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Hashtag Nutrition Exploring Trends in Diet and How They Impact Patient Care Dr. Jaime Schehr ND RD CDN

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Page 1: Nutrition Trends 2015€¦ · • Paleo • Vegan • Pegan • Fat Black Diet—bulletproof coffee • Keto Diet • Viking Diet • Zone Diet • Gluten Free/Wheat Belly • Sugar

Hashtag Nutrition Exploring Trends in Diet and How They Impact

Patient Care

Dr Jaime Schehr ND RD CDN

Learning Objectives

bull Discuss Current Trends in Nutrition and how they influence treatment patient care

bull Identify specific trends review and evaluate the traffic that drives trending diets

bull Discuss the basic principles of a healthy diet evaluate whether the trending topics encompass healthy dietary practices or principals

Presentation Outline

bull Identify top trends of 2015 bull Exploration of market what causes diets to

trend bull Research based vs popular demand where these

two blend bull Examples of trendy diets bull Information pathways social media influence

on diets bull How to manage patient expectations vs

evidence is there a difference

Topping the Charts in 2015 DIETS

bull Weight Watchers

bull DASH diet

bull Biggest Loser Diet

bull Mediterranean

bull Flexitarian Diet

bull TLC Diet

bull Paleo Dukan

bull Fertility Diet

bull MIND diet

bull Mayo Clinic

Topping the Charts in 2015

BOOKS bull Whole 30

bull Bon Appetite The Food Loverrsquos Cleanse

bull The Blood Sugar Solution 10 day detox diet

bull How not to Die

bull It Starts with Food

bull Eat Fat Get Thin

bull Always Hungry

bull Strong Looks Better Naked

bull Pretty Happy

A Look at the Numbers

$20 Billion 108 Million 85 Percent 1 Hour 220000 $11500 to $26000 $500000 to $3 Million $33000

60 BILLION The value of the US weight loss market

108 MILLION The number of people on diets in the United States

85 The percentage of customers consuming weight-loss products and services who are female

1 HOUR Time spent on daily exercise by people who lost and kept off 30+ pounds for five years

220000 of people in 2009 with a BMI gt40 in the United States who had bariatric surgery

$11500-$26000 The average cost of bariatric surgery

$500000-$3 MILLION The average salaries paid to celebrity endorsers of major weight-loss programs

$33000 The amount of money celebrity endorsers on average earn per pound lost

What the Numbers Tell Us

bull Exercise remains a critical aspect of sustained weight loss and health

bull The greatest driving force of a trend in the diet world is celebrity endorsement

bull One-third of the US population is on a diet

Top Nutrition Trends of 2015

bull Turmeric bull Butter Coffee bull Souping bull Fermented foods bull Bone Broth bull Spiralizing bull Sprouted Grains bull Superfood Bowls bull Sustainable Diets bull Cauliflower is the new kale

Cauliflower Craze

Nutrition Trends amp Headlineshellip

POM juice

Cholesterol

In the Past 24 Hours

Artifical Sweetners and Weight Gain The New York Times

Why Carb Counters Are Running for the Cauliflower The Wall Street Journal

How Do We Navigate Through the Information to

1) Know Your Foundations

2) Decipher what is healthy for patients

3) Stay current on trends and news

Anti-Inflammatory Diets

Exposure Lean meats and fatty fish Lots of fruits and vegetables Healthy fats (avocados nuts seeds EVOO or Canola)

Purpose Reduce Inflammatory markers CV health Metabolic Syndrome TIIDM Parkinsons Depression Alzheimerrsquos Pain Weight Management

Anti-Inflammatory Diets

The Attraction

bull Realistic diet plan

bull Rich in antioxidants

bull Plant based

The Challenges

bull Planning required

bull Ability to limit wine to recommended amount

bull No portions and serving sizes noted

glutenfree

8 MILLION POSTS USING GLUTENFREE

16K LIKES

Anti-Inflammatory Diets

The Research

bull Lyon Heart Study ndash AI diet Reduced death from repeat heart attacks by 50-70

bull HALE Study ndash In those aged 70-90 diet changes alone reduced death from all causes

by 23

ndash 65 lower mortality rate when regular activity no smoking and moderate drinking were added

bull Study by Esposito et al ndash AI diet decreased metabolic syndrome and cardiovascular disease

mediterraneandiet antiinflammatory

Low Carb Diets

The Attraction bull Initiates quick weight loss bull Can Improve

ndash A1c ndash Cholesterol amp TG rsquos ndash BP

bull Can Minimize ndash Inflammation ndash CHD TIIDM Obesity

Cancer

The Challenges

bull Limiting

bull Can be high unhealthy fats

bull May need to learn to cook foods differently and where to eat out

Exposure Can be as low as 20g CHOday High PRO High FAT often limitsrestricts ETOH

Purpose Quick Weight Loss Blood Sugar Control

paleo Whats your opinion

lowcarb IIFYM

Low Carb Diets

The Research bull Study by Foster et al

ndash At 3m and 6m weight loss was significantly greater in low CHO diet group

ndash At 12m both Low CHO diet group was the same as the conventional diet group

bull Study by Shai et al ndash Compared Low Carb to Mediterranean to Low-fat Diet over 2 years ndash Findings

bull Low Carb diet showed decreased levels in C-reactive protein bull Low Carb dieters likelier to have urinary ketones bull Mean weight loss over 2-years was 47kg for Low Carb 44kg for

Mediterranean diet and 29kg for low-fat diet

bull Study by Frassetto et al ndash 10 days on a Paleo diet resulted in decreased BP decreased total and

LDL cholesterol and improved insulin response

Socially Conscious Diets

Exposure No or very limited animal products in the diet Eat no more meat than is recommended in the dietary guidelines

Purpose Eat healthfully to minimize carbon footprint

Socially Conscious Diets

The Attraction

bull Good for environment

bull Rich in antioxidants

bull Animal friendly

The Challenges

bull Potential Vit Deficiency (iron B12)

bull Patient must be aware of PRO sources

bull Cost

bull Availability

EWG FOOD SCORES

flexitarian vegan monomealmacrobiotic

Socially Conscious Diets

The Research

bull Study by Raphaely et al ndash Individuals in the most developed countries over

consume meat

ndash Flexitarianism can significantly decrease the cost of stopping climate change if diets were implemented

bull Study by Barnard et al ndash Low-fat vegetarian and vegan diets were

associated with sustained weight loss and decreased plasma lipid concentrations

Intermittent Fasting

Exposure bull 3-1-2-1 Diet bull Intermittent Fasting (52) bull Warrior Diet under-eatfast during the day and eat at night bull The fast diet bull The 8 hour diet

Purpose Allow the body to use FAT instead of CHO for energy

Improve insulin mediated glucose uptake

cognitive improvement amp focus

intermittentfasting

Intermittent Fasting

The Challenges

bull Different than expected meal norms

bull Not eating

bull Balancing exercise and fasting

bull Medication Interaction

The Attraction

bull Only restriction is on timing not food

bull Simple ldquorulesrdquo

Intermittent Fasting

The Research

bull Study by Mattson etal bull IF enhances cardiovascular and brain function

bull IF reduces BP and increases insulin sensitivity

bull Study by Longo et al bull In rodents IF protects against diabetes cancers heart disease and

neurodegeneration

bull In humans IF helps reduce obesity hypertension asthma and rheumatoid arthritis

bull Study by Harvie et al bull IF was as effective as continuous energy restriction on weight loss insulin

sensitivity and other health biomarkersmdashleptin total cholesterol LDL high-sensitivity C-reactive protein TGrsquos and BP

bull Study by Varady et Al bull ADF may effectively modulate metabolic and functional nutrition risk factors

bull ADF may be effective in preventing or delaying the future occurrence of common chronic diseases at least in animal models

Other Popular Diets

bull Nordic Diet bull Mediterranean Diet bull Dr Weil Diet bull Whole 30 bull Biggest Loser bull Weight Watchers bull Meal Replacement Plans bull Raw Macrobiotic bull Alkaline (acidbase balance) bull FlexibleIf it Fits Your Macros bull Clean Eating bull Skinny Gut bull Flexitarian

bull Atkins bull Paleo bull Vegan bull Pegan bull Fat Black Dietmdashbulletproof coffee bull Keto Diet bull Viking Diet bull Zone Diet bull Gluten FreeWheat Belly bull Sugar Detox bull Low Fat Diets bull Mono Meal Diet bull Detox Diets bull Blood Type Diet bull Baby Food Diet bull Intermittent Fasting bull Dukan Diet

Food Trends

bull Ancient Grains Quinoa Spelt Freekah Millet Buckwheat and Amaranth

bull Coconut Oil bull ldquoSoupingrdquo is the new juicing bull Kalettes (mix of kale and

Brussels sprouts) bull Seeds and nuts for superfoods bull Bowls bull Juicing bull Smoothies bull Matcha Tea bull Bone Broth bull Fermented Food

bull Grass-Fed Dairy bull Spiralizing bull Seaweed bull Sprouted beans flours

legumes nuts and seeds bull Tumeric bull Butter and Coconut Butter bull Cauliflower in everything bull Tigernuts bull Animal welfare bull Environment bull Epigenetics

Popular Blogs Influencing Diet

bull Well+Good

bull Goop

bull Food Politics

bull Buzzfeed Food

bull Hangry Pants

bull Authority Nutrition

bull Oh She Glows

bull Refinery29

bull The Paleo Diet

bull Huffington Post

bull Stupid Easy Paleo bull No Meat Athlete bull Summer Tomato bull I ATE a PIE bull The Picky Eater bull Deliciously Ella bull Choosing Raw bull Healthy Happy Life

What Does This All Mean

bull Trends are largely a spin on the already existing

bull Staying abreast of trends can benefit the relationship between practitioner and patient by improving communication

bull Use clinical judgment and understand the foundation of the trend

Communication

It has long been recognized that difficulties in the effective delivery of health care can arise from problems in communication between patient and provider rather than from any failing in the technical aspects of medical care

Improvements in provider-patient communication can have beneficial effects on health outcomes Appropriate reassurance or pragmatic suggestions to help with problem solving and setting up a structured plan of action may be an important part of the patient care that is required

Med Clin North Am 2003 Sep87(5)1115-45 Patient-doctor communication Teutsch C

Choosing the ldquoRight Dietrdquo

Real

Food

Lean Protein

VegetablesFruits

Healthy Fats

CARBS

The role of the practitioner is to guide the patient to the most appropriate diet regardless of its popularity Trends should not be associated with negativity but rather a tool for the practitioner to use in greater access and exposure to diet change

Page 2: Nutrition Trends 2015€¦ · • Paleo • Vegan • Pegan • Fat Black Diet—bulletproof coffee • Keto Diet • Viking Diet • Zone Diet • Gluten Free/Wheat Belly • Sugar

Learning Objectives

bull Discuss Current Trends in Nutrition and how they influence treatment patient care

bull Identify specific trends review and evaluate the traffic that drives trending diets

bull Discuss the basic principles of a healthy diet evaluate whether the trending topics encompass healthy dietary practices or principals

Presentation Outline

bull Identify top trends of 2015 bull Exploration of market what causes diets to

trend bull Research based vs popular demand where these

two blend bull Examples of trendy diets bull Information pathways social media influence

on diets bull How to manage patient expectations vs

evidence is there a difference

Topping the Charts in 2015 DIETS

bull Weight Watchers

bull DASH diet

bull Biggest Loser Diet

bull Mediterranean

bull Flexitarian Diet

bull TLC Diet

bull Paleo Dukan

bull Fertility Diet

bull MIND diet

bull Mayo Clinic

Topping the Charts in 2015

BOOKS bull Whole 30

bull Bon Appetite The Food Loverrsquos Cleanse

bull The Blood Sugar Solution 10 day detox diet

bull How not to Die

bull It Starts with Food

bull Eat Fat Get Thin

bull Always Hungry

bull Strong Looks Better Naked

bull Pretty Happy

A Look at the Numbers

$20 Billion 108 Million 85 Percent 1 Hour 220000 $11500 to $26000 $500000 to $3 Million $33000

60 BILLION The value of the US weight loss market

108 MILLION The number of people on diets in the United States

85 The percentage of customers consuming weight-loss products and services who are female

1 HOUR Time spent on daily exercise by people who lost and kept off 30+ pounds for five years

220000 of people in 2009 with a BMI gt40 in the United States who had bariatric surgery

$11500-$26000 The average cost of bariatric surgery

$500000-$3 MILLION The average salaries paid to celebrity endorsers of major weight-loss programs

$33000 The amount of money celebrity endorsers on average earn per pound lost

What the Numbers Tell Us

bull Exercise remains a critical aspect of sustained weight loss and health

bull The greatest driving force of a trend in the diet world is celebrity endorsement

bull One-third of the US population is on a diet

Top Nutrition Trends of 2015

bull Turmeric bull Butter Coffee bull Souping bull Fermented foods bull Bone Broth bull Spiralizing bull Sprouted Grains bull Superfood Bowls bull Sustainable Diets bull Cauliflower is the new kale

Cauliflower Craze

Nutrition Trends amp Headlineshellip

POM juice

Cholesterol

In the Past 24 Hours

Artifical Sweetners and Weight Gain The New York Times

Why Carb Counters Are Running for the Cauliflower The Wall Street Journal

How Do We Navigate Through the Information to

1) Know Your Foundations

2) Decipher what is healthy for patients

3) Stay current on trends and news

Anti-Inflammatory Diets

Exposure Lean meats and fatty fish Lots of fruits and vegetables Healthy fats (avocados nuts seeds EVOO or Canola)

Purpose Reduce Inflammatory markers CV health Metabolic Syndrome TIIDM Parkinsons Depression Alzheimerrsquos Pain Weight Management

Anti-Inflammatory Diets

The Attraction

bull Realistic diet plan

bull Rich in antioxidants

bull Plant based

The Challenges

bull Planning required

bull Ability to limit wine to recommended amount

bull No portions and serving sizes noted

glutenfree

8 MILLION POSTS USING GLUTENFREE

16K LIKES

Anti-Inflammatory Diets

The Research

bull Lyon Heart Study ndash AI diet Reduced death from repeat heart attacks by 50-70

bull HALE Study ndash In those aged 70-90 diet changes alone reduced death from all causes

by 23

ndash 65 lower mortality rate when regular activity no smoking and moderate drinking were added

bull Study by Esposito et al ndash AI diet decreased metabolic syndrome and cardiovascular disease

mediterraneandiet antiinflammatory

Low Carb Diets

The Attraction bull Initiates quick weight loss bull Can Improve

ndash A1c ndash Cholesterol amp TG rsquos ndash BP

bull Can Minimize ndash Inflammation ndash CHD TIIDM Obesity

Cancer

The Challenges

bull Limiting

bull Can be high unhealthy fats

bull May need to learn to cook foods differently and where to eat out

Exposure Can be as low as 20g CHOday High PRO High FAT often limitsrestricts ETOH

Purpose Quick Weight Loss Blood Sugar Control

paleo Whats your opinion

lowcarb IIFYM

Low Carb Diets

The Research bull Study by Foster et al

ndash At 3m and 6m weight loss was significantly greater in low CHO diet group

ndash At 12m both Low CHO diet group was the same as the conventional diet group

bull Study by Shai et al ndash Compared Low Carb to Mediterranean to Low-fat Diet over 2 years ndash Findings

bull Low Carb diet showed decreased levels in C-reactive protein bull Low Carb dieters likelier to have urinary ketones bull Mean weight loss over 2-years was 47kg for Low Carb 44kg for

Mediterranean diet and 29kg for low-fat diet

bull Study by Frassetto et al ndash 10 days on a Paleo diet resulted in decreased BP decreased total and

LDL cholesterol and improved insulin response

Socially Conscious Diets

Exposure No or very limited animal products in the diet Eat no more meat than is recommended in the dietary guidelines

Purpose Eat healthfully to minimize carbon footprint

Socially Conscious Diets

The Attraction

bull Good for environment

bull Rich in antioxidants

bull Animal friendly

The Challenges

bull Potential Vit Deficiency (iron B12)

bull Patient must be aware of PRO sources

bull Cost

bull Availability

EWG FOOD SCORES

flexitarian vegan monomealmacrobiotic

Socially Conscious Diets

The Research

bull Study by Raphaely et al ndash Individuals in the most developed countries over

consume meat

ndash Flexitarianism can significantly decrease the cost of stopping climate change if diets were implemented

bull Study by Barnard et al ndash Low-fat vegetarian and vegan diets were

associated with sustained weight loss and decreased plasma lipid concentrations

Intermittent Fasting

Exposure bull 3-1-2-1 Diet bull Intermittent Fasting (52) bull Warrior Diet under-eatfast during the day and eat at night bull The fast diet bull The 8 hour diet

Purpose Allow the body to use FAT instead of CHO for energy

Improve insulin mediated glucose uptake

cognitive improvement amp focus

intermittentfasting

Intermittent Fasting

The Challenges

bull Different than expected meal norms

bull Not eating

bull Balancing exercise and fasting

bull Medication Interaction

The Attraction

bull Only restriction is on timing not food

bull Simple ldquorulesrdquo

Intermittent Fasting

The Research

bull Study by Mattson etal bull IF enhances cardiovascular and brain function

bull IF reduces BP and increases insulin sensitivity

bull Study by Longo et al bull In rodents IF protects against diabetes cancers heart disease and

neurodegeneration

bull In humans IF helps reduce obesity hypertension asthma and rheumatoid arthritis

bull Study by Harvie et al bull IF was as effective as continuous energy restriction on weight loss insulin

sensitivity and other health biomarkersmdashleptin total cholesterol LDL high-sensitivity C-reactive protein TGrsquos and BP

bull Study by Varady et Al bull ADF may effectively modulate metabolic and functional nutrition risk factors

bull ADF may be effective in preventing or delaying the future occurrence of common chronic diseases at least in animal models

Other Popular Diets

bull Nordic Diet bull Mediterranean Diet bull Dr Weil Diet bull Whole 30 bull Biggest Loser bull Weight Watchers bull Meal Replacement Plans bull Raw Macrobiotic bull Alkaline (acidbase balance) bull FlexibleIf it Fits Your Macros bull Clean Eating bull Skinny Gut bull Flexitarian

bull Atkins bull Paleo bull Vegan bull Pegan bull Fat Black Dietmdashbulletproof coffee bull Keto Diet bull Viking Diet bull Zone Diet bull Gluten FreeWheat Belly bull Sugar Detox bull Low Fat Diets bull Mono Meal Diet bull Detox Diets bull Blood Type Diet bull Baby Food Diet bull Intermittent Fasting bull Dukan Diet

Food Trends

bull Ancient Grains Quinoa Spelt Freekah Millet Buckwheat and Amaranth

bull Coconut Oil bull ldquoSoupingrdquo is the new juicing bull Kalettes (mix of kale and

Brussels sprouts) bull Seeds and nuts for superfoods bull Bowls bull Juicing bull Smoothies bull Matcha Tea bull Bone Broth bull Fermented Food

bull Grass-Fed Dairy bull Spiralizing bull Seaweed bull Sprouted beans flours

legumes nuts and seeds bull Tumeric bull Butter and Coconut Butter bull Cauliflower in everything bull Tigernuts bull Animal welfare bull Environment bull Epigenetics

Popular Blogs Influencing Diet

bull Well+Good

bull Goop

bull Food Politics

bull Buzzfeed Food

bull Hangry Pants

bull Authority Nutrition

bull Oh She Glows

bull Refinery29

bull The Paleo Diet

bull Huffington Post

bull Stupid Easy Paleo bull No Meat Athlete bull Summer Tomato bull I ATE a PIE bull The Picky Eater bull Deliciously Ella bull Choosing Raw bull Healthy Happy Life

What Does This All Mean

bull Trends are largely a spin on the already existing

bull Staying abreast of trends can benefit the relationship between practitioner and patient by improving communication

bull Use clinical judgment and understand the foundation of the trend

Communication

It has long been recognized that difficulties in the effective delivery of health care can arise from problems in communication between patient and provider rather than from any failing in the technical aspects of medical care

Improvements in provider-patient communication can have beneficial effects on health outcomes Appropriate reassurance or pragmatic suggestions to help with problem solving and setting up a structured plan of action may be an important part of the patient care that is required

Med Clin North Am 2003 Sep87(5)1115-45 Patient-doctor communication Teutsch C

Choosing the ldquoRight Dietrdquo

Real

Food

Lean Protein

VegetablesFruits

Healthy Fats

CARBS

The role of the practitioner is to guide the patient to the most appropriate diet regardless of its popularity Trends should not be associated with negativity but rather a tool for the practitioner to use in greater access and exposure to diet change

Page 3: Nutrition Trends 2015€¦ · • Paleo • Vegan • Pegan • Fat Black Diet—bulletproof coffee • Keto Diet • Viking Diet • Zone Diet • Gluten Free/Wheat Belly • Sugar

Presentation Outline

bull Identify top trends of 2015 bull Exploration of market what causes diets to

trend bull Research based vs popular demand where these

two blend bull Examples of trendy diets bull Information pathways social media influence

on diets bull How to manage patient expectations vs

evidence is there a difference

Topping the Charts in 2015 DIETS

bull Weight Watchers

bull DASH diet

bull Biggest Loser Diet

bull Mediterranean

bull Flexitarian Diet

bull TLC Diet

bull Paleo Dukan

bull Fertility Diet

bull MIND diet

bull Mayo Clinic

Topping the Charts in 2015

BOOKS bull Whole 30

bull Bon Appetite The Food Loverrsquos Cleanse

bull The Blood Sugar Solution 10 day detox diet

bull How not to Die

bull It Starts with Food

bull Eat Fat Get Thin

bull Always Hungry

bull Strong Looks Better Naked

bull Pretty Happy

A Look at the Numbers

$20 Billion 108 Million 85 Percent 1 Hour 220000 $11500 to $26000 $500000 to $3 Million $33000

60 BILLION The value of the US weight loss market

108 MILLION The number of people on diets in the United States

85 The percentage of customers consuming weight-loss products and services who are female

1 HOUR Time spent on daily exercise by people who lost and kept off 30+ pounds for five years

220000 of people in 2009 with a BMI gt40 in the United States who had bariatric surgery

$11500-$26000 The average cost of bariatric surgery

$500000-$3 MILLION The average salaries paid to celebrity endorsers of major weight-loss programs

$33000 The amount of money celebrity endorsers on average earn per pound lost

What the Numbers Tell Us

bull Exercise remains a critical aspect of sustained weight loss and health

bull The greatest driving force of a trend in the diet world is celebrity endorsement

bull One-third of the US population is on a diet

Top Nutrition Trends of 2015

bull Turmeric bull Butter Coffee bull Souping bull Fermented foods bull Bone Broth bull Spiralizing bull Sprouted Grains bull Superfood Bowls bull Sustainable Diets bull Cauliflower is the new kale

Cauliflower Craze

Nutrition Trends amp Headlineshellip

POM juice

Cholesterol

In the Past 24 Hours

Artifical Sweetners and Weight Gain The New York Times

Why Carb Counters Are Running for the Cauliflower The Wall Street Journal

How Do We Navigate Through the Information to

1) Know Your Foundations

2) Decipher what is healthy for patients

3) Stay current on trends and news

Anti-Inflammatory Diets

Exposure Lean meats and fatty fish Lots of fruits and vegetables Healthy fats (avocados nuts seeds EVOO or Canola)

Purpose Reduce Inflammatory markers CV health Metabolic Syndrome TIIDM Parkinsons Depression Alzheimerrsquos Pain Weight Management

Anti-Inflammatory Diets

The Attraction

bull Realistic diet plan

bull Rich in antioxidants

bull Plant based

The Challenges

bull Planning required

bull Ability to limit wine to recommended amount

bull No portions and serving sizes noted

glutenfree

8 MILLION POSTS USING GLUTENFREE

16K LIKES

Anti-Inflammatory Diets

The Research

bull Lyon Heart Study ndash AI diet Reduced death from repeat heart attacks by 50-70

bull HALE Study ndash In those aged 70-90 diet changes alone reduced death from all causes

by 23

ndash 65 lower mortality rate when regular activity no smoking and moderate drinking were added

bull Study by Esposito et al ndash AI diet decreased metabolic syndrome and cardiovascular disease

mediterraneandiet antiinflammatory

Low Carb Diets

The Attraction bull Initiates quick weight loss bull Can Improve

ndash A1c ndash Cholesterol amp TG rsquos ndash BP

bull Can Minimize ndash Inflammation ndash CHD TIIDM Obesity

Cancer

The Challenges

bull Limiting

bull Can be high unhealthy fats

bull May need to learn to cook foods differently and where to eat out

Exposure Can be as low as 20g CHOday High PRO High FAT often limitsrestricts ETOH

Purpose Quick Weight Loss Blood Sugar Control

paleo Whats your opinion

lowcarb IIFYM

Low Carb Diets

The Research bull Study by Foster et al

ndash At 3m and 6m weight loss was significantly greater in low CHO diet group

ndash At 12m both Low CHO diet group was the same as the conventional diet group

bull Study by Shai et al ndash Compared Low Carb to Mediterranean to Low-fat Diet over 2 years ndash Findings

bull Low Carb diet showed decreased levels in C-reactive protein bull Low Carb dieters likelier to have urinary ketones bull Mean weight loss over 2-years was 47kg for Low Carb 44kg for

Mediterranean diet and 29kg for low-fat diet

bull Study by Frassetto et al ndash 10 days on a Paleo diet resulted in decreased BP decreased total and

LDL cholesterol and improved insulin response

Socially Conscious Diets

Exposure No or very limited animal products in the diet Eat no more meat than is recommended in the dietary guidelines

Purpose Eat healthfully to minimize carbon footprint

Socially Conscious Diets

The Attraction

bull Good for environment

bull Rich in antioxidants

bull Animal friendly

The Challenges

bull Potential Vit Deficiency (iron B12)

bull Patient must be aware of PRO sources

bull Cost

bull Availability

EWG FOOD SCORES

flexitarian vegan monomealmacrobiotic

Socially Conscious Diets

The Research

bull Study by Raphaely et al ndash Individuals in the most developed countries over

consume meat

ndash Flexitarianism can significantly decrease the cost of stopping climate change if diets were implemented

bull Study by Barnard et al ndash Low-fat vegetarian and vegan diets were

associated with sustained weight loss and decreased plasma lipid concentrations

Intermittent Fasting

Exposure bull 3-1-2-1 Diet bull Intermittent Fasting (52) bull Warrior Diet under-eatfast during the day and eat at night bull The fast diet bull The 8 hour diet

