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Sample records for class-based nutrition intervention

  1. Evaluation of effectiveness of class-based nutrition intervention on changes in soft drink and milk consumption among young adults

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    Holloman Christopher

    2009-10-01

    Full Text Available Abstract Background During last few decades, soft drink consumption has steadily increased while milk intake has decreased. Excess consumption of soft drinks and low milk intake may pose risks of several diseases such as dental caries, obesity, and osteoporosis. Although beverage consumption habits form during young adulthood, which has a strong impact on beverage choices in later life, nutrition education programs on beverages are scarce in this population. The purpose of this investigation was 1 to assess soft drink and milk consumption and 2 to evaluate the effectiveness of 15-week class-based nutrition intervention in changing beverage choices among college students. Methods A total of 80 college students aged 18 to 24 years who were enrolled in basic nutrition class participated in the study. Three-day dietary records were collected, verified, and analyzed before and after the intervention. Class lectures focused on healthful dietary choices related to prevention of chronic diseases and were combined with interactive hands on activities and dietary feedback. Results Class-based nutrition intervention combining traditional lecture and interactive activities was successful in decreasing soft drink consumption. Total milk consumption, specifically fat free milk, increased in females and male students changed milk choice favoring skim milk over low fat milk. (1% and 2%. Conclusion Class-based nutrition education focusing on prevention of chronic diseases can be an effective strategy in improving both male and female college students' beverage choices. Using this type of intervention in a general nutrition course may be an effective approach to motivate changes in eating behaviors in a college setting.

  2. Nutrition intervention in scholars

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    Carolina Anzolin

    2010-12-01

    Full Text Available Objective: To verify the effectiveness of nutrition intervention in changing dietary intake among school children aged 6 to 10 years old in private school, in the city of Itajaí - SC, Brazil. Methods: A non-randomized and uncontrolled intervention study, carried through four educational activities in the period from August to November, 2008 and food intake reassessed at the end. We evaluated the nutritional status by means of body mass index for age and sex, and waist circumference. The frequency of consumption before and after intervention was compared using the paired Student t test. Results: Joined in the survey 93 students (69.92% of whom 48 children (54.5% were normal weight, while 36 (40.9% were overweight or presented obesity. The most consumed food groups, before and after intervention were: crackers and pasta; rice and fruit juice. The average frequency of sweets intake decreased after the intervention (0.54 to 0.24 times per day, p <0.001, however increased the intake of fried potatoes (0.25 to 0.65, p <0.001, pizza and hamburger (0.30 to 0.46, p = 0.028. Among girls, the intake of sweets decreased after the educational activities (0.58 to 0.12, p <0.001. Conclusions: Nutritional interventions, despite the short period of time, were effective in changing the consumption of certain foods / food groups. The results reinforce the need to carry out interventions more often and for longer periods, to promote effective changes in food consumption.

  3. Shopper marketing nutrition interventions.

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    Payne, Collin R; Niculescu, Mihai; Just, David R; Kelly, Michael P

    2014-09-01

    Grocery stores represent a context in which a majority of people's food purchases occur. Considering the nutrition quality of the population's food intake has dramatically decreased, understanding how to improve food choice in the grocery store is paramount to healthier living. In this work, we detail the type of financial resources from which shoppers could draw (i.e., personal income and benefits from government food assistance programs to low income populations) and explain how these financial resources are allocated in the grocery store (i.e., planned, unplanned, error). Subsequently, we identify a conceptual framework for shopper marketing nutrition interventions that targets unplanned fruit and vegetable purchases (i.e., slack, or willingness to spend minus list items). Targeting slack for fresh fruit and vegetable purchases allows retailers to benefit economically (i.e., fruit and vegetables are higher margin) and allows shoppers to improve their nutrition without increasing their budgets (i.e., budget neutrality). We also provide preliminary evidence of what in-store marketing of fresh fruits and vegetables could entail by modifying grocery carts and grocery floors to provide information of what is common, normal, or appropriate fruit and vegetable purchases. In each example, fresh fruit and vegetable purchases increased and evidence suggested shopper budget neutrality. To provide context for these results, we detail measurement tools that can be used to measure shopper behaviors, purchases, and consumption patterns. Finally, we address theoretical, practical, and policy implications of shopper marketing nutrition interventions.

  4. Innovative Techniques for Evaluating Behavioral Nutrition Interventions.

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    Scherr, Rachel E; Laugero, Kevin D; Graham, Dan J; Cunningham, Brian T; Jahns, Lisa; Lora, Karina R; Reicks, Marla; Mobley, Amy R

    2017-01-01

    Assessing outcomes and the impact from behavioral nutrition interventions has remained challenging because of the lack of methods available beyond traditional nutrition assessment tools and techniques. With the current high global obesity and related chronic disease rates, novel methods to evaluate the impact of behavioral nutrition-based interventions are much needed. The objective of this narrative review is to describe and review the current status of knowledge as it relates to 4 different innovative methods or tools to assess behavioral nutrition interventions. Methods reviewed include 1) the assessment of stress and stress responsiveness to enhance the evaluation of nutrition interventions, 2) eye-tracking technology in nutritional interventions, 3) smartphone biosensors to assess nutrition and health-related outcomes, and 4) skin carotenoid measurements to assess fruit and vegetable intake. Specifically, the novel use of functional magnetic resonance imaging, by characterizing the brain's responsiveness to an intervention, can help researchers develop programs with greater efficacy. Similarly, if eye-tracking technology can enable researchers to get a better sense as to how participants view materials, the materials may be better tailored to create an optimal impact. The latter 2 techniques reviewed, smartphone biosensors and methods to detect skin carotenoids, can provide the research community with portable, effective, nonbiased ways to assess dietary intake and quality and more in the field. The information gained from using these types of methodologies can improve the efficacy and assessment of behavior-based nutrition interventions.

  5. Innovative techniques for evaluating behavioral nutrition interventions

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    Assessing outcomes and impact from behavioral nutrition interventions in the community has remained challenging for a variety of reasons. One main reason is the lack of methods available beyond traditional nutrition assessment tools and techniques. With current global obesity and related chronic dis...

  6. Nutrition intervention in general dentistry.

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    Sintes, J L

    1990-12-01

    This article presents a nutrition program in general dentistry following an oral health nutrition care process, and provides a guideline for identifying patients at risk of developing marginal malnutrition as a result of oral health procedures. The program highlights the importance of assessing nutritional status by segregating high-risk patients from low-risk patients. A case report demonstrates the therapeutic dietary management of a patient whose jaws were immobilized as a result of trauma.

  7. Chronic kidney disease: considerations for nutrition interventions.

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    Steiber, Alison L

    2014-05-01

    Chronic kidney disease (CKD) is highly prevalent and has major health consequences for patients. Caring for patients with CKD requires knowledge of the food supply, renal pathophysiology, and nutrition-related medications used to work synergistically with diet to control the signs and symptoms of the disease. The nutrition care process and International Dietetic and Nutrition Terminology allow for systematic, holistic, quality care of patients with this complex, progressive disease. Nutrition interventions must be designed with the individual patients needs in mind while prioritizing factors with the largest negative impact on health outcomes and mortality risk. New areas of nutrition treatment are emerging that involve a greater focus on micronutrient needs, the microbiome, and vegetarian-style diets. These interventions may improve outcomes by decreasing inflammation, improving energy and protein delivery, and lowering phosphorus, electrolytes, and fluid retention.

  8. Nutritional Intervention and Breakfast Behavior of Kindergartens

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    Yongqing GAO

    2016-03-01

    Full Text Available Background: To examine the effect of nutritional education on children’s breakfast patternsMethods: A kindergarten based nutrition intervention was started in September 2001 among 8 kindergartens in Hefei with a total of 2,012 children aged 4-6 years and their parent pairs.Results: Monthly nutrition education sessions were held over two semesters in kindergartens part of the intervention arm.  The approach in education and the content of other activities were uniform across all the kindergartens. A validated questionnaire was used to record breakfast behavior over 7 days including at least one weekend. The parents recorded the children’s breakfast pattern (frequency, time, and food selection at baseline, middle, and end of the study. After intervention, there were significant differences at the final stage, but none at the baseline before intervention. There were changes not only in breakfast frequency, but also in the breakfast selectionConclusion: The breakfast pattern of Chinese children can be modified through nutrition education after a long term intervention. Keywords: Breakfast, Children, Intervention, China

  9. Nutrition and Development: Considerations for Intervention.

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    Pollitt, Ernesto; Gorman, Kathleen S.

    1993-01-01

    Responds to commentary on the Pollitt et al. study reported in this monograph. Posits that nutritional insults are sensitive to intervention. Discusses research methodology; methodological issues related to sex differences; the buffering influence of high SES and dietary supplementation against the adverse effects of poor diet and low SES,…

  10. Intervention in child nutrition : evaluation studies in Kenya

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    Hoorweg, J.C.; Niemeijer, R.

    1989-01-01

    In this monograph three major types of intervention in child nutrition are examined: nutrition education, food supplementation and nutrition rehabilitation. Detailed evaluations were carried out, between 1976 and 1979, of programmes in Central Kenya operating under different ecological circumstances

  11. Changing the home nutrition environment: effects of a nutrition and media literacy pilot intervention.

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    Evans, Alexandra E; Dave, Jayna; Tanner, Andrea; Duhe, Sonya; Condrasky, Margaret; Wilson, Dawn; Griffin, Sarah; Palmer, Meredith; Evans, Martin

    2006-01-01

    The specific aim for this pilot study was to evaluate the effectiveness of a nutrition and media literacy intervention targeting elementary students and their parents. The purpose of the intervention was to increase child fruit and vegetables (FV) consumption and change the home nutrition environment (measured with FV availability and accessibility and parental social support). During the intervention, students learned about nutrition, the role media plays in shaping values concerning nutrition, and developed a media campaign for their parents. A quasi-experimental research design was used to evaluate the effectiveness of the intervention. The media intervention was effective in changing the home environment.

  12. Nutritional intervention: a key to child survival.

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    Guthrie, H A; Guthrie, G M; Fernandez, T; Barba, C V

    1990-01-01

    In a collaborative relationship, researchers from the Cebu Institute of Medicine and from the United States have carried out a series of longitudinal studies of breast feeding and infant growth in a rural Philippine community. On the basis of our findings, we have conducted field experiments designed to have mothers improve their infants' diets using locally available food. Contingent reinforcement strategies were used successfully to get mothers to change their behavior and beliefs about infant feeding practices. The use of reinforcements resulted in improved diets and very high rates of continuation of participation in the field experiments. We believe that this is a highly productive and cost effective way to approach the problem of gaining cooperation and continued involvement in a nutrition intervention effort.

  13. The effectiveness of nutritional interventions in malnutrition and cachexia.

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    Baldwin, Christine

    2015-11-01

    Cancer is a common diagnosis and leading cause of death worldwide. Amounts of weight loss vary but it is associated with considerable morbidity, poorer quality of life and reduced survival. Nutritional intervention has the potential to maximise response to treatment and improve functioning and quality of life. The aim of this paper was to review the evidence for oral nutritional interventions in the management of weight loss in patients with cancer. Comparison of studies of nutritional support interventions in people with cancer is complicated by variations in understanding of what constitutes a compromised nutritional status. There are similarities and differences between definitions of both malnutrition and cachexia and studies of oral nutritional interventions have failed to use standard criteria at study inclusion contributing to heterogeneity amongst studies. Meta-analysis of randomised controlled trials has suggested limited evidence of benefit to nutritional and clinical outcomes but some improvements to aspects of quality of life. The presence of cachexia in patients with cancer might explain the limited efficacy of simple oral nutritional interventions, which lack a component designed to address metabolic abnormalities associated with cachexia. Novel strategies combining nutritional support with therapeutic agents designed to down-regulate the metabolic aberrations have failed to demonstrate consistent benefits and the results of multimodal treatments combining several interventions are awaited. There is a need for intervention studies recruiting patients early in the disease course, which underlines the need for definitions which predict poor outcome and hence allow early recognition of vulnerable patients.

  14. Nutrition intervention in the critically ill cardiothoracic patient.

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    Cresci, Gail; Hummell, A Christine; Raheem, Sulieman Abdal; Cole, Denise

    2012-06-01

    Despite acute myocardial infarction and cardiac surgery accounting for 2 of the most common reasons patients are admitted to the intensive care unit, little attention and investigation have been directed specifically for these patients. This patient population therefore deserves special attention as they are often malnourished but require emergent interventions, making nutrition intervention challenging. This article reviews current medical interventions implemented in critically ill cardiothoracic patients and discusses evidence-based nutrition therapy, including enteral and parenteral feeding, glycemic control, and antioxidant provision.

  15. Impact of a nutrition intervention program on the growth and nutritional status of Nicaraguan adolescent girls.

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    Pawloski, Lisa Renee; Moore, Jean Burley

    2007-06-01

    This research examines the impact of a nutrition education intervention program on the nutritional status and knowledge of Nicaraguan adolescent girls. Anthropometric measurements, hemoglobin values, and data concerning nutritional knowledge were collected from adolescent girls living in Managua, Nicaragua. Using a pre-test/post-test design, data are compared prior to and after the nutrition intervention program. When using Mexican American reference data, statistically significant differences in height-for-age z-scores and weight-for-age z-scores were found when comparing the entire sample of baseline data with data collected after three years of the nutrition intervention program (p nutrition intervention programs in Nicaragua, and examines the possibility that catch-up growth occurs during adolescence.

  16. Computer-Assisted Dieting: Effects of a Randomized Nutrition Intervention

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    Schroder, Kerstin E. E.

    2011-01-01

    Objectives: To compare the effects of a computer-assisted dieting intervention (CAD) with and without self-management training on dieting among 55 overweight and obese adults. Methods: Random assignment to a single-session nutrition intervention (CAD-only) or a combined CAD plus self-management group intervention (CADG). Dependent variables were…

  17. Effects of integrated child development and nutrition interventions on child development and nutritional status.

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    Grantham-McGregor, Sally M; Fernald, Lia C H; Kagawa, Rose M C; Walker, Susan

    2014-01-01

    We conducted a systematic review of studies that examined the effect of interventions combining a child development component with a nutrition one; in some cases the nutrition interventions also included health-promotion components. Only papers with both child development and nutrition outcomes and rated as moderate-to-good quality were included. Eleven efficacy and two nonrandomized trials, and eight program evaluations were identified. Only six trials examined interventions separately and combined. The trials showed nutritional interventions usually benefited nutritional status and sometimes benefited child development. Stimulation consistently benefited child development. There was no significant loss of any effect when interventions were combined, but there was little evidence of synergistic interaction between nutrition and stimulation on child development. Only three trials followed up the children after intervention. All at-scale program evaluations were combined interventions. Five benefited child development, but one did not, and two showed deficits. There was generally little benefit of at-scale programs to nutritional status. We found no rigorous evaluations of adding stimulation to health and nutrition services at scale and there is an urgent need for them. There is also a need to establish quality-control mechanisms for existing scaled-up programs and to determine their long-term effects. There is also a need to determine if there are any sustained benefits for the children after programs finish.

  18. [Social inequalities in nutrition: Evidence, causes and interventions].

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    Fekete, Christine; Weyers, Simone

    2016-02-01

    Malnutrition is unhealthy: obesity, type 2 diabetes, cardiovascular diseases, some cancers, and premature mortality are reliably associated with poor nutrition. However, literature reveals that some population groups are at higher risk of poor nutrition than others. More specifically, evidence shows that people with low social status are more likely to have poor nutrition than those with higher status, what may contribute to health inequalities. In this article, selected reviews and meta-analyses on social inequalities in nutrition are presented. By showing current data from the Second National Food Consumption Study, the situation in Germany is highlighted. Further, potential causes of social inequalities in nutrition are discussed, drawing on the results of current research. More specifically, socioeconomic and structural deprivation (e.g., poverty, living in deprived neighborhoods) in addition to unfavorable psychosocial (e.g., poor knowledge of nutrition, low levels of social support) and sociocultural factors (e.g., unfavorable nutritional traditions) might be associated with poor nutrition in people with low social status. Interventions promoting nutritional quality in disadvantaged groups should take into account the various influences on nutrition and meet good practice criteria for health promotion. Using three examples of interventions, conceivable concrete measures that can reduce social inequalities in nutrition are presented.

  19. Multifaceted nutritional intervention among nursing-home residents has a positive influence on nutrition and function

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    Beck, Anne Marie; Damkjær, Karin; Beyer, Nina

    2008-01-01

    intervention study with nutrition (chocolate and homemade oral supplements), group exercise twice a week (45-60 min, moderate intensity), and oral care intervention one to two times a week, with the aim of improving nutritional status and function in elderly nursing-home residents. A follow-up visit was made 4......-home residents by means of a multifaceted intervention consisting of chocolate, homemade supplements, group exercise, and oral care. (C) 2008 Elsevier Inc. All rights reserved....

  20. Malnourished patients on hemodialysis improve after receiving a nutritional intervention

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    Adaiane Calegari

    2011-12-01

    Full Text Available INTRODUCTION: Malnutrition is multifactorial and may be modified by nutritional intervention. We aimed to assess the impact of an intervention on the nutritional status of malnourished hemodialysis patients and their acceptance of a non-industrialized nutritional supplement. METHODS: 18 patients were studied, they were selected from a previous nutritional assessment where nutritional risk was defined as: subjective global assessment > 15 plus one criterion for malnutrition. The following variables were assessed: anthropometric parameters, subjective global assessment, dietary intake, six-minute walking test, quality of life (SF-36, and biochemical tests. Patients were randomized to either Control or Intervention Groups. The Intervention Group received a dietetic supplement during dialysis containing 355 kcal, prepared from simple ingredients. After three months, subjects from the Control Group and other patients also considered at nutritional risk underwent the same intervention. The study groups were compared after three months, and all patients were analyzed before and after the intervention. RESULTS: Fifteen men and three women, aged 56.4 ± 15.6 years-old, nine in each group, were studied. The Intervention Group showed an improvement in the subjective global assessment (p = 0.04. There were differences in role physical and bodily pain domains of SF-36, with improvement in the Intervention Group and worsening in the Control Group (p = 0.034 and p = 0.021. Comparisons before and after intervention for all patients showed improvement in the subjective global assessment (16.18 ± 4.27 versus 14.37 ± 4.20, p = 0.04, and in the six-minute walking test (496.60 ± 132.59 versus 547.80 ± 132.48 m; p = 0.036. The nutritional supplement was well tolerated by all patients, and it did not cause side effects. CONCLUSIONS: The nutritional intervention improved the subjective global assessment and quality of life of hemodialysis patients at short-term. A

  1. Health Economics of Nutrition Intervention in Asia: Cost of Malnutrition.

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    Mizumoto, Kaori; Murakami, Genki; Oshidari, Kenro; Trisnantoro, Laksono; Yoshiike, Nobuo

    2015-01-01

    Asia has recorded the fastest economic growth in the world. However, some countries are still struggling with economic stagnation and poverty. Even in the emerging countries, there are economic disparities between urban and rural areas within a country. Reflecting the situations, nutritional issues in Asia came to be the antithetical situation of excess and insufficiency. The rate of overweight and obesity keeps increasing, especially in emerging countries. Meanwhile, underweight is still a critical problem in the region. Although the importance of nutrition is well recognized for social and economic development, it is difficult to identify the immediate outcome of nutrition interventions. Evidence-based decision-making is an important element of quality health care and efficiency and effectiveness are always key words. Along with enhanced attention to accountability and transparency of budget use in health services, attention to the economic evaluation of nutrition interventions has increased in recent years. In this symposium, we will review the current situation of nutritional issues and economic evaluation of nutrition interventions in Asia through experience of an international organization, the basis and trends for health care economics, and also efforts have been made in an Asian country. Discussion will be made about efficient and effective ways to evaluate projects/programmes for nutrition improvement.

  2. Effect of Digital Nutrition Education Intervention on the Nutritional Knowledge Levels of Information Technology Professionals.

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    Sharma, Priya; Rani, M Usha

    2016-01-01

    The purpose of the study was to determine the changes in knowledge of information technology (IT) professionals after receiving a nutrition education intervention for a month. The sample comprised of 40 IT professionals (29 males and 11 females). The sample was drawn from four IT companies of Hyderabad city using random sampling techniques. The data on the general information of the subjects was collected. The data regarding the commonly accessed sources of nutrition and health information by the subjects was also obtained from the study. The intervention study group received nutrition education by distribution of the developed CD-ROMs to them followed by interactive sessions. To assess the impact of nutrition education intervention, the knowledge assessment questionnaire (KAQ) was developed and administered before and after the education programme. A significant improvement in the mean nutritional knowledge scores was observed among the total study subjects from 22.30 to 40.55 after the intervention (p nutrition knowledge to promote healthy dietary behaviors.Thus, the method of e-learning and development of CD-Rom is essential for teaching the educated groups on nutrition, physical activity and overall health education to improve their health, lifestyle and eating habits.

  3. The nutrition intervention improved adult human capital and economic productivity.

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    Martorell, Reynaldo; Melgar, Paul; Maluccio, John A; Stein, Aryeh D; Rivera, Juan A

    2010-02-01

    This article reviews key findings about the long-term impact of a nutrition intervention carried out by the Institute of Nutrition of Central America and Panama from 1969 to 1977. Results from follow-up studies in 1988-89 and 2002-04 show substantial impact on adult human capital and economic productivity. The 1988-89 study showed that adult body size and work capacity increased for those provided improved nutrition through age 3 y, whereas the 2002-04 follow-up showed that schooling was increased for women and reading comprehension and intelligence increased in both men and women. Participants were 26-42 y of age at the time of the 2002-04 follow-up, facilitating the assessment of economic productivity. Wages of men increased by 46% in those provided with improved nutrition through age 2 y. Findings for cardiovascular disease risk factors were heterogeneous; however, they suggest that improved nutrition in early life is unlikely to increase cardiovascular disease risk later in life and may indeed lower risk. In conclusion, the substantial improvement in adult human capital and economic productivity resulting from the nutrition intervention provides a powerful argument for promoting improvements in nutrition in pregnant women and young children.

  4. Nutrition Intervention Trials in Linxian, China

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    Randomized controlled trials were launched in 1985 to test the effects of multiple vitamin and mineral interventions on total mortality and total and cause-specific cancer mortality in a rural Chinese population

  5. Effect of nutritional intervention on weight multidisciplinary ambulatory patients

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    María Luisa Fallas

    2012-10-01

    Full Text Available This retrospective descriptive study is based on statistical data generated in the outpatient nutritional support of Dr. RA Calderon Guardia Hospital. Educate the patient and their family. Further, the nutritional plans and nutritional supplementation given by the multidisciplinary group shows a weight gain of 74% of the study group. The sample population was 156 patients who presented during calendar 2011. The population consisted of 100 patients who had at least 2 evaluations in 2011. The analysis evaluated the impact of nutritional interventions on body weight of those treated. At each patient examination, weight was measured in kilograms (kg, height in meters, body mass index as (kg/m2, and changes in weight in kilograms. The spreadsheet designed and used for data and graphs was Word 2003 and Excel 2003. The doctor and a nurse specialist trained in nutritional support, the team was complete the sample. Variables were: Age, Sex, Patient Diagnosis Regarding the outcome of patients treated in the outpatient, nutritional support found that 74 patients gained weight which represents 74% of the sample group, 4 patients (4% were able to maintain weight, and 22 patients (22% continued to lose weight. A multidisciplinary approach to nutritional support allows most of patients by their pathology or malnutrition to submit increased risk of suffering, can improve or maintain their nutritional status

  6. Nutritional interventions to reduce cardiovascular risk factors: an Iranian perspective

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    Sharifi N

    2015-04-01

    Full Text Available Nasrin Sharifi,1 Reza Amani2 1Department of Nutrition, 2Health Research Institute, Department of Nutrition, Faculty of Paramedicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran Abstract: Cardiovascular disease (CVD is the leading cause of death not only in industrialized and developed countries but also in developing societies. Changes in lifestyle of the population living in developing countries, which is due to the socioeconomic and cultural transition, are important reasons for increase in the rate of CVD. This observation has led to extensive body of researches on CVD prevention. In Iran, as a developing country in the Middle East, the increasing incidence of CVD has prompted the health policy-makers to emphasize on nutritional interventions as a part of the main strategies to alleviate the condition. Hence, in this article, we aimed to review the nutritional interventions on preventing CVDs from the perspectives of Iranian lifestyles and dietary patterns using data search sources such as Medline, Google scholar, and Iran doc. Keywords: nutrition, intervention, cardiovascular disease, Iran

  7. Interventional nutrition in cancer survivorship. A case study.

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    Plotnikoff, Gregory A

    2010-10-01

    Interventional nutrition is an emerging field in medicine that utilizes advanced laboratory technologies to identify a patient's clinically relevant biochemical uniqueness in order to treat the metabolic contributors to multifactorial symptoms such as fatigue, insomnia, and pain. This article presents a complex case in which a breast cancer patient's severe symptoms fit no clear disease pattern and prevented her from undergoing chemotherapy and radiation treatment. Specialized testing for metabolic, gastrointestinal, and immunologic function uncovered important nutritional deficiencies that could not be identified through isolated tests or addressed by supplementation with a daily multivitamin. Nutritional intervention based on specific measurements, rather than a one-size-fits-all approach to supplementation, resolved this patient's debilitating symptoms and restored her capacity to benefit from chemotherapy and radiation.

  8. Nutrition interventions in patients with Crohn´s disease

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    Eva Beňová

    2016-10-01

    Full Text Available Crohn's disease is a chronic non-specific inflammatory bowel disease of any part of the digestive tract. The seriousness of the disease requires a multi-disciplinary approach when providing patients with secondary and tertiary care. Patients also have specific problems from the nursing perspective that require intervention of nurses, e.g. in the area of nutrition. The role of a nurse in a specific community lies in supporting public health in the field of prevention, health education, group educational activities and care of the acutely or chronically ill. The regulation tool of nursing practice when providing community care is the documented form of nursing data expressed by means of expert terminology. The Omaha System is a standardised terminology for multi-disciplinary teams providing community care. The objective of the research is to draw attention to the possibility of using standardised terminology of the Omaha System when supporting public health in patients with Crohn's disease with nutrition problems. The research was divided into 3 stages: in the first stage we assessed the nutrition problem in 100 patients dispensarised in gastroenterology counselling centres using a form from the Omaha System. Out of these, identified 42 patients suffered from Crohn's disease and had problems with nutrition; in the second stage we chose interventions for nutrition from the Intervention Scheme of the Omaha System: their efficiency in patients was assessed by a nurse/nutritionist in the third stage of the research when the patients came to the gastroenterology counselling centre using Problem Rating Scale for Outcomes. When comparing the initial and final nutrition assessment with socio-demographic indicators we found a statistically significant difference (p = 0.000 between the status assessment where women scored a more remarkable advance than men when comparing the initial and the final assessment. With respect to age groups, education and jobs

  9. Economic perspectives on integrating early child stimulation with nutritional interventions.

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    Alderman, Harold; Behrman, Jere R; Grantham-McGregor, Sally; Lopez-Boo, Florencia; Urzua, Sergio

    2014-01-01

    There is a strongly held view that a narrow window exists for effective nutritional interventions and a widely known stylized depiction of age-dependent economic rates of returns to investments in cognitive and socioemotional development. Both indicate critical periods in early life. Moreover, the fact that both the physical and cognitive development of a child in these early years are highly dependent on childcare practices and on the characteristics of the caregivers motivates an interest in finding effective means to enhance stimulation in the context of nutritional programs, or vice versa. Nevertheless, there is relatively little evidence to date on how to align integrated interventions to these age-specific patterns and how to undertake benefit-cost analyses for integrated interventions. Thus, many core questions need further consideration in order to design integrated nutritional and stimulation programs. This paper looks at some of these questions and provides some guidelines as to how the economic returns from joint nutrition and stimulation programs might be estimated.

  10. Can worksite nutritional interventions improve productivity and firm profitability?

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    Jensen, Jørgen Dejgård

    2011-01-01

    Aims: This paper investigates whether and how worksite nutrition policies can improve employee productivity. Methods: The questions are pursued through a literature review, including a systematic search of literature – combined with literature identified from backward references – on randomized......’ nutritional knowledge, food intake and health and on the firm’s profitability, mainly in terms of reduced absenteeism and presenteeism. Conclusions: Well-targeted and efficiently implemented diet-related worksite health promotion interventions may improve labour productivity by 1%–2%. On larger worksites...

  11. Nutritional support and dietary interventions following esophagectomy: challenges and solutions

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    Paul M

    2017-03-01

    Full Text Available Melanie Paul, Melanie Baker, Robert N Williams, David J Bowrey Department of Surgery, Leicester Royal Infirmary, Leicester, UK Background and aims: Provision of adequate nutrition after esophagectomy remains a major challenge. The aims of this review were to describe the challenges facing this patient population and to determine the evidence base underpinning current nutritional and dietetic interventions after esophagectomy. Methods: Medline, Embase and CINAHL databases were searched for English language publications of the period 1990–2016 reporting on the outcome of nutritional or dietetic interventions after esophagectomy or patient-related symptoms. Results: Four studies demonstrated that early reintroduction of oral fluids was safe and was associated with a shorter hospital stay and ileus duration. One of three studies comparing in-hospital enteral nutrition against usual care showed that enteral feeding was well tolerated and was associated with a shorter hospital stay. Eight studies comparing enteral with parenteral nutrition showed similar surgical complication rates. Enteral feeding was associated with a shorter duration of ileus and lower health care costs. In hospital, all types of enteral access (nasoenteral, jejunostomy were equivalent in their safety profiles. Cohort studies indicate that technical (tube dysfunction and feed (diarrhea, distention problems were common with jejunostomies but are easily managed. The mortality risk associated with jejunostomy in hospital is 0.2% (reported range 0%–1%, principally due to small bowel ischemia. There have been no reports of serious jejunostomy complications in patients receiving home feeding. One study demonstrated the advantages of home feeding in weight, muscle and fat preservation. Studies reporting 12 months or more after esophagectomy indicate a high frequency of persistent symptoms, dumping syndrome 15%–75% (median 46%, dysphagia 11%–38% (median 27%, early satiety 40%–90

  12. Medical Nutrition Therapy based on Nutrition Intervention for a Patient with Chronic Obstructive Pulmonary Disease.

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    Seo, Seung Hee

    2014-07-01

    Chronic obstructive pulmonary disease (COPD) is a major cause of disability, and according to statistics from the World Health Organization, COPD is the fourth leading cause of death overall in the face of decades, and expected to be increased. In 2005, the reported prevalence of COPD in Korea was 17.2% of adults over the age of 45. Malnutrition is a common problem in papatients with COPD. And several nutritional intervention studies showed a significant improvement in physical and functional outcomes. According to the results of previous studies, the nutritional support is important. This is a case report of a patient with COPD who was introduced to a proper diet through nutrition education based on the medical nutrition therapy protocol for COPD.

  13. Malnutrition, cachexia and nutritional intervention: when much becomes too much

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    Serena Rianda

    2013-06-01

    Full Text Available Disease-associated malnutrition, also defined as cachexia, is a complex syndrome characterised by the progressive deterioration of nutritional status resulting from the combined effects of reduced appetite and food intake, and profound changes in host metabolism. Cachexia has been repeatedly demonstrated to represent a negative prognostic factor for patients suffering from acute and chronic diseases, including cancer. In oncology patients, early diagnosis of cachexia and timely nutritional intervention have been demonstrated not only to prevent further deterioration of nutritional status, but also to increase quality of life and survival when integrated in a multiprofessional and multidisciplinary approach. However, nutritional therapy is associated to the possible development of complications, which may be fatal. Therefore, nutritional therapy in severely malnourished patients should be cautiously prescribed by experts in the field, who should develop a monitoring program to early detect complications and to maximise the clinical efficacy.Here we describe a cancer patient affected by refeeding syndrome, who was fortunately early diagnosed and properly treated.

  14. Nutrition Risk in Home-Bound Older Adults: Using Dietician-Trained and Supervised Nutrition Volunteers for Screening and Intervention

    Science.gov (United States)

    Laforest, Sophie; Goldin, Benita; Nour, Kareen; Roy, Marie-Andree; Payette, Helene

    2007-01-01

    Nutrition screening and early intervention in home-bound older adults are key to preventing unfavourable health outcomes and functional decline. This pilot study's objectives were (a) to test the reliability of the Elderly Nutrition Screening Tool (ENS [C]) when administered by dietician-trained and supervised nutrition volunteers, and (b) to…

  15. Effect of Nutrition Intervention Using a General Nutrition Course for Promoting Fruit and Vegetable Consumption among College Students

    Science.gov (United States)

    Ha, Eun-Jeong; Caine-Bish, Natalie

    2009-01-01

    Objective: To evaluate the effectiveness of implementing nutrition intervention using a general nutrition class to promote consumption of fruits and vegetables in college students. Design: 3-day food records were collected, verified, and analyzed before and after the intervention. Setting: A midwestern university. Participants: 80 college…

  16. Research on Intervention Measures of Sports Nutrition for Athletes' Fatigue Recovery

    Directory of Open Access Journals (Sweden)

    Zichao Chen

    2015-04-01

    Full Text Available This study analyzes the necessity of sports nutrition intervention for the recovery of the athletes' fatigue, discussing the intervention measures of sports nutrition for athletes' fatigue recovery with the help of the interpretation of sports fatigue. The nutrition supplement for sports fatigue which is an effective method to alleviate the symptoms, promote the recovery and guarantee the training.

  17. Research on Intervention Measures of Sports Nutrition for Athletes' Fatigue Recovery

    OpenAIRE

    Zichao Chen

    2015-01-01

    This study analyzes the necessity of sports nutrition intervention for the recovery of the athletes' fatigue, discussing the intervention measures of sports nutrition for athletes' fatigue recovery with the help of the interpretation of sports fatigue. The nutrition supplement for sports fatigue which is an effective method to alleviate the symptoms, promote the recovery and guarantee the training.

  18. Nutritional intervention using nutrition care process in a malnourished patient with chemotherapy side effects.

    Science.gov (United States)

    Lee, Hye-Ok; Lee, Jung-Joo

    2015-01-01

    In this case study, the process of nutritional diagnosis and intervention conducted at a hospital on a malnourished patient who underwent treatment for a chronic illness (chemotherapy for cancer treatment) was recorded. The patient received his first round of chemotherapy for colorectal cancer, and then a second round after the cancer metastasized to the liver. The patient was malnourished and had experienced weight loss (17% loss in the most recent 3 months) due to side effects of chemotherapy including stomatitis, nausea, and vomiting. Nutritional diagnosis and intervention via the nutrition care process were implemented through two screening rounds, and the quantity of oral intake increased from 28% to 62% of the recommended daily intake. The patient required continuous monitoring and outpatient care after hospital discharge. It is speculated that if a more active patient education and dietary regimen with respect to chemotherapy side effects had been offered after the patient's first chemotherapy cycle, it might have been possible to treat ingestion problems due to stomatitis during the second cycle of chemotherapy and prevent the weight loss. Henceforth, patients receiving chemotherapy should be educated about nutrition management methods and monitored continuously to prevent malnutrition.

  19. The application of near infrared spectroscopy in nutritional intervention studies

    Directory of Open Access Journals (Sweden)

    Philippa A Jackson

    2013-08-01

    Full Text Available Functional near infrared spectroscopy (NIRS is a non-invasive optical imaging technique used to monitor cerebral blood flow (CBF and by proxy neuronal activation. The use of NIRS in nutritional intervention studies is a relatively novel application of this technique, with only a small, but growing, number of trials published to date. These trials—in which the effects on CBF following administration of dietary components such as caffeine, polyphenols and omega-3 polyunsaturated fatty acids are assessed—have successfully demonstrated NIRS as a sensitive measure of change in haemodynamic response during cognitive tasks in both acute and chronic treatment intervention paradigms. The existent research in this area has been limited by the constraints of the technique itself however advancements in the measurement technology, paired with studies endeavouring increased sophistication in number and locations of channels over the head should render the use of NIRS in nutritional interventions particularly valuable in advancing our understanding of the effects of nutrients and dietary components on the brain.

  20. [Nutritional dynamic monitoring during pregnancy: a personalized intervention of prevention].

    Science.gov (United States)

    De Cristofaro, Paolo; Pompilii, Sonia; Di Bonifacio, M Teresa; Malatesta, Guido; Pantoni, Natascia; Xhebraj, Elona; Dragani, Beatrice

    2008-06-01

    Obesity is an increasing condition spreading out in all of the world, independently by race, sex and age. Obesity in pregnancy represent a risk condition for both mother and her offspring. All of the studies are observational and show intervention strategies on weight gain improvement during gestational period, a current topic, but still controversial. Our study is based on nutritional dynamic monitoring during pregnancy in order to improve health and wellbeing status of both mother and her offspring, through an early and efficacy prevention.

  1. [Intervention programs in hospital nutrition: actions, design, components and implementation].

    Science.gov (United States)

    Santana Porben, S; Barreto Penié, J

    2005-01-01

    Metabolic, Nutrient and Feeding Intervention Programs must become the methodological tool for dealing with the health problem posed by disease-associated-malnutrition on one side, and the "Bad Practices" affecting the nutritional status of the patient, on the other one. Programs like these ones should prescribe clear policies and actions in the three domains of contemporary medical practice: assistance, research and education. The fullfillment of these Program's objectives, and the relization of the implicit benefits, will only be possible if a methodological platform that armonically integrates elements of Continuous Education, Cost Analysis, Recording and Documentation, and Quality Control and Assurance, is created. The experience acumulated after the inception and conduction of the Intervention Program at the Clinical-Surgical "Hermanos Ameijeiras" Hospital (Havana City, Cuba) has served to demostrate that it is feasible not only to create a theoretical and practical body to satisfy the aforementioned goals, but, also, to export it to another institutions of the country, in view of the fact that minimal investments for adquiring the resources needed to deploy such Program, as well as for training and capacitation of medic and paramedic personel in the corresponding Recording & Documentation and Feeding & Nutrition Good Practices might result in short-term economical and medical care benefits.

  2. Theory, evidence and Intervention Mapping to improve behavior nutrition and physical activity interventions

    Directory of Open Access Journals (Sweden)

    Ferreira Isabel

    2005-04-01

    Full Text Available Abstract Background The present paper intends to contribute to the debate on the usefulness and barriers in applying theories in diet and physical activity behavior-change interventions. Discussion Since behavior theory is a reflection of the compiled evidence of behavior research, theory is the only foothold we have for the development of behavioral nutrition and physical activity interventions. Application of theory should improve the effectiveness of interventions. However, some of the theories we use lack a strong empirical foundation, and the available theories are not always used in the most effective way. Furthermore, many of the commonly-used theories provide at best information on what needs to be changed to promote healthy behavior, but not on how changes can be induced. Finally, many theories explain behavioral intentions or motivation rather well, but are less well-suited to explaining or predicting actual behavior or behavior change. For more effective interventions, behavior change theory needs to be further developed in stronger research designs and such change-theory should especially focus on how to promote action rather than mere motivation. Since voluntary behavior change requires motivation, ability as well as the opportunity to change, further development of behavior change theory should incorporate environmental change strategies. Conclusion Intervention Mapping may help to further improve the application of theories in nutrition and physical activity behavior change.

  3. Nutritional decline in cystic fibrosis related diabetes: the effect of intensive nutritional intervention.

    LENUS (Irish Health Repository)

    White, H

    2012-02-01

    BACKGROUND: Reports indicate that nutritional and respiratory decline occur up to four years prior to diagnosis of cystic fibrosis related diabetes (CFRD). Our aim was to establish whether intensive nutritional intervention prevents pre-diabetic nutritional decline in an adult population with CFRD. METHODS: 48 adult patients with CFRD were matched to 48 controls with CF, for age, gender and lung pathogen status. Nutritional and other clinical indices were recorded at annual intervals from six years before until two years after diagnosis. Data were also analysed to examine the impact of early and late acquisition of CFRD. RESULTS: No important differences in weight, height, body mass index (BMI), lung function or intravenous treatment were found between groups in the six years prior to diagnosis, nor any significant deviation over time. In those who developed diabetes, use of overnight enteral tube feeding (ETF) was four times as likely at the time of diagnosis, compared to controls [ETF 43.8% (CFRD) v 18.8% (CF Controls), OR 4.0, CI 1.3 to 16.4, p=0.01]. Age at onset of CFRD played a significant role in determining the pre-diabetic clinical course. Younger diabetics with continued growth at study onset (n=17) had a lower BMI from 2 years prior to diagnosis compared to controls [BMI 18.9 kg\\/m(2) (CFRD) v 20.8 kg\\/m(2) (CF Controls), diff=1.9, CI -0.1 to 3.7 p=0.04]. The BMI of older diabetics (completed growth at study onset) was equal to that of controls throughout. CONCLUSION: Pre-diabetic nutritional decline is not inevitable in adults with CFRD, but is influenced by age of onset. In the group overall, those with CFRD are more likely to require ETF from 2 years prior to diagnosis. Despite intensive nutritional intervention, patients who continue to grow throughout the pre-diabetic years, show a level of nutritional decline absent in older adults.

  4. A Nutrition Education Intervention Trial for Adolescent Girls in Isfahan: Study Design and Protocol

    Directory of Open Access Journals (Sweden)

    Morvarid Ghasab Shirazi

    2016-11-01

    Full Text Available BackgroundNutrition behaviors of adolescent girls is of serious health concerns. Although nutrition education interventions in Iran have met with some success, most of them could not promote nutrition behavioral changes. The aim of our study is to determine a school-based nutrition education intervention to improve adolescents’ nutrition behaviors and behavioral mediators based on the social cognitive theory (SCT.Materials and MethodsThis study is a single-blind randomized controlled trial. Eligible participants will be all student girls in grade 6 and 7, their parents and teachers in Isfahan governmental schools. This multi com­ponent school-based intervention include adolescents’ nutrition education package, parents’ nutrition massages, participatory homework, parents and teachers nutrition education package, supportive group, and collaboration with decision makers. Changing in nutrition behaviors including breakfast, fruit and vegetable, snack and fast food consumption will be examined, as primary outcome. Secondary outcome will be behavioral mediators such as knowledge, self-efficacy, intention, situation, self-regulation, social support, outcome expectations and expectancies, in adolescent girls. The outcomes will be assessed at baseline, and after 3 and 6-month follow-up.DiscussionThis study evaluates a school-based, guided SCT intervention, designed to improve healthy dietary behaviors, nutrition knowledge of adolescent girls. Few behavioral interventions have targeted this high-risk population in Iran. The intervention seems to be promising and has the potential to bridge the gap of the limited program outcomes of nutrition education in Iranian adolescents.

  5. Nutrition and health education intervention for whole grain foods in the Georgia older Americans nutrition programs.

    Science.gov (United States)

    Ellis, Jeanna; Johnson, Mary Ann; Fischer, Joan G; Hargrove, James L

    2005-01-01

    This study examined the effects of a nutrition education intervention on improving the intake and behaviors related to whole grain foods in congregate meal recipients in senior centers in north Georgia. Participants were a convenience sample and completed a pretest, an educational intervention, and a post-test (N = 84, mean age = 77 years, 88% female, 76% Caucasian, and 24% African American). At the pre-test, most participants agreed that eating more whole grain foods would help reduce their risk of cancer (69%), heart disease (76%), type 2 diabetes (65%), and bowel disorders (82%), but consumption of 11 whole grain foods was low (10.5 times/week). Following the intervention, participants were more likely to suggest one or more correct ways to identify whole grain foods (45 vs. 62%, P< or = 0.05), and to report an increased intake of whole grain bread, cereal, and crackers (5.8 vs. 6.9 times/week, P < or = 0.05). While awareness of the health benefits of whole grain foods was high, the intakes were low. As a first step, this intervention improved several aspects of the consumption of whole grain foods; however, additional interventions that target the individual and the congregate meal program are needed to increase intakes to the recommended three servings daily.

  6. Effectiveness of Nutrition Education vs. Non-Nutrition Education Intervention in Improving Awareness Pertaining Iron Deficiency among Anemic Adolescents

    OpenAIRE

    Hafzan Yusoff; Wan Nudri Wan Daud; Zulkifli Ahmad

    2013-01-01

    Background This study was carried out to compare the effect between nutrition education intervention and non-nutrition education intervention on awareness regarding iron deficiency among schooling adolescents in Tanah Merah, one of rural district in Kelantan, Malaysia. Methods: This study which was started in year 2010 involved 280 respondents (223 girls, 57 boys, age: 16 yr) from schools in Tanah Merah. The selection criteria were based on hemoglobin level (Hb = 7 – 11.9 g/dL for girls; Hb =...

  7. Evaluation of effects of nutrition intervention on healing of pressure ulcers and nutritional states (randomized controlled trial).

    Science.gov (United States)

    Ohura, Takehiko; Nakajo, Toshio; Okada, Shingo; Omura, Kenji; Adachi, Kayoko

    2011-01-01

    The objective of this study was to evaluate the effects of nutrition intervention on nutritional states and healing of pressure ulcers by standardizing or unified factors including nursing, care and treatment in a multicenter open randomized trial. Tube-fed patients with Stage III-IV pressure ulcers were selected. The control group (30 patients) received the same nutrition management as before participating in this trial, whereas the intervention group (30 patients) was given calories in the range of Basal Energy Expenditure (BEE) × 1.1 × 1.3 to 1.5. The intervention period was 12 weeks. The efficacy and safety were evaluated based on the nutritional states and the sizes of ulcers (length × width), and on the incidence of adverse events related to the study, respectively. The calories administered to the control and intervention groups were 29.1 ± 4.9 and 37.9 ± 6.5 kcal/kg/day, respectively. Significant interactions between the presence or absence of the intervention and the intervention period were noted for nutritional states (pnutrition intervention could directly enhance the healing process in pressure ulcer patients.

  8. The Personal Nutrition Planner: A 5-Week, Computer-Tailored Intervention for Women

    Science.gov (United States)

    Mouttapa, Michele; Robertson, Trina P.; McEligot, Archana J.; Weiss, Jie W.; Hoolihan, Lori; Ora, Ann; Trinh, Linda

    2011-01-01

    Objective: To conduct a dietary intervention using the Personal Nutrition Planner (PNP), an on-line nutrition intervention tool. Design: Randomized controlled trial with pretest, posttest, and 2-month follow-up self-report assessments. Setting: Web/on-line. Participants: Female university staff (n = 307; 59.1% Caucasian) recruited via e-mail.…

  9. RE-AIM Analysis of a School-Based Nutrition Education Intervention in Kindergarteners

    Science.gov (United States)

    Larsen, Andrew L.; Liao, Yue; Alberts, Janel; Huh, Jimi; Robertson, Trina; Dunton, Genevieve F.

    2017-01-01

    Background: Few nutrition interventions in kindergarten classes have been evaluated, and none has been tested for program effectiveness, implementation, and dissemination. Building a Healthy Me (BHM) is a nutrition intervention for kindergarteners that is classroom-based and includes a family component. This study evaluated the public health…

  10. A review of nutritional intervention on delayed onset muscle soreness. Part I.

    Science.gov (United States)

    Kim, Jooyoung; Lee, Joohyung

    2014-12-01

    This review is focused on the effect of nutritional intervention on delayed onset muscle soreness (DOMS) that occurs after exercise. In general, high force eccentric contractions and/or unaccustomed exercise result in DOMS attributed to reduction in performance such as muscle strength and range of motion (ROM) for both athletes and non-athletes. Nutritional intervention is one of the preventive or therapeutic ways to reduce DOMS. Previous research studies have suggested the following nutrition intervention: caffeine, omega-3 fatty acids, taurine, polyphenols, and so on. Nutritional intervention with these nutrients before and after exercise was reported to be effective in reducing DOMS. These nutritional interventions have also been reported to affect inflammatory responses and oxidative stress leading to DOMS reduction. However, other studies have reported that these nutritional interventions have no effect on DOMS. It is suggested that intake of proper nutrition intervention can effectively reduce DOMS after exercise and quickly help an athlete return to exercise or training program. In addition, nutritional intervention may help both athletes and non-athletes who engage in physical therapy or rehabilitative programs after surgery or any injurious events.

  11. Rationale and clinical data supporting nutritional intervention in Alzheimer's disease.

    Science.gov (United States)

    Engelborghs, S; Gilles, C; Ivanoiu, A; Vandewoude, M

    2014-01-01

    Adequate nutrition plays an important role in the maintenance of cognitive function, particularly during aging. Malnutrition is amongst the risk factors for developing mild cognitive impairment (MCI) and Alzheimer's disease (AD). Epidemiological studies have associated deficiencies in some nutrients with a higher risk of cognitive dysfunction and/or AD. Cognitive decline in AD is correlated with synaptic loss and many of the components required to maintain optimal synaptic function are derived from dietary sources. As synapses are part of the neuronal membrane and are continuously being remodelled, the availability of sufficient levels of nutritional precursors (mainly uridine monophosphate, choline and omega-3 fatty acids) to make the phospholipids required to build neuronal membranes may have beneficial effects on synaptic degeneration in AD. In addition, B-vitamins, phospholipids and other micronutrients act as cofactors to enhance the supply of precursors required to make neuronal membranes and synapses. Despite this, no randomized controlled trial has hitherto provided evidence that any single nutrient has a beneficial effect on cognition or lowers the risk for AD. However, a multi-target approach using combinations of (micro)nutrients might have beneficial effects on cognitive function in neurodegenerative brain disorders like AD leading to synaptic degeneration. Here we review the clinical evidence for supplementation, based on a multi-target approach with a focus on key nutrients with a proposed role in synaptic dysfunction. Based on preclinical evidence, a nutrient mixture, Souvenaid(®) (Nutricia N.V., Zoetermeer, The Netherlands) was developed. Clinical trials with Souvenaid(®) have shown improved memory performance in patients with mild AD. Further clinical trials to evaluate the effects of nutritional intervention in MCI and early dementia due to AD are on-going.

  12. Effect of a Nutritional Intervention in Athlete's Body Composition, Eating Behaviour and Nutritional Knowledge: A Comparison between Adults and Adolescents.

    Science.gov (United States)

    Nascimento, Marcus; Silva, Danielle; Ribeiro, Sandra; Nunes, Marco; Almeida, Marcos; Mendes-Netto, Raquel

    2016-09-07

    The objective of the present study is to evaluate and compare the effect of a nutritional intervention between adolescent and adult. In a before and after quasi-experimental clinical study, 32 athletes (21 adults, age range 20-32 years; 11 adolescents, age range: 12-19 years) participated in a nutritional counselling consisting of four consultations separated by an interval of 45 to 60 days. The athlete's eating behaviour, body composition and nutrition knowledge were evaluated at the beginning and at the end of the protocol. Both groups increased lean body mass and nutritional knowledge. Adolescents increased their mid-arm muscle circumference and improved meal frequency, and daily water intake. Athletes of both groups improved their ingestion of vegetables and fruits and decreased the ingestion of sweets and oils. Adolescents showed a higher prevalence of individuals that remained within or approached to the recommendations of sweets. This is the first study to evaluate and compare the effect of a nutritional intervention between adolescent and adult athletes body composition, eating behaviour and nutritional knowledge. The nutritional counselling has been effective in promoting beneficial changes on the athlete's eating behaviour, nutritional knowledge and body composition, however, some healthy changes were only experienced by adolescents, especially in the frequency of meals and the intake of sweets.

  13. Demonstration of an E-mailed Worksite Nutrition Intervention Program

    Directory of Open Access Journals (Sweden)

    Gladys Block

    2004-10-01

    Full Text Available Introduction Dietary fat and low fruit and vegetable intake are linked to many chronic diseases, and U.S. population intake does not meet recommendations. Interventions are needed that incorporate effective behavior-change principles and that can be delivered inexpensively to large segments of the population. Methods Employees at a corporate worksite were invited to participate in a program, delivered entirely by e-mail, to reduce dietary fat and increase fruit and vegetable intake. Behavior-change principles underlying the intervention included tailoring to the participant’s dietary lifestyle, baseline assessment and feedback about dietary intake, family participation, and goal setting. Assessment, tailoring, and delivery was fully automated. The program was delivered weekly to participants’ e-mail inboxes for 12 weeks. Each e-mail included information on nutrition or on the relationship between diet and health, dietary tips tailored to the individual, and small goals to try for the next week. In this nonrandomized pilot study, we assessed technical feasibility, acceptability to employees, improvement in Stage of Change, increase in fruit and vegetable consumption, and decrease in fat intake. Results Approximately one third (n = 84 of employees who were offered the 12-week program signed up for it, and satisfaction was high. There was significant improvement in Stage of Change: 74% of those not already at the top had forward movement (P < .001. In addition, results suggest significant increase in fruit and vegetable consumption (0.73 times/day, P < .001 and significant decrease in intake of fat sources (-0.39 times/day, P < .001. Conclusion This inexpensive program is feasible and appears to be effective. A randomized controlled trial is needed.

  14. Nutritional intervention in pressure ulcer guidelines: an inventory.

    NARCIS (Netherlands)

    Schols, J.M.G.A.; Jager van der Ende, M.A. de

    2004-01-01

    Nutritional data from the literature and the high prevalence of malnutrition in patients at risk of pressure ulcers (PUs) or with established PU mandate structural nutritional actions in these patients. Guidelines can help to improve nutritional alertness in professionals and promote structural nutr

  15. Workshop Report: concepts and methods in the economics of nutrition--gateways to better economic evaluation of nutrition interventions.

    Science.gov (United States)

    Lenoir-Wijnkoop, I; Nuijten, M J C; Gutiérrez-Ibarluzea, I; Hutton, J; Poley, M J; Segal, L; Bresson, J L; van Ganse, E; Jones, P; Moreno, L; Salminen, S; Dubois, D

    2012-11-14

    Improving health through better nutrition of the population may contribute to enhanced efficiency and sustainability of healthcare systems. A recent expert meeting investigated in detail a number of methodological aspects related to the discipline of nutrition economics. The role of nutrition in health maintenance and in the prevention of non-communicable diseases is now generally recognised. However, the main scope of those seeking to contain healthcare expenditures tends to focus on the management of existing chronic diseases. Identifying additional relevant dimensions to measure and the context of use will become increasingly important in selecting and developing outcome measurements for nutrition interventions. The translation of nutrition-related research data into public health guidance raises the challenging issue of carrying out more pragmatic trials in many areas where these would generate the most useful evidence for health policy decision-making. Nutrition exemplifies all the types of interventions and policy which need evaluating across the health field. There is a need to start actively engaging key stakeholders in order to collect data and to widen health technology assessment approaches for achieving a policy shift from evidence-based medicine to evidence-based decision-making in the field of nutrition.

  16. Improving women's nutrition imperative for rapid reduction of childhood stunting in South Asia: coupling of nutrition specific interventions with nutrition sensitive measures essential.

    Science.gov (United States)

    Vir, Sheila C

    2016-05-01

    The implications of direct nutrition interventions on women's nutrition, birth outcome and stunting rates in children in South Asia are indisputable and well documented. In the last decade, a number of studies present evidence of the role of non-nutritional factors impacting on women's nutrition, birth outcome, caring practices and nutritional status of children. The implications of various dimensions of women's empowerment and gender inequality on child stunting is being increasingly recognised. Evidence reveals the crucial role of early age of marriage and conception, poor secondary education, domestic violence, inadequate decision-making power, poor control over resources, strenuous agriculture activities, and increasing employment of women and of interventions such as cash transfer scheme and microfinance programme on undernutrition in children. Analysis of the nutrition situation of women and children in South Asia and programme findings emphasise the significance of reaching women during adolescence, pre-conception and pregnancy stage. Ensuring women enter pregnancy with adequate height and weight and free from being anemic is crucial. Combining nutrition-specific interventions with measures for empowerment of women is essential. Improvement in dietary intake and health services of women, prevention of early age marriage and conception, completion of secondary education, enhancement in purchasing power of women, reduction of work drudgery and elimination of domestic violence deserve special attention. A range of programme platforms dealing with health, education and empowerment of women could be strategically used for effectively reaching women prior to and during pregnancy to accelerate reduction in stunting rates in children in South Asia.

  17. Nutritional Intervention as part of Functional Rehabilitation in Older People with reduced functional ability

    DEFF Research Database (Denmark)

    Beck, Anne Marie; Dent, Elsa; Baldwin, Christine

    2016-01-01

    Background Nutritional intervention is increasingly recognised as having an important role in functional rehabilitation for older people. Nonetheless, a greater understanding of the functional benefit of nutritional interventions is needed. Methods A systematic review and meta-analysis examined r....... Conclusions This meta-analysis highlights concerns regarding the quality of the randomisation of participants at baseline. Future high-quality research is essential to establish whether older people with loss of functional abilities can benefit from nutritional intervention....... randomised controlled trials (RCTs) published between 2007 and 2014 with the aim of determining whether nutritional intervention combined with rehabilitation benefited older people with reduced functional ability. Six electronic databases were searched. RCTs including people aged 65 years and older...

  18. the Importance of an early exercise and nutrition intervention among RENAL TRANSPLANT RECIPIENTS

    Directory of Open Access Journals (Sweden)

    Andrea Mahrova

    2012-06-01

    In conclusion, the combination of an exercise and nutrition intervention was the most effective and could give each patient an opportunity to achieve an optimal physical and psychological level almost equal to their original condition.

  19. Nutrition Education Research Brief: Message Framing, Use of Interactive Technology to Tailor Messages, and Intervention Intensity

    OpenAIRE

    Mary Kay Fox; Charlotte Hanson; Ronette Briefel

    2007-01-01

    This research brief is intended to assist nutrition educators in assessing whether specific characteristics of nutrition messages promote desired dietary behavior changes. Based on a computerized literature search targeting peer-reviewed journal articles, it highlights three topics pertinent to the design of nutrition education programs—message framing, use of interactive technology to tailor messages, and intervention intensity. While some promising results were found to be associated with...

  20. Behavioral Nutrition Interventions Using e- and m-Health Communication Technologies: A Narrative Review.

    Science.gov (United States)

    Olson, Christine M

    2016-07-17

    e- and m-Health communication technologies are now common approaches to improving population health. The efficacy of behavioral nutrition interventions using e-health technologies to decrease fat intake and increase fruit and vegetable intake was demonstrated in studies conducted from 2005 to 2009, with approximately 75% of trials showing positive effects. By 2010, an increasing number of behavioral nutrition interventions were focusing on body weight. The early emphasis on interventions that were highly computer tailored shifted to personalized electronic interventions that included weight and behavioral self-monitoring as key features. More diverse target audiences began to participate, and mobile components were added to interventions. Little progress has been made on using objective measures rather than self-reported measures of dietary behavior. A challenge for nutritionists is to link with the private sector in the design, use, and evaluation of the many electronic devices that are now available in the marketplace for nutrition monitoring and behavioral change.

  1. Nutrition Education among Low-Income Older Adults: A Randomized Intervention Trial in Congregate Nutrition Sites

    Science.gov (United States)

    Mitchell, Roger E.; Ash, Sarah L.; McClelland, Jacquelyn W.

    2006-01-01

    Nutritional well-being among older adults is critical for maintaining health, increasing longevity, and decreasing the impact of chronic illness. However, few well-controlled studies have examined nutritional behavior change among low-income older adults. A prospective, controlled, randomized design examined a five session nutrition education…

  2. The Efficacy of Oral Nutritional Intervention in Malnourished Cancer Patients: a Systemic Review

    Science.gov (United States)

    2016-01-01

    Cancer is currently a leading cause of deaths worldwide and the number of new cases is growing rapidly in both, developed and developing countries. Nutritional management during and after cancer treatment affects treatment efficacy and patient quality of life (QOL). This review systemically examined the effect of oral nutritional interventions on nutritional and clinical outcomes in cancer patients. We especially focused on outcomes such as nutritional status indices, immune-associated biochemical markers, and QOL assessments to provide insights on the applicability of different outcomes. A total of 28 papers were selected for systematic review. The nutritional composition of oral nutritional supplements (ONS), outcome measures, and efficacy of the oral nutritional interventions were summarized and discussed. Most ONS contain 1 or more functional components in addition to basic nutrients. Each study used various outcome measures and significant efficacy was observed for a limited number of measures. Nutritional status indices, QOL measures, and the duration of hospital stay improved in about 40% of the studies. One or more markers of immune function and inflammatory responses were improved by ONS in 65% of the selected studies. These results suggest that appropriate use of ONS may be an ideal way to improve treatment efficacy; however, additional intervention trials are required to confirm these findings. PMID:27812512

  3. The Efficacy of Oral Nutritional Intervention in Malnourished Cancer Patients: a Systemic Review.

    Science.gov (United States)

    Kim, Jin-Min; Sung, Mi-Kyung

    2016-10-01

    Cancer is currently a leading cause of deaths worldwide and the number of new cases is growing rapidly in both, developed and developing countries. Nutritional management during and after cancer treatment affects treatment efficacy and patient quality of life (QOL). This review systemically examined the effect of oral nutritional interventions on nutritional and clinical outcomes in cancer patients. We especially focused on outcomes such as nutritional status indices, immune-associated biochemical markers, and QOL assessments to provide insights on the applicability of different outcomes. A total of 28 papers were selected for systematic review. The nutritional composition of oral nutritional supplements (ONS), outcome measures, and efficacy of the oral nutritional interventions were summarized and discussed. Most ONS contain 1 or more functional components in addition to basic nutrients. Each study used various outcome measures and significant efficacy was observed for a limited number of measures. Nutritional status indices, QOL measures, and the duration of hospital stay improved in about 40% of the studies. One or more markers of immune function and inflammatory responses were improved by ONS in 65% of the selected studies. These results suggest that appropriate use of ONS may be an ideal way to improve treatment efficacy; however, additional intervention trials are required to confirm these findings.

  4. A randomized controlled trial of a theoretically-based behavioral nutrition intervention for community elders: lessons learned from the Behavioral Nutrition Intervention for Community Elders Study.

    Science.gov (United States)

    Locher, Julie L; Vickers, Kristin S; Buys, David R; Ellis, Amy; Lawrence, Jeannine C; Newton, Laura Elizabeth; Roth, David L; Ritchie, Christine S; Bales, Connie W

    2013-12-01

    Older adults with multiple comorbidities are often undernourished or at high risk for becoming so, especially after a recent hospitalization. Randomized controlled trials of effective, innovative interventions are needed to support evidence-based approaches for solving nutritional problems in this population. Self-management approaches where participants select their own behavioral goals can enhance success of interventions. The purpose of this study was to evaluate the feasibility and efficacy of a multilevel self-management intervention to improve nutritional status in a group of high-risk older adults. The Behavioral Nutrition Intervention for Community Elders (B-NICE) trial used a prospective randomized controlled design to determine whether the intervention, compared to standard care, maintained or increased caloric intake (depending on baseline body mass index) and, consequently, stabilized or increased body weight. Participants were 34 Medicare-eligible, age 65 years old or older, homebound adults who were consuming insufficient calories and/or had a history of weight loss ≥2.5% over 6 months. The intervention took place within participants' homes. Outcome measures, including energy intake (based on collection of three 24-hour dietary recalls) and body weights were assessed at baseline and at 60 days post randomization. The primary analyses included analyses of covariance and Pearson's χ(2). We hypothesized that the intervention would result in increased caloric intake and weight gain in underweight older adults and increased or stabilized caloric intake and weight for everyone else. The intervention was feasible; however, it did not result in differences between groups for desired outcomes of either caloric intake or body weight. Future interventions might either deliberately involve caregivers or reduce burden for both patients and caregivers.

  5. Economic analysis of nutrition interventions for chronic disease prevention: methods, research, and policy.

    Science.gov (United States)

    Wong, John B; Coates, Paul M; Russell, Robert M; Dwyer, Johanna T; Schuttinga, James A; Bowman, Barbara A; Peterson, Sarah A

    2011-09-01

    Increased interest in the potential societal benefit of incorporating health economics as a part of clinical translational science, particularly nutrition interventions, led the Office of Dietary Supplements at the National Institutes of Health to sponsor a conference to address key questions about the economic analysis of nutrition interventions to enhance communication among health economic methodologists, researchers, reimbursement policy makers, and regulators. Issues discussed included the state of the science, such as what health economic methods are currently used to judge the burden of illness, interventions, or healthcare policies, and what new research methodologies are available or needed to address knowledge and methodological gaps or barriers. Research applications included existing evidence-based health economic research activities in nutrition that are ongoing or planned at federal agencies. International and US regulatory, policy, and clinical practice perspectives included a discussion of how research results can help regulators and policy makers within government make nutrition policy decisions, and how economics affects clinical guideline development.

  6. Physical Activity, Exercise, and Nutrition Interventions for Weight Control in African American Women

    Science.gov (United States)

    Asare, Matthew; Sharma, Manoj

    2010-01-01

    The purpose of this paper was to review the physical activity, exercise, and nutrition related weight control interventions done with African American women that were published between 2006 and 2010 and suggest ways of enhancing these interventions. A total of 13 studies met the inclusion criteria. The review found significant results with regard…

  7. Environmental lead toxicity: Nutrition as a component of intervention

    Energy Technology Data Exchange (ETDEWEB)

    Mahaffey, K.R. (National Institute of Environmental Health Sciences, Research Triangle Park, NC (USA))

    1990-11-01

    The influence of nutritional status on susceptibility to the toxicity of lead is discussed. Emphasis is given to dietary factors of substantial clinical importance. Subtle changes in susceptibility are difficult to evaluate under conditions of overwhelming lead exposure. It is clear that subtle effects of lead exposure on neurobehavioral and cognitive development are a major concern. The role of nutrition is considered to be an adjunct to reduction of environmental lead exposure, which is the primary means of reducing adverse health effects of lead. Nutrition should be evaluated as a component of strategies to address this broad societal issue.

  8. Nutrition intervention to decrease symptoms in patients with advanced heart failure.

    Science.gov (United States)

    Lennie, Terry A; Moser, Debra K; Biddle, Martha J; Welsh, Darlene; Bruckner, Geza G; Thomas, D Travis; Rayens, Mary Kay; Bailey, Alison L

    2013-04-01

    For a majority of patients with advanced heart failure, there is a need for complementary, non-pharmacologic interventions that could be easily implemented by health care providers to provide palliative care. Three major pathologic pathways underlying heart failure symptoms have been identified: fluid overload, inflammation, and oxidative stress. Prior research has demonstrated that three nutrients-sodium, omega-3 fatty acids, and lycopene-can alter these pathologic pathways. Therefore, the purposes of this study are to test the effects of a 6-month nutrition intervention of dietary sodium reduction combined with supplementation of lycopene and omega-3 fatty acids on heart failure symptoms, health-related quality of life, and time to heart failure rehospitalization or all-cause death. The aims of this double blind-placebo controlled study are (1) to determine the effects of a 6-month nutrition intervention on symptom burden (edema, shortness of air, and fatigue) and health-related quality of life at 3 and 6 months, and time to heart failure rehospitalization or all-cause death over 12 months from baseline; (2) compare dietary sodium intake, inflammation, and markers of oxidative stress between the nutrition intervention group and a placebo group at 3 and 6 months; and (3) compare body weight, serum lycopene, and erythrocyte omega-3 index between the nutrition intervention group and a placebo group at 3 and 6 months. A total of 175 patients with advanced heart failure will be randomized to either the nutrition intervention or placebo group.

  9. Capacity building for health through community-based participatory nutrition intervention research in rural communities.

    Science.gov (United States)

    Downey, Laura H; Castellanos, Diana Cuy; Yadrick, Kathy; Threadgill, Paula; Kennedy, Betty; Strickland, Earline; Prewitt, T Elaine; Bogle, Margaret

    2010-01-01

    Since its inception, capacity building has been a stated goal of the Delta Nutrition Intervention Research Initiative, a tri-state collaboration in the Lower Mississippi Delta to address high rates of chronic disease. Textual analysis of project documents identifies and describes strategies carried out to foster capacity building. Strategies to build community capacity include fostering participation, cultivating leadership opportunities, training community members as co-researchers, securing community resources, and implementing the intervention together. Incorporating capacity-building approaches in health promotion and nutrition-intervention programming in rural communities provides a means to enhance potential for sustainability of health outcomes and developed effectiveness.

  10. Pancreatic surgery: indications, complications, and implications for nutrition intervention.

    Science.gov (United States)

    Berry, Amy J

    2013-06-01

    Pancreatic surgery is a complicated procedure leaving postoperative patients with an altered gastrointestinal (GI) anatomy and a potential for further surgical complications such as leaks and fistulas. Beyond surgical complications, these patients are prone to delayed gastric emptying, fat malabsorption, and hyperglycemia, with early satiety and poor appetite further compromising nutrition status. Many of these patients are malnourished prior to this major surgical procedure, and significant weight loss is common postoperatively. Does this affect their outcome? There seems to be a lack of consensus in this patient population regarding how to optimize nutrition and limit potential deleterious effects of this surgery. It is important to first understand the underlying disease condition and the effects to the gland, different forms of surgery with subsequent GI alterations, and common surgical and digestive complications. Once this is reviewed, existing nutrition support literature will be explored in attempts to determine the best nutrition management in this patient population.

  11. A Content Analysis of Kindergarten-12th Grade School-Based Nutrition Interventions: Taking Advantage of Past Learning

    Science.gov (United States)

    Roseman, Mary G.; Riddell, Martha C.; Haynes, Jessica N.

    2011-01-01

    Objective: To review the literature, identifying proposed recommendations for school-based nutrition interventions, and evaluate kindergarten through 12th grade school-based nutrition interventions conducted from 2000-2008. Design: Proposed recommendations from school-based intervention reviews were developed and used in conducting a content…

  12. A cost-analysis of complex workplace nutrition education and environmental dietary modification interventions

    OpenAIRE

    Fitzgerald, Sarah; Kirby, Ann; Murphy, Aileen; Geaney, Fiona; Perry, Ivan J.

    2017-01-01

    Background The workplace has been identified as a priority setting to positively influence individuals’ dietary behaviours. However, a dearth of evidence exists regarding the costs of implementing and delivering workplace dietary interventions. This study aimed to conduct a cost-analysis of workplace nutrition education and environmental dietary modification interventions from an employer’s perspective. Methods Cost data were obtained from a workplace dietary intervention trial, the Food Choi...

  13. A cost-analysis of complex workplace nutrition education and environmental dietary modification interventions

    OpenAIRE

    Fitzgerald, Sarah; Kirby, Ann; Murphy, Aileen; Geaney, Fiona; Perry, Ivan J.

    2017-01-01

    Background: The workplace has been identified as a priority setting to positively influence individuals’ dietary behaviours. However, a dearth of evidence exists regarding the costs of implementing and delivering workplace dietary interventions. This study aimed to conduct a cost-analysis of workplace nutrition education and environmental dietary modification interventions from an employer’s perspective. Methods: Cost data were obtained from a workplace dietary intervention trial, the Food Ch...

