References November 2024 - issue 194

MYTH BUSTING WITH MADI - MYTHS ABOUT THE MENOPAUSE

  1. NHS. Symptoms – Menopause. Available at: https://www.nhs.uk/conditions/menopause/symptoms/
  2. NDNS (2020). NDNS: results from years 9 to 11 (combined) – report. Available at: www.gov.uk/government/statistics/ndns-results-from-years-9-to-11-2016-to-2017-and-2018-to-2019
  3. World Cancer Research Fund (2017). Could soy products affect my risk of cancer? Available at: www.wcrf-uk.org/our-blog/could-soy-products-affect-my-risk-of-cancer/
  4. Valsta LM et al (2003). Phytoestrogen database of foods and average intake in Finland. Br J Nutr. 89 Suppl 1:S31-8
  5. Chen MN et al (2015). Efficacy of phytoestrogens for menopausal symptoms: a meta-analysis and systematic review. Climacteric. 18(2):260-9
  6. EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA) (2010). Scientific opinion on the substantiation of health claims related to magnesium and ‘hormonal health’ (ID 243), reduction of tiredness and fatigue (ID 244), contribution to normal psychological functions (ID 245, 246), maintenance of normal blood glucose concentrations (ID 342), maintenance of normal blood pressure (ID 344, 366, 379), protection of DNA, proteins and lipids from oxidative damage (ID 351), maintenance of the normal function of the immune system (ID 352), maintenance of normal blood pressure during pregnancy (ID 367), resistance to mental stress (ID 375, 381), reduction of gastric acid levels (ID 376), maintenance of normal fat metabolism (ID 378) and maintenance of normal muscle contraction (ID 380, ID 3083) pursuant to Article 13(1) of Regulation (EC) No 1924/2006. EFSA J. 8(10)
  7. Arab A et al (2023). The Role of Magnesium in Sleep Health: a Systematic Review of Available Literature. Biol Trace Elem Res. 201(1):121-128
  8. Decandia D et al (2022). n-3 PUFA Improve Emotion and Cognition during Menopause: A Systematic Review. Nutrients. 14(9):1982
  9. Cano A et al (2020). The Mediterranean diet and menopausal health: An EMAS position statement. Maturitas. 139:90-97
  10. De Paoli M et al. (2021). The Role of Estrogen in Insulin Resistance: A Review of Clinical and Preclinical Data. Am J Pathol. 191(9):1490-1498
  11. McRae MP (2017). Dietary Fibre Is Beneficial for the Prevention of Cardiovascular Disease: An Umbrella Review of Meta-analyses. J Chiropr Med. 16(4):289-299
  12. Dunneram Y et al (2018). Dietary intake and age at natural menopause: results from the UK Women's Cohort Study. J Epidemiol Community Health. 72(8):733-740
  13. BDA. Menopause and diet. Available at: www.bda.uk.com/resource/menopause-diet.html

