I have been a dietitian for over 20 years and I have covered most areas of dietetics but in particular I have worked in the fields of renal disease, gastroenterology, diabetes and intensive care. Although I am a full time tutor at Surrey University I also work for Central Surrey Health and have recently finished a 10 month secondment where I was the highly specialist Nutrition Support Dietitian and Team Leader for Acute Dietetic Services. I managed a small team of dietitians and a nutritionist (4) to deliver the dietetic service to the Acute wards and clinics in EGH. I covered Intensive Care, surgical and respiratory wards as well as looking after patients on home enteral feeding and parenteral (intravenous) feeding. I was recently awarded a Spirit Award for outstanding contribution to patient care (March 2011).
My main remit as a tutor is to teach on the practical nutrition and dietetic modules. The reason that I continue to work as a dietitian when possible is that I feel it enhances my ability to teach the practical aspects of nutrition and dietetics and hopefully enthuse students with the wide range of interesting areas which can be covered in our professions.
University roles and responsibilities
- Programme Leader for BSc (Hons) Nutrition and Dietetics
Affiliations and memberships
FSA (2008): Awarded grant (N05R0018) £240,000Development of a dose-responsive biological marker for carbohydrate intake based on metabolomics and machine learning.Dr J Lodge, Prof G Frost, Prof J Draper, Dr B Engel, Dr M Beckman
British Renal Society (2007): £22,500A multi-centre trial to assess whether increased dietary fibre intake reduces laxative requirement in PD patients. This project has obtained Portfolio status.D Sutton, B Engel, R Davies, D Kariyawasam, S Perry, S Kennedy
Kings Fund Grant (1996) for pilot project 'Setting up a diet and exercise programme for Renal Transplant Patients': £5000
Royal London Hospital Research and Development (1997-1999): £20,000 to continue work on 'Diet and exercise programme for Renal Transplant Patients'
- Renal disease (MSc project supervisor; development and evaluation of dietary information for renal patients from different ethnic groups)
- Liver disease (MSc project supervisor; evaluation of Nutrition Assessment Score for patients with liver disease)
- Measuring and monitoring nutritional status in chronically ill people: renal disease, multiple sclerosis, diabetes
- Designing intervention trails in order to develop guidelines of best practice for dietitians
- Public health: I have supervised final year projects promoting healthy eating in Transplant patients, nursery and primary schools
- Inflammatory bowel disease, irritable bowel syndrome and the effects of pre and probiotics on bowel health
Engel, B., Davies, S. (2009) Renal Nutrition: chapter in A Practical Manual of Renal Medicine: Nephrology, Dialysis & Transplantation (Editor: Kar Neng Lai) (World Scientific).
Engel, B. (2008) Renal Nutrition: chapter 11, pages 315-362 in Renal Nursing: 3rd Edition (Editor: Thomas, N.) (Elsevier).
Engel, B. (2006) Renal Nursing: chapter on Renal Nutrition (Elsevier).
Engel, B. with co-author Bartram, J. (2006) Oxford Handbook of Nutrition: chapter on Renal Nutrition.
Engel, B., Davies, S. et al. (2004) Longitudinal measurements of total body water and body composition in healthy volunteers by online breath deuterium measurement and other near-subject methods. International Journal of Body Composition 4(3):99-106.
Asghar R.B., Green S., Engel B., Davies S.J. (2004) Relationship of demographic, dietary, and clinical factors to the hydration status of patients on peritoneal dialysis. Peritoneal Dialysis International 24(3):231-9.
Smith D., Engel B. et al. (2002) Comparative measurements of total body water in healthy volunteers by on-line breath deuterium measurement and other near-subject methods. American Journal of Clinical Nutrition 76(6):1295-1301.
Engel, B. (2003) Nutritional Management of Diabetic Renal Transplant Recipients in Nutritional Management of Diabetes (Frost, G. et al.) (J. Wiley and Sons).
Nutritional Management of Renal Disorders. Encyclopaedia of Food Science, Food Technology and Nutrition. Academic Press. Updated and revised edition in print 2002.
Toigo, G., Aparicio, M., Attman, P.O., Cano, N., Ciancaruso, B., Engel, B. et al. (2000) Expert Working Group report on nutrition in adult patients with renal insufficiency (ESPEN Guidelines) Clinical Nutrition 19(3):197-207
Griffiths, A., Engel, B. (2001) Nutritional assessment and supplementation in patients with ESRD. British Journal of Renal Medicine 6(3):21-24.
Engel, B., James, G., Singh, S., Vennegoor, M. (1999) Setting Standards and achieving optimum nutritional status RNG Working Party (Winner of Elizabeth Washington Award - British Dietetic Association)
Engel, B. (1996) Renal Dietitians - Setting standards in Care. British Journal of Renal Medicine 1(2):21-23.
Engel, B., Kon, S.P., Raftery, M.J. (1995) Identification of Malnutrition in Hamodialysis Patients. Journal of Renal Nutrition 5(2):62-66.
This programme of work has demonstrated that good nutrition helps improve the EPO response and Hb levels of HD patients. A flexible and low intensity exercise programme involving walking and intradialytic resistance training is feasible and practical in the presence of a physiotherapist. However eight weeks of low intensity exercise is not sufficient to induce changes in body composition or EPO response in HD patients but may help improve their physical functioning and so warrants further investigation as a more cost effective alternative to cycle-based interventions.