Purpose Allow the body to use FAT instead of CHO for energy

Improve insulin mediated glucose uptake

cognitive improvement amp focus

intermittentfasting

Intermittent Fasting

The Challenges

bull Different than expected meal norms

bull Not eating

bull Balancing exercise and fasting

bull Medication Interaction

The Attraction

bull Only restriction is on timing not food

bull Simple ldquorulesrdquo

Intermittent Fasting

The Research

bull Study by Mattson etal bull IF enhances cardiovascular and brain function

bull IF reduces BP and increases insulin sensitivity

bull Study by Longo et al bull In rodents IF protects against diabetes cancers heart disease and

neurodegeneration

bull In humans IF helps reduce obesity hypertension asthma and rheumatoid arthritis

bull Study by Harvie et al bull IF was as effective as continuous energy restriction on weight loss insulin

sensitivity and other health biomarkersmdashleptin total cholesterol LDL high-sensitivity C-reactive protein TGrsquos and BP

bull Study by Varady et Al bull ADF may effectively modulate metabolic and functional nutrition risk factors

bull ADF may be effective in preventing or delaying the future occurrence of common chronic diseases at least in animal models

Other Popular Diets

bull Nordic Diet bull Mediterranean Diet bull Dr Weil Diet bull Whole 30 bull Biggest Loser bull Weight Watchers bull Meal Replacement Plans bull Raw Macrobiotic bull Alkaline (acidbase balance) bull FlexibleIf it Fits Your Macros bull Clean Eating bull Skinny Gut bull Flexitarian

bull Atkins bull Paleo bull Vegan bull Pegan bull Fat Black Dietmdashbulletproof coffee bull Keto Diet bull Viking Diet bull Zone Diet bull Gluten FreeWheat Belly bull Sugar Detox bull Low Fat Diets bull Mono Meal Diet bull Detox Diets bull Blood Type Diet bull Baby Food Diet bull Intermittent Fasting bull Dukan Diet

Food Trends

bull Ancient Grains Quinoa Spelt Freekah Millet Buckwheat and Amaranth

bull Coconut Oil bull ldquoSoupingrdquo is the new juicing bull Kalettes (mix of kale and

Brussels sprouts) bull Seeds and nuts for superfoods bull Bowls bull Juicing bull Smoothies bull Matcha Tea bull Bone Broth bull Fermented Food

bull Grass-Fed Dairy bull Spiralizing bull Seaweed bull Sprouted beans flours

legumes nuts and seeds bull Tumeric bull Butter and Coconut Butter bull Cauliflower in everything bull Tigernuts bull Animal welfare bull Environment bull Epigenetics

Popular Blogs Influencing Diet

bull Well+Good

bull Goop

bull Food Politics

bull Buzzfeed Food

bull Hangry Pants

bull Authority Nutrition

bull Oh She Glows

bull Refinery29

bull The Paleo Diet

bull Huffington Post

bull Stupid Easy Paleo bull No Meat Athlete bull Summer Tomato bull I ATE a PIE bull The Picky Eater bull Deliciously Ella bull Choosing Raw bull Healthy Happy Life

What Does This All Mean

bull Trends are largely a spin on the already existing

bull Staying abreast of trends can benefit the relationship between practitioner and patient by improving communication

bull Use clinical judgment and understand the foundation of the trend

Communication

It has long been recognized that difficulties in the effective delivery of health care can arise from problems in communication between patient and provider rather than from any failing in the technical aspects of medical care

Improvements in provider-patient communication can have beneficial effects on health outcomes Appropriate reassurance or pragmatic suggestions to help with problem solving and setting up a structured plan of action may be an important part of the patient care that is required

Med Clin North Am 2003 Sep87(5)1115-45 Patient-doctor communication Teutsch C

Choosing the ldquoRight Dietrdquo

Real

Food

Lean Protein

VegetablesFruits

Healthy Fats

CARBS

The role of the practitioner is to guide the patient to the most appropriate diet regardless of its popularity Trends should not be associated with negativity but rather a tool for the practitioner to use in greater access and exposure to diet change

Page 4: Nutrition Trends 2015€¦ · • Paleo • Vegan • Pegan • Fat Black Diet—bulletproof coffee • Keto Diet • Viking Diet • Zone Diet • Gluten Free/Wheat Belly • Sugar

Topping the Charts in 2015 DIETS

bull Weight Watchers

bull DASH diet

bull Biggest Loser Diet

bull Mediterranean

bull Flexitarian Diet

bull TLC Diet

bull Paleo Dukan

bull Fertility Diet

bull MIND diet

bull Mayo Clinic

Topping the Charts in 2015

BOOKS bull Whole 30

bull Bon Appetite The Food Loverrsquos Cleanse

bull The Blood Sugar Solution 10 day detox diet

bull How not to Die

bull It Starts with Food

bull Eat Fat Get Thin

bull Always Hungry

bull Strong Looks Better Naked

bull Pretty Happy

A Look at the Numbers

$20 Billion 108 Million 85 Percent 1 Hour 220000 $11500 to $26000 $500000 to $3 Million $33000

60 BILLION The value of the US weight loss market

108 MILLION The number of people on diets in the United States

85 The percentage of customers consuming weight-loss products and services who are female

1 HOUR Time spent on daily exercise by people who lost and kept off 30+ pounds for five years

220000 of people in 2009 with a BMI gt40 in the United States who had bariatric surgery

$11500-$26000 The average cost of bariatric surgery

$500000-$3 MILLION The average salaries paid to celebrity endorsers of major weight-loss programs

$33000 The amount of money celebrity endorsers on average earn per pound lost

What the Numbers Tell Us

bull Exercise remains a critical aspect of sustained weight loss and health

bull The greatest driving force of a trend in the diet world is celebrity endorsement

bull One-third of the US population is on a diet

Top Nutrition Trends of 2015

bull Turmeric bull Butter Coffee bull Souping bull Fermented foods bull Bone Broth bull Spiralizing bull Sprouted Grains bull Superfood Bowls bull Sustainable Diets bull Cauliflower is the new kale

Cauliflower Craze

Nutrition Trends amp Headlineshellip

POM juice

Cholesterol

In the Past 24 Hours

Artifical Sweetners and Weight Gain The New York Times

Why Carb Counters Are Running for the Cauliflower The Wall Street Journal

How Do We Navigate Through the Information to

1) Know Your Foundations

2) Decipher what is healthy for patients

3) Stay current on trends and news

Anti-Inflammatory Diets

Exposure Lean meats and fatty fish Lots of fruits and vegetables Healthy fats (avocados nuts seeds EVOO or Canola)

Purpose Reduce Inflammatory markers CV health Metabolic Syndrome TIIDM Parkinsons Depression Alzheimerrsquos Pain Weight Management

Anti-Inflammatory Diets

The Attraction

bull Realistic diet plan

bull Rich in antioxidants

bull Plant based

The Challenges

bull Planning required

bull Ability to limit wine to recommended amount

bull No portions and serving sizes noted

glutenfree

8 MILLION POSTS USING GLUTENFREE

16K LIKES

Anti-Inflammatory Diets

The Research

bull Lyon Heart Study ndash AI diet Reduced death from repeat heart attacks by 50-70

bull HALE Study ndash In those aged 70-90 diet changes alone reduced death from all causes

by 23

ndash 65 lower mortality rate when regular activity no smoking and moderate drinking were added

bull Study by Esposito et al ndash AI diet decreased metabolic syndrome and cardiovascular disease

mediterraneandiet antiinflammatory

Low Carb Diets

The Attraction bull Initiates quick weight loss bull Can Improve

ndash A1c ndash Cholesterol amp TG rsquos ndash BP

bull Can Minimize ndash Inflammation ndash CHD TIIDM Obesity

Cancer

The Challenges

bull Limiting

bull Can be high unhealthy fats

bull May need to learn to cook foods differently and where to eat out

Exposure Can be as low as 20g CHOday High PRO High FAT often limitsrestricts ETOH

Purpose Quick Weight Loss Blood Sugar Control

paleo Whats your opinion

lowcarb IIFYM

Low Carb Diets

The Research bull Study by Foster et al

ndash At 3m and 6m weight loss was significantly greater in low CHO diet group

ndash At 12m both Low CHO diet group was the same as the conventional diet group

bull Study by Shai et al ndash Compared Low Carb to Mediterranean to Low-fat Diet over 2 years ndash Findings

bull Low Carb diet showed decreased levels in C-reactive protein bull Low Carb dieters likelier to have urinary ketones bull Mean weight loss over 2-years was 47kg for Low Carb 44kg for

Mediterranean diet and 29kg for low-fat diet

bull Study by Frassetto et al ndash 10 days on a Paleo diet resulted in decreased BP decreased total and

LDL cholesterol and improved insulin response

Socially Conscious Diets

Exposure No or very limited animal products in the diet Eat no more meat than is recommended in the dietary guidelines

Purpose Eat healthfully to minimize carbon footprint

Socially Conscious Diets

The Attraction

bull Good for environment

bull Rich in antioxidants

bull Animal friendly

The Challenges

bull Potential Vit Deficiency (iron B12)

bull Patient must be aware of PRO sources

bull Cost

bull Availability

EWG FOOD SCORES

flexitarian vegan monomealmacrobiotic

Socially Conscious Diets

The Research

bull Study by Raphaely et al ndash Individuals in the most developed countries over

consume meat

ndash Flexitarianism can significantly decrease the cost of stopping climate change if diets were implemented

bull Study by Barnard et al ndash Low-fat vegetarian and vegan diets were

associated with sustained weight loss and decreased plasma lipid concentrations

Intermittent Fasting

Exposure bull 3-1-2-1 Diet bull Intermittent Fasting (52) bull Warrior Diet under-eatfast during the day and eat at night bull The fast diet bull The 8 hour diet

Purpose Allow the body to use FAT instead of CHO for energy

Improve insulin mediated glucose uptake

cognitive improvement amp focus

intermittentfasting

Intermittent Fasting

The Challenges

bull Different than expected meal norms

bull Not eating

bull Balancing exercise and fasting

bull Medication Interaction

The Attraction

bull Only restriction is on timing not food

bull Simple ldquorulesrdquo

Intermittent Fasting

The Research

bull Study by Mattson etal bull IF enhances cardiovascular and brain function

bull IF reduces BP and increases insulin sensitivity

bull Study by Longo et al bull In rodents IF protects against diabetes cancers heart disease and

neurodegeneration

bull In humans IF helps reduce obesity hypertension asthma and rheumatoid arthritis

bull Study by Harvie et al bull IF was as effective as continuous energy restriction on weight loss insulin

sensitivity and other health biomarkersmdashleptin total cholesterol LDL high-sensitivity C-reactive protein TGrsquos and BP

bull Study by Varady et Al bull ADF may effectively modulate metabolic and functional nutrition risk factors

bull ADF may be effective in preventing or delaying the future occurrence of common chronic diseases at least in animal models

Other Popular Diets

bull Nordic Diet bull Mediterranean Diet bull Dr Weil Diet bull Whole 30 bull Biggest Loser bull Weight Watchers bull Meal Replacement Plans bull Raw Macrobiotic bull Alkaline (acidbase balance) bull FlexibleIf it Fits Your Macros bull Clean Eating bull Skinny Gut bull Flexitarian

bull Atkins bull Paleo bull Vegan bull Pegan bull Fat Black Dietmdashbulletproof coffee bull Keto Diet bull Viking Diet bull Zone Diet bull Gluten FreeWheat Belly bull Sugar Detox bull Low Fat Diets bull Mono Meal Diet bull Detox Diets bull Blood Type Diet bull Baby Food Diet bull Intermittent Fasting bull Dukan Diet

Food Trends

bull Ancient Grains Quinoa Spelt Freekah Millet Buckwheat and Amaranth

bull Coconut Oil bull ldquoSoupingrdquo is the new juicing bull Kalettes (mix of kale and

Brussels sprouts) bull Seeds and nuts for superfoods bull Bowls bull Juicing bull Smoothies bull Matcha Tea bull Bone Broth bull Fermented Food

bull Grass-Fed Dairy bull Spiralizing bull Seaweed bull Sprouted beans flours

legumes nuts and seeds bull Tumeric bull Butter and Coconut Butter bull Cauliflower in everything bull Tigernuts bull Animal welfare bull Environment bull Epigenetics

Popular Blogs Influencing Diet

bull Well+Good

bull Goop

bull Food Politics

bull Buzzfeed Food

bull Hangry Pants

bull Authority Nutrition

bull Oh She Glows

bull Refinery29

bull The Paleo Diet

bull Huffington Post

bull Stupid Easy Paleo bull No Meat Athlete bull Summer Tomato bull I ATE a PIE bull The Picky Eater bull Deliciously Ella bull Choosing Raw bull Healthy Happy Life

What Does This All Mean

bull Trends are largely a spin on the already existing

bull Staying abreast of trends can benefit the relationship between practitioner and patient by improving communication

bull Use clinical judgment and understand the foundation of the trend

Communication

It has long been recognized that difficulties in the effective delivery of health care can arise from problems in communication between patient and provider rather than from any failing in the technical aspects of medical care

Improvements in provider-patient communication can have beneficial effects on health outcomes Appropriate reassurance or pragmatic suggestions to help with problem solving and setting up a structured plan of action may be an important part of the patient care that is required

Med Clin North Am 2003 Sep87(5)1115-45 Patient-doctor communication Teutsch C

Choosing the ldquoRight Dietrdquo

Real

Food

Lean Protein

VegetablesFruits

Healthy Fats

CARBS

The role of the practitioner is to guide the patient to the most appropriate diet regardless of its popularity Trends should not be associated with negativity but rather a tool for the practitioner to use in greater access and exposure to diet change

Page 5: Nutrition Trends 2015€¦ · • Paleo • Vegan • Pegan • Fat Black Diet—bulletproof coffee • Keto Diet • Viking Diet • Zone Diet • Gluten Free/Wheat Belly • Sugar

Topping the Charts in 2015

BOOKS bull Whole 30

bull Bon Appetite The Food Loverrsquos Cleanse

bull The Blood Sugar Solution 10 day detox diet

bull How not to Die

bull It Starts with Food

bull Eat Fat Get Thin

bull Always Hungry

bull Strong Looks Better Naked

bull Pretty Happy

A Look at the Numbers

$20 Billion 108 Million 85 Percent 1 Hour 220000 $11500 to $26000 $500000 to $3 Million $33000

60 BILLION The value of the US weight loss market

108 MILLION The number of people on diets in the United States

85 The percentage of customers consuming weight-loss products and services who are female

1 HOUR Time spent on daily exercise by people who lost and kept off 30+ pounds for five years

220000 of people in 2009 with a BMI gt40 in the United States who had bariatric surgery

$11500-$26000 The average cost of bariatric surgery

$500000-$3 MILLION The average salaries paid to celebrity endorsers of major weight-loss programs

$33000 The amount of money celebrity endorsers on average earn per pound lost

What the Numbers Tell Us

bull Exercise remains a critical aspect of sustained weight loss and health

bull The greatest driving force of a trend in the diet world is celebrity endorsement

bull One-third of the US population is on a diet

Top Nutrition Trends of 2015

bull Turmeric bull Butter Coffee bull Souping bull Fermented foods bull Bone Broth bull Spiralizing bull Sprouted Grains bull Superfood Bowls bull Sustainable Diets bull Cauliflower is the new kale

Cauliflower Craze

Nutrition Trends amp Headlineshellip

POM juice

Cholesterol

In the Past 24 Hours

Artifical Sweetners and Weight Gain The New York Times

Why Carb Counters Are Running for the Cauliflower The Wall Street Journal

How Do We Navigate Through the Information to

1) Know Your Foundations

2) Decipher what is healthy for patients

3) Stay current on trends and news

Anti-Inflammatory Diets

Exposure Lean meats and fatty fish Lots of fruits and vegetables Healthy fats (avocados nuts seeds EVOO or Canola)

Purpose Reduce Inflammatory markers CV health Metabolic Syndrome TIIDM Parkinsons Depression Alzheimerrsquos Pain Weight Management

Anti-Inflammatory Diets

The Attraction

bull Realistic diet plan

bull Rich in antioxidants

bull Plant based

The Challenges

bull Planning required

bull Ability to limit wine to recommended amount

bull No portions and serving sizes noted

glutenfree

8 MILLION POSTS USING GLUTENFREE

16K LIKES

Anti-Inflammatory Diets

The Research

bull Lyon Heart Study ndash AI diet Reduced death from repeat heart attacks by 50-70

bull HALE Study ndash In those aged 70-90 diet changes alone reduced death from all causes

by 23

ndash 65 lower mortality rate when regular activity no smoking and moderate drinking were added

bull Study by Esposito et al ndash AI diet decreased metabolic syndrome and cardiovascular disease

mediterraneandiet antiinflammatory

Low Carb Diets

The Attraction bull Initiates quick weight loss bull Can Improve

ndash A1c ndash Cholesterol amp TG rsquos ndash BP

bull Can Minimize ndash Inflammation ndash CHD TIIDM Obesity

Cancer

The Challenges

bull Limiting

bull Can be high unhealthy fats

bull May need to learn to cook foods differently and where to eat out

Exposure Can be as low as 20g CHOday High PRO High FAT often limitsrestricts ETOH

Purpose Quick Weight Loss Blood Sugar Control

paleo Whats your opinion

lowcarb IIFYM

Low Carb Diets

The Research bull Study by Foster et al

ndash At 3m and 6m weight loss was significantly greater in low CHO diet group

ndash At 12m both Low CHO diet group was the same as the conventional diet group

bull Study by Shai et al ndash Compared Low Carb to Mediterranean to Low-fat Diet over 2 years ndash Findings

bull Low Carb diet showed decreased levels in C-reactive protein bull Low Carb dieters likelier to have urinary ketones bull Mean weight loss over 2-years was 47kg for Low Carb 44kg for

Mediterranean diet and 29kg for low-fat diet

bull Study by Frassetto et al ndash 10 days on a Paleo diet resulted in decreased BP decreased total and

LDL cholesterol and improved insulin response

Socially Conscious Diets

Exposure No or very limited animal products in the diet Eat no more meat than is recommended in the dietary guidelines

Purpose Eat healthfully to minimize carbon footprint

Socially Conscious Diets

The Attraction

bull Good for environment

bull Rich in antioxidants

bull Animal friendly

The Challenges

bull Potential Vit Deficiency (iron B12)

bull Patient must be aware of PRO sources

bull Cost

bull Availability

EWG FOOD SCORES

flexitarian vegan monomealmacrobiotic

Socially Conscious Diets

The Research

bull Study by Raphaely et al ndash Individuals in the most developed countries over

consume meat

ndash Flexitarianism can significantly decrease the cost of stopping climate change if diets were implemented

bull Study by Barnard et al ndash Low-fat vegetarian and vegan diets were

associated with sustained weight loss and decreased plasma lipid concentrations

Intermittent Fasting

Exposure bull 3-1-2-1 Diet bull Intermittent Fasting (52) bull Warrior Diet under-eatfast during the day and eat at night bull The fast diet bull The 8 hour diet

Purpose Allow the body to use FAT instead of CHO for energy

Improve insulin mediated glucose uptake

cognitive improvement amp focus

intermittentfasting

Intermittent Fasting

The Challenges

bull Different than expected meal norms

bull Not eating

bull Balancing exercise and fasting

bull Medication Interaction

The Attraction

bull Only restriction is on timing not food

bull Simple ldquorulesrdquo

Intermittent Fasting

The Research

bull Study by Mattson etal bull IF enhances cardiovascular and brain function

bull IF reduces BP and increases insulin sensitivity

bull Study by Longo et al bull In rodents IF protects against diabetes cancers heart disease and

neurodegeneration

bull In humans IF helps reduce obesity hypertension asthma and rheumatoid arthritis

bull Study by Harvie et al bull IF was as effective as continuous energy restriction on weight loss insulin

sensitivity and other health biomarkersmdashleptin total cholesterol LDL high-sensitivity C-reactive protein TGrsquos and BP

bull Study by Varady et Al bull ADF may effectively modulate metabolic and functional nutrition risk factors

bull ADF may be effective in preventing or delaying the future occurrence of common chronic diseases at least in animal models

Other Popular Diets

bull Nordic Diet bull Mediterranean Diet bull Dr Weil Diet bull Whole 30 bull Biggest Loser bull Weight Watchers bull Meal Replacement Plans bull Raw Macrobiotic bull Alkaline (acidbase balance) bull FlexibleIf it Fits Your Macros bull Clean Eating bull Skinny Gut bull Flexitarian

bull Atkins bull Paleo bull Vegan bull Pegan bull Fat Black Dietmdashbulletproof coffee bull Keto Diet bull Viking Diet bull Zone Diet bull Gluten FreeWheat Belly bull Sugar Detox bull Low Fat Diets bull Mono Meal Diet bull Detox Diets bull Blood Type Diet bull Baby Food Diet bull Intermittent Fasting bull Dukan Diet

Food Trends

bull Ancient Grains Quinoa Spelt Freekah Millet Buckwheat and Amaranth

bull Coconut Oil bull ldquoSoupingrdquo is the new juicing bull Kalettes (mix of kale and

Brussels sprouts) bull Seeds and nuts for superfoods bull Bowls bull Juicing bull Smoothies bull Matcha Tea bull Bone Broth bull Fermented Food

bull Grass-Fed Dairy bull Spiralizing bull Seaweed bull Sprouted beans flours

legumes nuts and seeds bull Tumeric bull Butter and Coconut Butter bull Cauliflower in everything bull Tigernuts bull Animal welfare bull Environment bull Epigenetics

Popular Blogs Influencing Diet

bull Well+Good

bull Goop

bull Food Politics

bull Buzzfeed Food

bull Hangry Pants

bull Authority Nutrition

bull Oh She Glows

bull Refinery29

bull The Paleo Diet

bull Huffington Post

bull Stupid Easy Paleo bull No Meat Athlete bull Summer Tomato bull I ATE a PIE bull The Picky Eater bull Deliciously Ella bull Choosing Raw bull Healthy Happy Life

What Does This All Mean

bull Trends are largely a spin on the already existing

bull Staying abreast of trends can benefit the relationship between practitioner and patient by improving communication

bull Use clinical judgment and understand the foundation of the trend

Communication

It has long been recognized that difficulties in the effective delivery of health care can arise from problems in communication between patient and provider rather than from any failing in the technical aspects of medical care

Improvements in provider-patient communication can have beneficial effects on health outcomes Appropriate reassurance or pragmatic suggestions to help with problem solving and setting up a structured plan of action may be an important part of the patient care that is required

Med Clin North Am 2003 Sep87(5)1115-45 Patient-doctor communication Teutsch C

Choosing the ldquoRight Dietrdquo

Real

Food

Lean Protein

VegetablesFruits

Healthy Fats

CARBS

The role of the practitioner is to guide the patient to the most appropriate diet regardless of its popularity Trends should not be associated with negativity but rather a tool for the practitioner to use in greater access and exposure to diet change

Page 6: Nutrition Trends 2015€¦ · • Paleo • Vegan • Pegan • Fat Black Diet—bulletproof coffee • Keto Diet • Viking Diet • Zone Diet • Gluten Free/Wheat Belly • Sugar

A Look at the Numbers

$20 Billion 108 Million 85 Percent 1 Hour 220000 $11500 to $26000 $500000 to $3 Million $33000

60 BILLION The value of the US weight loss market

108 MILLION The number of people on diets in the United States

85 The percentage of customers consuming weight-loss products and services who are female

1 HOUR Time spent on daily exercise by people who lost and kept off 30+ pounds for five years

220000 of people in 2009 with a BMI gt40 in the United States who had bariatric surgery

$11500-$26000 The average cost of bariatric surgery

$500000-$3 MILLION The average salaries paid to celebrity endorsers of major weight-loss programs

$33000 The amount of money celebrity endorsers on average earn per pound lost

What the Numbers Tell Us

bull Exercise remains a critical aspect of sustained weight loss and health

bull The greatest driving force of a trend in the diet world is celebrity endorsement

bull One-third of the US population is on a diet

Top Nutrition Trends of 2015

bull Turmeric bull Butter Coffee bull Souping bull Fermented foods bull Bone Broth bull Spiralizing bull Sprouted Grains bull Superfood Bowls bull Sustainable Diets bull Cauliflower is the new kale

Cauliflower Craze

Nutrition Trends amp Headlineshellip

POM juice

Cholesterol

In the Past 24 Hours

Artifical Sweetners and Weight Gain The New York Times

Why Carb Counters Are Running for the Cauliflower The Wall Street Journal

How Do We Navigate Through the Information to

1) Know Your Foundations

2) Decipher what is healthy for patients

3) Stay current on trends and news

Anti-Inflammatory Diets

Exposure Lean meats and fatty fish Lots of fruits and vegetables Healthy fats (avocados nuts seeds EVOO or Canola)

Purpose Reduce Inflammatory markers CV health Metabolic Syndrome TIIDM Parkinsons Depression Alzheimerrsquos Pain Weight Management

Anti-Inflammatory Diets

The Attraction

bull Realistic diet plan

bull Rich in antioxidants

bull Plant based

The Challenges

bull Planning required

bull Ability to limit wine to recommended amount

bull No portions and serving sizes noted

glutenfree

8 MILLION POSTS USING GLUTENFREE

16K LIKES

Anti-Inflammatory Diets

The Research

bull Lyon Heart Study ndash AI diet Reduced death from repeat heart attacks by 50-70

bull HALE Study ndash In those aged 70-90 diet changes alone reduced death from all causes

by 23

ndash 65 lower mortality rate when regular activity no smoking and moderate drinking were added

bull Study by Esposito et al ndash AI diet decreased metabolic syndrome and cardiovascular disease

mediterraneandiet antiinflammatory

Low Carb Diets

The Attraction bull Initiates quick weight loss bull Can Improve

ndash A1c ndash Cholesterol amp TG rsquos ndash BP

bull Can Minimize ndash Inflammation ndash CHD TIIDM Obesity

Cancer

The Challenges

bull Limiting

bull Can be high unhealthy fats

bull May need to learn to cook foods differently and where to eat out

Exposure Can be as low as 20g CHOday High PRO High FAT often limitsrestricts ETOH

