Nutritional Foundations

Nutritional Foundations is the peer-reviewed student journal of the American Chiropractic Association’s Council on Nutrition. It is indexed through EBSCO including CINAHL complete, CINHAL ultimate, and Food Science Source. The journal will focus entirely on research produced by students on nutrition related topics. There are no article processing fees and no costs for students to publish in the journal. One of the largest obstacles to participating in research is a lack of experience. Where do I start? Who can help?

The evolution of healthcare rests upon the evidence provided by research which leads to better understanding of disease. This is the primary reason why all providers should have a natural interest in healthcare research. In appreciating the importance of research in understanding all aspects of disease, clinical research at the student level has never been more valuable and more necessary than before. Students who engage in these activities accelerate their interest in the clinical sciences and receive a more enriching education than those who do not. In addition, faculty report a boost in morale from engaging in research with students.

One of the long-term objectives for the journal is to establish a presence in multiple colleges to provide mentorship at the local level. Faculty, we need your help. If you have an interest in providing support to your students for a future article submission or joining our editorial review board, please contact the journal.


Case Report: Supplementation and Dietary Modification for Histamine Intolerance

This is the account of a 24-year-old Caucasian female diagnosed with histamine intolerance by a chiropractic physician. This case should be of interest as it is not a condition which is routinely considered. Following years of a variety of seemingly diverse symptomatology, including suspected cerebrovascular accidents which were unable to be confirmed medically, objective data in the form of an advanced intestinal barrier assessment and a dietary antigen test were obtained. These tests provided objective verification that the patient had both elevated serum histamine and low diamine oxidase (DAO), both signs of an issue with histamine metabolism. The patient was placed on a low histamine diet, as well as supplemental diamine oxidase, and Histoplex®. After several months of following the recommended treatment, the patient experienced a reduction in her symptoms. Histamine intolerance has the potential to be causative of a wide range of symptoms, and as this case demonstrates can be overlooked by physicians of all disciplines. Consideration of histamine intolerance may need to be added to the list of differential diagnoses in patients that are not responding to other recommended treatments.

Rachel A. Kordonowy, Sean T. Norkus DC, MS, DIBCN, DIBE

Review: A Vicious Cycle: Using Nutrition to Combat the Behavioral Impact of Premenstrual Syndrome and Premenstrual Dysphoric Disorder.

Premenstrual Syndrome (PMS) and Premenstrual Dysphoric Disorder (PMDD) are mood disorders experienced by women of child-bearing age who are regularly experiencing their menstrual cycles. Symptoms experienced negatively impact women cognitively, socially, emotionally, and physically. A literature review was performed relevant to the behavioral effects of PMS and PMDD and symptomology. Nutritional and lifestyle interventions with evidence were analyzed and reviewed. Studies indicated that intestinal dysbiosis, the Western diet, inadequacies in omega-3 fatty acids, vitamin D, vitamin B6, iron, sun exposure, smoking, alcohol, and physical activity are linked to symptomology associated with PMS and PMDD. Addressing micronutrient and essential fatty acid deficiencies, intestinal dysbiosis, smoking avoidance, limiting alcohol consumption, promoting physical activity and sunlight exposure, and providing education on PMS and PMDD may improve symptoms associated with these conditions.

Alexandra Trezza, Jeffrey P. Krabbe DC MPH MS DACBN FACN CISSN CSCS

Original Research: Nutritional Knowledge of NAIA Collegiate Women’s Volleyball Athletes.

This observational study analyzed and surveyed the nutritional knowledge of collegiate female volleyball athletes. Participants were required to complete a survey which tested sport nutrition knowledge, track food consumption over a three-day period in a food diary, and share anthropometric data (height, weight, age). Resting energy expenditure (REE) was collected, which al-lowed the calculation of their active energy expenditure (AEE). Collection of this data allowed for understanding of nutritional knowledge, eating patterns, and anthropometrics in women’s collegiate volleyball. Diary entries showed a lack of caloric intake, and in addition, insufficient macronutrient consumption. Survey results reported knowledge was low based on incorrect or inability to answer. Upon review of diary entries and survey results, it was concluded that there is a lack of nutritional knowledge within collegiate female volleyball athletes. Diary entries showed a lack of caloric intake, insufficient macronutrient consumption, and survey results were unsatisfactory.

Tyler LaRosa, Liam Smith, Dr. James Geiselman, DC, MS, DACBN, CCSP, ICSC, CES, CNC, NREMT, EMT-P, Bryan Gatzke, PhD, CSCS, PES, CES


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July 18, 2022