SUSTAINABLE DIETS: THE WHAT, THE WHY AND THE HOW by Laura Kaar, RD

  1. Government food strategy (2022). Department for Environment, Food & Rural Affairs.
  2. FAO and WHO (2019). Sustainable healthy diets – Guiding principles. Rome. https://www.fao.org/3/ca6640en/ca6640en.pdf
  3. National Health Services, Health and Social Care Information Centre. Statistics on obesity, physical activity and diet England, 2020
  4. Scheelbeek P, Green R, Papier K et al.Health impacts and environmental footprints of diets that meet the Eatwell Guide recommendations: analyses of multiple UK studies. BMJ Open 2020;10:e037554. doi: 10.1136/bmjopen-2020-037554
  5. How many people in the UK have diabetes?
  6. Sharp rise in type 2 diabetes among people under 40 in UK | Diabetes | The Guardian
  7. British Heart Foundation UK CVD Factsheet January 2024
  8. Crippa, M., Solazzo, E., Guizzardi, D. et al.Food systems are responsible for a third of global anthropogenic GHG emissions. Nat Food 2, 198–209 (2021). https://doi.org/10.1038/s43016-021-00225-9
  9. Poore and T. Nemecek. Reducing food's environmental impacts through producers and consumers Science 360 (6392), 987-992. (2018) DOI: 10.1126/science.aaq0216
  10. Eating for Net Zero | WWF
  11. Murakami, K., Livingstone, M.B.E. Greenhouse gas emissions of self-selected diets in the UK and their association with diet quality: is energy under-reporting a problem?. Nutr J17, 27 (2018). https://doi.org/10.1186/s12937-018-0338-x
  12. The Eatwell Guide: Modelling the Health Implications of Incorporating New Sugar and Fibre Guidelines. Cobiac LJ, Scarborough P, Kaur A, Rayner M (2016) The Eatwell Guide: Modelling the Health Implications of Incorporating New Sugar and Fibre Guidelines. PLOS ONE 11(12): e0167859. https://doi.org/10.1371/journal.pone.0167859
  13. The eatwell guide: A more sustainable diet | The Carbon Trust
  14. One Blue Dot - Sustainable Diets - British Dietetic Association (BDA)
  15. The Planetary Health Diet - EAT (eatforum.org)
  16. ncl.ac.uk/david.harvey/AEF372/AEF372.2.html
  17. Environmental Land Management (ELM) update: how government will pay for land-based environment and climate goods and services - GOV.UK (www.gov.uk)
  18. British Agriculture - Is the Era of Subsidies Over? (arc2020.eu)).
  19. Neufingerl N, Eilander A. Nutrient Intake and Status in Adults Consuming Plant-Based Diets Compared to Meat-Eaters: A Systematic Review. Nutrients. 2021 Dec 23;14(1):29. doi: 10.3390/nu14010029. PMID: 35010904; PMCID: PMC8746448.
  20. Vegetarian, vegan and plant-based diet - British Dietetic Association (BDA)

