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Lord K.,Nutrition and Dietetic Services | Magrath G.,Nutrition and Dietetic Service
Journal of Human Nutrition and Dietetics | Year: 2010

Background: In 2000, a survey showed that use of the ketogenic diet as a treatment for intractable epilepsy in the UK was low. Subsequently, the number of medical publications supporting its efficacy has increased and demand from parents for this treatment has also increased. This survey was undertaken to determine whether there had been an increase in the use of the ketogenic diet and the necessary resources to provide it. Methods: A survey of paediatric dietitians in the UK was undertaken. Data were collected on their experience of implementing a ketogenic diet, the type of diet used, patient caseloads, other members of the care team, the process for initiation of the diet and funding. Results: Twenty-eight hospitals offered the ketogenic diet treatment with a total of 152 patients. The caseload per dietitian ranged from 1-36 patients. The classical diet was prescribed for 74% cases. The majority of patients began the diet as outpatients. Six dietitians were specifically funded to provide the treatment. Fifty more dietitians had experience of implementing the diet but currently had no patients. The reasons given for this were no referrals, no funding or not working with patients with epilepsy. Conclusions: The number of patients on the ketogenic diet had increased since 2000. However, numbers remained low and the main reasons given were the lack of referrals and a lack of funding. Recommendations are made to improve the dietetic and funding resources available so that an efficacious treatment for intractable epilepsy of childhood can be made more widely available. © 2010 The Authors. Journal compilation © 2010 The British Dietetic Association Ltd. Source


Blades M.,Nutrition and Dietetic Services
Nutrition and Food Science | Year: 2013

Purpose: The purpose of this paper is to examine nutritional interventions for patients being treated for cancer. Design/methodology/approach: This study comprises a literature review plus discussions with registered dietitians. Findings: A total of 40 per cent of those with cancer are found to have some form of malnutrition. Assessment of malnutrition is recommended. A number of nutrition interventions were found which can be applied in a practical situation. Research limitations/implications: This paper is a literature review plus discussions, not intervention studies. Practical implications: The paper may provide practical nutritional applications which can be used by those working with patients being treated for cancer. Social implications: This paper provides information for those working with people undergoing treatments for cancer. Originality/value: There are few papers on this subject and most focus on enteral feeds. © Emerald Group Publishing Limited. Source


Blades M.,Nutrition and Dietetic Services
Nutrition and Food Science | Year: 2013

Purpose: The purpose of this paper is to examine the role of dietitians who work as entrepreneurs. Design/methodology/approach: The paper uses examination of websites for professional dietitians, relevant literature and discussions with dietitians who work as entrepreneurs. Findings: Dietitians in the USA are well established as entrepreneurs. The role is also established in the UK. There appear to be increasing opportunities for entrepreneurial dietitians. Research limitations/implications: This is an examination of existing information in websites and publications, not an original survey. Practical implications: Dietitians could consider entrepreneurial opportunities as a career. Social implications: Dietitians have skills that could benefit both individuals and organisations. Offering these by entrepreneurial activities could provide positive benefits. Originality/value: There appear to be few articles in the UK on entrepreneurial dietetics. © Emerald Group Publishing Limited. Source


Poole S.,Firs House Surgery | Blades M.,Nutrition and Dietetic Services
Nutrition and Food Science | Year: 2013

Purpose: The purpose of this paper is to inform readers of the cultural and scientific basis of the Mediterranean diet. Design/methodology/approach: This review was compiled using peer reviewed articles and with the support of Oldways, the non-profit organisation responsible for designing the Mediterranean diet pyramid in association with Harvard School of Public Health. It is designed to create a resource, which could be disseminated within the food industry to stimulate debate and an understanding of the commercial opportunities for products based on the Mediterranean diet. Findings: From the review of information on the subject there is compelling evidence of the benefits of a Mediterranean diet having a beneficial effect on health status with a reduction in conditions such as coronary heart disease and cancers. Research limitations/implications: This is a literature review based on large studies of the Mediterranean diet and is not an intervention study. Practical implications: It is hoped that the food industry can consider the scientific and market research evidence presented and, through innovation and new brand development, offer the possibility of products, which will promote choice and access to increasingly healthy foods. Social implications: The compilation of evidence citing the benefits of the Mediterranean diet supports an easily adapted and flavourful diet with numerous health benefits. For the food industry it provides an original concept designed to support the research and development of new initiatives to promote healthy food products. Originality/value: The benefits of the Mediterranean diet are shown to have significant benefits on health and are easily implemented. © Emerald Group Publishing Limited. Source

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