Paige Gustafson, RD, LD Pediatric Clinical Dietitian
description
Transcript of Paige Gustafson, RD, LD Pediatric Clinical Dietitian
![Page 1: Paige Gustafson, RD, LD Pediatric Clinical Dietitian](https://reader035.fdocuments.in/reader035/viewer/2022062804/56814903550346895db63afd/html5/thumbnails/1.jpg)
Paige Gustafson, RD, LDPaige Gustafson, RD, LDPediatric Clinical Dietitian
University of Minnesota Amplatz Children’s Hospital
Much Ado About Diets:Much Ado About Diets:Children and Modified Dietary NeedsChildren and Modified Dietary Needs
![Page 2: Paige Gustafson, RD, LD Pediatric Clinical Dietitian](https://reader035.fdocuments.in/reader035/viewer/2022062804/56814903550346895db63afd/html5/thumbnails/2.jpg)
DisclosuresDisclosures
None
![Page 3: Paige Gustafson, RD, LD Pediatric Clinical Dietitian](https://reader035.fdocuments.in/reader035/viewer/2022062804/56814903550346895db63afd/html5/thumbnails/3.jpg)
http://bizarrocomics.com/2013/01/06/blurry-superstition-death-paternity-donut-cell-hives/
![Page 4: Paige Gustafson, RD, LD Pediatric Clinical Dietitian](https://reader035.fdocuments.in/reader035/viewer/2022062804/56814903550346895db63afd/html5/thumbnails/4.jpg)
ObjectivesObjectives
List major food allergies and strategies for school food services to be safe
Define gluten and foods to avoid to maintain gluten-free diet in the cafeteria
Review renal diet including challenge to provide appropriate lunch options with school lunch reform
Understand dietary modifications as medical nutrition therapy rather than diets in the promotion of disordered eating behaviors
![Page 5: Paige Gustafson, RD, LD Pediatric Clinical Dietitian](https://reader035.fdocuments.in/reader035/viewer/2022062804/56814903550346895db63afd/html5/thumbnails/5.jpg)
![Page 6: Paige Gustafson, RD, LD Pediatric Clinical Dietitian](https://reader035.fdocuments.in/reader035/viewer/2022062804/56814903550346895db63afd/html5/thumbnails/6.jpg)
Food AllergiesFood Allergies
An immune response to a foreign protein
Intolerance? Lactose
![Page 7: Paige Gustafson, RD, LD Pediatric Clinical Dietitian](https://reader035.fdocuments.in/reader035/viewer/2022062804/56814903550346895db63afd/html5/thumbnails/7.jpg)
Milk Egg Soy
Wheat
Peanuts Tree Nuts
http://nces.ed.gov/nationsreportcard/pubs/studies/2006461.asp; http://postgradproblems.com/4-tv-shows-you-appreciate-better-as-a-working-adult/;
Shellfish Fish
![Page 8: Paige Gustafson, RD, LD Pediatric Clinical Dietitian](https://reader035.fdocuments.in/reader035/viewer/2022062804/56814903550346895db63afd/html5/thumbnails/8.jpg)
Tips for ServiceTips for Service
Know your students and their allergies
Accessible information to know the ingredients in your foods
Reading food labels
http://www.florida-allergy.com/tag/food-allergies/
![Page 9: Paige Gustafson, RD, LD Pediatric Clinical Dietitian](https://reader035.fdocuments.in/reader035/viewer/2022062804/56814903550346895db63afd/html5/thumbnails/9.jpg)
http://abcnews.go.com/Health/Allergies/food-allergies-cost-25-billion-annually-us/story?id=18026532
http://www.theallergyasthmasinuscenter.com/blog/tips-for-reading-labels-when-you-have-food-allergies
![Page 10: Paige Gustafson, RD, LD Pediatric Clinical Dietitian](https://reader035.fdocuments.in/reader035/viewer/2022062804/56814903550346895db63afd/html5/thumbnails/10.jpg)
Gluten-FreeGluten-Free
Gluten – protein structures found in certain grains
Wheat Oats Rye Barley
Celiac Disease (celiac sprue) – an autoimmune response at the digestive system that attacks the lining of the intestines leading to malabsorption
![Page 11: Paige Gustafson, RD, LD Pediatric Clinical Dietitian](https://reader035.fdocuments.in/reader035/viewer/2022062804/56814903550346895db63afd/html5/thumbnails/11.jpg)
Foods Allowed when Foods Allowed when Gluten-FreeGluten-Free
Alternative grains – Corn, Flax, Quinoa, Rice, Soy, Potato Flour
Naturally (unprocessed):Beans, seeds, nutsEggsFresh meats, fish, and poultry (not breaded,
battered, or marinated)Fruits and VegetablesMost dairy products
![Page 12: Paige Gustafson, RD, LD Pediatric Clinical Dietitian](https://reader035.fdocuments.in/reader035/viewer/2022062804/56814903550346895db63afd/html5/thumbnails/12.jpg)
Beyond WORB:Beyond WORB:
Gluten is often added to processed foods for taste and texture or in non-food items.
