Saturday, February 7, 2015

GNYDA Health and Wellness Conference 2015

     So a couple of days back, I journeyed off to the yearly GNYDA Health and Wellness Conference in mind numbing cold weather.  I suspect the weather kept a few home since, at least as far as I could tell, the room was a bit emptier than previous years.  The talks provided enlightening insights on the association between skin and acne, the re-emergence of blenderized tube feedings, as well as reinforced concepts about the benefits of exercise. Overall, I would say, it was worth the trip.
     Jennifer Burris, MS, RD, a doctoral student at NYU with multiple dietetic certifications gave us a glimpse of her research into acne and nutrition.  The incidence of adult acne has increased over the past 20 to 25 years.  This condition, although not life threatening, negatively impacts emotional health.  Acne can be attributed to a number of factors including but not limited to stress, environment and diet.  Current research on the associations between diet and acne are inconclusive but certain foods can aggravate the condition.  Sugary foods, fruit juice, and surprisingly fat free milk have been shown to be some of the worst culprits.  Low glycemic diets and omega 3 fatty acids appear to possibly be helpful in cases of moderate to severe acne.  The link between milk consumption and acne is unclear.  Researchers aren’t sure whether it’s the fat, carbohydrate or protein in the milk which is associated with exacerbating the condition.
     Dr. Jordan Metzl, a sports physician, emphasized the importance of exercise as preventative medicine.  He stated today’s youth are expected to live 5 years less than their parents.  His prescription for exercise as follows: 30min/day for 5 days of the week starting off with low intensity workouts and increasing intensity as the body becomes stronger.   He also encouraged yearly fitness goals.
     Finally, Julia Driggers, RD, LDN,CNSC a clinical dietitian at the Children’s Hospital of Philadelphia talked about the use of blenderized tube feedings.  This was an eye-opener as I (as well as other RD colleagues of mine) thought they weren’t in use anymore. These feedings aren’t recommended for patients with multiple food allergies or are immunocompromised.  There are food safety issues associated with implementing such feedings.  Supposedly there are feedings on the market by commercial distributors made with real foods.  Real food and Liquid Hope were two of the brand names mentioned during the meeting.  Liquid hope is not for use with children.   There are two types of feedings that can be made: thick and thin.   Thick feedings generally have higher caloric density (>30cal/ oz), are thick and pasty in consistency and have minimal free water.  They are used in patients with reflux, volume intolerance or have undergone nissen fundoplications.  Grains, sugars, cornstarch, or infant cereal are used to thicken formulations.  Thin feedings are used in patients’ with formula intolerance, oral aversions, or delayed oro-motor skills.  They typically are between 20 to 30cal/oz and are moderately free in water.  Recipe’s for these formulas can be found in, “Homemade Blended Formula Handbook,” by Marsha Dunn Klein, Med, OTR/L and Suzanne Evans Morris, PhD, CCC.  Most homemade blenders would not be acceptable for making blenderized tube feedings so thought must be put into the type of blender to purchase.