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Issue 6/16 July/August
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Welcome to this month's issue of The Nutritional Supplement bringing you the latest news from CNELM and our students. A summary of what's in this issue is below, please click on each link to read the full article.

Summer is officially upon us and I hope many of you will find some time over the summer period to relax and take a break from studies. Let's hope the sun will decide to shine in July and August. Some of you may be off to warmer climes where the sun is more likely to be guaranteed to top up your vitamin D levels. 

Those of you that are nutrition 'addicts' you might want to take the following books away with you:-
  • Brain Maker: The Power of Gut Microbes to Heal and Protect Your Brain - for Life by David Perlmutter
  • Food and Western Disease by Staffan Lindeberg
  • Wholesome Nutrition for You by Ian Craig
  • Food Wars: The Global Battle for Mouths, Minds and Markets by Tim Lang

Wishing you all a very happy and healthful summer,
Coriander
The QAA Visit next week 6-7 July is now almost upon us. Preparing for visits involves extensive preparation and we believe we are almost there in terms of prepartion. The main purpose of the QAA visit is to evaluate how we have made progress with the Action Plan agreed following the QAA visit in 2014. Link to the full Report and Action Plan http://www.qaa.ac.uk/reviews-and-reports/provider?UKPRN=10020099#.V3Pgb6LsmvZ

The Staff Workshop on 29th June contained a sections specific to student reps and other students involved in the visit. This part of the Workshop will be made available to reps in preparation for the QAA Review. 

We will of course let you know of the outcome of the Review as soon as we are permitted to do so. 

Thank you to all students involved in the visit. 
BANT would like to invite BSc and MSc Nutrition Science graduates to write a feature article for inclusion in monthly BANT eNews. The article would ideally be a summary of your dissertation with highly relevant clinical application information that would be of interest to Nutritional Therapists. An example article can be found here, under featured article. 
 
Interested students may submit a short email proposal about their topic and its clinical relevance to bantenews@bant.org.uk. BANT communications team will review the proposals once a month to select topical subjects for inclusion in BANT eNews. BANT Operations Director and CNELM Module Leader for Nutrition in Practice and Nutrition Enterprise, Satu Jackson, will mentor the students to complete the article over about 4 week time period before the end of the month deadline for following month's BANT eNews. The article is expected to be maximum of 2500 words with quality references (references not being part of the word count). 


CNELM are pleased to be working in collaboration with a not-for profit organisation called 'Reclaim Health' to deliver an educational intervention focused on mindfulness-based cognitive behavioural coaching and breath work. 

Functional illnesses are considered by many to be triggered by a range of challenges to the body, such as a viral infection or other physical, chemical or emotional challenges, which may, overtime, lead to a range of dysfunctional body processes. In addition to nutrition support research evidence increasingly suggests the use of interventions such as Cognitive Behavioural Therapy, Mindfulness, Neuro linguistic Programming and Breath Retraining to assist people to change their body-state, mindset and enhance their self-awareness to support the body and mind back into a 'healthy' balance. 

Reclaim Health is a team of NHS doctors and expert ex-patients who have developed, through experience and with NHS research funding, a powerful approach to help support Functional Somatic Syndromes. 

This course aims to support:

- An understanding of how your symptoms may have occurred and that they are real and might potentially be reversed

- The development of a BODY/MIND toolkit to positively influence your body-mind symptoms

- The value of your experiences and how your can harness them to create a stronger and more resilient life for yourself

- The re-discovery of your own power to create the life you want in the future

There is appropriate support before, during and after the course from the Reclaim Health Team that will be teaching the course. 

The next Reclaim Health 3-day course is taking place at CNELM in Wokingham July 22 - 24. It will be facilitated by two leading practitioners, both recovered from long-term illnesses. 

Fees are for the 3-day programme, with content in the mornings and practice in the afternoons. Supporting materials will be provided. 

Total cost is £500 payable as £250 deposit, and £250 a week before the start date.

Reclaim Health operates as a ‘not for profit’ Community Interest Company. The course is being evaluated independently through the University of Westminster, The Bedfordshire Research Network and the Centre for Nutrition Education and Lifestyle Management (CNELM).

