NUTR 468 - University of Alberta

(1)

NUTR 468 – Fall 2013

CLINICAL NUTRITION

Department of Agricultural Food and Nutritional Science University of Alberta

A. DESCRIPTION:

*3 (3-0-3). Basic principles of nutrition in clinical situations. The role of diet in the management of various diseases. The laboratory sessions include practical experience in providing individualized nutritional care for clients from various cultural backgrounds.

Prerequisite/Co-requisite: Nutr 301.

B. OBJECTIVES:

The course will provide students the opportunity to acquire knowledge and understanding of:

1. The role of nutrition in the prevention and treatment of selected diseases, nutritional disorders and clinical conditions.

2. The process of nutritional care (assessment, planning, implementation and evaluation) through the integration of knowledge and skills acquired from previous courses (nutrition, behavioural sciences, biochemistry and physiology).

3. The principles of therapeutic diets and their application with consideration of socioeconomical, cultural and psychological factors.

4. The role of the clinical dietitian as a member of the health care team in the provision of nutritional care.

C. FORMAT:

Lectures Mon 1:00 – 1:50pm ECHA L2-430

Wed 12:00 – 1:50pm

Labs/Sem Wed 2:00 – 4:50pm ECHA L2-430

Course files and course related communication will be through Moodle.

D. INSTRUCTOR: TEACHING ASSISTANT(s):

Diana Mager PhD RD *Abeer Alzaben MSc

Office Hrs Monday 2-3 Tuesdays 8:30-10 am LKS-2^nd Floor 2-021 Li Ka Shing Centre for [email protected]

Research Innovation

Phone: 492-7687

Email: [email protected] E. OFFICE HOURS:

Dr. Diana Mager: Mondays 2:00-300pm in Li Ka Shing 2-021, otherwise through Moodle.

Teaching Assistant(s) – Tuesdays 8:30-10 am in Li Ka Shing 2-021; otherwise through Moodle.

(2)

F. SCHEDULE:

WEEK OF LECTURES * LABS/SEMINARS (Wed PM)

Sept 04-06 Introduction and Nutrition Assessment: Dietary Sept 4 Classes Start

Reading: 1-3

Guest speaker: Heidi Bates - Internship Abeer - Intro/Expectations

Abeer/visiting RD - SGA/Case studies Nutrition Counseling Skills: Good & Bad Sept 9-13 Nutritional Assessment:

Biochemical, Anthropometric, Clinical

Reading: 3-10

Abeer - CFG-meal assessment and Calculating Energy Requirements Sept 16-20 GI: Malabsorption Syndromes,

Celiac Disease, Short Gut, IBS Guest speaker: Justine Turner - CD

Sept 18 at 12:00-1:00pm

Reading: 11-23

Guest speaker: Kendal VanDiepen – CD;

Sept 18 at 2:00-3:30pm

Guest speaker: Client Visit: CD;

Sept 18 at 3:45-4:30pm

Sept 23-27 Inflammatory Bowel Disease Disease of the large Intestine Ancillary Organs: Gallbladder Disease

Reading: 24-28

Guest speaker: Cathy Alberda - Probiotics;

Sept 25 at 2:30-4:00pm

Sept 30-Oct 4 Managing Nutrition Support Reading: 29-30

Abeer - Nutrition Support Formulas/ Tube Feed Calculations

Lab Assignment #1 Due Sept 30

Oct 7-11 Nutrition Support / Ancillary Organs: Liver , Pancreas

Reading: 29-33

Guest speaker: Leanne Mulesa –Oct 9 from 2-3:30

Understanding TPN orders;

Oct 14-18 Ancillary Organs: Cystic Fibrosis, Video: DVD (case simulations) Oct 14: thanksgiving no classes

Mid-term: Wednesday, October 16 2012 at 2:30-4:00pm in seminar

Oct 21-25 Obesity Reading: 34-41

Abeer - Waist Circumference/practice

Oct 28-Nov 1 Obesity

Guest speaker:Rhiannon Prince–

Childhood obesity; PCWH Oct 28

Reading: 34-41

Diana - Super Size Me

(3)

October 29 at 12:00-1:00pm Nov 4-8 Diabetes

Abeer/Dr Mager - Glycemic Index / Meal planning (Nov 4)

Reading: 42-46

Guest speaker: Grace Hubert RD – Islet Tx;

Nov 06 at 2:00-3:30pm

Dr Mager - Glycemic Index / Meal planning Nov 11-15 Eating Disorders

- Lectures on Moodle

- No classes November 11-12 (Remembrance Day / Fall break)**

- Classes start November 13 (Weds)

