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    Episode 9 - Intermittent Fasting 101

    en-auNovember 13, 2019
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    About this Episode

    Types of Intermittent Fasting

    1. ADF - 25% energy reqs one day, nil restrictions on the next 
    2. Complete alternate-day fasting (or total intermittent energy restriction) - no energy consumed on fast days
    3. modified alternate-day fasting (or partial intermittent energy restriction) - up to 25% of daily energy needs on fasting days instead of complete fasting.
    4. Most studies are in this method - mice and human 
    5. In humans, Monks semi-fasted every other day with 1L milk + 500g fruit on fast day for 3 years
    6. > Less time in monastery infirmary & lived longer (but not sig).
    7. Periodic fasting 
      1. 5:2 (Michael Mosely) - not a whole lot of evidence yet, but more emerging
      2. The 2 Day Diet (Michelle Harvie) - 2 days 500-600Cal then eat & drink normal for rest of week
      3. 24hr fast
      4. Valter Longo– 5 day consecutive fast (800Cal/day) then normal for rest of month > evidence for protection against cancer.
      5. more extreme versions with several days or weeks of fasting. 
      6. During the fasting days, it may be allowed approximately 500 to 600 calories or about 25% of regular daily caloric intake instead of complete fasting.
    8. Time-restricted feeding / TRE - eating only during a certain number of hours each day. Eg 16:8. This schedule is thought to leverage the circadian rhythm.
      1. Timing - earlier may be better. BF not most important meal of day but BF and lunch better for circadian rhythm and glucose tolerance the next day than lunch + dinner. 

    Physiological benefits

    http://oncorenutrition.com/to-fast-or-not-to-fast/

    Coffee https://www.ncbi.nlm.nih.gov/pubmed/28177691

    Practicalities / sustainability / contraindications 

    http://oncorenutrition.com/the-fast-and-the-furious/

    Guides: http://oncorenutrition.com/intermittent-fasting/

    https://store.oncorenutrition.com/collections/all

      

    Recent Episodes from OnCore Nutrition - Two Peas in a Podcast

    Episode 46: Long COVID - supporting recovery with nutrition, exercise and lifestyle intervention

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    SHOW NOTES

    Post-COVID questionnaire: https://chroniccare.snapforms.com.au/form/post-covid-questionnaire

    Post COVID Recovery steps

     

     

     

    References

    https://www.who.int/publications/i/item/WHO-2019-nCoV-Post_COVID-19_condition-Clinical_case_definition-2021.1

    https://www.bmj.com/content/372/bmj.n136

    https://www.bmj.com/content/372/bmj.n136/rapid-responses

    http://www.buckshealthcare.nhs.uk/pifs/nutrition-and-long-covid/

    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8429479/

    NICE (2020) “COVID-19 guideline scope: management of the long-term effects of COVID-19” https://www.nice.org.uk/guidance/ng188/documents/final-scope]

    Leon et al. (2021) ‘More than 50 Long-term effects of COVID-19: a systematic review and meta-analysis”. [ https://pubmed.ncbi.nlm.nih.gov/33532785]

    Afrin et al. (2020) “Covid-19 hyperinflammation and post-Covid-19 illness may be rooted in mast cell activation syndrome”. International journal of infectious diseases, 100: 327–332 https://pubmed.ncbi.nlm.nih.gov/17490952/]

    Casas et al. (2016) “The Immune Protective Effect of the Mediterranean Diet against Chronic Low-grade Inflammatory Diseases”. Endocr Metab Immune Disord Drug Targets. 14(4): 245–254. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4443792/

    LaTrobe Research

    https://www.latrobe.edu.au/news/articles/2022/release/possible-cause-of-long-covid-brain-fog

    Souvenaid 

    https://nutricia.com.au/souvenaid/

    https://www.cuh.nhs.uk/news/friendly-gut-bacteria-speeds-long-covid-recovery/

    https://www.pomi-t.co.uk/national-trial/

    https://pubmed.ncbi.nlm.nih.gov/35334962/

     

    https://pubmed.ncbi.nlm.nih.gov/33933299/

     

    https://www.bda.uk.com/resource/long-covid-and-diet.html

     

    https://www.buckshealthcare.nhs.uk/wp-content/uploads/2021/10/Nutrition-and-Long-COVID.pdf

