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Orthopathy


Orthopathy (from the Greek ortho- right- + pathos suffering,) or Natural Hygiene (NH) is a set of alternative medical beliefs and practices originating from the Nature Cure movement. Proponents claim that fasting, dieting, and other lifestyle measures are all that is necessary to prevent and treat disease.

Orthopathy is against most mainstream and alternative medical treatment, with the exception of surgery in certain situations, such as for broken bones and to remove a deadly secondary cause. Orthopathy has its roots in naturopathy and first emerged in the early nineteenth century.

Orthopathy is described by Natural Hygiene inventor Herbert M. Shelton as follows:

Disease action no less than health action, is right action; yet it occasions suffering because of adverse conditions that have been imposed upon the body. So, by the term Orthopathy we mean right suffering.

The orthopathy movement originated with Isaac Jennings, who, after practicing traditional medicine for 20 years in Derby, Connecticut, began formulating his ideas about it in 1822. Several other mostly later thinkers, including Sylvester Graham, likewise from Connecticut, influenced the movement or are considered important to it. Also, during the 1880s, Thomas Allinson developed his theory of medicine, which he called 'Hygienic Medicine.'

Shelton wrote much on the topic, beginning with The Hygienic System: Orthopathy in 1939, which renamed orthopathy as "Natural Hygiene".

Shelton distinguished the method of Nature Cure from other medical schools of thought of its time, including naturopathy, heliopathy (sun cure,) homeopathy, 'bio-chemic', and what Shelton called allopathy (mainstream medicine.)

Consumption of 'incompatible' foods in one meal is said to lead to ill health, and consumption of 'compatible' foods is said to maintain it: Shelton defined food combining and seven groups of food, sorted by function as: supplying energy (carbohydrates, fats, and proteins) needed to build the body (proteins, salts, and water) and regulating bodily processes (minerals, vitamins, and water.)



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Overeaters Anonymous


Overeaters Anonymous (OA) is a twelve-step program for people with problems related to food including, but not limited to, compulsive overeaters, those with binge eating disorder, bulimics and anorexics. Anyone with a problematic relationship with food is welcomed, as OA's Third Tradition states that the only requirement for memberships is a desire to stop eating compulsively.

OA was founded by Rozanne S. and two other women in January 1960. The organization's headquarters, or World Service Office, is located in Rio Rancho, New Mexico. Overeaters Anonymous estimates its membership at over 60,000 people in about 6,500 groups meeting in over 75 countries. OA has developed its own literature specifically for those who eat compulsively but also uses the Alcoholics Anonymous books Alcoholics Anonymous and Twelve Steps and Twelve Traditions. The First Step of OA begins with the admission of powerlessness over food; the next eleven steps are intended to bring members "physical, emotional, and spiritual healing."

OA defines compulsions as "any impulse or feeling of being irresistibly driven toward the performance of some irrational action." OA further defines compulsive overeating as a progressive, addictive illness. OA views compulsive overeating as a chronic condition and part of an attempt to alleviate psychological stress.

Like other twelve-step programs, OA sees compulsive eating as a threefold illness, symbolically understanding human structure as having three dimensions: physical, mental and spiritual. Compulsive eating manifests itself in each dimension. A book describing itself as based on OA methods states that in the mental dimension a compulsive eater is not "eating down" feelings, but rather expressing an "inner hunger."

To help potential members decide whether or not they need the program, OA provides a questionnaire, asking questions such as, "Do you give too much time and thought to food?" Answering "yes" to three or more of these questions is considered a good indication of problems with which OA may be able to assist.

“Abstinence in Overeaters Anonymous is the action of refraining from compulsive eating and compulsive food behaviors while working towards or maintaining a healthy body weight.” This concept of abstinence has been criticized for its lack of specificity. While in AA abstinence means not drinking alcohol, some argue that it is not possible to set out specific foods, because OA's experience is that different people have different food triggers (i.e. foods and food behaviors that cause them to eat compulsively). While it is often said that alcoholics don't have to drink, but compulsive eaters still have to eat, Overeaters Anonymous responds by pointing out that alcoholics do have to drink, but cannot drink alcohol, just as compulsive eaters do have to eat, but cannot eat foods which cause compulsive eating.



