Medical Nutrition & Disease: A Case-Based Approach

Arrived with chapters all out of order. Starts with Chapter 11. My friend got one too, same issues. It’s annoying but has page numbers so wasn’t worth returning. This may be a bad batch.

Horrible production. Book starts after front cover w Part IV chapter 11 - 13. Then chapter 1-5 ( p237), chapter 8 (p332) - chapter 10 (p436), Part III, chapter 6 (p241) - chapter 7 (p. 331), Appendices (p505 -584). Never seen something like this. Seller should have noted this. Other than that confusion, very good reference book.

Lisa Hark and the UNC people were my idols when writing my thesis on web-based nutrition education. Great job. This text is a treasure to me. I should have gone in to graduate teaching but there were no jobs or money in it in my area.Great workThank youPatti Roche

Book is small enough to carry just about anywhere!

Very helpful

This book came with major printing malfunctions. It begins with chapter 11 instead of chapter 1, then shuffles the order of various chapters throughout the book, which makes it really hard to find what you're looking for to read. Unfortunately, I didn't open the book right away because I didn't need it for a month to start studying for a board exam, so I missed the return window and Amazon makes it impossible to contact them any other way. Buy this book elsewhere if you don't have the time to deal with careless manufacturing errors or don't feel like being ripped off. I won't be buying books from Amazon again.

Unfortunately I did not catch the errors in this book before I was out of the window to return it. The book begins in chapter 11 and is out of order multiple times after. There are also misprints in the case studies. For example one case study misprinted the weight in reference to the BMI proving any equations for that case study unusable. DO NOT BUY here! Seller should have noted these errors.

Great information and a very inexpensive way to obtain CEU credits.

Medical Nutrition and Disease a case based approach.-------------------------------------------------------------------------I work as a biochemist and over the years more and more focus has been put onto diet and disease in the medical world. I was eager to have a look at this book as it looked like the sort of book that will be useful to students' studying diet and disease. Students of human biochemistry now do several modules on diet and disease.This is a technical book on how diet and health are related. It also covers many common dietary related illnesses.Who is it for?-----------------The book is aimed at practitioners who want a deeper case based study of illnesses related to dietary problems. Although it is aimed at the practitioner / student it is still very readable by those with a passing interest. It is a USA authored book but the content applies to any medical system as there is much cross over in diagnosis and treatment across the world.Content.-----------The book starts off with the main analysis techniques involved and how to calculate and understanding. The one most people will be familiar with is the BMI. The book looks at the role of the main food groups in the diet along with trace elements including vitamins. The book discusses in detail how the body metabolises the main dietary ingredients and what can go wrong in certain diseases. It is very well written and the case based approach works very well. There are chapters on diet and pregnancy and diabetes.The analysis and recommendations are research based and how to correct dietary problems associated with common illnesses. It is very comprehensive and informative.Overall.----------A welcome addition to this growing area of medical study. Well written and produced it can only help students and practitioners get the best understanding. The book contains a huge amount of research data and this is easily cross reference using the comprehensive index and reading references. Highly recommended.