Purpose Quick Weight Loss Blood Sugar Control

paleo Whats your opinion

lowcarb IIFYM

Low Carb Diets

The Research bull Study by Foster et al

ndash At 3m and 6m weight loss was significantly greater in low CHO diet group

ndash At 12m both Low CHO diet group was the same as the conventional diet group

bull Study by Shai et al ndash Compared Low Carb to Mediterranean to Low-fat Diet over 2 years ndash Findings

bull Low Carb diet showed decreased levels in C-reactive protein bull Low Carb dieters likelier to have urinary ketones bull Mean weight loss over 2-years was 47kg for Low Carb 44kg for

Mediterranean diet and 29kg for low-fat diet

bull Study by Frassetto et al ndash 10 days on a Paleo diet resulted in decreased BP decreased total and

LDL cholesterol and improved insulin response

Socially Conscious Diets

Exposure No or very limited animal products in the diet Eat no more meat than is recommended in the dietary guidelines

Purpose Eat healthfully to minimize carbon footprint

Socially Conscious Diets

The Attraction

bull Good for environment

bull Rich in antioxidants

bull Animal friendly

The Challenges

bull Potential Vit Deficiency (iron B12)

bull Patient must be aware of PRO sources

bull Cost

bull Availability

EWG FOOD SCORES

flexitarian vegan monomealmacrobiotic

Socially Conscious Diets

The Research

bull Study by Raphaely et al ndash Individuals in the most developed countries over

consume meat

ndash Flexitarianism can significantly decrease the cost of stopping climate change if diets were implemented

bull Study by Barnard et al ndash Low-fat vegetarian and vegan diets were

associated with sustained weight loss and decreased plasma lipid concentrations

Intermittent Fasting

Exposure bull 3-1-2-1 Diet bull Intermittent Fasting (52) bull Warrior Diet under-eatfast during the day and eat at night bull The fast diet bull The 8 hour diet

Purpose Allow the body to use FAT instead of CHO for energy

Improve insulin mediated glucose uptake

cognitive improvement amp focus

intermittentfasting

Intermittent Fasting

The Challenges

bull Different than expected meal norms

bull Not eating

bull Balancing exercise and fasting

bull Medication Interaction

The Attraction

bull Only restriction is on timing not food

bull Simple ldquorulesrdquo

Intermittent Fasting

The Research

bull Study by Mattson etal bull IF enhances cardiovascular and brain function

bull IF reduces BP and increases insulin sensitivity

bull Study by Longo et al bull In rodents IF protects against diabetes cancers heart disease and

neurodegeneration

bull In humans IF helps reduce obesity hypertension asthma and rheumatoid arthritis

bull Study by Harvie et al bull IF was as effective as continuous energy restriction on weight loss insulin

sensitivity and other health biomarkersmdashleptin total cholesterol LDL high-sensitivity C-reactive protein TGrsquos and BP

bull Study by Varady et Al bull ADF may effectively modulate metabolic and functional nutrition risk factors

bull ADF may be effective in preventing or delaying the future occurrence of common chronic diseases at least in animal models

Other Popular Diets

bull Nordic Diet bull Mediterranean Diet bull Dr Weil Diet bull Whole 30 bull Biggest Loser bull Weight Watchers bull Meal Replacement Plans bull Raw Macrobiotic bull Alkaline (acidbase balance) bull FlexibleIf it Fits Your Macros bull Clean Eating bull Skinny Gut bull Flexitarian

bull Atkins bull Paleo bull Vegan bull Pegan bull Fat Black Dietmdashbulletproof coffee bull Keto Diet bull Viking Diet bull Zone Diet bull Gluten FreeWheat Belly bull Sugar Detox bull Low Fat Diets bull Mono Meal Diet bull Detox Diets bull Blood Type Diet bull Baby Food Diet bull Intermittent Fasting bull Dukan Diet

Food Trends

bull Ancient Grains Quinoa Spelt Freekah Millet Buckwheat and Amaranth

bull Coconut Oil bull ldquoSoupingrdquo is the new juicing bull Kalettes (mix of kale and

Brussels sprouts) bull Seeds and nuts for superfoods bull Bowls bull Juicing bull Smoothies bull Matcha Tea bull Bone Broth bull Fermented Food

bull Grass-Fed Dairy bull Spiralizing bull Seaweed bull Sprouted beans flours

legumes nuts and seeds bull Tumeric bull Butter and Coconut Butter bull Cauliflower in everything bull Tigernuts bull Animal welfare bull Environment bull Epigenetics

Popular Blogs Influencing Diet

bull Well+Good

bull Goop

bull Food Politics

bull Buzzfeed Food

bull Hangry Pants

bull Authority Nutrition

bull Oh She Glows

bull Refinery29

bull The Paleo Diet

bull Huffington Post

bull Stupid Easy Paleo bull No Meat Athlete bull Summer Tomato bull I ATE a PIE bull The Picky Eater bull Deliciously Ella bull Choosing Raw bull Healthy Happy Life

What Does This All Mean

bull Trends are largely a spin on the already existing

bull Staying abreast of trends can benefit the relationship between practitioner and patient by improving communication

bull Use clinical judgment and understand the foundation of the trend

Communication

It has long been recognized that difficulties in the effective delivery of health care can arise from problems in communication between patient and provider rather than from any failing in the technical aspects of medical care

Improvements in provider-patient communication can have beneficial effects on health outcomes Appropriate reassurance or pragmatic suggestions to help with problem solving and setting up a structured plan of action may be an important part of the patient care that is required

Med Clin North Am 2003 Sep87(5)1115-45 Patient-doctor communication Teutsch C

Choosing the ldquoRight Dietrdquo

Real

Food

Lean Protein

VegetablesFruits

Healthy Fats

CARBS

The role of the practitioner is to guide the patient to the most appropriate diet regardless of its popularity Trends should not be associated with negativity but rather a tool for the practitioner to use in greater access and exposure to diet change

Page 7: Nutrition Trends 2015€¦ · • Paleo • Vegan • Pegan • Fat Black Diet—bulletproof coffee • Keto Diet • Viking Diet • Zone Diet • Gluten Free/Wheat Belly • Sugar

What the Numbers Tell Us

bull Exercise remains a critical aspect of sustained weight loss and health

bull The greatest driving force of a trend in the diet world is celebrity endorsement

bull One-third of the US population is on a diet

Top Nutrition Trends of 2015

bull Turmeric bull Butter Coffee bull Souping bull Fermented foods bull Bone Broth bull Spiralizing bull Sprouted Grains bull Superfood Bowls bull Sustainable Diets bull Cauliflower is the new kale

Cauliflower Craze

Nutrition Trends amp Headlineshellip

POM juice

Cholesterol

In the Past 24 Hours

Artifical Sweetners and Weight Gain The New York Times

Why Carb Counters Are Running for the Cauliflower The Wall Street Journal

How Do We Navigate Through the Information to

1) Know Your Foundations

2) Decipher what is healthy for patients

3) Stay current on trends and news

Anti-Inflammatory Diets

Exposure Lean meats and fatty fish Lots of fruits and vegetables Healthy fats (avocados nuts seeds EVOO or Canola)

Purpose Reduce Inflammatory markers CV health Metabolic Syndrome TIIDM Parkinsons Depression Alzheimerrsquos Pain Weight Management

Anti-Inflammatory Diets

The Attraction

bull Realistic diet plan

bull Rich in antioxidants

bull Plant based

The Challenges

bull Planning required

bull Ability to limit wine to recommended amount

bull No portions and serving sizes noted

glutenfree

8 MILLION POSTS USING GLUTENFREE

16K LIKES

Anti-Inflammatory Diets

The Research

bull Lyon Heart Study ndash AI diet Reduced death from repeat heart attacks by 50-70

bull HALE Study ndash In those aged 70-90 diet changes alone reduced death from all causes

by 23

ndash 65 lower mortality rate when regular activity no smoking and moderate drinking were added

bull Study by Esposito et al ndash AI diet decreased metabolic syndrome and cardiovascular disease

mediterraneandiet antiinflammatory

Low Carb Diets

The Attraction bull Initiates quick weight loss bull Can Improve

ndash A1c ndash Cholesterol amp TG rsquos ndash BP

bull Can Minimize ndash Inflammation ndash CHD TIIDM Obesity

Cancer

The Challenges

bull Limiting

bull Can be high unhealthy fats

bull May need to learn to cook foods differently and where to eat out

Exposure Can be as low as 20g CHOday High PRO High FAT often limitsrestricts ETOH

Purpose Quick Weight Loss Blood Sugar Control

paleo Whats your opinion

lowcarb IIFYM

Low Carb Diets

The Research bull Study by Foster et al

ndash At 3m and 6m weight loss was significantly greater in low CHO diet group

ndash At 12m both Low CHO diet group was the same as the conventional diet group

bull Study by Shai et al ndash Compared Low Carb to Mediterranean to Low-fat Diet over 2 years ndash Findings

bull Low Carb diet showed decreased levels in C-reactive protein bull Low Carb dieters likelier to have urinary ketones bull Mean weight loss over 2-years was 47kg for Low Carb 44kg for

Mediterranean diet and 29kg for low-fat diet

bull Study by Frassetto et al ndash 10 days on a Paleo diet resulted in decreased BP decreased total and

LDL cholesterol and improved insulin response

Socially Conscious Diets

Exposure No or very limited animal products in the diet Eat no more meat than is recommended in the dietary guidelines

Purpose Eat healthfully to minimize carbon footprint

Socially Conscious Diets

The Attraction

bull Good for environment

bull Rich in antioxidants

bull Animal friendly

The Challenges

bull Potential Vit Deficiency (iron B12)

bull Patient must be aware of PRO sources

bull Cost

bull Availability

EWG FOOD SCORES

flexitarian vegan monomealmacrobiotic

Socially Conscious Diets

The Research

bull Study by Raphaely et al ndash Individuals in the most developed countries over

consume meat

ndash Flexitarianism can significantly decrease the cost of stopping climate change if diets were implemented

bull Study by Barnard et al ndash Low-fat vegetarian and vegan diets were

associated with sustained weight loss and decreased plasma lipid concentrations

Intermittent Fasting

Exposure bull 3-1-2-1 Diet bull Intermittent Fasting (52) bull Warrior Diet under-eatfast during the day and eat at night bull The fast diet bull The 8 hour diet

Purpose Allow the body to use FAT instead of CHO for energy

Improve insulin mediated glucose uptake

cognitive improvement amp focus

intermittentfasting

Intermittent Fasting

The Challenges

bull Different than expected meal norms

bull Not eating

bull Balancing exercise and fasting

bull Medication Interaction

The Attraction

bull Only restriction is on timing not food

bull Simple ldquorulesrdquo

Intermittent Fasting

The Research

bull Study by Mattson etal bull IF enhances cardiovascular and brain function

bull IF reduces BP and increases insulin sensitivity

bull Study by Longo et al bull In rodents IF protects against diabetes cancers heart disease and

neurodegeneration

bull In humans IF helps reduce obesity hypertension asthma and rheumatoid arthritis

bull Study by Harvie et al bull IF was as effective as continuous energy restriction on weight loss insulin

sensitivity and other health biomarkersmdashleptin total cholesterol LDL high-sensitivity C-reactive protein TGrsquos and BP

bull Study by Varady et Al bull ADF may effectively modulate metabolic and functional nutrition risk factors

bull ADF may be effective in preventing or delaying the future occurrence of common chronic diseases at least in animal models

Other Popular Diets

bull Nordic Diet bull Mediterranean Diet bull Dr Weil Diet bull Whole 30 bull Biggest Loser bull Weight Watchers bull Meal Replacement Plans bull Raw Macrobiotic bull Alkaline (acidbase balance) bull FlexibleIf it Fits Your Macros bull Clean Eating bull Skinny Gut bull Flexitarian

bull Atkins bull Paleo bull Vegan bull Pegan bull Fat Black Dietmdashbulletproof coffee bull Keto Diet bull Viking Diet bull Zone Diet bull Gluten FreeWheat Belly bull Sugar Detox bull Low Fat Diets bull Mono Meal Diet bull Detox Diets bull Blood Type Diet bull Baby Food Diet bull Intermittent Fasting bull Dukan Diet

Food Trends

bull Ancient Grains Quinoa Spelt Freekah Millet Buckwheat and Amaranth

bull Coconut Oil bull ldquoSoupingrdquo is the new juicing bull Kalettes (mix of kale and

Brussels sprouts) bull Seeds and nuts for superfoods bull Bowls bull Juicing bull Smoothies bull Matcha Tea bull Bone Broth bull Fermented Food

bull Grass-Fed Dairy bull Spiralizing bull Seaweed bull Sprouted beans flours

legumes nuts and seeds bull Tumeric bull Butter and Coconut Butter bull Cauliflower in everything bull Tigernuts bull Animal welfare bull Environment bull Epigenetics

Popular Blogs Influencing Diet

bull Well+Good

bull Goop

bull Food Politics

bull Buzzfeed Food

bull Hangry Pants

bull Authority Nutrition

bull Oh She Glows

bull Refinery29

bull The Paleo Diet

bull Huffington Post

bull Stupid Easy Paleo bull No Meat Athlete bull Summer Tomato bull I ATE a PIE bull The Picky Eater bull Deliciously Ella bull Choosing Raw bull Healthy Happy Life

What Does This All Mean

bull Trends are largely a spin on the already existing

bull Staying abreast of trends can benefit the relationship between practitioner and patient by improving communication

bull Use clinical judgment and understand the foundation of the trend

Communication

It has long been recognized that difficulties in the effective delivery of health care can arise from problems in communication between patient and provider rather than from any failing in the technical aspects of medical care

Improvements in provider-patient communication can have beneficial effects on health outcomes Appropriate reassurance or pragmatic suggestions to help with problem solving and setting up a structured plan of action may be an important part of the patient care that is required

Med Clin North Am 2003 Sep87(5)1115-45 Patient-doctor communication Teutsch C

Choosing the ldquoRight Dietrdquo

Real

Food

Lean Protein

VegetablesFruits

Healthy Fats

CARBS

The role of the practitioner is to guide the patient to the most appropriate diet regardless of its popularity Trends should not be associated with negativity but rather a tool for the practitioner to use in greater access and exposure to diet change

Page 8: Nutrition Trends 2015€¦ · • Paleo • Vegan • Pegan • Fat Black Diet—bulletproof coffee • Keto Diet • Viking Diet • Zone Diet • Gluten Free/Wheat Belly • Sugar

Top Nutrition Trends of 2015

bull Turmeric bull Butter Coffee bull Souping bull Fermented foods bull Bone Broth bull Spiralizing bull Sprouted Grains bull Superfood Bowls bull Sustainable Diets bull Cauliflower is the new kale

Cauliflower Craze

Nutrition Trends amp Headlineshellip

POM juice

Cholesterol

In the Past 24 Hours

Artifical Sweetners and Weight Gain The New York Times

Why Carb Counters Are Running for the Cauliflower The Wall Street Journal

How Do We Navigate Through the Information to

1) Know Your Foundations

2) Decipher what is healthy for patients

3) Stay current on trends and news

Anti-Inflammatory Diets

Exposure Lean meats and fatty fish Lots of fruits and vegetables Healthy fats (avocados nuts seeds EVOO or Canola)

Purpose Reduce Inflammatory markers CV health Metabolic Syndrome TIIDM Parkinsons Depression Alzheimerrsquos Pain Weight Management

Anti-Inflammatory Diets

The Attraction

bull Realistic diet plan

bull Rich in antioxidants

bull Plant based

The Challenges

bull Planning required

bull Ability to limit wine to recommended amount

bull No portions and serving sizes noted

glutenfree

8 MILLION POSTS USING GLUTENFREE

16K LIKES

Anti-Inflammatory Diets

The Research

bull Lyon Heart Study ndash AI diet Reduced death from repeat heart attacks by 50-70

bull HALE Study ndash In those aged 70-90 diet changes alone reduced death from all causes

by 23

ndash 65 lower mortality rate when regular activity no smoking and moderate drinking were added

bull Study by Esposito et al ndash AI diet decreased metabolic syndrome and cardiovascular disease

mediterraneandiet antiinflammatory

Low Carb Diets

The Attraction bull Initiates quick weight loss bull Can Improve

ndash A1c ndash Cholesterol amp TG rsquos ndash BP

bull Can Minimize ndash Inflammation ndash CHD TIIDM Obesity

Cancer

The Challenges

bull Limiting

bull Can be high unhealthy fats

bull May need to learn to cook foods differently and where to eat out

Exposure Can be as low as 20g CHOday High PRO High FAT often limitsrestricts ETOH

Purpose Quick Weight Loss Blood Sugar Control

paleo Whats your opinion

lowcarb IIFYM

Low Carb Diets

The Research bull Study by Foster et al

ndash At 3m and 6m weight loss was significantly greater in low CHO diet group

ndash At 12m both Low CHO diet group was the same as the conventional diet group

bull Study by Shai et al ndash Compared Low Carb to Mediterranean to Low-fat Diet over 2 years ndash Findings

bull Low Carb diet showed decreased levels in C-reactive protein bull Low Carb dieters likelier to have urinary ketones bull Mean weight loss over 2-years was 47kg for Low Carb 44kg for

Mediterranean diet and 29kg for low-fat diet

bull Study by Frassetto et al ndash 10 days on a Paleo diet resulted in decreased BP decreased total and

LDL cholesterol and improved insulin response

Socially Conscious Diets

Exposure No or very limited animal products in the diet Eat no more meat than is recommended in the dietary guidelines

Purpose Eat healthfully to minimize carbon footprint

Socially Conscious Diets

The Attraction

bull Good for environment

bull Rich in antioxidants

bull Animal friendly

The Challenges

bull Potential Vit Deficiency (iron B12)

bull Patient must be aware of PRO sources

bull Cost

bull Availability

EWG FOOD SCORES

flexitarian vegan monomealmacrobiotic

Socially Conscious Diets

The Research

bull Study by Raphaely et al ndash Individuals in the most developed countries over

consume meat

ndash Flexitarianism can significantly decrease the cost of stopping climate change if diets were implemented

bull Study by Barnard et al ndash Low-fat vegetarian and vegan diets were

associated with sustained weight loss and decreased plasma lipid concentrations

Intermittent Fasting

Exposure bull 3-1-2-1 Diet bull Intermittent Fasting (52) bull Warrior Diet under-eatfast during the day and eat at night bull The fast diet bull The 8 hour diet

Purpose Allow the body to use FAT instead of CHO for energy

Improve insulin mediated glucose uptake

cognitive improvement amp focus

intermittentfasting

Intermittent Fasting

The Challenges

bull Different than expected meal norms

bull Not eating

bull Balancing exercise and fasting

bull Medication Interaction

The Attraction

bull Only restriction is on timing not food

bull Simple ldquorulesrdquo

Intermittent Fasting

The Research

bull Study by Mattson etal bull IF enhances cardiovascular and brain function

bull IF reduces BP and increases insulin sensitivity

bull Study by Longo et al bull In rodents IF protects against diabetes cancers heart disease and

neurodegeneration

bull In humans IF helps reduce obesity hypertension asthma and rheumatoid arthritis

bull Study by Harvie et al bull IF was as effective as continuous energy restriction on weight loss insulin

sensitivity and other health biomarkersmdashleptin total cholesterol LDL high-sensitivity C-reactive protein TGrsquos and BP

bull Study by Varady et Al bull ADF may effectively modulate metabolic and functional nutrition risk factors

bull ADF may be effective in preventing or delaying the future occurrence of common chronic diseases at least in animal models

Other Popular Diets

bull Nordic Diet bull Mediterranean Diet bull Dr Weil Diet bull Whole 30 bull Biggest Loser bull Weight Watchers bull Meal Replacement Plans bull Raw Macrobiotic bull Alkaline (acidbase balance) bull FlexibleIf it Fits Your Macros bull Clean Eating bull Skinny Gut bull Flexitarian

bull Atkins bull Paleo bull Vegan bull Pegan bull Fat Black Dietmdashbulletproof coffee bull Keto Diet bull Viking Diet bull Zone Diet bull Gluten FreeWheat Belly bull Sugar Detox bull Low Fat Diets bull Mono Meal Diet bull Detox Diets bull Blood Type Diet bull Baby Food Diet bull Intermittent Fasting bull Dukan Diet

Food Trends

bull Ancient Grains Quinoa Spelt Freekah Millet Buckwheat and Amaranth

bull Coconut Oil bull ldquoSoupingrdquo is the new juicing bull Kalettes (mix of kale and

Brussels sprouts) bull Seeds and nuts for superfoods bull Bowls bull Juicing bull Smoothies bull Matcha Tea bull Bone Broth bull Fermented Food

bull Grass-Fed Dairy bull Spiralizing bull Seaweed bull Sprouted beans flours

legumes nuts and seeds bull Tumeric bull Butter and Coconut Butter bull Cauliflower in everything bull Tigernuts bull Animal welfare bull Environment bull Epigenetics

Popular Blogs Influencing Diet

bull Well+Good

bull Goop

bull Food Politics

bull Buzzfeed Food

bull Hangry Pants

bull Authority Nutrition

bull Oh She Glows

bull Refinery29

bull The Paleo Diet

bull Huffington Post

bull Stupid Easy Paleo bull No Meat Athlete bull Summer Tomato bull I ATE a PIE bull The Picky Eater bull Deliciously Ella bull Choosing Raw bull Healthy Happy Life

What Does This All Mean

bull Trends are largely a spin on the already existing

bull Staying abreast of trends can benefit the relationship between practitioner and patient by improving communication

bull Use clinical judgment and understand the foundation of the trend

Communication

It has long been recognized that difficulties in the effective delivery of health care can arise from problems in communication between patient and provider rather than from any failing in the technical aspects of medical care

Improvements in provider-patient communication can have beneficial effects on health outcomes Appropriate reassurance or pragmatic suggestions to help with problem solving and setting up a structured plan of action may be an important part of the patient care that is required

Med Clin North Am 2003 Sep87(5)1115-45 Patient-doctor communication Teutsch C

Choosing the ldquoRight Dietrdquo

Real

Food

Lean Protein

VegetablesFruits

Healthy Fats

CARBS

The role of the practitioner is to guide the patient to the most appropriate diet regardless of its popularity Trends should not be associated with negativity but rather a tool for the practitioner to use in greater access and exposure to diet change

Page 9: Nutrition Trends 2015€¦ · • Paleo • Vegan • Pegan • Fat Black Diet—bulletproof coffee • Keto Diet • Viking Diet • Zone Diet • Gluten Free/Wheat Belly • Sugar

Cauliflower Craze

Nutrition Trends amp Headlineshellip

POM juice

Cholesterol

In the Past 24 Hours

Artifical Sweetners and Weight Gain The New York Times

Why Carb Counters Are Running for the Cauliflower The Wall Street Journal

How Do We Navigate Through the Information to

1) Know Your Foundations

2) Decipher what is healthy for patients

3) Stay current on trends and news

Anti-Inflammatory Diets

Exposure Lean meats and fatty fish Lots of fruits and vegetables Healthy fats (avocados nuts seeds EVOO or Canola)

Purpose Reduce Inflammatory markers CV health Metabolic Syndrome TIIDM Parkinsons Depression Alzheimerrsquos Pain Weight Management

Anti-Inflammatory Diets

The Attraction

bull Realistic diet plan

bull Rich in antioxidants

bull Plant based

The Challenges

bull Planning required

bull Ability to limit wine to recommended amount

bull No portions and serving sizes noted

glutenfree

8 MILLION POSTS USING GLUTENFREE

16K LIKES

Anti-Inflammatory Diets

The Research

bull Lyon Heart Study ndash AI diet Reduced death from repeat heart attacks by 50-70

bull HALE Study ndash In those aged 70-90 diet changes alone reduced death from all causes

by 23

ndash 65 lower mortality rate when regular activity no smoking and moderate drinking were added

bull Study by Esposito et al ndash AI diet decreased metabolic syndrome and cardiovascular disease

mediterraneandiet antiinflammatory

Low Carb Diets

The Attraction bull Initiates quick weight loss bull Can Improve

ndash A1c ndash Cholesterol amp TG rsquos ndash BP

bull Can Minimize ndash Inflammation ndash CHD TIIDM Obesity

Cancer

The Challenges

bull Limiting

bull Can be high unhealthy fats

bull May need to learn to cook foods differently and where to eat out

Exposure Can be as low as 20g CHOday High PRO High FAT often limitsrestricts ETOH

Purpose Quick Weight Loss Blood Sugar Control

paleo Whats your opinion

lowcarb IIFYM

Low Carb Diets

The Research bull Study by Foster et al

ndash At 3m and 6m weight loss was significantly greater in low CHO diet group

ndash At 12m both Low CHO diet group was the same as the conventional diet group

bull Study by Shai et al ndash Compared Low Carb to Mediterranean to Low-fat Diet over 2 years ndash Findings

bull Low Carb diet showed decreased levels in C-reactive protein bull Low Carb dieters likelier to have urinary ketones bull Mean weight loss over 2-years was 47kg for Low Carb 44kg for

Mediterranean diet and 29kg for low-fat diet

bull Study by Frassetto et al ndash 10 days on a Paleo diet resulted in decreased BP decreased total and

LDL cholesterol and improved insulin response

Socially Conscious Diets

Exposure No or very limited animal products in the diet Eat no more meat than is recommended in the dietary guidelines

Purpose Eat healthfully to minimize carbon footprint

Socially Conscious Diets

The Attraction

bull Good for environment

bull Rich in antioxidants

bull Animal friendly

The Challenges

bull Potential Vit Deficiency (iron B12)

bull Patient must be aware of PRO sources

bull Cost

bull Availability

EWG FOOD SCORES

flexitarian vegan monomealmacrobiotic

Socially Conscious Diets

The Research

bull Study by Raphaely et al ndash Individuals in the most developed countries over

consume meat

ndash Flexitarianism can significantly decrease the cost of stopping climate change if diets were implemented

bull Study by Barnard et al ndash Low-fat vegetarian and vegan diets were

associated with sustained weight loss and decreased plasma lipid concentrations

Intermittent Fasting

Exposure bull 3-1-2-1 Diet bull Intermittent Fasting (52) bull Warrior Diet under-eatfast during the day and eat at night bull The fast diet bull The 8 hour diet

