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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

    Directory of Open Access Journals (Sweden)

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

    OpenAIRE

    Holloman Christopher; Caine-Bish Natalie; Ha Eun-Jeong; Lowry-Gordon Karen

    2009-01-01

    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 ...

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

    OpenAIRE

    Ha, Eun-Jeong; Caine-Bish, Natalie; Holloman, Christopher; Lowry-Gordon, Karen

    2009-01-01

    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...

  4. Nutrition intervention in scholars

    Directory of Open Access Journals (Sweden)

    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.

  5. Shopper marketing nutrition interventions.

    Science.gov (United States)

    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. PMID:24726388

  6. Interventional nutrition for gastrointestinal disease.

    Science.gov (United States)

    Hickman, M A

    1998-11-01

    Nutritional intervention plays a key role in the successful management of gastrointestinal disease. This article focuses on several novel areas of nutritional intervention that are becoming increasingly important in gastrointestinal disease, including short-chain fatty acids, omega-3 polyunsaturated fatty acids and glutamine. Short-chain fatty acids are the principal end-products of bacterial fermentation of dietary fibers and have profound effects on normal intestinal cell metabolism and proliferation. Short-chain fatty acids have the potential to improve overall intestinal health, stimulate intestinal healing, and decrease intestinal inflammation. Omega-3 fatty acids, from dietary sources or supplements, may also be useful in decreasing intestinal inflammation and in preventing intestinal cancer. Finally, glutamine also may play an important role in the nutritional management of gastrointestinal disease. PMID:9842113

  7. Nutritional Intervention and Breakfast Behavior of Kindergartens

    OpenAIRE

    Gao, Yongqing; CAI, Chunsheng; Li, Jian; Sun, Wenjie

    2016-01-01

    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 kindergart...

  8. Nutritional interventions in critical illness.

    Science.gov (United States)

    Powell-Tuck, Jeremy

    2007-02-01

    The metabolism of critical illness is characterised by a combination of starvation and stress. There is increased production of cortisol, catecholamines, glucagon and growth hormone and increased insulin-like growth factor-binding protein-1. Phagocytic, epithelial and endothelial cells elaborate reactive oxygen and nitrogen species, chemokines, pro-inflammatory cytokines and lipid mediators, and antioxidant depletion ensues. There is hyperglycaemia, hyperinsulinaemia, hyperlactataemia, increased gluconeogenesis and decreased glycogen production. Insulin resistance, particularly in relation to the liver, is marked. The purpose of nutritional support is primarily to save life and secondarily to speed recovery by reducing neuropathy and maintaining muscle mass and function. There is debate about the optimal timing of nutritional support for the patient in the intensive care unit. It is generally agreed that the enteral route is preferable if possible, but the dangers of the parenteral route, a route of feeding that remains important in the context of critical illness, may have been over-emphasised. Control of hyperglycaemia is beneficial, and avoidance of overfeeding is emphasised. Growth hormone is harmful. The refeeding syndrome needs to be considered, although it has been little studied in the context of critical illness. Achieving energy balance may not be necessary in the early stages of critical illness, particularly in patients who are overweight or obese. Protein turnover is increased and N balance is often negative in the face of normal nutrient intake; optimal N intakes are the subject of some debate. Supplementation of particular amino acids able to support or regulate the immune response, such as glutamine, may have a role not only for their potential metabolic effect but also for their potential antioxidant role. Doubt remains in relation to arginine supplementation. High-dose mineral and vitamin antioxidant therapy may have a place. PMID:17343768

  9. Nutritional interventions in sarcopenia: a critical review.

    Science.gov (United States)

    Hickson, Mary

    2015-11-01

    The aim of the present paper is to critically review the details of the published nutrition intervention trials, with and without exercise, targeting sarcopenia. Sarcopenia is the loss of muscle mass, strength and/or performance with age. Since amino acids and energy are required for muscle synthesis it is possible that nutritional intake influences sarcopenia. Nutritional studies are challenging to carry out because of the complexity of modulating dietary intake. It is very difficult to change one nutrient without influencing many others, which means that many of the published studies are problematic to interpret. The studies included evaluate whole protein, essential amino acids and β-hydroxyl β-methylbutyrate (HMB). Whole-protein supplementation failed to show a consistent effect on muscle mass, strength or function. This can be explained by the variations in study design, composition of the protein supplement and the failure to monitor voluntary food intake, adherence and baseline nutritional status. Essential amino-acid supplements showed an inconsistent effect but there are only two trials that have significant differences in methodology and the supplement used. The HMB studies are suggestive of a beneficial effect on older adults, but larger well-controlled studies are required that measure outcomes relevant to sarcopenia, ideally in sarcopenic populations. The issues of timing and distribution of protein intake, and increased splanchnic amino-acid sequestration are discussed, and recommendations for future trials are made. PMID:25923603

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

    Science.gov (United States)

    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. PMID:26087760

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

    DEFF Research Database (Denmark)

    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....

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

    Science.gov (United States)

    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. PMID:26642956

  13. Unit costs, cost - effectiveness, and financing of nutrition interventions

    OpenAIRE

    Horton, Susan

    1992-01-01

    The author summarizes what is known about unit costs, the cost structure, cost-effectiveness, and financing of eight nutrition interventions: maternal and child health (MCH) feeding, school feeding, nutrition education, the promotion of breastfeeding, targeted food subsidies, micronutrient supplementation, micronutrient fortification, and growth monitoring. Among items that she reports: (1) mass media nutrition education campaigns and the promotion of breastfeeding cost about $1 - $5 per bene...

  14. Sleep in elite athletes and nutritional interventions to enhance sleep.

    Science.gov (United States)

    Halson, Shona L

    2014-05-01

    Sleep has numerous important physiological and cognitive functions that may be particularly important to elite athletes. Recent evidence, as well as anecdotal information, suggests that athletes may experience a reduced quality and/or quantity of sleep. Sleep deprivation can have significant effects on athletic performance, especially submaximal, prolonged exercise. Compromised sleep may also influence learning, memory, cognition, pain perception, immunity and inflammation. Furthermore, changes in glucose metabolism and neuroendocrine function as a result of chronic, partial sleep deprivation may result in alterations in carbohydrate metabolism, appetite, food intake and protein synthesis. These factors can ultimately have a negative influence on an athlete's nutritional, metabolic and endocrine status and hence potentially reduce athletic performance. Research has identified a number of neurotransmitters associated with the sleep-wake cycle. These include serotonin, gamma-aminobutyric acid, orexin, melanin-concentrating hormone, cholinergic, galanin, noradrenaline, and histamine. Therefore, nutritional interventions that may act on these neurotransmitters in the brain may also influence sleep. Carbohydrate, tryptophan, valerian, melatonin and other nutritional interventions have been investigated as possible sleep inducers and represent promising potential interventions. In this review, the factors influencing sleep quality and quantity in athletic populations are examined and the potential impact of nutritional interventions is considered. While there is some research investigating the effects of nutritional interventions on sleep, future research may highlight the importance of nutritional and dietary interventions to enhance sleep. PMID:24791913

  15. Antimicrobial and nutritional interventions in early life

    DEFF Research Database (Denmark)

    Jensen, Michael Ladegaard

    Necrotizing enterocolitis (NEC) is the most common gastrointestinal disorder in premature newborn infants, yet there is still no well-established prevention strategy or treatment for this disease. The pathogenesis of NEC remains to be fully elucidated; however, prematurity, enteral nutrition and...... regard to challenge dose and supportive nutrition was done and presented in Paper IV....

  16. Effects of Nutrition Health Intervention on Pupils' Nutrition Knowledge and Eating Habits

    Science.gov (United States)

    Raiha, Teija; Tossavainen, Kerttu; Turunen, Hannele; Enkenberg, Jorma; Kiviniemi, Vesa

    2012-01-01

    The purpose of this investigation was to evaluate the effects of nutrition health intervention on pupils' nutrition knowledge and eating habits from grade seven to grade nine. The study was part of the ENHPS (since 2008, Schools for Health in Europe (SHE)) program in Finland, and more specifically its sub-project titled "From Puijo to the World…

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

    Science.gov (United States)

    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 educated groups on nutrition, physical activity and overall health education to improve their health, lifestyle and eating habits. PMID:27454492

  18. Nutrition Intervention Trials in Linxian, China

    Science.gov (United States)

    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

  19. Delivering Nutrition Services in Early Intervention in Rural Areas.

    Science.gov (United States)

    McGarr, Bethany; And Others

    1995-01-01

    This article discusses general issues in the provision of early intervention as well as nutrition services in rural areas and presents a case study to illustrate these issues. Barriers identified include transportation, long-distance travel, lack of specialized personnel, and poverty. Recommendations to overcome barriers are highlighted. (JDD)

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

    OpenAIRE

    Ferreira Isabel; Oenema Anke; Brug Johannes

    2005-01-01

    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 the...

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

    DEFF Research Database (Denmark)

    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...... controlled or quasi-experimental worksite intervention trials and observational cross-sectional studies. Studies were selected on the basis of topic relevance, according to publication title and subsequently according to abstract content. A quality appraisal of the studies was based on study design and......’ 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...

  2. Assessing Interventions: IAEA Technical Cooperation Enhances Nutrition Programmes

    International Nuclear Information System (INIS)

    Malnutrition — in all its forms — is a significant development challenge, affecting childhood health, workplace productivity, and national health programmes in countries around the world. While the effects of undernutrition are well recognized, there is less recognition of the fact that the long term impact of obesity or inappropriate nutrition can also be very damaging to health and to national economies. Increasingly, countries around the world are taking action to implement nutritional or physical activity interventions designed to improve the future health of children, as well as the health of their populations in general. Such interventions may include the promotion of exclusive breastfeeding, school breakfast or lunch programmes, nutrition awareness campaigns, food fortification, and investment in sports activities and facilities. The IAEA, through its Technical Cooperation (TC) programme, is working with its Member States to help them to assess the efficiency and effectiveness of such intervention programmes, in order to ensure that government efforts are having the desired effect, and that resources are being well applied. For such assessments, reliable data are essential, and it is here that nuclear science and technology come into play

  3. 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…

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

    Directory of Open Access Journals (Sweden)

    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.

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

    OpenAIRE

    Seo, Seung Hee

    2014-01-01

    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...

  6. 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.

  7. Parent education in youth-directed nutrition interventions.

    Science.gov (United States)

    Crockett, S J; Mullis, R; Perry, C L; Luepker, R V

    1989-07-01

    Since parents play a pivotal role in helping their children to implement eating pattern changes, interest in parent education in youth-directed nutrition interventions is likely to increase along with heightened interest in primary prevention. Previous experience indicates, however, that it may be difficult to recruit and sustain parent involvement. This article describes an evaluation of the effect on parents of two youth-directed interventions with a parent component, a classroom curriculum called Hearty Heart and Friends and a mailed-home, parent-taught approach called Hearty Heart Home Team. Using incentives, a participation rate of 85.6% was achieved in Hearty Heart Home Team. This parent-taught intervention had significantly greater impact on parent than did the school-only curriculum in the following areas: knowledge about diet and heart disease; attitudes of efficacy, intention, outcome expectation and modeling; and parent-child communication and child involvement in food or nutrition-related issues in the home. In addition, the parent-taught approach influenced foods present in the home as evidenced by Home Team groups having significantly more encouraged foods and more positive choices in six scores on a shelf inventory measure conducted by in-home interviewers. PMID:2678093

  8. 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.

  9. 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 =...

  10. 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.…

  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. PMID:24635394

  12. Evaluation of a novel nutrition education intervention for medical students from across England

    OpenAIRE

    Ray, Sumantra; Udumyan, Ruzan; Rajput-Ray, Minha; Thompson, Ben; Lodge, Keri-Michele; Douglas, Pauline; Sharma, Poonam; Broughton, Rachel; Smart, Sandra; Wilson, Rick; Gillam, Stephen; van der Es, Mike J; Fisher, Ilana; Gandy, Joan

    2012-01-01

    Objectives Problems such as hospital malnutrition (∼40% prevalence in the UK) may be managed better by improving the nutrition education of ‘tomorrow's doctors’. The Need for Nutrition Education Programme aimed to measure the effectiveness and acceptability of an educational intervention on nutrition for medical students in the clinical phase of their training. Design An educational needs analysis was followed by a consultative process to gain consensus on a suitable educational intervention....

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

    OpenAIRE

    Maryam Boshtam; Karim Zare; Shahriar Sadeghi; Firozeh Sajadi; Shahnaz Shahrokhi; Mansoreh Boshtam; Abdoreza Parsa

    2011-01-01

    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 consump...

  14. 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.

  15. 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...

  16. Health Blief Model-based intervention to improve nutritional behavior among elderly women

    OpenAIRE

    Iranagh, Jamileh Amirzadeh; Rahman, Hejar Abdul; Motalebi, Seyedeh Ameneh

    2016-01-01

    BACKGROUND/OBJECTIVES Nutrition is a determinant factor of health in elderly people. Independent living in elderly people can be maintained or enhanced by improvement of nutritional behavior. Hence, the present study was conducted to determine the impact of Health Belief Model (HBM)-based intervention on the nutritional behavior of elderly women. SUBJECTS/METHODS Cluster-random sampling was used to assess the sample of this clinical trial study. The participants of this study attended a 12-we...

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

    OpenAIRE

    Kim, Jooyoung; Lee, Joohyung

    2014-01-01

    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 nutritio...

  18. Nutritional assessment and intervention in a pediatric oncology unit

    OpenAIRE

    J Schoeman

    2015-01-01

    Nutritional status in children with cancer is an important prognostic factor. Assessment consisting of anthropometry, biochemistry, clinical, and diet that needs to be done on diagnosis and regularly to ensure that patient's nutritional status does not deteriorate. In developing countries, assessment will depend on the availability of all resources, but monitoring is essential. The development of malnutrition during treatment is possible and the reasons are multifactorial. Nutrition plays a d...

  19. Effect of nutritional intervention on weight multidisciplinary ambulatory patients

    OpenAIRE

    María Luisa Fallas

    2012-01-01

    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 a...

  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. PMID:27022772

  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. Community capacity for sustainability of nutrition and physical activity interventions in small, rural communities

    Science.gov (United States)

    Rural communities would seem to present a challenge for sustainability of interventions because of resource limitations. This session will examine ways in which capacity for sustainability has been emphasized as part of nutrition and physical activity interventions in three rural Mississippi River D...

  3. 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…

  4. Nutritional assessment and intervention in a pediatric oncology unit

    Directory of Open Access Journals (Sweden)

    J Schoeman

    2015-01-01

    Full Text Available Nutritional status in children with cancer is an important prognostic factor. Assessment consisting of anthropometry, biochemistry, clinical, and diet that needs to be done on diagnosis and regularly to ensure that patient's nutritional status does not deteriorate. In developing countries, assessment will depend on the availability of all resources, but monitoring is essential. The development of malnutrition during treatment is possible and the reasons are multifactorial. Nutrition plays a deciding role and a key factor in children with cancer and can influence their outcome.

  5. 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. PMID:23609476

  6. Does geographic targeting of nutrition interventions make sense in cities?

    OpenAIRE

    Morris, Saul Sutkover; Levin, Carol E.; Armar-Klemesu, Margaret; Maxwell, Daniel G.; Ruel, Marie T.

    1999-01-01

    Although most developing country cities are characterized by pockets of substandard housing and inadequate service provision, it is not known to what degree low incomes and malnutrition are confined to specific neighborhoods. This analysis uses representative household surveys of Abidjan and Accra to quantify small-area clustering in service provision, demographic characteristics, consumption, and nutrition. Both cities showed significant clustering in housing conditions but not in nutrition,...

  7. 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. PMID:27187909

  8. 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.

  9. 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.

  10. 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

  11. 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

  12. 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.

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

    OpenAIRE

    Ong Ken K; Sharp Stephen J; Lakshman Rajalakshmi R; Forouhi Nita G

    2010-01-01

    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...

  14. Effects of nutritional management intervention on gestational weight gain and perinatal outcome

    OpenAIRE

    Luo, Xiao-Dong; Dong, Xiaojing; Zhou, Jin

    2014-01-01

    ABSTRACT Objectives: To evaluate whether nutritional management intervention can prevent excessive weight gain during pregnancy and improve perinatal outcomes. Methods: This cross-sectional study included 276 pregnant women undergoing prenatal care between June 2010 and December 2011 at the Obstetrics and Gynecology Department of the Second Affiliate Hospital of the ChongQing University of Medical Sciences, Chongqing, China. Of them, 131 women received individualized nutritional management in...

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

    OpenAIRE

    Mihaela Posea; Andreea Dragomir; Emilia Rusu; Raluca Nan; Ramona Dragut; Horatiu Popescu; Florentina Stoicescu; Ileana Teodoru; Anca Hancu; Marilena Stoian; Gabriela Radulian

    2015-01-01

    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. Resul...

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

    OpenAIRE

    Light, Luise; Tenney, Janet; Portnoy, Barry; Kessler, Larry; Rodgers, Anne Brown; Patterson, Blossom; Mathews, Odonna; Katz, Eileen; Blair, Joan E.; Evans, Shirley King; Tuckermanty, Elizabeth

    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.

  17. Nutrition for homeless populations: shelters and soup kitchens as opportunities for intervention.

    Science.gov (United States)

    Koh, Katherine A; Bharel, Monica; Henderson, David C

    2016-05-01

    Nutrition is a daily challenge for the homeless population in America. Homeless individuals suffer from a high prevalence of diseases related to poor diet, yet there has been little public health effort to improve nutrition in this population. Shelters and soup kitchens may have an untapped potential to impact food access, choice and quality. We offer ideas for intervention and lessons learned from ten shelters and soup kitchens around Greater Boston, MA, USA. By advancing food quality, education and policies in shelters and soup kitchens, the homeless population can be given an opportunity to restore its nutrition and health. PMID:26434381

  18. The establishment of enteral nutrition with minimally-invasive interventional procedure under endoscopic or imaging guidance

    International Nuclear Information System (INIS)

    For patients unable to get the necessary nutrition orally, a variety of techniques,including surgical way, to make gastrostomy with tube placement have been employed. For recent years, gastrostomy and tube placement with the help of endoscopic guidance or percutaneous interventional management has been developed, which is superior to surgical procedure in minimizing injuries, decreasing cost and reducing complications. In certain clinical situations, both endoscopic method and interventional method can be employed. This paper aims to make a comprehensive review of the indications, techniques and skills, advantages and disadvantages of both the endoscopy-guided and the imaging-guided percutaneous gastrojejunostomy for the establishment of enteral nutrition. (authors)

  19. 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. PMID:25715801

  20. 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. PMID:26875208

  1. Nutrition intervention for migraine: a randomized crossover trial

    OpenAIRE

    Bunner, Anne E.; Agarwal, Ulka; Gonzales, Joseph F; Valente, Francesca; Barnard, Neal D.

    2014-01-01

    Background Limited evidence suggests that dietary interventions may offer a promising approach for migraine. The purpose of this study was to determine the effects of a low-fat plant-based diet intervention on migraine severity and frequency. Methods Forty-two adult migraine sufferers were recruited from the general community in Washington, DC, and divided randomly into two groups. This 36-week crossover study included two treatments: dietary instruction and placebo supplement. Each treatment...

  2. Nutritional assessment and intervention in children with severe neurological disabilities

    OpenAIRE

    Bachlet, Allison M. E.

    2003-01-01

    Providing adequate nutrition to children with severe neurological disabilities is extremely difficult due to the high prevalence of oral-motor dysfunction in this group. Short stature and light weight for height are common in disabled children and undernutrition is believed to play a role in this poor growth. This programme of study investigated the effect of gastrostomy-tube feeding in disabled children with oral-motor dysfunction and evaluated the energy balance and body ...

  3. 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

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

    Directory of Open Access Journals (Sweden)

    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.

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

    OpenAIRE

    Arija Victoria; Martín Núria; Canela Teresa; Anguera Carme; Castelao Ana I; García-Barco Montserrat; García-Campo Antoni; González-Bravo Ana I; Lucena Carme; Martínez Teresa; Fernández-Barrés Silvia; Pedret Roser; Badia Waleska; Basora Josep

    2012-01-01

    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 t...

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

    OpenAIRE

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

    2013-01-01

    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.

  7. Nine–month nutritional intervention improves restoration of menses in young female athletes and ballet dancers

    OpenAIRE

    Łagowska, Karolina; Kapczuk, Karina; Jeszka, Jan

    2014-01-01

    Background We hypothesized that an intervention designed to increase the energy and nutrient intake could serve as an efficacious method to restore normal menstrual functions in athletes and ballet dancers. Methods In this study, a 9-month nutritional intervention (NI) was conducted in 21 dancers and 31 athletes with menstrual disorders. Analyses of the body composition were performed, and the levels of LH, FSH, P, E2, TSH, T, PRL, SHBG, leptin, resting metabolic rate (RMR), energy and nutrie...

  8. 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…

  9. 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.

  10. 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…

  11. Physical Activity and Nutrition Health Promotion Interventions: What Is Working for People with Intellectual Disabilities?

    Science.gov (United States)

    Heller, Tamar; McCubbin, Jeffrey A.; Drum, Charles; Peterson, Jana

    2011-01-01

    A scoping review of studies on physical activity and nutrition health promotion interventions for individuals with intellectual disabilities was conducted. Searches included MEDLINE, PsycINFO, and CINAHL databases from 1986 through July 2006. The final number included 11 articles comprising 12 studies. Generally, this review indicated some…

  12. 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. PMID:24673167

  13. 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.

  14. EFFECTIVENESS OF NUTRITIONAL INTERVENTION MEASURES ON CHILDREN ADMITTED IN NUTRITIONAL REHABILITATION CENTER (NRC KING GEORGE HOSPITAL- VISAKHAPATNAM

    Directory of Open Access Journals (Sweden)

    Rama Rao

    2015-12-01

    Full Text Available BACKGROUND NRC was started in Visakhapatnam (KGH in December’ 2012 to nutritionally rehabilitate severely acute malnourished children. This study was conducted to assess the effectiveness of rehabilitation services provided at Nutritional Rehabilitation Center. OBJECTIVES 1 To evaluate the effectiveness of Nutritional interventional measures undertaken at Nutritional Rehabilitation Center through review of selected anthropometric measure indicators. 2 To assess the nutritional status after discharge from Nutritional Rehabilitation center. METHODS A Retrospective record based (secondary data study conducted in the month of November 2013.Sevevnty five children were admitted in Nutritional Rehabilitation Center (NRC of KGH, Visakhapatnam in the months of April to October 2013. The data was obtained from NRC records including anthropometric measurements at admission, discharge and follow-up. RESULTS Twenty percent of the children were less than 12 months of age and 34.7% were in the age group of 13–24 months. Forty eight percent were female and 52% were male children. Majority (93% of the children stayed in the NRC for more than 14 days. There was significant difference in the weight of children at the time of admission and at the time of discharge (t= - 15.942, p=0.001. There was no significant difference in Mid Arm Circumference at the time of admission and at the time of discharge (t = -0.942, p=0.349. Fourteen percent were defaulted. There was significant difference in weight of children at the time of discharge and at the time of first follow-up (t=2.203, p=0.03 and third follow-up (t= -8.903, p=0.001. CONCLUSIONS NRCs are effective in improving the nutritional status of severely acute malnourished children and the follow-up also shows the children are having catch-up growth. RECOMMENDATIONS: 1 Adequate number of NRCs should be available for severely acute malnourished children in all the areas. 2 Effective counseling measures should be

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

    Directory of Open Access Journals (Sweden)

    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.

  16. 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

    OpenAIRE

    Ritesh; Priyesh

    2015-01-01

    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 ...

  17. 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.

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

    OpenAIRE

    Burke Linda; Lee Andy H; Jancey Jonine; Xiang Liming; Kerr Deborah A; Howat Peter A; Hills Andrew P; Anderson Annie S

    2013-01-01

    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...

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

    OpenAIRE

    Burke, Linda; Lee, Andy H.; Jancey, Jonine; Xiang, Liming; Deborah A. Kerr; Howat, Peter A.; Hills, Andrew P; Anderson, Annie S

    2013-01-01

    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 basel...

  20. 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. PMID:21948952

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

    OpenAIRE

    Statharou A.; Berk A.; Galatou C.

    2011-01-01

    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 Nev...

  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

    2015-01-01

    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. PMID:26040386

  3. 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

  4. 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.

  5. 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. PMID:26778802

  6. 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.

  7. 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

  8. 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. PMID:27051550

  9. 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

    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 with...... reduced physical, social and/or cognitive function were included. PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines were followed, and gradepro computer software (http://gradepro.org) was used for the quality assessment of critical and important outcomes. Included...... body weight, hand-grip strength or muscle strength. There was no difference between groups in the critical outcomes; balance, cognition, activities of daily living and mortality at long-term follow-up. Nutritional intervention given with functional rehabilitation was associated with an increased...

  10. Evidence-Based Psychotherapies and Nutritional Interventions for Children With Bipolar Spectrum Disorders and Their Families.

    Science.gov (United States)

    Fristad, Mary A

    2016-01-01

    Treatment guidelines recommend that psychotherapy be used in conjunction with pharmacotherapy in children with bipolar disorder. A well-established category of psychotherapy is family skill-building plus psychoeducation; 3 examples of this are family-focused treatment, psychoeducational psychotherapy, and child- and family-focused cognitive-behavioral therapy. These treatments share several common elements that are important in pediatric populations, including being family-based, providing psychoeducation on symptoms and their management, and training patients and families in emotion regulation, communication, and problem-solving skills. Clinicians may also wish to explore nutritional interventions; multinutrient complexes are experimental, and omega-3 fatty acid supplements are possibly efficacious. Nutritional interventions are particularly attractive in this patient population because of their favorable safety profile. PMID:27570930

  11. Integration of Priority Population, Health and Nutrition Interventions into Health Systems: Systematic Review.

    OpenAIRE

    Adeyi Olusoji; Ohiri Kelechi; Secci Federica V; de Jongh Thyra E; Atun Rifat; Car Josip

    2011-01-01

    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 sear...

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

    Directory of Open Access Journals (Sweden)

    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.

