Promoting healthy eating practices is key to reducing the risk and the incidence of chronic disease. Patients today are inundated with nutrition information, but unfortunately much of it is not medically sound.
Promoting healthy eating practices is key to reducing the risk and the incidence of chronic disease. Patients today are inundated with nutrition information, but unfortunately much of it is not medically sound. Physicians have a unique opportunity to provide patients with reliable information and resources that are appropriate for their individual needs, and to emphasize the importance of nutrition for improving health.
Here are some useful nutrition resources that are easily accessible:
Dietitian Services at HealthLink BC
Easy-to-use nutrition handouts containing information from the most current scientific sources. Physicians can call 8-1-1 to speak to a registered dietitian from Monday to Thursday, 8 a.m. to 8 p.m. and on Friday from 8 a.m. to 5 p.m. Patients can contact a registered dietitian for healthy eating advice by calling 8-1-1 or visiting www.healthlinkbc.ca/healthyeating/emaildietitian.html.
Healthy Families BC
Healthy Families BC, an initiative of the Ministry of Health, is a reliable, evidence-based resource where British Columbians can access a wide range of multimedia resources including articles, videos, and interactive features to support healthy food choices.
The Healthy Family BC website has tools to help patients reduce dietary sodium intake—a central strategy for reducing and preventing hypertension, stroke, heart disease, and kidney disease. We know that some sodium in our diet is necessary, but many British Columbians consume more than double the required amount. Here are some resources to help your patients achieve the 1500–2300 mg Health Canada target:
• Sodium Sense: www.healthyfamiliesbc.ca/sodium-sense. An interactive tool that challenges visitors to select food items for meals and snacks, keeping within the daily sodium recommendation.
• Educational articles: www.healthyfamiliesbc.ca/home/articles/topic/sodium. Topics include salt basics, tips to lower dietary sodium, reading food labels, and appropriate salt consumption for kids.
• Social media and blogs: Healthy eating blogs on sodium reduction, as well as other topics, are posted by HealthLink BC Dietitian Services twice each week.
Reducing consumption of sugary drinks is another important nutritional focus. Obesity continues to rise and sugary drinks can be a big contributor to the problem. To encourage your patients to avoid sugary beverages, you can refer them to the following resources on the Healthy Families BC website:
• Sugary Drink Sense: www.healthyfamiliesbc.ca/home/articles/sugary-drinks-how-much-sugar-are-.... This is an awareness tool that measures the amount of sugar in some common sugary drinks by the number of sugar cubes.
• Educational articles: www.healthyfamiliesbc.ca/home/articles/topic/sugary-drinks. Topics include switching to healthier beverages, sugary drink myth-busters, reading labels, and sugary drinks and kids.
With over 10000 different items to choose from in the average grocery store, it can be challenging to make healthy, budget-wise food choices. Healthy Families BC has a great resource to help patients make healthy decisions while shopping for groceries:
• Shopping Sense and the Virtual Grocery Store: www.healthyfamiliesbc.ca. The link to the Virtual Grocery Store, found at the bottom of the webpage, takes users to a virtual shopping experience where they can learn from a registered dietitian how to read food labels, choose healthier fats, and increase their fibre intake, as well as other important healthy eating and safe food handling tips:
Fact Sheet Generator
This website was developed by Dietitians of Canada in collaboration with the BC Ministry of Health to enable health care professionals to customize and print their own fact sheets on topics such as how to reduce sodium and sugary drink consumption. Coming 31 March 2013 there will be new fact sheets promoting healthy weights for parents and teens as well as on nutrition for babies and toddlers (0 to 24 months).
We hope that being aware of these resources and tools will help empower physicians to discuss nutrition with their patients. There is an overwhelming amount of nutritional misinformation in the popular media. As your patients’ physician, don’t miss the opportunity to help guide them to credible resources.
—Kathleen Cadenhead MD
Chair, Nutrition Committee
—Margo Sweeny, MD
—Margaret Yandel, RD
—Helen Yeung, RD
Special thanks to Lynda Corby, MSc, MEd, RD, FDC for help in preparing resource article background information.
This article is the opinion of the Council on Health Promotion and has not been peer reviewed by the BCMJ Editorial Board.
Brown IJ, Stamler J, Van Horn L, et al. Sugar-sweetened beverage, sugar intake of individuals, and their blood pressure: International study of macro/micronutrients and blood pressure. Hypertension 2011;57:695-701.
Korda H, Itani H. Harnessing social media for health promotion and behavior change. Health Promot Pract. Published online 10 May 2011. Accessed 26 Sept 2012. http://hpp.sagepub.com/content/early/2011/05/10/1524839911405850.abstrac....
Malik, VS, Popkin BM, Bray GA, et al. Sugar-sweetened beverages, obesity, type 2 diabetes mellitus, and cardiovascular disease risk. Circulation 2010;121:1356-1364.
Vartanian LR, Schwartz MB, Brownell KD. Effects of soft drink consumption on nutrition and health: A systematic review and meta-analysis. Am J Pub Health 2007;97:667-675.
Above is the information needed to cite this article in your paper or presentation. The International Committee
of Medical Journal Editors (ICMJE) recommends the following citation style, which is the now nearly universally
accepted citation style for scientific papers:
Halpern SD, Ubel PA, Caplan AL, Marion DW, Palmer AM, Schiding JK, et al. Solid-organ transplantation in HIV-infected patients. N Engl J Med. 2002;347:284-7.
About the ICMJE and citation styles
The ICMJE is small group of editors of general medical journals who first met informally in Vancouver, British Columbia, in 1978 to establish guidelines for the format of manuscripts submitted to their journals. The group became known as the Vancouver Group. Its requirements for manuscripts, including formats for bibliographic references developed by the U.S. National Library of Medicine (NLM), were first published in 1979. The Vancouver Group expanded and evolved into the International Committee of Medical Journal Editors (ICMJE), which meets annually. The ICMJE created the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals to help authors and editors create and distribute accurate, clear, easily accessible reports of biomedical studies.
An alternate version of ICMJE style is to additionally list the month an issue number, but since most journals use continuous pagination, the shorter form provides sufficient information to locate the reference. The NLM now lists all authors.
BCMJ standard citation style is a slight modification of the ICMJE/NLM style, as follows:
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For more information on the ICMJE Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals, visit www.icmje.org