websummit 2012 - nourishing hopenourishinghope.com/pdfs/nourishinghopewebsummit.pdf · food vs....

Nourishing Hope for Autism Essentials of Nutrition and Diet Intervention

Julie Ma)hews Cer$fied Nutri$on Consultant

Julie Matthews is not a physician. She does not diagnose or treat disease. This information and her statements are not intended to replace a one-on-one relationship with a qualified health-care professional, and is not intended to provide medical advice. For medical advice, always seek a physician. This information is intended for educational purposes only, and is solely as a sharing of knowledge and information based upon the experience and research of Julie Matthews/Nourishing Hope.

WEBSUMMIT 2012

Nutrition and Diet Agenda

• Au$sm is a Whole Body Disorder • Current State of Nutri$on Today and how it influences the high rates of childhood disorders and au$sm

• Foods and Ingredients to Avoid • Nutrient-‐Dense Foods to Add • Special diets: GFCF, SCD/GAPS, low oxalate and more

• Support for picky eaters

• Au#sm, PDD, Asperger’s Syndrome, ADHD

Ø  Social: Not playful, avoids eye contact

Ø  Communica4on: Not use gestures, recep$ve and expressive language poor

Ø  Unusual interests and behaviors: Repe$$ve ac$ons, hand flapping, picky ea$ng, “s$mming”

• Physical: Cons$pa$on, diarrhea, hyperac$vity, fa$gue, aches and pains, diges$ve pain and gas, difficulty sleeping, anxiety

What is Autism Spectrum Disorder (ASD)?

Autism is a neurological condition - body chemistry influences brain chemistry

Brain is Downstream

Yeast toxins Undermethylated neurotransmitters Brain inflammation Increased toxicity

Nutrient deficiencies

Opiates

Autism: Whole Body Disorder

Body’s Effect on Brain

IMMUNE

Gut Inflammation Poor pathogen fighting

Food sensitivities

DIGESTION

Leaky gut Dysbiosis

Less nutrient absorption

DETOXIFICATION

Decreased detoxification Food additives

NEUROLOGY

Brain Inflammation Opiates

Microbial toxins Neurotransmitters

Nutrient deficiencies

Biochemistry

Effects of Faulty Biochemistry in Autism

Autism: Canaries in the Coal Mine • Telling us our world is too toxic and nutrient deficient

• Most other childhood disorders have similar underlying causes and contribu$ng factors

–  Inflamma$on and immune dysfunc$on – Nutrient deficiencies – Poor diges$on – Toxicity and impaired detoxifica$on

As we improve the body and its systems, we help

support learning and behavior.

Gut has constant contact with food •  Immune:

–  Physical barrier of defense against bacteria, viruses, etc. –  Largest part of the immune system (70%) found in the gut

•  NeurotransmiVers: –  The greatest amount (90%) of the “brain chemical” serotonin is found in the GI tract

–  Amino acids (absorbed from protein diges$on) are precursors for neurotransmiVers

•  Full body func$on: –  Vitamins/minerals absorbed in the gut are cofactors for enzyme reac$ons, metabolism, conversion of nutrients and fat

Importance of GI Health “All disease begins in the gut”

-‐ Hippocrates, the father of modern medicine

How Diet Can Help - Support Digestion & Biochemistry •  Leaky Gut and Gut Inflamma$on

–  Remove foods that inflame gut –  Add foods that reduce inflamma$on and heal the gut –  Add foods that supply beneficial bacteria

•  Nutrient Deficiencies –  Increase the quality of food and diges$bility

•  Yeast Overgrowth –  Remove sugars –  Reduce refined flour products and starches –  Add probio$c-‐rich foods

•  Toxicity and Poor Detoxifica$on –  Avoid food addi$ves –  Avoid toxins in food supply and meal prepara$on

•  Faulty Methyla$on and Sulfa$on –  Remove phenolic foods –  Improve methyla$on and sulfa$on through supplementa$on

Health is most affected by our genetic expression

• Good nutri$on turns our genes towards health • Nutrient deficiencies turn our genes toward the direc$on of disease

• Toxins turn our genes toward the direc$on of disease

• DNA methyla$on for gene$c expression: zinc, methionine, betaine, choline, folate, B12

Cooney CA, Dave AA, Wolff GL. Maternal Methyl Supplements in Mice Affect Epigenetic Variation and DNA Methylation of Offspring. The American Society of Nutritional Sciences J Nutr. 132:2393S-2400S, 2002

SAD State

• Nearly 2/3 of children did not meet the RDA for vitamin E and zinc

• Half did not meet RDA for calcium •  1/3 did not meet RDA for iron and B6 • Only 1% of children between 2 and 19 years of age met all the USDA Food Pyramid recommenda$ons.

• Most pregnant women do not meet the RDA for iodine, calcium, magnesium, iron, zinc, vitamins A, B1, B2, B3, B6, B12, vitamin C, and folate from food sources.