  13. Systematic Review: Medical and Nutritional Interventions for the Management of Intestinal Failure and its Resultant Complications in Children

    OpenAIRE

    Barclay, Andrew; Beattie, Lynne M; Weaver, L T; Wilson, David C

    2010-01-01

    Abstract Background and Aims: Intestinal failure (IF) affects a growing number of children due to increasing numbers of preterm infants surviving intestinal resection for necrotising enterocolitis (NEC) and improving surgical techniques for congenital gut anomalies. Parenteral nutrition (PN) is the mainstay of therapy; enteral nutrition (EN) may have trophic effects on the gut. We aimed to systematically review evidence for the effectiveness of medical and nutritional interventions...

  14. “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...

  15. Results of a 3-Year, Nutrition and Physical Activity Intervention for Children in Rural, Low-Socioeconomic Status Elementary Schools

    Science.gov (United States)

    King, Kristi McClary; Ling, Jiying

    2015-01-01

    Improving children's nutrition and physical activity have become priorities in the United States. This quasi-experimental study evaluated the longitudinal effects of a 3-year, school-based, health promotion intervention (i.e. nutrition and physical education, classroom physical activity, professional development and health promotion for teachers…

  16. 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…

  17. The Impact of Nutrition Education Interventions on the Dietary Habits of College Students in Developed Nations: A Brief Review

    OpenAIRE

    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 an...

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

    OpenAIRE

    Vishal Jamra, Vishal Bankwar, Dinesh M Saxena

    2013-01-01

    Background & Objectives: Malnutrition is a scourge for mankind especially among the developing world countries like India. The present study endeavors to find the factors responsible for this magnitude of under nutrition in under-5 in an urban slum area and also to find the effect of short term educa-tional intervention and de-worming on the status of under nutrition. Materials and Methods: This cross sectional intervention study was undertaken in slum area for a period of 6 months. I...

  19. 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.

  20. Pertinence of the recent school-based nutrition interventions targeting fruit and vegetable consumption in the United States:a systematic review

    OpenAIRE

    Christopher R. Aloia; Taylor A. Shockey; Nahar, Vinayak K.; Knight, Kathy B.

    2016-01-01

    Background: Schools are the major locations for implementing children’s dietary behavior related educational or interventional programs. Recently, there has been an increase in school-based nutrition interventions. The objective of this systematic review was to overview the evidence for the effectiveness of school-based nutrition intervention on fruit and vegetable consumption. Methods: PubMed was used to search for articles on school-based nutrition interventions that measured students’ f...

  1. 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 (psugary soft drinks (p = 0.03), while those whose participation rate was 50% and over (n = 63) reduced daily per capita intake of oil (p = 0.01) and sugar (p = 0.002), increased their consumption of fruit (p = 0. 004), and milk and dairy products (p = 0.02), and also experienced weight loss (-1.3 ± 3.9kg; p = 0.02). The findings show the importance of combining nutritional interventions with physical activity to ensure positive impacts on the nutritional status and anthropometric profile of participants in the Health Gym Programme. PMID:26060972

  2. Addressing the public health burden caused by the nutrition transition through the Healthy Foods North nutrition and lifestyle intervention programme.

    Science.gov (United States)

    Sharma, S; Gittelsohn, J; Rosol, R; Beck, L

    2010-10-01

    Dietary inadequacies, low levels of physical activity, excessive energy intake and high obesity prevalence have placed Inuit and Inuvialuit populations of the Canadian Arctic at increased risk of chronic disease. An evidence-based, community participatory process was used to develop Healthy Foods North (HFN), a culturally appropriate nutrition and physical activity intervention programme that aimed to reduce risk of chronic disease and improve dietary adequacy amongst Inuit/Inuvialuit in Nunavut and the Northwest Territories. HFN was implemented over the course of 12 months in a series of seven phases between October 2008 and 2009 (Nunavut) and June 2008 and 2009 (Northwest Territories). Combining behaviour change and environmental strategies to increase both the availability of healthful food choices in local shops and opportunities for increasing physical activity, HFN promoted the consumption of traditional foods and nutrient-dense and/or low energy shop-bought foods, utilisation of preparation methods that do not add fat content, decreased consumption of high-energy shop-bought foods, and increased physical activity. Messages identified in the community workshops, such as the importance of family eating and sharing, were emphasised throughout the intervention. Intervention components were conducted by community staff and included working with shops to increase the stocking of healthy foods, point of purchase signage and promotion in shops and community settings, pedometer challenges in the workplace and use of community media (e.g. radio and cable television advertisements) to reinforce key messages. HFN represents an innovative multilevel approach to the reduction of chronic disease risk factors amongst Inuit and Inuvialuit, based on strong collaboration with local agencies, government and institutions. PMID:21158971

  3. Nutritional care of Danish medical inpatients: Effect on dietary intake and the occupational groups' perspectives of intervention

    Directory of Open Access Journals (Sweden)

    Jensen Lillian

    2004-09-01

    Full Text Available Abstract Background Many patients do not eat and drink sufficiently during hospitalisation. The clinical consequences of this under nutrition include lassitude, an increased risk of complications and prolonged convalescence. The aim of the study was 1 to introduce intervention targeting nutritional care for medical inpatients, 2 to investigate the effect of this intervention, and 3 to investigate the occupational groups' attitudes towards nutritional intervention and nutritional care in general. Methods The design was to determinate the extent to which the protein and energy requirements of medical inpatients were met before and after intervention. Dietary protein and energy intakes were assessed by 72-hour weighed food records. A total number of 108 medical patients at four bed sections and occupational groups in the two intervention bed sections, Aarhus University Hospital, Denmark participated. The intervention included introduction and implementation of nursing procedures targeting nutritional care during a five-month investigation period using standard food produced at the hospital. The effect of intervention for independent groups of patients were tested by one-way analysis of variance. After the intervention occupational groups were interviewed in focus groups. Results Before the intervention hospital food on average met 72% of the patients' protein requirement and 85% of their energy requirement. After intervention hospital food satisfied 85% of the protein and 103% of the energy requirements of 14 patients in one intervention section and 56% of the protein and 76% of the energy requirement of 17 patients in the other intervention section. Hospital food satisfied 61% of the protein and 75% of the energy requirement in a total of 29 controls. From the occupational groups' point of view lack of time, lack of access to food, and lack of knowledge of nutritional care for patients were identified as barriers to better integration of

  4. 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...

  5. A Pilot Study of Self-Management-based Nutrition and Physical Activity Intervention in Cancer Survivors.

    Science.gov (United States)

    Miller, Michelle; Zrim, Stephanie; Lawn, Sharon; Woodman, Richard; Leggett, Stephanie; Jones, Lynnette; Karapetis, Christos; Kichenadasse, Ganessan; Sukumaran, Shawgi; Roy, Amitesh C; Koczwara, Bogda

    2016-07-01

    Exercise and a healthy diet are beneficial after cancer, but are not uniformly adopted by cancer survivors. This study reports on the feasibility, acceptability, and effectiveness of a self-management-based nutrition and exercise intervention for Australian cancer survivors. Adult survivors (n  =  25) during curative chemotherapy (stratum 1[S1]; n  =  11) or post-treatment (stratum 2 [S2]; n  =  14) were recruited prospectively from a single center. The Flinders Living Well Self-Management Program™ (FLW Program) was utilized to establish patient-led nutrition and exercise goals and develop a tailored 12-wk intervention plan. Fortnightly reviews occurred with assessments at baseline, 6 and 12 wk. A recruitment and retention rate of 38% and 84% were observed. Both strata maintained total skeletal muscle mass. Small reductions in body mass index, hip circumference, and percentage body fat, and small increases in hand grip strength and exercise capacity among subjects in both strata were observed. No significant differences were observed between strata; however, significant increases in exercise capacity and global health status for S2 were observed from baseline to 12 wk. FLW Program is a feasible mode of delivering nutrition and exercise intervention to cancer survivors and it appears that there are no barriers to implementing this program early during chemotherapy. Hence, the additive effect of gains achieved over a longer duration is promising and this should be explored in randomized controlled trials adequately powered to observe clinically and statistically significant improvements in relevant outcomes. PMID:27176450

  6. 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

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

    OpenAIRE

    Jassil, Friedrich C.; Sean Manning; Neville Lewis; Siri Steinmo; Helen Kingett; Fiona Lough; Pucci, Andrea B. F.; W.H. Cheung; Nicholas Finer; Judith Walker; Jaqueline Doyle; Batterham, Rachel L.

    2015-01-01

    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...

  8. Highlighting the evidence gap: how cost-effective are interventions to improve early childhood nutrition and development?

    OpenAIRE

    Batura, N; Hill, Z; Haghparast-Bidgoli, H.; Lingam, R; Colbourn, T; Kim, S.; Sikander, S; Pulkki-Brannstrom, AM; Rahman, A; Kirkwood, B.; Skordis-Worrall, J

    2014-01-01

    : There is growing evidence of the effectiveness of early childhood interventions to improve the growth and development of children. Although, historically, nutrition and stimulation interventions may have been delivered separately, they are increasingly being tested as a package of early childhood interventions that synergistically improve outcomes over the life course. However, implementation at scale is seldom possible without first considering the relative cost and cost-effectiveness of t...

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

    Directory of Open Access Journals (Sweden)

    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

  10. 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. PMID:23008983

  11. 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.

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

    OpenAIRE

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

    2012-01-01

    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 man...

  13. Formative Research to Inform Nutrition Interventions in Chuuk and the US Pacific.

    Science.gov (United States)

    Aitaoto, Nia; Campo, Shelly; Snetselaar, Linda G; Janz, Kathleen F; Farris, Karen B; Parker, Edith; Belyeu-Camacho, Tayna; Jimenez, Ryan P

    2015-06-01

    The type 2 diabetes epidemic is a global health issue, and it is especially severe in the US Pacific. Although there are nutrition interventions in Hawaii and the Pacific, success is limited, in part, because of the lack of tailoring for the Pacific context. The Pacific context is inclusive of environment, political, and economic situation; historical (precontact, colonial, and post colonial) background; cultural practices; and spiritual orientation. This study used Grounded Theory and Community-Based Participatory Research processes to identify influences that hinder or facilitate adherence to nutrition recommendations. Data were gathered through key informant interviews (faith leaders and health care providers) and focus-group discussions (individual with diabetes and care takers). Results showed barriers to nutrition recommendations adherence that were similar to other minority populations in the United States, such as cost of healthy foods, taste preference, low availability of healthy food choices, lack of ideas for healthy meals/cooking, and lack of culturally appropriate options for dietary modification. It also elucidated behaviors that influence adherence to nutrition recommendations, such as preparing and consuming meals for and with extended family and church members; patient and group motivation; and access to healthy, affordable, and palatable foods. Participants expressed the need for interventions that are tailored to the local culture and context and a holistic view of health, with a focus on motivation (spiritual and emotional support). These findings could be used to develop culturally and contextually appropriate programs. For example, adapting motivational interviewing techniques and materials by adding family members to motivational interviewing sessions vs patients only, as Pacific Islanders have a collectivistic culture and family members play an important role in adherence; conducting motivational interviewing in the community in addition to

  14. The "5 a day" game: a nutritional intervention utilising innovative methodologies with primary school children.

    Science.gov (United States)

    Rosi, Alice; Scazzina, Francesca; Ingrosso, Lisa; Morandi, Angelica; Del Rio, Daniele; Sanna, Alberto

    2015-01-01

    The aim of this study was observing and improving children's eating habits through an edutainment technological platform. A single-group education intervention was carried out in primary schools in Parma and Milano, Italy. A total of 76 children (32 females and 44 males, 8-10 years old) were involved in a 3-month nutritional program including lessons and educational videogames. Intakes of fruits, vegetables, juices and dietary total antioxidant capacity (TAC) were measured using 3-day food diaries before and after the intervention. The daily total consumption of fruit and vegetables increased from 421.8 (320.3) to 484.3 (337.2) g/day (p = 0.016). Consequently, daily dietary TAC increased by 26%, rising from 1.4 (1.3) to 1.6 (1.3) mmol of Trolox equivalents (p = 0.006). The methods and, particularly, the use of technological tools proved to be effective in conducting an educational intervention in children aged 8-10 years old. PMID:26307556

  15. 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

  16. Applications of isotopes in the development of nutrition policies and evaluation of interventions. Report of a contractual service agreement

    International Nuclear Information System (INIS)

    In the last 10-20 years, the development of science and technology applied to nutrition has been impressive. Nutrition can no longer be underestimated as a scientific discipline; nutrition embraces now modern physiology and biochemistry (including molecular biology), anthropology and the social sciences and requires real expertise from many sources, including the nuclear sector. Isotopic-based nuclear techniques provide reliable biological indicators that give, at the decision-maker level, important information to target and track progress in food and nutrition programs. They serve as tools for evaluating nutritional status of populations and individuals for micronutrients and vitamins, nutrient intake and bioavailability, body composition and energy balance. The information provided verifies the nature of the nutrition problem, helps implement or redirect on-going programs, guides in the processing of local foods and provides indicators of important long-term health improvements or broader social and economic advances. As a result of the investment in human resources undertaken by IAEA in recent years, under its mandate to promote the peaceful uses of nuclear technology, nutritionists in developing countries are now more aware of the significance and benefits of isotopic techniques. This includes stable isotopic methods that are biologically safe and have no adverse environmental impacts. Equipment is being increasingly made available by national investments in the science base. Sometimes IAEA has given specific and direct support but in many instances support previously provided for other nuclear sectors could be harnessed to address nutritional problems. In summary, the objectives now are to meet the nutrition challenges facing countries by the use of isotopes in nutritional evaluations, bearing in mind that isotopic and nuclear techniques are tools, not solutions by themselves. IAEA does not manage or fund nutrition investigations or interventions at the public

  17. 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.

  18. The effect of intensive nutrition interventions on weight gain after kidney transplantation: protocol of a randomised controlled trial

    OpenAIRE

    Ryan, Kristin J; Casas, Jessie M Segedin; Mash, Laura E; McLellan, Sandra L; Lloyd, Lyn E; Stinear, James W.; Plank, Lindsay D; Collins, Michael G.

    2014-01-01

    Background Weight gain and obesity are common after kidney transplantation, particularly during the first year. Obesity is a risk factor for the development of new-onset diabetes after transplantation, and is associated with reduced graft survival. There is a lack of evidence for effective interventions to prevent weight gain after kidney transplantation. Methods/Design The effect of INTEnsive Nutrition interventions on weight gain after kidney Transplantation (INTENT) trial is a single-blind...

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

    OpenAIRE

    Mohd Razif Shahril; Wan Putri Elena Wan Dali; Pei Lin Lua

    2013-01-01

    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. T...

  20. The effect of health and nutrition education intervention on women's postpartum beliefs and practices: a randomized controlled trial

    Directory of Open Access Journals (Sweden)

    Yao Ping

    2009-02-01

    Full Text Available Abstract Background 'Sitting month' is the Chinese tradition for postpartum customs. Available studies indicate that some of the traditional postpartum practices are potentially harmful for women's health. However, no intervention study aiming at postpartum practices has been performed. In this paper we evaluated the effect of a health and nutrition education intervention, which focused on improving postpartum dietary quality and optimal health behaviors. Methods The study design was a randomized controlled trial conducted in both urban and rural area of Hubei between August 2003 and June 2004. A total of 302 women who attended the antenatal clinic during the third trimester with an uncomplicated pregnancy were recruited. Women randomized to the education intervention group in both urban and rural area received two two-hour prenatal education sessions and four postpartum counseling visits. Control group women received usual health care during pregnancy and postpartum period. Women were followed up until 42 days postpartum. Outcome measures were nutrition and health knowledge, dietary behavior, health behavior and health problems during the postpartum period. Results Women in the intervention groups exhibited significantly greater improvement in overall dietary behaviors such as consumption of fruits, vegetables, soybean and soybean products as well as nutrition and health knowledge than those in the control groups. Significantly more women in the intervention groups give up the traditional behavior taboos. The incidence of constipation, leg cramp or joint pain and prolonged lochia rubra was significantly lower in the intervention groups as compared with the control groups. Conclusion The study shows that health and nutrition education intervention enable the women take away some of the unhealthy traditional postpartum practices and decrease the prevalence of postpartum health problems. The intervention has potential for adaptation and

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

    Science.gov (United States)

    Uglem, Solveig; Stea, Tonje Holte; Kjøllesdal, Marte Karoline Råberg; Frølich, Wenche; Wandel, Margareta

    2013-01-01

    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. PMID:24155686

  2. The effect of health and nutrition education intervention on women's postpartum beliefs and practices: a randomized controlled trial

    OpenAIRE

    Yao Ping; Liu Liegang; Sun Xiufa; Mao Limei; Liu Nian; Chen Banghua

    2009-01-01

    Abstract Background 'Sitting month' is the Chinese tradition for postpartum customs. Available studies indicate that some of the traditional postpartum practices are potentially harmful for women's health. However, no intervention study aiming at postpartum practices has been performed. In this paper we evaluated the effect of a health and nutrition education intervention, which focused on improving postpartum dietary quality and optimal health behaviors. Methods The study design was a random...

  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, P<0·001) and reductions in daily energy (-24 %, P<0·001) and Na (-26 %, P<0·001) intakes. Diet quality significantly improved, and the mean change was 3·6 (95 % CI 0·2, 6·9, P<0·05), although this finding was not significant after Bonferroni's correction. Increased vegetable intake was the main factor contributing to improved diet quality. Nutrition 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. PMID:27153205

  4. 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. PMID:27044609

  5. 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.

  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. Development and Implementation of a Summer Youth Nutrition Education and Physical Activity Intervention in a Rural Mississippi Delta Community

    Science.gov (United States)

    Our purpose was to implement a sustainable community-based sport intervention that encourages physical activity and healthy eating, with potential for preventing obesity among children ages 5-12 years. Presented is descriptive information of the development of a summer nutrition and physical activit...

  8. 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...

  9. Perceptions of community-based participatory research in the delta nutrition intervention research initiative:an academic perspective

    Science.gov (United States)

    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 employed to develop susta...

  10. Impact of nutrition management in patients with head and neck cancers treated with irradiation: is the nutritional intervention useful?

    International Nuclear Information System (INIS)

    Aims. The head and neck tumors are most often associated with a precarious nutritional status. Radiotherapy increases the risk of de-nutrition because of its secondary effects on the secretory and sensorial mucous membranes. The purpose of our retrospectively study was to evaluate the interest of a precocious and regular nutritional therapy on the ability to maintain the nutritional status of the patient during the radiotherapy. Patients and methods. The fifty-two patients included in the survey have been classified retrospectively in two different groups based on their observance to the nutritional therapy: group 1 'good observance', group 2 'bad observance'. Results. The 31 patients of group 1 have lost an average of 1.9 kg by the end of the irradiation, whereas the 21 patients of group 2 have lost an average of 6.1 kg (p < 0.001). The almost stability in weight of patients in group 1 was linked to a lower frequency of breaks in the radio-therapy (6 vs 33% p = 0.03) and in a decrease in grade of inflammatory, mucous membranes (10% of grade 3 in group 1 vs 52% in group 2, p = 0.006). The quantity of calories ingested in form of nutritional supplements was greater in group 1 and consequently enabled patients to stabilized their weight (1200 calories in group 1 versus 850 calories in group 2, p < 0.005). Conclusions. The given nutritional advice and the prescription of adapted nutritional supplements consequently allowed limiting efficiently the weight lost during the irradiation and the grade of mucositis. The systematization of a precocious nutritional therapy for patients irradiated for head and neck tumors seems absolutely essential. (authors)

  11. Nutrition

    Science.gov (United States)

    ... you would like to see a registered dietitian nutritionist for nutritional guidance when you have lung cancer. ... seek out the expertise of a registered dietitian nutritionist (RDN) who works with lung cancer patients. This ...

  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...... 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. Protein turnover in atrophying muscle: from nutritional intervention to microarray expression analysis

    Science.gov (United States)

    Stein, T. Peter; Wade, Charles E.

    2003-01-01

    PURPOSE OF REVIEW: In response to decreased usage, skeletal muscle undergoes adaptive reductive remodeling due to the decrease in tension on the weight bearing components of the musculo-skeletal system. This response occurs with uncomplicated disuse (e.g. bed rest, space flight), as a secondary consequence of several widely prevalent chronic diseases for which activity is reduced (e.g. chronic obstructive pulmonary disease and chronic heart failure) and is part of the aging process. The problem is therefore one of considerable clinical importance. RECENT FINDINGS: The impaired function and exercise intolerance is related more to the associated muscle wasting rather than to the specific organ system primarily impacted by the disease. Progress has continued in describing the use of anabolic drugs and dietary manipulation. The major advance in the field has been: (i) the discovery of the atrogin-1 gene and (ii) the application of microarray expression analysis and proteomics with the objectives of obtaining comprehensive understanding of the pathways changed with disuse atrophy. SUMMARY: Disuse atrophy is a common clinical problem. There is a need for therapeutic interventions that do not involve exercise. A better understanding of the changes, particularly at the molecular level, could indicate hitherto unsuspected sites for nutritional and pharmacological intervention.

  14. Evaluation of a nutrition education intervention for women residents of Washington, DC, public housing communities.

    Science.gov (United States)

    Shankar, Sharada; Klassen, Ann C; Garrett-Mayer, Elizabeth; Houts, Peter S; Wang, Ting; McCarthy, Marlene; Cain, Richard; Zhang, Lei

    2007-06-01

    We designed, implemented and evaluated an educational intervention to increase fruit and vegetable consumption among urban African-American women. Women aged 20-50 years (n=212) from 11 public housing communities participated in seven 90-min classes with a professional nutritionist. Our prospective pre- and post-test design, with 4-month follow-up, assessed the relationship between attendance and dietary change, using three 24-hour recalls per time point. Mean change in average daily dietary values for fruits and vegetables, calories and percent calories from fat (post-test versus pre-test, follow-up versus pre-test) was compared by class attendance, to evaluate the impact of class attendance on dietary change. Attendance varied from zero (35%) to five to seven classes (42%). Baseline dietary recalls showed average daily consumption of 3.05 servings of fruits and vegetables, 2416 calories and 35.8% calories from fat. No improvements in fruit and vegetable consumption, but statistically significant decreases in total calories and percent calories from fat, were seen at both endpoints. Women attending five to seven classes had the greatest dietary improvements, averaging, at post-test and follow-up, respectively, 246.2 and 324.5 fewer calories and 3.08 and 2.97% fewer calories from fat. Results suggest that, for some residents of low-resource communities, small group interventions are popular, effective vehicles for nutrition education. PMID:16982649

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

    Science.gov (United States)

    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 trials (RCTs) in New Zealand and Australia. Methods Two versions of the smartphone app were developed: one for a 5-arm trial (Australian) and the other for a 3-arm trial (New Zealand). The RCT protocols guided requirements for app functionality, that is, obtaining informed consent, two-stage eligibility check, questionnaire administration, randomization, intervention delivery, and outcome assessment. Intervention delivery (nutrition labels) and outcome data collection (individual shopping data) used the smartphone camera technology, where a barcode scanner was used to identify a packaged food and link it with its corresponding match in a food composition database. Scanned products were either recorded in an electronic list (data collection mode) or allocated a nutrition label on screen if matched successfully with an existing product in the database (intervention delivery mode). All recorded data were transmitted to the RCT database hosted on a server. Results In total approximately 4000 users have downloaded the FLT app to date; 606 (Australia) and 1470 (New Zealand) users met the eligibility criteria and were randomized. Individual shopping data collected by participants currently comprise more than 96,000 (Australia) and 229,000 (New Zealand) packaged food and beverage products. Conclusions The FLT app is one of the first smartphone apps to enable conducting fully automated RCTs. Preliminary app usage statistics demonstrate large potential of such technology, both for

  16. The Effect of Early Interventions in Health and Nutrition on On-Time School Enrollment: Evidence from the Oportunidades Program in Rural Mexico

    OpenAIRE

    Todd, Jessica E.; Paul Winters

    2011-01-01

    This article assesses whether early intervention to improve children's health and nutrition increases the probability of enrolling in primary school on time. Using experimental data from the Mexican conditional cash transfer (CCT) program, Oportunidades, a cross-sectional double-difference estimator on observations from two age cohorts of children is used to identify the impact of early intervention. The results indicate that early health and nutrition interventions can have a positive impact...

  17. 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. PMID:26863560

  18. 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

  19. Protein energy wasting in chronic kidney disease: An update with focus on nutritional interventions to improve outcomes

    Directory of Open Access Journals (Sweden)

    Yashpal P Jadeja

    2012-01-01

    Full Text Available Protein-energy wasting (PEW is common in patients with chronic kidney disease (CKD. PEW is one of the strongest predictors of mortality in patients with CKD. The International Society of Renal Nutrition and Metabolism (ISRNM expert panel has defined PEW as a, "state of decreased body stores of protein and energy fuels (body protein and fat masses". The ISRNM panel has also proposed diagnostic criteria of PEW with four categories. Cachexia is a severe form of PEW. The proposed causes of PEW are multi-factorial and include nutritional and non-nutritional mechanisms. The literature indicates that PEW can be mitigated or corrected with an appropriate diet and enteral nutritional support that targets dietary protein intake. Dietary requirements and enteral nutritional support must also be considered in patients with CKD and diabetes mellitus and in children with CKD, in addition to dialysis patients. Features of ideal dietary supplement have also been discussed. Dietary interventions such as enteral feeding with high-protein meals or supplements might improve the nutritional status and outcomes in dialysis patients.

  20. [Effect of a nutrition education intervention on consumption of fruits, vegetables and fish in families of prescholers and scholers].