We are delighted to bring this short course to your attention. If you, or someone you know has a diagnosis of Chronic Fatigue Syndrome, Fibromyalgia, Irritable Bowel Syndrome or other Functional Somatic Syndrome this course may be of benefit.

To find out more or to request an application form, contact the Reclaim Health team by emailing 
reclaimhealth@cnelm.co.uk


The BSc (Hons) Nutritional Science and the MSc/PG Dip/PG Cert Personalised Nutrition validated by Middlesex University and are currently supported by the School of Health and Education. From September 2016, these courses alongside the phase-out of the BSc (Hons) Nutritional Therapy for the five remaining students on this programme will, going forward, be supported by the Department of Natural Sciences within the School of Science and Technology. Student Programme Handbooks will be updated to this effect over the summer and republished on Moodle for September. 


This new study makes relevant reading all for mechanism projects and dissertations involving glucose metabolism.  
An Australian scientist has just proposed a new understanding of the established link between the sweet stuff and improved self-control.

Neil Levy explains in the journal Philosophical Psychology, the current ‘ego depletion’ model of the link between glucose and self-control holds that self-control is a depletable resource. Glucose is the fuel for the engine of self-control.

But Dr Levy isn’t convinced. After examining all the available evidence, he proposes a rival ‘opportunity costs’ model. Glucose isn’t a ‘fuel’ to support self-control, he suggests, but a signal of environmental quality. He explains that, “a resource-poor environment is one in which it is relatively urgent to pursue shorter-sooner rewards; a resource-rich environment is one in which there is little urgency.”

“[Glucose] is a signal that the environment is such that there is relatively less urgency to pursue [smaller sooner] rewards, and that strategies aimed at securing [larger later] rewards are likely to be relatively more successful.” As Levy explains, when people in a resource-rich environment are less sensitive to ‘competing rewards’, they tend to work longer at tasks for which the payoff or reward is delayed: the very definition of self-control.

“The opportunity costs of allocating attentional and cognitive resources … to a particular task are relatively low; therefore, the subject persists longer or performs better at the task,” he writes. “The subject persists longer because the subject continues to deploy resources without shifting them; the subject performs better because the subject allocates proportionally more resources to the task, as a consequence of not needing to devote resources to scouring for competing opportunities.” Despite his commitment to his theory, Levy acknowledges that glucose might only be one signal of environmental richness. “Any cue that signals a lack of urgency to pursue immediate reward should be expected to have the same effect,” he observes.

It’s also unlikely that sensing glucose alone would be enough for the body to change its strategy; it may be the case that the body picks up on glucose only when other signals of poverty, conflict or instability are absent. “It is not glucose per se that constitutes the signal: it is glucose correlated with the absence of cues indicating the need to pursue it immediately,” he concludes.

See the full paper here.

By Faye Andrews and Faye Hall
Health Coaching is an exciting emerging field.  Whilst there is no standardised definition of Health Coaching, it has been described as “helping patients gain the knowledge, skills, tools and confidence to become active participants in their care so that they can reach their self-identified health goals” [1].

The role of the Health Coach is therefore to provide the patient with the tools and support to make behavioural changes that will enable them to self-manage their own health outcomes. 
It has been argued that Health Coaching is particularly useful in the management of chronic conditions such as diabetes and heart disease [2].

Medication and nutrition education may be available for such conditions; however, adherence to medication and/or suggested lifestyle changes may be difficult or unmanageable for the patient without additional support. 
Health coaching has the potential to be highly effective addition to a wide array of healthcare services: indeed, studies and projects involving a coaching process are emerging in both the private and public sector in relation to weight loss, anxiety and depression, pain management, functional somatic syndromes such as Chronic Fatigue Syndrome, dementia autism and diabetes.

Turning Tides? Health coaching and mainstream medicine
Health Coaching in various forms is already widely accepted in the US and Australia as a supportive healthcare measure, moving away from a paternalistic medical system and driving a shift towards the paradigm of ‘self management’.  In the UK mainstream healthcare is currently testing the efficacy of a version of Health Coaching, as an option for providing support to patients with chronic and long-term conditions. 

