Friday, 1 March 2013

Texture modifications and swallowing

Swallowing problems
Carrot and Swede Baby Food Puree -


Some people have problems with eating and swallowing due to illnesses such as strokes or after surgery. The correct name for such swallowing problems is dysphagia.
Often people were told to have pureed foods—but this can be in different forms and thicknesses. In 2012 Dysphagia Diet Food Texture Descriptors were produced http://www.bda.uk.com/publications/statements/NationalDescriptorsTextureModificationAdults.pdf

These descriptors detail the types and textures of foods needed by individuals who have swallowing difficulties and are at risk of choking or food or liquid going into their airway. The descriptors provide standard terminology to be when communicating about an individual’s requirements for a texture modified diet. 

The food textures are:
B = Thin Purée Dysphagia Diet
C = Thick Purée Dysphagia Diet
D = Pre-mashed Dysphagia Diet
E = Fork Mashable Dysphagia Diet
Fluids are not currently included in these descriptors. The following guidance is suggested for information on thickened fluids: Special products can be used for thickening drinks.
http://www.gcu.ac.uk/sndri/pdf/consistency/100505FluidThickening.pdf

Friday, 15 February 2013

NEW PAPER ON DIET

Dr. Simon Poole and Dr. Mabel Blades have published "The Mediterranean Diet
- A Review of Evidence Relevant to the Food and Drink Industry" in the
highly respected *Journal of Nutrition and Food
Science<http://r20.rs6.net/tn.jsp?e=001ox-u298WHCONSJSpw_wjZHETQ8B95kU_oIbYfCpXdO7yyuk-8pBtbdves35_EXHjBpki-kK0UM93c0AnyI4mn0e
d-R05Sw1gsRvYBYQ_xTqMHLlUrmJmM0lbBclYPpeSL3DLex8f5IbRquyXJ4Rb5R17oBW5E99T2x8OPZpHLNrRgZdK8e_4VSScVdYaS-2rr5uTqTmR18k
=>
*. Dr. Blades is a registered dietitian, trainer, author, editor and
consultant. Dr. Poole is a physician, author, and consultant on the
benefits of the Mediterranean way of life, as well as the director of MFA
member Positively Good for
You<http://r20.rs6.net/tn.jsp?e=001ox-u298WHCNmBYZHF3q1I-seNoNogYAqI8UdpL67aaOZFxFAExUEMfV335rpihlTzJOteQMrzu4fB9Ps_d1zDn8UAl
TpofEBb5Cj5TKKRcmx485rPvqb_ahDJDWaDU38>,
producers of infused extra virgin olive oils. He chaired the Food and Drink
Innovation Network seminar in June 2012, which brought together scientists
to meet with industry to discuss innovative commercial opportunities for
the Mediterranean Diet. Oldways' President Sara Baer-Sinnott also spoke at
this event, giving two talks, one about the history of the Mediterranean
Diet and Mediterranean Diet Pyramid, and the other about the Mediterranean
Foods Alliance.

Sunday, 3 February 2013

Vitamin D confernce



A One Day Conference from RSPH
Vitamin D
– everything you need to know as well as things you never realised you needed to know
Sunshine
Wednesday 6

 February 2013

Venue: 28 Portland Place, London, W1B 1LY

Vitamin D is important for the development, growth, and maintenance of a healthy body and the possible effects of vitamin D deficiency are wide-ranging and can manifest in the body in any number of ways. Yet in spite of this it is an often a neglected vitamin.
There is a growing body of research surrounding vitamin D concerning its link to conditions such as bone health and cancer. Research and advice can often be conflicting and this conference aims to provide a comprehensive update on the issues surrounding vitamin D.

Sunday, 27 January 2013

Meals ideas



A while ago I did a blog about the Mediterranean Diet  and here are some ideas which may be helpful as well as kind on the purse. How often do we come home at the end of the day worn out from work and wish for dinner to make itself? Thankfully the Mediterranean Diet offers not only healthy  meal options, but also ingredients with bold flavors making it easy to get a delicious, flavorful meal on the table quickly and easily at the end of a long day.Try incorporating these traditional Mediterranean Diet ingredients into your meals to boost flavor without adding lots of extra prep time:

Feta's firm, crumbly texture and tart, salty taste beautifully complement fruits, as well as eggs and grains. Just a little bit goes a long way in a salad, omelet, or on a flatbread.

Oregano and basil might be the most familiar Mediterranean herbs on your spice rack, but don't be afraid to experiment with others like cardamom, cilantro, dill, fennel seeds, ginger, rosemary, saffron, or turmeric.

Sun-dried tomatoes have an intense flavor and pack 12 times more lycopene (an antioxidant
associated with reduced risk of certain cancers and heart disease) than raw tomatoes! Use them in wraps and sandwiches, or pasta sauces and bean dips.