    Science.gov (United States)

    Fretes, Gabriela; Salinas, Judith; Vio, Fernando

    2013-03-01

    The objective of this study was to assess the impact of a nutrition education intervention on fruits, vegetables and fish consumption in pre-school and school age children families, through a three months education intervention with a pre-post evaluation in 27 intervened families and 32 controls from public schools in Santiago, Chile. A food-frequency questionnaire on fruits, vegetables and fish, and a survey on food and nutrition knowledge, attitudes and practices were applied to children and their parents. The intervention consisted in six 90 minutes cooking workshops, including the utilization of videos and photovoice for those who cooked in the families. Results showed a significant more consumption of fruits, vegetables and fish in the intervened than in the control group (test de Kolmogorov-Smirnov, test de Wilcoxon, p healthy food improvement at home. Results showed that it is possible to change food habits in families with the implementation of a nutrition education intervention including cooking workshops, videos and photovoice. PMID:24167956

  1. Effects of short-term nutritional interventions on right ventricular function in healthy men.

    Directory of Open Access Journals (Sweden)

    Ralph L Widya

    Full Text Available BACKGROUND: A physiological model of increased plasma nonesterified fatty acid (NEFA levels result in myocardial triglyceride (TG accumulation, which is related to cardiac dysfunction. A pathophysiological model of increased plasma NEFA levels result in hepatic steatosis, which has been linked to abnormal myocardial energy metabolism. Hepatic steatosis is accompanied by hepatic inflammation, reflected by plasma cholesteryl ester transfer protein (CETP levels. The current study aimed to investigate effects of these models via different nutritional interventions on right ventricular (RV function. METHODS: Fifteen men (age 25.0±6.6 years were included and underwent magnetic resonance imaging and spectroscopy in this prospective crossover intervention study. RV function, myocardial and hepatic TG content, and CETP levels were assessed on three occasions: after normal diet, very low-calorie diet (VLCD, physiological model and high-fat high-energy (HFHE, pathophysiological model diet (all 3-days diets, randomly ordered, washout phase at least 14 days. RESULTS: VLCD induced a decrease in mean E deceleration by 27%. Myocardial TG content increased by 55%, whereas hepatic TG content decreased by 32%. Plasma CETP levels decreased by 14% (all P<0.05. HFHE diet induced a decrease in E/A by 19% (P<0.05. Myocardial TG content did not change, whereas hepatic TG content increased by 112% (P<0.01. Plasma CETP levels increased by 14% (P<0.05. CONCLUSIONS: These findings show that RV diastolic function is impaired after short-term VLCD and HFHE diet in healthy men, respectively a physiological and a pathophysiological model of increased plasma NEFA levels. After short-term VLCD, myocardial lipotoxicity may be of importance in decreased RV diastolic function. RV diastolic dysfunction is accompanied by increased hepatic TG content and plasma CETP levels after short-term HFHE diet, suggesting that systemic inflammation reflecting local macrophage infiltration in the

  2. Nutrition: Intervention Guidance for Service Providers and Families. Connecticut Birth to Three System, Service Guideline 6.

    Science.gov (United States)

    Connecticut Birth to Three System, Hartford.

    This guide was developed to assist families and service providers in Connecticut with nutrition services for infants and toddlers with disabilities. Individual sections provide information about the following topics: laws and regulations related to nutrition services; eligibility for the Connecticut Birth to Three System and nutrition; nutrition…

  3. 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. PMID:26785711

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

    OpenAIRE

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

    2016-01-01

    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 ...

  5. Impact of an early education multimedia intervention in managing nutrition-related chemotherapy side effects: a pilot study

    OpenAIRE

    Thompson, Julie; Silliman, Kathryn; Clifford, Dawn E

    2013-01-01

    Background The purpose of the educational intervention was to measure changes in knowledge, perceived benefit of nutrition, and perceived self efficacy in handling side effects of chemotherapy before and after viewing a 15 minute DVD among patients with cancer. Methods A convenience sample of 14 (4 male, 10 female, 61 ± 9 years) patients with cancer, early to chemotherapy, participated in the study. Participants completed a survey with demographic, knowledge items, and perceived health belief...

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

    Science.gov (United States)

    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…

  7. Conducting needs assessment using the Comprehensive Participatory Planning and Evaluation (CPPE)mode to develop nutrition and physical activity interventions in a rural community in the Mississippi Delta.

    Science.gov (United States)

    Members of a Lower Mississippi Delta community and university partners used the Comprehensive Participatory Planning and Evaluation (CPPE) model to assess nutrition and health problems and develop a menu of interventions. Our objectives were: 1) To identify and prioritize nutrition and physical ac...

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

    OpenAIRE

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

    2008-01-01

    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 inst...

  9. 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. PMID:26718656

  10. The effect of early interventions in health and nutrition on on-time school enrollment: evidence from the Oportunidades Program in rural Mexico.

    Science.gov (United States)

    Todd, Jessica E; Winters, Paul

    2011-01-01

    This article assesses whether early intervention to improve children's health and nutrition increases the probability of enrolling in primary school on time. Using experimental data from the Mexican conditional cash transfer (CCT) program, Oportunidades, a cross-sectional double-difference estimator on observations from two age cohorts of children is used to identify the impact of early intervention. The results indicate that early health and nutrition interventions can have a positive impact on the timing of enrollment and that caregiver characteristics affect the magnitude of the impact. Early intervention also appears to decrease days of school missed. Overall the results indicate that the full impact of CCT programs on education cannot be measured in the short run as benefits of early health and nutrition interventions may be also felt in the distant future. PMID:21744546

  11. 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

    2004-08-01

    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. PMID:15226773

  12. 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. PMID:18234136

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

    Science.gov (United States)

    Kaufman-Shriqui, Vered; Fraser, Drora; Friger, Michael; Geva, Dikla; Bilenko, Natalya; Vardi, Hillel; Elhadad, Naama; Mor, Karen; Feine, Zvi; Shahar, Danit R.

    2016-01-01

    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 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. PMID:27110817

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

    Directory of Open Access Journals (Sweden)

    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.

  15. 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…

  16. 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

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

    Science.gov (United States)

    Shahril, Mohd Razif; Wan Dali, Wan Putri Elena; Lua, Pei Lin

    2013-01-01

    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. PMID:24069535

  18. 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.

  19. 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.

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

    OpenAIRE

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

    2013-01-01

    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 impacts on cognitive development, school achievement, and worker productivity. Optimal development that can lead to the attainment of the individual's fullest potential therefore requires a combination of genetic capacity, adequate nutrition, psychosocial stimu...

  1. Using Nutrition for Intervention and Prevention against Environmental Chemical Toxicity and Associated Diseases

    OpenAIRE

    Hennig, Bernhard; Ronald J Jandacek; Koo, Sung; Seifried, Harold; Silverstone, Allen; Watkins, Bruce; Suk, William A.; Ettinger, Adrienne S.; McClain, Craig David

    2007-01-01

    Background: Nutrition and lifestyle are well-defined modulators of chronic diseases. Poor dietary habits (such as high intake of processed foods rich in fat and low intake of fruits and vegetables), as well as a sedentary lifestyle clearly contribute to today’s compromised quality of life in the United States. It is becoming increasingly clear that nutrition can modulate the toxicity of environmental pollutants. Objectives: Our goal in this commentary is to discuss the recommendation that nut...

  2. 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...

  3. 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...

  4. Nutritional support and dietary interventions for patients with ulcerative colitis: current insights

    OpenAIRE

    Hill RJ

    2016-01-01

    Rebecca J Hill Children's Nutrition Research Centre, Child Health Research Centre, The University of Queensland, South Brisbane, Australia Abstract: Ulcerative colitis (UC) demonstrates a remitting and relapsing course, and patients have long believed diet plays a role in their symptoms. Ad hoc removal of foods and food groups from the diet without strong evidence for therapeutic benefit places patients at risk for nutritional deficiencies. This review discusses the need for nutritio...

  5. Nutritional support and dietary interventions for patients with ulcerative colitis: current insights

    Directory of Open Access Journals (Sweden)

    Hill RJ

    2016-04-01

    Full Text Available Rebecca J Hill Children's Nutrition Research Centre, Child Health Research Centre, The University of Queensland, South Brisbane, Australia Abstract: Ulcerative colitis (UC demonstrates a remitting and relapsing course, and patients have long believed diet plays a role in their symptoms. Ad hoc removal of foods and food groups from the diet without strong evidence for therapeutic benefit places patients at risk for nutritional deficiencies. This review discusses the need for nutritional support in UC and the role of dietary modification in its management in humans. Current evidence suggests patients with UC are not nutritionally compromised during remission, but with increasing disease activity, nutritional status is worth monitoring, in particular through body composition assessment and investigation for anemia. There is no clear evidence for dietary modulation to relieve symptoms in UC. Neither enteral nutrition nor parenteral nutrition is efficacious for symptom control or mucosal healing. While early studies suggested avoidance of dairy foods, no recent work has replicated these results. A low intake of insoluble fiber is recommended during acute disease flares; however, the role of fiber in modulating the gut microbiota and their metabolites warrants further attention. Several studies have investigated polyunsaturated fatty acids for UC; however, current evidence is not supportive for either inactive or active disease. There is emerging evidence that curcumin supplementation may be a new dietary treatment option. Often, evidence for therapeutic diets is difficult to interpret due to the reporting of combined results for both Crohn's disease and UC. In general, there is no evidenced specific dietary advice for patients with UC other than to follow healthy eating guidelines. Further work should determine if diet as treatment efficacy lies in modification of dietary patterns, thereby investigating the synergistic relationship between foods and

  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; Simonsen, Tom; Nielsen, Lill Moll

    2004-01-01

    . 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), and...... increase of HDL-cholesterol was larger in the GP group (mean 0.13 mmol/l vs. 0.03 mmol/l). The reduction of the cardiovascular risk score was significantly larger in the GP group (P=0.0005). Other health outcomes were not significantly different. CONCLUSIONS: GPs were aware of substantial risk factors 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...

  7. 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.

  8. The effect of complex workplace dietary interventions on employees dietary behaviours, nutrition knowledge and health status

    OpenAIRE

    Geaney, Fiona

    2015-01-01

    Background The growing prevalence and associated burden of diet-related non-communicable diseases is a global public health concern. The environments in which people live and work influences their dietary behaviours. Aim The focus of this thesis was on the effectiveness of complex workplace dietary interventions. The comparative effectiveness of a complex workplace environmental dietary modification intervention and an educational intervention were assessed both alone and in combination relat...

  9. 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. PMID:22942273

  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. 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

  12. 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

  13. 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

  14. Wise Choices: Nutrition and Exercise for Older Adults: A Community-Based Health Promotion Intervention.

    Science.gov (United States)

    Turk, Melanie T; Elci, Okan U; Resick, Lenore K; Kalarchian, Melissa A

    2016-01-01

    Effective interventions for older adults are needed to address lifestyle behaviors linked to chronic illnesses. We implemented a 12-week group behavioral intervention for 118 racially diverse older adults at 6 community-based senior centers to improve eating and physical activity. Assessments were completed pre- and postintervention, with 85.6% retention. We documented increases in fruit, vegetable, and whole grain intake; pace of walking; number of city blocks walked; daily steps walked; functional mobility; and self-rated general health (P < .05). Findings indicate that a relatively low-intensity lifestyle intervention can effectively be implemented for community-dwelling older adults. Further development of this approach is warranted. PMID:27536931

  15. Assessing the public health impact of developmental origins of health and disease (DOHaD) nutrition interventions.

    Science.gov (United States)

    Garmendia, Maria Luisa; Corvalan, Camila; Uauy, Ricardo

    2014-01-01

    Investing in the maternal and early-infancy periods (the first 1,000 days, i.e. from -1 to +2 years) is presently acknowledged as a key priority to ensure good nutrition and prevent all forms of malnutrition. The concept is to invest during this period to maximize the human development potential, and the early-life agenda includes prevention of stunting and promotion of optimal brain development as well as ensuring the quality of life of those who survive. Thus, public health assessments of specific interventions need to go beyond the traditional indices of prevention of death and disease. We need to consider including a full range of outcomes such as disability-adjusted life years (DALY) and quality-adjusted life years (QALY) and not only the number of deaths. The long-term outcomes of maternal and infant interventions to prevent obesity and related noncommunicable diseases remain uncertain in terms of their biological impact even under ideal conditions (efficacy); we need interventions with proven effectiveness under real-world conditions (effectiveness). Conversely, interventions to prevent undernutrition have already been proven effective and are considered cost-effective based on rigorous economic analyses. Continuous evaluation of interventions implemented using the developmental origins of health and disease (DOHaD) model needs to be undertaken, as this will allow progressive improvement and thus maximize the potential impact on the health and well-being of populations. We need to consider the population-attributable risk of obesity and chronic disease and conduct an economic evaluation of the lifelong impact of chronic diseases not only in terms of lives lost but also in relation to lost DALY and QALY. This should help to prioritize preventive actions in line with patterns of disease and disability considering the existing resources and demands. PMID:25300264

  16. Early nutrition intervention services for children with special health care needs.

    Science.gov (United States)

    Hine, R J; Cloud, H H; Carithers, T; Hickey, C; Hinton, A W

    1989-11-01

    Dietitians must be responsive to the changing needs of their clients and employers, to societal concerns, and to legal mandates. A recently passed amendment (PL 99-457) to the Federal Education for the Handicapped Act gives nutrition professionals the opportunity to have a voice in establishing nutrition policy and standards of care for young handicapped and high-risk children. The new law extends preventive services to children as young as 3 years of age, and Part H of the law provides financial incentives for states to provide services to children with special health care needs from birth to 2 years of age. This article reviews relevant provisions of the new law and describes two projects undertaken by nutritionists from Alabama, Mississippi, and Texas. It also summarizes challenges to nutritionists that will result from the law's implementation. PMID:2809041

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

    OpenAIRE

    Matthew Asare; Manoj Sharma

    2010-01-01

    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 t...

  18. 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...

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

    OpenAIRE

    Kiss N

    2016-01-01

    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 neg...

  20. A systematic review and meta-analysis of social cognitive theory-based physical activity and/or nutrition behavior change interventions for cancer survivors

    OpenAIRE

    Stacey, Fiona G; James, Erica L.; Chapman, Kathy; Courneya, Kerry S; Lubans, David R

    2014-01-01

    Purpose Little is known about how to improve and create sustainable lifestyle behaviors of cancer survivors. Interventions based on social cognitive theory (SCT) have shown promise. This review examined the effect of SCT-based physical activity and nutrition interventions that target cancer survivors and identified factors associated with their efficacy. Methods A systematic search of seven databases identified randomized controlled trials that (i) targeted adult cancer survivors (any point f...

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

    OpenAIRE

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

    2012-01-01

    BACKGOUNDThe 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.METHODSThe intervention was implemented in 21 middle schools from winter ...

  2. Cluster-randomised controlled trials of individual and combined water, sanitation, hygiene and nutritional interventions in rural Bangladesh and Kenya: the WASH Benefits study design and rationale

    OpenAIRE

    Arnold, B. F; Null, C.; Luby, S. P.; Unicomb, L.; Stewart, C. P.; Dewey, K. G; T. Ahmed; Ashraf, S.; Christensen, G.; Clasen, T.; Dentz, H. N; Fernald, L. C. H; R. Haque; Hubbard, A. E.; Kariger, P.

    2013-01-01

    Introduction Enteric infections are common during the first years of life in low-income countries and contribute to growth faltering with long-term impairment of health and development. Water quality, sanitation, handwashing and nutritional interventions can independently reduce enteric infections and growth faltering. There is little evidence that directly compares the effects of these individual and combined interventions on diarrhoea and growth when delivered to infants and young children....

  3. 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. PMID:25820605

  4. 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…

  5. 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…

  6. 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...

  7. 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

    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.%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。

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

    OpenAIRE

    Maria Catalina Hernandez-Rodas; Rodrigo Valenzuela; Videla, Luis A.

    2015-01-01

    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...

  9. The spinal stenosis pedometer and nutrition lifestyle intervention (SSPANLI) randomized controlled trial protocol

    OpenAIRE

    Tomkins-Lane, Christy C; Lafave, Lynne MZ; Parnell, Jill A.; Krishnamurthy, Ashok; Rempel, Jocelyn; Macedo, Luciana G.; Moriartey, Stephanie; Stuber, Kent J; Wilson, Philip M; Hu, Richard; Andreas, Yvette M

    2013-01-01

    Background Because of symptoms, people with lumbar spinal stenosis (LSS) are often inactive, and this sedentary behaviour implies risk for diseases including obesity. Research has identified body mass index as the most powerful predictor of function in LSS. This suggests that function may be improved by targeting weight as a modifiable factor. An e-health lifestyle intervention was developed aimed at reducing fat mass and increasing physical activity in people with LSS. The main components of...

  10. 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

    The purpose was to test the hypothesis that a multifaceted 1 1 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. -2 g/day, p = 0.012) was higher in the intervention group than in...

  11. 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.

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

    Science.gov (United States)

    Hernandez-Rodas, Maria Catalina; Valenzuela, Rodrigo; Videla, Luis A

    2015-01-01

    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. PMID:26512643

  13. Lifestyle Interventions Including Nutrition, Exercise, and Supplements for Nonalcoholic Fatty Liver Disease in Children.

    Science.gov (United States)

    Africa, Jonathan A; Newton, Kimberly P; Schwimmer, Jeffrey B

    2016-05-01

    Nonalcoholic fatty liver disease (NAFLD) is the most common cause of liver disease among children. Lifestyle interventions, such as diet and exercise, are frequently recommended. Children with NAFLD have a distinct physiology that is different from obesity alone and has the potential to influence lifestyle treatments. Studies of diet alone in the treatment of pediatric NAFLD have focused on sugar and carbohydrate, but did not indicate any one dietary approach that was superior to another. For children who are obese and have NAFLD, weight loss may have a beneficial effect regardless of the diet used. Exercise is widely believed to improve NAFLD because a sedentary lifestyle, poor aerobic fitness, and low muscle mass are all risk factors for NAFLD. However, there have been no randomized controlled trials of exercise as a treatment for children with NAFLD. Studies of the combination of diet and exercise suggest a potential for improvement in serum alanine aminotransferase activity and/or magnetic resonance imaging liver fat fraction with intervention. There is also enthusiasm for the use of dietary supplements; however, studies in children have shown inconsistent effects of vitamin E, fish oil, and probiotics. This review presents the available data from studies of lifestyle intervention and dietary supplements published to date and highlights challenges that must be addressed in order to advance the evidence base for the treatment of pediatric NAFLD. PMID:27041377

  14. 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.

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

    Directory of Open Access Journals (Sweden)

    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

  16. 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.

  17. 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

  18. 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

  19. Nutritional and botanical interventions to assist with the adaptation to stress.

    Science.gov (United States)

    Kelly, G S

    1999-08-01

    Prolonged stress, whether a result of mental/emotional upset or due to physical factors such as malnutrition, surgery, chemical exposure, excessive exercise, sleep deprivation, or a host of other environmental causes, results in predictable systemic effects. The systemic effects of stress include increased levels of stress hormones such as cortisol, a decline in certain aspects of immune system function such as natural killer cell cytotoxicity or secretory-IgA levels, and a disruption of gastrointestinal microflora balance. These systemic changes might be a substantial contributor to many of the stress-associated declines in health. Based on human and animal research, it appears a variety of nutritional and botanical substances - such as adaptogenic herbs, specific vitamins including ascorbic acid, vitamins B1 and B6, the coenzyme forms of vitamin B5 (pantethine) and B12 (methylcobalamin), the amino acid tyrosine, and other nutrients such as lipoic acid, phosphatidylserine, and plant sterol/sterolin combinations - may allow individuals to sustain an adaptive response and minimize some of the systemic effects of stress. PMID:10468649

  20. 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.

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

    Science.gov (United States)

    Morton, Robert W.; McGlory, Chris; Phillips, Stuart M.

    2015-01-01

    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 rendering it 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 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. PMID:26388782

  2. 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。

  3. 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

  4. 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

  5. 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

  6. 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.

  7. 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)...

  8. Protocol for the Cognitive Interventions and Nutritional Supplements (CINS trial: A randomized controlled multicenter trial of a brief intervention (BI versus a BI plus cognitive behavioral treatment (CBT versus nutritional supplements for patients with long-lasting muscle and back pain

    Directory of Open Access Journals (Sweden)

    Bjørkkjær Tormod

    2011-07-01

    Full Text Available Abstract Background Brief intervention programs are clinically beneficial, and cost efficient treatments for low back pain, when offered at 8-12 weeks, compared with treatment as usual. However, about 30% of the patients do not return to work. The European Guidelines for treatment of chronic low back pain recommends Cognitive Behavioral Therapy (CBT, but conclude that further research is needed to evaluate the effectiveness of CBT for chronic low back pain. Methods/Design The aim of the multicenter CINS trial (Cognitive Interventions and Nutritional Supplements is to compare the effectiveness of 4 different interventions; Brief Intervention, Brief Intervention and CBT, Brief Intervention and nutritional supplements of seal oil, and Brief Intervention and nutritional supplements of soy oil. All participants will be randomly assigned to the interventions. The nutritional supplements will be tested in a double blind design. 400 patients will be recruited from a population of chronic low back pain patients that have been sick listed for 2-10 months. Four outpatient clinics, located in different parts of Norway, will participate in recruitment and treatment of the patients. The Brief Intervention is a one session cognitive, clinical examination program based on a non-injury model, where return to normal activity and work is the main goal, and is followed by two booster sessions. The CBT is a tailored treatment involving 7 sessions, following a detailed manual. The nutritional supplements consist of a dosage of 10 grams of either soy or seal oil (capsules per day for 3 months, administered in a double blind design. All patients will be followed up with questionnaires after 3, 6 and 12 months, while sick leave data will be collected up to at least 24 months after randomization. The primary outcome of the study is sick leave and will be based on register data from the National Insurance Administration. Secondary outcomes include self-reported data on

  9. Lutein, zeaxanthin, and meso-zeaxanthin: The basic and clinical science underlying carotenoid-based nutritional interventions against ocular disease.

    Science.gov (United States)

    Bernstein, Paul S; Li, Binxing; Vachali, Preejith P; Gorusupudi, Aruna; Shyam, Rajalekshmy; Henriksen, Bradley S; Nolan, John M

    2016-01-01

    The human macula uniquely concentrates three carotenoids: lutein, zeaxanthin, and meso-zeaxanthin. Lutein and zeaxanthin must be obtained from dietary sources such as green leafy vegetables and orange and yellow fruits and vegetables, while meso-zeaxanthin is rarely found in diet and is believed to be formed at the macula by metabolic transformations of ingested carotenoids. Epidemiological studies and large-scale clinical trials such as AREDS2 have brought attention to the potential ocular health and functional benefits of these three xanthophyll carotenoids consumed through the diet or supplements, but the basic science and clinical research underlying recommendations for nutritional interventions against age-related macular degeneration and other eye diseases are underappreciated by clinicians and vision researchers alike. In this review article, we first examine the chemistry, biochemistry, biophysics, and physiology of these yellow pigments that are specifically concentrated in the macula lutea through the means of high-affinity binding proteins and specialized transport and metabolic proteins where they play important roles as short-wavelength (blue) light-absorbers and localized, efficient antioxidants in a region at high risk for light-induced oxidative stress. Next, we turn to clinical evidence supporting functional benefits of these carotenoids in normal eyes and for their potential protective actions against ocular disease from infancy to old age. PMID:26541886

  10. 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.

  11. 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

  12. Frequency of nut consumption and mortality risk in the PREDIMED nutrition intervention trial

    Science.gov (United States)

    2013-01-01

    Background Prospective studies in non-Mediterranean populations have consistently related increasing nut consumption to lower coronary heart disease mortality. A small protective effect on all-cause and cancer mortality has also been suggested. To examine the association between frequency of nut consumption and mortality in individuals at high cardiovascular risk from Spain, a Mediterranean country with a relatively high average nut intake per person. Methods We evaluated 7,216 men and women aged 55 to 80 years randomized to 1 of 3 interventions (Mediterranean diets supplemented with nuts or olive oil and control diet) in the PREDIMED (‘PREvención con DIeta MEDiterránea’) study. Nut consumption was assessed at baseline and mortality was ascertained by medical records and linkage to the National Death Index. Multivariable-adjusted Cox regression and multivariable analyses with generalized estimating equation models were used to assess the association between yearly repeated measurements of nut consumption and mortality. Results During a median follow-up of 4.8 years, 323 total deaths, 81 cardiovascular deaths and 130 cancer deaths occurred. Nut consumption was associated with a significantly reduced risk of all-cause mortality (P for trend 3 servings/week (32% of the cohort) had a 39% lower mortality risk (hazard ratio (HR) 0.61; 95% CI 0.45 to 0.83). A similar protective effect against cardiovascular and cancer mortality was observed. Participants allocated to the Mediterranean diet with nuts group who consumed nuts >3 servings/week at baseline had the lowest total mortality risk (HR 0.37; 95% CI 0.22 to 0.66). Conclusions Increased frequency of nut consumption was associated with a significantly reduced risk of mortality in a Mediterranean population at high cardiovascular risk. Please see related commentary: http://www.biomedcentral.com/1741-7015/11/165. Trial registration Clinicaltrials.gov. International Standard Randomized Controlled Trial Number (ISRCTN

  13. Performance of a Community-based Health and Nutrition-education Intervention in the Management of Diarrhoea in a Slum of Delhi, India

    OpenAIRE

    Pahwa, Smriti; Kumar, Geeta Trilok; Toteja, G.S.

    2010-01-01

    Diarrhoeal infections are the fifth leading cause of death worldwide and continue to take a high toll on child health. Mushrooming of slums due to continuous urbanization has made diarrhoea one of the biggest public-health challenges in metropolitan cities in India. The objective of the study was to carry out a community-based health and nutrition-education intervention, focusing on several factors influencing child health with special emphasis on diarrhoea, in a slum of Delhi, India. Mothers...

  14. Association between serum 25(OH) vitamin D, incident liver cancer and chronic liver disease mortality in the Linxian Nutrition Intervention Trials: a nested case–control study

    OpenAIRE

    Wang, J-B; Abnet, C. C.; Chen, W.; Dawsey, S M; Fan, J-H; Yin, L-Y; Yin, J.; Major, J M; Taylor, P R; Qiao, Y-L; Freedman, N D

    2013-01-01

    Background: Although vitamin D deficiency has been noted in cross-sectional studies of chronic liver disease and laboratory studies suggest possible benefits of vitamin D in preventing liver cancer, little epidemiologic data are available. Methods: We performed a nested case–control study in the Linxian Nutrition Intervention Trials on participants developing incident liver cancer or dying from chronic liver disease over 22 years of follow-up. Baseline serum 25(OH) vitamin D was measured for ...

