Issue 141 Welcome and news by NH Publishing Ltd

WELCOME TO . . . Welcome to this first issue of 2019. Not meaning to scare the pants off you, or fast forward this year away, but we only have eight more issues of NHD before we hit 2020! I remember when 2020 seemed like a lifetime away, yet here we are, racing towards it quicker than you can say Network Health Digest. Although 2020 will be a huge year for many, 2019 certainly won’t be overshadowed by it, especially where NHD is concerned. We have another exceptional array of features planned throughout the year, which will focus on the here and now in dietetics and nutrition, providing you with plenty of valuable information and insights. We can’t be any more in the here and now this month, with predictions of the top diets for 2019. Turn to page 9 for Emma Berry’s report on the trending diets for the year ahead. Diabetes mellitus is a condition hard not to come across during your career as a dietitian or nutritionist. In the UK. We have around 4.6 million patients living with diabetes and, according to Diabetes UK, this figure could reach 5 million by 2025. Leona Courtney provides us with a thorough look at this widespread condition in our Cover Story, along with the medical and nutritional interventions available. Conditions and disorders feature big in our February issue. Dr Mabel Blades joins us this month to provide us with information on faltering growth, highlighting the causes, recommendations and guidance, as well as the assessment and management of this complex issue. In her second article in this issue, Mabel provides an overview of maldigestion and how this can be differentiated from malabsorption. And have you come across orthorexia nervosa? It’s a

FROM THE EDITOR

Emma Coates Editor Emma has been a

dietitian growing concern, says Alice Fletcher, registered for 12 years, with manifesting in obsessional behaviour experience of adult around food choices, where a patient and paediatric dietetics. will base their eating on ‘pure food’. With orthorexia, eating clean to the extreme can be far from healthy. Our clinical article in this issue, comes from Louise Walsh, looking at the advantages and disadvantages of bolus feeding, as well as its practical aspects. Louise If you have important news or shares her insights research updates to share with into ensuring patients NHD, or would like to send a letter are supported and to the Editor, please email us at confident when bolus info@network healthgroup.co.uk feeding is required. We would love to Enhancing your skills hear from you. and learning doesn’t end there, as we welcome Harriet Smith to NHD with her first article delving in to the world of mindfulness, asking what it is and how we can become mindful eaters. Then we turn to our regular columns including IMD Watch brought to us this month by Suzanne Ford, NSPKU Dietitian and Anita MacDonald, Specialist Metabolic Dietitian, who calculate the cost of a special diet, with particular reference to the low-protein diet. Face to Face is a regular favourite from Ursula Arens who, this time, interviews Dr Paul Sacher, co-founder of MEND (Mind, Exercise, Nutrition . . . Do it!). Sit back, relax and slow down time with your copy of NHD! Emma

www.NHDmag.com February 2019 - Issue 141

FOR HEALTHCARE PROFESSIONAL USE ONLY Breastfeeding is best for babies

THE FIRST AND ONLY EHF

TO CONTAIN GOS/FOS PREBIOTICS

Aptamil Aptamil Pepti Pepti Clinically proven to REDUCE allergic manifestations for up to ﬁve years1–3

the

step st ep in the eﬀective management of

cows’ milk allergy is extensively hydrolysed formula†

References: 1. Arslanoglu S et al. Early dietary intervention with a mixture of prebiotic oligosaccharides reduces the incidence of allergic manifestations and infections during the ﬁ rst two years of life. J Nutr. 2008;138:1091-5. 2. Arslanoglu S et al. Early neutral prebiotic oligosaccharide supplementation reduces the incidence of some allergic manifestations in the ﬁ rst 5 years of life. J Biol Regul Homeost Agents. 2012;26:49-59. 3. Pampura AN et al. Ros Vestn Perinatol Paediat 2014;4:96-104

IMPORTANT NOTICE: Aptamil Pepti 1 & 2 are foods for special medical purposes for the dietary management of cows’ milk allergy. They should only be used under medical supervision, after full consideration of the feeding options available including breastfeeding. Aptamil Pepti 1 is suitable for use as the sole source of nutrition for infants from birth, and/or as part of a balanced diet from 6-12 months. Aptamil Pepti 2 is suitable for babies over 6 months as part of a mixed diet. † For the management of mild to moderate IgE-moderated cows’ milk allergy the iMAP guideline recommends an Extensively Hydrolysed Formula (EHF) as the ﬁ rst step for formula feeding or mixed feeding (if symptoms only with introduction of top-up feeds) infants.

18-044 (GOS/FOS)/Date of Prep: March 2018 © Danone Nutricia Early Life Nutrition 2018

Healthcare Professional Helpline: 0800

996 1234 www.eln.nutricia.co.uk/cma

NEWS

Emma Coates Editor Emma has been a registered dietitian for 12 years, with experience of adult and paediatric dietetics.

