Nutrition Education: Choosing The Best Path

A place to get your questions answered from McDougall staff dietitian, Jeff Novick, MS, RDN.

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Nutrition Education: Choosing The Best Path

Postby Gwen » Thu Feb 28, 2008 12:09 pm

Hi Jeff,
I know you are a Registered Dietitian. I don't want to go back to college at 49 yrs old to receive a degree like that, but I am interested in learning more about nutrition.
Have you ever heard of The Global College of Natural Medicine, in Santa Cruz, Ca.? They offer 3 programs, via mail, including Holistic Health Practitioner Program, Nutritional Consultant Program and Master Herbalist Program. They use books from such sources as Dr. Weil. It sounds great, but I want to make sure they're legit.
Or do you know of a good home program to study nutrition, health, and herbs, in depth? Of course I have Dr. McDougall's books and CD's.
Thanks,
Gwen
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Postby JeffN » Sat Mar 01, 2008 7:44 pm

Hi Gwen

The answer depends on what your goals are and what you want to do with the education.

Are looking to study nutrition for your own personal edification or are you thinking of using it in someway to teach or help others?

Either way though, I am not a big fan of many of these unaccredited colleges and courses even though they may sound great. While they may offer some good info that can be helpful, most of them are also full of other info that is of questionable value or worth.

I do not personally find value in many of these "holistic" health, "herbalist" or "nutritionist" programs and have taken some of them. Somehow or other it seems that good solid nutrition science (which i am a strong proponent of) gets its self aligned with lots of stuff that is really of questionable value, and some of it is just plain quackery (of which I am strongly opposed to). I am not a fan of Dr Weil and his teachings.

Some people seem to be suprised that the info i follow and teach is actually based on (and I consider it) solid mainstream science. I can show you documents by the NAS, the WHO, the FAO and the IOM that supports virtually everything I teach.

John Bear, has a website and a book that is updated regularly where he evaluates many all these online, correspondence, non-traditional and traditional colleges/programs. Unfortunately, my personal and professional experience is that they often do little more then turn well meaning, good intentioned and caring people into quacks.

John Bears info

http://www.degree.net

http://www.degree.net/books/bearsguide.htm

There are also online programs now to study traditional nutrition and offer an RD.

http://www.unco.edu/ddp/

http://www.eatright.org/cps/rde/xchg/ad ... U_HTML.htm

(scroll down and you will see the full list of online programs)

Let me know what you are really looking for and what your end goals are.

In Health
Jeff Novick, MS, RD
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Postby Gwen » Sat Mar 01, 2008 10:38 pm

Thanks for answering, Jeff.

I guess my interest would be the dietetics. I'm very interested in how nutrition affects every aspect of how we function and all the body's interactions. It's for my own interest now, but it could lead to helping others in the future.

I'm 49 yrs old, so I don't know if I could look forward to a career in the field. It would probably take me 8-10 yrs to complete a degree going part time. That degree is offered here at the University of New Mexico. I took a couple A&S classes 20 yrs ago. This year, I readmitted and tried taking a French class, but ended up dropping it.

You see, I'll be an empty nester soon, and I thought about what I'd like to try for this next phase of my life, since I now have the time. --it would be a lot of money, though, especially since my youngest son will be entering UNM for Mechanical Engineering. I like the idea of just knowing more about how the body works. I'm with you that taking a more scientific, professional approach would be a better way to really understand the truth of nutrition.

Do you have any suggestions for me on how to proceed? Do you think I'm too old to start pursuing this?

And, if formal education were not an option, are there any reference books or short courses that would be good?

Thanks, Gwen
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Postby JeffN » Sun Mar 02, 2008 10:18 am

Hi Gwen

First, it is never to late to begin something new. In fact, learning something new is the best way to keep your mind active and young. I went back to school at 35 and had similar thoughts, so the thoughts are normal, but where would you be in 5-10 years if you didnt do what you wanted? I know a women who went back and got here nursing degree when she was in her mid 70s.

It sounds to me what you are really interested in is what we call biochemistry and/or physiology, which is what the core of what nutrition really is, how foods breaks, down, is metabolized, interacts and functions with in the human body. I see nutrition in 2 ways, the first is the nutrition about the foods we eat "before" we consume them, which would be the analysis of foods, nutrient sources, meal planning, recipes, etc. The second is the nutrition about foods "after" we eat them, which is the biochemistry and physiology part of it.

Some suggestions, which you can look into and see what interests you.

1) I can send you some links for some free online reports by the NAS, and WHO all about food and nutrients. They go into all the differences in sources, types, absorption rates, nutrient balance, metabolism, etc etc. For instance, the one on calcium talks all about the different source, the effect of animal protein, salt, exercise, vit d, vit k, and how each one effects calcium and why are recommendations are elevated compared to World Health.

2) You can sign up for a college class at a local university or college, even just to audit it on nutrition and/or biochemistry (or they may have you take regular chemistry first).

3) try one of the online courses in nutrition, biochemistry or physiology, so you can work at your own pace

4) I can recommend a textbook in basic nutrition, which you can get and read at your own pace.

Also, if you would like, there is a board at vegsource, on the topic of nutrition education which is moderated by Mark Rifkin, RD, where he discusses similar questions.

http://www.vegsource.com/talk/nutrition/

[NOTE: The VegSource group is no longer active. Instead, Mark now runs a similar group, Careers in Vegan/Plant-Based Nutrition, on FB]

https://www.facebook.com/groups/3492791 ... tif_t=like

Let me know if i can be of anymore help

In Health
Jeff Novick, MS, RD
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Postby Gwen » Sun Mar 02, 2008 11:19 am

Yes, I would like those online links you wrote about.

Last year, when I was having my gallbladder problems, I became very aware of food and how it was affecting me. I'd also just lost 90 lbs as well as entering my 3rd year of menopause. So I had a LOT of changes going on. My hair was falling out, my nails breaking and my skin was aging fast. I'm sure I was malnourished the last few months before my gallbladder came out.
After my surgery, my hair was still falling out bad. I had read that the anestesia(sp?) can cause that? Is that true? I started taking vitamins for hair/skin/nails. I know menopause can also cause hair/skin problems. I'm happy to report I have new 'baby' hairs coming in!!
I also experienced rapid vaginal atrophy/dryness and urogenital problems. Even with vag. estriol cream, things weren't working well. That seems to be getting better now also....using less cream now.

So my interest in nutrition peaked during all this. Can my lack of good nutrition before my surgery, and now, good nutrition after have played that big a role in my hair/skin/vag problems? If so, I can see how really important it is to eat well.
PS...I've also exercised during this whole time: brisk walking-2-3 miles 5/days a week, and working with light weights 2-3x a week.

Wow, it's so nice to 'talk' to someone about all these issues! I REALLY appreciate your time to answer me, Jeff.
Thanks, Gwen
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Resources

Postby JeffN » Sun Mar 02, 2008 11:45 am

Here we go...

Many of the classic textbooks are great resources for the background and basic information on biochemistry and physiology.

One of my favorites is

Modern Nutrition in Health & Disease by Maurice Shils

In addition, I highly recommend anyone interested in nutrition and health to go to the website of the National Academy of Sciences and the World Health Organization and read all their published reports on these topics. They are all free to the public at the websites.

http://www.nap.edu/topics.php?topic=380

http://www.nap.edu/topics.php?topic=381

(Check out all the subtopics sections on the left also)

http://www.who.int/dietphysicalactivity ... index.html

http://www.who.int/topics/nutrition/en/

http://www.who.int/topics/diet/en/

In addition, the Institute of Medicine, the CDC, the National Institute of Aging also have great reports.

http://www.iom.edu/CMS/3708.aspx

Also, this is a great one to understand all the science behind vitamins and minerals and all the differing recommendations.

Human Vitamin and Mineral Requirements
Report of a joint FAO/WHO expert consultation
Bangkok, Thailand
WORLD HEALTH ORGANIZATION
FOOD SND AGRICULTURE ORGANIZATION OF THE UNITED NATIONS
Rome, 2002

http://www.fao.org/docrep/004/Y2809E/y2809e00.HTM

Also, while some of the info from the USDA, and FDA is influenced by industry, their reports and data are still great to read.

Enjoy, it is a lot of very worthwhile reading.

In Health
Jeff Novick, MS, RD

PS there will be a test! :)

UPDATED 2013

This was recently put together by on FB, and I think you may find it helpful in your educational journey. It is based on a lot of the resources I recommend along with the work of the leading voices in the PB world, and acknowledges that.

1) The leading programs out there that have produced and/or are producing published peer-reviewed credible research are the ones taught by:

- Dean Ornish, MD, and the Preventive Medical Research Institute (PMRI);
- The Pritikin Longevity Center;
- Caldwell Esselstyn, MD and the Cleveland Clinic Wellness Institute;
- John McDougall, MD and the McDougall Program;
- Neal Barnard, MD and the Physicians Committee for Responsible Medicine (PCRM);
- Dr Hans Diehl and the Complete Health Improvement Program (CHIP);
- Walter Kempner, MD, and the Rice Diet program.

A full listing of their studies...