PROBIOTICS: THE EFFICACY FOR THEIR USE IN SPECIFIC CONDITIONS by Hazel Clarke, RD

  1. McKenzie YA, Thompson J, Gulia P, Lomer MC (IBS Dietetic Guideline Review Group on behalf of Gastroenterology Specialist Group of the British Dietetic Association) (2016). British Dietetic Association systematic review of systematic reviews and evidence-based practice guidelines for the use of probiotics in the management of irritable bowel syndrome in adults (2016 update).Journal of human nutrition and dietetics: the official journal of the British Dietetic Association, 29(5), 576-592. https://doi.org/10.1111/jhn.12386
  2. Mullish BH, Quraishi MN, Segal JP, Ianiro G, Iqbal TH (2020). The gut microbiome: what every gastroenterologist needs to know. Frontline gastroenterology, 12(2), 118-127. https://doi.org/10.1136/flgastro-2019-101376
  3. Dong TS and Gupta A (2019). Influence of Early Life, Diet, and the Environment on the Microbiome. Clinical gastroenterology and hepatology: the official clinical practice journal of the American Gastroenterological Association,17(2), 231-242. https://doi.org/10.1016/j.cgh.2018.08.067
  4. Gibson GR, Hutkins R, Sanders ME, Prescott SL, Reimer RA, Salminen SJ, Scott K, Stanton C, Swanson KS, Cani PD, Verbeke K, Reid G (2017). Expert consensus document: The International Scientific Association for Probiotics and Prebiotics (ISAPP) consensus statement on the definition and scope of prebiotics. Nature reviews. Gastroenterology & hepatology, 14(8), 491-502. https://doi.org/10.1038/nrgastro.2017.75
  5. Marco ML, Sanders ME, Gänzle M, Arrieta MC, Cotter PD, De Vuyst L, Hill C, Holzapfel W, Lebeer S, Merenstein D, Reid G, Wolfe BE, Hutkins R (2021). The International Scientific Association for Probiotics and Prebiotics (ISAPP) consensus statement on fermented foods. Nature reviews. Gastroenterology & hepatology, 18(3), 196-208. https://doi.org/10.1038/s41575-020-00390-5
  6. Davani-Davari D, Negahdaripour M, Karimzadeh I, Seifan M, Mohkam M, Masoumi SJ, Berenjian A, Ghasemi Y (2019). Prebiotics: Definition, Types, Sources, Mechanisms, and Clinical Applications. Foods (Basel, Switzerland), 8(3), 92. https://doi.org/10.3390/foods8030092
  7. Merenstein DJ, Tancredi DJ, Karl JP, Krist AH, Lenoir-Wijnkoop I, Reid G, Roos S, Szajewska H, Sanders ME (2024). Is There Evidence to Support Probiotic Use for Healthy People? Advances in nutrition (Bethesda, Md.), 15(8), 100265. https://doi.org/10.1016/j.advnut.2024.100265
  8. Dimidi E, Zdanaviciene A, Christodoulides S, Taheri S, Louis P, Duncan PI, Emami N, Crabbé R, De Castro CA, McLean P, Bergonzelli GE, Whelan K, Mark Scott S. Randomised clinical trial: Bifidobacterium lactis NCC2818 probiotic vs placebo, and impact on gut transit time, symptoms, and gut microbiology in chronic constipation. Aliment Pharmacol Ther. 2019 Feb;49(3): 251-264. doi: 10.1111/apt.15073. Epub 2018 Dec 25. PMID: 30585341
  9. van der Schoot A, Helander C, Whelan K, Dimidi E (2022). Probiotics and synbiotics in chronic constipation in adults: A systematic review and meta-analysis of randomised controlled trials. Clinical nutrition (Edinburgh, Scotland), 41(12), 2759-2777. https://doi.org/10.1016/j.clnu.2022.10.015
  10. Lomer MCE, Wilson B, Wall CL (2023). British Dietetic Association consensus guidelines on the nutritional assessment and dietary management of patients with inflammatory bowel disease. Journal of Human Nutrition and Dietetics: the official journal of the British Dietetic Association, 36(1), 336-377. https://doi.org/10.1111/jhn.13054
  11. Bischoff SC, Bager P, Escher J, Forbes A, Hébuterne X, Hvas CL, Joly F, Klek S, Krznaric Z, Ockenga J, Schneider S, Shamir R, Stardelova K, Bender DV, Wierdsma N, Weimann A (2023). ESPEN guideline on Clinical Nutrition in inflammatory bowel disease. Clinical nutrition (Edinburgh, Scotland), 42(3), 352-379. https://doi.org/10.1016/j.clnu.2022.12.004
  12. https://www.vivomixx.co.uk/us-court-of-appeal-upholds-judgement-of-vivomixx-vs-vsl3/#:~:text=3%C2%AE%20%2D%20Vivomixx-,US%20Court%20of%20appeal%20upholds%20judgement,%C2%AE%20vs%20VSL%233%C2%AE&text=Marketing%20and%20Selling%20a%20product,patented%20by%20Professor%20De%20Simone. (Visited 01/09/2024)
  13. Goodman C, Keating G, Georgousopoulou E, Hespe C, Levett K (2021). Probiotics for the prevention of antibiotic-associated diarrhoea: a systematic review and meta-analysis. BMJ open, 11(8), e043054. https://doi.org/10.1136/bmjopen-2020-043054
  14. BDA Probiotics Fact Sheet. https://www.bda.uk.com/resource/probiotics.html

DIETARY IMPLICATIONS OF DENTAL DISEASE by Barira Saad, MS, RD, MBDA

  1. https://www.who.int/news-room/fact-sheets/detail/oral-health#:~:text=Most%20cases%20are%20dental%20caries
  2. https://artofdentalcare.co.uk/the-impact-of-the-uk-diet-on-teeth/
  3. https://www.gov.uk/government/statistics/oral-health-survey-of-5-year-old-children-2022/national-dental-epidemiology-programme-ndep-for-england-oral-health-survey-of-5-year-old-children-2022#executive-summary
  4. https://pubmed.ncbi.nlm.nih.gov/26704694/ 
  5. https://pubmed.ncbi.nlm.nih.gov/33430519/
  6. https://www.bupa.co.uk/dental/dental-care/symptoms/tooth-erosion#:~:text=Tooth%20erosion%20happens%20when%20acid,and%20can%20harm%20your%20teeth
  7. https://pubmed.ncbi.nlm.nih.gov/10687504/
  8. https://pubmed.ncbi.nlm.nih.gov/11911815/
  9. https://pubmed.ncbi.nlm.nih.gov/21282684/
  10. https://pubmed.ncbi.nlm.nih.gov/11082523/
  11. https://pubmed.ncbi.nlm.nih.gov/11991312/
  12. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3222359/
  13. https://pubmed.ncbi.nlm.nih.gov/23574464/
  14. https://pubmed.ncbi.nlm.nih.gov/28281612/
  15. https://www.gov.uk/government/publications/delivering-better-oral-health-an-evidence-based-toolkit-for-prevention
  16. https://www.bda.org/what-we-do/campaigns-and-advocacy/take-action/no-child-left-behind/
  17. https://www.ada.org/resources/ada-library/oral-health-topics/nutrition-and-oral-health
  18. https://vitality-dental.co.uk/impact-modern-diets-oral-health/