An excellent, balanced and indepth book covering nutrition from a medical standpoint. I was impressed by how much new research has been included in this book as so often nutritional discoveries take years to filter across to the medical profession. The book gives recommended daily allowances and toxic upper limits for most of the vitamins and minerals and gives profiles of use for all the vitamins and minerals. The value of individual minerals is being updated as new discoveries highlight important benefits that were previously unknown - eg Boron's value in treating Rheumatoid Arthritis.There were some omissions I would have liked to seen and some glaring errors that need correction. The importance of Vitamin D was a bit understated. Vitamin D is in fact a hormone, not a Vitamin, and it is deficient in most people in the developed world, especially through the winter. From September/October to March in any countries above 50 degrees latitude (London is 51 degrees) the sun is too low in the sky for the Vitamin D producing rays to penetrate the atmosphere. So for almost 6 months of the year people in Northern latitudes don't get any Vitamin D from sunshine. The authors note that people with darker skin need 6 times more sun to make the same levels of Vitamin D, so dark-skinned people living in more northern latitudes become more deficient more quickly. One way this has been recognised as manifesting is in a particularly virulent form of Breast Cancer in Afro-American women living in the Northern US states. In fact low or deficient Vitamin D status at the time a person is diagnosed with cancer is a strong predictor of mortality.The book covers nutrition in pregnancy and for people with various medical conditions. Heart disease, diabetes etc. They also touch on the problems with weight loss during cancer and do provide a more balanced view on relevant diets, rather than the common view held in most hospitals encouraging patients to eat lots of sweet foods to boost their calorie intake. Much research shows that high levels of glucose in the diet can feed the cancer rather than the patient. Hopefully their more balanced view will filter through to the medical profession soon as the current practices of giving a glucose drip following chemotherapy are somewhat counter intuitive. Give poison to kill the cancer, then glucose to feed it!I was disappointed to note the authors still subscribing to the outdated view that fat is bad for you and lumping all types of fat together - when current research clearly states that all fats are not equal and all fats are not harmful. In the case study on Cardiovascular disease they ascribe the patient's increased risk of heart problems to the Asian-Indian diet containing ghee, coconut oil, butter, hydrogenated fat and coconut milk - which they state are "high in saturated and trans fats." The Indian Medical Association published a report in 1998 recommending that Indian natives return to the traditional cooking oils for their culture, ie coconut oil, ghee and mustard seed oil, as their research indicated that it was the switch to cheap purified vegetable oils (these are the ones that are hydrogenated) that had led to the increased levels of diabetes, high levels of cholesterol and high risk of CHD in the population. As the majority of Indians on the sub-continent are very poor, they will preferentially purchase cheap vegetable oil against the more expensive ghee or coconut oil (5 to 10 times more expensive).It is very important that this misinformation is corrected. The mantra that "fat is bad" has long been overturned, along with the view that coconut oil is bad because it's saturated (it's actually a medium chain triglyceride). Processed purified vegetable oils are steam cleaned seven times during processing and this high heat processing damages the fat molecules. The fats to make margarine are hydrogenated to make the fat solid at room temperature again altering their natural structure. It's these processed fats that are bad; while natural cold pressed and unmodified fats are not only healthy, they are essential. It's the processessing that makes the poison.When the diet contains hydrogenated and trans fats, these damaged fat molecules are incorporated into every cell in the human body. Every type of cell, whether a skin cell or a brain cell or a liver cell, is surrounded by a fatty membrane and dietary fat is the sole source of this structure. In a diet that is low in fat, fat molecules in the body will be recycled, but this is like building a house with old bricks, it's never going to be as secure, water tight and stable as one built with new bricks. When the sole fat in the diet is hydrogenated molecules, it's like building a house with bricks that are ball-shaped instead of rectangular. Some experts say it takes as long as 2 years on a healthy fat diet for all these damaged molecules to be removed.However, overall the authors have done a great job of providing a well balanced view of the critically important influence of nutrition in disease. Hopefully this book will become a required text for medical students, dieticians and nutritionists. Highly recommended.