Essential Nutrient Functions •  Zinc – cogni$ve and motor func$on, immune func$on, prenatal need high for organ systems

•  Vitamin E – deficiency causes neurological symptoms, prenatal need for developing nervous system

•  B6 -‐ amino acid, glucose and lipid metabolism neurotransmiVer synthesis

•  Calcium – cellular and brain func$on •  Iron – deficiency can affect growth and may lead to learning and behavioral problems and anemia

•  Iodine – deficiency associated with reduced intelligence and mental retarda$on

•  Folate, B12, and B6 – essen$al for gene expression

On Average, Children Today Do Not Get Enough Nutrients

• To build neurotransmiVers • For adequate fuel for energy and motor func$on • For strong immune func$on • For gene$c expression -‐ toward health • For proper cellular func$on and energy • For brain func$on and highest cogni$ve poten$al • For growth and repair, including the gut • To mylenate their nerves

Healing Diets

Remove: Avoid offending foods and substances – Ar$ficial addi$ves – Gluten, casein, soy, corn, phenols, oxalates, starches

Replenish: Increase healthy foods – Whole and unprocessed foods (sweet potatoes not potato chips) – Organic and locally grown – Fermented foods: rich in probio$cs – Grass-‐fed/pastured meat and eggs – Good fats

• Gastrointes$nal problems relieved • Diarrhea & cons$pa$on lessens •  Improved language skills and learning • Greater focus and aVen$on •  Reduced hyperac$vity •  Eye contact • More appropriate behavior •  BeVer sleeping •  Easier toilet training •  Skin rashes or eczema clear up

ü General Health & Happiness Improved

What Parents Report with Dietary Intervention

Holistic Nutrition Approach

*From Nourishing Hope for Autism

STEP 1



AVOID Top 7 Things to Get Out of the Diet

•  Food addi$ves can cause: Hyperac$vity*, inaVen$veness, aggression, irritability, headaches/pain, trigger asthma, can be addic$ve

*McCann D, Barrett A, Cooper A, Crumpler D, Dalen L, Grimshaw K, Kitchin E, Lok K, Porteous L, Prince E, Sonuga-Barke E, Warner JO, Stevenson J. “Food additives and hyperactive behaviour in 3-year-old and 8/9-year-old children in the community: a randomised, double-blinded, placebo-controlled trial.” Lancet. 2007 Nov 3;370(9598):1560-7

Ingredients to Avoid Sources Food additives: Artificial colors/flavors and preservatives, Nitrite and sulfites

candy, cereal, “kids’ foods Bacon/lunch meat, dried fruit/wine

MSG (hydrolyzed protein, yeast extracts) broth, bullion, soup, meat-flavored foods

Pesticides non-organic produce and meat

Aspartame and other artificial sweeteners Sodas, candy, and other foods

Trans fats partially hydrogenated oil, commercial margarine, mayonnaise, peanut butter

(Added) Sugar Sugary foods, high fructose corn syrup

Food allergens Gluten, dairy, eggs

Pesticides •  2010 study on ADHD, they found a 35 percent increase in the odds of developing ADHD with every 10-‐fold increase in urinary concentra$on of the pes$cide residues. 1 2

•  2007 study on au$sm, Women who lived within 500 meters, or 547 yards, of fields sprayed with organochlorine pes$cides during their first trimester of pregnancy. Eight of them, or 28%, had children with au$sm. Their rate of au$sm was six $mes greater than for mothers who did not live near the fields. 3

1. Klein, Sarah. Study: ADHD linked to pesticide exposure. CNN. 17 May 2010. 2.  Maugh II, Thomas H. (2010-05-16). "Study links pesticide to ADHD in children". The Los Angeles Times.

http://articles.latimes.com/2010/may/16/science/la-sci-pesticides-20100517. 3.  Central Valley women lived within 500 meters, or 547 yards, of fields sprayed with organochlorine pesticides during their first trimester of pregnancy. Eight of

them, or 28%, had children with autism. Their rate of autism was six times greater than for mothers who did not live near the fields, the study said.

1.  Celery 2.  Peaches 3.  Strawberries 4.  Apples 5.  Blueberries 6.  Nectarines 7.  Bell Peppers 8.  Spinach 9.  Cherries 10.  Kale/Collard Greens 11.  Potatoes 12.  Grapes (Imported)

* Environmental Working Group

ONLY Buy organic!

