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Integrative Nutrition Therapy 1st Edition Mary J.
Marian Digital Instant Download
Author(s): Mary J. Marian, Gerard Mullin
ISBN(s): 9781466596139, 1466596139
Edition: 1
File Details: PDF, 9.90 MB
Year: 2015
Language: english
INTEGRATIVE
NUTRITION THERAPY
 INTEGRATIVE
NUTRITION THERAPY

EDITED BY

MARY J. MARIAN, DCN, RDN, CSO, FAND

UNIVERSITY OF ARIZONA
TUCSON, USA

GERARD E. MULLIN, MD
DIVISION OF GASTROENTEROLOGY AND HEPATOLOGY
ASSOCIATE PROFESSOR OF MEDICINE
THE JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
BALTIMORE, MARYLAND, USA

Boca Raton London New York

CRC Press is an imprint of the

Taylor & Francis Group, an informa business
CRC Press
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Boca Raton, FL 33487-2742

© 2016 by Taylor & Francis Group, LLC

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No claim to original U.S. Government works

Version Date: 20150223

International Standard Book Number-13: 978-1-4665-9614-6 (eBook - PDF)

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 To our families and loved ones for their unwavering support,
to the pioneers of integrative medicine, to the clinicians who
practice “The New Medicine,” to the researchers who provide
us evidence and confirmation, to the organizations and
philanthropists who promote integrative medicine awareness
and support research, and to our mentors, colleagues,
administrators, and staff who support our careers.
Contents
Preface.......................................................................................................................xi
Acknowledgments..................................................................................................... xv
Editors.....................................................................................................................xvii
Contributors.............................................................................................................xix
List of Reviewers.................................................................................................. xxiii

Chapter 1 Nutrition Assessment............................................................................ 1

Britta Brown, MS, RD, LD, CNSC

Chapter 2 Integrative Medicine........................................................................... 19

Roberta Lee, MD, CaC

Chapter 3 Searching for the Optimal Diet: Which Is Best?................................ 27

Danielle Flug Capalino, MSPH, RD and Gerard E. Mullin, MD

Chapter 4 Functional Foods................................................................................. 37

Kristi Crowe-White, PhD, RD and Coni Francis, PhD, RD

Chapter 5 Integrative Nutrition: Supplements..................................................... 49

Jennifer Doley, MBA, RD, CNSC, FAND

Chapter 6 Integrative Approach to Nutrition in Infants, Children, and

Adolescents......................................................................................... 89
Hilary H. McClafferty, MD, FAAP

Chapter 7 Women’s Health and Nutrition.......................................................... 117

Laurie Tansman, MS, RD, CDN

Chapter 8 Integrative Nutritional Therapy for Cardiovascular Disease............ 143

Mimi Guarneri, MD, FACC and Ryan Bradley, ND, MPH

vii
viii Contents

Chapter 9 Breast Cancer.................................................................................... 189

Cynthia A. Thomson, PhD, RD and Deborah Straub, MS, RDN

Chapter 10 Prostate Cancer................................................................................. 231

Michelle Bratton, RDN, CSO

Chapter 11 Gastrointestinal Cancer and Complementary Therapies.................. 251

Lindsay Dowhan, MS, RD, CSO, LD, CNSC and
Monica Habib, MS, RD, LD, CNSC

Chapter 12 Traditional and Nontraditional Treatments for Diabetes.................. 273

Patricia G. Davidson, DCN, RDN, CDE, LDN and
Dwight L. Davidson, PhD, MA, LHMC

Chapter 13 Obesity.............................................................................................. 299

Sherif El Behiry, MD, Laura E. Matarese, PhD, RND, LDN,
FADA, CNSC, FASPEN, FAND and Hossam M. Kandil, MD, PhD

Chapter 14 Nutritional Management of Upper Gastrointestinal Disorders......... 321

Francis Okeke, MD, MPH and Bani Chander Roland, MD

Chapter 15 Inflammatory Bowel Disease............................................................ 347

Alyssa Parian, MD

Chapter 16 Use of Complementary and Alternative Therapies in Hepatic

Disorders........................................................................................... 375
Alia S. Dadabhai, MD

