{"id":2999,"date":"2020-09-15T09:52:05","date_gmt":"2020-09-15T00:22:05","guid":{"rendered":"http:\/\/blogs.flinders.edu.au\/student-health-and-well-being\/?p=2999"},"modified":"2020-09-15T09:52:05","modified_gmt":"2020-09-15T00:22:05","slug":"a-whole-food-plant-based-diet-part-2","status":"publish","type":"post","link":"https:\/\/blogs.flinders.edu.au\/student-health-and-well-being\/2020\/09\/15\/a-whole-food-plant-based-diet-part-2\/","title":{"rendered":"A whole-food, plant-based diet &#8211; part 2"},"content":{"rendered":"<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400\">You may have seen, from a post I did a little while back that I am moving to a <\/span><a href=\"https:\/\/blogs.flinders.edu.au\/student-health-and-well-being\/2020\/08\/31\/a-whole-food-plant-based-diet-lets-go\/\"><span style=\"font-weight: 400\">whole-food, plant-based diet<\/span><\/a><span style=\"font-weight: 400\">. Actually, a bit broader than that, I am becoming a vegan.<\/span><\/p>\n<p><span style=\"font-weight: 400\">It is worth taking a moment to make the distinction between the two. The first (whole-food plant based diet) is an eating plan &#8211; one which (not surprisingly) involves eating mostly or all plant-based foods and where possible, foods with minimal processing. You can be on a whole-foods plant-based diet, but not necessarily a vegan &#8211; as you might still have small amounts of dairy or meat or other animal products (e.g. honey) in the diet. There is good evidence that <\/span><a href=\"https:\/\/www.health.harvard.edu\/staying-healthy\/the-right-plant-based-diet-for-you\"><span style=\"font-weight: 400\">whole-food, plant-based diets are healthy<\/span><\/a><span style=\"font-weight: 400\"> and they are increasingly discussed in the <\/span><a href=\"https:\/\/eatforum.org\/\"><span style=\"font-weight: 400\">context of being good for the environment<\/span><\/a><span style=\"font-weight: 400\"> as well.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">The second (veganism) is \u201c<\/span><a href=\"https:\/\/www.vegansociety.com\/go-vegan\/definition-veganism\"><span style=\"font-weight: 400\">a way of living which seeks to exclude, as far as is possible and practicable, all forms of exploitation of, and cruelty to, animals for food, clothing or any other purpose<\/span><\/a><span style=\"font-weight: 400\">\u201d. Veganism stretches beyond just what we eat, to include any setting in which animals are exploited or used for human benefit. For example, vegans eschew clothes made from animal products or visiting zoos where animals are displayed for entertainment. Vegans eat a wholly plant-based diet, but not all vegans are eating a <\/span><b>whole-foods<\/b><span style=\"font-weight: 400\">, plant-based diet. In fact you could be a vegan and live on potato chips and lemonade (#lifegoals).\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Thus one is a choice for health. The other is a choice for ethics and the environment. I am hoping, over the next couple of years to achieve both a healthy, whole-food, plant-based diet and a vegan lifestyle.\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">I\u2019ve decided to blog the process because there are many valuable health, wellbeing, ethical and environmental lessons to be learned in this space. I know, because I am learning them everyday. I hope that by sharing my experiences, that others might be encouraged to think about their own nutrition and the relationship between personal ethics and wellbeing.\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">The part of the transition process I am focusing on at the moment is the dietary part (whole-foods, plant based), as it is the most challenging part for me, because I come to this space with a number of health problems:<\/span><\/p>\n<ol>\n<li style=\"font-weight: 400\"><a href=\"https:\/\/www.nationaleatingdisorders.org\/learn\/by-eating-disorder\/other\/orthorexia\"><span style=\"font-weight: 400\">Orthorexia <\/span><\/a><span style=\"font-weight: 400\">&#8211; is \u201ca<\/span><i><span style=\"font-weight: 400\">n eating disorder that involves an unhealthy obsession with healthy eating<\/span><\/i><span style=\"font-weight: 400\">\u201d. I\u2019ve spent years obsessing about food and nutrition and not in a way that has made me healthier. Because a whole-foods, plant-based diet is a way of eating that involves the restriction of food groups, I need to counter that restriction (which can lead to dysfunctional attitudes around food) with the exploration of new foods that I have not explored before.