By Dana Eshelman, RDN
Nicole Withrow, PHD, MS, RD is an Assistant Professor and Dietetic Internship Coordinator at University of Northern Colorado. She presented her research on Autism Spectrum Disorder (ASD) at the third membership meeting of the year.
ASD affects 1 in every 88 children in the United States. Autism is presented as a spectrum disorder due to the variety of symptoms and degree of intensity within each category. ASD is characterized by core deficits including social interactions, speech, repetitive behaviors, and restricted interests. The repetitive behaviors and restricted interests are why we often see children with ASD have selective food choices. They desire foods to taste, look, smell and feel the same as they remember these foods.
Often times, children diagnosed with ASD have co-occurring diagnoses. These includes learning disabilities, heightened generalized anxiety, problematic eating behaviors, gastrointestinal issues, sleep problems and obsessive compulsive behaviors. Children may become more selective with food choices as a result of adverse gastrointestinal symptoms and eating behaviors, which can inhibit proper growth and development. A child’s heightened generalized anxiety can detract parents and caregivers from introducing new foods into their child’s diet. A child with normal development may accept a food when being exposed ten times via whereas a child with ASD can take thirty to forty times.
Diets such as the elimination diet, the FODMAPS diet, and the gluten-free and dairy-free diet have all been explored in decreased autism behaviors. There has been no conclusive evidence saying specific dietary changes impact children with ASD. Nevertheless, it is important to continually offer a variety of foods and meals and snacks to deter children with ASD from having a selective diet.
Dana is a newly Registered Dietitian at InnovAge. She graduated with her Bachelors of Science in Nutrition from the University of Colorado Colorado Springs in May 2015. One year later, June 2016, she completed her dietetic internship at UCCS. In her free time she enjoys lifting weights, trying new, one of a kind restaurants, cooking, running, hiking, going to concerts & yoga. She is thrilled to a part of the DDA Board of Directors and help spread her passion for food and nutrition.
By Shane Spritzer, Regulatory Chair, DDA
This year’s Public Policy Update meeting was held on October 25th at Tri-County Health Department. During the first half of the meeting, members viewed a webinar put together by Jamie Daugherty, President of the Colorado Academy of Nutrition and Dietetics (CAND), and Bonnie Jortberg, Public Policy Coordinator for CAND’s board of directors.
Jamie discussed the restructuring of CAND’s strategic framework, which will place focus on three goals: improving public trust and choice of RDNs and DTRs as nutritional experts, improving the health of Coloradoan’s through advocacy, and having CAND members and prospective members view the Academy as key to professional success. They are also working on completing a sponsorship policy/procedure as well as a membership survey.
Bonnie then talked about the importance of advocacy, both for our profession and for the wellbeing of our patients and communities. Nationally, there are four main public policy priority areas we are facing: disease prevention and treatment, lifecycle nutrition (including the Older Americans Act), healthy food systems and access, and quality health care. And of course, we will continue to be facing the issues of state licensure as well as RDNs as Medicare providers.
During the second half of the meeting, we had Candace Johnson enthusiastically speak about her experience as a public policy advocate and how we can be involved. She expressed how important it is for all nutrition professionals to realize that public policy affects our jobs, regardless of which area we work in, so it is important for our voices to be heard. She also walked us through the Academy’s Advocacy Action Center, where members can quickly and easily contact their representatives about important issues – it takes all of 60 seconds.
Two of these issues are still ongoing, and could use your voice!
Support National Clinical Commission Legislation in U.S. Senate
The National Clinical Care Commission Act (H.R. 1192) has already been passed in the House of Representatives, and we are trying to get the Senate to agree to a vote prior to the new session of Congress begins. This bill would establish a commission within HHS to better coordinate care for people with prediabetes, diabetes, and chronic conditions that result from complications of diabetes.
