TEACHING GUIDE OF THE SUBJECT

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1 Nutritional Pathology. Course 2017/2018 FACULTY OF CHEMISTRY AND ODONTOLOGY TEACHING GUIDE OF THE SUBJECT Nutritional Pathology Degree in Human Nutrition and Dietetics

2 Nutritional Pathology. TEACHING GUIDE OF: Nutritional Pathology ECTS SUBJECT: Nutritional Pathology 6 Matter: Pathology and therapy 26 Module: Sciences of nutrition, dietetics and health 60 Type of formation 1 : Required Teacher: Sandra Carrera Juliá COURSE: 3º Semester: 6º Department: Faculty of chemistry sandra.carrera@ucv.es 1 Basic formation (common subject), Compulsory, Electives, External internships, Final Degree Project. Page 2 of 15 Catholic University of Valencia San Vicente Mártir

3 ORGANIZATION OF THE MODULE module 60 Duration and temporary location within the curriculum: Required. It consists of 5 subjects and 10 subjects. Ethics and professional deontology Matters and subjects Matters ECTS SUBJECT ECTS Course/ semester 6 Ethics and profesional deontology 6 4º/7º Documentation 6 Documentation and research techniques 6 4º/7º Dietetics 6 Dietetics 6 2º/4º 6 Fisiopathology 6 2º/4º Pathology and therapy 6 Pharmacology applied to nutrition 6 3º/5º 6 Nutritional Pathology 6 3º/6º 6 Diet therapy 6 4º/7º 6 Human Nutrition 6 2º/3º Fundamentals of Nutrition 6 Nutrition in the different stages of life 6 3º/5º 6 Parenteral and hospital nutrition 6 3º/6º Catholic University of Valencia San Vicente Mártir Page 3 of 15

4 Nutritional Pathology. TEACHING GUIDE MATTERS/SUBJECT: Prerequisites: Not established. GENERAL OBJECTIVES a) Know the elementary contents that provide a general and critical view of the role of nutrition in the area of nutritional pathology. b) Identify the diseases that have a nutritional etiology, as well as their diagnosis, development, symptomatology and prevention. c) Analyze the repercussions and the influence exerted by lifestyle on human nutritional pathology. d) Know the techniques for the evaluation of the specific nutritional status of the individual in the pathological area. e) Apply knowledge about nutrition and healthy lifestyle for health promotion. f) Learn how to perform a quality bibliographic search through relevant databases and search engines in the area of study. g) Provide the tools and strategies necessary for the acquisition of study habits, organization and time management. h) To generate in the students a spirit of personal improvement, responsibility and dedication. i) Promote the ability to work independently and develop personal skills through the cooperation of teamwork. j) Provide the necessary tools for the issuance of critical judgments based on scientific foundations that allow them to function adequately in the clinical setting. BASIC AND GENERAL COMPETENCES Weighting of the competition CB2 - That students know how to apply their knowledge to their work or vocation in a professional manner and have the skills that are usually demonstrated through the elaboration and defense of arguments and the resolution of problems within their area of study CB3 - That students have the ability to gather and interpret relevant data (usually within their area of study) Page 4 of 15 Catholic University of Valencia San Vicente Mártir