Purpose Allow the body to use FAT instead of CHO for energy

Improve insulin mediated glucose uptake

cognitive improvement amp focus

intermittentfasting

Intermittent Fasting

The Challenges

bull Different than expected meal norms

bull Not eating

bull Balancing exercise and fasting

bull Medication Interaction

The Attraction

bull Only restriction is on timing not food

bull Simple ldquorulesrdquo

Intermittent Fasting

The Research

bull Study by Mattson etal bull IF enhances cardiovascular and brain function

bull IF reduces BP and increases insulin sensitivity

bull Study by Longo et al bull In rodents IF protects against diabetes cancers heart disease and

neurodegeneration

bull In humans IF helps reduce obesity hypertension asthma and rheumatoid arthritis

bull Study by Harvie et al bull IF was as effective as continuous energy restriction on weight loss insulin

sensitivity and other health biomarkersmdashleptin total cholesterol LDL high-sensitivity C-reactive protein TGrsquos and BP

bull Study by Varady et Al bull ADF may effectively modulate metabolic and functional nutrition risk factors

bull ADF may be effective in preventing or delaying the future occurrence of common chronic diseases at least in animal models

Other Popular Diets

bull Nordic Diet bull Mediterranean Diet bull Dr Weil Diet bull Whole 30 bull Biggest Loser bull Weight Watchers bull Meal Replacement Plans bull Raw Macrobiotic bull Alkaline (acidbase balance) bull FlexibleIf it Fits Your Macros bull Clean Eating bull Skinny Gut bull Flexitarian

bull Atkins bull Paleo bull Vegan bull Pegan bull Fat Black Dietmdashbulletproof coffee bull Keto Diet bull Viking Diet bull Zone Diet bull Gluten FreeWheat Belly bull Sugar Detox bull Low Fat Diets bull Mono Meal Diet bull Detox Diets bull Blood Type Diet bull Baby Food Diet bull Intermittent Fasting bull Dukan Diet

Food Trends

bull Ancient Grains Quinoa Spelt Freekah Millet Buckwheat and Amaranth

bull Coconut Oil bull ldquoSoupingrdquo is the new juicing bull Kalettes (mix of kale and

Brussels sprouts) bull Seeds and nuts for superfoods bull Bowls bull Juicing bull Smoothies bull Matcha Tea bull Bone Broth bull Fermented Food

bull Grass-Fed Dairy bull Spiralizing bull Seaweed bull Sprouted beans flours

legumes nuts and seeds bull Tumeric bull Butter and Coconut Butter bull Cauliflower in everything bull Tigernuts bull Animal welfare bull Environment bull Epigenetics

Popular Blogs Influencing Diet

bull Well+Good

bull Goop

bull Food Politics

bull Buzzfeed Food

bull Hangry Pants

bull Authority Nutrition

bull Oh She Glows

bull Refinery29

bull The Paleo Diet

bull Huffington Post

bull Stupid Easy Paleo bull No Meat Athlete bull Summer Tomato bull I ATE a PIE bull The Picky Eater bull Deliciously Ella bull Choosing Raw bull Healthy Happy Life

What Does This All Mean

bull Trends are largely a spin on the already existing

bull Staying abreast of trends can benefit the relationship between practitioner and patient by improving communication

bull Use clinical judgment and understand the foundation of the trend

Communication

It has long been recognized that difficulties in the effective delivery of health care can arise from problems in communication between patient and provider rather than from any failing in the technical aspects of medical care

Improvements in provider-patient communication can have beneficial effects on health outcomes Appropriate reassurance or pragmatic suggestions to help with problem solving and setting up a structured plan of action may be an important part of the patient care that is required

Med Clin North Am 2003 Sep87(5)1115-45 Patient-doctor communication Teutsch C

Choosing the ldquoRight Dietrdquo

Real

Food

Lean Protein

VegetablesFruits

Healthy Fats

CARBS

The role of the practitioner is to guide the patient to the most appropriate diet regardless of its popularity Trends should not be associated with negativity but rather a tool for the practitioner to use in greater access and exposure to diet change

Page 10: Nutrition Trends 2015€¦ · • Paleo • Vegan • Pegan • Fat Black Diet—bulletproof coffee • Keto Diet • Viking Diet • Zone Diet • Gluten Free/Wheat Belly • Sugar

Nutrition Trends amp Headlineshellip

POM juice

Cholesterol

In the Past 24 Hours

Artifical Sweetners and Weight Gain The New York Times

Why Carb Counters Are Running for the Cauliflower The Wall Street Journal

How Do We Navigate Through the Information to

1) Know Your Foundations

2) Decipher what is healthy for patients

3) Stay current on trends and news

Anti-Inflammatory Diets

Exposure Lean meats and fatty fish Lots of fruits and vegetables Healthy fats (avocados nuts seeds EVOO or Canola)

Purpose Reduce Inflammatory markers CV health Metabolic Syndrome TIIDM Parkinsons Depression Alzheimerrsquos Pain Weight Management

Anti-Inflammatory Diets

The Attraction

bull Realistic diet plan

bull Rich in antioxidants

bull Plant based

The Challenges

bull Planning required

bull Ability to limit wine to recommended amount

bull No portions and serving sizes noted

glutenfree

8 MILLION POSTS USING GLUTENFREE

16K LIKES

Anti-Inflammatory Diets

The Research

bull Lyon Heart Study ndash AI diet Reduced death from repeat heart attacks by 50-70

bull HALE Study ndash In those aged 70-90 diet changes alone reduced death from all causes

by 23

ndash 65 lower mortality rate when regular activity no smoking and moderate drinking were added

bull Study by Esposito et al ndash AI diet decreased metabolic syndrome and cardiovascular disease

mediterraneandiet antiinflammatory

Low Carb Diets

The Attraction bull Initiates quick weight loss bull Can Improve

ndash A1c ndash Cholesterol amp TG rsquos ndash BP

bull Can Minimize ndash Inflammation ndash CHD TIIDM Obesity

Cancer

The Challenges

bull Limiting

bull Can be high unhealthy fats

bull May need to learn to cook foods differently and where to eat out

Exposure Can be as low as 20g CHOday High PRO High FAT often limitsrestricts ETOH

Purpose Quick Weight Loss Blood Sugar Control

paleo Whats your opinion

lowcarb IIFYM

Low Carb Diets

The Research bull Study by Foster et al

ndash At 3m and 6m weight loss was significantly greater in low CHO diet group

ndash At 12m both Low CHO diet group was the same as the conventional diet group

bull Study by Shai et al ndash Compared Low Carb to Mediterranean to Low-fat Diet over 2 years ndash Findings

bull Low Carb diet showed decreased levels in C-reactive protein bull Low Carb dieters likelier to have urinary ketones bull Mean weight loss over 2-years was 47kg for Low Carb 44kg for

Mediterranean diet and 29kg for low-fat diet

bull Study by Frassetto et al ndash 10 days on a Paleo diet resulted in decreased BP decreased total and

LDL cholesterol and improved insulin response

Socially Conscious Diets

Exposure No or very limited animal products in the diet Eat no more meat than is recommended in the dietary guidelines

Purpose Eat healthfully to minimize carbon footprint

Socially Conscious Diets

The Attraction

bull Good for environment

bull Rich in antioxidants

bull Animal friendly

The Challenges

bull Potential Vit Deficiency (iron B12)

bull Patient must be aware of PRO sources

bull Cost

bull Availability

EWG FOOD SCORES

flexitarian vegan monomealmacrobiotic

Socially Conscious Diets

The Research

bull Study by Raphaely et al ndash Individuals in the most developed countries over

consume meat

ndash Flexitarianism can significantly decrease the cost of stopping climate change if diets were implemented

bull Study by Barnard et al ndash Low-fat vegetarian and vegan diets were

associated with sustained weight loss and decreased plasma lipid concentrations

Intermittent Fasting

Exposure bull 3-1-2-1 Diet bull Intermittent Fasting (52) bull Warrior Diet under-eatfast during the day and eat at night bull The fast diet bull The 8 hour diet

Purpose Allow the body to use FAT instead of CHO for energy

Improve insulin mediated glucose uptake

cognitive improvement amp focus

intermittentfasting

Intermittent Fasting

The Challenges

bull Different than expected meal norms

bull Not eating

bull Balancing exercise and fasting

bull Medication Interaction

The Attraction

bull Only restriction is on timing not food

bull Simple ldquorulesrdquo

Intermittent Fasting

The Research

bull Study by Mattson etal bull IF enhances cardiovascular and brain function

bull IF reduces BP and increases insulin sensitivity

bull Study by Longo et al bull In rodents IF protects against diabetes cancers heart disease and

neurodegeneration

bull In humans IF helps reduce obesity hypertension asthma and rheumatoid arthritis

bull Study by Harvie et al bull IF was as effective as continuous energy restriction on weight loss insulin

sensitivity and other health biomarkersmdashleptin total cholesterol LDL high-sensitivity C-reactive protein TGrsquos and BP

bull Study by Varady et Al bull ADF may effectively modulate metabolic and functional nutrition risk factors

bull ADF may be effective in preventing or delaying the future occurrence of common chronic diseases at least in animal models

Other Popular Diets

bull Nordic Diet bull Mediterranean Diet bull Dr Weil Diet bull Whole 30 bull Biggest Loser bull Weight Watchers bull Meal Replacement Plans bull Raw Macrobiotic bull Alkaline (acidbase balance) bull FlexibleIf it Fits Your Macros bull Clean Eating bull Skinny Gut bull Flexitarian

bull Atkins bull Paleo bull Vegan bull Pegan bull Fat Black Dietmdashbulletproof coffee bull Keto Diet bull Viking Diet bull Zone Diet bull Gluten FreeWheat Belly bull Sugar Detox bull Low Fat Diets bull Mono Meal Diet bull Detox Diets bull Blood Type Diet bull Baby Food Diet bull Intermittent Fasting bull Dukan Diet

Food Trends

bull Ancient Grains Quinoa Spelt Freekah Millet Buckwheat and Amaranth

bull Coconut Oil bull ldquoSoupingrdquo is the new juicing bull Kalettes (mix of kale and

Brussels sprouts) bull Seeds and nuts for superfoods bull Bowls bull Juicing bull Smoothies bull Matcha Tea bull Bone Broth bull Fermented Food

bull Grass-Fed Dairy bull Spiralizing bull Seaweed bull Sprouted beans flours

legumes nuts and seeds bull Tumeric bull Butter and Coconut Butter bull Cauliflower in everything bull Tigernuts bull Animal welfare bull Environment bull Epigenetics

Popular Blogs Influencing Diet

bull Well+Good

bull Goop

bull Food Politics

bull Buzzfeed Food

bull Hangry Pants

bull Authority Nutrition

bull Oh She Glows

bull Refinery29

bull The Paleo Diet

bull Huffington Post

bull Stupid Easy Paleo bull No Meat Athlete bull Summer Tomato bull I ATE a PIE bull The Picky Eater bull Deliciously Ella bull Choosing Raw bull Healthy Happy Life

What Does This All Mean

bull Trends are largely a spin on the already existing

bull Staying abreast of trends can benefit the relationship between practitioner and patient by improving communication

bull Use clinical judgment and understand the foundation of the trend

Communication

It has long been recognized that difficulties in the effective delivery of health care can arise from problems in communication between patient and provider rather than from any failing in the technical aspects of medical care

Improvements in provider-patient communication can have beneficial effects on health outcomes Appropriate reassurance or pragmatic suggestions to help with problem solving and setting up a structured plan of action may be an important part of the patient care that is required

Med Clin North Am 2003 Sep87(5)1115-45 Patient-doctor communication Teutsch C

Choosing the ldquoRight Dietrdquo

Real

Food

Lean Protein

VegetablesFruits

Healthy Fats

CARBS

The role of the practitioner is to guide the patient to the most appropriate diet regardless of its popularity Trends should not be associated with negativity but rather a tool for the practitioner to use in greater access and exposure to diet change

Page 11: Nutrition Trends 2015€¦ · • Paleo • Vegan • Pegan • Fat Black Diet—bulletproof coffee • Keto Diet • Viking Diet • Zone Diet • Gluten Free/Wheat Belly • Sugar

In the Past 24 Hours

Artifical Sweetners and Weight Gain The New York Times

Why Carb Counters Are Running for the Cauliflower The Wall Street Journal

How Do We Navigate Through the Information to

1) Know Your Foundations

2) Decipher what is healthy for patients

3) Stay current on trends and news

Anti-Inflammatory Diets

Exposure Lean meats and fatty fish Lots of fruits and vegetables Healthy fats (avocados nuts seeds EVOO or Canola)

Purpose Reduce Inflammatory markers CV health Metabolic Syndrome TIIDM Parkinsons Depression Alzheimerrsquos Pain Weight Management

Anti-Inflammatory Diets

The Attraction

bull Realistic diet plan

bull Rich in antioxidants

bull Plant based

The Challenges

bull Planning required

bull Ability to limit wine to recommended amount

bull No portions and serving sizes noted

glutenfree

8 MILLION POSTS USING GLUTENFREE

16K LIKES

Anti-Inflammatory Diets

The Research

bull Lyon Heart Study ndash AI diet Reduced death from repeat heart attacks by 50-70

bull HALE Study ndash In those aged 70-90 diet changes alone reduced death from all causes

by 23

ndash 65 lower mortality rate when regular activity no smoking and moderate drinking were added

bull Study by Esposito et al ndash AI diet decreased metabolic syndrome and cardiovascular disease

mediterraneandiet antiinflammatory

Low Carb Diets

The Attraction bull Initiates quick weight loss bull Can Improve

ndash A1c ndash Cholesterol amp TG rsquos ndash BP

bull Can Minimize ndash Inflammation ndash CHD TIIDM Obesity

Cancer

The Challenges

bull Limiting

bull Can be high unhealthy fats

bull May need to learn to cook foods differently and where to eat out

Exposure Can be as low as 20g CHOday High PRO High FAT often limitsrestricts ETOH

Purpose Quick Weight Loss Blood Sugar Control

paleo Whats your opinion

lowcarb IIFYM

Low Carb Diets

The Research bull Study by Foster et al

ndash At 3m and 6m weight loss was significantly greater in low CHO diet group

ndash At 12m both Low CHO diet group was the same as the conventional diet group

bull Study by Shai et al ndash Compared Low Carb to Mediterranean to Low-fat Diet over 2 years ndash Findings

bull Low Carb diet showed decreased levels in C-reactive protein bull Low Carb dieters likelier to have urinary ketones bull Mean weight loss over 2-years was 47kg for Low Carb 44kg for

Mediterranean diet and 29kg for low-fat diet

bull Study by Frassetto et al ndash 10 days on a Paleo diet resulted in decreased BP decreased total and

LDL cholesterol and improved insulin response

Socially Conscious Diets

Exposure No or very limited animal products in the diet Eat no more meat than is recommended in the dietary guidelines

Purpose Eat healthfully to minimize carbon footprint

Socially Conscious Diets

The Attraction

bull Good for environment

bull Rich in antioxidants

bull Animal friendly

The Challenges

bull Potential Vit Deficiency (iron B12)

bull Patient must be aware of PRO sources

bull Cost

bull Availability

EWG FOOD SCORES

flexitarian vegan monomealmacrobiotic

Socially Conscious Diets

The Research

bull Study by Raphaely et al ndash Individuals in the most developed countries over

consume meat

ndash Flexitarianism can significantly decrease the cost of stopping climate change if diets were implemented

bull Study by Barnard et al ndash Low-fat vegetarian and vegan diets were

associated with sustained weight loss and decreased plasma lipid concentrations

Intermittent Fasting

Exposure bull 3-1-2-1 Diet bull Intermittent Fasting (52) bull Warrior Diet under-eatfast during the day and eat at night bull The fast diet bull The 8 hour diet

Purpose Allow the body to use FAT instead of CHO for energy

Improve insulin mediated glucose uptake

cognitive improvement amp focus

intermittentfasting

Intermittent Fasting

The Challenges

bull Different than expected meal norms

bull Not eating

bull Balancing exercise and fasting

bull Medication Interaction

The Attraction

bull Only restriction is on timing not food

bull Simple ldquorulesrdquo

Intermittent Fasting

The Research

bull Study by Mattson etal bull IF enhances cardiovascular and brain function

bull IF reduces BP and increases insulin sensitivity

bull Study by Longo et al bull In rodents IF protects against diabetes cancers heart disease and

neurodegeneration

bull In humans IF helps reduce obesity hypertension asthma and rheumatoid arthritis

bull Study by Harvie et al bull IF was as effective as continuous energy restriction on weight loss insulin

sensitivity and other health biomarkersmdashleptin total cholesterol LDL high-sensitivity C-reactive protein TGrsquos and BP

bull Study by Varady et Al bull ADF may effectively modulate metabolic and functional nutrition risk factors

bull ADF may be effective in preventing or delaying the future occurrence of common chronic diseases at least in animal models

Other Popular Diets

bull Nordic Diet bull Mediterranean Diet bull Dr Weil Diet bull Whole 30 bull Biggest Loser bull Weight Watchers bull Meal Replacement Plans bull Raw Macrobiotic bull Alkaline (acidbase balance) bull FlexibleIf it Fits Your Macros bull Clean Eating bull Skinny Gut bull Flexitarian

bull Atkins bull Paleo bull Vegan bull Pegan bull Fat Black Dietmdashbulletproof coffee bull Keto Diet bull Viking Diet bull Zone Diet bull Gluten FreeWheat Belly bull Sugar Detox bull Low Fat Diets bull Mono Meal Diet bull Detox Diets bull Blood Type Diet bull Baby Food Diet bull Intermittent Fasting bull Dukan Diet

Food Trends

bull Ancient Grains Quinoa Spelt Freekah Millet Buckwheat and Amaranth

bull Coconut Oil bull ldquoSoupingrdquo is the new juicing bull Kalettes (mix of kale and

Brussels sprouts) bull Seeds and nuts for superfoods bull Bowls bull Juicing bull Smoothies bull Matcha Tea bull Bone Broth bull Fermented Food

bull Grass-Fed Dairy bull Spiralizing bull Seaweed bull Sprouted beans flours

legumes nuts and seeds bull Tumeric bull Butter and Coconut Butter bull Cauliflower in everything bull Tigernuts bull Animal welfare bull Environment bull Epigenetics

Popular Blogs Influencing Diet

bull Well+Good

bull Goop

bull Food Politics

bull Buzzfeed Food

bull Hangry Pants

bull Authority Nutrition

bull Oh She Glows

bull Refinery29

bull The Paleo Diet

bull Huffington Post

bull Stupid Easy Paleo bull No Meat Athlete bull Summer Tomato bull I ATE a PIE bull The Picky Eater bull Deliciously Ella bull Choosing Raw bull Healthy Happy Life

What Does This All Mean

bull Trends are largely a spin on the already existing

bull Staying abreast of trends can benefit the relationship between practitioner and patient by improving communication

bull Use clinical judgment and understand the foundation of the trend

Communication

It has long been recognized that difficulties in the effective delivery of health care can arise from problems in communication between patient and provider rather than from any failing in the technical aspects of medical care

Improvements in provider-patient communication can have beneficial effects on health outcomes Appropriate reassurance or pragmatic suggestions to help with problem solving and setting up a structured plan of action may be an important part of the patient care that is required

Med Clin North Am 2003 Sep87(5)1115-45 Patient-doctor communication Teutsch C

Choosing the ldquoRight Dietrdquo

Real

Food

Lean Protein

VegetablesFruits

Healthy Fats

CARBS

The role of the practitioner is to guide the patient to the most appropriate diet regardless of its popularity Trends should not be associated with negativity but rather a tool for the practitioner to use in greater access and exposure to diet change

Page 12: Nutrition Trends 2015€¦ · • Paleo • Vegan • Pegan • Fat Black Diet—bulletproof coffee • Keto Diet • Viking Diet • Zone Diet • Gluten Free/Wheat Belly • Sugar

How Do We Navigate Through the Information to

1) Know Your Foundations

2) Decipher what is healthy for patients

3) Stay current on trends and news

Anti-Inflammatory Diets

Exposure Lean meats and fatty fish Lots of fruits and vegetables Healthy fats (avocados nuts seeds EVOO or Canola)

Purpose Reduce Inflammatory markers CV health Metabolic Syndrome TIIDM Parkinsons Depression Alzheimerrsquos Pain Weight Management

Anti-Inflammatory Diets

The Attraction

bull Realistic diet plan

bull Rich in antioxidants

bull Plant based

The Challenges

bull Planning required

bull Ability to limit wine to recommended amount

bull No portions and serving sizes noted

glutenfree

8 MILLION POSTS USING GLUTENFREE

16K LIKES

Anti-Inflammatory Diets

The Research

bull Lyon Heart Study ndash AI diet Reduced death from repeat heart attacks by 50-70

bull HALE Study ndash In those aged 70-90 diet changes alone reduced death from all causes

by 23

ndash 65 lower mortality rate when regular activity no smoking and moderate drinking were added

bull Study by Esposito et al ndash AI diet decreased metabolic syndrome and cardiovascular disease

mediterraneandiet antiinflammatory

Low Carb Diets

The Attraction bull Initiates quick weight loss bull Can Improve

ndash A1c ndash Cholesterol amp TG rsquos ndash BP

bull Can Minimize ndash Inflammation ndash CHD TIIDM Obesity

Cancer

The Challenges

bull Limiting

bull Can be high unhealthy fats

bull May need to learn to cook foods differently and where to eat out

Exposure Can be as low as 20g CHOday High PRO High FAT often limitsrestricts ETOH

Purpose Quick Weight Loss Blood Sugar Control

paleo Whats your opinion

lowcarb IIFYM

Low Carb Diets

The Research bull Study by Foster et al

ndash At 3m and 6m weight loss was significantly greater in low CHO diet group

ndash At 12m both Low CHO diet group was the same as the conventional diet group

bull Study by Shai et al ndash Compared Low Carb to Mediterranean to Low-fat Diet over 2 years ndash Findings

bull Low Carb diet showed decreased levels in C-reactive protein bull Low Carb dieters likelier to have urinary ketones bull Mean weight loss over 2-years was 47kg for Low Carb 44kg for

Mediterranean diet and 29kg for low-fat diet

bull Study by Frassetto et al ndash 10 days on a Paleo diet resulted in decreased BP decreased total and

LDL cholesterol and improved insulin response

Socially Conscious Diets

Exposure No or very limited animal products in the diet Eat no more meat than is recommended in the dietary guidelines

Purpose Eat healthfully to minimize carbon footprint

Socially Conscious Diets

The Attraction

bull Good for environment

bull Rich in antioxidants

bull Animal friendly

The Challenges

bull Potential Vit Deficiency (iron B12)

bull Patient must be aware of PRO sources

bull Cost

bull Availability

EWG FOOD SCORES

flexitarian vegan monomealmacrobiotic

Socially Conscious Diets

The Research

bull Study by Raphaely et al ndash Individuals in the most developed countries over

consume meat

ndash Flexitarianism can significantly decrease the cost of stopping climate change if diets were implemented

bull Study by Barnard et al ndash Low-fat vegetarian and vegan diets were

associated with sustained weight loss and decreased plasma lipid concentrations

Intermittent Fasting

Exposure bull 3-1-2-1 Diet bull Intermittent Fasting (52) bull Warrior Diet under-eatfast during the day and eat at night bull The fast diet bull The 8 hour diet

Purpose Allow the body to use FAT instead of CHO for energy

Improve insulin mediated glucose uptake

cognitive improvement amp focus

intermittentfasting

Intermittent Fasting

The Challenges

bull Different than expected meal norms

bull Not eating

bull Balancing exercise and fasting

bull Medication Interaction

The Attraction

bull Only restriction is on timing not food

bull Simple ldquorulesrdquo

Intermittent Fasting

The Research

bull Study by Mattson etal bull IF enhances cardiovascular and brain function

bull IF reduces BP and increases insulin sensitivity

bull Study by Longo et al bull In rodents IF protects against diabetes cancers heart disease and

neurodegeneration

bull In humans IF helps reduce obesity hypertension asthma and rheumatoid arthritis

bull Study by Harvie et al bull IF was as effective as continuous energy restriction on weight loss insulin

sensitivity and other health biomarkersmdashleptin total cholesterol LDL high-sensitivity C-reactive protein TGrsquos and BP

bull Study by Varady et Al bull ADF may effectively modulate metabolic and functional nutrition risk factors

bull ADF may be effective in preventing or delaying the future occurrence of common chronic diseases at least in animal models

Other Popular Diets

bull Nordic Diet bull Mediterranean Diet bull Dr Weil Diet bull Whole 30 bull Biggest Loser bull Weight Watchers bull Meal Replacement Plans bull Raw Macrobiotic bull Alkaline (acidbase balance) bull FlexibleIf it Fits Your Macros bull Clean Eating bull Skinny Gut bull Flexitarian

bull Atkins bull Paleo bull Vegan bull Pegan bull Fat Black Dietmdashbulletproof coffee bull Keto Diet bull Viking Diet bull Zone Diet bull Gluten FreeWheat Belly bull Sugar Detox bull Low Fat Diets bull Mono Meal Diet bull Detox Diets bull Blood Type Diet bull Baby Food Diet bull Intermittent Fasting bull Dukan Diet

Food Trends

bull Ancient Grains Quinoa Spelt Freekah Millet Buckwheat and Amaranth

bull Coconut Oil bull ldquoSoupingrdquo is the new juicing bull Kalettes (mix of kale and

Brussels sprouts) bull Seeds and nuts for superfoods bull Bowls bull Juicing bull Smoothies bull Matcha Tea bull Bone Broth bull Fermented Food

bull Grass-Fed Dairy bull Spiralizing bull Seaweed bull Sprouted beans flours

legumes nuts and seeds bull Tumeric bull Butter and Coconut Butter bull Cauliflower in everything bull Tigernuts bull Animal welfare bull Environment bull Epigenetics

Popular Blogs Influencing Diet

bull Well+Good

bull Goop

bull Food Politics

bull Buzzfeed Food

bull Hangry Pants

bull Authority Nutrition

bull Oh She Glows

bull Refinery29

bull The Paleo Diet

bull Huffington Post

bull Stupid Easy Paleo bull No Meat Athlete bull Summer Tomato bull I ATE a PIE bull The Picky Eater bull Deliciously Ella bull Choosing Raw bull Healthy Happy Life

What Does This All Mean

bull Trends are largely a spin on the already existing

bull Staying abreast of trends can benefit the relationship between practitioner and patient by improving communication

bull Use clinical judgment and understand the foundation of the trend

Communication

It has long been recognized that difficulties in the effective delivery of health care can arise from problems in communication between patient and provider rather than from any failing in the technical aspects of medical care