Health Education East of England (supported by the NHS) have recently rolled out a Health Coaching for Behavioural Change Programme [3]. The aim of the programme is to train health service staff and clinicians to facilitate discussions with patients to help them to take ownership of their own health. In reality, nurses and GPs do not have the time to fully coach their patients and specially trained coaches could take on this role.

Whilst it would appear that there is interest in the potential role of Health Coaching in mainstream healthcare, limited evidence exists to evaluate whether it works – and whether it is cost effective.  The majority of studies have been carried out in the US and Australia where attitudes to healthcare differ to those in the UK.  Many questions remain unanswered in terms of cost savings, effectiveness and best approaches. Health Education England is using the Health Coaching programme to gather further evidence in this respect. However it seems that for all the unknowns there is a growing appetite for such services in the NHS. Health Coaching is gaining popularity.  Whilst studies are limited there are many that show health coaching does have a positive benefit for the patient [3].
 
Existing Private Health Coaching in the UK
CNELM has conducted some initial research on the provision of private health coaching in the UK which has suggests that there is little consistency or standards between the coaching methods adopted and the overall approach.  The qualifications of the coach also vary significantly. What a coach does and how and what patient/client outcomes are achieved seem to vary significantly. What this research has indicated very positively is that what we provide here at CNELM is high quality training with a robust assessment process. Combined with an excellent foundation in biosciences our coaching courses appear exceptionally well placed to be highly relevant in this growing field.

Why should students and graduates of CNELM be interested in Health Coaching?
CNELM's position has always been that educating, advising and recommending nutritional therapeutic strategies alone is rarely enough to support long-term sustainable changes in behaviour. It is our view that clients are more likely to and take responsibility for our own health experience and benefit from enhanced health outcomes if they can be supported to make positive changes in the way they act, think, live, relate to themselves and others.  For this reason, from the outset in 2003, we have adopted a coaching model to support training in nutritional therapy; we believe this equips our graduates with additional skills to support their clients lifestyle changes: skills that enable graduates to enable clients to identify -- for themselves -- appropriate ways in which they can implement and sustain changes that move them towards better health outcomes. 
As students and graduates of CNELM, the strong focus on coaching within the clinical aspects of these qualifications means that graduates are ideally placed to offer Health Coaching services.  
It maybe useful for students and those graduates who have completed the coaching modules and Certification as an NLP Practitioner at CNELM to be aware of the current developments in this area and the potential to consolidate their training and qualifications into practice.

Many of you may already be coaching within your practice. Part of CNELM’s strategy for 2017 is to be in position to offer learning opportunities for students who may want to develop their coaching skills further. We are also exploring the possibility of future collaboration with mainstream healthcare providers to use health coaching as a recognised preventative strategy for NHS patients. A longer-term vision is that a recognised professional role and recognised professional qualification of  ‘health coach’ may develop within the NHS and corporate settings.
In order to inform the development of future qualifications and potential collaborative projects    CNELM will shortly be issuing all students and graduates who have obtained their NLP Practitioner certificate with a short survey.  The focus of the survey will be around how students and graduates are currently using their coaching skills in practice.

If you are actively offering NLP coaching sessions as part of the work you do and would be happy to be interviewed for research purposes or interested in being involved in a health coaching project then please do contact Faye Hall, faye@cnelm.co.uk to register you interest. CNELM will be very grateful for your support and are committed to supporting the creation of further professional opportunities for its students.

If you wish to respond to this article or have any comments relating to this topic please do get in touch with Faye Hall

References
  1. Bennett H.D. et al.  2010. Health Coaching for patients with chronic illness.  Family Practice Management, [online].  Available at: <http://www.aafp.org/fpm/2010/0900/p24.html> [Accessed 28 February 2016].
  2. Lindner, H. et al. 2003. Coaching for behaviour change in Chronic Disease: a review of the Literature and the implications for Coaching as a self-management Intervention.  Australian Journal of Primary Health, [online]. Available at: < http://mbandinelli.it/blog/wp-content/uploads/2010/07/Health-Coaching-Lindner-Coach-review-paper.pdf> [Accessed 18 May 2016].
  3. National Health Service Health Education East of England, 2014. Does Health Coaching Work: A review of empirical evidence. [online] Available at: <https://eoeleadership.hee.nhs.uk/sites/default/files/Does%20health%20coaching%20work%20-%20a%20review%20of%20empirical%20evidence_0.pdf#overlay-context=Listen_and_read_about_health_coaching> [Accessed 23 May 2016].