5 CG13 - Integrate and evaluate the relationship between food and nutrition in health status and in pathological situations. CG26 - Elaborate, control and cooperate in the planning of menus and diets adapted to the characteristics of the group to which they are going destined. CG14 - Apply scientific knowledge of physiology, physiopathology, nutrition and nutrition to planning and advice diet in individuals and communities, throughout the life cycle, both healthy and sick. SPECIFIC COMPETENCES 2 CE14 - Interpret and manage the databases and tables of food composition. CE25 - Apply the Food Sciences and Nutrition to the dietetic practice. CE27 - Evaluate and calculate the nutritional requirements in health situation and disease at any stage of the life cycle. CE30 - Know, detect early and evaluate quantitative and qualitative deviations due to excess or defect, from the nutritional balance. CE32 - Know the physiopathological aspects of diseases related to nutrition. - Interpret and integrate the clinical, biochemical and pharmacological data in the nutritional assessment of the patient and in their dietetic-nutritional treatment. CE42 - Plan and carry out dietetic-nutritional education programs in healthy and sick subjects. CE36 - Apply the bases of clinical nutrition to diet therapy. CE33 - Identify the patient's dietary-nutritional problems, as well as risk factors and inappropriate practices. CE31 - Plan, perform and interpret the evaluation of the nutritional status of subjects and / or groups, both healthy (in all physiological situations) and sick. 2 Follow correlatively with the previous numbering. The specific competences are weighted from 1 to 4 following the same criteria as with the transversal ones. List correlatively the learning results following the proposed nomenclature. Important note: The competences are expressed in a generic sense so it is necessary to include learning results in the teaching guide. These results constitute a concretion of one or several competences, making explicit the degree of mastery or performance that the student must acquire and contain in their formulation the criteria with which they are going to be evaluated. The learning results show what the student will be able to demonstrate at the end of the subject or subject and also reflect the degree of acquisition of the competence or set of competences. Catholic University of Valencia San Vicente Mártir Page 5 of 15

6 Nutritional Pathology. LEARNING OUTCOMES 3 R-1 Understanding and assimilation of the concepts included in the content of the subject. R-2 Ability to solve problems related to said contents using different resources. R-3 Understanding and proper use of language, as well as correct writing and presentation of data. R-4 Collaboration with the teacher and classmates throughout the learning process: Attendance to theoretical, practical or tutoring sessions; Teamwork; Respect in the treatment; Compliance with the rules of organization of the subject for the benefit of all. COMPETENCES CG14, CE25, CE30,, CE36, CE31 CG26, CG14, CE14, CE25, CE27, CE30, CE32,, CE42, CE36, CE33, CE31 CG26, CG14, CE25, CE30,,CE42,CE36,CE31 CG26, 3 Page 6 of 15 Catholic University of Valencia San Vicente Mártir

7 FORMATIVE ACTIVITIES OF PRESENTIAL WORK ACTIVITY Teaching-Learning Methodology Relationship with Learning Results of the subject ECTS 4 THEORICAL CLASS Exhibition of contents by the teacher, analysis of skills, explanation and demonstration of skills, abilities and knowledge in the virtual classroom R1, R2, R3, R PRACTICAL CLASS They will have the support of the professor for the resolution of practical exercises and case studies, analysis of the evaluation procedures and procedural intervention. This aspect can be controlled through attendance and active participation in practical sessions. R3, R LABORATORY Individual or group work sessions in groups supervised by the teacher that take place in spaces with specialized equipment. R3, R4 TUTORIES Personal attention and in small group. Period of instruction and / or orientation conducted by a tutor with the objective to review and discuss the materials and topics presented in classes, seminars, readings, work, etc. The attendance of the student and his level of gradual development in the knowledge of the subjects will be evaluated. R2, R3, R SEMINARS Monographic sessions throughout the course, oriented to aspects and current applications of the subject. R1, R The subject and / or matter is organized in FORMATIVE WORK ACTIVITIES OF THE PRESENTIAL WORK and in SELF- EMPLOYED TRAINING ACTIVITIES OF THE STUDENT, with an estimated percentage in ECTS. An adequate distribution is the following: 35-40% for the Presential Formative Activities and 65-60% for the Autonomous Work. (For a subject of 6 ECTS: 2.4 and 3.6 respectively). The teaching-learning methodology is described in this guide in a generic way, specifying in the didactic units in which the subject and / or matter is organized. Catholic University of Valencia San Vicente Mártir Page 7 of 15