  14. Research on Effect of Aerobic Exercise and Nutrition Intervention on Food-borne Obesity

    Directory of Open Access Journals (Sweden)

    Xiaohong Wang

    2015-09-01

    Full Text Available With the development of social economy and the improvement of people's living standards, the incidence of obesity is increasing year by year. The main purpose of this study is to study the effect to food-borne obese rats combined aerobic exercise with soybean peptide and L-carnitine. The objects of this experiment are the SD obese rats which are successfully modeling, with 6-week training on treadmill and lavaging 10% of nutrient solution everyday (600 mg/ (kg•day L-carnitine and 15 mg/ (kg•day soybean peptide. But for the obese rats in the control group, they will be lavaged with 2 mL of distilled water. During this experiment, we observed the body weight, body length of the obese rats and calculate Lee’s index, detect the index of body weight, body length and the concentration of apolipoprotein. After the experiment, the exercise intervention group, the nutrition intervention group and exercise plus nutrition intervention group, Lee’s indexes of them are obviously lower than obese control group. The differences between two are all significant (p0.05; Nutrition intervention, exercise intervention group and sport plus nutrition intervention all significantly decreased the levels of apoB (p0.05, but sport plus nutrition intervention effect on apoA of obese rats has significant difference (p<0.05. Through the analysis of these results, the experiment shows that feeding high fat and sugar fodder can successful establish obese rats model. Exercise and nutrition intervention can improve lipid metabolism, significantly decreasing apoB concentrations of obese rats, increasing apoA concentrations.

  15. Cost effectiveness of responsive stimulation and nutrition interventions on early child development outcomes in Pakistan.

    Science.gov (United States)

    Gowani, Saima; Yousafzai, Aisha K; Armstrong, Robert; Bhutta, Zulfiqar A

    2014-01-01

    Early childhood programs are heralded as a way to improve children's health and educational outcomes. However, few studies in developing countries calculate the effectiveness of quality early childhood interventions. Even fewer estimate the associated costs of such interventions. The study here looks at the costs and effectiveness of a cluster-randomized effectiveness trial on children from birth to 24 months in rural Sindh, Pakistan. Responsive stimulation and/or enhanced nutrition interventions were integrated in the Lady Health Worker program in Pakistan. Outcomes suggest that children who receive responsive stimulation had significantly better development outcomes at 24 months than those who only received enhanced nutrition intervention. A cost-effectiveness analysis of the results verifies that early childhood interventions that include responsive stimulation are more cost effective than a nutrition intervention alone in promoting children's early development. Costs of a responsive stimulation intervention integrated in an existing community-based service providing basic health and nutrition care is approximately US$4 per month per child. We discuss these findings and make recommendations about scaling up and costs for future early child development programs.

  16. A novel school-based intervention to improve nutrition knowledge in children: cluster randomised controlled trial

    Directory of Open Access Journals (Sweden)

    Ong Ken K

    2010-03-01

    Full Text Available Abstract Background Improving nutrition knowledge among children may help them to make healthier food choices. The aim of this study was to assess the effectiveness and acceptability of a novel educational intervention to increase nutrition knowledge among primary school children. Methods We developed a card game 'Top Grub' and a 'healthy eating' curriculum for use in primary schools. Thirty-eight state primary schools comprising 2519 children in years 5 and 6 (aged 9-11 years were recruited in a pragmatic cluster randomised controlled trial. The main outcome measures were change in nutrition knowledge scores, attitudes to healthy eating and acceptability of the intervention by children and teachers. Results Twelve intervention and 13 control schools (comprising 1133 children completed the trial. The main reason for non-completion was time pressure of the school curriculum. Mean total nutrition knowledge score increased by 1.1 in intervention (baseline to follow-up: 28.3 to 29.2 and 0.3 in control schools (27.3 to 27.6. Total nutrition knowledge score at follow-up, adjusted for baseline score, deprivation, and school size, was higher in intervention than in control schools (mean difference = 1.1; 95% CI: 0.05 to 2.16; p = 0.042. At follow-up, more children in the intervention schools said they 'are currently eating a healthy diet' (39.6% or 'would try to eat a healthy diet' (35.7% than in control schools (34.4% and 31.7% respectively; chi-square test p Conclusions The 'Top Grub' card game facilitated the enjoyable delivery of nutrition education in a sample of UK primary school age children. Further studies should determine whether improvements in nutrition knowledge are sustained and lead to changes in dietary behaviour.

  17. Nutritional Interventions in Head and Neck Cancer Patients Undergoing Chemoradiotherapy: A Narrative Review

    Directory of Open Access Journals (Sweden)

    Maurizio Bossola

    2015-01-01

    Full Text Available The present review aimed to define the role of nutritional interventions in the prevention and treatment of malnutrition in HNC patients undergoing CRT as well as their impact on CRT-related toxicity and survival. Head and neck cancer patients are frequently malnourished at the time of diagnosis and prior to the beginning of treatment. In addition, chemo-radiotherapy (CRT causes or exacerbates symptoms, such as alteration or loss of taste, mucositis, xerostomia, fatigue, nausea and vomiting, with consequent worsening of malnutrition. Nutritional counseling (NC and oral nutritional supplements (ONS should be used to increase dietary intake and to prevent therapy-associated weight loss and interruption of radiation therapy. If obstructing cancer and/or mucositis interfere with swallowing, enteral nutrition should be delivered by tube. However, it seems that there is not sufficient evidence to determine the optimal method of enteral feeding. Prophylactic feeding through nasogastric tube or percutaneous gastrostomy to prevent weight loss, reduce dehydration and hospitalizations, and avoid treatment breaks has become relatively common. Compared to reactive feeding (patients are supported with oral nutritional supplements and when it is impossible to maintain nutritional requirements enteral feeding via a NGT or PEG is started, prophylactic feeding does not offer advantages in terms of nutritional outcomes, interruptions of radiotherapy and survival. Overall, it seems that further adequate prospective, randomized studies are needed to define the better nutritional intervention in head and neck cancer patients undergoing chemoradiotherapy.

  18. Nutrition support and dietary interventions for patients with lung cancer: current insights

    Directory of Open Access Journals (Sweden)

    Kiss N

    2016-01-01

    Full Text Available Nicole Kiss1,2 1Nutrition and Speech Pathology Department, Peter MacCallum Cancer Centre, East Melbourne, VIC, Australia; 2Department of Cancer Experiences Research, Peter MacCallum Cancer Centre, East Melbourne, VIC, Australia Abstract: Malnutrition and weight loss are prevalent in patients with lung cancer. The impact of malnutrition on patients with cancer, and specifically in patients with lung cancer, has been demonstrated in a large number of studies. Malnutrition has been shown to negatively affect treatment completion, survival, quality of life, physical function, and health care costs. Emerging evidence is providing some insight into which lung cancer patients are at higher nutritional risk. In lung cancer patients treated with radiotherapy, stage III or more disease, treatment with concurrent chemotherapy and the extent of radiotherapy delivered to the esophagus appear to confer a higher risk of weight loss during and post-treatment. Studies investigating nutrition interventions for lung cancer patients have examined intensive dietary counseling, supplementation with fish oils, and interdisciplinary models of nutrition and exercise interventions and show promise for improved outcomes from these interventions. However, further research utilizing these interventions in large clinical trials is required to definitively establish effective interventions in this patient group. Keywords: lung cancer, nutrition, malnutrition

  19. Nutrition Module Intervention to Improve Nutrition Knowledge, Attitude and Practice of Trainers for Persons with Disabilities in Rehabilitation Centers in Malaysia

    OpenAIRE

    Chen ST

    2015-01-01

    Introduction: Other than parents, primary care providers such as community workers and rehabilitation service personnel are also important nutritional gatekeepers for persons with disabilities (PWD). Good nutrition management for PWD by joint efforts is most desirable to prevent further disablement in later years. This study aimed to evaluate the effectiveness of a nutrition module intervention on improving trainers’ knowledge, attitude and practice in nutrition managemen...

  20. Impact of nutritional interventions on food consumption pattern changes of workers and staff

    Directory of Open Access Journals (Sweden)

    Maryam Boshtam

    2011-10-01

    Full Text Available Background: Worksite Intervention Project from Isfahan Healthy Heart Program aiming at modifying life style of workers and staff in Isfahan and Najafabad (intervention areas, and Arak (reference area carried out for 5 years. Nutritional interventions are one of the interventions of this project. This research aiming at studying the effect of these interventions on food consumption pattern changes carried out in workers and staff of Isfahan and Najafabad. Materials and Method: Food consumption pattern by food frequency questionnaire and demographic information of this group were collected before, after and annually during the intervention. Data were analyzed by Genera Linear Models (GLM, descriptive and trend analysis. Results: Beverage and hydrogenated oil consumption decreased and fruits and vegetables increased in workers and staff of intervention area more than reference area (p0.27. Compare to reference society fast food consumption in office staff of intervention society was increased (p<0.001.Conclusion: We conclude that nutritional interventions have favorite effects on practice of workers and staff of this Iranian population and interventions used in this study can use as applicable interventions for similar societies

  1. Rural nutrition interventions with indigenous plant foods - a case study of vitamin A deficiency in Malawi

    Directory of Open Access Journals (Sweden)

    Babu S.C.

    2000-01-01

    Full Text Available Identification, propagation, and introduction of a nutritionally rich, indigenous plant species in the existing cropping system are presented in this paper as a method of rural nutrition intervention. A case study of Moringa (Moringa oleifera Lam., Moringaceae, which is a common tree in Malawi and one of the richest sources of vitamin A and vitamin C compared to the commonly consumed vegetables is presented to address the problem of vitamin A deficiency. After a brief review of the prevalence of vitamin A deficiency and the efforts to reduce its incidence in Malawi, Moringa is suggested as a potential solution to the problem. A framework for designing nutrition intervention with Moringa is described for actual implementation. It is argued that attempts to identify, document, and encourage the utilization of nutrient-rich indigenous plants could be cost-effective, and a sustainable method of improving the nutritional status of local populations.

  2. The Effects of a Sports Nutrition Education Intervention on Nutritional Status, Sport Nutrition Knowledge, Body Composition, and Performance during Off Season Training in NCAA Division I Baseball Players

    Science.gov (United States)

    Rossi, Fabrício Eduardo; Landreth, Andrew; Beam, Stacey; Jones, Taylor; Norton, Layne; Cholewa, Jason Michael

    2017-01-01

    This study investigated the effects of a sport nutrition education intervention (SNEI) on dietary intake, knowledge, body composition, and performance in NCAA Division I baseball players. Resistance trained NCAA Division I baseball players (82.4 ± 8.2 kg; 1.83 ± 0.06 m; 13.7 ± 5 % body fat) participated in the study during 12 weeks of off-season training. Fifteen players volunteered for SNEI while 15 players matched for position served as controls (C) for body composition and performance. The nutrition intervention group (NI) received a 90 min SNEI encompassing energy intake (Kcal), carbohydrate (CHO), protein (PRO), fat, food sources, and hydration. Sport nutrition knowledge questionnaires were administered to NI pre and post. Nutritional status was determined by three-day dietary logs administered to NI pre and post. Body composition and performance (5-10-5 shuttle test, vertical jump, broad jump, 1 RM squat) were measured pre and post for C and NI. Knowledge increased in NI. Pro and fat, but not CHO intake increased in NI. FM decreased pre to post in NI (11.5 ± 4.8 vs. 10.5 ± 5.4 kg) but not C (11.3 ± 4.7 vs. 11.9 ± 4.5 kg). FFM increased pre to post with no differences between groups. The 5-10-5 shuttle times decreased significantly more in NI (4.58 ± 0.15 vs. 4.43 ± 0.13 sec) compared to C (4.56 ± 0.18 vs. 4.50 ± 0.16 sec). Jump and squat performance increased pre to post with no differences between groups. Our findings indicate that an off season SNEI is effective at improving sport nutrition knowledge and some, but not all, nutrient intakes and performance measures in Division I baseball players. Key points Sport nutrition education intervention increased nutritional knowledge and nutritional status. Sport nutrition education intervention reduced body fat percentage, total fat mass, 5-10-5 shuttle times, and trended towards greater increases in lean mass compared to controls. Both groups increased strength and jump ability similarly. PMID:28344452

  3. [Hospital system for Continuous Education in Food And Nutrition: its place within a nutritional, food and metabolic intervention program].

    Science.gov (United States)

    Santana Porbén, S; Barreto Penié, J

    2009-01-01

    A design proposal for a HCEFN Hospital Continuous Education in Feeding and Nutrition, along with the educational intervention model developed and conducted at the "Hermanos Ameijieras" Hospital (Havana City, Cuba), and some of the results obtained after its implementation between 1997-2004, are presented in this article. The System design should include three levels of different and increasing complexity, depending on the level of knowledge, capabilities and aptitudes exhibited by hospital actors. The described system should also accommodate inter- and intra-disciplinary forms of education, learning and training aimed not only to increase the proficiency of actors in the recognition and treatment of hospital malnutrition, but also to foster group performance. The operation of a HCEFN at the hospital of the authors's affiliation has showed the feasibility of conducting such educational interventions oriented to foster Good Practices for Feeding and Nutrition of the hospitalized patients.

  4. Empowering Esrd Patients For Assisted Self Nutritional Care: A Simple But Effective Intervention For Improving Nutritional Status Of Hemodialysis Patients

    Directory of Open Access Journals (Sweden)

    Pratim Sengupta

    2012-06-01

    Full Text Available Protein energy wasting (PEW is a prevalent problem among hemodialysis patients. Lack of adherence to dietary principle based conventional diet charts often fail to satisfy the nutritional requirements of the patients. We studied the effect of simple nutritional training and empowerment of the patients to formulate their own dietary menu in nutritional parameters of hemodialysis patients in 68 stable non diabetic End stage renal disease (ESRD patients who are on maintenance hemodialysis. The factors which otherwise can affect the nutritional status like sepsis, malignancy,tuberculosis were excluded. At the beginning patient's baseline nutritional status was assessed by anthropometric measurements, Subjective Global Assessment and serum albumin level. Body composition was assessed by linear regression equation (Durin-Womersley and Siri equation. The patients were divided in two comparable groups (Group-A&B. In group A patients were prescribed individualized dietary prescription; based on their nutritional allowance as per KDOQI guideline. In Group-B the patients were initially made familiar with the dietary principals of the commonly consumed food. Then they were trained by renal nutritionist by study material, visual aid, and proportional food models and one to one discussion to formulate a dietary menu, by these they were empowered to formulate their own dietary menu. They were constantly assisted when faced any problem. In both the group the nutritional parameters were reassessed after three months of intervention. The results were analyzed statistically. There was statistically significant mean increment in the fat free mass index in GroupB[0.8%(Gr.-AVs1.0%(Gr.-B,(p<0.05], the mean increment in the serum albumin in the GroupB was also significantly higher than GroupA[(0.6gm/dl(Gr.A Vs 0.9 gm/dl(Gr.B, p<0.0].Compared to Group-A there was statistically favorable anthropometric changes in Group-B. In conclusion patient empowerment and self

  5. Nutritional and Lifestyle Interventions for Age-Related Macular Degeneration: A Review

    OpenAIRE

    Carneiro, Ângela; Andrade, José Paulo

    2017-01-01

    Age-related macular degeneration (AMD) is the leading cause of blindness in the developed world. In this narrative review, we will summarize the nutritional interventions evaluated in numerous observational studies and a few randomized clinical trials. The AREDS and AREDS2 studies demonstrated that supplements including vitamins C and E, beta-carotene, and zinc may reduce the progression to advanced AMD, in some patients, by 25% in five years. This is one of the few nutritional supplements kn...

  6. Position of the American Dietetic Association: nutrition intervention in the treatment of eating disorders.

    Science.gov (United States)

    Ozier, Amy D; Henry, Beverly W

    2011-08-01

    It is the position of the American Dietetic Association that nutrition intervention, including nutritional counseling by a registered dietitian (RD), is an essential component of team treatment of patients with anorexia nervosa, bulimia nervosa, and other eating disorders (EDs) during assessment and treatment across the continuum of care. Diagnostic criteria for EDs provide important guidelines for identification and treatment. In addition, individuals may experience disordered eating that extends along a range from food restriction to partial conditions to diagnosed EDs. Understanding the roles and responsibilities of RDs is critical to the effective care of individuals with EDs. The complexities of EDs, such as epidemiologic factors, treatment guidelines, special populations, and emerging trends highlight the nature of EDs, which require a collaborative approach by an interdisciplinary team of mental health, nutrition, and medical specialists. RDs are integral members of treatment teams and are uniquely qualified to provide medical nutrition therapy for the normalization of eating patterns and nutritional status. However, this role requires understanding of the psychologic and neurobiologic aspects of EDs. Advanced training is needed to work effectively with this population. Further efforts with evidenced-based research must continue for improved treatment outcomes related to EDs, along with identification of effective primary and secondary interventions. This paper supports the "Practice Paper of the American Dietetic Association: Nutrition Intervention in the Treatment of Eating Disorders" published online at www.eatright.org/positions.

  7. Examining an Australian physical activity and nutrition intervention using RE-AIM.

    Science.gov (United States)

    Caperchione, Cristina M; Duncan, Mitch; Kolt, Gregory S; Vandelanotte, Corneel; Rosenkranz, Richard R; Maeder, Anthony; Noakes, Manny; Karunanithi, Mohan; Mummery, W Kerry

    2016-06-01

    Translating evidence-based interventions into community practice is vital to health promotion. This study used the RE-AIM framework to evaluate the larger dissemination of the ManUp intervention, an intervention which utilized interactive web-based technologies to improve the physical activity and nutrition behaviors of residents in Central Queensland, Australia. Data were collected for each RE-AIM measure (Reach, Effectiveness, Adoption, Implementation, Maintenance) using (i) computer-assisted telephone interview survey (N = 312) with adults (18 years and over) from Central Queensland, (ii) interviews with key stakeholders from local organizations (n = 12) and (iii) examination of project-related statistics and findings. In terms of Reach, 47% of participants were aware of the intervention; Effectiveness, there were no significant differences between physical activity and healthy nutrition levels in those aware and unaware; Adoption, 73 participants registered for the intervention and 25% of organizations adopted some part of the intervention; Implementation, 26% of participants initially logged onto the website, 29 and 17% started the web-based physical activity and nutrition challenges, 33% of organizations implemented the intervention, 42% considered implementation and 25% reported difficulties; Maintenance, an average of 0.57 logins and 1.35 entries per week during the 12 week dissemination and 0.27 logins and 0.63 entries per week during the 9-month follow-up were achieved, 22 and 0% of participants completed the web-based physical activity and nutrition challenges and 33.3% of organizations intended to continue utilizing components of the intervention. While this intervention demonstrated good reach, effectiveness, adoption and implementation warrant further investigation.

  8. Rationale, design and methods of the HEALTHY study nutrition intervention component.

    Science.gov (United States)

    Gillis, B; Mobley, C; Stadler, D D; Hartstein, J; Virus, A; Volpe, S L; El ghormli, L; Staten, M A; Bridgman, J; McCormick, S

    2009-08-01

    The HEALTHY study was a randomized, controlled, multicenter and middle school-based, multifaceted intervention designed to reduce risk factors for the development of type 2 diabetes. The study randomized 42 middle schools to intervention or control, and followed students from the sixth to the eighth grades. Here we describe the design of the HEALTHY nutrition intervention component that was developed to modify the total school food environment, defined to include the following: federal breakfast, lunch, after school snack and supper programs; a la carte venues, including snack bars and school stores; vending machines; fundraisers; and classroom parties and celebrations. Study staff implemented the intervention using core and toolbox strategies to achieve and maintain the following five intervention goals: (1) lower the average fat content of foods, (2) increase the availability and variety of fruits and vegetables, (3) limit the portion sizes and energy content of dessert and snack foods, (4) eliminate whole and 2% milk and all added sugar beverages, with the exception of low fat or nonfat flavored milk, and limit 100% fruit juice to breakfast in small portions and (5) increase the availability of higher fiber grain-based foods and legumes. Other nutrition intervention component elements were taste tests, cafeteria enhancements, cafeteria line messages and other messages about healthy eating, cafeteria learning laboratory (CLL) activities, twice-yearly training of food service staff, weekly meetings with food service managers, incentives for food service departments, and twice yearly local meetings and three national summits with district food service directors. Strengths of the intervention design were the integration of nutrition with the other HEALTHY intervention components (physical education, behavior change and communications), and the collaboration and rapport between the nutrition intervention study staff members and food service personnel at both school

  9. Integrating nutrition and child development interventions: scientific basis, evidence of impact, and implementation considerations.

    Science.gov (United States)

    Black, Maureen M; Pérez-Escamilla, Rafael; Rao, Sylvia Fernandez

    2015-11-01

    The Millennium Development Goals (MDGs) have contributed to unprecedented reductions in poverty and improvement in the lives of millions of men, women, and children in low- and middle-income countries. Yet, hundreds of millions of children under 5 y of age are not reaching their developmental potential. This article reviews the scientific basis for early childhood nutrition and child development interventions, the impact of integrated interventions on children's linear growth and cognitive development, and implementation strategies for integrated nutrition and child development programs. Advances in brain science have documented that the origins of adult health and well-being are grounded in early childhood, from conception through age 24 mo (first 1000 d) and extending to age 5 y (second 1000 d). Young children with adequate nutrition, nurturant caregiving, and opportunities for early learning have the best chances of thriving. Evidence from adoption, experimental, and quasi-experimental studies has shown that stunting prevention is sensitive during the first 1000 d, and sensitivity to child development interventions extends through the second 1000 d. Cognitive development responds to interventions post–1000 d with effect sizes that are inversely associated with initial age and length of program exposure. Integrated interventions need governance structures that support integrated policies and programming, with attention to training, supervision, and monitoring. The MDGs have been replaced by the Sustainable Development Goals (SDGs), with targets for the next 15 y. Achievement of the SDGs depends on children receiving adequate nutrition, nurturant caregiving, and learning opportunities from conception through age 5.

  10. Using ethnography in implementation research to improve nutrition interventions in populations.

    Science.gov (United States)

    Tumilowicz, Alison; Neufeld, Lynnette M; Pelto, Gretel H

    2015-12-01

    'Implementation research in nutrition' is an emerging area of study aimed at building evidence-based knowledge and sound theory to design and implement programs that will effectively deliver nutrition interventions. This paper describes some of the basic features of ethnography and illustrates its applications in components of the implementation process. We review the central purpose of ethnography, which is to obtain the emic view--the insider's perspective--and how ethnography has historically interfaced with nutrition. We present examples of ethnographic studies in relation to an analytic framework of the implementation process, situating them with respect to landscape analysis, formative research, process evaluation and impact evaluation. These examples, conducted in various parts of the world by different investigators, demonstrate how ethnography provided important, often essential, insights that influenced programming decisions or explained programme outcomes. Key messages Designing, implementing and evaluating interventions requires knowledge about the populations and communities in which interventions are situated, including knowledge from the 'emic' (insider's) perspective. Obtaining emic perspectives and analysing them in relation to cultural, economic and structural features of social organisation in societies is a central purpose of ethnography. Ethnography is an essential aspect of implementation research in nutrition, as it provides important insights for making decisions about appropriate interventions and delivery platforms; determining how best to fit aspects of programme design and implementation into different environmental and cultural contexts; opening the 'black box' in interventions to understand how delivery and utilisation processes affect programme outcomes or impacts; and understanding how programme impacts were achieved, or not.

  11. Nutrition Intervention for Advanced Stages of Diabetic Kidney Disease.

    Science.gov (United States)

    Goldstein-Fuchs, Jordi; Kalantar-Zadeh, Kamyar

    2015-08-01

    IN BRIEF For the goals of reducing diabetic kidney disease (DKD) onset and progression, approaches to nutritional therapy are a subject of much debate. This article discusses selected nutrients that have a role in affecting DKD outcomes and introduces application of newer, individualized concepts for healthful eating, as supported by clinical evidence relevant to patients with DKD. Selected aspects of management of advanced DKD are also reviewed.

  12. Nutrition education intervention for dependent patients: protocol of a randomized controlled trial

    Directory of Open Access Journals (Sweden)

    Arija Victoria

    2012-05-01

    Full Text Available Abstract Background Malnutrition in dependent patients has a high prevalence and can influence the prognosis associated with diverse pathologic processes, decrease quality of life, and increase morbidity-mortality and hospital admissions. The aim of the study is to assess the effect of an educational intervention for caregivers on the nutritional status of dependent patients at risk of malnutrition. Methods/Design Intervention study with control group, randomly allocated, of 200 patients of the Home Care Program carried out in 8 Primary Care Centers (Spain. These patients are dependent and at risk of malnutrition, older than 65, and have caregivers. The socioeconomic and educational characteristics of the patient and the caregiver are recorded. On a schedule of 0–6–12 months, patients are evaluated as follows: Mini Nutritional Assessment (MNA, food intake, dentures, degree of dependency (Barthel test, cognitive state (Pfeiffer test, mood status (Yesavage test, and anthropometric and serum parameters of nutritional status: albumin, prealbumin, transferrin, haemoglobin, lymphocyte count, iron, and ferritin. Prior to the intervention, the educational procedure and the design of educational material are standardized among nurses. The nurses conduct an initial session for caregivers and then monitor the education impact at home every month (4 visits up to 6 months. The North American Nursing Diagnosis Association (NANDA methodology will be used. The investigators will study the effect of the intervention with caregivers on the patient’s nutritional status using the MNA test, diet, anthropometry, and biochemical parameters. Bivariate normal test statistics and multivariate models will be created to adjust the effect of the intervention. The SPSS/PC program will be used for statistical analysis. Discussion The nutritional status of dependent patients has been little studied. This study allows us to know nutritional risk from different points of

  13. Improving nutrition and physical activity in the workplace: a meta-analysis of intervention studies.

    Science.gov (United States)

    Hutchinson, Amanda D; Wilson, Carlene

    2012-06-01

    A comprehensive search of the literature for studies examining physical activity or nutrition interventions in the workplace, published between 1999 and March 2009, was conducted. This search identified 29 relevant studies. Interventions were grouped according to the theoretical framework on which the interventions were based (e.g. education, cognitive-behavioural, motivation enhancement, social influence, exercise). Weighted Cohen's d effect sizes, percentage overlap statistics, confidence intervals and fail safe Ns were calculated. Most theoretical approaches were associated with small effects. However, large effects were found for some measures of interventions using motivation enhancement. Effect sizes were larger for studies focusing on one health behaviour and for randomized controlled trials. The workplace is a suitable environment for making modest changes in the physical activity, nutrition and health of employees. Further research is necessary to determine whether these changes can be maintained in the long term.

  14. Fruit and Vegetable Intake: Benefits and Progress of Nutrition Education Interventions- Narrative Review Article

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    Dhandevi PEM

    2015-10-01

    Full Text Available Background: Sufficient intake of fruits and vegetables has been associated with a reduced risk of chronic diseases and body weight management but the exact mechanism is unknown. The World Health Organisation and Food and Agriculture of the United Nation reports recommend adults to consume at least five servings of fruits and vegetables per day excluding starchy vegetables. This review focuses on the importance of fruits and vegetables as well as the benefits and progress of nutrition education in improving intake.Methods: For this narrative review, more than 100 relevant scientific articles were considered from various databases (e.g Science Direct, Pub Med and Google Scholar using the keywords Fruit and vegetable, Nutrition education, Body weight, Obesity, Benefits and challenges.Results: Existing data suggests that despite the protective effects of fruits and vegetables, their intakes are still inadequate in many countries, especially developing ones. Consequently enhancing strategies to promote fruit and vegetable intake are essential for health promotion among population. A number of reviews confirm that a well planned and behaviour focused nutrition education intervention can significantly improve behaviour and health indicators.Conclusion: Despite challenges in nutrition education intervention programs, they are considered as a good investment in terms of cost benefit ratio. Rapid improvement in trends of nutrition education can be seen in many countries and majority of interventions has been successful in increasing fruits and vegetables intake. It is recommended that health professionals use multiple interventions to deliver information in several smaller doses over time to ensure improved outcomes. Keywords: Fruit and vegetable, Nutrition education intervention, Body weight, Obesity, Benefit and challenges.

  15. Class-Based Affirmative Action.

    Science.gov (United States)

    Roach, Ronald

    2003-01-01

    Discusses class-based, or economic, affirmative action, touted by the Bush administration as a race-neutral alternative to race-conscious affirmative action in college admissions. Explores whether such policies will result in fewer minority admissions and considers the "fairness" of the approach. (SLD)

  16. The impact of a nutritional intervention on the nutritional status and anthropometric profile of participants in the health Gym Programme in Brazil.

    Science.gov (United States)

    de Deus, Raquel Mendonça; Mingoti, Sueli Aparecida; Jaime, Patrícia Constante; Lopes, Aline Cristine Souza

    2015-06-01

    The objective of this study was to assess the impact of an intervention implemented under the Programa Academia da Saúde (Health Gym Programme) of Belo Horizonte, MG on the nutritional status and anthropometric profile of participants. Intervention study involving participants in the Health Gym Programme which encompasses group food and nutrition education activities over a period of 11 months combined with regular physical activity. Impact was assessed by comparing nutritional and anthropometric indicators in women participants who were divided into two groups according to their participation rate in the intervention. A total of 124 women were evaluated, results showed an increase in the number of daily meals (pGym Programme.

  17. A review of the nature and effectiveness of nutrition interventions in adult males – a guide for intervention strategies

    Directory of Open Access Journals (Sweden)

    Taylor Pennie J

    2013-01-01

    Full Text Available Abstract Background Energy excess, low fruit and vegetable intake and other suboptimal dietary habits contribute to an increased poor health and the burden of disease in males. However the best way to engage males into nutrition programs remains unclear. This review provides a critical evaluation of the nature and effectiveness of nutrition interventions that target the adult male population. Methods A search for full-text publications was conducted using The Cochrane Library; Web of Science; SCOPUS; MEDLINE and CINAHL. Studies were included if 1 published from January 1990 to August 2011 and 2 male only studies (≥18 years or 3 where males contributed to >90% of the active cohort. A study must have described, (i a significant change (p Results Nine studies were included. Sample sizes ranged from 53 to 5042 male participants, with study durations ranging from 12 weeks to 24 months. Overlap was seen with eight of the nine studies including a weight management component whilst six studies focused on achieving changes in dietary intake patterns relating to modifications of fruit, vegetable, dairy and total fat intakes and three studies primarily focused on achieving weight loss through caloric restriction. Intervention effectiveness was identified for seven of the nine studies. Five studies reported significant positive changes in weight (kg and/or BMI (kg/m2 changes (p≤0.05. Four studies had effective interventions (p Intervention features, which appeared to be associated with better outcomes, include the delivery of quantitative information on diet and the use of self-monitoring and tailored feedback. Conclusion Uncertainty remains as to the features of successful nutrition interventions for males due to limited details provided for nutrition intervention protocols, variability in mode of delivery and comparisons between delivery modes as well as content of information provided to participants between studies. This review offers knowledge to

  18. Systematic Literature Review of Randomized Control Trials Assessing the Effectiveness of Nutrition Interventions in Community-Dwelling Older Adults

    Science.gov (United States)

    Bandayrel, Kristofer; Wong, Sharon

    2011-01-01

    Objective: Nutrition interventions may play an important role in maintaining the health and quality of life in community-dwelling older adults. To the authors' knowledge, no systematic literature review has been conducted on the effectiveness of nutrition interventions in the community-dwelling older adult population. Design: Systematic literature…

  19. Dietary considerations in designing nutrition intervention programmes in rural areas of Kenya.

    Science.gov (United States)

    Mwadime, R K; Muita, J W; Omwega, A M; Havemann, K

    1995-07-01

    A comparative study was carried out in three localities in Kenya: Kwale, Mbooni and Lwak in an attempt to identify dietary factors important in designing community based nutrition interventions. The data indicate geographical differences in age at weaning, reasons for termination of breastfeeding, the variety in the diets consumed and the nutrient intake adequacy. However, there was no difference in the duration in breastfeeding and, for children above 6 months (a period when weaning is recommended) rarely was there any food termed as "baby food" but children consumed bits and portions of the family food. In all the localities, there was no statistical difference between households with malnourished children and those without in most of the factors. Households with children admitted in the nutritional rehabilitation centres in the localities were, however, different in most of the characteristics examined. It is concluded that dietary interventions should be targeted to households and not children, mothers' care and nutrition are of paramount importance if the nutrition condition of their children is to be improved and, planning of nutritional interventions should be specific to the districts.

  20. Public intervention in food and nutrition in Brazil.

    Science.gov (United States)

    Schmitz, Bethsáida A S; Moreira, Emilia A M; Freitas, Maiara B de; Fiates, Giovanna M R; Gabriel, Cristine G; Fagundes, Regina L M

    2011-12-01

    In the last twenty years, the Brazilian government has created a number of income transfer programs for the poorest portion of the population to promote food and nutrition security and eradicate extreme poverty, hunger and malnutrition. These programs have achieved satisfactory results, which cannot, however, be attributed solely to the transference of income, as they involve other governmental public policies in health, education and basic sanitation, Combined, the aim of such public policies is to break patterns of the poverty across generations, thereby contributing to human development in the country.

  1. Study on the nutritional evaluation and intervention of the elderly inpatients with chronic diseases

    Directory of Open Access Journals (Sweden)

    Ling LI

    2014-07-01

    Full Text Available Objective:To discuss the method and effects of nutritional evaluation and intervention of hospitalized elderly patients with chronic diseases. Methods:The hospitalized patients over 65 were having the nutritional evaluation by using MNA–SF. Patients with malnutrition or at the risk of malnutrition were selected for research and assigned to observation group and control group at random . The traditional and medical integration health teaching interventions were used in the two groups separately. Results:Nutritional and eating habits evaluation were carried out in the two groups in 45 and 90 days after interventions. It showed that there was no statistically significant difference after45 days, but  after 90days there was a difference between the observation and control groups. Conclusion: MNA–SF is a simple and effective method for nutritional evaluation of hospitalized patients over 65. Medical integration health teaching interventions is better than traditional health teaching for patients with malnutrition or at the risk of malnutrition.

  2. Effects of Nutritional Intervention on Vitamins and Minerals Intake at Overweight and Obese Patients

    Directory of Open Access Journals (Sweden)

    Mihaela Posea

    2015-03-01

    Full Text Available Background and Aims- To evaluate the impact of nutritional intervention on vitamins and minerals from intake food and anthropometric parameters at overweight and obese patients. Material and methods- To a sample of 40 overweight and obese patients we evaluated the nutritional content of food intake (kilocalories, macro and micronutrients. We also measured anthropometric parameters like weight, body mass index, body fat, percent of body fat, abdominal circumference and arterial tension. Results- After the nutritional intervention, overweight and obese patients had significantly lower level of intake carbohydrates (P=.018, lipids (P=.002, B1 vitamin (P<.001, B3 vitamin (P=.02 and E vitamin (P=.016. There is a significantly increased level of proteins (P<.001. Regarding the minerals, we found that the intake levels of following‘s decreased: sodium (P<.001, magnesium (P=.006, zinc (P=.035, copper (P=.002, manganese (P<.001. Phosphorus is the only mineral of which the intake level increased significantly (P<.001. All the anthropometric parameters decreased significantly: weight (P<.001, body mass index (P<.001, body fat (P<.001, percent of body fat (P<.001, abdominal circumference (P<0.001, systolic arterial tension (P<.001, diastolic arterial tension (P=.002. Conclusions- All the patients had imbalanced intake of vitamins and minerals both before and after intervention. There is a significant improved on anthropometric measures after nutritional intervention. We need to promote healthy lifestyle changes to prevent the risks associated with obesity.

  3. Assessment of program implementation for the Mississippi Communities for Healthy Living (MCHL) Nutrition Intervention

    Science.gov (United States)

    The purpose of this study was to assess program implementation (PI) using an implementation score composed of process evaluation (PE) components reach, dose delivered, dose received, and fidelity. This 9-month, multi-site nutrition intervention consisted of two treatment groups (N=319). Sixteen site...

  4. Effectiveness of the Mississippi communities for healthy living (MCHL) nutrition intervention

    Science.gov (United States)

    The objective of our study was to determine the effectiveness of two nutrition interventions targeting women's social/civic organizations in the Lower Mississippi Delta. Diffusion of Innovation theory and the RE-AIM structured framework for program development and evaluation guided the 6-month MCHL ...

  5. Psychosocial changes in the Mississippi communities for healthy living (MCHL) nutrition intervention

    Science.gov (United States)

    The objective of the study was to evaluate the psychosocial changes reported by participants in a nutrition education intervention in the Lower Mississippi Delta. The psychosocial constructs such as decisional balance (DB), self-efficacy (SE), and social support (SS) are correlated with fruit and ve...

  6. Capacity building for health through community based participatory nutrition intervention research in rural communities

    Science.gov (United States)

    Building community capacity for health promotion in small rural communities is essential if health promotion research is to yield sustainable outcomes. Since its inception, capacity-building has been a stated goal of the Delta Nutrition Intervention Research initiative, a tri-state collaboration in ...

  7. Sustained benefits of a community dietetics intervention designed to improve oral nutritional supplement prescribing practices.

    LENUS (Irish Health Repository)

    Kennelly, S

    2011-10-01

    Healthcare professionals working in the community do not always prescribe oral nutritional supplements (ONS) according to best practice guidelines for the management of malnutrition. The present study aimed to determine the impact of a community dietetics intervention on ONS prescribing practices and expenditure 1 year later.

  8. Formative research methods for designing culturally appropriate, integrated child nutrition and development interventions: an overview.

    Science.gov (United States)

    Bentley, Margaret E; Johnson, Susan L; Wasser, Heather; Creed-Kanashiro, Hilary; Shroff, Monal; Fernandez Rao, Sylvia; Cunningham, Melissa

    2014-01-01

    Nutritional and developmental insults in the first few years of life have profound public health implications, including substantial contributions to neonatal, infant, and early childhood morbidity and mortality, as well as longer term effects on cognitive development, school achievement, and worker productivity. Optimal development that can lead to the attainment of an individual's fullest potential, therefore, requires a combination of genetic capacity, adequate nutrition, psychosocial stimulation, and safe, clean physical environments. Researchers and policymakers have called for integrated child nutrition and development interventions for more than 20 years, yet there are only a handful of efficacy trials and even fewer examples of integrated interventions that have been taken to scale. While a critical component in the design of such interventions is formative research, there is a dearth of information in both the literature and policy arenas to guide this phase of the process. To move the field forward, this paper first provides an overview of formative research methods with a focus on qualitative inquiry, a description of the critical domains to be assessed (infant and young child feeding, responsive feeding, and child development), and currently available resources. Application of these methods is provided through a real-world case study--the design of an integrated nutrition and child development efficacy trial in Andhra Pradesh, India. Recommendations for next steps are discussed, the most important of which is the need for a comprehensive set of formative guidelines for designing locally tailored, culturally appropriate, integrated interventions.

  9. Nutritional Intervention in Young Women with Eating Disorders: A Brief Report

    Science.gov (United States)

    McAleavey, Kristen

    2010-01-01

    Eating disorders in young women are often associated with a number of comorbid conditions, including mood disorders and cognitive problems. Although group therapy is often used as part of overall treatment for eating disorders in many types of settings, specific nutritional interventions used in such settings have rarely been evaluated. In this…

  10. Eat for health: a nutrition and cancer control supermarket intervention.

    Science.gov (United States)

    Light, L; Tenney, J; Portnoy, B; Kessler, L; Rodgers, A B; Patterson, B; Mathews, O; Katz, E; Blair, J E; Evans, S K

    1989-01-01

    The growing evidence linking dietary patterns to the incidence and prevention of chronic disease has prompted a number of prominent health and scientific agencies to publish dietary guidelines for the public. Some dietary guidelines address specific diseases, such as cancer or heart disease; others focus on overall health promotion. This situation has created a demand for nutrition education and information programs for the public. Increasingly, supermarkets are seen as potential sites for effective consumer education. Eat for Health is a joint research study by the National Cancer Institute (NCI) and Giant Food Inc., a regional supermarket chain in the Washington-Baltimore area. The study's goal was to test the feasibility of supermarkets as a site for consumer nutrition education. Eat for Health's educational focus was diet and cancer control issues in the context of dietary patterns that promote health. Particular attention was paid to reduction of fat intake and increases in consumption of dietary fiber from grains, vegetables, and fruits. Analysis of program results is currently underway; data should be available in early 1990.

  11. Maternal and child nutrition in Sub-Saharan Africa: challenges and interventions.

    Science.gov (United States)

    Lartey, Anna

    2008-02-01

    Women of child-bearing age (especially pregnant and lactating women), infants and young children are in the most nutritionally-vulnerable stages of the life cycle. Maternal malnutrition is a major predisposing factor for morbidity and mortality among African women. The causes include inadequate food intake, poor nutritional quality of diets, frequent infections and short inter-pregnancy intervals. Evidence for maternal malnutrition is provided by the fact that between 5 and 20% of African women have a low BMI as a result of chronic hunger. Across the continent the prevalence of anaemia ranges from 21 to 80%, with similarly high values for both vitamin A and Zn deficiency levels. Another challenge is the high rates of HIV infection, which compromise maternal nutritional status. The consequences of poor maternal nutritional status are reflected in low pregnancy weight gain and high infant and maternal morbidity and mortality. Suboptimal infant feeding practices, poor quality of complementary foods, frequent infections and micronutrient deficiencies have largely contributed to the high mortality among infants and young children in the region. Feeding children whose mothers are infected with HIV continues to remain an issue requiring urgent attention. There are successful interventions to improve the nutrition of mothers, infants and young children, which will be addressed. Interventions to improve the nutrition of infants and young children, particularly in relation to the improvement of micronutrient intakes of young children, will be discussed. The recent release by WHO of new international growth standards for assessing the growth and nutritional status of children provides the tool for early detection of growth faltering and for appropriate intervention.

  12. Impact of an intervention nutrition program during prenatal on the weight of newborns from teenage mothers

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    Marta Maria Antonieta de Souza Santos

    2013-12-01

    Full Text Available Introduction: The nutritional care for teenage mothers had been studied as a factor that influences the course of pregnancy and neonatal outcomes, especially in birth weight. Objective: Evaluate the effect of a prenatal intervention nutrition program, with early start of the nutritional care and individualized attendance on teenage mother newborns' weight. Methods: Not randomized study of intervention performed with 746 teenage mothers (14 to 19 years old, subdivided in historic control group (GI; n = 542 and intervention group (GII; n = 204. The dependent variable was the low birth weight (LBW. The independent variables assessed were: sociodemographic (mother age, skin color, instruction level and sanitation conditions, anthropometric (mother's height, pre-gestational nutritional study and adequacy of gestational weight gain, obstetric (gestational age in first prenatal consultation, number of pregnancies, childbirths and abortions, interdelivery and inter-gestational intervals, prenatal attendance (number of prenatal and nutritional attendance consultations and conditions of the newborn (birth weight and duration of the pregnancy. Data were analyzed by Poisson regression with robust variance. Results: The average of maternal age at delivery was 17,5 years old (standard deviation 1,59. The percentage of LBW considerably reduced from 11,3% in GI to 2,9% in GII (p < 0,001. We observed in the multivariate model that the teenage mothers who have not received the intervention presented 3,5 more prevalence (GI, RP adjusted 3,5; 95% CI 1,49-8,44 to give birth to a low weight newborn. Conclusion: The participation of the teenage mother in the prenatal nutrition care program proposed here contributed to the reduction of the low weight of newborns.

  13. Nutritional knowledge following interventional educational sessions in children on regular hemodialysis

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    Doaa Mohammed Youssef

    2015-01-01

    Full Text Available To evaluate the impact of nutritional knowledge following interventional educational sessions in chronic dialysis patients, we studied 40 children on chronic regular hemodialysis (HD at the beginning and after six months of nutrition educational sessions using a predesigned questionnaire. We also measured the anthropometric parameters of nutrition to evaluate the impact of this education on the health of patients. We found a highly statistically significant increase in patients′ scores and in adequate knowledge using the questionnaire after the educational sessions. Our results showed a statistically significant decrease in body mass index and weight after educational sessions for six months. Moreover, there were no significant decreases in serum phosphorus, ferritin, iron and creatinine, in contrast with no significant increase in hemoglobin, serum calcium, blood urea nitrogen and serum albumin. We conclude that nutritional education is significantly effective with regard to the level of knowledge, but not with regard to the attitude and practice in children on chronic HD.

  14. Nutritional knowledge following interventional educational sessions in children on regular hemodialysis.

    Science.gov (United States)

    Youssef, Doaa Mohammed; Abo Al Fotoh, Mohammad Nagib; Elibehidy, Rabab Mohamed; Ramadan, Shreen Magdy Ahmad; Mohammad, Ehab Mohammady

    2015-03-01

    To evaluate the impact of nutritional knowledge following interventional educational sessions in chronic dialysis patients, we studied 40 children on chronic regular hemodialysis (HD) at the beginning and after six months of nutrition educational sessions using a predesigned questionnaire. We also measured the anthropometric parameters of nutrition to evaluate the impact of this education on the health of patients. We found a highly statistically significant increase in patients' scores and in adequate knowledge using the questionnaire after the educational sessions. Our results showed a statistically significant decrease in body mass index and weight after educational sessions for six months. Moreover, there were no significant decreases in serum phosphorus, ferritin, iron and creatinine, in contrast with no significant increase in hemoglobin, serum calcium, blood urea nitrogen and serum albumin. We conclude that nutritional education is significantly effective with regard to the level of knowledge, but not with regard to the attitude and practice in children on chronic HD.

  15. Outcome of a Targeted Nutritional Intervention Among Older Adults With Early-Stage Alzheimer's Disease: The Nutrition Intervention Study.

    Science.gov (United States)

    Shatenstein, Bryna; Kergoat, Marie-Jeanne; Reid, Isabelle

    2016-02-01

    A 6-month dietary intervention program was designed for community-dwelling older adults with Alzheimer's disease. Sixty-seven persons aged 70 years and above were recruited with their caregivers from six hospital memory and geriatric outpatient clinics, and allocated to intervention (n = 34 dyads) or control group (n = 33 dyads). Usual diet was assessed by a validated food frequency questionnaire and current diet by two nonconsecutive diet recalls or records corroborated by caregivers, at recruitment (T1) and exit from the study (T2). Intervention participants received targeted dietary recommendations; control participants received Canada's Food Guide leaflets. The program was assessed using paired and independent t tests and nonparametric statistics. Fat intakes increased at T2 within intervention participants (54 ± 16 vs. 67 ± 23 g, p = .013), and there was a tendency for higher energy, protein, and calcium intakes at T2 within this group. Proportions with adequate protein intakes almost doubled from T1 to T2 in intervention group women (p = .028) but decreased in female controls (p = .030). Longer follow-up is necessary to determine persistence of benefits.

  16. [Quality control an assessment system. Its location within a program for food, nutrition and metabolic intervention].

    Science.gov (United States)

    Santana Porbén, S

    2012-01-01

    A design proposal for a HQCAS Hospital Quality Control and Assessment System of the nutritional and feeding care processes conducted in a hospital environment is presented in this article. The design proposal is accompanied of the results of inspections conducted by the hospital NST Nutritional Support Group between 2005-2010. The system design includes quality policies that should rule the useful and safe conduction of such processes, the recording and documentary foundations of the System, and the quality control and assessment exercises for the continuous verification of such established policies. The current state of the conduction of these processes was documented from secondary records opened by the NST after satisfying consultation requests from the medical care teams of the institution. Inspections conducted by the NST revealed that less than half of clinical charts contained information minimally enough for elaborating nutritional judgments, almost one-fifth of the assisted patients were on Nils Per Oris, for whom no nutritional support schemes were prescribed, and a low prescription and usage of artificial nutrition schemes. Corrective measures adopted by the NST served to significantly increase the rates of successful completion of inspected processes. Quality assurance of feeding and nutritional care processes is a practical as well as an intellectual activity subjected to constant remodeling, in order to always warrant the fulfillment of quality policies advanced by the NST, and thus, that the patient benefits from the prescribed nutritional intervention strategy.

  17. Nutrition support and dietary interventions for patients with lung cancer: current insights.

    Science.gov (United States)

    Kiss, Nicole

    2016-01-01

    Malnutrition and weight loss are prevalent in patients with lung cancer. The impact of malnutrition on patients with cancer, and specifically in patients with lung cancer, has been demonstrated in a large number of studies. Malnutrition has been shown to negatively affect treatment completion, survival, quality of life, physical function, and health care costs. Emerging evidence is providing some insight into which lung cancer patients are at higher nutritional risk. In lung cancer patients treated with radiotherapy, stage III or more disease, treatment with concurrent chemotherapy and the extent of radiotherapy delivered to the esophagus appear to confer a higher risk of weight loss during and post-treatment. Studies investigating nutrition interventions for lung cancer patients have examined intensive dietary counseling, supplementation with fish oils, and interdisciplinary models of nutrition and exercise interventions and show promise for improved outcomes from these interventions. However, further research utilizing these interventions in large clinical trials is required to definitively establish effective interventions in this patient group.

  18. Effectiveness of nutritional intervention in overweight women in Primary Health Care

    Directory of Open Access Journals (Sweden)

    Nathália Luíza Ferreira

    2014-12-01

    Full Text Available Objective: To assess the effectiveness of nutritional intervention in overweight women undergoing Primary Health Care.Methods: An intervention study was conducted with overweight adult and elderly women aged 20 years or older (body mass index ≥25.0 kg/m² and ≥27.0 kg/m², respectively who were subjected to 12 months of individual nutritional monitoring. The effectiveness of the intervention was assessed by dietary, health, and anthropometric indicators.Results: Most of the 71 individuals were adults with a low income and poor level of education. After the intervention, there was an increase in number of meals and in the frequency of breakfasting. Moreover, there were more fruits and vegetables consumed, in addition to a decrease in household availability of salt, sugar, oil, and fried foods consumption. An improvement in health and weight self-perception was observed, as well as a decrease in body mass and abdominal adiposity, in particular among those participating in several consultations (n >9.Conclusion: The proposed nutritional intervention was effective and viable for improving the care of overweight individuals and those suffering from destabilized comorbidities, and may be extended to other contexts.

  19. Twin pregnancy: the impact of the Higgins Nutrition Intervention Program on maternal and neonatal outcomes.

    LENUS (Irish Health Repository)

    Dubois, S

    1991-06-01

    Perinatal outcomes were compared between 354 twins treated with the Higgins Nutrition Intervention Program and 686 untreated twins. After differing distributions of key confounding variables were adjusted for, the twins in the intervention group weighed an average of 80 g more (P less than 0.06) than the nonintervention twins; their low-birth-weight rate was 25% lower (P less than 0.05) and their very-low-birth-weight rate was almost 50% lower (P less than 0.05). Although the rate of preterm delivery was 30% lower in the intervention group (P less than 0.05), the rates of intrauterine growth retardation were similar in the two groups. Fetal mortality was slightly higher (14 vs 12 per 1000, NS), but early neonatal mortality was fivefold lower (3 vs 19 per 1000, P less than 0.06) in the intervention group. Maternal morbidity was significantly lower (P less than 0.05) in the intervention group. There was a trend towards lower infant morbidity in the intervention group. These results suggest that nutritional intervention can significantly improve twin-pregnancy outcome.

  20. Brain imaging and human nutrition: which measures to use in intervention studies?

    Science.gov (United States)

    Sizonenko, Stéphane V; Babiloni, Claudio; de Bruin, Eveline A; Isaacs, Elizabeth B; Jönsson, Lena S; Kennedy, David O; Latulippe, Marie E; Mohajeri, M Hasan; Moreines, Judith; Pietrini, Pietro; Walhovd, Kristine B; Winwood, Robert J; Sijben, John W

    2013-08-01

    The present review describes brain imaging technologies that can be used to assess the effects of nutritional interventions in human subjects. Specifically, we summarise the biological relevance of their outcome measures, practical use and feasibility, and recommended use in short- and long-term nutritional studies. The brain imaging technologies described consist of MRI, including diffusion tensor imaging, magnetic resonance spectroscopy and functional MRI, as well as electroencephalography/magnetoencephalography, near-IR spectroscopy, positron emission tomography and single-photon emission computerised tomography. In nutritional interventions and across the lifespan, brain imaging can detect macro- and microstructural, functional, electrophysiological and metabolic changes linked to broader functional outcomes, such as cognition. Imaging markers can be considered as specific for one or several brain processes and as surrogate instrumental endpoints that may provide sensitive measures of short- and long-term effects. For the majority of imaging measures, little information is available regarding their correlation with functional endpoints in healthy subjects; therefore, imaging markers generally cannot replace clinical endpoints that reflect the overall capacity of the brain to behaviourally respond to specific situations and stimuli. The principal added value of brain imaging measures for human nutritional intervention studies is their ability to provide unique in vivo information on the working mechanism of an intervention in hypothesis-driven research. Selection of brain imaging techniques and target markers within a given technique should mainly depend on the hypothesis regarding the mechanism of action of the intervention, level (structural, metabolic or functional) and anticipated timescale of the intervention's effects, target population, availability and costs of the techniques.

  1. Development and implementation of a nutrition intervention programme in North West Pakistan: a realist framework.

    Science.gov (United States)

    Lhussier, Monique; Bangash, Sonia; Dykes, Fiona; Zaman, Mukhtiar; Lowe, Nicola M

    2012-12-01

    Maternal and infant malnutrition is prevalent in rural regions of NW Pakistan. This article reports on the use of a combination of a realist Context-Mechanism-Outcome framework and participatory appraisal methods to facilitate the development of a locally sensitive and responsive nutritional intervention programme. Data were gathered through a series of focus group (FG) discussions with local lady health workers, as well as pregnant and breastfeeding women attending an Emergency Field Hospital in North West Pakistan between May 2008 and March 2009. A nutrition intervention programme was implemented that involved cookery demonstration kitchens and free food supplements, coupled with nutrition and healthcare information and advice for pregnant and breastfeeding women. Subsequent FG discussions revealed that the programme had a positive impact on knowledge gained by women in the community and generated an openness to receiving and spreading knowledge. The framework, which rested on the use of a double feedback loop, involving local women, lady health workers, local researchers and UK-based researchers, has enabled not only the establishment of the programme, but has also given the local team the tools to apply for, and gain, further funding for the development of nutrition support services. The development of such methodological tools, which empower local researchers and service providers (wherever located) to operationalize local knowledge and assess interventions, is particularly relevant in international financially-constrained contexts.

  2. [Costs analysis system; its location within a program for food, nutrition and metabolic intervention].

    Science.gov (United States)

    Fernández Hernández, Ileana Sonia; Santana Porbén, Sergio

    2015-06-01

    Every medical surgical action implies costs. Costs of medical provisions should be translated into tangible, and thus, measurable, benefits for the health status of the patient. Nutritional support therapies might increase the costs of medical provisions, but it is expected their implementation to result in lower morbidity and mortality rates as well as shortening of hospital stay, all of them leading to important savings. It is then required the assimilation of tools for costs analysis for a better management of nutritional support therapies. A proposal for the design of a hospital system (regarded anywhere in this text as SHACOST) for the analysis of the costs of interventions conducted in a patient in accordance with the guidelines included in the Metabolic, Nutrient and Food Intervention Program (referred everywhere for its Spanish acronym PRINUMA) is presented in this article. Hence, strategies are described to estimate the costs of a specified intervention. In addition, a primer on cost-effectiveness (ACE) and incremental cost-effectiveness (ACEI) analyses is shown relying on examples taken from the authors's experience in the provision of nutritional care to patients electively operated for a colorectal cancer. Finally, costs of surgical treatment of a mandibular tumor are described, followed by a discussion on how a better impact of the adopted surgical action could be achieved without considerable increases in total costs should a perioperatory nutritional support program be included. Implementation of SHACOST can provide the medical care teams with accounting tools required to assess the effectiveness of hospital nutritional support schemes, decide whether to acquire and introduce new technologies, and measure the impact of the performance of hospital forms for provision of nutritional care upon health management and perceived quality of life of the patient and their relatives.

  3. Impact of garden-based youth nutrition intervention programs: a review.

    Science.gov (United States)

    Robinson-O'Brien, Ramona; Story, Mary; Heim, Stephanie

    2009-02-01

    Garden-based nutrition-education programs for youth are gaining in popularity and are viewed by many as a promising strategy for increasing preferences and improving dietary intake of fruits and vegetables. This review examines the scientific literature on garden-based youth nutrition intervention programs and the impact on nutrition-related outcomes. Studies published between 1990 and 2007 were identified through a library search of databases and an examination of reference lists of relevant publications. Studies were included if they involved children and adolescents in the United States and examined the impact of garden-based nutrition education on fruit and/or vegetable intake, willingness to taste fruits and vegetables, preferences for fruits and vegetables, or other nutrition-related outcomes. Only articles published in peer-reviewed journals in English were included in the review. Eleven studies were reviewed. Five studies took place on school grounds and were integrated into the school curriculum, three studies were conducted as part of an afterschool program, and three studies were conducted within the community. Studies included youth ranging in age from 5 to 15 years. Findings from this review suggest that garden-based nutrition intervention programs may have the potential to promote increased fruit and vegetable intake among youth and increased willingness to taste fruits and vegetables among younger children; however, empirical evidence in this area is relatively scant. Therefore, there is a need for well-designed, evidenced-based, peer-reviewed studies to determine program effectiveness and impact. Suggestions for future research directions, including intervention planning, study design, evaluation, and sustainability are provided.

  4. The interventions of nutritional education on malnutrition infants mothers in Wonokromo Surabaya

    Directory of Open Access Journals (Sweden)

    Wiwik Afridah

    2015-11-01

    Full Text Available 800x600 Mother’s knowledge has great affect to the nutritional status of the infants, because mother has a big role in providing the food in the family. That Knowledge was heavily influenced by social circumstances of the family's such as lack of family income that may affect the mother's in providing the food in the family. The research objective is to examine the effect of nutrition education intervention on body weight of malnutrition infants in RW 07 Wonokromo, Surabaya.This study uses a pre-experimental study design with pre-post test type approach. The subjects were children aged six months to five years who are malnutrition and poor nutrition, with indexes BW/U is less than Z score, located in Wonokromo Village, Surabaya. Sampling techniques in a study conducted by simple random sampling. Analysis of differences nutritional status of children before and after giving of nutrition education were tested by paired t test (paired t test and differences of mother’s knowledge before and after giving of nutrition education were tested by Wilcoxon signed rank test.Results of statistically tests by using a paired t-test obtained P Value (0.108 > α (0.05 means there is no different on giving of nutrition education intervention on weight infants in the RW. 07 Wonokromo Village, Surabaya. Results of statistically tests by using the Wilcoxon signed rank test obtained P Value (0.157 > α (0.05 means there is no different on giving of nutrition education intervention on parent’s knowledge level of a toddler in the RW. 07 Wonokromo Village Surabaya.Required planning and strategies to change behavior and awareness of nutrition and health. Using 4P concept for viewpoint of trainers/educators and 4C for viewpoint of participants or trained, and performed by ABC approach (Advocacy, Situation control and the Movement Atmosphere/mobilization. Normal 0 false false false IN X-NONE X-NONE MicrosoftInternetExplorer4 st1\\:*{behavior:url(#ieooui } /* Style

  5. Nutrition intervention in scholars - doi: 10.5020/18061230.2010.p297

    Directory of Open Access Journals (Sweden)

    Carolina Anzolin

    2012-01-01

    Full Text Available Objective: To verify the effectiveness of nutrition intervention in changing dietary intake among school children aged 6 to 10 years old in private school, in the city of Itajaí - SC, Brazil. Methods: A non-randomized and uncontrolled intervention study, carried through four educational activities in the period from August to November, 2008 and food intake reassessed at the end. We evaluated the nutritional status by means of body mass index for age and sex, and waist circumference. The frequency of consumption before and after intervention was compared using the paired Student t test. Results: Joined in the survey 93 students (69.92% of whom 48 children (54.5% were normal weight, while 36 (40.9% were overweight or presented obesity. The most consumed food groups, before and after intervention were: crackers and pasta; rice and fruit juice. The average frequency of sweets intake decreased after the intervention (0.54 to 0.24 times per day, p <0.001, however increased the intake of fried potatoes (0.25 to 0.65, p <0.001, pizza and hamburger (0.30 to 0.46, p = 0.028. Among girls, the intake of sweets decreased after the educational activities (0.58 to 0.12, p <0.001. Conclusions: Nutritional interventions, despite the short period of time, were effective in changing the consumption of certain foods / food groups. The results reinforce the need to carry out interventions more often and for longer periods, to promote effective changes in food consumption.

  6. Introducing a new monitoring manual for home fortification and strengthening capacity to monitor nutrition interventions.

    Science.gov (United States)

    Jefferds, Maria Elena D; Flores-Ayala, Rafael

    2015-12-01

    Lack of monitoring capacity is a key barrier for nutrition interventions and limits programme management, decision making and programme effectiveness in many low-income and middle-income countries. A 2011 global assessment reported lack of monitoring capacity was the top barrier for home fortification interventions, such as micronutrient powders or lipid-based nutrient supplements. A Manual for Developing and Implementing Monitoring Systems for Home Fortification Interventions was recently disseminated. It is comprehensive and describes monitoring concepts and frameworks and includes monitoring tools and worksheets. The monitoring manual describes the steps of developing and implementing a monitoring system for home fortification interventions, including identifying and engaging stakeholders; developing a programme description including logic model and logical framework; refining the purpose of the monitoring system, identifying users and their monitoring needs; describing the design of the monitoring system; developing indicators; describing the core components of a comprehensive monitoring plan; and considering factors related to stage of programme development, sustainability and scale up. A fictional home fortification example is used throughout the monitoring manual to illustrate these steps. The monitoring manual is a useful tool to support the development and implementation of home fortification intervention monitoring systems. In the context of systematic capacity gaps to design, implement and monitor nutrition interventions in many low-income and middle-income countries, the dissemination of new tools, such as monitoring manuals may have limited impact without additional attention to strengthening other individual, organisational and systems levels capacities.

  7. Long-term consequences of nutrition and growth in early childhood and possible preventive interventions.

    Science.gov (United States)

    Adair, Linda S

    2014-01-01

    Maternal nutritional deficiencies and excesses during pregnancy, and faster infant weight gain in the first 2 years of life are associated with increased risk of noncommunicable diseases (NCDs) in adulthood. The first 1,000 days of life (from conception until the child reaches age 2 years) represent a vulnerable period for programming of NCD risk, and are an important target for prevention of adult disease. This paper takes a developmental perspective to identify periconception, pregnancy, and infancy nutritional stressors, and to discuss mechanisms through which they influence later disease risk with the goal of informing age-specific interventions. Low- and middle-income countries need to address the dual burden of under- and overnutrition by implementing interventions to promote growth and enhance survival and intellectual development without increasing chronic disease risk. In the absence of good evidence from long-term follow-up of early life interventions, current recommendations for early life prevention of adult disease presume that interventions designed to optimize pregnancy outcomes and promote healthy infant growth and development will also reduce chronic disease risk. These include an emphasis on optimizing maternal nutrition prior to pregnancy, micronutrient adequacy in the preconception period and during pregnancy, promotion of breastfeeding and high-quality complementary foods, and prevention of obesity in childhood and adolescence.

  8. Intervention program for modification the nutrition habits of psychiatric patients

    Directory of Open Access Journals (Sweden)

    Statharou A.

    2011-07-01

    Full Text Available The healthy way of diet of mental patients, as it appears from the international bibliography, occupies the professionals of health for a lot of years. A lot of efforts have become in this sector and mainly in acquire the mental patients the control of natural health and well-being. Each program of intervention that aims in the modification of alimentary habits with the use of cognitive-behavior theories contributes in the improvement of quality of diet, but also in the aid of self-esteem Nevertheless, it should be becomes obvious that this programs, with any their cost it corresponds, can be economically compensated with in the long term profits. Profits that result from the co morbidity and by extension of reduction the use of health services.

  9. Interventions to address chronic disease and HIV: strategies to promote exercise and nutrition among HIV-infected individuals.

    Science.gov (United States)

    Botros, Diana; Somarriba, Gabriel; Neri, Daniela; Miller, Tracie L

    2012-12-01

    Food insecurity, micronutrient deficits, dyslipidemia, insulin resistance, obesity, cardiovascular disease, and bone disorders complicate the treatment of HIV infection. Nutrition and exercise interventions can be effective in ameliorating these symptoms that are associated with HIV and antiretroviral therapy (ART). In this literature review, we examine the most recent nutrition and exercise interventions for HIV-infected patients. Macronutrient supplementation can be useful in treating malnutrition and wasting. Multivitamin (vitamin B complex, vitamin C, and vitamin E) supplements and vitamin D may improve quality of life and decrease morbidity and mortality. Nutritional counseling and exercise interventions are effective for treating obesity, fat redistribution, and metabolic abnormalities. Physical activity interventions improve body composition, strength, and fitness in HIV-infected individuals. Taken collectively, the evidence suggests that a proactive approach to nutrition and physical activity guidance and interventions can improve outcomes and help abrogate the adverse metabolic, cardiovascular, and psychological consequences of HIV and its treatments.

  10. Health economics evidence for medical nutrition: are these interventions value for money in integrated care?

    Directory of Open Access Journals (Sweden)

    Walzer S

    2014-05-01

    Full Text Available Stefan Walzer,1,2 Daniel Droeschel,1,3 Mark Nuijten,4 Hélène Chevrou-Séverac5 1MArS Market Access and Pricing Strategy GmbH, Weil am Rhein, Germany; 2State University Baden Wuerttemberg, Loerach, Germany; 3Riedlingen University, SRH FernHochschule, Riedlingen, Germany; 4Ars Accessus Medica BV, Jisp, Amsterdam, the Netherlands; 5Nestlé Health Science, Vevey, Switzerland Background: Health care decision-makers have begun to realize that medical nutrition plays an important role in the delivery of care, and it needs to be seen as a sole category within the overall health care reimbursement system to establish the value for money. Indeed, improving health through improving patients' nutrition may contribute to the cost-effectiveness and financial sustainability of health care systems. Medical nutrition is regulated by a specific bill either in Europe or in the United States, which offers specific legislations and guidelines (as provided to patients with special nutritional needs and indications for nutritional support. Given that the efficacy of medical nutrition has been proven, one can wonder whether the heterogeneous nature of its coverage/reimbursement across countries might be due to the lack of health-related economic evidence or value-for-money of nutritional interventions. This paper aims to address this knowledge gap by performing a systematic literature review on health economics evidence regarding medical nutrition, and by summarizing the results of these publications related to the value for money of medical nutrition interventions. Methods: A systematic literature search was initiated and executed based on a predefined search protocol following the population, intervention, comparison, and outcomes (PICO criteria. Following the systematic literature search of recently published literature on health economics evidence regarding medical nutrition, this study aims to summarize the results of those publications that are related to the

  11. Targeted Nutritional and Behavioral Feeding Intervention for a Child with Autism Spectrum Disorder

    Directory of Open Access Journals (Sweden)

    Kelly Barnhill

    2016-01-01

    Full Text Available A variety of feeding issues and concerns, including food aversion, food selectivity, and complete food refusal, are not uncommon among children with autism spectrum disorder (ASD. Other underlying issues are often comorbid with the concerns for feeding and ASD. These may include food allergies, gastrointestinal issues, oral motor issues, and swallowing disorders. The refusal to consume particular foods coupled with the inability to tolerate, digest, and absorb these foods can compromise an individual’s overall nutrition status. Therefore, a child’s behavior toward food and feeding activities has great impact on dietary intake, nutritional status, and growth. This case report is the first to document combined medical, behavioral, and nutritional intervention for a toddler with ASD and comorbid feeding disorder.

  12. Targeted Nutritional and Behavioral Feeding Intervention for a Child with Autism Spectrum Disorder.

    Science.gov (United States)

    Barnhill, Kelly; Tami, Amanda; Schutte, Claire; Hewitson, Laura; Olive, Melissa L

    2016-01-01

    A variety of feeding issues and concerns, including food aversion, food selectivity, and complete food refusal, are not uncommon among children with autism spectrum disorder (ASD). Other underlying issues are often comorbid with the concerns for feeding and ASD. These may include food allergies, gastrointestinal issues, oral motor issues, and swallowing disorders. The refusal to consume particular foods coupled with the inability to tolerate, digest, and absorb these foods can compromise an individual's overall nutrition status. Therefore, a child's behavior toward food and feeding activities has great impact on dietary intake, nutritional status, and growth. This case report is the first to document combined medical, behavioral, and nutritional intervention for a toddler with ASD and comorbid feeding disorder.

  13. A Narrative Review of Social Media and Game-Based Nutrition Interventions Targeted at Young Adults.

    Science.gov (United States)

    Nour, Monica; Yeung, Sin Hang; Partridge, Stephanie; Allman-Farinelli, Margaret

    2017-02-23

    The increased popularity of social media and mobile gaming among young adults provides an opportunity for innovative nutrition programs. This review evaluated the efficacy of these strategies in interventions targeted at 18- to 35-year-olds. The protocol was guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Ten scientific databases, information technology conference proceedings, and gray literature were searched. Two reviewers conducted screening, data extraction, and quality assessments. Interventions were included if they used social media or electronic games. Comparisons were made pre- to post-intervention, or between intervention and control arms. Outcomes of interest included change in nutrition knowledge, attitudes, behavior, or weight and/or body composition. Eleven social media-based (randomized controlled trials [RCT] n=7) and six game-based [RCT n=1]) interventions were included. Overall quality of studies was low. Social media-based strategies included forum/blogs (n=5), Facebook (n=5), Twitter (n=1), YouTube (n=1), and chat rooms (n=1). Eight (RCT n=6) of 11 social media-based studies demonstrated improvements in outcomes. Findings suggested that social media may be more effective when combined with other strategies. Virtual reality games (n=3), web-based games (n=2), and a mobile application (n=1) were used in the gaming interventions. While a significant increase in knowledge was reported by three gaming studies (RCT=1), two used nonvalidated tools and longer-term measures of weight and behavioral outcomes were limited. The use of social media and gaming for nutrition promotion is in its infancy. Preliminary evidence suggests that these strategies have some utility for intervening with young adults. Further research using high-quality study designs is required, with measurement of outcomes over longer time periods. The systematic review protocol is registered with PROSPERO (registration number: CRD42015025427).

  14. Process evaluation results from the HEALTHY nutrition intervention to modify the total school food environment.

    Science.gov (United States)

    Volpe, S L; Hall, W J; Steckler, A; Schneider, M; Thompson, D; Mobley, C; Pham, T; El ghormli, L

    2013-12-01

    The process evaluation of HEALTHY, a large multi-center trial to decrease type 2 diabetes mellitus in middle school children, monitored the implementation of the intervention to ascertain the extent that components were delivered and received as intended. The purpose of this article is to report the process evaluation findings concerning the extent to which the HEALTHY nutrition intervention was implemented during the HEALTHY trial. Overall, the observed fidelity of implementing nutrition strategies improved from baseline to the end of the study. By the last semester, all but two nutrition process evaluation goals were met. The most challenging goal to implement was serving high fiber foods, including grain-based foods and legumes. The easiest goals to implement were lowering the fat content of foods offered and offering healthier beverages. The most challenging barriers experienced by research dietitians and food service staff were costs, availability of foods and student acceptance. Forming strong relationships between the research dietitians and food service staff was identified as a key strategy to meet HEALTHY nutrition goals.

  15. Educational intervention for altering water-sanitation behavior to reduce childhood diarrhea in urban Bangladesh: impact on nutritional status.

    Science.gov (United States)

    Stanton, B F; Clemens, J D; Khair, T

    1988-11-01

    We evaluated whether an educational intervention that was effective in reducing childhood diarrhea also improved childhood nutritional status. Fifty-one communities of 38 families each were randomized to receive the intervention or no intervention. During 1 y of follow-up the rate of diarrhea (per 100 wk) in children less than 6 y in the intervention group was 5.89 episodes whereas that in the nonintervention group was 7.55 episodes (protective efficacy 22%; p less than 0.0001). During the same follow-up period children in both groups exhibited comparable patterns of weight gain; 1 y after the intervention the mean weight for age of children in both groups was 76% of the NCHS standard. No significant differences were observed in the proportion of each group that experienced a major deterioration or improvement of nutritional status. We conclude that an intervention that reduces rates of childhood diarrhea may not necessarily also improve nutritional status.