     

     

    https://www.google.com/amp/s/metro.co.uk/2022/03/15/long-covid-and-nutrition-can-you-eat-yourself-well-16237485/amp/

     

     

    https://newsnetwork.mayoclinic.org/discussion/mayo-clinic-expert-shares-5-early-care-tips-for-people-with-long-covid/

     

     

    https://www.todaysdietitian.com/newarchives/ND21p40.shtml

     

    https://www.google.com/amp/s/metro.co.uk/2022/03/15/long-covid-and-nutrition-can-you-eat-yourself-well-16237485/amp/

     

     

    https://www.google.com/amp/s/metro.co.uk/2022/03/15/long-covid-and-nutrition-can-you-eat-yourself-well-16237485/amp/

     

    https://www.healthspan.co.uk/advice/long-covid-diet-and-lifestyle-changes-that-can-help

    Smell training

    https://www.fifthsense.org.uk/smell-training/

    https://abscent.org/learn-us/smell-training/how-smell-train

    https://academic.oup.com/jid/advance-article/doi/10.1093/infdis/jiac136/6569364?login=false

    https://www.cidrap.umn.edu/news-perspective/2022/04/global-data-reveal-half-may-have-long-covid-4-months

    Episode 42: Are your exercise habits healthy?

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    Rebecca Gawler

    rebecca@reload.physio 

    Instagram handles: @reloadphysio

    Facebook page: https://www.facebook.com/ReloadPhysio

     

    Are you exercising to  make you feel good or enhance your health or is it the opposite? Are you feeling compelled to exercise and if you're unable to meet your targets does this cause you concern or guilt?

     

    HAES practitioners (to find personal trainers who promote intuitive movement): https://haesaustraliainc.wildapricot.org/find-a-provider

     

    The Physiotherapy Eating Disorders Professional Network Group https://cpmh.csp.org.uk/content/physiotherapy-eating-disorders

     

    A website Bec has put together to summarise the research/info on dysfunctional exercise, intuitive exercise and physio for eating disorders: https://eating-disorder-physiotherapy7.webnode.com/?fbclid=IwAR0Uz0wrMmvX2tdFnYPueCXagmotGGQwHhVmtC3yJ91RoDnPXziZZ1hqI

     

    Virtual care

    https://chroniccare.com.au/

    Speak to the team to arrange an appointment with the most appropriate professional. 

     

    Platinum Physio 

    Women’s Health Physio 

    Episode 40: Calling all the ladies! What lap dancers have taught us about our hormonal superpowers

    Episode 40: Calling all the ladies! What lap dancers have taught us about our hormonal superpowers

    SHOW NOTES

     

    OnCore Nutrition Ladies Lunch Series

    Ladies Lunch 1 - Understanding your cycle

    Wed 27th Oct 1-1:45pm

    Ladies Lunch 2 - Lifestyle strategies to harness your health, feel and perform at your best throughout each season of your cycle

    Wed 3rd Nov 1-1:45pm

    Tickets and info via Eventbrite

     

     

     

    Study discussed

    Ovulatory Cycle Effects on Tip Earnings by Lap Dancers: Economic Evidence for Human Estrus? 

    https://www.researchgate.net/publication/228632689_Ovulatory_Cycle_Effects_on_Tip_Earnings_by_Lap_Dancers_Economic_Evidence_for_Human_Estrus

    Episode 37 Re-Release - Tips for starting and progressing your nutrition career

    Episode 37 Re-Release - Tips for starting and progressing your nutrition career

    Episode Summary

    Calling all nutrition students and new grads...talking through tips to finding and fueling your fire and an exciting workshop we have planned just for you.

    Episode Notes

    Find and Fuel Your Fire Workshop

    Tickets via Eventbrite

     

    Getting a nutrition job is HARD! 

