Workshop 1 Action Against Alzheimers Programme Professor Bredesens work in the US prevention and reversal of cognitive decline Amanda Williams Nutritional Therapist and Technical Director of Cytoplan Ltd became aware of Professor Bredesens work and wanted to bring it to the UK ID: 534027
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MIND What You EatWorkshop 1Slide2
Action Against Alzheimer’s Programme
Professor Bredesen’s work in the US – prevention and reversal of cognitive decline
Amanda Williams, Nutritional Therapist and Technical Director of Cytoplan Ltd became aware of Professor Bredesen’s work and wanted to bring it to the UK
Cytoplan developed the materials for this programme which is being delivered nationwide by a network of Nutritional Therapists.Cytoplan is a supplements company, owned by a charitable foundation, the AIM Foundation. The charitable foundation is also funding a clinical trial for patients with Alzheimer’s
Action Against Alzheimer’s Programme © Cytoplan Slide3
Aims of the programme
To increase your knowledge and understanding of diet and lifestyle factors important for
brain health
(and overall health)To help you understand your current relationship
with food and lifestyle
To empower you to make long-term,
sustainable changes
Action Against Alzheimer’s Programme © Cytoplan Slide4
Outline of programme
The Programme includes a series of 8 workshops covering:
Workshops 1-3 Mind What You Eat
Workshop 4 Gut HealthWorkshop 5 StressWorkshop 6 SleepWorkshop 7 ExerciseWorkshop 8 Brain Training PLUSHome Study Module Self Care Journey
The workshops will be a combination of talks, activities, discussion and feedback from you on how you are getting on. Homework included!
Action Against Alzheimer’s Programme © Cytoplan Slide5
MIND What You Eat
Three Workshops on MIND What You Eat – nutrition for
BRAIN
healthIn today’s workshop we will cover: Evidence our current diet and lifestyle is making us sick The Nutrition Gap Sugar & Carbohydrates
Self Care Journey – Build Your Understanding & Get Motivated
Home Study Module Activities
Action Against Alzheimer’s Programme © Cytoplan Slide6
Workshop 1: Learning ObjectivesList the key components of Professor Bredesen’s approach to brain health
Describe the Nutrition Gap and it’s main causes
Explain how foods affect your blood sugar levels
Describe the symptoms of blood sugar imbalancesExplain the effect of high blood sugar on brain functionDefine the four categories of carbohydratesDiscuss how to keep blood sugar levels balancedApply the Self Care Journey to achieve success undertaking the programme
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How is your mental focus & memory?Do you suffer brain fog?
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What would you like instead?
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How we can achieve optimum healthand MIND?
The key components of brain health include:
Nutrition which is central
FastingGut healthStress ReductionSleepBrain StimulationSense of Purpose / Family / Community
Action Against Alzheimer’s Programme © Cytoplan Slide10
Evidence our diet & lifestyle is making us ill
Since the 1950s, there has been an explosion in the prevalence of chronic degenerative disease, for example:
Obesity & Diabetes
Hypertension & Heart disease
Mental Illness & Dementia
Impaired Immunity: Cancer, Asthma, Arthritis
We may be living longer, but few of us are living more healthily
Action Against Alzheimer’s Programme © Cytoplan Slide11
In Blue Zones it is normal to live into late 90s or over 100 without suffering chronic disease
Blue Zones in Sardinia, Okinawa, Costa Rica, Loma
Lida
.