The Continuum of Health: An Integrated Approach To Whole Food, Plant-Based Diets
Pt 1 -The Evidence
Jeff Novick, MS, RD
12/5/2013

1) Dean Ornish's and PMRI Research
Overview (Includes a listing of all studies with live links)
http://www.pmri.org/research.html#highlights

Articles
http://www.pmri.org/research.html#articles

http://www.ornishspectrum.com/proven-pr ... -research/

Certified Program Locations
http://www.pmri.org/certified_programs. ... se-program

Ornish Program Guidelines For Reversing Heart Disease & For Prevention
http://www.ornishspectrum.com/proven-program/nutrition/


2) Nathan Pritikin & The Pritikin Program

Published Research Articles & Overview
http://www.pritikin.com/pritikin-center ... sults.html

Articles (Included below is a listing of all studies from 1981 to 2013)
Nathan Pritikin Research Foundation Bibliography - Published Research Articles

The Guidelines of the Pritikin Eating Plan
http://www.pritikin.com/your-health/hea ... -plan.html

NOTE: The Dean Ornish program and the Pritikin program were both approved several years ago by Medicare for Intensive Cardiac Rehab (ICR).

The Ornish ICR
http://www.pmri.org/certified_programs.html

The Pritikin ICR
http://www.pritikin.com/home-the-basics ... n-icr.html


3) Neal Barnard's and PCRM Research
http://www.washingtonccr.org/pubs/worksite.cfm
http://www.ncbi.nlm.nih.gov/pubmed
http://www.nealbarnard.org/publications/

The PCRM Power Plate
http://www.pcrm.org/health/diets/pplate/power-plate


4) Hans Diehl & The Complete Health Improvement Program (CHIP) Research
http://www.chiphealth.com/About-CHIP/Sc ... lications/
http://www.chiphealth.com/About-CHIP/Proven-Results/

CHIP Program Outline
http://www.chiphealth.com/About-CHIP/ProgramOutline/


5) Walter Kempner's Studies
http://www.ncbi.nlm.nih.gov/m/pubmed/?term=KEMPNER+W[Author]

6) Caldwell Esselstyn's Studies
http://www.heartattackproof.com/articles.htm
http://www.ncbi.nlm.nih.gov/pubmed/7500065
http://www.ncbi.nlm.nih.gov/pubmed/10496449
http://www.ncbi.nlm.nih.gov/pubmed/9860365

Q&A with Caldwell B. Esselstyn, Jr., MD
http://www.heartattackproof.com/qanda.htm


7) John McDougall's Studies
http://www.ncbi.nlm.nih.gov/pubmed/8522729
http://www.ncbi.nlm.nih.gov/pubmed/11890437

The Free McDougall Program
http://www.drmcdougall.com/health/educa ... l-program/

8 ) TrueNorth Health Center
I am including the work of Dr Alan Goldhamer and the TrueNorth Health Center, where Michael Klaper, MD, is on staff. While their focus is primarily on medically supervised water-fasting, they also promote a WFPB, SOS-free diet and have published several studies on their work.

The TrueNorth Health Center
http://www.healthpromoting.com/

Published Studies
http://www.ncbi.nlm.nih.gov/pubmed/?term=Goldhamer+A

The results from these studies, which use differing specific diets in them, documents the importance and the effectiveness of this overall dietary pattern over any one specific version of this diet.

Nathan Pritikin Research Foundation Bibliography - Published Research Articles

2013
Effects of an intensive short-term diet and exercise intervention: comparison between normal-weight and obese children. Am J Physiol Regul Integr Comp Physiol. 2013 Sep;305(5):R552-7. doi: 10.1152/ajpregu.00131.2013. Epub 2013 Jul 24.
http://www.ncbi.nlm.nih.gov/pubmed/23883675

Metabolic syndrome and insulin resistance: underlying causes and modification by exercise training.Compr Physiol. 2013 Jan;3(1):1-58. doi: 10.1002/cphy.c110062.
http://www.comprehensivephysiology.com/ ... 10062.html

2012
A short-term diet and exercise intervention ameliorates inflammation and markers of metabolic health in overweight/obese children. Am J Physiol Endocrinol Metab. 2012 Aug 15;303(4):E542-50. doi: 10.1152/ajpendo.00190.2012. Epub 2012 Jun 19.
http://www.ncbi.nlm.nih.gov/pubmed/22713506

Effect of a low-fat diet combined with IGF-1 receptor blockade on 22Rv1 prostate cancer xenografts. Mol Cancer Ther. 2012 Jul;11(7):1539-46. doi: 10.1158/1535-7163.MCT-11-1003. Epub 2012 May 4.
http://www.ncbi.nlm.nih.gov/pubmed/22562985

2011
Phase II prospective randomized trial of a low-fat diet with fish oil supplementation in men undergoing radical prostatectomy.Cancer
Prev Res (Phila). 2011 Dec;4(12):2062-71. doi: 10.1158/1940-6207.CAPR-11-0298. Epub 2011 Oct 25.
http://www.ncbi.nlm.nih.gov/pubmed/22027686

Analyzing serum-stimulated prostate cancer cell lines after low-fat, high-fiber diet and exercise intervention. Evid Based Complement Alternat Med. 2011;2011:529053. doi: 10.1093/ecam/nep031. Epub 2011 Mar 15.
http://www.ncbi.nlm.nih.gov/pubmed/19376839

2010
Growth inhibitory effect of low fat diet on prostate cancer cells: results of a prospective, randomized dietary intervention trial in men with prostate cancer. J Urol. 2010 Jan;183(1):345-50. doi: 10.1016/j.juro.2009.08.104. Epub
http://www.ncbi.nlm.nih.gov/pubmed/19914662

2009
Benign prostatic hyperplasia: does lifestyle play a role? Phys Sportsmed. 2009 Dec;37(4):141-6. doi: 10.3810/psm.2009.12.1752. Review.
http://www.ncbi.nlm.nih.gov/pubmed/20048551

Soliman, S., W.J. Aronson, R.J. Barnard. Evid Based Complement Alternat Med 2009; doi: 10.1093/ecam/nep031

2008
Barnard, R.J. Cancer of the Prostate, Benign Prostatic Hypertrophy, Diet and Exercise Intervention. http://www.Vitasearch.com. May, 2008

Kobayashi, N., R.J. Barnard, J. Said, J. Hong-Gonzales, D.M. Corman, M. Ku, N.B. Doan, D. Elashoff, P. Cohen, W.J. Aronson. Effect of low fat diet on development of prostate cancer and the Akt pathway. Cancer Res. 68:3066-3073,2008

Barnard, R.J., N. Kobayashi, W.J. Aronson. Effect of diet and exercise intervention on the growth of prostate epithelial cells. Prostate Cancer Prostatic Dis. 11:362-366,2008

Roberts, C.K., R.J. Barnard, and D.M. Croymans. Correspondence to the Editor: Weight Loss with a Low-Carbohydrate, Mediterranean,
or Low-Fat Diet. New England Journal of Medicine 359 (20): 2169, 2008.

2007
Roberts, C.K., A.K. Chen, R.J. Barnard. Effect of a short-term diet and exercise intervention in youth on atherosclerotic risk factors. Atherosclerosis 191:98-106,2007

Dewell, A., G. Weidner, M.D. Sumner, R.J. Barnard, R.O. Marlin, J.J. Daubenmier, P.R. Carroll, D. Ornish. Evaluation of dietary protein and soy isoflavones in relation to serum IGF-I and IGF binding proteins in the Prostate Cancer Lifestyle Trial. Nutrition and Cancer 58:35-42,2007

Barnard, R.J. P.S. Leung, W.J. Aronson, P. Cohen, L.A. Golding. A mechanism to explain how regular exercise might reduce the risk for clinical prostate cancer. The European Journal of Cancer Prevention 16:415-421, 2007

Barnard, R.J. Prostate cancer prevention by nutritional means to alleviate metabolic syndrome. The American Journal of Clinical Nutrition 86(suppl):889S-893S,2007

2006
Roberts, C.K., D. Won, S. Pruthi, S. Kurtovic, R.K. Sindhu, N.D. Vaziri, R.J. Barnard. Effect of a short-term diet and exercise intervention on oxidative stress, inflammation, MMP-9 and monocyte chemotactic activity in men with metabolic syndrome factors. J Appl Physiol 100:1657-1665,2006

Booth, F.W., M.V. Chakravarthy. Physical activity and dietary intervention for chronic diseases: a quick fix after all. J Appl Physiol (Invited Editorial) 100:143901440,2006

Chen, A., C.K. Roberts and R.J. Barnard. Effect of a short-term diet and exercise intervention on metabolic and anthropometric parameters in overweight children and adolescents. Metabolism 55:871-878,2006

Roberts, C.K., R.J. Barnard, R.K. Sindhu, M. Jurczak, A. Ehdaie, N.D. Vaziri. Oxidative stress and dysregulation of NAD(P)H oxidase and anitoxidant enzymes in diet-induced metabolic syndrome. Metabolism 55:928-934,2006

