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Nutrition and Asthma

    Best Regards & Dedicated to our Sir
            MILI & MOUMITA
               Nutritionist
The meaning of Nutrition
   Nutrition is part of our environment and
    is a reflection of our:
       Cultures
       Available Choices
       Income
       Wellbeing
Nutrition Basics
The Foods we eat have 4 functions
 Body Building

 Regulation

 Protection

 Fuel
Protective Foods
   Vitamins and Minerals found in:
       Fruits and Vegetables
            Vitamin C
            Carotenes
            Flavonoids
            Folic Acid
            Magnesium
       Protein Foods
            Zinc
            Iron
Fuel
   All Foods that contain calories
     Proteins
     Carbohydrates

     Fats


    Needed for growth, tissue repair, activity and
      temperature regulation
Nutrition and Asthma
Increase resistance to:
 Environmental Insults

       Dust
       Air Pollution
       Dust Mites
       Allergens
   Infections
Impact of Household Chemicals
Toxic non-food household products:
     Detergents
     Cleaning Products
     Aerosols (deodorizers, hair spray)
     Pesticides
     Cosmetic
                  S t o p S mo k in g
Some Dietary Risk Factors for
Asthma
   Food Allergies
   Risk Factors for allergies
       Little to no breastfeeding
       Early introduction to solid foods
   Diets low in fruits and vegetables
   Sulfites
       Dried fruits
       Grape juice, beer, wine
Asthma and Overweight
   Dietary Habits that lead to overweight
    increase risk of asthma
       High Soda Intakes
       Commercial Fast Foods
   Decreased Physical Activity can both
    cause and result from overweight
       Can lead to decreased respiratory capacity
Poor Overall Diet Quality
   High Intakes of Sugars
   Allergenic Foods
Fats: What We Do Now
   We eat more omega 6 fats and less omega 3
    fats
   We eat trans fats
   Some Research suggest this may lead to:
       Inflammation
       Depressed Immunity
       Asthma
       Airway Reactivity
Sources of Trans Fats




 Cookies, crackers, baked   Chips, snack foods   Fried foods
 goods, bread, etc.
Choosing Quality Fats
   These are fats used for thousands of
    years to support health and cultures
       Butter
       Olive Oil
       Coconut and Palm oils
       Peanut and nut oils
       Fats in food (fish, meat, poultry)
What Saturated Fats Do
   These fats are found in our brains and
    bodies and are preferred structural fats
   Enhance calcium retention in the bone
   Help retain omega 3 fats in the tissues
   Protect the liver from alcohol and
    Tylenol
   Are preferred food to the heart muscle
   Essential to lung surfactant
Essential Fats Needs
   Possible symptoms of lack of omega 3 and
    omega 6:
       Dry skin and hair
       Frequent urination
       Excessive thirst

   Omega 3 requirements can be increased by:
       Cold weather
       Chronic or acute stress
       High intakes of omega 6 fats or trans fatty acids
How to get Omega-3 from our
Foods
   Wild Game                 Omega-3 enriched
   Pastured Animals           eggs
   Fatty Fish                Vegetarian Sources
       Salmon (Wild not
                                  Flaxseed oil or meal
        farmed)                   Walnuts
       Mackerel                  Purslane
       Herring                    (Verdolagas)
       Atlantic Cod
                                  Chia
       Canned Tuna or
                                  Perilla oil
        Salmon
Getting the Most from Fats
   Get rid of trans fats
       Margarine
       Vegetable Shortening
       Commercial Baked Goods and Fast Foods
   Use butter instead of margarine
   Cook in Olive, rice bran or sesame oils
   Use less corn, safflower, sunflower and soy
    oil
   Use coconut oil
   Enjoy flaxseed oil and have fatty fish 2 times
    a week
Supplements and Asthma
   Vitamin C
   Magnesium
   B-6 or Pyridoxine
   Vitamin D
   Vitamin E
   Probiotics
Vitamin C Benefits
   Antihistamine
   Antioxidant
   Anti-inflammatory
   Widely distributed in foods (citrus, kiwi,
    hot and sweet peppers, leafy greens,
    berries and cabbage family vegetables)
Vitamin C in Asthma
Some studies which suggest a role for Vitamin C
 Asthmatic Children have < Vitamin C in their blood (7)