    The Dietetics Workforce Report 2018

    • There has been a 95% increase in dietetic grads over the last 7 years.
    • Grads in Vic ↑ from 65 to 127 per year from 2010 to 2016.
    • There is great concern that there is an oversupply of practitioners causing difficulties in new graduates finding positions and inhibiting movement for existing employees.
    • Many grads are still seeking work up to 12 mths post graduation.
    • In this time, grads are driven to volunteering - but not always meaningful
    • You are highly qualified. There is a significant need for your skills. We have an ageing population, chronic disease and dietitians provide such important prevention and management care
    • The report highlighted that Dietitians are highly qualified, however there are obvious gaps in business and professional skills in many courses.
    • Despite working in a clinical role 30% of dietitians had no clinical supervisor.

    file:///C:/Users/laure/Downloads/Dietetics%20Workforce%20Report.pdf

    Potential career pathways 

    Clinical dietetics

    • Popular!
    • When we’ve advertised for grad jobs there have been >100 applicants.
    • A quarter of organisations reported receiving >50 applicants for junior positions and advertisements were rare!
    • Hard to get grad jobs

    Consultancy and private practice

    • Often don’t graduate with skills for business set up and challenging to dive into sole practitioner position without prior experience. Requires ++ mentoring and supervision.
    • Important for your own development but also for the reputation of the profession

     

    Food service

    Media and marketing

    • Don’t expect to get here straight away - need some experience behind you
    • Be responsible with what you put out into the world, social media etc. Don’t know what you don’t know.

     

    Public health and nutrition

    Eventually policy, health promotion, advocacy

    • Often start as a public health dietitian, community dietitian

    Food industry

    • Consulting
    • Food analysis and product development, sensory evaluation
    • Food technology and science
    • Research

     

    Nutrition research and education

    • Generally requires specialisation and smaller projects or honours, masters, PhD

    https://www.deakin.edu.au/exercise-nutrition-sciences/careers-in-nutrition-and-dietetics

    https://www.myhealthcareer.com.au/dietetics-career/

    Our tips

    • Volunteer meaningfully
    • Upskill
    • Get a mentor - a meaningful one
    • Apply for everything - know your limits/hard passes
    • Apply well
    • Prepare for interviews
    • Seek feedback - and actually be prepared to take it

     

    Our upcoming workshop

    https://www.eventbrite.com/e/find-and-fuel-your-fire-student-early-dietitian-nutritionist-workshop-tickets-159824540503 

    Wed 11th Aug 6pm 

     

    Topics to cover 

    How to land the job you want

    • Job application preparation
    • Interview (including phone/video interview) preparation
    • Setting yourself apart
    • What NOT to do!
    • Volunteer / work experience opportunities
    • Professional development

    Finding your career niche / Progressing your career 

    • Specialising
    • Quality projects opportunities in nutrition
    • Education opportunities in nutrition
    • Research opportunities in nutrition
    • Conference / presentation opportunities

    Supervision and mentoring

    • Finding the right supervisor

    Innovation in dietetics  

    • Identifying gaps
    • Pitching your idea
    • Introduction to grants and proposals

    Delivery 

    • Online
    • 2hr workshop
    • 2 sessions - one evening, one weekend
    • ‘Take home’ toolkit of resources

    Episode 38: Coffee - exploring the health, sleep and performance impacts of our caffeinated friend

    Episode 38: Coffee - exploring the health, sleep and performance impacts of our caffeinated friend

    Google Trends

     

    Health and disease risk

    https://pubmed.ncbi.nlm.nih.gov/29276945/

    https://pubmed.ncbi.nlm.nih.gov/28853910/

    https://pubmed.ncbi.nlm.nih.gov/16507475/

    https://pubmed.ncbi.nlm.nih.gov/24671262/

    https://pubmed.ncbi.nlm.nih.gov/25156996/

    https://pubmed.ncbi.nlm.nih.gov/16685044/

    https://pubmed.ncbi.nlm.nih.gov/22591295/

     

    Diuretic effect 

    Despite the fact that caffeine is a mild diuretic, you don't lose more fluid than you take in by drinking coffee, so it cannot dehydrate you.