Henning, S.M., W. Aronson, Y. Niu, F. Conde, N.H. Lee, N.P. Seeram, R-P. Lee, J. Lu, D.M. Harris, A. Moro, J. Hong, P-S. Leung, R.J.
Barnard, H.G. Ziaee, G. Csathy, V.L.W. Go, 
H. Wang, D. Heber. Bioavailability and bioactivity of tea polyphenols in humans and mice after green and black tea consumption. J Nutr. 136:1839-1843,2006

Pantuk, A.J., J.T. Leppert, W. Aronson, J. Hong, R.J. Barnard, N. Seeram, H. Wang, R. Elashoff, D. Heber, L. Ignarro, A. Belldegrun. Phase II study of pomegranate juice for men with rising PSA following surgery or radiation for prostate cancer. Clin. Cancer Res. 12:4018-4026,2006

Roberts, C.K., D. Won, S. Pruthi, R.J. Barnard Effect of diet and exercise intervention on oxidative stress, inflammation and monocyte adhesion in diabetic men. Diabetes Res. 73:249-259,2006

Kobayaski, N., R.J. Barnard, S.M. Henning, D. Elashoff, S.T. Reedy, P. Leung, J. Hong-Gonzalez, S.J. Freedland, J. Said, D. Gui, N.P. Seeram, L.M. Popoviciu, D. Bagga, D. Heber, J.A. Glaspy, W.J. Aronson. Effect of Altering Dietary Omega-6: Omega-3 Fatty Acid Ratios on Prostate Cancer Membrane Composition, Cyclooxygenase-2 and Prostaglandin E-2. Clin Cancer Res. 12:4662-4670,2006

Barnard, R.J., J.H. Gonzalez, M. Liva, T.H. Ngo. Effect of a low-fat, high-fiber diet and exercise program on breast cancer risk factors in vivo and tumor cell growth and apoptosis in vitro. Nutrition and Cancer 55:28-34,2006
Roberts, C.K., C. Ng, S. Hama, R.J. Barnard.

Effect of a diet and exercise intervention on inflammatory/anti-inflammatory properties of HDL in men with cardiovascular risk factors. J. Appl. Physiol. 101:1727-1732,2006

Sullivan S, Klein S. Effect of a short-term Pritikin diet therapy on the metabolic syndrome. J Cardio Metab Syndrome. 1:308-312, 2006.

2005
Roberts, C.K., R.J. Barnard, R.K. Sindhu, M. Jurczak, A. Ehdaie, N.D. Vasiri. A high-fat, refined carbohydrate diet induces endothelial dysfunction, oxidant/antioxidant imbalance and depresses NO synthase protein expression. J Appl Physiol 98:203-210, 2005.

Barnard, R.J. and W.J. Aronson. Preclinical models relevant to diet, exercise, and cancer. In: Recent Results in Cancer Research (Controversies in Tumor Prevention and Genetics III). H-J. Senn and R. Morant, eds. Springer 2005, 166:47-62.

Roberts, C.K. and Barnard, R.J. Effect of diet and exercise on chronic disease. J Appl Physiol 98:3-30, 2005.

Ornish D, Carroll PR, Fair WR, Pettengill EB, Marlin R, Raisin CJ, Dunn-Emke S, Crutchfield L, Barnard RJ, McCormac P, McNight DJ, Fein JD, Dnstrian AM, Weinstein J, Ngo T, Weidner G. Intensive lifestyle changes may affect the progression of prostate cancer. J Urol 174:1065-
1070, 2005.

2004
Ngo, T.H., R.J. Barnard, T. Anton, C. Tran, D. Elashoff, D. Heber, S.J. Frieedland and W.J. Aronson. Effect of isocaloric low-fat diet on prostate cancer xenograft progression to androgen independence. Cancer Res. 64:1252-1254,2004

Wegge, J.K.,C.K. Roberts,T.H. Ngo and R.J. Barnard. Effect of diet and exercise intervention on inflammatory markers of atherosclerosis in postmenopausal women. Metabolism 53:377-381,2004

Molteni, R., A. Wu, S. Vaynmam, R.J.Barnard and F.Gomez-Pinilla. Voluntary physical activity compensates for the deleterious effects of a high-fat, refined-sugar diet on behavioral and neuronal plasticity. Neuroscience 123:429-440,2004

Leung, P-S.,W.J. Aronson,T.H. Ngo, L.A. Golding and R.J. Barnard. Exercise alters the IGF axis in vivo and increases p53 protein in prostate tumor cells in vitro. J. Appl. Physiol. 96:450-454,2004

Roberts, C.K. K. Liang, R.J. Barnard, C.H. Kim and N.D. Vaziri. HMG-CoA reductase, cholesterol 7-hydroxylase, LDL receptor, SR-B1, and ACAT in diet-induced syndrome X. Kidney International 66:1503-1511,2004

Barnard, R.J. and Aronson, W.J. Diet, Exercise and Prostate Cancer. In: Prostate Cancer, J.N. Lucas ed. Nova Science, Hauppauge, N.Y. Chapt. I, 2004

Barnard, R.J. Prevention of cancer through lifestyle changes. eCAM Jol 1:233-239,2004

2003
Ngo, T.H., R.J. Barnard, P. Cohen, S. Freedland, C. Tran, F. deGregorio, Y.I. Elshimal, D. Heber and W.J. Aronson. Effect of isocaloric low-fat diet on human LAPC-4 prostate xenografts and the IGF axis in SCID mice. Clin. Cancer Res 9:2734,2003

Roberts, C.K. and R.J. Barnard. Low-carbohydrate diets as compared with low-fat diets. New Engl J Med 349:1000,2003

Barnard, R.J. and J.O. Holloszy. The metabolic systems: Aerobic metabolism and substrate utilization in exercising skeletal muscle. in:
The History of Exercise Physiology. C.M. Tipton editor, Oxford Press, New York, NY. p 292-320, 2003

Roberts, C.K., N.D. Vaziri, R.K. Sindhu and R.J. Barnard. A high-fat, refined carbohydrate diet affects renal NO synthase protein expression and salt sensitivity. J Appl. Physiol 94:941-946,2003

Masley, S., J.J. Kenney and J.S. Novick. Optimal diets to prevent heart disease. JAMA 289:1510,2003

Barnard, R.J., T.H. Ngo, W.J. Aronson and L.A. Golding. A low-fat diet and/or strenuous exercise alters the IGF axis in vivo and reduces prostate tumor cell growth in vitro. Prostate 56:201-206,2003

Ngo, T.H., R.J. Barnard, P. Cohen and W.J. Aronson. IGF-1 and Insulin-like growth factor binding protein-1 (IGFBP-1) modulate prostate cancer cell growth and apoptosis: Possible mediators for the effects of diet and exercise on cancer cell survival. Endocrinology 144:2319-2324,2003

2002
Roberts, C.K., N.D. Vaziri, R.J. Barnard. Effect of diet and exercise intervention on blood pressure, insulin oxidative stress, and nitric oxide availability. Circulation 106:2530-2532,2002

Roberts, C.K., R.J. Barnard, K.H. Lui and N.D. Vaziri. Effect of diet on adipose tissue and skeletal muscle VLDL receptors and LPL: Implications for obesity and hyperlipidemia. Atherosclerosis 161:133-141,2002

Roberts. C.K., N.D. Vaziri, Z. Ni, X.Q. Wang and R.J. Barnard. Correction of long-term diet-induced hypertension and protein nitration by diet modification. Atherosclerosis 163:321-327,2002

Molteni, R., R.J. Barnard, Z. Ying, C.K. Roberts and F. Gomez-Pinilla. A high-fat, refined-sugar diet reduces BDNF, neuronal plasticity, and cognitive function. Neuroscience 112:803-814,2002

Tymchuk, C.N., R.J. Barnard , T.H. Ngo and W.J. Aronson. The role of testosterone, estradiol, and insulin in diet and exercise-induced reductions in prostate cancer cell growth. Nutrition and Cancer 2:112-116,2002

Roberts, C.K., J.J. Berger and R.J. Barnard. Long-term effects of diet on leptin, energy intake and activity in a model of diet-induced obesity. J.Appl. Physiol. 93:887-893,2002

Ngo, T.H., R.J. Barnard, C.N. Tymchuk, P. Cohen. And W.J. Aronson. Effect of diet and exercise on serum insulin, IGF-1, and IGFBP-1 levels and growth of LNCaP cells in Vitro. Cancer Causes & Control 13:929-935,2002

Barnard, R.J., W.J. Aronson, C.N. Tymchuk and T.H. Ngo. Prostate cancer: Another aspect of the insulin resistance syndrome. Obesity Rev 3:303-308,2002

Barnard, R.J. and J.O. Holloszy. The metabolic systems: Aerobic metabolism and substrate utilization in exercising skeletal muscle. in: The History of Exercise Physiology. C.M. Tipton editor, Oxford Press, New York, NY. p 292-320, 2002

2001
Roberts, C.K., N.D. Vaziri. Effects of estrogen on gender specific development of diet-induced hypertension. J. Appl Physiol. 91:2005-2009,2001

Roberts, C.K., N.D. Vaziri, K.H. Liag and R.J. Barnard. Reversibility of long-term diet induced insulin resistance and metabolic syndrome characteristics. Hypertension 37:1323-1328,2001

