University of Jordan
Faculty of Agriculture
Department of Nutrition and Food Technology /

Course title: Diet Therapy (1)

Course number: 0603451

Prerequisite (s): Human Nutrition (0603332) & Introductory Dietetics (603353)

Credit hours: 3 credit hours

Term: Spring 2012/2013

Classes:

Lectures: (8 – 9) Mon. and Wed.

Laboratory : Wed. (12.30 – 15.30) and (15.30 – 18.30)

Instructor: Prof. Hamed Takruri Room # Phone Ext.

Course description

Application of nutritional and dietetic principles in diseases which respond to diet therapy; the diseases included in this course are diseases of inborn errors of metabolism, diseases of gastrointestinal tract, liver and pancreas, obesity and diabetes mellitus. The practical part includes selected case studies in these diseases with related dietetic applications.

Learning outcomes/objectives

After finishing this course, the student is expected to:

1-  Recognize different hospital diets and their use in different disease situations.

2-  Know the role of dietician in nutritional counseling and fighting faddism.

3-  Assess nutritional status in selected disease.

4-  Recognize the etiologies, diagnosis tools, signs and symptoms and prognosis of selected diet-related diseases.

5-  Apply nutritional and dietetics principles in planning appropriate diets in selected cases of the following diseases: Inborn errors of metabolism, GIT diseases, hepatic and pancreatic diseases and diabetes mellitus, as well as in weight management and control of obesity.

Grade distribution and exam time*

Exam / % / Date
Midterm Exam / 30
Midterm Exam/lab. / 10
Quizzes & assignments / 10
Final / 50

Learning Resources

Required text (s)

1- Mahan L.K. and Escottstump, S.. (2012), Food, Nutrition and Diet Therapy,

13th edition, W.B., Saunders Co., Philadelphia.

2- Takruri, H.R. & Tayyem, R. F. (2009). Selected Case Studies in Clinical

Nutrition,2nd Edn. Dar-Almanahij, Amman.

Recommended references

1.  Shils, M. E. et al. (2006). Modern Nutrition in Health and Disease, 5th edition. Lea and Febiger, Philadelphia.

2.  Schlenker, E.D and Roth, S.L.( 2011).William's Essentials of Nutrition and

Diet Therapy. 10th edition. Mosby.

3.  American Dietetic Association (ADA) and American Diabetic Association (2008). Choose Your Foods: Exchange Lists for Diabetes, ADA Chicago.

4.  DeBruyne, L. K, Pinna, K. and Whitney. E. N.(2012). Nutrition and Diet Therapy, 8th ed. Wadsworth, Belmont, USA.

5.  عبد الرحمن المصيقر.(2007). أسس التغذية العلاجية، ط2 دار القلم. دبي

6.  جلال المخللاتي (2006) دليل تغذية المرضى في المستشفيات ط 2 دار الشروق .عمان.

7.  هبة بوادي وحامد التكروري وآخرون.(2009). نظام بدائل الأغذية للمأكولات الشائعة في

المجتمع الأردني والعربي، دار الشروق، عمان.

8.  Selected internet sites (to be given as handouts).

1- www.hwa.ca

2- www.eatright.com

3- www.faseb.org/ascn

4- www.nutritiongate.com

5- www.esdrnetwork.org

6- www.pkunetwork.org

7- www.nhlbi.nih.gov/hbp/prevent/h_eating/h_eating.htm

8- www.gastro.org

9- www.gerd.com

10-www.niddk.nih.gov

Course Content

No. Lectures

Week Topic

1. Introduction to the course 2

a – Course contents

b – The dietitian as a member in the health care team.

c- Hospital diets

2-3. Dietary planning and assessment of nutritional status: 3

* Applications in hospital patients

* Education and counseling

3-4. Genetic diseases of infancy 4

* Phenylketonuria * Tyrosinosis

* Galactosemia * Maple syrup urine disease

* Glycogen storage disease * Dental caries & other diseases

Gastrointestinal Diseases

5-6. A. Gastrointestinal diseases & malabsorption problems

common in infancy 4

*cystic fibrosis *celiac disease

*diarrhea *vomiting

*constipation *cleft lip and palate

6-8. B. Gastrointestinal diseases, cont'd 4

* Gastroesopgageal reflux disease (GERD)

* Hiatal hernia

* Peptic ulcer

* Ulcerative colitis and Crohns’ diseases

* Irritable bowel syndrome (IBS)

* Short bowel syndrome (SBS)

* Diverticulosis, hemorrhoids and other GIT diseases.

8. MIDTERM EXAM 1

9-10. Diseases of liver and gallbladder: cholecystitis, cholelithiasis, hepatitis,

cirrhosis, hepatic coma. 4

11-12. Pancreatic diseases: Acute and chronic pancreatitis 2

12-13. Obesity and weight management 4

13-15. Diabetes mellitus 4

Final Exam

PRACTICAL SESSIONS
Week Topic

1. Introduction to the course

The dietetic profession in Jordan and other countries

2. a. Planning and evaluation of diets using dietary guides and exchange lists:

-Applications in hospital patients -Education and counseling

b. Assessment of nutritional status of patients using:

-  dietary data

-  anthropometric data

-  biochemical data

-  clinical data

3. A- Visit to a hospital

a-  Catering in the hospital

b-  Introduction to hospital diets

c-  Role of the dietician

4. Faddism: Effect on health and financial status.

5. Child with phenylketonuria

6. Child with gluten enteropathy (celiac disease)

7. A patient with duodenal ulcer

8. A case of ulcerative colitis and ileostomy, Short-term use of total

parenteral nutrition (TPN)

9. MIDTERM EXAM

10. A patient with infectious hepatitis

11. A patient with alcohol cirrhosis and encephalopathy

12. Eating disorder in a woman with obesity.

13. A patient with noninsulin-dependent diabetes mellitus

(NIDDM) ,hypertension and gallbladder stones.

14. A case of insulin-dependent diabetes mellitus (IDDM)

15. FINAL EXAM

2