Adding wine to cooking liquids can deepen the flavors in seafood and vegetable dishes. Try including a little white wine in a risotto or red wine in your next tomato sauce. Here are some other ideas to help you speed up the dinner-making process:

 Plan ahead: Plan all of your dinners for the week on Saturday or Sunday. Make  a shopping list and take just one trip to the supermarket.

Saturday, 24 November 2012

NUTRITION AND SPORT

Sport and nutrition are intertwined as the correct diet can help to maximise performance

.
The Royal Society For Public Health (RSPH) have just released a new qualification for sports nutrition.

This is an accredited qualification and of great  assistance to those involved with training and coaching.

Most people will be pleased to hear` that there are no exams but assessment is via assignments.

for more information please contact me or go to the RSPH website

Sunday, 11 November 2012

CHRISTMAS PUDDING


Christmas pudding


 Karderio Christmas Pudding Clip Art

Stir up Sunday --the day we are encouraged to make Christmas Puddings and cakes is not until 25th November but this will give you chance to buy ingredients.

Having looked at most luxury style Christmas puddings as well as recipes for homemade ones using traditional ingredients like suet in them I found that most provided around 600kacls and 80g carbohydrate per portion. So I was given the challenge of developing a lower calorie and carbohydrate pudding. 
 
This is what I made and it makes 8 small portions and each portion provides 204kcal 43g carbohydrate, 1.4 g fat, 0.3g saturated fat and 0.3g salt.
It was quick to make and also cheap. It will not keep so make it only the day before or freeze.

Ingredients

200g dried mixed fruit

100ml water

10 ml red wine

1 tbsp oat bran

I tbsp black treacle

200g self raising flour

1 tsp mixed spices

1 420g can of prunes drained

1 egg

 
Mix the wine and water together (I just washed out a wine bottle)

Pour the dried fruit into a dish

Pour on the wine and water mixture

Leave overnight in the fridge.

This soaking step is important as it plumps up the fruit.

To this mix add the oat bran and return the dish to the fridge

Take the stones out of the prunes and puree—if you have not got a liquidiser a potato masher works well

Add to the mix, then add the treacle and mix through.

Sift together the flour and spices and add to the mix

Finally beat in the egg

If the mix seems a bit dry add a little skimmed milk

Pour into a one and a half pint basin and smooth down

Alternatively pour into 8 small basins

Put in the microwave and cook for 7 minutes on high

Take out of the microwave and let stand for 5 minutes

Cook again for 7 minutes on high and again let stand

Test the inside is cooked with a knife or skewer –if not cooked –then cook again for 5 minutes and allow to stand then check it

 The smaller puddings will cook more quickly and so will a pudding in a shallower basin

 The pudding will not keep for long so freeze it or cook a day or so before required.

 If you do not want to cook in a microwave it can be baked for an hour in a medium oven in a covered basin stood in a bowl of water.

 Serve with custard or ice cream or as it is very low in fat a little brandy butter


Variations


You can use all wine, port or brandy to soak the fruit if you wish but this will boost the calories.

If you do not want to use alcohol soak the fruit in apple juice

Extra fruit can be added to the mixed dried fruit –dried cranberries are nice

If you want to have a cold pudding the soaked mixed dried fruit with added cranberries soaked in alcohol or fruit juice goes well with vanilla ice cream. You can even layer this up in a pudding basin and freeze it.

If you want to use puree apples instead of the prunes it will give a paler colour

You can use gluten free flour and soy bran instead of the ordinary flour and oat bran

PS

If you do not want to cook a pudding them many of the supermarkets economy puddings seemed to be lower in calories than the luxury ones.

Sunday, 14 October 2012

DIABETES CONFERENCE


Yesterday the Insulin Dependant Diabetes Trust http://www.iddt.org/ held their annual conference at the Park Hotel in Kettering.

It was well attended and speakers gave updated advice on the topic. Having myself spoken and run a workshop on aspects of diet many people wanted to get ideas for adapting recipes plus tasty foods to make. I have already compiles some recipes for IDDT and will be doing more as well as putting ones on my blog.

Diabetes is a major problem and affects about 3 million people with more estimated to have the condition and not know it.

There are 2 types of diabetes;

  • Type 1 which needs insulin for treatment and type 2 which can be often managed by diet and medication.
  • Type 2 diabetes also tends to be linked with obesity and the onset is slower and often people do not know they have it
  • About 90% of people have type 2 diabetes
  • Signs and symptoms of type 2 diabetes tend to be tiredness, passing extra urine, feeling thirsty and needing to drink more plus repeated infections of various types
  • If you feel you have a problem do go and discuss this with your doctor or nurse