As the mornings get cooler and the news is full of predictions of a second wave of Coronavirus, many Nutrition Practitioners are wondering what role the nutrition profession will play in supporting recovery from this health crisis. Nutrition Evidence is here to bring you the latest science available to inform your clinical decisions in this area, so you can feel confident in your practice.
It is now clear that those with certain co-morbidities are more susceptible to serious complications from infection with Covid-19. Many of the conditions identified fall under the umbrella of Metabolic Syndrome.
This month, we begin a series of alerts focusing on Metabolic Syndrome. Over the next few months, we will be bringing the latest scientific research to your inbox on the different biochemical processes that have gone wrong and lead to metabolic disorder. To begin your dive into this vast subject, check out this short list of recent systematic reviews, before diving through the 26 randomised controlled trials released within the last 10 years.
Newly Indexed Articles for September 2020
The following articles are featured as “recommended reading” this month:
New Insights about How to Make an Intervention in Children and Adolescents with Metabolic Syndrome: Diet, Exercise vs. Changes in Body Composition. A Systematic Review of RCT. in Nutrients, 2018
Paleolithic nutrition for metabolic syndrome: systematic review and meta-analysis. in The American journal of clinical nutrition, 2015
The Effect of a Multidisciplinary Lifestyle Intervention on Obesity Status, Body Composition, Physical Fitness, and Cardiometabolic Risk Markers in Children and Adolescents with Obesity. in Nutrients, 2019
Effect of a Nutritional and Behavioral Intervention on Energy-Reduced Mediterranean Diet Adherence Among Patients With Metabolic Syndrome: Interim Analysis of the PREDIMED-Plus Randomized Clinical Trial. in JAMA, 2019
Effect of Vitamin D Supplementation on Obesity-Induced Insulin Resistance: A Double-Blind, Randomized, Placebo-Controlled Trial. in Obesity (Silver Spring, Md.), 2018
Comparison of low calorie high protein and low calorie standard protein diet on waist circumference of adults with visceral obesity and weight cycling. in BMC research notes, 2018
Non-Nutritive Sweeteners and Their Implications on the Development of Metabolic Syndrome. in Nutrients, 2019
The Fluid Aspect of the Mediterranean Diet in the Prevention and Management of Cardiovascular Disease and Diabetes: The Role of Polyphenol Content in Moderate Consumption of Wine and Olive Oil. in Nutrients, 2019
“We ignore obesity at our peril” was the comment made by Professor Jason Halford (1) on publication of a British study using data from 550,000 British patients. BANT wholeheartedly agrees with his comments and has continuously campaigned on this issue throughout the years. Professor Halford’s statement comes in response to new research, conducted by Novo Nordisk (2), which was shared at the European and International Congress on Obesity last week (3). Their findings highlight the significant health benefits of losing weight and reducing risk factors for developing chronic health conditions such as type II diabetes, high blood pressure, high cholesterol, and sleep apnoea. With an average loss of 13% body weight the researchers found a 42% reduction in developing type II diabetes which is one of many important findings released from the study. With one of the highest obesity rates in Western Europe, with two in three adults overweight or obese, Britain is leading the charge for weight-related chronic illnesses. The NHS is overwhelmed and taking the financial brunt for the nation’s poor diet and lifestyle choices with diabetes alone costing £10 billion a year.
BANT agrees with experts calling this a “wake-up call” and calls on the government and NHS to take greater measures to invest in preventative therapies and education, including Nutritional Therapy, as part of its wider obesity strategy. The recently launched Better Health Campaign and NHS announcement to provide 800-calorie soup and shake diets for diabetics are band-aid tactics treating the effects of overweight and obesity rather than targeting the complex multifactorial causes. BANT continuously cautions on adopting a one-size-fits-all approach to tackling obesity given the complexities involved. Instead, BANT advocates for personalised dietary and lifestyle changes, that can be sustained long-term, in place of short-term calorie-focused fixes. The Novo Nordisk study highlights more than ever the need to invest in prevention to help people maintain a healthy body weight, rather than waiting for them to present with chronic illness further down the line. Professor Nick Finer, leading the research, said that “Health Policy is much happier to treat diabetes when it develops rather than the obesity which causes it to develop”. This highlights the short-term thinking that will only cost the NHS more rather than improve longer term health outcomes for overweight and obese people.
BANT and BANT Nutrition Practitioners continue to promote its Wellbeing Guidelines to encourage the British people to eat more individual ingredients and unprocessed food. Going back to some old-fashioned values, such a family meal times, and improving the nations cooking skills to use fresh ingredients, will go a long way to help the obesity targets and health of the individuals.