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Welcome to the March-April edition of the Nutritional Supplement. This edition we have lots of news from CNELM as well as past graduates and we also report on the debate from the RSM on the recent EAT-Lancet paper.
As always, send me your thoughts and contributions to coriander@cnelm.co.uk
Enjoy!
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CNELM is pleased to announce the following changes to staff and student reps: -
New module leaders:
We are very pleased to welcome new module leaders at the start of 2019:
Lara Boyd - Level 6 Personalised Nutrition Interventions
Patricia Tresseder Griffin & Jennie Porch - Level 5 Nutrition in Practice
Bronwyn Hudson - Level 7 Personalised Nutrition and Longevity - who will be co-module leading Longevity with Terry Owen-Jones.
Chen Saat Murphy & Anna Papoutsa - Level 7 Chronic Illness
Student Reps for 2019:
The 2019 student reps taking on the role are:
L4 - John Gillet and Lee Snook
L5 – Rebecca Leonard and Kate Fleming
L6 – Anette Chapman and Zoe Chircop
L7 – Monica Codevilla and Kara Reilly
NTPD - Tiffany Smith and Priya Kannath
Staff News:
We are delighted to let everyone know that Michelle Barrow has received formal notification of successful completion of doctoral studies with MU leading to a Doctor or Professional Studies (D.Prof).
Michelle is an exemplar of continual commitment to ongoing learning. First joining CNELM in 2002 Michelle has since completed foundation studies, the BSc Hons Nutritional Therapy, an MSc in Nutritional Therapy Practice taught by both CNELM and MU, and over the last 6 years has been undertaking doctoral studies at MU. Michelle has achieved this alongside her role as Head of Education for CNELM, and of course her family life.
We are looking forward for Michelle taking on more organisational responsibilities from Sep 19. In preparation for this Michelle is now supporting new module leaders for Personalised Nutrition & Longevity and Personalised Nutrition Interventions. Michelle will continue to teach on both modules and maintain her role as a Research Supervisor.
As well as showing great commitment to ongoing learning Michelle shows great commitment to the nutritional therapy profession, students, staff and the future of CNELM.
Michelle would also like to give a big thank you to everyone for all the celebratory and congratulatory emails she has received since this news. Congratulations Michelle!
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Joanne Hart, who graduated from CNELM in 2014 with a BSc in Nutritional Therapy, has been featured in the Bracknell News giving Healthy Menu Planning workshops in Wokingham Library.
This fantastic idea involves taking local residents to the library where they can use the cookbooks available to plan menus for the week. Read more about Joanne's workshops here.
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I would welcome a selection of brief reflections on your studies, student experience, or clinic or coaching clients that you think would be helpful to other students. We would really like to develop this section of the Student Newsletter over the coming year. Please email me at coriander@cnelm.co.uk with your input.
This edition’s case discussion comes from the Tap Integrative and discusses an elderly woman with early dementia, scoliosis and chronic back pain
Read the case discussion here and please do send me your thoughts on this case study for discussion in the next edition at coriander@cnelm.co.uk |
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The Nutritional Supplement Survey
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Thank you to all of you who participated in the Nutritional Supplement (NS) survey – results have now been analysed.
29 students participated in the survey, the majority of those studying the MSc. Some highlights of the results are outlined below: -
- The majority of students who participated scored their enjoyment of the NS between 7-10
- Most students read it in part, rather than in full – mainly due to time constraints
- The most read section was the graduate profile and the least read was the student contributions/thoughts section
- The majority of participants said they would like to see more research included, with the main ideas for future content being conference write-ups and discussions around case studies, supplements and testing
- Several changes have been made to the NS since this survey was distributed. Case studies are now a regular section each edition, discussing testing, supplements and nutritional interventions within each study. The NS is now sent out every two months rather than monthly, which may increase engagement with regards to time constraints. Emails are also sent out monthly asking for input, contributions and thoughts around each edition
- Further thoughts on how to further enhance the NS going forward are also being put into place
If anyone has any further thoughts on what would enhance the NS, please do email me these thoughts at coriander@cnelm.co.uk.
You can also keep up to date with research via our Twitter and Facebook pages.
Full results of the survey will be made available on Moodle shortly.