Nutrition I-Mag is a free, monthly digital magazine dedicated to nutrition and nutritional education. 
The latest issue of Nutrition I-Mag is even more accessible and has been completely redesigned with new digital software – making it easier than ever for students to access the educational content.

You can see the latest edition or browse through previous editions here . And if you read the magazine, you can even apply for BANT self-directed CPD points!

Well done to recent CNELM graduate Henrietta Paxton, who presented at the Annual Nutrition Research Forum at the University of West London. Henrietta presented her MSc dissertation research on:
Vitamin D3 has a direct affect on muscle; improving sports performance through increased power output and enhanced recovery.

The Director of the Linus Pauling institute, Balz Frei, has stepped down after 20 years. The field of nutrition has been transformed by performing mechanism-based research on how nutrients and dietary factors work in the human body at the molecular and cellular level, thereby putting hard science behind nutrition. This knowledge is critical for using nutritional approaches to promote optimum health and prevent chronic disease. You can read more about his work at the Institute here.

The recording of the recent Research: Student Presentations is now available on Moodle under: general availability and student resources/learning resources/extracurricular event workshops and seminars
 
Additionally, the link is here: http://www.cnelm-moodle.com/course/view.php?id=248
 
This is particularly useful viewing for students on the BSc Research Project and MSc Research Dissertation modules and those students about to start these modules. This is also a great resource for all students as there is so much to gain from these presentations that help inform your understanding across a range of undergraduate and postgraduate modules.

 
The formal student support sessions with me as Student Support Manager ended for this period on the 20th June and had a fantastic level of participation.
 
Further monthly ad hoc opportunities are also available to those who missed the formal sessions, for students seeking further or more personalised pastoral support. In order to book an ad hoc pastoral appointment with me, please email me directly at coriander@cnelm.co.uk.
 
Speaking to me as SSM is an opportunity to discuss anything that may concern you relating to engaging with your studies, including:-
 - The opportunity to provide feedback on your experience of the course in order to enhance services to students.
 - The opportunity to benefit from pastoral support when experiencing extenuating issues impacting on studies.
 -  Guidance for students with known or self-suspected Learning Needs or other disabilities.
 - Referral for a session with CNELM's Coach Mentor if considered appropriate and agreed with the student.

Some of the findings from the recent Student Engagement Manager Survey identified that those students that used the service found it useful for personal and study support when they had issues which impacted on their studies outside of college, with the majority finding it a positive experience. 
The next ad hoc session is on the 5th July.
 
I look forward to speaking to those who feel they would benefit from this service then.

Ojarikre Udu

BSc Hons Nutritional Therapy
OJ graduated in 2012 after his previous job left him burnt out. Since then he has been busy launching various concepts as well as writing a book.

Read his story here. 
Grapefruit DNI's

This article looks at the mechanisms and the clinical implications of the drug-nutrient interactions triggered from grapefruit juice. The article found that even a small glass (250ml) of juice triggered a lasting and meaningful inhibition of CYP3A4 and therefore a clinically significant nutrient-drug interaction.  

Vitamin D from Breast Milk Best

This Indian trial looked at the health effects on mothers and baby’s of vitamin D, both from supplementation, breast milk and sunshine. The study found that combining sun exposure with either supplementation or breast milk was best for healthy markers.

Folate Deficiency linked to Obesity

Folate is well known as crucial for the prevention of neural tube defects in foetus’s, but its impact on obesity is also being studied. This study looked at 1517 mothers and children with follow up lasting 9 years. The study showed tan L-shaped association between maternal folate concentrations and child overweight or obesity.