    While we don’t count coffee towards our fluid targets for the day, it doesn’t throw you into the negatives. It’s a net-neutral sort of scenario. 

     

    Coffee and exercise performance

    The impact of coffee on exercise performance is related to caffeine’s impact on the CNS. It’s a stimulant meaning it enhances alertness, and also  reduces our perception of fatigue and our perception of effort. So you feel like you’re not working as hard, and also feel less tired. 

    Those that are most likely to benefit from caffeine are those involved in team or intermittent sports so basketball, footy etc, endurance sports and high intensity, short duration sports.

    How much do you need? 

    While research initially focused on high doses of caffeine, more recent research indicates that lower doses can provide similar performance benefits with less negative side effects. Around 1-3 mg caffeine per kg body weight are sufficient to improve performance (so for a 60kg athlete this equates to roughly 1-2 cups of coffee).

    Timing is also important - coffee reaches peak concentrations 1hr post intake and will generally last for 3-4hrs. The ideal time to down your coffee is 30-45mins pre-training and often black is best if you’re likely to be sensitive to exercising on a tummy full of milk.

    https://www.sportsdietitians.com.au/factsheets/supplements/caffeine/

    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5867441/

     

    Coffee and sleep

    We all know the joys of caffeine in perking us up, but does it affect our sleep? 

    The stimulating effects of caffeine from coffee last 3–5 hours, and depending on individual differences, about half of the total caffeine you consume remains in your body after 5 hours. It’s no surprise that consuming coffee too close to bedtime can cause sleeping problems. Most studies suggest avoiding caffeine for 6 hours prior to bed. 

    The good news is that a switch to tea in these 6 hrs, including green tea which contains about a third of the caffeine as coffee, will be helpful due to the presence of amino acid L-theanine, which has relaxing and calming properties. 

     

    Coffee and waking! 

    Studies have shown that the ideal time to drink coffee is around 203hrs after waiting.  This is because of our hormones. 

    As we wake up, a hormone called cortisol is at its highest. Cortisol is responsible for balancing our energy levels, blood pressure and how we respond to stress or danger. 

    So, drinking coffee when cortisol is already at its highest may not be giving you any additional energy. In fact, it may be making you feel more tired and stressed or anxious later in the day. 

    Science suggests waiting 2-3 hours after waking when cortisol is slowly declining to have your morning coffee for the most bang for your buck.

    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2257922/

    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2684472/

     

    Coffee naps

    Some research suggests that combining caffeine with naps is more energising than caffeine or sleep alone. Enter the coffee nap. The theory is that if you drink coffee (or anything caffeinated) before sleeping for a short period, you can boost your energy levels by increasing your brain’s capacity to receive caffeine. 

    This is related to caffeine competing with adenosine for receptors in your brain. 

    Adenosine is an organic compound whose derivatives are important for energy processes in the body amongst other things. Adenosine circulation increases when we feel tired and the act of sleep brings these levels down. But coffee might give us a double whammy by blocking some of the adenosine being registered in our brain. This can make us feel even less tired when we wake. 

    Most of the research suggests the best way to take a coffee nap is to have some caffeine right before taking a 15–20 minute nap (and no more than 30mins).

    https://pubmed.ncbi.nlm.nih.gov/9401427/

    https://pubmed.ncbi.nlm.nih.gov/14652086/

     

    Fun facts

    • Coffee is the world’s most valuable traded commodity next to petroleum.
    • Globally people consume about 2.25 billion cups of coffee every day.
    • Coffee beans are fruit pips and not beans.A coffee bean is  the pip inside the bright red fruit often referred to as a the coffee cherry or coffee berry. 
    • Millennials spend an average of $2008 oer year on coffee https://www.ngpf.org/blog/budgeting/question-of-the-day-how-much-do-millennials-spend-every-year-on-coffee/
    • Coffee grounds sprinkled on the ground around plants and the garden will stop snails and slugs from eating the plants.
    • Studies have found an association between regular moderate coffee consumption (2-4 cups per day) and a reduced risk of suicide. Go for less the 8 cups per day.   https://pubmed.ncbi.nlm.nih.gov/23819683/ https://pubmed.ncbi.nlm.nih.gov/31254722/
    • Scientists have successfully turned ground coffee into biodiesel, so one day coffee may be fuelling your car
    • laws of physics have proven that coffee with milk cools about 20% slower than black coffee - due to the colour. viscosity and rate of heat radiation. 
    • The Guinness World record holder for the "Oldest Cat Ever," a 38-year-old cat named Creme Puff - drank coffee every morning her whole life.