Reading: 47-48

Guest Speaker: Lisa Bellmere RD - Eating Disorder;

Nov 14 at 2:00-3:30pm

Nov 18-22 Diabetes continued Reading: 42-46 Andrea Haqq – PWS;

Nov 20 at 2:00-3:00pm

Nov 25-29 CVD Reading: 49-52

Guest speaker: Liz Woo RD - CVD;

Nov 25 at 1-2;

Lab Assignment #2 Due

Dec 2-6 Review Abeer – Review / Jeopardy

*Lecture and lab schedule is tentative. Last day of classes Wednesday December 4

** Holidays: No classes

** Final exam: Thursday December 13 at 2:00pm G. EVALUATION:

Grade Due Date

Lab Assignment 1 20% Sept 30, 2013 (by 2:00pm)

Lab Assignment 2 20% November 27, 2013 (by 2:00pm)

Mid-term Exam 25% October 16, 20132:30- 4:00pm Final Exam (comprehensive) 35% December 13, 2013 2:00–5:00pm

100%

H. REFERENCE MATERIALS:

Required Readings:

1. Professional Practice Handbook for Dietitians of Alberta, 2010. On line www.collegeofdietitians.ca. Used with permission by the College of Dietitians of Alberta.

http://www.collegeofdietitians.ab.ca/Portals/0/Public%20Documents/Professional%20Practice%20Handbook

%20for%20Dietitians%20in%20Alberta%202010.pdf

(4)

2. Alberda C, Graf A, McCargar L. Malnutrition: Etiology, consequences, and assessment of a patient at risk. Best Pract Res Clin Gastroenterol. 2006;20(3):419-439.

http://login.ezproxy.library.ualberta.ca/login?url=http://dx.doi.org/10.1016/j.bpg.2006.01.006 3. Sabol VK. Nutrition Assessment of the Critically Ill Adult. AACN. 2004;15(4):595-606.

http://login.ezproxy.library.ualberta.ca/login?url=http://ovidsp.ovid.com.login.ezproxy.library.ualbe rta.ca/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00044067-200410000- 00010&LSLINK=80&D=ovft

4. Kyle UG, Genton L, Pritchard C. Hospital Length of Stay and nutritional Status. Curr Opin Clin Nutr Metab Care. 2005;8:397-402.

5. Health Canada’s Body Weight Risk Classification for Adults. Available from: http://www.hc-sc.gc.ca/fn- an/nutrition/weights-poids/guide-ld-adult/qa-qr-pub-eng.php

6. Douketis JD, Paradis G, Keller H, Martineau C. Canadian guidelines for body weight classification in adults: application in clinical practice to screen for overweight and obesity and to assess disease risk. CMAJ.

2005;172(8):995-998.

http://login.ezproxy.library.ualberta.ca/login?url=http://proquest.umi.com.login.ezproxy.library.ualberta.ca/p qdweb?did=829311061&sid=1&Fmt=6&clientId=12301&RQT=309&VName=PQD

7. Thomas Hess, C. Monitoring laboratory values: protein and albumin. Advances in skin & wound care.

2009;22(1):48.

8. Mueller C, Compher C, Ellen DM. American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) Board of Directors. A.S.P.E.N. clinical guidelines: Nutrition screening, assessment, and intervention in adults. JPEN J Parenter Enteral Nutr. 2011 Jan;35(1):16-24.

http://login.ezproxy.library.ualberta.ca/login?url=http://dx.doi.org/10.1177/0148607110389335 9. Pasricha SR, Flecknoe-Brown SC, Allen KJ, et al. Diagnosis and management of iron deficiency anaemia: a clinical update. Med J Aust. 2010 Nov 1;193(9):525-32.

(Permanent link unavailable; PDF downloadable from PubMed)

10. Jensen GL, Hsiao PY, Wheeler D. Adult nutrition assessment tutorial. JPEN J Parenter Enteral Nutr.

2012 May;36(3):267-74.

http://login.ezproxy.library.ualberta.ca/login?url=http://dx.doi.org/10.1177/0148607112440284 11. Finestone HM, Greene-Finestone LS. Rehabiliation medicine: 2. Diagnosis of dysphagia and its nutritional management for stroke patients. CMAJ. 2003;169(10):1041-1044.

http://login.ezproxy.library.ualberta.ca/login?url=http://proquest.umi.com.login.ezproxy.library.ualb erta.ca/pqdweb?did=484617671&sid=2&Fmt=6&clientId=12301&RQT=309&VName=PQD 12. Kahrilas PJ. Clinical practice. Gastroesophageal reflux disease. New England Journal of Medicine.

