juices for beauty, power juices for people wishing to improve energy levels and immunity juices. Combinations of vegetables and green foods as well as fruits are used and concise details given of the nutritional benefits of the juices. After the indulgences of Christmas and New Year and being impressed by my colleagues following a three week raw food diet, I decided it would be a good time to try to invigorate myself and so embarked on a juice diet. I must say that I do love juices and the way they make me feel in general so thought this would be an easy “challenge” for me. On completing the quiz, which guides you to the right plan for you and, having been run down over the winter months, I decided to do a weekend juice diet. Doing the weekend juice diet made me realise that I had become a little lazy in terms of making juices at home. It did require planning to buy all the ingredients but buying the lovely fresh produce is never a chore as far as I’m concerned. My hunger was kept at bay by just having a juice for breakfast and by the end of the plan (which I actually did during the week rather than the weekend due to social commitments), I certainly felt lighter, cleaner and less sluggish. 8 | OPTIMUM NUTRITION ENEWS | April 2011 COVER STORY Sensible Sustainability by Gail Wilson DipION With increasing concern for the environment, our health and for animal welfare, the term sustainable food seems to have become very fashionable. More restaurants and shops are providing so called sustainable produce but how do we go about ensuring we consume sustainably? ION is very keen to promote a sustainable lifestyle, including sustainable food. But what does this mean? It is really about rethinking the food we consume, where it comes from and the impact it has on the environment. In this article, we lead you through the principles of sustainable food and also give some highlights of an interview with Stephanie Wood, Campaign Director of the charity School Food Matters. The working definition used by Sustain, the alliance for better health and farming, is that sustainable food should be produced, processed and traded in ways that: contribute to thriving local economies and sustainable livelihoods – both in the UK and, in the case of imported products, in producer countries; protect the diversity of both plants and animals (and the welfare of farmed and wild species), and avoid damaging natural resources and contributing to climate change; provide social benefits, such as good quality food, safe and healthy products, and educational opportunities.1 Surely this is a sensible way of living but how can we put this into practice? Again, Sustain gives some suggestions by defining the following seven principles of sustainable food: 9 | OPTIMUM NUTRITION ENEWS | APRIl 2011 Use local, seasonally available ingredients as standard, to minimise energy used in food production, transport and storage. (Click here to see our article on the benefits of seasonal eating in the October 2009 issue of ENews) – link to: http://www. ion.ac.uk/on_enews/issue_10_nov_09.pdf Specify food from farming systems that minimise harm to the environment, such as certified organic produce. Limit foods of animal origin (meat, dairy products and eggs) served, as livestock farming is one of the most significant contributors to climate change, and promote meals rich in fruit, vegetables, pulses, wholegrains and nuts. Ensure that meat, dairy products and eggs are produced to high environmental and animal welfare standards. Exclude fish species identified as most ‘at risk’ by the Marine Conservation Society, and choose fish only from sustainable sources – such as those accredited by the Marine Stewardship Council. Choose Fairtrade-certified products for foods and drinks imported from poorer countries, to ensure a fair deal for disadvantaged producers. Avoid bottled water and instead serve plain or filtered tap water in reusable jugs or bottles, to minimise transport and packaging waste. Promote health and well-being by cooking with generous portions of vegetables, fruit and starchy staples like wholegrains, cutting down on salt, fats and oils, and cutting out artificial additives. 2 COVER STORY Sensible Sustainability Bringing up children with these principles in mind is quite a challenge. We have asked for some answers... Stephanie Wood from School Food Matters (SFM) kindly took time to talk to ENews about its work, achievements and challenges. The charity’s mission goes further than just providing healthy meals but also “to ensure that every child enjoys fresh sustainable food at school and understands where their food comes from.” To achieve this mission, SFM listens to schools, parents and children, using the support and encouragement of parents and governors. Together, they urge local authorities to improve school meals and to support food education through growing, investing in kitchens, cooking, and links with local farms. They organise school healthy cooking sessions with chefs, where the children really get involved and the recipes go on their website to encourage children to cook at home with their parents. SFM was first brought to ION’s attention by Zac Goldsmith, MP for Richmond Park who visited ION last year. The charity was set up by Stephanie in 2007 in the boroughs of Kingston and Richmond in Surrey upon her return to the UK after living in Australia. There, her children ate fresh fruits and vegetables grown at their school. But she experienced “absolute shock at the state of the school food in the UK” at that time and feels passionately that “we need to be offering children at least one fabulous nutritious balanced meal a day that is a duty of care”. She was keen to change the standards and pass on her passion for growing and cooking food. At this time, Jamie’s School dinner campaign was high profile and Stephanie met Zac Goldsmith, with whom she shared a 10 | OPTIMUM NUTRITION ENEWS | April 2011 “ ... we need to be offering children at least one fabulous nutritious balanced meal a day that is a duty of care. background in environmental campaigning (Stephanie used to do volunteer work for Greenpeace).Together they worked on an action plan to transform school food in these two London boroughs, a model they hoped could be replicated across the country. She recounts that the launch of SFM also coincided with a report called ‘Concrete Children’, which showed what she describes as “a frightening disconnect between children and the food they eat.” At the time, a primary school Head Teacher commented to