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Venetia Mitchell, MSc Personalised Nutrition Graduate April 2019:
“I recently presented a poster, based on my dissertation, at a conference on Genomics and Neural Systems at NYU, Abu Dhabi. The initial prospect of presenting a poster at a conference seemed daunting. I was advised, however, that it would be an informal session. My poster was to be displayed along with other students' posters and should someone enquire, I needed to be prepared to answer questions.
The process of putting together the poster soon after submission of my dissertation was a useful experience. It required me to be creative with diagrams and formatting and succinct with the write up. I would recommend it, as it effectively communicates the findings of the dissertation.
To my surprise, the poster was accepted and I was off! The conference included talks from scientists all other the world including institutions such as Harvard, University of California (Berkeley), NYU, Genomic Institute of Singapore and more. They spoke of novel, ground-breaking research in the field of genomics, synthetic and environmental biology. Talks expanded into food security and the soil microbiome. In addition, we were given a tour of the laboratories which contained a state-of-the-art robot for chemical and genomic high-throughput screening!
The conference had a biochemistry emphasis rather than a clinical one. This made me appreciate the extent of the work that goes into the primary research that we critically analyse as part of the course. I really enjoyed asking other students about their posters, some of which included primary research underlying my pathways within my mechanism review. Overall, it was a fabulous experience with all kinds of learnings.”
If anyone would like to see a PDF of Venetia’s poster, please email me at coriander@cnelm.co.uk
Please also continue to email me with any insights or contributions you would like to make.
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Esther Donoff
MSc Personalised Nutrition + NTPD
Esther graduated in September 2017 with an MSc in Personalised Nutrition + NTPD. Since then, she has been busy building up her practice in various ways.
Read her story here...
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EAT-Lancet and the Vegan Market UK
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The UK has become the leading market in Europe for vegan products, overtaking a now saturated Germany. One in six (16%) of food products launched in the UK in 2018 had a vegan/no animal ingredients claim, doubling from just 8% in 2015.
Most of you will be aware of the EAT-Lancet paper on ‘Planetary Health Diet.’ Here the ANH analyses the presentation of the macro-nutrient breakdown given and reflects on it.
There was recently a debate on this at the RSA, which Catherine Broome, Programme Leader MSc/PGDip Personalised Nutrition attended. She gives a synopsis of the event below: -
"The EAT-Lancet report released in Jan 2019 set out the end point that needs to be achieved globally in the next 30 years to feed the global population a healthy diet whilst living within the planetary boundaries.
The panel members were Dr Sandro Demaio (EAT), Prof. Tim Lang (City University Centre for Food Policy), Helen Browning (Soil Association), Baroness Rosie Boycott, Alison Tedstone (Public Health England), and Dr Marco Springmann (University of Oxford).
The report was split into four stages: -
- Defining a healthy reference diet
- Defining planetary boundaries for six key environmental systems (greenhouse gases, cropland use, water use, nitrogen and phosphorus application and extinction rate)
- Applying a modelling framework around global food systems to stay within these boundaries whilst still delivering healthy diets by 2050.
- The final part of the report outlines some broad strategies for achieving this. The report can be accessed here
Much of the discussion by the panel members focused on the application of the global report to a British context. In order for the UK government guidelines to align to findings from the EAT-Lancet report, Dr Sandro Demaio (EAT) recommended that the UK guidelines be modified to provide lower and maximum recommendations on meat and dairy, introduce minimum recommendations on legumes and nuts and increase recommendations on vegetable intake. However it was also highlighted that guidelines in themselves do not result in a change to the diet of a nation. Supporting actual change means tackling the deeper political and economic issues. Working with policy was a major theme that came out of the discussion, in particular the requirement for joined up policy between health systems such as the NHS, food advertising, production and farming.
Other factors that need to be addressed in Britain were the need to increase horticulture and invest in agriculture, finding ways of addressing food waste, and tackling deep rooted issues around a retail environment which is promoting unhealthy fast food. Setting controls on advertising on TV and the internet was one factor mentioned here. However there are also economic pressures to produce more food products from cheaper ingredients. This is not addressed in the political sphere due to the pressures of keeping food prices down and managing food poverty. As a consequence of such conflicting pressures, many of the health and environmental costs resulting from a population eating poor quality food become externalised. This necessitates the need for joined up policy.
