functional medicine and nutritional genomics - American Association ...

More documents

Recommendations

Info

AAPI’S NUTRITION GUIDE TO OPTIMAL HEALTH: USING PRINCIPLES OF FUNCTIONAL MEDICINE AND NUTRITIONAL GENOMICS 4 The Integrative and Functional Medicine Nutrition Therapy Radial: An Emerging Tool for Practice Kathie Madonna Swift, MS, RD, LDN The Integrative and Functional Medicine Nutrition Therapy (IFMNT) Radial is a conceptual framework for clinical practice that allows for the evaluation of complex interactions and interrelationships that influence health and healing. The Personalized Nutrition Care Process, including assessment, diagnosis, intervention, monitoring, and evaluation, is centrally positioned in the Radial. Food is a determining factor in health, as noted by its predominant place in the core. It provides the critical biological information that influences, and is influenced by, the other areas of the Radial, notably genes, lifestyle, environment, and precipitating factors that impact whole systems dynamic balance. 34 The five spheres of the Radial include: Lifestyle; Systems (signs and symptoms); Biomarkers; Metabolic Pathways/Networks; and Core Imbalances. Surrounding the Radial are triggers that can disrupt dynamic balance, such as food allergens and intolerances; negative thoughts and beliefs; environmental exposures; and pathogens. Lifestyle: Lifestyle medicine honors the multiple factors that affect an individual’s health and susceptibility to disease. These factors include culture and traditions, socioeconomics, movement/physical activity, spirituality, natural environment, dietary factors, supplement use, and more. Health-promoting lifestyle practices can reduce the risk of chronic disease development and progression. A thorough assessment should consider the whole foods that are aligned with the cultural practices of the individual. These are important considerations in developing a personalized, meaningful, and transformative eating plan to optimize health and support healing. Systems, Signs & Symptoms: Nutritional systems biology fosters a deeper understanding of biological 2012
AAPI’S NUTRITION GUIDE TO OPTIMAL HEALTH: USING PRINCIPLES OF FUNCTIONAL MEDICINE AND NUTRITIONAL GENOMICS systems and how they interact with each other and the surrounding environment. A systems-level understanding is required to understand the whole person and his or her relationship to health or disease. A ‚nutrition physical‛ is used to identify specific signs and symptoms that provide clues to candidate nutrients that may be insufficient in the person’s diet and contribute to compromised health. A full understanding of physical findings and the potential nutrient impairments and how they impact the individual on multiple levels (molecular, cellular, organs, systems and networks) is essential to optimize function and promote well-being. Biomarker: Biomarkers are physiological indicators derived from multiple systems and pathways that impart signals that verify health or reveal functional distress. Nutritional biomarkers can be determined in saliva, blood, urine, stool, or other tissues. Some examples include salivary hormone levels, urine organic acids, stool pathogens, and nutrient levels. Laboratory assessment of biomarkers is helpful to identify functional impairments that may be amenable to nutritional therapies. Metabolic Pathways: A free flow of metabolic pathways is important for optimal human functioning. It is an orchestrated, constant, and collaborative breakdown and rebuilding. An 35 integrative and functional medicine approach evaluates the function of the pathways and determines, via biomarker analysis, the nutritional support that is needed to improve metabolic performance. Pathways are generally dependent on enzymes, and enzymes have co-factors, which commonly include vitamins and minerals. An IFMNT practitioner evaluates the many repercussions due to impairments in metabolic pathways and targets nutritional therapies accordingly. Core imbalances: Core clinical imbalances underlie various disease states. These imbalances include disruptions in cellular integrity, digestion, detoxification, energy metabolism, neuro-endocrineimmune function, and nutritional status and promote inflammation and oxidative stress. Multiple factors, such as pathogens, allergens, infections, nutritional insufficiencies and deficiencies, toxins, negative thoughts and beliefs, and stress, interact with genes and the environment contributing to dysfunction. Signs and symptoms arise that can be detected through a comprehensive nutrition physical and laboratory assessment. Improving balance in the individual’s environmental inputs and in the body’s fundamental physiological processes is essential to restoring health and optimizing healing. 2012
Page 1 and 2: 2012 AAPI’S NUTRITION GUIDE TO OP
Page 3 and 4: AAPI’S NUTRITION GUIDE TO OPTIMAL
Page 39: AAPI’S NUTRITION GUIDE TO OPTIMAL
Page 91 and 92:
AAPI’S NUTRITION GUIDE TO OPTIMAL
Page 93 and 94:
Page 95 and 96:
Page 97 and 98:
Page 99 and 100:
Page 101 and 102:
Page 103 and 104:
Page 105 and 106:
Page 107 and 108:
Page 109 and 110:
Page 111 and 112:
Page 113 and 114:
Page 115 and 116:
Page 117 and 118:
Page 119 and 120:
Page 121 and 122:
Page 123 and 124:
Page 125 and 126:
Page 127 and 128:
Page 129 and 130:
Page 131 and 132:
Page 133 and 134:
Page 135 and 136:
Page 137 and 138:
Page 139 and 140:
Page 141 and 142:
Page 143 and 144:
Page 145 and 146:
Page 147 and 148:
Page 149 and 150:
Page 151 and 152:
Page 153 and 154:
Page 155 and 156:
Page 157 and 158:
Page 159 and 160:
Page 161 and 162:
Page 163 and 164:
Page 165 and 166:
Page 167 and 168:
Page 169 and 170:
Page 171 and 172:
Page 173 and 174:
show all

functional medicine and nutritional genomics - American Association ...

Create successful ePaper yourself

Delete template?

Save as template?