8 Nutritional Pathology. ORAL AND WRITTEN EVALUATION TESTS Set of tests, written or oral, used in the evaluation of the student. R1, R2, R Total 2.4 FORMATIVE ACTIVITIES OF AUTONOMOUS WORK OF THE PUPIL ACTIVITY Teaching-Learning Methodology Relationship with Learning Results of the subject ECTS TEAM WORK Group preparation of readings, essays, problem solving, seminars, papers, memories, etc. for your discussion or delivery. R INDIVIDUAL WORK ACTIVITIES Student study: individual preparation of readings, essays, problem solving, seminars, papers, memories, etc. for discussion or delivery in electronic format. R1, R2, R3, R4 3.2 Total 3.6 Page 8 of 15 Catholic University of Valencia San Vicente Mártir

9 SYSTEM OF EVALUATION OF THE ACQUISITION OF THE COMPETENCES AND SYSTEM OF RATINGS Evaluation instrument 5 EVALUATED LEARNING RESULTS Percentage granted Registration of attendance and participation Individual written test of theory and problems* R1, R4 10 % R1, R3 65 % Jobs R2 25 % * A minimum grade of 4.5 is needed to be able to average. DESCRIPTION OF CONTENTS COMPETENCES Organization in content blocks or thematic groupings. Development of contents in didactic guides. (Indicate, numerically, the related competences) THEMATIC BLOCK 1: Introduction to nutritional pathology. -Introduction: concept and purpose of nutritional pathology. -General etiology of nutritional diseases. -Evaluation of nutritional status. Specific aspects in childhood. THEMATIC BLOCK 2: Nutrition-based diseases by default and excess. -Malnutrition. Concept and types: caloric and protein (Kwashiorkor and Marasmus). -Thinness: etiology, prevention and treatment. -Fast: adaptation and metabolic response. -Obesity: etiology, prevalence, treatment. THEMATIC BLOCK 3: Psychiatric disorders and Eating Disorders. -TCA: Anorexia Nervosa. Bulimia Nervosa. -Unspecified eating behavior disorders and other eating disorders: Binge Eating Disorder, vigorexia, orthorexia, drunkorexia, potomania. -Nutrition and alcoholism. CG14, CE32,, CE31 CE30, CE32,, CE33 Catholic University of Valencia San Vicente Mártir Page 9 of 15

10 Nutritional Pathology. THEMATIC BLOCK 4: Metabolism of nutrients and their pathologies. - Bone metabolism and nutrition I: rickets and osteomalacia. - Bone metabolism and nutrition II: osteopenia and osteoporosis. -Nutritional anemia. -Iodine deficiency and endemic goiter. THEMATIC BLOCK 5: Specific clinical manifestations of vitamin metabolism. -Vitamin A. erophthalmia and nutritional blindness. -Vitamin C. Scurvy. -Vitamin B1. Beriberi. Wernicke-Korsakoff syndrome. -Vitamin B3. Pellagra. THEMATIC BLOCK 6: Nutrition and food allergies. -Concept and etiopathogenesis. -Epidemiology. -Clinical manifestations. -Diagnosis. -Food allergies that are more common. THEMATIC BLOCK 7: Nutrition and pathology of the digestive system. - Malabsorption syndrome. - Oroesophagealology. Organic and functional dysphagia. -Gastroduodenal pathology: gastroesophageal reflux, Hiatal hernia, gastroduodenal ulcer. Gastric cancer. -Intestinal disease: inflammatory bowel disease, short bowel syndrome. Irritable bowel, diarrhea, constipation, colon cancer. -Evaluation of the digestive function. THEMATIC BLOCK 8: Liver, pancreatic and biliary disorders. -Patology of the liver: acute and chronic liver failure. -Pancreatic pathology: acute and chronic pancreatitis. Pancreatic cancer. - Biliary pathology: cholelithiasis. THEMATIC BLOCK 9: Nutrition and kidney diseases. -Nutrition in chronic renal failure. -Nutrition in acute renal failure. THEMATIC BLOCK 10: Nutrition and cancer. -Concept and etiology. -Epidemiology. -Nutritional support in the cancer patient. THEMATIC BLOCK 11: Nutrition and diseases of the immune system. -Nutrition in autoimmune diseases. -Nutrition in specific diseases. -Nutrition and immunosuppression. THEMATIC BLOCK 12: Nutrition and neurodegenerative diseases. -Influence of nutrition in the structure and function of the nervous system. -Nutrition in the main neurodegenerative diseases. Page 10 of 15 Catholic University of Valencia San Vicente Mártir