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Paleolithic diet


The Paleolithic diet (also called the paleo diet, caveman diet or stone-age diet) is based mainly on foods presumed to have been available to Paleolithic humans. Wide variability exists in the way the diet is interpreted. However, the diet typically includes vegetables, fruits, nuts, roots, meat, and organ meats while excluding foods such as dairy products, grains, sugar, legumes, processed oils, salt, and alcohol or coffee. The diet is based on avoiding not just modern processed foods, but rather the foods that humans began eating after the Neolithic Revolution when humans transitioned from hunter-gatherer lifestyles to settled agriculture. The ideas behind the diet can be traced to Walter Voegtlin, and were popularized in the best-selling books of Loren Cordain.

Like other fad diets, the Paleo diet is promoted as a way of improving health. There is some evidence that following this diet may lead to improvements in terms of body composition and metabolic effects as compared to the typical Western diet or as compared to diets recommended by national nutritional guidelines. Following the Paleo diet can lead to an inadequate calcium intake.

The digestive abilities of modern humans are different from those of Paleolithic humans, undermining the diet's core premise. Although little is known about the diet of Paleolithic humans, it is very likely that they consumed wild grains and legumes. During the 2.6 million year long Paleolithic era, the highly variable climate and worldwide spread of human population meant that humans were, by necessity, nutritionally adaptable; in contrast, supporters of the diet assume that human digestion has remained essentially unchanged over time.

The idea of a Paleolithic diet can be traced to a 1975 book by gastroenterologist Walter Voegtlin, which in 1985 was further developed by Stanley Boyd Eaton and Melvin Konner, and popularized by Loren Cordain in his 2002 book The Paleo Diet. The terms caveman diet and stone-age diet are also used, as is Paleo Diet, trademarked by Cordain.



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Pescetarianism


Pescetarianism /ˌpɛskəˈtɛəriənɪzm/ (also spelled pescatarianism) or pesco-vegetarianism is the practice of following a diet that includes fish or other seafood, but not the flesh of other animals. Most pescetarians maintain a lacto-ovo vegetarian diet with the addition of fish and shellfish.

"Pescetarian" or "pescatarian" is a neologism formed as a portmanteau of the Italian word ("fish") and the English word "vegetarian". The English pronunciation of both "pescetarian" and "pescatarian" is /ˌpɛskᵻˈtɛəriən/, with the same [sk] sound present in pescato (Italian: [peˈskaːto], derived from , the perfect passive participle of the Latin verb piscor meaning "to fish"), though not in the word pesce (Italian: [ˈpeʃʃe]).



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Plant-based diet


A plant-based diet is a diet based on foods derived from plants, including vegetables, whole grains, legumes and fruits, but with few or no animal products. The use of the phrase has changed over time, and examples can be found of the phrase "plant-based diet" being used to refer to vegan diets, which contain no food from animal sources, to vegetarian diets which include eggs and dairy but no meat, and to diets with varying amounts of animal-based foods, such as semi-vegetarian diets which contain small amounts of meat.

Many people who live on a plant-based diet are thought to do so out of economic necessity. As of 1999, it was estimated that "4 billion people live primarily on a plant-based diet", and that "shortage of cropland, freshwater, and energy resources requires that most of the 4 billion people live primarily on a plant-based diet".

Historically, examples can be found of the phrase "plant-based diet" being used to refer to diets with varying amounts of animal-based foods, from none at all (vegan) to small amounts of any kind of meat, so long as the primary focus is on plant-based foods (semi-vegetarian). The 2005 book, The China Study, by T. Colin Campbell, the Jacob Gould Schurman Professor Emeritus of Nutritional Biochemistry at Cornell University, and his son Thomas M. Campbell II, a physician, tended to equate a plant-based diet with veganism, although at points the book describes people having a "mostly" plant-based diet. Vegan wellness writer Ellen Jaffe Jones stated in a 2011 interview:

I taught cooking classes for the national non-profit, Physicians Committee for Responsible Medicine, and during that time, the phrase "plant-based diet" came to be used as a euphemism for vegan eating, or "the 'v' word." It was developed to take the emphasis off the word vegan, because some associated it with being too extreme a position, sometimes based exclusively in animal rights versus a health rationale.