  16. Noni-based nutritional supplementation and exercise interventions influence body composition

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    Afa K Palu

    2011-01-01

    Full Text Available Background: The prevalence of obesity and overweight in the Unites States has reached unprecedented levels, and so has the need for effective exercise and nutritional programs for prevention of unhealthy weight gain or safe weight loss. Aims: The present study was conducted in overweight men and women to assess the impact of noni-based nutritional supplementation and exercise interventions on body composition. Materials and Methods: Twenty two participants (16 women and 6 men, ages 18-65, were enrolled in a 12-week, open-label trial of a weight-loss program involving noni-based dietary supplements, gender-specific daily calorie restriction, and exercise interventions. Weight, percent body fat, and body mass index were measured before and after the trial. Results: All participants experienced weight loss. The average decrease in fat mass was highly significant (P < 0.0001, as were decreases in percent body fat and body mass index. Individual weight and fat mass losses were 17.55 ± 9.73 and 21.78 ± 8.34 lbs., respectively, and individual percent body fat and body mass index decreases were 8.91 ± 3.58 % and 2.6 ± 1.32, respectively. Conclusion: The nutritional and exercise interventions significantly influenced body composition among participants.

  17. Effects of nutritional intervention in head and neck cancer patients undergoing radiotherapy: A prospective randomized clinical trial

    OpenAIRE

    2016-01-01

    Head and neck malignant tumors have numerous locations of the disease. After patients receive radiotherapy, their nutritional status is very poor, thus the curative effect is unsatisfactory. The aims of the present study were to investigate and analyze the nutritional status of patients with head and neck cancer undergoing radiotherapy (RT) in order to provide positive nutrition intervention for assisting the radiotherapy effect. A total of 40 patients with head and neck cancer were selected ...

  18. Effect of Short Term Community Based Intervention to Reduce the Prevalence of Under Nutrition in Under-five Children

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    Vishal Jamra, Vishal Bankwar

    2013-01-01

    Results: Out of the 281 children examined 22.1% were found to be malnourished with varying degrees of malnutrition. Various factors like age of the child, sex, socioeconomic status, literacy status of parents, birth order, parity, age at weaning, immunization status are associated with nutrition. After intervention improvement in weight was seen in 41 children. Conclusion: Proper health and nutritional education along with deworming may go a long way in decreasing the menace of under nutrition.

  19. “Smart” RCTs: Development of a Smartphone App for Fully Automated Nutrition-Labeling Intervention Trials

    OpenAIRE

    Volkova, Ekaterina; Li, Nicole; Dunford, Elizabeth; Eyles, Helen; Crino, Michelle; Michie, Jo; Ni Mhurchu, Cliona

    2016-01-01

    Background There is substantial interest in the effects of nutrition labels on consumer food-purchasing behavior. However, conducting randomized controlled trials on the impact of nutrition labels in the real world presents a significant challenge. Objective The Food Label Trial (FLT) smartphone app was developed to enable conducting fully automated trials, delivering intervention remotely, and collecting individual-level data on food purchases for two nutrition-labeling randomized controlled...

  20. Effect of a Nutritional Intervention in Athlete’s Body Composition, Eating Behaviour and Nutritional Knowledge: A Comparison between Adults and Adolescents

    Science.gov (United States)

    Nascimento, Marcus; Silva, Danielle; Ribeiro, Sandra; Nunes, Marco; Almeida, Marcos; Mendes-Netto, Raquel

    2016-01-01

    The objective of the present study is to evaluate and compare the effect of a nutritional intervention between adolescent and adult. In a before and after quasi-experimental clinical study, 32 athletes (21 adults, age range 20–32 years; 11 adolescents, age range: 12–19 years) participated in a nutritional counselling consisting of four consultations separated by an interval of 45 to 60 days. The athlete’s eating behaviour, body composition and nutrition knowledge were evaluated at the beginning and at the end of the protocol. Both groups increased lean body mass and nutritional knowledge. Adolescents increased their mid-arm muscle circumference and improved meal frequency, and daily water intake. Athletes of both groups improved their ingestion of vegetables and fruits and decreased the ingestion of sweets and oils. Adolescents showed a higher prevalence of individuals that remained within or approached to the recommendations of sweets. This is the first study to evaluate and compare the effect of a nutritional intervention between adolescent and adult athletes body composition, eating behaviour and nutritional knowledge. The nutritional counselling has been effective in promoting beneficial changes on the athlete’s eating behaviour, nutritional knowledge and body composition, however, some healthy changes were only experienced by adolescents, especially in the frequency of meals and the intake of sweets. PMID:27618088

  1. Using Qualitative and Quantitative Formative Research to Develop Tailored Nutrition Intervention Materials for a Diverse Low-Income Audience

    Science.gov (United States)

    Strolla, Leslie O.; Gans, Kim M.; Risica, Patricia M.

    2006-01-01

    More effective nutrition education to reach low-income and ethnic minority populations is needed. As part of a project to develop a tailored nutrition education intervention to meet the needs of low-income Hispanics and non-Hispanics, complementary, mixed methods of formative research were used to determine specific characteristics of the target…

  2. Evaluating the Impact of Six Supplemental Nutrition Assistance Program Education Interventions on Children's At-Home Diets

    Science.gov (United States)

    Williams, Pamela A.; Cates, Sheryl C.; Blitstein, Jonathan L.; Hersey, James C.; Kosa, Katherine M.; Long, Valerie A.; Singh, Anita; Berman, Danielle

    2015-01-01

    Background: Nutrition education in the Supplemental Nutrition Assistance Program Education (SNAP-Ed) is designed to promote healthy eating behaviors in a low-income target population. Purpose: To evaluate the effectiveness of six SNAP-Ed interventions delivered in child care centers or elementary school settings in increasing participating…

  3. Evaluation of the effectiveness of a nutrition education intervention performed by primary school teachers

    Directory of Open Access Journals (Sweden)

    Erminia Agozzino

    2007-12-01

    Full Text Available

    Background: Long-term interventions based on the active involvement of students, carried out by properly prepared staff using didactic support material (brochures, games etc. including the participation/involvement of mothers or associates in community interventions; seem to be the most effective ones. This study evaluates the effectiveness of nutrition education interventions carried out by teachers with active didactic methodologies.

    Methods: The research was carried out by administering a frequency of food intake questionnaire, before and after the intervention. To compare the answers given before and after the educational intervention the Wilcoxon-test was applied to dependent data discriminating the group with “sufficient implementation” of the project versus “insufficient implementation”.

    Results: Our data demonstrates that a substantial percentage of children do not report an adequate nutritional intake, making education interventions not only opportune but necessary. In both groups there was an increase in the number of subjects having breakfast, particularly in terms of bread and biscuits intake. In the group with “sufficient implementation” there was an increase in the intake of all kinds of food with respect to the previous day’s intake and a decrease in the intake of meat, fish and legumes consumed during the previous week; in the group with “insufficient implementation” only fish intake increased significantly while vegetable intake decreased in a non-significant way. So this educational intervention appears to have been particularly effective in modifying breakfast habits and reducing snack.

  4. Expanding research to provide an evidence base for nutritional interventions for the management of inborn errors of metabolism☆

    OpenAIRE

    Camp, Kathryn M; Lloyd-Puryear, Michele A.; Yao, Lynne; Groft, Stephen C.; Parisi, Melissa A.; Mulberg, Andrew; Gopal-Srivastava, Rashmi; Cederbaum, Stephen; Enns, Gregory M.; Ershow, Abby G.; Frazier, Dianne M.; Gohagan, John; Harding, Cary; Howell, R. Rodney; Regan, Karen

    2013-01-01

    A trans-National Institutes of Health initiative, Nutrition and Dietary Supplement Interventions for Inborn Errors of Metabolism (NDSI-IEM), was launched in 2010 to identify gaps in knowledge regarding the safety and utility of nutritional interventions for the management of inborn errors of metabolism (IEM) that need to be filled with evidence-based research. IEM include inherited biochemical disorders in which specific enzyme defects interfere with the normal metabolism of exogenous (dietar...

  5. Theory, evidence and Intervention Mapping to improve behavior nutrition and physical activity interventions.

    NARCIS (Netherlands)

    J. Brug (Hans); A. Oenema (Anke); A. Ferreira (Isabel)

    2005-01-01

    textabstractBACKGROUND: The present paper intends to contribute to the debate on the usefulness and barriers in applying theories in diet and physical activity behavior-change interventions. DISCUSSION: Since behavior theory is a reflection of the compiled evidence of behavior research, theory is th

  6. Agriculture, nutrition, and health in global development: typology and metrics for integrated interventions and research.

    Science.gov (United States)

    Masters, William A; Webb, Patrick; Griffiths, Jeffrey K; Deckelbaum, Richard J

    2014-12-01

    Despite rhetoric arguing that enhanced agriculture leads to improved nutrition and health, there is scant empirical evidence about potential synergies across sectors or about the mix of actions that best supports all three sectors. The geographic scale and socioeconomic nature of these interventions require integration of previously separate research methods. This paper proposes a typology of interventions and a metric of integration among them to help researchers build on each other's results, facilitating integration in methods to inform the design of multisector interventions. The typology recognizes the importance of regional effect modifiers that are not themselves subject to randomized assignment, and trade-offs in how policies and programs are implemented, evaluated, and scaled. Using this typology could facilitate methodological pluralism, helping researchers in one field use knowledge generated elsewhere, each using the most appropriate method for their situation.

  7. Nursing intervention bundle for enteral nutrition in intensive care: a collective construction

    Directory of Open Access Journals (Sweden)

    Aline Daiane Colaço

    2014-10-01

    Full Text Available Objective The collective construction of a nursing intervention bundle for patients in critical care in the hospital receiving enteral nutrition therapy, supported by evidence-based practice. Method A qualitative convergent-care study with 24 nursing professionals in an intensive care unit of a public hospital in Santa Catarina. Data collection was performed from May to August 2013, with semi-structured interviews and discussion groups. Results Four interventions emerged that constituted the bundle: bedside pH monitoring to confirm the position of the tube; stabilization of the tube; enteric position of the tube; and maintaining the head of the bed elevated at 30° to 45°.
 Conclusion The interventions chosen neither required additional professional workload nor extra charges to the institution, which are identified as improving the adoption of the bundle by nursing professionals at the ICU.

  8. [Effect of early nutritional intervention in the a outcome of patients at risk clinical nutrition].

    Science.gov (United States)

    Montoya Montoya, Susana; Múnera García, Nora Elena

    2014-02-01

    Introducción: La desnutrición hospitalaria es un proceso multicausal y de alta prevalencia. La intervención nutricional en una etapa temprana mejora el pronóstico de los pacientes afectados. Objetivo: Comparar el efecto de una intervención nutricional temprana con el de una atención de rutina, sobre el resultado clínico, en pacientes con riesgo nutricional, detectados con la herramienta de cribado Nutritional Risk Screening NRS 2002, que ingresan a una institución de salud de alta complejidad. Materiales y métodos: Estudio cuasi experimental. Se evaluó en las primeras 48 horas de admisión a 891 pacientes, de los cuales 247 estaban en riesgo nutricional, 116 constituyeron el grupo con atención de rutina y 54 el grupo intervenido. Se evaluaron las complicaciones, días de estancia hospitalaria, pérdida de peso, cambio de índice de masa corporal y adecuación proteico-calórica. Resultados: Los pacientes intervenidos presentaron mayor consumo calórico (1617 ± 444,5 vs 1366 ± 467,1 kilocalorías, p = 0,002) y proteico (1,2 ± 0,2 vs 0,9 ± 0,3 g, p = 0,000), una ganancia de peso promedio de 0,7% vs una pérdida de 2.3% (p = 0,000), una proporción de complicaciones moderadas del 8,2% vs 25,2% (p = 0,012) y una reducción del tiempo de estancia hospitalaria de 2,2 días (p = 0,138), en comparación con el grupo con atención de rutina. Conclusión: La intervención nutricional temprana en los pacientes en riesgo nutricional, disminuyó la proporción de complicaciones moderadas, mejoró la adecuación de energía, proteína y la evolución nutricional en términos de ganancia de peso y cambio de IMC. Los días de estancia no mostraron diferencias significativas.

  9. [Nutritional intervention in HIV/AIDS: practical guide for its implementation and follow-up].

    Science.gov (United States)

    Fajardo-Rodríguez, A; Lara del Rivero-Vera, C M

    2001-01-01

    Human immunodeficiency virus (HIV) and its clinical state, acquired immunodeficiency syndrome (AIDS), is a serious public health problem due to its health, economic, psychologic and social consequences. Among affected individual, malnutrition is common in the advanced stages of the disease. The complex mechanisms that cause malnutrition include disorders of metabolism, hypercatabolism, affection of the alimentary tract, and drug-nutrient interactions. Malnutrition is a condition that decreases the functional capacity of the affected organism, and as a consequence, increases immune deficiency, morbidity and mortality. Nutritional intervention should be applied early and be individualized, with periodic and constant screening. Nutritional therapy available at present has a broad field--from complements to intravenous nutrition--and its applications requires a great amount of knowledge and professional experience. The objective of this article is to provide general guidelines for nutritional management and treatment of patients with HIV/AIDS. Etiopathogenic and therapeutic knowledge of AIDS advances rapidly; health workers should be conscious of the responsibility that implies and should search, obtain and maintain updated knowledge and transfer it to clinical practice.

  10. Development and evaluation of an educational intervention program for pre-professional adolescent ballet dancers: nutrition for optimal performance.

    Science.gov (United States)

    Doyle-Lucas, Ashley F; Davy, Brenda M

    2011-06-01

    The purpose of this investigation was to develop, implement, and evaluate a theoretically based nutritional education intervention through a DVD lecture series (three 30-minute classes) in summer intensive programs for pre-professional, adolescent ballet dancers. Objectives of this intervention program were to increase knowledge of basic sports nutrition principles and the Female Athlete Triad and promote self-efficacy for adopting healthier dietary habits. Dancers ranging from 13 to 18 years old who were attending summer intensive programs affiliated with professional ballet companies were recruited. Group One (n = 231) participated in the nutrition education program, while Group Two the control participants (n = 90) did not. Assessments of the participants' dietary status consisted of a demographic questionnaire, a Sports Nutrition Knowledge and Behavior Questionnaire, and a Food Frequency Questionnaire. The intervention group was assessed at baseline, immediately post-program, and at six weeks post-program. The control group was assessed at baseline and at six weeks post-baseline. The intervention program was effective at increasing nutrition knowledge, perceived susceptibility to the Female Athlete Triad, and self-efficacy constructs. Improvements in dietary intake were also observed among intervention group participants. To improve overall health and performance nutrition education should be incorporated into the training regimens of adolescent dancers. This potentially replicable DVD-based program may be an effective, low-cost mechanism for doing that.

  11. Building evidence for sustainability of food and nutrition intervention programs in developing countries.

    Science.gov (United States)

    Kim, Sunny S; Rogers, Beatrice L; Coates, Jennifer; Gilligan, Daniel O; Sarriot, Eric

    2013-09-01

    After making large investments to put in place effective health and nutrition interventions, researchers, program implementers, policy makers, and donors all expect lasting effects. However, it is uncertain whether this is the case, and there is less certainty on how to approach the study of program sustainability. This symposium, "Building Evidence for Sustainability of Food and Nutrition Intervention Programs in Developing Countries," provided not only frameworks for conceptualizing sustainability but concrete evidence about the approaches and methods used as well as lessons on how they do or do not work in particular contexts. We presented the following findings: 1) sustainability of activities and impacts of Title II food aid programs in Bolivia and Kenya, 2) sustainability of impact in terms of adoption and consumption of a biofortified orange sweet potato in Uganda, and 3) lessons from incorporating pro-sustainability investment strategies in child survival programs in Guinea. Our symposium introduced a new important body of research on program sustainability to provide insights and stimulate innovative thinking in the design and planning of further applied research and future prosustainability intervention programs.

  12. Nutritional intervention in cognitively impaired geriatric trauma patients: a feasibility study

    Directory of Open Access Journals (Sweden)

    Eschbach D

    2016-09-01

    Full Text Available D Eschbach,1 T Kirchbichler,1 T Wiesmann,2 L Oberkircher,1 C Bliemel,1 S Ruchholtz,1 B Buecking1 1Center for Orthopedics and Trauma Surgery, 2Department of Anaesthesiology and Critical Care, University of Marburg, Marburg, Germany Background: Most studies focusing on improving the nutritional status of geriatric trauma patients exclude patients with cognitive impairment. These patients are especially at risk of malnutrition at admission and of worsening during the perioperative fasting period. This study was planned as a feasibility study to identify the difficulties involved in including this high-risk collective of cognitively impaired geriatric trauma patients. Patients and methods: This prospective intervention study included cognitively impaired geriatric patients (Mini–Mental State Examination <25, age >65 years with hip-related fractures. We assessed Mini Nutritional Assessment (MNA, Nutritional Risk Screening (NRS 2002, body mass index, calf circumference, American Society of Anesthesiologists’ classification, and Braden Scale. All patients received parenteral nutritional supplementation of 800 kcal/d for the 96-hour perioperative period. Serum albumin and pseudocholinesterase were monitored. Information related to the study design and any complications in the clinical course were documented. Results: A total of 96 patients were screened, among whom eleven women (median age: 87 years; age range: 74–91 years and nine men (median age: 82 years; age range: 73–89 years were included. The Mini–Mental State Examination score was 9.5 (0–24. All patients were manifestly undernourished or at risk according to MNA and NRS 2002. The body mass index was 23 kg/m2 (13–30 kg/m2, the calf circumference was 29.5 cm (18–34 cm, and the mean American Society of Anesthesiologists’ classification status was 3 (2–4. Braden Scale showed 18 patients at high risk of developing pressure ulcers. In all, 12 patients had nonsurgical

  13. Reach of Supplemental Nutrition Assistance Program–Education (SNAP–Ed) Interventions and Nutrition and Physical Activity-Related Outcomes, California, 2011–2012

    OpenAIRE

    Molitor, Fred; Sugerman, Sharon; Yu, Hongjian; Biehl, Michael; Aydin, May; Levy, Melanie; Ponce, Ninez A.

    2015-01-01

    Introduction This study combined information on the interventions of the US Department of Agriculture’s Supplemental Nutrition Assistance Program–Education with 5,927 interview responses from the California Health Interview Survey to investigate associations between levels of intervention reach in low-income census tracts in California and self-reported physical activity and consumption of fruits and vegetables, fast food, and sugar-sweetened beverages. Methods We determined 4 levels of inter...

  14. A study of Community Based Nutritional Intervention and prevention of malnutrition

    Directory of Open Access Journals (Sweden)

    Neelam Anupama Toppo

    2015-01-01

    Full Text Available Background: PEM is one of the major health and nutritional problem in India. It is not only an important cause of childhood mortality and morbidity but also leads to permanent impairment of both physical and mental growth of those who survive. Malnutrition is implicated in >50% of deaths of <5 children (5 million/yr. Improving nutrition for children is crucial in meeting two of the Millennium Development Goals. According to national family health survey-3 there is considerable variation across states with Madhya Pradesh recording the highest rate for underweight children (60.3% and Kerala among the lowest (28.8%. The great majority of cases of PEM nearly 80% are intermediate that is mild and moderate cases which frequently go unrecognized. These are the fact that made us to pick this issue in order to benefit the children of locality to some extent. Objectives: To identify under 5 year children with malnutrition, To demonstrate the method of preparing high protein mix diet and to educate mothers about adequate recommended diet as per age of children, To find out whether high protein mix improves nutritional status of identified malnourished children. Methodology: It was cross sectional and interventional study carried out in two villages of Jabalpur districts during the period of three months among 100 under five children. We had screened them and calculated weight for age (% and categorized them according to Gomez Classification that is normal, mild, moderate and severe malnutrition. Intervention was done on malnourished children then 4 follow ups at the interval of 15 days. Intervention strategies: Nutrition education and provision of High Protein Mix Diet. Result: 12% children were identified as malnourished where 7% were having mild grade malnutrition and 5% with moderate grade of malnutrition. Among male there were 14.04% children were malnourished while among female 9.3% were malnourished. After intervention 50% children were showing

  15. The nutrition-based comprehensive intervention study on childhood obesity in China (NISCOC: a randomised cluster controlled trial

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    Xu Guifa

    2010-05-01

    Full Text Available Abstract Background Childhood obesity and its related metabolic and psychological abnormalities are becoming serious health problems in China. Effective, feasible and practical interventions should be developed in order to prevent the childhood obesity and its related early onset of clinical cardiovascular diseases. The objective of this paper is to describe the design of a multi-centred random controlled school-based clinical intervention for childhood obesity in China. The secondary objective is to compare the cost-effectiveness of the comprehensive intervention strategy with two other interventions, one only focuses on nutrition education, the other only focuses on physical activity. Methods/Design The study is designed as a multi-centred randomised controlled trial, which included 6 centres located in Beijing, Shanghai, Chongqing, Shandong province, Heilongjiang province and Guangdong province. Both nutrition education (special developed carton style nutrition education handbook and physical activity intervention (Happy 10 program will be applied in all intervention schools of 5 cities except Beijing. In Beijing, nutrition education intervention will be applied in 3 schools and physical activity intervention among another 3 schools. A total of 9750 primary students (grade 1 to grade 5, aged 7-13 years will participate in baseline and intervention measurements, including weight, height, waist circumference, body composition (bioelectrical impendence device, physical fitness, 3 days dietary record, physical activity questionnaire, blood pressure, plasma glucose and plasma lipid profiles. Data concerning investments will be collected in our study, including costs in staff training, intervention materials, teachers and school input and supervising related expenditure. Discussion Present study is the first and biggest multi-center comprehensive childhood obesity intervention study in China. Should the study produce comprehensive results, the

  16. Evidence Synthesis and Translation for Nutrition Interventions to Combat Micronutrient Deficiencies with Particular Focus on Food Fortification.

    Science.gov (United States)

    Lawrence, Mark; Wingrove, Kate; Naude, Celeste; Durao, Solange

    2016-09-08

    Over two billion people suffer from micronutrient deficiencies. Food fortification is a prominent nutrition intervention to combat such deficiencies; however, its effectiveness, risks, and ethical implications vary depending on the contexts associated with the deficiency it is addressing and the circumstances with its implementation. The aim of this research was to analyse the profile of nutrition interventions for combating micronutrient deficiency with particular focus on food fortification reported in existing systematic reviews (SRs), guidelines and policy statements, and implementation actions for nutrition. A review of secondary data available from online databases of SRs, guidelines and policy statements, and implementation actions, categorised as either "nutrition-specific interventions" (NSpI) or "nutrition-sensitive interventions" (NSeI), was conducted. Currently, there is evidence available for a diversity of food fortification topics, and there has been much translation into action. Indeed, food fortification and micronutrient supplementation interventions and NSpI more broadly dominate the profile of interventions for which there were SRs, guidelines, and policy statements available. The findings demonstrate that, although there is a rational linear relationship between evidence synthesis and translation in formulating policy and actions to combat micronutrient deficiencies, the various nutrition interventions available to help combat micronutrient deficiencies are not equally represented in the evidence synthesis and translation processes. Effective and safe policies and actions to combat micronutrient deficiencies require decisions to be informed from a body of evidence that consists of evidence from a variety of interventions. Into the future, investment in making available a higher number of SRs, guidelines and policy statements, and actions of NSeI is indicated.

  17. Challenges of long-term nutrition intervention studies on cognition: discordance between observational and intervention studies of vitamin B12 and cognition.

    Science.gov (United States)

    McCracken, Cherie

    2010-11-01

    Conducting long-term nutrition intervention studies on cognition can be challenging. The gaps in current methodology are addressed via a case study of the relationship between vitamin B(12) and cognition in people aged 60 and older. There is robust evidence from many observational studies, both cross-sectional and longitudinal, showing that a deficit of the vitamin is associated with poor or declining cognition in this age group, but supplementation of the vitamin in trials does not bring about improved cognition. The evidence from observational studies as well as clinical trials is reviewed here, and the potential difficulties in conducting long-term nutritional intervention studies in this area are highlighted.

  18. An evaluation of a nutrition intervention in Kapinga Village on Pohnpei, Federated States of Micronesia.

    Science.gov (United States)

    Hanson, Michelle; Englberger, Lois; Duncan, Burris; Taren, Douglas; Mateak, Henrich; Johnson, Emihner

    2011-03-01

    The people of Kapinga Village are suffering from chronic diseases as a result of their lifestyles and eating habits, similar to many Pohnpeians. Kapinga Village is an urban area on the island of Pohnpei, Federated States of Micronesia, settled by people from Kapingamarangi, a remote atoll. The villagers have limited access to traditional staple foods, including breadfruit, banana, and taro, fruits, vegetables, and other healthy foods. The Island Food Community of Pohnpei (IFCP) carried out several nutrition interventions in Kapinga Village to prevent disease, including promotion of physical activity through growing local food, a nutritious diet of local foods, cooking classes, container gardening, and charcoal oven workshops. This study evaluated the effect of those interventions on dietary intake. A 7-day Food Frequency Questionnaire (FFQ) was administered in June-July, 2010 to participants from 68 households and data were compared to 2009 baseline data. Qualitative data were collected and analyzed to identify salient themes that were associated with changes in dietary intake. The FFQ data indicated that there was an increase in consumption of local fruits and vegetables compared with the baseline. Qualitative data revealed that participants viewed the interventions positively. The data also revealed that some of the new foods and drinks consumed were those already available in the village, but for which their uses had not previously been known (such as banana flower and hibiscus tea). Such improvements are likely to be sustainable. Recommendations are for more education, in the Kapingan language if possible, and future research to determine what culturally appropriate interventions are still needed to improve nutrition in Kapinga Village.

  19. Brain imaging and human nutrition: which measures to use in intervention studies?

    Science.gov (United States)

    Sizonenko, Stéphane V; Babiloni, Claudio; Sijben, John W; Walhovd, Kristine B

    2013-09-01

    Throughout the life span, the brain is a metabolically highly active organ that uses a large proportion of total nutrient and energy intake. Furthermore, the development and repair of neural tissue depend on the proper intake of essential structural nutrients, minerals, and vitamins. Therefore, what we eat, or refrain from eating, may have an important impact on our cognitive ability and mental performance. Two of the key areas in which diet is thought to play an important role are in optimizing neurodevelopment in children and in preventing neurodegeneration and cognitive decline during aging. From early development to aging, brain imaging can detect structural, functional, and metabolic changes in humans and modifications due to altered nutrition or to additional nutritional supplementation. Inclusion of imaging measures in clinical studies can increase understanding with regard to the modification of brain structure, metabolism, and functional endpoints and may provide early sensitive measures of long-term effects. In this symposium, the utility of existing brain imaging technologies to assess the effects of nutritional intervention in humans is described. Examples of current research showing the utility of these markers are reviewed.

  20. Direct nutrition intervention and the control of diarrheal diseases in preschool children.

    Science.gov (United States)

    Wray, J D

    1978-11-01

    This is a report of the reduction in frequency of diarrheal disease in malnourished school children, which was an unanticipated result of a nutrition intervention program in Candelaria, Colombia, during 1964-65. In a late 1963 baseline study all preschool children were weighed and measured and the mothers interviewed. Mothers of the malnourished were invited to participate in a supplementation program. Weekly records were kept of the episodes, and diarrheal disease decreased in the 182 children observed for a full calendar year. Each malnourished child was given 1 pound of dried skimmed milk (DSM) per week. In the 6-week program the mothers were educated about food and nutrition. At monthly intervals the children were weighed and measured. Among the 101 children with first degree malnutrition at the start of the program, almost two-thirds had improved; of the 72 with second degree malnutrition, three-fourths improved; and, all of the 9 with third degree malnutriton improved after the first year. Mothers commented that after receiving supplement for about 6 weeks their children had less diarrhea. Exclusive breastfeeding plays a protective role against diarrhea in the early months of life. The association between nutritional status and diarrheal disease is stronger than that of environmental sanitation.

  1. Nutritional intervention on malnutrition in 3-6 years old rural children in Qazvin Province, Iran.

    Science.gov (United States)

    Zavoshy, R; Noroozi, M; Jahanihashemi, H; Kiamiri, D

    2012-04-01

    Malnutrition is one of the major causes of mortality and morbidity in children. Not only include acute effects on children's health, but also it has long-term effects on their cognitive development and economic growth in the society. Wasting (weight for height with ZQazvin province, in Iran. In this interventional study, 2385 children (48.8% female and 51.2% male) were recruited. Data were collected by a census in 2010. The children were received a cooked meal based on 360 +/- 20 kcal energy, 17% protein, 53% carbohydrate and 30% fat per day for 175 days at lunch time. The anthropometric indices were collected before and after the intervention. The results were analyzed using paired t-test by SPSS V.16 software. Prevalence of wasting (mild and moderate) and (sever malnutrition) after intervention reduced from 14.2 and 0.95-12.6 and 0.5%, respectively (p < 0.05). Receiving a cooked meal significantly decreased wasting (15.2-13.2%) in all children (p < 0.05). Nutritional intervention with cooked meal for 175 days had significant reduction in wasting in all children.

  2. [Nutrition intervention actions in relief situations: report on 4 experiences in Mexico].

    Science.gov (United States)

    Madrigal-Fritsch, Herlinda; Ruíz Arregui, Liliana; Pérez Gil Romo, Sara Elena; Cervantes Turrubiates, Leticia; Torre Medina-Mora, Pilar; Ramírez García, Guadalupe; Escobar Pérez, Margarita

    2004-06-01

    In the last years Mexico faced several natural and human provoked disasters. We choose the Mexico City earthquake, the Chichonal volcano eruption, the Guatemala war and its refugees and the Chiapas armed movement. In all of them the INCMNSZ surveillance system proposal has been applied. To establish the intervention we classified the emergencies according to its magnitude and localization. The intervention consisted in: immediate attention of serious cases, immunizations, quimioprofilaxis, personal hygiene, environment control, nutritional assessment and diet definition. The affected population attended were: in the eruption 4.500, in the earthquake 1.000, in the Guatemala war 19.000 and in the Chiapas movement 6.940. Population damaged by the eruption and the war received mass feeding; complementary feeding (vulnerable groups) and therapeutic feeding (people with tuberculosis and serious undernutrition). In the earthquake people received first, prepared food and later they were organized to bring, plan, prepare and distribute their food. In the Chiapas armed movement people received only special baby food. In all cases, population also receive nutritional information and only with the refugees and the Chiapas damaged people the local food production was promoted. We suggest evaluating every emergency program and share experiences to afford this type of situations in a better way.

  3. A nutrition intervention is effective in improving dietary components linked to cardiometabolic risk in youth with first-episode psychosis.

    Science.gov (United States)

    Teasdale, Scott B; Ward, Philip B; Rosenbaum, Simon; Watkins, Andrew; Curtis, Jackie; Kalucy, Megan; Samaras, Katherine

    2016-06-01

    Severe mental illness is characterised by a 20-year mortality gap due to cardiometabolic disease. Poor diet in those with severe mental illness is an important and modifiable risk factor. The present study aimed to (i) examine baseline nutritional intake in youth with first-episode psychosis (FEP), (ii) evaluate the feasibility and acceptability of nutritional intervention early in FEP and (iii) to evaluate the effectiveness of early dietary intervention on key nutritional end points. Participants were recruited over a 12-month period from a community-based programme specifically targeting young people aged 15-25 years with newly diagnosed FEP. Individual dietetic consultations and practical group sessions were offered as part of a broader lifestyle programme. Dietary assessments were conducted before and at the end of the 12-week intervention. Participants exceeded recommended energy and Na intakes at baseline. Retention within the nutrition intervention was 67 %, consistent with other interventions offered to FEP clients. There was a 47 % reduction in discretionary food intake (-94 g/d, PNutrition intervention delivered shortly after initiation of antipsychotic medication is feasible, acceptable and effective in youth with FEP. Strategies to prevent weight gain and metabolic decline will contribute to prevent premature cardiometabolic disease in this vulnerable population.

  4. Physical activity and nutrition behavioural outcomes of a home-based intervention program for seniors: a randomized controlled trial

    Directory of Open Access Journals (Sweden)

    Burke Linda

    2013-01-01

    Full Text Available Abstract Background This intervention aimed to ascertain whether a low-cost, accessible, physical activity and nutrition program could improve physical activity and nutrition behaviours of insufficiently active 60–70 year olds residing in Perth, Australia. Methods A 6-month home-based randomised controlled trial was conducted on 478 older adults (intervention, n = 248; control, n = 230 of low to medium socioeconomic status. Both intervention and control groups completed postal questionnaires at baseline and post-program, but only the intervention participants received project materials. A modified fat and fibre questionnaire measured nutritional behaviours, whereas physical activity was measured using the International Physical Activity Questionnaire. Generalised estimating equation models were used to assess the repeated outcomes over both time points. Results The final sample consisted of 176 intervention participants and 199 controls (response rate 78.5% with complete data. After controlling for demographic and other confounding factors, the intervention group demonstrated increased participation in strength exercise (p Conclusions A minimal contact, low-cost and home-based physical activity program can positively influence seniors’ physical activity and nutrition behaviours. Trial registration anzctr.org.au Identifier: ACTRN12609000735257

  5. A bibliometric study of food and nutrition education programmes and interventions in schools in Spain

    Directory of Open Access Journals (Sweden)

    Silvia Trescastro-López

    2014-12-01

    Full Text Available Introduction: 13.9% of children and young people in Spain today are obese, and 26.3% are overweight. It is therefore essential that healthy eating habits be developed early in life. Food and nutrition education, taught as part of health education programmes in schools, plays a fundamental role in instilling this behaviour. Te main goal of this publication was to conduct a bibliometric review in order to analyse the literature on food and nutrition education programmes and interventions in schools in Spain which have been shown to influence health and/or school children’s eating habits.Material and Methods: A cross-sectional descriptive study of the results obtained from a literature search of the databases Medline, Cochrane Library Plus en Español, Cuiden, Excelencia clínica, IBECS, Scielo, CSIC (ICYT, ISOC e IME, Lilacs, Cuidatge y Teseo. A study of bibliometric indicators: databases, journals, documents published, languages, authorship, index of collaboration, and degree of obsolescence (Burton and Kebler half-life, and Price index.Results: The search provided a total of 148 citations. The final percentage of relevant articles was 49 (33.11%. The database that provided the highest number of pertinent citations was Medline, accounting 24 (48.98%. 42 of the selected citations (85.71% corresponded to original articles. The journal with the largest number of papers was Nutrición Hospitalaria (Hospital Nutrition, accounting 11 (22.45%. The Burton and Kebler half-life was 6 years and the Price index was 42.86%.Conclusions: Many academic articles have been published concerning food and nutrition education programmes in schools in Spain, indicating the importance of acquiring healthy eating habits and behaviours in childhood and the interest this subject arouses.

  6. A theoretically based Behavioral Nutrition Intervention for Community Elders at high risk: the B-NICE randomized controlled clinical trial.

    Science.gov (United States)

    Locher, Julie L; Bales, Connie W; Ellis, Amy C; Lawrence, Jeannine C; Newton, Laura; Ritchie, Christine S; Roth, David L; Buys, David L; Vickers, Kristin S

    2011-01-01

    We conducted a study designed to evaluate the efficacy and feasibility of a multilevel self-management intervention to improve nutritional intake in a group of older adults receiving Medicare home health services who were at especially high risk for experiencing undernutrition. The Behavioral Nutrition Intervention for Community Elders (B-NICE) trial used a prospective randomized controlled design to determine whether individually tailored counseling focused on social and behavioral aspects of eating resulted in increased caloric intake and improved nutrition-related health outcomes in a high-risk population of older adults. The study was guided by the theoretical approaches of the Ecological Model and Social Cognitive Theory. The development and implementation of the B-NICE protocol, including the theoretical framework, methodology, specific elements of the behavioral intervention, and assurances of the treatment fidelity, as well as the health policy implications of the trial results, are presented in this article.

  7. Evidence Synthesis and Translation for Nutrition Interventions to Combat Micronutrient Deficiencies with Particular Focus on Food Fortification

    Directory of Open Access Journals (Sweden)

    Mark Lawrence

    2016-09-01

    Full Text Available Over two billion people suffer from micronutrient deficiencies. Food fortification is a prominent nutrition intervention to combat such deficiencies; however, its effectiveness, risks, and ethical implications vary depending on the contexts associated with the deficiency it is addressing and the circumstances with its implementation. The aim of this research was to analyse the profile of nutrition interventions for combating micronutrient deficiency with particular focus on food fortification reported in existing systematic reviews (SRs, guidelines and policy statements, and implementation actions for nutrition. A review of secondary data available from online databases of SRs, guidelines and policy statements, and implementation actions, categorised as either “nutrition-specific interventions” (NSpI or “nutrition-sensitive interventions” (NSeI, was conducted. Currently, there is evidence available for a diversity of food fortification topics, and there has been much translation into action. Indeed, food fortification and micronutrient supplementation interventions and NSpI more broadly dominate the profile of interventions for which there were SRs, guidelines, and policy statements available. The findings demonstrate that, although there is a rational linear relationship between evidence synthesis and translation in formulating policy and actions to combat micronutrient deficiencies, the various nutrition interventions available to help combat micronutrient deficiencies are not equally represented in the evidence synthesis and translation processes. Effective and safe policies and actions to combat micronutrient deficiencies require decisions to be informed from a body of evidence that consists of evidence from a variety of interventions. Into the future, investment in making available a higher number of SRs, guidelines and policy statements, and actions of NSeI is indicated.

  8. Nutritional counselling in primary health care: a randomized comparison of an intervention by general practitioner or dietician

    DEFF Research Database (Denmark)

    Willaing, Ingrid; Ladelund, Steen; Jørgensen, Torben

    2004-01-01

    to give nutritional counselling or to refer patients to a dietician. Patients were included after opportunistically screening (n=503 patients), and received nutritional counselling by GP or dietician over 12 months. Health effects were measured by changes in weight, waist circumference and blood lipids...... of cardiovascular disease and addressed these when counselling. The guidance from a GP was of significant importance for risk reduction in relation to IHD. However, a long-term lifestyle intervention by GP was difficult to implement. In the case of obesity it was effective to refer to long-term nutritional...

  9. Nutritional Status and Nutritional Intervention of Patients with Nasopharyngeal Carcinoma%鼻咽癌患者的营养状况及营养干预

    Institute of Scientific and Technical Information of China (English)

    韦燕

    2013-01-01

    鼻咽癌患者在放化疗治疗时营养不足和营养风险问题比较普遍,营养不良反过来影响患者体质与行为能力,限制患者对治疗的依从性和耐受性.对住院的鼻咽癌患者进行营养筛查,能早期识别和确定存在营养风险和营养不良的患者,从而给予及时有效的营养支持.营养干预的时间是个体化很强的问题,不同患者对治疗的耐受性不同也决定了干预时间的个体化.营养干预的方式、干预的时机及持续的时间仍需更多的研究来进一步明确.%Undernutrition and nutritional risk of nasopharyngeal carcinoma patients during radiotherapy and chemotherapy are common.Undernutrition affects the patient's physical and capacity,limits the compliance and tolerance of the treatment.Nutritional screening for hospitalized patients with nasopharyngeal carcinoma can early i-dentify and determine the existence of the nutritional risk and undernutrition, to give the effective nutrition support promptly.The timing of the nutrition intervention is highly individualized, different treatment tolerance of different patients determines the individualized intervention timing.Nutrition intervention methods, timing and the lasting time still need more research to further clarify.

  10. [Clinical and preventive intervention in eating behaviour: a dialogue between psychology and nutritional sciences].

    Science.gov (United States)

    Tinoco, Rui; Paiva, Isabel

    2011-12-01

    The eating habits modification is a clinical challenge, both on therapeutic and preventive levels, which requires tools from various areas of health, such as psychology and nutrition. In the structured work in these areas, that includes the referral to specialist consultants, there is a need of a first intervention in Primary Health Care, in clinical and community levels. In this paper, we attempt to systematize useful information for intervention. We will start by reviewing some important interviewing skills, some models of motivational interviewing, and we will make a brief reflection about the client. Then we will analyse an individual case structured in two complementary levels of interpretation: a closer look in general factors and another that reflect the antecedents, consequences and the description of the behaviour problem. We will also tackle issues related to the context in which the individual moves. We will analyse some group intervention programs within a clinical and preventive perspectives. Finally, we will discuss some concepts related to therapeutic adherence.

  11. A nutrition and conditioning intervention for natural bodybuilding contest preparation: case study.

    Science.gov (United States)

    Robinson, Scott Lloyd; Lambeth-Mansell, Anneliese; Gillibrand, Gavin; Smith-Ryan, Abbie; Bannock, Laurent

    2015-01-01

    Bodybuilding competitions are becoming increasingly popular. Competitors are judged on their aesthetic appearance and usually exhibit a high level of muscularity and symmetry and low levels of body fat. Commonly used techniques to improve physique during the preparation phase before competitions include dehydration, periods of prolonged fasting, severe caloric restriction, excessive cardiovascular exercise and inappropriate use of diuretics and anabolic steroids. In contrast, this case study documents a structured nutrition and conditioning intervention followed by a 21 year-old amateur bodybuilding competitor to improve body composition, resting and exercise fat oxidation, and muscular strength that does not involve use of any of the above mentioned methods. Over a 14-week period, the Athlete was provided with a scientifically designed nutrition and conditioning plan that encouraged him to (i) consume a variety of foods; (ii) not neglect any macronutrient groups; (iii) exercise regularly but not excessively and; (iv) incorporate rest days into his conditioning regime. This strategy resulted in a body mass loss of 11.7 kg's, corresponding to a 6.7 kg reduction in fat mass and a 5.0 kg reduction in fat-free mass. Resting metabolic rate decreased from 1993 kcal/d to 1814 kcal/d, whereas resting fat oxidation increased from 0.04 g/min to 0.06 g/min. His capacity to oxidize fat during exercise increased more than two-fold from 0.24 g/min to 0.59 g/min, while there was a near 3-fold increase in the corresponding exercise intensity that elicited the maximal rate of fat oxidation; 21% V̇O2max to 60% V̇O2max. Hamstring concentric peak torque decreased (1.7 to 1.5 Nm/kg), whereas hamstring eccentric (2.0 Nm/kg to 2.9 Nm/kg), quadriceps concentric (3.4 Nm/kg to 3.7 Nm/kg) and quadriceps eccentric (4.9 Nm/kg to 5.7 Nm/kg) peak torque all increased. Psychological mood-state (BRUMS scale) was not negatively influenced by the intervention and all values relating to the Athlete

  12. A nutrition intervention with a main focus on vegetables and bread consumption among young men in the Norwegian National Guard

    Directory of Open Access Journals (Sweden)

    Solveig Uglem

    2013-10-01

    Full Text Available Background: Young men are difficult to reach with conventional nutrition information and they have a low intake of vegetables and whole grain cereals. Few intervention studies have focused on improving young men's consumption of vegetables and whole grains. Objective: A 5-month intervention focusing on a combination of increased availability of healthy foods and nutritional information was developed to stimulate the intake of vegetables and semi-whole grain bread among a group of young men in the Norwegian military. Subjects: A total of 376 recruits in the intervention group and 105 recruits in the control group participated in the entire study. Results: The average daily increase in consumption of vegetables was 82 g (p<0.001, and semi-whole grain bread 47 g (p<0.001 between baseline and follow-up in the intervention group. No significant changes were observed in the control group. Differences between intervention and control group at follow-up were significant (p<0.001 for vegetables and semi-whole grain bread, when controlling for baseline values, and seasonal variation for vegetables. The recruits in the intervention group received higher scores on the questions concerning nutritional knowledge after the intervention, compared to baseline (p<0.001. There was a significantly higher increase in the intake of vegetables among the recruits who increased the number of correct answers to the knowledge questions (β-value: 0.14, p<0.05 than among the others. There was no significant change in scores of food satisfaction after the intervention. Conclusion: The combination of increased availability of healthy food items and nutrition information was an effective way to increase the intake of vegetables and semi-whole grain bread, without a reduction in food satisfaction, among young men in the military.

  13. Workshop Report: Concepts and methods in the economics of nutrition - Gateways to better economic evaluation of nutrition interventions

    NARCIS (Netherlands)

    I. Lenoir-Wijnkoop (Irene); M.J.C. Nuijten (Mark); I. Gutiérrez-Ibarluzea (Iñaki); J. Hutton; M.J. Poley (Marten); L. Segal; J.L. Bresson; E. Ganse (Éric); P. Jones; L. Moreno (Luis); S. Salminen (Seppo); D. Dubois

    2012-01-01

    textabstractImproving health through better nutrition of the population may contribute to enhanced efficiency and sustainability of healthcare systems. A recent expert meeting investigated in detail a number of methodological aspects related to the discipline of nutrition economics. The role of nutr

  14. The Effects of a Nutritional Intervention on the Nutritional Knowledge of Children and Adolescents with Visual Impairments

    Science.gov (United States)

    Celeste-Williams, Lyndsey; Lieberman, Lauren J.; Banerjee, Priya; Boyle, Jennifer

    2010-01-01

    The purpose of this study was to investigate the effects of a nutritional program on the nutritional knowledge of children and adolescents with visual impairments. The results indicated that there was a significant difference between the scores of the experimental and control groups and that age and vision had no effect on the acquisition of…

  15. Effect of rehabilitation exercise in combined with nutrition intervention on the postoperative rehabilitation after internal fixation of lower humerus fracture

    Institute of Scientific and Technical Information of China (English)

    Ming-Chao Zhang

    2016-01-01

    Objective:To explore the effect of rehabilitation exercise in combined with nutrition exercise on the elbow joint function after internal fixation of lower humerus fracture.Methods: A total of 80 patients with lower humerus fracture who were admitted in our hospital from July, 2014 to July, 2015 were included in the study and randomized into the intervention group and the control group. All the patients were preformed with internal fixation and given anti-infection, pain relieving, and anticoagulation treatments after operation. On this basis, the patients in the intervention group were given rehabilitation exercise in combined with nutrition exercise. The serum protein level 1 and 10 d after operation, and the elbow joint function recovery 12 months after operation in the two groups were compared.Results: The comparison of serum Hb, ALB, PA, and Ca 1d after operation between the two groups was not statistically significant. The serum Hb, ALB, and PA levels 10 d after operation were significantly elevated when compared with 1 d after operation. The serum Hb and PA levels 10 d after operation in the intervention group were significantly higher than those in the control group. With the extending of rehabilitation time, the various ROM of elbow joint was significantly increased when compared with before treatment. The total active motion of elbow joint flexion and extension, and forearm pronation and supination 3 and 6 months after follow-up visit in the intervention group was significantly superior to that in the control group.Conclusions:After internal fixation of lower humerus fracture, systemic rehabilitation and nutrition intervention should be taken as early as possible. Rehabilitation can effectively prevent the tissue adhesion around the joint, and promote the fracture healing and the recovery of joint function. Nutrition intervention can significantly improve the nutrition status, and is beneficial to the fracture healing.

  16. Review of implementation processes for integrated nutrition and psychosocial stimulation interventions.

    Science.gov (United States)

    Yousafzai, Aisha K; Aboud, Frances

    2014-01-01

    This article reviews the implementation processes for interventions that integrate nutrition and psychosocial stimulation for children under 5 years of age in low- and middle-income countries. We examine the content of these programs, the delivery strategy, intensity and duration, personnel training and supervision, compliance, and fidelity. A systematic search of the Global Health Ovid database yielded 1020 articles, of which 29 fit the criteria, and two further studies recently completed were reported by author communication. Some of these articles describe efficacy or effectiveness studies where nutritional supplements or education along with psychosocial stimulation experiences or education were delivered directly to children or their caregivers. Other papers describe large-scale programs, such as conditional cash transfers in Latin America, Integrated Child Development Services preschools in India, and World Bank collaborations with national governments in Africa. A summary table of the implementation processes of the 31 programs is included. We conclude with a set of recommendations summarizing what we know so far regarding best practices for integrative programs.

  17. Modulation of persistent organic pollutant toxicity through nutritional intervention: emerging opportunities in biomedicine and environmental remediation

    Science.gov (United States)

    Petriello, Michael C.; Newsome, Bradley J.; Dziubla, Thomas D.; Hilt, J. Zach; Bhattacharyya, Dibakar; Hennig, Bernhard

    2014-01-01

    Environmental pollution is increasing worldwide, and there is evidence that exposure to halogenated persistent organic pollutants (POPs) such as polychlorinated biphenyls can contribute to the pathology of inflammatory diseases such as atherosclerosis, diabetes, and cancer. Pollutant removal from contaminated sites and subsequent pollutant degradation are critical for reducing the long-term health risks associated with exposure. However, complete remediation of a toxicant from the environment is very difficult and cost-prohibitive. Furthermore, remediation technologies often result in the generation of secondary toxicants. Considering these circumstances, environmentally-friendly and sustainable remediation technologies and biomedical solutions to reduce vulnerability to environmental chemical insults need to be explored to reduce the overall health risks associate with exposure to environmental pollutants. We propose that positive lifestyle changes such as healthful nutrition and consumption of diets rich in fruits and vegetables or bioactive nutrients with antioxidant and/or anti-inflammatory properties will reduce the body’s vulnerability to environmental stressors and thus reduce toxicant-mediated disease pathologies. Interestingly, emerging evidence now implicates the incorporation of bioactive nutrients, such as plant-derived polyphenols, in technologies focused on the capture, sensing and remediation of halogenated POPs. We propose that human nutritional intervention in concert with the use of natural polyphenol sensing and remediation platforms may provide a sensible means to develop primary and long-term prevention strategies of diseases associated with many environmental toxic insults including halogenated POPs. PMID:24530186

  18. Nutritional and Lifestyle Interventions for Age-Related Macular Degeneration: A Review

    Directory of Open Access Journals (Sweden)

    Ângela Carneiro

    2017-01-01

    Full Text Available Age-related macular degeneration (AMD is the leading cause of blindness in the developed world. In this narrative review, we will summarize the nutritional interventions evaluated in numerous observational studies and a few randomized clinical trials. The AREDS and AREDS2 studies demonstrated that supplements including vitamins C and E, beta-carotene, and zinc may reduce the progression to advanced AMD, in some patients, by 25% in five years. This is one of the few nutritional supplements known to have beneficial effects in any eye disease. Lutein/zeaxanthin supplementation may have beneficial effects in some individuals whereas omega-3 fatty acids supplementation needs to be further investigated and supported by more evidence. Genetic factors may explain the different patterns of response and explain differences found among individuals. More importantly, a combination of lifestyle behaviors such as the avoidance of smoking, physical activity, and the adoption of a healthy dietary pattern like the Mediterranean diet was associated with a lower prevalence of AMD. The adoption of these lifestyles may reduce the prevalence of the early stages of AMD and decrease the number of individuals who develop advanced AMD and consequently the onerous and climbing costs associated with the treatment of this disease.

  19. Nutritional and Lifestyle Interventions for Age-Related Macular Degeneration: A Review.

    Science.gov (United States)

    Carneiro, Ângela; Andrade, José Paulo

    2017-01-01

    Age-related macular degeneration (AMD) is the leading cause of blindness in the developed world. In this narrative review, we will summarize the nutritional interventions evaluated in numerous observational studies and a few randomized clinical trials. The AREDS and AREDS2 studies demonstrated that supplements including vitamins C and E, beta-carotene, and zinc may reduce the progression to advanced AMD, in some patients, by 25% in five years. This is one of the few nutritional supplements known to have beneficial effects in any eye disease. Lutein/zeaxanthin supplementation may have beneficial effects in some individuals whereas omega-3 fatty acids supplementation needs to be further investigated and supported by more evidence. Genetic factors may explain the different patterns of response and explain differences found among individuals. More importantly, a combination of lifestyle behaviors such as the avoidance of smoking, physical activity, and the adoption of a healthy dietary pattern like the Mediterranean diet was associated with a lower prevalence of AMD. The adoption of these lifestyles may reduce the prevalence of the early stages of AMD and decrease the number of individuals who develop advanced AMD and consequently the onerous and climbing costs associated with the treatment of this disease.

  20. Successful Intervention for Pressure Ulcer by Nutrition Support Team: A Case Report.

    Science.gov (United States)

    Inui, Shigeki; Konishi, Yuko; Yasui, Yoko; Harada, Toshiko; Itami, Satoshi

    2010-07-02

    A 23-year-old woman with heart failure developed pressure ulcer on her sacral area due to a long-term bed rest and impaired hemodynamics. The ulcer improved only slightly after 2 months with povidone-iodine sugar ointment because of severe nausea and anorexia. Then, the nutrition support team (NST) started intervention and estimated the patient's malnutrition from her body weight (30.1 kg), body mass index (BMI) (13.9), triceps skinfold thickness (TSF) (3.5 mm), arm circumference (AC) (17.2 cm) and serum albumin (2.6 g/dl). The NST administrated an enteral nutrition formula through a nasogastric tube and tried to provide meals according to the patient's taste. Although DESIGN score improved to 7 (DESIGN: d2e1s2i1g1n0 = 7) 2 months later, severe nausea prevented the patient from taking any food perorally. However, after nasogastric decannulation, her appetite improved and 1 month later her body weight increased to 32.8 kg, her BMI to 15.2, TSF to 7.5 mm, AC to 19.7 cm and serum albumin to 4.1 g/dl, and the wound completely healed.

  1. Nutritional and Lifestyle Interventions for Age-Related Macular Degeneration: A Review

    Science.gov (United States)

    Carneiro, Ângela

    2017-01-01

    Age-related macular degeneration (AMD) is the leading cause of blindness in the developed world. In this narrative review, we will summarize the nutritional interventions evaluated in numerous observational studies and a few randomized clinical trials. The AREDS and AREDS2 studies demonstrated that supplements including vitamins C and E, beta-carotene, and zinc may reduce the progression to advanced AMD, in some patients, by 25% in five years. This is one of the few nutritional supplements known to have beneficial effects in any eye disease. Lutein/zeaxanthin supplementation may have beneficial effects in some individuals whereas omega-3 fatty acids supplementation needs to be further investigated and supported by more evidence. Genetic factors may explain the different patterns of response and explain differences found among individuals. More importantly, a combination of lifestyle behaviors such as the avoidance of smoking, physical activity, and the adoption of a healthy dietary pattern like the Mediterranean diet was associated with a lower prevalence of AMD. The adoption of these lifestyles may reduce the prevalence of the early stages of AMD and decrease the number of individuals who develop advanced AMD and consequently the onerous and climbing costs associated with the treatment of this disease.

  2. Change in Metabolic Profile after 1-Year Nutritional-Behavioral Intervention in Obese Children

    Directory of Open Access Journals (Sweden)

    Elvira Verduci

    2015-12-01

    Full Text Available Research findings are inconsistent about improvement of specific cardio-metabolic variables after lifestyle intervention in obese children. The aim of this trial was to evaluate the effect of a 1-year intervention, based on normocaloric diet and physical activity, on body mass index (BMI, blood lipid profile, glucose metabolism and metabolic syndrome. Eighty-five obese children aged ≥6 years were analyzed. The BMI z-score was calculated. Fasting blood samples were analyzed for lipids, insulin and glucose. The homeostatic model assessment of insulin resistance (HOMA-IR was calculated and insulin resistance was defined as HOMA-IR >3.16. HOMA-β%, quantitative insulin sensitivity check index and triglyceride glucose index were calculated. The metabolic syndrome was defined in accordance with the International Diabetes Federation criteria. At the end of intervention children showed a reduction (mean (95% CI in BMI z-score (−0.58 (−0.66; −0.50, triglycerides (−0.35 (−0.45; −0.25 mmol/L and triglyceride glucose index (−0.29 (−0.37; −0.21, and an increase in HDL cholesterol (0.06 (0.01; 0.11 mmol/L. Prevalence of insulin resistance declined from 51.8% to 36.5% and prevalence of metabolic syndrome from 17.1% to 4.9%. Nutritional-behavioral interventions can improve the blood lipid profile and insulin sensitivity in obese children, and possibly provide benefits in terms of metabolic syndrome.

  3. The Effect of a Summer Camp Intervention on the Nutrition Knowledge and Dietary Behavior of Adolescent Girls.

    Science.gov (United States)

    Jennings, Leah; Nepocatych, Svetlana; Ketcham, Caroline; Duffy, Diane

    2016-07-01

    The purpose of this study was to design a rewards-based nutrition intervention program to improve knowledge and dietary behaviors of adolescent girls. Our participants consisted of eight girls ages 11 to 13 years. Nutritional knowledge was assessed before and after intervention program through a "Jeopardy" style quiz game and posttest questionnaires. Participants were also interviewed throughout the week about typical dietary behaviors, daily physical activity, and self-esteem. Educational activities took place for 2 to 3 hours each day and included a grocery store scavenger hunt, healthy baking demonstrations, and relay races. Participants received bracelets and charms as rewards for participation in activities. Nutritional knowledge increased for six out of eight participants, although the overall increase was not found to be statistically significant (p = .20). Significant correlations were found between measures including dietary behavior (soda consumption per week and perceived importance of body weight: r = -.827, p = .01), self-esteem (weight and endurance: r = .801, p = .03), and fitness levels (weight and curl-ups completed in 30 seconds: r = -.729, p = .04). This study shows promising evidence that this nutrition education intervention could be effective at increasing nutrition knowledge, thus potentially affecting future dietary behaviors of adolescent girls.

  4. Position of the American Dietetic Association: Nutrition intervention in the treatment of anorexia nervosa, bulimia nervosa, and other eating disorders.

    Science.gov (United States)

    2006-12-01

    It is the position of the American Dietetic Association that nutrition intervention, including nutritional counseling, by a registered dietitian (RD) is an essential component of the team treatment of patients with anorexia nervosa, bulimia nervosa, and other eating disorders during assessment and treatment across the continuum of care. Diagnostic criteria for eating disorders provide important guidelines for identification and treatment. However, it is thought that a continuum of disordered eating may exist that ranges from persistent dieting to subthreshold conditions and then to defined eating disorders, which include anorexia nervosa, bulimia nervosa, and binge eating disorder. Understanding the complexities of eating disorders, such as influencing factors, comorbid illness, medical and psychological complications, and boundary issues, is critical in the effective treatment of eating disorders. The nature of eating disorders requires a collaborative approach by an interdisciplinary team of psychological, nutritional, and medical specialists. The RD is an integral member of the treatment team and is uniquely qualified to provide medical nutrition therapy for the normalization of eating patterns and nutritional status. RDs provide nutritional counseling, recognize clinical signs related to eating disorders, and assist with medical monitoring while cognizant of psychotherapy and pharmacotherapy that are cornerstones of eating disorder treatment. Specialized resources are available for RDs to advance their level of expertise in the field of eating disorders. Further efforts with evidenced-based research must continue for improved treatment outcomes related to eating disorders along with identification of effective primary and secondary interventions.

  5. Effects of nutritional intervention in head and neck cancer patients undergoing radiotherapy: A prospective randomized clinical trial.

    Science.gov (United States)

    Kang, Wen-Xing; Li, Wentao; Huang, Shi-Gao; Dang, Yazhang; Gao, Hongxiang

    2016-09-01

    Head and neck malignant tumors have numerous locations of the disease. After patients receive radiotherapy, their nutritional status is very poor, thus the curative effect is unsatisfactory. The aims of the present study were to investigate and analyze the nutritional status of patients with head and neck cancer undergoing radiotherapy (RT) in order to provide positive nutrition intervention for assisting the radiotherapy effect. A total of 40 patients with head and neck cancer were selected using a method of subjective global assessment (SGA) to assess nutritional status, including calorie intake and energy expenditure. In a randomized, controlled study, 20 patients received intensive dietary counseling and nutritional therapy (G1) and 20 received regular dietary as controls (G0) preradiotherapy and postradiotherapy. The primary endpoint was calorie intake and energy expenditure. The secondary endpoint was SGA rating with nutritional therapy. At the end of RT, energy intake showed a net increase in G1 (1,691±301 kcal) compared with that in G0 (1,066±312 kcal) (Pnutritional intervention can effectively prevent weight loss and muscle wasting. Additionally, it may improve quality of life by decreasing the frequency of severe malnutrition.

  6. Planned development and evaluation protocol of two versions of a web-based computer-tailored nutrition education intervention aimed at adults, including cognitive and environmental feedback

    OpenAIRE

    Springvloet, Linda; Lechner, Lilian; Oenema, Anke

    2014-01-01

    Background Despite decades of nutrition education, the prevalence of unhealthy dietary patterns is still high and inequalities in intake between high and low socioeconomic groups still exist. Therefore, it is important to innovate and improve existing nutrition education interventions. This paper describes the development, design and evaluation protocol of a web-based computer-tailored nutrition education intervention for adults targeting fruit, vegetable, high-energy snack and fat intake. Th...

  7. Differences in fat and sodium intake across hypertension subgroups in the Mississippi Communities for Healthy Living (MCHL) Nutrition Intervention

    Science.gov (United States)

    The objective of this study is to examine differences between self-reported intakes of sodium, trans-fat, and total fat among hypertension (HTN) subgroups of participants in Mississippi Communities for Healthy Living nutrition education intervention. Dietary intake was measured using a food frequenc...

  8. The impact of nutrition education interventions on the dietary habits of college students in developed nations: a brief review.

    Science.gov (United States)

    Lua, Pei Lin; Wan Putri Elena, Wan Dali

    2012-01-01

    The purpose of this review is to provide a summary of studies on the effectiveness nutrition education interventions used by college students. Electronic databases such as Medline, Science Direct, CINAHL (EBSCOhost), and Google Scholar were explored for articles that involved nutrition education interventions for college students and that were published between 1990 and 2011. Fourteen studies, which involved a total of 1668 college students as respondents, were identified and met the inclusion criteria. The results showed that there were 3 major forms of nutrition education interventions: web-based education, lectures, and supplement provisions. Dietary intake measures were used in almost all studies and were primarily collected with food records, recall, food frequency questionnaires, and dietary habit questionnaires. The outcome measures varied among the studies, with indicators such as consumption of food, nutrition knowledge, dietary habits, physical activity, and quality of life. Methodological issues were also identified. In general, college students experienced significant changes in their dietary habits after the interventions were employed. The highlighted methodological issues should be considered to improve the quality of similar research in future.

  9. Practice-based evidence of effectiveness in an integrated nutrition and parenting education intervention for low-income parents.

    Science.gov (United States)

    Dickin, Katherine L; Hill, Tisa F; Dollahite, Jamie S

    2014-06-01

    Research identifying associations between parental behaviors and children's food and activity choices and weight suggests that the integration of parenting and nutrition education holds promise for promoting healthful eating and activity in families. However, translational research leading to sustainable interventions lags behind. Development and testing of interventions within actual program contexts is needed to facilitate translation to full-scale implementation. Therefore, the goal of this pilot study was to develop and test an integrated nutrition and parenting education intervention for low-income families within the Expanded Food and Nutrition Education Program in New York State. During a 21-month period, low-income parents of 3- to 11-year-olds were recruited through usual programmatic channels by nutrition program staff to participate in a series of eight workshops delivered to small groups. A validated self-administered questionnaire was used to assess behavior change outcomes among 210 parents who completed the program. Mean scores improved significantly for most behaviors, including adult fruit and vegetable intake; adult and child low-fat dairy and soda intake; and child fast-food intake, activity, and screen time (P50% of parents. Design and testing through practice-based research can facilitate development of interventions that are both feasible and likely to improve eating and activity behaviors among low-income families.

  10. Nutrition

    Science.gov (United States)

    ... of States, Districts, and Schools That Required Teaching Nutrition and Dietary Behavior, by School Level 100 80 60 40 20 0 72. ... no comparable variable existed in both survey years. Nutrition Services • 68.6% of schools offered breakfast to students and 63.0% participated ...

  11. The effects of an intensive behavior and nutrition intervention compared to standard of care on weight outcomes in CF.

    Science.gov (United States)

    Stark, Lori J; Opipari-Arrigan, Lisa; Quittner, Alexandra L; Bean, Judy; Powers, Scott W

    2011-01-01

    Inadequate intake and suboptimal growth are common problems for patients with CF and a critical target for intervention. The purpose of this study was to compare the growth outcomes of children with CF who participated in a randomized clinical trial to improve energy intake and weight to children with CF receiving standard of care during the same time period. Our primary outcome was change in body mass index z-score (BMI z-score) over 2 years. An exploratory outcome was forced expiratory volume at 1-sec (FEV(1) ) over 2 years. Participants were children ages 4-12 with CF, who participated in a randomized clinical trial of behavior plus nutrition intervention versus nutrition education alone, and a matched Comparison Sample receiving standard of care drawn from the Cystic Fibrosis Foundation (CFF) Registry. Children in the Clinical Trial Group (N=67) participated in a 9-week, nutrition intervention and were followed at regular intervals (3, 6, 12, 18, and 24 months) for 2 years post-treatment to obtain anthropometric and pulmonary function data. For each child in the Comparison Sample (N=346), these measures were obtained from the CFF Registry at matching intervals for the 27-month period corresponding to the clinical trial. Over 27 months, children in the Clinical Trial Group (the combined sample of the behavior plus nutrition and the nutrition alone) demonstrated significantly less decline in BMI z-score, -0.05 (SD=0.68, CI= -0.23 to 0.13), as compared to children in the Comparison Sample, -0.21 (SD=0.67, CI= -0.31 to -0.11). No statistically significant differences were found for decline in FEV(1) between children in the Clinical Trial Group and the Comparison Sample. The key implication of these findings is that intensive behavioral and nutritional intervention is effective and needs to be adapted so that it can be broadly disseminated into clinical practice.

  12. Nutritional counselling in primary health care: a randomized comparison of an intervention by general practitioner or dietician

    DEFF Research Database (Denmark)

    Willaing, Ingrid; Ladelund, Steen; Jørgensen, Torben;

    2004-01-01

    AIMS: To compare health effects and risk reduction in two different strategies of nutritional counselling in primary health care for patients at high risk of ischaemic heart disease. METHODS: In a cluster-randomized trial 60 general practitioners (GPs) in the Copenhagen County were randomized...... to give nutritional counselling or to refer patients to a dietician. Patients were included after opportunistically screening (n=503 patients), and received nutritional counselling by GP or dietician over 12 months. Health effects were measured by changes in weight, waist circumference and blood lipids...... of cardiovascular disease and addressed these when counselling. The guidance from a GP was of significant importance for risk reduction in relation to IHD. However, a long-term lifestyle intervention by GP was difficult to implement. In the case of obesity it was effective to refer to long-term nutritional...

  13. Nutrition.

    Science.gov (United States)

    Durnin, J V

    1976-07-01

    Nutrition appeared somewhat late on the scene in the I.B.P. projects in the U.K., but eventually it occupied an integral part of many of the H.A. (human adaptability) investigations. The nutritional data obtained in the studies of isolated and nearisolated communities in Tristan da Cunha and in New Guinea provided information of wide nutritional significance. There were also detailed and extensive studies in Israel which, similarly to those in New Guinea, attempted to relate nutritional factors to enviroment, working conditions, and physical fitness. Some extraordinarily low energy intakes found in Ethiopians have induced much speculation on the extent which man can adequately adapt to restricted food supplies. Interesting nutritional observations, of general importance, have also arisen from results obtained on such disparate groups as Glasgow adolescents, Tanzanian and Sudanese students, children in Malawi and vegans in the U.K.

  14. Preconceptional nutrition and pregnancy outcomes: review and Dietitian-Nutritionist intervention proposal

    Directory of Open Access Journals (Sweden)

    Lucia Fernández Molina

    2016-02-01

    Full Text Available The nutritional status of the mother before and during pregnancy has been observed in recent years as one of the most influential environmental factors on fetal development. This study focuses on the early stages of gestation or periconception period: preconception, conception, implantation, embryogenesis and placentation; since they represent a critical step in pregnancy outcomes. After an extensive literature review of 66 studies published between 1990 and 2015, iron, iodine, omega 3 fatty acids, folic acid and other B vitamins, minerals and micronutrients for which more evidence of a positive relationship with the development of the offspring were found. The approach of a dietary intervention by the dietitian, both individually and collectively, in the preconception period in women of childbearing age and/or pregnancy intentions is proposed in this study, being able to continue the intervention in periods of gestation, breastfeeding, postpartum and even offspring, causing long-term benefits, which are likely to remain and manifest throughout an individual’s life.

  15. Pilot Study Results for a Novel Behavior Plus Nutrition Intervention for Caregivers of Young Children with Type 1 Diabetes

    Science.gov (United States)

    Patton, Susana R.; Odar, Cathleen; Midyett, L. Kurt; Clements, Mark A.

    2014-01-01

    Objective This pilot study presents results for a parent-based educational intervention targeting mealtime behaviors plus nutrition among families of young children (M age: 5.0±1.2 years) with type 1 diabetes mellitus (T1DM). Methods We recruited nine caregivers who participated in the six-session intervention and completed baseline and post-treatment assessments. Results Children’s mean daily glycemic levels decreased from 185±46 mg/dl to 159±40 mg/dl (p<0.001). There were also decreases in problematic parent and child mealtime behaviors. There was no change in children’s dietary intake indicators. Conclusions and Implications It appears promising that our targeted behavior plus nutrition intervention can improve glycemic control and behavior for young children with T1DM. Our next step will be to modify the intervention to improve our nutrition education modules. Ultimately, we plan to test the intervention in a large randomized clinical trial to examine if it can yield improvements to children’s diet and glycated hemoglobin levels. PMID:24438850

  16. Effects of a nutritional intervention program based on the self-determination theory and promoting the Mediterranean diet

    Directory of Open Access Journals (Sweden)

    Vicky Leblanc

    2015-12-01

    Full Text Available Our objective was to determine gender differences in the impact of a nutritional intervention based on the self-determination theory and promoting the Mediterranean diet on changes in eating-related self-determined motivation and adherence to the Mediterranean diet. Changes in eating-related self-determined motivation were larger in men than in women in response to the intervention and at follow-up, but the magnitude of change decreased with time in both genders. Changes in eating-related self-determined motivation were positively associated with changes in the Mediterranean diet adherence in response to the intervention and at follow-up in men only, suggesting that the nutritional program seems to fit better men than women.

  17. Integration of priority population, health and nutrition interventions into health systems: systematic review

    Directory of Open Access Journals (Sweden)

    Adeyi Olusoji

    2011-10-01

    Full Text Available Abstract Background Objective of the study was to assess the effects of strategies to integrate targeted priority population, health and nutrition interventions into health systems on patient health outcomes and health system effectiveness and thus to compare integrated and non-integrated health programmes. Methods Systematic review using Cochrane methodology of analysing randomised trials, controlled before-and-after and interrupted time series studies. We defined specific strategies to search PubMed, CENTRAL and the Cochrane Effective Practice and Organisation of Care Group register, considered studies published from January 1998 until September 2008, and tracked references and citations. Two reviewers independently agreed on eligibility, with an additional arbiter as needed, and extracted information on outcomes: primary (improved health, financial protection, and user satisfaction and secondary (improved population coverage, access to health services, efficiency, and quality using standardised, pre-piloted forms. Two reviewers in the final stage of selection jointly assessed quality of all selected studies using the GRADE criteria. Results Of 8,274 citations identified 12 studies met inclusion criteria. Four studies compared the benefits of Integrated Management of Childhood Illnesses in Tanzania and Bangladesh, showing improved care management and higher utilisation of health facilities at no additional cost. Eight studies focused on integrated delivery of mental health and substance abuse services in the United Kingdom and United States of America. Integrated service delivery resulted in better clinical outcomes and greater reduction of substance abuse in specific sub-groups of patients, with no significant difference found overall. Quality of care, patient satisfaction, and treatment engagement were higher in integrated delivery models. Conclusions Targeted priority population health interventions we identified led to improved health

  18. A Primary Care-Based Early Childhood Nutrition Intervention: Evaluation of a Pilot Program Serving Low-Income Hispanic Women.

