nutrition

nutrition

NUTRITION EDUCATION IS A GREAT ABSENTEE IN THE CURRICULUM OF EUROPEAN DOCTORS


ESPEN LAUNCHES THE EUROPEAN MANIFESTO TO FILL THE TRAINING GAP

Nice, January 22 2020 – “During the medical training at the University the students should receive mandatory information about human nutrition in its three different domains, including basic nutrition, applied or public health nutrition and clinical nutrition”, as indicated in the “Manifesto for the Implementation of Nutrition Education” just released in Nice during the ESPEN-NEMS meeting.

“The way to organise these themes in the curriculum, also including novel teaching tools, internet resources and e-learning, will depend on each University centre, taking into consideration the different possible models of teaching (parallel, integrated or case-solving based), the availability of teachers and the distribution of time and credits with the rest of teaching subjects” the Manifesto says.

Although the teaching of nutrition is an essential element of medical training, a recent survey (1) has shown that there is an extreme variability in the educational standards of this subject in medical schools worldwide. As a consequence, there are differences in the access and quality of treatments received by patients.

Worldwide, more than 2 billion adults are overweight, 600 million obese and 462 million malnourished. These conditions contribute to 60% of cardiovascular death and 35% of tumor death. Even less known is that 35% of hospitalised patients develop disease-related malnutrition, a real ‘disease in a disease’.

“Weight loss in chronic, oncological, elderly and frail patients is an underestimated and under-diagnosed problem” Professor Rocco Barazzoni, ESPEN Chairman, explains. “Loss of weight and muscle mass leads to a higher rate of complications, worse response to therapies, higher mortality and increase in healthcare expenditures. This occurs in spite of the well documented positive and cost-effective impact of nutritional therapy on treatment side effects and disease outcomes.

“Implementing training is urgent” echoes Professor Maurizio Muscaritoli, Coordinator of the NEMS initiative together with the Spanish Professor Cristina Cuerda. “Learning nutrition is mandatory for future doctors. Seeking political support, forming ad hoc committees for the development of curricula and teaching modalities are among the key factors to allow for the implementation of nutrition training in universities”.

“Nutrition education in undergraduate medical schools is heterogeneous and largely under-powered” Professor Cuerda says, and adds: “teachers and students believe that the time dedicated to nutrition teaching is insufficient and far from what would be needed”.

The recently published ESPEN position paper (2) has identified the “minimum curriculum knowledge” in nutrition that serves to improve the training of the future doctors. This has been transferred into the Manifesto which was issued and signed by the 51 participants, including delegates of 13 European Medical Schools, representing 34 countries.

1. Cuerda et al – A clinical nutrition education in medical schools: results of an ESPEN survey – Clin Nutr (2017);36:915-6
2. Cuerda et al – Nutrition education in medical schools (NEMS). An ESPEN position paper – Clinical Nutrition (2019); 38: 969-974

ESPEN (European Society for Clinical Nutrition and Metabolism) is an organization dedicated to all issues relevant to the field of clinical nutrition and metabolism and promotes: basic and clinical research, basic and advanced education and organization of consensus statements about clinical care and care quality control.
NEMS is an initiative of the ESPEN Nutrition Education Study Group (NESG)

Press Office NEMS Manifesto
Mrs. Johanna Rossi Mason
Mason&Partners
Mobile 0039-347-2626993
jrossimason@gmail.com
Rome – Italy

NUTRITION EDUCATION IN MEDICAL SCHOOLS (NEMS) INITIATIVE

Manifesto for the Implementation of Nutrition Education
in the Undergraduate Medical Currriculum

The NEMS Manifesto

Nutrition is a broad, interdisciplinary field, encompassing a large variety of scientific, cultural, social and political aspects. Human Nutrition is identified by three major domains, namely Basic, Applied and Clinical Nutrition. Human nutrition is an intrinsically complex topic, ranging from agriculture and zootechnics to food technology, from nutrition in different physiological states (growth, pregnancy, breast-feeding, aging), to the nutritional approach to acute and chronic diseases, from birth to the end of life.