11 THEMATIC BLOCK 13: Enteral and parenteral nutrition. -Introduction to enteral nutrition: concept, administration and contraindications. -Introduction to parenteral nutrition: concept, administration and contraindications THEMATIC BLOCK 14: Nutrition in the care of the surgical patient. -Introduction. - Metabolic changes associated with surgical aggression. - Pre and postoperative nutritional support. BIBLIOGRAPHY BASIC BIBLIOGRAPHY: Alpers, D., Stenson, W., Taylor, B., & Bier, D. (2008). Manual of Nutritional Therapeutics. (5º Ed.). Philadelphia, United States: Wolters Kluwer. Escott-Stump, S. (2005). Nutrition, diagnosis and treatment. (5º Ed.). México: McGraw- Hill, Interamericana. Gil, A. (2017). Nutrition Treaty. Volume V. Nutrition and disease. (3º Ed.). Madrid, España: Panamericana. Jáuregui, I. (2016). Manual of Nutritional Pathology of the Adult for Dieticians and Nutritionists. (1st Ed.). Toledo, Spain: Grupo Aula Médica. Kathleen, L., Escott-Stump, S., & Raymond J.L. (2013). Krause Diet therapy. (13º Ed.). Barcelona, Spain: Elsevier. Mataix, J. (2002). Nutrition and Human Feeding. Physiological and pathological situations. Madrid, Spain: Ergon. Planas, M., & Pérez, C. (2006). Pathophysiology applied to nutrition. (2º Ed.). Barcelona, Spain: Mayo. Shils, M.E. (2002). Nutrition in health and disease. (9º Ed.). Vol I. México. McGraw-Hill, Interamericana. Shils, M.E. (2002). Nutrition in health and disease. (9th Ed.). Vol II. Mexico. McGraw-Hill, Interamericana. Catholic University of Valencia San Vicente Mártir Page 11 of 15

12 Nutritional Pathology. COMPLEMENTARY BIBLIOGRAPHY: Bellido, D., & De Luis, D.A. (2006). Manual of nutrition and metabolism. Madrid, Spain: Díaz de Santos. Campillo, J.E. (2007). The obese monkey. (2º Ed.). Barcelona, Spain: Drakontos Bolsillo. Casanueva, E., Kaufer, M., Pérez, A.B., & Arroyo, P. (2015). Medical nutrition. (4º Ed.). México: McGraw-Hill, Interamericana. Cervera, P., Clapes, J., & Rigolfas, R. (1993). Feeding and diet therapy. (2º Ed.). Madrid, Spain: McGraw-Hill, Interamericana. Enders, G. (2015). Digestion is the question. Barcelona, Spain: Urano. Escobar, L. (2001). Nutrition and hormones. Madrid, Spain: Ergon. Fleta, Y., & Giménez, J. (2015). Nutritional coaching. Make your diet work. (1º Ed.). Barcelona, Spain: De bolsillo clave. Hernández, F. (2015). Anti-aging with orthomolecular nutrition. The authentic "antiaging" therapy. Barcelona, Spain: RBA. Hernández, F. (2012). Let your food be your medicine. The therapeutic power of intelligent feeding. Barcelona, Spain: RBA Integral. Matarese, L.E., & Gottschlich, M.M. (2004). Clinical Practical Nutrition. (2º Ed.). Madrid, Spain: Elsevier. Miján, A. (2004). Nutrition and metabolism in Eating Disorders. (1º Ed.). Barcelona, Spain: Glosa. Morgan, S., & Weinsier, R. (2000). Clinical Nutrition. (2º Ed.). Madrid, Spain: Harcourt. Olveira, G. (2007). Manual of Clinical Nutrition and Dietetics. (2º Ed.). Madrid, Spain: Diaz de Santos. Raich, R. (2011). Anorexia, Bulimia and other eating disorders. Madrid, Spain: Pirámide. Salas, J. (2008). Nutrition and clinical dietetics. (2º Ed.). Barcelona, Spain: Masson. Simon, I., & François, N. (2005). How to overcome anorexia. Recover the pleasure of living. Madrid, Spain: Síntesis. Page 12 of 15 Catholic University of Valencia San Vicente Mártir

