Nutrition & Foodservice Edge Magazine - March/April 2024 - 16

DEEP DIVE: DISEASES OF THE
DIGESTIVE SYSTEM
intestine can include fecal
impaction, constipation,
polyps, diverticulitis, Crohn's
disease, and colorectal
cancer.
attacks these cells, preventing
the person from properly
absorbing the proteins in
gluten. The results include a
variety of symptoms such as
fatigue, malnutrition, bloating,
gas, and diarrhea. The only
treatment for celiac disease is
diet (Posner, 2019). The person
must completely avoid gluten
exposure. In the early stages,
before those villi have a chance
to regenerate, they may also
need to avoid lactose. Other
disease states that affect the small intestine include Crohn's
disease, colitis, and cancer.
After the 22-foot journey through the small intestine,
the fibers in your lunch (the fibers in your apple, lettuce,
tomato seeds, carrots) finally make it to the large intestine.
Fiber is the " last one standing " of the nutrients, as the
human digestive system cannot break it down into glucose
for energy. This is why we encourage people to increase
insoluble fiber for improved bowel health (Zikmund). The
large intestine is 5-feet of smooth tissue that pulls water
in to form feces and remove waste. Problems in the large
THE CDM, CFPP SCOPE
OF PRACTICE for the
Nutrition competency can
provide guidance as you work
with your interdisciplinary
team in your role.
What comes next is fecal
elimination out of the anus.
Problems with the anus
can include hemorrhoids
or fissures. Diets for
constipation (high fiber,
water) can help prevent
these issues, but not treat
them (Zikmund). " Pooping
problems " can be common
talk amongst some of our populations,
but other people do not feel as
comfortable discussing gas, their bowels,
or GI concerns in general. It is important
to " normalize potty talk " so we can
help the client with basic education
and referrals to the registered dietitian
nutritionist (RDN). Using resources like
the Bristol Stool Chart can assist with
these conversations. I often say " oh I talk
about poop all day " when someone seems
embarrassed to tell me about their GI
concerns.
For all aforementioned disease states, individualized
medical nutrition therapy with an RDN may be necessary.
The CDM, CFPP Scope of Practice for the Nutrition
competency can provide guidance as you work with your
interdisciplinary team in your role. See figure provided.
SUMMING IT UP
I hope you enjoyed traveling through our digestive system
with our lunch and picked up a few bites (or should we say
boluses?) along the way! E
KRISTIN KLINEFELTER, MS, RDN, LDN eatsmart@paulbunyan.net
Kristin Klinefelter has been talking about digestive health in clinical practice and education since
1998, and her kids really love Mrs. Frizzle.
16 NUTRITION & FOODSERVICE EDGE | MARCH-APRIL 2024

Nutrition & Foodservice Edge Magazine - March/April 2024

Table of Contents for the Digital Edition of Nutrition & Foodservice Edge Magazine - March/April 2024