Stephanie that children at his school could not identify an onion and had no idea what it was. This, she says, is partly due to families becoming dependent on ready meals, growing up never having seen a raw ingredient because they’ve never seen their parents cook. ” When asked if she finds that children are generally interested in food and where it comes from, Stephanie replied that they are, in a huge and meaningful way, if given the opportunity. Farmers are an important part of food education for children and SFM (whose strap line is ‘farm gate to school gate’) links with farms and encourages fun farm visits and even school farms where practical. Of course, there are always obstacles and the biggest one to challenge the success of SFM was getting the backing of local authorities - not because they weren’t interested but due to lack of resource; not having one person responsible for school dinners or indeed public food provision COVER STORY Sensible Sustainability ION also plans to offer a short course on how to implement these principles – look out for more details to be announced. Following the success of ION’s ‘How to’ of healthy eating for children workshop on 31st March, we will be holding a ‘How to’ of healthy weaning workshop 5th May with Alison Peacham and Belinda Blake. Please see page 12 for more details. across the board within the boroughs and the disappearance of Healthy School Coordinators. Although the SFM charity works within the boroughs of Richmond, Kingston and Kingston in Surrey, it also partners with many national organisations on food education projects such as the Food for Life Partnership and Sustain, which runs many local and national food campaigns such as the Children’s Food Campaign, Food Growing Campaign, Capital Growth (a food growing campaign across London) and Good Food on a Public Plate. ION is committed to helping educate the public in this very important area. References 1. Eat well and save the planet! A guide for consumers on how to eat greener, healthier and more ethical food. A vailable from http://www.sustainweb.org/sustainablefood/, accessed 23/02/2011 2. http://www.sustainweb.org/sustainablefood/, accessed 23/02/2011 Resources To find out more about guidelines on sustainable food or the work of School Food Matters please visit the following websites: Sustain – www.sustainweb.org Food for Life Partnership – www.foodforlife.orgSoil Association www.soilassociation.org Marine Conservation Society – www.mcsuk.org Marine stewardship Council – www.msc.org/ School Food Matters – www.schoolfoodmatters.com 11 | OPTIMUM NUTRITION ENEWS | April 2011 Photos: School Food Matters It remains to be seen what will happen under the current government, with the reorganisation of the School Food Trust and the abolition of the Sustainable Schools Framework. Good and bad eating habits start early in life and tend to continue. We all know how hard bad habits are to break once established, therefore children should have access to fresh local produce, be encouraged to have a passion for growing and cooking and for healthy foods from an early age. However, everyone, not just schools, parents, the government and local authorities, is responsible for making responsible food choices to help the environment for current and future generations. As Mahatma Gandhi said: “be the change you want to see in the world”. ION Short Courses & CPD Events 2011 The ‘How to’ of healthy weaning Putting the fun back into nutritious food! C ome along and meet like minded mums who want to give their babies the best possible start. Babies are welcome! This informal workshop combines practical tried and tested ideas and nutritional advice. Be inspired with delicious recipes and easy meal plans. Explore how to support healthy growth and development and find out: When is the best time to wean? How to make feeding fun First foods and wonder foods Golden rules for reducing the chance of your child developing allergies How to overcome fussy eating and get in the good stuff! Presenters Alison Peacham (BEd Hons, DipION, MBANT) Date and Venue: Alison specialises in children’ s health and practices at the ION Childrens Clinic in Richmond, Surrey. She has extensive experience of a wide range of health problems and is passionate about the powerful effect that food can have on health and wellbeing. Alison is also an ION lecturer and keynote speaker at conferences. Thursday 5th May 2011 10.00 – 12.00 ION, Avalon House, 72 Lower Mortlake Road, RICHMOND TW9 2JY Belinda Blake (DipION, MBANT) Belinda is an experienced nutritional therapist and a tutor at ION. In addition to her private clinic, Belinda runs cooking workshops for children to help introduce them to healthy eating in a relaxed, fun and friendly environment. Price: Booking: Contact Helen on 020 8614 7812 or book online at www.ion.ac.uk/cpdseminars.htm £15 payable on booking which covers workshop information booklet and refreshments. Visit the ION website for more information about our short courses workshops (availableENEWS on CDs| April or class based) www.ion.ac.uk 12and | OPTIMUM NUTRITION 2011 Open Day Wednesday 21st May 2011 There is increasing interest in the importance of nutrition to health and well-being. Have you ever considered a career in nutrition? With 25 years of experience, ION has trained some of the most prominent Nutritional Therapists in the country. Here at ION we believe that making a career change does not have to interfere with your existing full time commitments. We provide various flexible options to suit everyone’s needs. Next course intake is October 2011 Come to one of our Open Days and take the opportunity to: 1. Discuss you personal ambitions and needs 2. Meet our experienced tutors 3. Talk to our students 4. Learn about opportunities in nutritional therapy 5. Discuss the financial aspects of your study 6. See our professional clinics Why should you attend our next Open Day? ION Open Days enable our prospective students to find out everything about ION and the unique courses we offer. The limited Open Day capacity allows us to assess your qualifications and needs individually on the spot and provide advice. Be our guest and receive a FREE consultation in our Teaching Clinic, or an exclusive 20% discount on a consultation with one of our professional Nutritional Therapists. Come along and see if nutritional therapy is for you! Book a place on our next Open Day in Richmond and meet our staff and students. For information, email courses@ion.ac.uk 13 | more OPTIMUM NUTRITION ENEWS | April 2011 or visit