Lecture 5C-

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Lecture 5C- 18 October 2010 LIPIDS III
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• rheumatoid arthritis
• pathology

diet ELIMINATION THERAPY  
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RHEUMATOID ARTHRITIS CONTINUED ELIMINATION
DIET DONG DIET-SIMPLE FOODS (SEAFOOD, VEGGIES,
AND RICE WHILE ELIMINATING ADDITIVES,
PRESERVATIVES, RED MEAT, HERBS, DAIRY
PRODUCTS, SPICES, CARBONATED DRINKS AND
ETOH)  
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ARTHRITIS AND DIET CONTINUED ELIMINATION
THERAPY NO DIFFERENCE BETWEEN DONG AND
PLACEBO DIETS FOR RA PATIENTS   OTHER DIETARY
ELIMINATION STUDIES HAVE COME UP WITH THE SAME
THING ROLE OF DIET IS CONTROVERSIAL
BECAUSE EXISTING STUDIES DO NOT GIVE
CLEAR CUT RESULTS    
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ARTHRITIS CONTINUED functional
foods fish-doesnt work -no other proven
examples of functional foods  
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ARTHRITIS CONTINUED nutraceuticals evening
primrose oil borage oil
black currant oil fish oil
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b) Eczema pathology food allergy or RA
associated diet -remove food allergen from
diet -for RA no proven dietary approach
known
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ECZEMA CONTINUED functional foods fish-a
problem no other proven functional
food   nutraceuticals evening primrose
oil borage oil black
currant oil fish oil
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Cancer pathology diet saturated fat
does not cause cancer but promotes once it gets
started- not conclusive but reduce saturated
fat
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Cancer continued functional foods flax-
lignans-sdg- secoisolariciresinol
diglycoside-   nutraceuticals phytosterols
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Obesity pathology diet reduce total fat
intake   functional foods nutraceuticals
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DIETARY FAT RECOMMENDATIONS 30 OR
LESS OF ENERGY (UP TO 35 IF REASONABLE
ENERGY INTAKE AND LOW IN SATURATED AND TRANS
FATS, AND CHOLESTEROL) SATURATED FAT
LESS THAN 10 OF ENERGY LINOLEIC- 5-10
OF ENERGY-essential fatty acid
ALPHA-LINOLENIC- 0.6-1.2 OF DAILY CALORIES-
ALA essential fatty acid
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DIETARY FAT RECOMMENDATIONS CHOLESTEROL
TO LESS THAN 300 MG /DAY EAT PLENTY OF
VEGETABLES, FRUIT AND GRAINS
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What is new in lipid research 2007 JAMA
2981420-1428 INCREASED OMEGA 3 INTAKE REDUCES
THE RISK OF TYPE 1 DIABETES IN CHILDREN AS
MEASURED BY REDUCED ISLET IMMUNITY