Improvements in provider-patient communication can have beneficial effects on health outcomes Appropriate reassurance or pragmatic suggestions to help with problem solving and setting up a structured plan of action may be an important part of the patient care that is required

Med Clin North Am 2003 Sep87(5)1115-45 Patient-doctor communication Teutsch C

Choosing the ldquoRight Dietrdquo

Real

Food

Lean Protein

VegetablesFruits

Healthy Fats

CARBS

The role of the practitioner is to guide the patient to the most appropriate diet regardless of its popularity Trends should not be associated with negativity but rather a tool for the practitioner to use in greater access and exposure to diet change

Page 13: Nutrition Trends 2015€¦ · • Paleo • Vegan • Pegan • Fat Black Diet—bulletproof coffee • Keto Diet • Viking Diet • Zone Diet • Gluten Free/Wheat Belly • Sugar

Anti-Inflammatory Diets

Exposure Lean meats and fatty fish Lots of fruits and vegetables Healthy fats (avocados nuts seeds EVOO or Canola)

Purpose Reduce Inflammatory markers CV health Metabolic Syndrome TIIDM Parkinsons Depression Alzheimerrsquos Pain Weight Management

Anti-Inflammatory Diets

The Attraction

bull Realistic diet plan

bull Rich in antioxidants

bull Plant based

The Challenges

bull Planning required

bull Ability to limit wine to recommended amount

bull No portions and serving sizes noted

glutenfree

8 MILLION POSTS USING GLUTENFREE

16K LIKES

Anti-Inflammatory Diets

The Research

bull Lyon Heart Study ndash AI diet Reduced death from repeat heart attacks by 50-70

bull HALE Study ndash In those aged 70-90 diet changes alone reduced death from all causes

by 23

ndash 65 lower mortality rate when regular activity no smoking and moderate drinking were added

bull Study by Esposito et al ndash AI diet decreased metabolic syndrome and cardiovascular disease

mediterraneandiet antiinflammatory

Low Carb Diets

The Attraction bull Initiates quick weight loss bull Can Improve

ndash A1c ndash Cholesterol amp TG rsquos ndash BP

bull Can Minimize ndash Inflammation ndash CHD TIIDM Obesity

Cancer

The Challenges

bull Limiting

bull Can be high unhealthy fats

bull May need to learn to cook foods differently and where to eat out

Exposure Can be as low as 20g CHOday High PRO High FAT often limitsrestricts ETOH

Purpose Quick Weight Loss Blood Sugar Control

paleo Whats your opinion

lowcarb IIFYM

Low Carb Diets

The Research bull Study by Foster et al

ndash At 3m and 6m weight loss was significantly greater in low CHO diet group

ndash At 12m both Low CHO diet group was the same as the conventional diet group

bull Study by Shai et al ndash Compared Low Carb to Mediterranean to Low-fat Diet over 2 years ndash Findings

bull Low Carb diet showed decreased levels in C-reactive protein bull Low Carb dieters likelier to have urinary ketones bull Mean weight loss over 2-years was 47kg for Low Carb 44kg for

Mediterranean diet and 29kg for low-fat diet

bull Study by Frassetto et al ndash 10 days on a Paleo diet resulted in decreased BP decreased total and

LDL cholesterol and improved insulin response

Socially Conscious Diets

Exposure No or very limited animal products in the diet Eat no more meat than is recommended in the dietary guidelines

Purpose Eat healthfully to minimize carbon footprint

Socially Conscious Diets

The Attraction

bull Good for environment

bull Rich in antioxidants

bull Animal friendly

The Challenges

bull Potential Vit Deficiency (iron B12)

bull Patient must be aware of PRO sources

bull Cost

bull Availability

EWG FOOD SCORES

flexitarian vegan monomealmacrobiotic

Socially Conscious Diets

The Research

bull Study by Raphaely et al ndash Individuals in the most developed countries over

consume meat

ndash Flexitarianism can significantly decrease the cost of stopping climate change if diets were implemented

bull Study by Barnard et al ndash Low-fat vegetarian and vegan diets were

associated with sustained weight loss and decreased plasma lipid concentrations

Intermittent Fasting

Exposure bull 3-1-2-1 Diet bull Intermittent Fasting (52) bull Warrior Diet under-eatfast during the day and eat at night bull The fast diet bull The 8 hour diet

Purpose Allow the body to use FAT instead of CHO for energy

Improve insulin mediated glucose uptake

cognitive improvement amp focus

intermittentfasting

Intermittent Fasting

The Challenges

bull Different than expected meal norms

bull Not eating

bull Balancing exercise and fasting

bull Medication Interaction

The Attraction

bull Only restriction is on timing not food

bull Simple ldquorulesrdquo

Intermittent Fasting

The Research

bull Study by Mattson etal bull IF enhances cardiovascular and brain function

bull IF reduces BP and increases insulin sensitivity

bull Study by Longo et al bull In rodents IF protects against diabetes cancers heart disease and

neurodegeneration

bull In humans IF helps reduce obesity hypertension asthma and rheumatoid arthritis

bull Study by Harvie et al bull IF was as effective as continuous energy restriction on weight loss insulin

sensitivity and other health biomarkersmdashleptin total cholesterol LDL high-sensitivity C-reactive protein TGrsquos and BP

bull Study by Varady et Al bull ADF may effectively modulate metabolic and functional nutrition risk factors

bull ADF may be effective in preventing or delaying the future occurrence of common chronic diseases at least in animal models

Other Popular Diets

bull Nordic Diet bull Mediterranean Diet bull Dr Weil Diet bull Whole 30 bull Biggest Loser bull Weight Watchers bull Meal Replacement Plans bull Raw Macrobiotic bull Alkaline (acidbase balance) bull FlexibleIf it Fits Your Macros bull Clean Eating bull Skinny Gut bull Flexitarian

bull Atkins bull Paleo bull Vegan bull Pegan bull Fat Black Dietmdashbulletproof coffee bull Keto Diet bull Viking Diet bull Zone Diet bull Gluten FreeWheat Belly bull Sugar Detox bull Low Fat Diets bull Mono Meal Diet bull Detox Diets bull Blood Type Diet bull Baby Food Diet bull Intermittent Fasting bull Dukan Diet

Food Trends

bull Ancient Grains Quinoa Spelt Freekah Millet Buckwheat and Amaranth

bull Coconut Oil bull ldquoSoupingrdquo is the new juicing bull Kalettes (mix of kale and

Brussels sprouts) bull Seeds and nuts for superfoods bull Bowls bull Juicing bull Smoothies bull Matcha Tea bull Bone Broth bull Fermented Food

bull Grass-Fed Dairy bull Spiralizing bull Seaweed bull Sprouted beans flours

legumes nuts and seeds bull Tumeric bull Butter and Coconut Butter bull Cauliflower in everything bull Tigernuts bull Animal welfare bull Environment bull Epigenetics

Popular Blogs Influencing Diet

bull Well+Good

bull Goop

bull Food Politics

bull Buzzfeed Food

bull Hangry Pants

bull Authority Nutrition

bull Oh She Glows

bull Refinery29

bull The Paleo Diet

bull Huffington Post

bull Stupid Easy Paleo bull No Meat Athlete bull Summer Tomato bull I ATE a PIE bull The Picky Eater bull Deliciously Ella bull Choosing Raw bull Healthy Happy Life

What Does This All Mean

bull Trends are largely a spin on the already existing

bull Staying abreast of trends can benefit the relationship between practitioner and patient by improving communication

bull Use clinical judgment and understand the foundation of the trend

Communication

It has long been recognized that difficulties in the effective delivery of health care can arise from problems in communication between patient and provider rather than from any failing in the technical aspects of medical care

Improvements in provider-patient communication can have beneficial effects on health outcomes Appropriate reassurance or pragmatic suggestions to help with problem solving and setting up a structured plan of action may be an important part of the patient care that is required

Med Clin North Am 2003 Sep87(5)1115-45 Patient-doctor communication Teutsch C

Choosing the ldquoRight Dietrdquo

Real

Food

Lean Protein

VegetablesFruits

Healthy Fats

CARBS

The role of the practitioner is to guide the patient to the most appropriate diet regardless of its popularity Trends should not be associated with negativity but rather a tool for the practitioner to use in greater access and exposure to diet change

Page 14: Nutrition Trends 2015€¦ · • Paleo • Vegan • Pegan • Fat Black Diet—bulletproof coffee • Keto Diet • Viking Diet • Zone Diet • Gluten Free/Wheat Belly • Sugar

Anti-Inflammatory Diets

The Attraction

bull Realistic diet plan

bull Rich in antioxidants

bull Plant based

The Challenges

bull Planning required

bull Ability to limit wine to recommended amount

bull No portions and serving sizes noted

glutenfree

8 MILLION POSTS USING GLUTENFREE

16K LIKES

Anti-Inflammatory Diets

The Research

bull Lyon Heart Study ndash AI diet Reduced death from repeat heart attacks by 50-70

bull HALE Study ndash In those aged 70-90 diet changes alone reduced death from all causes

by 23

ndash 65 lower mortality rate when regular activity no smoking and moderate drinking were added

bull Study by Esposito et al ndash AI diet decreased metabolic syndrome and cardiovascular disease

mediterraneandiet antiinflammatory

Low Carb Diets

The Attraction bull Initiates quick weight loss bull Can Improve

ndash A1c ndash Cholesterol amp TG rsquos ndash BP

bull Can Minimize ndash Inflammation ndash CHD TIIDM Obesity

Cancer

The Challenges

bull Limiting

bull Can be high unhealthy fats

bull May need to learn to cook foods differently and where to eat out

Exposure Can be as low as 20g CHOday High PRO High FAT often limitsrestricts ETOH

Purpose Quick Weight Loss Blood Sugar Control

paleo Whats your opinion

lowcarb IIFYM

Low Carb Diets

The Research bull Study by Foster et al

ndash At 3m and 6m weight loss was significantly greater in low CHO diet group

ndash At 12m both Low CHO diet group was the same as the conventional diet group

bull Study by Shai et al ndash Compared Low Carb to Mediterranean to Low-fat Diet over 2 years ndash Findings

bull Low Carb diet showed decreased levels in C-reactive protein bull Low Carb dieters likelier to have urinary ketones bull Mean weight loss over 2-years was 47kg for Low Carb 44kg for

Mediterranean diet and 29kg for low-fat diet

bull Study by Frassetto et al ndash 10 days on a Paleo diet resulted in decreased BP decreased total and

LDL cholesterol and improved insulin response

Socially Conscious Diets

Exposure No or very limited animal products in the diet Eat no more meat than is recommended in the dietary guidelines

Purpose Eat healthfully to minimize carbon footprint

Socially Conscious Diets

The Attraction

bull Good for environment

bull Rich in antioxidants

bull Animal friendly

The Challenges

bull Potential Vit Deficiency (iron B12)

bull Patient must be aware of PRO sources

bull Cost

bull Availability

EWG FOOD SCORES

flexitarian vegan monomealmacrobiotic

Socially Conscious Diets

The Research

bull Study by Raphaely et al ndash Individuals in the most developed countries over

consume meat

ndash Flexitarianism can significantly decrease the cost of stopping climate change if diets were implemented

bull Study by Barnard et al ndash Low-fat vegetarian and vegan diets were

associated with sustained weight loss and decreased plasma lipid concentrations

Intermittent Fasting

Exposure bull 3-1-2-1 Diet bull Intermittent Fasting (52) bull Warrior Diet under-eatfast during the day and eat at night bull The fast diet bull The 8 hour diet

Purpose Allow the body to use FAT instead of CHO for energy

Improve insulin mediated glucose uptake

cognitive improvement amp focus

intermittentfasting

Intermittent Fasting

The Challenges

bull Different than expected meal norms

bull Not eating

bull Balancing exercise and fasting

bull Medication Interaction

The Attraction

bull Only restriction is on timing not food

bull Simple ldquorulesrdquo

Intermittent Fasting

The Research

bull Study by Mattson etal bull IF enhances cardiovascular and brain function

bull IF reduces BP and increases insulin sensitivity

bull Study by Longo et al bull In rodents IF protects against diabetes cancers heart disease and

neurodegeneration

bull In humans IF helps reduce obesity hypertension asthma and rheumatoid arthritis

bull Study by Harvie et al bull IF was as effective as continuous energy restriction on weight loss insulin

sensitivity and other health biomarkersmdashleptin total cholesterol LDL high-sensitivity C-reactive protein TGrsquos and BP

bull Study by Varady et Al bull ADF may effectively modulate metabolic and functional nutrition risk factors

bull ADF may be effective in preventing or delaying the future occurrence of common chronic diseases at least in animal models

Other Popular Diets

bull Nordic Diet bull Mediterranean Diet bull Dr Weil Diet bull Whole 30 bull Biggest Loser bull Weight Watchers bull Meal Replacement Plans bull Raw Macrobiotic bull Alkaline (acidbase balance) bull FlexibleIf it Fits Your Macros bull Clean Eating bull Skinny Gut bull Flexitarian

bull Atkins bull Paleo bull Vegan bull Pegan bull Fat Black Dietmdashbulletproof coffee bull Keto Diet bull Viking Diet bull Zone Diet bull Gluten FreeWheat Belly bull Sugar Detox bull Low Fat Diets bull Mono Meal Diet bull Detox Diets bull Blood Type Diet bull Baby Food Diet bull Intermittent Fasting bull Dukan Diet

Food Trends

bull Ancient Grains Quinoa Spelt Freekah Millet Buckwheat and Amaranth

bull Coconut Oil bull ldquoSoupingrdquo is the new juicing bull Kalettes (mix of kale and

Brussels sprouts) bull Seeds and nuts for superfoods bull Bowls bull Juicing bull Smoothies bull Matcha Tea bull Bone Broth bull Fermented Food

bull Grass-Fed Dairy bull Spiralizing bull Seaweed bull Sprouted beans flours

legumes nuts and seeds bull Tumeric bull Butter and Coconut Butter bull Cauliflower in everything bull Tigernuts bull Animal welfare bull Environment bull Epigenetics

Popular Blogs Influencing Diet

bull Well+Good

bull Goop

bull Food Politics

bull Buzzfeed Food

bull Hangry Pants

bull Authority Nutrition

bull Oh She Glows

bull Refinery29

bull The Paleo Diet

bull Huffington Post

bull Stupid Easy Paleo bull No Meat Athlete bull Summer Tomato bull I ATE a PIE bull The Picky Eater bull Deliciously Ella bull Choosing Raw bull Healthy Happy Life

What Does This All Mean

bull Trends are largely a spin on the already existing

bull Staying abreast of trends can benefit the relationship between practitioner and patient by improving communication

bull Use clinical judgment and understand the foundation of the trend

Communication

It has long been recognized that difficulties in the effective delivery of health care can arise from problems in communication between patient and provider rather than from any failing in the technical aspects of medical care

Improvements in provider-patient communication can have beneficial effects on health outcomes Appropriate reassurance or pragmatic suggestions to help with problem solving and setting up a structured plan of action may be an important part of the patient care that is required

Med Clin North Am 2003 Sep87(5)1115-45 Patient-doctor communication Teutsch C

Choosing the ldquoRight Dietrdquo

Real

Food

Lean Protein

VegetablesFruits

Healthy Fats

CARBS

The role of the practitioner is to guide the patient to the most appropriate diet regardless of its popularity Trends should not be associated with negativity but rather a tool for the practitioner to use in greater access and exposure to diet change

Page 15: Nutrition Trends 2015€¦ · • Paleo • Vegan • Pegan • Fat Black Diet—bulletproof coffee • Keto Diet • Viking Diet • Zone Diet • Gluten Free/Wheat Belly • Sugar

glutenfree

8 MILLION POSTS USING GLUTENFREE

16K LIKES

Anti-Inflammatory Diets

The Research

bull Lyon Heart Study ndash AI diet Reduced death from repeat heart attacks by 50-70

bull HALE Study ndash In those aged 70-90 diet changes alone reduced death from all causes

by 23

ndash 65 lower mortality rate when regular activity no smoking and moderate drinking were added

bull Study by Esposito et al ndash AI diet decreased metabolic syndrome and cardiovascular disease

mediterraneandiet antiinflammatory

Low Carb Diets

The Attraction bull Initiates quick weight loss bull Can Improve

ndash A1c ndash Cholesterol amp TG rsquos ndash BP

bull Can Minimize ndash Inflammation ndash CHD TIIDM Obesity

Cancer

The Challenges

bull Limiting

bull Can be high unhealthy fats

bull May need to learn to cook foods differently and where to eat out

Exposure Can be as low as 20g CHOday High PRO High FAT often limitsrestricts ETOH

Purpose Quick Weight Loss Blood Sugar Control

paleo Whats your opinion

lowcarb IIFYM

Low Carb Diets

The Research bull Study by Foster et al

ndash At 3m and 6m weight loss was significantly greater in low CHO diet group

ndash At 12m both Low CHO diet group was the same as the conventional diet group

bull Study by Shai et al ndash Compared Low Carb to Mediterranean to Low-fat Diet over 2 years ndash Findings

bull Low Carb diet showed decreased levels in C-reactive protein bull Low Carb dieters likelier to have urinary ketones bull Mean weight loss over 2-years was 47kg for Low Carb 44kg for

Mediterranean diet and 29kg for low-fat diet

bull Study by Frassetto et al ndash 10 days on a Paleo diet resulted in decreased BP decreased total and

LDL cholesterol and improved insulin response

Socially Conscious Diets

Exposure No or very limited animal products in the diet Eat no more meat than is recommended in the dietary guidelines

Purpose Eat healthfully to minimize carbon footprint

Socially Conscious Diets

The Attraction

bull Good for environment

bull Rich in antioxidants

bull Animal friendly

The Challenges

bull Potential Vit Deficiency (iron B12)

bull Patient must be aware of PRO sources

bull Cost

bull Availability

EWG FOOD SCORES

flexitarian vegan monomealmacrobiotic

Socially Conscious Diets

The Research

bull Study by Raphaely et al ndash Individuals in the most developed countries over

consume meat

ndash Flexitarianism can significantly decrease the cost of stopping climate change if diets were implemented

bull Study by Barnard et al ndash Low-fat vegetarian and vegan diets were

associated with sustained weight loss and decreased plasma lipid concentrations

Intermittent Fasting

Exposure bull 3-1-2-1 Diet bull Intermittent Fasting (52) bull Warrior Diet under-eatfast during the day and eat at night bull The fast diet bull The 8 hour diet

Purpose Allow the body to use FAT instead of CHO for energy

Improve insulin mediated glucose uptake

cognitive improvement amp focus

intermittentfasting

Intermittent Fasting

The Challenges

bull Different than expected meal norms

bull Not eating

bull Balancing exercise and fasting

bull Medication Interaction

The Attraction

bull Only restriction is on timing not food

bull Simple ldquorulesrdquo

Intermittent Fasting

The Research

bull Study by Mattson etal bull IF enhances cardiovascular and brain function

bull IF reduces BP and increases insulin sensitivity

bull Study by Longo et al bull In rodents IF protects against diabetes cancers heart disease and

neurodegeneration

bull In humans IF helps reduce obesity hypertension asthma and rheumatoid arthritis

bull Study by Harvie et al bull IF was as effective as continuous energy restriction on weight loss insulin

sensitivity and other health biomarkersmdashleptin total cholesterol LDL high-sensitivity C-reactive protein TGrsquos and BP

bull Study by Varady et Al bull ADF may effectively modulate metabolic and functional nutrition risk factors

bull ADF may be effective in preventing or delaying the future occurrence of common chronic diseases at least in animal models

Other Popular Diets

bull Nordic Diet bull Mediterranean Diet bull Dr Weil Diet bull Whole 30 bull Biggest Loser bull Weight Watchers bull Meal Replacement Plans bull Raw Macrobiotic bull Alkaline (acidbase balance) bull FlexibleIf it Fits Your Macros bull Clean Eating bull Skinny Gut bull Flexitarian

bull Atkins bull Paleo bull Vegan bull Pegan bull Fat Black Dietmdashbulletproof coffee bull Keto Diet bull Viking Diet bull Zone Diet bull Gluten FreeWheat Belly bull Sugar Detox bull Low Fat Diets bull Mono Meal Diet bull Detox Diets bull Blood Type Diet bull Baby Food Diet bull Intermittent Fasting bull Dukan Diet

Food Trends

bull Ancient Grains Quinoa Spelt Freekah Millet Buckwheat and Amaranth

bull Coconut Oil bull ldquoSoupingrdquo is the new juicing bull Kalettes (mix of kale and

Brussels sprouts) bull Seeds and nuts for superfoods bull Bowls bull Juicing bull Smoothies bull Matcha Tea bull Bone Broth bull Fermented Food

bull Grass-Fed Dairy bull Spiralizing bull Seaweed bull Sprouted beans flours

legumes nuts and seeds bull Tumeric bull Butter and Coconut Butter bull Cauliflower in everything bull Tigernuts bull Animal welfare bull Environment bull Epigenetics

Popular Blogs Influencing Diet

bull Well+Good

bull Goop

bull Food Politics

bull Buzzfeed Food

bull Hangry Pants

bull Authority Nutrition

bull Oh She Glows

bull Refinery29

bull The Paleo Diet

bull Huffington Post

bull Stupid Easy Paleo bull No Meat Athlete bull Summer Tomato bull I ATE a PIE bull The Picky Eater bull Deliciously Ella bull Choosing Raw bull Healthy Happy Life

What Does This All Mean

bull Trends are largely a spin on the already existing

bull Staying abreast of trends can benefit the relationship between practitioner and patient by improving communication

bull Use clinical judgment and understand the foundation of the trend

Communication

It has long been recognized that difficulties in the effective delivery of health care can arise from problems in communication between patient and provider rather than from any failing in the technical aspects of medical care

Improvements in provider-patient communication can have beneficial effects on health outcomes Appropriate reassurance or pragmatic suggestions to help with problem solving and setting up a structured plan of action may be an important part of the patient care that is required

Med Clin North Am 2003 Sep87(5)1115-45 Patient-doctor communication Teutsch C

Choosing the ldquoRight Dietrdquo

Real

Food

Lean Protein

VegetablesFruits

Healthy Fats

CARBS

The role of the practitioner is to guide the patient to the most appropriate diet regardless of its popularity Trends should not be associated with negativity but rather a tool for the practitioner to use in greater access and exposure to diet change

Page 16: Nutrition Trends 2015€¦ · • Paleo • Vegan • Pegan • Fat Black Diet—bulletproof coffee • Keto Diet • Viking Diet • Zone Diet • Gluten Free/Wheat Belly • Sugar

Anti-Inflammatory Diets

The Research

bull Lyon Heart Study ndash AI diet Reduced death from repeat heart attacks by 50-70

bull HALE Study ndash In those aged 70-90 diet changes alone reduced death from all causes

by 23

ndash 65 lower mortality rate when regular activity no smoking and moderate drinking were added

bull Study by Esposito et al ndash AI diet decreased metabolic syndrome and cardiovascular disease

mediterraneandiet antiinflammatory

Low Carb Diets

The Attraction bull Initiates quick weight loss bull Can Improve

ndash A1c ndash Cholesterol amp TG rsquos ndash BP

bull Can Minimize ndash Inflammation ndash CHD TIIDM Obesity

Cancer

The Challenges

bull Limiting

bull Can be high unhealthy fats

bull May need to learn to cook foods differently and where to eat out

Exposure Can be as low as 20g CHOday High PRO High FAT often limitsrestricts ETOH

Purpose Quick Weight Loss Blood Sugar Control

paleo Whats your opinion

lowcarb IIFYM

Low Carb Diets

The Research bull Study by Foster et al

ndash At 3m and 6m weight loss was significantly greater in low CHO diet group

ndash At 12m both Low CHO diet group was the same as the conventional diet group

bull Study by Shai et al ndash Compared Low Carb to Mediterranean to Low-fat Diet over 2 years ndash Findings

bull Low Carb diet showed decreased levels in C-reactive protein bull Low Carb dieters likelier to have urinary ketones bull Mean weight loss over 2-years was 47kg for Low Carb 44kg for

Mediterranean diet and 29kg for low-fat diet

bull Study by Frassetto et al ndash 10 days on a Paleo diet resulted in decreased BP decreased total and

LDL cholesterol and improved insulin response

Socially Conscious Diets

Exposure No or very limited animal products in the diet Eat no more meat than is recommended in the dietary guidelines

Purpose Eat healthfully to minimize carbon footprint

Socially Conscious Diets

The Attraction

bull Good for environment

bull Rich in antioxidants

bull Animal friendly

The Challenges

bull Potential Vit Deficiency (iron B12)

bull Patient must be aware of PRO sources

bull Cost

bull Availability

EWG FOOD SCORES

flexitarian vegan monomealmacrobiotic

Socially Conscious Diets

The Research

bull Study by Raphaely et al ndash Individuals in the most developed countries over

consume meat

ndash Flexitarianism can significantly decrease the cost of stopping climate change if diets were implemented

bull Study by Barnard et al ndash Low-fat vegetarian and vegan diets were

associated with sustained weight loss and decreased plasma lipid concentrations

Intermittent Fasting

Exposure bull 3-1-2-1 Diet bull Intermittent Fasting (52) bull Warrior Diet under-eatfast during the day and eat at night bull The fast diet bull The 8 hour diet

Purpose Allow the body to use FAT instead of CHO for energy

Improve insulin mediated glucose uptake

cognitive improvement amp focus

intermittentfasting

Intermittent Fasting

The Challenges

bull Different than expected meal norms

bull Not eating

bull Balancing exercise and fasting

bull Medication Interaction

The Attraction

bull Only restriction is on timing not food

bull Simple ldquorulesrdquo

Intermittent Fasting

The Research

bull Study by Mattson etal bull IF enhances cardiovascular and brain function

bull IF reduces BP and increases insulin sensitivity

bull Study by Longo et al bull In rodents IF protects against diabetes cancers heart disease and

neurodegeneration

bull In humans IF helps reduce obesity hypertension asthma and rheumatoid arthritis

bull Study by Harvie et al bull IF was as effective as continuous energy restriction on weight loss insulin

sensitivity and other health biomarkersmdashleptin total cholesterol LDL high-sensitivity C-reactive protein TGrsquos and BP

bull Study by Varady et Al bull ADF may effectively modulate metabolic and functional nutrition risk factors

bull ADF may be effective in preventing or delaying the future occurrence of common chronic diseases at least in animal models