Youngren, J.F., J.Paik and R.J. Barnard. Impaired insulin receptor autophosphorylation is an early defect in fat-fed, insulin-resistant rats. J. Appl. Physiol. 91:2240-2247,2001

Tymchuk, C.N., S.B. Tessler and R.J. Barnard. Changes in sex hormone-binding globulin, insulin and serum lipids in postmenopausal women on a low-fat, high-fiber diet combined with exercise. Nutrition and Cancer 38:158-162,2000

Tymchuk, C.N., R.J. Barnard, D. Heber and W.J. Aronson. Evidence for an inhibitory effect of diet and exercise on prostate cancer cell growth. J. Urol . 166:1185-1189,2001

2000
Barnard, R.J. American College of Sports Medicine Position Stand on Exercise and Type 2 Diabetes. Am. J. Med. Sports 2:364-367,2000

Roberts, C.K., N.D. Vaziri, X.Q. Wang, and R.J. Barnard. NO inactivation and hypertension induced by a high-fat, refined carbohydrate diet. Hypertension 36:423-429,2000

Fonseca, V., A. Dicker-Brown, S. Ranganathan, W. Song, R.J. Barnard, L. Fink and P.A. Kern. Effect of a high-fat-sucrose diet on enzymes of homocysteine metabolism in the rat. Metabolism 49:736-741,2000

1999
Barnard, R.J. The role of exercise in the detection and treatment of peripheral vascular disease. In. Exercise and the Heart in Health and Disease . R. J. Shephard and H.S. Miller eds. Marcel Dekker, Inc. New York, N.Y. , 1999

Barnard, R.J. and S.B. Inkeles. Effects of an intensive diet and exercise program on lipids in postmenopausal women. Women's Health Issues 9:155-161,1999

Reil, T.D., R.J. Barnard, V.S. Kashyap, C.K. Roberts and H.A. Gelabert. Diet induced changes in endothelial dependent relaxation of the rat aorta. J Surg Res 85:96-100,1999

Berger, J.J. and R.J. Barnard. Effect of diet on fat cell size and hormone sensitive lipase activity. J Appl Physiol. 87:227-232,1999

Barnard, R.J. A carbohydrate diet to prevent and control coronary heart disease. Pritikin was Right. ACSM's Health and Fitness J. 3:23-26,1999

Roberts, C.K., R.J. Barnard, A. Jasman and T.W. Balon. Acute exercise increases nitric oxide synthase activity in skeletal muscle. Am J Physiol 277 (Endocrinol. Metab 40 ) E390 E394,1999

Kenney, J.K., R.J. Barnard and S. Inkeles. Very-low-fat diets do not necessarily promote small, dense LDL particles. Am J Clin Nutr. 70:423,1999

Barnard, R.J. and S.B. Inkeles. The value of lifestyle change in treating coronary disease - what does it take? Preventive Cardiology 2:159-163,1999

Barnard, R.J. Very-low-fat diets . Circulation 100:1012-1013,1999

1998
Barnard, R.J., C.K. Roberts, S.M. Varon and J.J. Berger, Diet-induced insulin resistance precedes other aspects of the metabolic syndrome. J Appl Physiol, 84:1311-1315,1998

Tymchuk, C.N., S.B. Tessler, W.J. Aronson and R.J. Barnard, Effects of diet and exercise on insulin, sex hormone-binding globulin and prostate-specific antigen. Nutrition and Cancer, 31:127-131,1998

1997
Barnard, R.J., J.F. Youngren and S.H. Scheck, Reversibility of diet-induced skeletal muscle insulin resistance. Diabetes Res, 32:213-221,1997

Barnard, R.J., S.C. DiLauro and S.B. Inkeles, Effects of intensive diet and exercise intervention in patients taking cholesterol-lowering drugs. Am J Cardiol 79:1112-1114,1997

Roberts, C.K., R.J. Barnard, S.H. Scheck and T. W. Balon, Exercise-stimulated glucose transport in skeletal muscle is nitric oxide dependent. Am J Physiol 273:E220-E225,1997

1996
Beard, C.M., R.J. Barnard, D.C. Robbins, J.M. Ordovas and E.J. Schaefer, Effects of diet and exercise on qualitative and quantitative measures of LDL and its susceptibility to oxidation. Arterioscler Thromb Vasc Biol, 16:201-207,1996

1995
Bagga, D., J.M. Ashley, S.P. Geffrey, H-J. Wang, R.J. Barnard, S. Korenman and D. Heber, Effects of a very low fat, high fiber diet on serum hormones and menstrual function: Implications for breast cancer prevention. Cancer, 76:2491-2496,1995

Zernicke, R.F., G.J. Salem, R.J. Barnard, J.S. Woodward Jr., J.W. Meduski and J.D. Meduski, Adaptations of immature trabecular bone to exercise and augmented dietary protein. Med Sci Sports Exer, 27:1486-1493,1995

Li, K-C, R F. Zernicke, R.J. Barnard and A.F-Y. Li, Response of immature diabetic bone-ligament junctions to insulin and exercise. Clin Biomech, 10 : 331-336,1995

Barnard, R.J., J.F. Youngren and D.A. Martin, Diet, not aging, causes skeletal muscle insulin resistance. Gerontology, 41:205-211,1995

Czernin, J., R.J. Barnard, K.T. Sun, J. Krivokapich, E. Nitzsche, D. Dorsey, M.E. Philps and H.R. Schelbert, Effect of short-term cardiovascular conditioning and low-fat diet on myocardial blood flow and flow reserve. Circulation, 92:197-204,1995

Zernicke, R.F., G.J. Salem, R J. Barnard and E. Schramm, Long-term, high-fat-sucrose diet alters rat femoral neck and vertebral morphology, bone mineral content, and mechanical properties. Bone, 16:25-31,1995

Youngren, J.F. and R.J. Baranard, Effects of acute and chronic exercise on skeletal muscle glucose transport in aged rats. J Appl Physiol, 78,1750-1756,1995

1994
Barnard, R.J., T. Jung and S.B. Inkeles, Diet and exercise in the treatment of NIDDM - the need for early emphasis. Diabetes Care, 17:1469-1472,1994

Bagga, D., J.M. Ashley, S. Geffrey, Hei-Jung, R.J. Barnard, R. Elashoff and D. Heber, Modulation of serum and breast duct fluid lipids by a very low-fat, high-fiber diet in premenopausal women. JNCI, 86:1419-1421,1994

Barnard, R.J. and, S.J. Wen, Exercise and diet in the prevention and control of the metabolic syndrom. Med Sports 18:218-228,1994

Barnard, R.J., Physical activity, fitness and claudication. In Physical Activity, Fitness and Health 1992 Proceedings. C. Bouchard, R.J. Shephard and T. Stephens, eds. Human Kinetics, Champaign, IL. p 622-632, 1994.

1993
Li, K.C., R. F. Zernicke, R.J. Barnard, A.F.X. Li, P. Campbell. Effects of mild diabetes on immature cortical bone. Clin Biomech, 8:49-51,1993

Barnard, R.J., D.J. Faria, J.E. Menges, and D.A. Martin, Induction of hyperinsulinemia and related atherosclerotic risk factors by a high-fat, sucrose diet. Atherosclerosis, 100: 229-239, 1993.

Li, K-C, R.F. Zernicke, R.J. Barnard and A.F-Y Li. Response of immature bone-ligament junction to a high-fat, sucrose diet. Clin Biomech, 8:163-165, 1993

Hou. J. C-H., R.F. Zernicke, and R.J. Barnard. Effects of severe diabetes on immature rat femoral neck. J Orthop Res, 11: 263-271, 1993.

1992
Salem, G.J., R.F. Zernicke, R.J. Barnard. Diet related changes in mechanical properties or rat vertebrae. Am J Physiology, 262:R318-R321,1992

Barnard, R.J., E.J. Ugianskis, D.A. Martin. The effect of an intensive diet and exercise program on patients with NIDDM and hypertension. J Cardioresp Rehab, 12:194-201,

Barnard, R.J., L.O. Lawani, D.A. Martin, J.F. Youngren, R. Singh, S.H. Scheck. Effects of maturation and aging on the skeletal muscle glucose transport system. Am J Physiol, 262:E619-E626, 1992

Barnard, R.J. Response to "Letter to the Editor". Arch Intern Med, 152:1721-1723,1992

Barnard, R.J., E.J. Ugianskis, D.A. Martin, S.B. Inkeles. Role of diet and exercise in the managment of hyperinsulenemia and related atherosclerotic risk factors. Am J Cardiol, 69:440-444,1992.

1991
Li, K-C., R.F. Zernicke, R.J. Barnard and A. F-Y Li. Differential response of rat limb bones to strenuous exercise. J Appl Physiol, 70:554-560,1991.

Scheck, S.H., R.J. Barnard, L.O. Lawani, J.F. Youngren, D.A. Martin and R. Singh. Effects of NIDDM on the glucose transport system in human skeletal muscle. Diabetes Res, 16:111 119,1991.

Barnard, R.J. Effects of life style modification on serum lipids. Arch Int Med, 151:1389-1394,1991.

Hou, J.C-H., R.F. Zernicke and R.J. Barnard. Experimental diabetes, insulin treatment and femoral neck morphology and biomechanics in rats . Clin Orthop, 264:278-85,1991.

