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Department of Clinical Nutrition

Clinical Nutrition is the branch of knowledge concerned with the diet and its effects on health, especially with the practical application of a scientific understanding of nutrition.

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Department Overview

The Department of Clinical Nutrition at Rela Hospital provides comprehensive nutrition support. Our services include everything from diagnosis and prevention to managing dietary modifications in patients. Our qualified dieticians use personalized dietary practices to provide our patients with complete nutritional therapy that improves their general health and well-being.

About The Department

Rela Hospital is proud to introduce its fully functional and well-equipped Clinical Nutrition. The main objective of this department is to offer disease-specific and nutritionally balanced diets to improve patients’ nutritional status and general wellness. Our Clinical Nutrition Department’s services center on assessment, therapeutic diets, and professional dietary advice.

Our department addresses a broad spectrum of nutritional challenges, including the double burden of malnutrition, which encompasses undernutrition and overweight issues in pediatric and adult patients. According to the World Health Organization (WHO), nutrition is a critical component of health and development. Better nutrition is linked to improved infant, child, and maternal health, stronger immune systems, safer pregnancy and childbirth, a lower risk of non-communicable diseases, and increased longevity.

At Rela Hospital, we aim to maximize these health benefits for you by providing you with complete and individualized nutritional care.

Diet Consultation Services

Under Clinical Nutrition consultation services, the patient’s 24-hour diet recall is taken, and the diet is modified following the patient’s dietary habits and disease-specific requirements. The diet prescribed is written and given to the patient/relative. The patient and the patient’s relatives are educated about the specific diet prescribed to meet the realistic goals established.

The diet consultation provides services to all age groups, including Pediatrics, Adults, and Geriatrics. Patients are counseled regarding diet in all Medical and Surgical Specialties, such as:

General Diet Plans

Healthy balanced diet

A healthy balanced diet includes a complete wholesome meal including whole grain pulses with a good amount of vegetables, nuts and seeds completed  by fruit and curd with less of sugars and oil for seasonings ,salt for taste.

Keto diet

The Ketogenic diet is a low-carbohydrate, high-fat, and normal-protein diet. Due to the low carbohydrate intake, the body starts using fat as an energy source in the form of ketone bodies, which are effective for seizures and weight loss.

Low carbohydrate diet for pre-diabetic individuals

A low carb diet is individualized with sources such as vegetables, fruits, pulses & whole grains. The protein intake is maximized to 25% of calories to prevent conversion of dietary protein to energy. Extra fibre is suggested to reduce calorie density & promote satiety.

Underweight and overweight management

Being underweight may also indicate poor nutrition. Gaining weight safely is important and includes eating more nutrient-dense foods and consuming enough high-quality proteins.

Anti-ageing diet

Diabetes Management

Diabetes type 1 diets

There’s no specific “diabetes diet,” but eating a nutritious, low-fat, high-fiber diet is recommended.

  • Adjust your insulin dose according to the carbohydrates you consume.
  • Monitor your blood sugar levels regularly.
  • Maintain a healthy body weight through balanced eating and regular exercise.
  • Learn to count carbohydrates in your meals to ensure you administer the correct amount of insulin, allowing your body to use the carbohydrates properly. A registered dietitian can help you create a personalized meal plan.

Diabetes type 2 diets

Type 2 diabetes results from high blood sugar levels due to either insufficient insulin production or the body’s resistance to insulin.

  • Over time, high blood sugar can lead to complications such as heart attacks, strokes, and problems with your eyes, kidneys, and feet.
  • Focus on healthy eating, making the right food choices, and maintaining a healthy weight.
  • Stay active and schedule regular health check-ups to manage your condition effectively.

Cardiac Health

Cardiac diet

Include a wide variety of fruits and vegetables, whole grains, and healthy sources of protein such as legumes, fish, and seafood.

Renal Health

Renal diet

  • Buy fresh food often: Sodium (a part of salt) is added to many prepared or packaged foods found at supermarkets or restaurants.
  • Cook from scratch: Prepare your own meals instead of relying on prepared, fast foods, frozen dinners, or canned goods, which tend to have higher sodium levels. When you cook at home, you control the ingredients.
  • Use spices and herbs: Replace salt with sodium-free seasonings, spices, and herbs for flavor.
  • Check nutrition labels: Look for sodium on the Nutrition Facts label. A Daily Value of 20% or more indicates the food is high in sodium.

Renal calculi (kidney stones)

Nephrotic syndrome

Acute Kidney Injury (AKI)

Chronic Kidney Disease (CKD)

Dialysis nutrition

Gastrointestinal Health

Diets for gastrointestinal diseases

Ulcer/Gastritis

Gastroesophageal reflux (GERD)

Pancreatitis

Celiac disease

Ulcerative colitis

Crohn’s disease

Gut health

Gut health is influenced by many factors, including diet, environment, antibiotic use, stress, sleep, and genetics.