  15. Methodological development of an exploratory randomised controlled trial of an early years' nutrition intervention: the CHERRY programme (choosing healthy eating when really young)

    OpenAIRE

    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.

    2013-01-01

    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 ...

  16. [Community nutrition].

    Science.gov (United States)

    Aranceta Bartrina, J; Pérez Rodrigo, C; Serra Majem, L I

    2006-01-01

    A growing body of scientific and epidemiological evidence indicates that diet and health are related: diet may be a risk factor or have potential protective effects. As a consequence, the focus of nutrition research has experienced a shift towards qualitative aspects of diet which could influence chronic disease, longevity, quality of life and physical and cognitive performance, leading to the development of Community Nutrition. The main undertakings in a Community Nutrition Unit are related to the identification, assessment and monitoring of nutrition problems at the community level and to planning, design, implementation and evaluation of nutrition intervention programs. Such programs combine a number of suitable strategies in a whole population approach, a high risk approach or an approach targeted at specific population groups, and are implemented in different settings, such as the work place, schools or community organizations. Community nutrition interventions aim to gradually achieve change in eating patterns towards a healthier profile. Community Nutrition programs require the use of a combination of strategies and a working group of people from different backgrounds. Many factors influence the nutritional status of an individual or a population. In order to gain effective work output, sound understanding of these patterns and a practical surveillance system are required. PMID:17424768

  17. 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. PMID:25845708

  18. Meeting the Nutritional Needs of Infants and Toddlers with Disabilities: Role of the Nutritionist on the Early Intervention Team.

    Science.gov (United States)

    Litchfield, Ruth; And Others

    1995-01-01

    Examines the way that feeding and nutrition concerns of children with disabilities are addressed under the Individuals with Disabilities Education Act; includes two case studies of families who received nutritional services for their young children (ages one and two) with disabilities. The role of the nutritionist is considered. (Author/SW)

  19. Complementary school garden, nutrition, water, sanitation and hygiene interventions to improve children’s nutrition and health status in Burkina Faso and Nepal: a study protocol

    OpenAIRE

    Erismann, Séverine; Shrestha, Akina; Diagbouga, Serge; Knoblauch, Astrid; Gerold, Jana; Herz, Ramona; Sharma, Subodh; Schindler, Christian; Odermatt, Peter; Drescher, Axel; Yang, Ray-yu; Utzinger, Jürg; Cissé, Guéladio

    2016-01-01

    Background Malnutrition and intestinal parasitic infections are common among children in Burkina Faso and Nepal. However, specific health-related data in school-aged children in these two countries are scarce. In the frame of a larger multi-stakeholder project entitled “Vegetables go to School: Improving Nutrition through Agricultural Diversification” (VgtS), a study has been designed with the objectives to: (i) describe schoolchildren’s health status in Burkina Faso and Nepal; and to (ii) pr...

  20. Complementary school garden, nutrition, water, sanitation and hygiene interventions to improve children's nutrition and health status in Burkina Faso and Nepal : a study protocol

    OpenAIRE

    Erismann, Séverine; Shrestha, Akina; Diagbouga, Serge; Knoblauch, Astrid; Gerold, Jana; Herz, Ramona; Sharma, Subodh; Schindler, Christian; Odermatt, Peter; Drescher, Axel; Yang, Ray-Yu; Utzinger, Jürg; Cissé, Guéladio

    2016-01-01

    Malnutrition and intestinal parasitic infections are common among children in Burkina Faso and Nepal. However, specific health-related data in school-aged children in these two countries are scarce. In the frame of a larger multi-stakeholder project entitled "Vegetables go to School: Improving Nutrition through Agricultural Diversification" (VgtS), a study has been designed with the objectives to: (i) describe schoolchildren's health status in Burkina Faso and Nepal; and to (ii) provide an ev...

  1. 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

  2. Evaluation on Intervention Effect of Nutrition Education Among Pupils in Jiujiang County%九江县小学生营养教育干预的效果评价

    Institute of Scientific and Technical Information of China (English)

    刘学文

    2013-01-01

    目的 分析不同营养干预途径对小学生营养知识、态度、行为的影响,以便为纠正学生不良饮食习惯提供科学依据.方法 以学校为单位采取整群随机抽样的方法,对九江市3所小学,随机分为学生干预组,家长干预组,学生、家长综合干预组,以印发宣传材料、举办专题讲座、营养知识学习班等方法进行教育干预,营养教育3个月后调查不同干预途径对学生营养知识、态度、行为的影响.结果 营养干预后,所有学生的营养知识、态度、行为均有不同程度提高,综合干预效果优于学生干预组及家长干预组,差异有统计学意义(P<0.01).结论 家长的营养知识和态度对子女营养知识、态度、行为有明显影响,学校和家庭的密切配合是非常必要和可行的.%Objective To analyze the impact of different nutritional intervention avenues on pupils' nutrition knowledge, attitude and behaviors so as to provide a scientific basis for correcting the bad eating habits of pupils. Methods With random cluster sampling method, 3 primary schools in Jiujiang were selected and randomly divided into student - intervention group, parent- intervention group, and student - parent - comprehensive - intervention group. We conducted nutritional interventions through printed publicity materials, special lectures, nutritional knowledge training and other avenues. 3 months after the intervention, the influence of different interventions on pupils' nutrition knowledge, attitude and behaviors was surveyed. Results After the intervention, all pupils' nutrition knowledge, attitude and behaviors were improved in different degrees. The effect of student- parent - comprehensive - intervention was superior to those of student - intervention group and parent - intervention group, and the differences were statistically significant ( P<0.01). Conclusions Parental nutrition knowledge and attitudea have obvious influence on children

  3. Time Series Classification by Class-Based Mahalanobis Distances

    CERN Document Server

    Prekopcsák, Zoltán

    2010-01-01

    To classify time series by nearest neighbor, we need to specify or learn a distance. We consider several variations of the Mahalanobis distance and the related Large Margin Nearest Neighbor Classification (LMNN). We find that the conventional Mahalanobis distance is counterproductive. However, both LMNN and the class-based diagonal Mahalanobis distance are competitive.

  4. The ACTN3 R577X polymorphism affects the lipid profile and the prognosis of nutritional intervention in HIV-positive patients.

    Science.gov (United States)

    Aranalde, Laura C R; Pederzoli, Bruna S; Marten, Thais; Barros, Flavio C; Basso, Rossana P; Silveira, Jussara M; Valle, Sandra C; Pieniz, Simone; Araujo, Ronaldo C; Paredes-Gamero, Edgar J; Schadock, Ines; Schneider, Augusto; Barros, Carlos C

    2016-06-01

    The hypothesis of the present study is that the polymorphisms in the APOC3, CEPT, ACE, and ACTN3 genes can affect the outcome of nutritional intervention and the plasma lipid profile of HIV+ patients. To test the hypothesis, genetic material was collected from buccal cells, and serum was collected for biochemical analysis. Sixty-five patients were analyzed. The incorporation of protease inhibitor (PI) was more frequent in women (77% vs 33% in men). Nutritional intervention improved anthropometric parameters independent of the genotype. Patients with the RR genotype for the ACTN3 R577X polymorphism had lower glycemia (RR = 95.4 ± 6.5 mg/dL, RX = 102.6 ± 10.6 mg/dL, XX = 110.1 ± 16.3 mg/dL; P = .03) and a greater reduction in low-density lipoproteins (LDL) after intervention (LDL: RR = -23.7 ± 15.8 mg/dL, RX = 1.32 ± 5.13 mg/dL, XX = 30.21 ± 24.4 mg/dL; P = .01). Patients using PI had a negative response to dietary intervention regarding the levels of high-density lipoprotein (-2.4 ± 1.70 with PI, 2.56 ± 1.60 mg/dL without PI; P = .02), very low density lipoprotein (0.84 ± 2.73 with IP, -5.46 ± 3.37 mg/dL without PI; P = .03), and triglycerides (1.79 ± 13.22 with PI, -34.00 ± 17.67 mg/dL without PI; P = .052). This response was also independent of the genotype (P > 0.05) and suggested the need for oral lipid-lowering drugs in all HIV+ patients using PI. Our results indicate that the ACTN3 R577X polymorphism is a good predictor of both the lipid profile and the prognosis of nutritional intervention in reducing LDL in HIV+ patients. PMID:27188902

  5. Inborn errors of metabolism identified via newborn screening: Ten-year incidence data and costs of nutritional interventions for research agenda planning.

    Science.gov (United States)

    Therrell, Bradford L; Lloyd-Puryear, Michele A; Camp, Kathryn M; Mann, Marie Y

    2014-01-01

    Inborn errors of metabolism (IEM) are genetic disorders in which specific enzyme defects interfere with the normal metabolism of exogenous (dietary) or endogenous protein, carbohydrate, or fat. In the U.S., many IEM are detected through state newborn screening (NBS) programs. To inform research on IEM and provide necessary resources for researchers, we are providing: tabulation of ten-year state NBS data for selected IEM detected through NBS; costs of medical foods used in the management of IEM; and an assessment of corporate policies regarding provision of nutritional interventions at no or reduced cost to individuals with IEM. The calculated IEM incidences are based on analyses of ten-year data (2001-2011) from the National Newborn Screening Information System (NNSIS). Costs to feed an average person with an IEM were approximated by determining costs to feed an individual with an IEM, minus the annual expenditure for food for an individual without an IEM. Both the incidence and costs of nutritional intervention data will be useful in future research concerning the impact of IEM disorders on families, individuals and society. PMID:25085281

  6. Inborn errors of metabolism identified via newborn screening: Ten-year incidence data and costs of nutritional interventions for research agenda planning✰

    Science.gov (United States)

    Therrell, Bradford L.; Lloyd-Puryear, Michele A.; Camp, Kathryn M.; Mann, Marie Y.

    2014-01-01

    Inborn errors of metabolism (IEM) are genetic disorders in which specific enzyme defects interfere with the normal metabolism of exogenous (dietary) or endogenous protein, carbohydrate, or fat. In the U.S., many IEM are detected through state newborn screening (NBS) programs. To inform research on IEM and provide necessary resources for researchers, we are providing: tabulation of ten-year state NBS data for selected IEM detected through NBS; costs of medical foods used in the management of IEM; and an assessment of corporate policies regarding provision of nutritional interventions at no or reduced cost to individuals with IEM. The calculated IEM incidences are based on analyses of ten-year data (2001–2011) from the National Newborn Screening Information System (NNSIS). Costs to feed an average person with an IEM were approximated by determining costs to feed an individual with an IEM, minus the annual expenditure for food for an individual without an IEM. Both the incidence and costs of nutritional intervention data will be useful in future research concerning the impact of IEM disorders on families, individuals and society. PMID:25085281

  7. 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...

  8. 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…

  9. 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.

  10. 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.

  11. 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

  12. 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

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

    OpenAIRE

    Xu Guifa; Ma Jun; Shang Xianwen; Xu Haiquan; Duan Yifan; Hao Linan; Fang Hongyun; Liu Ailing; Zhang Qian; Hu Xiaoqi; Li Yanping; Du Lin; Li Ying; Guo Hongwei; Li Tingyu

    2010-01-01

    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 objecti...

  14. The role of attitude and barriers on the implementation of a nutrition intervention in primary school children / Michelle Harris

    OpenAIRE

    Harris, Michelle

    2012-01-01

    Background: South Africa is a multicultural, multi-ethnic developing country currently experiencing a unique quadruple burden of disease, of which malnutrition (both over- and under nutrition) is one of them. The increase in childhood obesity within the current South-African health setting is of serious concern, approximately 14% boys and 18% girls currently are overweight and it is estimated that this number will increase to 25% within the next decade. Healthy eating habits a...

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

    OpenAIRE

    C. Gómez-Candela; M. A. Canales Albendea; S. Palma Milla; R. de Paz Arias; J. Díaz Gómez; D. Rodríguez-Durán; M. Villarino-Sanz; Arribas Hortigüela, L.; R Burgos Peláez

    2012-01-01

    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...

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

    OpenAIRE

    Goisser S; Kemmler W; Porzel S; Volkert D; Sieber CC; Bollheimer LC; Freiberger E

    2015-01-01

    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 ...

  17. Nutritional intervention and follow-up for patients with cystic fibrosis%囊性纤维化患者的营养干预与随诊

    Institute of Scientific and Technical Information of China (English)

    李融融; 于康; 李春微

    2015-01-01

    Objective To investigate effect of standardized nutritional assessment, intervention, and monitoring on nutritional status of patients with cystic fibrosis (CF).Methods We recruited 6 consecutive patients with CF diagnosed from June 2005 to June 2015 in Peking Union Medical College Hospital, all given nutritional assessment and intervention.The clinical data and nutritional status of the patients were analyzed.Four cases were followed up, and their compliance and effect of nutritional intervention on their nutritional status were evaluated.Results The mean age of diagnosis of the patients was (19 ± 6) years.All the patients had recurrent onset of pulmonary infection and hypoxemia with varying degrees.The nutritional status was impaired in all the cases to different extent, with body mass index (BMI) of 3 patients under 20 years of age being lower than the third percentile of the standard growth curve for adolescents of the same age and sex.Mild microcytic hypochromic anemia existed in 2 cases, hypoalbuminemia in 2 cases (serum albumin < 35 g/L in absence of liver or renal dysfunction), and decreased prealbumin level in 4 patients.The serum concentrations of Na, Cl, K, and Ca were approximately normal in all the 6 cases.Vitamin D level was detected in only 2 cases, all revealing vitamin D deficiency.High energy and high protein diet was suggested to all the patients, plus prescription of oral nutritional supplements for 5 patients.Diagnostic pancreatic enzyme replacement therapy (PERT) was performed in 3 patients who were suspected with exocrine pancreatic insufficiency (PI), together with fatsoluble vitamins supplementation including vitamin D3.Four CF patients were followed up for 11 to 39 months, of whom 1 was lost to follow-up after 11 months.During the follow-up period, 3 patients had progressive weight loss or growth retardation, and the other one patient failed to increase body weight.Dietary review of the 3 patients with available follow-up data revealed

  18. 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...

  19. Nutritional management of cystic fibrosis.

    OpenAIRE

    A MacDonald

    1996-01-01

    Nutritional support is an integral part of the management of cystic fibrosis patients. It is arguably best provided by a qualified dietitian and nutritional care sister working in conjunction with the rest of the cystic fibrosis team. The patient's nutritional needs should be assessed, regularly reviewed, and nutritional treatment tailored to meet the changing clinical and psychosocial needs of the patient. Nutritional intervention is not without complications, and in particular attention to ...

  20. ["Medical Texts and Jorunals," and Resources on "Prenatal Risk,""Premature and Low Birthweight Infants,""Infant Nutrition and Breastfeeding"; "Effectiveness of Early Intervention." IPHA Birth-to-Three Clearinghouse Bibliographies 5, 6, 7, 8, and 10.

    Science.gov (United States)

    Illinois Public Health Association, Springfield.

    Five separate bibliographies present citations of resources regarding prenatal risk, premature and low birthweight infants, infant nutrition and breastfeeding, and early intervention for infants with disabilities. The first bibliography lists 133 references from medical texts and journals regarding child development, disabilities, diagnosis, and…

  1. BLOOD PRESSURE IS IMPROVED IN RURAL MISSISSIPPI RESIDENTS BY A COMMUNITY-BASED NUTRITION AND PHYSICAL ACTIVITY INTERVENTION

    Science.gov (United States)

    Obesity requires non-traditional approaches to address its causes. One goal of the Fit For Life Steps program is to develop interventions, using Community-Based Participatory Research (CBPR), to reduce obesity and its co-morbidities. University partners provided the research framework for the interv...

  2. 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,…

  3. 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

  4. Healthy Foods, Healthy Families: combining incentives and exposure interventions at urban farmers’ markets to improve nutrition among recipients of US federal food assistance

    Science.gov (United States)

    Bowling, April B.; Moretti, Mikayla; Ringelheim, Kayla; Tran, Alvin; Davison, Kirsten

    2016-01-01

    Background: Healthy Foods, Healthy Families (HFHF) is a fruit and vegetable (F&V) exposure/incentive program implemented at farmers’ markets in low-income neighborhoods, targeting families receiving US federal food assistance. We examined program effects on participants’ diet and associations between attendance, demographics and dietary change. Methods: Exposure activities included F&V tastings and cooking demonstrations. Incentives included 40% F&V bonus for electronic benefit transfer (EBT) card users and $20 for use purchasing F&V at every third market visit. Self-report surveys measuring nutritional behaviors/literacy were administered to participants upon enrollment (n = 425, 46.2% Hispanic, 94.8%female). Participants were sampled for follow-up at markets during mid-season (n = 186) and at season end (n = 146). Attendance was tracked over 16 weeks. Results: Participants post-intervention reported significantly higher vegetable consumption(P = 0.005) and lower soda consumption (P = 0.005). Participants reporting largest F&V increases attended the market 6-8 times and received $40 in incentives. No change in food assistance spent on F&V (P = 0.94); 70% reported significant increases in family consumption of F&V,indicating subsidies increased overall F&V purchasing. Participants reported exposure activities and incentives similarly affected program attendance. 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. PMID:27123431

  5. 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

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

    OpenAIRE

    Campbell Karen; Hesketh Kylie; Crawford David; Salmon Jo; Ball Kylie; McCallum Zoë

    2008-01-01

    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 A...

  7. The Effects of an Intensive Behavior and Nutrition Intervention Compared to Standard of Care on Weight Outcomes in CF

    OpenAIRE

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

    2010-01-01

    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 volu...

  8. 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

  9. 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.

  10. Nutrition and pain.

    Science.gov (United States)

    Tick, Heather

    2015-05-01

    Research is providing compelling evidence for Hippocrates' oft quoted "Let food be thy medicine." Despite this, most graduating physicians receive only a few hours of instruction about nutrition and coaching to help patients change their eating habits. Appropriate nutritional interventions may be one of the most useful tools doctors have to improve overall health outcomes in their patients and specifically reduce inflammation. Whether doctors choose to do this themselves or collaborate with other professionals trained in nutritional coaching, the benefits of attending to nutritional status can enhance outcomes of other therapies. PMID:25952067

  11. Observation on the Efficacy of Non-drug Nutritional Intervention-NUGGET Nutrition Bars%非药物营养干预——诺伽特营养棒的疗效观察

    Institute of Scientific and Technical Information of China (English)

    臧贵明; 王洪瑛; 周岩岩; 王杰; 郭静; 陈红

    2013-01-01

    Objective To study the efficacy of non-drugnutritional intervention-NUGGET nutrition bars for weight control. Methods 150 people who underwent a medical examination in the medical center were chosen,then randomly divided into three groups:observation group( NUGGET-nutrition bars ),positive group ( only diet control) and control group ( no-intervention ). After two months, the weight, waist line, BMI and lipid content were observed. Results The body weight of the observation group was reduced ( 7.4 ±0. 3 ) kg, compared with positive group ( 3.3 ±0.2 ) kg and the control group( 0.4 ± 0.09 ) kg,the difference was statistically significant( P < 0. 05 ). The waistline of observation group dropped to ( 89. 5 ±9.6 ) cm after the trial , there was a significant difference( P < 0. 01 ) from before the trial( 93. 2 ±10.9 ) cm. The BM1 of observation group dropped to( 23. 3 ±4.5 ) kg/m2 after trial, there was a significant difference from before the trial ( 28.3 ±3.2 ) kg/m2( P <0.01 ),and the fat content of observation group dropped to ( 25. 5 ±4. 8 )% after trial,there was a significant difference from before the trial( 30. 3 ±5. 6 )%( P <0. 01 ). The triacyl triglycer-ides and low-density lipoprotein decreased( P < 0. 01 ) than before, and high-density lipoprotein increased( P <0. 01 ). Conclusion Non-drug nutritional intervention-NUGGET nutrition bar has significant effect of control weight,which is worth promoting.%目的 研究非药物营养干预--诺伽特营养棒对控制体质量的疗效.方法 将150例根据标准判定为超重的体检人员随机分为三组,各50例,观察组采用非药物营养干预,使用诺伽特营养棒,阳性组进行单纯饮食控制,对照组不干预.2个月后观察三组的体质量、腰围、体质量指数(BMI)、脂肪含量和脂蛋白含量的变化.结果 观察组平均减轻体质量(7.4±0.3)kg,与阳性组和对照组的(3.3±0.2)kg、(0.4±0.09)kg比较差异有统计学意义(P<0.05);试

  12. Nutritional factors and thalassaemia major.

    OpenAIRE

    Fuchs, G J; Tienboon, P; Linpisarn, S; Nimsakul, S; Leelapat, P; Tovanabutra, S; Tubtong, V; DeWier, M; Suskind, R M

    1996-01-01

    Abnormal growth is a common feature of thalassaemia major in children. In an attempt to determine whether it has a nutritional cause, 12 children aged 1 to 3 years with thalassaemia major were studied under metabolic ward conditions. Nutritional status was assessed by anthropometry and biochemistry before and after an intensive nutrition regimen. Five children had wasting or stunting on admission. As a result of the nutrition intervention, mean weight for height improved significantly. The me...

  13. Positive Impact of Nutritional Interventions on Serum Symmetric Dimethylarginine and Creatinine Concentrations in Client-Owned Geriatric Dogs

    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 dogs 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 (lipoic acid, vitamins C and E), L-carnitine, botanicals (fruits and vegetables), controlled sodium concentration, and high quality protein sources (high bioavailability and an ideal amino acid composition). Dogs (n = 210) were fed either test food or owner’s-choice foods (non-nutritionally controlled cohort). Dogs were included based on age and body weight: small (6.8 to 11.4 kg) and medium dogs (11.5 to 22.7 kg) were ≥ 9 years, whereas dogs >22.7 kg were ≥ 7 years at baseline. At baseline, all dogs had to have serum Cr concentrations within the reference interval and be free of chronic disease. 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. Only dogs consuming test food showed significant decreases in serum SDMA and Cr concentrations (both P ≤ 0.05) across time. At baseline or during the 6-month feeding trial, 18 dogs (8.6%) had increased serum SDMA, but normal serum Cr, consistent with IRIS Stage 1 chronic kidney disease. This included 9 dogs fed test food and 9 dogs fed owner’s-choice foods. Compared with baseline, after feeding 9 dogs test food for 6 months, serum SDMA decreased in 8 dogs and increased in 1 dog. After feeding 9 dogs owner’s-choice foods for 6 months, serum SDMA decreased in 4 dogs and increased in 4 dogs (remained stable in 1 dog). The decreases in serum SDMA and Cr concentrations were significant (both P = 0.03) only for dogs fed test food. These results suggest that nonazotemic dogs with elevated serum SDMA (early renal insufficiency) when fed a test food designed to promote healthy aging are more likely to demonstrate improved renal function compared with dogs fed owner

  14. 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

  15. Alpha-linolenic acid given as enteral or parenteral nutritional intervention against sensorimotor and cognitive deficits in a mouse model of ischemic stroke.

    Science.gov (United States)

    Bourourou, Miled; Heurteaux, Catherine; Blondeau, Nicolas

    2016-09-01

    Stroke is a leading cause of disability and death worldwide. Numerous therapeutics applied acutely after stroke have failed to improve long-term clinical outcomes. An emerging direction is nutritional intervention with omega-3 polyunsaturated fatty acids acting as disease-modifying factors and targeting post-stroke disabilities. Our previous studies demonstrated that the omega-3 precursor, alpha-linolenic acid (ALA) administrated by injections or dietary supplementation reduces stroke damage by direct neuroprotection, and triggering brain artery vasodilatation and neuroplasticity. Successful translation of putative therapies will depend on demonstration of robust efficacy on common deficits resulting from stroke like loss of motor control and memory/learning. This study evaluated the value of ALA as adjunctive therapy for stroke recovery by comparing whether oral or intravenous supplementation of ALA best support recovery from ischemia. Motor and cognitive deficits were assessed using rotarod, pole and Morris water maze tests. ALA supplementation in diet was better than intravenous treatment in improving motor coordination, but this improvement was not due to a neuroprotective effect since infarct size was not reduced. Both types of ALA supplementation improved spatial learning and memory after stroke. This cognitive improvement correlated with higher survival of hippocampal neurons. These results support clinical investigation establishing therapeutic plans using ALA supplementation. PMID:27133376

  16. Nutrition Interventions for Prevention and Management of Childhood Obesity: What Do Parents Want from an eHealth Program?

    Science.gov (United States)

    Burrows, Tracy; Hutchesson, Melinda; Chai, Li Kheng; Rollo, Megan; Skinner, Geoff; Collins, Clare

    2015-12-01

    With the growth of Internet technologies, offering interventions for child and family weight management in an online format may address barriers to accessing services. This study aimed to investigate (i) whether an eHealth family healthy lifestyle program would be of interest to parents; and (ii) preferences and/or expectations for program components and features. Parents of children aged four to18 years were recruited through social media and completed an online survey (54 items) including closed and open-ended questions. Responses were collated using descriptive statistics and thematic analysis. Seventy-five participants were included (92% mothers, mean age 39.1 ± 8.6 years, mean BMI 27.6 ± 6.3 kg/m²). The index child had a mean age of 11 ± 6.2 years with 24% overweight/obese. The majority of parents (90.3%) reported interest in an online program, with preference expressed for a non-structured program to allow flexibility users to log-on and off as desired. Parents wanted a program that was easy to use, practical, engaging, endorsed by a reputable source, and able to provide individual tailoring and for their children to be directly involved. The current study supports the need for online delivery of a healthy lifestyle program that targets greater parental concerns of diet rather than child weight. PMID:26694456

  17. Nutrition Interventions for Prevention and Management of Childhood Obesity: What Do Parents Want from an eHealth Program?

