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Food as Medicine
What is the connection between food and disease?
As a society we are facing significant health problems.
The United States ranks ninth in life expectancy among nations in the developed world.
We have a workforce plagued with absenteeism and reduced productivity because of chronic health problems, including depression.
78 percent of healthcare expenditures are for the treatment of chronic disease.
Many researchers now believe that these problems are partly related to diet. While they used to believe that diseases-such as type II diabetes, obesity, heart disease, stroke, and certain cancers - were caused by a single gene mutation, they are now generally attributing these conditions to a network of biological dysfunction. And the food we eat is an important factor in that dysfunction, in part because our diets lack the necessary balance of nutrients (Proceedings of the Nutrition Society, 2004).
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To prevent the onset of these diseases, we need to know how multiple nutrients in a diet interact and affect the human body's functions, according to the Nutrition Society, Europe's largest nutritional organization.
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The Functional Medicine Perspective
Human digestive systemOne component of Functional Medicine focuses on how diet impacts health and function. When Functional Medicine practitioners examine the role of nutrition in chronic disease, they look at multiple systems, such as the digestive system, the immune system, and the detoxification system, because of the interconnections between those systems. For instance, because 80% of the immune system is contained in the gastrointestinal system, a person's issues with immunity could be related to faulty digestion.
Functional Medicine maintains that chronic disease is almost always preceded by a period of declining health in one or more of the body's systems. Thus, these practitioners seek to identify early the symptoms that indicate underlying dysfunction, possibly leading to disease.
One of the ways Functional Medicine seeks to address declining health is to provide the foods and nutrients needed to restore function. This is a cost effective, non-invasive intervention that aims to stop the progression into disease.
Example of Cardiovascular Disease
When taking a nutritional approach to health and disease, it is important to understand that one disease might have multiple causes, and one underlying dysfunction might cause multiple diseases. Cardiovascular disease may be among the clearest examples of this concept.
Researchers have shown that the development of heart disease can be triggered by multiple factors. These factors include insulin resistance, elevated homocysteine, oxidative stress, elevated cholesterol, hypertension, heavy metal toxicity, stress, and inflammation. Each of these factors can be influenced by nutrition and each, in turn, impact our nutritional needs. This applies both to the prevention and treatment of these factors (Textbook of Functional Medicine).
For example, a 2007 study shows the importance of optimal mineral balance and how a deficiency in mineral balance can contribute to the development of congestive heart failure (Cardiovascular & Hematological Agents in Medicinal Chemistry, 2007).
What is a good example?
During her initial visit, Lynn (53), just had one goal: "I need to get healthy!" Her cholesterol was elevated (including triglycerides), and she had taken Lipitor for five years. Her blood pressure had been elevated in the past. She had acid reflux and had been on Zantac for 15 years.
She slept poorly and experienced sleep apnea and extreme fatigue. She was taking hormone replacement therapy for hormonal headaches that had plagued her for years. She had experienced swollen, painful joints for many years, which had developed into osteoarthritis. Her bowels tended toward constipation, and she craved bread and sweets.
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The nutritionist noted her systemic inflammation, water retention, swelling, and constipation and suspected a food sensitivity. She suggested that Lynn eliminate corn, dairy, and wheat from her diet; keep track of her body's reaction to the changes; and then gradually introduce these foods one at a time.
When Lynn returned four weeks later, she had determined through the elimination diet that she had a corn sensitivity. Since eliminating corn, she reported feeling much better, and the pain in her back and legs had diminished. Her constipation was relieved and much of the swelling and fluid retention also improved. Lynn reported that "I lost only five pounds, but I feel smaller."
Returning at eight weeks, Lynn reported that the, "changes have been easy." She had lost 20 pounds and her energy was much improved: "I wake up ready for the day." She was walking a mile and a half each day and her cravings for sugar had also diminished, much to her delight. She reported feeling more in control of her eating.
At 12 weeks, Lynn said the changes were becoming habit. "I feel so much better." Her energy continued to improve; she had lost a total of 27 pounds, and she experienced less pain.
References
Expert Contributor: Carolyn Denton, LN
Reviewed by: Karen Lawson, MD; Linda Armstrong, RD, LD, MBA