We give our patients practical information that can be easily implemented for long-term results along with the education they need to make healthy eating an integral part of their life.

Our team of skilled health care professionals works with you to create a plan that considers all of your health needs. This results in a balanced approach that ensures that you get the necessary macro and micro nutrients to support your health and vitality.

What sets Physiomed apart from other health care providers is our interdisciplinary approach, which allows our team to work alongside other practitioners on your health team.

This helps you get the most out of the resources you have available to you. Our approach has made Physiomed one of the fastest growing healthcare providers in the country.

The services we offer help guide you towards a renewed sense of wellbeing and greater health. Our comprehensive assessment process looks at all of the different aspects of your health, including muscle balance, joint mobility, respiration, and others.

This helps us identify primary areas that need to be addressed in order to improve your wellbeing, resulting in a more customized diet and nutritional counseling program.

This has helped our patients treat their health conditions and achieve their wellness goals. Diet and nutritional counseling may be the missing component in your health care program. Working with Physiomed provides you with the nutritional support you need for maximizing your health and achieving a new level of wellness.

Book an Appointment Find Your Clinic. Diet and Nutritional Counseling Supports Long-term Health. The expertise of dietitians specializing in eating disorder treatment is necessary in overcoming nutritional and medical problems eating disorders present.

Treatment for all eating disorders, at any level of care, requires a collaborative interdisciplinary approach with the patient at the center. Nutrition therapy for eating disorders will address the whole person, repairing relationships with nutrition, mind, body image, movement, and more.

Article Contents Diet Culture and Eating Disorders Dieting vs. Eating Disorders Can Dieting Lead to Eating Disorders? Diet and Nutrition Concerns from Eating Disorders Nutrition Counseling for Eating Disorders Diet Culture and Eating Disorders Diet culture is everywhere we turn from commercials to grocery stores.

For those vulnerable to its influence dieting may morph into disordered eating or lead to eating disorders. Motivation to start a diet may be well-intentioned. Diets may be started to improve health, allergies, intolerances, or weight loss.

The question is, how do you know when the line is crossed between dieting and disordered eating? When someone goes on a diet they eventually must come off of a diet. In other words, diets are not maintainable.

Today there are a million different fad diets catching fire in the media. Some of the most common fad diets today include the Keto Diet, Clean Eating, the Paleo Diet and the list goes on and on. Sadly, these numbers continue to increase as we live in a society that glorifies a thin ideal.

When diets are taken too far eating disorders start to form. Preoccupation with physical appearance leads many to engage in efforts to change their body at any cost.

A 3-year cohort study found that girls who dieted at a severe level were 18 times more likely to develop an eating disorder [7]. In this same study girls who dieted at a moderate level were at least 5 times more likely [7].

Dieting has also been found to increase the likelihood of overeating or binge eating [7]. This is due to the body increasing hunger cues, trying to compensate for what it has been deprived of. Eating disorders are all-consuming, moving an individual away from their initial motivation of starting a so-called diet to be healthy towards malnutrition and potential long-term health concerns.

No matter the eating disorder a toll is taken on the body. As nutrition professionals, there is a need to have awareness of nutritional concerns related to all eating disorders. Nutrition concerns arise related to all macronutrients and micronutrients. Individuals are often unaware of how poorly their body is functioning.

This calls for the need to be aware of potential complications and provide support through patient education. The majority of severely malnourished patients suffering from an eating disorder have at least one micronutrient deficiency [3].

Common mineral deficiencies include zinc, iron, copper, and selenium. A study revealed zinc was the most common deficiency in severely malnourished patients with copper and selenium following [3].

Other mineral deficiencies such as iron can lead to anemia. Selenium deficiency impacts the immune system and deteriorates the ability to regulate mood [1]. Common vitamin deficiencies include vitamin D, vitamin B1, vitamin B12, and vitamin B9.

A recent study found Vitamin D deficiency is strongly related to a decline in hip bone mineral density [3]. Bone mineral density loss is the most common chronic complication in anorexia nervosa [3].