    Directory of Open Access Journals (Sweden)

    Tracy Burrows

    2015-12-01

    Full Text Available With the growth of Internet technologies, offering interventions for child and family weight management in an online format may address barriers to accessing services. This study aimed to investigate (i whether an eHealth family healthy lifestyle program would be of interest to parents; and (ii preferences and/or expectations for program components and features. Parents of children aged four to18 years were recruited through social media and completed an online survey (54 items including closed and open-ended questions. Responses were collated using descriptive statistics and thematic analysis. Seventy-five participants were included (92% mothers, mean age 39.1 ± 8.6 years, mean BMI 27.6 ± 6.3 kg/m2. The index child had a mean age of 11 ± 6.2 years with 24% overweight/obese. The majority of parents (90.3% reported interest in an online program, with preference expressed for a non-structured program to allow flexibility users to log-on and off as desired. Parents wanted a program that was easy to use, practical, engaging, endorsed by a reputable source, and able to provide individual tailoring and for their children to be directly involved. The current study supports the need for online delivery of a healthy lifestyle program that targets greater parental concerns of diet rather than child weight.

  18. 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.

    OpenAIRE

    Katie Big-Canoe; Lindsay Doxtator; Maggie M. Sopper; Mottola, Michelle F.; Harry Prapavessis

    2011-01-01

    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 succe...

  19. Improving childhood nutrition and wellness in South Africa: involving mothers/caregivers of malnourished or HIV positive children and health care workers as co-designers to enhance a local quality improvement intervention

    OpenAIRE

    van Deventer, Claire; Robert, Glenn Brian; Wright, Anne

    2016-01-01

    Background: A significant proportion of children admitted to a hospital in a South African sub-district in 2010 were severely malnourished and - when concurrently HIV positive - were not correctly initiated on antiretroviral therapy.Audit data over a subsequent four year period revealed that 60 % of malnourished children admitted to the hospital were HIV positive. To supplement an ongoing local quality improvement (QI) intervention addressing poor nutritional outcomes in children in this sett...

  20. Nutritional Epigenetics

    Directory of Open Access Journals (Sweden)

    L. Preston Mercer

    2013-12-01

    Full Text Available Questions concerning the fundamental effects of nutrition on gene function are now being elucidated as the human genome project has been completed. Nutritional genomics seeks to expand the use of foods to achieve human genetic potential, while reducing the risk of diseases. As issues such as nutrigenomics (dietary influence on gene function and nutrigenetics (genomic reaction to diet are unraveled, thepotential for personalized nutrition becomes attainable. It has been stated that “genomics is to the 21st century what infectious disease was to the 20th century”. The nucleotide sequence of DNA was once seen as the only mechanism by which genetic information could be transmitted between generations. Phenotypic variation resulted from recombination and, occasionally, genetic mutation. This widely accepted concept is now undergoing modification as evidence builds to support the idea that reversible, heritable changes in gene function - termed “epigenetics”- can occur without a change in the sequence of nuclear DNA (i.e., non-Mendelian inheritance. The word epigenetics is of Greek origin and literallymeans over and above (epi the genome. The terminology“same genome, different epigenome” has been demonstrated in several experiments. As research and understanding advances, dietary advice based on the human genome will become more prevalent and new pharmacological interventions may be developed.

  1. 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. PMID:26527253

  2. Nutritional status of children 0–59 months in selected intervention communities in northern Ghana from the africa RISING project in 2012

    OpenAIRE

    Glover-Amengor, Mary; Agbemafle, Isaac; Hagan, Lynda Larmkie; Mboom, Frank Peget; Gamor, Gladys; Larbi, Asamoah; Hoeschle-Zeledon, Irmgard

    2016-01-01

    Background Poor nutritional status during childhood and its long-term impact on economic growth and wellbeing is well known. This study assessed the nutritional status of children in selected communities in northern Ghana, to serve as baseline data for the Africa Research in Sustainable Intensification for the Next Generation (Africa RISING) project that sought to improve farm-household nutrition through agriculture. Methods A cross-sectional study was conducted among children 0–59 months in ...

  3. Development of the Oxford Hills Healthy Moms Project using a social marketing process: a community-based physical activity and nutrition intervention for low-socioeconomic-status mothers in a rural area in Maine.

    Science.gov (United States)

    Dharod, Jigna M; Drewette-Card, Rebecca; Crawford, David

    2011-03-01

    A physical activity and nutrition community intervention called the Oxford Hills Healthy Moms (OHHM) Project was developed using a multifaceted social marketing process, including review of state surveillance results, key informant interviews, and a survey and focus group discussions with low-socioeconomic-status (low-SES) mothers. This formative work was used to make key decisions on the selection of the intervention region, segmentation of the audience, and design of intervention strategies addressing multiple levels of the socioecological model. The OHHM Project aims to increase fruit and vegetable consumption and physical activity levels among low-SES mothers in the Oxford Hills region of Maine. The OHHM Project includes five components: (a) physical activity buddy program, (b) cooking club with education, (c) fruit and vegetable discount buying club with education, (d) increased access to produce vendors, and (e) increased access to places for physical activity. PMID:20660151

  4. Nutrition for Sarcopenia

    OpenAIRE

    Yanai, Hidekatsu

    2015-01-01

    Aging-related sarcopenia means that muscle mass, strength, and physical performance tend to decline with age, and malnutrition is associated with sarcopenia. Therefore, nutritional interventions may make an important contribution to prevent the development of sarcopenia. Here I reviewed published articles about the effects of nutritional factors on sarcopenia in elderly people. A growing body of evidence suggests that metabolic factors associated with obesity and diabetes induce the progressi...

  5. 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.

  6. 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

    OpenAIRE

    Duncan Mitch J; Vandelanotte Corneel; Rosenkranz Richard R; Caperchione Cristina M; Ding Hang; Ellison Marcus; George Emma S; Hooker Cindy; Karunanithi Mohan; Kolt Gregory S; Maeder Anthony; Noakes Manny; Tague Rhys; Taylor Pennie; Viljoen Pierre

    2012-01-01

    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...

  7. Nutrition in Pancreatic Cancer: A Review

    Science.gov (United States)

    Gärtner, Simone; Krüger, Janine; Aghdassi, Ali A.; Steveling, Antje; Simon, Peter; Lerch, Markus M.; Mayerle, Julia

    2016-01-01

    Background Pancreatic cancer is the fourth leading cause of cancer-related mortality in both genders. More than 80% of patients suffer from significant weight loss at diagnosis and over time develop severe cachexia. Early nutritional support is therefore essential. Summary This review evaluates the different nutritional therapies, such as enteral nutrition, parenteral nutrition and special nutritional supplements, on nutritional status, quality of life and survival Key Message Due to the high prevalence of malnutrition and the rapid development of anorexia-cachexia-syndrome, early nutritional intervention is crucial and supported by clinical data Practical Implications Enteral nutrition should be preferred over parenteral nutrition. Omega-3 fatty acids and l-carnitine are promising substances for the prevention of severe cachexia, but further randomized controlled trials are needed to establish generally accepted guidelines on nutrition in pancreatic cancer.

  8. Using a Probabilistic Class-Based Lexicon for Lexical Ambiguity Resolution

    OpenAIRE

    Prescher, Detlef; Riezler, Stefan; Rooth, Mats

    2000-01-01

    This paper presents the use of probabilistic class-based lexica for disambiguation in target-word selection. Our method employs minimal but precise contextual information for disambiguation. That is, only information provided by the target-verb, enriched by the condensed information of a probabilistic class-based lexicon, is used. Induction of classes and fine-tuning to verbal arguments is done in an unsupervised manner by EM-based clustering techniques. The method shows promising results in ...

  9. Boundary Development in the Field of International Nutrition Science12

    OpenAIRE

    Centrone Stefani, Monique; Humphries, Debbie L.

    2014-01-01

    Using a sociological approach that elaborates on key observations of institutional entrepreneurs in international nutrition, this paper explores institutional boundaries and boundary work in international nutrition. Sociological concepts of “boundary making” and “situated knowledge” are applied to the boundaries between the nutrition sciences and lay nutrition knowledge in nutrition intervention. These concepts allow an analysis of how nutrition science creates boundaries between its field an...

  10. 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

  11. 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

  12. A Study to Evaluate the Effect of Nutritional Intervention Measures on Admitted Children in Selected Nutrition Rehabilitation Centers of Indore and Ujjain Divisions of the State of Madhya Pradesh (India)

    OpenAIRE

    Gunjan Taneja; Sanjay Dixit; A K Khatri; Veena Yesikar; Deepa Raghunath; Sanjay Chourasiya

    2012-01-01

    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 children aged 1–5 years. Materials and Methods: The present study was conducted from November 2008 to October 2009; 100 children admitted to seven different NRCs in Indore and Ujjain divisions of Madhya Pradesh were observed durin...

  13. 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.

  14. 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 =…

  15. 医学营养干预对妊娠期糖尿病临床结局影响的Meta分析%Effects of medical nutritional intervention on clinical outcome of gestational diabetes mellitus: a meta-analysis

    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

    营养干预对妊娠期糖尿病是一种保护性措施,有助于将血糖维持在正常范围内,且可改善其临床结局.%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

  16. 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

  17. 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…

  18. Nutrition Counter

    Science.gov (United States)

    ... Counter: A Reference For The Kidney Patient AAKP Nutrition Counter: A Reference For The Kidney Patient Buy ... Harum RD, CSR, LD Certified Specialist in Renal Nutrition, Miami, Florida Reviewed by: 2005 – Maria Karalis, MBA, ...

  19. Nutritional Support

    Science.gov (United States)

    Nutritional support is therapy for people who cannot get enough nourishment by eating or drinking. You may need ... absorb nutrients through your digestive system You receive nutritional support through a needle or catheter placed in your ...

  20. 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.

  1. 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.

  2. 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.

  3. Healthy Eating for Life English as a second language curriculum: Primary outcomes from a nutrition education intervention targeting cancer risk reduction

    OpenAIRE

    Duncan, Lindsay R; Martinez, Josefa L; Rivers, Susan E.; Latimer, Amy E.; Bertoli, Michelle C; Domingo, Samantha; Salovey, Peter

    2012-01-01

    We conducted a pre–post feasibility trial of Healthy Eating for Life, a theory-based, multimedia English as a second language curriculum that integrates content about healthy nutrition into an English language learning program to decrease cancer health disparities. Teachers in 20 English as a second language classrooms delivered Healthy Eating for Life to 286 adult English as a second language students over one semester. Postintervention data are available for 227 students. The results indica...

  4. 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。

  5. 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.

  6. Nutrition Labeling

    DEFF Research Database (Denmark)

    Grunert, Klaus G

    2013-01-01

    because consumers will avoid products that the label shows to be nutritionally deficient, but also because food producers will try to avoid marketing products that appear, according to the label, as nutritionally problematic, for example, because of a high content of saturated fat or salt. Nutrition......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...... to make healthier choices when choosing food products. Nutrition labeling is thus closely linked to the notion of the informed consumer, that chooses products according to their aims, on the basis of the information at their disposal. Because many consumers are assumed to be interested in making healthy...

  7. 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.

  8. 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 = ...

  9. Can Nutritional Assessment Tools Predict Response to Nutritional Therapy?

    Science.gov (United States)

    Patel, Chirag; Omer, Endashaw; Diamond, Sarah J; McClave, Stephen A

    2016-04-01

    Traditional tools and scoring systems for nutritional assessment have focused solely on parameters of poor nutritional status in the past, in an effort to define the elusive concept of malnutrition. Such tools fail to account for the contribution of disease severity to overall nutritional risk. High nutritional risk, caused by either deterioration of nutritional status or greater disease severity (or a combination of both factors), puts the patient in a metabolic stress state characterized by adverse outcome and increased complications. Newer scoring systems for determining nutritional risk, such as the Nutric Score and the Nutritional Risk Score-2002 have created a paradigm shift connecting assessment and treatment with quality outcome measures of success. Clinicians now have the opportunity to identify high risk patients through their initial assessment, provide adequate or sufficient nutrition therapy, and expect improved patient outcomes as a result. These concepts are supported by observational and prospective interventional trials. Greater clinical experience and refinement in these scoring systems are needed in the future to optimize patient response to nutrition therapy. PMID:26936031

  10. Did HealthKick, a randomised controlled trial primary school nutrition intervention improve dietary quality of children in low-income settings in South Africa?

    OpenAIRE

    Steyn, Nelia P; de Villiers, Anniza; Gwebushe, Nomonde; Draper, Catherine E.; Hill, Jillian; de Waal, Marina; Dalais, Lucinda; Abrahams, Zulfa; Lombard, Carl; Lambert, Estelle V

    2015-01-01

    Background Numerous studies in schools in the Western Cape Province, South Africa have shown that children have an unhealthy diet with poor diversity and which is high in sugar and fat. HealthKick (HK) was a three-year randomised controlled trial aimed at promoting healthy eating habits. Methods Sixteen schools were selected from two low-income school districts and randomly allocated to intervention (n = 8) or control school (n = 8) status. The HK intervention comprised numerous activities to...

  11. 广西贫困农村小学生营养干预一年后体格发育和营养状况变化情况%Changes of physical growth and nutritional status in poor rural students after one year’s nutritional intervention in Guangxi

    Institute of Scientific and Technical Information of China (English)

    阮青; 刘玄华; 张倩; 张帆; 唐雯; 董邕晖; 任轶文

    2015-01-01

    目的:了解牛奶加鸡蛋营养干预一年后学生体格发育和营养状况的变化情况,探索适合农村小学生营养改善的模式。方法研究现场为广西田阳县贫困农村,选取554名1~5年级小学生作为干预组,每名学生于在校日补充200g牛奶和1枚鸡蛋进行营养干预,另选428名学生作为对照组,不采取干预措施。比较分析两组学生1年后的体格形态指标变化和营养状况。结果干预组男生体重增长(3.5±1.8)kg高于对照组(2.9±1.5)kg,8岁组女生体重增长(3.6±1.6)kg高于对照组(2.7±1.2)kg,差异均有统计学意义(P值均小于0.01)。不管是男生或女生,干预组与对照组的身高增长差异无统计学意义。干预组男生的营养不良率从基线的29.6%降至干预后的22.0%,而女生的营养不良率变化不明显。结论通过给学生补充卤蛋和牛奶,可使学生的体格发育及营养状况都得到改善和提高,该措施值得在贫困农村地区推广。%Objective To understand the physical growth and nutritional status changes of students after nutritional intervention with milk and egg,and explore appropriate mode for nutrition improvement in rural primary students. Methods The study was carried out in the primary schools from impoverished rural area of Tianyang County in Guangxi Province. Five hundred fifty four students of grade 1 to 5 were selected as intervention group and 428 students of the same grade as the control group. Each student in the intervention group was supplied with 200 g of milk and one egg in each school day. After one year of intervention, the physical development and nutritional status of two groups were compared and analyzed. Results The weight gain of male students in the intervention group was higher than that of the control group (3.5±1.8 kg vs 2.9±1.5 kg, P<0.01). In female students, only the weight gain of 8-year-old student in the intervention group was

  12. 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

  13. Nutrition and Cognition in Aging Adults.

    Science.gov (United States)

    Coley, Nicola; Vaurs, Charlotte; Andrieu, Sandrine

    2015-08-01

    Numerous longitudinal observational studies have suggested that nutrients, such as antioxidants, B vitamins, and ω-3 fatty acids, may prevent cognitive decline or dementia. There is very little evidence from well-sized randomized controlled trials that nutritional interventions can benefit cognition in later life. Nutritional interventions may be more effective in individuals with poorer nutritional status or as part of multidomain interventions simultaneously targeting multiple lifestyle factors. Further evidence, notably from randomized controlled trials, is required to prove or refute these hypotheses. PMID:26195103

  14. 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…

  15. Exercise-Induced Immunodepression in Endurance Athletes and Nutritional Intervention with Carbohydrate, Protein and Fat — What Is Possible, What Is Not?

    Directory of Open Access Journals (Sweden)

    Elisabeth Pail

    2012-09-01

    Full Text Available 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.

  16. Documentation of functional and clinical effects of infant nutrition

    DEFF Research Database (Denmark)

    Koletzko, Berthold; Szajewska, Hania; Ashwell, Margaret;

    2012-01-01

    The Early Nutrition Academy and the Child Health Foundation, in collaboration with the Committee on Nutrition, European Society for Paediatric Gastroenterology, Hepatology and Nutrition, held a workshop in March 2011 to explore guidance on acquiring evidence on the effects of nutritional interven...... interventions in infants and young children. The four objectives were to (1) provide guidance on the quality and quantity of evidence needed to justify conclusions on functional and clinical effects of nutrition in infants and young children aged...

  17. 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.

  18. 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

  19. Nutritional surveillance*

    OpenAIRE

    Mason, John B.; Mitchell, Janice T.

    1983-01-01

    The concept of nutritional surveillance is derived from disease surveillance, and means “to watch over nutrition, in order to make decisions that lead to improvements in nutrition in populations”. Three distinct objectives have been defined for surveillance systems, primarily in relation to problems of malnutrition in developing countries: to aid long-term planning in health and development; to provide input for programme management and evaluation; and to give timely warning of the need for i...

  20. Nutrition Labeling

    Science.gov (United States)

    Metzger, Lloyd E.

    Nutrition labeling regulations differ in countries around the world. The focus of this chapter is on nutrition labeling regulations in the USA, as specified by the Food and Drug Administration (FDA) and the Food Safety and Inspection Service (FSIS) of the United States Department of Agriculture (USDA). A major reason for analyzing the chemical components of foods in the USA is nutrition labeling regulations. Nutrition label information is not only legally required in many countries, but also is of increasing importance to consumers as they focus more on health and wellness.

  1. Health education and nutrition intervention in anorexia nervosa application%健康教育与营养干预在神经性厌食症中的应用

    Institute of Scientific and Technical Information of China (English)

    李丽娟; 黄婷; 陈爽

    2012-01-01

    目的 探讨健康教育与饮食干预在神经性厌食症(AN)患者护理中的应用效果.方法 将28例AN患者随机分为实验组15例和对照组13,实验组从入院起对患者进行健康教育及营养干预的方式进行护理,对照组按常规护理模式;出院时应用进食障碍调查自评问卷( EDE-Q)评定,比较两组之间的效果差异.结果 实验组病人EDE-Q各项分值均低于对照组(P<0.01),实验组患者在掌握健康知识方面明显优于对照组(P<0.05),体重较对照组明显改善(P<0.05),护理满意度高于对照组(P<0.05).结论 对AN患者进行健康教育及营养干预,有利于提高治疗效果,可在临床护理中推广应用.%Objective To investigate the health education and dietary intervention in the care of patients with an-orexiaNervosa effects. Methods 28 patients with anorexiaNervosa were randomly divided into experimental group(15 cases) and control group (13 cases), In the experimental group of patients from the hospital from health education and nutrition intervention approach to care, control group received usual care model; discharge application survey of eating disorders self-assessment questionnaire (EDE-Q) were assessed and compared the differences between the two groups. Results The patients with EDE-Q scores were lower than the control group (P<0. 01), patients in the experimental group mastered the knowledge was superior to the control group (P<0. 05), body weight was significantly higher than the control group improved (P<0.05), higher nursing satisfaction (P<0.05). Conclusion Of the anorexiaNervosa patient care in health education and nutrition intervention can improve treatment.

  2. Reducing childhood illness - fostering growth : an integrated home-based intervention package (IHIP) to improve indoor-air pollution, drinking water quality and child nutrition

    OpenAIRE

    Hartinger Peña, Stella M.

    2014-01-01

    Child mortality attributable to pneumonia, diarrhoea and malnutrition accounts globally for the majority of 8.8 million annual deaths. More than half of these deaths are preventable. Available and effective interventions include safe water supply, household water treatment, improved chimney stoves and personal- and home-hygiene and -health messages. In Peru, the current health services reform is focused on shifting responsibilities to peripheral levels; thus, empowering community organisation...

  3. Long-term Impact on Gastrointestinal Symptoms, Quality of Life and Nutritional Adequacy after Group Intervention in patients with Irritable Bowel Syndrome

    OpenAIRE

    Kjøsnes, Norene Grytten

    2015-01-01

    Background: Irritable bowel syndrome (IBS) is a common functional gastrointestinal disorder often associated with complex clinical manifestations. There is no cure for IBS, however potent management strategies have been proposed, including the FODMAP diet. Haukeland University Hospital provides group based IBS interventions. There is a need for critical evaluation of group-based management of IBS. Aim: To quality assess the long-term impact of the group based IBS inte...

  4. Nutritional support as an adjunct to radiation therapy

    International Nuclear Information System (INIS)

    Patients with malignancies which are treated with therapeutic radiation are at risk for nutritional problems, both from their underlying malignancy as well as from their treatment. These effects may be acute or chronic and relate to the site of the tumor and regions irradiated. There is a large experience with nutritional intervention in irradiated patients, including oral feedings and enteral and parenteral nutritional support. The indications for the specific administration of nutritional support during radiotherapy depend on the nutritional status of the patient and the area irradiated, as well as the individual prognosis. Patients who are malnourished at the time of treatment are most likely to profit from nutritional intervention. To date, prospective randomized trials of nutritional support in patients undergoing radiotherapy fail to show a benefit of routine adjuvant nutritional intervention in terms of improved response and tolerance to treatment, improved local control or survival rates, or reduction of complications from therapy

  5. Study on effects of nutritional intervention on patients with esophageal cancer undergoing radiation and chemotherapy%食管癌放化疗患者进行营养干预的效果研究

    Institute of Scientific and Technical Information of China (English)

    马艳会; 周玉华; 曹继娟

    2016-01-01

    目的:探究食管癌放化疗患者进行营养干预的效果。方法:选取78例食管癌放化疗患者进行分组研究,将所有患者采取随机数字表法分为研究组和对照组,每组各39例。对照组患者予以常规护理干预;研究组患者在对照组护理基础上进行全程营养干预。对比两组患者干预后 BMI 指数、血红蛋白、血清白蛋白及血细胞计数及放化疗不良反应情况、患者满意度,采取卡氏(KPS)评分评估患者身体状况,焦虑自评量表(SAS)及抑郁自评量表(SDS)评估患者心理状况。结果:两组患者的 BMI 指数及血红蛋白、血清白蛋白及血细胞计数等对比,研究组患者均明显优于对照组(P<0.05);护理干预后,两组患者的 SAS、SDS 评分对比,研究组患者均显著优于对照组,(P<0.01);研究组患者化疗后总不良反应率明显低于对照组,患者总满意率明显高于对照组(P<0.05)。结论:食管癌放化疗患者在常规护理基础上予以全程营养干预可明显提升护理质量,降低放化疗后不良反应发生率,改善患者身体耐心力及营养状况,改善患者心理状况,患者认可度高,具有较高临床应用及推广价值。%Objective:To explore effects of nutritional intervention on patients with esophageal cancer undergoing radiation and chemotherapy. Methods:78 patients with esophageal cancer undergoing radiation and chemotherapy were selected and divided into re-search group(39 cases)and control group(39 cases)according to the random number table. The control group was given a routine nursing intervention,while the research group received the nutritional intervention based on the routine nursing intervention. After the intervention,the BMI,hemoglobin,serum albumin,blood cell count,radiation and chemotherapy adverse reactions,and patientsˊ sat-isfaction of the two groups were compared. The Karnofsky(KPS)score was

  6. Nutritional epigenetics

    Science.gov (United States)

    This chapter is intended to provide a timely overview of the current state of research at the intersection of nutrition and epigenetics. I begin by describing epigenetics and molecular mechanisms of eigenetic regulation, then highlight four classes of nutritional exposures currently being investiga...

  7. Relación entre la intervención nutricional y la calidad de vida en el paciente con cáncer Relationship between nutritional intervention and quality of life in cancer patients

    Directory of Open Access Journals (Sweden)

    Mª Marín Caro

    2007-06-01

    necesidades y expectativas de los pacientes evaluando su CdV, ésta se podría incluir dentro de la evaluación nutricional, para elaborar un soporte nutricional adecuado, a la medida del paciente.Quality of life (QOL is a concept assessing physical, psychological and social factors which are influencing the patients' well being. Cancer and its therapy induce severe metabolic changes associated with QOL impairment. These alterations contribute to an increased energy wasting and a decreased food intake. Besides, it may lead to tumoral cachexia due to the complex interactions between pro-inflammatory cytokines and the host metabolism. On the other hand, and beyond physical impairments and metabolic effects from cancer, patients often suffer from psychological stress, such as depression. A nutritional intervention should be implemented as soon as cancer is diagnosed. It should be appropriate to the individual needs of the patient, considering the type of oncologic treatment (whether it is curative or palliative, the clinical conditions and the nutritional status. The aim is to reduce or even revert nutritional status impairment, improve the general condition, and subsequently improve quality of life. The primary focus of nutritional intervention accompanying oncologic treatment intended to cure is on the optimization of the balance between energy waste and food intake. Thus trying to achieve further specific purposes such as a decrease of rate of complications and an amelioration of the response and tolerance to the oncologic therapy. The purpose of nutritional support in palliative care is controlling the symptoms related to food intake and delaying the loss of autonomy. And by this means maintaining or improving patients' QOL. It is corraborated by a literature review, that nutritional therapy should form part of the integral oncological support since it contributes considerably to a QOL improvement. Because of the possibility to identify the patients' needs and expectations

  8. Cognitive Interventions for Older Diabetics.

    Science.gov (United States)

    Black, Sheila; Scogin, Forrest

    1998-01-01

    Older diabetic adults should receive memory training to improve their compliance with medication taking. The intervention should include comprehensible medical instructions, assistance with remembering the nutritional values of food, and higher order skills for disease management. (SK)

  9. A case report of recovery of menstrual function following a nutritional intervention in two exercising women with amenorrhea of varying duration.