NUTRITION AND AGEING by Madi Myers

  1. The King's Fund (2024). What's happening to life expectancy in England? Available at: https://www.kingsfund.org.uk/insight-and-analysis/long-reads/whats-happening-life-expectancy-england
  2. Lonnie et al (2018). Protein for Life: Review of Optimal Protein Intake, Sustainable Dietary Sources and the Effect on Appetite in Ageing Adults. Nutrients. 10(3):360. doi:10.3390/nu10030360.
  3. Gopinath et al (2016). Association Between Carbohydrate Nutrition and Successful Aging Over 10 Years. J Gerontol. Series A: Biological Sciences and Medical Sciences. DOI: 10.1093/gerona/glw091
  4. Lai HT et al (2018). Serial circulating omega 3 polyunsaturated fatty acids and healthy ageing among older adults in the Cardiovascular Health Study: prospective cohort study. BMJ. 2018 Oct 17;363:k4067
  5. Walls & Steele (2004). The relationship between oral health and nutrition in older people. Mech Age Dev. 125(12):853-7. doi: 10.1016/j.mad.2004.07.011
  6. Nasimi N et al (2024). Effect of vitamin D supplementation or fortification on bone turnover markers in women: a systematic review and meta-analysis. Br J Nutr. 131(9):1473-1487. doi: 10.1017/S0007114524000060
  7. Russell (2001). Factors in Aging that Affect the Bioavailability of Nutrients. J Nutr. 131(4): 1359S–1361S. https://doi.org/10.1093/jn/131.4.1359S
  8. Smith AD & Refsum H (2016). Homocysteine, B Vitamins, and Cognitive Impairment. Annu Rev Nutr. 36:211-39
  9. Moreno-Agostino D et al. (2020). The impact of physical activity on healthy ageing trajectories: evidence from eight cohort studies. Int J Behav Nutr Phys Act 17, 92.
  10. Trichopoulou et al (2005). Modified Mediterranean diet and survival: EPIC-elderly prospective cohort study. BMJ. 330(7498):991. doi: 10.1136/bmj.38415.644155.8F
  11. Liang Y et al (2018). Calorie restriction is the most reasonable anti-ageing intervention: a meta-analysis of survival curves. Sci Rep. 8(1):5779
  12. Mishra A et al (2023). Fasting mimicking diet cycles versus a Mediterranean diet and cardiometabolic risk in overweight and obese hypertensive subjects: a randomised clinical trial. npj Metab Health Dis 1:1
  13. Sun ML et al. (2024). Intermittent fasting and health outcomes: an umbrella review of systematic reviews and meta-analyses of randomised controlled trials. EClinicalMedicine. 70:102519
  14. Papageorgiou M et al. (2023). The effects of time-restricted eating and weight loss on bone metabolism and health: a 6-month randomized controlled trial. Obesity (Silver Spring). 31 Suppl 1(Suppl 1):85-95
  15. Wilmanski et al. (2021). Gut microbiome pattern reflects healthy ageing and predicts survival in humans. Nat Metab. 3(2): 274-286. https://doi.org/10.1038/s42255-021-00348-0