Taxes, subsidies, divestment of pension funds, the public procurement of food and regulation were also mentioned as areas of leverage. The EAT-lancet report concludes that we can feed 10 billion people healthy diets sustainably within ecological boundaries. However, the debate highlighted that a huge shift and transformation in our food systems needs to occur for this to happen."
Veganism is clearly a rapidly growing market, in Western societies at least. It would be interesting to open up discussion on the articles above and the potential strengths and limitations of veganism as a whole, considering its ongoing coverage in the media.
Please could anyone interested in participating in this debate contact me at coriander@cnelm.co.uk so that we can open up discussion to include in the next edition.
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This interview with Dr Rangan Chatterjee and Gabor Mate discusses the biological mechanisms behind addiction, citing childhood experiences and stress as driving factors.
Valid and interesting article from ANH on the battle between different “diets” such as veganism versus meat eating. The article raises important points such as the origins of plant foods and how they have been grown, as well as considering differing populations and the epigenetics of food intake.
The Tap Integrative focuses on preventing and reversing Alzheimer’s disease with an integrative approach in this informative video.
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Flaxseed Fibre & Obesity
This new study suggests that flaxseed fibre may help reduce obesity via its effects on the gut microbiome. The study found that flaxseeds ferment in the gut as they digest and that mice fed with it had increased microbiome diversity and less weight gain, as well as being more physically active. Researchers also found that gut bacteria helps break up the fibres in flaxseed and produce higher levels of beneficial fatty acids. The co-author is the founder of MetaboGen AB - a company involved in developing new probiotics
A new meta-analysis of research on almost 46,000 people found that a diet rich in vegetable fibre can "significantly reduce" symptoms of depression. They found that all dietary improvements led to reduced depression, but that increased vegetable and reduced refined sugars and fast food intake led to the most significant results. These improvements were increased further when combined with exercise."
Parkinson's & The Gut
A new review of the literature around the link between Parkinson's and gut health looks at to what degree the gut might impact the development of the disease. The author pinpoints the main areas of possible influence being the presence of alpha-synuclein in the enteric nervous system and intestinal hyperpermeability as possible influencing factors on development of the disease, but more research is needed into both of these areas in order to ascertain to what degree gut-related therapies might affect outcomes.
Fasting Effects on Ageing Processes
Recent research on fasting suggests that it increases metabolic activity and reduces ageing damage. Four volunteers were fasted for 58 hours and their blood tested at intervals. Researchers saw an increase in the citric acid (energy) cycle as well as increases in purine and pyrimidine - indicating increased protein synthesis, gene expression and antioxidant status. The blood samples also showed increased levels of metabolites which usually decline as we age and a general increase in other metabolites. The researchers hypothesise that the increased antioxidants are in response to the oxidative state of starvation.
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Please email me your favourite recipes to coriander@cnelm.co.uk and how you came to find them!
Ingredients:
4 cloves garlic, finely chopped
1 cm piece fresh ginger, grated
1 teaspoon turmeric
1 butternut squash, cut into in large chunks
2 heads pak choi, roughly chopped
2 courgettes, roughly chopped
1 small sprig thyme leaves
Chicken or vegetable stock
2 chicken breasts, diced
Olive or coconut oil
Sea salt & black pepper to taste
Method:
Sauté all the ingredients except the chicken in a little oil until softened and lightly caramelised. Add enough stock to just cover the ingredients, season and continue to simmer slowly for about an hour. Blend until smooth and then add sautéed chicken pieces.
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All times are UK time unless specified.
CNELM Events:
The CNELM professional enhancement days can also be found here.