    Science.gov (United States)

    Mallinson, Rebecca J; Williams, Nancy I; Olmsted, Marion P; Scheid, Jennifer L; Riddle, Emily S; De Souza, Mary Jane

    2013-01-01

    Increasing caloric intake is a promising treatment for exercise-associated amenorrhea, but strategies have not been fully explored. The purpose of this case report was to compare and contrast the responses of two exercising women with amenorrhea of varying duration to an intervention of increased energy intake. Two exercising women with amenorrhea of short (3 months) and long (11 months) duration were chosen to demonstrate the impact of increased caloric intake on recovery of menstrual function and bone health. Repeated measures of dietary intake, eating behavior, body weight, body composition, bone mineral density, resting energy expenditure, exercise volume, serum metabolic hormones and markers of bone turnover, and daily urinary metabolites were obtained. Participant 1 was 19 years old and had a body mass index (BMI) of 20.4 kg/m(2) at baseline. She increased caloric intake by 276 kcal/day (1,155 kJ/day, 13%), on average, during the intervention, and her body mass increased by 4.2 kg (8%). Participant 2 was 24 years old and had a BMI of 19.7 kg/m(2). She increased caloric intake by 1,881 kcal/day (7,870 kJ/day, 27%) and increased body mass by 2.8 kg (5%). Resting energy expenditure, triiodothyronine, and leptin increased; whereas, ghrelin decreased in both women. Resumption of menses occurred 23 and 74 days into the intervention for the women with short-term and long-term amenorrhea, respectively. The onset of ovulation and regular cycles corresponded with changes in body weight. Recovery of menses coincided closely with increases in caloric intake, weight gain, and improvements in the metabolic environment; however, the nature of restoration of menstrual function differed between the women with short-term versus long-term amenorrhea. PMID:23914797

  10. Nutrition and Its Effects on Learning.

    Science.gov (United States)

    Swensson, Marjorie

    A 12-week practicum intervention, designed to improve the classroom performance of 17 elementary school students experiencing learning or behavior problems by offering the students nutrition instruction and improving nutritional practices in the students' homes, was implemented and evaluated. Students were requied to agree to: (1) eat a nutritious…

  11. Study on the Short-term Transportation Stress and Nutritional Intervention in Mice%小鼠短途运输应激及其营养干预的研究

    Institute of Scientific and Technical Information of China (English)

    胡樱; 杨斐

    2012-01-01

    To investigate the short-term transportation stress of laboratory mice and "develop nutritional intervention that can be used to relieve the stress. Methods In the first experiment, BALB/c mice and ICR mice were transported by road for-1.5h, short-term transportation stress in the two different strains were accessed by the alteration of GLU, WBC, serum level of CORT, IL-2 and (5-EP in the time of 0 h, 24 h, 48 h, 72 h after transportation. In the second experiment, BALB/c mice were transported in the container equipped with nutrition supplementation, and then the stress related indicators were measured and compared across intervention group, transporting group and control group to evaluate the intervention effect. Results In the first experiment, both strains showed decreased GLU, CORT, IL-2, p-EP and WBC at the termination of transportation, but all the indicators return to normal within 72 h. In the second experiment, GLU, IL-2, p-EP and WBC in invention group resumed almost 24 h earlier than transporting group. Conclusions Short-term transportation would be exhausting and trigger neural-endocrine-immune disorder in mice; it needs at least 72 h for mice to recover in the routine condition, while giving nutrition supplementation at the termination of transportation would contribute to a shorter recovering period.%目的 研究实验小鼠的短途运输应激反应并研制用于缓解该应激的营养干预剂.方法 实验1采用BALB/c小鼠和ICR小鼠,经1.5h运输后返回原处,分析运输后即刻(0 h)、24 h、48 h、72 h的血糖(GLU)、外周白细胞总数(WBC)、血清中皮质酮(CORT)、白细胞介素2(IL2)和β-内啡肽(β-EP)的变化,评价短途运输应激对2种小鼠的影响.实验2采用BALB/c小鼠以运输全程放置营养补充剂的方式进行运输干预实验,测定并比较干预组和运输对照组及空白对照组的应激相关指标,由此评价干预效果.结果 在实验1中,运输后即刻2种小鼠GLU、CORT、IL2、

  12. Nanotechnology Research: Applications in Nutritional Sciences12

    OpenAIRE

    Srinivas, Pothur R.; Philbert, Martin; Vu, Tania Q.; Huang, Qingrong; Kokini, Josef L.; Saos, Etta; Chen, Hongda; Peterson, Charles M.; Friedl, Karl E.; McDade-Ngutter, Crystal; Hubbard, Van; Starke-Reed, Pamela; Miller, Nancy; Betz, Joseph M.; Dwyer, Johanna

    2010-01-01

    The tantalizing potential of nanotechnology is to fabricate and combine nanoscale approaches and building blocks to make useful tools and, ultimately, interventions for medical science, including nutritional science, at the scale of ∼1–100 nm. In the past few years, tools and techniques that facilitate studies and interventions in the nanoscale range have become widely available and have drawn widespread attention. Recently, investigators in the food and nutrition sciences have been applying ...

  13. An evaluation of the Kinect-Ed presentation, a motivating nutrition and cooking intervention for young adolescents in grades 6-8.

    Science.gov (United States)

    Santarossa, Sara; Ciccone, Jillian; Woodruff, Sarah J

    2015-09-01

    Recently, public health messaging has included having more family meals and involving young adolescents (YAs) with meal preparation to improve healthful diets and family dinner frequency (FDF). Kinect-Ed, a motivational nutrition education presentation was created to encourage YAs (grades 6-8) to help with meal preparation and ultimately improve FDF. The purpose of this study was to evaluate the Kinect-Ed presentation, with the goals of the presentation being to improve self-efficacy for cooking (SE), food preparation techniques (TECH), food preparation frequency (PREP), family meal attitudes and behaviours, and ultimately increase FDF. A sample of YAs (n = 219) from Southern Ontario, Canada, completed pre- and postpresentation surveys, measuring FDF, PREP, SE, and TECH. Kinect-Ed successfully improved participants' FDF (p < 0.01), PREP (p < 0.01), SE (p < 0.01), and TECH (<0.01). Overall, goals of the presentation were met. Encouraging YAs to help prepare meals and get involved in the kitchen may reduce the time needed from parents to prepare meals, and, in turn, allow more time for frequent family dinners. PMID:26282873

  14. Inequalities in diet and nutrition

    OpenAIRE

    Tiffin, Richard; Salois, Matthew

    2012-01-01

    The inequality of nutrition and obesity re-focuses concern on who in society is consuming the worst diet. Identification of individuals with the worst of dietary habits permits for targeting interventions to assuage obesity among the population segment where it is most prevalent. We argue that the use of fiscal interventions does not appropriately take into account the economic, social and health circumstances of the intended beneficiaries of the policy. This paper reviews the ...

  15. Nonpathologizing trauma interventions in abnormal psychology courses.

    Science.gov (United States)

    Hoover, Stephanie M; Luchner, Andrew F; Pickett, Rachel F

    2016-01-01

    Because abnormal psychology courses presuppose a focus on pathological human functioning, nonpathologizing interventions within these classes are particularly powerful and can reach survivors, bystanders, and perpetrators. Interventions are needed to improve the social response to trauma on college campuses. By applying psychodynamic and feminist multicultural theory, instructors can deliver nonpathologizing interventions about trauma and trauma response within these classes. We recommend class-based interventions with the following aims: (a) intentionally using nonpathologizing language, (b) normalizing trauma responses, (c) subjectively defining trauma, (d) challenging secondary victimization, and (e) questioning the delineation of abnormal and normal. The recommendations promote implications for instructor self-reflection, therapy interventions, and future research. PMID:26460794

  16. Percutaneous gastrostomy performed by radiologists using balloon replacement tubes. A simple interventional technique for the placement of nutritional catheters without endoscopy or surgery

    International Nuclear Information System (INIS)

    Patients afflicted with stenotic head and neck or esophageal tumors often require artificial enteral feeding. Frequently passage of an endoscope through the esophagus is impossible in these patients. Interventional, fluoroscopically assisted, percutaneous gastrostomy (PG) by balloon replacement tubes is a feasible and successful alternative to percutaneous endoscopic gastrostomy (PEG) and the method of choice in patients where the esophagus cannot be passed with an endoscope anymore. Technical success rate is very high and serious complications are rare. Radiological PG is a feasible, equivalent alternative to PEG also in all other patients. We recommend PG with balloon gastrostomy tubes in conjunction with gastropexy performed with three to four T-fasteners, which are left in place for seven days in order to prevent dislocation and leakage. (orig.)

  17. A Qualitative Phenomenological Exploration of Teachers' Experience with Nutrition Education

    Science.gov (United States)

    Hall, Elisha; Chai, Weiwen; Albrecht, Julie A.

    2016-01-01

    Background: Nutrition education delivered by classroom teachers has become a popular intervention designed to combat childhood obesity. However, few qualitative studies have explored nutrition education with teachers Purpose: The purpose of this study was to explore how elementary teachers describe their experience with nutrition education.…

  18. A Qualitative Phenomenological Exploration of Teachers' Experience With Nutrition Education

    OpenAIRE

    Hall, Elisha; Chai, Weiwen; Albrecht, Julie A.

    2016-01-01

    Background: Nutrition education delivered by classroom teachers has become a popular intervention designed to combat childhood obesity. However, few qualitative studies have explored nutrition education with teachers Purpose: The purpose of this study was to explore how elementary teachers describe their experience with nutrition education. Methods: A qualitative phenomenological approach was used. Semistructured interviews, observations, and document analysis were conducted with 10 teachers ...

  19. Nutritional Assessment.

    Science.gov (United States)

    Eirmann, Laura

    2016-09-01

    Nutritional assessment focuses on evaluation of animal-specific, diet-specific, feeding management, and environmental factors. Assessment includes evaluation of a patient's medical history, comprehensive diet history, and physical examination including body weight, body condition, and muscle condition. Diagnostic testing may identify comorbidities associated with obesity or concurrent health conditions that need to be considered when developing a nutrition plan. When obesity is diagnosed during the nutritional assessment this finding along with health implications must be clearly communicated to the pet owner. Careful consideration of animal-specific, diet-specific, owner-specific, and environmental factors allows the clinician to develop a specific nutrition plan tailored to the needs of pet and owner. PMID:27364967

  20. Diet & Nutrition

    Science.gov (United States)

    ... in MS is growing. Resources Find a dietician / nutritionist Academy of Nutrition and Dietetics – Provides an online search tool to locate registered dietician nutritionists (RDNs). Offers many consumer-geared resources. Food assistance ...

  1. NUTRITIONAL ASSESSMENT

    Science.gov (United States)

    Nutritional assessment is an essential component of the history and physical examination of children with gastrointestinal disorders. Protein-energy malnutrition, linear growth failure, overweight, and iron deficiency anemia frequently complicate the clinical course of common gastrointestinal proble...

  2. Nutrition and aging.

    Science.gov (United States)

    Noel, Mary; Reddy, Mohan

    2005-09-01

    Nutritional concerns are common among older adults seen in the primary care office. The food pyramid for people over the age of 70 years is a useful starting point for discussions about what reasonably healthy older adults should be eating and drinking. If there is a decline in the ability to perform IADLs or if there is a decrease in appetite or the discovery of unintended weight loss, careful assessment followed by targeted interventions may improve health outcomes and the quality of life. Restrictive diets are often not well tolerated, especially by frail older adults. Dietary recommendations blending the elements of the pyramid and the essential components of accepted medical nutritional therapy that are most consistent with the patient's lifelong eating patterns are most likely to succeed. PMID:16140121

  3. [Nutrition for diabetic patients].

    Science.gov (United States)

    Schindler, Karin; Brix, Johanna; Dämon, Sabine; Hoppichler, Friedrich; Kruschitz, Renate; Toplak, Hermann; Ludvik, Bernhard

    2016-04-01

    Evidence demonstrates that medical diabetes treatment has to be accompanied by lifestyle modifications. Structured nutrition interventions and increased physical activity will help patients to normalise, respectively maintain their body weight. The main target of a diabetes therapy is aimed at achieving normal or nearly normal blood glucose levels. Reaching this goal may be facilitated by the following nutritional patterns: Using mainly carbohydrates from vegetables, whole grains, legumes and fruits, Restriction of mono- and disaccharides are often important factors in normalising body weight and blood glucose, Reduction of dietary fat could be indicated. However, the primary goal is the limitation of saturated fatty acids which to high percentage are consumed with animal products. There is not sufficient evidence to recommend a dietary protein consumption of more than 20% of energy intake. Individuals with diabetes should be aware of the importance of acquiring daily vitamin and mineral requirements. Natural food sources should be preferred. PMID:27052240

  4. Prescribing Optimal Nutrition and Physical Activity as “First-Line” Interventions for Best Practice Management of Chronic Low-Grade Inflammation Associated with Osteoarthritis: Evidence Synthesis

    Directory of Open Access Journals (Sweden)

    Elizabeth Dean

    2012-01-01

    Full Text Available Low-grade inflammation and oxidative stress underlie chronic osteoarthritis. Although best-practice guidelines for osteoarthritis emphasize self-management including weight control and exercise, the role of lifestyle behavior change to address chronic low-grade inflammation has not been a focus of first-line management. This paper synthesizes the literature that supports the idea in which the Western diet and inactivity are proinflammatory, whereas a plant-based diet and activity are anti-inflammatory, and that low-grade inflammation and oxidative stress underlying osteoarthritis often coexist with lifestyle-related risk factors and conditions. We provide evidence-informed recommendations on how lifestyle behavior change can be integrated into “first-line” osteoarthritis management through teamwork and targeted evidence-based interventions. Healthy living can be exploited to reduce inflammation, oxidative stress, and related pain and disability and improve patients’ overall health. This approach aligns with evidence-based best practice and holds the promise of eliminating or reducing chronic low-grade inflammation, attenuating disease progression, reducing weight, maximizing health by minimizing a patient’s risk or manifestations of other lifestyle-related conditions hallmarked by chronic low-grade inflammation, and reducing the need for medications and surgery. This approach provides an informed cost effective basis for prevention, potential reversal, and management of signs and symptoms of chronic osteoarthritis and has implications for research paradigms in osteoarthritis.

  5. Influences of Constructivist-Oriented Nutrition Education on Urban Middle School Students' Nutrition Knowledge, Self-Efficacy, and Behaviors

    Science.gov (United States)

    McCaughtry, Nate; Fahlman, Mariane; Martin, Jeffrey J.; Shen, Bo

    2011-01-01

    Background: Health professionals are looking to nutrition-based youth health interventions in K-12 schools to combat the growing obesity crisis; however, none have explored the influences of interventions guided by constructivist learning theory. Purpose: This study examined the influences of a constructivist-oriented nutrition education program…

  6. Sistema de Educación Continuada en Nutrición Clínica, Nutrición Artificial y Apoyo Nutricional: su lugar dentro de un Programa de Intervención Alimentaria, Nutricional y Metabólica Hospital System for Continuous Education in Food and Nutrition: Its place within a Nutritional, Food and Metabolic Intervention Program

    Directory of Open Access Journals (Sweden)

    S. Santana Porbén

    2009-10-01

    Full Text Available En este artículo se presenta una propuesta de diseño de un SHECAN Sistema hospitalario de Educación continuada en Alimentación y Nutrición, junto con el modelo de intervención desarrollado y conducido en el Hospital Clínico quirúrgico "Hermanos Ameijeiras" (La Habana, Cuba, y algunos de los resultados observados entre 1997-2004. El diseño del Sistema debe contemplar tres niveles de complejidad, en dependencia de los conocimientos, habilidades y capacidades exhibidos por los actores hospitalarios. El sistema también debe acomodar formas intra- e interdisciplinarias de educación, aprendizaje y capacitación orientadas tanto a incrementar la suficiencia de los actores en el reconocimiento y tratamiento de la desnutrición hospitalaria, como fomentar la actuación grupal. La operación de un SHECAN en el hospital de pertenencia de los autores ha demostrado la factibilidad de la conducción de tales intervenciones educativas en aras de implementar las Buenas Prácticas de Alimentación y Nutrición del paciente hospitalizado.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

  7. Intervención de Enfermería: herramienta clave para mejorar el estado nutricional en los pacientes con Insuficiencia renal crónica Nursing Intervention: a key tool for improving the nutritional state in patients with chronic renal insufficiency

    Directory of Open Access Journals (Sweden)

    Maria de los Ángeles Sánchez Lamolda

    2007-12-01

    Full Text Available Los pacientes con Insuficiencia renal crónica y en tratamiento de hemodiálisis se ven sometidos a una restricción de alimentos. Esto, unido al envejecimiento y a los hábitos inadecuados, provoca un riesgo importante de desnutrición. Nuestro objetivo es mejorar el estado nutricional de lo pacientes de nuestra unidad de diálisis, mediante la intervención de enfermería: Asesoramiento Nutricional de la Clasificación de Intervenciones de Enfermería. Se realizó un estudio trasversal descriptivo, en el cual estudiamos la población de nuestra unidad en un momento dado (variables antropométricas y analíticas. Aplicamos la intervención: Asesoramiento Nutricional y realizamos un estudio comparativo y correlacional a 12 meses pre y post intervención. Encontramos una mejora nutriconal en todos las variables excepto en linfocitos. Siendo está mejora significativa en las variables IMC y albúmina.Patients with chronic renal insufficiency who are undergoing haemodialysis are subject to food restrictions. This, together with aging and unsuitable habits, leads to a significant risk of malnutrition. Our aim is to improve the nutritional state of the patients in our dialysis unit, through nursing intervention: Nutritional Advising of the Nursing Interventions Classification. A descriptive transversal study was carried out, in which we studied the population of our unit at a given time (anthropometric and analytical variables. We applied the Nutritional Advising intervention and carried out a comparative and correlational study before and after the intervention. We found a nutritional improvement in all variables except lymphocytes. The improvement was significant in the variables of BMI and albumin.

  8. Implementation of a nutrition education program in a handball team: consequences on nutritional status

    OpenAIRE

    Jorge Molina-López; José Manuel Molina; Luis Javier Chirosa; Daniela Florea; Laura Sáez; Jorge Jiménez; Paloma Planells; Antonio Pérez de la Cruz; Elena Planells

    2013-01-01

    Objective: To evaluate nutritional status and dietary habits after implementation of a nutritional education program in professional handball players. Research methods and procedures: Longitudinal study of 14 handball players evaluated with 72-h recall, a questionnaire on food consumption and anthropometric measures during 4 months. The intervention consisted of a nutrition education program. Results: Energy intake was consistently below the recommended allowances. Macronutrient intakes as a ...

  9. Agriculture-nutrition linkages : Linking agriculture and food security to nutrition improvement

    OpenAIRE

    Dorp, van, W.T.; Oenema, S.; Verdonk, I.

    2011-01-01

    The literature review explores possibilities to include nutritional considerations into policies and programmes in the field of agriculture, value chain development and food security. Rationale for the literature review is the renewed attention for agriculture and nutrition on international agenda’s and more specifically the renewed attention on linking the two: how can interventions in agriculture contribute to improvements in the nutritional situation, and under what conditions.

  10. Can transfer programs be made more nutrition sensitive?:

    OpenAIRE

    Alderman, Harold

    2014-01-01

    Malnutrition can best be addressed by a combination of nutrition specific interventions and nutrition sensitive programs, including social protection. This study reviews mechanisms of transfer program in order to better design nutrition sensitive social protection. Social protection programs typically increase income as well as influence the timing and, to a degree, control of this income. Additionally, social protection programs may achieve further impact on nutrition by fostering linkages w...

  11. Nutrition and orthomolecular supplementation in lung cancer patients.

    Science.gov (United States)

    Campos, Diana; Austerlitz, Carlos; Allison, Ron R; Póvoa, Helion; Sibata, Claudio

    2009-12-01

    This article reviews updates and provides some data related to nutritional and orthomolecular supplementation in oncology patients with an emphasis on lung cancer, a commonly diagnosed tumor with significant nutritional disturbances. Cancer and its treatment play a significant role in nutritional imbalance which likely has negative impact on the patient both in terms of quality and quantity of life. Nutritional supplementation may correct these imbalances with significant clinical benefit both physiologically and psychologically. This review will help assist in providing clinically useful data to assess the cancer patient's nutritional status and to guide nutritional intervention to assist these patients' recovery. PMID:20042413

  12. Economic and Nutritional Analyses Offer Substantial Synergies for Understanding Human Nutrition1

    OpenAIRE

    Alderman, Harold; Behrman, Jere R.; Hoddinott, John

    2007-01-01

    There is growing recognition that interventions designed to improve human nutritional status have, in addition to their intrinsic value, instrumental value in terms of economic outcomes. In many cases, productivity gains alone provide sufficient economic returns to justify investments using benefit and cost criteria. The often-held belief that nutrition programs are welfare interventions that divert resources that could be better used in other ways to raise national incomes is incorrect. Many...

  13. Programa de intervenção nutricional associado à atividade física: discurso de idosas obesas Nutritional intervention program associated with physical activity: discourse of obese elderly women

    Directory of Open Access Journals (Sweden)

    Christiane Leite Cavalcanti

    2011-05-01

    Full Text Available A obesidade é um problema nutricional complexo, com dimensões sociais e psicológicas, que afeta indivíduos de todas as idades. Além de apresentar fatores de risco para algumas doenças, pode interferir na qualidade de vida do idoso. Este estudo exploratório de natureza qualitativa investigou o discurso de idosas obesas quanto à participação em um programa de intervenção nutricional associado à atividade física. Participaram da pesquisa dezoito idosas obesas, inseridas em Centros de Referência e Cidadania do município de João Pessoa (PB. Para a coleta de dados, foi utilizada a técnica da entrevista a partir de um roteiro que contemplou a questão norteadora pertinente ao objetivo da investigação. Os dados obtidos foram analisados mediante a técnica de discurso do sujeito coletivo (DSC. Do DSC emergiram as seguintes ideias centrais: mudanças no estilo de vida, no hábito alimentar, na saúde e na autoestima. As ideias centrais refletem a valorização do referido programa para a promoção da saúde do grupo de idosas participantes do estudo. Espera-se que esta proposta possa subsidiar novas investigações na área da saúde do idoso.Obesity is a complex nutritional problem with social and psychological dimensions, which affects individuals of all ages. In addition to presenting risk factors for some diseases, obesity may interfere with the quality of life of the elderly. This qualitative study of an exploratory nature investigated the discourse of obese elderly women regarding their participation in a nutritional intervention program associated with physical activity. Eighteen obese elderly women attending Centers of Reference and Citizenship in the city of João Pessoa, state of Paraiba, Brazil were enlisted in the study. Interviews using a series of questions that addressed the core issue pertaining to the scope of the study was the technique used for data collection. The data obtained were analyzed by the collective

  14. Class-Based Garbage Collection in Object-Oriented Programming Environments

    Institute of Scientific and Technical Information of China (English)

    张武生; 黄启峰; 沈美明; 郑纬民

    2003-01-01

    Many garbage collection algorithms have been proposed, but few address the special needs of long-running server programs. Server applications usually run for years and spawn many threads, so they create and discard thousands of objects. Therefore, efficient garbage collection is especially important for those applications. This paper presents a class-based garbage collector for object-oriented programming environments that classifies objects by their types to achieve better gradualness. Grouping objects of the same type into a group, with a limited type-lock, a mutator cache and the lease protocol will reduce memory fragmentation, which is especially important for the efficiency of long-running server applications. This class-based collector partitions the heap space by type, which provides better concurrency than the traditional mark-sweep collector, and its reusable garbaged object pool also reduces the object allocation overhead. This paper also discusses the implementation details, such as the mutator cache and the lease protocol, and techniques to achieve better accuracy.

  15. Personalised nutrition: ready for practice?

    Science.gov (United States)

    de Roos, Baukje

    2013-02-01

    The efficacy by which dietary interventions influence risk markers of multi-factorial diseases is mainly determined by taking population-based approaches. However, there exists considerable inter-individual variation in response to dietary interventions, and some interventions may benefit certain individuals or population subgroups more than others. This review evaluates the application of nutrigenomic technologies to further the concept of personalised nutrition, as well as the process to take personalised nutrition to the marketplace. The modulation of an individual's response is influenced by both genetic and environmental factors. Many nutrigenetics studies have attempted to explain variability in responses based on a single or a few genotypes so that a genotype may be used to define personalised dietary advice. It has, however, proven very challenging to define an individual's responsiveness to complex diets based on common genetic variations. In addition, there is a limited understanding of what constitutes an optimal response because we lack key health biomarkers and signatures. In conclusion, advances in nutrigenomics will undoubtedly further the understanding of the complex interplay between genotype, phenotype and environment, which are required to enhance the development of personalised nutrition in the future. At the same time, however, issues relating to consumer acceptance, privacy protection as well as marketing and distribution of personalised products need to be addressed before personalised nutrition can become commercially viable. PMID:23199675

  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....... Objective: We wanted to investigate taste preferences and sensoric characteristics among three usually used ONS in patients with malignant haematological disease during cytotoxic treatment. Design: Tested drinks were: Protin® (protein-enriched-milk, ARLA), Nutridrink® (NUTRICIA) and hospital-produced drink...

  17. Nutrition recommendations and science: next parallel steps.

    Science.gov (United States)

    Fogelholm, Mikael

    2016-03-15

    This article examines nutrition recommendations in relation to developments in nutrition science. Combining data on the genome, metabolome and microbiota is likely to open possibilities for personalized nutrition planning, but we are still far from practical applications. However, even these new steps are unlikely to challenge the role and importance of population-based nutrition recommendations as a tool to promote dietary patterns, policies and public health. Developments in science could help in deriving more benefits from nutrition recommendations. For instance, improved accuracy of dietary intake assessment is needed both for surveillance and for understanding the quantitative interplay between diet and health. Applying metabolomics together with food diaries or questionnaires, and also modern technologies such as digital photography, are potentially interesting methods in this respect. Research on consumer behaviour, attitudes and policy interventions, such as taxation of unhealthy foods and nutrition labelling, are needed to gain more insight into how to change eating behaviour for better health at the population level. PMID:26531226

  18. Nutrition and Diet

    Science.gov (United States)

    ... Thai HbH:Vietnamese Relevant links Living with Thalassemia NUTRITIONNutrition and Diet ▶ Diet for the Non-transfused ... booklet ▶ 3 Simple Suggestions for a Healthy Diet Nutrition and Diet Nutritional deficiencies are common in thalassemia, ...

  19. Diet and Nutrition

    Science.gov (United States)

    ... Resources > Diet and Nutrition Go Back Diet and Nutrition Email Print + Share Diet and nutrition concerns of ... you. NEW!! Test your knowledge of diet and nutrition by taking this self-assessment for an opportunity ...