13 Soriano, J.M. (2006). Basic Human Nutrition. (1º Ed.). Valencia, Spain: PUV Weinstein, S. (2016). Health starts in the intestines. (2º Ed.). Barcelona, Spain: Obelisco. RECOMMENDED WEB LINKS: Network of Scientific Journals of Latin America and the Caribbean, Spain and Portugal. Retrieved on January 3, 2018 from Spanish Association for the Study of the Liver (AEEH). Retrieved on December 18, 2017 from Spanish Association of Pancreatology (AESPANC). Retrieved on December 18, 2017 from Valencian Association Against Eating Disorders (AVCOTA). Retrieved on December 18, 2017 from Valencian Association of relatives and patients with Eating Disorders (AVALCAB). Retrieved on December 18, 2017 from Spanish Foundation of the Digestive System (FEAD). Retrieved on December 18, 2017 from Virtual Community of Nutrition Professionals (Nutrinfo). Retrieved on January 3, 2018 from Spanish Journal of Digestive Diseases. Retrieved on December 18, 2017 from Spanish Society of Endocrinology and Nutrition (SEEN). Retrieved on December 18, 2017 from Spanish Society of Digestive Pathology (SEPD). Retrieved on December 18, 2017 from Catholic University of Valencia San Vicente Mártir Page 13 of 15

14 Nutritional Pathology. REVIEWS: Advances in nutrition Americal Journal of Clinical Nutrition Annual Review of nutrition British journal of nutrition Critical reviews in food science and nutrition Europeal journal of nutrition Hospital Nutrition and Clinical Dietetics Hospital Nutrition Journal of nutrition Journal of nutrition biochemistry Journal of the Valencian Society of Digestive Pathology Nutrition, Metabolism and Cardiovascular Diseases Nutritional Neuroscience Nutrition Research reviews Nutrition reviews Obesity Journal Spanish Journal of Human Nutrition and Dietetics The Lancet TEMPORARY ORGANIZATION OF LEARNING: BLOCK OF CONTENT / DIDACTIC UNIT Nº OF SESSIONS 1 INTRODUCTION TO NUTRITIONAL PATHOLOGY. 1 2 NUTRITION-BASED DISEASES BY DEFAULT AND ECESS. 2 3 PSYCHIATRIC DISORDERS AND EATING DISORDERS. 2 4 METABOLISM OF NUTRIENTS AND THEIR PATHOLOGIES. 2 5 SPECIFIC CLINICAL MANIFESTATIONS OF VITAMINS METABOLISM. 3 6 NUTRITION AND FOOD ALLERGIES. 1 7 NUTRITION AND PATHOLOGY OF THE DIGESTIVE SYSTEM. 3 8 LIVER, PANCREATIC AND BILIARY DISORDERS. 3 9 NUTRITION AND KIDNEY DISEASES. 2 Page 14 of 15 Catholic University of Valencia San Vicente Mártir

15 10 NUTRITION AND CANCER NUTRITION AND DISEASES OF THE IMMUNE SYSTEM NUTRITION AND NEURODEGENERATIVE DISEASES ENTERAL AND PARENTERAL NUTRITION NUTRITION IN THE CARE OF THE SURGICAL PATIENT. 2 CRITERIA OF CONCESSION OF REGISTRATION OF HONOR: Honors may be awarded to the best students, who must have obtained a minimum grade of 9. If circumstances require it, a special test may be established to determine those students deserving of honor registration, given the 5% limitation of the students enrolled. In second and subsequent calls only the honors that could be subtracted after the first call may be awarded. Catholic University of Valencia San Vicente Mártir Page 15 of 15