Treat and Reduce Obesity Act
The Treat and Reduce Obesity Act (H.R. 2404) would amend the Medicare portion of the Social Security Act to cover intensive behavioral therapy (IBT) for obesity, and specifically lists RDNs as an appropriate provider, and would also provide coverage for FDA-approved weight loss medications that complement IBT.
To visit the Advocacy Action Center and let your voice be heard, visit:
Shane Spritzer is currently completing his dietetic internship as part of the inaugural class of MSU Denver’s ISPP program, after graduating from MSU in May, 2016. He is also pursuing his MPH through Colorado School of Public Health, with concentrations in applied biostatistics and maternal and child health. After passing the RD exam, he hopes to enter the field as a clinical pediatric dietitian. This is his first year on the DDA board, and with a strong interest in politics he is excited to be the regulatory chair to be a voice for positive changes through nutritional policy. In his limited free time, he likes to cook, read, see shows at the Denver Center for the Performing Arts, and keep up with a few more TV shows than he probably has time for.
By Dana Eshelman, RD
There are hundreds of pre-workout drinks and supplements on the market, making it difficult to know what to choose or how to decipher what products are safe. These performance-enhancing supplements are unregulated, meaning there is no standard or oversight on what these products can contain. Often times, these supplements include harmful substances and chemicals within a propriety blend, such as a recent find of dimethylamylamine (DMAA).1 DMAA is a sympathomimetic drug which causes vasoconstriction; this can elevate blood pressure, cause chest tightness or shortness of breath, and lead to heart attack. That does not sound like an ideal state for a workout. So, how can you obtain focus and energy and beat muscle fatigue without the added chemicals?
Fuel your workout with a delicious pre-workout snack or drink. Foods with too much fiber and fat can cause an upset stomach. Instead, look for snacks with complex carbohydrates and a little protein for long-lasting energy to fuel your workout. Find the right fuel for your sweat sesh with these snacks:
Guarana contains caffeine for mental alertness and focus. Blend with 1 c. milk, ½ a banana, and 1 T. peanut butter. This shake provides carbohydrate and protein to fuel your workout. Top with oats or whole-grain cereal for an added carbohydrate punch to fuel long workout sessions.
Combine 1 cup Greek yogurt, ½ cup oats, 1 T. flax meal, a dash of vanilla extract and 1 T. cocoa powder. Mix and leave in refrigerator overnight for quick fuel before your morning workout sesh. Greek yogurt, oats, and flax are a powerhouse combination, providing carbohydrate and protein.
Use ½ peeled, cooked sweet potato (or 1 small one), ½ c. Greek yogurt and a dash of cinnamon. An equal combination of carbohydrates and protein to provide lasting energy for your workout.
For an early morning workout, blend ½ c. Greek yogurt, ½ c. brewed coffee, 1 c. spinach, ½ banana. Coffee provides the caffeine to shake those cobwebs and get you moving. The remaining ingredients provide carbohydrates, protein, and minerals essential for your workout
Goji berries increase energy and enhance the body’s ability to handle stress while supporting a healthy mood, mind, and memory. Combine with raw almonds, pumpkin seeds, sunflower seeds, walnut halves and dried apricots. The Goji mix contains healthy fats, carbohydrates, fiber, protein, and minerals for long lasting energy.
Dana Eshelman is a newly Registered Dietitian at InnovAge. She graduated with her Bachelors of Science in Nutrition from the University of Colorado Colorado Springs in May 2015. One year later, June 2016, she completed her dietetic internship at UCCS. In her free time she enjoys lifting weights, trying new, one of a kind restaurants, cooking, running, hiking, going to concerts & yoga. She is thrilled to a part of the DDA Board of Directors and help spread her passion for food and nutrition.
Guest post by Carolyn Wahl
MSU Denver Student Representative
Our Fall Mentorship Event was hosted by Johnson & Wales University on December 8th, and featured a panel about dietetic internships! We had a wonderful turnout and gained some important insight into the dietetic internship application process.
