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Healthy Eating and Parkinson’s Disease

 

Aisling Snedker

Dietician

So what is healthy eating and how does it apply to people who have Parkinson’s?

As yet there is no specific diet for the treatment of Parkinson’s that is outside the current recommendations for healthy eating. You can be reassured that if you eat a wide variety and to the healthy eating guidelines, you will be supporting your health. If you have any additional conditions e.g. swallowing difficulties, diabetes, weight loss or high cholesterol and you have concerns about not being able to balance your diet you should request that your GP, Parkinson’s specialist nurse or Consultant refer you to the dietitian.

 

A food pyramid can used to demonstrate the 5 food groups and the proportions in which you should be consuming them.

 

With swallowing difficulties you should also see the Speech and language Therapist for assessment and advice.

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The following is a guide to how many portions you should have and what is considered a portion.

 

 

Fruit and vegetables provide essential vitamins, minerals, fluid and fibre and some of the all important antioxidants


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Portions – FRUIT AND VEGETABLES

Vitamins  & minerals

Tips

·        4 per day or more if possible

·        Eat fruit and vegetables at each meal

·        Small bowl of salad

·        2 tablespoons of raw, cooked, frozen or canned veg

·        1 medium carrot

·        1 small glass (150ml 0 fruit juice

·        1 medium piece of fruit

·        2-3 tablespoons of fruit salad, stewed or canned fruit in own juice

·        ½ Grapefruit

·        2 plums

·        6 strawberries

·        1 cupful or handful of grapes cherries or berries

·        1 tablespoon dried fruit

·        2-3 tablespoons beans peas or lentils.

·        Vit C

·        Carotenes

·        Folate

·        Fibre

·        Some carbohydrate

·        Potassium

·         

 

·        Frozen can be as good as fresh

·        Do not store fresh fruit or veg for long periods

·        Do not soak veg

·        Cook veg for as short a time as possible, preferably steamed.

 

 

·        Make sure you have a variety of different coloured fruit and veg


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Carbohydrate provides energy and wholemeal breads and pasta and brown rice add fibre to the diet, it is a good idea to alternate these with the white varieties

 

 

 

Portions - CARBOHYDRATES

Main nutrients

Tips

·        Eat at least 6 portions per day

·        1 egg size potato

·        1 small pita or chapatti

·        1 Bagel

·        3 tablespoons breakfast cereal if in flakes

·        1 whole wheat cereal biscuit

·        2 tablespoons cooked rice, pasta, or noodles

·        2 tablespoons couscous or polenta

·        2 tablespoons uncooked oats or muesli

·        3 crackers or crisp breads

·        Carbohydrate

·        Fibres

·        Some calcium

·        Iron

·        Copper

·        B vitamins

·        Vitamin E

·        Choose a mixture of white and wholegrain breads and cereals

 

 

Try to avoid refined carbohydrates which are found in cakes, biscuits, and sweet snack food.

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Meat fish and alternatives provide protein which is required for the structure, function, and regulation of the body's cells, tissues, and organs.

 

 

 

 

Portions – PROTEIN (MEAT, FISH)

Main nutrients

Tips

·        Have 2-3 portions per day

·        Quorn 75-100g 3-4 oz

·        Tofu 75-100g 3-4 oz

·        2-4oz (50-100g) red meat, poultry or oily fish

·        4-6oz white fish

·        1-2 eggs

·        3 tablespoons peas beans or lentils

·        2 tablespoons peanut butter or nuts

·        Protein

·        Iron

·        B Vits

·        Vit D

·        Zinc

·        Magnesium

·        Selenium

·        Copper

·        Omega-3 fish oils

·        Choose lean meat

·        Eat fish 2-3 times per week, mackerel, sardines or salmon

·        Drain fat from roasted meat


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Also remember to include fish 2-3 times per week and one portion should be oily. If you don’t like the oily fish then use a supplement of fish oil, flax or hemp oil under the supervision of your doctor.

 

 

Milk and dairy foods - at least 3 per day and more if you have or are at risk of osteoporosis or are Coeliac

 

 

Portions – MILK, DAIRY FOODS

Main nutrients

Tips

·        At least 3 per day and more if you have or are at risk of osteoporosis and are Coeliac

·        1/3 pint (200ml) semi skimmed milk

·        Small (6oz, 150g)

·        Pot yoghurt or fromage frais

·        1oz925g) matchbox size hard cheese

·        Small pot (4oz, 100g) cottage cheese

·        Calcium

·        Protein

·        Vit B112

·        Vit B 2

·        Vit A& D

·        Zinc

·        Choose semi skimmed or skimmed milk

·        Choose low fat cheeses and yoghurts

·        Try Soya substitutes fortified with calcium

·        Grate cheese rather then using chunks its goes farther.


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Fats & sugars Try to avoid having foods high in sugar and saturated fat. Some oil is desirable and beneficial in the diet so try to monounsaturated oil (e.g. olive oil) or polyunsaturated oil (e.g. sunflower) in cooking. Beneficial omega 3 and 6 oils can be included in the diet using a variety of oily fish and oils, flax, pumpkin, walnut and hemp are a few examples.

 

 

 

Claims on labels and what they mean

Reduced fat = 25% less

Low fat= no more than 3g per 100g/ml

Fat free = no more than 0.15g per 100ml/g

Reduced saturated fat=25% less

Low in saturated fat=no more than 1.5gper 100g/ml

Free of saturated fat= no more than 0.1g per 100g/ml

Low Calorie= no more than 40kcalper 100g/ml

Reduced sugar= 25% less

Low sugar= no more than 5g per 100g/ml

Sugar free= no more than 0.2g per 100g /ml

Reduced salt or sodium =25% less

 

 

Managing mild Constipation

Constipation is important to address as it not only makes you uncomfortable and unwell, it can also affect your appetite. These are some things to include regularly.

·       Medium to high fibre breakfast cereals, breads and grains

·       Drink lots of uncaffenated drinks, at least 8 glasses of fluid a day

·       Porridge is good as it already has the fluid in it.

·       Use wholemeal breads/ pasta brown rice

·       Increase your intake of fruit and vegetables,

·       Some people find Pre cracked golden Linseeds or psyllium husks useful you should use these according to the instructions on the pack.

·       Be as active as you are able to be

 

 

Weight loss

If you feel that you are losing weight you should request that your doctor refers you to see the dietitian for assessment and advice. Action should be taken immediately any difficulty with eating arises or weight drops even slightly. Weight is hard to regain and you should aim to prevent muscle wasting


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Some general guidelines

·       Eat small frequent meals and snacks every one to two hours. Your dietitian will advise you on what are good meals and snacks to have.

·       If you are prescribed Nutritional Supplements in liquid, drink or pudding presentation and you have not seen a dietitian then you must ask to see one. The rule is: if you need supplements because you can’t get everything you need from your diet then you need to see a dietitian

·       If you lose weight you might find that your dentures are not such a good fit any more. This can really affect your nutrition intake as it is uncomfortable. So if you are already struggling with your diet then keep dentures up to date

·       If your taste has changed try using strong flavours and spices. Up to 70% of taste is actually from aroma so make sure you try to smell the food before you start.

DISCLAIMER:
This dietary information is of a general nature. The information contained herein is not exhaustive and does not cover all aspects of diseases, ailments, physical conditions or their treatment. Aisling Snedker accepts no responsibility or liability whatsoever with regard to the dietary information on this site. In no way are any of the materials presented within this site meant to be a substitute for professional care or attention by a qualified medical practitioner, nor should they be construed as such. You are encouraged to consult with your own Doctor to discuss any course of treatment presented or suggested.
 


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