Supplementation for vitamin D is recommended in the majority of anorexia nervosa cases to prevent osteoporosis [3]. As nutrition professionals, it is important to recommend patients have blood work to complete a full vitamin panel. These results aid in assessing the need for supplementation and support need for a variety of foods.

Electrolyte disorders can lead to hypokalemia, hypomagnesemia, and potentially lead to sudden cardiac arrest [4]. Purging and other methods of dehydrating the body such as diuretics, laxatives will promote fluid retention resulting in edema [6]. It is important to monitor edema or fluid retention, as these may be signs of a need for immediate medical attention.

Hydration may also be compromised due to restriction of fluid or not drinking water out of fear of weight gain. Nutrition therapy for eating disorders should be individualized, placing the patient at the center. No two patients, regardless of having the same type of eating disorder, are alike.

Each patient will struggle with individual fears or beliefs and may present entirely different medically and psychologically. Start by recognizing the clinical symptoms, attitudes, and food beliefs. Then, support patients while providing corrective nutrition education exploring facts vs.

eating disorder beliefs and nutrition misinformation. Beliefs may also overlap with adverse childhood experiences. Treatment should involve working with therapists to overcome somatically engrained traumatic experiences [2]. Anorexia affects individuals of all shapes and sizes. It is important to understand treatment is not centered solely on weight gain, but all patients will need to restore weight to a certain extent.

Meal plans should incorporate all macronutrients and encourage variety. Patient meal plans should be increased x per week as needed while monitoring and evaluating labs and physical signs and symptoms or refeeding syndrome.

Weight gain goals should be lb per week for outpatient care and lb per week for inpatient care [6]. When restoring weight patients fear gaining fat. It should be acknowledged that yes gaining fat is a part of weight restoration along with muscle, organ tissue, bone mass, and water.

Weight restoration education should be a part of this process as well as the incorporation of Cognitive Behavioral Therapy CBT and Dialectical behavior therapy DBT.

As nutrition professionals, it is important to support patients and understand when a higher level of care or more intense interventions are needed.

It is may be given by dietitians who specialize in eating disorders, and it also part of some therapies for eating disorders. Part of recovery from an eating disorder is about improving nutrition and eating, and changing harmful eating behaviours. This process may include discussions about:.

It looks like you're using an old version of Internet Explorer. For the best experience, please update your browser. Update Internet Explorer or learn how to browse happy. The findings of the study will be shared with the scientific community through 1 presentations at conferences and meetings related to nutrition, medical nutrition, psychiatry, psychology, and epidemiology; 2 publication in scientific peer-reviewed journals; and 3 a final report, which is a requirement of the funding entity for the study.

Increased inflammation biomarkers have been associated with a higher risk of developing MDD and diminished efficacy of conventional treatments [ 2 , 3 ]. The selection of individuals with elevated inflammation biomarkers, will potentially target patients that might benefit more from the proposed intervention.

As participants will be recruited during their routine medical appointments and the intervention will take place near recruitment centres, the trial conditions will closely resemble routine care, reducing the potential for bias. The use of a passive control group that will only receive TAU will allow for an evaluation of the impact of the proposed intervention compared to standard care.

The cost-effectiveness analysis will provide information on the scalability of the proposed treatment. There is a potential challenge in recruiting a sufficient sample size for this study, as the condition of having elevated CRP and IL-6 levels will increase the number of participants needed to be invited.

Similar difficulties have been identified in a previous study [ 24 ]. To address this, participant recruitment and data collection will happen simultaneously in three hospitals, with more recruitment centres planned to be added as the trial progresses.

Due to the nature of the study, which involves promoting adherence to a specific diet, it will not be possible to blind the participants or researchers delivering the intervention to allocation groups.

To minimize the resulting bias, the researchers responsible for statistical analysis will be blinded to allocation groups.

Using the PREDIMED-MEDAS questionnaire to assess MedDiet adherence and measuring inflammation biomarkers at each assessment point will help to identify any associations between alterations in diet adherence, inflammation biomarkers, and changes in depression symptoms.