Chapter 17 Nutrition in Acute and Chronic Pancreatitis..................................... 397

Neha Jakhete, MD and Vikesh K. Singh, MD, MSc

Chapter 18 Nutrition and Mental Health.............................................................407

Nora Galil, MD, MPH, FAACAP and Robert Hedaya, MD,
DLFAPA
Contents ix

Chapter 19 Neurology and Nutrition................................................................... 419

Maya Shetreat-Klein, MD

Chapter 20 Physical Activity............................................................................... 439

Karen M. Gibson, RDN, CD, CSSD

Index....................................................................................................................... 471
Preface
Integrative medicine is a whole systems approach to wellness that embodies all
healing modalities and emphasizes natural and traditional approaches and favors
noninvasive low-risk interventions. The movement of integrative medicine dates
back several decades to a more evolutionary process whose growth was organic
and a number of pioneers who collectively increased public awareness and ulti-
mately popularity. Due to consumer demand of integrative medicine, congressio-
nal legislation established the Office of Alternative Medicine in October 1991 and
appropriated $2M for its inception under the auspices of the National Institutes of
Health (NIH).* The goal was to fund research studies to confirm the validity of
integrative medicine healing modalities. Despite economic fluxes, there has been
a steady growth in funding for this office whose name was changed in 2000 as the
National Center for Complementary and Alternative Medicine (NCCAM), which
was refined as the federal government’s lead agency for scientific research on
the diverse medical and health-care systems, practices, and products that are not
generally considered part of conventional medicine. Ultimately, the goal of the 65
FTE-staffed agency is to advance the science and practice of complementary and
alternative medicine and promote evidence-based personalized strategies while
enabling practitioner’s data to incorporate evidence-based strategies to promote
wellness and health care.† NCCAM and philanthropic funding of research encour-
aged research and rapid growth of integrative medicine with ample evidence sup-
porting its benefits. In 1994, Dr. Andrew Weil, philanthropists, and colleagues
formed the nation’s first university-based training program in integrative medi-
cine at the University of Arizona. In 2001, a conversation began the formation of
The Bravewell Collaborative, a community of philanthropists that are devoted to
the growth of integrative medicine and partnered with leading academic physi-
cians to transform health care into a more humanistic integrative model.‡ The
Bravewell Collaborative then brought together over 50 major academic centers
in the United States to form the Consortium of Academic Health Centers for
Integrative Medicine. In 2014, The American Board of Integrative Medicine came
together under the American Board of Physician Specialties to provide the public
a means to recognize physicians who are qualified in the practice of integrative
medicine.
There have been many studies regarding the use of integrative medicine in
health care. The most transformative study was published by Dr. David Eisenberg
of the Harvard School of Public Health, which showed that complementary
and alternative modalities are used by approximately one-third of the U.S.
population (Eisenberg et al. 1993). According to the most recent National Health
Survey data, complementary and alternative medicine (CAM) is being used by

* http://nccam.nih.gov/about/budget/appropriations.htm.
† http://nccam.nih.gov/about/ataglance.
‡ http://www.bravewell.org/bravewell_collaborative/.