Other Popular Diets

bull Nordic Diet bull Mediterranean Diet bull Dr Weil Diet bull Whole 30 bull Biggest Loser bull Weight Watchers bull Meal Replacement Plans bull Raw Macrobiotic bull Alkaline (acidbase balance) bull FlexibleIf it Fits Your Macros bull Clean Eating bull Skinny Gut bull Flexitarian

bull Atkins bull Paleo bull Vegan bull Pegan bull Fat Black Dietmdashbulletproof coffee bull Keto Diet bull Viking Diet bull Zone Diet bull Gluten FreeWheat Belly bull Sugar Detox bull Low Fat Diets bull Mono Meal Diet bull Detox Diets bull Blood Type Diet bull Baby Food Diet bull Intermittent Fasting bull Dukan Diet

Food Trends

bull Ancient Grains Quinoa Spelt Freekah Millet Buckwheat and Amaranth

bull Coconut Oil bull ldquoSoupingrdquo is the new juicing bull Kalettes (mix of kale and

Brussels sprouts) bull Seeds and nuts for superfoods bull Bowls bull Juicing bull Smoothies bull Matcha Tea bull Bone Broth bull Fermented Food

bull Grass-Fed Dairy bull Spiralizing bull Seaweed bull Sprouted beans flours

legumes nuts and seeds bull Tumeric bull Butter and Coconut Butter bull Cauliflower in everything bull Tigernuts bull Animal welfare bull Environment bull Epigenetics

Popular Blogs Influencing Diet

bull Well+Good

bull Goop

bull Food Politics

bull Buzzfeed Food

bull Hangry Pants

bull Authority Nutrition

bull Oh She Glows

bull Refinery29

bull The Paleo Diet

bull Huffington Post

bull Stupid Easy Paleo bull No Meat Athlete bull Summer Tomato bull I ATE a PIE bull The Picky Eater bull Deliciously Ella bull Choosing Raw bull Healthy Happy Life

What Does This All Mean

bull Trends are largely a spin on the already existing

bull Staying abreast of trends can benefit the relationship between practitioner and patient by improving communication

bull Use clinical judgment and understand the foundation of the trend

Communication

It has long been recognized that difficulties in the effective delivery of health care can arise from problems in communication between patient and provider rather than from any failing in the technical aspects of medical care

Improvements in provider-patient communication can have beneficial effects on health outcomes Appropriate reassurance or pragmatic suggestions to help with problem solving and setting up a structured plan of action may be an important part of the patient care that is required

Med Clin North Am 2003 Sep87(5)1115-45 Patient-doctor communication Teutsch C

Choosing the ldquoRight Dietrdquo

Real

Food

Lean Protein

VegetablesFruits

Healthy Fats

CARBS

The role of the practitioner is to guide the patient to the most appropriate diet regardless of its popularity Trends should not be associated with negativity but rather a tool for the practitioner to use in greater access and exposure to diet change

Page 17: Nutrition Trends 2015€¦ · • Paleo • Vegan • Pegan • Fat Black Diet—bulletproof coffee • Keto Diet • Viking Diet • Zone Diet • Gluten Free/Wheat Belly • Sugar

mediterraneandiet antiinflammatory

Low Carb Diets

The Attraction bull Initiates quick weight loss bull Can Improve

ndash A1c ndash Cholesterol amp TG rsquos ndash BP

bull Can Minimize ndash Inflammation ndash CHD TIIDM Obesity

Cancer

The Challenges

bull Limiting

bull Can be high unhealthy fats

bull May need to learn to cook foods differently and where to eat out

Exposure Can be as low as 20g CHOday High PRO High FAT often limitsrestricts ETOH

Purpose Quick Weight Loss Blood Sugar Control

paleo Whats your opinion

lowcarb IIFYM

Low Carb Diets

The Research bull Study by Foster et al

ndash At 3m and 6m weight loss was significantly greater in low CHO diet group

ndash At 12m both Low CHO diet group was the same as the conventional diet group

bull Study by Shai et al ndash Compared Low Carb to Mediterranean to Low-fat Diet over 2 years ndash Findings

bull Low Carb diet showed decreased levels in C-reactive protein bull Low Carb dieters likelier to have urinary ketones bull Mean weight loss over 2-years was 47kg for Low Carb 44kg for

Mediterranean diet and 29kg for low-fat diet

bull Study by Frassetto et al ndash 10 days on a Paleo diet resulted in decreased BP decreased total and

LDL cholesterol and improved insulin response

Socially Conscious Diets

Exposure No or very limited animal products in the diet Eat no more meat than is recommended in the dietary guidelines

Purpose Eat healthfully to minimize carbon footprint

Socially Conscious Diets

The Attraction

bull Good for environment

bull Rich in antioxidants

bull Animal friendly

The Challenges

bull Potential Vit Deficiency (iron B12)

bull Patient must be aware of PRO sources

bull Cost

bull Availability

EWG FOOD SCORES

flexitarian vegan monomealmacrobiotic

Socially Conscious Diets

The Research

bull Study by Raphaely et al ndash Individuals in the most developed countries over

consume meat

ndash Flexitarianism can significantly decrease the cost of stopping climate change if diets were implemented

bull Study by Barnard et al ndash Low-fat vegetarian and vegan diets were

associated with sustained weight loss and decreased plasma lipid concentrations

Intermittent Fasting

Exposure bull 3-1-2-1 Diet bull Intermittent Fasting (52) bull Warrior Diet under-eatfast during the day and eat at night bull The fast diet bull The 8 hour diet

Purpose Allow the body to use FAT instead of CHO for energy

Improve insulin mediated glucose uptake

cognitive improvement amp focus

intermittentfasting

Intermittent Fasting

The Challenges

bull Different than expected meal norms

bull Not eating

bull Balancing exercise and fasting

bull Medication Interaction

The Attraction

bull Only restriction is on timing not food

bull Simple ldquorulesrdquo

Intermittent Fasting

The Research

bull Study by Mattson etal bull IF enhances cardiovascular and brain function

bull IF reduces BP and increases insulin sensitivity

bull Study by Longo et al bull In rodents IF protects against diabetes cancers heart disease and

neurodegeneration

bull In humans IF helps reduce obesity hypertension asthma and rheumatoid arthritis

bull Study by Harvie et al bull IF was as effective as continuous energy restriction on weight loss insulin

sensitivity and other health biomarkersmdashleptin total cholesterol LDL high-sensitivity C-reactive protein TGrsquos and BP

bull Study by Varady et Al bull ADF may effectively modulate metabolic and functional nutrition risk factors

bull ADF may be effective in preventing or delaying the future occurrence of common chronic diseases at least in animal models

Other Popular Diets

bull Nordic Diet bull Mediterranean Diet bull Dr Weil Diet bull Whole 30 bull Biggest Loser bull Weight Watchers bull Meal Replacement Plans bull Raw Macrobiotic bull Alkaline (acidbase balance) bull FlexibleIf it Fits Your Macros bull Clean Eating bull Skinny Gut bull Flexitarian

bull Atkins bull Paleo bull Vegan bull Pegan bull Fat Black Dietmdashbulletproof coffee bull Keto Diet bull Viking Diet bull Zone Diet bull Gluten FreeWheat Belly bull Sugar Detox bull Low Fat Diets bull Mono Meal Diet bull Detox Diets bull Blood Type Diet bull Baby Food Diet bull Intermittent Fasting bull Dukan Diet

Food Trends

bull Ancient Grains Quinoa Spelt Freekah Millet Buckwheat and Amaranth

bull Coconut Oil bull ldquoSoupingrdquo is the new juicing bull Kalettes (mix of kale and

Brussels sprouts) bull Seeds and nuts for superfoods bull Bowls bull Juicing bull Smoothies bull Matcha Tea bull Bone Broth bull Fermented Food

bull Grass-Fed Dairy bull Spiralizing bull Seaweed bull Sprouted beans flours

legumes nuts and seeds bull Tumeric bull Butter and Coconut Butter bull Cauliflower in everything bull Tigernuts bull Animal welfare bull Environment bull Epigenetics

Popular Blogs Influencing Diet

bull Well+Good

bull Goop

bull Food Politics

bull Buzzfeed Food

bull Hangry Pants

bull Authority Nutrition

bull Oh She Glows

bull Refinery29

bull The Paleo Diet

bull Huffington Post

bull Stupid Easy Paleo bull No Meat Athlete bull Summer Tomato bull I ATE a PIE bull The Picky Eater bull Deliciously Ella bull Choosing Raw bull Healthy Happy Life

What Does This All Mean

bull Trends are largely a spin on the already existing

bull Staying abreast of trends can benefit the relationship between practitioner and patient by improving communication

bull Use clinical judgment and understand the foundation of the trend

Communication

It has long been recognized that difficulties in the effective delivery of health care can arise from problems in communication between patient and provider rather than from any failing in the technical aspects of medical care

Improvements in provider-patient communication can have beneficial effects on health outcomes Appropriate reassurance or pragmatic suggestions to help with problem solving and setting up a structured plan of action may be an important part of the patient care that is required

Med Clin North Am 2003 Sep87(5)1115-45 Patient-doctor communication Teutsch C

Choosing the ldquoRight Dietrdquo

Real

Food

Lean Protein

VegetablesFruits

Healthy Fats

CARBS

The role of the practitioner is to guide the patient to the most appropriate diet regardless of its popularity Trends should not be associated with negativity but rather a tool for the practitioner to use in greater access and exposure to diet change

Page 18: Nutrition Trends 2015€¦ · • Paleo • Vegan • Pegan • Fat Black Diet—bulletproof coffee • Keto Diet • Viking Diet • Zone Diet • Gluten Free/Wheat Belly • Sugar

Low Carb Diets

The Attraction bull Initiates quick weight loss bull Can Improve

ndash A1c ndash Cholesterol amp TG rsquos ndash BP

bull Can Minimize ndash Inflammation ndash CHD TIIDM Obesity

Cancer

The Challenges

bull Limiting

bull Can be high unhealthy fats

bull May need to learn to cook foods differently and where to eat out

Exposure Can be as low as 20g CHOday High PRO High FAT often limitsrestricts ETOH

Purpose Quick Weight Loss Blood Sugar Control

paleo Whats your opinion

lowcarb IIFYM

Low Carb Diets

The Research bull Study by Foster et al

ndash At 3m and 6m weight loss was significantly greater in low CHO diet group

ndash At 12m both Low CHO diet group was the same as the conventional diet group

bull Study by Shai et al ndash Compared Low Carb to Mediterranean to Low-fat Diet over 2 years ndash Findings

bull Low Carb diet showed decreased levels in C-reactive protein bull Low Carb dieters likelier to have urinary ketones bull Mean weight loss over 2-years was 47kg for Low Carb 44kg for

Mediterranean diet and 29kg for low-fat diet

bull Study by Frassetto et al ndash 10 days on a Paleo diet resulted in decreased BP decreased total and

LDL cholesterol and improved insulin response

Socially Conscious Diets

Exposure No or very limited animal products in the diet Eat no more meat than is recommended in the dietary guidelines

Purpose Eat healthfully to minimize carbon footprint

Socially Conscious Diets

The Attraction

bull Good for environment

bull Rich in antioxidants

bull Animal friendly

The Challenges

bull Potential Vit Deficiency (iron B12)

bull Patient must be aware of PRO sources

bull Cost

bull Availability

EWG FOOD SCORES

flexitarian vegan monomealmacrobiotic

Socially Conscious Diets

The Research

bull Study by Raphaely et al ndash Individuals in the most developed countries over

consume meat

ndash Flexitarianism can significantly decrease the cost of stopping climate change if diets were implemented

bull Study by Barnard et al ndash Low-fat vegetarian and vegan diets were

associated with sustained weight loss and decreased plasma lipid concentrations

Intermittent Fasting

Exposure bull 3-1-2-1 Diet bull Intermittent Fasting (52) bull Warrior Diet under-eatfast during the day and eat at night bull The fast diet bull The 8 hour diet

Purpose Allow the body to use FAT instead of CHO for energy

Improve insulin mediated glucose uptake

cognitive improvement amp focus

intermittentfasting

Intermittent Fasting

The Challenges

bull Different than expected meal norms

bull Not eating

bull Balancing exercise and fasting

bull Medication Interaction

The Attraction

bull Only restriction is on timing not food

bull Simple ldquorulesrdquo

Intermittent Fasting

The Research

bull Study by Mattson etal bull IF enhances cardiovascular and brain function

bull IF reduces BP and increases insulin sensitivity

bull Study by Longo et al bull In rodents IF protects against diabetes cancers heart disease and

neurodegeneration

bull In humans IF helps reduce obesity hypertension asthma and rheumatoid arthritis

bull Study by Harvie et al bull IF was as effective as continuous energy restriction on weight loss insulin

sensitivity and other health biomarkersmdashleptin total cholesterol LDL high-sensitivity C-reactive protein TGrsquos and BP

bull Study by Varady et Al bull ADF may effectively modulate metabolic and functional nutrition risk factors

bull ADF may be effective in preventing or delaying the future occurrence of common chronic diseases at least in animal models

Other Popular Diets

bull Nordic Diet bull Mediterranean Diet bull Dr Weil Diet bull Whole 30 bull Biggest Loser bull Weight Watchers bull Meal Replacement Plans bull Raw Macrobiotic bull Alkaline (acidbase balance) bull FlexibleIf it Fits Your Macros bull Clean Eating bull Skinny Gut bull Flexitarian

bull Atkins bull Paleo bull Vegan bull Pegan bull Fat Black Dietmdashbulletproof coffee bull Keto Diet bull Viking Diet bull Zone Diet bull Gluten FreeWheat Belly bull Sugar Detox bull Low Fat Diets bull Mono Meal Diet bull Detox Diets bull Blood Type Diet bull Baby Food Diet bull Intermittent Fasting bull Dukan Diet

Food Trends

bull Ancient Grains Quinoa Spelt Freekah Millet Buckwheat and Amaranth

bull Coconut Oil bull ldquoSoupingrdquo is the new juicing bull Kalettes (mix of kale and

Brussels sprouts) bull Seeds and nuts for superfoods bull Bowls bull Juicing bull Smoothies bull Matcha Tea bull Bone Broth bull Fermented Food

bull Grass-Fed Dairy bull Spiralizing bull Seaweed bull Sprouted beans flours

legumes nuts and seeds bull Tumeric bull Butter and Coconut Butter bull Cauliflower in everything bull Tigernuts bull Animal welfare bull Environment bull Epigenetics

Popular Blogs Influencing Diet

bull Well+Good

bull Goop

bull Food Politics

bull Buzzfeed Food

bull Hangry Pants

bull Authority Nutrition

bull Oh She Glows

bull Refinery29

bull The Paleo Diet

bull Huffington Post

bull Stupid Easy Paleo bull No Meat Athlete bull Summer Tomato bull I ATE a PIE bull The Picky Eater bull Deliciously Ella bull Choosing Raw bull Healthy Happy Life

What Does This All Mean

bull Trends are largely a spin on the already existing

bull Staying abreast of trends can benefit the relationship between practitioner and patient by improving communication

bull Use clinical judgment and understand the foundation of the trend

Communication

It has long been recognized that difficulties in the effective delivery of health care can arise from problems in communication between patient and provider rather than from any failing in the technical aspects of medical care

Improvements in provider-patient communication can have beneficial effects on health outcomes Appropriate reassurance or pragmatic suggestions to help with problem solving and setting up a structured plan of action may be an important part of the patient care that is required

Med Clin North Am 2003 Sep87(5)1115-45 Patient-doctor communication Teutsch C

Choosing the ldquoRight Dietrdquo

Real

Food

Lean Protein

VegetablesFruits

Healthy Fats

CARBS

The role of the practitioner is to guide the patient to the most appropriate diet regardless of its popularity Trends should not be associated with negativity but rather a tool for the practitioner to use in greater access and exposure to diet change

Page 19: Nutrition Trends 2015€¦ · • Paleo • Vegan • Pegan • Fat Black Diet—bulletproof coffee • Keto Diet • Viking Diet • Zone Diet • Gluten Free/Wheat Belly • Sugar

paleo Whats your opinion

lowcarb IIFYM

Low Carb Diets

The Research bull Study by Foster et al

ndash At 3m and 6m weight loss was significantly greater in low CHO diet group

ndash At 12m both Low CHO diet group was the same as the conventional diet group

bull Study by Shai et al ndash Compared Low Carb to Mediterranean to Low-fat Diet over 2 years ndash Findings

bull Low Carb diet showed decreased levels in C-reactive protein bull Low Carb dieters likelier to have urinary ketones bull Mean weight loss over 2-years was 47kg for Low Carb 44kg for

Mediterranean diet and 29kg for low-fat diet

bull Study by Frassetto et al ndash 10 days on a Paleo diet resulted in decreased BP decreased total and

LDL cholesterol and improved insulin response

Socially Conscious Diets

Exposure No or very limited animal products in the diet Eat no more meat than is recommended in the dietary guidelines

Purpose Eat healthfully to minimize carbon footprint

Socially Conscious Diets

The Attraction

bull Good for environment

bull Rich in antioxidants

bull Animal friendly

The Challenges

bull Potential Vit Deficiency (iron B12)

bull Patient must be aware of PRO sources

bull Cost

bull Availability

EWG FOOD SCORES

flexitarian vegan monomealmacrobiotic

Socially Conscious Diets

The Research

bull Study by Raphaely et al ndash Individuals in the most developed countries over

consume meat

ndash Flexitarianism can significantly decrease the cost of stopping climate change if diets were implemented

bull Study by Barnard et al ndash Low-fat vegetarian and vegan diets were

associated with sustained weight loss and decreased plasma lipid concentrations

Intermittent Fasting

Exposure bull 3-1-2-1 Diet bull Intermittent Fasting (52) bull Warrior Diet under-eatfast during the day and eat at night bull The fast diet bull The 8 hour diet

Purpose Allow the body to use FAT instead of CHO for energy

Improve insulin mediated glucose uptake

cognitive improvement amp focus

intermittentfasting

Intermittent Fasting

The Challenges

bull Different than expected meal norms

bull Not eating

bull Balancing exercise and fasting

bull Medication Interaction

The Attraction

bull Only restriction is on timing not food

bull Simple ldquorulesrdquo

Intermittent Fasting

The Research

bull Study by Mattson etal bull IF enhances cardiovascular and brain function

bull IF reduces BP and increases insulin sensitivity

bull Study by Longo et al bull In rodents IF protects against diabetes cancers heart disease and

neurodegeneration

bull In humans IF helps reduce obesity hypertension asthma and rheumatoid arthritis

bull Study by Harvie et al bull IF was as effective as continuous energy restriction on weight loss insulin

sensitivity and other health biomarkersmdashleptin total cholesterol LDL high-sensitivity C-reactive protein TGrsquos and BP

bull Study by Varady et Al bull ADF may effectively modulate metabolic and functional nutrition risk factors

bull ADF may be effective in preventing or delaying the future occurrence of common chronic diseases at least in animal models

Other Popular Diets

bull Nordic Diet bull Mediterranean Diet bull Dr Weil Diet bull Whole 30 bull Biggest Loser bull Weight Watchers bull Meal Replacement Plans bull Raw Macrobiotic bull Alkaline (acidbase balance) bull FlexibleIf it Fits Your Macros bull Clean Eating bull Skinny Gut bull Flexitarian

bull Atkins bull Paleo bull Vegan bull Pegan bull Fat Black Dietmdashbulletproof coffee bull Keto Diet bull Viking Diet bull Zone Diet bull Gluten FreeWheat Belly bull Sugar Detox bull Low Fat Diets bull Mono Meal Diet bull Detox Diets bull Blood Type Diet bull Baby Food Diet bull Intermittent Fasting bull Dukan Diet

Food Trends

bull Ancient Grains Quinoa Spelt Freekah Millet Buckwheat and Amaranth

bull Coconut Oil bull ldquoSoupingrdquo is the new juicing bull Kalettes (mix of kale and

Brussels sprouts) bull Seeds and nuts for superfoods bull Bowls bull Juicing bull Smoothies bull Matcha Tea bull Bone Broth bull Fermented Food

bull Grass-Fed Dairy bull Spiralizing bull Seaweed bull Sprouted beans flours

legumes nuts and seeds bull Tumeric bull Butter and Coconut Butter bull Cauliflower in everything bull Tigernuts bull Animal welfare bull Environment bull Epigenetics

Popular Blogs Influencing Diet

bull Well+Good

bull Goop

bull Food Politics

bull Buzzfeed Food

bull Hangry Pants

bull Authority Nutrition

bull Oh She Glows

bull Refinery29

bull The Paleo Diet

bull Huffington Post

bull Stupid Easy Paleo bull No Meat Athlete bull Summer Tomato bull I ATE a PIE bull The Picky Eater bull Deliciously Ella bull Choosing Raw bull Healthy Happy Life

What Does This All Mean

bull Trends are largely a spin on the already existing

bull Staying abreast of trends can benefit the relationship between practitioner and patient by improving communication

bull Use clinical judgment and understand the foundation of the trend

Communication

It has long been recognized that difficulties in the effective delivery of health care can arise from problems in communication between patient and provider rather than from any failing in the technical aspects of medical care

Improvements in provider-patient communication can have beneficial effects on health outcomes Appropriate reassurance or pragmatic suggestions to help with problem solving and setting up a structured plan of action may be an important part of the patient care that is required

Med Clin North Am 2003 Sep87(5)1115-45 Patient-doctor communication Teutsch C

Choosing the ldquoRight Dietrdquo

Real

Food

Lean Protein

VegetablesFruits

Healthy Fats

CARBS

The role of the practitioner is to guide the patient to the most appropriate diet regardless of its popularity Trends should not be associated with negativity but rather a tool for the practitioner to use in greater access and exposure to diet change

Page 20: Nutrition Trends 2015€¦ · • Paleo • Vegan • Pegan • Fat Black Diet—bulletproof coffee • Keto Diet • Viking Diet • Zone Diet • Gluten Free/Wheat Belly • Sugar

lowcarb IIFYM

Low Carb Diets

The Research bull Study by Foster et al

ndash At 3m and 6m weight loss was significantly greater in low CHO diet group

ndash At 12m both Low CHO diet group was the same as the conventional diet group

bull Study by Shai et al ndash Compared Low Carb to Mediterranean to Low-fat Diet over 2 years ndash Findings

bull Low Carb diet showed decreased levels in C-reactive protein bull Low Carb dieters likelier to have urinary ketones bull Mean weight loss over 2-years was 47kg for Low Carb 44kg for

Mediterranean diet and 29kg for low-fat diet

bull Study by Frassetto et al ndash 10 days on a Paleo diet resulted in decreased BP decreased total and

LDL cholesterol and improved insulin response

Socially Conscious Diets

Exposure No or very limited animal products in the diet Eat no more meat than is recommended in the dietary guidelines

Purpose Eat healthfully to minimize carbon footprint

Socially Conscious Diets

The Attraction

bull Good for environment

bull Rich in antioxidants

bull Animal friendly

The Challenges

bull Potential Vit Deficiency (iron B12)

bull Patient must be aware of PRO sources

bull Cost

bull Availability

EWG FOOD SCORES

flexitarian vegan monomealmacrobiotic

Socially Conscious Diets

The Research

bull Study by Raphaely et al ndash Individuals in the most developed countries over

consume meat

ndash Flexitarianism can significantly decrease the cost of stopping climate change if diets were implemented

bull Study by Barnard et al ndash Low-fat vegetarian and vegan diets were

associated with sustained weight loss and decreased plasma lipid concentrations

Intermittent Fasting

Exposure bull 3-1-2-1 Diet bull Intermittent Fasting (52) bull Warrior Diet under-eatfast during the day and eat at night bull The fast diet bull The 8 hour diet

Purpose Allow the body to use FAT instead of CHO for energy

Improve insulin mediated glucose uptake

cognitive improvement amp focus

intermittentfasting

Intermittent Fasting

The Challenges

bull Different than expected meal norms

bull Not eating

bull Balancing exercise and fasting

bull Medication Interaction

The Attraction

bull Only restriction is on timing not food

bull Simple ldquorulesrdquo

Intermittent Fasting

The Research

bull Study by Mattson etal bull IF enhances cardiovascular and brain function

bull IF reduces BP and increases insulin sensitivity

bull Study by Longo et al bull In rodents IF protects against diabetes cancers heart disease and

neurodegeneration

bull In humans IF helps reduce obesity hypertension asthma and rheumatoid arthritis

bull Study by Harvie et al bull IF was as effective as continuous energy restriction on weight loss insulin

sensitivity and other health biomarkersmdashleptin total cholesterol LDL high-sensitivity C-reactive protein TGrsquos and BP

bull Study by Varady et Al bull ADF may effectively modulate metabolic and functional nutrition risk factors

bull ADF may be effective in preventing or delaying the future occurrence of common chronic diseases at least in animal models

Other Popular Diets

bull Nordic Diet bull Mediterranean Diet bull Dr Weil Diet bull Whole 30 bull Biggest Loser bull Weight Watchers bull Meal Replacement Plans bull Raw Macrobiotic bull Alkaline (acidbase balance) bull FlexibleIf it Fits Your Macros bull Clean Eating bull Skinny Gut bull Flexitarian

bull Atkins bull Paleo bull Vegan bull Pegan bull Fat Black Dietmdashbulletproof coffee bull Keto Diet bull Viking Diet bull Zone Diet bull Gluten FreeWheat Belly bull Sugar Detox bull Low Fat Diets bull Mono Meal Diet bull Detox Diets bull Blood Type Diet bull Baby Food Diet bull Intermittent Fasting bull Dukan Diet

Food Trends

bull Ancient Grains Quinoa Spelt Freekah Millet Buckwheat and Amaranth

bull Coconut Oil bull ldquoSoupingrdquo is the new juicing bull Kalettes (mix of kale and

Brussels sprouts) bull Seeds and nuts for superfoods bull Bowls bull Juicing bull Smoothies bull Matcha Tea bull Bone Broth bull Fermented Food

bull Grass-Fed Dairy bull Spiralizing bull Seaweed bull Sprouted beans flours

legumes nuts and seeds bull Tumeric bull Butter and Coconut Butter bull Cauliflower in everything bull Tigernuts bull Animal welfare bull Environment bull Epigenetics