2008;359(16):1700-7.

http://login.ezproxy.library.ualberta.ca/login?url=http://www.nejm.org.login.ezproxy.library.ualbert a.ca/doi/full/10.1056/NEJMcp0804684

13. Vemulapalli R. Diet and lifestyle modifications in the management of gastroesophageal reflux disease.

Nutr Clin Pract. 2008;23(3):293-8.

http://login.ezproxy.library.ualberta.ca/login?url=http://dx.doi.org/10.1177/0884533608318106 14. Ryan-Harshman M, Aldoori W. How diet and lifestyle affect duodenal ulcers. Review of the Evidence.

Can Fam Physician. 2004;50:727-732.

http://login.ezproxy.library.ualberta.ca/login?url=http://www-ncbi-nlm-nih-

gov.login.ezproxy.library.ualberta.ca/pmc/articles/PMC2214597/pdf/15171675.pdf

(5)

15. García-Manzanares A, Lucendo AJ. Nutritional and dietary aspects of celiac disease. Nutr Clin Pract.

2011 Apr;26(2):163-73. Review.

http://login.ezproxy.library.ualberta.ca/login?url=http://dx.doi.org/10.1177/0884533611399773 16. Case S. The Gluten Free Diet: How to Provide Effective Education and Resources. Gastenterology.

2005;128:S128-S134.

http://login.ezproxy.library.ualberta.ca/login?url=http://dx.doi.org/10.1053/j.gastro.2005.02.020 17. Vivanti, AP. Contribution of thickened drinks, food and enteral and parenteral fluids to fluid intake in hospitalised patients with dysphagia. Journal of human nutrition and dietetics. 2009;22(2):148-155.

http://onlinelibrary.wiley.com.login.ezproxy.library.ualberta.ca/doi/10.1111/j.1365-

277X.2009.00944.x/abstract;jsessionid=60AF342377F1ABB4B8446C873613E2C8.d03t01 18. Ukleja, A. Dumping syndrome: pathophysiology and treatment. Nutrition in clinical practice.

2005;20(5):517.

http://login.ezproxy.library.ualberta.ca/login?url=http://dx.doi.org/10.1177/0115426505020005517 19. Warren J, Bhalla V, Cresc G. Postoperative Diet Advancement: Surgical Dogma vs Evidence-Based Medicine. Nutr Clin Pract. 2011;26:115-125.

http://login.ezproxy.library.ualberta.ca/login?url=http://dx.doi.org/10.1177/0884533611400231 20. Alpers DH. Diet and Irritable Bowel Syndrome. Curr Opinion Gastroenterol. 2006;22:136-139.

21. Zuckerman MJ. The Role of Fibre in the Treatment of Irritable Bowel Syndrome. Therapeutic recommendations. J Clin Gastroenterol. 2006 Feb;40(2):104-8.

22. Tarleton S, DiBaise JK. Low-Residue Diet in Diverticular Disease : Putting an End to a Myth. Nutr Clin Pract. 2011;26: 137.

http://login.ezproxy.library.ualberta.ca/login?url=http://dx.doi.org/10.1177/0884533611399774 23. Matarese LE, Nutrition Tutorial: Nutrition and Fluid Optimzatoin for Patients with Short Bowel Syndrome Journal of Parenteral and Enteral Nutrition; 2012: Vol 37 (No 2): 161-171

http://pen.sagepub.com.login.ezproxy.library.ualberta.ca/content/37/2/161

24. McClave SA. Nutritional Assessment in Inflammatory Bowel Disease: Application of Nutrition Strategies to the Management of the Difficult Crohn's Patient. Am J Gastroenterology. 2007;102 pg:S88.

http://login.ezproxy.library.ualberta.ca/login?url=http://dx.doi.org/10.1111/j.1572- 0241.2007.01311.x

25. Mendez-Sanchez, N, Zamora-Valdés D, Chávez-Tapia NC, Uribe M. Role of diet in cholesterol gallstone formation. Clin Chim Acta. 2007 Feb;376(1-2):1-8.

http://login.ezproxy.library.ualberta.ca/login?url=http://dx.doi.org/10.1016/j.cca.2006.08.036 26. Bankhead R, Boullata J, A.S.P.E.N. Board of Directors, et al. Enteral nutrition practice

recommendations. JPEN J Parenter Enteral Nutr. 2009 Mar-Apr;33(2):122-67. Epub 2009 Jan 26.

http://login.ezproxy.library.ualberta.ca/login?url=http://dx.doi.org/10.1177/0148607108330314 27. Martindale, R. Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill patient: Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition: Executive Summary. (ASPEN) Critical care medicine. 2009;37(5):1757-61.

http://login.ezproxy.library.ualberta.ca/login?url=http://ovidsp.ovid.com.login.ezproxy.library.ualberta.ca/ovi dweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00003246-200905000-

00031&LSLINK=80&D=ovft

28. Grant JP. Anatomy and physiology of the Luminal Gut: Enteral Access Implications. Journal of Parenteral and Enteral Nutrition. 2006;30(1):S41-S46.