To support gut health, focus on consuming foods rich in fiber, fermented foods, probiotics, polyphenols, and adequate fluids. Additionally, reduce the intake of processed, sugary, and high-fat foods.

Liver Health

Liver health diet

Fatty liver diet

Cirrhosis diet

Advanced liver disease (cirrhosis) is often associated with muscle and body fat loss. It is very important to recognize malnutrition in patients with liver failure in order to address and resolve it.

End-stage Liver Disease (ESLD)

Post-liver transplant diet

Specialized Nutrition

Bariatric nutrition

Eat balanced meals in small portions.

Follow a diet low in calories and adequate in protein.

Keep a daily record of your food portions, as well as your calorie and protein intake.

Eat slowly and chew small bites of food thoroughly.

Avoid sugar, sugar-containing foods, beverages, concentrated sweets, and fruit juices.

Cancer nutrition

Heart disease nutrition

Epilepsy (Keto diet)

Home tube feeding

Critical Illness: Critical illness is associated with catabolic stress, and patients are often unable to meet adequate caloric intake through oral consumption. Therefore, tube feeding is required to prevent malnutrition and associated complications.

Home parenteral/IV nutrition

People whose digestive systems cannot absorb or tolerate enough food orally may require parenteral nutrition. When administered at home, this is referred to as home parenteral nutrition. It may be necessary for weeks, months, or even for life in some cases, such as with short bowel syndrome, ischemic bowel disease, cancer, or Crohn’s disease.

Pediatric Nutrition

  • Preterm nutrition
  • Underweight and overweight management in children

Fertility Nutrition

A few natural approaches, including certain eating habits and lifestyle strategies, may help increase fertility.

If you have ongoing challenges with fertility, it’s important to talk to a healthcare professional. There may be an underlying cause or contributing factor that requires nutritional intervention, and dietary changes may help boost fertility.

Inborn errors of metabolism

Congenital metabolic disorders occur in 1 in 2,500 births. These diseases involve the failure of metabolic pathways responsible for the breakdown or storage of carbohydrates, fatty acids, and proteins.

Carbohydrate Metabolism Disorders:

  • Fructose metabolism disorders: Children with this disorder should avoid dietary fructose and sucrose, which are found in fruits, table sugar (sucrose), and infant formulas containing sucrose.
  • Galactosemia: This condition is usually caused by a defective component in the galactose metabolism pathway. When galactose is consumed (e.g., in milk), galactose-1-phosphate accumulates.
  • Glycogen storage diseases (GSD): Glycogen is broken down into glucose during starvation or when the body needs extra energy. Glycogen breakdown disorders in the liver cause GSD types III, IV, VI, and IX.
  • Other carbohydrate metabolism disorders.

Amino Acid/Protein Disorders:

  • Phenylketonuria (PKU)
  • Type 1 Tyrosinemia (HT-1)
  • Glutaric Aciduria Type 1 (GA-1)
  • Isovaleric Aciduria (IVA)
  • Methylmalonic Aciduria and Propionic Aciduria (MMA/PA)
  • Classical Homocystinuria (HOM)
  • Maple Syrup Urine Disease (MSUD)
  • Urea Cycle Disorders (UCD): A low amino acid/protein diet is the principal treatment for inherited amino acid disorders (IMDs).

Fatty Acid Oxidation Disorders (FAODs):

These disorders involve the fatty acid transport using the carnitine transport pathway. Children with medium-chain acyl-CoA dehydrogenase deficiency (MCAD) are treated by administering carnitine and avoiding excessive fat intake.

Women’s Health

Pregnancy

A mother should be healthy and well-nourished to provide vitamins, minerals, fats, and energy in appropriate quantities for her own health and the child’s growth. The BMI should be between 18.5 and 23 at the time of conception. BMI values between 23 and 27.5 indicate overweight, while those greater than 27.5 indicate obesity. Obese individuals should consult a dietitian.

PCOS diet

Polycystic ovary syndrome, or PCOS, is an endocrine (hormonal) condition that can cause multiple ovarian cysts, abnormal hair growth, inflammation, and other symptoms. A well-balanced diet emphasizing non-starchy vegetables, fruits, lean proteins, healthy carbohydrates, and low-fat dairy can help people with PCOS improve their health and prevent complications.

Bone Health

Diets for bone health

Good sources of calcium include dairy products, almonds, broccoli, kale, fish  like  salmon with bones, sardines and soy products, such as tofu.

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