FROM THE WILTSHIRE FARM FOODS DIETITIANS: OPTIMISING NUTRITION FOR OLDER ADULTS by Sophia Cornelius

  1. Office for National Statistics. Living longer: how our population is changing and why it matters [Internet]. 2018 Aug 13. Available from: https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/ageing/articles/livinglongerhowourpopulationischangingandwhyitmatters/2018-08-13
  2. Public Health England. Chapter 1: life expectancy and healthy life expectancy [Internet]. 2018 Jul 11. Available from: https://www.gov.uk/government/publications/health-profile-for-england/chapter-1-life-expectancy-and-healthy-life-expectancy
  3. British Nutrition Foundation. Nutrient requirements [Internet]. Available from: https://www.nutrition.org.uk/nutritional-information/nutrient-requirements/
  4. British Nutrition Foundation. Key findings from NDNS report for years 9 to 11 combined [Internet]. Available from: https://www.nutrition.org.uk/news/key-findings-from-ndns-report-for-years-9-to-11-combined/
  5. British Nutrition Foundation. Protein [Internet]. Available from: https://www.nutrition.org.uk/nutritional-information/protein/
  6. Malnutrition Pathway. The role of protein in malnutrition: a practical guide for healthcare professionals [Internet]. Malnutrition Pathway; 2023 [cited 2024 Oct 16]. Available from: https://www.malnutritionpathway.co.uk/library/protein.pdf
  7. Deutz NE, Bauer JM, Barazzoni R, Biolo G, Boirie Y, Bosy-Westphal A, et al. Protein intake and exercise for optimal muscle function with aging: Recommendations from the ESPEN Expert Group. Clin Nutr. 2014 Dec;33(6):929-36. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4924200/

THE ROLE OF EGGS FOR BREAKFAST IN WEIGHT MANAGEMENT AND DIABETES by Ro Antoni PhD, RD

  1. Fallaize et al (2013). Variation in the effects of three different breakfast meals on subjective satiety and subsequent intake of energy at lunch and evening meal. Eur J Nutr 52: 1353-1359
  2. Bonnema et al (2016). The effects of the combination of egg and fibre on appetite, glycaemic response and food intake in normal weight adults – a randomised, controlled, crossover trial. Int J Food Sci Nutr. 67:723-731
  3. Keogh et al (2020). Energy Intake and Satiety Responses of Eggs for Breakfast in Overweight and Obese Adults – A Crossover Study. Int J Environ Res Public Health 17(15): 5583
  4. Vander Wal et al (2008). Egg breakfast enhances weight loss. Int J Obes 22(10): 1545-51
  5. Mott et al (2023). Egg Intake Is Associated with Lower Risks of Impaired Fasting Glucose and High Blood Pressure in Framingham Offspring Study Adults. Nutrients 18;15(3): 507
  6. Ratliff et al (2010). Consuming eggs for breakfast influences plasma glucose and ghrelin, while reducing energy intake during the next 24 hours in adult men. Nutr Res 30(2): 96-103
  7. Fuller et al (2015). The effect of a high-egg diet on cardiovascular risk factors in people with type 2 diabetes: The diabetes and egg (DIABEGG) study – a 3-month randomised controlled trial. Am J Clin Nutr. 101(4): 705-713
  8. Yanagisawa (2023). How dietary amino acids and high protein diets influence insulin secretion. Physiol Rep. 11(2): e15577
  9. Blesso et al (2013). Whole egg consumption improves lipoprotein profiles and insulin sensitivity to a greater extent than yolk-free egg substitute in individuals with metabolic syndrome. Metabolism 62: 400-410
  10. Pittas et al (2007). The Role of Vitamin D and Calcium in Type 2 Diabetes. A Systematic Review and Meta-Analysis. J. Clin. Endocrinol. Metab. 92: 2017-2029
  11. Antoni R (2023.) Dietary saturated fat and cholesterol: cracking the myths around eggs and cardiovascular disease. J Nutr Sci. 12:e97

COW’S MILK ALLERGY: AN OVERVIEW by Aqsa Mahmood (ANutr)