Action Against Alzheimer’s Programme © Cytoplan Slide12
Diet and the Nutrition Gap
Nutrition is at the heart of health. In fact sub-optimal nutrition can contribute to most diseases we know
The human body requires a daily intake of ‘food nutrients’ to meet its needs. Many people fall short of key nutrients today
for many different reasons
This
Nutrition Gap
is a key factor in the increased prevalence of many of today’s chronic degenerative diseases
Action Against Alzheimer’s Programme © Cytoplan Slide13
The Nutrition Gap
The Nutrition Gap = the difference between the nutrients we are ingesting from an average UK diet and those deemed necessary for health
Taken from work of Dr Paul Clayton, leading scientist and Medical Dr, who reviewed over 4,000 studies to come up with the levels of nutrients we need for optimum health
Action Against Alzheimer’s Programme © Cytoplan Slide14
The Nutrition Gap – Minerals, Essential fats, Flavonoids
etc
Nutrient
We get
We need
Is missing
Is safe to supplement
Calcium mg
917
950-980
33-63
1500
Magnesium
mg
308
350
42
400
Iron mg
13.2
20
6.6
20
Zinc mg
11
20
9
25
Copper mg
1.5
2-3
0.5-1.5
2.5
Iodine
µg
180
280
100
500
Selenium
µg
35185150350Chromium µg30110-15080-1201000EPA/DHA mg100-200750550-650-Flavonoids mg145450-800305-655-Carotenoids mg2-62014-18-
Action Against Alzheimer’s Programme © Cytoplan Slide15
The Nutrition Gap - Vitamins
Nutrient
We get
We need
Is missing
Is safe to supplement
Vitamin A
1012
1800
788
1500
B1 mg
1.7
8-12
6.3-10.3
100
B2 mg
2
8-12
6-10
40
B3 mg
39
50-60
11-21
25
B6 mg
2.4
6-12
3.6-9.6
20
B12
µg
7.2
8-16
0.8-8.8
2000
Folic Acid
µg
252
450
198400Vitamin C mg58-90300-500210-4421000Vitamin D µg2.915-2512.1-22.9200Vitamin E mg9.3100-20090.7-190.7800Action Against Alzheimer’s Programme © Cytoplan Slide16
National Diet and Nutrition Survey 2014
Results identified there are nutrient deficiencies in every group of the population
Those affected will often be unaware, as there are no visible warning signs
Action Against Alzheimer’s Programme © Cytoplan Slide17
Why is there a nutrition gap?
There are 6 main reasons:
Sedentary lifestyle
Modern farming methods
Food processing
Lifestyle factors
- smoking, alcohol, exercise, sun exposure, stress, medications
etc
Genetics
Our food choices
Action Against Alzheimer’s Programme © Cytoplan Slide18
Sedentary Lifestyle
Hunter-gatherer man ingested 4,000 ++ calories /day. Our sedentary lifestyle means we eat 2,000 kcals a day and even that is too much for some but we still need the
micronutrients
in 4,000 kcals We are over-fed and malnourished!
Action Against Alzheimer’s Programme © Cytoplan Slide19
Modern Farming Methods
Modern farming methods have conspired to maximise yields
at the expense of nutrient content
Today, our food contains
only a fraction of
the essential micronutrients
it
contained 100 years ago
Action Against Alzheimer’s Programme © Cytoplan Slide20
Food Processing
The Food Industry has compounded this problem by – milling, refining, processing, additives, extensive use of sugar, trans fats
Action Against Alzheimer’s Programme © Cytoplan Slide21
Nutrient Depletion from Medication
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Nutrient depletions - examples
Acid reducing medication
eg
omeprazole – long term use can reduce B12; plus minerals, folic acid, vitamins B6 and CStatins - CoQ10, zinc, selenium, omega-3Antibiotics – B vitamins; vitamin K, gut bacteria
NSAID’s
–(
brufen
, naproxen) – folic acid, iron , vitamin CBenzodiazepines
(anxiety/sleep) – melatonin
This is for information only – DO NOT stop prescription medications unless agreed with your GP or medical practitioner
Action Against Alzheimer’s Programme © Cytoplan Slide23
Genetic factors
Certain genetic mutations may mean we need higher levels of
some nutrients
In relation to Alzheimer’s the main relevant nutrients areVitamins A, B complex, D and KZinc
Omega 3 fatty acids
Choline
Bifidobacteria
Action Against Alzheimer’s Programme © Cytoplan Slide24
Our Food Choices
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Health Survey in 2001
Mental health
43% have poor memories or difficulty concentrating
58% suffer mood swings50% suffer anxiety42% suffer depressionLow Energy76% of people are often tired52% feel apathetic and unmotivated47% have difficulty sleepingBased on an online health survey of 22,000
people.Source
: Optimum Nutrition for the Mind, Patrick
Holford
Action Against Alzheimer’s Programme © Cytoplan Slide26
Activity 1:
What foods give us energy and
help mental focus?