(6)

http://login.ezproxy.library.ualberta.ca/login?url=http://dx.doi.org/10.1177/01486071060300S1S41 29. Grant JP. Anatomy and Physiology of Venous System Vascular Access: Implications. Journal of Parenteral and Enteral Nutrition. 2006;30(1):S7-S12.

http://login.ezproxy.library.ualberta.ca/login?url=http://dx.doi.org/10.1177/01486071060300S1S7 30. Carey TS, Hanson L, Garrett JM, Lewis C, Phifer N, Cox CE, Jackman A. Expectations and Outcomes of Gastric Feeding Tubes. The American Journal of Medicine. 2006:119(6):527.e11-527.e16.

http://login.ezproxy.library.ualberta.ca/login?url=http://dx.doi.org/10.1016/j.amjmed.2005.11.021 31 Chen Y, Peterson SJ. Enteral nutrition formulas: which formula is right for your adult patient? Nutr Clin Pract. 2009 Jun-Jul;24(3):344-55.

http://login.ezproxy.library.ualberta.ca/login?url=http://dx.doi.org/10.1177/0884533609335377 32. Williams, R and O’Brien, A. Nutrition in End-Stage Liver Disease: Principles and Practice.

Gastroenterology. 2008 May;134(6):1729-40.

http://login.ezproxy.library.ualberta.ca/login?url=http://dx.doi.org/10.1053/j.gastro.2008.02.001 33. Paraskeva, K, Avgerinos C, Manes C, Dervenis C. Nutrition in severe acute pancreatitis: Does the route of administration or the content of feeding matter? Journal of Organ Dysfunction. 2006;2:166-170.

http://login.ezproxy.library.ualberta.ca/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=a9h

&AN=24924969&site=ehost-live&scope=site

34. Mager DR, Roberts EA. Nonalcoholic fatty liver disease in children. Clin Liver Dis. 2006 Feb;10(1):109-31, vi-vii. Review.

http://login.ezproxy.library.ualberta.ca/login?url=http://dx.doi.org.login.ezproxy.library.ualberta.ca/

10.1016/j.cld.2012.03.005

35. Chalasani N, Younossi Z, Lavine JE et al. The diagnosis of NAFLD practice guidelines by the American Gastroenterological Association, American Association for the Study of Liver Diseases and American College of Gastroenterology, 2012: 142: 1592-16-9.

http://www.sciencedirect.com.login.ezproxy.library.ualberta.ca/science/article/pii/S0016508512004 945

36. Sharma AM, Kushner RF. A proposed clinical staging system for obesity.Nutr Clin Pract. 2011;26:512.

http://login.ezproxy.library.ualberta.ca/login?url=http://dx.doi.org/10.1038/ijo.2009.2

37. Sherer EL, Sherer JA. Examining the most popular weight loss diets: how effective are they? JAAPA.

2008 Nov;21(11):31-4, 39.

(Permanent link unavailable; PDF downloadable from PubMed)

38. Volpe SL. Popular weight reduction diets. J Cardiovasc Nurs. 2006 Jan-Feb;21(1):34-9.

http://login.ezproxy.library.ualberta.ca/login?url=http://ovidsp.ovid.com.login.ezproxy.library.ualberta.ca/ovi dweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00005082-200601000-

00008&LSLINK=80&D=ovft

39. Laddu D, Dow C, Hingle M, Thomson C, Going S. A review of evidence-based strategies to treat obesity in adults. Nutr Clin Pract. 2011 Oct;26(5):512-25. Review.

http://login.ezproxy.library.ualberta.ca/login?url=http://dx.doi.org/10.1177/0884533611418335 40. Luo W, Morrison H, de Groh M, Waters C, et al. The burden of adult obesity in Canada. Chronic diseases in Canada. Chronic Dis Can. 2007;27(4):135-44.

http://login.ezproxy.library.ualberta.ca/login?url=http://www.phac-

aspc.gc.ca.login.ezproxy.library.ualberta.ca/publicat/cdic-mcbc/27-4/pdf/cdic274-1_e.pdf