    Episode 37 - Tips for starting and progressing your nutrition career

    Episode 37 - Tips for starting and progressing your nutrition career

    Find and Fuel Your Fire Workshop

    Tickets via Eventbrite

     

    Getting a nutrition job is HARD! 

    The Dietetics Workforce Report 2018

    • There has been a 95% increase in dietetic grads over the last 7 years.
    • Grads in Vic ↑ from 65 to 127 per year from 2010 to 2016.
    • There is great concern that there is an oversupply of practitioners causing difficulties in new graduates finding positions and inhibiting movement for existing employees. 
    • Many grads are still seeking work up to 12 mths post graduation.
    • In this time, grads are driven to volunteering - but not always meaningful 
    • You are highly qualified. There is a significant need for your skills. We have an ageing population, chronic disease and dietitians provide such important prevention and management care
    • The report highlighted that Dietitians are highly qualified, however there are obvious gaps in business and professional skills in many courses. 
    • Despite working in a clinical role 30% of dietitians had no clinical supervisor.

    file:///C:/Users/laure/Downloads/Dietetics%20Workforce%20Report.pdf

    Potential career pathways 

    Clinical dietetics

    • Popular!
    • When we’ve advertised for grad jobs there have been >100 applicants. 
    • A quarter of organisations reported receiving >50 applicants for junior positions and advertisements were rare! 
    • Hard to get grad jobs 

    Consultancy and private practice

    • Often don’t graduate with skills for business set up and challenging to dive into sole practitioner position without prior experience. Requires ++ mentoring and supervision. 
    • Important for your own development but also for the reputation of the profession 

     

    Food service

    Media and marketing

    • Don’t expect to get here straight away - need some experience behind you 
    • Be responsible with what you put out into the world, social media etc. Don’t know what you don’t know. 

     

    Public health and nutrition

    Eventually policy, health promotion, advocacy

    • Often start as a public health dietitian, community dietitian

    Food industry

    • Consulting
    • Food analysis and product development, sensory evaluation
    • Food technology and science
    • Research 

     

    Nutrition research and education

    • Generally requires specialisation and smaller projects or honours, masters, PhD

    https://www.deakin.edu.au/exercise-nutrition-sciences/careers-in-nutrition-and-dietetics

    https://www.myhealthcareer.com.au/dietetics-career/

    Our tips

    • Volunteer meaningfully
    • Upskill 
    • Get a mentor - a meaningful one
    • Apply for everything - know your limits/hard passes
    • Apply well
    • Prepare for interviews 
    • Seek feedback - and actually be prepared to take it 

    Our upcoming workshops

    https://www.eventbrite.com/e/find-and-fuel-your-fire-student-early-dietitian-nutritionist-workshop-tickets-112762650122

    Wed 26th Aug at 6pm 

    Sun 29th aug at 2pm

    Topics to cover 

    How to land the job you want

    • Job application preparation
    • Interview (including phone/video interview) preparation 
    • Setting yourself apart 
    • What NOT to do! 
    • Volunteer / work experience opportunities
    • Professional development 

    Finding your career niche / Progressing your career 

    • Specialising 
    • Quality projects opportunities in nutrition 
    • Education opportunities in nutrition 
    • Research opportunities in nutrition 
    • Conference / presentation opportunities 

    Supervision and mentoring

    • Finding the right supervisor

    Innovation in dietetics  

    • Identifying gaps
    • Pitching your idea
    • Introduction to grants and proposals 

    Delivery 

    • Online 
    • 2hr workshop 
    • 2 sessions - one evening, one weekend 
    • ‘Take home’ toolkit of resources