    Science.gov (United States)

    Watt, Toni Terling; Appel, Louis; Lopez, Veronica; Flores, Bianca; Lawhon, Brittany

    2015-12-01

    Nutrition in early childhood can significantly impact physical and mental health outcomes for children. However, research on broadly defined pre/postnatal nutrition interventions is sparse. The present study is a process and outcome evaluation of a primary care-based nutrition intervention targeting low-income Hispanic women. Pregnant women enrolled in the program were in their first trimester and received services through their 6-month well child check. The program provided vouchers for fruits and vegetables from the local farmers' market, nutrition classes, cooking classes, and lactation counseling. We conducted a prospective study of program participants (n = 32) and a comparable group of women for whom the program was not available (n = 29). Panel survey data measured maternal diet, exercise, stress, depression, social support, infant feeding practices, and demographics. Outcome measures obtained from medical records included pregnancy weight gain, infant weight at 6 and 12 months, and infant development at 9 months. Findings reveal that the program was not associated with infant weights. However, despite similar profiles at baseline, women in the intervention group were more likely than women in the comparison group to have significant improvements in diet, exercise, and depression (p ≤ .05). In addition, participants were more likely to breastfeed (p = .07) and their infants were more likely to pass the ages and stages developmental screen (p = .06) than women in the comparison group. The study was limited by a lack of random assignment and small samples. However, the breadth and size of the effects suggest pre/postnatal nutrition interventions integrated into primary care warrant additional investigation.

  19. Evolution of session RPE and fatigue during a long term nutritional intervention in one professional basketball player

    OpenAIRE

    Bonfanti, Noelia; Lorenzo Calvo, Alberto; Gómez Ruano, Miguel Ángel

    2014-01-01

    Some evidence shows that the rate of perceived exertion of one session (RPE-S) and fatigue (Fat) of athletes can be decreased by the intake of carbohydrates (HCO) during exercise. However, it is well known that professional athletes do not meet nutritional recommendations (NR) but a long term nutritional intervention (NI) can improve their dietary intake (DI). What is not known is whether these long-term changes in DI can influence RPE-S and Fat of training. Our aim was to conduct a long term...

  20. A STUDY TO EVALUATE THE EFFECT OF NUTRITIONAL INTERVENTION MEASURES ON CHILDREN WITH SEVERE ACUTE MALNUTRITION ADMITTED IN NUTRITION REHABILITATION CENTER AT CIVIL HOSPITAL BAIRAGARH, BHOPAL, MADHYA PRADESH

    Directory of Open Access Journals (Sweden)

    Ritesh

    2015-02-01

    Full Text Available BACKGROUND: The state of Madhya Pradesh has 1.3 million severely malnourished children. Nutrition rehabilitation centers (NRCs were started in the state to control severe malnutrition and decrease the prevalence of severe malnourished children to less than 1% among c hildren aged 1 – 5 years. OBJECTIVE: To assess the effect of nutritional interventional measures for children with severe acute malnutrition (SAM admitted in Nutrition Rehabilitation Center by reviewing anthropometric indicators. Material and methods: The p resent study was conducted from July 2014 to December 2014; all children admitted during the study period in NRC civil hospital Bairagarh, Bhopal were observed during their stay at NRC to analyze the effect of interventional measures on select anthropometr ic and outcome indicators. The data were entered into Microsoft excel spreadsheet and analyzed. RESULT: 61.8 % of the total 102 children admitted were female, 42.1% were in the age group of 13 – 24 months and 34.3% in the age group of 0 - 12 months. About 60% of the population belonged to schedule caste and tribe. The mean weight at admission was 6.4 kg and on discharge 7.09 kg. Of the total 102, 8 children defaulted and 92 were discharged amongst them 66.3% were recovered. CONCLUSION: The study reveals a propo rtion of 66.3% children amongst the study group recovered with at least 15% weight gain of initial weight

  1. Effect of a 5-mo nutritional intervention on nutritional status and quality of life for patient with 3-hydroxyisobutyryl-coenzyme A hydrolase deficiency: A case report.

    Science.gov (United States)

    Li, Chun-Wei; Yu, Kang; Xu, Yan; Sun, Xia-Yuan; Li, Rong-Rong; Wang, Fang

    2015-01-01

    3-Hydroxy-isobutyryl-coenzyme A (CoA) hydrolase (HBICH) deficiency is a rare cerebral organic aciduria caused by disturbance of valine catabolism that leads to the accumulation of toxic metabolites, methacrylyl-CoA. The major feature exhibited by a patient with HBICH deficiency includes multiple congenital malformations and abnormal neurologic findings. However, the pathophysiology of this disease remains unknown. The major treatment for HBICH deficiency involves a low-protein diet, especially restricting valine, supplemented with micronutrients and carnitine. To our knowledge, only four patients with HBICH deficiency have been reported. These patients were boys and presented with different clinical, biochemical, and genetic features than our patient. In this report, we described what was to our knowledge the first genetically confirmed girl with HBICH deficiency in China. A 5-mo nutritional intervention was given to the patient by a nutritional support team. On this regimen, the patient's symptoms were alleviated and her quality of life was improved.

  2. Diet-Induced Cognitive Deficits: The Role of Fat and Sugar, Potential Mechanisms and Nutritional Interventions

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    Jessica E. Beilharz

    2015-08-01

    Full Text Available It is of vital importance to understand how the foods which are making us fat also act to impair cognition. In this review, we compare the effects of acute and chronic exposure to high-energy diets on cognition and examine the relative contributions of fat (saturated and polyunsaturated and sugar to these deficits. Hippocampal-dependent memory appears to be particularly vulnerable to the effects of high-energy diets and these deficits can occur rapidly and prior to weight gain. More chronic diet exposure seems necessary however to impair other sorts of memory. Many potential mechanisms have been proposed to underlie diet-induced cognitive decline and we will focus on inflammation and the neurotrophic factor, brain-derived neurotrophic factor (BDNF. Finally, given supplementation of diets with omega-3 and curcumin has been shown to have positive effects on cognitive function in healthy ageing humans and in disease states, we will discuss how these nutritional interventions may attenuate diet-induced cognitive decline. We hope this approach will provide important insights into the causes of diet-induced cognitive deficits, and inform the development of novel therapeutics to prevent or ameliorate such memory impairments.

  3. Pilot nutrition and physical activity intervention for preschool children attending daycare centres (JUNJI: primary and secondary outcomes

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    Gabriela Salazar

    2014-05-01

    Full Text Available Introduction: A pilot intervention was conducted to promote physical activity and nutrition in public preschool education (near half a million children in Chile, in order to prevent obesity. Objective: To assess the primary (body fat and secondary outcomes (physical activity and energy intake of a nutrition and physical activity pilot intervention for preschool children, attending day care centres. Methods: A pilot intervention in six day care centres selected at random (n = 530, in 4-5 years old preschool children, Santiago, Chile intending to: provide nutritional and physical activity education to educators and health promotion activities for the family, which in turn, will affect the primary (body fat, and secondary outcomes (physical activity pattern and energy food intake were measured in a representative subsample of 120 intervened and 145 controls children. Results: In relation to secondary outcomes monitoring, moderate-vigorous activity was duplicated in the intervention group (+5.4% and +4.7%, respectively, in both obese and eutrophic children. Energy intake decreased in 11.7% in obese and 7.5% in eutrophic children. Dietary fat intake was reduced (-11 g in obese and -8.4 g in eutrophic children. Intervened obese children reduced body fat in 1.5%, meanwhile in control obese children, body fat increased 1.3% (p < 0.01. Conclusions: The pilot intervention demonstrated the feasibility to influence dietary risk factors and physical activity at the day care centres and families. Therefore, the implementation of the validated intervention program will be tested in different weather conditions, to prevent unhealthy habits in preschool children and their families.

  4. Anti-inflammatory nutritional intervention in patients with relapsing-remitting and primary-progressive multiple sclerosis: A pilot study.

    Science.gov (United States)

    Riccio, Paolo; Rossano, Rocco; Larocca, Marilena; Trotta, Vincenzo; Mennella, Ilario; Vitaglione, Paola; Ettorre, Michele; Graverini, Antonio; De Santis, Alessandro; Di Monte, Elisabetta; Coniglio, Maria Gabriella

    2016-03-01

    The aim of this work was to assess the influence of nutritional intervention on inflammatory status and wellness in people with multiple sclerosis. To this end, in a seven-month pilot study we investigated the effects of a calorie-restricted, semi-vegetarian diet and administration of vitamin D and other dietary supplements (fish oil, lipoic acid, omega-3 polyunsaturated fatty acids, resveratrol and multivitamin complex) in 33 patients with relapsing-remitting multiple sclerosis and 10 patients with primary-progressive multiple sclerosis. At 0/3/6 months, patients had neurological examination, filled questionnaires and underwent anthropometric measurements and biochemical analyses. Serum fatty acids and vitamin D levels were measured as markers of dietary compliance and nutritional efficacy of treatment, whereas serum gelatinase levels were analyzed as markers of inflammatory status. All patients had insufficient levels of vitamin D at baseline, but their values did not ameliorate following a weekly administration of 5000  IU, and rather decreased over time. Conversely, omega-3 polyunsaturated fatty acids increased already after three months, even under dietary restriction only. Co-treatment with interferon-beta in relapsing-remitting multiple sclerosis was irrelevant to vitamin D levels. After six months nutritional treatment, no significant changes in neurological signs were observed in any group. However, serum levels of the activated isoforms of gelatinase matrix metalloproteinase-9 decreased by 59% in primary-progressive multiple sclerosis and by 51% in relapsing-remitting multiple sclerosis patients under nutritional intervention, including dietary supplements. This study indicates that a healthy nutritional intervention is well accepted by people with multiple sclerosis and may ameliorate their physical and inflammatory status.

  5. Anti-inflammatory nutritional intervention in patients with relapsing-remitting and primary-progressive multiple sclerosis: A pilot study

    Science.gov (United States)

    Rossano, Rocco; Larocca, Marilena; Trotta, Vincenzo; Mennella, Ilario; Vitaglione, Paola; Ettorre, Michele; Graverini, Antonio; De Santis, Alessandro; Di Monte, Elisabetta; Coniglio, Maria Gabriella

    2016-01-01

    The aim of this work was to assess the influence of nutritional intervention on inflammatory status and wellness in people with multiple sclerosis. To this end, in a seven-month pilot study we investigated the effects of a calorie-restricted, semi-vegetarian diet and administration of vitamin D and other dietary supplements (fish oil, lipoic acid, omega-3 polyunsaturated fatty acids, resveratrol and multivitamin complex) in 33 patients with relapsing-remitting multiple sclerosis and 10 patients with primary-progressive multiple sclerosis. At 0/3/6 months, patients had neurological examination, filled questionnaires and underwent anthropometric measurements and biochemical analyses. Serum fatty acids and vitamin D levels were measured as markers of dietary compliance and nutritional efficacy of treatment, whereas serum gelatinase levels were analyzed as markers of inflammatory status. All patients had insufficient levels of vitamin D at baseline, but their values did not ameliorate following a weekly administration of 5000  IU, and rather decreased over time. Conversely, omega-3 polyunsaturated fatty acids increased already after three months, even under dietary restriction only. Co-treatment with interferon-beta in relapsing-remitting multiple sclerosis was irrelevant to vitamin D levels. After six months nutritional treatment, no significant changes in neurological signs were observed in any group. However, serum levels of the activated isoforms of gelatinase matrix metalloproteinase-9 decreased by 59% in primary-progressive multiple sclerosis and by 51% in relapsing-remitting multiple sclerosis patients under nutritional intervention, including dietary supplements. This study indicates that a healthy nutritional intervention is well accepted by people with multiple sclerosis and may ameliorate their physical and inflammatory status. PMID:26785711

  6. Nutritional counselling in primary health care: a randomized comparison of an intervention by general practitioner or dietician

    DEFF Research Database (Denmark)

    Willaing, Ingrid; Ladelund, Steen; Jørgensen, Torben

    2004-01-01

    AIMS: To compare health effects and risk reduction in two different strategies of nutritional counselling in primary health care for patients at high risk of ischaemic heart disease. METHODS: In a cluster-randomized trial 60 general practitioners (GPs) in the Copenhagen County were randomized...... of cardiovascular disease and addressed these when counselling. The guidance from a GP was of significant importance for risk reduction in relation to IHD. However, a long-term lifestyle intervention by GP was difficult to implement. In the case of obesity it was effective to refer to long-term nutritional....... Risk of cardiovascular disease was calculated by The Copenhagen Risk Score. Data on use of medicine and primary health care was obtained from central registers. RESULTS: Altogether 339 (67%) patients completed the intervention. Weight loss was larger in the dietician group (mean 4.5 kg vs. 2.4 kg...

  7. Randomized Nutrition Education Intervention to Improve Carbohydrate Counting in Adolescents with Type 1 Diabetes Study: Is More Intensive Education Needed?

    Science.gov (United States)

    Spiegel, Gail; Bortsov, Andrey; Bishop, Franziska K.; Owen, Darcy; Klingensmith, Georgeanna J.; Mayer-Davis, Elizabeth J.; Maahs, David M.

    2012-01-01

    Background and Objectives Youth with type 1 diabetes do not count carbohydrates (CHOs) accurately, yet it is an important strategy in blood glucose control. The study objective was to determine whether a nutrition education intervention would improve CHO counting accuracy and glycemic control. Design Randomized, controlled, nutrition intervention trial recruited February 2009 to February 2010. Participants and Methods Youth (12-18 years, n=101) with type 1 diabetes were screened to identify those with poor CHO counting accuracy, using a previously developed CHO counting accuracy test covering commonly consumed foods and beverage items presented in six mixed meals and two snacks. All participants (n=66, age=15 ± 3 yrs, 41 male, diabetes duration=6 ± 4 yrs, HbA1c=8.3 ± 1.1%) were randomized to the control or intervention group at the baseline visit. The intervention group attended a 90 minute class with a RD/CDE and twice kept three-day food records, which were used to review CHO counting progress. Main Outcome Measures CHO counting accuracy (measured as described above) and HbA1c were evaluated at baseline and three months to determine the effectiveness of the intervention. Statistical Analyses T-tests, Spearman correlations, and repeated measures models were used. Results At baseline, CHO content was over and underestimated in 16 and five of 29 food items, respectively. When foods were presented as mixed meals, participants either significantly over or underestimated 10 of the nine meals and four snacks. After three months of follow-up, HbA1c decreased in both the intervention and control groups by −0.19 ± 0.12% (p=0.12) and −0.08 ± 0.11% (p=0.51) respectively; however, the overall intervention effect was not statistically significant for change in HbA1c or CHO counting accuracy. Conclusions More intensive intervention may be required to improve adolescents’ CHO counting accuracy and nutrition management of type 1 diabetes. Further research is needed to

  8. School-Based Intervention for Nutrition Promotion in Mi Yun County, Beijing, China: Does a Health-Promoting School Approach Improve Parents' Knowledge, Attitudes and Behaviour?

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    Wang, Dongxu; Stewart, Donald; Chang, Chun

    2016-01-01

    Purpose: The purpose of this paper is to assess whether the school-based nutrition programme using the health-promoting school (HPS) framework was effective to improve parents' knowledge, attitudes and behaviour (KAB) in relation to nutrition in rural Mi Yun County, Beijing. Design/methodology/approach: A cluster-randomised intervention trial…

  9. Agriculture, food, and nutrition interventions that facilitate sustainable food production and impact health: an overview of systematic reviews.

    Science.gov (United States)

    Haby, Michelle M; Chapman, Evelina; Clark, Rachel; Galvão, Luiz A C

    2016-08-01

    Objectives To identify the agriculture, food, and nutrition security interventions that facilitate sustainable food production and have a positive impact on health. Methods Systematic review methods were used to synthesize evidence from multiple systematic reviews and economic evaluations through a comprehensive search of 17 databases and 10 websites. The search employed a pre-defined protocol with clear inclusion criteria. Both grey and peer-reviewed literature published in English, Spanish, and Portuguese between 1 January 1997 and November 2013 were included. To classify as "sustainable," interventions needed to aim to positively impact at least two dimensions of the integrated framework for sustainable development and include measures of health impact. Results Fifteen systematic reviews and seven economic evaluations met the inclusion criteria. All interventions had some impact on health or on risk factors for health outcomes, except those related to genetically modified foods. Impact on health inequalities was rarely measured. All interventions with economic evaluations were very cost-effective, had cost savings, or net benefits. In addition to impacting health (inclusive social development), all interventions had the potential to impact on inclusive economic development, and some, on environmental sustainability, though these effects were rarely assessed. Conclusions What is needed now is careful implementation of interventions with expected positive health impacts but with concurrent, rigorous evaluation. Possible impact on health inequalities needs to be considered and measured by future primary studies and systematic reviews, as does impact of interventions on all dimensions of sustainable development.

  10. Nutritional intervention restores muscle but not kidney phenotypes in adult calcineurin Aα null mice.

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    Kirsten Madsen

    Full Text Available Mice lacking the α isoform of the catalytic subunit of calcineurin (CnAα were first reported in 1996 and have been an important model to understand the role of calcineurin in the brain, immune system, bones, muscle, and kidney. Research using the mice has been limited, however, by failure to thrive and early lethality of most null pups. Work in our laboratory led to the rescue of CnAα-/- mice by supplemental feeding to compensate for a defect in salivary enzyme secretion. The data revealed that, without intervention, knockout mice suffer from severe caloric restriction. Since nutritional deprivation is known to significantly alter development, it is imperative that previous conclusions based on CnAα-/- mice are revisited to determine which aspects of the phenotype were attributable to caloric restriction versus a direct role for CnAα. In this study, we find that defects in renal development and function persist in adult CnAα-/- mice including a significant decrease in glomerular filtration rate and an increase in blood urea nitrogen levels. These data indicate that impaired renal development we previously reported was not due to caloric restriction but rather a specific role for CnAα in renal development and function. In contrast, we find that rather than being hypoglycemic, rescued mice are mildly hyperglycemic and insulin resistant. Examination of muscle fiber types shows that previously reported reductions in type I muscle fibers are no longer evident in rescued null mice. Rather, loss of CnAα likely alters insulin response due to a reduction in insulin receptor substrate-2 (IRS2 expression and signaling in muscle. This study illustrates the importance of re-examining the phenotypes of CnAα-/- mice and the advances that are now possible with the use of adult, rescued knockout animals.

  11. Fat Soluble Vitamins in Cystic Fibrosis and Pancreatic Insufficiency: Efficacy of a Nutrition Intervention

    Science.gov (United States)

    Bertolaso, Chiara; Groleau, Veronique; Schall, Joan I.; Maqbool, Asim; Mascarenhas, Maria; Latham, Norma; Dougherty, Kelly A.; Stallings, Virginia A.

    2014-01-01

    Objectives To assess the impact of LYM-X-SORB™ (LXS), an organized lipid matrix that has previously been shown to be absorbable without pancreatic enzyme therapy on fat soluble vitamin status in children with CF and PI. Methods Children with CF and PI were randomized to daily LXS or an iso-caloric placebo comparison supplement for 12 months. Serum vitamins A (retinol), D (25-hydroxyvitamin D[25D]), E (α-tocopherol, α-tocopherol:cholesterol ratio) and K (%undercarboxylated osteocalcin [%ucOC] and plasma proteins induced by vitamin K absence factor II [PIVKA II]) were assessed at baseline and 12 months. Dietary intake was determined using 3-day weighed food records, and supplemental vitamin intake by a comprehensive questionnaire. Results 58 subjects (32 males, age 10.3±2.9 yrs [mean±SD]) with complete serum vitamin, dietary and supplemental vitamin data were analyzed. After adjusting for dietary and supplemental vitamin intake, serum retinol increased 3.0±1.4 μg/dL (coefficient±SE) (Adj R2=0.02, p=0.03) and vitamin K status improved as demonstrated by a decreased %ucOC of −6.0±1.6% by 12 months (Adj R2=0.15, p<0.001). These changes occurred in both the LXS and placebo comparison groups. No changes in serum 25D or α-tocopherol were detected. Both nutrition interventions increased caloric intake a mean of 83±666 kcal/d by 12 months. Conclusions Vitamin A and K status improved, while vitamin D and E status was unchanged over 12 month of LXS and iso-caloric placebo comparison supplement in children with CF and PI. PMID:24345827

  12. Inflammatory response in Colombian children with severe protein-energymalnutrition before and after nutritional intervention

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    Claudia Velasquez

    2010-06-01

    Full Text Available Aim: To evaluate the changes in C-reactive protein and pro-inflammatory cytokines in severely malnourished children, before nutritional intervention and at the moment of restoring appetite. Methodology: To assess changes in inflammatory mediators, 20 severely malnourished children under 5 years of age, 10 with kwashiorkor and 10 with marasmus were studied. Hemoglobin, total serum proteins, albumin, ferritin, transferrin, ceruloplasmin, C-reactive protein and pro-inflammatory cytokines (IL-8, IL-1β, IL-6,IL-10,TNF-α, and IL-12p70 were determined. Results: Upon hospital admission, the mean values of C-reactive protein in kwashiorkor and marasmus patients (16.3±19.0 mg/l and 23.1±27.9 mg/l, respectively indicated an inflammatory response process with no difference between both groups (p=1.0. Total protein, albumin, transferrin and ceruloplasmin in children with kwashiorkor were significantly lower than in marasmic children (p=0.003, p=0.007, p=0.035, p=0.007, respectively. All cytokines, except IL-12p70, showed significantly higher concentrations in kwashiorkor than in marasmic children. After the stabilization phase, concentrations of C-reactive protein decreased significantly in both groups and albumin increased to normal values, but cytokines remained high. Conclusion: These results show that malnourished children are able to synthesize C-reactive protein in response to an infectious process. Additionally, higher levels of pro-inflammatory cytokines and depletion of albumin in children with kwashiorkor suggest that these inflammatory mediators could be critical biomarkers during clinical phases of kwashiorkor.

  13. The differential plasma proteome of obese and overweight individuals undergoing a nutritional weight loss and maintenance intervention

    DEFF Research Database (Denmark)

    Oller Moreno, Sergio; Cominetti, Ornella; Núñez Galindo, Antonio

    2017-01-01

    PURPOSE: The nutritional intervention program "DiOGenes" focuses on how obesity can be prevented and treated from a dietary perspective. We generated differential plasma proteome profiles in the DiOGenes cohort to identify proteins associated with weight loss and maintenance and explore their rel......PURPOSE: The nutritional intervention program "DiOGenes" focuses on how obesity can be prevented and treated from a dietary perspective. We generated differential plasma proteome profiles in the DiOGenes cohort to identify proteins associated with weight loss and maintenance and explore...... intervention. Protein relationships with clinical variables were explored using univariate linear models, considering collection center, gender and age as confounding factors. RESULTS: 473 subjects were measured at baseline and end of the intervention; 39 proteins were longitudinally differential. Proteins......-rich acidic protein 1 (PRAP1) variation and Matsuda insulin sensitivity increment was showed. CONCLUSIONS AND CLINICAL RELEVANCE: MS-based proteomic analysis of a large cohort of non-diabetic overweight and obese individuals concomitantly identified known and novel proteins associated with weight loss...

  14. Position of the Academy of Nutrition and Dietetics: Interventions for the Treatment of Overweight and Obesity in Adults.

    Science.gov (United States)

    Raynor, Hollie A; Champagne, Catherine M

    2016-01-01

    It is the position of the Academy of Nutrition and Dietetics that successful treatment of overweight and obesity in adults requires adoption and maintenance of lifestyle behaviors contributing to both dietary intake and physical activity. These behaviors are influenced by many factors; therefore, interventions incorporating more than one level of the socioecological model and addressing several key factors in each level may be more successful than interventions targeting any one level and factor alone. Registered dietitian nutritionists, as part of a multidisciplinary team, need to be current and skilled in weight management to effectively assist and lead efforts that can reduce the obesity epidemic. Using the Academy of Nutrition and Dietetics' Evidence Analysis Process and Evidence Analysis Library, this position paper presents the current data and recommendations for the treatment of overweight and obesity in adults. Evidence on intrapersonal influences, such as dietary approaches, lifestyle intervention, pharmacotherapy, and surgery, is provided. Factors related to treatment, such as intensity of treatment and technology, are reviewed. Community-level interventions that strengthen existing community assets and capacity and public policy to create environments that support healthy energy balance behaviors are also discussed.

  15. Effectiveness of Dietetic Intervention on Nutritional Status and Hydration Status in Continuous Ambulatory Peritoneal Dialysis (CAPD Patients

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    H.M. LAM

    2012-06-01

    Full Text Available In Hong Kong, more than 3,000 patients with end-stage renal failure (ESRF on CAPD in 20091. Protein-energy malnutrition and volume overload are common problems in CAPD patients and associated with high morbidity and mortality2-6. Hyperphosphatemia is also a frequent complication in Chinese CAPD patients and is associated with development of renal bone disease or osteodystrophy7. The Kidney Dialysis Outcomes Quality Initiative (KDOQI guidelines suggested a combination of valid, complementary measures should be used to assess nutritional status in CAPD patients and anthropometric measurements are valid and clinically useful indicators of protein-energy nutritional status in maintenance dialysis patients8. Bioelectrical Impedance Analysis (BIA, which is a simple, inexpensive and non-invasive method, provides another powerful tool for monitoring of nutrition and hydration in CAPD patients9—10. The objective of this study is to evaluate the effectiveness of dietetic intervention in a local acute hospital on nutritional status and hydration status of patients on CAPD in outpatient setting. This is a retrospective study of 22 ESRF patients receiving dietetic intervention during CAPD training from February 2010 to January 2011. Patients with cognitive impairment or contraindicated with bioimepdence analysis (BIA were excluded. Baseline demographic and clinical data were retrieved from the dietetic consultation record and the electronic records in Clinical Management System (CMS. The parameters related to the nutrition and hydration status in the first and follow-up dietetic consultation were also collected from the record. They included the dietary protein and energy intakes estimated from the dietary history, anthropometric measurements such as weight, height, body mass index (BMI, skeletal muscle mass (SMM, body fat mass (BFM, body fat percentage (BF%, intracellular water (ICW, extracellular water (ECW measured by body composition analyzer (In

  16. The effects of a physical activity and nutrition intervention on body dissatisfaction, drive for thinness, and weight concerns in pre-adolescents.

    Science.gov (United States)

    Gehrman, Christine A; Hovell, Melbourne F; Sallis, James F; Keating, Kristen

    2006-12-01

    The primary aim was to examine the effects of a physical activity and nutrition intervention on Body Dissatisfaction, Drive for Thinness, and Weight Concerns in pre-adolescents. Eighty-four 10-12 years old were studied as part of a larger trial of a family-based physical activity and nutrition intervention. Forty-nine children participated in the 8-week intervention (35 in control group) and completed Body Dissatisfaction, Drive for Thinness, and Weight Concerns measures at baseline and post-test. Participants in both groups showed positive but non-significant changes in body image and Drive for Thinness following the trial, but there were no significant between group differences. This was the first study to examine the effects of a physical activity and nutrition intervention on body image and related variables in pre-adolescents. Body Dissatisfaction, Drive for Thinness, and Weight Concerns were not positively or negatively influenced by the intervention.

  17. Understanding Nutrition: A Study of Greek Primary School Children Dietary Habits, before and after Classroom Nutrition Intervention

    Science.gov (United States)

    Piperakis, Stylianos M.; Sotiriou, Apostolos; Georgiou, Evanthia; Thanou, Ageliki; Zafiropoulou, Maria

    2004-01-01

    The purpose of this study was first to assess and then to improve the diet of Greek primary school children teaching them healthy dietary habits and instructing them to face critically advertisements and media projected dietary models using a program which included intervention on cognitive, emotional, and social level. The results show that our…

  18. Effect of an integrated child nutrition intervention on the complementary food intake of young children in rural north Viet Nam.

    Science.gov (United States)

    Pachón, Helena; Schroeder, Dirk G; Marsh, David R; Dearden, Kirk A; Ha, Tran Thu; Lang, Tran Thi

    2002-12-01

    Forty-two percent of Vietnamese children are stunted by two years of age. Since 1990, Save the Children Federation/US (SC) has implemented integrated nutrition programs targeting young children. We evaluated the effect of SC's nutrition program on the complementary food intake of young rural Vietnamese children. Using a longitudinal, prospective, randomized design, we followed 238 children (119 each from intervention and comparison communes) age 5 to 25 months old for six months with a re-survey at 12 months. We gathered 24-hour recall data at baseline and at months 2, 4, 6, and 12. Dietary energy intake was calculated using the 1972 Vietnamese food composition table. Key outcomes were daily frequency of consuming intervention-promoted food and non-breastmilk liquids and food, daily quantity of non-breastmilk liquids and food consumed, daily energy intake, and proportion of children meeting daily median energy requirements. Young rural children exposed to SC's program consumed intervention-promoted, and any, foods more frequently, ate a greater quantity of any food, consumed more energy, and were more likely to meet their daily energy requirements than comparison children. Some effects were only observed during the intensive intervention period; others persisted into or were evident only at the 12-month follow-up, approximately four months after program completion. Based on the mothers' reports, the intervention did not apparently compromise breastfeeding prevalence or frequency. The intervention improved children's food and energy intake and protected them from declining as rapidly as comparison children in meeting their energy requirements.

  19. Nutrition intervention is beneficial in oncology outpatients receiving radiotherapy to the gastrointestinal or head and neck area.

    Science.gov (United States)

    Isenring, E A; Capra, S; Bauer, J D

    2004-08-02

    Malnutrition occurs frequently in patients with cancer of the gastrointestinal (GI) or head and neck area and can lead to negative outcomes. The aim of this study is to determine the impact of early and intensive nutrition intervention (NI) on body weight, body composition, nutritional status, global quality of life (QoL) and physical function compared to usual practice in oncology outpatients receiving radiotherapy to the GI or head and neck area. Outpatients commencing at least 20 fractions of radiotherapy to the GI or head and neck area were randomised to receive intensive, individualised nutrition counselling by a dietitian using a standard protocol and oral supplements if required, or the usual practice of the centre (general advice and nutrition booklet). Outcome parameters were measured at baseline and 4, 8 and 12 weeks after commencing radiotherapy using valid and reliable tools. A total of 60 patients (51 M : 9 F; mean age 61.9+/-14.0 years) were randomised to receive either NI (n=29) or usual care (UC) (n=31). The NI group had statistically smaller deteriorations in weight (P<0.001), nutritional status (P=0.020) and global QoL (P=0.009) compared with those receiving UC. Clinically, but not statistically significant differences in fat-free mass were observed between the groups (P=0.195). Early and intensive NI appears beneficial in terms of minimising weight loss, deterioration in nutritional status, global QoL and physical function in oncology outpatients receiving radiotherapy to the GI or head and neck area. Weight maintenance in this population leads to beneficial outcomes and suggests that this, rather than weight gain, may be a more appropriate aim of NI.

  20. Impact of food and nutrition interventions on poverty in an informal settlement in the Vaal Region of South Africa.

    Science.gov (United States)

    Oldewage-Theron, Wilna H; Slabbert, Tielman J C

    2008-02-01

    UNICEF has stated that urban poverty is primarily found in squatter settlements. At present 13.5% of all South African households live in informal settlements. The major research question is to what extent does poverty influence the food, nutrition and health of informal-settlement dwellers. The purpose of the present study was to determine the depth of poverty in this community and to measure the possible effect that planned food and nutrition interventions may have on eliminating poverty in this area. Pre-tested questionnaires were administered to 340 randomly-selected caregivers. A validated quantified FFQ was administered by trained enumerators as the test measurement for dietary intake and food consumption patterns and 24 h recall was used as the reference measurement, and the data were analysed. A poverty model was used to measure the impact of extra income on the poverty levels of 190 households. Of the respondents 89% lived in Zn shacks and the average household size was 4.9 individuals. The unemployment rate was 94.2% for respondents and 64.9% for their partners. The majority of households (68.8%) had an income of poverty gap was R 1342.21 ( pound93) and the poverty gap ratio was 56%. The poverty model showed that an increase of R 500 ( pound35) in monthly household income results in a poverty gap ratio of 35%. The poverty model confirmed that the impact of food and nutrition interventions on poverty can be measured and that when planning these interventions the model could be used to measure their feasibility. The results indicate that this community is poverty-stricken and has chronic food insecurity, and they will be used to facilitate planning and implementation of sustainable income-generating community-based interventions to promote urban food security and alleviate poverty in this community.

  1. [Educational nutritional intervention as an effective tool for changing eating habits and body weight among those who practice physical activities].

    Science.gov (United States)

    Teixeira, Pryscila Dryelle Sousa; Reis, Bruna Zavarize; Vieira, Diva Aliete dos Santos; Costa, Dayanne da; Costa, Jamille Oliveira; Raposo, Oscar Felipe Falcão; Wartha, Elma Regina Silva de Andrade; Netto, Raquel Simões Mendes

    2013-02-01

    The scope of this study was to evaluate the effectiveness of two methods of educational nutritional intervention together with women who practice regular physical activities by fostering the adoption of healthy eating habits. The study population consisted of 52 women aged between 19 and 59 who frequented the Academia da Cidade Program in Aracaju in the State of Sergipe. The study was a randomized comparison of two intervention groups and was of the pre-test/post-test variety. The educational activities were based on two protocols - one less intensive (P1 Group) and one more intensive (P2 Group) - over a period of two months. The variables analyzed were nutritional knowledge, anthropometric measurements and changes in eating habits. The changes identified were improvement in eating habits and reduction in weight and Body Mass Index for the P2 group. The modifications identified referred mainly to increased consumption of fruit and vegetables, reduction of fat in cooking, reduction in the volume of food eaten per meal and increased meal frequency. In relation to nutritional knowledge, only 2 of the 12 questions showed significant changes. The most intensive method proved effective in changing dietary habits leading to weight loss.

  2. Effect of a School-Based Intervention on Nutritional Knowledge and Habits of Low-Socioeconomic School Children in Israel: A Cluster-Randomized Controlled Trial

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    Vered Kaufman-Shriqui

    2016-04-01

    Full Text Available Early social and economic deprivation, associated with poor nutrition and physical inactivity, may lead to adverse health trajectories. A cluster-randomized controlled-trial examining the effect of a school-based comprehensive intervention on nutrition knowledge, eating habits, and behaviors among low socioeconomic status (LSES school-aged children was performed. LSES school-aged children (4–7 years and their mothers were recruited from 11 schools, located in one town. The intervention was implemented on three levels: children, mothers, and teachers. The intervention (IArm included nutrition classes for children, mothers, and teachers and physical activity (PA classes for children; the control (CArm received PA only. Interventions were conducted by professional personnel, who were trained during in a two-day session to deliver the specific program in schools. Family data were obtained by parental interviews. Food knowledge observations, packed lunch records, and anthropometric measurements were obtained in school at baseline, six months, and at the end of the school year. Of 258 children enrolled, 220 (87.6% completed the six-month program. Only children in the IArm improved their nutrition knowledge and eating-habits and increased food variety and fruit and vegetable consumption, quality score of packed lunches (p < 0.001 for all, habitual water drinking increased (p = 0.02, and decreased sweet-drink consumption (p = 0.05. A school-based comprehensive nutrition intervention targeting LSES population improved eating habits, nutritional knowledge, and healthier packed lunches.

  3. A Youth Mentor-Led Nutritional Intervention in Urban Recreation Centers: A Promising Strategy for Childhood Obesity Prevention in Low-Income Neighborhoods

    Science.gov (United States)

    Sato, Priscila M.; Steeves, Elizabeth A.; Carnell, Susan; Cheskin, Lawrence J.; Trude, Angela C.; Shipley, Cara; Mejía Ruiz, M. J.; Gittelsohn, Joel

    2016-01-01

    B'More Healthy Community for Kids (BHCK) is an ongoing multi-level intervention to prevent childhood obesity in African-American low-income neighborhoods in Baltimore city, MD. Although previous nutrition interventions involving peer mentoring of youth have been successful, there is a lack of studies evaluating the influence of cross-age peers…

  4. To assess the effects of nutritional intervention based on advocacy approach on malnutrition status among school-aged children in Shiraz

    Directory of Open Access Journals (Sweden)

    Hassan Joulaei

    2013-01-01

    Full Text Available Background: The present study was carried out to assess the effects of community nutrition intervention based on advocacy approach on malnutrition status among school-aged children in Shiraz, Iran. Materials and Methods: This case-control nutritional intervention has been done between 2008 and 2009 on 2897 primary and secondary school boys and girls (7-13 years old based on advocacy approach in Shiraz, Iran. The project provided nutritious snacks in public schools over a 2-year period along with advocacy oriented actions in order to implement and promote nutritional intervention. For evaluation of effectiveness of the intervention growth monitoring indices of pre- and post-intervention were statistically compared. Results: The frequency of subjects with body mass index lower than 5% decreased significantly after intervention among girls (P = 0.02. However, there were no significant changes among boys or total population. The mean of all anthropometric indices changed significantly after intervention both among girls and boys as well as in total population. The pre- and post-test education assessment in both groups showed that the student′s average knowledge score has been significantly increased from 12.5 ± 3.2 to 16.8 ± 4.3 (P < 0.0001. Conclusion: This study demonstrates the potential success and scalability of school feeding programs in Iran. Community nutrition intervention based on the advocacy process model is effective on reducing the prevalence of underweight specifically among female school aged children.

  5. Position of the Academy of Nutrition and Dietetics: interventions for the prevention and treatment of pediatric overweight and obesity.

    Science.gov (United States)

    Hoelscher, Deanna M; Kirk, Shelley; Ritchie, Lorrene; Cunningham-Sabo, Leslie

    2013-10-01

    It is the position of the Academy of Nutrition and Dietetics that prevention and treatment of pediatric overweight and obesity require systems-level approaches that include the skills of registered dietitians, as well as consistent and integrated messages and environmental support across all sectors of society to achieve sustained dietary and physical-activity behavior change. This position paper provides guidance and recommendations for levels of intervention targeting overweight and obesity prevention and treatment from preschool age through adolescence. Methods included a review of the literature from 2009 to April 2012, including the Academy's 2009 evidence analysis school-based reviews. Multicomponent interventions show the greatest impact for primary prevention; thus, early childhood and school-based interventions should integrate behavioral and environmental approaches that focus on dietary intake and physical activity using a systems-level approach targeting the multilevel structure of the socioecological model as well as interactions and relationships between levels. Secondary prevention and tertiary prevention/treatment should emphasize sustained family-based, developmentally appropriate approaches that include nutrition education, dietary counseling, parenting skills, behavioral strategies, and physical-activity promotion. For obese youth with concomitant serious comorbidities, structured dietary approaches and pharmacologic agents should be considered, and weight-loss surgery can be considered for severely obese adolescents. Policy and environmental interventions are recommended as feasible and sustainable ways to support healthful lifestyles for children and families. The Academy supports commitment of resources for interventions, policies, and research that promote healthful eating and physical-activity behaviors to ensure that all youth have the opportunity to achieve and maintain a weight that is optimal for health.

  6. Explaining the effects of a point-of-purchase nutrition-information intervention in university canteens: a structural equation modelling analysis

    Directory of Open Access Journals (Sweden)

    Hoefkens Christine

    2012-09-01

    Full Text Available Abstract Background The importance of canteen meals in the diet of many university students makes the provision of simple point-of-purchase (POP nutrition information in university canteens a potentially effective way to promote healthier diets in an important group of young adults. However, modifications to environments such as the posting of POP nutrition information in canteens may not cause an immediate change in meal choices and nutrient intakes. The present study aimed at understanding the process by which the POP nutrition information achieved its effects on the meal choice and energy intake, and whether the information was more effective in changing the meal choice of subgroups of university canteen customers. Methods The POP nutrition-information intervention used a one-group pretest-posttest design. A sample of 224 customers of two university canteens completed the baseline and 6-months follow-up surveys. A multi-group structural equation modelling analysis was used to test mediation effects of individual difference variables (liking, understanding and use of the information, subjective knowledge and attitude on the energy intake from canteen meals, moderated by the objective nutrition knowledge and motivation to change diet. Results Significant relations were identified between liking of the information and its use on one hand and a positive effect in attitude towards healthy canteen meals on the other hand. Motivation to change diet and sufficient objective nutrition knowledge were required to maintain a recommended energy intake from canteen meals or to lead to a decrease in energy intake. Participants with greater objective nutrition knowledge had a greater understanding of the POP nutrition information which also resulted in a more effective use of the information. Conclusions The results suggest that nutrition-information interventions may be more effective when using nutrition information that is generally liked by the target

  7. Sarcopenic obesity and complex interventions with nutrition and exercise in community-dwelling older persons – a narrative review

    Directory of Open Access Journals (Sweden)

    Goisser S

    2015-08-01

    Full Text Available Sabine Goisser,1 Wolfgang Kemmler,2 Simone Porzel,3 Dorothee Volkert,1 Cornel Christian Sieber,1,4 Leo Cornelius Bollheimer,1,4 Ellen Freiberger1 1Institute for Biomedicine of Aging (IBA, Friedrich-Alexander-Universität (FAU Erlangen-Nürnberg, Nuremberg, 2Institute of Medical Physics (IMP, Friedrich-Alexander-Universität (FAU Erlangen-Nürnberg, 3Nutricia GmbH, Danone Medical Nutrition, Erlangen, 4Department of Internal Medicine and Geriatrics, St John of God Hospital (Barmherzige Brüder, Regensburg, Germany Abstract: One of the many threats to independent life is the age-related loss of muscle mass and muscle function commonly referred to as sarcopenia. Another important health risk in old age leading to functional decline is obesity. Obesity prevalence in older persons is increasing, and like sarcopenia, severe obesity has been consistently associated with several negative health outcomes, disabilities, falls, and mobility limitations. Both sarcopenia and obesity pose a health risk for older persons per se, but in combination, they synergistically increase the risk for negative health outcomes and an earlier onset of disability. This combination of sarcopenia and obesity is commonly referred to as sarcopenic obesity. The present narrative review reports the current knowledge on the effects of complex interventions containing nutrition and exercise interventions in community-dwelling older persons with sarcopenic obesity. To date, several complex interventions with different outcomes have been conducted and have shown promise in counteracting either sarcopenia or obesity, but only a few studies have addressed the complex syndrome of sarcopenic obesity. Strong evidence exists on exercise interventions in sarcopenia, especially on strength training, and for obese older persons, strength exercise in combination with a dietary weight loss intervention demonstrated positive effects on muscle function and body fat. The differences in study

  8. A 10-Week Multimodal Nutrition Education Intervention Improves Dietary Intake among University Students: Cluster Randomised Controlled Trial

    Directory of Open Access Journals (Sweden)

    Mohd Razif Shahril

    2013-01-01

    Full Text Available The aim of the study was to evaluate the effectiveness of implementing multimodal nutrition education intervention (NEI to improve dietary intake among university students. The design of study used was cluster randomised controlled design at four public universities in East Coast of Malaysia. A total of 417 university students participated in the study. They were randomly selected and assigned into two arms, that is, intervention group (IG or control group (CG according to their cluster. The IG received 10-week multimodal intervention using three modes (conventional lecture, brochures, and text messages while CG did not receive any intervention. Dietary intake was assessed before and after intervention and outcomes reported as nutrient intakes as well as average daily servings of food intake. Analysis of covariance (ANCOVA and adjusted effect size were used to determine difference in dietary changes between groups and time. Results showed that, compared to CG, participants in IG significantly improved their dietary intake by increasing their energy intake, carbohydrate, calcium, vitamin C and thiamine, fruits and 100% fruit juice, fish, egg, milk, and dairy products while at the same time significantly decreased their processed food intake. In conclusion, multimodal NEI focusing on healthy eating promotion is an effective approach to improve dietary intakes among university students.

  9. Feasibility and Impact of a Combined Supervised Exercise and Nutritional-Behavioral Intervention following Bariatric Surgery: A Pilot Study

    Directory of Open Access Journals (Sweden)

    Friedrich C. Jassil

    2015-01-01

    Full Text Available Background. Lifestyle intervention programs after bariatric surgery have been suggested to maximise health outcomes. This pilot study aimed to investigate the feasibility and impact of an 8-week combined supervised exercise with nutritional-behavioral intervention following Roux-en-Y gastric bypass and sleeve gastrectomy. Methods. Eight female patients (44 ± 8 years old, BMI = 38.5 ± 7.2 kgm−2 completed the program. Before and after intervention, anthropometric measures, six-minute walk test (6MWT, physical activity level, eating behavior, and quality of life (QoL were assessed. Percentage weight loss (%WL outcomes were compared with a historical matched control group. Results. The program significantly improved functional capacity (mean increment in 6MWT was 127 ± 107 meters, p=0.043, increased strenuous intensity exercise (44 ± 49 min/week, p=0.043, increased consumption of fruits and vegetables (p=0.034, reduced consumption of ready meals (p=0.034, and improved “Change in Health” in QoL domain (p=0.039. The intervention group exhibited greater %WL in the 3–12-month postsurgery period compared to historical controls, 12.2 ± 7.5% versus 5.1 ± 5.4%, respectively (p=0.027. Conclusions. Lifestyle intervention program following bariatric surgery is feasible and resulted in several beneficial outcomes. A large randomised control trial is now warranted.

  10. Obesity: a systematic review on parental involvement in long-term European childhood weight control interventions with a nutritional focus.

    Science.gov (United States)

    van der Kruk, J J; Kortekaas, F; Lucas, C; Jager-Wittenaar, H

    2013-09-01

    In Europe, about 20% of children are overweight. Focus on parental responsibility is an effective method in weight control interventions in children. In this systematic review we describe the intensity of parental involvement and behaviour change aimed at parents in long-term European childhood weight control interventions. We include European Union studies targeting parents in order to improve children's weight status in multi-component (parental, behaviour change and nutrition) health promotion or lifestyle interventions. The included studies have at least one objectively measured anthropometric outcome in the weight status of the child. Parental involvement was described and categorized based on the intensity of parental involvement and coded using a validated behaviour change taxonomy specific to childhood obesity. Twenty-four studies were analysed. In effective long-term treatment studies, medium and high intensity parental involvement were identified most frequently; whereas in prevention studies low intensity parental involvement was identified most frequently. Parenting skills, generic and specific to lifestyle behaviour, scored frequently in effective weight control interventions. To list parental skills in generic and specific to lifestyle, descriptions of the included studies were summarized. We conclude that intensity of parental involvement and behaviour change techniques are important issues in the effectiveness of long-term childhood weight control interventions.

  11. Nutrition, Exercise, and Wellness Treatment in bipolar disorder: proof of concept for a consolidated intervention

    OpenAIRE

    Sylvia, Louisa G; Salcedo, Stephanie; Bernstein, Emily E; Baek, Ji Hyun; Nierenberg, Andrew A.; Deckersbach, Thilo

    2013-01-01

    Background This pilot study examines the proof of concept of a consolidated Nutrition, Exercise, and Wellness Treatment (NEW Tx) for overweight individuals with bipolar disorder. Findings Five participants completed NEW Tx, a 20-week individual cognitive behavioral therapy-based treatment comprising three modules: Nutrition teaches appropriate serving sizes and balanced diet; Exercise emphasizes increasing weekly physical activity; Wellness focuses on skills for healthy decision-making. Parti...

  12. Nutrition, Exercise, and Wellness Treatment in bipolar disorder: proof of concept for a consolidated intervention

    OpenAIRE

    Sylvia, Louisa G; Salcedo, Stephanie; Bernstein, Emily E; Baek, Ji Hyun; Nierenberg, Andrew A.; Deckersbach, Thilo

    2013-01-01

    Background: This pilot study examines the proof of concept of a consolidated Nutrition, Exercise, and Wellness Treatment (NEW Tx) for overweight individuals with bipolar disorder. Findings: Five participants completed NEW Tx, a 20-week individual cognitive behavioral therapy-based treatment comprising three modules: Nutrition teaches appropriate serving sizes and balanced diet; Exercise emphasizes increasing weekly physical activity; Wellness focuses on skills for healthy decision-making. Par...

  13. Older patients' use of technology for a post-discharge nutritional intervention - A mixed-methods feasibility study

    DEFF Research Database (Denmark)

    Lindhardt Damsgaard, Tove; Nielsen, M H

    2017-01-01

    . This is a barrier for their access to many current and future health care offers. OBJECTIVES: To test the acceptability, feasibility and preliminary efficacy of technology-supported energy- and protein-enforced homedelivered meals for older patients discharged from hospital. DESIGN: Mixed method design including...... a quasi-experimental controlled feasibility trial and embedded qualitative interviews. PARTICIPANTS: Older medical patients (mean age 79.4 years; women 66.7%) at nutritional risk and discharged to own home were included consecutively to first the control group (n=18) and later the intervention group (n=18...... treated as usual. Data collection was done at baseline, and at six and 12 weeks follow-up. Feasibility evaluation focused on 1) inclusion and retention and 2) acceptability and functionality of the intervention. Efficacy primary endpoint: Muscle strength and BMI. Secondary: Health related quality of life...

  14. Integration of Traditional and Metabolomics Biomarkers Identifies Prognostic Metabolites for Predicting Responsiveness to Nutritional Intervention against Oxidative Stress and Inflammation

    Science.gov (United States)

    Kim, You Jin; Huh, Iksoo; Kim, Ji Yeon; Park, Saejong; Ryu, Sung Ha; Kim, Kyu-Bong; Kim, Suhkmann; Park, Taesung; Kwon, Oran

    2017-01-01

    Various statistical approaches can be applied to integrate traditional and omics biomarkers, allowing the discovery of prognostic markers to classify subjects into poor and good prognosis groups in terms of responses to nutritional interventions. Here, we performed a prototype study to identify metabolites that predict responses to an intervention against oxidative stress and inflammation, using a data set from a randomized controlled trial evaluating Korean black raspberry (KBR) in sedentary overweight/obese subjects. First, a linear mixed-effects model analysis with multiple testing correction showed that four-week consumption of KBR significantly changed oxidized glutathione (GSSG, q = 0.027) level, the ratio of reduced glutathione (GSH) to GSSG (q = 0.039) in erythrocytes, malondialdehyde (MDA, q = 0.006) and interleukin-6 (q = 0.006) levels in plasma, and seventeen NMR metabolites in urine compared with those in the placebo group. A subsequent generalized linear mixed model analysis showed linear correlations between baseline urinary glycine and N-phenylacetylglycine (PAG) and changes in the GSH:GSSG ratio (p = 0.008 and 0.004) as well as between baseline urinary adenine and changes in MDA (p = 0.018). Then, receiver operating characteristic analysis revealed that a two-metabolite set (glycine and PAG) had the strongest prognostic relevance for future interventions against oxidative stress (the area under the curve (AUC) = 0.778). Leave-one-out cross-validation confirmed the accuracy of prediction (AUC = 0.683). The current findings suggest that a higher level of this two-metabolite set at baseline is useful for predicting responders to dietary interventions in subjects with oxidative stress and inflammation, contributing to the emergence of personalized nutrition. PMID:28273855

  15. A Nutritional Approach to the Prevention of Cancer: from Assessment to Personalized Intervention.

    Science.gov (United States)

    Di Furia, L; Rusciano, M R; Leonardini, L; Rossi, P; Giammarchi, C; Vittori, E; Tilocca, S; Russo, F L; Montuori, P; Triassi, M; Nardone, A; Giaimo, M D; Migazzi, M; Piffer, S; Iaria, A; Trapasso, A; Firenze, A; Cristaudo, R; Revello, M; Castiglion, A; Zagonel, V; Iaccarino, G; Addis, A; Natale, L; Di Somma, C; Colao, A; Perra, A; Giova, K; Montuori, N; Illario, M

    2015-12-01

    Among lifestyle factors, nutrition is one of the most important determinants of health, and represents a pivotal element of cancer risk. Nonetheless, epidemiological evidences of the relationship between several cancers and specific foods and nutrients is still inadequate, and solid conclusions are missing. Indeed, caloric restriction without malnutrition is associated to cancer prevention. Food may be also the primary route of exposure to contaminants such as metals, persistent organic pollutants, and pesticides. Exposuredisease associations and the interplay with genetic susceptibility requires further studies on genetic variation, environment, lifestyle, and chronic disease in order to eliminate and reduce associated health risks, thus contributing to improve health outcomes for the population. A primary nutritional approach for Active and Healthy Ageing (AHA) has been developed by the Nutrition group of the European Innovation Partnership (EIP) on AHA. The working group on lifestyles of the Italian Ministry of Health has developed a comprehensive approach to adequate nutrition using a consensus methodology to collect and integrate the available evidences from the literature and from the Italian experiences at the regional level, to raise the interest of other experts and relevant stakeholders to outline and scale-up joint strategies for a primary nutritional approach to cancer prevention.

  16. A Nutritional Approach to the Prevention of Cancer: from Assessment to Personalized Intervention

    Science.gov (United States)

    Di Furia, L.; Rusciano, M.R.; Leonardini, L.; Rossi, P.; Giammarchi, C.; Vittori, E.; Tilocca, S.; Russo, F.L.; Montuori, P.; Triassi, M.; Nardone, A.; Giaimo, M.D.; Migazzi, M.; Piffer, S.; Iaria, A.; Trapasso, A.; Firenze, A.; Cristaudo, R.; Revello, M.; Castiglion, A.; Zagonel, V.; Iaccarino, G.; Addis, A.; Natale, L.; Di Somma, C.; Colao, A.; Perra, A.; Giova, K.; Montuori, N.; Illario, M.

    2015-01-01

    Among lifestyle factors, nutrition is one of the most important determinants of health, and represents a pivotal element of cancer risk. Nonetheless, epidemiological evidences of the relationship between several cancers and specific foods and nutrients is still inadequate, and solid conclusions are missing. Indeed, caloric restriction without malnutrition is associated to cancer prevention. Food may be also the primary route of exposure to contaminants such as metals, persistent organic pollutants, and pesticides. Exposuredisease associations and the interplay with genetic susceptibility requires further studies on genetic variation, environment, lifestyle, and chronic disease in order to eliminate and reduce associated health risks, thus contributing to improve health outcomes for the population. A primary nutritional approach for Active and Healthy Ageing (AHA) has been developed by the Nutrition group of the European Innovation Partnership (EIP) on AHA. The working group on lifestyles of the Italian Ministry of Health has developed a comprehensive approach to adequate nutrition using a consensus methodology to collect and integrate the available evidences from the literature and from the Italian experiences at the regional level, to raise the interest of other experts and relevant stakeholders to outline and scale-up joint strategies for a primary nutritional approach to cancer prevention. PMID:27042431

  17. Nutrition screening and intervention effect of enteral nutrition on 60 abandoned and disabled children%60例孤残儿童营养筛查及肠营养干预效果分析

    Institute of Scientific and Technical Information of China (English)

    王季鸿; 龚佩花; 范玉玲; 艾梅荣

    2015-01-01

    目的::通过对孤残儿童定期营养监测,及时实施肠营养干预,改善营养状况,以利于孤残儿童健康成长。方法:定期进行营养筛查,对存在营养风险的孤残儿童进行营养评估和肠营养干预。结果:肠营养干预对营养不良孤残儿童显著有效,受干预孤残儿童体重增长速率与正常儿童比较P﹤0.01,出现部分赶上生长。结论:孤残儿童有必要定期进行营养筛查、评估和及时肠营养干预,改善营养状况,促进孤残儿童体格发育。%Objective:To improve the nutrition status of the abandoned and disabled children through the timely implementa-tion of enteral nutrition interventions and the regular nutrition monitoring, which will help them to grow up healthily. Methods:Through being screened the nutrition status regularly, the abandoned and disabled children with low nutritional status were given the as-sessment and enteral nutrition intervention. Results: The enteral nutrition intervention for the abandoned and disabled children with malnutrition was significantly effective. The weight growth rate of the children having received the nutrition intervention was comparable with that of other normal children (P﹤0. 01), and a part of these children had occurred the catch-up growth. Conclusions:It is nec-essary to do the regular nutritional screening, assessment and timely enteral nutrition interventions for the abandoned and disabled chil-dren, which will help them to improve the nutritional status and have a better physical development.

  18. Class Based Contextual Logic for DOOD

    Institute of Scientific and Technical Information of China (English)

    JoseK.Raphel; SiuCheungHui; 等

    1996-01-01

    Cntextual logic provides a mechanism to reason about modules.In this paper,this theory of modules if modules is extended to a context theory of classes where class is in the true spirit of object-oriented databases.The logic,referred to as CLOG,is class-based.CLOG supports class,object identity,multiple role of object, monotonic and non-monotonic inheritance of data and method,method factoring,views,derived and query classes.Views and derived classes are queries in themselves.Objects are pure data terms representing the ground instances of facts in the class.Object identity is a first class term in the logic.Inheritance is handled through delegation.

  19. Physical Activity, Exercise, And Nutrition Interventions For Weight Control In African American Women

    Directory of Open Access Journals (Sweden)

    Matthew Asare

    2010-01-01

    Full Text Available The purpose of this paper was to review the physical activity, exercise, and nutritionrelated weight control interventions done with African American women that were publishedbetween 2006 and 2010 and suggest ways of enhancing these interventions. A total of 13 studiesmet the inclusion criteria. The review found significant results with regard to impact ofintervention. Twelve of those studies revealed significant increase in physical activity and weightreduction behavior. In terms of use of theory in designing the interventions only five interventionsused a theory. In three of those cases social cognitive theory was used. Appropriate sample sizewas found to be the major strength of most of the interventions. Six interventions usedrandomized controlled design. Recommendations for enhancing the effectiveness of physicalactivity interventions in African American women are presented.

  20. Change in serum 25-hydroxyvitamin D with antiretroviral treatment initiation and nutritional intervention in HIV-positive adults

    DEFF Research Database (Denmark)

    Yilma, Daniel; Kæstel, Pernille; Olsen, Mette F;

    2016-01-01

    Low vitamin D level in HIV-positive persons has been associated with disease progression. We compared the levels of serum 25-hydroxyvitamin D (25(OH)D) in HIV-positive and HIV-negative persons, and investigated the role of nutritional supplementation and antiretroviral treatment (ART) on serum 25...... daily allowance of vitamin D (10 μg/200 g). The level of serum 25(OH)D before nutritional intervention and ART initiation was compared with serum 25(OH)D of HIV-negative individuals. A total of 348 HIV-positive and 100 HIV-negative persons were recruited. The median baseline serum 25(OH)D level......-supplemented group had a 10·8 (95 % CI 7·8, 13·9) nmol/l decrease in serum 25(OH)D level after 3 months of ART. Nutritional supplementation that contained vitamin D prevented a reduction in serum 25(OH)D levels in HIV-positive persons initiating ART. Vitamin D replenishment may be needed to prevent reduction...

  1. Buena Alimentacion, Buena Salud: a preventive nutrition intervention in Caribbean Latinos with type 2 diabetes.

    Science.gov (United States)

    Vazquez, I M; Millen, B; Bissett, L; Levenson, S M; Chipkin, S R

    1998-01-01

    A culturally sensitive 3-month intervention was provided to 18 Caribbean Latino men and women with non-insulin-dependent (type 2) diabetes mellitus. Compared to the randomly assigned control group, the intervention group showed statistically significant decreases in total calories, fat calories, percent of calories from fat, saturated fat calories, and percent of calories from saturated fat The intervention group showed increases in calories from carbohydrates and in the percent of calories from fiber.

  2. Perceptions of community-based participatory research in the Delta Nutrition Intervention Research Initiative: an academic perspective.

    Science.gov (United States)

    Downey, Laura Hall; Castellanos, Diana Cuy; Yadrick, Kathy; Avis-Williams, Amanda; Graham-Kresge, Susan; Bogle, Margaret

    2011-09-01

    Lower Mississippi Delta Nutrition Intervention Research Initiative (Delta NIRI) is an academic-community partnership between seven academic institutions and three communities in Mississippi, Arkansas, and Louisiana. A range of community-based participatory methods have been used to develop sustainable nutrition intervention strategies. Focus groups were conducted with 22 faculty and staff members from the academic partners on the project to document their perceptions of community-based participatory processes in a federally funded, multi-academic-community partnership spanning a decade. Focus groups were conducted to glean insights or lessons from the experiences of academic personnel. Focus groups were transcribed and analyzed using the constant comparative method. Two researchers analyzed each transcript independently and reached consensus on the consistent themes. Participants candidly shared their experiences of working with community members to devise research plans, implement programs, and evaluate outcomes. The majority of faculty and staff members were attracted to this project by an excitement for conducting a more egalitarian and potentially more successful type of research. Yet each academic partner voiced that there was an underlying disconnect between community practices and research procedures during the project. Additional barriers to collaboration and action, located in communities and academic institutions, were described. Academic partners stressed the importance of open and ongoing communication, collective decision-making strategies, and techniques that support power sharing between all parties involved in the project. Findings from this research can inform academic-community partnerships and hopefully improve the community-based participatory research process implemented by academic institutions and communities.

  3. The effectiveness of worksite nutrition and physical activity interventions for controlling employee overweight and obesity: a systematic review.

    Science.gov (United States)

    Anderson, Laurie M; Quinn, Toby A; Glanz, Karen; Ramirez, Gilbert; Kahwati, Leila C; Johnson, Donna B; Buchanan, Leigh Ramsey; Archer, W Roodly; Chattopadhyay, Sajal; Kalra, Geetika P; Katz, David L

    2009-10-01

    This report presents the results of a systematic review of the effectiveness of worksite nutrition and physical activity programs to promote healthy weight among employees. These results form the basis for the recommendation by the Task Force on Community Preventive Services on the use of these interventions. Weight-related outcomes, including weight in pounds or kilograms, BMI, and percentage body fat were used to assess effectiveness of these programs. This review found that worksite nutrition and physical activity programs achieve modest improvements in employee weight status at the 6-12-month follow-up. A pooled effect estimate of -2.8 pounds (95% CI=-4.6, -1.0) was found based on nine RCTs, and a decrease in BMI of -0.5 (95% CI=-0.8, -0.2) was found based on six RCTs. The findings appear to be applicable to both male and female employees, across a range of worksite settings. Most of the studies combined informational and behavioral strategies to influence diet and physical activity; fewer studies modified the work environment (e.g., cafeteria, exercise facilities) to promote healthy choices. Information about other effects, barriers to implementation, cost and cost effectiveness of interventions, and research gaps are also presented in this article. The findings of this systematic review can help inform decisions of employers, planners, researchers, and other public health decision makers.

  4. Acceptability of a theory of planned behaviour email-based nutrition intervention.

    Science.gov (United States)

    Kothe, E J; Mullan, B A

    2014-03-01

    This study investigated feasibility and acceptability of a new email-delivered intervention promoting fruit and vegetable consumption in a university-based population of Australian young adults. The study explored whether there are differences in the reported feasibility and acceptability between demographic groups within the population of interest and at three levels of intervention intensity. The email-delivered intervention program consists of an implementation intention 'planning task' and between 3 and 15 short email messages over a 15-day study period. The intervention program was developed using the Theory of Planned Behaviour and was designed to modify perceived behavioural control. One hundred and ten participants (mean age = 19.21 years, 25.6% male) completed the feasibility and acceptability questionnaire at Day 15. This questionnaire contained items about all intervention components. High acceptability and feasibility scores were found for all intervention parts and at all levels of intervention intensity. There were few significant differences in the reported acceptability of items between key demographic sub-groups, and no differences in reported acceptability at different levels of intervention intensity. These results suggest that this email-delivered intervention is an acceptable and feasible tool for promoting fruit and vegetable consumption for participants in the target population.

  5. Effectiveness of a normative nutrition intervention (diet, physical activity and breastfeeding) on maternal nutrition and offspring growth: the Chilean maternal and infant nutrition cohort study (CHiMINCs).

    OpenAIRE

    Garmendia, ML; Corvalan, C; Araya, M.; Casanello, P; Kusanovic, JP; Uauy, R

    2015-01-01

    Background Maternal obesity before and during pregnancy predicts maternal and infant risks of obesity and its associated metabolic conditions. Dietary and physical activity recommendations during pregnancy as well as weight monitoring are currently available in the Chilean primary health care system. However some of these recommendations are not updated and most of them are poorly implemented. We seek to assess the effectiveness of an intervention that enhances the implementation of updated n...

  6. Sarcopenic obesity and complex interventions with nutrition and exercise in community-dwelling older persons--a narrative review.

    Science.gov (United States)

    Goisser, Sabine; Kemmler, Wolfgang; Porzel, Simone; Volkert, Dorothee; Sieber, Cornel Christian; Bollheimer, Leo Cornelius; Freiberger, Ellen

    2015-01-01

    One of the many threats to independent life is the age-related loss of muscle mass and muscle function commonly referred to as sarcopenia. Another important health risk in old age leading to functional decline is obesity. Obesity prevalence in older persons is increasing, and like sarcopenia, severe obesity has been consistently associated with several negative health outcomes, disabilities, falls, and mobility limitations. Both sarcopenia and obesity pose a health risk for older persons per se, but in combination, they synergistically increase the risk for negative health outcomes and an earlier onset of disability. This combination of sarcopenia and obesity is commonly referred to as sarcopenic obesity. The present narrative review reports the current knowledge on the effects of complex interventions containing nutrition and exercise interventions in community-dwelling older persons with sarcopenic obesity. To date, several complex interventions with different outcomes have been conducted and have shown promise in counteracting either sarcopenia or obesity, but only a few studies have addressed the complex syndrome of sarcopenic obesity. Strong evidence exists on exercise interventions in sarcopenia, especially on strength training, and for obese older persons, strength exercise in combination with a dietary weight loss intervention demonstrated positive effects on muscle function and body fat. The differences in study protocols and target populations make it impossible at the moment to extract data for a meta-analysis or give state-of-the-art recommendations based on reliable evidence. A conclusion that can be drawn from this narrative review is that more exercise programs containing strength and aerobic exercise in combination with dietary interventions including a supervised weight loss program and/or protein supplements should be conducted in order to investigate possible positive effects on sarcopenic obesity.

  7. Sarcopenic obesity and complex interventions with nutrition and exercise in community-dwelling older persons – a narrative review

    Science.gov (United States)

    Goisser, Sabine; Kemmler, Wolfgang; Porzel, Simone; Volkert, Dorothee; Sieber, Cornel Christian; Bollheimer, Leo Cornelius; Freiberger, Ellen

    2015-01-01

    One of the many threats to independent life is the age-related loss of muscle mass and muscle function commonly referred to as sarcopenia. Another important health risk in old age leading to functional decline is obesity. Obesity prevalence in older persons is increasing, and like sarcopenia, severe obesity has been consistently associated with several negative health outcomes, disabilities, falls, and mobility limitations. Both sarcopenia and obesity pose a health risk for older persons per se, but in combination, they synergistically increase the risk for negative health outcomes and an earlier onset of disability. This combination of sarcopenia and obesity is commonly referred to as sarcopenic obesity. The present narrative review reports the current knowledge on the effects of complex interventions containing nutrition and exercise interventions in community-dwelling older persons with sarcopenic obesity. To date, several complex interventions with different outcomes have been conducted and have shown promise in counteracting either sarcopenia or obesity, but only a few studies have addressed the complex syndrome of sarcopenic obesity. Strong evidence exists on exercise interventions in sarcopenia, especially on strength training, and for obese older persons, strength exercise in combination with a dietary weight loss intervention demonstrated positive effects on muscle function and body fat. The differences in study protocols and target populations make it impossible at the moment to extract data for a meta-analysis or give state-of-the-art recommendations based on reliable evidence. A conclusion that can be drawn from this narrative review is that more exercise programs containing strength and aerobic exercise in combination with dietary interventions including a supervised weight loss program and/or protein supplements should be conducted in order to investigate possible positive effects on sarcopenic obesity. PMID:26346071

  8. Process evaluation determines the pathway of success for a health center-delivered, nutrition education intervention for infants in Trujillo, Peru.

    Science.gov (United States)

    Robert, Rebecca C; Gittelsohn, Joel; Creed-Kanashiro, Hilary M; Penny, Mary E; Caulfield, Laura E; Narro, M Rocio; Black, Robert E

    2006-03-01

    Process evaluation was used to explain the success of a randomized, controlled trial of an educational intervention to improve the feeding behaviors of caregivers and the nutritional status of infants in Trujillo, Peru. Health personnel delivered a multicomponent intervention within the environment of usual care at government health centers. We created a model of the expected intervention pathway to successful outcomes. Process data were then collected on health center implementation of the intervention and caregiver reception to it. Using multivariate models, we found that variables of health center implementation, caregiver exposure, and caregiver message recall were all significant determinants in the pathway leading to improved feeding behaviors. These outcomes were consistent with our original intervention model. Further support for our model arose from the differences in caregiver reception between intervention and control centers. Process data allowed us to characterize the pathway through which an effective nutrition intervention operated. This study underscores the importance of including process evaluation, which will lead to the development and implementation of more effective nutrition interventions.

  9. Factors influencing the dietary response to a nutritional intervention promoting the Mediterranean food pattern in healthy women from the Quebec City metropolitan area.

    Science.gov (United States)

    Goulet, Julie; Lamarche, Benoît; Lemieux, Simone

    2007-10-01

    The purpose of this study was to evaluate the influence of sociodemographic characteristics and baseline food habits on the dietary response to a nutritional intervention promoting the Mediterranean food pattern and maintenance of dietary modifications in 73 healthy women. The 12-week nutritional intervention in free-living conditions consisted of two group courses and seven individual sessions with a dietitian. A follow-up visit was performed 12 weeks after the end of the intervention (week 24). A Mediterranean dietary score was derived from a food frequency questionnaire, administered at 0, 6, 12 and 24 weeks. Marital status, socioeconomic level, educational level and household size did not seem to influence the dietary response, whereas women without children followed more closely dietary advice than women with children (OR, 3.6; 95% CI, 1.3-10.0). Planning food purchases in function of weekly discounts was also associated with better dietary response to the intervention (OR, 3.3; 95% CI, 1.3-8.8). Nutritional intervention promoting the Mediterranean food pattern was effective in modifying food habits of healthy women. The fact of having children or not and food purchase habits seem to influence the response to a nutritional intervention promoting the Mediterranean food pattern.