www.ion.ac.uk An Introduction to Clinical Psychoneuroimmunology Birkbeck University, London | 8 and 9 June 2011 A good foundation to the post-graduate Diploma in clinical PNI starting in Autumn, 2011. Under the auspices of the Natura Foundation, Bonusan is organising this two-day introductory course in clinical psychoneuroimmunology (cPNI). Leo Pruimboom MSc, Associate Professor at the University of Girona and Psychoneuroimmunologist, will give a detailed overview of cPNI – the science integrating psychology, neurology, immunology and clinical evidence. Low-grade inflammation The course will specifically focus on low-grade inflammation, which can cause the immune system to become ‘hyperactive’. This uses up vital energy and nutrients that are essential for the heart, brain and other organs. To restore immune tolerance, the internal physical barriers of the human body need to be reinforced. cPNI offers a comprehensive treatment protocol that makes optimum use of nutrition and supplementation to rebalance the body’s energy. This can help improve general health and support the recovery from certain chronic diseases. Learn more about: cPNI and what it can mean for your practice the health implications of a 21st century diet how to identify triggers of low-grade inflammation and how to avoid them which nutritional risk factors activate the central stress axis and the immune system how to prevent immune reactions and restore your patients’ energy balance Please visit www.bonusan.co.uk to learn more about this course or to register. Students and graduates of ION and the University of Westminster receive a £100 discount on this event. Do not forget to provide the discount code (IW100) when registering for this course! 14 | OPTIMUM NUTRITION ENEWS | April 2011 BAN appro T ved for 12 cre dits Scientific Monthly Milk Processing — homogenisation and pasteurisation by Claire Braysher the bottle had to be shaken first to disperse the cream – unless, of course, you wanted the top-ofthe-milk. This was necessary because milk is an oil-in-water emulsion and if left to stand, the fat rises and forms a cream layer. Homogenisation is a mechanical process in which milk is forced at high pressure (8-20 MPa) through a small hole. This breaks up the fat into a greater number of much smaller globules with a greater surface area and results in even distribution through the milk without separation2,3. Most cows’ milk is now homogenised but some supermarkets do sell non-homogenised milk from small dairies. However, both sheeps’ and goats’ milk contain smaller fat globules which do not separate out and are considered naturally homogenised. M ilk has contributed to the survival of European man since the advent of dairy farming by providing a reliable and nutrient-rich food source at times when other foods were scarce. Simulation models have clearly demonstrated that the selective advantage of producing lactase into adulthood co-evolved with dairy farming1. However, in modern times, milk has become a highly processed food, which is skimmed, homogenised and pasteurised. The processes of homogenisation and pasteurisation are described below and potential health issues are discussed. Homogenisation Those of us who remember non-homogenised milk, delivered by the milkman in bottles, will recall that 15 | OPTIMUM NUTRITION ENEWS | April 2011 Since industrial homogenisation alters the physical structure of milk fat, it has been speculated to affect the health properties of milk. High pressure homogenisation (HPH) which is carried out at higher pressures (50-100 MPa) is suggested to combine the advantages of regular homogenisation and pasteurisation in a single process. However, it can affect milk components due to shear forces and frictional heating4. Denaturation of the milk protein, ß-lactoglobulin, was greater after HPH than after heat treatment. HPH can also cause off-flavour due to oxidation. Homogenisation and allergy Allergic individuals appear to tolerate untreated cows’ milk and pasteurised but non-homogenised milk, but not homogenised milk5. This may be explained by the dramatically increased surface area of milk fat on to which milk proteins can adsorb, thereby increasing the amount of exposed allergenic proteins. In untreated milk, antigenic proteins are less exposed on the inside of casein micelles5. Human studies have not proved that homogenisation results in hypersensitivity, and healthy, milk-tolerant adults have shown no Scientific Monthly Milk Processing — homogenisation and pasteurisation differences in their immunological responses to homogenised and nonhomogenised milk6. However, the possibility that homogenisation could induce a different type of primary immunisation to milk antigens in immunologically intact infants has not yet been excluded6. Homogenisation and atherosclerosis Several decades ago, Kurt Oster discovered antibodies to bovine xanthine oxidase (XO) in the serum of atherosclerotic patients. This led him to hypothesise that homogenisation of milk results in increased absorption of intact bovine XO, an enzyme which then damages vascular tissue by destroying the protective lipid, plasmalogen, an essential component of cardiovascular tissue. A number of reviews have since critically examined the experimental evidence and found that it fails to support the hypothesis7,8. Pasteurisation The process of pasteurisation was named after the French chemist and microbiologist, Louis Pasteur, who discovered that the organisms that caused spoilage of wine could be inactivated by heat treatment. The process was later applied to milk, which, like other high-nutrient foods, goes off fairly quickly and can be contaminated. Milk is pasteurised, firstly, to etnsure that milk is microbiologically safe for human consumption by killing all pathogenic bacteria, and secondly, to improve the shelf life of the milk. The temperature and time the milk is held at this temperature is decided by the heat resistance of the target organisms. Historically, these organisms included the tuberculosis organism, Mycobacterium tuberculosis, but have changed with time as new pathogens emerge, such as Escherichia coli O157, Mycobacterium paratuberculosis, Listeria monocytogenes and bovine herpesvirus 4. The most common method of pasteurisation is the hightemperature short-time process which heats the milk to at least 72 °C for 15 seconds9. Pasteurisation does not destroy all organisms but aims to reduce bacterial numbers and thus the risk for causing disease. The process became widespread in the UK after the Milk and Dairies Act of 1922. Prior to this time, the rate of TB per 100,000 population was well over 100 but by 1926, it had fallen to below 80 and continued to fall to its present rate of 0.6 per 100,000 population10. Nowadays, most UK milk is pasteurised or ultra high temperature treated. 