<\/span><\/li>\n<li style=\"font-weight: 400\"><a href=\"https:\/\/www.healthdirect.gov.au\/irritable-bowel-syndrome-ibs\"><span style=\"font-weight: 400\">Irritable Bowel Syndrome<\/span><\/a><span style=\"font-weight: 400\"> &#8211; is a somewhat embarrassing condition affecting the functioning of the bowel. I have struggled with it since my mid 20\u2019s. There are times I have got on top of it through dietary modifications (e.g. <\/span><a href=\"https:\/\/www.monashfodmap.com\/\"><span style=\"font-weight: 400\">FODMAP <\/span><\/a><span style=\"font-weight: 400\">diet) and medication (amitriptyline), but it has been a constant companion for a large chunk of my life.\u00a0\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><a href=\"https:\/\/rarediseases.info.nih.gov\/diseases\/6205\/cramp-fasciculation-syndrome\"><span style=\"font-weight: 400\">Cramp fasciculation disorder<\/span><\/a><span style=\"font-weight: 400\"> (CFD) &#8211; is a fairly rare neuromuscular condition characterised by muscle cramping and twitching. It is accompanied by muscle discomfort, pain and tiredness. I\u2019ve suspected that CFD is influenced by nutrition and I can identify a few triggers (e.g. caffeine), but I\u2019ve never truly worked out if it is manageable through nutrition.\u00a0<\/span><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400\">All three of these make the transition to a whole-foods, plants-based diet a little more challenging.\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Orthorexia means I have a tendency to get obsessed with food and dietary changes, which leads to stress, which leads to gastrointestinal symptoms, which leads to more obsession about food (and the cycle continues).\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">IBS means I tend to be a little phobic of different foods and also that moving to a very high fibre diet is likely to lead to increased symptoms.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">CFD means that I am constantly monitoring my body for signs and symptoms and then correlating that with my food choices.\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400\">\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">So I got a dietitian involved. Rebecca Greco, from <\/span><a href=\"https:\/\/www.nourishadl.com\/\"><span style=\"font-weight: 400\">Nourish Adelaide<\/span><\/a><span style=\"font-weight: 400\">.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">She\u2019s going to work with me to get the balance right. I had my first appointment with her two weeks ago.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">We covered a lot, but the main aim was to get an interim eating plan in place that would:<\/span><\/p>\n<ol>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Meet the criteria of being vegan &#8211; i.e. no animal products.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Provide the necessary combinations of carbs, protein, fats and nutrients necessary for good health. This is done by entering the diet into a software program and checking whether there are any nutrient deficiencies in the diet.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Be, as much as possible, centred around whole-foods, which are essentially foods that have undergone no, or very minimal processing.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Be low in FODMAPs, including the overall FODMAP load (aka portion sizes) to minimise IBS symptoms.\u00a0<\/span><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400\">The FODMAP requirements part is worth a bit of dedicated attention.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">One of the evidence-based treatments for IBS is a low-FODMAP diet. If you want to learn more, I suggest visiting &#8211; <\/span><a href=\"https:\/\/www.monashfodmap.com\/\"><span style=\"font-weight: 400\">https:\/\/www.monashfodmap.com\/<\/span><\/a><\/p>\n<p><span style=\"font-weight: 400\">The brief version is this, FODMAPs are types of sugar that <\/span><a href=\"https:\/\/www.monashfodmap.com\/about-fodmap-and-ibs\/\"><span style=\"font-weight: 400\">aren\u2019t properly digested or absorbed in the gut<\/span><\/a><span style=\"font-weight: 400\"> and can cause the symptoms of IBS.\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">The problem is FODMAPs are found in exactly the types of foods you start emphasising more in your diet when you switch to plant-based eating: vegetables, fruits, legumes, nuts and seeds.