41. Wilkinson DL, McCargar L. Is there an optimal macronutrient mix for weight loss and weight maintenance? Best Practice & Research Clinical Gastroenterology. 2004;18(6):1031-1047.

http://login.ezproxy.library.ualberta.ca/login?url=http://dx.doi.org/10.1016/j.bpg.2004.06.024 42. Daneman D. Type 1 diabetes. Lancet. 2006 Mar 11;367(9513):847-58.

http://login.ezproxy.library.ualberta.ca/login?url=http://dx.doi.org.login.ezproxy.library.ualberta.ca/10.1016/

S0140-6736(06)68341-4

(7)

43. Wong M, Gucciardi E, Li L, Grace SL. Gender and Nutrition Management in Type 2 Diabetes. Canadian Journal of Dietetic Practice and Research. Winter 2005;66(4)215-220.

http://login.ezproxy.library.ualberta.ca/login?url=http://proquest.umi.com.login.ezproxy.library.ualb erta.ca/pqdweb?did=938706991&sid=2&Fmt=6&clientId=12301&RQT=309&VName=PQD 44. Dworatzek PD, Arcudi K, Gougeon R, Husein N, Sivenpiper JL. Williams SL.; Canadian Diabetes Association 2013. Canadian Practice Guidelines: Nutrition Therapy Can J Diabetes 37 S45-S55.

http://www.sciencedirect.com.login.ezproxy.library.ualberta.ca/science/journal/14992671/37/supp/S1.

http://www.sciencedirect.com.login.ezproxy.library.ualberta.ca/science/article/pii/S1499267113000208 45. Weiss et al. Development of Type 2 Diabetes in Children and Adolescents. Current DiabetesReports 2006 6:182-187.

http://login.ezproxy.library.ualberta.ca/login?url=http://dx.doi.org/10.1007/s11892-006-0032-9 46. Ismail-Beigi F. Clinical practice. Glycemic management of type 2 diabetes mellitus. N Engl J Med. 2012 Apr 5;366(14):1319-27.

http://login.ezproxy.library.ualberta.ca/login?url=http://www.nejm.org.login.ezproxy.library.ualberta.ca/doi/f ull/10.1056/NEJMcp1013127

47. Ozier AD, Henry BW; American Dietetic Association. Position of the American Dietetic Association:

nutrition intervention in the treatment of eating disorders. J Am Diet Assoc. 2011 Aug;111(8):1236-41.

http://login.ezproxy.library.ualberta.ca/login?url=http://dx.doi.org.login.ezproxy.library.ualberta.ca/10.1016/j.

jada.2011.06.016

48. Reiter CS, Graves L. Nutrition therapy for eating disorders. Nutr Clin Pract. 2010 Apr;25(2):122-36.

http://login.ezproxy.library.ualberta.ca/login?url=http://dx.doi.org/10.1177/0884533610361606 49. Gidding SS, Lichtenstein AH, et al . Implementing American Heart Association pediatric and adult nutrition guidelines: a scientific statement from the American Heart Association Nutrition Committee of the Council on Nutrition, Physical Activity and Metabolism, Council on Cardiovascular Disease in the Young, Council on Arteriosclerosis, Thrombosis and Vascular Biology, Council on Cardiovascular Nursing, Council on Epidemiology and Prevention, and Council for High Blood Pressure Research. Circulation. 2009 Mar 3;119(8):1161-75.

50. Daskalopoulou SS, et al. The 2012 Canadian hypertension education program recommendations for the management of hypertension: blood pressure measurement, diagnosis, assessment of risk, and therapy. Can J Cardiol. 2012 May;28(3):270-87.

http://login.ezproxy.library.ualberta.ca/login?url=http://dx.doi.org.login.ezproxy.library.ualberta.ca/

10.1016/j.cjca.2012.02.018

51. Tsuyuki RT, Koshman S, Pearson GJ. Guideline for management of modifiable risk factors in adults at high risk for cardiovascular events. Toward Optimizing Practice Program. [monograph on the Internet].

Edmonton: The Program; [cited 2009 Apr 21]. pp1-14.

http://www.topalbertadoctors.org/cpgs.php?sid=11&cpg_cats=37

52. McPherson R, Frolich J, Fodor G, Genest J. Canadian Cardiovascular Society position statement- Recommendations for the diagnosis and treatment of dyslipidemia and prevention of cardiovascular disease.