16 | OPTIMUM NUTRITION ENEWS | April 2011 Nutritional consequences Pasteurisation is known to destroy less than 10% of B vitamins and less than 25% of vitamin C11 although milk is not an important source of these vitamins and the vitamin C would likely reduce on storage and exposure to light12. Heat treatment may change other nutritional aspects of milk such as destroying enzymes and other factors that may be beneficial. Antimicrobial effectiveness Even if microorganisms are rendered unculturable by pasteurisation they may not be completely inactive. A study looking at gene expression of nonculturable E. coli and Pseudomonas putida following pasteurisation found that a considerable proportion of these bacteria were metabolically active and still able to express genes. This raises the possibility that toxins or spoilage enzymes may be expressed, affecting milk quality and safety13. Possible link between Crohn’s disease and M.paratuberculosis About 15 years ago, it was found that M. paratuberculosis, which causes Johne’s disease in cattle, was not completely inactivated by pasteurisation when present in large numbers in milk14. As a bovine pathogen, this would not necessarily be a concern, except that M. paratuberculosis has been linked to Crohn’s disease in humans. Both Crohn’s disease and Johne’s disease are chronic, inflammatory granulomatous conditions affecting nutrient absorption. There are more than 8,000 new cases of Crohn’s disease in the UK each year and the number of people with the disease is rising15. In 2002, a study showed that severe Crohn’s disease could by reversed using prolonged, targeted anti-M. paratuberculosis triple therapy, supporting a causal role for the organism16. However, six years later, the reason for the strong association between M. paratuberculosis and Crohn’s disease had not been determined17. Recent immunological research indicates that Crohn’s disease occurs through defects in the sensing and handling of intracellular bacteria, such as mycobacteria, by the innate immune system18. If M. paratuberculosis is implicated as one of a number of bacteria involved in Crohn’s disease, milk may be a possible vehicle for transmission to humans. Combined homogenisation and pasteurisation inactivated over 96% of samples tested19 and high pressure treatment with pasteurisation was effective. However, low numbers of M. paratuberculosis survivors have still been detected20. Scientific Monthly Milk Processing —homogenisation and pasteurisation Pasteurisation and allergy A recent study supports the idea that pasteurisation contributes to the increasing prevalence of sensitisation to milk in western countries21. In a mouse model of anaphylaxis, milk pasteurisation promoted aggregation of the whey proteins, α-lactalbumin and β-lactoglobulin, which prevented uptake by intestinal epithelial cells and a subsequent allergic response. However, aggregation of the proteins redirected uptake to Peyer’s patches with subsequent induction of greater Th2related antibody and cytokine production. This suggests that following ingestion of pasteurised milk, aggregation of milk proteins enhances their immunogenicity. Safety of raw milk There is now a big demand for raw milk despite the number of producers declining significantly in the last decade22. Only an estimated 0.01% of all milk in England and Wales is unpasteurised23. Raw milk has not been subjected to high temperatures or pressures and is therefore structurally intact, containing the original enzymes, proteins, vitamins and probiotic bacteria. However, unpasteurised milk can still carry potentially hazardous organisms, such as E. coli O157, Salmonella and Campylobacter, and so in the UK, small dairy farmers can only sell unpasteurised milk directly to the consumer, either from the farm or at a farmers’ market, if they are licenced by DEFRA. In addition, the farms are now much cleaner and the cattle and farm must be frequently tested24. The Advisory Committee on Microbiological Safety of Foods report low levels of pathogen contamination of raw milk between 1995 and 2000 and no outbreaks of human illness have been associated with raw milk drinking in England and Wales since 200222. However, sales of raw milk in Scotland have been banned since 1983 due to 782 outbreaks of raw milk-related disease in 1981 and 539 outbreaks in 1982, resulting in four deaths23. Conclusion Most food processing is carried out for reasons of safety or increasing shelf life. Milk pasteurisation is required to destroy pathogenic contaminants in milk from large dairies but there are potential dangers. On the one hand, the process may not be completely effective against emerging pathogens which have unexpected effects on the immune system, and on the other, heat treatment can modify milk proteins which may increase the risk of allergy. Although there is no convincing research to suggest that homogenised milk has detrimental effects on health, it is possible to avoid the artificially homogenised product, by finding a source of non-homogenised cows’ milk or drinking naturally homogenised goats’ or sheeps’ milk. Raw, untreated milk may be an option for some, but only assuming it is consistently free of pathogenic contaminants. It is not practical to provide large, urban populations with a product having a short shelf life and the potential for contamination. So raw milk is likely to remain a low-volume product. Vulnerable groups, such as young children, older people, pregnant women and people who are ill, would be advised to avoid untreated milk. References 1. Itan Y, Powell A, Beaumont MA, Burger J, Thomas MG (2009) The origins of lactase persistence in Europe. PloS Comput Biol., 5: e1000491. 2. BBC Learning Zone (2011) How milk is homogenised and pasteurised [video]. http://bbc. co.uk/learningzone/clips/how-milk-is-homogenised-and-pasteurised/9214.html 3. Goff D (n.d.) Dairy Science and Technology Education, University of Guelph, Canada. http://www.foodsci.uoguelph.ca/dairyedu/home/html 4. Datta N, Hayes MG, Deeth HC, Kelly AL (2005) Significance of frictional heating for effects of high pressure homogenisation on milk. J Dairy Res., 72: 393-399. 5. Michalski MC (2007) On the supposed influence of milk homogenization on the risk of CVD, diabetes and allergy. Br J Nutr., 97: 598-610. 