  10. 营养干预对消化系统恶性肿瘤住院患者营养认知影响%Effect of nutritional intervention on nutrition knowledge of inpatients with digestive system malignant tumor

    Institute of Scientific and Technical Information of China (English)

    韦燕萍; 高铭云; 刘柳芳

    2013-01-01

    Objective To study the effect of nutritional intervention on nutrition knowledge of inpatients with digestive system malignants tumor, and to provide medical advice for further nutritional intervention. Methods One hundred and one perioperative patients with digestive system malignant tumor were randomly divided into the study group and the control group. The patients in the study group was monitored nutritional indexes, treated with personalized nutritional support program and nutrition consultant before surgery, after surgery and during recovery stage. During their hospitalization, their nutritional assessment and nutrition files were created. The patients in the control group were educated by the traditional method. All the patients were investigated by questionnaire four weeks after admission and intervention. Results Before intervention, there are no statistically significant difference between the two groups in the awareness rate of nutrition knowledge, eating habits, desire for nutritional intervention and compliance behavior. After four weeks of intervention, the awareness rate of nutrition knowledge, eating habits, desire for nutritional intervention and compliance behavior showed statistically significant difference between the two groups (x2=19.691, 19.691, 11.387, 8.312, respectively, P<0.01). Conclusion Nutritional intervention can improve the nutrition knowledge and compliance behavior of patients with digestive system malignant tumor.%目的 了解营养干预对消化系统恶性肿瘤患者营养认知水平的影响,为进一步营养干预提供科学依据.方法 选取101例消化系统恶性肿瘤围手术期患者,随机分为两组,住院期间对干预组50例患者进行营养不良状况评估、建立营养档案,并对术前、术后、康复期进行个性化营养指导、营养指标监测、营养咨询等干预措施;对照组51例患者按传统方法进行健康教育,不施加营养干预.于入院、干预4周后分别对两

  11. Effects of a nutritional intervention in a fast-track program for a colorectal cancer surgery: systematic review

    Directory of Open Access Journals (Sweden)

    Carmina Wanden-Berghe

    Full Text Available Background and aim: Preoperative nutritional status (NS has consequences on postoperative (POSTOP recovery. Our aim was to systematically review the nutritional interventions (NI in fast-track protocols for colorectal cancer surgery and assess morbidity-mortality and patient's recovery. Method: Systematic review of scientific literature after consulting bibliographic databases: Medline, The Cochrane Library, Scopus, Embase, Web of Science, Institute for Scientific Information, Latin American and Caribbean Health Sciences Literature, The Cumulative Index to Nursing and Allied Health Literature. MeSH Descriptors: "colorectal surgery", "fast-track", "perioperative care", "nutrition therapy" and "enhanced recovery programme". Filters: "humans", adult (19+ years and "clinical trial". Variables POSTOP outcomes: bowel recovery (BR, hospital stay (HS, complications and death. Results: Selected studies, 27, had good or excellent methodological quality. From 25 to 597 patients were included. Aged between 16-94 years, men were predominant in 66.6%. NS was evaluated in 13 studies; 7 by body mass index while one by subjective global assessment. One presented POSTOP data. Fast-track groups had solids, liquids or supplements (SS in prior 2-8 hours. SS were high in carbohydrates, immune-nutrients and non-residue. Free liquids, solids and SS intake was allowed in POSTOP. Half traditional groups fasted between 3-12 hours and resumed POSTOP food intake progressively. Conclusions: Fast-track groups had early BR (p < 0.01. Traditional groups had more infections episodes, deaths and a longer HS. Great variability between NI but had a common item; early intake. Although was seen patient's recovery. Future studies with detailed NI characteristics are need. Nutritional status must be assessed for a higher acknowledgement of NI impact.

  12. Development of a School-based Nutrition Intervention for High School Students: Gimme 5.

    Science.gov (United States)

    Nicklas, Theresa A.; And Others

    1997-01-01

    A four-year intervention targeted students' fruit and vegetable consumption in 12 Archdiocese of New Orleans (Louisiana) high schools. Focus groups shaped program development. Intervention included schoolwide media marketing, food identification, workshops and activities, and parental involvement. Process, outcome, and impact measurements…

  13. Nutritional analysis and intervention in the captive woolly monkey (Lagothric lagotricha)

    NARCIS (Netherlands)

    Ange-van Heugten, K.D.

    2008-01-01

    Woolly monkeys (Lagothrix ssp.) are a threatened species in the wild and are extremely difficult to breed and successfully maintain in captivity. The majority of health complications in woolly monkeys (WM) may be of nutritional origin. The objectives of this thesis were to: 1) determine the current

  14. 社区营养干预慢性病的难点与对策%The difficulties and its countermeasures of community nutrition intervention on chronic disease

    Institute of Scientific and Technical Information of China (English)

    徐子美; 桂定平

    2015-01-01

    目的:营养干预慢性病是在慢性病的防治中,对人们营养上存在的问题进行相应改进与调整,来达到慢性病防治的对策。本文收集了近期世界与国内慢性病调查研究成果,并从我国营养学发展以及营养学在慢性病方面的研究现状入手,分析现阶段社区营养干预慢性病过程中存在的问题,探索性提出了社区营养干预慢性病的对策。%Nutritional intervention on chronic disease is improving and adjusting nutritional problems of people during chronic disease control and prevention,in order to achieve countermeasures on the prevention and control of chronic diseases.In this paper,we collected the results on chronic disease in recent world and domestic research,and started from the China nutrition development and research situation of nutrition in chronic disease at present,then analyzed the problems existed in community nutrition intervention of chronic disease at present stage,and put forward countermeasures on community nutrition intervention of chronic disease.

  15. Nutrition Education intervention in dyslipidemic children and adolescent with insulin-dependent diabetes mellitus (IDDM

    Directory of Open Access Journals (Sweden)

    Asmaa m. Abdallah*, Zainab B* and Mohamed M. A. Shahat

    2008-12-01

    Full Text Available Background: Diabetes mellitus is the most common endocrine metabolic disorder of childhood and adolescence with important consequences for physical and emotional development. Aim of the study: This study was designed to detect the effect of diet therapy (through nutrition education program on lipid profile and blood glucose level in diabetic children. Subjects and Methods: The study was carried on 45 diabetic children aged between 8-15 years old at diabetic nutrition clinic of nutrition institute in Cairo from 2003-2005. Children included in the study were divided into two groups: insulin dependent dyslipidemic group (IDDM (diet control/ group and insulin dependent non dyslipidemic (control group. All were subjected to full dietetic history by the 24 hour recall for 3 days, thorough clinical examination, they were evaluated for plasma lipids, lipoproteins, fasting blood glucose (FBG and glycated hemoglobin (HbA1c levels. The dyslipidemic were measured after three months for the previously measured parameters. The nutrition education process was performed and continued on weekly intervals for three months. Results: There was significant decrease in serum cholesterol and triglyceride levels in the study group after the program, and insignificant increase in serum HDL and decrease in serum LDL. Also, there was insignificant decrease in FBG but there was statistically significant decrease in HbA1 after the program. These changes occurred in parallel with increases in intakes of protein and total calories with adequate carbohydrate and sometimes a reduction in intakes of total fat. Conclusion: Nutrition therapy for children with IDDM is essential to improve measures of glycemic control and lipoprotein mediated risk for dyslipidemia. More innovative approaches to achieve lifestyle changes are required to meet current recommendations which are likely to produce greater beneficial changes than those observed in this study

  16. Changes in body weight, body composition and cardiovascular risk factors after long-term nutritional intervention in patients with severe mental illness: an observational study

    Directory of Open Access Journals (Sweden)

    Vlahavas George

    2011-02-01

    Full Text Available Abstract Background Compared with the general population, individuals with severe mental illness (SMI have increased prevalence rates of obesity and greater risk for cardiovascular disease. This study aimed to investigate the effects of a long term nutritional intervention on body weight, body fat and cardiovascular risk factors in a large number of patients with SMI. Methods Nine hundred and eighty-nine patients with a mean ± S.D age of 40 ± 11.7 yrs participated in a 9 mo nutritional intervention which provided personalised dietetic treatment and lifestyle counselling every two weeks. Patients had an average body mass index (BMI of 34.3 ± 7.1 kg.m-2 and body weight (BW of 94.9 ± 21.7 kg. Fasted blood samples were collected for the measurement of glucose, total cholesterol, triglycerides and HDL- cholesterol. All measurements were undertaken at baseline and at 3 mo, 6 mo and 9 mo of the nutritional intervention. Results Four hundred and twenty-three patients of 989 total patients' cases (42.8% dropped out within the first 3 months. Two hundred eighty-five completed 6 months of the program and 145 completed the entire 9 month nutritional intervention. There were progressive statistically significant reductions in mean weight, fat mass, waist and BMI throughout the duration of monitoring (p -2 (p Conclusion The nutritional intervention produced significant reductions in body weight, body fat and improved the cardiometabolic profile in patients with SMI. These findings indicate the importance of weight-reducing nutritional intervention in decreasing the cardiovascular risk in patients with SMI.

  17. Fruit and Vegetable Intake: Benefits and Progress of Nutrition Education Interventions- Narrative Review Article

    OpenAIRE

    PEM, Dhandevi; Jeewon, Rajesh

    2015-01-01

    Background: Sufficient intake of fruits and vegetables has been associated with a reduced risk of chronic diseases and body weight management but the exact mechanism is unknown. The World Health Organisation and Food and Agriculture of the United Nation reports recommend adults to consume at least five servings of fruits and vegetables per day excluding starchy vegetables. This review focuses on the importance of fruits and vegetables as well as the benefits and progress of nutrition educatio...

  18. The Effectiveness of Nutrition Condition and Nutrition KAP on Clinical Nurses through Health Intervention%健康教育对临床护士营养现状和营养KAP影响的效果评价

    Institute of Scientific and Technical Information of China (English)

    王凤梅

    2012-01-01

    目的 了解基层临床护士营养知识、态度、行为(knowledge-attitude-practice,KAP)及营养现状,评价营养健康教育对临床护士的干预效果.方法 将某基层医院360名护士随机分成干预组和对照组,每组180人,干预组进行为期12个月的营养健康干预后,再次进行问卷调查,将两组结果进行比较分析.结果 干预组护士营养KAP调查评分明显较高,与对照组比较差异具有统计学意义(P<0.01);护士膳食能量、营养素日平均摄入量方面,将干预组和对照组与推荐摄入量(recommended nutrient intake,RNI)标准比较,干预组的能量、维生素A、维生素B、维生素D、钙、磷、钠、锌、硒、铜、碘、生物素等摄入量明显提高(P<0.01),更接近RNIs值.结论 通过对临床护士进行营养健康教育,其营养摄入状况和营养KAP有很大提高.%Objectives To study the nurses' KAP and nutrition condition and to evaluate the effectiveness of nutrition health educational intervention on nursing staff. Methods A questionnaire survey was conducted among 360 medical staff members, including nutrition KAP and dietary survey. Results After 12 months of nutrition health education, the scores of the intervention group's nurses' nutrition KAP survey were higher. The difference was statistically significant (P<0. 01). The status of intervention group's nurses' nutrition improved. Compared with RNIs, the dietary energy, nutrition daily average intakes for the intervention group and the control group, the energy, vitamin A, vitamin B, vitamin D, calcium, phosphorus, sodium, zinc, selenium, copper, iodine, bio tin intake increased significantly in the intervention group(P<0. 01) , closer to the RNIs. Conclusions Through effective health education intervention, clinic nurses' nutrition KAP and intakes are highly promoted.

  19. The economic consequences of selected maternal and early childhood nutrition interventions in low- and middle-income countries: a review of the literature, 2000—2013

    OpenAIRE

    Halim, Nafisa; Spielman, Kathryn; Larson, Bruce

    2015-01-01

    Background Globally, 25% of children aged 0 to 4 years and more than 10% of women aged 15 to 49 years suffer from malnutrition. A range of interventions, promising for improving maternal and child nutrition, may also improve physical and intellectual capacity, and, thereby, future productivity and earnings. Methods We conducted a systematic literature review and summarized economic impacts of 23 reproductive, maternal, newborn and child health (RMNCH) interventions, published in 29 empirical ...

  20. Evaluation of Fast Food Behavior in Pre-School Children and Parents Following a One-Year Intervention with Nutrition Education

    OpenAIRE

    Yongqing Gao; Yuee Huang; Yongjun Zhang; Fengqiong Liu; Cindy Xin Feng; Tingting Liu; Changwei Li; Dongdong Lin; Yongping Mu; Tarver, Siobhan L.; Mao Wang; Wenjie Sun

    2014-01-01

    A community-based intervention study was conducted to assess a nutrition education intervention on western style fast food consumption among Chinese children and parents. Eight kindergartens from three district areas of Hefei City (a total of 1252 children aged 4–6 years and their parents) were randomly selected. Descriptive and analytical statistical methods were used to evaluate the baseline, midterm, and final western style fast food knowledge, attitude, and practice in both parents and c...

  1. A meta-analysis of nutrition interventions on mental development of children under-two in low- and middle-income countries.

    Science.gov (United States)

    Larson, Leila Margaret; Yousafzai, Aisha K

    2017-01-01

    Interventions to improve nutritional status of young children in low- and middle-income countries (LMIC) may have the added benefit of improving their mental and motor development. This meta-analysis updates and goes beyond previous ones by answering two important questions: (1) do prenatal and postnatal nutritional inputs improve mental development, and (2) are effects on mental development associated with two theoretically interesting mediators namely physical growth and motor development? The meta-analysis of articles on Medline, PsycINFO, Global Health and Embase was limited to randomized trials in LMICs, with mental development of children from birth to age two years as an outcome. The initial yield of 2689 studies was reduced to 33; 12 received a global quality rating of strong. Of the 10 prenatal and 23 postnatal nutrition interventions, the majority used zinc, iron/folic acid, vitamin A or multiple micronutrients, with a few evaluating macronutrients. The weighted mean effect size, Cohen's d (95% CI) for prenatal and postnatal nutrition interventions on mental development was 0.042 (-0.0084, 0.092) and 0.076 (0.019, 0.13), respectively. Postnatal supplements consisting of macronutrients yielded an effect size d (95% CI) of 0.14 (0.0067, 0.27), multiple micronutrients 0.082 (-0.012, 0.18) and single micronutrients 0.058 (-0.0015, 0.12). Motor development, but not growth status, effect sizes were significantly associated with mental development in postnatal interventions. In summary, nutrition interventions had small effects on mental development. Future studies might have greater effect if they addressed macronutrient deficiencies combined with child stimulation and hygiene and sanitation interventions.

  2. Effect of Nutrition Changes on Foods Selected by Students in a Middle School-based Diabetes Prevention Intervention Program; the HEALTHY Experience

    Science.gov (United States)

    Mobley, Connie C.; Stadler, Diane D.; Staten, Myrlene A; ghormli, Laure El; Gillis, Bonnie; Hartstein, Jill; Siega-Riz, Anna Maria; Virus, Amy

    2011-01-01

    BACKGOUND The HEALTHY primary prevention trial developed an integrated multi-component intervention program to moderate risk factors for type 2 diabetes in middle schools. The nutrition component aimed to improve the quality of foods and beverages served to students. Changes in the School Breakfast Program (SBP), National School Lunch Program (NSLP), and a la carte venues are compared to the experience of control schools. METHODS The intervention was implemented in 21 middle schools from winter 2007 through spring 2009 (following a cohort of students from sixth through eighth grades); 21 schools acted as observed controls. The nutrition component targeted school food service environmental change. Data identifying foods and nutrients served (selected by students for consumption) were collected over a 20-day period at baseline and end of study. Analysis compared end of study values for intervention versus control schools. RESULTS Intervention schools more successfully limited dessert and snack food portion size in NSLP and a la carte and lowered fat content of foods served. Servings of high fiber grain-based foods and/or legumes were improved in SBP but not NSLP. Intervention and control schools eliminated >1% fat milk and sugar added beverages in SBP, but intervention schools were more successful in NSLP and a la carte. CONCLUSION The HEALTHY program demonstrated significant changes in the nutritional quality of foods and beverages served in the SBP, NSLP, and a la carte venues, as part of an effort to decrease childhood obesity and support beneficial effects in some secondary HEALTHY study outcomes. PMID:22239133

  3. The effect of nutrition intervention in lung cancer patients undergoing chemotherapy and/or radiotherapy: a systematic review.

    Science.gov (United States)

    Kiss, Nicole K; Krishnasamy, Meinir; Isenring, Elisabeth A

    2014-01-01

    The prevalence of malnutrition in lung cancer patients across a variety of treatment modalities and disease stages ranges from 45% to 69%. Malnutrition is associated with poorer clinical outcomes in cancer patients. This systematic review examined whether dietary counseling or oral supplements during chemotherapy and/or radiotherapy in patients with lung cancer affect patient or clinical outcomes. Relevant nutrition intervention studies from 1980 to March 2012 were identified. Articles meeting predetermined inclusion/exclusion criteria were critically appraised and included in the review. The outcomes of interest included dietary intake, weight, nutritional status, quality of life, functional status, treatment response, and survival. Five eligible studies were identified including 3 randomized controlled trials, 1 historical cohort, and 1 case series. These studies suggest dietary counseling improves energy and protein intake during chemotherapy in patients with lung cancer but has no benefit to other outcomes during chemotherapy. There is insufficient evidence regarding the effect on patient or clinical outcomes during radiotherapy. Randomized trials examining dietary counseling in patients with lung cancer during radiotherapy are required.

  4. Effects on mortality of a nutritional intervention for malnourished HIV-infected adults referred for antiretroviral therapy

    DEFF Research Database (Denmark)

    Filteau, Suzanne; PrayGod, George; Kasonka, Lackson;

    2015-01-01

    BACKGROUND: Malnourished HIV-infected African adults are at high risk of early mortality after starting antiretroviral therapy (ART). We hypothesized that short-course, high-dose vitamin and mineral supplementation in lipid nutritional supplements would decrease mortality. METHODS: The study...... was a lipid-based nutritional supplement either without (LNS) or with additional vitamins and minerals (LNS-VM), beginning prior to ART initiation; supplement amounts were 30 g/day (150 kcal) from recruitment until 2 weeks after starting ART and 250 g/day (1,400 kcal) from weeks 2 to 6 after starting ART...... in the LNS group (83.7/100 person-years) and 184 (82.6/100 person-years) in the LNS-VM group (rate ratio (RR), 0.99; 95% CI, 0.80-1.21; P = 0.89). The intervention did not affect SAEs or BMI, but decreased the incidence of low serum phosphate (RR, 0.73; 95% CI, 0.55-0.97; P = 0.03) and increased...

  5. Nutritional Online Information for Cancer Patients: a Randomized Trial of an Internet Communication Plus Social Media Intervention.

    Science.gov (United States)

    Gnagnarella, Patrizia; Misotti, Alessandro Maria; Santoro, Luigi; Akoumianakis, Demosthenes; Del Campo, Laura; De Lorenzo, Francesco; Lombardo, Claudio; Milolidakis, Giannis; Sullivan, Richard; McVie, John Gordon

    2016-09-01

    We hypothesized that cancer patients using an Internet website would show an improvement in the knowledge about healthy eating habits, and this might be enhanced by social media interaction. A 6-month randomized intervention was set up. Eligible subjects were allocated in intervention (IG) and control groups (CG). IG had access to the website, and CG was provided with printed versions. All enrolled participants filled in Nutrition Questionnaire (NQ), Quality of Life Questionnaire (QoL) and Psychological Distress Inventory (PDI), at baseline and after 6 months. The difference between post- vs pre-questionnaires was calculated. Seventy-four subjects (CG 39; IG 35) completed the study. There was an increase in the score after the intervention in both groups for the NQ, even if not statistically significant. Dividing the IG into three categories, no (NI), low (LI) and high interactions (HI), we found a decreased score (improvement) in the CG (-0.2) and in the HI (-1.7), and an increased score (worsening) in the NI (+3.3) (p = NS) analysing the PDI. We found an increased score in the QoL both in CG and IG (adjusted LSMeans +3.5 and +2.8 points, respectively; p = NS). This study represents an example for support cancer patients. Despite the lack of significant effects, critical points and problems encountered may be of interest to researchers and organization working in the cancer setting. Intervention strategies to support patients during the care process are needed in order to attain the full potential of patient-centred care on cancer outcomes.

  6. Evaluation of fast food behavior in pre-school children and parents following a one-year intervention with nutrition education.

    Science.gov (United States)

    Gao, Yongqing; Huang, Yuee; Zhang, Yongjun; Liu, Fengqiong; Feng, Cindy Xin; Liu, Tingting; Li, Changwei; Ling, Dong Dong; Mu, Yongping; Tarver, Siobhan L; Wang, Mao; Sun, Wenjie

    2014-06-30

    A community-based intervention study was conducted to assess a nutrition education intervention on western style fast food consumption among Chinese children and parents. Eight kindergartens from three district areas of Hefei City (a total of 1252 children aged 4-6 years and their parents) were randomly selected. Descriptive and analytical statistical methods were used to evaluate the baseline, midterm, and final western style fast food knowledge, attitude, and practice in both parents and children were used to identify and compare the knowledge, attitude, and practice in the parents and children. Parents and children were divided into "intervention" and "control" groups based on nutrition education status. Consumption of western style fast food at breakfast in Chinese children and parents is not high. The main reasons for this in children is that consumption of western style fast food is not viewed as "food", but rather as a "gift" or "interesting". The time of children's consumption of western style fast food is mostly likely to be in the weekends. The nutrition education modified the parents' western style fast food behavior (p children. The healthy nutrition concept should be built up among Chinese, especially in children. Insights from the families provide leads for future research and ideas for the nutrition education.

  7. LA Sprouts: a garden-based nutrition intervention pilot program influences motivation and preferences for fruits and vegetables in Latino youth.

    Science.gov (United States)

    Gatto, Nicole M; Ventura, Emily E; Cook, Lauren T; Gyllenhammer, Lauren E; Davis, Jaimie N

    2012-06-01

    Garden-based approaches to nutrition education may be effective for improving nutrition habits in adolescents. A quasi-experimental, garden-based intervention for Latino youth (LA Sprouts) was piloted and assessed for its influence on behavior associated with dietary intake and psychosocial factors. Study participants were 104 predominately Latino fourth and fifth grade students in Los Angeles (mean age, 9.8±0.7 years; n=70 control subjects, n=34 LA Sprouts participants); more than half (n=61, 59.8%) were overweight or obese (body mass index ≥85th percentile). LA Sprouts participants received an intervention of weekly 90-minute culturally tailored, interactive classes for 12 consecutive weeks at a community garden during the spring of 2010; control participants received an abbreviated delayed intervention. Questionnaire data were obtained before and after the intervention. Compared with control subjects, LA Sprouts participants had an increased preference for vegetables overall, increased preferences for three target fruits and vegetables, as well as improved perceptions that "vegetables from the garden taste better than vegetables from the store." In the overweight/obese subgroup (n=61), LA Sprouts participants had a 16% greater increase in their preference for vegetables compared with control subjects (P=0.009). Results from this pilot study suggest that a cooking, nutrition, and gardening after-school program in a garden-based setting can improve attitudes and preferences for fruits and vegetables in Latino youth, which may lead to improved nutritional habits and dietary intake and reduced health disparities.

  8. A School Based Intervention for Combating Food Insecurity and Promoting Healthy Nutrition in a Developed Country Undergoing Economic Crisis: A Qualitative Study

    Science.gov (United States)

    Dalma, A.; Veloudaki, A.; Petralias, A.; Mitraka, K.; Zota, D.; Kastorini, C.-M.; Yannakoulia, M.; Linos, A.

    2015-01-01

    Introduction: Aiming at reducing the rates of food insecurity and promoting healthy diet for children and adolescents, we designed and implemented the Program on Food Aid and Promotion of Healthy Nutrition-DIATROFI, a school-based intervention program including the daily provision of a free healthy mid-day meal in disadvantaged areas across…

  9. Effect of an Educational Intervention Related to Health and Nutrition on Pregnant Women in the Villages of Central Java Province, Indonesia

    Science.gov (United States)

    Wijaya-Erhardt, Maria; Muslimatun, Siti; Erhardt, Juergen G.

    2014-01-01

    Objective: To assess the effects of a health and nutrition educational intervention on maternal knowledge, attitudes and practices. Design: Pre- and post-test design using structured interviews of pregnant women. Setting: Thirty-nine villages in Central Java Province, Indonesia. Method: Pregnant women (N = 252) at 12-20 weeks of gestation were…

  10. Effect of Nutrition Changes on Foods Selected by Students in a Middle School-Based Diabetes Prevention Intervention Program: The HEALTHY Experience

    Science.gov (United States)

    Mobley, Connie C.; Stadler, Diane D.; Staten, Myrlene A.; El Ghormli, Laure; Gillis, Bonnie; Hartstein, Jill; Siega-Riz, Anna Maria; Virus, Amy

    2012-01-01

    Background: The HEALTHY primary prevention trial developed an integrated multicomponent intervention program to moderate risk factors for type 2 diabetes in middle schools. The nutrition component aimed to improve the quality of foods and beverages served to students. Changes in the School Breakfast Program (SBP), National School Lunch Program…

  11. Using the RE-AIM framework in formative evaluation and program planning for a nutrition intervention in the Lower Mississippi Delta

    Science.gov (United States)

    The objective of this study is the identification of prominent themes to be considered when planning a nutrition intervention using the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework. Qualitative formative research was used on women's social and civic organization...

  12. The Impact of a Nutritional Intervention Program on Academics in Selected Public Schools

    Science.gov (United States)

    Rich, Stacy

    2011-01-01

    The purpose of this quantitative quasi-experimental study is to examine the effectiveness of the "Healthy Kids, Smart Kids" intervention program on academics. Extant data will be used to determine if a statistically significant difference in academics exist between experimental schools implementing the "Healthy Kids, Smart…

  13. Randomization to nutritional intervention at home did not improve postoperative function, fatigue or well-being

    DEFF Research Database (Denmark)

    Jensen, Martin Bach; Hessov, Ib

    1997-01-01

    , gain in body-weight and lean body mass, especially in the legs as shown by dual-energy X-ray absorptiometry. Changes in work capacity, hand grip and pinching strength, fatigue and quality of life were similar in patients in control and intervention groups and had returned to preoperative values 1...

  14. NUTRITION AND HEMODIALYSIS: THE ASSOCIATION OF DIETITIAN INTERVENTION TOWARDS ACHIEVING QUALITY PATIENT DIALYSIS OUTCOMES

    Directory of Open Access Journals (Sweden)

    archied bunani ali mohammed lehbi

    2012-06-01

    In conclusion, an influence of Dietitian Intervention was notable to all patients receiving dialysis treatments. The Clinical Dietitian’s facility in assisting dialysis patients on the proper diet to be taken associated to condition will enable the individual to lower mortality risk ratio.

  15. Public health impact of community-based nutrition and lifestyle interventions

    NARCIS (Netherlands)

    Verheijden, M.W.; Kok, F.J.

    2005-01-01

    Community-based interventions have increasingly received attention since researchers and public health professionals have come to acknowledge the importance of an environment that makes the healthy choice the easy choice. All stakeholders including the target community are involved to achieve change

  16. Process evaluation results from the HEALTHY nutrition intervention to modify the total school food environment

    Science.gov (United States)

    The process evaluation of HEALTHY, a large multi-center trial to decrease type 2 diabetes mellitus in middle school children, monitored the implementation of the intervention to ascertain the extent that components were delivered and received as intended. The purpose of this article is to report the...

  17. Iron deficiency anemia in sports and preventive dietetic and nutrition interventions

    Directory of Open Access Journals (Sweden)

    Aritz Urdampilleta

    2013-12-01

    Full Text Available Iron deficiency anemia in athletes is a very common condition that leads to reduced physical performance. Athletes are susceptible of falling iron deposits, mainly by an increase in its use, by its loss, or by insufficient intake. The present review aims to establish the basis of current knowledge environment: sports-athletes who have increased risk of anemia, etiology of iron deficiency anemia in the sporting group, providing dietary and nutritional guidelines for its prevention. The databases searched were Pubmed, Scirus and Scielo, as well as the official pages of prestigious organizations, recovering items by keywords: “iron-deficiency anemia”, “sports”, “athletic performance”, “iron intake “or Spanish counterparts. Iron deficiency anemia affects mainly endurance athletes (especially women and marathon and the members of team sports with high impact (volleyball and handball. Usually secondary anemias from hemolysis and oxidative stress resulting from the practice of sport, but it cases have also been documented by increased iron losses associated with exercise. Dietary and nutritional practices to prevent iron deficiency anemia in athletes should aim to ensure: carbohydrate intake between 60-65% of total energy daily minimum intake of 1.4 g of protein per day and a consumption of 20-40 mg iron daily, separating the intake of the main absorption inhibitors (phytate, tanetos and calcium. You need assessed by analytical iron status of the athlete every 2-3 months.

  18. Youth Nutrition Status and Research Progress of Youth Sports Nutrition Intervention%青少年营养状况与运动营养干预的研究进展

    Institute of Scientific and Technical Information of China (English)

    王一; 张蕴琨

    2014-01-01

    文章综述了我国青少年营养现状,青少年运动与营养干预措施和科学化营养配餐的研究。青少年营养摄入不足和营养摄入过剩并存,严重影响青少年的健康;科学的运动与营养干预措施及科学化营养配餐对青少年的健康有着显著的改善作用。%This article reviews the current situation, our young youth sports nutrition research and nutrition inter-ventions and scientific nutritious meals. Adolescent nutri-tional intake and nutritional intake of excess coexist,seri-ously affecting the health of adolescents;scientific exercise and nutrition interventions and scientific nutritious meals for the health of adolescents has a significant improve-ment.

  19. Integrating nutrition and early child-development interventions among infants and preschoolers in rural India.

    Science.gov (United States)

    Fernandez-Rao, Sylvia; Hurley, Kristen M; Nair, Krishnapillai Madhavan; Balakrishna, Nagalla; Radhakrishna, Kankipati V; Ravinder, Punjal; Tilton, Nicholas; Harding, Kimberly B; Reinhart, Greg A; Black, Maureen M

    2014-01-01

    This article describes the development, design, and implementation of an integrated randomized double-masked placebo-controlled trial (Project Grow Smart) that examines how home/preschool fortification with multiple micronutrient powder (MNP) combined with an early child-development intervention affects child development, growth, and micronutrient status among infants and preschoolers in rural India. The 1-year trial has an infant phase (enrollment age: 6-12 months) and a preschool phase (enrollment age: 36-48 months). Infants are individually randomized into one of four groups: placebo, placebo plus early learning, MNP alone, and MNP plus early learning (integrated intervention), conducted through home visits. The preschool phase is a cluster-randomized trial conducted in Anganwadi centers (AWCs), government-run preschools sponsored by the Integrated Child Development System of India. AWCs are randomized into MNP or placebo, with the MNP or placebo mixed into the children's food. The evaluation examines whether the effects of the MNP intervention vary by the quality of the early learning opportunities and communication within the AWCs. Study outcomes include child development, growth, and micronutrient status. Lessons learned during the development, design, and implementation of the integrated trial can be used to guide large-scale policy and programs designed to promote the developmental, educational, and economic potential of children in developing countries.

  20. Relevant Aspects of Nutritional and Dietary Interventions in Non-Alcoholic Fatty Liver Disease

    Directory of Open Access Journals (Sweden)

    Maria Catalina Hernandez-Rodas

    2015-10-01

    Full Text Available Non-alcoholic fatty liver disease (NAFLD is the main cause of liver disease worldwide. NAFLD is linked to circumstances such as type 2 diabetes, insulin resistance, obesity, hyperlipidemia, and hypertension. Since the obesity figures and related comorbidities are increasing, NAFLD has turned into a liver problem that has become progressively more common. Currently, there is no effective drug therapy for NAFLD; therefore, interventions in lifestyles remain the first line of treatment. Bearing in mind that adherence rates to this type of treatment are poor, great efforts are currently focused on finding novel therapeutic agents for the prevention in the development of hepatic steatosis and its progression to nonalcoholic steatohepatitis and cirrhosis. This review presents a compilation of the scientific evidence found in the last years showing the results of interventions in lifestyle, diet, and behavioral therapies and research results in human, animal and cell models. Possible therapeutic agents ranging from supplementation with vitamins, amino acids, prebiotics, probiotics, symbiotics, polyunsaturated fatty acids and polyphenols to interventions with medicinal plants are analyzed.

  1. Genetics- and genomics-based interventions for nutritional enhancement of grain legume crops: status and outlook.

    Science.gov (United States)

    Bohra, Abhishek; Sahrawat, Kanwar L; Kumar, Shiv; Joshi, Rohit; Parihar, Ashok K; Singh, Ummed; Singh, Deepak; Singh, Narendra P

    2015-05-01

    Meeting the food demands and ensuring nutritional security of the ever increasing global population in the face of degrading natural resource base and impending climate change is the biggest challenge of the twenty first century. The consequences of mineral/micronutrient deficiencies or the hidden hunger in the developing world are indeed alarming and need urgent attention. In addressing the problems associated with mineral/micronutrient deficiency, grain legumes as an integral component of the farming systems in the developing world have to play a crucial role. For resource-poor populations, a strategy based on selecting and/or developing grain legume cultivars with grains denser in micronutrients, by biofortification, seems the most appropriate and attractive approach to address the problem. This is evident from the on-going global research efforts on biofortification to provide nutrient-dense grains for use by the poorest of the poor in the developing countries. Towards this end, rapidly growing genomics technologies hold promise to hasten the progress of breeding nutritious legume crops. In conjunction with the myriad of expansions in genomics, advances in other 'omics' technologies particularly plant ionomics or ionome profiling open up novel opportunities to comprehensively examine the elemental composition and mineral networks of an organism in a rapid and cost-effective manner. These emerging technologies would effectively guide the scientific community to enrich the edible parts of grain legumes with bio-available minerals and enhancers/promoters. We believe that the application of these new-generation tools in turn would provide crop-based solutions to hidden hunger worldwide for achieving global nutritional security.

  2. Effects of pre- and postnatal nutrition interventions on child growth and body composition: the MINIMat trial in rural Bangladesh

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    Ashraful Islam Khan

    2013-12-01

    Full Text Available Background: Nutritional insults and conditions during fetal life and infancy influence subsequent growth and body composition of children. Objectives: Effects of maternal food and micronutrient supplementation and exclusive breastfeeding counseling on growth of offspring aged 0–54 months and their body composition at 54 months of age were studied. Methods: In the MINIMat trial (ISRCTN16581394 in Matlab, Bangladesh, pregnant women were randomized to early (around 9 weeks or usual invitation (around 20 weeks to food supplementation and to one of the three daily micronutrient supplements: 30-mg Fe and 400-µg folic acid (Fe30F, 60-mg Fe and 400-µg folic acid (Fe60F, and multiple micronutrient supplements (MMS. The supplements were also randomized to exclusive breastfeeding (EBF counseling or to usual health messages. Results: No differences in background characteristics were observed among the intervention groups. There was also no differential effect of prenatal interventions on birthweight or birthlength. Early food supplementation reduced the level of stunting from early infancy up to 54 months of age among boys (average difference – 6.5% units, 95% confidence interval [CI] 1.7–11.3, p=0.01 but not among girls (average difference – 2.4% units, 95% CI −2.2–7.0, p=0.31. MMS resulted in more stunting compared to standard Fe60F (average difference – 4.8% units, 95% CI 0.8–8.9, p=0.02. Breastfeeding counseling prolonged the duration of EBF (difference – 35 days, 95% CI 30.6–39.5, p<0.001. Neither pregnancy interventions nor breastfeeding counseling influenced the body composition of children at 54 months of age. Conclusion: Early food supplementation during pregnancy reduced the occurrence of stunting among boys aged 0–54 months, while prenatal MMS increased the proportion of stunting. Food and micronutrient supplementation or EBF intervention did not affect body composition of offspring at 54 months of age. The effects of

  3. 血液透析患者的营养状况与护理干预%Nutrition status and nursing intervention of hemodialysis patients

    Institute of Scientific and Technical Information of China (English)

    贾愚; 鲁重美

    2009-01-01

    血液透析(简称血透)是终末期肾病患者常见的维持性治疗手段,血透患者存在相当高的营养不良发生率.国外诸多研究明确了营养不良发生原因,并就相关营养支持做了大量临床研究.美国、欧洲均已建立起较为成熟的针对透析患者的临床营养指南,就患者的营养筛查、营养评价工具及临床干预给出了较为明确的临床指导、建议及研究方向.国内有关营养干预的研究尚缺乏严格设计的前瞻性临床随机对照研究.护理人员在血透患者营养支持中的作用非常重要.为了提高护理人员对营养支持的认知,更好地为血透患者提供营养支持,对血透患者营养支持的现状与护理干预进行综述.%Hemedialysis is a maintaining curing means commonly used for patients having nephropathy in the end-phase and telo-phase,and bemodialysis patients have a considerably high rate of occuring malnutrition.Various studies in foreign countries have elucidated the reasons for causing malnutrition,and a lot of clinical trials have been done about related nutrition support.In US and Europe,well-rounded clinical nutrition guidelines for hemedialysis patients have been established,which give out express clinical directions,suggestions and study aspects,from the examination of patients' nutrition,to nutrition assessment tools,and to nutritional interventions.But,in the studied in our country,the study on nutritional interventions is lack of prospective randomized controlled trial with a strict design.The role of nursing staff in the nutrition support for hemedialysis patients is very important.In order to improve the congnization of nuring staff to nutrition support,and to provide a better nutrition support to bemoclialysis patients,it needs to do a review of the current situations and nursing intervention about nutrition support to hemodialysis patients.

  4. EFFECTS OF INDIVIDUALIZED NUTRITIONAL INTERVENTION DURING PREGNANCY ON GESTATIONAL OUTCOMES%孕期个性化营养干预对妊娠结局的影响

    Institute of Scientific and Technical Information of China (English)

    姜艳艳; 唐赛利; 刘桂兰

    2015-01-01

    Objective To study the relationship between the individualized nutritional intervention during pregnancy with childbirth way and neonatal birth weight , provide clinical data for nutrition intervention treatment . Methods The outpatient pregnant women were randomly divided into intervention group and control group according the nutritional intervention intentions from January to June in 2014.The incidence of pregnancy specific disease , childbirth way and neonatal birth weight were recorded .Results The incidence of special diseases during pregnan-cy, cesarean section and abnormal neonatal birth weight in intervention group were lower than the control group , and the differences were statistically significant (p<0.05).Conclusion Individualized nutritional intervention during pregnancy can reduce the incidence of pregnancy specific disease , macrosomia and cesarean section .%目的:探讨孕期个性化营养干预与分娩方式及新生儿出生体重的关系,为营养干预治疗提供临床资料。方法将2014年1~7月我院门诊孕妇根据是否给予营养干预随机分为干预组和对照组,记录两组孕妇妊娠特有疾病发生率、分娩方式及新生儿出生体重。结果干预组妊娠期特有疾病发生率、剖宫产率和新生儿出生体重异常率均低于对照组,差异均有统计学意义(p<0.05)。结论孕期个性化营养干预可以减少妊娠特有疾病及巨大儿的发生,降低剖宫产率。

  5. The role of nutritional intervention in metabolic syndrome%代谢综合征的营养干预治疗

    Institute of Scientific and Technical Information of China (English)

    刘文广; 管伟; 马林; 孙远召; 左建东; 沈玲

    2013-01-01

    目的:观察营养干预措施在治疗1个家系代谢综合征(MS)的效果. 方法:分析该家系6个家庭66例病人的体重指数(BMI)和血压(BP),并检测血脂和血糖等.随机选取其中3个家庭共34例(干预组)在医学对症处理的基础上,给予一对一指导,改变其不良生活方式和膳食习惯,并进行营养干预.另3个家庭共32例(对照组)仅给予医学对症处理. 结果:经营养干预措施3年后,两组病人在BMI、血脂、血糖和需药物干预比例方面,经统计学分析均有显著差异性.随防3年后,干预组病人的体重、血压维持良好,血脂、血糖无反弹. 结论:有效的营养干预措施,能改善MS病人的BMI、血脂、血压和血糖.%Objective: To explore the role of nutritional intervention in the therapy of metabolic syndrome. Methods: 34 patients of three families, randomly selected, were given face-to-face instructions to correct the unhealthy behaviors, the eating habits and nutritional intervention besides medical treatment for symptoms. The other 32 patients of three families were treated for symptoms only. Results : In comparison with BMI,TG,GLU,TC and the rate of medical intervention, there were significantly statistical differences between the nutritional intervention group and the control group. No rebounds of blood glucose and serum lipid were found in the nutritional intervention group, as well as each patient s body weight and blood pressure, after three years of follow-up. Conclusion -. Nutrition intervention would potentially decrease BMI,blood pressure ,blood lipids and glucose in metabolic syndrome. Nutrition intervention may be an important complementary therapy in some chronic diseases.

  6. Evaluation of Fast Food Behavior in Pre-School Children and Parents Following a One-Year Intervention with Nutrition Education

    Science.gov (United States)

    Gao, Yongqing; Huang, Yuee; Zhang, Yongjun; Liu, Fengqiong; Feng, Cindy Xin; Liu, Tingting; Li, Changwei; Lin, DongDong; Mu, Yongping; Tarver, Siobhan L.; Wang, Mao; Sun, Wenjie

    2014-01-01

    A community-based intervention study was conducted to assess a nutrition education intervention on western style fast food consumption among Chinese children and parents. Eight kindergartens from three district areas of Hefei City (a total of 1252 children aged 4–6 years and their parents) were randomly selected. Descriptive and analytical statistical methods were used to evaluate the baseline, midterm, and final western style fast food knowledge, attitude, and practice in both parents and children were used to identify and compare the knowledge, attitude, and practice in the parents and children. Parents and children were divided into “intervention” and “control” groups based on nutrition education status. Consumption of western style fast food at breakfast in Chinese children and parents is not high. The main reasons for this in children is that consumption of western style fast food is not viewed as “food”, but rather as a “gift” or “interesting”. The time of children’s consumption of western style fast food is mostly likely to be in the weekends. The nutrition education modified the parents’ western style fast food behavior (p < 0.01), although it did not change significantly in children. The healthy nutrition concept should be built up among Chinese, especially in children. Insights from the families provide leads for future research and ideas for the nutrition education. PMID:24983391

  7. Evaluation of Fast Food Behavior in Pre-School Children and Parents Following a One-Year Intervention with Nutrition Education

    Directory of Open Access Journals (Sweden)

    Yongqing Gao

    2014-06-01

    Full Text Available A community-based intervention study was conducted to assess a nutrition education intervention on western style fast food consumption among Chinese children and parents. Eight kindergartens from three district areas of Hefei City (a total of 1252 children aged 4–6 years and their parents were randomly selected. Descriptive and analytical statistical methods were used to evaluate the baseline, midterm, and final western style fast food knowledge, attitude, and practice in both parents and children were used to identify and compare the knowledge, attitude, and practice in the parents and children. Parents and children were divided into “intervention” and “control” groups based on nutrition education status. Consumption of western style fast food at breakfast in Chinese children and parents is not high. The main reasons for this in children is that consumption of western style fast food is not viewed as “food”, but rather as a “gift” or “interesting”. The time of children’s consumption of western style fast food is mostly likely to be in the weekends. The nutrition education modified the parents’ western style fast food behavior (p < 0.01, although it did not change significantly in children. The healthy nutrition concept should be built up among Chinese, especially in children. Insights from the families provide leads for future research and ideas for the nutrition education.

  8. Nutritional Intervention on Childhood Malnutritionin of Rural Nurseries in Qazvin Province, Iran

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    Rosa Zavoshy

    2013-03-01

    Full Text Available Background: Malnutrition is one of the major causes of mortality and morbidity in children. Not only include acute effects on children's health, but also it has long-term effects on their cognitive development and economic growth in the society. Wasting (weight for height with Z< -1 is one of the malnutrition indices in children. The aim of this study was to determine the effect of a cooked meal for 175 days on the anthropometric indices of weight, height and weight for height (wasting of 3-6 years old children in all the rural nursery of Qazvin province, in Iran.Materials and Methods: In this interventional study, 2385 children (48.8% female and 51.2% male were recruited. Data were collected by a census in 2010. The children were received a cooked meal based on 360±20 kcal energy, 17% protein, 53% carbohydrate and 30% fat per day for 175 days at lunch time. The anthropometric indices were collected before and after the intervention. The results were analyzed using Paired t-test by SPSS-16 software.Results: Prevalence of wasting malnutrition (mild & moderate and sever after intervention reduced from 14.2 % and 0.95 % to 12.6% and 0.5 %, respectively (p< 0.05. Receiving a cooked meal significantly decreased wasting (15.2% to 13.2% in all children (p< 0.01.Conclusion: Receiving a cooked meal for 175 days had a significant reduction in wasting in all children.

  9. Taste sensitivity, nutritional status and metabolic syndrome: Implication in weight loss dietary interventions

    Institute of Scientific and Technical Information of China (English)

    Simona; Bertoli; Monica; Laureati; Alberto; Battezzati; Valentina; Bergamaschi; Emanuele; Cereda; Angela; Spadafranca; Laila; Vignati; Ella; Pagliarini

    2014-01-01

    AIM: We investigated the relationship between taste sensitivity, nutritional status and metabolic syndrome and possible implications on weight loss dietary program. METHODS: Sensitivity for bitter, sweet, salty and sour tastes was assessed by the three-Alternative-Forced-Choice method in 41 overweight(OW), 52 obese(OB) patients and 56 normal-weight matched controls. OW and OB were assessed also for body composition(by impedence), resting energy expenditure(by indirect calorimetry) and presence of metabolic syndrome(MetS) and were prescribed a weight loss diet. Compliance to the weight loss dietary program was defined as adherence to control visits and weight loss ≥ 5% in 3 mo. RESULTS: Sex and age-adjusted multiple regression models revealed a significant association between body mass index(BMI) and both sour taste(P < 0.05) and global taste acuity score(GTAS)(P < 0.05), with lower sensitivity with increasing BMI. This trend in sensitivity for sour taste was also confirmed by the model refitted on the OW/OB group while the association with GTAS was marginally significant(P = 0.06). MetS+ subjects presented higher thresholds for salty taste when compared to MetS- patients while no significant difference was detected for the other tastes and GTAS. As assessed by multiple regression model, the association between salty taste and MetS appeared to be independent of sex, age and BMI. Patients continuing the program(n = 37) did not show any difference in baseline taste sensitivity when compared to drop-outs(n = 29). Similarly, no significant difference was detected between patients reporting and not reporting a weight loss ≥ 5% of the initial body weight. No significant dif-ference in taste sensitivity was detected even after dividing patients on the basis of nutritional(OW and OB) or metabolic status(MetS+ and MetS-). CONCLUSION: There is no cause-effect relationship between overweight and metabolic derangements. Taste thresholds assessment is not useful in

  10. Tulimbe Nutrition Project: a community-based dietary intervention to combat micronutrient malnutrition in rural southern Malawi.

    Science.gov (United States)

    Berhe, G

    1997-12-01

    This article describes the community-based nutrition intervention in rural southern Malawi. The program aims to reverse micronutrient deficiencies in vitamin A, iron, and zinc in a society where staple diets are plant-based and contain high levels of anti-nutrients. Anti-nutrients, such as polyphenols, dietary fiber, and phytates, inhibit absorption of iron and zinc. This population's diet was also low in dairy and meat products. The Tulimbe Nutrition Project aimed to modify and diversify diets rather than to supplement or fortify diets. This approach was more culturally acceptable and economically feasible. The approach required changing food selection patterns and methods of preparing and processing indigenous foods. The new diets aimed to enhance the availability, access, and use of micronutrient-rich foods throughout the year. The project was initiated in 1995 in two communities among 300 families with children ranging in age from 3 to 7 years. A baseline assessment with interviews and focus groups was conducted. The assessment for children included a 24-hour dietary recall, anthropometric measurement, and other clinical measurement. Anthropometric and dietary assessments were repeated at 6 and 12 months. New cultivars and technologies were introduced, such as soybeans, short-duration pigeon peas, groundnuts, sunflower seeds, and papaya seedlings. The Malawi Industrial Research and Technology Development Center built and installed solar dryers, seed oil presses, and ovens in each community. People were encouraged to include soaked and fermented maize flour and germinated cereal flours in infant and child porridges. Parents were educated about micronutrient-rich foods, meal frequencies, portion sizes, and food combinations. Information was provided through demonstrations, home visits, plays, songs, and booklets. The program evaluation is in progress.

  11. Nutritional interventions to augment resistance training-induced skeletal muscle hypertrophy

    Directory of Open Access Journals (Sweden)

    Robert W Morton

    2015-09-01

    Full Text Available Skeletal muscle mass is regulated by a balance between muscle protein synthesis (MPS and muscle protein breakdown (MPB. In healthy humans, MPS is more sensitive (varying 4-5 times more than MPB to changes in protein feeding and loading indicating that it is the primary locus determining gains in muscle mass. Performing resistance exercise (RE followed by the consumption of protein results in an augmentation of MPS and, over time, can lead to muscle hypertrophy. The magnitude of the RE-induced increase in MPS (and potentially subsequent hypertrophy is dictated by a variety of factors including: the dose of protein, source of protein, and possibly the distribution and timing of post-exercise protein ingestion. In addition, RE variables such as frequency of sessions, time under tension, volume, and training status play roles in regulating MPS. This review provides a brief overview of our current understanding of how RE and protein ingestion can influence gains in skeletal muscle mass in young, healthy individuals. It is the goal of this review to provide nutritional recommendations for optimal skeletal muscle adaptation. Specifically, we will focus on how the manipulation of protein intake during the recovery period following RE augments the adaptive response.

  12. A Pilot Study to Examine the Effects of a Nutrition Intervention on Nutrition Knowledge, Behaviors, and Efficacy Expectations in Middle School Children

    Science.gov (United States)

    Fahlman, Mariane M.; Dake, Joseph A.; McCaughtry, Nate; Martin, Jeffrey

    2008-01-01

    Background: This was a pilot study to determine the impact of the Michigan Model (MM) Nutrition Curriculum on nutrition knowledge, efficacy expectations, and eating behaviors in middle school students. Methods: The study was conducted in a large metropolitan setting and approved by the Institutional Review Board. The participants for this study…

  13. Nutritional intervention in oncohematological patient Intervención nutricional en el paciente oncohematológico

    Directory of Open Access Journals (Sweden)

    C. Gómez-Candela

    2012-06-01

    Full Text Available Background: Oncohematological diseases such as lymphoma or leukaemia affect an increasing number of newly diagnosed patients in Spain and other countries. Both disease and treatment may have a negatively impact in the nutritional status of the patient. Malnutrition is not uncommon among oncohematological patients. This situation can compromised the course of the disease, the clinical response of the treatment and the patient's quality of life. Method: The implementation of a multidisciplinary approach and a systematic and protocolled nutritional assessment would be useful when dealing with haematological malignancies. Results: We present a proposal of protocol for nutritional intervention in oncohematological patients. This proposal is been developed from the analysis of the published literature as well as clinical practice of a multi-disciplinary team specialized in the management of patients with haematological malignancies.Objetivos: Las enfermedades oncohematológicas como el Linfoma o la Leucemia afectan a un número importante y creciente de personas en España. Tanto la enfermedad como las distintas modalidades de tratamiento que puede llegar a precisar el paciente a lo largo del curso de la misma impactan negativamente en el estado nutricional del paciente, no siendo infrecuente el desarrollo de desnutrición, situación que compromete la evolución, la respuesta al tratamiento y la calidad de vida del paciente. Método: La implementación de una estrategia multidisciplinar, sistematizada y protocolizada de valoración nutricional puede resultar de utilidad a la hora de abordar a los pacientes con enfermedades oncohematológicas. Resultados: Se presenta una propuesta de protocolo de evaluación y soporte nutricional en el paciente oncohematológico elaborada a partir del análisis de la literatura publicada al respecto, así como de la práctica clínica habitual de un equipo sanitario multidisciplinar especialmente implicado en el

  14. The Infant Feeding Activity and Nutrition Trial (INFANT an early intervention to prevent childhood obesity: Cluster-randomised controlled trial

    Directory of Open Access Journals (Sweden)

    Campbell Karen

    2008-03-01

    Full Text Available Abstract Background Multiple factors combine to support a compelling case for interventions that target the development of obesity-promoting behaviours (poor diet, low physical activity and high sedentary behaviour from their inception. These factors include the rapidly increasing prevalence of fatness throughout childhood, the instigation of obesity-promoting behaviours in infancy, and the tracking of these behaviours from childhood through to adolescence and adulthood. The Infant Feeding Activity and Nutrition Trial (INFANT aims to determine the effectiveness of an early childhood obesity prevention intervention delivered to first-time parents. The intervention, conducted with parents over the infant's first 18 months of life, will use existing social networks (first-time parent's groups and an anticipatory guidance framework focusing on parenting skills which support the development of positive diet and physical activity behaviours, and reduced sedentary behaviours in infancy. Methods/Design This cluster-randomised controlled trial, with first-time parent groups as the unit of randomisation, will be conducted with a sample of 600 first-time parents and their newborn children who attend the first-time parents' group at Maternal and Child Health Centres. Using a two-stage sampling process, local government areas in Victoria, Australia will be randomly selected at the first stage. At the second stage, a proportional sample of first-time parent groups within selected local government areas will be randomly selected and invited to participate. Informed consent will be obtained and groups will then be randomly allocated to the intervention or control group. Discussion The early years hold promise as a time in which obesity prevention may be most effective. To our knowledge this will be the first randomised trial internationally to demonstrate whether an early health promotion program delivered to first-time parents in their existing social groups

  15. 营养干预对维持性血液透析患者营养状况的影响%Effects of Nutritional Intervention on Nutritional Status of Maintenance Hemodialysis Patients

    Institute of Scientific and Technical Information of China (English)

    杨子艳; 程博; 郝晶; 王璐

    2012-01-01

    [Objective] To explore the effects of nutritional intervention on nutritional status in the maintenance hemodialysis patients. [Method] Totally 108 maintenance hemodialysis patients were enrolled and randomized into study group (n=50) and control group (n=58), and the study group were received nutrional intervention for 6 months. The two groups were analyzed before and after nutritional intervention by the nutritionist with the subjective global assessment (SGA). [Result] Baseline data were comparable in the two groups. Incidence of the malnutrition in study group were significantly lower than those in control group after the nutritional intervention. [Conclusion] Nutritional intervention may help to improve the nutritional status in the MHD patients.%目的:探讨营养干预对维持性血液透析(MHD)患者营养状况的影响。方法:将研究对象随机分为实验组(50例)和对照组(58例),实验组实施营养干预6个月。采用主观全面评定法(SGA),评价实验前后两组患者营养状况的变化。结果:两纽研究对象的基线资料有可比性,实验组营养干预前后营养不良发生率无统计学差异;对照组营养不良发生率增加;两组相比,差异有统计学意义。结论:营养干预可延缓维持性血液透析患者营养不良的进展或加重,有必要推出个体化的MHD患者营养干预措施。

  16. Physical and social functional abilities seem to be maintained by a multifaceted randomized controlled nutritional intervention among old (>65 years) Danish nursing home residents.

    Science.gov (United States)

    Beck, Anne Marie; Damkjaer, Karin; Sørbye, Liv W

    2010-01-01

    The purpose was to test the hypothesis that a multifaceted 11 weeks randomized controlled intervention would have a significant influence of functional abilities in old nursing home residents. Participants were 121 old (>65 years) residents in seven Danish nursing homes. The intervention consisted of nutrition (chocolate, homemade oral supplements), group exercise (moderate intensity) and oral care. Measurements taken were weight, body mass index (BMI), energy and protein intake, and functional abilities (activities of daily living=ADL, cognitive performance, and social engagement). The results showed that the nutrition and exercise were well accepted. After 11 weeks the change in % weight (1.3 vs. -0.6%, p=0.005), % BMI (0.4 vs. -0.2%, p=0.003), energy intake (0.7 vs. -0.3 MJ/day, p=0.084) and protein intake (5 vs. -2g/day, p=0.012) was higher in the intervention group than in the control group. Also, after 11 weeks, social and physical function had decreased in the control group but was unchanged in the intervention group. The difference between groups was significant in relation to social engagement (p=0.009). After the end of the intervention both groups had lost weight and physical function. Cognitive performance did not change, at any time. In conclusion, it seems possible to maintain social (and physical) functional abilities in old nursing home residents by means of a multifaceted intervention.

  17. NUTRITION INTERVENTION ON THE SPORTS ANEMIA%营养干预对运动性贫血干预

    Institute of Scientific and Technical Information of China (English)

    周红梅

    2011-01-01

    [Objective] To explore the nutrition intervention on the sports anemia. [Methods] A total of 50 students were included in our study. According to the sex and criteria of sports anemia by WHO, the students were divided into four groups, including female anemia group (n = 12) , health female group (re = 26), male anemia group (n = 5) and health male group (n = 17). We detected the iron metabolism and other related factors in blood. [Results] After intervention, the serum iron content in the intervention group was significantly higher than that of control group, the serum iron of female anemia group were increased to 0.8, and male anemia group were increased to 0.9 (P < 0.0S), and was equal to the health control group. The serum ferritin of the female intervention group increased to 42.4, and male intervention group increased to 45.8, and was similar to the health group. The serum transports iron of the female intervention group decreased to 261.7, and the male intervention group decreased to 275.2, which was similar to the serum transports iron. [Conclusion] Increasing the haemoglobin levels and iron in body could decrease the sports anemia, and increase the capacity of sports.%[目的]探讨营养干预对运动性贫血的干预效果.[方法]纳入某高校体育专业学生共60名,根据运动员的性别和WHO判定运动性贫血的标准分为4组,为女性贫血组(n=12)和对照组(n = 26)、男性贫血组(n=5)和对照组(n= 17).在实验室对血液中铁代谢及相关指标进行检测.[结果]干预后,血清铁与干预前相比显著性的提高,女性贫血组提到了0.8,男性贫血组提高到了0.9 (P<0.05),并与正常人的水平相接近.血清铁蛋白干预后,女性贫血组提高到了42.4,男性贫血症提高到了45.8,与正常的血清铁蛋白水平相接近.女性贫血组的血清转铁蛋白降低到了261.7,男性贫血组的水平降低到了275.2,与正常的血清转铁蛋白想接近.[结论]提高血红蛋白水平和机

  18. Non-Alcoholic Fatty Liver Disease in Children: Focus on Nutritional Interventions

    Directory of Open Access Journals (Sweden)

    Min Yang

    2014-10-01

    Full Text Available With increasing prevalence of childhood obesity, non-alcoholic fatty liver disease (NAFLD has emerged as the most common cause of liver disease among children and adolescents in industrialized countries. It is generally recognized that both genetic and environmental risk factors contribute to the pathogenesis of NAFLD. Recently, there has been a growing body of evidence to implicate altered gut microbiota in the development of NAFLD through the gut-liver axis. The first line of prevention and treatment of NAFLD in children should be intensive lifestyle interventions such as changes in diet and physical activity. Recent advances have been focused on limitation of dietary fructose and supplementation of antioxidants, omega-3 fatty acids, and prebiotics/probiotics. Convincing evidences from both animal models and human studies have shown that reduction of dietary fructose and supplement of vitamin E, omega-3 fatty acids, and prebiotics/probiotics improve NAFLD.

  19. Nutri-metabolomics: subtle serum metabolic differences in healthy subjects by NMR-based metabolomics after a short-term nutritional intervention with two tomato sauces.

    Science.gov (United States)

    Bondia-Pons, Isabel; Cañellas, Nicolau; Abete, Itziar; Rodríguez, Miguel Ángel; Perez-Cornago, Aurora; Navas-Carretero, Santiago; Zulet, M Ángeles; Correig, Xavier; Martínez, J Alfredo

    2013-12-01

    Postgenomics research and development is witnessing novel intersections of omics data intensive technology and applications in health and personalized nutrition. Chief among these is the nascent field of nutri-metabolomics that harnesses metabolomics platforms to discern person-to-person variations in nutritional responses. To this end, differences in the origin and ripening stage of fruits might have a strong impact on their phytochemical composition, and consequently, on their potential nutri-metabolomics effects on health. The objective of the present study was to evaluate the effects of a 4-week cross-over nutritional intervention on the metabolic status of 24 young healthy subjects. The intervention was carried out with two tomato sauces differing in their natural lycopene content, which was achieved by using tomatoes harvested at different times. Blood samples were drawn from each subject before and after each intervention period. Aqueous and lipid extracts from serum samples were analyzed by 1H-NMR metabolic profiling combined with analysis of variance simultaneous component analysis (ASCA) and multilevel simultaneous component analysis (MSCA). These methods allowed the interpretation of the variation induced by the main factors of the study design (sauce treatment and time). The levels of creatine, creatinine, leucine, choline, methionine, and acetate in aqueous extracts were increased after the intervention with the high-lycopene content sauce, while those of ascorbic acid, lactate, pyruvate, isoleucine, alanine were increased after the normal-lycopene content sauce. In conclusion, NMR-based metabolomics of aqueous and lipid extracts allowed the detection of different metabolic changes after the nutritional intervention. This outcome might partly be due to the different ripening state of the fruits used in production of the tomato sauces. The findings presented herein collectively attest to the emergence of the field of nutri-metabolomics as a novel

  20. Effects of responsive stimulation and nutrition interventions on children's development and growth at age 4 years in a disadvantaged population in Pakistan: a longitudinal follow-up of a cluster-randomised factorial effectiveness trial

    OpenAIRE

    Aisha K Yousafzai, PhD; Jelena Obradović, PhD; Muneera A Rasheed, MSc; Arjumand Rizvi, MSc; Ximena A Portilla, PhD; Nicole Tirado-Strayer, MSc; Saima Siyal, MA; Uzma Memon, MA

    2016-01-01

    Background: A previous study in Pakistan assessed the effectiveness of delivering responsive stimulation and enhanced nutrition interventions to young children. Responsive stimulation significantly improved children's cognitive, language, and motor development at 2 years of age. Both interventions significantly improved parenting skills, with responsive stimulation showing larger effects. In this follow-up study, we investigated whether interventions had benefits on children's healthy develop...

  1. Ability of different screening tools to predict positive effect on nutritional intervention among the elderly in primary health care

    DEFF Research Database (Denmark)

    Beck, Anne Marie; Beermann, Tina; Kjær, Stine;

    2013-01-01

    Routine identification of nutritional risk screening is paramount as the first stage in nutritional treatment of the elderly. The major focus of former validation studies of screening tools has been on the ability to predict undernutrition. The aim of this study was to validate Mini Nutritional...... Assessment-Short Form (MNA-SF), the Malnutrition Universal Screening Tool (MUST), the Nutritional Risk Screening 2002 (NRS-2002), Body Mass Index (BMI)...

  2. 老年住院患者营养风险筛查及营养支持状况%Nutritional risk screen and nutritional interventions in the elderly inpatients

    Institute of Scientific and Technical Information of China (English)

    朱跃平; 丁福; 刘欣彤; 肖谦; 马厚勋; 吕洋; 何锡珍; 杨君; 曾懿

    2013-01-01

    目的 调查老年住院患者的营养风险、营养不足发生率以及营养支持状况,为指导老年住院患者营养治疗提供依据.方法 采用定点连续抽样的方法,用营养风险筛查表(NRS2002)对426例老年住院患者进行营养风险筛查,NRS2002总分≥3分为有营养风险;体重指数(BMI) <18.5 kg/m2(或血清白蛋白< 30 g/L)为营养不足.调查营养干预情况,分析营养风险与营养干预之间的关系.结果 426例老年住院患者中,营养不足和营养风险的发生率分别为30.5%和55.2%,其中老年期痴呆患者(80.6%,)、恶性肿瘤(79.1%)、肺部感染或COPD(71.2%)和危重症患者(心力衰竭、呼吸衰竭或肾功能不全75%)营养风险的发生率较高.426例患者中,199例(46.7%)接受了营养支持,其中有营养不足和营养风险患者的营养支持率为75.8% (178/235),无营养风险患者的营养支持率为19.9%(38/191).结论 老年住院患者营养不足、营养风险发生率较高,尤其以老年期痴呆患者更为突出,但临床营养支持却存在不合理性.因此,对老年住院患者的临床营养支持的规范性值得进一步探讨.%Objective To investigate nutritional risks,under-nutrition rates and nutritional interventions among elderly inpatients in order to provide evidences of nutritional support.Methods The international standard of Nutritional Risk Screening (NRS,2002) was applied to assessment the nutritional risks of 426 elderly inpatients with fix-point consecutive sampling.The total score of NRS ≥3 indicated the nutritional risk,body mass index (BMI) < 18.5 kg/m2 or serum albumin < 30 g/L indicated undernutrition.The nutritional interventions,the relationship between nutritional risks and nutritional support was analyzed.Results The respectively rate of undernutrition and nutritional risk was 30.5% and 55.2% among 426 elderly inpatients.The rate of nutritional risks in proper ordered for patients with

  3. Type 2 diabetes mellitus and inflammation: Prospects for biomarkers of risk and nutritional intervention

    Directory of Open Access Journals (Sweden)

    Alaa Badawi

    2010-05-01

    Full Text Available Alaa Badawi1, Amira Klip2, Pierre Haddad3, David EC Cole4, Bibiana Garcia Bailo1,5, Ahmed El-Sohemy5, Mohamed Karmali11Office for Biotechnology, Genomics and Population Health, Public Health Agency of Canada, Toronto, ON, Canada; 2Cell Biology Program, The Hospital for Sick Children, Toronto, ON, Canada; 3Natural Health Products and Metabolic Diseases Laboratory, Department of Pharmacology and Montreal Diabetes Research Centre, Montreal, QC, Canada; 4Department of Laboratory Medicine and Pathobiology, 5Department of Nutritional Sciences, University of Toronto, Toronto, ON, CanadaAbstract: Obesity is a major risk factor for type 2 diabetes mellitus (T2DM, which is a significant health problem worldwide. Active disease is associated with low-grade chronic inflammation resulting in part from the activation of the innate immune system. In obesity, this activation leads to the release of pro-inflammatory cytokines such as tumor necrosis factor-α, interleukin-1β and interleukin-6 that block major anabolic cascades downstream of insulin signaling and thus disrupt insulin homeostasis and action. Cytokines also trigger the production of acute-phase reactants such as C-reactive protein, plasminogen activator inhibitor-1, serum amyloid-A, and haptoglobin. The elevated synthesis of pro-inflammatory cytokines and acute-phase proteins (inflammatory network characterizes the early (or pre-clinical stages of T2DM and exhibits a graded increase with the disease progression. Current evidence suggests that understanding inflammatory networks can point to new biomarkers that may permit capturing the interaction between genetic and environmental risk factors in the pathogenesis of T2DM. Such biomarkers have a significant public health potential in the prediction of disease occurrence beyond risk factors presently monitored, such as family history, lifestyle assessment and standard clinical chemistry profiles. Furthermore, inflammatory markers may assist in the

  4. 针对社区老年人高血压复合式营养干预效果评价%Evaluation of the intervention effect of multiplex nutritional intervention for community elderly hypertension

    Institute of Scientific and Technical Information of China (English)

    谭敬荣

    2015-01-01

    Objective:To investigate the intervention effect of multiplex nutritional intervention for elderly hypertension in community.Methods:100 elderly patients with hypertension were randomly selected from December 2012 to December 2013.They were randomly divided into the experimental group and the control group with 50 cases in each group.The control group used a simple type of nutrition intervention mode of nutrition education,and the experimental group adopted multiplex nutritional intervention mode of nutrition education.We compared the intervention effects between the two groups.Results:The systolic and diastolic blood pressure and body mass index and waist circumference of the experimental group hypertension patients values were(125.36±13.23)mmHg,(79.45±19.35)mmHg,(24.53±2.34) and(84.57±9.79)cm;the 4 index values of the control group hypertensive patients were(136.54±15.37)mmHg and(86.55±10.36)mmHg,(29.12±2.76) and(91.45±8.45)cm.The intervention effect of the experimental group was significantly better than that of the control group,and the differences among the two groups with statistical significance(P<0.05).Conclusion:Compare with the simple type of nutrition intervention,we use composite nutrition intervention to do the nutrition education for the elderly in the community hypertension patients,and the intervention effect is better.Therefore,this method is worthy of spreading and using.%目的:探讨复合式营养干预对社区老年人高血压的干预效果。方法:2012年12月-2013年12月随机选取老年高血压患者100例,并随机分为试验组和对照组各50例。对照组采用单纯式营养干预方式进行营养教育,试验组采用复合式营养干预方式进行营养教育,对比两组患者的干预效果。结果:试验组高血压人群收缩压、舒张压以及体重指数和腰围4个指标值分别为(125.36±13.23)mmHg、(79.45±19.35)mmHg、(24.53±2.34)km/m2和(84.57±9.79)cm

  5. Dietary components and risk of total, cancer and cardiovascular disease mortality in the Linxian Nutrition Intervention Trials cohort in China.

    Science.gov (United States)

    Wang, Jian-Bing; Fan, Jin-Hu; Dawsey, Sanford M; Sinha, Rashmi; Freedman, Neal D; Taylor, Philip R; Qiao, You-Lin; Abnet, Christian C

    2016-03-04

    Although previous studies have shown that dietary consumption of certain food groups is associated with a lower risk of cancer, heart disease and stroke mortality in western populations, limited prospective data are available from China. We prospectively examined the association between dietary intake of different food groups at baseline and risk of total, cancer, heart disease and stroke mortality outcomes in the Linxian Nutrition Intervention Trials(NIT) cohort. In 1984-1991, 2445 subjects aged 40-69 years from the Linxian NIT cohort completed a food frequency questionnaire. Deaths from esophageal and gastric cancer, heart disease and stroke were identified through up to 26 years of follow-up. We used Cox proportional hazard models to calculate hazard ratios and 95% confidence intervals for associations between intake of groups of food items and these mortality endpoints. We concluded that higher intake of certain food groups was associated with lower risk of gastric cancer, heart disease and stroke mortality in a prospective cohort in rural China. Our findings provide additional evidence that increasing intake of grains, vegetables, beans, fruits and nuts may help reduce mortality from these diseases.

  6. Sarcopenia of aging and its nutritional intervention%老年性肌少症(Sarcopenia)与营养干预

    Institute of Scientific and Technical Information of China (English)

    关玮; 陶晔璇; 蔡骏

    2012-01-01

    Sarcopenia is a series of syndromes featured by the steady and involuntary loss of skeletal muscle mass and function with aging.It can lower the quality of life and increase the risk of disability and mortality.Deficiency in some nutrients such as amino acids and proteins and accordingly the decreased in the synthesis of muscle protein and changes in muscle tissues may contribute to the development of sarcopenia.Therefore,nutritional interventions may play a role in the prevention and treatment of sarcopenia.%肌少症(Sarcopenia)是老龄化进程中以骨骼肌质量及其力量下降为特征的一类临床综合征,可降低老年人生活质量,增加老年人残疾发生率和疾病死亡率.营养素缺乏及其导致的肌蛋白合成减少、肌肉组织的特殊变化等都是肌少症发生和进展的重要原因.因此,深入探讨营养干预对老年性肌少症的防治具有重要的理论和临床意义.

  7. An Antimethanogenic Nutritional Intervention in Early Life of Ruminants Modifies Ruminal Colonization by Archaea

    Directory of Open Access Journals (Sweden)

    Leticia Abecia

    2014-01-01

    Full Text Available The aim of this work was to study whether feeding a methanogen inhibitor from birth of goat kids and their does has an impact on the archaeal population colonizing the rumen and to what extent the impact persists later in life. Sixteen goats giving birth to two kids were used. Eight does were treated (D+ with bromochloromethane after giving birth and over 2 months. The other 8 goats were not treated (D−. One kid per doe in both groups was treated with bromochloromethane (k+ for 3 months while the other was untreated (k−, resulting in four experimental groups: D+/k+, D+/k−, D−/k+, and D−/k−. Rumen samples were collected from kids at weaning and 1 and 4 months after (3 and 6 months after birth and from does at the end of the treating period (2 months. Pyrosequencing analyses showed a modified archaeal community composition colonizing the rumen of kids, although such effect did not persist entirely 4 months after; however, some less abundant groups remained different in treated and control animals. The different response on the archaeal community composition observed between offspring and adult goats suggests that the competition occurring in the developing rumen to occupy different niches offer potential for intervention.