  1. Edwards CW and Younus MA (2020). Cow’s Milk Allergy. Retrieved from PubMed website: https://www.ncbi.nlm.nih.gov/books/NBK542243/
  2. NICE Clinical Knowledge Summaries (last updated 2021). Cow's milk allergy in children. https://cks.nice.org.uk/topics/cows-milk-allergy-in-children/
  3. Caffarelli C, Baldi F, Bendandi B, Calzone L, Marani M, Pasquinelli P. EWGPAG. Cow's milk protein allergy in children: a practical guide. Ital J Pediatr. 2010 Jan 15; 36:5. doi: 10.1186/1824-7288-36-5. PMID: 20205781; PMCID: PMC2823764
  4. Vandenplas Y, Brueton M, Dupont C et al. Archives of Disease in Childhood. 2007. 92(10), 902-908
  5. Venter C, Pereira B, Voigt K, Grundy J, Clayton CB, Higgins B, Arshad SH, Dean T. Prevalence and cumulative incidence of food hypersensitivity in the first 3 years of life. Allergy. 2008 Mar; 63(3): 354-9. doi: 10.1111/j.1398-9995.2007.01570.x. Epub 2007 Dec 5. PMID: 18053008
  6. allergyuk.org/about-allergy/allergy-in-childhood/cows-milk-allergy/#:~:text=Cow's%20milk%20allergy%20(also%20known,system%20to%20be%20'sensitised
  7. Giovanna V, Carla C, Alfina C, Domenico P and Elena L (2012). The immunopathogenesis of cow’s milk protein allergy (CMPA). Italian Journal of Pediatrics, 38(1), 35. https://doi.org/10.1186/1824-7288-38-35
  8. Walsh J, Meyer R, Shah N, Quekett J, Fox AT (2016). Differentiating milk allergy (IgE- and non-IgE-mediated) from lactose intolerance: understanding the underlying mechanisms and presentations. The British Journal of General Practice, 66(649), e609–e611. https://doi.org/10.3399/bjgp16X686521
  9. Cow’s Milk Protein Allergy (Delayed) Information for parents and carers. (n.d.). Retrieved from https://www.alderhey.nhs.uk/wp-content/uploads/2023/06/Cows-Milk-Protein-Allergy-Delayed-Leaflet-PIAG-0022.pdf
  10. Guidance for prescribers in Primary Care: Pathway for the Management and Treatment of infants with Cows’ Milk Protein Allergy (CMA) and Lactose Intolerance (LI) This document has been produced by the Paediatric Dietetic service Shrewsbury and Telford Hospital NHS Trust in conjunction with NHS Shropshire Clinical Commissioning Group Medicines Optimisation Team. (n.d.). Retrieved from https://www.shropshiretelfordandwrekinccg.nhs.uk/wp-content/uploads/cmpa-pathway.pdf
  11. Mendonça RB, Franco JM, Cocco RR, de Souza FI, de Oliveira LC, Sarni RO, Solé D. Open oral food challenge in the confirmation of cow's milk allergy mediated by immunoglobulin E. Allergol Immunopathol (Madr). 2012 Jan-Feb;40(1):25-30. doi: 10.1016/j.aller.2011.02.007. Epub 2011 Jul 12. PMID: 21752525.
  12. Ludman S, Shah N, Fox AT (2013). Managing cows’ milk allergy in children. BMJ, 347, f5424. https://doi.org/10.1136/bmj.f5424
  13. Waddell L (2024). Guidance on the diagnosis and management of cow’s milk allergy in infants and children v2 guidance on the diagnosis and management of cow’s milk allergy in infants and children. Retrieved from https://www.nottsapc.nhs.uk/media/3yzjjsqe/cows-milk-allergy-overarching-guide.pdf?UID=115311792202441392259
  14. Guideline on prescribing infant formula for infants with Cows’ Milk Protein Allergy (CMPA). (n.d.). Retrieved from https://primarycare.northeastlondon.icb.nhs.uk/wp-content/uploads/2023/08/CMPA_guideline-1.pdf
  15. Luyt D, Ball H, Makwana N, Green MR, Bravin K, Nasser SM, Clark, A. T. (2014). BSACI guideline for the diagnosis and management of cow’s milk allergy. Clinical & Experimental Allergy, 44(5), 642–672. https://doi.org/10.1111/cea.12302
  16. The Milk Allergy in Primary Care (MAP) Guideline 2019. (2019, October 4). The GP Infant Feeding Network (UK) website: https://gpifn.org.uk/imap