Broccoli May Prevent Oral Cancer

We’ve long known that broccoli is full of goodness to help prevent cancer, but new research shows how it may also prevent oral cancer via its bioactive metabolite sulforaphane, which acts as an antioxidant on airborne pollutants.
 
The holidays are the perfect opportunity to take time to make a substantial breakfast that will keep you going until supper.

Ingredients (Serves 4):

4 tbsp olive oil
1 onion, finely sliced
1 red pepper, diced
1 green pepper, diced
6 garlic cloves, crushed
2 tsp sweet paprika
½ tsp cumin seeds
½-1 tsp cayenne pepper
800g tinned tomatoes (or ripe tomatoes in season)
2 tsp sugar (optional)
1 tbsp lemon juice
8 eggs
Small bunch of fresh coriander, roughly chopped


Heat the oil in a large lidded frying pan over a medium heat and add the onion. Cook until golden, then add the peppers. Fry until both are soft, then stir in the garlic and spices and cook for another couple of minutes.
Pour in the tomatoes and roughly mash. Stir in the sugar and bring to a boil, then turn down the heat and simmer for 30 minutes. Taste and season, adding more cayenne if you prefer it spicier.
Make 4-8 divots in the sauce and break in the eggs. Season them lightly, turn the heat right down as low as possible, cover and cook for about 10 minutes until they’re just set. Sprinkle with coriander and serve.
All times are UK time unless specified.

CNELM Extra-curricular days:
  • 6th & 7th July: - Annual QAA visit, please keep these days free
  • 20th July: - CNELM open day
  • Thur 08th September 2016 – Clinic Case Studies led by Janet Lakin & Emma Stiles
  • Wed 28th September 2016 – Products day led by Bea Cutler
  • Thu 27th October 2016 – Careers & Professional Specialism led by Faye Hall
  • Wed 9th November 2016 – Open Research Journal Club led by Indrani Saha
  • Wed 9th November 2016 – Collaborative Working/Networking - Meet students & staff led by Faye Hall
  Non CNELM Events:
Nutrition Trainer, Solgar (North, Midlands, Scotland, Ireland):
Working as part of the Nutrition and Education Department based in the field.  Managing the delivery of outstanding training provision to key trade customers in the specified area as part of Solgar’s overall education strategy. Primarily servicing health food stores with some pharmacies and some nutritional practitioners.  This requires outstanding product and nutritional knowledge and the ability to deliver training effectively to a wide range of audiences.  This role also requires a strong commercial sense, self-motivation, organizational capabilities, excellent customer service skills and the ability to liaise effectively with other departments to ensure that company goals are met.
NB: This role is suitable for students who are already qualified nutritional therapists. 
Responsibilities:
  • Development and delivery of training support for accounts in the specified area including one to one and group training.
  • Liaise closely with the Territory Account Managers and Regional Sales Managers to ensure that training and education strategies are aligned with the overall goals in each account. 
  • Ensure that training provision is line with company sales, marketing and education strategy.
  • Provide nutrition and Solgar product advice to consumers in stores as required.
  • Support practitioner development strategy as required. 
  • Attend shows, lectures and other Solgar events as required.
  • The role requires a monthly visit to Ireland.
Experience & skills:
  • Previous experience providing nutrition advice.
  • Previous experience of training delivery, teaching or lecturing.  
  • Minimum 5 years industry experience
  • Strong commercial awareness.
  • Flexible communication skills and ability to build strong interpersonal customer relationships
  • Fluent in Excel, Word and Powerpoint

NTEC requires a Finance Committee Member

We have a book-keeper and an administrator who work for NTEC on a part time basis and we would love to have someone join our Committee who would like to take over management of the finances. This is not a big job as there isn’t much cash about and all the book-keeping is already in order, but, we do need someone to over-see the figures and cost projects. All our meetings are by phone and expenses are reimbursed. This would be a great opportunity for either a student or practitioner to help shape the future of the profession, get more involved in the profession, and gain valuable CPD hours too!
For more information, please forward your details to  administration@nteducationcommission.org.uk expressing your interest.

More classifieds can be found here, here and here

 
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