  20. Programas de Intervención en Nutrición Hospitalaria: Acciones, diseño, componentes, implementación Intervention programs in hospital nutrition: actions, design, components and implementation

    Directory of Open Access Journals (Sweden)

    S. Santana Porbén

    2005-10-01

    Full Text Available Los Programas de Intervención Alimentaria, Nutrimental y Metabólica deben constituirse en la herramienta metodológica para el enfrentamiento del problema de salud que representa la desnutrición asociada a las enfermedades por un lado, y las "malas prácticas" atentatorias contra el estado nutricional del paciente, por el otro. Estos Programas deben prescribir políticas y acciones claras en los 3 dominios de la práctica médica contemporánea: asistencial, investigativa y educativa. El logro de los objetivos de tales Programas, y la realización de los beneficios implícitos, sólo será posible si se crea una plataforma metodológica que integre armónicamente elementos de Educación Continuada, Análisis de Costos, Documentación y Registros, y Control y Aseguramiento de la Calidad. La experiencia acumulada después de la implementación y conducción del Programa de Intervención en el Hospital Clínico-Quirúrgico "Hermanos Ameijeiras" (Ciudad Habana, Cuba ha permitido demostrar que no sólo es posible crear el cuerpo teórico-práctico necesario para satisfacer los objetivos enunciados, sino que, además, puede ser extendido hacia otras instituciones de salud del país, por cuanto inversiones mínimas en la adquisición de la logística necesaria para echar a andar el Programa, así como para la capacitación y entrenamiento del personal médico y paramédico en las correspondientes Buenas Prácticas de Documentación & Registros y de Alimentación & Nutrición, pueden redundar rápidamente en beneficios asistenciales y económicos tangibles.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

  1. Nutritional Assessment

    Science.gov (United States)

    Nutritional assessment is an essential component of the history and physical examination of children with gastrointestinal disorders. An understanding of the patterns of growth and the changes in body composition during childhood, as well as a working knowledge of the methods used to assess the nutr...

  2. Nutrition marketing

    Science.gov (United States)

    Given the obesity epidemic, marketing of non-nutrient dense food has been debated as a policy issue. This research sought to determine how frequently nutrition marketing (health claims, nutrient content claims, or implied claims) is used on labels of foods containing high amounts (>20% daily value) ...

  3. 个体化营养干预对孕妇孕期体质量增长及妊娠结局的影响%Effect of individualized nutritional intervention on body weight gaining during pregnancy and pregnant outcome

    Institute of Scientific and Technical Information of China (English)

    郭美英; 李玉梅; 刘冬菊

    2015-01-01

    Objective To explore the effects of individualized nutrition intervention on body weight gaining and pregnant outcome in normal pregnant women. Methods Two hundred and twelve normal pregnant women admitted in our hospital before the 12th gestational week were divided into the observation group and the control group. Eighty-eight pregnant women admitted between October 2013 and January 2014 were assigned into the observation group and another 124 pregnant women admitted between June 2013 and September 2013 into the control group. The observation group was given nutrition assessment and nutritional guidance one by one and face to face by the nutritionist at three time points:around the 12 thgestational week, between the 22nd to 24th gestational week, and between the 32nd to 34th gestational week. The control group was given regular antenatal visits and lectures during pregnancy. These two groups were followed up until delivery. The comparisons were down between the groups in terms of body weight gain and complications during pregnancy, delivery mode and the change of perinatal fetus outcome. Results In the observation group, the body weight gaining of the pregnant women during pregnancy, the incidence of gestational diabetes mellitus (GDM) and the cesarean section rate were significantly lower than those of the control group (all P<0.05). The neonatal birth weight and the incidence of macrosomia were significantly lower than those of the control group (all P<0.05). Conclusion Individualized nutritional intervention given by the nutritionist can control body weight gaining during pregnancy, decrease the incidence of GDM, improve the pregnancy outcome and ensure the maternal and child health.%目的:探讨个体化营养干预对孕妇孕期体质量增长及妊娠结局的影响。方法选取2013年6月~2014年1月于12 w前后在本院建卡的212例正常孕妇作为研究对象,2013年6月~2013年9月的124例设为对照组,2013年10月~2014年1

  4. Minimal nutrition intervention with high-protein/low-carbohydrate and low-fat, nutrient-dense food supplement improves body composition and exercise benefits in overweight adults: A randomized controlled trial

    Directory of Open Access Journals (Sweden)

    Cramer Joel T

    2008-04-01

    Full Text Available Abstract Background Exercise and high-protein/reduced-carbohydrate and -fat diets have each been shown separately, or in combination with an energy-restricted diet to improve body composition and health in sedentary, overweight (BMI > 25 adults. The current study, instead, examined the physiological response to 10 weeks of combined aerobic and resistance exercise (EX versus exercise + minimal nutrition intervention designed to alter the macronutrient profile, in the absence of energy restriction, using a commercially available high-protein/low-carbohydrate and low-fat, nutrient-dense food supplement (EXFS; versus control (CON. Methods Thirty-eight previously sedentary, overweight subjects (female = 19; male = 19 were randomly assigned to either CON (n = 10, EX (n = 14 or EXFS (n = 14. EX and EXFS participated in supervised resistance and endurance training (2× and 3×/wk, respectively; EXFS consumed 1 shake/d (weeks 1 and 2 and 2 shakes/d (weeks 3–10. Results EXFS significantly decreased total energy, carbohydrate and fat intake (-14.4%, -27.2% and -26.7%, respectively; p p p p p p 2max improved in both exercise groups (EX = +5.0% and EXFS = +7.9%; p 2max (+6.2%; p = 0.001. Time-to-exhaustion during treadmill testing increased in EX (+9.8% but was significantly less (p p p Conclusion Absent energy restriction or other dietary controls, provision of a high-protein/low-carbohydrate and -fat, nutrient-dense food supplement significantly, 1 modified ad libitum macronutrient and energy intake (behavior effect, 2 improved physiological adaptations to exercise (metabolic advantage, and 3 reduced the variability of individual responses for fat mass, muscle mass and time-to-exhaustion – all three variables improving in 100% of EXFS subjects.

  5. Patenting in the European medical nutrition industry : Trends, opportunities and strategies

    NARCIS (Netherlands)

    Weenen, T.C.; Pronker, E.S.; Commandeur, H.R.; Claassen, E.

    2013-01-01

    Medical nutrition products are specific nutritional compositions for intervention in disease progression and symptom alleviation. This industry finds itself on the interface between the food and pharmaceutical industry and is still a relatively unknown industry. At present, insights concerning indus

  6. Nutritional therapy in cirrhosis or alcoholic hepatitis

    DEFF Research Database (Denmark)

    Fialla, Annette D; Israelsen, Mads; Hamberg, Ole;

    2015-01-01

    BACKGROUND & AIMS: Patients with cirrhosis and alcoholic hepatitis are often malnourished and have a superimposed stress metabolism, which increases nutritional demands. We performed a systematic review on the effects of nutritional therapy vs. no intervention for patients with cirrhosis or alcoh......BACKGROUND & AIMS: Patients with cirrhosis and alcoholic hepatitis are often malnourished and have a superimposed stress metabolism, which increases nutritional demands. We performed a systematic review on the effects of nutritional therapy vs. no intervention for patients with cirrhosis...... or alcoholic hepatitis. METHODS: We included trials on nutritional therapy designed to fulfil at least 75% of daily nutritional demand. Authors extracted data in an independent manner. Random-effects and fixed-effect meta-analyses were performed and the results expressed as risk ratios (RR) with 95% confidence...... analysis. Fixed-effect analysis suggested that nutrition prevented overt hepatic encephalopathy (0.73; 95% CI, 0.55 to 0.96) and infection (0.66; 95% CI, 0.45 to 0.98, respectively), but the results were not confirmed in random-effects analyses. CONCLUSION: Our review suggests that nutritional therapy may...

  7. Nutritional Biochemistry

    Science.gov (United States)

    Smith, Scott M.

    2010-01-01

    This slide presentation reviews some of the effects that space flight has on humans nutritional biochemistry. Particular attention is devoted to the study of protein breakdown, inflammation, hypercatabolism, omega 3 fatty acids, vitamin D, calcium, urine, folate and nutrient stability of certain vitamins, the fluid shift and renal stone risk, acidosis, iron/hematology, and the effects on bone of dietary protein, potassium. inflammation, and omega-3 fatty acids

  8. Nutritional Rickets

    OpenAIRE

    Özkan, Behzat

    2010-01-01

    Nutritional rickets (NR) is still the most common form of growing bone disease despite the efforts of health care providers to reduce the incidence of the disease. Today, it is well known that the etiology of NR ranges from isolated vitamin D deficiency (VDD) to isolated calcium deficiency. In Turkey, almost all NR cases result from VDD. Recent evidence suggests that in addition to its short− or long−term effects on skeletal development, VDD during infancy may predispose the patient to diseas...

  9. The challenges for molecular nutrition research 2: Quantification of the nutritional phenotype

    NARCIS (Netherlands)

    Ommen, B. van; Keijer, J.; Kleemann, R.; Elliott, R.; Drevon, C.A.; McArdle, H.; Gibney, M.; Müller, M.

    2008-01-01

    In quantifying the beneficial effect of dietary interventions in healthy subjects, nutrition research meets a number of new challenges. Inter individual variation in biomarker values often is larger than the effect related to the intervention. Healthy subjects have a remarkable capacity to maintain

  10. Nutrition in neurocritical care

    OpenAIRE

    Afzal Azim; Armin Ahmed

    2016-01-01

    Adequate nutritional therapy is essential for recovery from critical illness. Nutritional requirement varies in different patients and varies daily in a single patient. Both under and over feeding are associated with complications. Besides this, not all patients behave in a similar way to nutritional therapy. Appropriate nutritional therapy requires identification of patients “at nutritional risk” and providing aggressive nutritional support to them. The current article deals with nutritional...

  11. Nutritional Problems and Intervention Strategies in India

    OpenAIRE

    Asumadu-Sarkodie, Samuel

    2012-01-01

    India, officially the Republic of India is a country in South Asia. It is the seventh-largest country by geographical area. it is bounded by the Indian Ocean on the south, the Arabian Sea on the south-west, and the Bay of Bengal on the south-east, it shares land borders with Pakistan to the west; China, Nepal, and Bhutan to the north-east; and Burma and Bangladesh to the east. The major religions are Hinduism, Buddhism, Jainism, and Sikhism. India has a total population of 1,198,003,000, a gr...

  12. Nutritional Problems and Intervention Strategies in Haiti

    OpenAIRE

    Asumadu-Sarkodie, Samuel

    2012-01-01

    Haiti is a country in the Caribbean Sea. It includes the western third of the island of Hispaniola and smaller islands such as; Tortue (Tortuga), Grande Caye, and Vache. The capital is Port-au-Prince. Haiti, whose population is almost entirely descended from African slaves, won independence from France in 1804, making it the second country in the Americas, after the United States, to free itself from colonial rule. Over the centuries, however, economic, political, and social difficulties have...

  13. Nutritional Interventions for Cancer-induced Cachexia

    OpenAIRE

    Gullett, Norleena P.; Mazurak, Vera; Hebbar, Gautam; Ziegler, Thomas R

    2011-01-01

    Cancer-induced cachexia remains a significant cause of morbidity and mortality in cancer treatment. Cancer research and development continues at an aggressive pace and yet a degree of cancer-induced cachexia is experienced by up to 80% of advanced stage cancer patients. Unfortunately, there are no established treatment regimens for this condition. Weight loss and fatigue consistently appear in patient oncologic histories and progress notes. However, few oncologists fully understand the pathol...

  14. Child nutritional status in poor Ethiopian households

    OpenAIRE

    Mekonnen, Alemu; Tefera, Bekele; Woldehanna, Tassew; Jones, Nicola; Seager, John; Alemu, Tekie; Asgedom, Getachew

    2005-01-01

    Ethiopia is one the world’s poorest countries with one of the highest rates of child malnutrition. The poor nutritional status of Ethiopian children is well documented, but the causes and relative importance of various determinants of malnutrition are not well understood. Ethiopia thus lacks an integrated cross-sectoral policy to guide nutrition programmes and interventions. While the literature on child malnutrition suggests gender- and location-related differences in malnutrition rates, thi...

  15. Nutrition and cognitive function in the elderly

    OpenAIRE

    Faxén Irving, Gerd

    2003-01-01

    There are complex associations between nutrition and dementia disorders. Dementia, especially Alzheimer’s disease (AD), is associated with an increased risk of protein–energy malnutrition. Weight loss and eating problems increase with the severity and progression of dementia, e.g. in AD. Whether malnutrition per se has a negative impact on cognitive function or whether nutritional intervention may improve cognitive function in demented people is still not proven. The few studies so far perfor...

  16. A clinical approach to the nutritional care process in protein-energy wasting hemodialysis patients

    OpenAIRE

    Mar Ruperto; Sánchez-Muniz, Francisco J; Guillermina Barril

    2014-01-01

    Introduction: Malnutrition/wasting/cachexia are complex-disease conditions that frequently remain undiagnosed and/or untreated in up to 75% of prevalent hemodialysis (HD) patients. The nutrition care process (NCP) based on assessment, diagnosis, intervention and monitoring of nutritional status is a systematic method that nutrition professionals use to make decisions in clinical practice. Objective: This review examines from a clinical-nutritional practice point of view: a) nutritional status...

  17. Effects of Nutritional Support in Patients with Colorectal Cancer during Chemotherapy

    OpenAIRE

    Dobrila Dintinjana, Renata; Guina, Tina; Krznarić, Željko; Radić, Mladen; Dintinjana, Marijan

    2008-01-01

    Nutritional support, addressing the specific needs of this patient group, is required to help improve prognosis, and reduce the consequences of cancer-associated nutritional decline. Early intervention with nutritional supplementation has been shown to halt malnutrition, and may improve outcome in some patients. In our study we tried to assess the influence of nutritional support (counseling, oral liquids, megestrol acetate) on nutritional status and symptoms prevalence in patients ...

  18. 营养保健知识宣教对妇女产褥期知识、行为干预效果研究%Effect of Nutrition and Health Education Intervention on Knowledge and Behavior of Women in Puerperium:a Randomized Controlled Trial

    Institute of Scientific and Technical Information of China (English)

    霍圆圆; 马爱国; 刘群英; 王飞燕; 宫蕾蕾; 韩君; 梁惠

    2012-01-01

    目的:评价营养保健知识宣教对妇女产褥期营养保健知识认知、饮食行为的效果.方法:选择青岛市孕晚期妇女作为研究对象,随机分为干预组和对照组,对干预组对象进行营养保健知识宣教.结果:干预组对象大部分营养保健知识的知晓率显著高于对照组,干预组对象从医务人员、书刊杂志获得营养保健知识的发生率(83.1%、72.3%)显著高于对照组对象(65.2%、56.0%);干预组对象薯类、鱼类、豆制品、绿叶蔬菜、坚果,膳食纤维、烟酸、钙、维生素C的每日摄入量显著高于对照组,蛋类,胆固醇的摄入量显著低于对照组.结论:针对性强的营养保健知识教育能明显提高产褥期妇女知识水平,促进健康的饮食行为,因此应推广有针对性的营养保健知识宣教.%Objective:To investigate the effect of the knowledge of nutrition and health education intervention on improving postpartum knowledge and behavior.Methods:The subjects,the late pregnancy women of Qingdao,were randomly divided into intervention group and control group.The objects of intervention group had accepted the education of nutritional and health knowledge.Results:The awareness rate of most nutritional health knowledge of the intervention group was significantly higher than those in the control group.The intervention group subjects from medical staff,books and magazines for nutrition and health knowledge (83.1%,72.3%) were significantly higher than those in the control group (65.2%,56%).Women in the intervention group object had intaked more potato,fish,soy products,green leafy vegetables,nuts,dietary fiber,niacin,calcium and vitamin C and lower egg,cholesterolthan those in control group.Conclusion:Targeted nutritional health education can improve the knowledge level of puerperal women and promote healthy dietary behavior.Therefore,targeted nutritional health and knowledge education should be promoted.

  19. Nutritional Metabolomics

    DEFF Research Database (Denmark)

    Gürdeniz, Gözde

    . Application of multiple analytical strategies may provide comprehensive information to reach a valid answer to these research questions. In this thesis, I investigated several analytical technologies and data handling strategies in order to evaluate their effects on the biological answer. In metabolomics, one...... strategy influences the patterns identified as important for the nutritional question under study. Therefore, in depth understanding of the study design and the specific effects of the analytical technology on the produced data is extremely important to achieve high quality data handling. Besides data...

  20. Class-Based Constraint-Based Routing with Implemented Fuzzy Logic in MPLS-TE Networks

    Directory of Open Access Journals (Sweden)

    Michal Pištek

    2014-01-01

    Full Text Available The paper deals with constraint-based routing (CBR in MPLS-TE networks and proposes a new CBR algorithm based on fuzzy logic called Fuzzy Class-Based Algorithm (FCBA. Multiprotocol label switching with traffic engineering (MPLS-TE networks represent a popular mechanism to effectively use resources of service providers’ core networks. The paths can be either built by administrators (explicit routing or built by using existing routing algorithms which mostly decide based on the shortest paths towards the destination which might not be sufficient in nowadays’ multimedia networks. To address this problem various CBR algorithms have emerged which take into consideration various aspects important to existing traffic like QoS parameters or administrative policies. FCBA makes routing decisions based on traffic classes and by using fuzzy logic we can assign normalized values to various constraints based on the traffic class’ preferences (e.g., low delay paths for voice traffic and network administrator’s preferences (e.g., avoiding congested links. The paper provides comparison of FCBA with existing CBR approaches based on their ability to provide QoS parameters loss. The simulations show that FCBA provides the best results for the highest priority traffic where it uses lower priority traffic to efficiently utilize the network.

  1. Compensating Acoustic Mismatch Using Class-Based Histogram Equalization for Robust Speech Recognition

    Science.gov (United States)

    Suh, Youngjoo; Kim, Sungtak; Kim, Hoirin

    2007-12-01

    A new class-based histogram equalization method is proposed for robust speech recognition. The proposed method aims at not only compensating for an acoustic mismatch between training and test environments but also reducing the two fundamental limitations of the conventional histogram equalization method, the discrepancy between the phonetic distributions of training and test speech data, and the nonmonotonic transformation caused by the acoustic mismatch. The algorithm employs multiple class-specific reference and test cumulative distribution functions, classifies noisy test features into their corresponding classes, and equalizes the features by using their corresponding class reference and test distributions. The minimum mean-square error log-spectral amplitude (MMSE-LSA)-based speech enhancement is added just prior to the baseline feature extraction to reduce the corruption by additive noise. The experiments on the Aurora2 database proved the effectiveness of the proposed method by reducing relative errors by[InlineEquation not available: see fulltext.] over the mel-cepstral-based features and by[InlineEquation not available: see fulltext.] over the conventional histogram equalization method, respectively.

  2. Study on the Class-Based Admission Control Scheme for DiffServ in MPLS Networks

    Institute of Scientific and Technical Information of China (English)

    李震宇; 张中兆

    2003-01-01

    Differentiated services (DiffServ) and MPLS are two major building blocks for providing multi-class services over IP networks. In order to respond to the need for relatively simple, coarse methods of providing different levels of service for Internet traffic, to support various types of applications and specific business requirements, the MPLS network infrastructure and the DiffServ traffic model will work together. Meanwhile, in today's environment of multiple service networks, it is necessary for the node in the networks to perform the control mechanism to guarantee various QoS. In this paper, we propose a class-based admission control scheme that is suitable for DiffServ in MPLS networks. This scheme can achieve twofold objects: reliable QoS provisioning and high resource utilization. We evaluate the proposed scheme by numerical analysis of its performance in terms of throughput, delay, and reject probability. By performing simulation, we can ensure that the proposed scheme can work efficiently to provide strict QoS guarantees.

  3. Childhood Obesity Study: A Pilot Study of the Effect of the Nutrition Education Program "Color My Pyramid"

    Science.gov (United States)

    Moore, Jean Burley; Pawloski, Lisa Renee; Goldberg, Patricia; Oh, Kyeung Mi; Stoehr, Ana; Baghi, Heibatollah

    2009-01-01

    The need for successful nutrition interventions is critical as the prevalence of childhood obesity increases. Thus, this pilot project examines the effect of a nutrition education program, "Color My Pyramid", on children's nutrition knowledge, self-care practices, activity levels, and nutrition status. Using a pretest-posttest, quasiexperimental…

  4. Nutrition.gov

    Science.gov (United States)

    ... Site Help Contact Us FAQ En Espanol Search Nutrition.Gov Search all USDA Advanced Search Search Tips Browse by Subject What's In Food Smart Nutrition 101 Life Stages Weight Management Nutrition and Health ...

  5. Nutrition Advice and Recipes

    Science.gov (United States)

    ... Pancreas Foundation > Patient Information > Nutrition Advice & Recipes test Nutrition Advice & Recipes This is a very important section ... information on all aspects of daily life, including nutrition, medical treatments, pain management, and practical tips. For ...

  6. Food and Nutrition Service

    Science.gov (United States)

    ... display title no content is required Programs and Services Supplemental Nutrition Assistance Program Women, Infants, and Children ... Assistance State Systems Offices Food, Nutrition and Consumer Services (FNCS) Center for Nutrition Policy and Promotion (CNPP) ...

  7. Total parenteral nutrition

    Science.gov (United States)

    Total parenteral nutrition (TPN) will help you or your child get nutrition from a special formula through a vein in the ... you can also eat and drink while getting nutrition from TPN. Your nurse will teach you how ...

  8. Geriatric nutrition.

    Science.gov (United States)

    Markham, R W; Hodgkins, E M

    1989-01-01

    In recent decades, veterinary medicine has become more successful in prolonging the healthy, useful lives of pets. As a result, the practitioner spends a greater part of each practice day caring for the geriatric animal, both healthy and unhealthy. Because of their longevity, older pets are typically regular family members, with owners who seek the finest health care possible for their pets. The practice of geriatric medicine most properly should begin not when the dog or cat reaches some specific "golden" age, but rather when the wiggly, robust puppy or kitten receives its first examination. Like all parts of a sound preventive program, geriatric nutrition best follows from a well-considered juvenile and adult nutrition program. Furthermore, once it becomes senior, the "well" geriatric is as much a candidate for a diet designed especially to accommodate old age changes as is his unhealthy contemporary. In fact, evidence suggests that appropriate dietary management of the healthy, but often subclinical, patient may help postpone the signs of dysfunction and increase quality and length of life. A knowledge of the most significant nutrients and the impact of each on aging systems is now, and will become increasingly more, important to the progressive, skillful veterinarian. PMID:2646815

  9. Nutrition and Ageing.

    Science.gov (United States)

    Minuti, Andrea; Patrone, Vania; Giuberti, Gianluca; Spigno, Giorgia; Pietri, Amedeo; Battilani, Paola; Ajmone Marsan, Paolo

    2014-01-01

    The world elderly population is rapidly increasing. This demographic change represents a new challenge for the society and demands for a multisectorial intervention to promote a long, healthy, and active life span. Between the factors that contribute in fostering a long healthy life, the nutritional regime plays a central role and is recognized as a major factor in the onset of chronic diseases. A better understanding of the interaction between nutrition and ageing is essential to unravel the mechanisms responsible for these positive/negative effects and to identify diet components promoting the quality of life in the old age and to contribute to the prevention of late-life disabilities. At Università Cattolica del Sacro Cuore, the research activity in food science is focusing on four main objectives: food quality, food safety, functional foods and diet balancing. These objectives are the target of multidisciplinary ongoing and future research activities for a better understanding of the link between diet and ageing. Briefly, the different activities are addressed to the study of the following subjects: the most relevant factors affecting food choices and habits of old aged persons; the effects of long term low dose supplementation of conjugated linoleic acid in mouse; the use of low glycemic index and high resistant starch foods to prevent diabetes and obesity; the adjuvant effect of food bacteria for vaccination; the role of food ingredients in disease; the immunosuppression effect of mycotoxins, and its relevance in ageing people; the production of sustainable and natural antioxidant ingredients to encourage a healthy diet. Our research projects emphasize an holistic and integrated approach that, by bringing together complementary research groups, can combine the collective expertise and thus provide a comprehensive assessment of the role of nutrition in healthy ageing people. PMID:26630518

  10. Nutritional Aspects of Depression

    Directory of Open Access Journals (Sweden)

    Undine E. Lang

    2015-09-01

    Full Text Available Several nutrition, food and dietary compounds have been suggested to be involved in the onset and maintenance of depressive disorders and in the severity of depressive symptoms. Nutritional compounds might modulate depression associated biomarkers and parallel the development of depression, obesity and diabetes. In this context, recent studies revealed new mediators of both energy homeostasis and mood changes (i.e. IGF-1, NPY, BDNF, ghrelin, leptin, CCK, GLP-1, AGE, glucose metabolism and microbiota acting in gut brain circuits. In this context several healthy foods such as olive oil, fish, fruits, vegetables, nuts, legumes, poultry, dairy and unprocessed meat have been inversely associated with depression risk and even have been postulated to improve depressive symptoms. In contrast, unhealthy western dietary patterns including the consumption of sweetened beverage, refined food, fried food, processed meat, refined grain, and high fat diary, biscuits, snacking and pastries have been shown to be associated with an increased risk of depression in longitudinal studies. However, it is always difficult to conclude a real prospective causal relationship from these mostly retrospective studies as depressed individuals might also change their eating habits secondarily to their depression. Additionally specific selected nutritional compounds, e.g. calcium, chromium, folate, PUFAs, vitamin D, B12, zinc, magnesium and D-serine have been postulated to be used as ad-on strategies in antidepressant treatment. In this context, dietary and lifestyle interventions may be a desirable, effective, pragmatical and non-stigmatizing prevention and treatment strategy for depression. At last, several medications (pioglitazone, metformin, exenatide, atorvastatin, gram-negative antibiotics, which have traditionally been used to treat metabolic disorders showed a certain potential to treat depression in first randomized controlled clinical trials.