Heber, D., J.A. Ashley, D.A. Leaf, R.J. Barnard. Reduction in serum estrodiol in postmenopausal women given free access to a low-fat, high-carbohydrate diet. Nutrition, 7:137-40,1991.

1990
Barnard, R.J. Use of exercise and diet to fight peripheral vascular disease; Your Patient and Fitness, 5:12-16,1990.

Barnard, R.J., D. S. Kartel, J.F. Youngren and D.A. Martin. Effects of streptozotocin-induced diabetes on glucose tramsport in skeletal muscle. Endocrinology, 126:1921-1926,1990.

Barnard, R.J. Serum lipid reductions achieved with diet and exercise. New Engl J Med, 323:16,1990.

Hou, J.C-H., R.F. Zernicke and R.J. Barnard. High-fat sucrose diet effects in femoral neck geometry and biomechanics. Clin Biomech, 5:162,1990.

Hou, J. C-H, G.J. Salem, R.F. Zernicke and R.J. Barnard. Structural and mechanical adaptations of immature trabecular bone to strenuous exercise. J Appl Physiol, 69:1309-1314,1990.

Li, K-C, R.R. Zernicke, R.J. Barnard and A. F-Y Li. Effects of a high-fat, sucrose diet on cortical bone remodeling and biomechanics. Calcif Tissue Int, 47:308-313,1990.

Mehrabian, M., J. Peter, R.J. Barnard and A. Lusis. Dietary regulation of fibrinolytic factors. Atherosclerosis, 84:24,1990.

1989
Kenney, J., M. Rosenthal, S. Inkeles and R.J. Barnard. Letter to the Editor. New Engl J Med , 320: 536,1989.

Sternlicht, E., R.J. Barnard and G.K. Grimditch. Exercise and insulin stimulate skeletal muscle glucose transport through different mechanisms. Am J Physiol, 256: E227-E320,1989.

Sternlicht, E., R.J. Barnard and G.K. Grimditch. B-adrenergic receptors are not responsible for exercise stimulation of glucose transport. J Appl Physiol, 66:2419-2422,1989.

1988
Barnard, R.J. and J.A. Hall. The role of exercise in the detection, treatment and evaluation of patients with peripheral vascular disease; in Exercise and Modern Medicine: Testing and Prescription in Health and Disease. B.A. Franklin, S. Gordon, G.C. Timmis, eds, Williams & Wilkins, Baltimore, MD.,1988

Barnard, R.J., J.B. Peter, J. Hall and C. Kinsella. Effects of a short-term diet and exercise program on serum apoproteins. J Appl Nutr, 40:5-12,1988.

Barnard, R.J., R. Pritikin, R. Rosenthal and S. Inkeles. Pritikin Approach to Cardiac Rehabilitation; Rehabilitation Medicine, J. Goodgold, ed., C.V. Mosby Company, St. Louis, MO.,1988

Grimditch, G.K., R.J. Barnard, L. Hendricks and D. Weitzman. Peripheral insulin sensitivity as modified by diet and exercise training. Am J Clin Nutr, 48:38-43,1988.

Reddy, B. S., A. Engle, B. Simi, L.T. O'Brien, R.J. Barnard, N. Pritikin and E. L. Wynder. Effect of low-fat, high carbohydrate, high-fiber diet on fecal bile acids and neutral sterols . Preventive Med ,17:432-439, 1988.

Sternlicht, E., R.J. Barnard and G.K. Grimditch. Mechanism of insulin action on glucose transport in rat skeletal muscle. Am J Physiol, 254:E633-E638:1988.

Whitson, R.H., G.K. Grimditch, E. Sternlicht, S.A. Kaplan, R.J. Barnard and K. Itakura. Characterization of rat skeletal muscle sarcolemmal insulin receptors and a sarcolemmal insulin binding inhibitor; J Biol Chem, 263:4789-4794,1988.

1987
Barnard, R.J., J.A. Hall, A. Chaudhari, J.E. Miller and M.A. Kirschenbaum. Effects of low-fat, low-cholesterol diet on serum lipids, platelet aggregationand thromboxane formation. Prostaglandins Leukotrienes and Medicine, 26:241-252,1987.

Barnard, R.J., S. Inkeles and K.A. Foon. Nathan Pritikin's Heart. Nutrition Today, 22:39,1987.

Grimditch, G.K., RJ. Barnard, E. Sternlicht, R.H. Whitson and S.A. Kaplan. Effect of diet on insulin binding and glucose transport in rat sarcolemmal vesicles. Am J Physiol, 252: E420-E425, 1987.

1986
Grimditch, G.K., R.J. Barnard, S.A . Kaplan and E. Sternlicht. Effect of training on insulin binding to rat skeletal sarcolemmal vesicles. Am J Physiol, 250: E570-E575, 1986.

Holly, R G., R.J. Barnard, M. Rosenthal, E. Applegate and N. Pritikin. Triathlete characterization and response to prolonged strenuous competition. MedSci Sports Exerc, 18:123-127,1986.

1985
Barnard, R.J., J.A. Hall and N. Pritikin. Effects of diet and exercise on blood pressure and viscosity in hypertensive patients. J Cardiac Rehab, 5: 185-190, 1985.

Barnard, R.J. Research at the Pritikin Longevity Center. J Applied Cardiol, Nov/Dec: 8-12, 1985.

Giardina, S.L., R.W. Schroff, C.S. Woodhouse, D.W. Golde, R.K. Oldham, M.L. Cleary, J. Sklar, N. Pritikin and K.A. Foon. Detection of two distinct malignant B cell clones in a single patient using anti-idiotype monoclonal antibodies and immunoglobulin gene rearrangement. Blood , 66: 1017-1021,1985.

Grimditch, G.K., R.J. Barnard, S.A. Kaplan and E. Sternlicht. Insulin binding and glucose transport in rat skeletal muscle sarcolemmal vesicles. Am J Physiol, 249: E398-E408, 1985.

Hubbard, J.D., S. Inkeles and R.J. Barnard. Nathan Pritikin's Heart. N Engl J Med, 313:52, 1985.

O'Brien, L.T., R.J. Barnard, J.A. Hall and N. Pritikin. Effects of a high-complex-carbohydrate low-cholesterol diet plus bran supplement on serum lipids. J Appl Nutr, 37: 26-34, 1985.

Rosenthal, M.B., R.J. Barnard, D.P. Rose, S. Inkeles, J. Hall and N. Pritikin. Effects of a high-complex-carbohydrate, low-fat, low-cholesterol diet on levels of serum lipids and estradiol. Amer J Med , 78: 23-27, 1985

1983
Barnard, R.J., P. Guzy, J. Rosenberg and L.T. O'Brien. Effects of an intensive exercise and nutrition program on patients with coronary artery disease: a five-year follow-up. J Cardiac Rehab, 3: 183-190, 1983.

Barnard, R.J., M.R. Massey, S. Cherney, L.T. O'Brien and N. Pritikin. Long-term use of a high-complex-carbohydrate, high-fiber, low-fat diet and exercise in the treatment of NIDDM patients. Diabetes Care, 6: 268-273, 1983.

Barnard, R.J., S. M. Zifferblatt, J. M. Rosenberg and N. Pritikin. Effects of a high-complex-carbohydrate diet and daily walking on blood pressure and medication status of hypertensive patients. J Cardiac Rehab, 3: 839-846, 1983.

Weber, F., R.J. Barnard and D. Roy. Effects of a high-complex-carbohydrate low-fat diet and daily exercise on individuals 70 years of age and older. J Gerentology , 38: 155-161, 1983.

1982
Barnard, R.J., L. Lattimore, R G. Holly, S. Cherny and N. Pritikin. Response of non-insulin-dependent diabetic patients to an intensive program of diet and exercise; Diabetes Care, 5: 370-374, 1982.
Dintenfass, L. Effect of a low-fat, low-protein diet on blood viscosity factors in patients with cardiovascular disorders. Med.J Australia , 1:543, 1982.

Hall, J.A. and R.J. Barnard. The effects of an intensive 26-day program of diet and exercise on patients with peripheral vascular disease. J Cardiac Rehab, 2: 569-574, 1982.
Hall, J.A., G.H. Dixson, R.J. Barnard and N. Pritikin. Effects of diet and exercise on peripheral vascular disease. Physician Sports Med, 10: 90-101, 1982.

Pritikin, N. Optimal dietary recommendations: a public health responsibility. Preventive Med , 11: 733-739, 1982.

1981
Barnard, R.J., F. Weber, W. Weingarten, C.M. Bennett and N. Pritikin. Effects of an intensive, short-term exercise and nutrition program on patients with coronary heart disease. J Cardiac Rehab, 1: 99-105, 1981.


2) From the position of ADA on Vegetarian Diets

http://www.eatright.org/About/Content.aspx?id=8357

"It is the position of the American Dietetic Association that appropriately planned vegetarian diets, including total vegetarian or vegan diets, are healthful, nutritionally adequate, and may provide health benefits in the prevention and treatment of certain diseases. Well-planned vegetarian diets are appropriate for individuals during all stages of the life cycle, including pregnancy, lactation, infancy, childhood, and adolescence, and for athletes."