Can J Cardiol 2006;22(11):913-927.

http://login.ezproxy.library.ualberta.ca/login?url=http://dx.doi.org/10.1016/S0828-282X(06)70310-5

(8)

Supplemental Reading The Role of the Registered Dietitian

Brown D. Unique Careers for Dietetics Professionals. JADA. 2005;105(9):1358-1359.

Finley D, Diekman C, Dorner B, Lofley D. Putting the “WOW!” into Dietetics. JADA.

2005;105(7):1149-1151.

Nutrition Assessment

Kondrup J, Allison SP, Elia M, Vellas B, Plauthy M. ESPEN Guidelines for Nutrition Screening 2002. Clinical Nutrition. 2003;22(4): 415–421.

Writing Group of the Nutrition Care Process/Standardized Language Committee. Nutrition Care Process and Model Part I: The 2008 Update. Journal of the American Dietetic Association.

2008;108(7):1113.

O'Regan P. Nutrition for patients in hospital. Nurs Stand. 2009 Feb 11-17;23(23):35-41.

Anderegg, BA. Comparison of resting energy expenditure prediction methods with measured resting energy expenditure in obese, hospitalized adults. JPEN J Parenter Enteral Nutr. 2009 Mar- Apr;33(2):168-75.

Porter C, Cohen N. Indirect calorimetry in critically ill patients: Role of the clinical dietitian in interpreting results. JADA. 1996:49-54,57.

Shetty P. Energy requirements of adults. Public Health Nutr. 2005 Oct;8(7A):994-1009.

Makhija S, Baker J. The Subjective Global Assessment: A Review of Its Use in Clinical Practice.

Nutr Clin Pract. 2008;23:405.

Gastrointestinal (GI) Disease

Alberda, C et al. Effects of probiotic therapy in critically ill patients: a randomized, double-blind, placebo-controlled trial. Am J Clin Nutr. 2007 Mar;85(3):816-23.

Bernstein CN and Shanahan F. Disorders of a modern lifestyle: reconciling the epidemiology of inflammatory bowel diseases. Gut. 2008 Sep;57(9):1185-91.

Mullin GE. Micronutrients and Inflammatory Bowel Disease. Nutr Clin Pract. 2012 Feb;27(1):136- 7.

Pietzak M. Celiac disease, wheat allergy, and gluten sensitivity: when gluten free is not a fad. JPEN J Parenter Enteral Nutr. 2012 Jan;36(1 Suppl):68S-75S.

Rogers C. Postgastrectomy Nutrition. Nutr Clin Pract. 2011 Apr;26(2):126-36.

Jeejeebhoy KN. Management of Short Bowel Syndrome: Avoidance of Total Parenteral Nutrition.

Gastroenterol. 2006;130:S60-S66.

Position of the American Dietetic Association: Health Implications of Dietary Fiber. American Dietetic Association. Journal of the American Dietetic Association. 2008;108(10):1716.

Nutrition Support

Melis GC, van Leeuwen PAM, von Blomberg-van der Flier BME, Goedgart-Hiddinga AC,

Uitdehaag BMJ, Strack van Schijndel RJM, et al. A CHO-Rich Beverage Prior to Surgery Prevents Surgery-Induced Immunodepression: A Randomized, Controlled, Clinical Trial. Journal of

Parenteral and Enteral Nutrition. 2006;30(1):21-26.

Taylor KA, Barr SI. Provision of Small Frequent Meals Does Not Improve Energy Intake of Elderly Residents with Dysphagia Who Live in Extended-Care Facility. JADA. 2006;106:1115- 1118.

Jones, N and Heyland, DK. Pharmaconutrition: a new emerging paradigm. Curr Opin Gastroenterol.

2008 Mar;24(2):215-22.

(9)

Ancillary Organs Diseases

Anonymous. Hepatitis C: Nutrition care Canadian guidelines for health care providers. Can J Diet Pract Res. 2003 Fall;64(3):139-41.

Crippin JS. Is Tube Feeding an Option in Patients With Liver Disease? Nutr Clin Pract. 2006 Jun;21(3):296-8.

Wood LG, Gibson PG, Garg ML. Circulating markers to assess nutritional therapy in cystic fibrosis. Clin Chim Acta. 2005 Mar;353(1-2):13-29.

Obesity

Ewards J, Evans J, Brown AD. Using routine growth data to determine overweight and obesity prevalence estimates in preschool children in the Capital Health Region of Alberta. Can J Public Health. 2008 Mar-Apr;99(2):91-4.

Shields M. Overweight and obesity among children and youth. Health Rep. 2006 Aug;17(3):27-42.