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Eating for Energy & Mental Focus
Fast ENERGY Foods
‘Energy Robbers’
Slow Energy Foods
Combine with Protein
Protein – combine with Slow Energy Foods
Fizzy drinks
Fruit juice
Fruit yoghurts
Mars bar
Milk chocolate
Breakfast cereals
Cereal bars
Biscuits
Cakes
Sweets / Sugar
White bread
White pasta
White rice
Oats
Potatoes
Sweet potatoes
Brown Basmati rice
Buckwheat flour
Quinoa
Beans / pulses
(Wholemeal bread/wholemeal pasta)
Nuts
Seeds
Eggs
Natural
yoghurt
Fish
Meat
Cheese
Beans / pulses
Also high fat foods – avocado, coconut, oils
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Our Food Choices
Add photos
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Increase in chronic diseases including Alzheimer’s, Type 3 Diabetes
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"Sugar is as dangerous as tobacco [and] should be classified as a hard drug, for it is harmful and addictive,“
British Medical Journal (2005)
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Nutrition Labels
Government recommends max 30 g added sugar per day
5 g or less per 100 g = Low in sugar
15 g or more per 100 g = high in sugar4 g = 1 teaspoon of sugar
Beware – e.g. White loaf of bread is low
in sugar (3.8 g) but high in refined flour
which behaves like sugar (42.8 g)
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Activity 2:What has the most sugar content?
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Sugar Contents
Sources of sugar contents available on request, usually from relevant company’s website; sugar contents may change in future. Correct at time of going to print.
Coca Cola (330ml can)
= 8.75 tsp sugar
Muller Corner
= 4.4 tsp sugar
Dolmio Pasta Sauce
= 7.25 tsp sugar
Tropicana Orange
Juice (300ml)
= 7.5 tsp sugar
Action Against Alzheimer’s Programme © Cytoplan Slide34
Maynards Wine Gums (215g bag) = 30.5 tsp sugar
Costa Massimo Chai Latte
= 20.3 tsp sugar
McDonalds Large Milkshake (banana)= 19 tsp sugar
Action Against Alzheimer’s Programme © Cytoplan
Sugar Contents
Sources of sugar contents available on request, usually from relevant company’s website; sugar contents may change in future. Correct at time of going to print. Slide35
1 medium apple (182g) = 4.75 tsp sugar
1 cup raspberries (123g) = 1.25 tsp sugar
1 cup grapes (151g) = 5.75 tsp sugar
1 portion blueberries (80g) = 2 tsp sugar
Action Against Alzheimer’s Programme © Cytoplan
Sugar Contents
Sources of sugar contents available on request, usually from relevant company’s website; sugar contents may change in future. Correct at time of going to print. Slide36
500g Frosties
= 46 tsp sugar
1 kg Oats =
no added sugar
30g serving =
4 tsp sugar
30g serving =
no added sugar
Sugar Contents
Sources of sugar contents available on request, usually from relevant company’s website; sugar contents may change in future. Correct at time of going to print.
Action Against Alzheimer’s Programme © Cytoplan Slide37
120g Dairy Milk
= 21 tsp sugar
100 g Lindt 70% Cocoa
= 7 tsp sugar
Sugar Contents
Sources of sugar contents available on request, usually from relevant company’s website; sugar contents may change in future. Correct at time of going to print.