Top 10 Strategies to Cultivate a Strong and Lasting Food Safety Culture
Navigating Food Safety Through the Seasons
Deep Dive: Diseases of the Digestive System
Top Tips for Attracting and Managing Gen Z Employees
2024 ACE Preview
Workforce Development is Always on the Menu in the Foodservice Industry
My Recipe for Success
Say the Magic Words...Sesame on the Scene
Building a Better Organization with DEI
ANFP Initiatives Give Us Much to be Excited About
Early Career CDM, CFPP
What CDM, CFPP Means to Me
CDM, CFPP Spotlights
Nutrition & Foodservice Edge Magazine - March/April 2024 - Cover1
Nutrition & Foodservice Edge Magazine - March/April 2024 - Cover2
Nutrition & Foodservice Edge Magazine - March/April 2024 - 1
Nutrition & Foodservice Edge Magazine - March/April 2024 - 2
Nutrition & Foodservice Edge Magazine - March/April 2024 - 3
Nutrition & Foodservice Edge Magazine - March/April 2024 - 4
Nutrition & Foodservice Edge Magazine - March/April 2024 - Top 10 Strategies to Cultivate a Strong and Lasting Food Safety Culture
Nutrition & Foodservice Edge Magazine - March/April 2024 - Navigating Food Safety Through the Seasons
Nutrition & Foodservice Edge Magazine - March/April 2024 - 7
Nutrition & Foodservice Edge Magazine - March/April 2024 - 8
Nutrition & Foodservice Edge Magazine - March/April 2024 - 9
Nutrition & Foodservice Edge Magazine - March/April 2024 - 10
Nutrition & Foodservice Edge Magazine - March/April 2024 - 11
Nutrition & Foodservice Edge Magazine - March/April 2024 - Deep Dive: Diseases of the Digestive System
Nutrition & Foodservice Edge Magazine - March/April 2024 - 13
Nutrition & Foodservice Edge Magazine - March/April 2024 - 14
Nutrition & Foodservice Edge Magazine - March/April 2024 - 15
Nutrition & Foodservice Edge Magazine - March/April 2024 - 16
Nutrition & Foodservice Edge Magazine - March/April 2024 - 17
Nutrition & Foodservice Edge Magazine - March/April 2024 - Top Tips for Attracting and Managing Gen Z Employees
Nutrition & Foodservice Edge Magazine - March/April 2024 - 19
Nutrition & Foodservice Edge Magazine - March/April 2024 - 20
Nutrition & Foodservice Edge Magazine - March/April 2024 - 21
Nutrition & Foodservice Edge Magazine - March/April 2024 - 22
Nutrition & Foodservice Edge Magazine - March/April 2024 - 23
Nutrition & Foodservice Edge Magazine - March/April 2024 - 2024 ACE Preview
Nutrition & Foodservice Edge Magazine - March/April 2024 - 25
Nutrition & Foodservice Edge Magazine - March/April 2024 - Workforce Development is Always on the Menu in the Foodservice Industry
Nutrition & Foodservice Edge Magazine - March/April 2024 - 27
Nutrition & Foodservice Edge Magazine - March/April 2024 - 28
Nutrition & Foodservice Edge Magazine - March/April 2024 - 29
Nutrition & Foodservice Edge Magazine - March/April 2024 - 30
Nutrition & Foodservice Edge Magazine - March/April 2024 - My Recipe for Success
Nutrition & Foodservice Edge Magazine - March/April 2024 - Say the Magic Words...Sesame on the Scene
Nutrition & Foodservice Edge Magazine - March/April 2024 - 33
Nutrition & Foodservice Edge Magazine - March/April 2024 - 34
Nutrition & Foodservice Edge Magazine - March/April 2024 - 35
Nutrition & Foodservice Edge Magazine - March/April 2024 - Building a Better Organization with DEI
Nutrition & Foodservice Edge Magazine - March/April 2024 - 37
Nutrition & Foodservice Edge Magazine - March/April 2024 - 38
Nutrition & Foodservice Edge Magazine - March/April 2024 - 39
Nutrition & Foodservice Edge Magazine - March/April 2024 - 40
Nutrition & Foodservice Edge Magazine - March/April 2024 - 41
Nutrition & Foodservice Edge Magazine - March/April 2024 - ANFP Initiatives Give Us Much to be Excited About
Nutrition & Foodservice Edge Magazine - March/April 2024 - 43
Nutrition & Foodservice Edge Magazine - March/April 2024 - Early Career CDM, CFPP
Nutrition & Foodservice Edge Magazine - March/April 2024 - 45
Nutrition & Foodservice Edge Magazine - March/April 2024 - What CDM, CFPP Means to Me
Nutrition & Foodservice Edge Magazine - March/April 2024 - CDM, CFPP Spotlights
Nutrition & Foodservice Edge Magazine - March/April 2024 - 48
Nutrition & Foodservice Edge Magazine - March/April 2024 - Cover3
Nutrition & Foodservice Edge Magazine - March/April 2024 - Cover4
https://www.nxtbook.com/anfp/EdgeMagazine/july-august-2024
https://www.nxtbook.com/anfp/EdgeMagazine/may-june-2024
https://www.nxtbook.com/anfp/EdgeMagazine/march-april-2024
https://www.nxtbook.com/anfp/EdgeMagazine/january-february-2024
https://www.nxtbook.com/anfp/EdgeMagazine/november-december-2023
https://www.nxtbook.com/anfp/EdgeMagazine/september-october-2023
https://www.nxtbook.com/anfp/EdgeMagazine/july-august-2023
https://www.nxtbook.com/anfp/EdgeMagazine/may-june-2023
https://www.nxtbook.com/anfp/EdgeMagazine/march-april-2023
https://www.nxtbook.com/anfp/EdgeMagazine/nutrition-foodservice-edge-magazine-november-december-2022
https://www.nxtbook.com/anfp/EdgeMagazine/september-october-2022
https://www.nxtbook.com/anfp/EdgeMagazine/May-June-2022
https://www.nxtbook.com/anfp/EdgeMagazine/March-April-2022
https://www.nxtbook.com/anfp/EdgeMagazine/nutrition-foodservice-edge-magazine-january-february-2022
https://www.nxtbook.com/anfp/EdgeMagazine/nutrition-foodservice-edge-magazine-november-december-2021
https://www.nxtbook.com/anfp/EdgeMagazine/September-October-2021
https://www.nxtbook.com/anfp/EdgeMagazine/july-august-2021
https://www.nxtbook.com/anfp/EdgeMagazine/may-june-2021
https://www.nxtbook.com/anfp/EdgeMagazine/MarchApril2021
https://www.nxtbook.com/anfp/EdgeMagazine/nutrition-foodservice-edge-magazine-jan-feb-2021
https://www.nxtbookmedia.com