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Polymeal


The Polymeal is a diet-based approach to combatting heart disease, proposed in December 2004 by Oscar Franco, a Colombian public health scientist at the University Medical Centre in Rotterdam, Netherlands. Franco and his colleagues suggest the "Polymeal" as a natural alternative to the "Polypill", a multi-drug-based strategy for reducing heart disease. The researchers used the same technique in the polypill paper: a statistical "meta-analysis" which combined the results of many previous studies. The paper, appearing in the BMJ's traditionally light-hearted Christmas issue, may be regarded as somewhat satirical, as noted in responses in the journal.

The study claims that adherence to the polymeal diet would delay the average onset of heart attack by nine years among men and by eight years among women. Because cardiovascular disease is the #1 cause of mortality in first-world nations, this delay of heart failure would increase the average lifespan of men by six years and women by 5.5 years.

The researchers combined several food items already known to reduce the risk of heart disease:


They suggest a person should consume, every day:

as well as 118 g of fish per day four times each week.

Since the Polymeal is based on principles of combating inflammation, this diet could be extended to the following foods:



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Preoperative fasting


Preoperative fasting is the practice of a patient abstaining from oral food and fluid intake for a time before an operation is performed. This is intended to prevent pulmonary aspiration of stomach contents during general anesthesia.

The main reason for preoperative fasting is to prevent pulmonary aspiration of stomach contents while under the effects of general anesthesia. Aspiration of as little as 30–40 mL can be a significant cause of suffering and death during an operation and therefore fasting is performed to reduce the volume of stomach contents as much as possible. Several factors can predispose to aspiration of stomach contents including inadequate anesthesia, pregnancy, obesity, difficult airways, emergency surgery (since fasting time is reduced), full stomach and altered gastrointestinal mobility. Increased fasting times leads to decreased injury if aspiration occurs.

In addition to fasting, antacids are administered the night before (or in the morning of an afternoon operation) and then once again two hours prior to surgery. This is to increase the pH (make more neutral) of the acid present in the stomach, helping to reduce the damage caused by pulmonary aspiration, should it occur. H2 receptor blockers should be used in high-risk situations and should be administered in the same timing intervals as antacids.

Gastroparesis (delayed gastric emptying) may occur and is due to metabolic causes (e.g. poorly controlled diabetes mellitus), decreased gastric motility (e.g. due to head injury) or pyloric obstruction (e.g. pyloric stenosis). Delayed gastric emptying usually only affects the emptying of the stomach of high-cellulose foods such as vegetables. Gastric emptying of clear fluids such as water or black coffee is only affected in highly progressed delayed gastric emptying.



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Portfolio diet


Portfolio Diet is a therapeutic vegetarian diet created by Canadian researcher David Jenkins in 2003 to lower blood cholesterol. This diet emphasizes using a portfolio of foods or food components that have found to associate with cholesterol lowering to enhance this effect. Viscous fiber, soy protein, plant sterols, and nuts are the four essential components of Portfolio diet. This diet is low in saturated fat, high in fibre. Researches have found it has comparable blood cholesterol effect to statin treatment.

Background

Heart disease is the leading cause of death in the United States. Several risk factors, such as high blood pressure, high blood cholesterol, overweight or obese, smoking, have been identified to promote the cardiovascular diseases. American Heart Association (AHA) and American College of Cardiology (ACC) have suggested life style management to control risk factors in order to reduce cardiovascular risk. One of the strategies is reducing dietary saturated fat intake to reduce blood low-density lipoprotein (LDL) which is considered as “bad” blood cholesterol. If dietary and life style management is ineffective, medication such as statin will be used to in conjunction to reduce blood cholesterol levels. Soy protein, nuts, viscous fibre, and plant sterols have been found to have cholesterol lowering effect. The U.S. Food and Drug Administration has approved health claim for these foods. David Jenkins believes including all of these foods in the diet is able to achieve better cholesterol lowering results.

Diet

Typical portfolio diet includes about 50 grams nuts, such as walnuts, peanuts, almond, 2 grams plant sterols, 10-25 grams viscous fibre, coming from oats, barleys, psyllium, and 50 grams soy protein per day.