Action Against Alzheimer’s Programme © Cytoplan Slide38
Actimel
probiotic – strawberry
= 3 tsp sugar
Ski - strawberry = 4
tsp sugar
Muller fruit corner - strawberry
= 6 tsp sugar
Activia
probiotic - strawberry
= 4 tsp sugar
Yeo Valley Natural (no added sugar)
= <2 tsp sugar
Sugar Contents
Beware addition of artificial sweeteners especially ASPARTAME in some yoghurts
Sources of sugar contents available on request, usually from relevant company’s website; sugar contents may change in future. Correct at time of print
Action Against Alzheimer’s Programme © Cytoplan Slide39
Names for Sugar / Refined carbohydrates
Sucrose Maltose
Glucose Honey
Fructose Corn SyrupLactose Rice syrupMalt Rice extractMalt extract Sorbitol
Foods: (Alcohol), most breakfast cereals, white bread (white flour), white pasta, white rice, fruit juice, and of course ‘junk’ foods
Action Against Alzheimer’s Programme © Cytoplan Slide40
Ingredients
:
sugar, glucose syrup
, skimmed milk, cocoa butter, cocoa mass, sunflower oil, lactose, milk fat, vegetable fat , whey powder, fat reduced cocoa, barley malt extract, emulsifier, salt, egg white powder, hydrolysed milk protein
Nutritional information
100 g
58 gCarbohydrate (g) 69 g 40 gOf which sugars (g) 60 g 34.6 g =
8.5
tsps
Action Against Alzheimer’s Programme © Cytoplan Slide41
Ingredients
:
Yoghurt flavour coating 31% (vegetable oil,
sugar, milk whey, dried yoghurt, emulsifier: sunflower lecithin), dried apricots 18%, almonds 13%, shredded coconut 13%, glucose syrup, crisped rice (rice
sugar
),
honey. Nutritional information:
100 g
50 g
35 g
Carbohydrate 52.8 g 26.4 g 18.5 g
Of which sugars 34.2 g 17.1 g 12.0 g
Action Against Alzheimer’s Programme © Cytoplan Slide42
64 oz.
(1818ml)
44 oz.
(1250ml)
32 oz.
(909ml)
16 oz.
(455ml)
6 oz.
(170ml)
Action Against Alzheimer’s Programme © Cytoplan Slide43
What is blood sugar?Eating food increases blood sugar, sugary foods cause a more rapid increase
Blood sugar is the level of glucose in the blood.
(normal range 4.4 - 6.1
mmol/litre)The body, and especially the brain, functions best with blood glucose at an optimum level
Action Against Alzheimer’s Programme © Cytoplan Slide44
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Symptoms of blood sugar imbalancePoor memory or concentration
Tiredness
Anxiety / irritability
Cravings for sweet foodsPoor sleepWeight gainFrequent headaches
Action Against Alzheimer’s Programme © Cytoplan Slide46
Effect of high blood sugar on brain function
Glucose can attach to structures on cells and damage them and trigger inflammation – AGEs – Advanced Glycation End Products
High blood sugar / insulin leads to reduced beta-amyloid clearance (as the enzyme that clears this also degrades insulin). Beta-amyloid is a bit like ‘scar tissue’ that forms in the brain
The brain can become insulin resistant – 20 years before other tissues in the body. This can lead to brain being ‘starved’ of fuel
A diet high in sugar (and saturated fat) reduces levels of Brain Derived Neurotrophic Factor (BDNF)Slide47
Types of carbohydrates
REFINED
Sugar, sugary foods, white bread, white pasta
Avoid or limit
STARCHY
Wholegrains bread, pasta, rice, sweet potatoes, quinoa, buckwheat
Moderate amounts
eg
maximum ¼ plate at each meal.
FRUIT
Berries, apples, pears, plums
2 portions per day (max 3). High in sugar.
COMPLEX - VEGETABLES
Vegetables: broccoli, other leafy greens, cucumber, avocado, onions, garlic, carrots, beets, tomatoes, peppers
etc
etc
LOTS: 6-8 per day.