  8. The effectiveness of an educational intervention in changing nursing practice and preventing catheter-related infection for patients receiving total parenteral nutrition.

    Science.gov (United States)

    Dinç, L; Erdil, F

    2000-10-01

    Catheter-related infections are one of the most serious complications of TPN therapy. Nurses have important responsibilities in the care of patients who are receiving TPN. This quasi-experimental study was conducted for the purpose of investigating the effectiveness of an educational intervention on changing nursing practice and preventing catheter-related infections in patients receiving total parenteral nutrition. The nurses' practice and the colonisation rate of control and comparative group patients in the surgical clinics of Hacettepe University Hospital (Turkey), and related variables were examined before and after an educational intervention. The findings of the study indicate that the intervention was successful in improving appropriate nursing practice, mean scores of nurses' practices were 45.7 before and 66.5 after the intervention (p<0.05). The rate of microorganism colonisation was also decreased but statistical analysis demonstrated no association between nursing practices and microorganism colonisation of catheter cultures.

  9. Evidence of disturbed sleep and mood state in well-trained athletes during short-term intensified training with and without a high carbohydrate nutritional intervention.

    Science.gov (United States)

    Killer, S C; Svendsen, I S; Jeukendrup, A E; Gleeson, M

    2015-09-25

    Few studies have investigated the effects of exercise training on sleep physiology in well-trained athletes. We investigated changes in sleep markers, mood state and exercise performance in well-trained cyclists undergoing short-term intensified training and carbohydrate nutritional intervention. Thirteen highly-trained male cyclists (age: 25 ± 6y, [Formula: see text]O2max: 72 ± 5 ml/kg/min) participated in two 9-day periods of intensified training while undergoing a high (HCHO) or moderate (CON) carbohydrate nutritional intervention before, during and after training sessions. Sleep was measured each night via wristwatch actigraphy. Mood state questionnaires were completed daily. Performance was assessed with maximal oxygen uptake ([Formula: see text]. Percentage sleep time fell during intensified training (87.9 ± 1.5 to 82.5 ± 2.3%; p state and maximal exercise performance.

  10. Challenges and interventions in meeting delivery of nutrition in mid-day meal scheme: a pilot in district Faizabad, Uttar Pradesh

    Directory of Open Access Journals (Sweden)

    Iksha Chhabra

    2014-12-01

    Full Text Available Background: Providing cooked food to about hundred million children under mid-day meal scheme has been accomplished. Focus has now shifted to delivery of nutrition since the National Food Security Act specifies statutory quantities of protein and calories. Aims & Objectives: Delivery of nutrition requires comprehensive overhaul to include interventions in area of storage, preparation and practices, stoves, human resource development and community participation. Methodology: Based on a baseline survey of 70 schools through random selection in two blocks of Faizabad, Uttar Pradesh these concerns were investigated in details for specific interventions. Results: Nutrition: Both Faizabad and MHRD’s all India data establish that net quantities consumed by a child (quantity served minus plate waste cannot provide prescribed nutrition. It reiterated the fact that mid-day meal is first and major meal for most rural children. Experiments conducted to standardize quantities, consistencies and splitting meal into snack plus meal improved nutritional delivery. Hygiene and food safety: In both blocks food was delivered at high temperature enabling food safety standards to be met with improved hygiene and Standard Operating Procedures (SOPs. Human Resource: A pictorial training manual was prepared to train master trainers as well as cooks. Location specific training using local idiom and practices were used and campaign was conducted to enhance community participation in 45 villages. Fuel efficiency: Low cost smokeless chullahs (stoves designed locally resulted in fuel savings. High efficiency cook stoves were also tested, however their cost limits reproduction. Conclusion: Accomplishing comprehensive improvement within existing cost of conversion per child is a challenge particularly since there are no economies of scale in rural areas. The methodologies created in the pilot for hygiene and food safety, awareness and capacity building through campaigns and

  11. MyPyramid-omega-3 fatty acid nutrition education intervention may improve food groups and omega-3 fatty acid consumption in university middle-aged women.

    Science.gov (United States)

    Yen, Wan-Ju J; Lewis, Nancy M

    2013-02-01

    This study was conducted to assess the impact of a nutrition education intervention on food groups and omega-3 (n-3) fatty acid consumption in middle-aged women. We hypothesized that participants who received educational materials about n-3 fatty acids would have a higher consumption of foods rich in n-3 fatty acids than the MyPyramid group. The first phase of this study used the qualitative method to identify the beliefs and interests of middle-aged women about the topic of nutrition. Data were collected using semistructured individual interviews. Phase 2 was a quantitative study to assess the effectiveness of MyPyramid to improve dietary intake and self-efficacy after a 6-week online nutrition education intervention using a blog for university middle-aged female staff. The impact of n-3 fatty acid education on food consumption and self-efficacy was also assessed. Eight female staff (aged 45-65 years) in a Midwestern university participated in the interviews. Data were coded, and 3 themes emerged: "health," "lifestyle," and "availability." Eighty-eight middle-aged women participated in the intervention study and were randomized into either an intervention group or a control group. The overall consumption of the food groups was lower than the MyPyramid recommendation, except in the meat and beans group. There was a trend that participants were less certain to include n-3 fatty acids than whole grains in their diets. Using MyPyramid and supplementary information about n-3 fatty acids did not significantly affect participants' dietary consumption or self-efficacy to increase consumption from the food groups or to increase n-3 fatty acid consumption. Blog-based nutrition education is acceptable for this target population.

  12. Office-Based Physical Activity and Nutrition Intervention: Barriers, Enablers, and Preferred Strategies for Workplace Obesity Prevention, Perth, Western Australia, 2012

    OpenAIRE

    Blackford, Krysten; Jancey, Jonine; Howat, Peter; Ledger, Melissa; Andy H. Lee

    2013-01-01

    Introduction Workplace health promotion programs to prevent overweight and obesity in office-based employees should be evidence-based and comprehensive and should consider behavioral, social, organizational, and environmental factors. The objective of this study was to identify barriers to and enablers of physical activity and nutrition as well as intervention strategies for health promotion in office-based workplaces in the Perth, Western Australia, metropolitan area in 2012. Methods We cond...

  13. Sustaining Effect of Intensive Nutritional Intervention Combined with Health Education on Dietary Behavior and Plasma Glucose in Type 2 Diabetes Mellitus Patients

    Science.gov (United States)

    Fan, Rui; Xu, Meihong; Wang, Junbo; Zhang, Zhaofeng; Chen, Qihe; Li, Ye; Gu, Jiaojiao; Cai, Xiaxia; Guo, Qianying; Bao, Lei; Li, Yong

    2016-01-01

    Diabetes mellitus is very common in elderly Chinese individuals. Although nutritional intervention can provide a balanced diet, the sustaining effect on at-home dietary behavior and long-term plasma glucose control is not clear. Consequently, we conducted a long-term survey following one month of experiential nutritional intervention combined with health education. Based on the Dietary Guidelines for a Chinese Resident, we found that the food items met the recommended values, the percentages of energy provided from fat, protein, and carbohydrate were more reasonable after one year. The newly formed dietary patterns were “Healthy”, “Monotonous”, “Vegetarian”, “Japanese”, “Low energy”, and “Traditional” diets. The 2h-PG of female participants as well as those favoring the “Japanese diet” decreased above 12 mmol/L. Participants who selected “Japanese” and “Healthy” diets showed an obvious reduction in FPG while the FPG of participants from Group A declined slightly. “Japanese” and “Healthy” diets also obtained the highest DDP scores, and thus can be considered suitable for T2DM treatment in China. The results of the newly formed dietary patterns, “Japanese” and “Healthy” diets, confirmed the profound efficacy of nutritional intervention combined with health education for improving dietary behavior and glycemic control although health education played a more important role. The present study is encouraging with regard to further exploration of comprehensive diabetes care. PMID:27649232

  14. Sustaining Effect of Intensive Nutritional Intervention Combined with Health Education on Dietary Behavior and Plasma Glucose in Type 2 Diabetes Mellitus Patients

    Directory of Open Access Journals (Sweden)

    Rui Fan

    2016-09-01

    Full Text Available Diabetes mellitus is very common in elderly Chinese individuals. Although nutritional intervention can provide a balanced diet, the sustaining effect on at-home dietary behavior and long-term plasma glucose control is not clear. Consequently, we conducted a long-term survey following one month of experiential nutritional intervention combined with health education. Based on the Dietary Guidelines for a Chinese Resident, we found that the food items met the recommended values, the percentages of energy provided from fat, protein, and carbohydrate were more reasonable after one year. The newly formed dietary patterns were “Healthy”, “Monotonous”, “Vegetarian”, “Japanese”, “Low energy”, and “Traditional” diets. The 2h-PG of female participants as well as those favoring the “Japanese diet” decreased above 12 mmol/L. Participants who selected “Japanese” and “Healthy” diets showed an obvious reduction in FPG while the FPG of participants from Group A declined slightly. “Japanese” and “Healthy” diets also obtained the highest DDP scores, and thus can be considered suitable for T2DM treatment in China. The results of the newly formed dietary patterns, “Japanese” and “Healthy” diets, confirmed the profound efficacy of nutritional intervention combined with health education for improving dietary behavior and glycemic control although health education played a more important role. The present study is encouraging with regard to further exploration of comprehensive diabetes care.

  15. Sustaining Effect of Intensive Nutritional Intervention Combined with Health Education on Dietary Behavior and Plasma Glucose in Type 2 Diabetes Mellitus Patients.

    Science.gov (United States)

    Fan, Rui; Xu, Meihong; Wang, Junbo; Zhang, Zhaofeng; Chen, Qihe; Li, Ye; Gu, Jiaojiao; Cai, Xiaxia; Guo, Qianying; Bao, Lei; Li, Yong

    2016-09-13

    Diabetes mellitus is very common in elderly Chinese individuals. Although nutritional intervention can provide a balanced diet, the sustaining effect on at-home dietary behavior and long-term plasma glucose control is not clear. Consequently, we conducted a long-term survey following one month of experiential nutritional intervention combined with health education. Based on the Dietary Guidelines for a Chinese Resident, we found that the food items met the recommended values, the percentages of energy provided from fat, protein, and carbohydrate were more reasonable after one year. The newly formed dietary patterns were "Healthy", "Monotonous", "Vegetarian", "Japanese", "Low energy", and "Traditional" diets. The 2h-PG of female participants as well as those favoring the "Japanese diet" decreased above 12 mmol/L. Participants who selected "Japanese" and "Healthy" diets showed an obvious reduction in FPG while the FPG of participants from Group A declined slightly. "Japanese" and "Healthy" diets also obtained the highest DDP scores, and thus can be considered suitable for T2DM treatment in China. The results of the newly formed dietary patterns, "Japanese" and "Healthy" diets, confirmed the profound efficacy of nutritional intervention combined with health education for improving dietary behavior and glycemic control although health education played a more important role. The present study is encouraging with regard to further exploration of comprehensive diabetes care.

  16. Effectiveness of a Lifestyle Intervention in Patients with Type 2 Diabetes: The Physical Activity and Nutrition for Diabetes in Alberta (PANDA Trial

    Directory of Open Access Journals (Sweden)

    Ghada Asaad

    2016-09-01

    Full Text Available Type 2 diabetes (T2D patients often find integrating a new dietary pattern into their lifestyle challenging; therefore, the PANDA (Physical Activity and Nutrition for Diabetes in Alberta menu plan intervention was developed to help people incorporate the Canadian Diabetes Association (CDA nutrition therapy guidelines into their daily lives. The menu plan focused on recipes and foods that were accessible, available and acceptable to Albertans. The objective was to evaluate the effectiveness of the intervention on blood glucose control and dietary adherence and quality among patients with T2D. Participants with T2D (n = 73 enrolled in a single-arm incorporating interactive education based on a four-week menu plan that incorporated the recommendations of the CDA nutrition therapy guidelines. Post-intervention follow-up was conducted at three and six months. After three months, there were beneficial changes in A1c (−0.7%, body mass index (BMI, −0.6 kg/m2, diastolic blood pressure (−4 mmHg, total cholesterol (−63 mg/dL, HDL- (+28 mg/dL and LDL-cholesterol (−89 mg/dL, Healthy Eating Index (+2.1 score and perceived dietary adherence (+8.5 score (all p < 0.05. The significant improvements in A1c, BMI and lipids were maintained at six months. The PANDA menu plan intervention was effective in improving glycemic control and diet quality. The results suggest that a dietary intervention incorporating interactive education sessions focused on menu planning with familiar, accessible foods may be effective for diabetes management.

  17. Early Nutritional Interventions for Brain and  Cognitive Development in Preterm Infants: A Review of the Literature

    Directory of Open Access Journals (Sweden)

    Nora Schneider

    2017-02-01

    Full Text Available Adequate nutrition is important for neurodevelopmental outcomes in preterm‐born infants. In this review, we aim to summarize the current knowledge on nutritional interventions initiated during the hospital stay targeting brain and cognitive development benefits in preterm human infants. Studies can broadly be split in general dietary intervention studies and studies investigating specific nutrients or nutritional supplements. In general, mother’s breast milk was reported to be better for preterm infants’ neurodevelopment compared to infant formula. The differences in methodologies make it difficult to conclude any effects of interventions with individual nutrients. Only protein and iron level studies showed some consistent findings regarding optimal doses; however, confirmatory studies are needed. This review does not support some widely accepted associations, such as that between long‐chain polyunsaturated fatty acid supplementation and visual development. Clear nutritional recommendations cannot be made based on this review. However, the type of infant nutrition (i.e., breast milk versus formula or donor milk, the timing of the nutritional intervention, and the dose of the nutrient/supplement have been found to be relevant factors in determining the success of nutritional intervention studies in preterm infants.

  18. Prospective study of Helicobacter pylori antigens and gastric noncardia cancer risk in the nutrition intervention trial cohort.

    Science.gov (United States)

    Murphy, Gwen; Freedman, Neal D; Michel, Angelika; Fan, Jin-Hu; Taylor, Philip R; Pawlita, Michael; Qiao, You-Lin; Zhang, Han; Yu, Kai; Abnet, Christian C; Dawsey, Sanford M

    2015-10-15

    Helicobacter pylori (H. pylori) infection is the strongest known risk factor for gastric noncardia adenocarcinoma (GNCA). We used multiplex serology to determine whether seropositivity to 15 H. pylori proteins is associated with the subsequent development of noncardia gastric cancer in Linxian, China. We included 448 GNCA cases and 1242 controls from two time points within the Linxian General Population Nutrition Intervention Trial, Linxian. H. pylori multiplex seropositivity was defined as positivity to ≥4 of the 15 included antigens. Odds ratios (ORs) and 95% confidence intervals (CIs) were adjusted for major GNCA risk factors. In addition, we undertook a meta-analysis combining H. pylori multiplex serology data from both time points. H. pylori multiplex seropositivity was associated with a significant increase in risk of GNCA at one time point (1985; OR: 3.44, 95% CI: 1.91, 6.19) and this association remained significant following adjustment for H. pylori or CagA ELISA seropositivity (OR: 2.92, 95% CI: 1.56, 5.47). Combining data from both time points in a meta-analysis H. pylori multiplex seropositivity was associated with an increased risk of GNCA, as were six individual antigens: GroEL, HP0305, CagA, VacA, HcpC and Omp. CagM was inversely associated with risk of GNCA. We identified six individual antigens that confer an increase in risk of GNCA within this population of high H. pylori seroprevalence, as well as a single antigen that may be inversely associated with GNCA risk. We further determined that the H. pylori multiplex assay provides additional information to the conventional ELISA methods on risk of GNCA.

  19. Feasibility of Using a Web-Based Nutrition Intervention Among Residents of Multiethnic Working-Class Neighborhoods

    Directory of Open Access Journals (Sweden)

    Lorna H. McNeill, PhD

    2007-07-01

    Full Text Available Introduction Using the Internet to promote behavior change is becoming more desirable as Internet use continues to increase among diverse audiences. Yet we know very little about whether this medium is useful or about different strategies to encourage Internet use by various populations. This pilot study tested the usefulness of a Web-based intervention designed to deliver nutrition-related information to and increase fruit and vegetable consumption among adults from working-class neighborhoods.Methods Participants (N = 52 had access to the Web site for 6 weeks and received three e-mail reminders encouraging them to eat fruits and vegetables. The Web site provided information about overcoming barriers to healthy eating, accessing social support for healthy eating, setting goals for healthy eating, and maintaining a healthy diet, including recipes. We collected data on participants’ use of the Web site, their Internet access and use, and their fruit and vegetable consumption.Results The mean age of the participants was 46 years, 73% were white, 46% did not have a college degree, and 12% had household incomes at or below 185% of the federal poverty index. They reported consuming an average of 3.4 servings of fruits and vegetables per day. More than half of the participants owned a computer, 75% logged onto the Web site at least once, and those who visited the site averaged 3.8 visits and viewed an average of 24.5 pages. The number of log-ons per day declined over the study period; however, reminder e-mails appeared to motivate participants to return to the Web site. Roughly 74% of participants viewed information on goal setting, 72% viewed information on dietary tracking, and 56% searched for main course recipes.Conclusion The results of this pilot study suggest that Internet-based health messages have the potential to reach a large percentage of adults from working-class neighborhoods who have access to the Internet.

  20. Application of personalized nutrition intervention for gestational diabetes mellitus%妊娠糖尿病个性化营养干预方法的应用

    Institute of Scientific and Technical Information of China (English)

    郑文霞; 赵学芳; 吴雅芳; 张海娟; 李雁津

    2016-01-01

    目的:研究个性化营养干预对妊娠糖尿病血糖水平、孕期体重增长、新生儿体重的影响。方法:选取营养门诊72例孕24~28周的孕妇,年龄25~41岁,经内分泌门诊诊断为妊娠糖尿病(GDM),随机分成两组,每组36例。观察组接受正规的个性化营养干预;对照组进行一般的营养指导。结果:观察组在控制空腹血糖、餐后2 h 血糖、糖化血红蛋白、孕期体重增长方面比对照组效果好。结论:正规的个性化营养干预优于一般的营养指导。%Objective:To study the effect of the application of individualized nutritional intervention on blood glucose lev-el,body weight gain and the weight of pregnant women. Methods:Seventy - two pregnant women,24 to 28 weeks of pregnancy, aged between 25 ~ 41 years old,were diagnosed as gestational diabetes mellitus(GDM)by endocrine clinic,and were random-ly divided into two groups,each 36 cases of group. The observation group received the regular personalized nutrition interven-tion,and the control group received the general nutritional guidance. Results:Compared with the control group,fasting blood glucose,blood glucose,glycosylated hemoglobin,pregnancy weight increased were more appropriate in the observation group. Conclusion:Regular personalized nutrition intervention is better than general nutrition guidance.

  1. Influence of dietary nutrition intervention on patients with psoriasis%膳食营养干预对银屑病患者的影响

    Institute of Scientific and Technical Information of China (English)

    赵玉芳; 覃桂玲; 黎玉芬

    2014-01-01

    目的 探讨膳食营养干预对银屑病患者膳食营养知识和饮食依从性的影响.方法 选择40例住院治疗的银屑病患者,应用平衡膳食宝塔+食物交换份法为患者制订个体化简明饮食处方,并配合银屑病饮食营养相关知识宣教进行膳食营养干预,干预前与干预后分别对患者进行营养相关知识和饮食依从性比较.结果 干预前患者营养相关知识得分<60分为31例占77.5%,饮食依从性好9例占22.5%,干预后营养相关知识得分<60分18例占45.0%,饮食依从性好22例占55.5%,较干预前提高,差异有统计学意义.结论 银屑病患者膳食营养知识水平普遍较低,饮食依从性差.对患者进行膳食营养干预,能够提高患者营养知识水平,提高饮食依从性,改善患者膳食营养结构,促进疾病快速恢复.%Objective To study on the effect of dietary nutrition intervention in community on nutrition knowledge and dietary compliance in patients with psoriasis.Methods 40 patients with psoriasis were given a balanced diet pagoda and food exchange method,along with psoriasis nutrition knowledge manual to make individual and concise diet prescription.The nutrition knowledge and dietary compliance of patients before and after the intervention were compared.Results In a nutrition knowledge test,before the intervention,31 patients obtained a score below 60 which accounted for 77.5%,and 9 patients got higher score which meant 22.5% patients had a good dietary compliance.After the intervention,18 patients (45.0%) got a score below 60,while 22 (55.5%) patients got a good score,the results after the intervention were statistically higher than those before the intervention.Conclusions Patients with psoriasis have poor cognitions and bad dietary compliance.After dietary nutrition intervention,the nutrition knowledge is enhanced and the dietary compliance gets higher,the dietary structure is improved,and consequently accelerate the

  2. Diabetic diet and nutrition nursing intervention%糖尿病患者饮食与营养的护理干预

    Institute of Scientific and Technical Information of China (English)

    雷红力; 孙波

    2013-01-01

    目的:通过对糖尿病患者饮食与营养的护理干预,观察干预的效果.方法:研究分糖尿病组和非糖尿病组两组,并在糖尿病组中,又分干预前组和干预后组,进行对照性研究.结果:住院的糖尿病组患者的血红蛋白和血清白蛋白的检查结果低于非糖尿病组患者,两组之间存在显著差异(P<0.005).对糖尿病组的患者实施饮食与营养的护理干预,显示干预后比干预前,糖尿病患者的血糖控制良好、血红蛋白和血清白蛋白的提高有显著性意义(P<0.005).结论:对糖尿病患者实施饮食与营养的护理干预是有效的,也是必要的%Objective:through to the diet of patients with diabetes and nutrition nursing intervention,to observe the intervention effect of.Methods:the study group of diabetic and non-diabetic group group two,and in the diabetic group,divide again before the intervention group and control group after intervention,research.Results:the diabetes patients of hemoglobin and serum albumin examination results than non-diabetic patients,there are significant differences between the two groups( P<0.005 ).In diabetic group of patients with the implementation of nutrition and diet nursing intervention,display intervention after intervention,diabetic patients with good glycemic control,hemoglobin and serum albumin increased significantly(P<0.005).Conclusion:for patients with diabetes mellitus diet and nutrition nursing intervention is effective,it is necessary to

  3. A population-based lifestyle intervention to promote healthy weight and physical activity in people with cardiac disease: The PANACHE (Physical Activity, Nutrition And Cardiac HEalth study protocol

    Directory of Open Access Journals (Sweden)

    Allman-Farinelli Margaret

    2010-04-01

    Full Text Available Abstract Background Maintaining a healthy weight and undertaking regular physical activity are important for the secondary prevention of cardiovascular disease (CVD. However, many people with CVD are overweight and insufficiently active. In addition, in Australia only 20-30% of people requiring cardiac rehabilitation (CR for CVD actually attend. To improve outcomes of and access to CR the efficacy, effectiveness and cost-effectiveness of alternative approaches to CR need to be established. This research will determine the efficacy of a telephone-delivered lifestyle intervention, promoting healthy weight and physical activity, in people with CVD in urban and rural settings. The control group will also act as a replication study of a previously proven physical activity intervention, to establish whether those findings can be repeated in different urban and rural locations. The cost-effectiveness and acceptability of the intervention to CR staff and participants will also be determined. Methods/Design This study is a randomised controlled trial. People referred for CR at two urban and two rural Australian hospitals will be invited to participate. The intervention (healthy weight group will participate in four telephone delivered behavioural coaching and goal setting sessions over eight weeks. The coaching sessions will be on weight, nutrition and physical activity and will be supported by written materials, a pedometer and two follow-up booster telephone calls. The control (physical activity group will participate in a six week intervention previously shown to increase physical activity, consisting of two telephone delivered behavioural coaching and goal setting sessions on physical activity, supported by written materials, a pedometer and two booster phone calls. Data will be collected at baseline, eight weeks and eight months for the intervention group (baseline, six weeks and six months for the control group. The primary outcome is weight change

  4. Nursing Intervention on Surgical Patients with Enteral Nutrition%外科重症患者肠内营养的护理干预

    Institute of Scientific and Technical Information of China (English)

    李冬梅

    2015-01-01

    目的:探讨外科重症患者肠内营养的护理干预效果。方法收集我院收治的外科重症80例患者资料,将患者随机分为干预组和对照组,各40例。干预组患者给予肠内营养护理干预,对照组患者给予常规护理干预,比较两组患者胃肠功能恢复情况。结果干预组患者的肛门排便时间和排气时间均明显短于对照组,差异均有统计学意义(均P<0.05)。结论外科重症患者给予肠内营养护理有助于补充患者身体所需的营养和能量,增加患者机体的免疫力,避免患者术后因营养不良而给康复带来的影响,促进患者早日康复。%Objective To discuss the effect of surgical patients with enteral nutrition nursing intervention.Methods 80 surgical critical y il patients in our hospital were selected were randomly divided into intervention group and control group,each of 40 cases.The patients in the intervention group were given enteral nutrition nursing intervention,the control group patients were given routine nursing care,compared two groups of gastrointestinal function recovery. Results The after care,patients in the intervention group were anal defecation time and exhaust time were significantly shorter than the control group,the difference was statistical y significant(P<0.05).Conclusion Surgical patients with enteral nutrition nursing intervention is helpfulto supplement the patient body needed nutrients and energy,and increase patients immunity,prevent patients due to malnutrition and to influence rehabilitation brings,and promote an early recovery of patients.

  5. Assessing a New Approach to Class-Based Affirmative Action

    Science.gov (United States)

    Gaertner, Matthew N.

    2011-01-01

    In November, 2008, Colorado and Nebraska voted on amendments that sought to end race-based affirmative action at public universities. In anticipation of the vote, Colorado's flagship public institution--The University of Colorado at Boulder (CU)--explored statistical approaches to support class-based affirmative action. This paper details CU's…

  6. Methodological development of an exploratory randomised controlled trial of an early years' nutrition intervention: the CHERRY programme (Choosing Healthy Eating when Really Young).

    Science.gov (United States)

    Watt, Richard Geddie; Draper, Alizon K; Ohly, Heather R; Rees, Gail; Pikhart, Hynek; Cooke, Lucy; Moore, Laurence; Crawley, Helen; Pettinger, Clare; McGlone, Pauline; Hayter, Arabella K M

    2014-04-01

    Good nutrition in the early years of life is vitally important for a child's development, growth and health. Children's diets in the United Kingdom are known to be poor, particularly among socially disadvantaged groups, and there is a need for timely and appropriate interventions that support parents to improve the diets of young children. The Medical Research Council has highlighted the importance of conducting developmental and exploratory research prior to undertaking full-scale trials to evaluate complex interventions, but have provided very limited detailed guidance on the conduct of these initial phases of research. This paper describes the initial developmental stage and the conduct of an exploratory randomised controlled trial undertaken to determine the feasibility and acceptability of a family-centred early years' nutrition intervention. Choosing Healthy Eating when Really Young (CHERRY) is a programme for families with children aged 18 months to 5 years, delivered in children's centres in one urban (Islington) and one rural (Cornwall) location in the United Kingdom. In the development stage, a mixed-methods approach was used to investigate the nature of the problem and options for support. A detailed review of the evidence informed the theoretical basis of the study and the creation of a logic model. In the feasibility and pilot testing stage of the exploratory trial, 16 children's centres, with a sample of 394 families were recruited onto the study. We hope that the methodology, which we present in this paper, will inform and assist other researchers in conducting community-based, exploratory nutrition research in early years settings.

  7. RE-AIM analysis of a randomized school-based nutrition intervention among fourth-grade classrooms in California

    OpenAIRE

    Larsen, Andrew L.; Robertson, Trina; Dunton, Genevieve

    2015-01-01

    Childhood overweight and obesity are major health problems. School-based programs enable intervening with large groups of children, but program overall health impact is rarely completely assessed. A RE-AIM (Reach, Efficacy, Adoption, Implementation, Maintenance) analysis tested the overall public health impact of the fourth-grade “Nutrition Pathfinders” school-based nutrition-education program. A randomized controlled trial in 47 fourth-grade California classrooms (1713 students) tested progr...

  8. A High Rate of Non-Compliance Confounds the Study of Whole Grains and Weight Maintenance in a Randomised Intervention Trial-The Case for Greater Use of Dietary Biomarkers in Nutrition Intervention Studies.

    Science.gov (United States)

    Kristensen, Mette; Pelletier, Xavier; Ross, Alastair B; Thielecke, Frank

    2017-01-11

    Observational studies consistently find an inverse relationship between whole-grain intake and weight gain. We aimed to confirm this in an open-label researcher-blinded parallel design randomised trial. A total of 179 overweight/obese women with a habitually low whole-grain intake (grain (RG) or whole-grain (WG) foods (80 g/day) for 12 weeks after an initial weight loss program over 8 weeks. Body weight and composition was assessed at baseline, after the initial weight loss, and after the 12-week dietary intervention. During the 12-week dietary intervention phase, there were no group differences in changes in body weight and total fat mass %, whereas abdominal fat mass tended to increase more during the dietary intervention phase in the WG compared to the RG group (0.7 (SD 3.6) vs. -0.3 (SD 3.8) %; p = 0.052). Plasma alkylresorcinol concentrations, biomarkers of wholegrain wheat and rye intake, indicated poor compliance, particularly in the WG group, where >60% of participants had alkylresorcinol concentrations below 70 nmol/L, a concentration indicating low or no intake of whole-grain wheat. Further, weight regain was lower than expected in both intervention groups, further supporting a lack of compliance to the post-weight-loss diet. The rate of compliance was too low to conclude any effect of whole grain on weight maintenance, and reinforces the need to use objective measures of compliance in nutrition intervention studies.

  9. A High Rate of Non-Compliance Confounds the Study of Whole Grains and Weight Maintenance in a Randomised Intervention Trial—The Case for Greater Use of Dietary Biomarkers in Nutrition Intervention Studies

    Science.gov (United States)

    Kristensen, Mette; Pelletier, Xavier; Ross, Alastair B.; Thielecke, Frank

    2017-01-01

    Observational studies consistently find an inverse relationship between whole-grain intake and weight gain. We aimed to confirm this in an open-label researcher-blinded parallel design randomised trial. A total of 179 overweight/obese women with a habitually low whole-grain intake (60% of participants had alkylresorcinol concentrations below 70 nmol/L, a concentration indicating low or no intake of whole-grain wheat. Further, weight regain was lower than expected in both intervention groups, further supporting a lack of compliance to the post-weight-loss diet. The rate of compliance was too low to conclude any effect of whole grain on weight maintenance, and reinforces the need to use objective measures of compliance in nutrition intervention studies. PMID:28085022

  10. 营养干预对有营养风险的肝硬化患者预后的影响%The effect of nutritional intervention on the prognosis in the liver cirrhosis patients with nutritional risk

    Institute of Scientific and Technical Information of China (English)

    杨银川; 陈占军; 郭会敏; 孔明; 周莉

    2014-01-01

    目的:评价个体化的营养干预对有营养风险肝硬化患者预后的影响。方法选择2013年1~7月北京佑安医院人工肝中心收治的78例有营养风险的住院肝硬化患者,随机分为干预组(40例)和对照组(38例),以实际体重占理想体重百分比、肱三头肌皮褶厚度(TSF)及上臂肌围(AMC)评价其营养状况,并对干预组进行个体化的营养干预。记录患者的体质指数(BMI)、握力、白蛋白、前白蛋白、淋巴细胞计数、入院时和出院时的肝功能Child-Pugh分级、并发症情况和出院转归。结果干预组出院时的白蛋白、前白蛋白水平升高值明显高于对照组,差异均有统计学意义[(3.3±2.1)g/L vs.(1.4±4.7)g/L,P =0.023;(39.4±20.7)mg/L vs.(-0.6±24.4)mg/L,P <0.0001]。干预组入院时Child-Pugh A、B、C分级依次为9例(22.5%)、18例(45.0%)、13例(32.5%),出院时依次为17例(42.5%)、15例(37.5%)、8例(20.0%),差异有统计学意义(P=0.001)。干预组的并发症发生率低于对照组(10.0% vs.31.6%, P=0.013),其病死率也低于对照组(2.5%vs.21.1%, P=0.018)。结论有营养风险的肝硬化患者临床预后较差,积极进行营养干预可改善其预后。%Objective To investigate the effection of individualized nutritional intervention on the prognosis in cir-rhosis patients with nutritional risk. Methods Seventy-eight patients who had nutritional risk with liver cirrhosis were en-rolled and randomly divided into intervention group (n=40) and control group (n=38). The ratio of actual body weight/ideal body weight, triceps skinfold (TSF), and mid arm muscle circumference (AMC) were used to evaluate the nutritional status. Individual nutritional intervention was given for intervention group. Body mass index(BMI), power of gripping, albumin and prealbumin level, lymphocyte count, Child-Pugh stage when admitted and discharged

  11. Effectiveness of interventions targeting physical activity, nutrition and healthy weight for university and college students: a systematic review and meta-analysis.

    Science.gov (United States)

    Plotnikoff, Ronald C; Costigan, Sarah A; Williams, Rebecca L; Hutchesson, Melinda J; Kennedy, Sarah G; Robards, Sara L; Allen, Jennifer; Collins, Clare E; Callister, Robin; Germov, John

    2015-04-01

    To examine the effectiveness of interventions aimed at improving physical activity, diet, and/or weight-related behaviors amongst university/college students. Five online databases were searched (January 1970 to April 2014). Experimental study designs were eligible for inclusion. Data extraction was performed by one reviewer using a standardized form developed by the researchers and checked by a second reviewer. Data were described in a narrative synthesis and meta-analyses were conducted when appropriate. Study quality was also established. Forty-one studies were included; of these, 34 reported significant improvements in one of the key outcomes. Of the studies examining physical activity 18/29 yielded significant results, with meta-analysis demonstrating significant increases in moderate physical activity in intervention groups compared to control. Of the studies examining nutrition, 12/24 reported significantly improved outcomes; only 4/12 assessing weight loss outcomes found significant weight reduction. This appears to be the first systematic review of physical activity, diet and weight loss interventions targeting university and college students. Tertiary institutions are appropriate settings for implementing and evaluating lifestyle interventions, however more research is needed to improve such strategies.

  12. Analysis of transtheoretical model of health behavioral changes in a nutrition intervention study--a continuous time Markov chain model with Bayesian approach.

    Science.gov (United States)

    Ma, Junsheng; Chan, Wenyaw; Tsai, Chu-Lin; Xiong, Momiao; Tilley, Barbara C

    2015-11-30

    Continuous time Markov chain (CTMC) models are often used to study the progression of chronic diseases in medical research but rarely applied to studies of the process of behavioral change. In studies of interventions to modify behaviors, a widely used psychosocial model is based on the transtheoretical model that often has more than three states (representing stages of change) and conceptually permits all possible instantaneous transitions. Very little attention is given to the study of the relationships between a CTMC model and associated covariates under the framework of transtheoretical model. We developed a Bayesian approach to evaluate the covariate effects on a CTMC model through a log-linear regression link. A simulation study of this approach showed that model parameters were accurately and precisely estimated. We analyzed an existing data set on stages of change in dietary intake from the Next Step Trial using the proposed method and the generalized multinomial logit model. We found that the generalized multinomial logit model was not suitable for these data because it ignores the unbalanced data structure and temporal correlation between successive measurements. Our analysis not only confirms that the nutrition intervention was effective but also provides information on how the intervention affected the transitions among the stages of change. We found that, compared with the control group, subjects in the intervention group, on average, spent substantively less time in the precontemplation stage and were more/less likely to move from an unhealthy/healthy state to a healthy/unhealthy state.

  13. Nutritional Intervention and Metabolic Characteristics of Hepatopath%肝病患者的营养代谢特点及营养干预

    Institute of Scientific and Technical Information of China (English)

    窦现凤

    2015-01-01

    Objective Analysis of nutritional intervention and metabolic characteristics of hepatopath. Methods Selected 60 cases of liver disease from December 2012 to December 2014 as the object, 21 cases with acute hepatitis, 31 patients with chronic hepatitis, 6 cases with liver cirrhosis, analyzed the clinical test n patients with metabolic characteristics of nutrition research and nutrition interventions cases of liver failure. Results 60 cases of liver disease in patients with impaired liver function due to bothchanges occured in varying degrees of carbohydrates, protein and fat in the body's energy and metabolism. Conclusion Patients with metabolic changes in the body's energy different, take targeted nutrition interventions will help to avoid the situation of malnutrition in patients with liver disease, liver disease for enhancing disease resistance has a positive role.%目的:分析肝病患者的营养代谢特征和营养干预措施。方法选取2012年12月~2014年12月收治的60例肝病患者作为研究对象,其中急性肝炎21例,慢性肝炎31例,肝硬化6例,肝衰竭2例,通过临床检测分析研究患者的营养代谢特征与营养干预措施。结果60例肝病患者由于肝功能受损均出现不同程度的碳水化合物、蛋白质、脂肪等机体能量与物质代谢的变化。结论根据患者机体能量代谢改变的不同,采取针对性的营养干预措施,有利于避免营养不良情况的发生,对于提高抵抗力有着积极作用和意义。

  14. Effect of Nutritional Intervention on The Outcome of Chemoradiotherapy for Head and Neck cancer%营养干预对头颈部肿瘤患者放化疗疗效的影响

    Institute of Scientific and Technical Information of China (English)

    陈玲; 汤华; 王峰; 戴科军; 徐恩赐; 孟翠翠

    2016-01-01

    ObjectiveTo explore the effect of nutritional intervention on the outcome of chemoradiotherapy for head and neck cancer.Methods72 pa-tients with head and neck cancer who underwent cheoradiotherapy were randomly divided into the nutritional intervention group and the control group. The nutritional intervention group were given the nutritional interventions during chemoradiotherapy,while the control group were subj ected to clinical routine treatments.Curative efficacies,adverse reactions and changes of the nutritional indexes before and after chemoradiotherapy of the 2 groups were comp .ResultsEffective rates of the nutritional intervention group and the control group were 94.4% and 72.2%,respectively.Grade 3 and 4 oralmucosa damages of the nutritional intervention group were markedly lower than those of the control group(P=0.025 and P=0.010).After chemoradiotherapy, the nutrional indexes of the nutritional intervention group were superior to those of the control group(p<0.05).ConclusionNutritional intervention can reduce adverse reactions of chemoradiotherapy in head and neck cancer patients and improve clinical efficacy.%目的::研究营养干预对头颈部肿瘤患者放化疗短期疗效的影响.方法:72例头颈部肿瘤放化疗患者分为营养干预组和对照组.对营养干预组患者给予营养干预,对照组按照临床常规方式处理.比较2组患者的放化疗疗效、不良反应发生情况和治疗前、后营养学指标的变化.结果:营养干预组患者化疗有效率为94.4%,显著高于对照组有效率72.2%;营养干预组3、4级口腔粘膜反应明显少于对照组,p 值分别为0.025和0.010.治疗完成时,营养干预组的各项营养学指标高于对照组.结论:营养干预能够减轻头颈部肿瘤患者放化疗的不良反应,提高疗效.

  15. EFFECTS OF EARLY NUTRITION INTERVENTION ON IGF1, IGFBP3, INTESTINAL DEVELOPMENT, AND CATCH-UP GROWTH OF INTRAUTERINE GROWTH RETARDATION RATS

    Institute of Scientific and Technical Information of China (English)

    Xiao-shan Qiu; Ting-ting Huang; Hui-ying Deng; Zhen-yu Shen; Zhi-yong Ke; Kai-yong Mei; Feng Lai

    2004-01-01

    Objective To investigate the effects of early nutritional intervention on the serum insulin-like growth factor-1 (IGF1),insulin-like growth factor binding protein 3 (IGFBP3), intestinal development, and catch-up growth of intrauterine growth retardation (IUGR) rats by giving the IUGR new born rats different protein level diet.Methods IUGR rat model was built by starvation of pregnant female rats. Twenty-four IUGR pups and 8 normal pups were divided randomly into 4 groups: normal control group (C group); IUGR control group(S group), IUGR low-protein diet group (SL group), and IUGR high-protein diet group (SH group). Detected the serum IGF1, IGFBP3, body weight,body length, intestinal weight length, intestinal villi height (VH), crypt depth (CD), villi absorbing area (VSA), mucous thickness (MT), and disaccharidase at the 4th week.Results (1) The SH group showed the fastest catch-up growth, serum IGF1, IGFBP3, VH, and VSA were significantly higher than those of normal control group and IUGR control group. The intestinal weight and length, and the activities of lactase and saccharase of the SH group also reached the normal control group level. (2) The SL group kept on small size, the serum IGF1, IGFBP3, and most of intestinal histological indexes were all significantly lower than other groups. (3) IGF-1, IGFBP3 were positively correlated to intestinal VH, VSA, saccharase, body weight and length.Conclusions The serum IGF1 was a sensitive index to the catch-up growth. The early nutritional intervention of highprotein diet after birth is helpful for the catch-up growth of IUGR through promoting the intestinal development and the absorption of nutrition.

  16. Differences between men and women in dietary intakes and metabolic profile in response to a 12-week nutritional intervention promoting the Mediterranean diet.

    Science.gov (United States)

    Leblanc, Vicky; Hudon, Anne-Marie; Royer, Marie-Michelle; Corneau, Louise; Dodin, Sylvie; Bégin, Catherine; Lemieux, Simone

    2015-01-01

    Few studies have compared men and women in response to nutritional interventions but none has assessed differences between men and women in the response to a nutritional intervention programme based on the self-determination theory (SDT) and using the Mediterranean diet (MedDiet) as a model of healthy eating, in a context of CVD prevention and within a non-Mediterranean population. The present study aimed to document differences between men and women in changes in dietary, anthropometric and metabolic variables, in response to a nutritional intervention programme promoting the adoption of the MedDiet and based on the SDT. A total of sixty-four men and fifty-nine premenopausal women presenting risk factors for CVD were recruited through different media advertisements in the Québec City Metropolitan area (Canada). The 12-week nutritional programme used a motivational interviewing approach and included individual and group sessions. A validated FFQ was administered to evaluate dietary intakes from which a Mediterranean score (Medscore) was derived. Both men and women significantly increased their Medscore in response to the intervention (P < 0·0001). Men showed a significantly greater decrease in red and processed meat (-0·4 (95 % CI -0·7, -0·1) portions per d) and a greater increase in fruit (0·9 (95 % CI 0·2, 1·6) portions per d) intakes than women. Significant decreases were observed for BMI and waist circumference in both men and women (P ≤ 0·04). Significant greater decreases were found for total cholesterol (total-C):HDL-cholesterol (HDL-C) (-0·2; 95 % CI -0·4, -0·03) and TAG:HDL-C (-0·2; 95 % CI -0·4, -0·04) ratios in men than in women. When adjusting for the baseline value of the response variable, differences between men and women became non-significant for red and processed meat and fruit intakes whereas significant differences between men and women (i.e. larger increases in men than women) were observed for legumes, nuts and seeds (0·6

  17. Assessment of the effect of the nutritional intervention on the pupils in Chuansha area in Pudong New District%浦东新区川沙地区小学生营养干预效果评价

    Institute of Scientific and Technical Information of China (English)

    陈秀丽; 汤宇洋; 蔡凤珠; 张艳青; 康燕蓉

    2015-01-01

    目的:评价营养干预对小学生营养的影响效果。方法:2014年2-10月采取阶段整群随机抽样方法,在川沙地区2所小学三年级各随机抽取2个班级,分别作为干预组96人和对照组92人。干预组进行为期6个月的营养干预,对照组未采用任何干预措施。干预前后采用问卷调查对两组进行营养知识知晓率等评估。结果:干预组营养知识知晓率、营养态度和营养行为均较干预前和对照组明显提高(P<0.05)。结论:营养干预能提高小学生营养知识知晓率,改善饮食行为。%Objective: To assess the influence of the nutritional intervention on the pupils’ nutrition. Methods:In Chuansha area, two classes in third grade of two schools was selected with the multi-stage randomized cluster sampling method, and divided into an intervention group with 96 pupils, and a control group with 92 ones. The nutritional intervention was developed for the intervention group for six months, and any intervention was not carried out for the control group. A questionnaire survey was used to evaluate the nutritional knowledge in the two groups before and after the intervention. Results:The awareness rate of the nutritional knowledge, nutritional attitude and nutritional behavior were signiifcantly higher in the intervention group than those before the intervention and in the control group(P<0.05). Conclusion:The nutritional intervention can improve the awareness rate and the dietary behavior of the pupils.

  18. 牛奶蛋白过敏患儿的营养干预研究%Study on nutritional intervention in children with milk protein allergy

    Institute of Scientific and Technical Information of China (English)

    邓爱芬; 肖满田; 叶秩坤; 张庭艳

    2015-01-01

    Objective To investigate the nutrition intervention method and its effect in the treatment of chil-dren with milk protein allergy (CMPA). Methods Based on self-controlled study, the clinical data of 79 children with CMPA were retrospective analyzed, which were all treated with milk avoidance and amino acid formula powder for nutrition intervention. Changes of gastrointestinal symptoms, laboratory indexes and clinical therapeutic effect were observed before and 3 months after treatment. Results Three months after intervention, the gastrointestinal symptoms, hemoglobin (Hb) and blood eosinophilia acidic cells were significantly improved, and there were signifi-cantly differences compared with before treatment (P<0.05). The total effective rate after 3 months was 93.7%, signifi-cantly higher than 78.5%one month after treatment (P<0.05). Conclusion Nutrition intervention has remarkable ef-fect in the treatment of CMPA and is worthy of clinical promotion.%目的:探讨牛奶蛋白过敏(CMPA)患儿的营养干预方法及效果。方法采用自身对照研究方法,回顾性分析79例CMPA患儿的临床资料,均予以牛奶回避及氨基酸配方粉等营养干预治疗,观察并比较患者干预前及干预后3个月的消化道症状、实验室指标及临床疗效。结果患者干预3个月后消化道症状、血红蛋白(Hb)及血嗜酸性细胞等均有明显改善,与干预前比较差异均有统计学意义(P<0.05);干预3个月后患儿的总有效率为93.7%,与干预1个月后的78.5%比较,差异有统计学意义(P<0.05)。结论使用氨基酸配方粉等营养干预的方法治疗CMPA患儿的效果显著,值得临床推广。

  19. Nutrition Education Intervention Improves Vegetable-Related Attitude, Self-Efficacy, Preference, and Knowledge of Fourth-Grade Students

    Science.gov (United States)

    Wall, Denise E.; Least, Christine; Gromis, Judy; Lohse, Barbara

    2012-01-01

    Background: Impact of a classroom-based, standardized intervention to address limited vegetable consumption of fourth graders was assessed. Methods: A 4-lesson, vegetable-focused intervention, revised from extant materials was repurposed for Pennsylvania fourth graders with lessons aligned with state academic standards. A reliability-tested survey…

  20. Effects on mortality of a nutritional intervention for malnourished HIV-infected adults referred for antiretroviral therapy

    DEFF Research Database (Denmark)

    Filteau, Suzanne; PrayGod, George; Kasonka, Lackson;

    2015-01-01

    BACKGROUND: Malnourished HIV-infected African adults are at high risk of early mortality after starting antiretroviral therapy (ART). We hypothesized that short-course, high-dose vitamin and mineral supplementation in lipid nutritional supplements would decrease mortality. METHODS: The study was ...

  1. RE-AIM analysis of a randomized school-based nutrition intervention among fourth-grade classrooms in California.

    Science.gov (United States)

    Larsen, Andrew L; Robertson, Trina; Dunton, Genevieve

    2015-09-01

    Childhood overweight and obesity are major health problems. School-based programs enable intervening with large groups of children, but program overall health impact is rarely completely assessed. A RE-AIM (Reach, Efficacy, Adoption, Implementation, Maintenance) analysis tested the overall public health impact of the fourth-grade "Nutrition Pathfinders" school-based nutrition-education program. A randomized controlled trial in 47 fourth-grade California classrooms (1713 students) tested program efficacy, and a secondary analysis of archival data tested program dissemination. Desired effects were seen in child nutrition knowledge, attitudes, consumption of low-nutrient high-density foods, sugar-sweetened beverages, proteins, grains, and parent willingness to serve new foods. The program was disseminated to ∼25 % of public school fourth-grade classrooms in California and cost about $1.00 per student to implement. The Nutrition Pathfinders program demonstrates potential for moderate to high public health impact due to its wide dissemination, effectiveness in altering attitudes and behaviors, and its relatively inexpensive cost of implementation.

  2. Nutritional assessment of patients with head and neck cancer in North-East India and dietary intervention

    Directory of Open Access Journals (Sweden)

    Abhinandan Bhattacharjee

    2015-01-01

    Conclusion: Nutritional Assessment Index has been found to be the best index to evaluate malnutrition. The daily requirement of nutrients for HNCA patients can be satisfactorily met by adopting specific diet chart presented in our study. As no structured diet plan are available in literature, our diet chart can act as a template diet appropriate for HNCA patients of this region.

  3. An intervention effect evaluation on nutrition related knowledge, attitude and behavior among prison police%狱警营养干预效果评价

    Institute of Scientific and Technical Information of China (English)

    徐卉; 朱益民; 沈志强; 汪红慧

    2016-01-01

    目的:了解监狱人民警察(狱警)的营养知识、态度、行为(KAP)水平及干预效果,为开展狱警营养干预提供依据。方法采用分层整群随机抽样的方法对浙江省狱警开展营养KAP问卷调查,分析狱警营养知识、态度水平和饮食行为,并实施营养教育和调整食堂膳食等干预措施,6个月后评价干预前后狱警营养KAP水平变化。结果干预前狱警营养KAP总分为70.27±10.90,其中营养知识、态度、行为得分分别为27.38±6.97、18.07±3.24、24.82±3.96。干预后,狱警的营养KAP总分上升至91.19±4.11,其中营养知识、态度、行为得分分别为37.03±2.97、19.71±0.71、34.45±2.74,较干预前均有明显提高(P<0.01)。结论浙江省狱警普遍缺乏营养知识,存在饮食不均衡等诸多不良饮食习惯;以食堂膳食调整为重点并结合系列营养健康教育,是提高狱警营养知识水平和改善其不良饮食行为的有效方法。%Objective To evaluate the intervention effect of nutrition related knowledge,attitude and behavior among the prison police in Zhejiang Province . Methods Stratified cluster sampling method was used and investigation on knowledge,attitude and behavior was conducted.Nutrition education was carried out targeted to the problem found in the investigation for 6 months.Intervention effect was evaluated by comparison the scores of KAP before and after the intervention.Results The average score of KAP before the intervention was 70. 27 ±1 0. 90,including the average score for knowledge,attitude and behavior was 27. 38 ±6. 97,1 8. 07 ±3. 24 and 24. 82 ±3. 96,respectively.After the intervention, the average score of KAP was 91 . 1 9 ±4. 1 1 ,including the average score for knowledge,attitude and behavior was 37. 03 ±2. 97,1 9. 71 ±0. 71 and 34. 45 ±2. 74,respectively,higher than that before the intervention (P<0. 01 ).Conclusion Nutrition education could improve the

  4. 老年食管癌化疗患者营养状况评价及饮食干预%Assessment of Nutritional Status and Dietary Intervention Strategies in Elderly Patients with Esophageal Cancer Treated by Chemotherapy

    Institute of Scientific and Technical Information of China (English)

    鲍启德; 刘敏; 孙李凌; 周利霞; 张海鹏; 刘军清

    2015-01-01

    目的:利用微型营养评定表(MNA)对老年食管癌化疗患者营养状况进行评价,并进行早期营养干预,评价其临床效果。方法采用 MNA 问卷对90例老年食管癌化疗患者进行评价,根据评价结果将患者分为2组:营养良好组、营养风险组及营养不良组,并对后2组患者进行针对性营养干预,分别在干预后第2、4周进行营养评价。结果不同时间3组指标比较差异均有统计学意义(P <0.05)。营养干预后,营养风险组和营养不良组 MNA 评分较入院时明显提高(P <0.05)。结论采用 MNA 评估老年食管癌化疗患者的营养状况并采取针对性饮食干预可明显改善其营养状况。%Objective To explore and utilize the mini nutritional assessment(MNA)scale to screen the nutri-tional status of elderly patients with esophageal cancer treated by chemotherapy and implement the early nutritional intervention,to evaluate the clinical effectiveness. Methods MNA questionnaire was used to screen 90 elderly pa-tients with esophageal cancer treated by chemotherapy and the patients were divided into three groups:the good nu-trition group,the nutritional risk group and the malnutrition group according to the screening results. The patients in the nutritional risk group and the malnutrition group were given targeted nutritional intervention,nutritional status of the patients was evaluated respectively in 2 and 4 weeks after nutritional intervention. Results The differences in the indicators of the different admission time among the three groups were statistically significant(P < 0. 05);the MNA scores in the nutritional risk group and the malnutrition group were significantly increased in 2 and 4 weeks after intervention,compared with those on admission(P <0. 05). Conclusion MNA and targeted dietary intervention can significantly improve the nutritional status of elderly patients with esophageal cancer treated by chemotherapy.

  5. Medical nutrition therapy planning

    Directory of Open Access Journals (Sweden)

    Torović Ljilja

    2010-01-01

    Full Text Available Introduction. Diet has vital, preventive and therapeutic functions. Medical nutrition therapy is a part of the Standardized Nutrition Care Process integrated in health care systems. Material and methods. An overview of the Nutrition Care Process model and the application of nutrition guidelines based on literature, reports, documents and programmes of international health, food and physical activity authorities was done. Results. The Nutrition Care Process model requires registered dieticians, standardized terminology as well as nutrition diagnosis categorization. It consists of four distinct, but interrelated and connected steps: (a nutrition assessment, (b nutrition diagnosis, (c nutrition intervention, and (d nutrition monitoring and evaluation. An individual approach is essential for successful medical nutrition therapy. Nutrition guidelines facilitate the process of understanding and application of medical nutrition therapy. Conclusion. The Nutrition Care process provides dietetic professionals information on high-quality client nutrition care. The success of medical nutrition therapy rests not only upon the advice of the dietician, but also upon the client’s compliance.

  6. Improving Nutrition Through Multisectoral Approaches

    OpenAIRE

    World Bank

    2013-01-01

    The objectives of the nutrition sensitive social protection are: 1) target activities to the most nutritionally vulnerable populations such as pregnant women and children less than 24 months; 2) include nutrition education and counseling activities within social protection interventions to increase household awareness of care giving and health seeking behaviors; 3) integrate nutrition serv...

  7. Influence of Nutritional Intervention on The Efficacy of Chemoradiotherapy for Nasopharyngeal Carcinoma%营养干预对鼻咽癌患者放化疗疗效的影响

    Institute of Scientific and Technical Information of China (English)

    张娟; 徐海声

    2014-01-01

    目的:探讨营养干预对鼻咽癌患者放化疗疗效的影响。方法将86例鼻咽癌放化疗患者随机分为营养干预组和对照组。营养干预组患者在放化疗过程中给予营养干预,而对照组则按照临床常规方式处理。比较2组患者的放化疗疗效、不良反应发生情况和放化疗前、后营养学指标的变化。结论营养干预组患者化疗有效率为95.3%,显著高于对照组有效率74.4%;在不良反应方面,营养干预组Ⅲ和Ⅳ级口腔黏膜损害明显低于对照组,P值分别为0.028和0.012。放化疗结束时,营养干预组的营养学指标优于对照组。结论营养干预能够保证鼻咽癌患者对放化疗的依从性,有利于提高临床疗效。%Objective To explore the influence of nutritional intervention on the efficacy of chemoradiotherapy for naso -pharyngeal carcinoma .Methods 86 patients with nasopharyngeal carcinoma who underwent chemoradiotherapy were randomly divided into the nutritional intervention group and the control group .The nutritional intervention group were given the nutritiona 1 interventions during chemoradiotherapy ,while the control group were subjected to clinical routine treatments .Curative efficacies , adverse reactions and the changes of the nutritional indexes before and after chemoradiotherapy of the 2 groups were compared . Results Effective rates of the nutritional intervention group and the control group were 95.3% and 74.4%,respectively.Re-garding adverse reactions ,stage Ⅲ and Ⅳ oralmucosa damages of the nutritional intervention group were markedly lower than those of the control group(P=0.028 and P=0.012).After chemoradiotherapy,the nutritiona1 indexes of the nutritional interven-tion group were superior to those of the control group (P<0.05).Conclusion Nutritional intervention can improve the compli-ance of nasopharyngeal cancer patients to chemoradiotherapy and improve clinical efficacy .

  8. Multidisciplinary and participatory workshops with stakeholders in a community of extreme poverty in the Peruvian Amazon: Development of priority concerns and potential health, nutrition and education interventions

    Directory of Open Access Journals (Sweden)

    Gyorkos Theresa W

    2007-07-01

    Full Text Available Abstract Background Communities of extreme poverty suffer disproportionately from a wide range of adverse outcomes, but are often neglected or underserved by organized services and research attention. In order to target the first Millennium Development Goal of eradicating extreme poverty, thereby reducing health inequalities, participatory research in these communities is needed. Therefore, the purpose of this study was to determine the priority problems and respective potential cost-effective interventions in Belen, a community of extreme poverty in the Peruvian Amazon, using a multidisciplinary and participatory focus. Methods Two multidisciplinary and participatory workshops were conducted with important stakeholders from government, non-government and community organizations, national institutes and academic institutions. In Workshop 1, participants prioritized the main health and health-related problems in the community of Belen. Problem trees were developed to show perceived causes and effects for the top six problems. In Workshop 2, following presentations describing data from recently completed field research in school and household populations of Belen, participants listed potential interventions for the priority problems, including associated barriers, enabling factors, costs and benefits. Results The top ten priority problems in Belen were identified as: 1 infant malnutrition; 2 adolescent pregnancy; 3 diarrhoea; 4 anaemia; 5 parasites; 6 lack of basic sanitation; 7 low level of education; 8 sexually transmitted diseases; 9 domestic violence; and 10 delayed school entry. Causes and effects for the top six problems, proposed interventions, and factors relating to the implementation of interventions were multidisciplinary in nature and included health, nutrition, education, social and environmental issues. Conclusion The two workshops provided valuable insight into the main health and health-related problems facing the community of

  9. Prevention and optimal management of sarcopenia: a review of combined exercise and nutrition interventions to improve muscle outcomes in older people

    Directory of Open Access Journals (Sweden)

    Denison HJ

    2015-05-01

    Full Text Available Hayley J Denison,1 Cyrus Cooper,1,2 Avan Aihie Sayer,1,2 Sian M Robinson1,2 1MRC Lifecourse Epidemiology Unit, University of Southampton, Southampton General Hospital, Southampton, UK; 2National Institute for Health Research Southampton Biomedical Research Centre, University of Southampton and University Hospital Southampton NHS Foundation Trust, Southampton, UK Abstract: The growing recognition of sarcopenia, the age-related loss of skeletal muscle mass and function, has highlighted the need to understand more about its etiology. Declines in muscle mass and strength are expected aspects of aging, but there is significant variability between individuals in rates of loss. Although some of these differences can be explained by fixed factors, such as sex, much of the remaining variation is unexplained. This has led to increasing interest in the influence of adult lifestyle, particularly in the effects of modifiable factors such as physical activity and diet, and in identifying intervention opportunities both to prevent and manage sarcopenia. A number of trials have examined the separate effects of increased exercise or dietary supplementation on muscle mass and physical performance of older adults, but less is known about the extent to which benefits of exercise training could be enhanced when these interventions are combined. In a comprehensive review of the literature, we consider 17 studies of older adults (≥65 years in which combined nutrition and exercise interventions were used to increase muscle strength and/or mass, and achieve improvements in physical performance. The studies were diverse in terms of the participants included (nutritional status, degree of physical frailty, supplementation strategies (differences in nutrients, doses, exercise training (type, frequency, as well as design (duration, setting. The main message is that enhanced benefits of exercise training, when combined with dietary supplementation, have been shown in some

  10. The Effect of Community Nutrition Intervention on Pregnancy Iron Deficiency Anemia%对孕妇缺铁性贫血的社区营养干预病例对照研究

    Institute of Scientific and Technical Information of China (English)

    宋琪; 叶晓娟; 姚静; 刘毅

    2014-01-01

    目的:对孕妇缺铁性贫血进行社区营养干预,探索有效的孕期社区营养干预模式。方法对140名孕妇采用病例对照研究方法(实验组及对照组各70人),社区干预措施包括膳食调查与监测和健康教育处方,效果评估指标时间分别为孕周<12周、第20和30周,评估指标为铁摄入量、细胞血溶比和血清铁蛋白。结果实验组在干预后各项指标均优于对照组,差异有统计学意义。结论以膳食调查和健康教育处方为代表的社区营养干预对孕妇缺铁性贫血具有较好的效果。%Objectives Community nutrition intervention model for iron deficiency anemia during pregnancy were analyzed to explore effective pregnancy nutrition intervention model.Methods It was a case-control study with 140 patients (70 cases in intervention group and control group 70 cases).Community nutrition intervention model in-cluded nutritional surveillance and health education.Evaluation time were less than 12,20 and 30 gestational weeks. Evaluation indicators included iron intake,Hb,HCT,SF.Results The indicators of intervention group were better than those of control group,and the difference were statistically significant.Conclusions Community nutrition in-terventions for pregnancy with iron deficiency anemia may be a effective intervention model.

  11. A High Rate of Non-Compliance Confounds the Study of Whole Grains and Weight Maintenance in a Randomised Intervention Trial—The Case for Greater Use of Dietary Biomarkers in Nutrition Intervention Studies

    Directory of Open Access Journals (Sweden)

    Mette Kristensen

    2017-01-01

    Full Text Available Observational studies consistently find an inverse relationship between whole-grain intake and weight gain. We aimed to confirm this in an open-label researcher-blinded parallel design randomised trial. A total of 179 overweight/obese women with a habitually low whole-grain intake (<16 g/day were randomised to a weight maintenance diet with refined-grain (RG or whole-grain (WG foods (80 g/day for 12 weeks after an initial weight loss program over 8 weeks. Body weight and composition was assessed at baseline, after the initial weight loss, and after the 12-week dietary intervention. During the 12-week dietary intervention phase, there were no group differences in changes in body weight and total fat mass %, whereas abdominal fat mass tended to increase more during the dietary intervention phase in the WG compared to the RG group (0.7 (SD 3.6 vs. −0.3 (SD 3.8 %; p = 0.052. Plasma alkylresorcinol concentrations, biomarkers of wholegrain wheat and rye intake, indicated poor compliance, particularly in the WG group, where >60% of participants had alkylresorcinol concentrations below 70 nmol/L, a concentration indicating low or no intake of whole-grain wheat. Further, weight regain was lower than expected in both intervention groups, further supporting a lack of compliance to the post-weight-loss diet. The rate of compliance was too low to conclude any effect of whole grain on weight maintenance, and reinforces the need to use objective measures of compliance in nutrition intervention studies.

  12. Effects on mortality of a nutritional intervention for malnourished HIV-infected adults referred for antiretroviral therapy

    DEFF Research Database (Denmark)

    Filteau, Suzanne; PrayGod, George; Kasonka, Lackson

    2015-01-01

    BACKGROUND: Malnourished HIV-infected African adults are at high risk of early mortality after starting antiretroviral therapy (ART). We hypothesized that short-course, high-dose vitamin and mineral supplementation in lipid nutritional supplements would decrease mortality. METHODS: The study...... was an individually-randomised phase III trial conducted in ART clinics in Mwanza, Tanzania, and Lusaka, Zambia. Participants were 1,815 ART-naïve non-pregnant adults with body mass index (BMI) ... was a lipid-based nutritional supplement either without (LNS) or with additional vitamins and minerals (LNS-VM), beginning prior to ART initiation; supplement amounts were 30 g/day (150 kcal) from recruitment until 2 weeks after starting ART and 250 g/day (1,400 kcal) from weeks 2 to 6 after starting ART...

  13. Space Nutrition

    Science.gov (United States)

    Smith, Scott M.

    2009-01-01

    Optimal nutrition will be critical for crew members who embark on space exploration missions. Nutritional assessment provides an opportunity to ensure that crewmembers begin their missions in optimal nutritional status, to document changes during a mission and, if necessary, to provide intervention to maintain that status throughout the mission, and to assesses changes after landing in order to facilitate the return to their normal status as soon as possible after landing. We report here the findings from our nutritional assessment of astronauts who participated in the International Space Station (ISS) missions, along with flight and ground-based research findings. We also present ongoing and planned nutrition research activities. These studies provide evidence that bone loss, compromised vitamin status, and oxidative damage are the critical nutritional concerns for space travelers. Other nutrient issues exist, including concerns about the stability of nutrients in the food system, which are exposed to longterm storage and radiation during flight. Defining nutrient requirements, and being able to provide and maintain those nutrients on exploration missions, will be critical for maintaining crew member health.

  14. 新疆部队新兵营养知识及营养状况干预研究%Study on nutrition knowledge and intervention of nutriture in recruits in Xinjiang troops

    Institute of Scientific and Technical Information of China (English)

    祁向丽; 任立松; 杨林; 郑玉建

    2013-01-01

    Objective To investigate the levels of the nutrition and health knowledge and the nutriture in the recruits in Xinjiang troops,and to explore nutritional intervention mode in order to improve soldiers 'health status. Methods Questionnaires about the knowledge of nutrition and heath were performed in 458 recruits from a unit in Xinjiang, and the baseline and final levels of those subjects'nutriture were investigated , respectively. According to the dining unit ,they were divided into intervention group (238 ones) and control group(220 ones). The intervention group received 2 months of complex nutritional intervention ,and the intervention effects was evaluated. Results The results of baseline investigation indicated that 65. 8% recruits lacked the basic knowledge about nutrition and health,and they had weak consciousness to actively achieve the nutritional and health knowledge and had unhealthy eating habits . The results also indicated that 87. 6% recruits were health and 14. 6% had the anomaly BMI. After the complex nutritional intervention , such as nutritional education and guidance for diet , etc, the scores of nutritional knowledge , attitude, and behavior in the intervention group were also significantly increased compared with those in the control group ( P < 0. 01). The proportion of soldiers with anomaly BMI decreased to 10. 3% in the intervention group. Conclusion The complex nutritional intervention obviously improves the nutritional knowledge level of the recruits. Their nutrient intake and dietary pattern tend to be more reasonable , and the effect of intervention is significant.%目的 了解驻疆部队新兵的营养卫生知识掌握情况及营养现状,探索改善军人健康状况的营养干预模式.方法 对驻疆某部458名新兵进行营养卫生知识问卷和营养状况的基线、终期调查,按就餐单元将其分为干预组(238人)和对照组(220人).对干预组实施为期2个月的复合式营养

  15. Nutrition Intervention on Cow's Milk Protein Allergy in Infants%牛奶蛋白过敏患儿的营养干预

    Institute of Scientific and Technical Information of China (English)

    车千红; 赵晴; 孙灿; 徐静

    2011-01-01

    Objective To analyze the basic status and clinical manifestations of infants with cow's milk protein allergy(CMPA) ,and explore the intervention effect and outcome after using the individual amino acid formula and extensively hydrolyzed protein. Methods One hundred and eighty infants with the diagnosis of CMPA were selected as intervention target during Feb. To Dec. 2009 who came to see a doctor in pediatric treatment of Shengjing Hospital Affiliated to China Medical University. A retrospective analysis was carried out by the feeding history , basic status of these patients who visited nutrition clinic. Each patient received nutrition instruction of avoiding cow's milk and giving the formula as sequential therapy for 7 days, and was guided the choice of food supplement and adding. The feeding changes were recalled after 3 months and 6 months of nutritional intervention,respectively. Results The age of high incidence of infants with CMPA was 2-4 months after birth with the ratio 35.5% in all 180 patients. The ratio of breast feeding was 11.7% (21/180 cases) .while that of non - breast feeding was 88.3% (159/180 cases). Thirty - two patients(17. 8% ) had family history. Sex ratio of male : female was 1.65 : 1. The main clinical symptom was diarrhea(83.6% ) after 7 days. The main feeding formula after the 3d month was pure amino acid medicals(46.0% ) .extensively hydrolyzed formula (32. 7% ), partially hydrolyzed formula ( 15. 3% ). The main feeding after the 6th month was pure amino acid medicals (24. 9% ) .cow's formula milk(22.9% ). Conclusions Breast feeding is benefited to avoiding CMPA. The infant patients should not be fed with milk protein formula within 3 months of nutritional intervention, and some infants may become milk tolerance after 6 months of nutritional intervention. The outcome of feeding formula is different with each other. The individual nutrition intervention according to economic condition of each infant and disease changes is necessary

  16. The Effects of a School-Based Nutrition Intervention on Fruit and Vegetable Preferences, Self-Efficacy, and Consumption among Low-Income, Hispanic and White Middle-School Students

    Science.gov (United States)

    McCarthy, Erin; Wolff, Cindy; Bianco-Simeral, Stephanie; Crozier, Joseph; Goto, Keiko

    2012-01-01

    Purpose/Objectives: This study examined the effect of the Harvest of the Month (HOTM) nutrition education intervention program on middle-school students' fruit and vegetable preferences, self-efficacy and attitudes, and self-reported consumption. Perceptions of socio-environmental factors and demographic characteristics were also compared to…

  17. The Effectiveness of a School-Based Nutrition Intervention on Children's Fruit, Vegetables, and Dairy Product Intake

    Science.gov (United States)

    Drapeau, Vicky; Savard, Mathieu; Gallant, Annette; Nadeau, Luc; Gagnon, Jocelyn

    2016-01-01

    Background: Most Canadian children do not meet daily recommendations for consumption of vegetables and fruits (V/F) and dairy products (DP). The aim of this study was to evaluate the impact of Team Nutriathlon on V/F and DP consumption of children. Methods: Participants were 404 children from grades 5 and 6 (intervention group [IG] N = 242,…

  18. Obesity: a systematic review on parental involvement in long-term European childhood weight control interventions with a nutritional focus

    NARCIS (Netherlands)

    Kruk, J.J. van der; Kortekaas, F.; Lucas, C.; Jager-Wittenaar, H.

    2013-01-01

    n Europe, about 20% of children are overweight. Focus on parental responsibility is an effective method in weight control interventions in children. In this systematic review we describe the intensity of parental involvement and behaviour change aimed at parents in long-term European childhood weigh

  19. Cultivating nutrition

    OpenAIRE

    Levin, Carol E; Long, Jennifer; Simler, Kenneth R.; Johnson-Welch, Charlotte

    2003-01-01

    "Over the past decade, donor-funded policies and programs designed to address undernutrition in the Global South have shifted away from agriculture-based strategies toward nutrient supplementation and food fortification programs. Given the potential benefits resulting from agriculture-based nutrition interventions, this study uses Q methodology to explore the views of a range of stakeholders from both developed and developing countries on the value of—and constraints related to—gender-sensiti...