On our panel we were honored to have Amy Schwartz, RD, CSP, CNSC (Children’s Hospital Colorado), April M. Rhymaun, MS, RDN, (Metropolitan State University of Denver), Marleen Swanson, MS, RD, MBA (Johnson & Wales University), Michelle A. Harris, MPH, RD (Tri-County Public Health), and Nicole A. Withrow-McDonald, PhD, RD (University of Northern Colorado).
Heather Lujan, MS, RDN, asked our panel some wonderful commonly asked questions. The audience also had a chance to ask some of their own questions. To highlight some of the many questions answered:
Thank you to our panel and members for making this event a great success!
Carolyn WahlMSU Denver Student Representative
Guest post by Ellie Kempton MSN, RD
Owner of Simply Nourished Nutrition
With all of the fabulous opportunities the holidays offer, it can be very difficult to remain present. As the focus shifts from presence to presents, many of us struggle with the imminent danger of overindulging, over committing and of course the nagging fear of missing out.
What if I told you it IS possible to experience the holidays without overeating, without experiencing those lingering cravings and/or without even falling prey to the all too familiar overwhelmed feelings of the season?
You just need to be reminded of the simple things that truly matter.
Below are my top 5 tips for approaching the holidays with presence. You will be delighted by the simplicity and practicality of each recommendation. If you are fully committed to the notion of presence instead of presents this holiday season, download the guide to make your wish a reality.
Now that you have an idea of where you are headed, let me offer you a roadmap! Sign up below for a step-by-step guide to creating the clarity, confidence and nourishment you crave! You will also receive 4 holiday recipes tailored to the simplicity and balance you deserve. Savor the season my friend.
Ellie Kempton MSN, RD
Simply Nourished Nutrition
Guest post by Suzanne Farrell MS, RD
Owner of Cherry Creek Nutrition, Inc.
The last week of October marks the beginning of the holiday season. Between all of those extra treats, holiday parties and shorter days, it’s also a time when many of our good dietary intentions go into hibernation. The average gain during the next couple of weeks, for those within a healthy body weight, is about 1 pound, and 5 pounds for those already overweight. Unfortunately, these are stubborn pounds that tend to stay on and accumulate year after year. Below are 3 common, holiday season, diet challenges with tips for how to handle them.
Shorter Days: With less sunshine in our day, we may experience a decrease in serotonin, the brain chemical responsible for feeling positive, upbeat and calm. This decline also tag teams increased cravings for carbohydrates, especially sweets and refined grains. Although it isn’t wise to dive into a bag of cookies or eat half a loaf of pumpkin bread, it’s important to not avoid carbs altogether, but to simply choose wisely throughout the day. Choose higher fiber, nutrient rich carbs that will enhance serotonin production while satisfying the craving, without increasing the numbers on the scale. Examples include potatoes, squash, beans, lentils, whole grains and fruits. One cup of pasta is over 200 calories while once cup of spaghetti squash is only 40. It’s also rich in vitamin A and potassium. It tastes great topped with sautéed diced tomatoes in garlic, olive oil, fresh basil and some Parmesan cheese. Instead of a side of bread and butter with dinner, try roasted sweet potatoes, it may just do the trick!
Seasonal Coffee Drinks: Nothing says fall quite like a hot seasonal beverage such as a Pumpkin Spiced or Toasted Graham Latte. These drinks can pack in hundreds of extra calories. Try these 3 easy steps to significantly cut the calories while still indulging in this tasty treat:
(Another calorie saving tip is to ask for “1 pump” of the flavored syrup, as they often give multiple).
Decreased Consumption of Fruits & Veggies: Summertime lends itself well to fresh fruits and cold, crispy salads, and therefore, consumption can decline this time of year. Don’t give up, just re-shift your ideas. Re-stock the fruit bowl with fruits unique to Fall such as pomegranates, pears, apples, kiwi, tangerines and grapefruit. Take advantage of some of the most nutrient dense vegetables this season such as squash, Brussel sprouts, sweet potatoes and parsnips. Don’t forget about frozen options as well since they are just as nutritious and very economical this time of year.
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