NHS | Annie Bee ~The Buzz Of A Like-Minded Woman

The NHS has added a 5 A Day for your mind to the now fairly well understood theory about 5 A Day fruit and veg. I am not sure when this was introduced to the general wellbeing lexicon, but I rather like it.

The origins of the 5 A Day fruit and veg campaign are a bit unclear. Some argue it all started in the orange- growing fields of California but Ken Kizer was director of the US State Department for Health Services back then . He says that it wasn’t a case, as some have claimed, of fruit and vegetable growers looking for new markets, but a mutually beneficial venture for industry and public health policy.

“It didn’t originate from the agricultural community. It just so happens that when we reached out to them and pointed out this would help them, they got onboard and became enthusiastic partners.”

In the UK there is evidence it was mentioned as far back as the 1980s.

Whatever the history, in 2003 the World Health Organisation launched a worldwide campaign to promote the importance of having 400g of fruit and veg per day which could prevent cardiovascular disease, some cancers and stroke. Since then, many countries have marketed the idea; Australia have adopted a 2&5 policy (2 portions of fruit + 5 of veg which sounds eminently sensible); Canada, France, Germany, Japan, New Zealand and Norway are all in on it.

Does it work? Well it works at Bee HQ and does seem to have entered the minds of the generation who were at school when it was first heavily promoted in schools here in the UK. Of course it is a target – the campaign in Australia is called “Go For 2 & 5″ and in NZ they add a ‘+’ into the equation (5 + A Day) showing an impressive optimism.

Naturally fruit and veg producers have got in on the marketing act, but I don’t see that as a bad thing. However I think the jury is out as to whether it works.

The government’s former chief medical officer, Sir Liam Donaldson, says he thinks it has been partially successful so far.

The middle classes did listen, and the supermarkets listened and they tend to respond to the middle class consumer particularly.

I think it’s been less successful in reaching the disadvantaged communities where those levels of fruit and vegetables were already low.

So now we have a 5 A day for mental health:

Connect

Be Active

Keep learning

Give To Others

Be Mindful

Food for thought. I like it ~ will it work? Let’s see

Annie Bee x

I follow a couple of Facebook groups which are there to support coeliacs in the UK through their gluten free journey. There is a diverse spread of people of all descriptions on there, including those who are still ‘at sea’ with what they can and cannot eat after a diagnosis of Coeliac Disease (CD). This can lead to debate, confusion and unhelpful (but sometimes humorous) posts; it can also unfortunately descend into sarcasm and downright vitriol. The vast majority of the time though, there is a great deal of helpful information. Hooray for camaraderie amongst coeliacs !

All coeliacs, when diagnosed, are on a very steep learning curve for the management of their disease, which is often diagnosed (or not – see my blog post on misdiagnoses) after a troubled descent into ill-health and dramatic weight loss. I was so ill before my diagnosis, I assumed I was dying of cancer, but then I am not known for my eternal optimism! Mind you, the unwarranted hysterectomy was a bit of a downer. Add to this the horrid business that CD can’t be diagnosed unless the patient is still eating gluten at least once a day for 6 weeks before tests can be accurately carried out, and you have a tranche of very upset, ill and often confused people on your hands.

Quite a few of the FB posts on these sites are about how coeliacs are being dealt with by the NHS, whether it is the GP or consultants. So it is interesting to note that NICE (the National Institute for Health and Care Excellence) have just brought out some updated guidance for health professionals. If you are struggling with getting tests done, or being pushed from pillar to post, but suspect CD, some of this could be worth knowing.

Testing should be offered to people who are presenting with any of the following:

- persistent unexplained abdominal or gastrointestinal symptoms
- faltering growth
- prolonged fatigue
- unexpected weight loss
- severe or persistent mouth ulcers
- unexplained iron, vitamin B12 or folate deficiency
- type 1 diabetes, at diagnosis
- autoimmune thyroid disease, at diagnosis
- irritable bowel syndrome (in adults)
first‑degree relatives of people with coeliac disease.

The guidelines also suggest that all CD sufferers are offered an annual review (either by the GP or a dietician with specialist knowledge of CD) where the following is assessed:

measure weight and height
review symptoms
consider the need for assessment of diet and adherence to the gluten‑free diet
consider the need for specialist dietetic and nutritional advice.

If you have a good, sympathetic and helpful GP, you hopefully won’t need to cite any of this information, but the more educated we are about what is expected of our health workers, the better. NICE guidelines are just that though: they are recommendations for best practice rather than ‘rules’.

In the BMJ’s roundup of the updated NICE guidelines, they point out that