- Wednesday 6th March (11.00-12.30) - Making the most of Moodle – Chris Neil
- Monday 1st April (10.30-12.00) - Making the most of learning resources (TAP & CheckYourFood) – Indrani Saha
- Tuesday 7th May (TBC) - online labs day - Deb Archibald
- Thursday 16th May - (10.00-11.00) Study Skills, how to read and write a paper, critical note taking, finding papers - Michelle Barrow
- Tuesday 9th July (TBC) - Food manufacturers day - David Titman
- Thursday 19th September (TBC) - Student research presentations Indrani Saha
- Tuesday 8th October (TBC) - Product days Deb Archibald
- Tuesday 12th November (TBC) - Product days Deb Archibald
- Tuesday 26th November Nutrition in Practice (TBC) – Emma Stiles & Catherine Broome
Non CNELM Events:
- 12-14 March, 10 - 4.30, Institute for Optimum Nutrition, Richmond TW9 1SQ, £450 for practitioners (until Tuesday 22nd January 2019), saving £150: Children’s Health and Nutrition
- 2 April, 9.30 - 2, The Willow Real Food Restaurant, 16 The Triangle, Kingston KT1 3RT, £101.86: Adrenal & thyroid support
- 18-20 June,10- 4.30, Institute for Optimum Nutrition, Ambassador House, Paradise Road, Richmond TW9 1SQ, £TBC: Autoimmunity and Nutrition
- 2 July, 9.30 - 2, The Willow Real Food Restaurant, 16 The Triangle, Kingston KT1 3RT, £101.86: Eating well for hormonal balance
- 10 September, 9.30 - 2, The Willow Real Food Restaurant, 16 The Triangle, Kingston KT1 3RT, £101.86: Depression and anxiety
- 15 October, 9.30 - 2, The Willow Real Food Restaurant, 16 The Triangle, Kingston KT1 3RT, £101.86: Optimising your ageing brain - eating well for dementia
- 19 November, 9.30 - 2, The Willow Real Food Restaurant, 16 The Triangle, Kingston KT1, £101.86: Fighting fatigue
More webinars can be found here and here.
Archived Recordings:
Disclaimer
CNELM occasionally circulates information regarding external events which we think may be of interest to students, graduates and/or staff. Please note that CNELM is not involved in the organisation or the content of such events and circulates all such information in good faith.
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We would like to gather your feedback for CPD events at CNELM. There are several upcoming events to be held at CNELM and it would be great to gather your thoughts on these events, as well as internal events such as Lab days and other events run by CNELM staff.
Could anyone who has attended these events please email me their brief thoughts on them to coriander@cnelm.co.uk.
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CNELM circulates by email and includes in the student newsletter a range of job opportunities. Several students at CNELM already hold qualifications enabling differning scopes of practice. All students if working in the nutrition field should keep mindful of CNELM's Fitness to Practice Policy and ensure their scope of practice or work is in keeping with existing qualifications. If ever in doubt it is best to contact Kate as Head of Quality Assurance or Dave as Centre Administrator/Practice Supervisor.
Nutritional Therapist Henley:
"Henley Podiatry and Health Therapies are looking for a Nutritionist/Nutritional Therapist to work as part of a multidisciplinary team which aims to restore health by addressing the root causes of poor health and injury.
We are ideally looking for a suitable clinician who is happy to work with all age groups and patient demographics. but are happy to consider two clinicians if this is more appropriate.
The team is growing and a suitably qualified nutritionist/nutritional therapist would be an exceptional addition to the team. (e.g. BANT, CNHC and ANLP registrations, and right to work in the UK).
The position is available on a self employed basis (however; an employed position may be available for the right candidate).
Experienced and newly qualified candidates are welcome to apply. All that we ask is that you are committed to developing your practice by participating in CPD and joining us to be part of our team! And love working with your clients to get the best results for them!
The clinic is looking for a clinician that is able to work with clients on a 1:1 basis, and possibly small groups.
We would like the candidate to provide a nutritional therapy programme typically involving the following elements:
- Initial personal consultation, including an in-depth health, lifestyle and food diary assessment
- Personalised nutrition advice and supplement plan (if supplements are needed)
- Current medication and nutrient interaction evaluation, if applicable
- Recommendation and interpretation of clinical and functional tests, where taken
- Follow up consultations – face to face, Skype, or over the phone
- Mini progress review calls
- Email support
We are open to developing the programmes available specific to the successful candidates clinical practice preferences and their ability to integrate in to the overall clinical/patient experience.
We are ideally looking for someone to fill the role from February 2019 onwards. Please email a CV and cover letter to FAO Jessica at info@henleypodiatry.com"
More classifieds can be found here, here and here.
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