3) From the Report of a joint FAO/WHO expert consultation, “Human Vitamin and Mineral Requirements”

http://www.fao.org/docrep/004/y2809e/y2809e08.htm#bm08
http://www.fao.org/docrep/004/y2809e/y2809e00.HTM

“Populations should consume nutritionally adequate and varied diets, based primarily on foods of plant origin with small amounts of added flesh foods. Households should select predominantly plant-based diets rich in a variety of vegetables and fruits, pulses or legumes, and minimally processed starchy staple foods. The evidence that such diets will prevent or delay a significant proportion of non-communicable chronic diseases is consistent. A predominantly plant-based diet has a low energy density, which may protect against obesity.”

"Although two-thirds of the world’s population depends on cereal or tuber-based diets, the other one-third consumes significant amounts of animal food products. The latter group places an undue demand on land, water, and other resources required for intensive food production, which makes the typical Western diet not only undesirable from the standpoint of health but also environmentally unsustainable. If we balance energy intake with the expenditure required for basal metabolism, physical activity, growth, and repair, we will find that the dietary quality required for health is essentially the same across population groups."

4) From “The Recommendations for Cancer Prevention”, drawn from the WCRF/AICR Second Expert Report (based on the in-depth analysis of over 7,000 scientific studies published on cancer prevention over the last 50 years)

http://preventcancer.aicr.org/site/Page ... tions_home
http://www.aicr.org/cancer-research-upd ... death.html
http://www.aicr.org/cancer-research-upd ... ealth.html

“Foods that are low in energy density, like the apple, are high in fiber and water. Most vegetables, fruits and beans fall into the low-energy-dense category. It is yet another reason to base your diet on plant-based foods.”

“Basing our diets on plant foods (like vegetables, fruits, whole grains and legumes such as beans), which contain fiber and other nutrients, can reduce our risk of cancer.

"For good health, AICR recommends that we base all of our meals on plant foods. When preparing a meal, aim to fill at least two-thirds of your plate with vegetables, fruits, whole grains and beans.”

“Plant foods can also help us to maintain a healthy weight because many of them are lower in energy density (calories).”

“Cut down on processed foods. In general, the healthiest foods are those that have only been minimally processed, such as vegetables, fruits, wholegrains and pulses.“

“Eat more of a variety of wholegrains, pulses such as beans, vegetables and fruits.

“Basing our diets on plant foods (like wholegrains, pulses such as beans, vegetables and fruits), which contain fibre and other nutrients, can reduce our cancer risk. These foods contain plenty of fibre and water and tend to be lower in energy-density which means they can help us to maintain a healthy weight.“

Tips for eating more plant foods:

At least 5 A DAY, every day. Vegetables and fruits are the building blocks of a healthy diet - we should aim for at least five portions a day. They are high in nutrients like vitamins and minerals. Most are also low in calories and are good sources of fibre, so they are filling and can help us avoid weight gain.

http://www.wcrf-uk.org/cancer_preventio ... ations.php

"Fill 2/3 or more of your plate with plant foods. When preparing a meal, aim to fill at least two thirds of your plate with plant foods like vegetables, wholegrain rice, cereal and pasta, beans and lentils.”


5) AICR: Foods That Fight Cancer

http://www.aicr.org/foods-that-fight-cancer/

6) ACS Guidelines on Nutrition and Physical Activity for Cancer Prevention

http://www.cancer.org/healthy/eathealth ... elines-toc

7) From the NCI Nutrition Guidelines

http://www.cancer.gov/cancertopics/pdq/ ... ient/page9

The American Cancer Society and the American Institute for Cancer Research both have dietary guidelines that may help prevent cancer. Their guidelines are a lot alike and include the following:

Eat a plant-based diet, with at least 5 servings of fruit and vegetables a day. Have several servings a day of beans and grain products (such as cereals, breads, and pasta). Eat less meat.

Eat foods low in fat.

Eat foods low in salt.


8 ) From the AHA’s Life’s Simple 7

http://mylifecheck.heart.org/Multitab.a ... Code=en-us
http://circ.ahajournals.org/search?full ... 274&y=-197
http://circ.ahajournals.org/content/127 ... 0.abstract

“A healthy diet is one of your best weapons for fighting cardiovascular disease. When you eat a heart-healthy diet (foods low in saturated and trans fat, cholesterol, sodium and added sugars, and foods high in whole grain fiber, lean protein, and a variety of colorful fruits and vegetables) you improve your chances for feeling good and staying healthy– for life!”

“Eat vegetables and fruits. They are are high in vitamins, minerals and fiber — and they’re low in calories. Eating a variety of deeply colored fruits and vegetables may help you control your weight and your blood pressure.
Eat unrefined fiber-rich whole-grain foods. A diet rich in fiber can help promote weight loss because fiber keeps you feeling fuller longer so you eat less. It can also help lower your blood cholesterol.”


9 ) The WHO Report, 'Preventing Chronic Diseases: A Vital Investment' 06/06/2005
http://www.who.int/chp/chronic_disease_report/en/

10) WHO Diet Recommendations
http://www.who.int/dietphysicalactivity ... index.html

For diet, recommendations for populations and individuals should include the following

- achieve energy balance and a healthy weight
- limit energy intake from total fats and shift fat consumption away from saturated fats to unsaturated fats and towards the elimination of trans-fatty acids
- increase consumption of fruits and vegetables, and legumes, whole grains and nuts
- limit the intake of free sugars
- limit salt (sodium) consumption from all sources and ensure that salt is iodized


11) The NAS (National Academy of Sciences) and WHO (World Health Organization) Reports on the subject
http://www.nap.edu/topics.php?topic=380
http://www.nap.edu/topics.php?topic=381
http://www.who.int/dietphysicalactivity ... index.html
http://www.who.int/topics/nutrition/en/
http://www.who.int/topics/diet/en/

12) The IOM (Institute of Medicine) Reports
http://www.iom.edu/Reports.aspx?page=1&Topic1={C13C4B88-F0BE-478A-BAF2-9F08FFCD1CAB}

13) The Centenarian Studies,

The New England Centenarian Study
http://www.bumc.bu.edu/centenarian/overview/

The Georgia Centenarian Study
http://training.geron.uga.edu/other_resources#healthy
http://www.health.gov/DietaryGuidelines ... ochure.htm


Caloric Restriction, the Traditional Okinawan Diet, and Healthy Aging
The Diet of the World’s Longest-Lived People and Its Potential Impact on Morbidity and Life Span Ann. N.Y. Acad. Sci. 1114: 434–455 (2007).

"the long lived Okinawans got 69% of their calories from sweet potatoes, another 19% from rice, wheat and barley (which totals 88%) and another and 6% from legumes (which makes 94% from cooked starches). They are not only one of the longest lived populations, but also one of the longest lived without disability and in good health. Their disease rates are for many of the chronic diseases are some of the lowest."

Earlier in the decade, around the turn of the century, many of them, actually got up to 93% of their calories from sweet potatoes alone. These would be the same ones who becameCentenarians today.

History and characteristics of Okinawan longevity food
Asia Pacific J Clin Nutr (2001) 10(2): 159–164

The longed lived and healthy Chinese Centenarians, got 55% of their calories from sweet potatoes, grains made up another 15% (totaling 70%), beans another 9%, meaning 79% of their calories came from starchy vegetables. Vegetables made up another 9% and fruit was a small part.

A survey of the dietary nutritional composition of centenarians.
Chinese Medical Journal 2001, 114 (10):1095-1097

In regard to performance, the Tarahumara Indians are world renowned for their ability to run long distances (sometimes over 100 miles at a time), and virtually no sign of any of the chronic diseases we die from. Around 71% of their calories come from corn and 19% from beans which means 90% of their calories come from starchy vegetables.

The food and nutrient intakes of the Tarahumara Indians of Mexico.
The American Journal of Clinical Nutrition 32: APRIL 1979, pp. 905-915.

Traditional Diets in Asia Pacific and Implications for Health
http://healthylongevity.blogspot.gr/201 ... c-and.html

14) The Data from The EPIC-Oxford Study on Diet and Health
http://www.epic-oxford.org/publications/?c=EPIC-Oxford
http://www.epic-oxford.org/publications/?c=EPIC-Europe

15) The Loma Linda 7th Day Adventist Studies
http://www.llu.edu/public-health/health/index.page?
http://www.llu.edu/public-health/health ... dings.page?
http://www.llu.edu/public-health/health ... sease.page
http://www.llu.edu/public-health/health/pubs.page?