Medications, vitamins, play dough, lotions, malt flavoring
http://www.fasthorseinc.com/blog/2013/07/10/gluten-free-is-serious-business/
http://www.bestglutenfreediet.com/
![Page 13: Paige Gustafson, RD, LD Pediatric Clinical Dietitian](https://reader035.fdocuments.in/reader035/viewer/2022062804/56814903550346895db63afd/html5/thumbnails/13.jpg)
Tips for ServiceTips for Service
Cross contaminationMenus / ChoicesCost
http://udisglutenfree.com/2013/08/30/gf_workplace/
![Page 14: Paige Gustafson, RD, LD Pediatric Clinical Dietitian](https://reader035.fdocuments.in/reader035/viewer/2022062804/56814903550346895db63afd/html5/thumbnails/14.jpg)
Renal DietRenal Diet
Chronic kidney disease / dialysis Potassium, phosphorus, sodium
restriction
http://www.kidneydiet.com/
http://emedicine.medscape.com/article/1012654-overview#a0102
![Page 15: Paige Gustafson, RD, LD Pediatric Clinical Dietitian](https://reader035.fdocuments.in/reader035/viewer/2022062804/56814903550346895db63afd/html5/thumbnails/15.jpg)
Potassium Potassium
http://www.diabetesdaily.com/voices/2009/02/how-to-perfect-baked-potato/
![Page 16: Paige Gustafson, RD, LD Pediatric Clinical Dietitian](https://reader035.fdocuments.in/reader035/viewer/2022062804/56814903550346895db63afd/html5/thumbnails/16.jpg)
PhosphorusPhosphorus
Dairy – milk, yogurt, cheeseWhole grainsChocolatePeanut butter, Nuts, SeedsProcessed foods - cola
![Page 17: Paige Gustafson, RD, LD Pediatric Clinical Dietitian](https://reader035.fdocuments.in/reader035/viewer/2022062804/56814903550346895db63afd/html5/thumbnails/17.jpg)
SodiumSodium
Table SaltProcessed / Convenience FoodsSoupCheeseFast FoodSeasoningsSports Drinks
http://www.personal.psu.edu/agl5095/blogs/la101h/2012/04/ramen-noodles.html
![Page 18: Paige Gustafson, RD, LD Pediatric Clinical Dietitian](https://reader035.fdocuments.in/reader035/viewer/2022062804/56814903550346895db63afd/html5/thumbnails/18.jpg)
Healthy Hunger-Free Kids Healthy Hunger-Free Kids Act of 2010Act of 2010
More fruit & vegetables, more whole grains, lower sodium, etc.
Good for most, bad for kidney disease
![Page 19: Paige Gustafson, RD, LD Pediatric Clinical Dietitian](https://reader035.fdocuments.in/reader035/viewer/2022062804/56814903550346895db63afd/html5/thumbnails/19.jpg)
Medical Nutrition TherapyMedical Nutrition Therapy
Protein-restricted Low FatLow SodiumVegetarianVeganFODMAPCasein-free
![Page 20: Paige Gustafson, RD, LD Pediatric Clinical Dietitian](https://reader035.fdocuments.in/reader035/viewer/2022062804/56814903550346895db63afd/html5/thumbnails/20.jpg)
Much Ado About Diets?Much Ado About Diets?
Nutrition - an ever changing science
http://www.cdc.gov/nutrition/everyone/basics/http://www.huffingtonpost.com/2013/03/07/7-year-old-makes-diet-list_n_2821204.html
![Page 21: Paige Gustafson, RD, LD Pediatric Clinical Dietitian](https://reader035.fdocuments.in/reader035/viewer/2022062804/56814903550346895db63afd/html5/thumbnails/21.jpg)
2450 Riverside AveMinneapolis, MN 55454
[email protected] / 612-273-3740
“Brave” http://www.youtube.com/watch?v=N8xnLkyKgsE
![Page 22: Paige Gustafson, RD, LD Pediatric Clinical Dietitian](https://reader035.fdocuments.in/reader035/viewer/2022062804/56814903550346895db63afd/html5/thumbnails/22.jpg)
ReferencesReferences
Academy of Nutrition and Dietetics. Pediatric Nutrition Care Manual. Chicago, Ill: American Academy of Nutrition and Dietetics; 2012.
Guidelines for the Diagnosis and Management of Food Allergy in the United States: Report of NIAD-Sponsored Expert Panel. The Journal of Allergy and Clinical Immunology; 126 (6), Supplement: S1-S58.
Mahan, L. & Escott-Stump, S. (2008). Krause’s Food and Nutrition Therapy (12 ed.) St. Louis, Missouri: Saunders Elsevier.
![Page 23: Paige Gustafson, RD, LD Pediatric Clinical Dietitian](https://reader035.fdocuments.in/reader035/viewer/2022062804/56814903550346895db63afd/html5/thumbnails/23.jpg)
Thank YouThank You