The study design involves a passive control group that will receive no active intervention besides TAU. This approach eliminates the risk of comparing two effective interventions, but increases the risk that differences found between groups could be due to differences in intervention intensity between groups.

This study will contribute to the understanding of the role of inflammation and nutrition in the treatment of MDD, in a group of patients with a lower remission rate with usual treatments, with potential gains in terms of improving health and reducing healthcare costs.

Global regional. National incidence, prevalence, and years lived with disability for diseases and injuries for countries and territories, — a systematic analysis for the global burden of Disease Study Yang C, Wardenaar KJ, Bosker FJ, Li J, Schoevers RA.

Inflammatory markers and treatment outcome in treatment resistant depression: a systematic review. J Affect Disord. Malhi GS, Mann JJ. The Lancet [Internet]. Hohls JK, König HH, Quirke E, Hajek A. Anxiety, depression and quality of life—a systematic review of evidence from longitudinal observational studies.

International journal of environmental research and public health. Papakostas GI, Petersen T, Mahal Y, Mischoulon D, Nierenberg AA, Fava M. Quality of life assessments in major depressive disorder: a review of the literature. Gen Hosp Psychiatry [Internet]. Kisely S, Li A, Warren N, Siskind D.

A systematic review and meta-analysis of deep brain stimulation for depression. Depress Anxiety [Internet]. Chesnokova V, Pechnick RN, Wawrowsky K. Chronic peripheral inflammation, hippocampal neurogenesis, and behavior. Brain Behav Immun. Kopschina Feltes P, Doorduin J, Klein HC, Juárez-Orozco LE, Dierckx RA, Moriguchi-Jeckel CM et al.

Anti-inflammatory treatment for major depressive disorder: implications for patients with an elevated immune profile and non-responders to standard antidepressant therapy.

J Psychopharmacol. Osimo EF, Baxter LJ, Lewis G, Jones PB, Khandaker GM. Prevalence of low-grade inflammation in depression: a systematic review and meta-analysis of CRP levels. Psychol Med [Internet]. Jeon SW, Kim YK. Inflammation-induced depression: its pathophysiology and therapeutic implications.

J Neuroimmunol. Bai S, Guo W, Feng Y, Deng H, Li G, Nie H, et al. Efficacy and safety of anti-inflammatory agents for the treatment of major depressive disorder: a systematic review and meta-analysis of randomised controlled trials.

Ojo O. Nutrition and chronic conditions. Article CAS PubMed PubMed Central Google Scholar. Adan RAH, van der Beek EM, Buitelaar JK, Cryan JF, Hebebrand J, Higgs S, et al. Nutritional psychiatry: towards improving mental health by what you eat.

Eur Neuropsychopharmacol. Stromsnes K, Correas AG, Lehmann J, Gambini J, Olaso-gonzalez G. Volume 9. Biomedicines: MDPI AG; Google Scholar. Lai JS, Hiles S, Bisquera A, Hure AJ, McEvoy M, Attia J. A systematic review and meta-analysis of dietary patterns and depression in community-dwelling adults.

Am J Clin Nutr. Li Y, Lv MR, Wei YJ, Sun L, Zhang JX, Zhang HG, et al. Dietary patterns and depression risk: a meta-analysis. Psychiatry Res. Altun A, Brown H, Szoeke C, Goodwill AM.

The Mediterranean dietary pattern and depression risk: A systematic review. Neurol Psychiatry Brain Res [Internet]. Konjevod M, Nikolac Perkovic M, Sáiz J, Svob Strac D, Barbas C, Rojo D. Metabolomics analysis of microbiota-gut-brain axis in neurodegenerative and psychiatric diseases.

Journal of Pharmaceutical and Biomedical Analysis. Volume Elsevier B. Guasch-Ferré M, Willett WC. The Mediterranean diet and health: a comprehensive overview. Journal of Internal Medicine. John Wiley and Sons Inc; Dinu M, Pagliai G, Casini A, Sofi F.