At present, and due to its innate complexity, the nutritional field is often dominated by confusion: researchers, clinicians, patients and media have inconsistent ideas related to nutritional issues in health and disease. The complexity of the matter and the apparent confusion, however, should not represent an obstacle in acknowledging the relevance of nutrition in both preventive and clinical medicine.

The prevalence of obesity and related complications and the mortality rates due to NCDs such as cardiovascular diseases, cancer, diabetes or COPD are steadily increasing and cause > 60% of diseases burden. Conversely, the rates of disease-related malnutrition (under-nutrition) have remained substantially unchanged since the 1970s. Malnutrition still causes high rates of complications, mortality and healthcare costs and about 12% or more of hospital expenditure.

While research has clearly documented that nutrition can positively impact on disease onset, prognosis, treatment side effects and outcomes, there is a great neglect regarding the prevention, diagnosis and treatment of malnutrition (including over- and under-nutrition) and low priority is currently given to nutritional activities by other disciplines in the competition for healthcare budget.

The training of healthcare professionals (HCPs), and in particular of medical doctors, becomes crucial both for a correct take-up of the problem and for effectively combating the confounding environment that prevails in the domains of Human Nutrition. Currently, (Clinical) Nutrition education in undergraduate Medical Schools is heterogeneous and largely underpowered.

Medical students are trained to consider the scientific evidence for pharmaceutical decision-making and clinical guidelines promoted by scientific institutions in specialties such as cardiology or surgery, while the evidence for nutritional interventions and the guidelines in Clinical Nutrition are often underevaluated.

ESPEN
NUTRITION EDUCATION IN MEDICAL SCHOOLS (NEMS) INITIATIVE*
Manifesto for the Implementation of Nutrition Education
in the Undergraduate Medical Currriculum
The NEMS Manifesto

Based on the previous arguments, we manifest that:

• Nutrition education is necessary in the training of healthcare professionals, including medical students and should be mandatory in all Medical Schools

• Medical students need an evidence-based nutrition education to understand the importance of nutrition in health and disease

• During the medical training at the University the students should receive mandatory information about human nutrition in its three different domains, including basic nutrition, applied or public health nutrition and clinical nutrition

• The way to organise these themes in the curriculum (i.e. vertical or horizontal integration of traditional classes, seminars and/or clinical practice sessions), also including novel teaching tools, internet resources and e-learning, will depend on each University centre, taking into consideration the different possible models of teaching (parallel, integrated or case-solving based), the availability of teachers and the distribution of time and credits with the rest of teaching subjects.

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NUTRITION EDUCATION IS A GREAT ABSENTEE IN THE CURRICULUM OF EUROPEAN DOCTORS

ESPEN LAUNCHES THE EUROPEAN MANIFESTO TO FILL THE TRAINING GAP

Nice, January 22 2020 – “During the medical training at the University the students should receive mandatory information about human nutrition in its three different domains, including basic nutrition, applied or public health nutrition and clinical nutrition”, as indicated in the “Manifesto for the Implementation of Nutrition Education” just released in Nice during the ESPEN-NEMS meeting.

“The way to organise these themes in the curriculum, also including novel teaching tools, internet resources and e-learning, will depend on each University centre, taking into consideration the different possible models of teaching (parallel, integrated or case-solving based), the availability of teachers and the distribution of time and credits with the rest of teaching subjects” the Manifesto says.

Although the teaching of nutrition is an essential element of medical training, a recent survey (1) has shown that there is an extreme variability in the educational standards of this subject in medical schools worldwide. As a consequence, there are differences in the access and quality of treatments received by patients.

Worldwide, more than 2 billion adults are overweight, 600 million obese and 462 million malnourished. These conditions contribute to 60% of cardiovascular death and 35% of tumor death. Even less known is that 35% of hospitalised patients develop disease-related malnutrition, a real ‘disease in a disease’.

“Weight loss in chronic, oncological, elderly and frail patients is an underestimated and under-diagnosed problem” Professor Rocco Barazzoni, ESPEN Chairman, explains. “Loss of weight and muscle mass leads to a higher rate of complications, worse response to therapies, higher mortality and increase in healthcare expenditures. This occurs in spite of the well documented positive and cost-effective impact of nutritional therapy on treatment side effects and disease outcomes.

