Tag Archives: dietitian

Eating Disorders

Are you looking for information on the eating disorders anorexia nervosa, or bulimia nervosa, or support for overcoming an eating disorder?

Treatment of eating disorders often includes a dietitian who has had extra training and experience in specialist teams.

Whilst some of my work with people who have problems with bingeing and overeating, and in helping people become more intuitive eaters, is quite similar to the work used in eating disorders, I don’t feel I have enough experience in this specialist area to help treat you if you have a diagnosed eating disorder.

Links to sites that might help you find specialist help instead:

www.nhsdirect.nhs.uk – NHS Direct – find a GP, or local hospital

www.b-eat.co.uk – UK organisation with lots of  information on eating disorders and where to get help, including support groups and online self-help courses for carers

www.freelancedietitians.org – online directory of Freelance Dietitians

Iron – am I getting enough in my diet?

Iron is a mineral which is an essential component of many of the proteins and enzymes that maintain good health in our bodies. It is involved in transporting oxygen to the body’s tissues and muscles and gives the red colour to our blood.

Iron deficiency Facts

Iron deficiency is caused by a diet low in iron or by blood loss e.g. in menstruation or illness. Deficiency is really common in the particular population groups of toddlers and teenage girls in the UK due to their high rates of growth and variable diets. Other people at risk of iron deficiency are:

  • pregnant women
  • premature and low birth weight babies
  • people with kidney failure
  • people with gastrointestinal disorders that affect their ability to absorb iron
  • long distance runners and other athletes who do regular intense exercise

Signs of iron deficiency include – feeling tired and weak, pale skin, breathlessness, decreased work and school performance, increased susceptibility to infections and decreased appetite.

If you think you might be iron deficient, ask your GP to do a blood test.

Our daily requirements for iron change with age and differ in men and women

According to government experts, these are our requirements:

  • 6- to 12-month-olds – 7.8mg (8 stars)
  • 1 to 3-year-olds – 6.9mg (7 stars)
  • 4 to 6-year-olds – 6.1 mg (6 stars)
  • 7 to 10-year-olds – 8.7mg (9 stars)
  • 11 to 18-year-old boys – 11.3mg (11 stars)
  • 11 to 18-year-old girls – 14.8mg (15 stars)
  • 19 to 50-year-old women – 14.8mg (15 stars)
  • 19 to 50-year-old men – 8.7mg (9 stars)
  • Adults older than 50 years – 8.7mg (9 stars)
  • Pregnant women – 14.8mg (15 stars)

NB – The stars can be used to count up how much iron from food you have a day in the table below – 1 star is approximately 1mg of iron.

SOURCES OF IRON IN OUR DIET

Iron is found both in foods that come from animals – meat, fish and eggs; and in plant foods such as green leafy vegetables, lentils, beans, dried fruit, nuts and seeds. White bread and breakfast cereals in the UK have iron added to them, and so are also good sources of iron. Iron from animal foods (haem iron) is absorbed by our stomachs more efficiently than that from plant foods (non-haem iron).

Newborns get an easily absorbed form of iron from breast milk, which is usually enough for the first 6 months of life. Infant formula contains iron too. Cow’s milk is very low in iron so is not a recommended drink in the first year of life.

Eating a varied and balanced diet based on the Eatwell Plate should ensure you get sufficient iron in your diet. The ready reckoner below can help you to ensure you are including some iron rich foods every day. Note that liver is not recommended during pregnancy due to high vitamin A levels

Iron Ready Reckoner:

Food Iron stars (1 star = 1mg – approximately)
Animal sources
Liver (chicken),2 slices (70g) 8
Liver (lamb), 2 slices (80g) 6
Liver pate, 1 serving (50g) 3
Kidney (lamb),1 kidney (35g) 4
Beef / lamb (roast), 3 oz (80g) 2
Pork / chicken (roast), 3oz (80g) 1
Black pudding, 1 portion 9
Corned beef, thick slice (50g) 1
Sardines, small tin (100g) 3
Pilchards, canned in tomato sauce (55g) 2
Herring, 1 medium fillet (120g) 2
Tuna, small can (100g) 1
Prawns, average portion (60g) 1
Mussels, average portion (40g) 3
Egg (boiled),1 average (50g) 1
Plant sources
Spinach, boiled (120g) 2
Fenugreek (methi) (25g) 4
Watercress, 1 bunch (80g) 2
Broccoli / peas, 2-3 tablespoons (80g) 1
6 Apricots or 3 Figs, dried (60g) 2
Raisins/ sultanas, 1 tablespoon (30g) 1
Bread, wholemeal, 2 slices 2
Bread, white, 2 slices 1
Bran flakes, 3 tablespoons (25g) 4
Fortified cereals, 3 tablespoons (25g) e.g. special K, cheerios, weetabix (2 biscuits) 3
Lentils (dahl), green/brown (100g) 3
Blackeyed/ kidney beans chickpeas (boiled), 4 tablespoons (100g) 2
Baked beans, Small can (200g) 3
Hoummus, 2 tablespoons (50g) 1
Tofu, fried (50g) 2
Nuts e.g. almonds, cashew, brazils (25g) 1
Seeds e.g. melon, pumpkin, sesame (30g) 2
Curry powder, 1 teaspoon (3g) 3
Plain chocolate, 1 bar (50g) 1

Foods rich in vitamin C increase the absorption of iron from plant foods:

Foods rich in vitamin C are oranges, lemons, grapefruits and limes; blackcurrants and strawberries; Kiwi fruit, mango, papaya and guava; fruit juices, or fruit drinks fortified with vitamin C; and fresh or frozen vegetables, eaten raw or lightly cooked. To maximise your iron absorption, drink fruit juice, or eat fruit or vegetables with meals that contain plant sources of iron.

Other foods decrease the amount of iron we absorb from plant foods:

  • Tannins: in tea or coffee – so avoid drinking with meals
  • Fibre: in high quantities – avoid unprocessed bran
  • Calcium: in high quantities – so avoid taking calcium supplements with meals

Should I be taking iron supplements?

Your doctor or dietitian will advise you if you do need to take iron supplements. It’s not wise to take iron supplements if you don’t have a medical need for them.

Links for more information:

Acknowledgements:

Some of this information was adapted from a diet sheet produced by dietitians at Ealing NHS PCT in 2004 with permission and thanks.

Iron content of foods sourced from the government publication McCance and Widdowson’s The Composition of Foods integrated dataset, 2002

Daily requirements sourced from the government publication Dietary Reference Values of Food Energy and Nutrients for the United Kingdom, published in 1991.

An introduction to autism – for dietitians

Nutrition – Part of the Puzzle?

Apple jigsaw - is nutrition part of the puzzleAs chair of Dietitians in Autism (a subgroup of the paediatric group of the British Dietetic Association, and part of the mental health group of the BDA too), I’m often asked ‘I’m a dietitian new to working with children or adults with autism – where do I start?’ I thought it might be useful to share my typical response – partly so I can direct enquiries to here rather than typing it out again and again, and also in case it helps dietitians from other countries or indeed other health professionals. Continue reading

South Warwickshire autism services – a directory

As a dietitian with a special interest in helping families and individuals on the autistic spectrum, and having recently moved back to South Warwickshire, I thought it would be useful to compile a list of local services for those on the autism spectrum and their families.

Continue reading

An introduction to autism

What is autism?

According to the major UK charity the National Autistic Society,

Autism is a lifelong developmental disability that affects how a person communicates with, and relates to, other people. It also affects how they make sense of the world around them.

Continue reading

Take a DNA test for a personalised eating and exercise plan.

Just as your hair colour, nose shape and other physical characteristics are inherited from your parents, studies of families and twins have shown to us our weight, to some extent, also is.

Scientists have identified over 500 genes that code different body processes that affect our body weight and how easily we can influence our body weight with dietary changes and differing intensities of activity. The study of genes that interact with our diet has been named nutrigenetics.