  20. Nutritional Status and Intervention for Children with Cerebral Palsy%脑性瘫痪患儿营养状况与干预效果

    Institute of Scientific and Technical Information of China (English)

    李梅蕊; 吴建敏; 张红红; 阎洁; 陈巧玉; 熊晨璐

    2014-01-01

    目的:探讨脑瘫患儿的微量元素、营养状况与营养性疾病的关系及其干预措施。方法对49例脑瘫患儿及60名健康儿童(对照组)进行体格测量,微量元素、血红蛋白、骨密度等测定,并进行摄食行为调查。对对于需要营养干预的患儿,由营养师确定目标体重后给予肠内营养剂干预。结果脑瘫患儿的营养不良发生率为48.97%,其中26.53%为低体重;其血清铁、锌均低于对照组,缺铁性贫血发生率为34.67%,与对照组比较有显著性差异(P0.05)。44.9%存在摄食方面的问题。干预随访4个月后,约50%患儿营养不良得到改善,以体重改善较为明显;88.2%贫血患儿得到治愈;50%患儿的骨密度提高至正常范围。结论脑瘫患儿存在较高的营养不良及营养性疾病发生率,综合营养干预是脑瘫患儿康复治疗的重要组成部分。%Objective To investigate the condition of nutrition in child with cerebral palsy (CP) and the effect of nutritional intervention. Methods 49 CP children and other 60 health children (controls) were measured their bodies, hemoglobin, serum trace elements, and bone mineral density (with ultrasonic), and the feeding behavior was also investigated. Results The incidence of malnutrition was 48.97%, in which 26.53%for low weight. The levels of serum iron and zinc were poor in the CP children, and the incidence of iron deficiency anemia was 34.67%in the CP children, different from the controls (P0.05). Feeding problems were found in 44.9%of CP children. About 50%of malnutrition was cor-rected, especially the body weight after 4 months of Intervention, with anemia corrected in 88.2%, and bone mineral density recovered in 50%. Conclusion It is a problem for many CP children with malnutrition and nutritional disorders, and need nutrition intervention as the content of the rehabilitation.

  1. Study on control effect of nutrition intervention on blood glucose of gestational diabetes mellitus%营养干预对妊娠糖尿病血糖控制效果的研究

    Institute of Scientific and Technical Information of China (English)

    李素芬; 谭玉琼; 陈格玲

    2012-01-01

    目的 探讨妊娠糖尿病营养干预前后血糖的变化情况及控制效果.方法 对56例妊娠糖尿病患者开展针对性的营养干预,并用自行设计的问卷,调查营养干预前后患者对妊娠糖尿病的营养认知水平及血糖控制情况.结果 妊娠糖尿病患者经过营养干预后,糖尿病的营养认知水平较干预前有明显提高(P<0.001),营养干预后的血糖水平较干预前明显下降(P<0.001),无糖尿病合并症发生.结论 营养干预可以提高妊娠糖尿病患者的糖尿病营养认知水平,提高其饮食控制的依从性,有效地控制血糖,减少或避免合并症的发生,促进糖尿病患者妊娠的良好结局.%Objective To observe the changes and control effect on blood glucose of gestational diabetes mellitus before and after implementing nutrition intervention.Methods A total of 56 patients with gestational diabetes mellitus were treated with nutrition intervention.Nutrition cognition level and blood glucose control state of those GDM patients before and after implementing nutrition intervention were investigated by self- designed questionnaires.Results After implementing nutrition intervention,the nutrition cognition level of those GDM patients had been significantly improved (P < 0.001 ) and blood glucose level reduced ( P < 0.001 ).No diabetes complication happened.Conclusions Nutrition Intervention can improve the nutrition cognition level of GDM patients,control blood glucose,reduce the possibility of complication even prevent from happening,and promote the pregnancy outcome of GDM patients.

  2. [Perioperatory artificial nutrition].

    Science.gov (United States)

    de Luis, D A; Aller, R; Izaola, O

    2008-06-01

    Malnutrition increases post surgical morbimortality, hospital stance and economical costs. Possibilities of nutritional intervention in surgical patients are important. Early enteral nutrition is better than total parenteral nutrition in patients under surgery. Periroperaoty nutritional support must be administrated to patients with severe or middle undernutrition and will be under surgery, during 7-14 days before surgical intervention, if this intervention could be delayed. Total parenteral nutrition will be not used regularly in patients under mayor digestive surgical procedures. Inmunonutrition has been demonstrated useful in surgical patients. Evidence demonstrates that inmunotritional formulas decrease incidence of infections, hospital stance and time of ventilation in patients in UCI wards. New research areas have been explored in this topic area, carbohydrate utility in presurgical patients and probiotic in enteral formulas.

  3. 肾脏内科住院患者营养风险、营养不足及营养干预状况%Nutritional risks, prevalence of undernutrition, and nutritional interventions among inpatients in departments of nephrology in Guangzhou

    Institute of Scientific and Technical Information of China (English)

    谭荣韶; 麦海妍; 闫凤; 曾彤梅; 何育勤; 方仕

    2010-01-01

    Objective To investigate the nutritional risks, prevalence of undernutrition, and nutritional interventions among inpatients in departments of nephrology in some hospitals in Guangzhou, with an attempt to provide evidences for the nutritional support of patients with kidney diseases. Methods Totally 378 adult patients in departments of nephrology in Guangzhou were enrolled in this study by fix-point consecutive sampling. Nutritional Risk Screening 2002 (NRS 2002) was applied for nutritional risk assessment. Nutrition risk was defined by NRS score ≥3 and undernutrition by BMI < 18.5 kg/m2 or serum albumin < 30 g/L. Nutritional interventions were also evaluated in all patients. The relationship between nutritional risk and nutritional support was analyzed. Results The overall prevalence of undernutrition was 21.7% and the nutritional risk was 41.3%. They were especially high among patients with chronic kidney dysfunction (24. 3% and 60. 7% , respectively). The nutritional risk was 42. 3% in patients accompanied with diabetes (P>0. 05). Of these 378 patients, 102 (27.0%) received nutritional interventions, in which the nutritional support rate was 50. 0% (78/156) for patients with nutritional risks and 10. 8% (24/222) for those without nutritional risks. Conclusions The nutritional risks and prevalence of undernutrition are high among inpatients in the departments of nephrology in hospitals in Guangzhou. Proper application of nutritional interventions remains a concern. Evidence-based guidelines are required to improve this situation.%目的 调查广州市部分医院肾脏内科住院患者的营养风险、营养不足发生率以及营养干预状况,为指导肾脏病患者营养治疗提供依据.方法 采用营养风险筛查2002(NRS 2002)工具,对广州市部分医院378例肾脏内科住院患者进行营养风险筛查,以NRS 2002评分≥3分为有营养风险,体重指数(BMI)<18.5 kg/m2(或白蛋白<30 g/L)为营养不足,并调查营养干

  4. Impact of a Home-Based Physical and Nutritional Intervention Program Conducted by Lay-Volunteers on Handgrip Strength in Prefrail and Frail Older Adults: A Randomized Control Trial.

    Science.gov (United States)

    Haider, Sandra; Dorner, Thomas E; Luger, Eva; Kapan, Ali; Titze, Sylvia; Lackinger, Christian; Schindler, Karin E

    2017-01-01

    A randomized controlled trial was performed to compare the effects of a home-based physical and nutritional intervention program carried out by lay-volunteers to home visits with social support alone. Buddies visited 80 prefrail or frail older persons at home twice a week for 12 weeks. The physical training and nutrition group (PTN, n = 39) performed two sets of six strength exercises, discussed nutritional topics and received social support. The social support group (SoSu, n = 41) received home visits with social support only. In the PTN group, handgrip strength increased significantly by 2.4 kg (95% CI: 1.0-3.8). In the SoSu group we did not see a significant improvement. However, no significant between-group difference was found. Physical performance increased in both groups, although with a higher increase of 1.0 point (95% CI: 0.1-2.0) in the PTN group. In none of the groups muscle mass changed. Further results showed that frail individuals benefit more from the intervention than prefrail individuals (OR: 2.78; 95% CI: 1.01-7.66). Handgrip strength in the intervention group increased by a clinically relevant value and this effect is comparable to that obtained by health-care professionals. Therefore, home visits with a physical training and nutritional program could offer a new perspective in the care of community-dwelling prefrail and frail older persons.

  5. Impact of a Home-Based Physical and Nutritional Intervention Program Conducted by Lay-Volunteers on Handgrip Strength in Prefrail and Frail Older Adults: A Randomized Control Trial

    Science.gov (United States)

    Haider, Sandra; Dorner, Thomas E.; Luger, Eva; Kapan, Ali; Titze, Sylvia; Lackinger, Christian; Schindler, Karin E.

    2017-01-01

    A randomized controlled trial was performed to compare the effects of a home-based physical and nutritional intervention program carried out by lay-volunteers to home visits with social support alone. Buddies visited 80 prefrail or frail older persons at home twice a week for 12 weeks. The physical training and nutrition group (PTN, n = 39) performed two sets of six strength exercises, discussed nutritional topics and received social support. The social support group (SoSu, n = 41) received home visits with social support only. In the PTN group, handgrip strength increased significantly by 2.4 kg (95% CI: 1.0–3.8). In the SoSu group we did not see a significant improvement. However, no significant between-group difference was found. Physical performance increased in both groups, although with a higher increase of 1.0 point (95% CI: 0.1–2.0) in the PTN group. In none of the groups muscle mass changed. Further results showed that frail individuals benefit more from the intervention than prefrail individuals (OR: 2.78; 95% CI: 1.01–7.66). Handgrip strength in the intervention group increased by a clinically relevant value and this effect is comparable to that obtained by health-care professionals. Therefore, home visits with a physical training and nutritional program could offer a new perspective in the care of community-dwelling prefrail and frail older persons. PMID:28085913

  6. 营养干预对适形放射治疗食管癌患者作用的研究%Research of Effects of Nutritional Interventions in Treatment of Esophageal Cancer Using 3D-CRT

    Institute of Scientific and Technical Information of China (English)

    倪峰; 谭程; 何晓军; 蔡晓娟

    2015-01-01

    Objective Nutrition intervention on the role of 3D-CRT in patients with esophageal cancer. Methods In October 2012 to October 2014 in our hospital to accept conformal radiation therapy, 100 cases of esophageal cancer patients, Randomly divided into the experimental group and the control group. Control group, Conventional eating, experimental group: give system nutritional interventions. Compare two groups of patients with radiation therapy at the end of the nutritional status and the probability of occurrence of complications. Results At the end, the nutrition and blood indexes of experimental group were better than control group. (P<0.05), Complication rate is lower (P<0.05). Conclusion Nutritional intervention is beneficial to maintain the nutritional status of patients, reduce the incidence of complications of radiotherapy.%目的:探讨营养干预对三维适形放射治疗食管癌患者的作用。方法将2012年10月~2014年10月在我院行适形放射治疗食管癌患者100例,随机均分为实验组和对照组。对照组:常规进食;实验组:系统营养干预。比较两组放疗结束时营养状况及并发症发生率。结果实验组放疗结束时营养及血液指标均优于对照组(P <0.05),并发症发生率低于对照组(P <0.05)。结论营养干预有利于维持患者的营养状况,降低放疗并发症的发生率。

  7. Nutritional Hormesis and Aging

    OpenAIRE

    Hayes, Daniel P.

    2009-01-01

    Nutritional hormesis has the potential to serve as a pro-healthy aging intervention by reducing the susceptibility of the elderly to various chronic degenerative diseases and thereby extending human healthspan. Supportive evidence for nutritional hormesis arising from essential nutrients (vitamins and minerals), dietary pesticides (natural and synthetic), dioxin and other herbicides, and acrylamide will be reviewed and discussed.

  8. Nutritional hormesis and aging.

    Science.gov (United States)

    Hayes, Daniel P

    2009-11-16

    Nutritional hormesis has the potential to serve as a pro-healthy aging intervention by reducing the susceptibility of the elderly to various chronic degenerative diseases and thereby extending human healthspan. Supportive evidence for nutritional hormesis arising from essential nutrients (vitamins and minerals), dietary pesticides (natural and synthetic), dioxin and other herbicides, and acrylamide will be reviewed and discussed.

  9. Analysis of impact of nutritional intervention on cervical cancer patients receiving concurrent radiotherapy chemotherapy%营养干预在宫颈癌患者同步放化疗中的作用分析

    Institute of Scientific and Technical Information of China (English)

    秦迎春

    2016-01-01

    Objective To analyze the effect of nutritional intervention in patients with cervical cancer receiving concurrent radiotherapy chemotherapy .Methods 72 cases of cervical cancer patients hospitalized in People ’ s Hospital of the Inner Mongolia Autonomous Region from January 2014 to August 2015 were randomly divided into nutrition intervention group and control group , each with 36 cases.The nutrition intervention group was given nutrition intervention during radiotherapy and chemotherapy , while the control group was not given nutrition intervention .The quality of life and the tolerance were observed .Results The radiotherapy completion rate of the nutrition intervention group and the control group were 100%and 83.3%respectively;the completed chemotherapy cycles of the nutrition intervention group and the control group were ( 4.58 ±0.81 ) and ( 3.81 ±0.73 ) .The tolerance of chemotherapy of nutrition intervention group was better than the control group , and the survival quality was significantly higher than the control group ( P<0.05 ) .Conclusion Nutritional intervention can effectively improve the quality of life and the tolerance to radiotherapy and chemotherapy in cervical cancer patients during synchronous radiotherapy and chemotherapy .%目的:分析营养干预在宫颈癌患者同步放化疗中的作用。方法将2014年1月至2015年8月内蒙古自治区人民医院72例宫颈癌患者分为营养干预组和对照组,每组各36例。营养干预组在放化疗期间给予营养干预,而对照组不给予营养干预,观察两组患者的生存质量及对放化疗的耐受情况。结果营养干预组放疗完成率为100%,患者化疗周期数为(4.58±0.81)周期;对照组放疗完成率为83.3%,患者化疗周期数为(3.81±0.73)周期,营养干预组耐受放化疗的情况好于对照组,并且生存质量明显高于对照组( P<0.05)。结论宫颈癌患者同步放化疗期间给予营养干预能

  10. A nutrition labeling intervention in worksite cafeterias: an implementation evaluation across two large catering companies in the Netherlands.

    Science.gov (United States)

    Vyth, Ellis L; Van Der Meer, Esther W C; Seidell, Jacob C; Steenhuis, Ingrid H M

    2012-06-01

    By both increasing the availability of healthy foods and labeling these products with the Choices logo, caterers may facilitate employees to make a healthier choice in their worksite cafeterias. The aim of this study was to explore which attributes influence the implementation of the Choices logo in worksite cafeterias in the Netherlands. Questionnaires were completed by catering managers of 316 cafeterias of two large caterers in the Netherlands (response rate 49.8%). Attributes from the Diffusion of Innovations Theory were used to investigate whether they could predict implementation. Compatibility (consistency with the beliefs of the catering manager; OR = 1.52), voluntariness (perception of the implementation as voluntary; OR = 0.50), result demonstrability (ability to communicate the implementation; OR = 1.52) and complexity in the sense of time (time needed for implementation; OR = 0.70) were the best predictors for the frequency of offering fresh Choices products (all significant). For the frequency of using Choices promotion material, voluntariness (OR = 0.54), result demonstrability (OR = 1.51) and relative advantage (perceived advantage of the implementation; OR = 1.44) were the best predictors (all significant). In conclusion, this study provides unique insights into which perceived attributes influence the implementation of a nutrition logo in worksite cafeterias. To increase the implementation, the Choices logo should be consistent with catering managers' ideas about healthy food, the workload of implementing the logo should be limited and it could be recommended to incorporate the logo in the health policy of the caterer.

  11. Effectiveness of a website and mobile phone based physical activity and nutrition intervention for middle-aged males: Trial protocol and baseline findings of the ManUp Study

    Directory of Open Access Journals (Sweden)

    Duncan Mitch J

    2012-08-01

    Full Text Available Abstract Background Compared to females, males experience higher rates of chronic disease and mortality, yet few health promotion initiatives are specifically aimed at men. Therefore, the aim of the ManUp Study is to examine the effectiveness of an IT-based intervention to increase the physical activity and nutrition behaviour and literacy in middle-aged males (aged 35–54 years. Method/Design The study design was a two-arm randomised controlled trial, having an IT-based (applying website and mobile phones and a print-based intervention arm, to deliver intervention materials and to promote self-monitoring of physical activity and nutrition behaviours. Participants (n = 317 were randomised on a 2:1 ratio in favour of the IT-based intervention arm. Both intervention arms completed assessments at baseline, 3, and 9 months. All participants completed self-report assessments of physical activity, sitting time, nutrition behaviours, physical activity and nutrition literacy, perceived health status and socio-demographic characteristics. A randomly selected sub-sample in the IT-based (n = 61 and print-based (n = 30 intervention arms completed objective measures of height, weight, waist circumference, and physical activity as measured by accelerometer (Actigraph GT3X. The average age of participants in the IT-based and print-based intervention arm was 44.2 and 43.8 years respectively. The majority of participants were employed in professional occupations (IT-based 57.6%, Print-based 54.2% and were overweight or obese (IT-based 90.8%, Print-based 87.3%. At baseline a lower proportion of participants in the IT-based (70.2% group agreed that 30 minutes of physical activity each day is enough to improve health compared to the print-based (82.3% group (p = .026. The IT-based group consumed a significantly lower number of serves of red meat in the previous week, compared to the print-based group (p = .017. No other significant

  12. 鼻咽癌患者同步放化疗期间营养状况变化及其营养支持治疗的影响%Nutritional status assessment and effect of nutritional intervention during concurrent radiochemotherapy for locally advanced nasopharyngeal carcinoma patients

    Institute of Scientific and Technical Information of China (English)

    崔巍; 韩磊

    2011-01-01

    OBJECTIVE: To discuss the change of nutrition indices during concurrent radiochemotherapy in locally advanced nasopha-ryngeal carcinoma patients and the influence of intervention, to improve nutrition level and guarantee effectiveness. METHODS: From January to October of 2010, clinical data of initial treatment in 48 locally advanced nasopharyngeal carcinoma patients were collected, and all patients accepted concurrent radiochemotherapy. Weight (W), Hemoglobin ( Hb) , total protein (TP), albumin (Alb) were observed weekly. Nutrition intervention were given in partial of patients with weight lost rapidly . Single variance analysis was used to assess the change of nutrition indices and the nutrition intervention. RESULTS: Forty-eight patients completed concurrent radiochemotherapy. The median concurrent radiochemotherapy was 3 cycles. It was decreasing with treatment in weight of 48 patients. The 4th week of radiochemotherapy was inflection point. Part of patients whose weigh lost more quickly was given nutrition intervention. The difference of weight lost between nutrition intervention group (A) and no nutrition intervention group (B) was significant(P 0. 05). CONCLUSIONS: The nutrition indices of patients with locally advanced nasopharyngeal carcinoma were decreasing during concurrent radiochemotherapy. Nutrition intervention in time can restrain loss of weight, improve quality of life. Nutrition intervention should be important in comprehensive treatment of nasopharyngeal carcinoma.%目的:探讨局部晚期鼻咽癌治疗期间营养指标变化,便于提前采取干预措施,增加营养,保证疗效.方法:2010-01-2010-10收集48例初治局部晚期鼻咽癌患者的临床资料,全部患者均接受同步放化疗,治疗期间观察体质量(W)、血红蛋白(Hb)、总蛋白(TP)、白蛋白(ALB)以及营养干预后相关指标的变化,将患者分为未营养干预组(A组)和营养支持组(B组),分析营养干预对营养指标变化的影响.结果:48

  13. The influence of nutritional intervention on the MS patient's metabolism%营养干预对代谢综合征患者脂代谢影响的研究

    Institute of Scientific and Technical Information of China (English)

    徐晓峰; 吴升; 吴敏魁; 许秀娟

    2011-01-01

    Objective To research the influence of nutritional intervention on the MS patient's body weight index and the blood fats. Methods 300 patients with MS were divided into the nutrition intervention group and the control group by using the pair design. The patients in nutrition intervention group were carried nutrition intervention for 4 weeks according to the hypoglycemia load food selection principle. The patients in control group were carried a healthy education about diet and exercise. Compared the change of BMI, total cholesterol( TC ),triglyceride( TG ), high density lipoprotein-cholesterol( HDL-C )and low density lipoproteincholesterol( LDL-C ). Results BMI and TG were decreased before and after nutrition intervention. The significant difference was observed between the two groups ( P < 0.01 ). There were significances in statistics. No significant difference was observed in TC,HDL-C and LDL-C between groups. Conclusion The results were suggested that nutrition interventions can assist in reducing BMI and the blood fats of MS patients.%目的 研究营养干预对代谢综合征(MS)患者脂代谢的影响作用.方法 将确诊的300例MS患者采用配对设计的方法分为干预组和对照组.干预组:由医师开出营养处方,营养师通过互动平台,依据低血糖负载食物选择原则,进行标准化营养干预4周;对照组:由医师进行1次以饮食和运动指导为主的健康教育.4周后,比较两组血清胆固醇(TC)、三酰甘油(TG)、高密度脂蛋白胆固醇(HDL-C)和低密度脂蛋白胆固醇(LDL-C)等生化指标及BMI的变化.结果干预组试验后较干预前BMI、TG明显下降(P0.05).结论 依据低血糖负载食物选择原则的营养干预有助于MS患者的体质量控制和脂代谢紊乱的改善.

  14. Intervention effects on nutrition knowledge attitude behavior among employees of an enterprise in Pudong New Area of Shanghai City%上海市浦东新区某企业员工营养知信行的干预效果

    Institute of Scientific and Technical Information of China (English)

    陈隽; 郑晶泉; 顾梅蓉; 沈丽娜

    2012-01-01

    [ Objective ] To understand the intervention effects on nutrition knowledge, attitude and behavior ( KAP) among employees of a shipbuilding enterprise in Pudong New Area of Shanghai City, and provide evidence for nutritional intervention on employees. [Methods]Totally 843 employees from 2 working groups eating in different canteens were selected and divided into intervention group and control group randomly. Nutrition interventions were conducted on intervention group. After 6 month, intervention effects were evaluated by nutrition surveys. [ Results] After nutrition intervention, nutritional KAP of intervention group was significantly improved and was significantly better than control group on most indicators. [ Conclusion] Nutrition intervention can improve employees ' nutrition knowledge, reinforce their positive attitudes and optimize nutrition practice.%目的 了解对浦东新区某造船企业员工营养知识、态度、行为干预效果,为对企业员工进一步开展营养干预提供依据.方法 根据进餐食堂不同,抽取2个工作组共843人,随机分为干预组和对照组,对干预组开展为期6个月的营养干预,通过干预前后营养问卷调查对干预效果进行评价.结果 营养干预后,干预组营养知识、态度、行为较干预前及与对照组的比较,多数指标改善,且差异有统计学意义.结论 通过营养干预的开展,提高了企业员工营养知识水平,强化了积极的营养态度,改善了营养行为.

  15. The Walnuts and Healthy Aging Study (WAHA): Protocol for a Nutritional Intervention Trial with Walnuts on Brain Aging

    Science.gov (United States)

    Rajaram, Sujatha; Valls-Pedret, Cinta; Cofán, Montserrat; Sabaté, Joan; Serra-Mir, Mercè; Pérez-Heras, Ana M.; Arechiga, Adam; Casaroli-Marano, Ricardo P.; Alforja, Socorro; Sala-Vila, Aleix; Doménech, Mónica; Roth, Irene; Freitas-Simoes, Tania M.; Calvo, Carlos; López-Illamola, Anna; Haddad, Ella; Bitok, Edward; Kazzi, Natalie; Huey, Lynnley; Fan, Joseph; Ros, Emilio

    2017-01-01

    Introduction: An unwanted consequence of population aging is the growing number of elderly at risk of neurodegenerative disorders, including dementia and macular degeneration. As nutritional and behavioral changes can delay disease progression, we designed the Walnuts and Healthy Aging (WAHA) study, a two-center, randomized, 2-year clinical trial conducted in free-living, cognitively healthy elderly men and women. Our interest in exploring the role of walnuts in maintaining cognitive and retinal health is based on extensive evidence supporting their cardio-protective and vascular health effects, which are linked to bioactive components, such as n-3 fatty acids and polyphenols. Methods: The primary aim of WAHA is to examine the effects of ingesting walnuts daily for 2 years on cognitive function and retinal health, assessed with a battery of neuropsychological tests and optical coherence tomography, respectively. All participants followed their habitual diet, adding walnuts at 15% of energy (≈30–60 g/day) (walnut group) or abstaining from walnuts (control group). Secondary outcomes include changes in adiposity, blood pressure, and serum and urinary biomarkers in all participants and brain magnetic resonance imaging in a subset. Results: From May 2012 to May 2014, 708 participants (mean age 69 years, 68% women) were randomized. The study ended in May 2016 with a 90% retention rate. Discussion: The results of WAHA might provide high-level evidence of the benefit of regular walnut consumption in delaying the onset of age-related cognitive impairment and retinal pathology. The findings should translate into public health policy and sound recommendations to the general population (ClinicalTrials.gov identifier NCT01634841). PMID:28119602

  16. 消化系统恶性肿瘤患者营养干预及效果分析%Nutrition Intervention on Patients with Digestive Malignancies Efficacy Analysis

    Institute of Scientific and Technical Information of China (English)

    高铭云; 梁桂花; 韦燕萍; 曾燕; 唐怡; 刘柳芳

    2012-01-01

    目的 研究营养干预对消化系统恶性肿瘤患者的影响,探讨消化系统恶性肿瘤围术期及康复期营养干预的可行性及效果.方法 选取我院普外科住院的消化系统恶性肿瘤101例,随机分为干预组50例和对照组51例.对于预组建立营养档案,行营养状况评估,并对术前、术后、康复期进行营养指导、营养指标监测、营养咨询等个性化干预;对照组按传统方法进行健康教育,不施加营养干预.结果 干预组营养指标、体格指数、生化指标、日常生活活动能力和生存质量均明显优于对照组,差异有统计学意义(P<0.01),而围术期并发症发生率低于对照组,差异亦有统计学意义(P<0.01).结论 对消化系统恶性肿瘤患者进行营养风险评估,尽早发现其营养不良并适时干预,能有效提高患者机体免疫力,预防并发症,促进癌症康复,改善生存质量.%Objective To research nutrition interventions on patients with digestive system cancer.and explore the feasibility and effect of perioperative digestive malignant tumor and convalescent nutrition intervention. Methods 101 patients with diges-tive malignant tumor admitted to our hospital were selected and randomly divided into intervention group (50 patients) and control group (51 patients). The file of the intervention group was established for nutritional status assessment, and individuated intervention of nutrition guidance, nutrition indicated detection and nutrition counseling were performed in preoperative, postoperative and convalescence stages; while the control group was given traditional methods of health education without nutritional intervention. Results Nutrition index, body build index, biochemical indicator, activities of daily life and quality of life in intervention group were significantly better than that of control group (P <0.01) , and the perioperative complication rate was significantly lower than that of control group (P < 0

  17. A Study on Association of Nutrition Training and Nutrition Intervention Consciousness,Intervention Behaviors among Community Medical Staff in Hangzhou City%社区医务人员营养培训与其干预意识及行为的关联研究

    Institute of Scientific and Technical Information of China (English)

    刘冰; 刘庆敏; 任艳军; 吕筠; 李立明

    2014-01-01

    Objective To know the status of nutrition education of community medical staff and analyze its association with nutrition intervention consciousness and behaviors.Methods Three representative districts including Xiacheng,Gongshu and Westlake were selected and 846 community medical staff was involved in this study.Questionnaire investigation was applied to collect the information from mainly three aspects including training,consciousness and practice.Logistic stepwise regression analysis and Cochran -Mantel -Haenszel test were used.Results Most of the community medical staff was female (78.49%).78.95% of the staff had received the training of nutrition knowledge and its main influencing factor was working time.The Association was observed between the nutrition training and the preparation of nutrition consultation. The more training received,the higher self -assessment would be (P <0.05 ).Meanwhile,as the types of training increased,the awareness and attitude of medical staff was improved remarkably,such as knowing risks of unhealthy dietary,asking the dietary habit of the patients routinely,and advising patients to establish a good dietary habit to their children (all P <0.05 ).Nutrition training also had a positive association with nutrition intervention behavior ,such as implementing more measurement of blood pressure, weight, and blood cholesterol for community outpatients, communicating with them in the importance of balanced diet and proper nutrition,and giving weight loss suggestion to obese patients (all P <0.05).Conclusion Training on nutrition knowledge and intervention skills of community medical staff should be emphasized and reinforced in the future,in order to promote the effect on chronic diseases prevention of community -based intervention strategies.%目的:了解社区医务人员的膳食营养培训情况,以及培训是否与社区诊疗过程中增进的营养干预意识及行为相关联。方法选取杭州市下城

  18. Positive Impact of Nutritional Interventions on Serum Symmetric Dimethylarginine and Creatinine Concentrations in Client-Owned Geriatric Cats.

    Science.gov (United States)

    Hall, Jean A; MacLeay, Jennifer; Yerramilli, Maha; Obare, Edward; Yerramilli, Murthy; Schiefelbein, Heidi; Paetau-Robinson, Inke; Jewell, Dennis E

    2016-01-01

    A prospective study was conducted in client-owned geriatric cats to evaluate the short- term effects of a test food on serum symmetric dimethylarginine (SDMA) and creatinine (Cr) concentrations. Test food contained functional lipids (fish oil), antioxidants (vitamins C and E), L-carnitine, botanicals (vegetables), highly bioavailable protein, and amino acid supplements. Cats (n = 80) were fed either test food or owner's-choice foods (non-nutritionally controlled cohort). Cats were included based on age (≥ 9 years), indoor only, neutered, and free of chronic disease. At baseline, all cats had serum Cr concentrations within the reference interval. Renal function biomarkers and urinalysis results at baseline and after consuming test food or owner's-choice foods for 3 and 6 months were evaluated. Cats consuming test food showed significant decreases in serum Cr and BUN concentrations across time. Overall, cats consuming owner's-choice foods showed significant increases in serum SDMA concentrations at 3 and 6 months compared with baseline (P ≤ 0.05), whereas in cats consuming test food serum SDMA concentrations did not change. At baseline or during the 6-month feeding trial, 23 (28.8%) cats had increased serum SDMA, but normal serum Cr consistent with IRIS Stage 1 chronic kidney disease. This included 6 cats fed test food and 17 cats fed owner's-choice foods. In the 6 cats fed test food, serum SDMA decreased in 3 cats and remained stable in 1 cat, whereas in the 17 cats fed owner's-choice foods, serum SDMA increased in 13 cats and decreased or remained stable in 4 cats. The increase in serum SDMA concentration was significant (P = 0.02) only for cats fed owner's-choice foods. These results suggest that nonazotemic cats with elevated serum SDMA (early renal insufficiency) when fed a food designed to promote healthy aging are more likely to demonstrate stable renal function compared with cats fed owner's-choice foods. Cats fed owner's-choice foods were more likely to

  19. The impact of goal attainment on behavioral and mediating variables among low income women participating in an Expanded Food and Nutrition Education Program intervention study.

    Science.gov (United States)

    Cullen, Karen Weber; Thompson, Deborah I; Scott, Amanda R; Lara-Smalling, Agueda; Watson, Kathleen B; Konzelmann, Karen

    2010-10-01

    This study examined the relationships between participant goal attainment and changes in mediating variables and food choice outcomes from a modified curriculum for the Texas Expanded Food and Nutrition Education Program (EFNEP) promoting healthy home food environments and parenting skills related to obesity prevention. EFNEP participants in 54 intervention classes received a goal sheet after each of 6 classes. Participants recorded goal attainment and returned at the next class, Diet and mediating variables were measured at baseline, immediate post, and 4 months later. Mixed model regression analysis over time assessed whether goal attainment was associated with the outcomes at post or follow-up, controlling for baseline assessment. Participants who reported attaining more goals reported greater self-efficacy for planning/encouraging fruit and vegetable consumption and making fruit and vegetables available, menu planning skills, improvement in the food preparation practices and higher home availability for regular vegetables. At post, those who reported attaining more fiber, vegetable, and water goals reported consuming more of these items. Goal attainment was related to some changes in food choice and mediating variables in an at risk population. Further research into the use and efficacy of goal setting and attainment in this population is warranted.

  20. Nutrition Reconciliation and Nutrition Prophylaxis: Toward Total Health

    OpenAIRE

    Tuso, Phillip; Beattie, Sam

    2015-01-01

    Malnutrition by definition may be an abnormality in either under- or overnutrition. Nutrition reconciliation means that all patients have their nutritional status reconciled on admission to and discharge from the hospital. Nutrition reconciliation is defined as the process of maximizing health by helping align an individual’s current diet to the diet prescribed for him or her by the health care team. Nutrition prophylaxis is a proactive intervention to prevent a medical complication.

  1. Blood lipids and adipokines concentrations during a 6-month nutritional and physical activity intervention for metabolic syndrome treatment

    Directory of Open Access Journals (Sweden)

    Courteix Daniel

    2010-12-01

    Full Text Available Abstract Background To report changes in body weight, total and central fat mass, metabolic, hormonal and inflammatory parameters in overweight people who participated in a six months weight loss intervention associating diet management and exercise. Subjects and Methods Fourteen subjects (10 M, 4 F, mean age 62.9 ± 6.9 years, BMI 30.4+/- 3.8 kg/m2 presenting the characteristics of the Metabolic Syndrome (MS were included in the survey. They followed a three weeks (D0 to D20 cure in a medical establishment and a six months (D20 to M3 and M6 follow up at home. During the cure, they receive a balanced diet corresponding to 500 Kcal deficit vs their dayly energy expenditure (DEE and they exercised 2 to 3 hours per day. At D0, D20, M3 and M6, body composition (lean mass, total and central fat mass was analyzed with DEXA, blood pressure was taken and blood was collected to evaluate glycaemia, triglycerides, total, LDL and HDL cholesterol, insulin, leptin and adiponectin levels, CRP and pro-inflammatory interleukines IL1, IL.6 and TNFalpha. Results All parameters listed above except the cytokine were improved at D20, so that 4 subjects among 14 still presented the MS. After returning to home, these parameters remained stable. Conclusion The efficacy of therapeutic lifestyle modifications with education and exercise and diet was demonstrated, but the compliance to the new healthy lifestyle initiated during the cure was not optimal.

  2. Effect analysis of nutritional intervention on urbanized farmers in Pudong New Area%浦东新区城镇化农民的营养干预效果分析

    Institute of Scientific and Technical Information of China (English)

    陈晓玲; 彭云; 柏品清; 奚磊

    2013-01-01

    OBJECTIVE To discuss nutritional intervention methods and measures for urbanized farmers.METHODS Randomly selected 2 towns in surrounding 4 villages and towns in Lingang New City,defined urbanized farmers resettlement settlements as survey points.In two towns,one was as intervention point,the other as control point.In intervention group of community urbanized farmers,carried out reasonable nutrition knowledge education,the obese farmers found through physical examination were as the focus given with behavior intervention.In control group of community farmers,gave conventional health intervention,without special nutrition intervention activities.After a year of intervention,the two groups of urbanized farmers were investigated by final questionnaire survey and physical examination,to evaluate the intervention effect.RESULTS The overweight rate and obesity rate in control group were higher than in intervention group (P < 0.05) ; hyperglycemia rate in the control group was higher than in the intervention group and the baseline survey (P < 0.05).CONCLUSION Nutritional intervention can make urbanized farmers pay attention to nutrition and health,and can effectively control the weight increase,has great good effect on glycemic control,prevent nutritional health problems to deteriorate.%目的 探讨城镇化农民营养干预方法与措施.方法 在临港新城周边4个乡镇中单纯随机抽取2个镇,把每镇的城镇化农民动迁定居点作为调查点.一个作为干预点,一个作为对照点.对干预组社区城镇化农民,开展合理营养知识宣教,对体检中发现的肥胖农民进行重点行为干预,对对照组社区农民,除了常规的健康干预以外,不对其进行特殊化的营养干预活动.干预1年后,再对两组城镇化农民进行终期的问卷调查和体检,以评估干预效果.结果 对照组终期时超重率及肥胖率均较干预组为高,差异有统计学意义(P<0.05);对照组高血糖率较干

  3. Nutritional value of foods sold in vending machines in a UK University: Formative, cross-sectional research to inform an environmental intervention.

    Science.gov (United States)

    Park, Hanla; Papadaki, Angeliki

    2016-01-01

    Vending machine use has been associated with low dietary quality among children but there is limited evidence on its role in food habits of University students. We aimed to examine the nutritional value of foods sold in vending machines in a UK University and conduct formative research to investigate differences in food intake and body weight by vending machine use among 137 University students. The nutrient content of snacks and beverages available at nine campus vending machines was assessed by direct observation in May 2014. Participants (mean age 22.5 years; 54% males) subsequently completed a self-administered questionnaire to assess vending machine behaviours and food intake. Self-reported weight and height were collected. Vending machine snacks were generally high in sugar, fat and saturated fat, whereas most beverages were high in sugar. Seventy three participants (53.3%) used vending machines more than once per week and 82.2% (n 60) of vending machine users used them to snack between meals. Vending machine accessibility was positively correlated with vending machine use (r = 0.209, P = 0.015). Vending machine users, compared to non-users, reported a significantly higher weekly consumption of savoury snacks (5.2 vs. 2.8, P = 0.014), fruit juice (6.5 vs. 4.3, P = 0.035), soft drinks (5.1 vs. 1.9, P = 0.006), meat products (8.3 vs. 5.6, P = 0.029) and microwave meals (2.0 vs. 1.3, P = 0.020). No between-group differences were found in body weight. Most foods available from vending machines in this UK University were of low nutritional quality. In this sample of University students, vending machine users displayed several unfavourable dietary behaviours, compared to non-users. Findings can be used to inform the development of an environmental intervention that will focus on vending machines to improve dietary behaviours in University students in the UK.

  4. 孕妇孕期营养及体重干预对分娩结局的影响%Effect of Maternal Nutrition on Birth Weight Intervention During Pregnancy

    Institute of Scientific and Technical Information of China (English)

    刘丽娥

    2015-01-01

    Objective To investigate the influence of maternal nutrition during pregnancy and birth weight intervention on outcome. Methods 12 weeks singleton pregnancy 268 cases for the study were conventional prenatal education and pregnancy nutrition guidance, weight control interventions.Results The intervention group of pregnant women at 28, 36 weeks of pregnancy and before delivery BMI lower than the reference group, the intervention group of pregnant women giving birth asphyxia, great children, the incidence of low birth weight children is lower than the reference group, the intervention group, birth weight and Apgar score better than the reference group.Conclusion By professional nutritional guidance during pregnancy and maternal weight control, which has optimization birth outcomes.%目的:探讨孕妇孕期营养及体重干预对分娩结局的影响。方法选择12周左右单胎妊娠孕妇268例作为研究对象,分别采用常规孕期教育和孕期营养指导、体重控制干预。结果干预组孕妇在孕28、36周及分娩前BMI低于参照组;干预组孕妇分娩新生儿窒息、巨大儿、低出生体重儿发生率低于参照组,干预组新生儿体重及Apgar评分优于参照组。结论通过对孕妇孕期进行专业营养指导及控制孕妇体重,优化分娩结局。

  5. Dual-energy x-ray absorptiometry to measure the effects of a thirteen-week moderate to vigorous aquatic exercise and nutritional education intervention on percent body fat in adults with intellectual disabilities from group home settings.

    Science.gov (United States)

    Casey, Amanda; Boyd, Colin; Mackenzie, Sasho; Rasmussen, Roy

    2012-05-01

    People with intellectual disability are more likely to be obese and extremely obese than people without intellectual disability with rates remaining elevated among adults, women and individuals living in community settings. Dual-energy X-ray absorptiometry measured the effects of a 13-week aquatic exercise and nutrition intervention on percent body fat in eight adults with intellectual disabilities (aged 41.0 ± 13.7 yrs) of varying fat levels (15%-39%) from two group homes. A moderate to vigorous aquatic exercise program lasted for the duration of 13 weeks with three, one-hour sessions held at a 25m pool each week. Nutritional assistants educated participants as to the importance of food choice and portion size. A two-tailed Wilcoxon matched-pairs signed-ranks test determined the impact of the combined intervention on body fat percentage and BMI at pre and post test. Median body fat percentage (0.8 %) and BMI (0.3 kg/m(2)) decreased following the exercise intervention, but neither were statistically significant, p = .11 and p = .55, respectively. The combined intervention was ineffective at reducing percent body fat in adults with intellectual disability according to dual-energy X-ray absorptiometry. These results are in agreement with findings from exercise alone interventions and suggest that more stringent nutritional guidelines are needed for this population and especially for individuals living in group home settings. The study did show that adults with intellectual disability may participate in moderate to vigorous physical activity when given the opportunity.

  6. 营养干预和远程随访减肥效果观察%Effect of nutritional therapy and remote follow-up intervention on weight loss in obese subjects

    Institute of Scientific and Technical Information of China (English)

    邓笑伟; 吴凡; 王翔; 马春梅

    2015-01-01

    Objective To investigate the effects of nutritional therapy and remote follow-up intervention on weight loss in obese subjects .Methods A total of 150 obese subjects were randomly selected from health medical center of the Armed Police Gener -al Hospital between 2011 and 2012.All their daily meals were replaced with nutrition bars .These subjects were given nutrition guid-ance and a healthy lifestyle was established via telephone and Internet .The data of weight , waist, hip circumference before meal re-placement were collect on the 30 th day, 90 th day, 180th day and 360 th day after the replacement .These indexes were collected and analyzed.Results After the nutritional therapy and remote follow-up intervention, the average weight was reduced by (7.09 ±6.57) kg.And most people achieved the target weight at the 90th day after interventions , intervention terminated early in 8 of them and 5 people were lost to follow-up, 12 people showed weight rebound .Conclusions Nutritional therapy and remote follow-up intervention can effectively help obese patients improve their health-related behaviors and reduce body weight .%目的:观察营养替餐干预和远程随访对肥胖者减重的效果。方法选取我院体检中心体检的肥胖者150人,应用替餐营养棒进行体重管理,通过电话、互联网对其进行长达1年的健康生活方式教育及营养指导,收集其替餐前、替餐后30、90、180、360 d体重、腰围、臀围等数据并进行比较。结果经营养干预和远程随访,肥胖者平均减重(7.09±6.57) kg,且多在干预后90 d达到目标体重,其中8人提前终止干预,5人失访,12人出现体重反弹。结论营养干预和远程随访可有效地帮助肥胖者改变不健康行为,减轻体重。

  7. Influence of nutritional intervention in the KAP of housewives%膳食营养知识干预对家庭主妇知信行(K-A-P)的影响

    Institute of Scientific and Technical Information of China (English)

    尹秀玲

    2012-01-01

    目的 提高城市家庭主妇膳食营养知信行水平,探索其营养干预措施.方法 ①根据居民小区的地理分布,采用整群随即抽样的方法,对520名固原市原州区城市家庭主妇进行入户访谈式问卷调查.②对调查对象采取综合营养干预措施1个月后,重复进行营养知-信-行问卷调查.结果 ①干预后营养与食品卫生知识总知晓率提高了13.0%;提高最多的为对中国居民膳食指南和膳食宝塔的内容知晓率,对食物营养价值和营养素相关知识及疾病与膳食的关系的知晓率上升10%左右.②干预后调查对象在主动获取有关食物的营养和卫生安全方面知识的态度有了较大提高,对食物安全方面的要求较对食物的营养态度方面改变更大.③烹调习惯和饮食行为也有不同程度的改变.结论 本次对城市家庭主妇营养干预在知识和态度方面效果较显著,在行为改变方面不明显,在借鉴此方法进行营养知识健康教育的同时,尚需加强行为干预.%OBJECTIVE To improve the nutrition KAP of housewives, and explore the nutritional intervention measures for them. METHODS ① 520 city housewives in total according to the geographic distribution of residences, were sampled through cluster random sampling from Yuanzhou district, Guyuan, accepted the indoor interviewing questionnaire. ② The respondents adopted comprehensive nutritional intervention measures in one month, repeated completing nutrition KAP questionnaire. RESULTS ① The total awareness rate on nutrition and food hygiene increased 13%. The diet guiding and diet structure of Chinese residents had the most increase. The awareness rate on food nutritive value and nutrients knowledge and the relation of disease and diet increased about 10%. ② The attitude of respondents in actively getting knowledge of nutrition and food hygiene increased after intervention. They paid more attentions to food safety than former one.

  8. Impact of dietary intervention in nutritional conditions of lymphoma patients undergoing chemotherapy%饮食干预对淋巴瘤化疗患者营养状态的影响

    Institute of Scientific and Technical Information of China (English)

    夏春芳

    2012-01-01

    目的 探讨饮食干预对淋巴瘤化疗患者营养状态的影响.方法 将80例淋巴瘤患者随机分为干预组和对照组,每组各40例,对照组患者给予常规饮食护理,干预组在常规护理基础上实施饮食干预(包括饮食宣教和食谱制订).比较化疗前及化疗后第1周期与第2周期两组患者营养状况及血清白蛋白和总淋巴细胞计数情况.结果 化疗后第1周期与第2周期干预组患者营养状况及血清白蛋白明显优于对照组,两组比较,差异具有统计学意义(均P<0.05),但总淋巴细胞计数情况无明显变化,两组比较,差异无统计学意义(均P> 0.05).结论 对淋巴瘤患者化疗期间实施饮食干预,可有效改善患者的营养状态,值得临床推广应用.%Objective To explore the impact of dietary intervention in nutritional condition for lymphoma patients undergoing chemotherapy. Methods 80 lymphoma patients were randomly divided into the intervention group (n = 40) and the control group (n = 40). The patients in the intervention group were given dietary intervention on the base of traditional nursing, which included dietary teaching and recipe making. The patients in the control group were only given traditional nursing. Nutritional conditions of the patients was evaluated before chemotherapy, the first week and the second week after chemotherapy, including upper arm and calf circumferences, weight, height, lymphocyte counting and albumin. Result The nutritional condition was better in the intervention group than that in the control group in the 1st and 2nd week after chemotherapy (P < 0.05). Conclusion Dietary intervention can effectively improve the nutritional conditions and life quality in the lymphoma patients undergoing chemotherapy.

  9. Impact of maternal education about complementary feeding on their infants' nutritional outcomes in low- and middle-income households: a community-based randomized interventional study in Karachi, Pakistan.

    Science.gov (United States)

    Saleem, Ali Faisal; Mahmud, Sadia; Baig-Ansari, Naila; Zaidi, Anita K M

    2014-12-01

    This cluster-randomized interventional trial at periurban settings of Karachi was conducted to evaluate the impact of maternal educational messages regarding appropriate complementary feeding (CF) on the nutritional status of their infants after 30 weeks of educational interventions delivered by trained community health workers. Mothers in the intervention group received three education modules about breastfeeding (BF) and appropriate CF at a baseline visit and two subsequent visits 10 weeks apart. The control group received advice about BF according to national guidelines. Infants' growth [weight, length, and mid-upper arm-circumference (MUAC), stunting, wasting, and underweight] were measured at four time points. At the end of the study, infants in the intervention group had a higher mean weight of 350 g (p=0.001); length of 0.66 cm (p=0.001), and MUAC of 0.46 cm (p=0.002) compared to the controls; proportionate reduction of stunting and underweight were 10% (84% vs. 74%; OR(adj) 8.36 (5.6-12.42) and 5% (25% vs. 20%; OR(adj) 0.75 (0.4-1.79) in the intervention compared to the control group. For relatively food-secure populations, educational interventions about appropriate CF to mothers had a direct positive impact on linear growth of their infants.

  10. 个性化营养干预对妊娠期糖尿病的治疗作用%Personalized nutrition intervention for the treatment of gestational diabetes mellitus

    Institute of Scientific and Technical Information of China (English)

    徐辉; 姜群英; 韦红梅

    2015-01-01

    Objective To investigate the effect of individual clinic nutrition intervention on gestational diabetes mellitus ( GDM) . Methods 73 GDM cases were chosen in Urumqi General Hospital, Lanzhou Military Area Command, PLA as study objects in 2012. Among these cases , 38 cases voluntarily accepted personalized nutrition treatment as intervention group;35 cases only took oral advice of nutrition rather than personalized nutritional management as control group .To analyze the blood glucose change and pregnancy outcomes of pregnant women of two groups .Results Before personalized nutrition intervention , comparing with the fasting and postprandial blood glucose , the differences had not statistical significance between two groups (P>0.05).After ten weeks, there was an obvious decline in blood glucose of fasting and postprandial 2 h nutrition intervention in intervention group and the difference had statistical significance ( P <0.05 ) .The incidence of maternal and neonatal complications such as gestational hypertension , polyhydramnios , cesarean section , macrosomia , low-birth weight infants or neonatal hypoglycemia in intervention group were lower than control group , and the differences had statistical significance ( P <0.05 ) .Conclusion Personalized nutrition treatment can effectively control blood glucose during pregnancy , prevent the incidence of complications and promote maternal and child health .%目的:探讨个性化营养干预对妊娠期糖尿病的疗效。方法选取2012年在兰州军区乌鲁木齐总医院门诊治疗的73例妊娠期糖尿病( gestational diabetes mellitus GDM )患者为研究对象。自愿接受个性化营养治疗的38例患者为干预组,只接受常规营养指导不愿接受个性化营养管理的35例患者为对照组,分析两组孕妇血糖水平变化及妊娠结局。结果个性化营养治疗前,两组空腹血糖及餐后血糖比较差异无统计学意义(P>0.05);干预组患者治疗10

  11. 营养干预在妊娠高血压患者中的应用效果分析%Application effect analysis of nutritional intervention in patients with ges-tational hypertension

    Institute of Scientific and Technical Information of China (English)

    范凌霞

    2015-01-01

    Objective To investigate the application effect analysis of nutritional intervention in patients with gestation-al hypertension. Methods 50 pregnancy women with gestational hypertension were randomly were divided into the treatment group (n=25) and control group (n=25) according to the random number table method,the control group was given conventional therapy and nursing intervention,on the basis of the control group,the treatment group was given the nutritional intervention,the intervention cycle were 6 weeks. Results The systolic and diastolic blood pressure in the two groups after intervention were significantly lowered (P<0.05),the systolic and diastolic blood pressure after interven-tion in the treatment group was significantly lower than that in the control group respectively (P<0.05).After interven-tion,the physical,psychological,social relation and environmental score in the treatment group was significantly higher than that in the control group respectively (P<0.05). Conclusion Nutritional intervention can reduce blood pressure in patients with gestational hypertension and improve their quality of life,and it is worthy of promotion and application.%目的:探讨营养干预在妊娠高血压患者中的应用效果。方法将妊娠高血压的孕妇50例根据随机数字表法分为治疗组与对照组,各25例。对照组入院后给予常规治疗与护理干预,在此基础上治疗组给予营养干预,干预周期都为6周。结果两组干预后的收缩压、舒张压均明显降低(P<0.05),治疗组干预后的收缩压、舒张压均明显低于对照组(P<0.05)。治疗组干预后的生理、心理、社会关系与环境评分明显高于对照组(P<0.05)。结论营养干预能降低妊娠高血压患者的血压,提高其生活质量,值得推广应用。

  12. Timing of nutritional interventions in very-low-birth-weight infants: optimal neurodevelopment compared with the onset of the metabolic syndrome.

    Science.gov (United States)

    Lafeber, Harrie N; van de Lagemaat, Monique; Rotteveel, Joost; van Weissenbruch, Mirjam

    2013-08-01

    Recent nutritional research in very-low-birth-weight (VLBW) infants is focused on the prevention of protein malnutrition during the first postnatal weeks. At this early age, nutritional protein fortification depends on amino acid infusion via a central vein because of the immature gastrointestinal tract. In 2010 new guidelines on nutrition were proposed by the European Society of Paediatric Gastroenterology, Hepatology, and Nutrition nutrition committee. In particular, the relative increase in the protein fraction in the nutrition of these infants aims to prevent early postnatal weight loss, to prevent morbidity, and to stimulate neurodevelopment. On the other hand, an increasing number of follow-up studies in VLBW infants indicate that, in particular, those infants who show rapid growth after preterm birth are at risk of metabolic consequences and cardiovascular disease later in life. In this review, we describe the quest to develop a customized diet that offers optimal nutrition at several time points of growth and development during the first year of life. This diet should prevent early malnutrition, enhance neurodevelopment, and limit the increase in total body fat during the first 6 mo. We question whether one type of early diet suffices for normal neurodevelopment with a normal body composition in later life or whether we need several types of diet at various stages of development.

  13. Intestinal Toxicity of Ochratoxin A and Its Nutritional Intervention%赭曲霉毒素A的肠毒性及其营养干预

    Institute of Scientific and Technical Information of China (English)

    范斌; 余冰; 王乐成; 田刚

    2014-01-01

    赭曲霉毒素A( ochratoxin A,OTA)是一类主要由曲霉属和青霉属等产毒真菌产生的真菌毒素,广泛存在于各种粮食作物及其副产品中,是食品和饲料原料的重要污染物,其广泛的毒理病理学效应对动物生产和人类健康构成了极大的潜在危害,已引起了人们的高度关注。肠道既是OTA等外源有毒有害物质的主要吸收部位,又是阻挡其进入体循环的第1道物理屏障,同时还可能是其发挥毒性效应的靶器官。因此,本文就OTA的肠毒性及其作用机制、营养对OTA肠毒性的缓解效应做简要综述,以期为缓解OTA的肠毒性提供理论基础和实践依据。%Ochratoxin A ( OTA) is a mycotoxins produced by toxigenic fungi, especially some species of As-pergillus and Penicillium.OTA widely exists in food crops and their by-products, which is known as an impor-tant contaminant of food and feed materials.Toxicological pathology studies showed that OTA had a great po-tential threat to animal reproduction and human health, which had resulted in the public attention highly.The intestine not only is the main absorption site of the toxic exogenous, such as OTA, but also is an organ where the exogenous toxins are blocked into the systemic circulation as the first physical barrier, meanwhile, the in-testine may be the target organ suffered from the toxicity hazard.This article focused on the intestinal toxicity of OTA and its mechanisms, as well as its nutritional intervention, in order to provide theoretical foundation and practice basis for relieving intestinal toxicity of OTA.

  14. Diabetes, Nutrition, and Exercise.

    Science.gov (United States)

    Abdelhafiz, Ahmed H; Sinclair, Alan J

    2015-08-01

    Aging is associated with body composition changes that lead to glucose intolerance and increased risk of diabetes. The incidence of diabetes increases with aging, and the prevalence has increased because of the increased life expectancy of the population. Lifestyle modifications through nutrition and exercise in combination with medications are the main components of diabetes management. The potential benefits of nutrition and exercise intervention in older people with diabetes are enormous. Nutrition and exercise training are feasible even in frail older people living in care homes and should take into consideration individual circumstances, cultural factors, and ethnic preferences.

  15. 综合营养干预对消化道肿瘤化疗病人营养状况及生存质量的影响1)%Influence of comprehensive nutrition intervention on qual ity of l ife and nutritional status of patients with gastrointestinal tumor receiving chemotherapy

    Institute of Scientific and Technical Information of China (English)

    骆海燕; 姚红梅; 郑亚华; 李美珍; 马腹婵; 吴珊珊

    2014-01-01

    Objective:Toprobeintotheinfluenceofcomprehensivenutri-tion intervention on quality of life and nutritional status of patients with gastrointestinal tumor receiving chemotherapy at different time points,so as to provide a practical basis for clinical care workers to improve the pa-tients′nutritional status and their quality of life.Methods:The convenience sampling method was used to select 84 cases of patients who met the inclu-sion criteria,and they were randomly divided into control group and experi-mental group by using random number method,42 cases in each;patients in control group implemented nursing routine of tumor chemotherapy,pa-tients in experimental group received comprehensive nutrition interventions on this basis.The nutritional status and their quality of life were surveyed by using SGA and EORTC QLQ C30(version3.0)at chemotherapy differ-ent time points (before chemotherapy,during and after chemotherapy), then to analyze the effect of comprehensive nutrition interventions.Re-sults:During chemotherapy,the nutritional status and quality of life in in-tervention group were significantly better than that in control group,and the difference was statistically significant (P<0.05 ).After repetitive measurement and analysis of variance,the difference was statistically sig-nificant between different times and groups (P<0.05 ).Conclusion:The comprehensive nutrition interventions on the basis of chemotherapy routine care can improve the nutritional status and quality of life of patients with gastrointestinal tumor chemotherapy.%[目的]探讨综合营养干预对消化道肿瘤病人化疗不同时间点的营养状况和生存质量的影响,为临床护理改善其营养状况、提高其生存质量提供实践依据。[方法]采用便利抽样法选取符合入选标准病人84例,用随机数字法分为对照组和干预组,每组42例,对照组实施肿瘤化疗护理常规,干预组在此基础上实施综合营养干预措施。分别在化

  16. Eating As Treatment (EAT) study protocol: a stepped-wedge, randomised controlled trial of a health behaviour change intervention provided by dietitians to improve nutrition in patients with head and neck cancer undergoing radiotherapy

    Science.gov (United States)

    Britton, Ben; McCarter, Kristen; Baker, Amanda; Wolfenden, Luke; Wratten, Chris; Bauer, Judith; Beck, Alison; McElduff, Patrick; Halpin, Sean; Carter, Gregory

    2015-01-01

    Introduction Maintaining adequate nutrition for Head and Neck Cancer (HNC) patients is challenging due to both the malignancy and the rigours of radiation treatment. As yet, health behaviour interventions designed to maintain or improve nutrition in patients with HNC have not been evaluated. The proposed trial builds on promising pilot data, and evaluates the effectiveness of a dietitian-delivered health behaviour intervention to reduce malnutrition in patients with HNC undergoing radiotherapy: Eating As Treatment (EAT). Methods and analysis A stepped-wedge cluster randomised design will be used. All recruitment hospitals begin in the control condition providing treatment as usual. In a randomly generated order, oncology staff at each hospital will receive 2 days of training in EAT before switching to the intervention condition. Training will be supplemented by ongoing supervision, coaching and a 2-month booster training provided by the research team. EAT is based on established behaviour change counselling methods, including motivational interviewing, cognitive–behavioural therapy, and incorporates clinical practice change theory. It is designed to improve motivation to eat despite a range of barriers (pain, mucositis, nausea, reduced or no saliva, taste changes and appetite loss), and to provide patients with practical behaviour change strategies. EAT will be delivered by dietitians during their usual consultations. 400 patients with HNC (nasopharynx, hypopharynx, oropharynx, oral cavity or larynx), aged 18+, undergoing radiotherapy (>60 Gy) with curative intent, will be recruited from radiotherapy departments at 5 Australian sites. Assessments will be conducted at 4 time points (first and final week of radiotherapy, 4 and 12 weeks postradiotherapy). The primary outcome will be a nutritional status assessment. Ethics and dissemination Ethics approval from all relevant bodies has been granted. Study findings will be disseminated widely through peer

  17. 妊娠期糖尿病妊娠采用营养干预结局影响的回顾性分析%Retrospective analysis of gestational diabetes mellitus pregnant with nutritional intervention outcome

    Institute of Scientific and Technical Information of China (English)

    李淑娴

    2014-01-01

    Objective Retrospective analysis of gestational diabetes mellitus pregnant with nutritional intervention outcome. Methods 92 cases of gestational diabetes mellitus were selected in our hospital,Divided them into two groups,the control group received no nutritional intervention,the observation group were treated by nutritional intervention,Pregnancy outcome of two groups were compared. Results The control group of patients with fetal distress,premature birth and other complications were significantly higher than the observation group,the observation group of newborn and fetal adverse disease incidence decreased significantly,had a statistically significant difference(P<0.05). Conclusion For gestational diabetes mellitus by nutritional intervention,can effectively reduce the complications,improve the quality of life in patients with pregnancy and efficiency,it is worthy of application and promotion.%目的:回顾性分析妊娠期糖尿病妊娠采用营养干预结局影响。方法抽选我院收治的92例妊娠期糖尿病患者,将其均分为两组,对照组未接受营养干预,观察组患者采用营养干预,比较两组患者的妊娠结局。结果对照组患者的胎儿窘迫、早产等并发症发生情况明显高于观察组,观察组新生儿以及胎儿不良疾病发生情况明显下降,差异有统计学意义(P<0.05)。结论给予妊娠期糖尿病采用营养干预,可有效减少并发症出现,提高患者生命质量以及妊娠效率,值得应用推广。

  18. Effect of Nutrition Intervention on Gestational Diabetes Mellitus and Fetus%孕期营养干预对妊娠期糖尿病及其胎儿的影响研究

    Institute of Scientific and Technical Information of China (English)

    张薇

    2016-01-01

    目的:探究孕期营养干预对妊娠期糖尿病及其胎儿的影响。方法选取2014年1月-2015年7月间在该院产检的妊娠期糖尿病孕妇78例为研究对象,将接受营养干预的40例记作观察组,将未接受营养干预的38例记作对照组,对比两组孕妇妊娠结局及胎儿情况。结果妊娠影响情况:观察组血糖正常、注射胰岛素、剖宫产、不良妊娠结局、妊娠期高血压、羊水过多等比例均较对照组优良(P<0.05);胎儿影响情况:观察组分娩胎儿体重≧4000 g、低糖血症、呼吸窘迫综合征等比例均较对照组优良(P<0.05)。结论孕期营养干预能够有效控制妊娠期糖尿病,降低巨大儿出生比例。%Objective To explore the effect of nutrition intervention on gestational diabetes mellitus and its fetus. Methods from January 2015 2014 to July in our hospital for check of pregnancy (gestational diabetes mellitus pregnant women in 78 cases as the research object, and will accept nutrition intervention in 40 patients remember as the observation group, will not accept nutrition intervention of 38 cases as control group, compared two groups of pregnant women pregnancy and neonatal outcomes situation. Results pregnancy effects: To observe the proportion of normal pregnant women group, blood glucose, insulin injection, cesarean section, adverse pregnancy outcome, pregnancy period hypertension, polyhydramnios etc. were lower than those in the control group (P< 0.05);fetal: To observe the group intrapartum fetal weight is more than or e-qual to 4000g, low glycemic disorders, respiratory distress syndrome ratio were lower than those in the control group (P<0.05). Conclusion nutritional intervention can effectively control the gestational diabetes and reduce the birth rate.

  19. Diet & Nutrition

    Science.gov (United States)

    ... Nutrition Share this page Facebook Twitter Email Diet & Nutrition Eating healthy to take charge of your health. Shelly Diagnosed in 2006 Diet & Nutrition Take Control of Your Weight Portion Control Low ...

  20. Dementia, depression, and nutritional status.

    Science.gov (United States)

    Cohen, D

    1994-03-01

    Dementia, depression, and Parkinson's disease are in themselves challenging problems in old age. Recognition and diagnosis are often suboptimal. In dementia, many contributing factors must be considered, including nutrition, but in all these conditions the effects of the cognitive, attitudinal, and motor changes can produce permanent and severe nutritional compromise. Yet many simple steps can be taken to prevent poor nutrition in these diseases, and the primary care practitioner is central to this process of recognition and intervention.

  1. Nursing Intervention of Nutritional Therapy in Patients with Diabetes Mellitus%糖尿病患者的营养治疗的护理干预

    Institute of Scientific and Technical Information of China (English)

    邱雪琴

    2014-01-01

    This article on diabetic nutritional therapy, designed to appeal to know diabetes, understand the harm of diabetes, positive and ef ective treatment of diabetes, reduce the complications and reduce mortality. But in al kinds of treatment, nutritional therapy is the most basic, also is one of the most important means of learning nutrition therapy needs is quite important, significance, principles, avoid the pitfal s of nutritional therapy, do daily timing, quantitative diet, rational nutrition distribution, scientific application of nutrition therapy, has important significance to control the disease. Nurses need to be a comprehensive understanding of diabetes patients for scientific and reasonable nutrition therapy, improve the patient's quality of life.%本文对糖尿病的营养治疗做探讨,旨在呼吁认识糖尿病,了解糖尿病的危害,积极有效的治疗糖尿病,减少并发症,降低死亡率。但在各种治疗措施中,营养治疗是最基本的、也是最重要的手段之一,学习营养治疗的需求、意义、原则相当重要,避免营养治疗的误区,做到每日坚持定时、定量的饮食,合理营养分配,科学的应用营养治疗、控制本病有重要意义。护士必须全面了解糖尿病,才能对患者进行科学合理的营养治疗,提高患者的生活质量。

  2. Intervention study for type 1 diabetes mellitus in children by health education and nutrition%儿童1型糖尿病健康教育及营养干预研究

    Institute of Scientific and Technical Information of China (English)

    王艳丽; 杨军红; 田曦; 李萍; 陈颖新; 林莹

    2011-01-01

    Objective To evaluate the effectiveness of health education and nutrition intervention for children's type 1 diabetes mellitus (T:DM). Methods Eighty-two children diagnosed of T[DM were selected for 6 months intervention. During the hospitalized period and 6 months following hospital discharge, health education and nutrition intervention were performed on the patients. The awareness rate of knowledge about T,DM of the parents was assessed before and after the intervention. The health behaviors, tasting blood glucose, glycosylatcd hemoglobin and the growth of the children were also assessed among groups. Results The awareness rate of knowledge about TTJM of the parents was higher than before and the health behaviors of the children were formed. The levels of fasting blood glucose and glyeosylated hemoglobin were lower in the diet controlled group than in the others. Conclusions Health education and nutrition intervention are effective in T,DM treatment.%目的 评价健康教育和营养干预对儿童1型糖尿病的治疗效果.方法选取2008年7月至2009年12月住院确诊为1型糖尿病患儿82例为研究对象,在住院期间和出院后6个月对患儿进行健康教育及营养治疗干预,评价干预前后患儿父母糖尿病相关知识知晓率,患儿自我管理能力以及不同饮食控制组的血糖、血红蛋白水平及生长发育情况.结果 干预后,患儿父母糖尿病相关知识知晓率和患儿自我管理能力均有提高;饮食控制良好患儿的空腹血糖和糖化血红蛋白较控制不良患儿有明显改善.结论 健康教育和营养治疗干预对治疗儿童1型糖尿病有效.

