Integrative NutritionKimberly Evans, MS, RD

ObjectivesYou will be able to

1. State the benefits of using an Integrative NutritionModel

2. Describe the five key areas that impact, and are impacted by, the biological information that food, nutrients, and herbs provide.

3. Review case examples

The Common Condition

Our Integrative Center

4 Pillars of Wellness

Take a Trip to the Moon

What does it mean?

collaborative

Integrative

little bit of “everything”

Integrative Nutrition

Optimal Wellnes

s

Disease Preventio

n

Disease Treatmen

t

No deficiency

Integrative Nutrition

Evidence-based Collaborative

Holistic

Personalized

Compassionate

What about

Functional?What is “functional nutrition?”

Lessons from people who have lived the longest

and healthiest lives

http://www.functionalmedicine.org/getstarted/resources/

IFM’sFunctional Medicine Tree

Functional Medicineaddresses the underlying causes of disease

using a systems-oriented approach not just treating symptoms

engages both patient and practitioner in a therapeutic partnership

involves understanding the origins, prevention, and treatment of complex, chronic disease.

What is Functional Medicine/Nutrition?

Hallmarks of a functional approach include:

Patient-centered care. Promotes health as a positive vitality; not just the absence of disease. Listen to the patient’s story, tailors treatments that address the

individual’s unique needs.

An integrative, science-based healthcare approach Look “upstream” to consider the patient’s history, physiology, and lifestyle

that can lead to illness. Consider the unique genetic makeup of each patient, along with both

internal (mind, body, and spirit) and external (physical and social environment) factors that affect total functioning.

Integrating best medical practices. Traditional Western medical practices “alternative” or “integrative” medicine, creating a focus on

prevention through nutrition, diet, and exercise use of the latest laboratory testing and other diagnostic techniques prescribed combinations of drugs and/or botanical medicines,

supplements, therapeutic diets, detoxification programs, or stress-management techniques.

Reference: http://www.functionalmedicine.org/about/whatisfm/

Nutrition is a critical component ofIntegrative and Functional Medicine!

Nutrition = a key part of prevention and a key part of therapy

Research is exploding in areas that link food, nutrients, herbs, nutrigenomics, and prevention and treatment of chronic conditions and disease states.

Consumer demand for more natural approaches to optimizing health, and a more holistic, person-centered and collaborative team management is driving the need for RDs to be skilled providers in Integrative Nutrition.

What differentiates an DIFM-RD? Employs a systems assessment of a person’s

biochemical

individuality to develop a nutrition care plan

Includes information from emerging sciences such as nutritional genomics

Recognizes Client uniqueness

Focuses on addressing the root cause of disease and preventive care

Strives to help the client achieve optimal health, not just the

absence of disease

“Food as Medicine” whole foods therapies targeted supplements andmind/body modalities….and is based firmly in theIntegrative Medicine model.

Let’s learn about functional nutrition.

Chronic Pain Nutrition – Foundational Eating Plan – Anti-

Inflammatory

Function – Tart Cherry Juice, Salmon, Avocado, Flaxseed

Supplementation – Boswelia, Fish Oil, Turmeric

Adjunctive – Dry Needling, Yoga, Mindfulness Therapy, Neurac, Graston

Testing – HS-CRP, Cortisol, ESR

GI Issues Nutrition – Foundational Eating Plan –

Elimination/Immune Health Plan

Function – Kombucha, Kimchi, Miso, Artichokes, Greek Yogurt

Supplementation – Probiotics, DGL, Aloe, Marshmallow Root, L-Glutamine

Adjunctive – MBSR, Somatic Education, Massage, Yoga

Testing – SIBO, Food Sensitivities, HS-CRP

Obesity or Diabesity Nutrition – Foundational Eating Plan – Hi Protein and

Clean Foods

Function – Ceylon Cinnamon, Green Tea

Supplementation – Fenugreek, Multiple Vitamin, Alpha Lipoic Acid,

Adjunctive – Exercise, Yoga/Meditation

Testing – Insulin Response Test, TSH, Vitamin D

Sports Specific Nutrition – Foundational Eating Plan – Individualized

Fueling and Hydration Protocol

Function – Crystalized Ginger

Supplementation – Probiotics, DGL, Aloe, Marshmallow Root, L-Glutamine

Adjunctive – MBSR, Somatic Education, Massage, Yoga

Testing – SpectraCell Micronutrient Test, VO2 Max

Depression Nutrition – Foundational Eating Plan – Tryptophan

Rich Complex Carbs w. Protein

Function – Salmon, Avocado, Pumpkin Seeds, Black Berries, Saffron

Supplementation – SAMe, 5-HTP, B12, Vitamin D, Probiotics, Fish Oil

Adjunctive – Psychotherapy, Yoga, Neurac, Somatic Education, Exercise

Testing – Vitamin B12, Vitamin D, TSH, Iron

Resources Institute for Functional Medicine.

Jeffery Bland, MD and Mark Hyman, MD

Center for Mind Body Medicine James Gordon, MD

Dietitians in Integrative Functional Medicine Kathie Madona Swift, MS, RD

Arizona Center for Integrative Medicine – University of Arizona (Integrative Medicine Fellowships)

Food as Medicine Conference