16) Fruit and vegetable promotion around the world.
Approximately 1.7 million of deaths worldwide are attributable to low fruit and vegetable consumption.
http://www.who.int/dietphysicalactivity ... index.html

17) The China Study (Colin T. Campbell)
https://www.ncbi.nlm.nih.gov/pubmed/9860369

18) The Framingham Heart Study
http://www.framinghamheartstudy.org/about/history.html
http://www.framinghamheartstudy.org/abo ... tones.html
http://www.framinghamheartstudy.org/biblio/index.html

19) The Seven Countries Study
http://www.sph.umn.edu/epi/history/overview/
http://www.sph.umn.edu/epi/history/mainresults/

20) Healthy Longevity Blog
http://healthylongevity.blogspot.co.uk/

21) Plant Positive Videos
http://www.plantpositive.com/
https://www.youtube.com/user/PrimitiveNutrition
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Postby Gwen » Wed Mar 05, 2008 10:00 pm

Thanks for the encouragement. I still have a lot of things to think about. I appreciate all the input.
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Postby MichaelBluejay » Sat Aug 15, 2009 11:09 pm

I am not a big fan of many of these unaccredited colleges and courses even though they may sound great. While they may offer some good info that can be helpful, most of them are also full of other info that is of questionable value or worth.


Yeah, but the *accredited*, "legitimate" colleges teach quackery too! As I wrote in another thread, when I studied nutrition at one of the largest universities in the country, they portrayed vegetarianism as a fad diet followed only by the trendy or naïve. And the very first question on the very first test was something like, "Vegan diets are likely to be deficient in: (a) Protein (b) Calcium (c) Iron (d) Vitamin B12 (e) All of the above" You can guess what the "correct" answer was. I'm also willing to bet that most colleges erroneously teach that plant protein is "incomplete".

But if you're going to get bad info no matter where you go, then you might as well go with the accredited program, because then you at least have some credibility.

One of the great things about Jeff is that he doesn't just take some authority's word for it when they make some claim about nutrition. He goes to the actual scientific studies to see what they actually say. Both the unaccredited and legitimate colleges teach stuff that's not backed by the actual science, so going to the studies is the only way to really know what's true and what's not.
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Re: Nutrition Education: Choosing The Best Path

Postby JeffN » Tue Jan 11, 2011 1:33 pm

johnled wrote:The Cornell course is about $1100. from what I read on the website. I have not taken the course, just learned of it today.

I do not want a JOB, not had one of those in decades (I'm self employed). I would like to find a way to earn an income helping others heal themselves through nutrition. I have healed myself from RA and am very excited about it and love sharing with others.

Now I learn that my chosen profession is vanishing at light speed and I am too young to retire so would like to make money doing something that I love.


I honor your desire.

However, as with anything, a sage piece of advice is to check with those who are doing what you want to be doing and see what it took for them to get there and how well they are compensated for doing it.

I have given you my experience.

Who knows, maybe I am wrong. :)



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Re: Nutrition Education: Choosing The Best Path

Postby serenity » Mon Aug 15, 2011 8:45 pm

Many years ago, I looked into a university masters program with the intent of pursuing an RD. When I went in for a counseling session with the advisor, I learned that the internships are typically unpaid. Then some research on typical salaries in the field, observing the struggles of others I knew trying to make a go of it, plus some real introspection about whether it was right for my personality led me to the decision that I was just as happy to continue to pursue it as an avocation while staying the course in my current, typically higher-paying, profession.

I don't regret it, but I do think that we do not put the right value on some professions. Jeff is worth his weight in gold (so it's good he practices CR. he he.)
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Re: Nutrition Education: Choosing The Best Path

Postby johnled » Mon Aug 15, 2011 9:00 pm

My wife and I have searched high and low to try to find a (non MLM) way to earn a decent living teaching/helping others how to feel better, loose weight, heal their self, etc.. with their diet with no luck.

We are almost to the point of we cant make a living helping them heal their self why not help them kill their self?!? If they want to shovel lard, sugar, salt and fried dough down their pie holes then why not sell them what they want to buy? It's all about the bottom line, right???

We recently bought a concession trailer for something to do on the weekends during our short summers and to take our minds off our regular business. We are selling 100% fruit smoothies with no added sugar or HFCS, 100% fruit and fruit juices. Still a lot of sugar per serving but at least it's from real fruit. There are a lot of cheaper options then 100% fruit which we may have to go for if we let profit become our motivator.

We are fighting the temptation of adding high profit deep fried anything to our menu.
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Re: Nutrition Education: Choosing The Best Path

Postby JeffN » Wed Jul 24, 2013 1:24 pm

Nutritionist/Dietitian was just rated the 3rd worst college degree for return on investment.

http://www.salary.com/8-college-degrees ... t/slide/8/

Think carefully about this before rushing out to start a career in this field.

Right now, we have literally 100's if not 1000's of people trying to make a living in this industry as WFPB health coaches, chefs, educators, trainers etc, without fully realizing the state of the industry and the market potential.

All of them are (or will) face the exact same problem... while the potential need for this information is tremendous, few, if any people, want to adopt this program right now, let alone live this way. And, out of those few, even fewer want to pay for this information and help, and there is little to any insurance or reimbursement for this.

So, in some towns & cities we have literally 100's of well-meaning people wanting to do good, to help and to make a difference while trying to make a living at it but there are very very few sources of income for them.

This is why many get involved in selling supplements, juicers, blenders, gimmicks and gadgets all of which only goes to devalue the message.

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Re: Nutrition Education: Choosing The Best Path

Postby johnled » Wed Jul 24, 2013 2:05 pm

We have given up, sold the concession trailer and moved on. After talking to dozens and dozens of sick and dying people who choose lard over life it gets very discouraging.

I really want to take Dr. McD's course but knowledge not shared seems to be wasted and forgotten, I don't want to pay the price and end up forgetting most of it because I can't share it.
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Re: Nutrition Education: Choosing The Best Path

Postby JeffN » Thu Mar 20, 2014 7:38 am

JeffN wrote:Nutritionist/Dietitian was just rated the 3rd worst college degree for return on investment.

http://www.salary.com/8-college-degrees ... t/slide/8/

Think carefully about this before rushing out to start a career in this field.


A recent discussion on my FB page about this article...

https://www.facebook.com/JeffNovickRD/p ... 6876305125

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Re: Nutrition Education: Choosing The Best Path

Postby JeffN » Thu Mar 20, 2014 7:53 am

In response to the recent news, "eCornell certificate holder ordered to "cease and desist," which was recently discussed in this thread in the lounge,

viewtopic.php?f=1&t=42087

the following discussion happened at a FB group on Careers in Vegan/Plant-Based Nutrition

https://www.facebook.com/groups/349279141877806/

The group is moderated by Mark Rifkin, RD, and i is a private group, so I am keeping all participants anonymous, except for me, Mark & Natala Constatine (social media director for E2), until I have permission to do otherwise.

Jeff Novick: eCornell certificate holder ordered to "cease and desist"

http://www.idph.state.ia.us/IDPHChannel ... 507DB48FCE

BB: That's too bad

Jeff Novick: Does not the judgement of "good" or "bad" depend on whether they were practicing within their professional and legal limits? If they were, then yes, it is bad. It not, then it is good, as it only creates problems for the rest of us. We all need to practice within the legal and professional limits. Or, change our training and credentials or lobby to have the legal definitions changed.

Mark Rifkin: Agreed, Jeff. I don't see sufficient evidence in their notes that she was practicing dietetics.

Jeff Novick: Yeah, I can't tell either from what is posted.

DD: I think its sad that the human race has gotten so wrapped up in legalities when no harm is being done. I, myself, am extremely hindered in my career as a pharmacist from fulfilling my obligations as a healthcare professional to care and to produce health because I'm not "qualified" to educate people one on one to eat whole, plant-based foods and eliminate animal and processed foods. While I will do what needs to be done in the years to come to become "qualified" it comes at a huge price in many different ways. The most heartbreaking to me is all the good that could've been done in the meantime if it weren't for the way healthcare and legal systems were set up. It shouldn't be this hard to help people in life. I have no problems with people bearing the consequences of irresponsible actions that harm others but unfortunately that too doesn't always take place either as is the case with all the harmful dietary advice given by authors and "experts" touting Paleo, Atkins, and so on.

Jeff Novick: Do you think we should have pharmacists, surgeons, dentists, psychologists, and nurses etc etc who are not licensed? I don't see why we treat nutrition different. People can get hurt. Licensing & credentialing in any field doesn't guarantee freedom from harm, but it limits it .

DD: I understand your point Jeff. But as the years have gone by in my career I've come to a point where titles and licenses mean very little to me anymore. The majority of licensed healthcare practitioners are not producing results in terms of health outcomes. I see it everyday in my line of work. I always tell others that the only thing that matters to me is results and results. I'm open to anything (pills, procedures, surgeries, nutrition, etc.) so long as it is the most effective, safest, and least costly approach to producing health that is also evidenced based and has the clinical results to back it up. This should be the standards of practice we hold ourselves to. I wish I had an answer to completely overhauling the system to make this happen but as long as we as a human race value money more than each other the only option is to change supply and demand for services and products which will only happen with a grassroots effort. I have a tremendous amount of respect and admiration for you and your work Jeff because you produce results. I hope you can understand somewhat where I'm coming from. Life should be about people first and not titles licenses. All I'm saying is we've gotten away from our purpose for existing as human beings which is to love and to help others.