 Low intakes of Vitamin C > bronchial reactivity (8)

 Higher intakes of vitamin C are associated with

  increased Forced Expiratory Volume (9, 10)
 Supplemental vitamin C (1 gram per day) found a 73%

  reduction in number of asthma attacks (11)
 Supplemental C decreased the tendency of bronchial

  passages to go into spasm (12)
Benefits of Magnesium
   IV Infusions of magnesium sulfate produce
    effects comparable to those of
    bronchiodilating drugs (16)
   MgSO4 has been helpful in the management
    of acute respiratory failure, even when
    aggressive standard treatment had failed (17,
    18)
   Magnesium can be administered orally in
    dosages of 6.2 mg per pound of body weight
    (19, 20)
Benefits of Magnesium
   Should be tailored to the size of the
    person, since magnesium is a laxative
   The dose should be divided and taken with
    meals to reduce the laxative effect
Pyridoxine or Vitamin B-6
   Helps in the metabolism of protein
   Deficiency depresses immunity
   Depleted by pollutant exposure (21)
   Lower levels in Asthmatic Children (22)
   Depleted by theophylline and
    aminophylline (23)
Vitamin B-6 and Asthma
Some studies which suggest a role for B-6
 200 mg of B-6 resulted in less asthma

  symptoms and attacks vs. placebo (24)

   50 mg two times a day decreased
    severity and frequency of asthma
    attacks (25)
Vitamin D
  Functions
Roles:
 Calcium and magnesium absorption

  and retention
  o   Bone Health
  o   Teeth Health
  o   Muscle Contraction and Relaxation
  o   Osteoporosis Prevention and Reversal
How much do we need?
 This will depend on:
                      The current RDA* are:
 Exposure to            o Infants - 200 IU

   sunlight             o Children 200 IU

 Pigmentation           o Women – 200 IU

 Health Status          o Adult Men – 200 IU

                        o Seniors – 400-600 IU
 Age
 •   Intakes of over
     2000 IU have
     been safe in many
     studies (26)
Vitamin D and Asthma
Some studies suggest a role for Vitamin D
 Increasing Vitamin D in pregnancy associated

  with less wheezing in offspring (27)
 Vitamin D insufficiency in children associated

  with asthma severity (32)
 Serum 25(OH)D levels are inversely

  associated with recent URTI. This association
  may be stronger in those with respiratory
  tract diseases. (35)
Why we may need vitamin E
           supplements
   Richest Natural Source is Wheat Germ
    Oil – 37 IU per Tablespoon
   400 IU = 11 T. or 1375 calories
   Destroyed by free radicals
   High fat diets increase requirement
   Neutralizes bad effects of fast food
    meals
Vitamin E and Asthma
Some studies suggest a role for Vitamin E
 Higher intakes of vitamin E are associated

  with better lung function (higher FEV and
  FVC). (9)
 Meta-analysis of vitamin A, E and C and

  Asthma found low intakes of A and C
  associated with increased odds and severity
  of asthma. Vitamin E levels were lower in
  severe asthmatics, but unrelated to asthma
  status (36)
Probiotics and Asthma
Some studies suggest a role for probiotics
 May reduce tendency to allergies and

  asthma in infants (28)
 Review of Randomized Controlled Trials

  found benefit in reducing allergic rhinitis
  (29)
Dietary Recommendations 1
   Encourage families to eat more:
       Fruits and Vegetables
       Better Quality Fats
       Quality Protein (Animal and Vegetable)
       Eggs
Dietary Recommendations 2
   Encourage families to eat less:
       Sodas and Fruit Juices
       Commercial Fast Foods
       Snacks high in sugar, fat and salt
       Avoid Sulfites
       Avoid Hydrogenated Fats
            Margarine
            Vegetable Shortening
Activity Recommendations
   Encourage families to move more:
       Be active as a family
       Walk
       Dance
       Play in parks (when possible)
       Be in nature (when possible)
Thank you & Regards……………..