Dirty Dozen

Sugar •  Feeds yeast •  Depresses the immune system •  Contributes to inflamma$on •  Cane sugar: common food sensi$vity and uses chemical processing •  Refined sugar such as table sugar (white cane sugar) is devoid of nutrients/minerals that help process the sugar

•  Refined sugar: “sugar” (bleached white cane sugar), Sugar in the Raw (white sugar with molasses added back), agave nectar

•  Natural, less-‐refined sugar (more minerals and less refinement): Raw honey, Maple syrup (grade B), sucanat, fruit, blackstrap molasses,

•  4-‐5 grams per serving (1 teaspoon “sugars”) = 2 oz fruit juice, 2 tsp dried fruit, 1 TBSP ketchup


STEP 2


• AVOID chemicals in the food we eat, AND from our home and environment

•  Fragrance and perfume •  Flame retardant in car seats & clothing •  Fabric soqener • Chemical cleaners – (use baking soda and vinegar when possible) •  Sunscreens (nano and chemical) •  Toothpaste •  Flea treatments and ant sprays

Common Household Toxins


STEP 3


Nutrient Deficiencies in Autism

• Magnesium, calcium, zinc, selenium, iron • Vitamin B6, B12, folic acid, B1, B2, B3, bio$n • Vitamin D and A • Vitamin C • Omega 3 faVy acids • Amino acids: glutathione, cysteine, l-‐carni$ne, taurine, and glycine

Deficiencies stem from… •  Poor quality food consump$on from the SAD diet •  Picky and restric$ve ea$ng •  Insufficient diges$on or absorp$on (inborn or acquired) •  Ability for the cell to u$lize nutrient • Not converted to ac$ve form •  Improper enzymes or nutrients needed for biochemical pathways (methyla$on, transulfura$on, and sulfa$on)

•  Increased toxins and inflamma$on -‐ use up needed nutrients

•  Intes$nal dysbiosis and lack of beneficial bacteria • Medica$on induced nutrient deple$on

Food vs. Supplements • Food is the founda$on for gerng proper nutri$on.

–  Food has phytonutrients, enzymes, probio$cs and other compounds needed for good health

• However, for most children, addi$onal supplementa$on may be required

– A mul$vitamin/mineral formula helps ensure all children meet minimum requirements

–  Special diets may limit intake of certain nutrients (like calcium on a dairy-‐free diet), supplemental nutrients may be needed

–  For gene$c/biochemical reasons, certain ac$ve forms or higher amounts may be necessary

First 9 Supplements to Consider 1.  Diges$ve Enzymes 2.  Probio$cs 3.  Calcium (par$cularly important on a casein-‐free diet) 4.  Magnesium 5.  B6 -‐ pyrodoxine or P5P 6.  B12 -‐ methylcobalamin 7.  Folate -‐ Folinic or 5-‐MTHF 8.  Cod liver oil 9.  Mul$vitamin/mineral formula


STEP 4


The Nourishing Hope Food Pyramid

Animal Protein

Protein •  Protein (essen$al amino acids) building blocks for:

– Muscle and $ssue growth and repair, neurotransmiVers, immune responses, enzymes, detoxifica$on

• Oqen need to focus on gerng more in diet •  Some protein at each meal •  Bio individuality -‐ amounts vary.

–  Some kids need more, some children cannot process protein well: High ammonia, low HCl, low zinc, B6, or iron

•  Animal protein is easier to digest and has more concentrated amounts of protein for children in need of healing

Animal Protein

• Organ Meats

• Bone Broths

• Fish

• Red Meat

• Poultry

• Eggs

• Dairy

Animal Protein

• Red meat: Grass-‐fed Beef, Buffalo, lamb, goat (Grass-‐fed animals)

• Wild game: Venison, elk, pheasant • Poultry: Pastured Chicken, turkey, emu • Wild Fish • Organ meats (Grass-‐fed sources) • Eggs (Pastured hens) • Bone broths • Dairy (op$onal)

Vegetables

Vegetables •  Leafy green •  Red vegetables •  Orange/yellow vegetables •  Purple vegetables •  Green vegetable (green beans, celery, fennel) •  Cruciferous vegetables •  Sulfur-‐Rich/Immune Suppor$ve •  Fermented vegetables •  Starchy tubers (op$onal) •  Some people avoid high salicylate and high oxalate vegetables

Leafy Greens Sources • Kale -‐ Curly green kale, Red Russian kale, lacinato (dino) kale, black kale

• Collard greens • Mustard greens • Watercress • Swiss chard • Spinach • Arugula • Field greens

Leafy Greens

• The darker green the beVer • Rich sources of: Calcium, folate, iron • High oxalate sources that some people may avoid or limit: Swiss chard, spinach

Leafy Greens Cooking Ideas • Add to smoothies •  Sauté with ghee and garlic • Pan-‐fry with ground sausage • Kale chips • Add to soups and stews •  Sauté with other vegetables such as Brussels sprouts or broccoli

See Cooking to Heal for more vegetable and leafy green ideas

Fats / Oils

Fats / Oils

• Fish oil: Salmon, sardines, fish eggs/salmon roe, cod liver and fish oil supplements

• Plant oils: Olive oil, avocados, nuts/seeds • Plant saturated fats: coconut oil, palm oil, macadamia nuts