  3. 营养干预对于非酒精性脂肪性肝病的治疗作用%Effect of nutritional intervention on nonalcoholic fatty liver disease

    Institute of Scientific and Technical Information of China (English)

    张蕊; 谷斌斌

    2016-01-01

    Objective: To observe the improvement of nonalcoholic fatty liver disease (NAFLD) with nutri-tional intervention.Methods: Fifty-six patients with NAFLD were given diet nutritional intervention for 6 months. The changes of macronutrient intake, biochemical indexes and body composition indexes were recorded and ana-lyzed before and after intervention.Results: Nutritional intervention led to lower intakes in daily total energy and the energy rate from carbohydrate (P<0.01) and higher intake in the energy rate from protein (P<0.01), but the energy rate from fat did not signiifcantly change. Body mass index, waist hip ratio, body fat mass and visceral fat area were signiifcantly decrease, while body protein and skeletal muscle mass no obviously changed after inter-vention. Fasting blood glucose, triglyceride, total cholesterol and low-density lipoprotein were signiifcantly lower than the level before intervention (P<0.01), but high-density lipoprotein did not signiifcantly change.Conclusion:Reasonable nutrition intervention can help to loss weight and visceral fat, improve serum glucose and serum lip-ids and thus exerts a favorable effect on nonalcoholic fatty liver disease.%目的:观察营养干预对非酒精性脂肪性肝病(NAFLD)的治疗作用。方法:56例NAFLD患者给予为期6个月的膳食营养干预,观察干预后营养素摄入量、生化指标及人体成分的变化。结果:干预后,患者每日能量摄入量及碳水化合物供能比下降,蛋白质供能比上升,差异均有统计学意义(均P<0.01),脂肪供能比无明显改变;体质量指数(BMI)、腰臀比(WHR)、体脂肪(BFM)及内脏脂肪面积(VFA)显著下降(均P<0.01),体蛋白(P)及骨骼肌(SMM)无明显改变;空腹血糖(FBG)、甘油三酯(TG)、胆固醇及低密度脂蛋白(LDL)明显下降(均P<0.01),高密度脂蛋白(HDL)无明显改变。结论:合理的营养干预有助

  4. The Effect of Nutrition intervention on Blood Lipids in Pregnancy and Pregnancy Outcomes%营养干预对孕期血脂及妊娠结局的影响

    Institute of Scientific and Technical Information of China (English)

    耿霞; 齐鑫; 马海峰

    2013-01-01

    目的探讨孕期营养干预对孕期血脂及妊娠期高血压、妊娠期糖尿病、巨大儿、剖宫产发生率的影响。方法2011年9月~2012年1月在我院首次就诊自然受孕的正常单胎孕妇110例,孕早期(37~60d)进行孕期营养干预,建立合理膳食结构,适宜运动锻炼,把同期未接受营养指导的正常妊娠孕妇126例作为对照组,比较两组血脂(甘油三酯(TG)、胆固醇(TC)、高密度脂蛋白(HDL-C)、低密度脂蛋白(LDL-C))变化、妊娠期高血压(PIH)、妊娠期糖尿病(GDM)、巨大儿、剖宫产发生率情况。结果研究组TG、TC增长低于对照组,差异有显著意义;HDL-C、LDL-C变化不明显;研究组PIH、GDM、巨大儿、剖宫产发生率低于对照组,差异有显著性意义。结论营养干预可降低TG、TC增加,降低PIH、GDM、巨大儿、剖宫产发生率,改善不良妊娠结局。%Objective To investigate the impact of nutrition intervention during pregnancy on blood lipids changes and the incidence of pregnancy-induced hypertension(PIH)、gestational diabetes(GDM)、macrosomia、cesarean section rate. Methods A total of 236 woman with singleton pregnancies were examined as a base cohort , the intervention group and control group were created according to with nutrition intervention (n=110) or without it (n=126) in early stages of pregnancy (37-60 days) from Sept. in 2011 to Jan. in 2012. The interventions included nutrition direction on establishing reasonable dietary composition and suitable exercises . Compares two groups of serum lipids (triglyceride (TG), cholesterol(TC), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C) changes , the incidence of PIH、GDM、macrosomia、cesarean section rate during pregnancy. Results Compared with control group ,there are significant lower TG、TC in intervention group during pregnancy , however the changs of HDL-C、LDL-C were not

  5. Effects of Nutrition Interventions to Chemotherapy Patients with Cervical Cancer Combined Diabetes after Surgery%营养干预对合并糖尿病的宫颈癌术后化疗患者的影响

    Institute of Scientific and Technical Information of China (English)

    梁倩芳

    2013-01-01

    Objective :To explore the effects of nutrition interventions to chemotherapy patients with cervical cancer combined diabetes after surgery .Methods :40 cases with chemotherapy patients with cervical cancer combined diabetes after surgery were randomly divided into observation group (n=20) and control group(n=20) .Both groups were given clinical treatment .During the clinical treatment ,given simple dietary guidance ,cases of control group fed themselves by their own wish while cases of observation group were given nutrition interventions .Blood sugar level and anthropomet-ric nutrition indicators have been detected and have been compared .Results:After nutrition interventions ,observation group took in more protein and caloric but their blood sugar level is stable .Levels of TP ,ALB ,PA ,HGb and TLC were significantly higher in observation group than those in control group(P<0 .05) .Conclusion:Nutrition interventions are propitious to control blood sugar level for chemotherapy patients with cervical cancer combined diabetes after surgery , as well as improving their nutrition condition ,life quality and tolerance to chemotherapy .%目的:探讨营养干预对合并糖尿病的宫颈癌术后化疗患者的影响。方法:将40例宫颈癌手术后化疗患者随机分为观察组(n=20)和对照组(n=20)。两组患者在接受临床治疗的同时,对照组只给予简单的饮食指导,患者自由进食,而观察组则给予营养干预。观察两组患者各项营养指标、血糖和人体测量指标的变化并进行比较。结果:营养干预后,对照组虽然摄入的营养素和热量增加,但血糖控制平稳,观察组患者的营养指标总蛋白(TP)、白蛋白(ALB)、前白蛋白(PA)、血红蛋白(HGb)差异有显著性意义(P均<0.05)。结论:营养干预有利于合并糖尿病的宫颈癌术后化疗患者的血糖控制,能有效改善其营养状况,提高其生活质量和对化疗的耐受性。

  6. Intervenção nutricional sobre medidas antropométricas e glicemia de jejum de pacientes diabéticos Nutritional intervention on anthropometric measurements and fasting glycemia of diabetic patients

    Directory of Open Access Journals (Sweden)

    Júnia Maria Geraldo

    2008-06-01

    Full Text Available OBJETIVO: Avaliar o alcance das atividades desenvolvidas em um projeto de atendimento nutricional, promovido pela Universidade Federal de Viçosa (MG, sobre a glicemia de jejum, medidas antropométricas e de composição corporal de indivíduos diabéticos. MÉTODOS: Trata-se de um estudo de coorte, no qual pacientes diabéticos, recrutados do Projeto de Atendimento Nutricional a Diabéticos da Terceira Idade, da Universidade Federal de Viçosa, participaram de reuniões quinzenais, nas quais foram abordados temas relativos à ingestão de dietas saudáveis, e receberam atendimento nutricional individualizado. Os dados foram coletados a partir da aplicação de um roteiro clínico-nutricional, a 42 pacientes, contendo informações pessoais e itens referentes a: história clínica, inquérito dietético, dados antropométricos, de composição corporal e bioquímicos. Analisaram-se o peso, o índice de massa corporal, a circunferência da cintura, o percentual de gordura corporal e a glicemia de jejum antes de qualquer intervenção e após seis meses de acompanhamento. As análises estatísticas foram conduzidas utilizando-se o software Statistical Package for the Social Sciences, versão 12.5. O critério de significância estatística adotado foi pOBJECTIVE: The purpose of the present study was to evaluate the scope of a project of nutritional intervention, conducted by the Federal University of Viçosa (MG, on fasting glucose, anthropometric measurements and body composition of diabetic patients. METHODS: In this cohort study, diabetic patients recruited from the " Elderly Diabetics Nutritional Care" project, conducted at the Federal University of Viçosa, participated in meetings twice a month, where healthy diets were discussed and individual nutritional intervention was given. The data were collected by the application of a clinical-nutritional questionnaire to 42 patients containing personal information and information regarding clinical

  7. 海南黎族少年学生营养素钙制剂干预效果评价%Effect of calcium nutritional intervention on the development of Li ethnic adolescents in Hainan province

    Institute of Scientific and Technical Information of China (English)

    陈燕秋; 史金端; 黄惠宇; 王朝影; 王琴; 柳勤贤; 易勇

    2013-01-01

    目的 评价营养素钙片制剂干预对海南省黎族少年学生体格发育的效果. 方法 选择生长发育突增期的黎族学生分为两组,一组107名为干预组进行营养素钙片制剂干预,另一组111名为对照组,通过人体测量判断干预组生长发育指标的变化,采用t检验比较干预组和对照组少年学生生长发育差异同时与2005年全国汉族少年学生生长发育水平进行比较,评价干预效果. 结果 干预组与对照组均值身高比较,男女均有显著性差异(P<0.01);两组学生的体重比较,女性学生有显著性差异(P<0.01),男性差异不大(P>0.05);干预组与全国汉族同年龄学生身高相比,干预组男生均值高于全国汉族学生水平,差异有统计学意义(P<0.01),干预组女生均值与全国汉族女生水平差异无显著性(P>0.05). 结论 通过给生长发育突增期的黎族地区少年学生补充营养素碳酸钙D3制剂,可以显著提高黎族地区少年学生生长发育水平.%Objective To evaluate the effect of calcium nutritional intervention on the development of Li ethnic adolescents in Hainan province.Methods Students within growth and development spurt were divided into two groups:calcium nutritional intervention and control group.Through measuring the growth and development indicators,intervention effect was evaluated between intervention and control group,between intervention group and the Han national level in 2005.Results There was significant difference between intervention and control group in their height (P<0.01) ; weight of female students was more significant difference (P<0.01) than malestudents (P>0.05) between intervention and control group.The average height of male students in intervention group was significantly more than the Han national level (P<0.01),there was no significant difference in the average height of female students (P>0.05).Conclusions The level of physical growth and development among

  8. Effect of Nutritional Intervention for Patients with Iron Deficiency Anemia During Pregnancy%妊娠期缺铁性贫血患者的营养干预效果评价

    Institute of Scientific and Technical Information of China (English)

    齐红艳

    2015-01-01

    Objective To carry out nutritional intervention for patients with iron deficiency anemia during pregnancy and to ex-plore the effective nutrition intervention model for pregnant women.Methods The medical record of 160 cases of pregnant women ad-mitted into our hospital from November 2012 to October was retrospectively analyzed.The patients were randomly divided into control group and observation group with 80 cases in each group.The control group was not given any nutritional intervention, while the obser-vation group was, mainly including dietary survey and health education prescription.The indexes of the two groups were observed and analyzed, and the iron intake, cell hemolysis ratio and serum ferritin of the patients in the 10th, 20th, and 30th week were respec-tively evaluated.Results The difference in the age, gestational age, BMI and hematologic parameters of the patients with iron defi-ciency anemia during pregnancy between the control group and the observation group was not statistically significant (P>0.05).With significantly good indexes of the observation group compared with those of the control group after nutritional intervention was given, the difference in the indexes between the two groups was statistically significant (P<0.05).Conclusion The effect of nutritional inter-vention for patients with iron deficiency anemia during pregnancy is particularly notable.With certain feasibility, this treatment is wor-thy of clinical promotion.%目的:对妊娠期缺铁性贫血患者实施营养干预,并探讨有效的孕妇营养干预模式。方法回顾性分析我院于2012年11月至2013年10月收治的160例孕妇的病历资料,随机的分为对照组和观察组,对照组和观察组各80例,对照组80例缺铁性患者不采取任何营养干预,观察组缺铁性患者采取相关的营养干预,主要有膳食调查监测和健康教育处方等,观察分析两组患者各项指标情况,分别于第10周、第20周和第30周

  9. Clinical research on treatment strategies of early nutritional intervention to severe acute panereatitis in the elderly%老年重症急性胰腺炎早期营养干预治疗策略的探讨

    Institute of Scientific and Technical Information of China (English)

    肖李乐云; 董丽宏; 许汪斌

    2011-01-01

    目的 旨在通过对老年重症急性胰腺炎(severe acute pancreatitis,SAP)患者早期营养干预治疗的临床研究,反思传统观念的陈旧认识,为临床早期开始经鼻胃管肠道喂养提供科学依据.方法 将48例人住ICU的SAP患者随机分为两组:经鼻胃管肠道喂养(EN)干预治疗组(EN组),25例,年龄60~80岁,中位数年龄71岁;全胃肠外喂养(TPN)干预治疗组(TPN组),23例,年龄60~80岁,中位数年龄68岁.动态检测两组患者的开始营养干预治疗时间、每日能量供量、经口进食时间、胃肠道症状、腹痛、C反应蛋白(CRP)、并发症等指标,观察期皆为5 d.对两组的上述指标进行比较和统计学分析.结果 (1)两组患者入住ICU后第1天的基本临床指标的差异没有统计学意义(P>0.05),说明分组是随机的,具有可比性.(2)在人住ICU 5天内两组患者的开始营养干预治疗时间、每日能量供量、经口进食时间、胃肠道症状、腹痛,经比较其差异均无统计学意义(P>0.05),表明两组患者接受两种营养干预治疗的时间具有可比性;营养物质的摄入为等热量,两组恢复经口进食时间、发生胃肠道症状几率、腹痛的程度等均相当;入住ICU5d内患者的并发症发生率及第3天、第5天的CRP值,EN组均明显低于TPN组(P<0.05),表明EN干预治疗比TPN干预治疗更明显降低患者的并发症发生率和减轻患者的全身炎症反应.结论 经鼻胃管肠道喂养干预是治疗老年重症急性胰腺炎的有效方法,且比全胃肠外喂养干预治疗方法更优越,是一种积极、安全、有效、经济的治疗干预措施.%Objective To provide the scientific basis for early starting nasogastric enteral nutrition through the clinical research on treatment strategies of early nutritional intervention to severe acute pancreatitis (SAP). Methods 48 elderly patients with SAP in the ICU were randomly divided into two groups: nasogastric enteral nutrition (EN

  10. Nutrition Labeling

    DEFF Research Database (Denmark)

    Grunert, Klaus G

    2013-01-01

    Nutrition labeling refers to the provision of information on a food product’s nutritional content on the package label. It can serve both public health and commercial purposes. From a public health perspective, the aim of nutrition labeling is to provide information that can enable consumers...... choices, but the nutritional content of food products may not always be clear to consumers, nutrition labeling can contribute to making the nutritional content more transparent, thus reducing the frequency of unhealthy choices. Nutrition labeling is sometimes also motivated by consumers’ right to know......, implying that the availability of information on the nutritional content on food products is of value in itself, no matter how this impacts consumer choices. Another argument for nutrition labeling is that making information about nutritional content transparent will lead to healthier products, partly...

  11. Impact of individualized nutrition intervention on diet therapy compliance of patients with diabetes mellitus%个体化营养干预对糖尿病患者饮食依从性的影响研究

    Institute of Scientific and Technical Information of China (English)

    罗希; 蔡斌

    2015-01-01

    目的:探讨个体化营养干预对糖尿病患者饮食治疗依从性的影响。方法将180例糖尿病患者随机分为干预组和对照组,对照组接受常规治疗和护理,干预组在常规治疗和护理基础上接受营养师参与的个体化营养干预措施。6个月后,通过糖尿病饮食依从性调查表、代谢指标检测进行干预前后比较。结果干预组患者的饮食依从性明显高于对照组,血糖控制明显优于对照组(P<0.01)。干预组血糖、甘油三酯、总胆固醇、低密度脂蛋白及糖化血红蛋白指标均优于对照组(P<0.01)。结论加强个体化营养干预能够提高糖尿病患者饮食的依从性,有助改善糖代谢及脂代谢指标。%Objective To observe the impact of individualized diet intervention on diet therapy compliance of patients with diabetes mellitus. Methods All of 180 patients with diabetes mellitus were randomly divided into the intervention group and the control group. The intervention group was treated with conventional treatment and care. While in the control group,the individualized nutrition intervention therapy was used together with conventional treatment and care. After six months,the differences of diet therapy compliance and metabolism indexes between the two groups were com-pared and analyzed. Results Compared with the control group, there was higher compliance of diet therapy in the in tervention group (P<0.01). The levels of glycemia, triglyceride, cholesterol, LDL-C and HbAlc in the intervention group were better than the control group,there was significant difference(P<0.01). Conclusion Individualized nutrition intervention therapy could improve the diet therapy compliance of patients with diabetes mellitus, and could also im-prove indexes of glucose and lipid metabolism.

  12. Mediating Effects of Home-Related Factors on Fat Intake from Snacks in a School-Based Nutrition Intervention among Adolescents

    Science.gov (United States)

    Van Lippevelde, Wendy; van Stralen, Maartje; Verloigne, Maite; De Bourdeaudhuij, Ilse; Deforche, Benedicte; Brug, Johannes; Maes, Lea; Haerens, Leen

    2012-01-01

    The purpose of the present study was to investigate if the effects of the parental component of a school-based intervention on dietary fat intake from snacking were mediated by changes in home-related factors. A random sample of 10 schools with 2232 pupils aged 11-15 years was randomly assigned to one of two intervention groups [one with (n =…

  13. Personalized nutrition and obesity.

    Science.gov (United States)

    Qi, Lu

    2014-08-01

    The past few decades have witnessed a rapid rise in nutrition-related disorders such as obesity in the United States and over the world. Traditional nutrition research has associated various foods and nutrients with obesity. Recent advances in genomics have led to identification of the genetic variants determining body weight and related dietary factors such as intakes of energy and macronutrients. In addition, compelling evidence has lent support to interactions between genetic variations and dietary factors in relation to obesity and weight change. Moreover, recently emerging data from other 'omics' studies such as epigenomics and metabolomics suggest that more complex interplays between the global features of human body and dietary factors may exist at multiple tiers in affecting individuals' susceptibility to obesity; and a concept of 'personalized nutrition' has been proposed to integrate this novel knowledge with traditional nutrition research, with the hope ultimately to endorse person-centric diet intervention to mitigate obesity and related disorders.

  14. Physical and social functional abilities seem to be maintained by a multifaceted randomized controlled nutritional intervention among old (> 65 years) Danish nursing home residents

    DEFF Research Database (Denmark)

    Beck, Anne Marie; Damkjær, K.; Sorbye, L. W.

    2010-01-01

    of nutrition (chocolate, homemade oral supplements), group exercise (moderate intensity) and oral care. Measurements taken were weight, body mass index (BMI), energy and protein intake, and functional abilities (activities of daily living = ADL, cognitive performance, and social engagement). The results showed...

  15. Examining How Adding a Booster to a Behavioral Nutrition Intervention Prompts Parents to Pack More Vegetables and Whole Gains in Their Preschool Children's Sack Lunches.

    Science.gov (United States)

    Sweitzer, Sara J; Ranjit, Nalini; Calloway, Eric E; Hoelscher, Deanna M; Almansor, Fawaz; Briley, Margaret E; Roberts-Gray, Cynthia R

    2016-01-01

    Data from a five-week intervention to increase parents' packing of vegetables and whole grains in their preschool children's sack lunches showed that, although changes occurred, habit strength was weak. To determine the effects of adding a one-week booster three months post-intervention, children's (N = 59 intervention and 48 control) lunches were observed at baseline (week 0), post-intervention (week 6), pre-booster (week 20), and post-booster (week 26). Servings of vegetables and whole grains were evaluated in repeated measures models and results inspected relative to patterns projected from different explanatory models of behavior change processes. Observed changes aligned with projections from the simple associative model of behavior change. Attention in future studies should focus on behavioral intervention elements that leverage stimulus-response associations to increase gratification parents receive from providing their children with healthy lunches.

  16. Effects of medical nutritional intervention on clinical outcome of gestational diabetes mellitus: a meta-analysis%医学营养干预对妊娠期糖尿病临床结局影响的Meta分析

    Institute of Scientific and Technical Information of China (English)

    李春微; 于康; 张燕舞; 马良坤; 李融融; 王方

    2015-01-01

    Objective To evaluate the effect of medical nutritional intervention on clinical outcome of gestational diabetes mellitus.Methods A meta-analysis of randomised controlled trials was conducted.PubMed, EMBASE, OVID, Cochrane Library, China National Knowledge Infrastructure (CNKI) and Chinese WanFang Database were searched for the literatures related to the effect of medical nutritional intervention on clinical outcome of gestational diabetes mellitus from January 2005 to January 2015.At the same time, manual searching and reference review were conducted.Strict screening of the searched literatures was performed based on inclusion and exclusion criteria.All the included trials were divided into two groups based on whether the intervention involved insulin or not.The tool which Cochrane Handbook recommended was used to assess the risk of bias for included literatures.All the studies were graded and extracted by two researchers independently after reading research method in detail.Meta-analysis was conducted using RevMan5.2 software.The effect of medical nutritional intervention was described in terms of fasting blood glucose, birth body mass, and incidences of macrosomia, cesarean section, postpartum glucose intolerance and neonatal long-term chronic disease.Results Totally 27 trials were found, of which 13 met the inclusion and exclusion criteria.1 trial was excluded because the outcomes were using different sample sizes, and finally 12 trials were included in the final meta-analysis, involving 1 392 patients.Among the 12 included trials, 7 only administered nutritional intervention, while the other 5 added insulin with nutritional intervention.The results showed that in the nutritional intervention group, medical nutritional intervention decreased the incidence of macrosomia [risk difference (RD) :-0.35, 95% CI:-0.55--0.15, P < 0.001, 1 trial], birth body mass [mean difference (MD) :-581.27, 95% CI:-790.32--372.22, P < 0.001, 2 trials], the rate of cesarean

  17. 营养干预对维持性血液透析患者营养不良的影响%Effects of nutritional intervention on the incidence of malnutrition in patients on maintenance hemodialysis

    Institute of Scientific and Technical Information of China (English)

    滑丽美; 邱建宏; 陈云爽

    2014-01-01

    目的 分析营养干预对维持性血液透析(MHD)患者营养不良发生率的影响.方法 选取本院MHD患者196例,应用随机数字表随机分为研究组和对照组,每组98例,研究组进行营养干预6个月,对照组自主饮食,观察并对比两组6个月后的营养不良发生率.结果 干预组和对照组基线情况一致,无论是年龄、生化指标还是营养不良发生率差异均无统计学意义(均P>0.05).6个月后,尽管研究组营养不良率[35.7% (35/98)]较基线水平[33.7% (33/98)]略有增加,但是差异无统计学意义(P =0.764);而对照组自主饮食6个月后营养不良率[59.2% (58/98)]显著增加,与基线相比差异有统计学意义(P =0.000);营养干预6个月后研究组营养不良发生率较对照组下降,差异有统计学意义(P =0.000).结论 对MHD患者进行营养干预6个月,可以明显降低营养不良的发生率,改善预后,但长期疗效有待于进一步研究.%Objective To evaluate the effects of nutritional intervention on the incidence of malnutrition in patients on maintenance hemodialysis (MHD).Methods Totally 196 patients on MHD were randomly assigned to nutritional intervention group (n =98) and control group (n =98).Nutritional intervention or free diet were given in these two groups.The incidence of malnutrition in these two groups was recoded.Results The baseline age,biochemical indicators,and incidence of malnutrition were matched in these two groups (P >0.05).After 6 months,although the number of the patients with malnutrition [35.7% (35/98)] was slightly increased in the intervention group,it showed no significant difference when compared with the baseline level [33.7% (33/98),P >0.05].In the control group,however,the incidence of malnutrition [59.2% (58/98)] significantly increased (P <0.05).The incidence of malnutrition was significantly lower in the intervention group than in the control group (P < 0.05).Conclusion Nutritional intervention

  18. Effect of sports nutrition intervention on constitution of students in boarding junior high school%运动营养干预改善初中寄宿学生体质健康效果的研究

    Institute of Scientific and Technical Information of China (English)

    胡艳龙; 李铁柱; 张文栋; 白厚增; 周瑾; 杨则宜

    2012-01-01

    为了解初中学生体质状况,探讨运动营养干预对学生体质健康的改善效果,对北京市某中学初一寄宿学生进行了体质测试及为期12周的运动营养干预实验.抽取初一40名(男生20名,女生20名)寄宿学生为受试对象,根据体质测试的结果,分为超重肥胖组(男7、女7)、肌肉力量弱组(男6、女6)、心肺功能差组(男7、女7),采用自身对照的方式,进行为期6周的不干预实验和6周采用相应的运动和运动营养食品使用的综合措施进行干预,研究干预前后形态、体质健康、机能等各项指标的变化。实验结果表明:1)大多数学生出现体质不达标情况,具体表现为近半数学生体重偏低,20%左右的学生超重或肥胖,大多数的学生力量素质和心肺功能较低差;2)通过运动营养干预,超重肥胖、肌肉力量弱及心肺功能差等体质问题有明显改善。%In order to investigate physical fitness of boarding middle school students and effects of sports nutrition intervention on students' constitution and health,a physical fitness test and sports nutrition intervention experiment were conducted on students in grade one of a middle school in Beijing. The experiment was made on forty boarding students (20 male and 20 female)for 12 weeks (6 weeks of none intervention and 6 weeks of intervention). Based on the results of students constitution test, the 40 students were divided into 3 groups: the overweight obese group (7 male, 7 female), the hypo muscle strength group (6 male, 6 female) and the hypo cardio- puhnonary ftmction group (7 male, 7 female) to supervise the constitution, health and fitness before and after sports nutrition interventions. The result showed that the body weight of almost half of the student was lower than standard. About twenty percenl of the students were overweight or obesite. The strength and cardiopuhnonary function of most student was

  19. Effects of nutrition intervention on weight loss in patients with simple obesity%营养干预对单纯性肥胖患者减肥作用研究

    Institute of Scientific and Technical Information of China (English)

    王文祥; 叶惠平; 费斌

    2012-01-01

    目的 探讨营养干预对单纯性肥胖患者的减肥效果.方法 64例单纯性肥胖患者,在专业营养师的指导下采取低能量饮食营养干预1个月,比较干预前后体质量、体质指数、肥胖度、体脂肪、体脂肪百分比、腰臀比、内脏脂肪面积和上臂围等变化来评价减肥效果.结果 64例患者体质量由(78.74±15.87)kg降为(72.09±15.99) kg;体质指数由(29.15±3.51) kg/m2降为(26.61±3.39)kg/m2;体脂肪由(26.87±6.18) kg降为(21.67±5.28)kg;体脂肪百分比由(34.49±5.84)%降为(30.43±5.49)%;腰臀比由(0.93±0.04)降为(0.88±0.04);内脏脂肪面积由(102.62±37.84) cm2降为(69.84±27.37) cm2,差异均有统计学意义(P值均<0.000 1).结论 单纯性肥胖患者在专业营养师的指导下采用营养干预能取得良好的减肥效果,并且易于长期坚持.%Objective To study the effects of nutrition intervention on weight loss in patients with simple obesity . Methods Sixty-four patients with simple obesity were treated with low energy diet nutrition intervention for one month under the professional dieticians' instruction. Body weight (BW), body mass index (BMI), body fat mass (BFM), percent body fat (PBF), waist-hip ratio (WHR) and visceral fat area (VFA) were measured before and after nutrition inervention. Results After one month nutrition intervention, BW decreased from (78. 74 + 15. 87) kg to (72. 09± 15. 99) kg; BMI decreased from (29.15±3.51) kg/m2 to (26. 61 + 3. 39) kg/m2; BFM decreased from (26. 87±6. 18) kg to (21. 67±5. 28) kg; PBF decreased from (34.49±5.84)% to (30. 43 ± 5. 49)%; WHR decreased from (0.93±0.04) to (0.88±0.04); VFA decreased from ( 102. 62 ± 37. 84 ) cm2 to ( 69. 84 ± 27. 37 ) cm2, the differences were significant (P<0. 000 1). Conclusions Under the professional dieticians' instruction, evident weight loss can be achieved in patients with simple obesity by nutrition intervention that is also inclined to stick on.

  20. Nutrition and HIV-Positive Pregnancy

    OpenAIRE

    Montgomery, Kristen S.

    2003-01-01

    When an HIV-positive woman becomes pregnant, additional nutritional considerations are warranted. Compared to routine prenatal nutritional assessment and intervention, pregnant HIV-positive women have increased needs to promote a healthy outcome. This column contains information on HIV and pregnancy, nutrition and infection, and nutrition for HIV-positive pregnancy. This content can be integrated into childbirth education settings to improve care to women who are HIV-positive.

  1. Effect of Nutrition Supplement Education on Nutrition Supplement Knowledge among High School Students from a Low-Income Community.

    Science.gov (United States)

    Little, Jeffrey C.; Perry, Danielle R.; Volpe, Stella Lucia

    2002-01-01

    Investigated the effectiveness of a nutrition supplement educational intervention in improving the nutrition supplement knowledge of low-income adolescents. Data on high school students separated into experimental and control groups indicated that they had extremely poor pre-intervention knowledge. However, the short-term nutrition education…

  2. EFFECTIVENESS OF THE NUTRITIONAL INTERVENTIONS ON MIDDLE AND OLD AGEDOBESE FEMALE%营养干预对中老年女性肥胖者的效果评价

    Institute of Scientific and Technical Information of China (English)

    李国强

    2012-01-01

    [目的]探讨膳食营养干预对肥胖患者血生化指标的效果评价.[方法]把所选取高新区肥胖人群分为对照组和实验组,观察两组实验后对肥胖知识知晓率和高脂高糖摄入率及血脂、血压等指标的变化.[结果]与对照组相比,干预组肥胖病知识的知晓率提高了25.2%,高脂高糖摄入率降低了21.7%,血压及部分生化指标有明显的变化.[结论]基于营养教育和个体化的饮食治疗方案相结合的营养干预模式易被肥胖患者接受,有利于患者控制血糖血脂水平和改善营养摄入状况.%[Objective] To question the effects of nurtition intervention on serum biochemical indexes of Middle and Old Aged Obese Female. [Methods] We decided 182 obese females into reference group and experience group, in order to know the rate of knowledge about obese, the rate of consumption about high fat and high sugar and the change of the serum biochemical indexed after experiment. [ Results ] Compared with the reference group, the rate of the experience group knowing obese related knowledge increased by 25.2%, the rate of high sugar and high fat intake decreased by 21.1%, and the blood pressure and other biochemical index obviously changed. [Conclusion] The nutrition intervention model based on nutrition teaching and individual nutrition recipes is not only easily accepted by patients, but also beneficial to improving their blood glucose, lipid profile, and nutritional slate.

  3. Nutrition Intervention Analysis of Patients With Head and Neck Cancer Radiotherapy%头颈部肿瘤放疗患者的营养干预要点分析

    Institute of Scientific and Technical Information of China (English)

    何爱莲; 丁亚; 惠晓颖

    2016-01-01

    目的:对头颈部肿瘤放疗患者的营养干预要点进行观察与探讨。方法对2014年6月~2015年6月我院接受治疗的60例头颈部肿瘤放疗患者进行临床相关研究,按照随机数字法分为两组,每组30例,对对照组患者进行常规护理干预,对研究组患者进行常规护理干预加营养干预,分析两组患者的效果。结果研究组患者护理后的体质量为(67.83±2.05)kg,与对照组患者的(57.92±4.24)kg相比,P<0.05,差异有统计学意义,研究组患者放疗后的白蛋白、血红蛋白、转铁蛋白等营养指标与对照组患者相比,差异有统计学差异(P<0.05),研究组患者的护理满意度(100%)与对照组患者(93.33%)相比,P<0.05,差异有统计学意义。结论及早对头颈部肿瘤放疗患者给予营养干预,可明显改善患者放疗后的体质量,提高患者的满意度。%Objective Nutritional intervention in patients with head and neck cancer radiotherapy is observed and discussed. Methods From June 2014 to June 2015, 60 patients with head and neck cancer radiotherapy were divided into two groups according to random number, 30 cases in each group, routine nursing intervention was given to patients in the control group, routine nursing intervention and nutritional intervention was given to patients in the research group, analysed the effect of two groups of patients.ResultsThe body mass of the team after the patient care was (67.83±2.05) kg, and the control group was (57.92±4.24),P<0.05, there was statistical significance, the team after radiotherapy in patients with albumin, hemoglobin, transferrin nutritional indexes comparing with the control group patients, there were significant differences,P<0.05, nursing satisfaction in research group(100%) comparing with control group (93.33%),P<0.05, with statistical significance.Conclusion Early nutritional intervention in patients with head and neck cancer

  4. Healthy Foods, Healthy Families: combining incentives and exposure interventions at urban farmers’ markets to improve nutrition among recipients of US federal food assistance

    Directory of Open Access Journals (Sweden)

    April B. Bowling

    2016-03-01

    Conclusion: Interventions combining exposure activities and modest financial incentives at farmers’ markets in low-income neighborhoods show strong potential to improve diet quality of families receiving federal food assistance.

  5. Effectiveness of school-based interventions in Europe to promote healthy nutrition in children and adolescents: systematic review of published and 'grey' literature.

    Science.gov (United States)

    Van Cauwenberghe, Eveline; Maes, Lea; Spittaels, Heleen; van Lenthe, Frank J; Brug, Johannes; Oppert, Jean-Michel; De Bourdeaudhuij, Ilse

    2010-03-01

    The objective of the present review was to summarise the existing European published and 'grey' literature on the effectiveness of school-based interventions to promote a healthy diet in children (6-12 years old) and adolescents (13-18 years old). Eight electronic databases, websites and contents of key journals were systematically searched, reference lists were screened, and authors and experts in the field were contacted for studies evaluating school-based interventions promoting a healthy diet and aiming at primary prevention of obesity. The studies were included if they were published between 1 January 1990 and 31 December 2007 and reported effects on dietary behaviour or on anthropometrics. Finally, forty-two studies met the inclusion criteria: twenty-nine in children and thirteen in adolescents. In children, strong evidence of effect was found for multicomponent interventions on fruit and vegetable intakes. Limited evidence of effect was found for educational interventions on behaviour, and for environmental interventions on fruit and vegetable intakes. Interventions that specifically targeted children from lower socio-economic status groups showed limited evidence of effect on behaviour. In adolescents, moderate evidence of effect was found for educational interventions on behaviour and limited evidence of effect for multicomponent programmes on behaviour. In children and adolescents, effects on anthropometrics were often not measured, and therefore evidence was lacking or delivered inconclusive evidence. To conclude, evidence was found for the effectiveness of especially multicomponent interventions promoting a healthy diet in school-aged children in European Union countries on self-reported dietary behaviour. Evidence for effectiveness on anthropometrical obesity-related measures is lacking.

  6. 维持性血液透析患者饮食调查及饮食营养干预的研究%Diet Investigation of Maintenance Hemodialysis Patients and Significance of Diet and Nutrition Intervention

    Institute of Scientific and Technical Information of China (English)

    潘学民

    2014-01-01

    目的:探讨饮食干预对维持性血液透析患者营养状况的影响。方法采用问卷调查和24小时饮食回顾法,用营养专家系统分析膳食成分,结合实验室指标,进行饮食指导,6个月后观察干预后效果。结果96例患者干预后饮食管理的知晓率达98%,家庭支持率提高到94.5%,干预后能量、蛋白质的摄入增多、钠的摄入减少(P<0.05),血红蛋白、血清白蛋白、前蛋白升高(P<0.01),肌酐、尿素氮减少(P<0.05),差异具有统计学意义。结论制定个体化的饮食方案,教会患者合理搭配与烹调,可以提高患者饮食管理的依从性,改善营养状况。%Objective To investigate the effects of dietary intervention on the nutritional status of maintenance hemodialysis Patients. Method Questionnaire surveys and 24-hour dietary recall, dietary guidance based on dietary ingredients (analyzed by nutrition exPert system) and laboratory Parameters.The intervention effects was observed six months later.Results After the intervention,awareness rate of the dietary management was 98% of 96 Patients,family suPPort rate increased to 94.5%.Energy and Protein intake increased, sodium intake decreased (P<0.05),hemoglobin,serum albumin and Prior Protein increased (P <0.01),creatinine,urea nitrogen decreased (P<0.05),all differences are statistical significance.Conclusion It is effective to imProve dietary management comPliance of Patience and their nutritional status by develoPing individualized diet Plan and teaching them aPProPriate cooking and food collection method.

  7. Clinical nursing experience of nutritional intervention during bed period for acute myocardial infarction patients%急性心肌梗死患者卧床期间行营养干预的临床护理体会

    Institute of Scientific and Technical Information of China (English)

    吴晓

    2015-01-01

    目的:探讨急性心肌梗死患者卧床期间临床护理中的营养干预对策及其效果。方法将33例急性心肌梗死患者随机分为观察组17例和对照组16例,观察组行常规护理并在卧床期间同时采用营养干预,对照组仅行常规护理。记录患者的卧床时间、住院时间和护理满意度指标比较护理效果。结果观察组患者的卧床时间和住院时间均显著短于对照组,差异有统计学意义(P <0.05);观察组的护理满意度显著优于对照组,差异有统计学意义(P <0.05)。结论在急性心急梗死患者卧床期间采用营养干预,能够促进患者的治疗康复,提高患者的护理满意度,减少其卧床和住院时间。%ABSTRACT:Objective To investigate the nutrition intervention strategy of clinical nursing for acute myocardial infarction patients and the efficacy.Methods A total of 33 patients with a-cute myocardial infarction were randomly divided into observation group (n = 17)and control group (n = 16).The observation group was given routine nursing and nutrition intervention, while the control group was given routine nursing.The nursing effect was compared from aspects of the bedridden time,hospitalization time and nursing satisfaction.Results In the observation group,the bedridden time and hospital stay were significantly shorter than the control group (P <0.05).Nursing satisfaction rate of the observation group was better than the control group (P <0.05).Conclusion Application of nutrition intervention in the bedridden time of acute myocardial infarction patients can promote the rehabilitations of patients,increase nursing satisfaction degree and reduce the bedridden time and hospital stay.

  8. Nutrition intervention effects on glycemic control in patients with type 2 diabetes%营养干预对2型糖尿病患者血糖控制的影响

    Institute of Scientific and Technical Information of China (English)

    巩丹丹

    2013-01-01

    Objective:To study the nutrition intervention effect on glycemic control in patients with type 2 diabetes. Methods:80 cases of patients with type 2 diabetes were randomly divided into observation group and control group,40 cases in each group,two groups were given conventional health education,diet and exercise therapy,drug treatment group on the basis of strengthening nutrition interventions. Three months after the fasting glucose compared two groups of patients,2 h postprandial blood glucose and glycosylated hemoglobin. Results:the observation group,fasting blood sugar,2 h postprandial blood glucose and glycosylated hemoglobin improvement degree is better than that of control group (P<0.05). Conclusion:in patients with type 2 diabetes to take medication and exercise therapy at the same time,strengthen nutrition intervention,can effectively enhance the blood sugar control effect.%目的:探讨营养干预对2型糖尿病患者血糖控制情况的影响;方法:将80例2型糖尿病患者随机分成观察组与对照组,每组40例,两组均给予常规药物治疗、饮食健康教育及运动疗法,观察组在此基础上加强营养干预措施。6个月后比较两组患者空腹血糖、餐后2h血糖及糖化血红蛋白;结果:观察组空腹血糖、餐后2h血糖及糖化血红蛋白改善程度均优于对照组(P均<0.05);结论:2型糖尿病患者在采取药物治疗和运动疗法的同时,加强营养干预,可有效增强血糖控制效果。

  9. Application of enteral nutrition intervention in patients with decompensated cirrhosis%肠道营养干预在失代偿期肝硬化患者的应用

    Institute of Scientific and Technical Information of China (English)

    马用江; 李静宇; 申利敏

    2015-01-01

    AIM:To investigate the influence of enteral nutrition intervention on the prognosis of patients with decompensated cir-rhosis.METHODS:A total of 100 patients with decompensated cirrhosis who were admitted to our hospital from January 2010 to January 2013 were randomly divided into observation group and control group,with 50 cases in each.The patients in control group received routine medical treatment,while those in the ob-servation group received enteral nutrition intervention combined with routine medical treatment.Curative effect of the two groups was compared.RESULTS:The Child-pugh classification and the incidence of complications of observation group were significantly superior,and the differences between two groups was statistically significant (P<0.05 ).CONCLUSION:The enteral nutrition intervention can effectively improve the condition of patients with decompensated cirrhosis and is worthy of clinical application.%目的:探讨肠道营养干预对失代偿期肝硬化患者预后的影响.方法:选取2010-01/2013-01我院收治的100例失代偿期肝硬化患者,随机分成观察组和对照组,每组各50例,对照组患者进行常规内科治疗,观察组患者在常规内科治疗基础上给予肠道营养干预,比较两组患者的治疗效果.结果:观察组患者Child-pugh分级、并发症发生情况明显优于对照组患者,组间比较差异具有统计学意义(P<0.05).结论:对失代偿期肝硬化患者进行肠道营养干预,能有效改善患者情况,值得推广应用.

  10. 家庭功能对社区2型糖尿病患者营养干预效果的影响%Effect of family function on nutrition intervention of type 2 diabetic patients in community

    Institute of Scientific and Technical Information of China (English)

    刘华青; 张敏; 江城梅; 赵文红; 陈军; 陈道丽; 代泾

    2014-01-01

    目的:探索家庭功能对社区2型糖尿病患者营养干预效果的影响。方法:对社区58例2型糖尿病患者进行营养师主导的营养教育-膳食指导-营养咨询综合营养干预,检测患者空腹血糖变化,采用自行设计的饮食行为问卷评价其行为改变, APGAR量表评价家庭功能。结果:58例APGAR总平均得分为(7.22±2.47)分,其中家庭功能良好者为34例(58.6%), APGAR得分为(9.00±1.30)分;家庭功能中度障碍者19例(32.8%),APGAR得分为(5.21±0.71)分;家庭功能重度障碍者5例(8.6%),APGAR得分为(2.80±0.45)分。不同家庭功能2型糖尿病患者年龄、性别、教育水平、病程、身高、体质量及体质量指数差异均无统计学意义(P>0.05)。营养干预后,家庭功能良好、中度障碍和重度障碍的2型糖尿病患者饮食行为得分均较营养干预前明显提高(P0.05)。不同家庭功能组空腹血糖变化差异有统计学意义(P0. 05). After nutrition intervention,the scores of dietary behaviors were increased significantly than those before intervention in all groups(P0. 05). There were significant differences in the fasting blood glucose changes in different groups (P<0. 05). Conclusions:Family supporting contributes to nutrition therapy for diabetic patients,improvement of family function is required for nutrition intervention on type 2 diabetes in community.

  11. Position of the American Dietetic Association and Dietitians of Canada: nutrition intervention in the care of persons with human immunodeficiency virus infection.

    Science.gov (United States)

    Fields-Gardner, Cade; Fergusson, Pamela

    2004-09-01

    Infection with the human immunodeficiency virus (HIV) and the development of acquired immunodeficiency syndrome (AIDS) have had a significant impact on domestic and global health, social, political, and economic outcomes. Prevention and treatment efforts to control HIV infection are more demanding than in previous decades. Achieving food and nutrition security, and managing nutrition-related complications of HIV infection and the multiple aspects of disease initiated by or surrounding HIV infection, referred to as HIV disease, remain challenges for patients and for those involved with HIV/AIDS prevention, care, and treatment efforts. Confounding clinical issues include medication interactions, coinfection with other infections and diseases, wasting, lipodystrophy, and others. Dietetics professionals, other health care professionals, and people infected with HIV will need to understand and address multiple complex aspects of HIV infection and treatment to improve survival, body functions, and overall quality of life. Individualized nutrition care plans will be an essential feature of the medical management of persons with HIV infection and AIDS.

  12. Nutritional Intervention Strategies of Teenage Speed Skaters in Daily Training%青少年速滑运动员日常训练阶段营养干预策略

    Institute of Scientific and Technical Information of China (English)

    郭静璐; 唐宝盛; 郭耀亭; 于睿

    2014-01-01

    The nutritional requirement of teenage speed skaters is higher than ordinary teenagers,is different from other athletes. Analyzing from the carbohydrate,protein,fat,vitamins,inorganic salt, dietary fiber,adjust their nutrition level with nutrition intervention and sport nutrition supplement, ensure the growth and the needs of daily training. The daily diet supplies enough carbohydrates,increase good quality protein,limit the ratio of fat supplement,equilibrium and appropriate amount of vitamin and inorganic salt,fully and timely add supplemental water,moderate intake of dietary fiber;Make up not enough dietary with sports nutrition supplements,supply sports drinks to meet the training needs, add high-quality protein to helps dispel fatigue,supply the calcium and iron on demand;At the same time,strengthen the publicity education of sports nutrition knowledge,strengthen the training of staff, establish the perfect management system of dietary nutrition. Improve the nutrition level of teenage speed skaters,tamp the physical basis,further improve the performance.%青少年速滑运动员的营养需求高于普通青少年,也有别于其他项目运动员。从碳水化合物、蛋白质、脂肪、维生素、无机盐、膳食纤维等方面加以分析,应用饮食营养干预和运动营养补剂全面调整其营养水平,保证其生长发育和日常训练需要。日常饮食供应充足碳水化合物,增加优质蛋白质摄入,限制脂肪供应比例,均衡适量补充维生素和无机盐,及时充分补水,适度摄入膳食纤维;应用运动营养补剂弥补饮食摄入不足,供应运动饮料满足训练需求,补充优质蛋白质促进疲劳恢复,按需补充钙和铁等补剂;同时加强运动营养知识的宣传教育,加强相关工作人员培训,建立完善的膳食营养管理体系。提升青少年速滑运动员营养水平,夯实其体能基础,进一步提高运动成绩。

  13. [Nutrition education or managing social communication for nutrition?].

    Science.gov (United States)

    Andrien, M; Beghin, I

    1993-12-01

    Seven years ago Hygie published an article on the limits of conventional nutrition education in urban Africa. Strategies and methods in communication for nutrition have since evolved, incorporating results of international research to develop innovative, highly participative approaches. In this article the authors provide an extensive analysis of the different methodologies used in nutrition education programmes, in particular the KAB, social marketing, and community participation models, indicating main areas where each method used separately has failed. Members of the African Nutritional Education Network (RENA) have studied the above mentioned approaches, modifying them or integrating certain elements to adopt a more effective approach, which they consider somewhat as the management of social communication for nutrition education. Needs assessments and programme planning are largely enhanced by a causal analysis component specific to nutrition education in a community setting which has been developed by the authors. Other classic elements of programme implementation such as community participation, diversity of methods and intervention, are then combined with a multi-level/multi-actor evaluation processes to produce what the authors esteem to be a more effective nutrition education programme. They conclude, however, with the warning that although behavioural modifications brought about by nutrition communication and education might be beneficial for public health, they could have different, possibly adverse effects on other aspects of society. Effective nutrition education must therefore be included in a more extensive field of health promotion by acting on the multiple factors which influence the nutrition and health state of vulnerable groups.

  14. The correlation analysis about prognosis and early gastrointestinal nutritional intervention for ICU critically ill patients%ICU危重患者预后与早期胃肠营养干预的相关性分析

    Institute of Scientific and Technical Information of China (English)

    周红

    2012-01-01

    目的 对ICU危重患者预后与早期胃肠营养干预的相关性进行分析.方法 选取2010年6月至2011年12月进行治疗的378例ICU危重患者,其中260例ICU危重患者作为治疗组,在采取常规药物治疗的基础上,给予相应的营养护理与支持(早期营养干预24 h内实施);其余118例作为对照组,给予常规治疗和常规护理.对2组患者的营养指标及相关性进行分析.结果 2组患者在治疗后,其血清前白蛋白、蛋白摄入量、血红蛋白、胆固醇量等,与自身治疗前检测情况相比均有显著差异,但治疗组各项指标的改善程度较对照组更加显著.各指标间,胆固醇量与蛋白摄入量具有显著的相关性.结论 将胃肠营养护理应用在ICU危重患者的日常护理中可以有效地提高患者体内血红蛋白等的水平,降低患者的死亡率及并发症的发生率,因此有必要对其进行临床推广.%Objective To analyze the correlation of prognosis and early gastrointestinal nutritional intervention of critically ill ICU patients.Methods 378 cases of critically ill ICU patients from June 2010 to December 2011 were selected.260 cases of critically ill ICU patients were set as the treatment group,who were given appropriate care and nutritional support (early nutritional intervention was implemented within 24 hours) on the basis of conventional drug therapy.The remaining 118 cases were named as the control group,who received conventional therapy and conventional care.The nutritional items and their correlation were analyzed.Results After treatment,the items such as serum pre-albumin,protein intake,hemoglobin,and cholesterol were significantly different from those before treatment in both groups,and the improvement degree was higher in the treatment group than those in the control group.The cholesterol level was correlated with protein intake.Conclusions The application of early gastrointestinal nutritional intervention in critically ill ICU

  15. Nutritional Support

    Science.gov (United States)

    Nutritional support is therapy for people who cannot get enough nourishment by eating or drinking. You may ... absorb nutrients through your digestive system You receive nutritional support through a needle or catheter placed in ...

  16. Nutritional supplements

    DEFF Research Database (Denmark)

    Petersen, Gry Bjerg; Andersen, Jens Rikardt

    2015-01-01

    Background: Several studies have indicated that cancer patients have significantly altered taste sensitivity without specifying the preferences. One of the related problems is low compliance to nutritional therapy with oral nutritional supplements (ONS) in patients suffering severe weight loss...

  17. Complicating the "Soccer Mom:" The Cultural Politics of Forming Class-Based Identity, Distinction, and Necessity

    Science.gov (United States)

    Swanson, Lisa

    2009-01-01

    Using Pierre Bourdieu's theories of social class differentiation and class reproduction, this paper provides an analysis of class-based identity politics in contemporary suburban America. Through a critical ethnography of the emergent, American, upper-middle-class "soccer mom" phenomenon, this study contributes to a growing body of…

  18. Complicating the "Soccer Mom:" The Cultural Politics of Forming Class-Based Identity, Distinction, and Necessity

    Science.gov (United States)

    Swanson, Lisa

    2009-01-01

    Using Pierre Bourdieu's theories of social class differentiation and class reproduction, this paper provides an analysis of class-based identity politics in contemporary suburban America. Through a critical ethnography of the emergent, American, upper-middle-class "soccer mom" phenomenon, this study contributes to a growing body of research that…

  19. Capacity-building and Participatory Research Development of a Community-based Nutrition and Exercise Lifestyle Intervention Program (NELIP for Pregnant and Postpartum Aboriginal Women:Information Gathered from Talking Circles.

    Directory of Open Access Journals (Sweden)

    Katie Big-Canoe

    2011-05-01

    Full Text Available Objectives were to gather information from Talking Circles of Aboriginal women who participated in a maternal Nutrition and Exercise Lifestyle Intervention Program (NELIP to identify strategies to bring NELIP into the community. Twelve First Nations women participated. Several main themes were identified regarding health: balance, knowledge/education and time management. Benefits of the NELIP were improvement in health, stamina, stress, and a healthy baby, no gestational diabetes and a successful home birth, with social support as an important contributing factor for success. Suggestions for improvement for the NELIP included group walking, and incorporating more traditional foods into the meal plan. The information gathered is the first step in determining strategies using participatory research and capacity-building to develop a community-based NELIP for pregnant Aboriginal women.

  20. Advantages of enteral nutrition over parenteral nutrition

    OpenAIRE

    Seres, David S.; Valcarcel, Monika; Guillaume, Alexandra

    2013-01-01

    It is a strong and commonly held belief among nutrition clinicians that enteral nutrition is preferable to parenteral nutrition. We provide a narrative review of more recent studies and technical reviews comparing enteral nutrition with parenteral nutrition. Despite significant weaknesses in the existing data, current literature continues to support the use of enteral nutrition in patients requiring nutrition support, over parenteral nutrition.

  1. Research of influence by nutrition nursing intervention on patients in postoperative lung cancer chemotherapy%研究营养护理干预对肺癌术后化疗患者的影响

    Institute of Scientific and Technical Information of China (English)

    杜鑫

    2015-01-01

    Objective To research influence by nutrition nursing intervention on patients in postoperative lung cancer chemotherapy.Methods A total of 80 patients in postoperative lung cancer chemotherapy were randomly divided into experimental group and control group, with 40 cases in each group. The control group received general diet, and the experimental group received enteral nutrition method. Body mass index (BMI), serum albumin (ALB), total cholesterol (TCH), platelet (PLT), and white blood cell (WBC) were compared between the two groups.Results There was no statistically significant difference of indexes between the two groups before nursing (P>0.05). After nursing, the experimental group had all better indexes than the control group, and the difference had statistical significance (P0.05), 护理后试验组各指标明显优于对照组, 差异有统计学意义(P<0.05).结论 对肺癌术后化疗患者采取营养护理干预有效改善患者术后营养不良状况, 值得在临床推广.

  2. Discussion of Nutritional Risk Status and Related Influencing Factors and Nutrition Intervention Strategy of Gastric Cancer Patients%胃癌患者营养风险状况及相关影响因素和营养干预策略的探讨

    Institute of Scientific and Technical Information of China (English)

    赵智华; 张翠萍; 尹哲

    2016-01-01

    目的:了解新疆某三级甲等肿瘤专科医院胃癌住院患者营养风险发生状况,分析其相关影响因素,并对营养干预策略进行探讨,旨在为该类人群制定个性化营养护理方案提供参考依据。方法:通过应用营养风险筛查2002(NRS-2002)这个调查工具对225例胃癌住院患者进行营养风险筛查和体质指数的测定,依据营养状况受损、疾病严重程度和年龄三个方面的内容对营养风险进行综合评定,NRS总评分≥3分判定为存在营养风险,并对影响因素进行统计分析。结果:接受此次调查的胃癌住院患者中,Ⅰ、Ⅱ期胃癌患者营养风险发生率为52.00%,Ⅲ、Ⅳ期的胃癌患者营养风险发生率为92.67%。而营养不足的发生率为25.33%。患者发生营养风险的概率与年龄、肿瘤分期及病程等因素有关。结论:对胃癌患者应该进行常规性地营养风险筛查,开展营养教育和膳食指导工作,在确切的抗肿瘤治疗过程中,重视和规范营养支持治疗,并对患者营养状况的变化趋势实施监测,呼吁尝试以医院和社区卫生服务工作站相结合的多层次多方位的服务体系,以期达到增强抗肿瘤治疗的耐受性、提高患者生活质量、改善临床结局的目的。%Objective:To understand nutrition risk situation of hospitalized patients with gastric cancer in a level 3 grade tumor specialized subject hospital of Xinjiang,analyze its related factors,and discuss the nutrition intervention strategy,aimed at establishing personalized nutrition care plan for the crowd to provide the reference basis.Method:Nutritional risk screening and body mass index determination of 225 cases of hospitalized with gastric cancer by application of nutritional risk screening 2002(NRS-2002),the comprehensive evaluation of nutritional risk were taken based on nutritional status damage,the severity of disease and age three aspect. NRS total

  3. Nutritional status of the Indian population

    Indian Academy of Sciences (India)

    Shobha Rao

    2001-11-01

    High prevalence of low birth weight, high morbidity and mortality in children and poor maternal nutrition of the mother continue to be major nutritional concerns in India. Although nationwide intervention programmes are in operation over two decades, the situation has not changed greatly. In addition, the Indian population is passing through a nutritional transition and is expected to witness higher prevalences of adult non-communicable diseases such as diabetes, hypertension and coronary heart disease according to the theory of `fetal origin of adult disease’. Clearly, there is a need for examining several issues of nutritional significance for effective planning of interventions. In particular, maternal nutrition and fetal growth relationship, long term effects of early life undernutrition, interactions of prenatal nutritional experiences and postnatal undernutrition are some of the major issues that have been discussed in the present paper with the help of prospective data from various community nutrition studies carried out in the department.

  4. Nutritional intervention on gestational diabetes mellitus improves lipid metabolism%妊娠糖尿病孕期营养干预及对脂代谢的改善

    Institute of Scientific and Technical Information of China (English)

    刘燕萍; 李珊珊; 包媛媛; 何书励; 马良坤; 李伟

    2014-01-01

    目的:探讨妊娠糖尿病(GDM)营养干预对脂代谢的作用。方法选取北京协和医院营养科门诊孕中晚期GDM患者127例为研究对象,按照孕期限能量糖尿病饮食方法进行营养干预,限制碳水化合物供能比≤50%,燕麦等粗杂粮占主食的50%,以提高膳食纤维摄入量,限制饱和脂肪来源食物,推荐橄榄油等。监测干预期内患者体重变化,通过膳食记录计算膳食脂代谢相关指标(能量、脂肪供能比、各种脂肪酸占比、不溶性膳食纤维含量等),比较干预前后患者血清总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)水平的变化,并检验膳食因素与脂代谢指标的相关性。结果127例接受膳食干预的患者中37例提交有效膳食记录,计341天(97个周代表值),据此计算干预期膳食结果能量为(7980±1785)kJ/d,脂肪供能比为(29.9±5.3)%,饱和脂肪酸占总脂肪酸的(29.13±3.95)%,单不饱和脂肪酸占总脂肪酸的(41.44±2.78)%,不溶性膳食纤维为(24.34±11.65)g/d。TC、HDL、LDL干预前后无显著差异,TG水平干预前为(2.92±1.39) mmol/L,干预后为(3.27±1.33)mmol/L(P<0.05)。干预膳食的不溶性纤维含量与干预后血清LDL-C水平相关(R=0.28,P<0.05)。结论 GDM患者孕中晚期营养干预符合脂代谢管理的需要,有助于预防患者孕晚期脂代谢异常,该膳食模式对脂代谢的影响可能是多种因素共同作用的结果。%Objective To investigate the effect of nutritional intervention for gestational diabetes mellitus (GDM) on lipid metabolism. Method A total of 127 cases of GDM in the second or third trimester that were admitted by Nutrition Clinic of Peking Union Medical College Hospital were selected as subjects. Calorie-restricted diabetic diet was adopted for nutritional intervention. Calories

  5. Translation of a tailored nutrition and resistance exercise intervention for elderly people to a real-life setting: adaptation process and pilot study

    NARCIS (Netherlands)

    Dongen, van E.J.I.; Leerlooijer, J.N.; Steijns, J.M.; Tieland, C.A.B.; Groot, de C.P.G.M.; Haveman-Nies, A.

    2017-01-01

    Background
    Combining increased dietary protein intake and resistance exercise training for elderly people is a promising strategy to prevent or counteract the loss of muscle mass and decrease the risk of disabilities. Using findings from controlled interventions in a real-life setting requires a

  6. Adherence to the Mediterranean diet among employees in South West England: Formative research to inform a web-based, work-place nutrition intervention

    Directory of Open Access Journals (Sweden)

    Angeliki Papadaki

    2015-01-01

    Conclusion: Improvement in the consumption of several Mediterranean diet components is needed to increase adherence in this sample of adults. The findings have the potential to inform the development of a web-based intervention that will focus on these foods to promote the Mediterranean diet in work-place settings in South West England.

  7. Broad-based nutritional supplementation in 3xTg mice corrects mitochondrial function and indicates sex-specificity in response to Alzheimer's disease intervention.

    Science.gov (United States)

    Wolf, Andrew B; Braden, B Blair; Bimonte-Nelson, Heather; Kusne, Yael; Young, Nicole; Engler-Chiurazzi, Elizabeth; Garcia, Alexandra N; Walker, Douglas G; Moses, Guna S D; Tran, Hung; LaFerla, Frank; Lue, LihFen; Emerson Lombardo, Nancy; Valla, Jon

    2012-01-01

    Nutrition has been highlighted as a potential factor in Alzheimer's disease (AD) risk and decline and has been investigated as a therapeutic target. Broad-based combination diet therapies have the potential to simultaneously effect numerous protective and corrective processes, both directly (e.g., neuroprotection) and indirectly (e.g., improved vascular health). Here we administered either normal mouse chow with a broad-based nutritional supplement or mouse chow alone to aged male and female 3xTg mice and wildtype (WT) controls. After approximately 4 months of feeding, mice were given a battery of cognitive tasks and then injected with a radiolabeled glucose analog. Brains were assessed for differences in regional glucose uptake and mitochondrial cytochrome oxidase activity, AD pathology, and inflammatory markers. Supplementation induced behavioral changes in the 3xTg, but not WT, mice, and the mode of these changes was influenced by sex. Subsequent analyses indicated that differential response to supplementation by male and female 3xTg mice highlighted brain regional strategies for the preservation of function. Several regions involved have been shown to mediate responses to steroid hormones, indicating a mechanism for sex-based vulnerability. Thus, these findings may have broad implications for the human response to future therapeutics.

  8. Exercise-induced immunodepression in endurance athletes and nutritional intervention with carbohydrate, protein and fat-what is possible, what is not?

    Science.gov (United States)

    Gunzer, Wolfgang; Konrad, Manuela; Pail, Elisabeth

    2012-09-01

    Heavily exercising endurance athletes experience extreme physiologic stress, which is associated with temporary immunodepression and higher risk of infection, particularly upper respiratory tract infections (URTI). The aim of this review is to provide a critical up-to-date review of existing evidence on the immunomodulatory potential of selected macronutrients and to evaluate their efficacy. The results of 66 placebo-controlled and/or crossover trials were compared and analysed. Among macronutrients, the most effective approach to maintain immune function in athletes is to consume ≥6% carbohydrate during prolonged exercise. Because inadequate nutrition affects almost all aspects of the immune system, a well-balanced diet is also important. Evidence of beneficial effects from other macronutrients is scarce and results are often inconsistent. Using a single nutrient may not be as effective as a mixture of several nutritional supplements. Due to limited research evidence, with the exception of carbohydrate, no explicit recommendations to reduce post-exercise URTI symptoms with single macronutrients can be derived.

  9. 经皮肝动脉插管化疗栓塞术肝癌患者的营养干预方法与效果%Methods and effects of nutritional intervention on liver cancer patients by TACF

    Institute of Scientific and Technical Information of China (English)

    郭丽萍; 程光荣

    2013-01-01

    目的 探讨经皮肝动脉插管化疗栓塞术过程中营养干预对患者术后营养状况的影响.方法 对照组执行常规饮食护理,观察组缩短术前术后禁食时间,根据手术后不同时间及时调整饮食方案,制订术后饮食计划和食谱.结果 观察组患者体质量减轻程度明显小于对照组(P<0.01);观察组化疗不良反应发生率明显降低(P<0.05),且观察组营养状况明显优于对照组(P<0.01).结论 对经皮肝动脉插管化疗栓塞术患者进行营养干预,缩短化疗术前术后禁食时间、调节进食量及营养素供给能有效促进患者化疗术后康复.%Objective To explore the effects of nutritional intervention on liver cancer patients by TACE. Methods The patients in control group received routine diet nursing. The patients in observation group received the measures included shortening the preoperative and postoperative fasting time, adjusting diet programs according to time after surgery and making postoperative diet plans and recipes. Results The degree of weight loss in observation group was less than those in control group ( P < 0. 01 ) . Moreover, the incidence of cytotoxic chemotherapy adverse reaction in observation group was significantly lower than that of the control group (P < 0.05) , and nutritional status of observation group was better (P < 0.01). Conclusion Implementing nutritional intervention, shortening fasting time before and after surgery and regulating diet and nutrient supply to liver cancer patients by TACE can effectively promote postoperative rehabilitation.

  10. 脑卒中患者肠内营养支持的护理问题及护理干预%Enteral Nutrition Care and Nursing Intervention for Stroke Patients

    Institute of Scientific and Technical Information of China (English)

    李怡

    2013-01-01

    Objective:To investigate the nursing problems and provide interventions according to the characteristics of enteral nutri-tion support therapy for stroke patients, in order to assist the treatment for stroke more effectively, reduce the occurrence of compli-cations and improve the prognosis. Methods:According to the problems that occurred in the nursing process of enteral nutrition sup-port therapy with homogenized meal for all the 32 cases of stroke patients, its adopted targeted nursing intervention. Results:1 case had refluxed, but no adverse effect on the patient’s safety by timely treatment. Conclusion:Meticulous observation and care that var-ies from person to person can reduce the complications of enteral nutrition support therapy, improve the comfortable feeling of pa-tients, avoid harming to patients, decease the hospitalization costs and improve the life quality of patients.%  目的:根据脑卒中患者胃肠内营养支持治疗特点探讨其护理问题并提出干预措施,旨在有效辅助治疗脑卒中,减少并发症,改善预后。方法:针对32例给予均浆膳肠内营养支持治疗的脑卒中患者护理过程中出现的护理问题,采取针对性的护理干预措施。结果:发生反流1例,通过及时处理后,未对患者安全造成影响;其余31例患者均未见并发症发生。结论:精心细致、因人而异的观察护理,可减少胃肠营养支持的并发症,增进患者的舒适感,避免对患者的损害,降低患者的住院费用,改善患者的生存质量。

  11. Effects of Nutrition Education on Levels of Nutritional Awareness of Pregnant Women in Western Iran

    OpenAIRE

    FALLAH, Farnoush; Pourabbas, Ahmad; Delpisheh, Ali; Veisani, Yousef; Shadnoush, Mahdi

    2013-01-01

    Background Maternal nutritional health, before and during pregnancy, influences the health status of herself and her developing fetus. Pregnancy is an important condition for improving nutritional knowledge. Objectives The present study aimed at determining effects of nutrition education on levels of nutritional awareness of a representative group of pregnant women in Western Iran. Patients and Methods A quasi-experimental intervention was undertaken on a random sample of pregnant women (n = ...

  12. Alimentação alternativa: análise crítica de uma proposta de intervenção nutricional Alternative foods: a critical analysis of a proposal for nutritional intervention

    Directory of Open Access Journals (Sweden)

    Jaime Amaya Farfan

    1998-01-01

    Full Text Available O Instituto Nacional de Alimentação e Nutrição (Inan está propondo o uso, em nível nacional, de fórmula de alimentação alternativa, denominada "Multimistura", à base de farelos de arroz, e/ou trigo, sementes de gergelim e abóbora, folhas de mandioca, beterraba, cenoura, verduras nativas e pó de casca de ovo, como solução para combater a fome da população carente. Embora o crítico estado nutricional da população-alvo possa fazer qualquer questionamento técnico ou ético parecer por demais filosófico, uma série de considerações nutricionais, toxicológicas e até de viabilidade prática sugerem que a posição adotada pelo Inan deveria ser revista. A solução da multimistura, talvez válida para situações transitórias de extrema pobreza, carece de universalidade para ser utilizada, independentemente de faixa etária, estado nutricional e período de duração da intervenção.The nationwide use of a "Multimixture," a formula based on alternative foods such as rice and/or wheat bran, sesame and squash seeds, cassava, beet and carrot leaves, several indigenous leafy vegetables, and ground egg shells has been proposed by the National Institute of Food and Nutrition (INAN as an official solution to fight hunger among poor Brazilians. The fragile nutritional state of the target population may make technical or ethical questions appear purely academic, yet nutritional, toxicological, and practical feasibility considerations appear to warrant a revision of the INAN proposal. While the Multimixture approach may prove valid as a temporary solution in cases of extreme poverty, it is not universally applicable for the intended use, failing to take into account the age and nutritional status of the subjects or duration of the intervention.

  13. Intervention effect evaluation of implementation of nutrition and health education by community nurses for patients with diabetes%社区护士对糖尿病患者营养健康教育干预效果评价

    Institute of Scientific and Technical Information of China (English)

    鲁玲

    2013-01-01

    Objective To understand the implementation effect of nutrition and health education by community nurses for patients with diabetes,in order to provide reference for developing further intervention measures.Methods The questionnaire and laboratory testing methods were used.160 patients with type 2 diabetes were randomly sampled and divided into two groups,with 60 patients in the experimental group and 100 patients in the control group.The experimental group was given nutrition and health education intervention for 2 years by the community nurses.The control group was not given the intervening measure.Then the scores of nutrition and health knowledge questionnaire and lab test indexes between the two groups were compared.Results The experimental group had significantly higher nutrition and health knowledge score than the control group (P < 0.01).The two groups were statistically different in the physiological indicators:body weight,body mass index,fasting glucose,triglycerides,postprandial blood glucose and glycosylated hemoglobin values (P < 0.05).The indicators in the experimental group were better than those in the control group.The experimental group was superior to the control group in the intake of 16 nutrients indicators:energy,Vitamin A,Vitamin B1,Vitamin B6,Vitamin B12,niacin,folic acid,Vitamin D,Phosphorus,Potassium,Zinc,Selenium,Copper,biotin,etc (P < 0.05).Conclusion The nutrition and health education implemented by the community nurses among the patients with diabetes is highly effective,and worthy of promotion.%目的 了解社区护士对糖尿病患者进行营养健康教育后的成效,为进一步制定干预措施提供依据.方法 采用问卷调查和实验室检测的方法,随机抽取2型糖尿病患者160例,分成两组,实验组60例,对照组100例,实验组糖尿病患者由社区护士进行为期2年的营养健康教育干预,对照组不采取任何干预措施.比较干预后两组营养健康知识调查问卷得分及

  14. 胃旁路术联合营养干预对肥胖型2型糖尿病的疗效观察%Therapeutic Effects of Laparoscopic Gastric Bypass and Nutritional Intervention on Type 2 Diabetes Mellitus

    Institute of Scientific and Technical Information of China (English)

    邱小文; 金迪; 刘慧

    2013-01-01

    Objective To observe the therapeutic effects of laparoscopic Roux-en-Y gastric bypass and nutritional intervention in type 2 diabetes mellitus (T2DM).Methods A total of 76 T2DM patients were randomly assigned into treatment group and control group B with or without nutritional supplements.Three months and six months after the surgery,the index of glycometabolism,islet cell function,nutrition status,and other related indicators or complications were observed and recorded.Results After surgery,the clinical complete remission rate was 84.21% (64/76),and the partial remission rate was 15.79% (12/76).In both groups the levels of fasting blood glucose,glycated hemoglobin and serum iron levels were decreased (P<0.01),the fasting insulin and C peptide were increased (P<0.01).Compared with the control group,the serum iron and ferritin levels were significantly increased (P<0.01),the incidence of alopecia and anemia were lower (P<0.05).Conclusion Therapeutic effect of laparoscopic Roux-en-Y gastric bypass on T2DM is satisfactory.Nutritional interventions helps the patients to maintain good nutrition status,and can reduce the occurrence of the complications.%目的 观察胃旁路术(gastric bypass,GBP)联合营养干预,对肥胖型2型糖尿病(type 2 diabetes mellitus,T2DM)的疗效.方法 76例实施GBP的肥胖型T2DM患者,随机分为联合营养治疗组与对照组,每组38例.于术后3个月、6个月观察其糖代谢、胰岛细胞功能、营养状态等相关指标和并发症.结果 术后,患者临床完全缓解率为84.21%(64/76),部分缓解率15.79%(12/76);两组空腹血糖(fasting blood glucose,FBG)、糖化血红蛋白(glycosylated hemoglobin,HbA1c)、血清铁水平显著下降(P<0.01),空腹胰岛素和空腹C肽显著升高(P<0.01).与对照组比较:联合营养治疗组血清铁、血清铁蛋白水平显著升高(P<0.01);脱发、贫血等发生率显著减少(P<0.05).结论 GBP对肥胖型T2DM病情控制疗效满意

  15. A rotulagem nutricional para escolhas alimentares mais saudáveis: estudo de intervenção, Natal – RN / Nutrition labelling for healthier food choice: an intervention study, Natal – RN

    Directory of Open Access Journals (Sweden)

    Sônia Maria Fernandes da Costa Souza

    2014-02-01

    Full Text Available A educação alimentar e nutricional está vinculada à produção de informações que subsidiem os indivíduos na tomada de decisões, para que, assim, a população possa optar por alimentos mais saudáveis. O presente estudo objetiva descrever e analisar uma medida de intervenção relativa à rotulagem nutricional, junto aos estudantes de Natal-RN. Trata-se de um piloto em que foram arrolados 118 indivíduos em 2012, em uma instituição de ensino. Os estudantes participaram de uma exposição dialogada de orientação nutricional, tiveram acesso a um folder e responderam ao final um questionário. Os dados foram analisados pelo Programa do SPSS 16.0, com os testes de Wilcoxon e Mcnemar. O valor de p considerado para significância foi de < 0,05. A pesquisa foi aprovada pelo Comitê de Ética em Pesquisa da UFRN. Quando indagados sobre a compreensão da exposição dialogada, obteve-se um p de 0,024. Ao serem questionados quanto à importância de conhecer os valores máximos e mínimos de consumo de açúcar, gorduras, sódio e fibras, verificou-se um p de 0,020; em relação ao folder de orientação foi apresentado um p de 0,058. Os estudantes anseiam que sejam mantidas medidas de intervenção que viabilizem a efetividade da rotulagem nutricional como instrumento na educação nutricional. ---------------------------------------------------------------------------- The food and nutrition education is related to the production of information that supports the individuals in making decisions, so that thereby the population might choose healthier foods. This study aims to describe and analyze an intervention relating to nutrition labeling with students from Natal-RN. This is a pilot study in which 118 subjects in 2012 were se-lected from an educational institution. The students participated in a dialogued exhibition about nutritional guidance, had access to a guide folder and answered a questionnaire in the end. Data were analyzed using

  16. Effects of Individualized Nutrition Intervention on Pregnant Women with Gestational Diabetes Mellitus%个体化营养干预依从性对妊娠期糖尿病孕妇妊娠结局的影响∗

    Institute of Scientific and Technical Information of China (English)

    郭美英; 李玉梅; 刘冬菊; 张礼婕; 张薇

    2015-01-01

    Objective]To explore the effect of different compliance to individualized nutrition intervention on pregnant women and child with gestational diabetes mellitus.[Methods]One hundred and fifty singleton pregnant women diagnosed with gestational diabetes mellitus between October 2013 and September 2014 were given at least three one-to-one individualized nutrition intervention and guidance at the 24th,32ndand 36th week of the pregnant period by professional nutritionist.They were followed up until the deliveries were fin-ished.These pregnant women should complete a form to evaluate the compliance to individualized nutrition in-tervention during the intervention,and then they were divided into two groups:one with better compliance and another with poor compliance.Pregnancy complications and perinatal outcomes of these two groups were com-pared.[Results]Incidence rates of pregnancy complications (gestational hypertension,polyhydramnios,pre-term labor)in the group with better compliance were significantly lower than the group with poor compliance, the difference was statistically significant (P <0.05).Incidence rates of perinatal outcomes(cesarean section, macrosomia)in group with better compliance were significantly lower than the poor compliance group,the difference was statistically significant (P <0.05).[Conclusion]The compliance level of pregnant women with gestational diabetes during individualized nutrition intervention affect maternal and infants'pregnant outcomes. We need to explore and improve nutrition guidance methods constantly,to improve the degree of compliance of pregnant women with gestational diabetes mellitus with the nutrition therapy,thereby improving the pregnant outcomes of gestational diabetes mellitus.%【目的】探讨个体化营养干预依从程度对妊娠期糖尿病孕妇母婴的影响。【方法】选取2013年10月至2014年9月在本院门诊确诊的妊娠期糖尿病单胎孕妇150例,由专业营养师在孕24周、孕32周、

  17. Sequential Research on the Practice of Individuation Nutrition Intervention on Diabetes Outpatients%门诊糖尿病个体化营养干预实施的后续研究

    Institute of Scientific and Technical Information of China (English)

    王露; 高键; 唐红; 金凤妹

    2011-01-01

    Objective To search for more effective and feasible model for long - term nutrition intervention on type 2 diabetes outpatients, we investigated the influences caU8ed by the interruption of nutrition intervention on knowledge, attitude, behavior, blood glucose and complications. Methods We compared the changes of scores of K - A - P questionnaire, blood glucose and complication after the interruption of individual nutritional therapy in 120 type 2 diabetes outpatients. Results After one year interruption, the patient's scores of knowledge on diabetes, study attitude and behavior changes decreaaed significantly ( P <0.001 ) . The patient's key indicators , FBG,PPBS (2h) and HbA1C increased significantly (P <0. 05). The correlation coefficient between incressing of PPBS (2h) , HbA1C and decreasing of knowledge score, total score were statistical significant ( P < 0. 05) . Complications of diabetes also increased significantly (P <0. 05) . Conclusion To control of blood glucose and prevent diabetic complications, the nutrition intervention for diabetes outpatients must be persisted for a long term and dietitians should try their best to increase patient's compliance and constantly strengthen inter ventions on patient's diet and lifestyle.%目的 了解营养干预间断对2型糖尿病患者糖尿病相关知识、态度、行为、血糖和并发症的影响,为构建有效而且长期坚持的营养干预模式提供理论依据.方法 比较120例2型糖尿病患者干预间断前后知识-态度-行为问卷