“Implementing training is urgent” echoes Professor Maurizio Muscaritoli, Coordinator of the NEMS initiative together with the Spanish Professor Cristina Cuerda. “Learning nutrition is mandatory for future doctors. Seeking political support, forming ad hoc committees for the development of curricula and teaching modalities are among the key factors to allow for the implementation of nutrition training in universities”.

“Nutrition education in undergraduate medical schools is heterogeneous and largely under-powered” Professor Cuerda says, and adds: “teachers and students believe that the time dedicated to nutrition teaching is insufficient and far from what would be needed”.

The recently published ESPEN position paper (2) has identified the “minimum curriculum knowledge” in nutrition that serves to improve the training of the future doctors. This has been transferred into the Manifesto which was issued and signed by the 51 participants, including delegates of 13 European Medical Schools, representing 34 countries.

1. Cuerda et al – A clinical nutrition education in medical schools: results of an ESPEN survey – Clin Nutr (2017);36:915-6
2. Cuerda et al – Nutrition education in medical schools (NEMS). An ESPEN position paper – Clinical Nutrition (2019); 38: 969-974

ESPEN (European Society for Clinical Nutrition and Metabolism) is an organization dedicated to all issues relevant to the field of clinical nutrition and metabolism and promotes: basic and clinical research, basic and advanced education and organization of consensus statements about clinical care and care quality control.
NEMS is an initiative of the ESPEN Nutrition Education Study Group (NESG)

Press Office NEMS Manifesto
Mrs. Johanna Rossi Mason
Mason&Partners
Mobile 0039-347-2626993
jrossimason@gmail.com
Rome – Italy

NUTRITION EDUCATION IN MEDICAL SCHOOLS (NEMS) INITIATIVE

Manifesto for the Implementation of Nutrition Education
in the Undergraduate Medical Currriculum

The NEMS Manifesto

Nutrition is a broad, interdisciplinary field, encompassing a large variety of scientific, cultural, social and political aspects. Human Nutrition is identified by three major domains, namely Basic, Applied and Clinical Nutrition. Human nutrition is an intrinsically complex topic, ranging from agriculture and zootechnics to food technology, from nutrition in different physiological states (growth, pregnancy, breast-feeding, aging), to the nutritional approach to acute and chronic diseases, from birth to the end of life.

At present, and due to its innate complexity, the nutritional field is often dominated by confusion: researchers, clinicians, patients and media have inconsistent ideas related to nutritional issues in health and disease. The complexity of the matter and the apparent confusion, however, should not represent an obstacle in acknowledging the relevance of nutrition in both preventive and clinical medicine.

The prevalence of obesity and related complications and the mortality rates due to NCDs such as cardiovascular diseases, cancer, diabetes or COPD are steadily increasing and cause > 60% of diseases burden. Conversely, the rates of disease-related malnutrition (under-nutrition) have remained substantially unchanged since the 1970s. Malnutrition still causes high rates of complications, mortality and healthcare costs and about 12% or more of hospital expenditure.

While research has clearly documented that nutrition can positively impact on disease onset, prognosis, treatment side effects and outcomes, there is a great neglect regarding the prevention, diagnosis and treatment of malnutrition (including over- and under-nutrition) and low priority is currently given to nutritional activities by other disciplines in the competition for healthcare budget.

The training of healthcare professionals (HCPs), and in particular of medical doctors, becomes crucial both for a correct take-up of the problem and for effectively combating the confounding environment that prevails in the domains of Human Nutrition. Currently, (Clinical) Nutrition education in undergraduate Medical Schools is heterogeneous and largely underpowered.

Medical students are trained to consider the scientific evidence for pharmaceutical decision-making and clinical guidelines promoted by scientific institutions in specialties such as cardiology or surgery, while the evidence for nutritional interventions and the guidelines in Clinical Nutrition are often underevaluated.