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Nutrition and Asthma

  • 1. Nutrition and Asthma Best Regards & Dedicated to our Sir MILI & MOUMITA Nutritionist
  • 2. The meaning of Nutrition  Nutrition is part of our environment and is a reflection of our:  Cultures  Available Choices  Income  Wellbeing
  • 3. Nutrition Basics The Foods we eat have 4 functions  Body Building  Regulation  Protection  Fuel
  • 4. Protective Foods  Vitamins and Minerals found in:  Fruits and Vegetables  Vitamin C  Carotenes  Flavonoids  Folic Acid  Magnesium  Protein Foods  Zinc  Iron
  • 5. Fuel  All Foods that contain calories  Proteins  Carbohydrates  Fats Needed for growth, tissue repair, activity and temperature regulation
  • 6. Nutrition and Asthma Increase resistance to:  Environmental Insults  Dust  Air Pollution  Dust Mites  Allergens  Infections
  • 7. Impact of Household Chemicals Toxic non-food household products:  Detergents  Cleaning Products  Aerosols (deodorizers, hair spray)  Pesticides  Cosmetic S t o p S mo k in g
  • 8. Some Dietary Risk Factors for Asthma  Food Allergies  Risk Factors for allergies  Little to no breastfeeding  Early introduction to solid foods  Diets low in fruits and vegetables  Sulfites  Dried fruits  Grape juice, beer, wine
  • 9. Asthma and Overweight  Dietary Habits that lead to overweight increase risk of asthma  High Soda Intakes  Commercial Fast Foods  Decreased Physical Activity can both cause and result from overweight  Can lead to decreased respiratory capacity
  • 10. Poor Overall Diet Quality  High Intakes of Sugars  Allergenic Foods
  • 11. Fats: What We Do Now  We eat more omega 6 fats and less omega 3 fats  We eat trans fats  Some Research suggest this may lead to:  Inflammation  Depressed Immunity  Asthma  Airway Reactivity
  • 12. Sources of Trans Fats Cookies, crackers, baked Chips, snack foods Fried foods goods, bread, etc.
  • 13. Choosing Quality Fats  These are fats used for thousands of years to support health and cultures  Butter  Olive Oil  Coconut and Palm oils  Peanut and nut oils  Fats in food (fish, meat, poultry)
  • 14. What Saturated Fats Do  These fats are found in our brains and bodies and are preferred structural fats  Enhance calcium retention in the bone  Help retain omega 3 fats in the tissues  Protect the liver from alcohol and Tylenol  Are preferred food to the heart muscle  Essential to lung surfactant
  • 15. Essential Fats Needs  Possible symptoms of lack of omega 3 and omega 6:  Dry skin and hair  Frequent urination  Excessive thirst  Omega 3 requirements can be increased by:  Cold weather  Chronic or acute stress  High intakes of omega 6 fats or trans fatty acids
  • 16. How to get Omega-3 from our Foods  Wild Game  Omega-3 enriched  Pastured Animals eggs  Fatty Fish  Vegetarian Sources  Salmon (Wild not  Flaxseed oil or meal farmed)  Walnuts  Mackerel  Purslane  Herring (Verdolagas)  Atlantic Cod  Chia  Canned Tuna or  Perilla oil Salmon
  • 17. Getting the Most from Fats  Get rid of trans fats  Margarine  Vegetable Shortening  Commercial Baked Goods and Fast Foods  Use butter instead of margarine  Cook in Olive, rice bran or sesame oils  Use less corn, safflower, sunflower and soy oil  Use coconut oil  Enjoy flaxseed oil and have fatty fish 2 times a week
  • 18. Supplements and Asthma  Vitamin C  Magnesium  B-6 or Pyridoxine  Vitamin D  Vitamin E  Probiotics
  • 19. Vitamin C Benefits  Antihistamine  Antioxidant  Anti-inflammatory  Widely distributed in foods (citrus, kiwi, hot and sweet peppers, leafy greens, berries and cabbage family vegetables)
  • 20. Vitamin C in Asthma Some studies which suggest a role for Vitamin C  Asthmatic Children have < Vitamin C in their blood (7)  Low intakes of Vitamin C > bronchial reactivity (8)  Higher intakes of vitamin C are associated with increased Forced Expiratory Volume (9, 10)  Supplemental vitamin C (1 gram per day) found a 73% reduction in number of asthma attacks (11)  Supplemental C decreased the tendency of bronchial passages to go into spasm (12)