Popular Blogs Influencing Diet

bull Well+Good

bull Goop

bull Food Politics

bull Buzzfeed Food

bull Hangry Pants

bull Authority Nutrition

bull Oh She Glows

bull Refinery29

bull The Paleo Diet

bull Huffington Post

bull Stupid Easy Paleo bull No Meat Athlete bull Summer Tomato bull I ATE a PIE bull The Picky Eater bull Deliciously Ella bull Choosing Raw bull Healthy Happy Life

What Does This All Mean

bull Trends are largely a spin on the already existing

bull Staying abreast of trends can benefit the relationship between practitioner and patient by improving communication

bull Use clinical judgment and understand the foundation of the trend

Communication

It has long been recognized that difficulties in the effective delivery of health care can arise from problems in communication between patient and provider rather than from any failing in the technical aspects of medical care

Improvements in provider-patient communication can have beneficial effects on health outcomes Appropriate reassurance or pragmatic suggestions to help with problem solving and setting up a structured plan of action may be an important part of the patient care that is required

Med Clin North Am 2003 Sep87(5)1115-45 Patient-doctor communication Teutsch C

Choosing the ldquoRight Dietrdquo

Real

Food

Lean Protein

VegetablesFruits

Healthy Fats

CARBS

The role of the practitioner is to guide the patient to the most appropriate diet regardless of its popularity Trends should not be associated with negativity but rather a tool for the practitioner to use in greater access and exposure to diet change

Page 21: Nutrition Trends 2015€¦ · • Paleo • Vegan • Pegan • Fat Black Diet—bulletproof coffee • Keto Diet • Viking Diet • Zone Diet • Gluten Free/Wheat Belly • Sugar

Low Carb Diets

The Research bull Study by Foster et al

ndash At 3m and 6m weight loss was significantly greater in low CHO diet group

ndash At 12m both Low CHO diet group was the same as the conventional diet group

bull Study by Shai et al ndash Compared Low Carb to Mediterranean to Low-fat Diet over 2 years ndash Findings

bull Low Carb diet showed decreased levels in C-reactive protein bull Low Carb dieters likelier to have urinary ketones bull Mean weight loss over 2-years was 47kg for Low Carb 44kg for

Mediterranean diet and 29kg for low-fat diet

bull Study by Frassetto et al ndash 10 days on a Paleo diet resulted in decreased BP decreased total and

LDL cholesterol and improved insulin response

Socially Conscious Diets

Exposure No or very limited animal products in the diet Eat no more meat than is recommended in the dietary guidelines

Purpose Eat healthfully to minimize carbon footprint

Socially Conscious Diets

The Attraction

bull Good for environment

bull Rich in antioxidants

bull Animal friendly

The Challenges

bull Potential Vit Deficiency (iron B12)

bull Patient must be aware of PRO sources

bull Cost

bull Availability

EWG FOOD SCORES

flexitarian vegan monomealmacrobiotic

Socially Conscious Diets

The Research

bull Study by Raphaely et al ndash Individuals in the most developed countries over

consume meat

ndash Flexitarianism can significantly decrease the cost of stopping climate change if diets were implemented

bull Study by Barnard et al ndash Low-fat vegetarian and vegan diets were

associated with sustained weight loss and decreased plasma lipid concentrations

Intermittent Fasting

Exposure bull 3-1-2-1 Diet bull Intermittent Fasting (52) bull Warrior Diet under-eatfast during the day and eat at night bull The fast diet bull The 8 hour diet

Purpose Allow the body to use FAT instead of CHO for energy

Improve insulin mediated glucose uptake

cognitive improvement amp focus

intermittentfasting

Intermittent Fasting

The Challenges

bull Different than expected meal norms

bull Not eating

bull Balancing exercise and fasting

bull Medication Interaction

The Attraction

bull Only restriction is on timing not food

bull Simple ldquorulesrdquo

Intermittent Fasting

The Research

bull Study by Mattson etal bull IF enhances cardiovascular and brain function

bull IF reduces BP and increases insulin sensitivity

bull Study by Longo et al bull In rodents IF protects against diabetes cancers heart disease and

neurodegeneration

bull In humans IF helps reduce obesity hypertension asthma and rheumatoid arthritis

bull Study by Harvie et al bull IF was as effective as continuous energy restriction on weight loss insulin

sensitivity and other health biomarkersmdashleptin total cholesterol LDL high-sensitivity C-reactive protein TGrsquos and BP

bull Study by Varady et Al bull ADF may effectively modulate metabolic and functional nutrition risk factors

bull ADF may be effective in preventing or delaying the future occurrence of common chronic diseases at least in animal models

Other Popular Diets

bull Nordic Diet bull Mediterranean Diet bull Dr Weil Diet bull Whole 30 bull Biggest Loser bull Weight Watchers bull Meal Replacement Plans bull Raw Macrobiotic bull Alkaline (acidbase balance) bull FlexibleIf it Fits Your Macros bull Clean Eating bull Skinny Gut bull Flexitarian

bull Atkins bull Paleo bull Vegan bull Pegan bull Fat Black Dietmdashbulletproof coffee bull Keto Diet bull Viking Diet bull Zone Diet bull Gluten FreeWheat Belly bull Sugar Detox bull Low Fat Diets bull Mono Meal Diet bull Detox Diets bull Blood Type Diet bull Baby Food Diet bull Intermittent Fasting bull Dukan Diet

Food Trends

bull Ancient Grains Quinoa Spelt Freekah Millet Buckwheat and Amaranth

bull Coconut Oil bull ldquoSoupingrdquo is the new juicing bull Kalettes (mix of kale and

Brussels sprouts) bull Seeds and nuts for superfoods bull Bowls bull Juicing bull Smoothies bull Matcha Tea bull Bone Broth bull Fermented Food

bull Grass-Fed Dairy bull Spiralizing bull Seaweed bull Sprouted beans flours

legumes nuts and seeds bull Tumeric bull Butter and Coconut Butter bull Cauliflower in everything bull Tigernuts bull Animal welfare bull Environment bull Epigenetics

Popular Blogs Influencing Diet

bull Well+Good

bull Goop

bull Food Politics

bull Buzzfeed Food

bull Hangry Pants

bull Authority Nutrition

bull Oh She Glows

bull Refinery29

bull The Paleo Diet

bull Huffington Post

bull Stupid Easy Paleo bull No Meat Athlete bull Summer Tomato bull I ATE a PIE bull The Picky Eater bull Deliciously Ella bull Choosing Raw bull Healthy Happy Life

What Does This All Mean

bull Trends are largely a spin on the already existing

bull Staying abreast of trends can benefit the relationship between practitioner and patient by improving communication

bull Use clinical judgment and understand the foundation of the trend

Communication

It has long been recognized that difficulties in the effective delivery of health care can arise from problems in communication between patient and provider rather than from any failing in the technical aspects of medical care

Improvements in provider-patient communication can have beneficial effects on health outcomes Appropriate reassurance or pragmatic suggestions to help with problem solving and setting up a structured plan of action may be an important part of the patient care that is required

Med Clin North Am 2003 Sep87(5)1115-45 Patient-doctor communication Teutsch C

Choosing the ldquoRight Dietrdquo

Real

Food

Lean Protein

VegetablesFruits

Healthy Fats

CARBS

The role of the practitioner is to guide the patient to the most appropriate diet regardless of its popularity Trends should not be associated with negativity but rather a tool for the practitioner to use in greater access and exposure to diet change

Page 22: Nutrition Trends 2015€¦ · • Paleo • Vegan • Pegan • Fat Black Diet—bulletproof coffee • Keto Diet • Viking Diet • Zone Diet • Gluten Free/Wheat Belly • Sugar

Socially Conscious Diets

Exposure No or very limited animal products in the diet Eat no more meat than is recommended in the dietary guidelines

Purpose Eat healthfully to minimize carbon footprint

Socially Conscious Diets

The Attraction

bull Good for environment

bull Rich in antioxidants

bull Animal friendly

The Challenges

bull Potential Vit Deficiency (iron B12)

bull Patient must be aware of PRO sources

bull Cost

bull Availability

EWG FOOD SCORES

flexitarian vegan monomealmacrobiotic

Socially Conscious Diets

The Research

bull Study by Raphaely et al ndash Individuals in the most developed countries over

consume meat

ndash Flexitarianism can significantly decrease the cost of stopping climate change if diets were implemented

bull Study by Barnard et al ndash Low-fat vegetarian and vegan diets were

associated with sustained weight loss and decreased plasma lipid concentrations

Intermittent Fasting

Exposure bull 3-1-2-1 Diet bull Intermittent Fasting (52) bull Warrior Diet under-eatfast during the day and eat at night bull The fast diet bull The 8 hour diet

Purpose Allow the body to use FAT instead of CHO for energy

Improve insulin mediated glucose uptake

cognitive improvement amp focus

intermittentfasting

Intermittent Fasting

The Challenges

bull Different than expected meal norms

bull Not eating

bull Balancing exercise and fasting

bull Medication Interaction

The Attraction

bull Only restriction is on timing not food

bull Simple ldquorulesrdquo

Intermittent Fasting

The Research

bull Study by Mattson etal bull IF enhances cardiovascular and brain function

bull IF reduces BP and increases insulin sensitivity

bull Study by Longo et al bull In rodents IF protects against diabetes cancers heart disease and

neurodegeneration

bull In humans IF helps reduce obesity hypertension asthma and rheumatoid arthritis

bull Study by Harvie et al bull IF was as effective as continuous energy restriction on weight loss insulin

sensitivity and other health biomarkersmdashleptin total cholesterol LDL high-sensitivity C-reactive protein TGrsquos and BP

bull Study by Varady et Al bull ADF may effectively modulate metabolic and functional nutrition risk factors

bull ADF may be effective in preventing or delaying the future occurrence of common chronic diseases at least in animal models

Other Popular Diets

bull Nordic Diet bull Mediterranean Diet bull Dr Weil Diet bull Whole 30 bull Biggest Loser bull Weight Watchers bull Meal Replacement Plans bull Raw Macrobiotic bull Alkaline (acidbase balance) bull FlexibleIf it Fits Your Macros bull Clean Eating bull Skinny Gut bull Flexitarian

bull Atkins bull Paleo bull Vegan bull Pegan bull Fat Black Dietmdashbulletproof coffee bull Keto Diet bull Viking Diet bull Zone Diet bull Gluten FreeWheat Belly bull Sugar Detox bull Low Fat Diets bull Mono Meal Diet bull Detox Diets bull Blood Type Diet bull Baby Food Diet bull Intermittent Fasting bull Dukan Diet

Food Trends

bull Ancient Grains Quinoa Spelt Freekah Millet Buckwheat and Amaranth

bull Coconut Oil bull ldquoSoupingrdquo is the new juicing bull Kalettes (mix of kale and

Brussels sprouts) bull Seeds and nuts for superfoods bull Bowls bull Juicing bull Smoothies bull Matcha Tea bull Bone Broth bull Fermented Food

bull Grass-Fed Dairy bull Spiralizing bull Seaweed bull Sprouted beans flours

legumes nuts and seeds bull Tumeric bull Butter and Coconut Butter bull Cauliflower in everything bull Tigernuts bull Animal welfare bull Environment bull Epigenetics

Popular Blogs Influencing Diet

bull Well+Good

bull Goop

bull Food Politics

bull Buzzfeed Food

bull Hangry Pants

bull Authority Nutrition

bull Oh She Glows

bull Refinery29

bull The Paleo Diet

bull Huffington Post

bull Stupid Easy Paleo bull No Meat Athlete bull Summer Tomato bull I ATE a PIE bull The Picky Eater bull Deliciously Ella bull Choosing Raw bull Healthy Happy Life

What Does This All Mean

bull Trends are largely a spin on the already existing

bull Staying abreast of trends can benefit the relationship between practitioner and patient by improving communication

bull Use clinical judgment and understand the foundation of the trend

Communication

It has long been recognized that difficulties in the effective delivery of health care can arise from problems in communication between patient and provider rather than from any failing in the technical aspects of medical care

Improvements in provider-patient communication can have beneficial effects on health outcomes Appropriate reassurance or pragmatic suggestions to help with problem solving and setting up a structured plan of action may be an important part of the patient care that is required

Med Clin North Am 2003 Sep87(5)1115-45 Patient-doctor communication Teutsch C

Choosing the ldquoRight Dietrdquo

Real

Food

Lean Protein

VegetablesFruits

Healthy Fats

CARBS

The role of the practitioner is to guide the patient to the most appropriate diet regardless of its popularity Trends should not be associated with negativity but rather a tool for the practitioner to use in greater access and exposure to diet change

Page 23: Nutrition Trends 2015€¦ · • Paleo • Vegan • Pegan • Fat Black Diet—bulletproof coffee • Keto Diet • Viking Diet • Zone Diet • Gluten Free/Wheat Belly • Sugar

Socially Conscious Diets

The Attraction

bull Good for environment

bull Rich in antioxidants

bull Animal friendly

The Challenges

bull Potential Vit Deficiency (iron B12)

bull Patient must be aware of PRO sources

bull Cost

bull Availability

EWG FOOD SCORES

flexitarian vegan monomealmacrobiotic

Socially Conscious Diets

The Research

bull Study by Raphaely et al ndash Individuals in the most developed countries over

consume meat

ndash Flexitarianism can significantly decrease the cost of stopping climate change if diets were implemented

bull Study by Barnard et al ndash Low-fat vegetarian and vegan diets were

associated with sustained weight loss and decreased plasma lipid concentrations

Intermittent Fasting

Exposure bull 3-1-2-1 Diet bull Intermittent Fasting (52) bull Warrior Diet under-eatfast during the day and eat at night bull The fast diet bull The 8 hour diet

Purpose Allow the body to use FAT instead of CHO for energy

Improve insulin mediated glucose uptake

cognitive improvement amp focus

intermittentfasting

Intermittent Fasting

The Challenges

bull Different than expected meal norms

bull Not eating

bull Balancing exercise and fasting

bull Medication Interaction

The Attraction

bull Only restriction is on timing not food

bull Simple ldquorulesrdquo

Intermittent Fasting

The Research

bull Study by Mattson etal bull IF enhances cardiovascular and brain function

bull IF reduces BP and increases insulin sensitivity

bull Study by Longo et al bull In rodents IF protects against diabetes cancers heart disease and

neurodegeneration

bull In humans IF helps reduce obesity hypertension asthma and rheumatoid arthritis

bull Study by Harvie et al bull IF was as effective as continuous energy restriction on weight loss insulin

sensitivity and other health biomarkersmdashleptin total cholesterol LDL high-sensitivity C-reactive protein TGrsquos and BP

bull Study by Varady et Al bull ADF may effectively modulate metabolic and functional nutrition risk factors

bull ADF may be effective in preventing or delaying the future occurrence of common chronic diseases at least in animal models

Other Popular Diets

bull Nordic Diet bull Mediterranean Diet bull Dr Weil Diet bull Whole 30 bull Biggest Loser bull Weight Watchers bull Meal Replacement Plans bull Raw Macrobiotic bull Alkaline (acidbase balance) bull FlexibleIf it Fits Your Macros bull Clean Eating bull Skinny Gut bull Flexitarian

bull Atkins bull Paleo bull Vegan bull Pegan bull Fat Black Dietmdashbulletproof coffee bull Keto Diet bull Viking Diet bull Zone Diet bull Gluten FreeWheat Belly bull Sugar Detox bull Low Fat Diets bull Mono Meal Diet bull Detox Diets bull Blood Type Diet bull Baby Food Diet bull Intermittent Fasting bull Dukan Diet

Food Trends

bull Ancient Grains Quinoa Spelt Freekah Millet Buckwheat and Amaranth

bull Coconut Oil bull ldquoSoupingrdquo is the new juicing bull Kalettes (mix of kale and

Brussels sprouts) bull Seeds and nuts for superfoods bull Bowls bull Juicing bull Smoothies bull Matcha Tea bull Bone Broth bull Fermented Food

bull Grass-Fed Dairy bull Spiralizing bull Seaweed bull Sprouted beans flours

legumes nuts and seeds bull Tumeric bull Butter and Coconut Butter bull Cauliflower in everything bull Tigernuts bull Animal welfare bull Environment bull Epigenetics

Popular Blogs Influencing Diet

bull Well+Good

bull Goop

bull Food Politics

bull Buzzfeed Food

bull Hangry Pants

bull Authority Nutrition

bull Oh She Glows

bull Refinery29

bull The Paleo Diet

bull Huffington Post

bull Stupid Easy Paleo bull No Meat Athlete bull Summer Tomato bull I ATE a PIE bull The Picky Eater bull Deliciously Ella bull Choosing Raw bull Healthy Happy Life

What Does This All Mean

bull Trends are largely a spin on the already existing

bull Staying abreast of trends can benefit the relationship between practitioner and patient by improving communication

bull Use clinical judgment and understand the foundation of the trend

Communication

It has long been recognized that difficulties in the effective delivery of health care can arise from problems in communication between patient and provider rather than from any failing in the technical aspects of medical care

Improvements in provider-patient communication can have beneficial effects on health outcomes Appropriate reassurance or pragmatic suggestions to help with problem solving and setting up a structured plan of action may be an important part of the patient care that is required

Med Clin North Am 2003 Sep87(5)1115-45 Patient-doctor communication Teutsch C

Choosing the ldquoRight Dietrdquo

Real

Food

Lean Protein

VegetablesFruits

Healthy Fats

CARBS

The role of the practitioner is to guide the patient to the most appropriate diet regardless of its popularity Trends should not be associated with negativity but rather a tool for the practitioner to use in greater access and exposure to diet change

Page 24: Nutrition Trends 2015€¦ · • Paleo • Vegan • Pegan • Fat Black Diet—bulletproof coffee • Keto Diet • Viking Diet • Zone Diet • Gluten Free/Wheat Belly • Sugar

flexitarian vegan monomealmacrobiotic

Socially Conscious Diets

The Research

bull Study by Raphaely et al ndash Individuals in the most developed countries over

consume meat

ndash Flexitarianism can significantly decrease the cost of stopping climate change if diets were implemented

bull Study by Barnard et al ndash Low-fat vegetarian and vegan diets were

associated with sustained weight loss and decreased plasma lipid concentrations

Intermittent Fasting

Exposure bull 3-1-2-1 Diet bull Intermittent Fasting (52) bull Warrior Diet under-eatfast during the day and eat at night bull The fast diet bull The 8 hour diet

Purpose Allow the body to use FAT instead of CHO for energy

Improve insulin mediated glucose uptake

cognitive improvement amp focus

intermittentfasting

Intermittent Fasting

The Challenges

bull Different than expected meal norms

bull Not eating

bull Balancing exercise and fasting

bull Medication Interaction

The Attraction

bull Only restriction is on timing not food

bull Simple ldquorulesrdquo

Intermittent Fasting

The Research

bull Study by Mattson etal bull IF enhances cardiovascular and brain function

bull IF reduces BP and increases insulin sensitivity

bull Study by Longo et al bull In rodents IF protects against diabetes cancers heart disease and

neurodegeneration

bull In humans IF helps reduce obesity hypertension asthma and rheumatoid arthritis

bull Study by Harvie et al bull IF was as effective as continuous energy restriction on weight loss insulin

sensitivity and other health biomarkersmdashleptin total cholesterol LDL high-sensitivity C-reactive protein TGrsquos and BP

bull Study by Varady et Al bull ADF may effectively modulate metabolic and functional nutrition risk factors

bull ADF may be effective in preventing or delaying the future occurrence of common chronic diseases at least in animal models

Other Popular Diets

bull Nordic Diet bull Mediterranean Diet bull Dr Weil Diet bull Whole 30 bull Biggest Loser bull Weight Watchers bull Meal Replacement Plans bull Raw Macrobiotic bull Alkaline (acidbase balance) bull FlexibleIf it Fits Your Macros bull Clean Eating bull Skinny Gut bull Flexitarian

bull Atkins bull Paleo bull Vegan bull Pegan bull Fat Black Dietmdashbulletproof coffee bull Keto Diet bull Viking Diet bull Zone Diet bull Gluten FreeWheat Belly bull Sugar Detox bull Low Fat Diets bull Mono Meal Diet bull Detox Diets bull Blood Type Diet bull Baby Food Diet bull Intermittent Fasting bull Dukan Diet

Food Trends

bull Ancient Grains Quinoa Spelt Freekah Millet Buckwheat and Amaranth

bull Coconut Oil bull ldquoSoupingrdquo is the new juicing bull Kalettes (mix of kale and

Brussels sprouts) bull Seeds and nuts for superfoods bull Bowls bull Juicing bull Smoothies bull Matcha Tea bull Bone Broth bull Fermented Food

bull Grass-Fed Dairy bull Spiralizing bull Seaweed bull Sprouted beans flours

legumes nuts and seeds bull Tumeric bull Butter and Coconut Butter bull Cauliflower in everything bull Tigernuts bull Animal welfare bull Environment bull Epigenetics

Popular Blogs Influencing Diet

bull Well+Good

bull Goop

bull Food Politics

bull Buzzfeed Food

bull Hangry Pants

bull Authority Nutrition

bull Oh She Glows

bull Refinery29

bull The Paleo Diet

bull Huffington Post

bull Stupid Easy Paleo bull No Meat Athlete bull Summer Tomato bull I ATE a PIE bull The Picky Eater bull Deliciously Ella bull Choosing Raw bull Healthy Happy Life

What Does This All Mean

bull Trends are largely a spin on the already existing

bull Staying abreast of trends can benefit the relationship between practitioner and patient by improving communication

bull Use clinical judgment and understand the foundation of the trend

Communication

It has long been recognized that difficulties in the effective delivery of health care can arise from problems in communication between patient and provider rather than from any failing in the technical aspects of medical care

Improvements in provider-patient communication can have beneficial effects on health outcomes Appropriate reassurance or pragmatic suggestions to help with problem solving and setting up a structured plan of action may be an important part of the patient care that is required

Med Clin North Am 2003 Sep87(5)1115-45 Patient-doctor communication Teutsch C

Choosing the ldquoRight Dietrdquo

Real

Food

Lean Protein

VegetablesFruits

Healthy Fats

CARBS

The role of the practitioner is to guide the patient to the most appropriate diet regardless of its popularity Trends should not be associated with negativity but rather a tool for the practitioner to use in greater access and exposure to diet change

Page 25: Nutrition Trends 2015€¦ · • Paleo • Vegan • Pegan • Fat Black Diet—bulletproof coffee • Keto Diet • Viking Diet • Zone Diet • Gluten Free/Wheat Belly • Sugar

Socially Conscious Diets

The Research

bull Study by Raphaely et al ndash Individuals in the most developed countries over

consume meat

ndash Flexitarianism can significantly decrease the cost of stopping climate change if diets were implemented

bull Study by Barnard et al ndash Low-fat vegetarian and vegan diets were

associated with sustained weight loss and decreased plasma lipid concentrations

Intermittent Fasting

Exposure bull 3-1-2-1 Diet bull Intermittent Fasting (52) bull Warrior Diet under-eatfast during the day and eat at night bull The fast diet bull The 8 hour diet

Purpose Allow the body to use FAT instead of CHO for energy

Improve insulin mediated glucose uptake

cognitive improvement amp focus

intermittentfasting

Intermittent Fasting

The Challenges

bull Different than expected meal norms

bull Not eating

bull Balancing exercise and fasting

bull Medication Interaction

The Attraction

bull Only restriction is on timing not food

bull Simple ldquorulesrdquo

Intermittent Fasting

The Research

bull Study by Mattson etal bull IF enhances cardiovascular and brain function

bull IF reduces BP and increases insulin sensitivity

bull Study by Longo et al bull In rodents IF protects against diabetes cancers heart disease and

neurodegeneration

bull In humans IF helps reduce obesity hypertension asthma and rheumatoid arthritis

bull Study by Harvie et al bull IF was as effective as continuous energy restriction on weight loss insulin

sensitivity and other health biomarkersmdashleptin total cholesterol LDL high-sensitivity C-reactive protein TGrsquos and BP

bull Study by Varady et Al bull ADF may effectively modulate metabolic and functional nutrition risk factors

bull ADF may be effective in preventing or delaying the future occurrence of common chronic diseases at least in animal models

Other Popular Diets

bull Nordic Diet bull Mediterranean Diet bull Dr Weil Diet bull Whole 30 bull Biggest Loser bull Weight Watchers bull Meal Replacement Plans bull Raw Macrobiotic bull Alkaline (acidbase balance) bull FlexibleIf it Fits Your Macros bull Clean Eating bull Skinny Gut bull Flexitarian

bull Atkins bull Paleo bull Vegan bull Pegan bull Fat Black Dietmdashbulletproof coffee bull Keto Diet bull Viking Diet bull Zone Diet bull Gluten FreeWheat Belly bull Sugar Detox bull Low Fat Diets bull Mono Meal Diet bull Detox Diets bull Blood Type Diet bull Baby Food Diet bull Intermittent Fasting bull Dukan Diet

Food Trends

bull Ancient Grains Quinoa Spelt Freekah Millet Buckwheat and Amaranth

bull Coconut Oil bull ldquoSoupingrdquo is the new juicing bull Kalettes (mix of kale and

Brussels sprouts) bull Seeds and nuts for superfoods bull Bowls bull Juicing bull Smoothies bull Matcha Tea bull Bone Broth bull Fermented Food

bull Grass-Fed Dairy bull Spiralizing bull Seaweed bull Sprouted beans flours

legumes nuts and seeds bull Tumeric bull Butter and Coconut Butter bull Cauliflower in everything bull Tigernuts bull Animal welfare bull Environment bull Epigenetics

Popular Blogs Influencing Diet

bull Well+Good

bull Goop

bull Food Politics

bull Buzzfeed Food

bull Hangry Pants

bull Authority Nutrition

bull Oh She Glows

bull Refinery29

bull The Paleo Diet

bull Huffington Post

bull Stupid Easy Paleo bull No Meat Athlete bull Summer Tomato bull I ATE a PIE bull The Picky Eater bull Deliciously Ella bull Choosing Raw bull Healthy Happy Life

What Does This All Mean

bull Trends are largely a spin on the already existing

bull Staying abreast of trends can benefit the relationship between practitioner and patient by improving communication

bull Use clinical judgment and understand the foundation of the trend

Communication

It has long been recognized that difficulties in the effective delivery of health care can arise from problems in communication between patient and provider rather than from any failing in the technical aspects of medical care