6. Paajanen L, Tuure T, Vaarala O, Korpela R (2005) Homogenization of milk has no effect on milk-specific antibodies in healthy adults. Milchwissenschaft, 6: 239-241. 7. Clifford AJ, Ho CY, Swenerton H (1983) Homogenized bovine milk xanthine oxidase: a critique of the hypothesis relating to plasmologen depletion and cardiovascular disease. Am J Clin Nutr., 38: 327-332. 8. Deeth HC (1983) Homogenized milk and atherosclerotic disease: a review. J Dairy Sci., 66: 1419-1435. 9. Dairy UK (2006) Dairy UK code of practice on HTST pasteurisation [pdf]. Accessed: http:// www.dairyuk.org/component/docman/cat_view/111-technical-papers, 3rd March 2011. 10. Health Protection Agency (2010) Tuberculosis mortality and mortality rate. England and Wales, 1913-2008. http://www.hpa.org.uk/web/HPAweb&HPAwebStandard/ HPAweb_C/1195733836324 11. Michalski MC, Januel C (2006) Does homogenization affect the human health properties of cow’s milk? Trends Food Sci Technol., 17: 423-437. 12. Fox BA, Cameron AG (1995) Food science, nutrition & health. 6th edn., London, Arnold. 13. Gunasekera TS, Sorensen A, Attfield PV, Sorensen SJ, Veal DA (2002) Inducible gene expression by nonculturable bacteria in milk after pasteurization. Appl Environ Microbiol., 68: 1988-1993. 14. Grant IR, Ball HJ, Neill SD, Rowe MT (1996) Inactivation of Mycobacterium paratuberculosis in cows’ milk at pasteurization temperatures. Appl Environ Microbiol., 62: 631-636. 15. St. Mark’s Foundation (2011) Useful statistics about bowel disease. http://www. stmarksfoundation.org/index.php?mact=News,cntnt01,print,0&cntnt01articleid=114&cntn t01showtemplate=false&cntnt01returnid=77 16. Borody TJ, Leis S, Warren EF, Surace R (2001) Treatment of severe Crohn’s disease using antimycobacterial triple therapy – approaching a cure? Dig Liver Dis, 34: 29-38. 17. Behr MA, Kapur V (2008) The evidence for Mycobacterium paratuberculosis in Crohn’s disease. Curr Opin Gastroenterol., 24: 17-21. 18. Lalande JD, Behr MA (2010) Mycobacteria in Crohn’s disease: how innate immune deficiency may result in chronic inflammation. Expert Rev Clin Immunol., 6: 633-641. 19. Grant IR, Williams AG, Rowe MT, Muir DD (2005) Efficacy of various pasteurization time-temperature conditions in combination with homogenization on inactivation of Mycobacterium avium subsp. paratuberculosis in milk. Appl Environ Microbiol., 71: 28532861. 20. Donaghy JA, Linton M, Patterson MF, Rowe MT (2007) Effect of high pressure and pasteurization on Mycobacterium avium ssp. paratuberculosis in milk. Lett Appl Microbiol., 45: 154-159. 21. Roth-Walter F, Benn MC, Arnaboldi P, Escalante CR, Dahan S, Rauch J~, Jensen-Jarolim E, Mayer L (2008) Pasteurization of milk proteins promotes allergic sensitization by enhancing uptake through Peyer’s patches. Allergy, 63: 882-890. 22. Advisory Committee on Microbiological Safety of Foods (2011) Health risks to consumers associated with unpasteurised milk and unpasteurised cream for direct human consumption. [pdf] London, Food Standards Agency. http://www.food.gov.uk/multimedia/ pdfs/committee/acm1008rawmilk.pdf 23. Food Standards Agency (2002) Raw milk: your questions answered. http://www.food.gov. uk/multimedia/faq/44706/ 24. L abes L (2008) Untreated milk is in demand. Telegraph.co.uk, [Online] 18th January. http:// www.telegraph.co.uk/foodanddrink/3341324/Untreated-milk-is-in-demand.html 17 | OPTIMUM NUTRITION ENEWS | April 2011 ION Short Courses & CPD Events 2011 Parkinson’s Disease: Specialised Nutritional Management A day course with Lucille Leader A s part of ION’s Continuing Professional Development (CPD) programme, we are pleased to offer you this unique short course on latest understanding of Parkinson’s Disease (PD) and the role of specialised nutritional management. Nutritional Therapist Lucille Leader DipION MBANT NTCC has been honoured over the years with awards and invitations to speak at international medical congresses on the role of the Nutritional Therapist within the multidisciplinary team care of people with PD. She is the author of six successful books on this subject as well as journal publications. She has also published the book Medical Collaboration for Nutritional Therapists. In 2010, she was awarded the CAM Outstanding Practice Award in the UK and was an invited, featured speaker at the 2nd World Parkinson’s Congress in Glasgow. Parkinson’s Disease (PD) is a neurological degenerative disease with sufferers of all ages. Cardinal symptoms are tremor and bradykinesia (slow, stiff movement). This Course will cover: Nutritional Therapy support of dopamine and adrenal metabolism which are affected by this illness. Other aspects of nutritional management of patients with PD including: optimisation of bowel function, methylation, blood sugar regulation, drug response with drug-nutrient interaction protocols, establishment of biochemical individuality with laboratory tests, personalised diet and supplementation and peri-surgical/anaesthetic recommendations. Handouts will be provided. Date and Venue: Agenda Thursday 12th May 2011 10.00 – 16.00 09.30 - 10 .00 Registration 10.00 – 11.30 Course part 1 11.00 – 11.40 mini break 11.40 – 13.00 Course part 2 Booking: 13.00 – 14.00 Lunch break (lunch not provided) 14.00 – 15.30 Course part 3 Contact Helen on 0208 614 7812 or book online at www.ion.ac.uk/cpdseminars.htm 15.30 – 16.00 Q&A and Feedback time ION, Avalon House, 72 Lower Mortlake Road, RICHMOND TW9 2JY Price: £65 and £45 for students (Proof of student ID required on the day) Recommended book for Nutritional Therapists: Parkinson’s Disease Reducing Symptoms with Nutrition and Drugs, Dr G Leader and L Leader. If ordered 2 weeks before the course, this book will be available on the day of the course at a discounted course price of £10.00 (Retail £16.95). Call Denor Press, Tel: 020 8445 4550. Visit ION website for more information about our short courses and on ENEWS CDs or class based): 18 workshops | OPTIMUM(available NUTRITION | April 2011 www.ion.ac.uk RECiPE SPOTLIGHT Sprouts – by By Monika Tratnik NutritiousFoodfromYourWindowSill In a plant’s life, the sprouting phase is considered to be the most vital activity. This is the time when a plant’s seed drops its protective barriers and unleashes nutrients for the growth of a young plant before it develops roots. S prouting and eating sprouts have proven to be very beneficial nutritional activities for humans - not just by looking into human history but also increasingly by contemporary nutritional research on living foods. When choosing seeds for