  • 21. Benefits of Magnesium  IV Infusions of magnesium sulfate produce effects comparable to those of bronchiodilating drugs (16)  MgSO4 has been helpful in the management of acute respiratory failure, even when aggressive standard treatment had failed (17, 18)  Magnesium can be administered orally in dosages of 6.2 mg per pound of body weight (19, 20)
  • 22. Benefits of Magnesium  Should be tailored to the size of the person, since magnesium is a laxative  The dose should be divided and taken with meals to reduce the laxative effect
  • 23. Pyridoxine or Vitamin B-6  Helps in the metabolism of protein  Deficiency depresses immunity  Depleted by pollutant exposure (21)  Lower levels in Asthmatic Children (22)  Depleted by theophylline and aminophylline (23)
  • 24. Vitamin B-6 and Asthma Some studies which suggest a role for B-6  200 mg of B-6 resulted in less asthma symptoms and attacks vs. placebo (24)  50 mg two times a day decreased severity and frequency of asthma attacks (25)
  • 25. Vitamin D Functions Roles:  Calcium and magnesium absorption and retention o Bone Health o Teeth Health o Muscle Contraction and Relaxation o Osteoporosis Prevention and Reversal
  • 26. How much do we need? This will depend on: The current RDA* are: Exposure to o Infants - 200 IU sunlight o Children 200 IU Pigmentation o Women – 200 IU Health Status o Adult Men – 200 IU o Seniors – 400-600 IU Age • Intakes of over 2000 IU have been safe in many studies (26)
  • 27. Vitamin D and Asthma Some studies suggest a role for Vitamin D  Increasing Vitamin D in pregnancy associated with less wheezing in offspring (27)  Vitamin D insufficiency in children associated with asthma severity (32)  Serum 25(OH)D levels are inversely associated with recent URTI. This association may be stronger in those with respiratory tract diseases. (35)
  • 28. Why we may need vitamin E supplements  Richest Natural Source is Wheat Germ Oil – 37 IU per Tablespoon  400 IU = 11 T. or 1375 calories  Destroyed by free radicals  High fat diets increase requirement  Neutralizes bad effects of fast food meals
  • 29. Vitamin E and Asthma Some studies suggest a role for Vitamin E  Higher intakes of vitamin E are associated with better lung function (higher FEV and FVC). (9)  Meta-analysis of vitamin A, E and C and Asthma found low intakes of A and C associated with increased odds and severity of asthma. Vitamin E levels were lower in severe asthmatics, but unrelated to asthma status (36)
  • 30. Probiotics and Asthma Some studies suggest a role for probiotics  May reduce tendency to allergies and asthma in infants (28)  Review of Randomized Controlled Trials found benefit in reducing allergic rhinitis (29)
  • 31. Dietary Recommendations 1  Encourage families to eat more:  Fruits and Vegetables  Better Quality Fats  Quality Protein (Animal and Vegetable)  Eggs
  • 32. Dietary Recommendations 2  Encourage families to eat less:  Sodas and Fruit Juices  Commercial Fast Foods  Snacks high in sugar, fat and salt  Avoid Sulfites  Avoid Hydrogenated Fats  Margarine  Vegetable Shortening
  • 33. Activity Recommendations  Encourage families to move more:  Be active as a family  Walk  Dance  Play in parks (when possible)  Be in nature (when possible)
  • 34. Thank you & Regards……………..

Hinweis der Redaktion

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  2. Few sources in the diet that are particularly rich in this vitamin. Possibly increased requirements due to air pollution. Deficiencies of B-6 are associated with a depressed immune function. It is depleted by exposure to pollutants generated by industry and agriculture and in tobacco smoke. (21) Vitamin B-6 blood levels have been found to be lower in asthmatic children. (22) Anti-asthma medications such as theophylline and aminophylline depress blood levels of Vitamin B-6. (23)
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