Storey KE, Hanning RM, Lambraki IA, Driezen P, Fraser SN, McCargar LJ. Determinants of diet quality among Canadian adolescents. Can J Diet Pract Res. 2009 Summer;70(2):58-65. (read following Guest Lecture on Childhood Obesity)

Shah M, Simha V, Garg A. Review: Long-term impact of Bariatric Surgery on Body Weight, Comorbidities, and Nutritional Status. J Clin Endocrinol Metab. 2006 Nov;91(11):4223-31.

Huang TT, Ball GD, Franks PW. Metabolic syndrome in youth: current issues and challenges. Appl Physiol Nutr Metab. 2007 Feb;32(1):13-22.

Miller MR, Choban PS. Surgical Management of Obesity : Current State of Procedure Evolution and Strategies to Optimize Outcomes. Nutr Clin Pract. 2011 Oct;26(5):526-33.

Poddar K, Kolge S, Bezman L, Mullin GE, Cheskin LJ. Nutraceutical supplements for weight loss:

a systematic review. Nutr Clin Pract. 2011 Oct;26(5):539-52.

Freedman MR, King J, Kennedy E. Popular diets: a scientific review. Obes Res. 2001 Mar;9 Suppl 1:1S-40S.

Diabetes

McMahon MM, Nystrom E, Braunschweig C, Miles J, Compher C. American Society for

Parenteral and Enteral Nutrition (A.S.P.E.N.) Board of Directors. A.S.P.E.N. Clinical Guidelines:

Nutrition Support of Adult Patients With Hyperglycemia. JPEN J Parenter Enteral Nutr. 2012 Jun 29. [Epub ahead of print]

Elia M, Ceriello A, Laube H, Sinclair AJ, Engfer M, Stratton RJ. Enteral Nutritional Support and Use of Diabetes-Specific Formulas for Patients with Diabetes. Diabetes Care. 2005;28(9):2267- 2279.

Burani J, Longo PJ. Low-Glycemic Index Carbohydrates – An Effective Behavioral Change for Glycemic Control and Weight Management in Patients with Type 1 and 2 Diabetes. The Diabetes Educator. Jan/Feb 2006;32(1):78-88.

Backholer K, Chen L, Shaw J. Screening for diabetes. Pathology. 2012 Feb;44(2):110-4.

Wheeler ML, Dunbar SA, Jaacks LM, Karmally W, Mayer-Davis EJ, Wylie-Rosett J, Yancy WS Jr. Macronutrients, food groups, and eating patterns in the management of diabetes: a systematic review of the literature, 2010. Diabetes Care. 2012 Feb;35(2):434-45.

Eating Disorders

Pike KM, Wilfley D, Hilbert A, Fairburn CG, Dohm FA, Striegel-Moore RH. Antecedent life events of binge-eating disorder. Psychiatry Res. 2006 May 30;142(1):19-29. Epub 2006 May 19.

Masheb RM, Grilo CM. Eating patterns and breakfast consumption in obese patients with binge eating disorder. Behav Res Ther. 2006 Nov;44(11):1545-53. Epub 2005 Dec 22.

(10)

Molinari E, et al. Binge eating disorder in obesity: Comparison of different therapeutic strategies.

Eating Weight Disord. 2005;10:154-161.

Cardiovascular Disease

Ignarro LJ, Balestrieri ML, Napoli C. Nutrition, physical activity, and cardiovascular disease: An update. Cardiovascular Research. 2007;73:326-340.

Arcand JL, Brazel S, Joliffe C, Choleva M, Berkoff F, Allard JP, Newton GE. Education by a dietitian in patients with heart failure results in improved adherence with a sodium-restricted diet: A randomized trial. Am Heart J. 2005 Oct;150(4):716.

Some Important Additional Tools:

1) Alberta Nutrition Guidelines for Adults:

http://www.healthyalberta.com/Documents/Nutrition-Guidelines-Adults-AB-2011.pdf 2) Canada’s Food Guide to Health Eating

http://www.hc-sc.gc.ca/fn-an/food-guide-aliment/index-eng.php

3) Health Canada Dietary Reference Intakes (November 2010): http://www.hc-sc.gc.ca/fn- an/alt_formats/hpfb-dgpsa/pdf/nutrition/dri_tables-eng.pdf

4) Edmonton Obesity Staging System (EOSS) – Staging Tool: http://www.drsharma.ca/wp- content/uploads/edmonton-obesity-staging-system-staging-tool.pdf

5) Canadian Clinical Practice Guidelines for the management and prevention of obesity in adults and children.

http://www.cmaj.ca/content/176/8/S1.full.pdf+html

Recommended Reference Books:

The A.S.P.E.N. Nutrition Support Core Curriculum: A Case-Based Approach - The Adult Patient 2007. http://www.nutritioncare.org/bookstore

Additional Information:

1. Electronic Devices

Electronic devices during examinations are limited to non-programmable calculators ONLY (unless otherwise advised).