I have to admit that I find medical books fascinating – whether that is due to the fact that I wanted to be an epidemiologist when I was young, or because when my father was dying I studied Home Nursing and Palliative Care, or possibly because I have a long term, degenerative and life limiting illness. Whichever it is, or what combination of them is responsible, I am the sort of patient that medical staff hate; and it seems to be the fact that I dare to ask questions that is the problem.Nutrition (diet) has become the hot topic over the past decade or so, with every politician with an idea, however stupid, kicks in and (usually) makes matters worse.The first area of the text covers obesity and the collection of data. I am unsure as to why they have linked the 2 areas in one because the collection of data is something which should be applied to many areas of health, not just obesity.As a psychologist I can testify to the fact that people will “lie” and “adjust” the information that they are giving you and this is even truer if the person giving the information believes that are being judged. Of course the problem is that you cannot “confront” the patient as this will only make the situation worse.Other areas covered include nutrition throughout your life from pre-birth to pre-death; along with the effects of diet on the human body and the various illnesses and diseases which appear to be effected by what we eat; and ending with nutrition and cancer or as we are expected to call them now “life limiting illnesses”.My biggest issue is with this later group – if you are suffering like this why should you be forced to suffer the whims of other people as far as what you eat. The fact is that the medical profession keep adding and adding more meds to try to combat certain symptoms (many of them caused by the drugs themselves) – and these medications can cause a lot of nausea and you will lose you urge to eat – this is not helped when someone who has no idea of how you are feeling walks up and says eat this or drink that when the last thing you want to do is eat or drink.In my case it was mango – I hate mango and she produced a mango smoothy. The last thing I wanted was to be throwing back fruit acid, but she wouldn’t listen and tried to force me to drink it. Something that she regretted a short time later.What surprises me with medical textbooks is that there is so little emphasis on good communication skills between medical staff and patient when it is such a vital part of understanding for both sides of the equation. It is acknowledged that communication breakdown is one of the biggest problems between the medical profession and those they are supposed to help. It should be remembered that good, *honest*, friendly communication is vitally important.The realms in which nutritional information is used is quite widespread, but any judgmental attitude should be avoided as it can cause a barrier between carer and patient. That along with stick figure medics castigating people who are only a few pounds overweight can be upsetting to be on the receiving end of and extremely annoying to those in the ward who are witness to such treatment.The book itself was fascinating and a number of medical personnel seemed quite interested in it. The case studies were interesting but obviously designed to show exactly what the author wanted and because of these they seemed fake – but this is to be expected as the author will have picked the bits that she needed and cut out the bits that she didn’t want.I would recommend that anyone looking at an area connected to dietary intake and needs.

We should all welcome text books for medical students on nutrition and disease. Too many of us with illness related to nutritional problems have had a pretty rough experience at the hands of GPs and hospitals who tend to be focused on acute disorders rather than on quality of life or on prevention. So this readable literature review of the evidence with case studies is welcome. It is aimed at medical and dietetic students.It should however be regarded very much as an introduction. As I am not medically qualified, I approached reviewing this book by seeing what it said about conditions encountered by me and my wider family. On some issues it was fine but told me little I did not already know. On others it said little or nothing, or only told me less than I knew already.It contained a good case study review of alcohol and nutrition, including thiamin and Wernicke's encephalopathy.It carefully reviewed the evidence for soya and breast cancer.It had a couple of pages on irritable bowel syndrome - and did mention the potential roles of fructose, lactose, beans and some vegetables, but did not refer to the FODMAP diet currently being promoted in London teaching hospitals, or to IBS problems with fructans (eg bread) and polyols (eg xylitol and mushrooms), so really only gave half the picture and could have been much more systematic. It did refer to ongoing research on probiotics - but did not give any detail.It contained a useful review of nutrition in the elderly, including materials, which set me some challenges in looking after my elderly mother - especially around oral health - and which included a brief discussion of loss of taste sensation.It reviewed vitamin levels - note that levels are US standards and different from the information on the side of my UK Boots vitamin pills.It contained no discussion of the different forms of intolerance to milk - discussing only lactose not protein intolerance.It included an interesting case study and literature review on colon cancer prevention in those at higher risk.It contained a substantial discussion of coeliac disease but elided it with gluten intolerance.It briefly reviewed food intolerances in infants and the main foods causing it - although didn't pick up on bananas, which my hospital said my young son could not eat.It had a useful non-metric BMI chart.

It's a very good book which absolutely covers the whole spectrum of nutrition, I just thought it would be a little more interesting than it was. I somewhat disagree with the assertion that it is a very accessible guide that will appeal to many not working in very specialist medical fields. I thought, given the subject matter, that it was very technical depending on the condition that was being analysed in nutritional terms.I'd say for most it would be a handy skim or dip in dip out guide, However it is brilliant for practising diagnostic medical professionals. I thought the latter sections were excellent. The food sources section was informative and comprehensive and the review questions were strangely more understandable in isolation than the text that preceeded it. For me I would scout around for a less diagnostic/treatment focused book for general advice and observations about physiology, the human condition and nutrition but that's just my preference. It's a very well constructed book on the subject.