sprouting, it is wise to take into account their taste. Some sprouts are very pleasant, mild tasting (e.g. alfalfa or red clover), some are quite zesty and sharp (e.g. mustard or radishes), some are sweet (e.g. wheat and oats), and others might taste quite ‘planty’ (e.g. some legumes). Why should we consider sprouts in our daily diet? Sprouting involves soaking, rinsing and draining. You can find lots of information about the equipment you need (it can really be very simple, home made) and the whole process on the internet, in books and workshops. Firstly, sprouts are easy to grow and a versatile food. Almost everybody can grow this healthy food all year round. Secondly, sprouting is a great way to make hard seeds and grains edible without cooking, while nuts and legumes will lose their antinutrients. What we call antinutrients here (like phytic acid in legumes and enzyme inhibitors in nuts) are actually plant defences against animal grazing. And thirdly, sprouting increases the nutritional value of seeds, nuts, legumes and grains by increasing the content of vitamins, proteins and phytonutrients, as well as promoting a greater availability of minerals. So sprouts are nutritious, easy to make and an inexpensive fresh food. We do not need to eat a lot of sprouts to obtain many beneficial nutrients. A handful or two per day is quite enough. Sprouts are very versatile. You can add them to salads, soups, sandwiches, smoothies etc. The recipes below are just some ideas of how you could include sprouts in your daily diet. Nowadays, one can get a variety of sprouts from health food shops, farmers’ markets and many supermarkets. In my view, it is best to grow your own sprouts. It can be great fun for kids and, when you think about it, sprouting is bringing us closer to nature and to the innate human activity of growing our own food. Growing sprouts is not difficult but it requires some knowledge and skill. Firstly, we have to know that all types of seeds can be sprouted, although not all will sprout. Always ensure that you are using good quality small seeds, legumes, grains and nuts. If possible, buy organic, so you are confident seeds have not been chemically or otherwise treated. Two things that can sometimes go wrong in sprouting are: seeds won’t sprout (they might have lost their sprouting potential) or sprouts can get mouldy (too much water, or not enough rinsing, or they might be too old). We recommend always using fresh sprouts. Try not to keep them in the fridge for too long. Sprouts are a safe, low calorie, detoxifying and refreshing food. A little caution is recommended with alfalfa, however: if consumed in excess (several punnets per day), metabolic functions in the body may be affected. EASY RECIPES ! Oat and almond sprout milk Ingredients | Serves : 4 ½ cup of oat seeds 1-2 dates (optional) ¼ cup almonds dash of salt (optional) 2-3 cups of water Method 1 Sprout ½ cup of oat seeds and ¼ cup almonds (soaked for 8 hours or overnight and sprouted for 12 – 24 hours, rinsed 2 – 3 times in between). 2 Peel the almonds and put both sprouts in a blender. 3 Add 2-3 cups of water, depending on how creamy do you want your sprout milk, and blend on high speed until of creamy consistency. 4 Optionally add 1-2 dates and a dash of salt. 5 Strain through cheese cloth or fine strainer and it is ready for use. This milk will keep in the fridge for up to three days. The remaining pulp can be used in breads or pies instead of some flour or on plants as a great compost. 19 | OPTIMUM NUTRITION ENEWS | APRIl 2011 RECIPE SPOTLIGHT . Chickpea raw houmous Ingredients | Serves : 4 1 cup (if possible organic) chickpeas 2 tbsp tahini 2 tbsp olive oil juice of 1–2 lemons 1 garlic clove salt to taste Method 1 Sprout the chickpeas - start by soaking for about 12 hours, then drain and rinse and leave to sprout until small (3-5 mm) sprouts show, usually after 12 hours. 2 In a food processor mix the sprouts with the tahini, olive oil, lemon juice, garlic and salt. (this photo is from internet so it cannot be used, but something similar would be great). 3 Turn the heat off and let it cool down, covered, for another 10 minutes. Mix in the salt and pepper. 4 Just before serving add the sprouts and coriander leafs. Serve with little sour cream. Kitchari rice with sprouts Ingredients | Serves : 4 1 cup brown rice salt and black pepper 1 cup brown lentils 1 cup mixed sprouts ¼ cup cashew nuts ¼ cup raisins ½ tsp cumin seeds ½ tsp fenugreek seeds to taste 3 cups water 2 tbsp olive oil fresh chopped coriander leaves sour cream (crème fraîche) to serve Method 1 Presoak the rice and lentils for 3-6 hours. Rinse. 2 Sauté the cashew nuts, raisins, cumin and fenugreek seeds in the olive oil 1-2 minutes. 3 Add the rice, lentils and water and simmer for 25 minutes. Add little boiling water if necessary (some rice and lentil varieties need more water than others). Green sprouts and tomato salad Ingredients | Serves : 2 – 4 1-2 cups sprouts (red clover, alfalfa, broccoli or a mix of sprouts) 4-6 ripe, medium size tomatoes, roughly chopped a handful of basil leaves, torn up by hand 2 tbsp olive oil juice of half a lemon or 1 tbsp balsamic vinegar salt and pepper to taste Method Gently toss all the ingredients together in a salad bowl and serve with a main meal or alternatively with toasted bread as a starter. 20 | OPTIMUM NUTRITION ENEWS | April 2011 RECIPE SPOTLIGHT Pasta with broccoli sprouts Ingredients | Serves : 4 400 g pasta (fusilli or penne is the best for this recipe) 50 g broccoli sprouts 2 cloves garlic, roughly chopped 1 (not too hot) chilli, seeds removed and finely chopped 2 tbsp walnut oil (olive oil is fine too) 50 g parmesan cheese, grated 50 g walnuts, roughly chopped salt and pepper to taste Method 1 In a large pot (2-3 litres) bring some water to the boil, add a tbsp of salt and the pasta. Cook as per the instructions on the packet. Try not to overcook, ‘all dente’ is the best! Drain the pasta when it is cooked. 2 Put in a bowl and add the rest of ingredients. If you wish you can leave some sprouts for the top decoration when pasta is put in a serving bowl. Courgette and sprout salad (http://ashy-macbean.com/salads/courgette-bean-sprout-salad.htm) I found this recipe on the above site and tested it. It is easy to make and delicious! Here is my version. Ingredients | Serves : 2 – 4 1 cup of sprouts mixture of brown and green lentils, aduki and mung beans, chickpeas and sunflower seeds (sprouted together in a jar for 3-4 days). 