2. Missed Mid-terms.

Students who are absent from mid-term exams due to illness only will NOT be provided with alternative times to write the mid-term. Instead, the weight of the midterm will be added to the overall final exam (this will now be worth 60% of the entire grade for the course). No

accommodation will be made for travel or outside commitments (other than illness) for missed midterms and a grade of zero will be assigned should the student miss the midterm for these reasons.

3. Late Assignments

Late assignments will be accepted, however a deduction of 10% per day late will be made. For example if an assignment is due on a Monday at 4:00 pm, and it is received any time after that, up until 4:00 pm the following day, 10% will be deducted from total mark. If it is late a second day, an additional 10% will be deducted and so on. If an assignment is worth 30% of the years work (or 30 marks) then a 10% deduction is minus 3 marks. Electronic submissions of assignments WILL NOT be permitted. Students may NOT pick up other students assignments/tests.

(11)

4. Lab Component

The lab/seminar section of the course may include the need for supplemental lecture material from course instructor Dr. Diana Mager. Some lab will be conducted by Dr. Mager/rest guest speakers or the TA. The lab/seminar will include hands-on experiential learning, videos, calculations and some cased based learning in addition to didactic approaches. Material from these seminars/labs WILL be included in the assignments/mid-terms/exams. The student is responsible to attend all of these seminars and all the material covered. No additional readings will be provided beyond those posted each week on Moodle. Guest speakers in the seminar are NOT to be approached direct outside of the class times unless otherwise specified by the course instructor.

5 Individual Student Grading

Requests regarding information about individual student grading will NOT be provided by email to students. Students must come to regularly scheduled office hours to speak to Dr Mager only regarding any questions/concerns regarding marking. Midterms will not be given out to students. Sa However, students will be given an opportunity to review their midterms during regularly scheduled office hours. Any questions that students may have should be addressed at this time. This will be on a first-come first-serve basis only and can only be done with the instructor of the course during regularly scheduled office hours. Sample test questions will be reviewed in the seminar/lab on a regular basis and the answers posted to help students prepare for midterms and exams.

6. Emails will be responded to within 24-72 hrs (not including weekends or statutory holidays). Use the question forum in Moodle as another way to ask questions and to see what new information has been highlighted.

7.Students who are late for class will be expected to enter the classroom quietly and to sit at the back of the class to avoid disrupting the class. While we encourage interactive group activities and class discussion at specific points in the lecture/lab, disruptive noise (such as talking) during non-group activities while instructor/TA/guest speakers are teaching, will not be tolerated.

8. Code of Student Behaviour Academic Integrity

“The University of Alberta is committed to the highest standards of academic integrity and honesty.

Students are expected to be familiar with these standards regarding academic honesty and to uphold the policies of the University in this respect. Students are particularly urged to familiarize

themselves with the provisions of the Code of Student Behaviour

(www.ualberta.ca/secretariat/appeals.htm) and avoid any behaviour which could potentially result in suspicions of cheating, plagiarism, misrepresentation of facts and/or participation in an offence.

Academic dishonesty is a serious offence and can result in suspension or expulsion from the University.” (GFC 2003)

Code of Student Behaviour

“All students at the University of Alberta are subject to the Code of Student Behaviour, as outlined at http://www.ualberta.ca/~unisecr/policy/sec30.html. Please familiarize yourself with it and ensure that you do not participate in any inappropriate behavior as defined by the Code. Key components of the code include the following statements.

(12)

30.3.2(1) No Student shall submit the words, ideas, images or data of another person as the

Student’s own in any academic writing, essay, thesis, project, assignment, presentation or poster in a course or program of study.

30.3.2(2) c. No Student shall represent another’s substantial editorial or compositional assistance on an assignment as the Student’s own work.”

Please speak with Diana Mager or the course TA if you have any questions or concerns about the Code, particularly as it pertains to team/group assignments, internet research, using the same work as part of assignments in more than one course, lab work and the definition of plagiarism.

7. Grading System

All marks for assignments and exams throughout the term will be added up to equal a final percentage (out of 100). Letter grades will only be assigned at the end of the term based on class distribution. If the student misses the midterm due to illness, then the final exam will be worth 60%

of the entire course grade.