ESPEN
NUTRITION EDUCATION IN MEDICAL SCHOOLS (NEMS) INITIATIVE*
Manifesto for the Implementation of Nutrition Education
in the Undergraduate Medical Currriculum
The NEMS Manifesto

Based on the previous arguments, we manifest that:

• Nutrition education is necessary in the training of healthcare professionals, including medical students and should be mandatory in all Medical Schools

• Medical students need an evidence-based nutrition education to understand the importance of nutrition in health and disease

• During the medical training at the University the students should receive mandatory information about human nutrition in its three different domains, including basic nutrition, applied or public health nutrition and clinical nutrition

• The way to organise these themes in the curriculum (i.e. vertical or horizontal integration of traditional classes, seminars and/or clinical practice sessions), also including novel teaching tools, internet resources and e-learning, will depend on each University centre, taking into consideration the different possible models of teaching (parallel, integrated or case-solving based), the availability of teachers and the distribution of time and credits with the rest of teaching subjects.

https://www.prfire.com/https://www.prfire.com/

Source link

World’s First ‘Digital Nutrition Coach for Endurance Athletes’ Partners with Ironman for UK Events

Picture 2

endur8 automates complex fuel plans and provides real-time nutrition alerts for endurance athletes to ensure they reach race day with a digital plan and nutrition choices that optimise their performance.

Today endur8 announced that all UK Ironman triathlon events (140.6 and 70.3) are available in-app to produce bespoke fuel plans. It’s Spring in the UK and those long training sessions are ramping up for every serious athlete. The Triathlon Industry Associates estimates that 220K people enter a UK triathlon each year. 1

Challenges for Ironman Competitors and Other Serious Endurance Athletes
 The longer the endurance event, the more important the nutrition plan. Recommended carbohydrate intake varies from 30g/h of single or multiple transportable carbohydrates at 1-2 hours exercise duration to 90 g/h of multiple transportable carbohydrates at >2.5 hours. 2
• There is no easy way to calculate individual fueling requirements.
• The limited accessible nutrition guidance available can be boiled down to either meal plans, or taking X fuel every Y minutes, and this often ignores variation between athletes and course profile.
• Athletes find it tricky to strike a balance between under-fueling (and ‘hitting the wall’) and over-fueling (and suffering adverse GI events).

I fell right back into my old habit of just riding and it wasn’t until I was completely spent, that I stopped and ate [the fuel bar]. Of-course I immediately felt better, but this was all too late.” – endur8 customer

How Does endur8 Help Endurance Athletes?

• endur8’s algorithms are founded on the best endurance fueling science.
• endur8 takes the pain away from calculating your own fuel plan and calculates refueling points based on individual athlete characteristics and course profile.
• endur8 encourages athletes to perfect their fueling in training and take fuel out of the equation come race day.
• endur8 captures the data to help athletes explore associations between fueling and performance.

If you need help to achieve the ‘goldilocks zone’ between under-fueling and ‘hitting the wall’ and over-fueling and ‘hitting the bathroom’, try endur8 during your training sessions.” – John Kerrigan, CSO, endur8

About endur8

endur8 is a UK start-up that developed the World’s first ‘digital nutrition coach’ for the serious endurance athlete that improves performance by calculating nutrition plans and providing real-time fuel alerts.

app storeapp store 1

 

 

endur8 is one of the 22, ‘essential apps for runners’. – coachmag.co.uk

endur8 is actively working with UK endurance athletes to help them with fuel plans and real-time fuel alerts to optimise their performance. We are proud to count three UK Team GB athletes as our ambassadors: Josh Griffiths (Athletics), Elinor Barker (Cycling) and Charlie Smith (Kayaking) as our UK ambassadors

“The endur8 app helps me know when to fuel and how to fuel so it’s really helped me improve.” – Josh Griffiths, Team GB Athlete

References

1 UK Triathlete Survey. Triathlon Industry Association http://www.triathlonindustryassociation.org (accessed April 10, 2018).
2 Carlsohn A. Aktuelle Ernährungsempfehlungen für Ausdauersportler. Dtsch Z Für Sportmed 2016; 2016: 7–12.

Media Contact Details
Dan Higginson, endur8 Ltd
Nottingham, UK
0115-795-1048