Having previously studied a lot of genetics in my first degree (Biochemistry with Molecular Biology), I have been interested in finding out more about nutrigenetics, and have recently been excited to find that I can start using this cutting edge science in my practice.

Linking up with a service using the university and NHS laboratories in Newcastle, I am happy to be able to offer patients a simple DNA test which looks at the 8 genes which have the most research behind being useful to guide dietary and exercise advice. All you need to do is wipe a cotton wool type swab inside your mouth for a minute to get some cheek cells for the scientists to analyse, pop it in a tube and post it off for processing, 2-4 weeks later you meet with me to reveal what your DNA results indicate. Together we then work on making small changes towards what your genetic ‘ideal’ is.

Contact me if you are interested in getting your DNA-guided eating plan – you don’t get more personalised! The test will add £100 to my usual charges.

Find out more by contacting me on 07733378651 or zoe@zoeconnor.co.uk

Health At Every Size – a new approach for the UK?

Its not news that obesity is a huge public health issue across the ‘developed’ world. You would have to have been living on Mars not to have heard the warnings that this epidemic puts burden on our health care systems and threatens to shorten our and our children’s lives. In the meantime, no one really seems to know what to do about it – or at least not what to do about it that is effective in more than just the short term.

In the US in recent years there had been increasing weight (excuse the pun) behind a movement to take the emphasis away from the weight, and towards health – health at every size.

Continue reading

What to expect in a consultation

So what actually happens in a consultation with a dietitian?

I often find that when I tell someone I’m a dietitian, it doesn’t really mean anything to them – they have no idea what I actually do.

One of the things I like about being a dietitian is that no two days are the same – no two cases are the same.  You may be reading this because you are considering booking an appointment with me – and wondering what that involves – read on for a general overview:

When I see a new patient I am first of all interested in finding out what diet-related issues have caused you to contact or be referred to me.  It’s also useful to know what, in an ideal world,  you would like to come from seeing me. Continue reading

Do you understand your eating?

The Dukan Diet, Rosemary Conley, Cabbage Soup, Atkins, South Beach, Weight Watchers – which diet plan are you on?

If you aren’t currently following one of these plans, it’s likely that you have at one time or another. Which is great, isn’t it – we all know the risks of overweight and unhealthy eating – how on earth would you know what, how much and when to eat without guidance from a diet plan?

Zoe Connor, Shipston-based freelance dietitian, is on a mission to help local residents discover a different way of thinking. Intuitive’ or ‘mindful’ eating is the process of rediscovering your own body’s internal physical cues to eating and living healthfully. It is a particularly useful approach if you feel that ‘dieting’ always fails for you – which, research tells us, it does for 80% of us.

See for yourself how intuitive your eating is – tick which of these statements apply to you: Continue reading

Nutritionist vs Dietitian vs Nutrition Therapist

‘Dietitian’ is a title that is protected by law in the UK, and is currently the only title that guarantees nutrition training to above degree-level, and adherance to a respected code of conduct. All dietitians have studied nutrition to degree or post graduate level and have additionally undertaken 9 months assessed training in the NHS.  This additional training enables dietitians to advise on diet as a treatment in a wide range of serious medical conditions.  They are then eligible to register with the Health Professions Council (HPC), who require their members to give advice that is impartial, safe and based on the best evidence available, and to keep up to date professionally.  The HPC not only regulates dietitians, but also many other health professions, including physiotherapists and paramedics.

Graduates from a recognised nutrition degree can join the Association for Nutrition (AfN) register, and are well qualified to research and advise on nutrition and healthy eating.  Some work in the NHS as nutritionists or dietetic assistants but are not trained to advise on nutrition as a treatment, unless they are supervised by dietitians.

The titles Nutritionist, Nutrition Therapist, Nutrition Doctor and Nutrition Consultant are not protected by law or by any professional bodies, and so anyone can, in theory, use them.  Some high-profile nutrition experts use these titles (quite legally) but do not have recognised nutrition qualifications (i.e. a degree from a recognised institution).

Some online sites who make a point of highlighting nutritional tests, advice and professionals that are not as they seem are Quackwatch and the Guardian’s Ben Goldacre.