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">So it is a challenging balancing act, making sure you are eating enough of these foods to ensure appropriate nutrition, but not so much as the aggravate the IBS.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Between the two of us however we came up with a plan that meets all four criteria. I\u2019ve reproduced it below, but I don\u2019t suggest you try to copy it. Instead just notice the different facets. For example, whole foods are marked in <\/span><span style=\"font-weight: 400\">green<\/span><span style=\"font-weight: 400\"> and can be seen to be a fairly sizeable chunk of the diet. Foods marked in <\/span><span style=\"font-weight: 400\">blue <\/span><span style=\"font-weight: 400\">are those where nutrients like B12 and calcium can be obtained, especially for those on diets without animal products.\u00a0\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>Breakfast<\/b><\/p>\n<p><span style=\"font-weight: 400\">\u2018Healthy\u2019 cereal &#8211; low FODMAP certified<\/span><\/p>\n<p><span style=\"font-weight: 400;color: #0000ff\">Rice milk (fortified)<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>Morning snack<\/b><\/p>\n<p><span style=\"font-weight: 400;color: #0000ff\">Almond milk (fortified)<\/span><\/p>\n<p><span style=\"color: #008000\"><span style=\"font-weight: 400\">Strawberries<\/span><span style=\"font-weight: 400\">, <\/span><span style=\"font-weight: 400\">blueberries, walnuts, flaxseeds<\/span><\/span><\/p>\n<p><span style=\"font-weight: 400\">Dash of maple syrup<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>Lunch<\/b><\/p>\n<p><span style=\"font-weight: 400\">Low fodmap pasta<\/span><\/p>\n<p><span style=\"color: #008000\"><span style=\"font-weight: 400\">Spinach<\/span><span style=\"font-weight: 400\">,<\/span><span style=\"font-weight: 400\"> broccoli, herbs<\/span><\/span><\/p>\n<p><span style=\"font-weight: 400\">Flaxseed oil<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>Dinner<\/b><\/p>\n<p><span style=\"font-weight: 400\">Vegetable soup (<\/span><span style=\"font-weight: 400;color: #008000\">carrots, pumpkin, potato, tomato, eggplant, capsicum, oregano, basil, chickpeas<\/span><span style=\"font-weight: 400\">)<\/span><\/p>\n<p><span style=\"font-weight: 400\">Or\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Vegetable fry-up (<span style=\"color: #008000\">tofu<\/span><\/span><span style=\"font-weight: 400;color: #008000\">, beans, carrots, capscicum, sweet potato, pumpkin, broccoli, zucchini, brown rice, quinoa<\/span><span style=\"font-weight: 400\">)\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Oven fries (I love oven fries)<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>Snacks<\/b><\/p>\n<p><span style=\"font-weight: 400\">Fruit (<\/span><span style=\"font-weight: 400;color: #008000\">oranges, kiwifruit<\/span><span style=\"font-weight: 400\">)<\/span><\/p>\n<p><span style=\"font-weight: 400\">Crackers with <\/span><span style=\"font-weight: 400;color: #008000\">tahini<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>What are the next steps?<\/b><\/p>\n<p><span style=\"font-weight: 400\">The goal is that I stabilise on this diet for about 4 weeks.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Then we start exploring the process of introducing foods back in and see whether they exacerbate the IBS or CFS symptoms.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Foods that are particularly useful that I would like to get back into the diet (or dramatically increase their quantity) include alliums (e.g. garlic, onion) and beans\/legumes. Beans\/legumes, in particular, are key sources of protein and iron and other nutrients for those who don\u2019t eat meat.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">However, this will be a gradual process, consisting of a series of \u2018experiments\u2019 in which introduce foods back in and monitor my reaction to them.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">I\u2019ll blog those experiments as we do them, so you can get an idea of what it is like to do such diet experimentation, under the supervision of a health professional.\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>What should you take from this blog post?<\/b><\/p>\n<p><span style=\"font-weight: 400\">A shift to a whole-foods, plant-based diet is one that is beneficial in terms of health and the environment.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">However, the transition to such a diet should be done with some significant planning. This is especially the case if you have existing health conditions.