Jeff Novick: Thanks and I agree. But deregulating the licensing of health care professionals is not the solution. Here is something to think about, & I think Mark Rifkin will agree with me 100% on this.... My greatest challenge today of misinformation & bad information amongst the people who come to me is not the Paleo, low-carb, etc crowd, but all the people in the WFPB world who are self proclaimed experts, gurus, &/or have a certificate (not certification) or graduated from some "instant expert in 3-6 months" program. Fortunately, you may not have the "RD" but you are a licensed credentialed health care professional with education, experience & internship in physiology, biochemistry, anatomy, organic chemistry, biochemistry, toxicology, etc., etc. These people have nothing or near nothing and are giving health advice to people, some of who are seriously ill. There are many ways you can fit your background into this in an effective way, & I'm happy to give you my perspective on that.

BB: I was a licensed clinical counselor and felt like I was spinning my wheels helping people. As a health coach, I feel like I can change lives. I'm not trying to practice outside legal boundaries or steal the thunder from anyone with a bonafide degree in nutritional sciences. Isn't there enough suffering to go around?

BB: People are dying while we are caught up in who can say or do what. We are all working towards the same WFPB goal

Jeff Novick: You were a "licensed" clinical counselor which again, like DD, is a health care professional whose background included lots of valuable education, training, experience etc. That is a world of difference then someone with a 3 month online course or the person in the situation above.

Jeff Novick: Personally, I tell everyone that "if" I was to do this again, I would do it as a MSW or with a MSW too (or licensed clinical counselor) as I think I could be more effective. Interesting!

BB: Yes SAD training... What's that worth??? I have proven I am educable, and have amazing knowledge now about how to fight, prevent and reverse common diseases.

Jeff Novick: My training was not in SAD, it was in physiology, biochemistry, anatomy, organic chemistry, etc which may have been applied wrong by them to the SAD, but the above training remains exactly the same and is of great value & importance in helping people get well on a WFPB diet.

BB: I just want to see us all moving in the same direction and not all caught up in all the red tape. And no, I am not looking to benefit financially, I just want to share what I have learned.

Jeff Novick: And to do that we need certain standards of education, training, knowledge, experience etc etc etc... otherwise we become the problem not the solution.

BB: We will just have to agree to disagree. And I say that respectfully. Good bye group

Jeff Novick: So, you disagree and are saying that the person you want out there helping others to be healthy & teaching others how to prevent & reverse heart disease or to treat kidney disease or insulin insufficiency etc etc, should not meet any standards of education, experience & professionalism regardless of whether it is as an educator or a clinician?

Mark Rifkin: Jeff Novick, you and I couldn't agree more. And you expressed it better than I could. The only point I would add to the discussion is that the presence of a problem (crappy state of US health care and poor focus on nutrition) does not mean any solution is the right one (one of my "Rifkin's Rules"). Yes, the system sucks. Yes, the doctors and dietitians, and the government and the insurance companies could and should do things differently. And that's one reason I became an RD at age 41. One can stand outside and criticize (as I did in the 90s), or even get an "alternative" credential and run the risk of violating the law, or we can make personal sacrifices, get in there and get our hands dirty working with and partnering with good-faith omnivores to change the system. Face it----governments are not going to delicense nutrition. We might as well delicense medicine and let any plumber or retail clerk open up a side business as a health care professional. Governments have already decided that the state has a vested interest in establishing standards of education, training and practice for health care providers. OTOH, neither Jeff nor I will say the system is great. And it is changing---slowly. But throwing open the doors to just anyone to practice anything they want is not the answer.

JJ: Not sure who wins but it's best if we all play the game to make progress. Someone I know of took the e-Cornell course and now thinks that she knows all that there is to know - devised her own diet and espouses info as if it were the truth. And even if we don't know the truth, we as nutrition professionals, know that questioning makes sense. The people who are following anyone with these certificates has to determine for themselves if they want to believe what they are told. The students/clients have free will. A tough one for sure.

Mark Rifkin: All of the above is PRECISELY why I created this group---to empower and encourage more WFPB advocates to make that sacrifice. And I also have to say I have the same difficulty as Jeff Novick with other vegans and others from related viewpoints, far more than I have with omnivores or the Atkins/low carb nuts. From vegans denying the need for B12 to vegans saying that fruit is a good source of protein, to ppl who seem to think the only veg we need to eat is kale and who still think that animal protein leaches calcium. These examples demonstrate quite clearly why we need WF vegans who have solid backgrounds in chemistry, biology, statistics, reading/evaluating research, etc. Not just someone who has some alternative certificate.

Jeff Novick: >>>>Not sure who wins but it's best if we all play the game to make progress.

Agreed. But some don't want to "play the game" with the rules the way they are nor do they want to work to make better rules. They want a free pass from the rules & they want full accreditation, respect & authority as someone who has played by the rules, and want to think they are as qualified.

>>>Someone I know of took the e-Cornell course and now thinks that she knows all that there is to know - devised her own diet and espouses info as if it were the truth.

Yes, & in doing so, they have become the bigger problem to us and to our ability to help people then the atkins, paleo, low-carb crowd.

In one town I know, there are now over 100 of these people who are trying to make a living at it.

>>>And even if we don't know the truth, we as nutrition professionals, know that questioning makes sense.

And we know a certain set of standards and have a certain level of education, in which to make decisions and evaluate new information against.

>>>>The people who are following anyone with these certificates has to determine for themselves if they want to believe what they are told.

Sadly, they may not be able to properly do so especially if the person coming to them is acting "as if" and presenting themselves "as if" they are equally qualified & trained as you & I.

I may know a lot about health and anatomy, physiology, biochemistry, etc etc but I am not a doctor, nor am I properly trained to be one or make medical decisions and so never, ever pretend I am or present myself as I am or can. To me, that is fraud, plain & simple. And, when asked a medical question from a patient, even if I think I know the answer, I say, "that is a great question for your doctor," & "i am not a MD so can not answer that question."

Knowing ones professional, legal & ethical limits and knowing when to refer is part of being an effective health care professional.

>>>>The students/clients have free will.

Ah, the myth of free-will. We will save that for another day, but their "free will" is limited by the context of the situation and the accuracy & honesty of the information they are presented.

Let's be real... just eating a WFPB diet low in SOS does not solve everything or get applied to everyone equally.

Jeff Novick: Like Mark Rifkin, I too made the sacrifice and I have the view I have not just because I made the sacrifice and so want others to do so too, but because making the sacrifice & getting the proper training & credentials was absolutely essential & necessary to effectively do what I wanted to do.

At 35, I had an excellent career in corporate America with a fully vested pension but was not happy doing what I was doing & wanted to do this. I had been dabbling in it p/t for a few years but was realizing the limitations of not having the proper training & credentials to do what I really wanted to do. So, I took the risk, dropped out of corporate America & made the investment in time, energy & $$$ in getting the proper training & credentials. (Plus a few practicing health care professionals bluntly told me the exact same things I am saying about doing this right & today, I am glad they did.)

I also didn't graduate one day and literally the next day start promoting myself as an "expert" but instead spent years & years learning at the feet of those who knew & had the experience & I considered it an honor for me to have the opportunity & be able to do so. I didn't just think I suddenly knew more then them.

Today, now at 55, it was one of the best things I ever did.

All of this is well documented and freely available to anyone who wants to know my background & training (as it should be). I am often amazed at how many "experts" in our field have no verifiable education, training, credentials or actual experience.

Natala Constantine: This is why I am back in school. To me the certificates are nice for my own personal learning but they are only that, they aren't a go ahead to practice something I'm not qualified in. There are so many facets of biochemistry and physiology to learn and frankly the certificate programs don't even come close to teaching all someone would need to learn in order to treat a patient. Just like I wouldn't go to a dr or lawyer who has not had the right education I would not go to someone in a clinical setting who has a certificate that anyone can easily attain. (I know students as young as 13 who have the ecornell certificate). I'm all for expanding knowledge, but the expanse of personal knowledge does not make someone qualified to treat a patient. For the record I've been taking classes for over a year and it's not classes in SAD nutrition. Classes in science and the way the body works. I've actually found that nutrition hasn't changed much at all, what they teach is generally just sound science. It's important to remember that even china study doesn't promote a 100% animal free diet. People tend to demonize traditional education, but often I find it's a vast over exaggeration.
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Mark Rifkin: Natala Constantine, very well said!

Jeff Novick: Natala Constantine Agreed! There is not a SAD education and some true blue WFPB education. There is the education of all the sciences, the process of critical thinking and of the human body and how it works. Yes, some of the application of the education was co-opted by vested interests but that is just a small part of the program. I was able to create and implement a WFPB curriculum at a medical center during my graduate work at a traditional program.

And besides, many of the Alternative programs have more pseudo science & "woo-hoo" taught in them, that is completely useless, than the traditional programs have SAD. So, if you have to put up with a little "crap" anyway during your education, why not put up with it and while you do, get a real degree that is recognized, accredited, and of value.

Natala Constantine: That and there are a TON of certificate programs out there based on different diet philosophies, it doesn't mean those who are attaining certificates in paleo nutrition ought to be treating people either. A degree in nutrition from an accredited school guarantees that you are learning the fundamentals of nutrition, not swayed by a particular program, just the basic science.

JJ: As we Mark Rifkin, Jeff Novick and I know, you learn what you learn and then you can take that learning and degree and do good in the world -with the science in your background.

Good for you Natala Constantine. I hope that it goes well.


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