Mediterranean diet and multiple health outcomes: an umbrella review of meta-analyses of observational studies and randomised trials. Eur J Clin Nutr. Casas R, Sacanella E, Estruch R. The immune protective effect of the Mediterranean diet against chronic low-grade inflammatory diseases.

Endocr Metab Immune Disord Drug Targets. Article CAS PubMed Google Scholar. Mazzocchi A, Leone L, Agostoni C, Pali-Schöll I. The Secrets of the Mediterranean Diet. Does [Only] Olive Oil Matter? Nutrients [Internet].

Fernandes J, Fialho M, Santos R, Peixoto-Plácido C, Madeira T, Sousa-Santos N et al. Is olive oil good for you? A systematic review and meta-analysis on anti-inflammatory benefits from regular dietary intake. Nutrition [Internet]. BMC Med. Haroon E, Daguanno AW, Woolwine BJ, Goldsmith DR, Baer WM, Wommack EC, et al.

Antidepressant treatment resistance is associated with increased inflammatory markers in patients with major depressive disorder. Gabriel FC, de Melo DO, Fráguas R, Leite-Santos NC, Mantovani da Silva RA, Ribeiro E. Pharmacological treatment of depression: A systematic review comparing clinical practice guideline recommendations.

PLoS One. Estruch R, Ros E, Salas-Salvadó J, Covas MI, Corella D, Arós F, et al. Primary Prevention of Cardiovascular Disease with a Mediterranean Diet. N Engl J Med. Menkes DB, Herxheimer A. Interaction between antidepressants and alcohol: Signal amplification by multiple case reports.

Int J Risk Saf Med [Internet]. Article PubMed Google Scholar. Wang YP, Gorenstein C. Assessment of depression in medical patients: A systematic review of the utility of the Beck Depression Inventory-II.

Campos RC, Gonçalves B. The portuguese version of Beck Depression Inventory-II BDI-II : preliminary psychometric data with two non-clinical samples. Eur J Psychol Assess. Article Google Scholar. Beck AT, Steer RA, Brown GK. Manual for the Beck depression inventory-II.

San Antonio, TX: Psychological Corporation; Gregório MJ, Rodrigues AM, Salvador C, Dias SS, de Sousa RD, Mendes JM et al. Validation of the telephone-administered version of the mediterranean diet adherence screener Medas questionnaire. García-Conesa MT, Philippou E, Pafilas C, Massaro M, Quarta S, Andrade V et al.

Exploring the validity of the item mediterranean diet adherence screener Medas : A cross-national study in seven european countries around the mediterranean region. Vaz-Serra A; Canavarro Maria; Simões Mário; Pereira Marco; Gameiro Sofia; Quartilho Manuel João;, Rijo DCCPT. Estudos psicométricos do instrumento de avaliação da qualidade de vida da Organização Mundial de Saúde WHOQOL-Bref para Português de Portugal.

Psiquiatr Clínica. Craig CL, Marshall AL, Sjöström M, Bauman AE, Booth ML, Ainsworth BE, et al. International physical activity questionnaire: Country reliability and validity.

Med Sci Sports Exerc. Download references. We would like to express our gratitude to Ana Sousa Santos for her unwavering support throughout the development of the study, particularly in her assistance during the editing of the study protocol.

On behalf of the study team, we also extend our heartfelt thanks to the healthcare units that participate in the recruitment process. Their collaboration and support will be critical in the successful execution of this study. The study sponsor and funder of this trial are not directly involved in any of the following procedures: study design; collection, management, analysis, and interpretation of data; writing of the report; or the decision to submit the report for publication.

Share sensitive information only on official, secure websites. Skip to content Skip to navigation. Nutrition counseling provides personalized guidance to individuals who are at nutritional risk because of their health or nutritional history, dietary intake, chronic illness, or medication use.

Nutrition programs can find resources and best practices for creating a supportive counseling process where goals and priorities are set, and the individual takes responsibility for self-care.