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">A dietitian can assist in this process, as they can ensure your food choices are helping you meet necessary nutritional benchmarks, so the change in diet doesn\u2019t make you sicker.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Two useful apps that are helping me in the process include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">The <\/span><a href=\"https:\/\/www.monashfodmap.com\/ibs-central\/i-have-ibs\/get-the-app\/\"><span style=\"font-weight: 400\">Monash FODMAP app<\/span><\/a><span style=\"font-weight: 400\"> &#8211; alerting you the FODMAP content of common foods.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">The <\/span><a href=\"https:\/\/nutritionfacts.org\/daily-dozen-challenge\/\"><span style=\"font-weight: 400\">Daily Dozen app<\/span><\/a><span style=\"font-weight: 400\"> &#8211; outlining the core plant-based foods that everyone should be trying to get into their diet on a daily basis.\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400\">I don\u2019t recommend you follow specifically my nutrition plan, but I do hope, over the course of the next few months, you get an insight into what might need to be done to use nutrition to heal.\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>Coming up next<\/b><\/p>\n<p><span style=\"font-weight: 400\">In the next blog post, I am going to address the issue of the confusing nutritional landscape in which we exist, in which we are bombarded with many different, and often contradictory messages about what we should be eating.\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>In the meantime\u2026\u2026..<\/b><\/p>\n<p><span style=\"font-weight: 400\">Follow Rebecca on Facebook for regular nutrition updates and tips &#8211; <\/span><a href=\"https:\/\/www.facebook.com\/nourishadl\"><span style=\"font-weight: 400\">https:\/\/www.facebook.com\/nourishadl<\/span><\/a><\/p>\n<p><span style=\"font-weight: 400\">Also, we (Rebecca and I) are gearing up to run a workshop on plant-based nutrition for students (don\u2019t worry, we aren\u2019t asking anyone to go vegan). But the workshop will cover healthy nutrition, eating plans that are good for the environment and eating plans that are good for the wallet. There will be a small cost, but you\u2019ll get some food included. If this sounds interesting to you, register your interest by emailing <\/span><a href=\"mailto:gareth.furber@flinders.edu.au\"><span style=\"font-weight: 400\">gareth.furber@flinders.edu.au<\/span><\/a><span style=\"font-weight: 400\"> with the subject line \u2018<\/span><i><span style=\"font-weight: 400\">nutrition workshop for students<\/span><\/i><span style=\"font-weight: 400\">\u2019. <\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; You may have seen, from a post I did a little while back that I am moving to a whole-food, plant-based diet. Actually, a bit [&hellip;]<\/p>\n","protected":false},"author":492,"featured_media":3000,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9983],"tags":[11543,11477,11476,11544],"class_list":["post-2999","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-nutrition","tag-plant-based","tag-vegan","tag-whole-food-plant-based-diet","tag-whole-food"],"post_mailing_queue_ids":[],"_links":{"self":[{"href":"https:\/\/blogs.flinders.edu.au\/student-health-and-well-being\/wp-json\/wp\/v2\/posts\/2999","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.flinders.edu.au\/student-health-and-well-being\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.flinders.edu.au\/student-health-and-well-being\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.flinders.edu.au\/student-health-and-well-being\/wp-json\/wp\/v2\/users\/492"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.flinders.edu.au\/student-health-and-well-being\/wp-json\/wp\/v2\/comments?post=2999"}],"version-history":[{"count":0,"href":"https:\/\/blogs.flinders.edu.au\/student-health-and-well-being\/wp-json\/wp\/v2\/posts\/2999\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/blogs.flinders.edu.au\/student-health-and-well-being\/wp-json\/wp\/v2\/media\/3000"}],"wp:attachment":[{"href":"https:\/\/blogs.flinders.edu.au\/student-health-and-well-being\/wp-json\/wp\/v2\/media?parent=2999"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.flinders.edu.au\/student-health-and-well-being\/wp-json\/wp\/v2\/categories?post=2999"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.flinders.edu.au\/student-health-and-well-being\/wp-json\/wp\/v2\/tags?post=2999"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}