Action Against Alzheimer’s Programme © Cytoplan Slide48
MIND What You Eat – How?
Avoid or reduce sugary foods – biscuits, cakes, sweets, fizzy drinks, yoghurts, breakfast cereals
Switch to wholegrains - fibre slows down sugar rush) eg quinoa, buckwheat – AND eat very small amounts only. Sweet potatoes are a good starchy carbohydrate choiceAlways eat starchy carbohydrates with some protein and/or fat ie
Include some protein at every meal
Eat protein with snacks e.g. apple and nuts
Action Against Alzheimer’s Programme © Cytoplan Slide49
MIND What You Eat – How?
Watch portion sizes of starchy wholegrain carbohydrates
eg
quinoa, sweet potatoes – ¼ plate maximum. Less for weight managementAvoid artificial sweeteners – may increase appetiteStart reading food labels – look at carbohydrate content, sugar content – 4 g sugar = 1 teaspoonPLAN YOUR MEALS AND SNACKS (if you fail to plan, you plan to fail)
Action Against Alzheimer’s Programme © Cytoplan Slide50
Activity 3 - What is ‘wrong’ with these meals?
Breakfast: Cornflakes and milk (no sugar)
Lunch: Pasta and tomato sauce
Supper: Rocket soup and crusty roll (Ingredients 400 g potatoes, 200 g onions, 150 g rocket, garlic, stock)
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Next week – MIND What You Eat
Healthy fats for the brain
The importance of vegetables for brain function
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How can we prepare to make changes?
Mental preparation
Practical planning
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Preparation for changeKnowledge
Understanding the benefits of making changes to your health
Information on what foods to eat, what foods to avoid
Ideas on how to create meals using these foodsUnderstanding current eating patterns and where changes are neededMotivation / willingness to changeUnderstand barriers to change / what might stop you from making changesIdentify strategies to overcome barriers
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Your Self Care Journey
Enabling Change
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© Cytoplan Slide56
Your Self Care Journey
Build Your Understanding
Develop your comprehension of a Whole Person model of health and disease
Improve your understanding of your state of health/illness
Understand the process involved in maintaining your good health and sense of wellbeing
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Your Self Care Journey
Get Motivated
Build your vision of your future and become
clear on what being healthier would mean for you
What are you wanting?
What would your experience of life be like if you weren't dealing with your current symptoms?
Action Against Alzheimer’s Programme © Cytoplan Slide58
Your Well Formed Outcome
Setting a Well-Formed Outcome (similar to a goal)
Identify what you want (use POSITIVE language) and why you want it
How much do you want it (out of 10)?When do you want it i.e. context – with who, and timescaleHow will you know you have it? How will others know?What resources do you need? What would stop you achieving your outcome? Is there any downside to having your outcome?
Action Against Alzheimer’s Programme © Cytoplan Slide59
Making changes - barriers
Time
Money
MotivationWillpowerBoredomOther peopleEnvironmentLikes / dislikes
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Incongruence
When you put your energy and resources into a goal that is not congruent for you, some part of you will fight the change.
For example – ‘part of me wants to be healthy and part of me can’t be bothered’
Another example is if achieving the goal results in loss of something elseAre there any parts of you in conflict about your outcome. Conflict between what you ‘should’ do and what you ‘want’ to do
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Home Study Module Week 1
Understanding a Whole Person Approach to Health
Creating Your Well Formed Outcome
Identifying Barriers to Making ChangesBuild Your Understanding
Get
Motivated
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Summary of todayEvidence our current diet and lifestyle is making us ill
The Nutrition Gap
Sugar, refined and starchy carbohydrates
Self Care Journey – Build Your Understanding & Get Motivated
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Feedback questionnaires
Feedback is welcome – please complete now and hand-in on your way out.
Thank you !
Action Against Alzheimer’s Programme © Cytoplan