• Animal fats: lard and bacon (pork), tallow (beef), chicken fat (Pastured sources)

• Dairy fat: casein-‐free ghee (Grass-‐fed sources) • AVOID Vegetable oil: canola, safflower, corn, soy, and coVonseed oils

•  Omega 3s, monounsaturated fat, and saturated fat •  Fat and saturated fat are essen$al for babies and brain development

•  Breast milk is 53% fat & 25% saturated fat •  Hormone balance and mood •  Forma$on/fluidity of cell membrane •  Crea$ng energy in cell and helps burns fat •  Omega 3s (very helpful with depression, hyperac$vity, and inflamma$on)

•  Animal fats are healthy and an important part of the diet

Get 40% (or more) of calories from fat

Fats

Fats/Oils

Omega 3 Omega 6 Monounsat Saturated Fat

Fish oil or

cod liver oil

Flax seed oil

Borage oil (GLA) Evening primrose oil

(GLA) Black currant oil

(GLA) Hemp seeds/oil (GLA) Nuts/seeds and oils

Olive oil

Avocado

Nuts/seeds

Coconut oil

Palm/Red Palm oil

Animal fats – ghee/dairy, lard, bacon

AVOID Vegetable oils: canola, safflower, corn, soy, and coVonseed oils

Saturated Fat Vital Roles of Saturated Fat •  Brain —Saturated fats important brain development

•  Bones – Saturated fats help body put calcium in bones

•  Liver – Saturated fats protect the liver from poisons

•  Lungs – Can’t func$on without saturated fats —protects against asthma

•  Immune System – Enhanced by saturated fats—fights infec$on

•  Essen$al FaVy Acids – Work together with saturated fats

Plant and animal saturated fat

Plant Animal Coconut Meat/fat Palm Eggs Macadamia Butter

Coconut Oil •  Contains many

antifungal and antiviral components

•  Anti-inflammatory effects

•  More easily digested and absorbed

•  Used immediately to create energy

•  Enhances absorption of minerals

Animal Fat • Contains: • Good fats:

–  Saturated fat – Monounsaturated fat –  Essen$al faVy acids

• Essen$al fat soluble vitamins: A, D, E, and K – Assimila$on of minerals –  Important for immune func$on – An$oxidant status or oxida$ve stress –  Strong bones

• Cholesterol

Uses of Cholesterol

• Brain development and func$on

• Aids diges$on • Builds strong bones and muscles • Repairs damaged $ssue • Building block for hormones • Regulates blood sugar • Protects against infec$ous diseases • Cholesterol is an ac$vator for oxytocin receptors in the brain

Brain cholesterol in cell membrane

Studying Cholesterol Cholesterol is not enemy we hear it is •  Dr. Harlan Krumholz, Cardio. Med at Yale found old people with low cholesterol died twice as oqen from a heart aVack as old people with high cholesterol.1

•  Artery damage -‐ –  From food containing oxidized fat and oxidized cholesterol

•  Oxidized cholesterol –  Oxidized cholesterol shown to be atherogenic in studies.2

•  Powdered milk, dried egg products, dried meat, cheeses, protein powder •  Processed foods containing them: cake and bread mixes, crackers •  Low fat and nonfat milk containing milk solids

Dietary Interven$on •  Consume/don’t avoid cholesterol in natural foods like eggs, meat, buVer/ghee. •  Increase fiber to bind cholesterol and keep it in check •  Avoid consump$on of oxidized cholesterol foods -‐ processed/powdered foods •  Increase an$oxidants in the diet •  Avoid oxidizing fats -‐ avoid high heat cooking of unsaturated fat 1. Krumholz HM and others. Lack of associa$on between cholesterol and coronary heart disease mortality and morbidity and all-‐

cause mortality in persons older than 70 years. Journal of the American Medical Associa$on 272, 1335-‐1340, 1990. 2. Hubbard RW, Ono Y, Sanchez A. Atherogenic effect of oxidized products of cholesterol. Prog Food Nutr Sci. 1989;13(1):17-‐44.

The Foundations

Top Nutrition Boosters 4 Foundations from the Pyramid

• Grass-‐fed meat • Broth and stock • Fermenta$ons • Juicing

Grass-‐fed/pastured Conven4onal • Rich in Vitamin A, D, and K and good fats

• Eggs from pastured hens higher omega 3 /DHA*

• Meat -‐ Higher in CLA and tryptophan

• Cream/buVer higher in vitamins A & D

• Unhealthy animals-‐poor food • Inflammatory grains-‐create inflammatory food

• Low Vitamins A&D and others • Higher in fats & cholesterol-‐par$cularly bad fats

• Higher in arachidonic acid (inflammatory)

• Low in an$-‐inflammatory fats

-‐-‐Organic is not necessarily grass-‐fed

Good sources near you–check out WestonAPrice.org chapter leaders * Lopez-Bote, C. J., R.Sanz Arias, A.I. Rey, A. Castano, B. Isabel, J. Thos (1998). "Effect of free-range feeding on omega-3 fatty acids and alpha-tocopherol content and oxidative stability of eggs." Animal Feed Science and Technology 72: 33-40.