PANCREATIC EXOCRINE INSUFFICIENCY: HOW DO WE MANAGE DURING PERT SHORTAGES? by Chloé McMurray

  1. Gandy J (2019). Disorders of the Pancreas. Manual of Dietetic Practice – 6th John Wiley & Sons
  2. Lindkvist B (2013). Diagnosis and treatment of pancreatic exocrine insufficiency. World Journal of Gastroenterology, 19 (42), 7258-7266. https://doi.org/10.3748/wjg.v19.i42.7258
  3. GUTS UK (2024). Pancreatic Exocrine Insufficiency (PEI) and Pancreatic Enzyme Replacement Therapy (PERT). https://gutscharity.org.uk/advice-and-information/conditions/pancreatic-exocrine-insufficiency-pei-and-pancreatic-enzyme-replacement-therapy-pert/
  4. Phillips ME, Hopper AD, Leeds JS et al (2021). Consensus for the management of pancreatic exocrine insufficiency: UK practical guidelines. BMJ Open Gastroenterology; 8:e000643. https://doi:10.1136/bmjgast-2021-000643
  5. Bush N and Singh VK (2023). Pancreatic exocrine insufficiency guidelines: more questions than answers! Hepatobiliary surgery and nutrition, 12(3), 428-430. https://doi.org/10.21037/hbsn-23-214
  6. Robbert A Hollemans et al (2018). Pancreatic exocrine insufficiency following acute pancreatitis: Systematic review and study level meta-analysis. Pancreatology. 18 (3), 253-262. https://doi.org/10.1016/j.pan.2018.02.009
  7. PERT and pancreatic cancer – an online educational session presented by senior specialist HPB dietitian Mary Phillips and hosted by Pancreatic Cancer UK – 25th June 2024. https://www.pancreaticcancer.org.uk/health-professionals/events-for-health-professionals/presentations-pert-and-pancreatic-cancer-june2024
  8. Pancreatic Society of Great Britain and Ireland (2024). Position Statement: PERT Shortage https://www.psgbi.org/position-statement-pert-shortage/
  9. Viatris (2024). Current Supply Update - 25th July, 2024 https://www.creon.co.uk/

CLINICAL EFFECTIVENESS: ENSURING QUALITY AND OUTCOME MEASURES IN DIETETICS by Louise Edwards, RD

  1. An introduction to healthcare quality: defining and explaining its role in health systems - Improving healthcare quality in Europe - NCBI Bookshelf (nih.gov) Accessed August 2024
  2. Avedis Donabedian (1980) Explorations in Quality Assessment and Monitoring:  The definition of quality and approaches to its assessment.
  3. Quality Improvement Basics - ImproveWell Accessed August 2024
  4. Quality In the New Health System -Maintaining and improving quality from April 2013 Microsoft Word - Final NQB report v4 160113 CLEAN.docx (publishing.service.gov.uk)  Accessed August 2024
  5. World Health Organisation Website Quality of care (who.int) WHO (2018) In: “Handbook for national quality policy and strategy”  Accessed August 2024
  6. NHS England » NHS Five Year Forward View Accessed August 2024
  7. National Collaborating Centre for Mental Health. Patient Reported Outcome Measures (PROMs) for People with Severe Mental Illness in Community Mental Health Settings: Implementation guidance. London: National Collaborating Centre for Mental Health; 2023 [email protected]

BSNA: INNOVATION AND NEW PRODUCT DEVELOPMENT IN MEDICAL FOODS by Catherine Hodgson

  1. Imoscopi A, Inelmen EM, Sergi G, Miotto F, Manzato E. Taste loss in the elderly: epidemiology, causes and consequences. Aging Clin Exp Res. 2012 Dec;24(6):570-9. doi: 10.3275/8520. Epub 2012 Jul 24. PMID: 22828477. (September 2024)
  2. Solemdal K et al (2014). Taste ability in hospitalised older people compared with healthy, age-matched controls. Gerodontology.; 31(1): 42-8. Accessed online: https://doi.org/10.1111/ger.12001 (September 2024)
  3. British Specialist Nutrition Association (2020). Medical Nutrition & Parenteral Nutrition Industry Code of Practice. 2nd Edition
  4. Retained Delegated Regulation (EU) 2016/128 for Foods for Special Medical Purposes. (2016)
  5. Retained Regulation No 1169/2011 of the European Parliament and of the Council of 25 October 2011 on the Provision of Food Information to Consumers (2011). Official Journal of the European Union. L 304/18-63

GLUTEN-FREE ON PRESCRIPTION, IS IT STILL NEEDED? by Ananya Bhattacharya

  1. Singh, J., & Whelan, K. (2011). Limited availability and higher costs of gluten-free Nutrients, 3(10), 575-586.
  2. Hall, N. J., Rubin, G., & Charnock, A. (2013). Systematic review: adherence to a gluten-free diet in adult patients with coeliac disease. American Journal of Clinical Nutrition, 87(4), 1056-1061.
  3. Byrne, S., Taha, A., & Sam, L. (2014). Cost-effectiveness of gluten-free prescriptions in a changing market. British Medical Journal, 349, g4399.

THE LAST WORD by Fareeha Jay, RD

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