1 small lettuce 2 courgettes a handful of parsley leaves juice of a half lemon 1 tbsp walnut oil (olive oil is fine too) salt and pepper to taste Method 1 Cut courgettes into larger pieces and steam for 3-4 minutes. Leave to cool. 2 In meantime, tear the lettuce leaves into small pieces and chop the parsley. 3 Put all ingredients in a bowl. 4 Add the sprouts, lemon juice, oils, salt and pepper and toss lightly. Bon Appetit! 21 | OPTIMUM NUTRITION ENEWS | April 2011 Monika Tratnik Naturopath, nutritionist, herbalist and healthy food chef monika.tratnik@ion.ac.uk ION Short Courses & CPD Events 2011 Cancer Signs & Natural Approaches One day workshop A day course with Xandria Williams M.Sc., D.I.C., A.R.C.S., N.D., D.B.M., M.R.N. Naturopath, Nutritionist, Herbalist, Homeopath, Psychotherapist and NLP practitioner A s part of ION’s Continuing Professional Development (CPD) programme, we are pleased to offer you this unique short course on the latest understanding of cancer and nutritional approaches to cancer. Xandria runs CanSurvive Resource Centre, a health care practice based on a CAM (Complementary, Alternative and Metabolic) approach to health. This includes naturopathy, nutrition, herbal medicine, homoeopathy, psychotherapy and other related modalities. This course is based on two of her recent books: Vital Signs for Cancer and Cancer Concerns. Agenda 09.30 - 10 .00 Registration 10.00 – 11.30 Course part 1: Vital Signs for Cancer — Protect yourself from the onset or recurrence of cancer. A discussion of the cancer process and of the predisposing factors that increase your risk, and how to correct or reverse them. 11.00 – 11.40 mini break 11.40 – 13.00 Course part 2: Cancer Concerns - Fighting Cancer Naturally. A practical 10-step programme described and explained. A compilation of evidence-based causes of adverse chemical changes that can lead to cancer and how to approach these changes. 13.00 – 14.00 Lunch break (lunch not provided) 14.00 – 15.30 Course part 3: Continuation of Cancer Concerns from part 2. 16.30 – 16.30 Q&A and Feedback time Awaiting BANT’s recognition. Date and Venue: Saturday 28th May 2011 10.00 – 16.30 ION, Avalon House, 72 Lower Mortlake Road, RICHMOND TW9 2JY Booking: Contact Helen on 0208 614 7812 or book online at www.ion.ac.uk/cpdseminars.htm Price: £65 and £45 for students (Proof of student ID required on the day) Information about Xandria Williams’ work and books: www.xandriawilliams.co.uk Visit ION website for more information about our short courses and on CDs or class based): 22workshops | OPTIMUM(available NUTRITION ENEWS | April 2011 www.ion.ac.uk The ION Home Study Course Are you fascinated by nutrition but don’t know where to start? The ION Home Study Course could be just what you need. Study at your own pace in the comfort of your own home using this self contained training package from ION. The course is ideal for anyone wishing to acquire the knowledge to plan a personal nutrition programme, or for the complementary therapist wanting to enhance their practice with sound nutritional advice. Topics include: How food is turned into energy Nutrition and its affect on the immune system Food allergies and addictions How best to prepare for a healthy pregnancy and safeguard your baby’s health How to be well in old age — and a lot more besides “I am delighted to have received the Certificate for The Home Study Course and it has spurred me on to study nutrition at another level. I am looking into other courses to further my knowledge. I found the Home Study extremely helpful and easy to follow and wouldn’t hesitate in recommending it to anyone” A. Cameron from Scotland The ION Home Study Course includes a comprehensive set of audio CDs, notes and text books. You have the option to take a short test at the end of the course and obtain an ION Certificate of Completion. To order your Home Study Course visit www.ion.ac.uk or call us on 020 8614 7800 23 | OPTIMUM NUTRITION ENEWS | April 2011 SUCCESS STORIES Case Study Children’s Health – the nutritional management of IBS and abdominal pain by Alison Peacham DipION Alison practices at the specialist ION Clinic, helping parents to optimise their children’s health by re-balancing diet and nutrient intake. This case study looks at irritable bowel syndrome (IBS) which is a common digestive problem in children. E llie, aged ten, was brought to The ION Clinic by her Mum who was concerned by her continual bouts of diarrhoea. Although loose bowels were common she also occasionally suffered from constipation and excessive flatulence. Ellie frequently experienced lower abdominal pain which had resulted in her missing a significant amount of school. She had seen her GP who had ruled out coeliac disease and diagnosed IBS. At the first consultation, the focus was on discovering the underlying causes for the gastrointestinal problems. We started by looking at what preceded Ellie’s symptoms. Ellie had suffered from colic as a baby and had been prone to ear infections since starting school. She had taken several courses of antibiotics over the last five years and there was therefore a strong likelihood that this had caused an imbalance of gut flora. We looked at potential triggers for Ellie’s symptoms – her Mum suspected that eating dairy foods may be linked to loose stools. However, in the past they had removed dairy from Ellie’s diet for about a month but there had not been a significant improvement in health. There was concern that certain foods may be aggravating her symptoms but pinpointing problem foods was difficult. Dietary assessment of Ellie’s food diary showed she was eating a lot of wheat with toast for breakfast and had a passion for pasta with tomato sauce. The 24 | OPTIMUM NUTRITION ENEWS | April 2011 diet was low in protein and high in starchy carbohydrates. Biochemical testing was the way forward as it plays a central role in identifying the underlying aetiology of a health condition. I recommended Ellie undertook three Biochemical tests, firstly a Comprehensive Digestive Stool Analysis (CDSA) and Parasitology test to analyse digestive function and gut microbial ecology and to see if there was a parasitic infection. The second test was the York Test Laboratories ‘Foodscan 113 Food Intolerance Test’ to find out about nonimmunologically mediated reactions i.e. food intolerances. The test is not 100% accurate but a useful guide for uncovering delayed sensitivity reactions. This is a simple skin prick test which CASE STUdY Children’s Health – the nutritional management of IBS and abdominal pain can be completed at home and sent to the lab for analysis. Thirdly, I