Grass-fed/Pastured Animal Protein

Eat Grass-Fed and Pastured Animal Foods

• Significantly higher levels of fat-‐soluble vitamins (Vitamins A, D, and K) that are essen$al for immune func$on, protein assimila$on, and mineral absorp$on

• Contains important faVy acids for brain development and body/cellular func$ons

Vitamin A and D levels in Grass-Fed vs Conventional • Eggs

– 8x the vitamin D – 2x the vitamin A

• BuVer – 3x the vitamin D – 10-‐13x the vitamin A

• Lard – 12x the vitamin D

* Tested by the Weston A Price Founda>on

Broths

• Provides nutrients in easy to absorb form • Bone Broths • Rich in gela$n, amino acids, and minerals • Vegetable Broths • Adding vegetables to broths increases the vitamin and mineral content of the broth and adds flavor

Homemade Bone and Vegetable Broths • Grass-‐fed/pastured chickens or beef bones • Add 2 Tablespoons of vinegar -‐ increases the calcium and magnesium

• Vegetables, seaweed, greens, neVles • Nutrient dense, easy to assimilate nutrients •  Trace minerals, amino acids, calcium, magnesium, potassium, iron

Prepare soups, stews, casseroles with stock

Cook grains, soups, and/or pasta in broths -‐ nutrients will absorb into food

Grandma knew best

Fermented Foods Rich in Probiotics •  Func$ons of good bacteria

–  Regulate peristalsis and bowel movements –  Break down bacterial toxins –  Make vitamins needed and u$lize: B1, B2, B3, B5, B6, B12, A and K

–  Digest protein into amino acids (for use by the body) –  Produce an$bio$cs and an$fungals –  Help breakdown sugars, lactose, and oxalates –  Support immune system and increase number of immune cells –  Balance intes$nal pH –  Protect against environmental toxins: mercury, pes$cides, pollu$on

Raw fermented foods contain billions (even trillions) of bacteria/serving!

Fermented Foods Rich in Probiotics Dairy-‐free: •  Raw sauerkraut/Cultured vegetables •  Nut milk yogurt •  Beverages (contain yeast that kills candida):

• Kombucha • Young coconut kefir • “Sodas” (hibiscus/rosehip tea with kefir starter)

Dairy: Milk-‐based yogurt/kefir

Bacterial ferments (Lactobacillus)

Yeast and Bacteria ferments

• Cultured vegetables • Yogurts

• Kefirs • Kombucha

Juicing

• Stored and pasteurized juices contain significantly less nutrients: zinc, iron, calcium, vitamins B1, B5, and B6

• Fresh and raw vegetable juice contain many $mes more vitamins & phytonutrients than boVled

• Higher concentra$on of nutrients –  Chlorophyll and phytonutrients

• Get nutrients without needing to eat/chew vegetables

• Children that like liquids, juices and smoothies

Juicing Ideas

Ø  Juice fresh fruit for taking supplements vs. boVled Ø  Add supplements to vegetable juice (instead of fruit juices) Ø  Add vegetable juice to smoothies.

Start with (base juice) Flavor boosters Nutrient dense

vegetables • Cucumber • Celery • LeVuce • Broccoli stalk

• Carrot • Beet • Fruit: Apple, pear • Jicama

• Parsley, cilantro • Kale or other greens • Cabbage • Ginger

The Nourishing Hope Food Pyramid

Nourishing Practices

• Choose grass-‐fed animal protein and organic vegetables

• Include plenty of good fats • Eat fermented foods • Consume homemade broths • Drink fresh pressed vegetable juices and eat some raw foods

• Drink pure water and use mineral-‐rich salt • Soak and sprout grains, beans, and nuts

“Go to” TOP Nourishers

• Eggs/yolks (from pastured hens)

• Organ meats (liver and others)

• Full fat dairy & buVer • Bone broth • Fermented foods

• Vegetable juice or green smoothie

• Cod liver oil, oily fish, or fish eggs


STEP 5


Flexible for all Healing Diets

Top Diets GFCF (Gluten-‐free and Casein-‐free) No gluten (wheat, rye, barley, spelt, kamut, and oats) or casein (dairy)

Food Sensi4vity Elimina4on/Rota4on Elimina$ng all other food sensi$vi$es: Soy, corn, eggs, citrus, peanuts, chocolate, cane sugar

SCD (Specific Carbohydrate Diet)/GAPS Restricts carbohydrates to only fruits, non-‐starchy vegetables, and honey. No grains, starchy vegetables, or mucilaginous fiber

Paleo/Primal Blueprint Meat, fruit, vegetables, fat and nuts. No grains or beans. Oqen removes potatoes and dairy too.

