America’s metabolic based diseases are on the rise; with over 20 million Americans currently having Type 2 diabetes (T2D), it is expected that 1 in 3 will be diagnosed with this disease in their lifetime.1 Furthermore, every year over 610,000 Americans die of cardiovascular disease (CVD) and the number of people diagnosed with heart disease continues to climb as well. 1 Taken together, the statistics are staggering. Both of these preventable diseases are exacerbated by obesity which, itself, is rising dramatically in the United States.1 It…

by Ashley Jordan Ferira, PhD, RDN Three months of nutritional ketosis provided relief from chronic cluster headache (CCH), according to a study by Di Lorenzo and colleagues.1 Headache complaints are among the most commonly reported neurological disorders. Migraines affect 1 in 7 adults annually and are 2x more common in women than men. In contrast, cluster headache (CH) is rare, affecting < 1% of the population and is 6x more common in men.2 CH is the most severe type of…

Metabolic syndrome (MetS) is a chronic health condition comprised of a group of risk factors that raise the risk of developing cardiovascular disease, diabetes, and stroke. The National Institutes of Health (NIH) identified five risk factors that indicate that a patient may have MetS. These include a large waistline, elevated triglycerides, low HDL cholesterol, high blood pressure, and high fasting blood glucose. As prevalence and incidence of obesity increase globally, the risk of developing MetS increases as well. The NIH indicates that…

Pathology & Prevalence of Asthma Asthma is a common chronic respiratory disorder that is characterized by “asthma attacks” during which airflow is obstructed. The Centers for Disease Control and Prevention report that in the prevalence of asthma among children is 8.6% and among adults is 7.4%. While boys are likelier than girls to have asthma, adult women are almost twice as likely to have asthma than are adult men. African Americans have the highest prevalence of asthma, at 9.9%. The prevalence has…

Intuitively, we understand that our health status declines as we age. Increasing incidence of morbidity associated with chronic diseases leads to reduced mobility in our elder years, which has downstream effects on our mental health and overall quality of life as we age. Research is showing us that many of the chronic conditions associated with aging are actually themselves associated with low-grade systemic inflammation, not resulting from any specific injury. This confluence of health conditions that emerge in advancing age…

DHA or EPA supplementation during gestation increases SPM levels in mothers and newborn babies. Omega-3 fatty acids and metabolic precursors such as specialized pro-resolving mediators, or SPMs, have been associated with reduction of inflammation, and other health conditions.  In pregnancy, omega-3 supplementation has been shown to reduce preterm birth and neonatal concerns. A study by Ellen L. Mozurkewich et al explored if supplementation of EPA- or DHA-rich supplements during pregnancy increases SPM metabolites in serum and cord samples. This study…

In this presentation Gail Cresci, PhD, RD reviews how digestive health is enhanced when the gut microbiome is rich in diverse micro flora. This diversity is supported when preferred energy sources for the bacteria are available and support the viability of microbiota. The importance of these combinations lies in the fact that a metabolic environment is created which in turns provides protection of the gut barrier, optimal immune response and normal gut function and influences on a variety of other…

In this video, Gail Cresci, PhD, RD, LD, CNSC from the Cleveland Clinic discusses the microbiome and whether synbiotics, synergistic combination of pre- and probiotics, make a difference. She covers the rationale for synbiotic use, synbiotic approaches, supporting evidence for health outcomes. Presented at ASPEN Clinical Nutrition Week 2015. View the Slide Deck

The microbial community in each of our bodies influences our physiology, metabolism and immune function, playing roles in both health and disease. This community of bacteria helps its human host digest food, synthesize certain vitamins, and protect against pathogenic bacteria. Recognizing the benefits of “good” microbes begs the question, what does the microbial population look like in a healthy person? And how does the population differ in a person with metabolic or digestive disease? This monograph reviews the role of…

Robert Martindale, MD proposes that we have been so lost in trying to prevent inflammation that we have forgotten about the resolution of inflammation. Resolution is an active process. Anti-inflammation is not equivalent to Pro-Resolution. SPMs are lipid compounds isolated in many human tissues during inflammation. 1) Chemically synthesized in lab and in vivo 2) Injected into humans at physiologic doses 3) Inflammation resolves faster – mimics natural healing 4) Prevents transition to chronic inflammation 5) Increases bacterial and viral…