FROM THE EDITOR
WELCOME Emma Coates Editor
Emma has been a registered dietitian for nine years, with experience of adult and paediatric dietetics. She specialised in clinical paediatrics for six years, working in the NHS. She has recently moved into industry and currently works as Metabolic Dietitian for Dr Schar UK.
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We are looking to the future and pushing nutrition and dietetics to new places, which is both exciting and daunting at the same time. Embracing new ways of thinking and practising often feels like trying to put a man on the moon, but just remember this; on 20th July 1969, NASA did just that! Fermented foods have been used for thousands of years but have enjoyed a rebirth of late. Priya Tew takes a look their potential impact on gut health as part of our Cover Story this month, while Kate Roberts discusses current advice and recommendations for improving gut health in children. Continuing with a Paediatric theme, Priya also brings us insights in to a fairly recently recognised but common paediatric eating disorder, Avoidant/restrictive food intake disorder (ARFID). Often presenting in childhood before the age of 12 years, this has a significant impact on both physical and mental health of the child and on family life. Similarly, childhood obesity has just as much influence on family life and child health, Maeve Hanan RD gives us a comprehensive overview of the causes, consequences and government plans for addressing this widespread issue over the next 10 years. On 26th July 1978, Louise Brown was born, the first ‘test tube baby. A pioneering scientific development that paved the way for further success enjoyed by many couples with what we now know as ‘IVF’. New processes and techniques are often considered unbelievable or feared; however, there is always someone who has the passion and drive to take them on. Alice Lunt RD shares her experiences of implementing a virtual dietetic clinic within a hospital setting. Based in London, Alice takes us through the challenges and successes of
www.NHDmag.com July 2017 - Issue 126
setting up a virtual dietetic service based on ‘Telehealth’, a digital way to interact with patients within the hospital dietetic service. Could this be something coming to a dietetic service near you? In the early 1990s and before, who’d have thought that plant stanols and sterols had the potential to play a significant role in lowering cholesterol? However, since the mid-1990s they have been appearing in our supermarkets in various forms. Junee Sangani explains the current recommendations, gives a product overview and considers future research possibilities. In our NHD Extra digital supplement don’t miss Dr Lucy Aphramor’s insightful article which considers current public health messages and approaches. Lucy discusses effective methodologies within this avenue of healthcare, encouraging us to think differently and inspiring us all to embrace change. Although it is not a scientific discovery, another ‘first’ was revealed on 5th July 1946. The bikini was unveiled in Paris. Showgirl, Micheline Bernardini wore the first modern bikini and had the confidence to model this potential new trend. Back then, it caused an outrage, yet here we are in 2017, where it’s an essential part of the holiday wardrobe. Whether it is wearing your bikini or taking new directions in practice, go forth and we’ll be right there with you. Emma.
So, for a range of products that support feeding with breastmilk and contain ingredients that help preterm babies thrive, choose Nutriprem.
From birth to discharge and beyond, the ESPGHAN-Compliant1 Nutriprem range has been designed to aid the development of preterm babies.
EVERY DROP MATTERS Important notice: Breastmilk is best for babies. Nutriprem Breastmilk Fortifier is a nutritional supplement designed to be added to expressed breastmilk for feeding preterm and low-birthweight infants. Nutriprem Protein Supplement, Hydrolysed Nutriprem, Nutriprem 1 and 2 are foods for special medical purposes. They should only be used under medical supervision, after full consideration of the feeding options available, including breastfeeding. Hydrolysed Nutriprem, Nutriprem 1 and 2 are suitable for use as the sole source of nutrition for preterm and low–birthweight infants. Reference: 1. Agostoni C et al. J Pediatr Gastroenterol Nutr 2010; 50:85–91.