Studies

The first Portfolio diet study was conducted in 2002. The study compared the effect of cholesterol lowering effect using the portfolio diet versus Lovastatin. This is a randomized control trial. 46 healthy individuals with high blood cholesterol levels were randomly assigned into one of three study groups: 1. Diet low in saturated fat (Control group) 2. Same diet as 1 plus statin 3. A diet high in plant sterols, soy protein, viscous fibre, almond (diet portfolio) for a month. LDL level was reduced significantly in both the statin group and the diet portfolio group. There is no significant difference in the efficacy between these two groups. It concluded that diet portfolio has comparable cholesterol-lowering effect to statin treatment.



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Pritikin Diet


The Pritikin Program for Diet and Exercise is a fad diet originally created by Nathan Pritikin. The 1979 book based on the diet became a best-seller and was entitled "The Pritikin Program for Diet and Exercise."

The book based on the diet became a best-seller on the New York Times Bestseller list and was entitled The Pritikin Program for Diet and Exercise, and was co-authored by Patrick M. McGrady. The recipes were written by June Roth.

Published by Grosset & Dunlap, the book sold more than 10 million copies in paperback and hardcover, and was on the New York Times Bestseller Top Ten list for more than 54 weeks.

In several studies published since 1975, scientists at UCLA and other research institutions have found the Pritikin Program effective in preventing the major diseases that afflict modern society, such as heart disease, type 2 diabetes, hypertension, and obesity. The Pritikin Program has been documented to improve cholesterol profiles better than cholesterol-lowering drugs like statins, and has also been found to lower blood sugars, normalize blood pressure, and shed excess weight.

The Pritikin Diet has been categorized as a fad diet with possible disadvantages including a boring food choice, flatulence, and the risk of feeling too hungry.



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Protein-sparing modified fast


A protein-sparing modified fast (PSMF) is a very low calorie diet with some protein, fluids, and vitamin and mineral supplementation. The diet is to last about eight months. While people often lose weight they frequently regain it afterwards.

PSMFs were first designed in the 1970s. Health concerns include dehydration being a health concern, hence fluids, vitamin and mineral (potassium, magnesium, sodium, and calcium) supplementation is mandatory and doctor's supervision is recommended. PSMF diets consist of foods that are naturally rich in good-quality protein and particularly extremely low in fats (chicken breast, extra lean beef, tuna, egg white, ham, cottage cheese) Several programs derived from the original PSMF have been created such as the Dukan Diet, incorporates resistance training to minimize or prevent LBM breakdown, and minimal to no aerobic exercise (typically restricted to walking a few times a week).

Complete fasting produces the largest possible calorie deficit of any diet. Long-term fasting, however, introduces multiple health risks which can lead to death. Even if major health problems are avoided, a complete fast results in the loss of muscle, organs, and other lean body tissue, while most dieters are only attempting to lose excess fat. This muscle-wasting effect is a natural consequence of a diet deficient in both calories and in protein.

A PSMF attempts to spare the dieter the health risks of a complete fast by introducing the minimum amount of protein necessary to prevent muscle-wasting effects, while still eliminating fats and carbohydrates. Typically, depending on activity level, .8-1.2 g per pound of lean body mass (not total body weight) is taken. Protein beyond this minimum amount is also eliminated, as the body would use it for energy. Further lean body mass (muscle, organs, etc.) are spared through resistance training and limiting aerobic activity.

For example, for a 225-pound male with 30% BF, and thus, 157.5 pounds of lean body mass and 67.5 pounds of fat, and weight trains three times a week, he would consume 1.0 g per lb of LBM * 157.5 lb of LBM = 157.5 g of protein which is 630 calories/day. With a fish oil supplemention (40 calories), and some minimal fat which is inherent in almost all foods, the total caloric intake could be around 800 calories/day. Protein powders are generally not recommended on this diet since whole foods lead to better satiety and this is an important factor on a very low calorie diet, though casein powder could be considered due to its ability to slow down digestion. Low calorie vegetables are required on the diet for the bulk, and fiber and carbohydrate-rich vegetables like corn, carrots, potatoes, etc. must be avoided on this diet. Any calorie-free fluids are permitted, including water, coffee, tea, and diet drinks.



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