To book your company's

product news for the next

issue of

NHD call

01342 824073

NHS LONG-TERM PLAN (LTP) LAUNCHED Launched at the beginning of January, the 10-year LTP includes measures to prevent 150,000 heart attacks, strokes and dementia cases and provide better access to mental health services for adults and children. It’s a new plan for the NHS to improve the quality of patient care and health outcomes, setting out how the £20.5 billion budget settlement for the NHS, originally announced by the PM in summer 2018, will be spent over the next five years.

Planning for the next 10 years of the NHS A guide to help

your discussion

The NHS is makin g 10 years of the NHSa plan for the next We are working with staff, partners and people and families, public to get the plan right This document will help everyone think about the same big questions www.en Email england gland.nh.ltp@nh s.uk s.net Website www.en gland.nhs.uk

Who will benefit? The plan has been developed in partnership with frontline health and care staff, patients and their families. It aims to improve outcomes for major diseases as mentioned above, also including cancer, heart disease and respiratory disease with measures to: • improve out-of-hospital care, supporting primary medical and community health services; • ensure all children get the best start in life by continuing to improve maternity safety, including halving the number of stillbirths, maternal and neonatal deaths and serious brain injury, by 2025; • support older people through more personalised care and stronger community and primary care services; • make digital health services a mainstream part of the NHS, so that in five years, patients in England will be able to access a digital GP offering. For more information visit: www.longtermplan.nhs.uk BDA response to the plan BDA Chair, Caroline Bovey, and England Board Chair, Dr Brian Power, gave their initial thoughts on the plan via social media on 9th January: "The LTP sets out a laudable and welcome ambition to improve the NHS and make best use of the funding made available over the next five years. It’s positive to see strong commitments to strengthening and diversifying primary and community care, supporting mental health services and embracing new technology. However, it was disappointing not to see any reference to the role of dietitians in areas such as malnutrition and frailty in the elderly, obesity and Type 2 diabetes, or the need to recruit more dietitians to help manage and prevent these conditions." To read Caroline and Brian’s full thoughts on the LTP click here . . .

SIGN

FOR

NH-eNews

Our weekly e-newsletter full of essential dietetic news and resources, includes latest events and courses, featured articles and industry updates. DON'T MISS OUT, REGISTER HERE TODAY . . . 6

www.NHDmag.com February 2019 - Issue 141

NEWS DEPARTMENT OF HEALTH AND SOCIAL CARE OPEN CONSULTATION (DHSC): RESTRICTING PROMOTIONS OF FOOD AND DRINK HIGH IN FAT, SUGAR AND SALT Published 12th January 2019 The government aims to reduce excessive eating and drinking of food and drink products high in fat, sugar and salt (HFSS), which can lead to children becoming overweight and obese. It’s also aiming for businesses to promote healthier food and drink, to help people make healthier choices. In so doing, the DHSC is seeking views on government plans to restrict the promotion of HFSS food and drink products by location and price. Set out in Childhood obesity: a plan for action, chapter 2, the proposed plans are to be discussed in this consultation which is asking to share your thoughts on: • restricting volume-based price promotions of HFSS food and drink that encourage people to buy more than they need, for example, ‘buy one, get one free’ and free refills of sugary soft drinks; • restricting the placement of HFSS food and drink at main selling locations in stores, such as checkouts, aisle ends and store entrances. This consultation is open until the 6th April and if you wish to contribute, click here . . .

SHOULD OBESITY BE RECOGNISED AS A DISEASE? In January, the Royal College of Physicians (RCP) released an obesity position statement calling for obesity to be urgently recognised as a disease by government and the broader health sector; warning that until this happens, its prevalence is unlikely to be reduced. According to Public Health England, in 2015, 63% of adults were classed as being overweight or obese. In 2015 to 2016, 19.8% of children aged 10 to 11 were obese and a further 14.3% were overweight. The RCP wants to see obesity recognised as an ongoing chronic disease to allow the creation of formal healthcare policies to improve care both in doctors’ surgeries and hospitals, and so that significant and far-reaching preventative measures can be put in place. As well as encouraging prevention, treatment and greater empathy with patients, the RCP wants to see a change to public discourse about obesity, so that those with the condition are no longer blamed for it. Professor Andrew Goddard, RCP president, said: “It is important to the health of the nation that we remove the stigma associated with obesity. It is not a lifestyle choice caused by individual greed, but a disease caused by health inequalities, genetic influences and social factors. It is governments, not individuals, that can have an impact on the food environment through regulation and taxation, and by controlling availability and affordability. Governments can also promote physical activity by ensuring that facilities are available to local communities, and through legislation and public health initiatives.” Click here . . . to download the full statement.