recommended a visit to her GP to check if lactose intolerance could be a problem as stomach ache is a common symptom of this (which proved to be negative). At the follow up appointment we discussed the CDSA / Parasitology Stool Test results. Beneficial bacteria such as lactobacilli and bifidobacteria were found in lower than optimal levels. These play an important role in creating a healthy gut environment and ensuring good digestion. Klebsiella, a naturally occurring organism in the gut, was high and is associated with diarrhoea. Parasitology revealed infection of the parasite Dientamoeba fragilis at low levels. Pancreatic Elastase 1 measures digestive enzymes secreted by the pancreas. Ellie had low levels which suggested digestive enzyme supplementation may be beneficial. The York Foodscan IgG Food Intolerance Test showed a reaction to cow’s milk and eggs. Plenty for us to work on! The overall aim of the nutritional programme was to support Ellie’s digestive system and to eradicate the parasite whilst improving colonisation of the friendly bacteria. We negotiated a food plan which was a challenge because Ellie had strong likes and dislikes. We included Ellie’s favourite foods (pasta sauce with hidden vegetables and added protein) whilst at the same time gradually removing intolerant foods. Dairy products had already been largely removed from her diet and replaced with rice or oat milks as alternatives. It is important to be very careful when taking out foods that a balanced diet is maintained, particularly for a child such as Ellie who was quite a fussy eater. For digestive support, soluble fibre such as oats and vegetables e.g. carrots, green leafy vegetables such broccoli, cabbage, spinach, cress and kale were increased (tasty recipes helped the greens seem more inviting!). Ellie was given a reward chart to complete – if she managed to eat some green leafy vegetables each day then at the end of the week she was given a reward. Ground flaxseeds were added to cereal to help normalise bowel function and increase essential fatty acids. Oily fish such as salmon and tuna were incorporated in her diet two times a week. Homemade fish cakes were the best way of getting Ellie to eat fish. Involving children in cooking is a great way of encouraging them to try new tastes. Ellie enjoyed making healthy banana muffins and fishcakes with her Mum. “When we were given the diagnosis of IBS by the GP we were at a loss as to how we could help Ellie get better. A friend recommended The ION Clinic and we are so pleased we went along.” Over a period of time, we worked on removing the parasite by supplementing anti-fungals. Other supplement support included: a liquid multi-vitamin and mineral which is easily absorbed; probiotics to restore the balance of beneficial bacteria; and Saccharomyces boulardii, which has been shown to help increase SIgA, an immune complex in the gut normally secreted by a healthy mucosa. Digestive enzymes were included to help ensure the breakdown and absorption of food. Changes were made gradually - with children it is important to start with small doses of supplements just in case there is any sensitivity. We worked together over a ten month period to restore gastrointestinal health and then retested to check the parasite had gone. As her Mum says on her clinic feedback form, ‘When we were given the diagnosis of IBS by the GP we were at a loss as to how we could help Ellie get better. A friend recommended The ION Clinic and we are so pleased we went along. Testing has helped us understand her underlying problems and we have seen a huge difference in Ellie’s health. The health of the whole family has in fact improved; the many practical ideas and encouragement have been a great help’. About the Author Alison Peacham (BEd Hons, DipION, MBANT) Alison specialises in children’s health and practices at The ION Clinic in Richmond, Surrey. She has extensive experience of a wide range of health problems and is passionate about the powerful effect that food can have on health and wellbeing. Alison is also a senior ION lecturer and keynote speaker on children’s health at conferences. From March 31st onwards she is running a series of workshops on the ‘how to’ of healthy eating. Be inspired with tried and tested ideas to help develop healthy eating habits as well as easy recipes and delicious snacks to try! 25 | OPTIMUM NUTRITION ENEWS | APRIl 2011 The ION Clinic At The ION Clinic in Richmond you can have a one to one consultation with one of our highly experienced ION-trained Nutritional Therapists. Nutritional Therapy Our Nutritional Therapists will work with you as an individual to understand the factors influencing your nutritional status and provide inspiration and motivation to help you achieve your goals. “Losing weight without the knowledge of it is a fantastic feeling. Thank you so much for all of your help for me and my family.” Tracey from Kent “I had spent 2 years unsuccessfully trying to become pregnant before coming to The ION Clinic. The help and advice the therapist gave me was invaluable and to my great joy, I discovered I was pregnant literally 3 months after making the changes to my diet she suggested!” The ION approach is evidence-based and scientific: we use the latest testing available to understand how your nutritional status is affecting your health. We then offer you detailed advice to help correct any imbalances and restore the body to optimum health. Sarah from North London “After years of poor health I am very grateful to The ION Clinic for helping me understand what has been going on in my body. I have received excellent dietary advice as well as a detailed supplement programme. I now have more energy, am overcoming long term digestive problems and feel that at last I am regaining my health.” The ION Clinic Nutritional Therapists have a wide range of experience and expertise. We also have specialists in the following areas: Children’s health Weight management Female health and fertility Digestive problems You will leave your consultation with a programme which is unique to you, and takes into account your lifestyle and needs. Telephone consultations are also available. Nutritional Therapy is not a substitute for medical advice. At The ION Clinic we will work alongside your GP to provide nutritional advice and guidance to help you give your body the best possible chance of recovery. To make an appointment at The ION Clinic, 26 | OPTIMUM NUTRITION ENEWS | April 2011 please call 020 8614 7822 or email IONClinic@ion.ac.uk Anne from Surrey