Low Oxalate Diet Restricts high oxalate foods (nuts, beans, greens)

Low FODMAPS Diet Low in fermentable, poorly absorbed carbs such as fructose, lactose and FOS.

Body Ecology Diet & other Yeast Diets An$-‐yeast diet combining principles of an$-‐yeast diets including no sugar, acid/alkaline, fermented foods

Feingold/FAILSAFE Diets Restricts high phenolic foods, including all ar$ficial ingredients and high salicylate fruits (and more)

Weston A Price Dietary Principles: Solid nutri$on founda$on for everyone

Diet Options Benefits

GFCF (Gluten-free and Casein-free)

Good diet to start with Reduce gut inflammation Reduce opiates

Food Sensitivity Elimination/ Rotation Diet

Follow up on GFCF to refine food sensitivities

SCD (Specific Carbohydrate Diet)/GAPS

Excellent for severe gut inflammation Very helpful for diarrhea/constipation not addressed by GFCF Starves out dysbiotic flora

Feingold Diet/FAILSAFE/ Low Phenols

Good for food addictions: grapes, apples, bananas, artificial ingredients Hyperactivity, asthma, irritability, red cheeks

Body Ecology Diet Great for ridding candida Populating good bacteria

Nourishing Traditions/ Weston A. Price

Nourishing diet High quality fats, fermented foods, nutrient-rich

Low Oxalate Diet Inflammation/pain, energy and cognition, motor skills, GI symptoms, and yeast

Diet Strategy

Nourishing Diet

Food intolerances?

Histamines

Food sensitivities

Feingold/ phenols

glutamates

Your Child’s Diet

GFCF SCD or

Yeast/dysbiosis/inflammation?

Low Oxalate BED GAPS

SCD

Gluten-Free/Casein-Free: GFCF & Other Food Sensitivities

Food Allergies & Sensitivities

• Food allergies (IgE): immediate/acute – Hives, anaphylac$c shock – Peanuts, eggs*

• Food Sensi$vi$es (IgG): delayed – Diges$ve disturbances, inflamma$on, pain, hyperac$vity, anxiety

– Gluten, casein, soy, corn*

*Any food can be an allergy or a sensi>vity

Common Food Sensitivities Eliminate or Rotation Diet • Gluten • Casein • Soy • Corn • Eggs • Citrus • Peanuts and tree nuts

Gluten and Casein

• Common IgG reac$ons in au$sm • Possible opiate response • Inflammatory response • Autoimmune response • Other possible reac$ons • Trying the diet is the “gold standard” of how a child reacts to gluten and casein = Try the diet

Digestive Enzymes Break Proteins into Amino Acids

When someone is unable to break down gluten or casein proteins into individual amino acids, they remain as protein chains or

opioids

Opioid Peptides can cause…

• Addic$on (foods) • High pain tolerance • InaVen$on and spacey behavior • Aggression (self and others) • S$mming • Mood changes • Poor eye contact

Digestive Enzymes

• Enzymes with DPP-‐IV help break down gluten, casein and soy to prevent opiate produc$on, help digest food for beVer absorp$on of nutrients, and reduce food reac$ons

• Use with or without the GFCF diet – Can help as you’re gerng ready to implement the GFCF diet

– Can help break down other sources of opiates from cross-‐contamina$on and other foods

Our Sponsor Houston Enzymes

Scientific Rationale for Diets •  Research on gluten and casein for AUTISM

OPIOIDS –  Jinsmaa Y, Yoshikawa M. (1999) Enzyma$c release of neocasomorphin and beta-‐casomorphin from bovine beta-‐

casein. Pep>des, 20:957-‐962. –  Reichelt KL, Knivsberg AM, Lihnd G, Nodland M: Probable e$ology and possible treatment of childhood au$sm.

Brain Dysfunc>on 1991; 4: 308-‐319. –  Kamiński S, Cieslińska A, Kostyra E. (2007) Polymorphism of bovine beta-‐casein and its poten$al effect on human

health. The Journal of Applied Gene>cs, 48(3):189-‐198. –  ShaVock P, Whiteley P. (2002) Biochemical aspects in au$sm spectrum disorders: upda$ng the opioid-‐excess

theory and presen$ng new opportuni$es for biomedical interven$on. Expert Opin Ther Targets. Apr;6(2):175-‐83 DIGESTIVE PROBLEMS WITH GLUTEN & CASEIN –  Jyonouchi H, Geng L, Ruby A, Reddy C, Zimmerman-‐Bier B. (2005) Evalua$on of an associa$on between

gastrointes$nal symptoms and cytokine produc$on against common dietary proteins in children with au$sm spectrum disorders. J Pediatr. May;146(5):582-‐4.