Improvements in provider-patient communication can have beneficial effects on health outcomes Appropriate reassurance or pragmatic suggestions to help with problem solving and setting up a structured plan of action may be an important part of the patient care that is required

Med Clin North Am 2003 Sep87(5)1115-45 Patient-doctor communication Teutsch C

Choosing the ldquoRight Dietrdquo

Real

Food

Lean Protein

VegetablesFruits

Healthy Fats

CARBS

The role of the practitioner is to guide the patient to the most appropriate diet regardless of its popularity Trends should not be associated with negativity but rather a tool for the practitioner to use in greater access and exposure to diet change

Page 26: Nutrition Trends 2015€¦ · • Paleo • Vegan • Pegan • Fat Black Diet—bulletproof coffee • Keto Diet • Viking Diet • Zone Diet • Gluten Free/Wheat Belly • Sugar

Intermittent Fasting

Exposure bull 3-1-2-1 Diet bull Intermittent Fasting (52) bull Warrior Diet under-eatfast during the day and eat at night bull The fast diet bull The 8 hour diet

Purpose Allow the body to use FAT instead of CHO for energy

Improve insulin mediated glucose uptake

cognitive improvement amp focus

intermittentfasting

Intermittent Fasting

The Challenges

bull Different than expected meal norms

bull Not eating

bull Balancing exercise and fasting

bull Medication Interaction

The Attraction

bull Only restriction is on timing not food

bull Simple ldquorulesrdquo

Intermittent Fasting

The Research

bull Study by Mattson etal bull IF enhances cardiovascular and brain function

bull IF reduces BP and increases insulin sensitivity

bull Study by Longo et al bull In rodents IF protects against diabetes cancers heart disease and

neurodegeneration

bull In humans IF helps reduce obesity hypertension asthma and rheumatoid arthritis

bull Study by Harvie et al bull IF was as effective as continuous energy restriction on weight loss insulin

sensitivity and other health biomarkersmdashleptin total cholesterol LDL high-sensitivity C-reactive protein TGrsquos and BP

bull Study by Varady et Al bull ADF may effectively modulate metabolic and functional nutrition risk factors

bull ADF may be effective in preventing or delaying the future occurrence of common chronic diseases at least in animal models

Other Popular Diets

bull Nordic Diet bull Mediterranean Diet bull Dr Weil Diet bull Whole 30 bull Biggest Loser bull Weight Watchers bull Meal Replacement Plans bull Raw Macrobiotic bull Alkaline (acidbase balance) bull FlexibleIf it Fits Your Macros bull Clean Eating bull Skinny Gut bull Flexitarian

bull Atkins bull Paleo bull Vegan bull Pegan bull Fat Black Dietmdashbulletproof coffee bull Keto Diet bull Viking Diet bull Zone Diet bull Gluten FreeWheat Belly bull Sugar Detox bull Low Fat Diets bull Mono Meal Diet bull Detox Diets bull Blood Type Diet bull Baby Food Diet bull Intermittent Fasting bull Dukan Diet

Food Trends

bull Ancient Grains Quinoa Spelt Freekah Millet Buckwheat and Amaranth

bull Coconut Oil bull ldquoSoupingrdquo is the new juicing bull Kalettes (mix of kale and

Brussels sprouts) bull Seeds and nuts for superfoods bull Bowls bull Juicing bull Smoothies bull Matcha Tea bull Bone Broth bull Fermented Food

bull Grass-Fed Dairy bull Spiralizing bull Seaweed bull Sprouted beans flours

legumes nuts and seeds bull Tumeric bull Butter and Coconut Butter bull Cauliflower in everything bull Tigernuts bull Animal welfare bull Environment bull Epigenetics

Popular Blogs Influencing Diet

bull Well+Good

bull Goop

bull Food Politics

bull Buzzfeed Food

bull Hangry Pants

bull Authority Nutrition

bull Oh She Glows

bull Refinery29

bull The Paleo Diet

bull Huffington Post

bull Stupid Easy Paleo bull No Meat Athlete bull Summer Tomato bull I ATE a PIE bull The Picky Eater bull Deliciously Ella bull Choosing Raw bull Healthy Happy Life

What Does This All Mean

bull Trends are largely a spin on the already existing

bull Staying abreast of trends can benefit the relationship between practitioner and patient by improving communication

bull Use clinical judgment and understand the foundation of the trend

Communication

It has long been recognized that difficulties in the effective delivery of health care can arise from problems in communication between patient and provider rather than from any failing in the technical aspects of medical care

Improvements in provider-patient communication can have beneficial effects on health outcomes Appropriate reassurance or pragmatic suggestions to help with problem solving and setting up a structured plan of action may be an important part of the patient care that is required

Med Clin North Am 2003 Sep87(5)1115-45 Patient-doctor communication Teutsch C

Choosing the ldquoRight Dietrdquo

Real

Food

Lean Protein

VegetablesFruits

Healthy Fats

CARBS

The role of the practitioner is to guide the patient to the most appropriate diet regardless of its popularity Trends should not be associated with negativity but rather a tool for the practitioner to use in greater access and exposure to diet change

Page 27: Nutrition Trends 2015€¦ · • Paleo • Vegan • Pegan • Fat Black Diet—bulletproof coffee • Keto Diet • Viking Diet • Zone Diet • Gluten Free/Wheat Belly • Sugar

intermittentfasting

Intermittent Fasting

The Challenges

bull Different than expected meal norms

bull Not eating

bull Balancing exercise and fasting

bull Medication Interaction

The Attraction

bull Only restriction is on timing not food

bull Simple ldquorulesrdquo

Intermittent Fasting

The Research

bull Study by Mattson etal bull IF enhances cardiovascular and brain function

bull IF reduces BP and increases insulin sensitivity

bull Study by Longo et al bull In rodents IF protects against diabetes cancers heart disease and

neurodegeneration

bull In humans IF helps reduce obesity hypertension asthma and rheumatoid arthritis

bull Study by Harvie et al bull IF was as effective as continuous energy restriction on weight loss insulin

sensitivity and other health biomarkersmdashleptin total cholesterol LDL high-sensitivity C-reactive protein TGrsquos and BP

bull Study by Varady et Al bull ADF may effectively modulate metabolic and functional nutrition risk factors

bull ADF may be effective in preventing or delaying the future occurrence of common chronic diseases at least in animal models

Other Popular Diets

bull Nordic Diet bull Mediterranean Diet bull Dr Weil Diet bull Whole 30 bull Biggest Loser bull Weight Watchers bull Meal Replacement Plans bull Raw Macrobiotic bull Alkaline (acidbase balance) bull FlexibleIf it Fits Your Macros bull Clean Eating bull Skinny Gut bull Flexitarian

bull Atkins bull Paleo bull Vegan bull Pegan bull Fat Black Dietmdashbulletproof coffee bull Keto Diet bull Viking Diet bull Zone Diet bull Gluten FreeWheat Belly bull Sugar Detox bull Low Fat Diets bull Mono Meal Diet bull Detox Diets bull Blood Type Diet bull Baby Food Diet bull Intermittent Fasting bull Dukan Diet

Food Trends

bull Ancient Grains Quinoa Spelt Freekah Millet Buckwheat and Amaranth

bull Coconut Oil bull ldquoSoupingrdquo is the new juicing bull Kalettes (mix of kale and

Brussels sprouts) bull Seeds and nuts for superfoods bull Bowls bull Juicing bull Smoothies bull Matcha Tea bull Bone Broth bull Fermented Food

bull Grass-Fed Dairy bull Spiralizing bull Seaweed bull Sprouted beans flours

legumes nuts and seeds bull Tumeric bull Butter and Coconut Butter bull Cauliflower in everything bull Tigernuts bull Animal welfare bull Environment bull Epigenetics

Popular Blogs Influencing Diet

bull Well+Good

bull Goop

bull Food Politics

bull Buzzfeed Food

bull Hangry Pants

bull Authority Nutrition

bull Oh She Glows

bull Refinery29

bull The Paleo Diet

bull Huffington Post

bull Stupid Easy Paleo bull No Meat Athlete bull Summer Tomato bull I ATE a PIE bull The Picky Eater bull Deliciously Ella bull Choosing Raw bull Healthy Happy Life

What Does This All Mean

bull Trends are largely a spin on the already existing

bull Staying abreast of trends can benefit the relationship between practitioner and patient by improving communication

bull Use clinical judgment and understand the foundation of the trend

Communication

It has long been recognized that difficulties in the effective delivery of health care can arise from problems in communication between patient and provider rather than from any failing in the technical aspects of medical care

Improvements in provider-patient communication can have beneficial effects on health outcomes Appropriate reassurance or pragmatic suggestions to help with problem solving and setting up a structured plan of action may be an important part of the patient care that is required

Med Clin North Am 2003 Sep87(5)1115-45 Patient-doctor communication Teutsch C

Choosing the ldquoRight Dietrdquo

Real

Food

Lean Protein

VegetablesFruits

Healthy Fats

CARBS

The role of the practitioner is to guide the patient to the most appropriate diet regardless of its popularity Trends should not be associated with negativity but rather a tool for the practitioner to use in greater access and exposure to diet change

Page 28: Nutrition Trends 2015€¦ · • Paleo • Vegan • Pegan • Fat Black Diet—bulletproof coffee • Keto Diet • Viking Diet • Zone Diet • Gluten Free/Wheat Belly • Sugar

Intermittent Fasting

The Challenges

bull Different than expected meal norms

bull Not eating

bull Balancing exercise and fasting

bull Medication Interaction

The Attraction

bull Only restriction is on timing not food

bull Simple ldquorulesrdquo

Intermittent Fasting

The Research

bull Study by Mattson etal bull IF enhances cardiovascular and brain function

bull IF reduces BP and increases insulin sensitivity

bull Study by Longo et al bull In rodents IF protects against diabetes cancers heart disease and

neurodegeneration

bull In humans IF helps reduce obesity hypertension asthma and rheumatoid arthritis

bull Study by Harvie et al bull IF was as effective as continuous energy restriction on weight loss insulin

sensitivity and other health biomarkersmdashleptin total cholesterol LDL high-sensitivity C-reactive protein TGrsquos and BP

bull Study by Varady et Al bull ADF may effectively modulate metabolic and functional nutrition risk factors

bull ADF may be effective in preventing or delaying the future occurrence of common chronic diseases at least in animal models

Other Popular Diets

bull Nordic Diet bull Mediterranean Diet bull Dr Weil Diet bull Whole 30 bull Biggest Loser bull Weight Watchers bull Meal Replacement Plans bull Raw Macrobiotic bull Alkaline (acidbase balance) bull FlexibleIf it Fits Your Macros bull Clean Eating bull Skinny Gut bull Flexitarian

bull Atkins bull Paleo bull Vegan bull Pegan bull Fat Black Dietmdashbulletproof coffee bull Keto Diet bull Viking Diet bull Zone Diet bull Gluten FreeWheat Belly bull Sugar Detox bull Low Fat Diets bull Mono Meal Diet bull Detox Diets bull Blood Type Diet bull Baby Food Diet bull Intermittent Fasting bull Dukan Diet

Food Trends

bull Ancient Grains Quinoa Spelt Freekah Millet Buckwheat and Amaranth

bull Coconut Oil bull ldquoSoupingrdquo is the new juicing bull Kalettes (mix of kale and

Brussels sprouts) bull Seeds and nuts for superfoods bull Bowls bull Juicing bull Smoothies bull Matcha Tea bull Bone Broth bull Fermented Food

bull Grass-Fed Dairy bull Spiralizing bull Seaweed bull Sprouted beans flours

legumes nuts and seeds bull Tumeric bull Butter and Coconut Butter bull Cauliflower in everything bull Tigernuts bull Animal welfare bull Environment bull Epigenetics

Popular Blogs Influencing Diet

bull Well+Good

bull Goop

bull Food Politics

bull Buzzfeed Food

bull Hangry Pants

bull Authority Nutrition

bull Oh She Glows

bull Refinery29

bull The Paleo Diet

bull Huffington Post

bull Stupid Easy Paleo bull No Meat Athlete bull Summer Tomato bull I ATE a PIE bull The Picky Eater bull Deliciously Ella bull Choosing Raw bull Healthy Happy Life

What Does This All Mean

bull Trends are largely a spin on the already existing

bull Staying abreast of trends can benefit the relationship between practitioner and patient by improving communication

bull Use clinical judgment and understand the foundation of the trend

Communication

It has long been recognized that difficulties in the effective delivery of health care can arise from problems in communication between patient and provider rather than from any failing in the technical aspects of medical care

Improvements in provider-patient communication can have beneficial effects on health outcomes Appropriate reassurance or pragmatic suggestions to help with problem solving and setting up a structured plan of action may be an important part of the patient care that is required

Med Clin North Am 2003 Sep87(5)1115-45 Patient-doctor communication Teutsch C

Choosing the ldquoRight Dietrdquo

Real

Food

Lean Protein

VegetablesFruits

Healthy Fats

CARBS

The role of the practitioner is to guide the patient to the most appropriate diet regardless of its popularity Trends should not be associated with negativity but rather a tool for the practitioner to use in greater access and exposure to diet change

Page 29: Nutrition Trends 2015€¦ · • Paleo • Vegan • Pegan • Fat Black Diet—bulletproof coffee • Keto Diet • Viking Diet • Zone Diet • Gluten Free/Wheat Belly • Sugar

Intermittent Fasting

The Research

bull Study by Mattson etal bull IF enhances cardiovascular and brain function

bull IF reduces BP and increases insulin sensitivity

bull Study by Longo et al bull In rodents IF protects against diabetes cancers heart disease and

neurodegeneration

bull In humans IF helps reduce obesity hypertension asthma and rheumatoid arthritis

bull Study by Harvie et al bull IF was as effective as continuous energy restriction on weight loss insulin

sensitivity and other health biomarkersmdashleptin total cholesterol LDL high-sensitivity C-reactive protein TGrsquos and BP

bull Study by Varady et Al bull ADF may effectively modulate metabolic and functional nutrition risk factors

bull ADF may be effective in preventing or delaying the future occurrence of common chronic diseases at least in animal models

Other Popular Diets

bull Nordic Diet bull Mediterranean Diet bull Dr Weil Diet bull Whole 30 bull Biggest Loser bull Weight Watchers bull Meal Replacement Plans bull Raw Macrobiotic bull Alkaline (acidbase balance) bull FlexibleIf it Fits Your Macros bull Clean Eating bull Skinny Gut bull Flexitarian

bull Atkins bull Paleo bull Vegan bull Pegan bull Fat Black Dietmdashbulletproof coffee bull Keto Diet bull Viking Diet bull Zone Diet bull Gluten FreeWheat Belly bull Sugar Detox bull Low Fat Diets bull Mono Meal Diet bull Detox Diets bull Blood Type Diet bull Baby Food Diet bull Intermittent Fasting bull Dukan Diet

Food Trends

bull Ancient Grains Quinoa Spelt Freekah Millet Buckwheat and Amaranth

bull Coconut Oil bull ldquoSoupingrdquo is the new juicing bull Kalettes (mix of kale and

Brussels sprouts) bull Seeds and nuts for superfoods bull Bowls bull Juicing bull Smoothies bull Matcha Tea bull Bone Broth bull Fermented Food

bull Grass-Fed Dairy bull Spiralizing bull Seaweed bull Sprouted beans flours

legumes nuts and seeds bull Tumeric bull Butter and Coconut Butter bull Cauliflower in everything bull Tigernuts bull Animal welfare bull Environment bull Epigenetics

Popular Blogs Influencing Diet

bull Well+Good

bull Goop

bull Food Politics

bull Buzzfeed Food

bull Hangry Pants

bull Authority Nutrition

bull Oh She Glows

bull Refinery29

bull The Paleo Diet

bull Huffington Post

bull Stupid Easy Paleo bull No Meat Athlete bull Summer Tomato bull I ATE a PIE bull The Picky Eater bull Deliciously Ella bull Choosing Raw bull Healthy Happy Life

What Does This All Mean

bull Trends are largely a spin on the already existing

bull Staying abreast of trends can benefit the relationship between practitioner and patient by improving communication

bull Use clinical judgment and understand the foundation of the trend

Communication

It has long been recognized that difficulties in the effective delivery of health care can arise from problems in communication between patient and provider rather than from any failing in the technical aspects of medical care

Improvements in provider-patient communication can have beneficial effects on health outcomes Appropriate reassurance or pragmatic suggestions to help with problem solving and setting up a structured plan of action may be an important part of the patient care that is required

Med Clin North Am 2003 Sep87(5)1115-45 Patient-doctor communication Teutsch C

Choosing the ldquoRight Dietrdquo

Real

Food

Lean Protein

VegetablesFruits

Healthy Fats

CARBS

The role of the practitioner is to guide the patient to the most appropriate diet regardless of its popularity Trends should not be associated with negativity but rather a tool for the practitioner to use in greater access and exposure to diet change

Page 30: Nutrition Trends 2015€¦ · • Paleo • Vegan • Pegan • Fat Black Diet—bulletproof coffee • Keto Diet • Viking Diet • Zone Diet • Gluten Free/Wheat Belly • Sugar

Other Popular Diets

bull Nordic Diet bull Mediterranean Diet bull Dr Weil Diet bull Whole 30 bull Biggest Loser bull Weight Watchers bull Meal Replacement Plans bull Raw Macrobiotic bull Alkaline (acidbase balance) bull FlexibleIf it Fits Your Macros bull Clean Eating bull Skinny Gut bull Flexitarian

bull Atkins bull Paleo bull Vegan bull Pegan bull Fat Black Dietmdashbulletproof coffee bull Keto Diet bull Viking Diet bull Zone Diet bull Gluten FreeWheat Belly bull Sugar Detox bull Low Fat Diets bull Mono Meal Diet bull Detox Diets bull Blood Type Diet bull Baby Food Diet bull Intermittent Fasting bull Dukan Diet

Food Trends

bull Ancient Grains Quinoa Spelt Freekah Millet Buckwheat and Amaranth

bull Coconut Oil bull ldquoSoupingrdquo is the new juicing bull Kalettes (mix of kale and

Brussels sprouts) bull Seeds and nuts for superfoods bull Bowls bull Juicing bull Smoothies bull Matcha Tea bull Bone Broth bull Fermented Food

bull Grass-Fed Dairy bull Spiralizing bull Seaweed bull Sprouted beans flours

legumes nuts and seeds bull Tumeric bull Butter and Coconut Butter bull Cauliflower in everything bull Tigernuts bull Animal welfare bull Environment bull Epigenetics

Popular Blogs Influencing Diet

bull Well+Good

bull Goop

bull Food Politics

bull Buzzfeed Food

bull Hangry Pants

bull Authority Nutrition

bull Oh She Glows

bull Refinery29

bull The Paleo Diet

bull Huffington Post

bull Stupid Easy Paleo bull No Meat Athlete bull Summer Tomato bull I ATE a PIE bull The Picky Eater bull Deliciously Ella bull Choosing Raw bull Healthy Happy Life

What Does This All Mean

bull Trends are largely a spin on the already existing

bull Staying abreast of trends can benefit the relationship between practitioner and patient by improving communication

bull Use clinical judgment and understand the foundation of the trend

Communication

It has long been recognized that difficulties in the effective delivery of health care can arise from problems in communication between patient and provider rather than from any failing in the technical aspects of medical care

Improvements in provider-patient communication can have beneficial effects on health outcomes Appropriate reassurance or pragmatic suggestions to help with problem solving and setting up a structured plan of action may be an important part of the patient care that is required

Med Clin North Am 2003 Sep87(5)1115-45 Patient-doctor communication Teutsch C

Choosing the ldquoRight Dietrdquo

Real

Food

Lean Protein

VegetablesFruits

Healthy Fats

CARBS

The role of the practitioner is to guide the patient to the most appropriate diet regardless of its popularity Trends should not be associated with negativity but rather a tool for the practitioner to use in greater access and exposure to diet change

Page 31: Nutrition Trends 2015€¦ · • Paleo • Vegan • Pegan • Fat Black Diet—bulletproof coffee • Keto Diet • Viking Diet • Zone Diet • Gluten Free/Wheat Belly • Sugar

Food Trends

bull Ancient Grains Quinoa Spelt Freekah Millet Buckwheat and Amaranth

bull Coconut Oil bull ldquoSoupingrdquo is the new juicing bull Kalettes (mix of kale and

Brussels sprouts) bull Seeds and nuts for superfoods bull Bowls bull Juicing bull Smoothies bull Matcha Tea bull Bone Broth bull Fermented Food

bull Grass-Fed Dairy bull Spiralizing bull Seaweed bull Sprouted beans flours

legumes nuts and seeds bull Tumeric bull Butter and Coconut Butter bull Cauliflower in everything bull Tigernuts bull Animal welfare bull Environment bull Epigenetics

Popular Blogs Influencing Diet

bull Well+Good

bull Goop

bull Food Politics

bull Buzzfeed Food

bull Hangry Pants

bull Authority Nutrition

bull Oh She Glows

bull Refinery29

bull The Paleo Diet

bull Huffington Post

bull Stupid Easy Paleo bull No Meat Athlete bull Summer Tomato bull I ATE a PIE bull The Picky Eater bull Deliciously Ella bull Choosing Raw bull Healthy Happy Life

What Does This All Mean

bull Trends are largely a spin on the already existing

bull Staying abreast of trends can benefit the relationship between practitioner and patient by improving communication

bull Use clinical judgment and understand the foundation of the trend

Communication

It has long been recognized that difficulties in the effective delivery of health care can arise from problems in communication between patient and provider rather than from any failing in the technical aspects of medical care

Improvements in provider-patient communication can have beneficial effects on health outcomes Appropriate reassurance or pragmatic suggestions to help with problem solving and setting up a structured plan of action may be an important part of the patient care that is required

Med Clin North Am 2003 Sep87(5)1115-45 Patient-doctor communication Teutsch C

Choosing the ldquoRight Dietrdquo

Real

Food

Lean Protein

VegetablesFruits

Healthy Fats

CARBS

The role of the practitioner is to guide the patient to the most appropriate diet regardless of its popularity Trends should not be associated with negativity but rather a tool for the practitioner to use in greater access and exposure to diet change

Page 32: Nutrition Trends 2015€¦ · • Paleo • Vegan • Pegan • Fat Black Diet—bulletproof coffee • Keto Diet • Viking Diet • Zone Diet • Gluten Free/Wheat Belly • Sugar

Popular Blogs Influencing Diet

bull Well+Good

bull Goop

bull Food Politics

bull Buzzfeed Food

bull Hangry Pants

bull Authority Nutrition

bull Oh She Glows

bull Refinery29

bull The Paleo Diet

bull Huffington Post

bull Stupid Easy Paleo bull No Meat Athlete bull Summer Tomato bull I ATE a PIE bull The Picky Eater bull Deliciously Ella bull Choosing Raw bull Healthy Happy Life

What Does This All Mean

bull Trends are largely a spin on the already existing

bull Staying abreast of trends can benefit the relationship between practitioner and patient by improving communication

bull Use clinical judgment and understand the foundation of the trend

Communication

It has long been recognized that difficulties in the effective delivery of health care can arise from problems in communication between patient and provider rather than from any failing in the technical aspects of medical care

Improvements in provider-patient communication can have beneficial effects on health outcomes Appropriate reassurance or pragmatic suggestions to help with problem solving and setting up a structured plan of action may be an important part of the patient care that is required

Med Clin North Am 2003 Sep87(5)1115-45 Patient-doctor communication Teutsch C

Choosing the ldquoRight Dietrdquo

Real

Food

Lean Protein

VegetablesFruits

Healthy Fats

CARBS

The role of the practitioner is to guide the patient to the most appropriate diet regardless of its popularity Trends should not be associated with negativity but rather a tool for the practitioner to use in greater access and exposure to diet change

Page 33: Nutrition Trends 2015€¦ · • Paleo • Vegan • Pegan • Fat Black Diet—bulletproof coffee • Keto Diet • Viking Diet • Zone Diet • Gluten Free/Wheat Belly • Sugar

What Does This All Mean

bull Trends are largely a spin on the already existing

bull Staying abreast of trends can benefit the relationship between practitioner and patient by improving communication

bull Use clinical judgment and understand the foundation of the trend

Communication

It has long been recognized that difficulties in the effective delivery of health care can arise from problems in communication between patient and provider rather than from any failing in the technical aspects of medical care

Improvements in provider-patient communication can have beneficial effects on health outcomes Appropriate reassurance or pragmatic suggestions to help with problem solving and setting up a structured plan of action may be an important part of the patient care that is required

Med Clin North Am 2003 Sep87(5)1115-45 Patient-doctor communication Teutsch C

Choosing the ldquoRight Dietrdquo

Real

Food

Lean Protein

VegetablesFruits

Healthy Fats

CARBS

The role of the practitioner is to guide the patient to the most appropriate diet regardless of its popularity Trends should not be associated with negativity but rather a tool for the practitioner to use in greater access and exposure to diet change

Page 34: Nutrition Trends 2015€¦ · • Paleo • Vegan • Pegan • Fat Black Diet—bulletproof coffee • Keto Diet • Viking Diet • Zone Diet • Gluten Free/Wheat Belly • Sugar

Communication

It has long been recognized that difficulties in the effective delivery of health care can arise from problems in communication between patient and provider rather than from any failing in the technical aspects of medical care

Improvements in provider-patient communication can have beneficial effects on health outcomes Appropriate reassurance or pragmatic suggestions to help with problem solving and setting up a structured plan of action may be an important part of the patient care that is required

Med Clin North Am 2003 Sep87(5)1115-45 Patient-doctor communication Teutsch C

Choosing the ldquoRight Dietrdquo

Real

Food

Lean Protein

VegetablesFruits

Healthy Fats

CARBS

The role of the practitioner is to guide the patient to the most appropriate diet regardless of its popularity Trends should not be associated with negativity but rather a tool for the practitioner to use in greater access and exposure to diet change

Page 35: Nutrition Trends 2015€¦ · • Paleo • Vegan • Pegan • Fat Black Diet—bulletproof coffee • Keto Diet • Viking Diet • Zone Diet • Gluten Free/Wheat Belly • Sugar

Choosing the ldquoRight Dietrdquo

Real

Food

Lean Protein

VegetablesFruits

Healthy Fats

CARBS

The role of the practitioner is to guide the patient to the most appropriate diet regardless of its popularity Trends should not be associated with negativity but rather a tool for the practitioner to use in greater access and exposure to diet change