xi
xii Preface

almost 40% of adults and 12% of children in the United States (Barnes et al. 2008).
Interestingly, those with chronic diseases utilize CAM the most and often report
greater satisfaction than with conventional therapies alone (Jonas et al. 2013).
Among the CAM modalities, nutrition-based therapies (i.e., special diets and
dietary supplements) are consistently among the highest utilized across the board
by consumers and patients with a wide variety of illnesses. This area of integra-
tive medicine is among the most controversial as dietary supplements are largely
unrelated under the Dietary Supplement Health and Education Act (DSHEA)*
and dietary therapeutic trails are tedious to execute; however, there are abun-
dant data with a message that is oftentimes difficult to unify into cohesive rec-
ommendations. In 2006, Integrating Therapeutic and Complementary Nutrition
(Modern Nutrition) was published to offer the CAM provider an evidence-based
foundation in delivering nutrition recommendations to the educated consumer
(Marian et al. 2006). This first-of-a-kind textbook served a broad audience
and across life spectrums to provide an extensive resource for complementary
nutrition. Since the publication of Integrating Therapeutic and Complementary
Nutrition (Modern Nutrition), the research in the area of specialized therapeu-
tic diets and dietary supplements for disease prevention and remediation has
literally exploded, requiring a new approach to message this exhaustive data-
base. In Integrative Nutrition Therapy, we have reorganized the subject matter
in a systematic manner that emphasizes an evidence-based translational how-to
approach of the scientific data. An overview of integrative medicine is written by
Dr. Roberta Lee, a leading authority in the field. The need for practical knowledge
for the integrative practitioner is covered in depth by award-winning academic-
based nutrition experts; the topics covered include “Nutrition Assessment,”
“Popular Diets” as a search for the holy grail of the optimum diet, “Functional
Foods,” “Sports Nutrition and Physical Activity,” and “Nutrition through the Life
Cycle.” Finally, the evidence regarding the use of complementary nutrition is pre-
sented for cardiovascular, gastrointestinal, and liver disorders; diabetes; obesity;
and neurological disorders.
We are pleased to provide you with this cutting-edge desk reference and hope this
will transform the lives of many.

Mary J. Marian, DCN, CSO, FAND

Assistant Professor of Practice
Arizona Center for Integrative Medicine
University of Arizona
Tucson, Arizona

Gerard E. Mullin, MD
Associate Professor of Medicine
The Johns Hopkins University School of Medicine
Baltimore, Maryland

* http://www.anh-usa.org/dshea/.
Preface xiii

REFERENCES
Barnes PM, Bloom B, and Nahin RL. (2008). Complementary and alternative medicine use
among adults and children: United States, 2007. National Health Statistics Reports,
12, 1–23.
Eisenberg DM, Kessler RC, Foster C, Norlock FE, Calkins DR, and Delbanco TL. (1993).
Unconventional medicine in the United States. Prevalence, costs, and patterns of use.
The New England Journal of Medicine, 328(4), 246–252.
Jonas WB, Eisenberg D, Hufford D, and Crawford C. (2013). The evolution of comple-
mentary and alternative medicine (CAM) in the USA over the last 20 years. Forsch
Komplementmed, 20(1), 65–72.
Marian MJ, Wiliams-Mullen P, and Muir-Bowers J. (2006). Integrating Therapeutic and
Complementary Nutrition (Modern Nutrition), 1st edn. Taylor & Francis/CRC Press,
Boca Raton, FL.
Acknowledgments
My sincere thanks to my coeditor Dr. Mary Marian for her fortitude, support, and
outstanding editorial management. A big thank-you to Randy Brehm and Kari
Budyk from Taylor & Francis Group/CRC Press, for all of their efforts in producing
this book. I express my gratitude to the many experts whose exceptional contribu-
tions made this book possible. There are many individuals I would like to recognize
who have guided my career and sparked my interest in nutrition and integrative
medicine—to my mentors who have guided my career over the years, in particular,
Drs. Anthony Kalloo, Andrew Weil, Victoria Maizes, Tieraona Low Dog, and Ben
Caballero and to the nutritionists whose collaborations have fostered career develop-
ment and friendships over the years: Drs. Laura E. Matarese, Carol Irenton-Jones,
Mark DeLegge, Steve McClave, Kelly Tappenden, Jeanette Hasse, and Amy Brown.
A special thank-you to those who have supported my clinical practice at Johns
Hopkins: my medical office assistants Julie McKenna-Thorpe and Roseann Wagner;
administrators Erin O’Keefe, Lisa Bach-Burdsall, and Nathan Smith; administra-
tive director of the Division of Gastroenterology and Hepatology Tiffany Boldin;
Dr. Myron L. Weisfeldt, chairman of medicine; and Dr. Linda A. Lee, clinical direc-
tor of the Division of Gastroenterology and Hepatology.