REDUCED AUTISTIC SYMPTOMS –  Knivsberg AM, Reichelt KL, Nodland M. (2001) Reports on dietary interven$on in au$s$c disorders. Nutri>onal

Neuroscience, 4(1):25-‐37. –  Knivsberg AM, Reichelt KL, Hoien T, Nodland M. (2002) A randomised, controlled study of dietary interven$on in

au$s$c syndromes. Nutri>onal Neuroscience, 5(4):251-‐61 •  Research on food sensi$vi$es for ADHD

–  Sinn N. Nutri$onal and dietary influences on aVen$on deficit hyperac$vity disorder. Nutr Rev. 2008 Oct;66(10):558-‐68.

–  Rapp DJ. Diet and hyperac$vity. Pediatrics. 1981 Jun;67(6):937-‐8. •  Research on food sensi$vi$es for ASTHMA

–  Schroeder A, Kumar R, et al. Food allergy is associated with an increased risk of asthma. Clin Exp Allergy. 2009 Feb;39(2):261-‐70.

–  Jesenak M, Rennerova Z, et al. Food allergens and respiratory symptoms. J Physiol Pharmacol. 2008 Dec;59 Suppl 6:311-‐20.

Grains Hidden Sources Wheat Rye Barley Spelt Kamut Tri$cale Oats (commercial) Semolina

Hydrolyzed Vegetable Proteins MSG Dextrin Malt Citric acid Ar$ficial flavors & coloring “Spices” Soy sauce (unless wheat-‐free) Potato chips/fries

Gluten Grains & Ingredients to Avoid

Casein-Containing Foods to Avoid

Milk Cheese (all) Yogurt BuVer

BuVermilk Ice cream

Kefir Cream

Sour cream

Whey Galactose

Casein, Caseinate Lactose, Lactalbumin

Lac$c acid Sherbet

Canned tuna Cool whip

Ar$ficial buVer flavor

Steps for a Successful GFCF Diet Implementa$on

1.  Get educated on the Gluten-‐Free and Casein-‐Free Diet (GFCF), as well as Soy-‐Free (SF)

2.  Experiment. Discover choices your child likes. Before removing any foods from the diet, iden$fy new GFCF alterna$ves.

3.  Create a meal plan. Develop a list of diet compliant meals and snacks your child will eat or ideas that you would like to try.

4.  Shop 5.  Begin the GFCF diet! 6.  Keep a diet record.

Other Food Sensitivities

• Soy

• Corn • Eggs

•  Citrus

•  Peanuts •  Nuts

Avoid Soy • Not good subs$tute for dairy or protein •  Very difficult to digest •  Irritate the gastrointes$nal tract •  Blocks absorp$on -‐ calcium, magnesium, iron, copper and especially zinc -‐ due to phy$c acid and oxalates

•  Blocks thyroid func$on •  Endocrine disrup$on in the reproduc$ve hormones of both males and females

Soy sources: tofu, soy protein, miso, tempeh, soy milk, soy cheese or ice cream, soy sauce, tamari, soy oil

Hidden soy: lecithin, vitamin E

Reduce/Avoid Corn

• Top 5 allergen • Contains high level of fungus • Herbicide Atrazine delays puberty in boys, affect endocrine func$on, fer$lity and thyroid

• Gene$cally modified corn: environmental experiment, RoundUp Ready. Genes from bacteria toxin added -‐ BT toxin

• Eat ONLY organic, if at all

Beyond GFCF

• Soy-‐free • Corn-‐free • Specific Carbohydrate Diet • Food addi$ves • Feingold Diet • Dysbiosis -‐ Adding probio$c/fermented foods, Body Ecology Diet

• Low Oxalate Diet

Specific Carbohydrate Diet (SCD) & GAPS Diet

Specific Carbohydrate DietTM

• Removes disaccharides and polysaccharides –  (most sugars & starches)

• Allows only monosaccharides –  (honey, fruit, non-‐starchy vegetables)

SCD/GAPS Specifics •Begin as casein-free •Consider the Intro diets

Foods to avoid Foods to eat §  No grains or corn §  No potatoes (white or sweet) §  No soy products §  No sugars except honey §  No cornstarch, arrowroot powder, tapioca, agar-‐agar or carrageenan

§  No pec$n in jams

§  No chocolate or carob §  No baking powder (baking soda OK on SCD)

ü Vegetables (non-‐starchy) ü Fruit ü Fruit juice not from concentrate

ü Honey ü Meat

ü Eggs (if tolerated) ü Nuts/seeds and nut milks (if tolerated)

ü Certain beans ü Ghee

Phenols & Salicylates Feingold Diet & Failsafe Diet

Effects of Faulty Biochemistry in Autism

Phenols, Salicylates, and Amines

• Hyperac$vity • Red cheeks/ears • Itchy skin • Upset stomach • Asthma

• Headaches • Bedwerng • Fa$gue • Diarrhea • Depression

Can cause:

Phenols/Salicylates on Feingold •  Almonds •  Apples •  Apricots •  Berries, raspberries, cherries •  Chili powder •  Cider and cider vinegar •  Cloves •  Coffee •  Cola drinks •  Cucumbers and pickles •  Curry powder •  Endive •  Grapes, raisins, currants

•  Honey •  Nectarines and peaches •  Oranges and oranges •  Paprika •  Peppers (bell and chili) •  Pineapple •  Plums and prunes •  Radishes •  Tea •  Tomatoes • Wine and wine vinegar •  Oil of wintergreen

Failsafe is based on RPAH Elimina$on Diet and Anne Swain Royal Prince Alfred Hospital in Australia

Body Ecology Diet

•  Low sugar: Avoids all sugars including fruit. Only sour fruit allowed at the beginning: Lemons, limes, black currants, cranberries. Future: Grapefruit, kiwi, and green apples.

•  Addi$on of fermented foods: Young coconut kefir, raw sauerkraut/cultured vegetables

•  Expansion/Contrac4on-‐ macrobio$c principle of energe$c proper$es of food. Contrac$ng: meat, eggs, salt. Expanding: sugar.

•  Acid/Alkaline-‐ The inten$on is to keep the blood slightly alkaline. This is thought to discourage the growth of systemic candida.

–  20% acid-‐forming foods: meat, grains, eggs, and 80% alkaline-‐forming foods: vegetables, raw apple cider vinegar.

–  Grains: quinoa, amaranth, millet, buckwheat. No rice or other grains. •  Food Combining-‐ Macronutrients need different condi$ons in the stomach, especially for weak diges$on. Doesn’t combine protein and starch at a meal

Body Ecology Diet

Low sugar diet Fermented foods

Food combining Acid/alkaline

Expanding/contrac$ng

Low Oxalate Diet

Oxalates

• Gene$c differences in the ability to handle oxalate. • Oxalates broken down by probio$cs* (VSL#3) • Oxalates can be very addic$ng • Certain diets can be very high in oxalate: SCD (nut flours) and Body Ecology (buckwheat, quinoa, amaranth)

• Parents report improvements: energy, sleep, skin, motor skills, mood, growth, joint and eye pain, and gut and yeast

Oxalates in Food High oxalates (50-‐300 mg) •  Nuts, especially almonds & peanut •  Beans, most •  Beets •  Figs •  Rhubarb & Swiss chard •  Field greens and spinach •  Amaranth, buckwheat, and quinoa •  Soy •  Sweet potatoes •  Some berries -‐ Goose berries, raspberries and blackberries

•  Chocolate •  Citrus peel •  Kiwi and starfruit •  Tea

Lower oxalate Choices • Avocado • Animal foods except organ meats • White (preferred)/brown rice • Wild rice • Corn -‐ on cob or 1 cup popcorn • Collard greens, bokchoy & cabbage • Broccoli and other cruciferous • Pear, apple, mango, papaya, melons • Black eyed peas, garbanzo, lima, and mung beans

• Len$ls • Pumpkin seeds & sunflower seeds

Possible Causes Picky Eating •  Addic$ons to opiates (gluten/casein) cause consump$on of primarily wheat and dairy containing foods

•  Addic$ons to chemicals (MSG, ar$ficial addi$ves) cause restric$on to one brand or large preference for processed foods

• Nutrient deficiencies (zinc) makes everything taste bad or bland.

•  Yeast, viral, and microbial overgrowth may cause focus on ea$ng mainly high carb and sugar foods

•  Sensory sensi$vi$es can restrict the consump$on of certain textures -‐ Seek a feeding therapist when needed

Ideas for Picky Eating

• Remove addic$ve foods •  Improve nutrient status with supplementa$on • Get crea$ve with TEXTURE

–  Chicken pancakes and meatballs for protein –  Vegetable Laktes and Carrot/Kale Chips for vegetables

•  Incorporate (“hide”) pureed vegetables in muffins, pancakes, meatballs, pasta sauce

• Visual Presenta$on

Words of Encouragement • Though not always easy at first, the improvements make it all worthwhile

• You WILL get the hang of it -‐ not hard to do • Children improve physically and their au$sm/ADHD symptoms decrease or even go away

• As symptoms decrease, parents have more free $me to do fun things with their child and the gains your child can make are priceless

• There is no downside to improving diet

Nutrition Support By Telephone and Skype with Julie Matthews • Contact our office to arrange an appointment or for a free 15-‐minute exploratory conversa$on

(415) 235-‐2960 [email protected]

Nourishing Hope - Contents

Nourishing Hope Support

Contact Julie at: [email protected] NourishingHope.com

415-‐235-‐2960

websummit 2012 - nourishing hopenourishinghope.com/pdfs/nourishinghopewebsummit.pdf · food vs....

Documents