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Bonnie Modugno, MS, RD

Nutrition Consultant, Author, Speaker
Bridging the Gap Between Knowledge and Behavior

530 Wilshire Blvd Suite 310
Santa Monica, CA 90401
(ph) 310-395-4822 (fax) 310-917-2274
(email) bonnie@muchmorethanfood.com
You are here: Home / Archives for gastrointestinal disease

THE FOOD CHAIN: Human Nutrition Gets It Backwards

October 18, 2011 by

My degree is in Food and Nutrition, Human nutrition that is. When I read research studies the emphasis is on what happens to humans. There is all kind of debate whether animal models are a good surrogate for the human experience. Mostly nutrition science agrees that studies with human subjects are best to determine what is important for humans. Maybe. But we need to look far beyond the human experience to address many of the nutrition and health concerns of our day.

Last Sunday I spoke at the Good Food Fest celebrating 30 years of the Santa Monica’s Farmer’s Market.

As I prepared my talk I looked for a picture of a food chain to insert into my Power point presentation. Many show humans, or at least a carnivore, at the top of the chain. I started to wonder how much these graphics reflect and influence our thinking.

BACTERIA FRONT, CENTER, EVERYWHERE

I chose one of the graphics, copied it and then adulterated the second picture with the missing component. Bacteria.

My graphic was more of a circle of life than a chain. I plopped a picture of bacteria in between “the degraders” (vultures, worms, insects) and soil. Then and cut and pasted a picture of the bacteria at every stage of the chain. I think bacteria is at the top of the food chain, at the beginning, and at every incremental stage in the circle of life.

WHAT ABOUT THE FOOD

On Sunday afternoon I spoke on a panel with Keith Eichenauer, the dairy/deli assistant manager at the Santa Monica Coop and Nate Pietso, owner of Maggie’s Farm. Keith defined organic, cage free, free range, grass fed and other notions of sustainably grown food. Nate discussed how this plays out on a farm and defined what it means to the farmer to grow food sustainably.

I followed. My first quip was something about humans not being the center of the universe. Bacteria probably is. It was the first time I had spoken these words and they resonated. I was struck by how this simple concept had eluded me until that very moment.

I spoke of the nutritional benefits of sustainably, organically grown food. More often than not organically grown food is more nutrient dense. More vitamins, more minerals and especially more antioxidants. In this day of inflammation involved with everything from diabetes to cancer and heart disease, more antioxidants in food is a good thing.

TROUBLING CONSEQUENCES OF CONVENTIONAL FARMING

I spoke of the very troubling consequences of conventional farming. I showed pictures depicting the extent of pesticide contamination and the impact of persistent organic pollutants. Many are known endocrine disruptors and are linked to major metabolic disease.

I discussed the impact of fertilizer run off and dead zones in the Gulf of Mexico come every spring. Excessive nitrogen in the run off drives algae overgrowth. The growth and death of algae sucks the oxygen from the waters. The entire ecosystem suffers, and a “dead zone” is created.

I spoke of antibiotic resistant bacteria from overuse and abuse of antibiotics in animal feed. Seventy percent of antibiotics used in this country are used in animals, mostly in feed to enhance their growth and minimize infection as they live in disease inducing conditions. I spoke of growth hormones used in animals being measured in ground water and the oceans.

REDEFINING THE STUDY OF HUMAN NUTRITION

I basically redefined human nutrition. My guess is that this awareness has been percolating for years. Now it feels obvious. Nutrition encompasses more than the study of nutrients in food. I can no longer be preoccupied by such a limited definition. Preparing for this presentation allowed me to formalize the notion that the entire food chain and all of the challenges of growing food are encompassed in the study of nutrition. They all influence the nutritional status and health of humans.

Today I am more curious than ever about the role of bacteria in nutrition and health. Research is poking at links with health and disease. All kinds of gastrointestinal (GI) tract and metabolic disorders are linked with bacteria. Our bodies host 10 times more bacteria cells than our own human cells. There are estimates of 500-1000 different types of bacteria in our guts and another 500-1000 species on our skin. We live symbiotically with these organisms, whether we pay attention to them or not.

BACTERIA AND RAW MILK

I showed a slide depicting a grass fed cow and the words “raw milk”. In the words of the moderator, the subject struck like a lightning bolt in the room.