Gerard E. Mullin, MD
Baltimore, Maryland

xv
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- Sub-point: Additional details and explanations
- Example: Practical application scenario
Learning Objective 2: Literature review and discussion
• Literature review and discussion
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
[Figure 2: Diagram/Chart/Graph]
Learning Objective 3: Literature review and discussion
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- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
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• Experimental procedures and results
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Learning Objective 5: Current trends and future directions
• Literature review and discussion
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Remember: Literature review and discussion
• Experimental procedures and results
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Example 6: Critical analysis and evaluation
• Literature review and discussion
- Sub-point: Additional details and explanations
- Example: Practical application scenario
Formula: [Mathematical expression or equation]
Note: Study tips and learning strategies
• Case studies and real-world applications
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Remember: Best practices and recommendations
• Historical development and evolution
- Sub-point: Additional details and explanations
- Example: Practical application scenario
Definition: Experimental procedures and results
• Fundamental concepts and principles
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
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Note: Current trends and future directions
• Study tips and learning strategies
- Sub-point: Additional details and explanations
- Example: Practical application scenario
Remember: Experimental procedures and results
• Literature review and discussion
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Note: Current trends and future directions
• Key terms and definitions
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
[Figure 13: Diagram/Chart/Graph]
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• Current trends and future directions
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Note: Experimental procedures and results
• Literature review and discussion
- Sub-point: Additional details and explanations
- Example: Practical application scenario
Important: Statistical analysis and interpretation
• Best practices and recommendations
- Sub-point: Additional details and explanations
- Example: Practical application scenario
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- Example: Practical application scenario
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- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Note: Problem-solving strategies and techniques
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- Sub-point: Additional details and explanations
- Example: Practical application scenario
[Figure 19: Diagram/Chart/Graph]
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• Statistical analysis and interpretation
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- Example: Practical application scenario
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[Figure 20: Diagram/Chart/Graph]
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Practice Problem 20: Best practices and recommendations
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- Sub-point: Additional details and explanations
- Example: Practical application scenario
[Figure 21: Diagram/Chart/Graph]
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- Sub-point: Additional details and explanations
- Example: Practical application scenario
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- Sub-point: Additional details and explanations
- Example: Practical application scenario
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[Figure 24: Diagram/Chart/Graph]
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• Experimental procedures and results
- Sub-point: Additional details and explanations
- Example: Practical application scenario
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- Sub-point: Additional details and explanations
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[Figure 26: Diagram/Chart/Graph]
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- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
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- Example: Practical application scenario
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[Figure 30: Diagram/Chart/Graph]
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• Critical analysis and evaluation
- Sub-point: Additional details and explanations
- Example: Practical application scenario
[Figure 31: Diagram/Chart/Graph]
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- Sub-point: Additional details and explanations
- Example: Practical application scenario
Formula: [Mathematical expression or equation]
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- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Note: Best practices and recommendations
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- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
[Figure 34: Diagram/Chart/Graph]
Example 34: Study tips and learning strategies
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- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
[Figure 35: Diagram/Chart/Graph]
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- Note: Important consideration
Formula: [Mathematical expression or equation]
Definition: Research findings and conclusions
• Study tips and learning strategies
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
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• Case studies and real-world applications
- Sub-point: Additional details and explanations
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[Figure 40: Diagram/Chart/Graph]
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- Example: Practical application scenario
- Note: Important consideration
Important: Best practices and recommendations
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- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
[Figure 42: Diagram/Chart/Graph]
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• Current trends and future directions
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
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- Example: Practical application scenario
- Note: Important consideration
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- Sub-point: Additional details and explanations
- Example: Practical application scenario
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[Figure 49: Diagram/Chart/Graph]
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- Example: Practical application scenario
- Note: Important consideration
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• Case studies and real-world applications
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
[Figure 52: Diagram/Chart/Graph]
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• Statistical analysis and interpretation
- Sub-point: Additional details and explanations
- Example: Practical application scenario
[Figure 53: Diagram/Chart/Graph]
Remember: Statistical analysis and interpretation
• Current trends and future directions
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Definition: Critical analysis and evaluation
• Current trends and future directions
- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
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Formula: [Mathematical expression or equation]
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- Example: Practical application scenario
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- Sub-point: Additional details and explanations
- Example: Practical application scenario
- Note: Important consideration
Formula: [Mathematical expression or equation]
Remember: Ethical considerations and implications
• Assessment criteria and rubrics
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- Example: Practical application scenario
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- Note: Important consideration
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