Transcript View Webinar PPT - National Spinal Cord Injury Association

Eat Well Live Well
with Spinal Cord Injury:
Addressing Secondary Health
Complications through Nutrition
Joanne Smith B.A., BRT Dip., CNP
Kylie James, B.Sc., O.T., CNP
Common Question SCI
patients asked…
What are you taking?
Equally important question
often not asked…
What are you eating?
Bad Diet
Disease
SCI FACTS:
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Poor diets
Nutrient deficient
Common Nutrient Deficiencies
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Vitamin A
B2 (riboflavin)
B9 (folic acid)
B12
Vitamin D
Vitamin E
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Calcium
Chromium
Magnesium
Zinc
Fiber
EFA’s
Average - 7 Secondary Health
Complications a Year:
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Constipation/
bowel obstruction
Diarrhea
UTI’s
Obesity
Pressure sores
Osteoporosis
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Arthritis
Type 2 diabetes
Heart disease
Pain
Sleep disorders
Digestive
dysfunction
Why Use Supplements?
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Digestive dysfunction deceases nutrient
absorption
Body has an increased demand for specific
nutrients to address health conditions
Food alone may not be able to provide the
nutrient levels required for therapeutic effect
Addresses clients compliance & preference
Certain medications deplete nutrients
Processed foods limited in nutrients
Nutritional Protocols
Weight Gain
SCI FACTS:
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One of the most common
secondary health complications
65% of people with SCI are
overweight - 1/3rd obese
Contributes to other health issues:
Type 2 diabetes
 CVD/reduced life expectancy
 Joint problems and pain
 High blood pressure/stress on kidneys
 Hormonal imbalances
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Client Case:
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50 years old
C 5-6-7 incomplete
quadriplegic
3 yrs. post injury
 Gained 40 lbs post injury
 Developed pressure sore on coccyx
1. Increase Protein
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Necessary for hormone production
involved in weight loss
Does not raise insulin
Helps curb appetite
Healthy Sources
 Fish
 Chicken/turkey
 Nuts/seeds
 Legumes/lentils
2. Reduce Refined
Carbohydrates
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Helps balance blood sugar levels
Improves insulin sensitivity
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SCI associated with glucose intolerance & insulin
resistance
Healthy low GI complex carbohydrates
 Wild/brown rice
 Vegetables
 Quinoa
 Legumes/lentils
3. Eat Good Fats
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Increases metabolic rate
Helps curb cravings
Helps suppress appetite
Healthy sources
 Oily fish
 Nuts/seeds
 Eggs
 Olives/oil
 Avocado
4. Increase Fiber
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Helps slow release of glucose/decreases
risk of insulin resistance
Helps to feel full faster
Helps rid the body of toxins
Calorie-free
Healthy sources
 Fruits/vegetables
 Oats
 Legumes/lentils
5. Boost Metabolism
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Helps thermogenic foods that help
stimulate metabolism
Healthy sources
 Hot peppers
 Green tea
 Apples/apple cider vinegar
 Brussels sprouts/broccoli
 Celery
 Berries
6. Chromium
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Helps improve insulin sensitivity
Healthy sources
 Whole grains
 Tomatoes
 Onions
 Broccoli
Supplement dose
 200-400 mcg/day
Outcome
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Lost 40 lbs in 20 weeks
 In conjunction with working out 2 hours a
day (arm bike & body weight support
treadmill) 5x/week
Increased energy
Increased self-esteem
Pressure Sores
SCI FACTS:
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85-95% risk of developing
Risk increases with time
since injury
Accounts for high number
of re-hospitalizations
Can be life-threatening
Contributes to other health issues:
 Infection/osteomyelitis
 Fatigue
Client Case:
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47 years old
C4-5 incomplete
quadriplegic
25 yrs. post injury
 Developed 1st sore
 At 9 months- stage 4 sore on sacrum –
required surgery for infection
 Post-surgery healing - rate of 5% every
two weeks
1. Increase Calories
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To meet increased energy and protein needs
required for healing
30-35 calories per kg of body weight
Healthy sources
 Nut butters
 Dried fruits/juices
 Avocados
 Whole grains
 Coconut milk
2. Increase Protein
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Essential for growth and repair of new tissues
1.2-1.5 grams of protein per kg of body weight
Healthy sources
 Fish
 Beef/poultry
 Quinoa/beans/lentils
 Nuts/seeds
 Protein powders/smoothies
3. Take Vitamins A,C, E & zinc
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Supports collagen production & stimulates
immune system
Increase foods rich in these vitamins
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Yellow & orange vegetables/sweet potato
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Broccoli, red & green peppers
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Sunflower seeds, olives/oil
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Pumpkin seeds, yogurt
Supplements
 Vitamin A (5000 IU/d)
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Vitamin C (3000 mg/d)
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Vitamin E (400-800 IU/day)
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Zinc (50-100 mg/day)
4. Drink 8 cups Fluids/day
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Helps skin wounds heal more quickly
Carries important repair substances
Eliminates wastes/toxins
5. Eat Healthy Fats
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Required for proper cell production
Helps maintain skin integrity and elasticity
Healthy Sources
 Fish/fish oils
 Walnuts
 Flax seeds
6. Take Amino Acid
Supplements
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Supports skin wounds
Supplements
 Glutamine (5-40 grams/day)
 Lysine (3000 mg/day)
 Proline (2000 mg/day)
Outcome
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Healing time increased from 5% to 10%
every 2 weeks
Wound completely healed in 6 months
Nutrition is…
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An integral part of rehabilitation process
Important for helping prevent and reduce
secondary health complications
Key in optimizing long term health
& well-being
So what are you eating?
www.eatwelllivewellwithsci.com
[email protected]
416.562.1344
[email protected]
416.992.2927