Raw milk is a contentious topic, especially on the West side. Recent raids on Rawsome in Venice, CA, and confiscation of raw milk all over the country have raw milk afficcionados up in arms. Statements by the FDA claiming grave danger from raw milk seem out of proportion to documented risks.

My position is simple. We don’t live in the same world as Louis Pasteur. Science should be able to ensure adequate safety standards so that raw milk can be sold and consumed without undue risk to consumers who want their milk and milk products raw. After all, breast milk is “raw” and we don’t find too much trouble with collecting. storing and feeding that to our babies.

Maybe we need to rethink our position on food, period. Our food supply is safe, often too sanitary, and lack of adequate healthy bacteria is linked to many disease states. People now spend money for supplemental bacteria in the form of probiotics. They pay extra to feed bacteria in the form of prebiotics. Maybe we all could benefit from consuming healthy bacteria from carefully chosen raw, fermented and fresh-from-the-farm foods.

What is your take? Is there a need to get enough healthy bacteria from our food supply? Is raw milk the health risk that the FDA claims– or a vital living source of good bacteria?

Filed Under: Uncategorized Tagged With: animal feed, antibiotic resistant bacteria, antibiotics, bacteria, dairy, dead zone, ecosystem, farming, FBI, FDA, food chain, gastrointestinal disease, Good Food Fest, grass fed, growth hormones, Gulf of Mexico, human nutrition, Maggie's Farm, nitrogen, nutrition, organic, pasteurization, pesticides, prebiotics, probiotics, raw milk, rawsome, santa monica farmer's market, Santa Monica Food Coop, smfms, sustainability

Food Matters: Why Health Care Needs to Focus on Lifestyle First

October 18, 2011 by

 

A survey of the news over the past few weeks tells me the incidence of diabetes increased to 366 million people world wide. Stents continue to be performed after studies show they do not improve patient outcome. One third of Medicare and Medicaid dollars are wasted with mistakes and errors. A gross percentage of health care dollars are swallowed up by the insurance industry.

In our current “treat after the fact” medical system, prevention gets little attention or monetary support. When lifestyle intervention is warranted, nutrition services are routinely denied by third party payers or the coverage is intensely limited.

HOW DOES THE PUBLIC ACCESS A DIETITIAN?

Medicare pays for nutrition support of diabetics and people with renal disease. No nutrition support for cardiovascular or gastrointestinal diseases. No support for medical nutrition therapy for cancer and other diseases impacted by nutritional status.

Private insurers are even more difficult to deal with. Some insurance companies accept dietitians as providers. They are paid a fraction of their usual fee.

Mostly insurers deny payment because few have formal underwriting to cover nutrition services. Patients are forced to appeal a denial and ask for medical review. Reviewers are paid based on the number of claims they deny. Very few clients tell me their visits are covered.

As a registered dietitian I observe the conundrum with dismay. People are overwhelmed with our current food supply. It is abundant, adulterated, and often the cause of disease. We are wired for surviving scarcity. We do not yet know how to survive abundance.


PEOPLE NEED MORE HELP WITH DIET, NOT LESS

Avoiding a poor diet takes great skill and discipline, in addition to a healthy wallet. In a quick survey at a local market, it is possible to purchase 100 calories of foods mostly made with sugar, refined starch and added fats for pennies per 100 calories. Fruits and vegetables cost multiple times more.

Cost of 100 Calories Pavillions Market

ACCESS TO NUTRITION SUPPORT IS ONLY THE FIRST HURDLE

Dietitians are not given the opportunity to do their best work.Too many dietitians see clients for 15-20 minute visits. Many dietitians tell me that follow up visits are not routine. At one large health care organization most nutrition related classes are not even taught by a dietitian. A nurse teaches the diabetes and cholesterol classes and can’t answer the food questions.

No wonder many people complain that they find nutrition services inadequate. Knowledge is not behavior. Education is a first step, but is not necessarily enough to change behavior. Health care dollars are not available to address the life style issues that can make the most difference.

Our food supply is adulterated and abundant. The government continues to subsidize crops that make highly refined starches, sugar and added fats very cheap. There is no one right way to eat. How are people supposed to figure out an approach to food that works?

 

 

Filed Under: Uncategorized Tagged With: calories, cardiovascular disease, coliitis, crohn's, diabetes, diet, dietitian, fat, food cost, gastrointestinal disease, health insurance, IBS, medical nutrition therapy, nutrition, sugar by bonnie2000

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