nutrition and PT

Nutrition importance

• injury/chronic disease

• Incomplete recovery

• Overall health, wellness, and QOL reduction

Chronic disease diet related

Obesity, CVD, diabetes, cancers

Proper diet can reduce what

Chronic disease

Macronutrients

• carbs

• Fats

• Proteins

• Water

Micronutrients

Vitamins, minerals

Primary, secondary, and tertiary prevention conditions managed by PTs

Diet and nutrition

Is it within PT scope to provide info on diet and nutritional issues to patients, clients, and the community

Yes — according to APTA

Is it within PT scope of practice to prescribe a specific meal plan/maco/micronutrient prescription

No

Is it within a pt scope of practice to give guidance around meals and general macro intake advice

Yes

Is it within a pt scope of practice to prescribe specific supplements, vitamins, etc, including dosage info

No

Is it within pt scope of practice to provide education on specific effects of supplements and their intended purposes

Yes

Is it within a pt scope of practice to give nutrition prescription as a means to address chronic diseases?

No

Is it within a pt scope of practice to offer nutrition education as means to address chronic disease risk factors like coupling with changes in activity

Yes

What is the bottom line for nutrition with pt and patients

Get patients to understand the important role of nutrition combines with healthy activity levels to maximize health and wellness and improve QOL

Standard approach to malnutrition classification

No

What is malnutrition characterized by

• protein deficiency/energy deficiency

• Low energy

• Weight loss

• Poor recovery

• GI problems

Anorexia

Malnutrition disorder does not eat enough to meet daily needs

Bulimia

Eating disorder, binge eating followed by purging

Binge eating disorder

Malnutrition, eating large amounts, lone, fast consumption, post meal guilt, depression

RED-S

Energy availability, impaired metabolic rate, endocrine function, menstrual, bone health, immunity, cardio health, energy

Chronic disease factors

Poor nutrition and inadequate physical wellness

No optimal chronic disease risk factors

Poor nutrition and adequate physical wellness practices

Physical inactivity states need more

Protein