Post-ICU and COVID-19 nutrition

post covid-19 nutrition

The road to recovery after critical illness can be long and challenging. However, it is only in recent years that Post Intensive Care Syndrome (PICS) has started to be more widely recognised and understood, and therefore much better managed. PICS encompasses a range of symptoms that fall under the three broad categories of physical cognitive, and psychological impairment, with ICU-acquired weakness among the most frequently seen symptoms. Improving ICU survival rates are partly to thank for this growing interest in PICS, as we can now look beyond mere survival and consider quality of recovery. However, the COVID-19 pandemic has also […]

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Keto diets in endurance exercise (part II)

Ketogenic diet for runners

I introduced the definitions and basic theory underpinning endurance athletes’ ketogenic diets (EAKD) in the first blog, but what happens when the theory is subjected to scientific research? A recently published systematic review (which by definition should incorporate all relevant, good quality studies) will help us answer this question. I will warn you that this is quite a detailed synopsis, so feel free to skip to my ‘take home thoughts’ at the end if what comes before is a bit too heavy. The review claims to be the first of its kind looking at EAKD and key outcomes for endurance […]

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Merry Christmas!

Another week, another public health event. This time it is the turn of the increasingly popular ‘Christmas’, where the general message seems to revolve around consuming all food groups, in vast quantities, at all times. I jest. I have noted, celebrated and explained many of the most important health events and milestones of the year, so I don’t mean to be flippant. But at this time of year, I think it’s important to accept that, for a very brief period, it is ok for nutrition to take a back seat, and to let family, friends, charity and celebrations drive proceedings. […]

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The shortest day of the year (and vitamin D)

Just before we get to Christmas, in sneaks the shortest day of the year. This Sunday, there are a mere eight hours of daylight! Most of us know that the main source of vitamin D is sun exposure. In truth, it could be sunny 24 hours a day at this time of year in the UK and we still wouldn’t be able to synthesise much – if any – vitamin D, endogenously (within our bodies), because the UV light is of the wrong wavelength in winter. Vitamin D deficiency is increasingly common, particularly in these winter months when our summer […]

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World Diabetes Day

This Friday is World Diabetes Day, a timely reminder of this most devastating of diseases. As the world’s waistlines grow, the burden of diabetes does too. We’ve all heard the stats, but if you’re anything like me, these numbers are quoted so often that they start to go in one ear and out of the other (the same goes for obesity stats actually). Take a look at the diabetes UK website or the NHS choices diabetes section for some of the latest figures (and a great deal besides that), but for now, let’s just concentrate on the basics. Halloween may have been and gone, but […]

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