The Complete Guide to Nutrition in Primary Care

Dr. Darwin Deen is one of the nation's foremost authorities on nutrition. Currently Professor of Clinical, Family and Social Medicine and Director of Medical Student Education at the Albert Einstein College of Medicine in New York, he has trained a generation of physicians on the connection between nutrition and health. He has played a leading role in revising medical school curricula to incorporate nutrition training. An award-winning teacher and noted author, he serves as Chair of the Task Force on Medical Nutrition Education of the American College of Nutrition and co-chairs the Group on Nutrition of the Society of Teachers of Family Medicine. His years of experience as a family physician make him perfectly suited to advise clinicians on counseling their patients on diet and lifestyle. Dr. Lisa Hark is a renowned family nutrition expert, with more than 20 years of experience in nutrition counseling and promoting the benefits of healthy eating in children and adults. As Director of the Nutrition Education Program at the University of Pennsylvania School of Medicine in Philadelphia, she developed a model medical school curriculum and textbook, Medical Nutrition and Disease, which has become one of the most widely used texts in nutrition education. She was given the Excellence in Medical/Dental Nutrition Education award from the American Society for Nutrition. Dr. Hark was also the host of the TV show, "Honey, We're Killing the Kids," which airs on TLC, and is a widely sought after speaker who communicates nutrition concepts effectively to health professionals, patients, and the media.

Editors vii

Contributors viii

Preface xi

Section 1 Nutrition as preventive medicine

1 Nutrition and the primary care clinician 3
Darwin Deen and Katherine Margo

2 Changing the office culture to make it work 15
Arlo Kahn and Jane White

3 Methods of weight control 31
Cathy Nonas, Jennifer Williams, and Valentine J Burroughs

Section 2 Nutrition through the life-cycle

4 Growing up healthy 57
Susan Konek and Diane Barsky

5 Feeding the mother-to-be 85
James M Nicholson, Catherine Sullivan and Morghan B Holt

6 Staying healthy in later life 109
Connie Watkins Bales and Heidi K White

Section 3 Improving health by changing diet and lifestyle behaviors

7 Dyslipidemia, hypertension and metabolic syndrome 135
Frances Burke and Philippe Szapary

8 Diabetes, pre-diabetes and hypoglycemia 161
Marion J Franz and Richard Wender

9 Gastrointestinal disorders 179
Marianne Aloupis and Thomas Faust

10 Everything else 201
Marion Vetter and Katherine Chauncey

Section 4 Vitamins, minerals, supplements and alternative nutrition

11 Vitamins 223
Randee Silverman and Jeremy Brauer

12 Minerals 249
Randee Silverman and Jeremy Brauer

13 Dietary and nutritional supplements 275
Joel S Edman and Elizabeth Horvitz

14 Considering the alternatives 293
Benjamin Kligler, Joel S Edman and Mary Beth Augustine

Section 5 Successful changes to the environment

15 It’s all about changing behaviors 311
Darwin Deen and Alice Fornari

16 Community counts 327
Kathryn M Kolasa

17 Cultural considerations 341
Kim M Gans and Charles B Eaton

Appendices 365

Review questions 385

Review answers 428

Index 435