  11. Nutrition in the elderly.

    Science.gov (United States)

    Morley, J E; Mooradian, A D; Silver, A J; Heber, D; Alfin-Slater, R B

    1988-12-01

    Nutritional modulation is one approach to successful aging. In animals, dietary restriction increases life span. Alterations in the macronutrient and micronutrient constituent of the diet can modulate gene expression. Anorexia is common in elderly persons. The results of studies in animals suggest that aging is associated with a decrease in the opioid feeding drive and an increase in the satiating effect of cholecystokinin. Unrecognized depression is a common, treatable cause of anorexia and weight loss in elderly persons. Protein synthesis decreases in elderly persons; nevertheless, nitrogen balance can be maintained in patients with fairly low intakes of protein. Carbohydrate intolerance is common and may be modulated by nutritional intervention and physical activity. The role of cholesterol in the development of heart disease in very old persons is controversial. Homebound and institutionalized elderly persons often do not expose their skin to sunlight; because the skin of older persons has a decreased ability to form vitamin D, the vitamin D status in these persons is precarious and they are at risk for osteopenia. Vitamins are often abused by elderly persons. Drug administration alters the vitamin requirements of persons. Borderline zinc state has been associated with deteriorating immune function, especially in persons who have diabetes mellitus or who abuse alcohol. Zinc administration appears to protect against the deteriorating vision associated with age-related macular degeneration. Selenium deficiency seems to be associated with an increased prevalence of cancer. PMID:3056165

  12. Nutrition for Sarcopenia.

    Science.gov (United States)

    Yanai, Hidekatsu

    2015-12-01

    Aging-related sarcopenia means that muscle mass, strength, and physical performance tend to decline with age, and malnutrition is associated with sarcopenia. Therefore, nutritional interventions may make an important contribution to prevent the development of sarcopenia. Here I reviewed published articles about the effects of nutritional factors on sarcopenia in elderly people. A growing body of evidence suggests that metabolic factors associated with obesity and diabetes induce the progression of sarcopenia. However, the effectiveness and safety of caloric restriction for sarcopenia remained unclear. Protein intake and physical activity are the main anabolic stimuli for muscle protein synthesis. As optimal dietary protein intake, 1.0 - 1.2 g/kg (body weight)/day with an optimal repartition over each daily meal or 25 - 30 g of high quality protein per meal were recommended to prevent sarcopenia, which was supported by some observational studies. Protein supplementation using cheese and milk protein, essential amino acids, leucine, beta-hydroxy-beta-methylbutyrate and vitamin D has been investigated as a potential supplement to improve muscle quality in sarcopenic elderly people. PMID:26566405

  13. Effectiveness of nutrition and physical activity interventions in women with impaired fasting glucose: A randomized controlled trial in the community/Bozulmuş Açlık Glukozu Görülen Kadınlarda Beslenme ve Fiziksel Aktiviteye Yönelik Girişimlerinin Etkinliğ

    Directory of Open Access Journals (Sweden)

    Simge Yılmaz

    2013-04-01

    Full Text Available Background: This study aimed to determine whether regular telephone calls on reminding not to consume high glycemic index food and performing regular physical activity improve fasting glucose levels in Turkish women with impaired fasting glucose (IFG aged 30-65 years.Methods: All intervention (n=117 and control (n=99 groups took a seminar on healthy eating and physical activity. Women in the intervention group were then called weekly and motivated by using charts that were designed with colours adopted from the traffic lights. After 12 weeks of intervention both groups were invited for blood tests. In total, 32 intervention and 17 controls responded to the last visit.Results: In the intervention group, the number of green colour code for nutrition decreased (from 16.2 ±4.1 to 15.1±3.7, p=0.03 but the number of green colour code for activity was not changed significantly (from 0.5 ±0.7 to 0.4±0.7, p=0.25 in the third month. At the third month fasting blood glucose was higher in the intervention group (117.0±25.8 than control group (109.5±9.2 (p=0.69. Conclusion: In our study, simple regular telephone calls were not sufficient to motivate the study participants to stay in the study and to take dietary and physical activity advices. Further studies should be designed to evaluate different and new lifestyle change interventions in high risk people in Turkey.

  14. 河南某高校大学生营养KAP调查及干预效果%Nutrition KAP survey and evaluation of intervention effect of college students in Henan

    Institute of Scientific and Technical Information of China (English)

    孙锦峰; 李星; 胡小靖; 张骏; 史健翔; 陈帅印; 时宝庆

    2011-01-01

    Aim:To know the nutrition knowledge, attitude and eating behavior of students on campus, evaluate the effect of nutrition education,and provide the basis for nutrition education. Methods; A total of 525 college students of a certain university in Henan province were recruited. The nutrition KAP survey was carried out. And professional nutrition education was conducted to 79 of the students that were randomly selected. Results: Nutrition knowledge of campus students was at average,and the awareness of nutrition was good, but there were bad eating behaviors. Dietary behaviors of students couples were influenced by each other, and most showed the positive influence. Girls' nutrition knowledge scores were higher than boys' ( t = 3. 077 , P = 0. 001 ) , and graduate and undergraduate students showed no difference in nutrition knowledge scores(t = 1.342.P =0. 180). After professional nutrition education, nutrition knowledge, awareness and eating behavior scores significantly improved (t =5.647 and 2. 802,P<0.05). Conclusion;The breadth and depth of nutritional knowledge that college students mastered are insufficient, eating behavior is not scientific,and college students should take various forms of nutrition knowledge and dietary behavior guide. Nutrition education for the students is effective.%目的:了解在校大学生的营养知识、态度及饮食行为(营养KAP),评价营养教育的效果,为开展大学生营养教育提供依据.方法:采用自编调查问卷,对河南某高校525名在校大学生进行营养KAP调查,并选取其中一个专业的79名学生进行营养教育.结果:在校大学生掌握的营养知识情况为一般;对营养的认知程度良好;但存在不良的饮食行为,大学生情侣的饮食行为相互影响,并且大部分呈现的是积极的影响;女生营养知识得分高于男生(t =3.077,P=0.001),研究生和本科生的营养知识得分无差异(t=1.342,P=0.180).经营养教育后大学生的营养知识、对

  15. Majoring in nutrition influences BMI of female college students

    OpenAIRE

    Hong, Mee Young; Shepanski, Tahirih L.; Gaylis, Jaclyn B.

    2016-01-01

    Maintaining healthy eating habits in college is challenging. Interventions focused on nutrition education can assist in reversing these trends of poor eating habits among college students. The purpose of the study was to identify factors affecting the dietary habits, food choices and BMI of college females majoring in nutrition (NMs) compared with non-nutrition majors (OMs). A questionnaire-based cross-sectional survey study of dietary behaviour and food frequency of 202 college females was c...

  16. Nutritional status and cognitive function in frail elderly subjects

    OpenAIRE

    Faxén Irving, Gerd

    2004-01-01

    Longevity, frailty and chronic disease are often associated with protein energy-malnutrition (PEM). Subjects with dementia are at particular risk for PEM. The overall aims of this thesis were to evaluate relationships between nutrition, cognition and functional capacity and to assess interventional means of developing the nutritional care of elderly. In study I and 11, the nutritional status and the cognitive function were examined in 28 and 80 service flat (SF) residents. F...

  17. What is the best nutritional support for critically ill patients?

    OpenAIRE

    Hoffer, L. John; Bistrian, Bruce R

    2014-01-01

    Optimum nutritional support in critical illness remains controversial. A recent review of nutritional interventions in the ICU concluded that few of them improved clinical outcomes. In our view, it is a serious shortcoming of these trials that they focused on calories, falling far short of current recommendations for protein provision. Well designed clinical trials that ensure sufficient protein provision are urgently needed if we are to improve the quality of nutritional support in the ICU.

  18. Impact of nutrition management in patients with head and neck cancers treated with irradiation: is the nutritional intervention useful?; Interet de la prise en charge nutritionnelle des patients traites par irradiation des voies aerodigestives superieures: la consultation dietetique est-elle utile?

    Energy Technology Data Exchange (ETDEWEB)

    Garabige, V. [Institut Curie, Service de Dietetique, 75 - Paris (France); Giraud, P.; Jaulerry, C.; Brunin, F. [Institut Curie, Dept. d' Oncologie Radiotherapie, 75 - Paris (France); Rycke, Y. de [Institut Curie, Dept. de Biostatistiques, 75 - Paris (France); Girod, A.; Jouffroy, T.; Rodriguez, J. [Institut Curie, Service de Chirurgie ORL, 75 - Paris (France)

    2007-05-15

    Aims. The head and neck tumors are most often associated with a precarious nutritional status. Radiotherapy increases the risk of de-nutrition because of its secondary effects on the secretory and sensorial mucous membranes. The purpose of our retrospectively study was to evaluate the interest of a precocious and regular nutritional therapy on the ability to maintain the nutritional status of the patient during the radiotherapy. Patients and methods. The fifty-two patients included in the survey have been classified retrospectively in two different groups based on their observance to the nutritional therapy: group 1 'good observance', group 2 'bad observance'. Results. The 31 patients of group 1 have lost an average of 1.9 kg by the end of the irradiation, whereas the 21 patients of group 2 have lost an average of 6.1 kg (p < 0.001). The almost stability in weight of patients in group 1 was linked to a lower frequency of breaks in the radio-therapy (6 vs 33% p = 0.03) and in a decrease in grade of inflammatory, mucous membranes (10% of grade 3 in group 1 vs 52% in group 2, p = 0.006). The quantity of calories ingested in form of nutritional supplements was greater in group 1 and consequently enabled patients to stabilized their weight (1200 calories in group 1 versus 850 calories in group 2, p < 0.005). Conclusions. The given nutritional advice and the prescription of adapted nutritional supplements consequently allowed limiting efficiently the weight lost during the irradiation and the grade of mucositis. The systematization of a precocious nutritional therapy for patients irradiated for head and neck tumors seems absolutely essential. (authors)

  19. Effect of an intervention with physical exercise and nutritional guidance on the components of the metabolic syndrome among young people with overweight = Efecto de una intervención con ejercicio físico y orientación nutricional sobre componentes del síndrome metabólico en jóvenes con exceso de peso

    Directory of Open Access Journals (Sweden)

    Patiño Villada, Fredy Alonso

    2013-01-01

    Full Text Available Introduction: Interventions with physical exercise and nutritional guidance show changes in overweight among young people suffering from the metabolic syndrome (MS; nevertheless, their characteristics and results vary. Objective: To assess the effect of an intervention with physical exercise and nutritional guidance on components of the MS among overweighted young people.Materials and methods: Longitudinal study with an assessment before and another after the intervention in nine young people aged 11 to 17 years. Anthropometric aspects, resting heart rate, peak oxygen consumption (VO2peak, insulinemia, HOMA, and components of the MS were assessed. Intervention consisted of 12 weeks of supervised exercise, three 90-minute sessions/week (aerobic and strength, plus two unsupervised sessions; the weekly supply of fruits and vegetables in order to cover the five recommended daily servings, and individual and group nutrition education. Results: With the intervention waist circumference decreased from 90.5 ± 11.0 to 88.1 ± 9.9 cm; BMI from 30.2 ± 5.8 to 29.3 ± 5.6 kg/m2; total body fat from 39.8 ± 13.0 to 34.3 ± 9.0%; glycemia from 86.0 ± 8.6 to 83.1 ± 5.0 mg/dL; insulinemia from 23.2 ± 9.8 to 19.4 ± 7.6 μU/mL; HOMA-IR from 2.89 ± 1.21 to 2.39 ± 0.93; resting heart rate from 87.9 ± 4.3 to 78.2 ± 5.5 rpm, and VO2peak increased from 36.3 ± 5.1 to 38.5 ± 4.1 mL/kg/min. Four out of six young people with the diagnosis of MS at the beginning of the study did not present it at the end. Conclusions: Participating in an exercise program and increase in the consumption of fruits and vegetables among overweighted young people with components of the MS produced positive modifications in body composition, VO2peak, resting heart rate, and glycemia, as well as in the components and prevalence of the MS.

  20. Interrelationships among Nutrition Knowledge, Attitudes, Behaviors and Body Satisfaction

    Science.gov (United States)

    Dissen, Anthony R.; Policastro, Peggy; Quick, Virginia; Byrd-Bredbenner, Carol

    2011-01-01

    Purpose: Little is known about interrelationships among nutrition knowledge, attitude, dietary intake, and body satisfaction, which are important variables that play a role in nutrition education interventions. This paper aims to focus on these interrelationships. Design/methodology/approach: Students (n = 279; 20.12 plus or minus 1.75SD years)…

  1. Effect of a School-based Nutrition Education Program on the Nutritional Status of Primary School Children

    OpenAIRE

    Parisa Keshani; Seyed Mohammad Mousavi; Zahra Mirzaei; Zeinab Hematdar; Najmeh Maayeshi; Mahsa Mirshekari; Hanieh Ranjbaran; Shiva Faghih

    2016-01-01

    Background and Objectives: Regarding the high prevalence of unhealthy food habits among Iranian children, we aimed to assess the effect of a school-based nutrition education program on nutritional status of primary school students in Shiraz. Materials and Methods: This randomized educational controlled trial was carried out on 221 primary school age children selected by cluster sampling in the elementary schools of Shiraz-Iran. The intervention consisted of 6 nutrition education sessions ...

  2. Maternal nutrition, health, and survival.

    Science.gov (United States)

    Christian, Parul

    2002-05-01

    The burden of maternal morbidity and mortality in developing countries is high. Each year, 600,000 women die from pregnancy-related causes and 62 million women suffer from morbidity and complications of pregnancy. The extent to which maternal nutrition can improve maternal health and survival is not well understood. Excluding deaths due to induced abortions, the other four main causes of maternal mortality (preeclampsia, hemorrhage, obstructed labor, and infection) may be amenable to nutrition interventions. The role of calcium in reducing the incidence of preeclampsia and hypertension is promising, but more research in deficient populations is urgently needed. Antenatal iron supplementation, although frequently recommended to prevent anemia during pregnancy, has had little program success. Severe anemia may be an important cause of maternal mortality, but convincing evidence is lacking on the health consequences of mild-to-moderate maternal anemia. Knowledge of the etiology of anemia is important in identifying effective strategies for combating it. Other vitamins such as folate, B12, and vitamin A may enhance the effect of iron supplementation in populations where multiple nutrition deficiencies exist. Maternal night blindness is widespread in South Asian women. In Nepal, this condition is associated with markedly increased risks of vitamin A deficiency, anemia, morbidity, and maternal and infant mortality. These findings need to be replicated elsewhere in South Asia. One study has shown vitamin A and beta carotene supplementation to reduce maternal mortality and morbidity. These findings need testing in different settings with emphasis on investigating the mechanisms of the effect. The area of prepregnancy nutrition and its influence on prolonged and obstructed labor is wide open for investigation. The scope for research in the area of maternal nutrition and health is large and the onus is on nutritionists to bring to the forefront the role of nutrition in

  3. Space Nutrition: Effects on Bone and Potential Nutrition Countermeasures

    Science.gov (United States)

    Smith, Scott M.

    2008-01-01

    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 the US astronauts who participated in the first eight International Space Station (ISS) missions. Bone loss during space flight remains one of the most critical challenges to astronaut health on space exploration missions. An increase in bone resorption of ISS crew members after flight was indicated by several markers. Vitamin D status also remains a challenge for long-duration space travelers, who lack ultraviolet light exposure in the shielded craft. Many nutrients affect bone, including calcium, protein, fatty acids, sodium, and others. Data supporting their potential as countermeasures for space flight, as published in many papers, will be reviewed in this presentation. Defining nutrient requirements, and being able to provide and maintain those nutrients on exploration missions, will be critical for maintaining crew member health. Please note, this abstract is not required for the meeting. A presentation on the topics described above will be given. This abstract is for travel documentation only.

  4. Impact of nutritional education strategies on anthropometric variables and nutrition knowledge

    Directory of Open Access Journals (Sweden)

    Ana Carolina Marques Gomes

    2014-09-01

    Full Text Available Objective: To assess the impact of a nutrition education program on the nutritional status and food knowledge of patients with overweight. Methods: A longitudinal quantitative study, performed between September and October 2012, with sample consisting of 15 patients with excessive weight (overweight: Body Mass Index or BMI between 25kg/m2 and 29,9kg/m2; and obesity: above 30kg/m2, enrolled in a group of food education in a Primary Healthcare Unit. Nutritional intervention occurred in six weekly meetings (M1: general screening; and M7 to M2: 6 nutritional interventions, being applied a questionnaire assessing the participants’ knowledge on the subjects to be discussed before and after the intervention. Prior to the first meeting and in the last intervention, measures of weight, height and waist circumference were obtained. Nonparametric Wilcoxon tests were performed, with a significance level of 5%, to analyze the average number of correct answers and the nutritional outcome. Results: Following the nutritional education strategy, there was an average reduction of 1.51kg in relation to the initial weight; the average BMI increased from 37.41kg/m² to 36.85kg/m²; waist circumference showed mean reduction of 5.6cm; and the number of correct answers in the questionnaires increased. Conclusion: The nutritional education strategy seems to have influenced the good evolution of the participants’ nutritional status, leading to a decrease in the anthropometric measures and increasing knowledge about healthy eating. doi: http://dx.doi.org/10.5020/18061230.2013.p462

  5. New perspective for nutritional support of cancer patients: Enteral/parenteral nutrition

    OpenAIRE

    AKBULUT, GAMZE

    2011-01-01

    Cancer and its treatment result in severe biochemical and physiological alterations associated with a deterioration of quality of life (QoL). Cancer-related malnutrition may evolve into cancer cachexia due to complex interactions between pro-inflammatory cytokines and the host metabolism. Depending on the type of cancer treatment (either curative or palliative), the clinical condition of the patient and nutritional status, adequate and patient-tailored nutritional intervention should be presc...

  6. Effectiveness of nutrition interventions about infants aged 6~24 months in Ningqiang county affected by Wenchuan earth quake%地震灾区宁强县6~24月龄婴幼儿营养干预效果研究

    Institute of Scientific and Technical Information of China (English)

    徐增康; 王林江; 常锋; 付萍; 张坚; 张汉沛; 李建莉

    2012-01-01

    [Objective] To compare the nutrition status of infants before and after nutrition interventions in Ningqiang county. [Methods] The project provided nutrition interventions which feed infants aged 6-24 months one packet Yingyangbao per day and educated babysitter how to feed infants properly in Ningqiang county. Before and after the 18 months nutrition interventions,327 and 300 infants aged 6~24 months were sampled respectively to complete the investigation. Effectiveness of nutrition interventions was evaluated by analyzing the differences of infants' length,body weitht,hemoglobin concentration,WAZ,HAZ,WHZ,underweight rate,stunting rate, wasting rate and anemia rate between two samples. [Results] After the interventions,average weight and length of infants aged 6~24 months increased 0. 90 kg(t=-9. 94, P<0. 01)and 3. 40 cra(t=-7. 74,P<0. 01)respectively,and there were significant differences between before and after interventions. WAZ(-0. 48 vs 0. 09,t=-6. 95,P<0. 01),HAZ (-0.73 vs -0. 25,t=-4. 63 ,P<0. 01) and WHZ(-0. 15 vs 0.30, i = -4. 90,P<0. 01) also increased significantly. Through the nutrition interventions infants' hemoglobin concentration increased from 10.94 g/dL to 11.70 g/dL(t=-7. 97,P<0. 01),anemia rate decreased from 49.5% to 23. 9%(x2 =43. 72,P <0. 01) ,and the results of statistical analysis showed that significant differences exist. [Conclusion] Through 18 months nutrition interventions the nutrition status of infants aged 6~24 months could be improved significantly.%[目的]评价发放辅食营养包和开展健康教育对地震灾区宁强县婴幼儿营养状况的改善效果.[方法]对宁强县所有6~24月龄婴幼儿添加辅食营养包、对婴幼儿看护人开展婴幼儿喂养健康教育,在干预措施实施18个月前后,分别抽取327名和300名6~24月龄婴幼儿进行调查,对比干预前后婴幼儿的身高、体重、血红蛋白、WAZ(Weight-for-age Z-score)、HAZ (Height-for-age Z-score)、WHZ(Weight-for -Height Z

  7. Developing a Nutrition and Health Education Program for Primary Schools in Zambia

    Science.gov (United States)

    Sherman, Jane; Muehlhoff, Ellen

    2007-01-01

    School-based health and nutrition interventions in developing countries aim at improving children's nutrition and learning ability. In addition to the food and health inputs, children need access to education that is relevant to their lives, of good quality, and effective in its approach. Based on evidence from the Zambia Nutrition Education in…

  8. Parenteral nutrition in intestinal failure

    Directory of Open Access Journals (Sweden)

    Kurkchubasche AG

    2015-01-01

    Full Text Available Arlet G Kurkchubasche,1 Thomas J Herron,2 Marion F Winkler31Department of Surgery and Pediatrics, 2Department of Surgery, Alpert Medical School of Brown University, 3Department of Surgery/Nutritional Support Service, Rhode Island Hospital, Providence, RI, USAAbstract: Intestinal failure is a consequence of extensive surgical resection resulting in anatomic loss and/or functional impairment in motility or absorptive capacity. The condition is clinically characterized by the inability to maintain fluid, energy, protein, electrolyte, or micronutrient balance when on a conventionally accepted, normal diet. Parenteral nutrition (PN is the cornerstone of management until intestinal adaptation returns the patient to a PN-independent state. Intestinal length, residual anatomic segments and motility determine the need for and duration of parenteral support. The goals of therapy are to provide sufficient nutrients to enable normal growth and development in children, and support a healthy functional status in adults. This review addresses indications for PN, the formulation of the PN solution, patient monitoring, and considerations for prevention of PN-associated complications. With the ultimate goal of achieving enteral autonomy, the important role of diet, pharmacologic interventions, and surgery is discussed.Keywords: intestinal failure, short-bowel syndrome, parenteral nutrition, home nutrition support, intestinal rehabilitation

  9. Enteral Nutrition in Severe Acute Pancreatitis

    Directory of Open Access Journals (Sweden)

    Rudra Prasad Doley

    2009-03-01

    Full Text Available Context There is controversy concerning the merits of enteral and pa renteral nutrition in the manage ment of patients with severe acute pancreatitis. Objective This study was undertaken to evalua te the effect of enteral nutrition versus parenteral nutrition on serum markers of inflammation and outcome in patients with severe acute pancreatitis. Setting Tertiary care centre in North India. Design A prospective clinical trial. Methods Fifty consecutive patients with severe acute pancreatitis were randomized in a prospective trial to receive total enteral nutrition (n=25 or total parenteral nutrition (n=25. Enteral nutrition was deliver ed distal to the ligament of Treitz. Serum C-reactive protein, transferrin le vels, albumin, surgical intervention, infections, duration of h ospital stay and mortality were compared in the two groups. Results The mean age in the enteral nutrition group was 38.4±13.8 years and in the total parenteral nutrition group 41.1±11.3 years. The etiologi cal factors were alcohol (n=19, gallstones (n=23, idiopathi c (n=7 and drug-induced (n=1. There was a significant decrease in seru m C-reactive protein values in both the enteral nutrition group and the total parenteral nutrition group at one week and two weeks (P<0.001 for both. Serum albumin rose from a prenutritional val ue of 2.82±0.51 g/dL to 3.34±0.45 g/dL on day 14 of nutritional support in the enteral nutrition group (P=0.003; in the total parent eral nutrition group, the level rose from 3.10±0.59 g/dL to 3.21±0.30 g/dL (P=0.638. A signi ficant rise in transferrin value was ob served from day 0 to day 14 in enteral nutrition group (169±30 to 196±36 mg/dL; P<0.001 whereas, in the total parenteral nutrition gr oup, a less significant difference (191±41 to 201±29 mg/dL; P=0.044 was observed. There was no significant difference in surgical intervention (56.0% versus 60.0%; P=1.000, infectiv e complications (64.0% versus 60.0%; P=1.000, hospital stay (42 days

  10. Applications of Stable Isotopes in Nutrition

    International Nuclear Information System (INIS)

    This is an IAEA sponsored project No. RAF/7/006 using Isotopes Techniques to assess Nutritional Intervention Programs related to people living with HIV/AIDS in Africa. The report indicates that, improved nutrition is a global objective and development co-operation priority not only in the fight against nutrition but also for poverty eradication, reproductive health, children's rights and elimination of hunger. The role of the IAEA in the global objective is to support nations in achieving the most and best outcomes of food interventions through the reliable biological tools of efficacy, effective and impact, using isotope based techniques by transferring nuclear technology and knowledge in a sustainable manner to it's member states

  11. Nutrition of Preterm Infants After Hospital Discharge

    Science.gov (United States)

    Growth failure in preterm infants remains extremely common despite advances in neonatal care. Many, or even a majority, leave the hospital with weights below the 10th centile for age. Because of this, the possibility of nutritional interventions to improve postdischarge growth has been considered. A...

  12. Impact of nutritional education strategies on anthropometric variables and nutrition knowledge

    OpenAIRE

    Ana Carolina Marques Gomes; Carolina Paudarco Dias; Roseli Oliveira Guerra; Vera Lúcia Morais Antonio de Salvo

    2014-01-01

    Objective: To assess the impact of a nutrition education program on the nutritional status and food knowledge of patients with overweight. Methods: A longitudinal quantitative study, performed between September and October 2012, with sample consisting of 15 patients with excessive weight (overweight: Body Mass Index or BMI between 25kg/m2 and 29,9kg/m2; and obesity: above 30kg/m2), enrolled in a group of food education in a Primary Healthcare Unit. Nutritional intervention occurred in six wee...

  13. Medical nutrition therapy planning

    OpenAIRE

    Torović Ljilja; Grujičić Maja; Pavlović-Trajković Ljiljana; Jovičić Jelena; Novaković Budimka; Balać Dragana

    2010-01-01

    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 diet...

  14. The immunomodulatory nutritional intervention NR100157 reduced CD4+ T-Cell decline and immune activation: a 1-year multicenter randomized controlled double-blind trial in HIV-infected persons not receiving antiretroviral therapy (The BITE Study)

    NARCIS (Netherlands)

    Cahn, P.; Ruxrungtham, K.; Gazzard, B.; Norren, van K.; Diaz, R.S.; Gori, A.; Kotler, D.P.; Vriesema, A.; Georgiou, N.A.; Garssen, J.; Clerici, M.; Lange, J.M.A.

    2013-01-01

    Background The immunomodulatory nutritional product NR100157 was developed for human immunodeficiency virus (HIV)–infected individuals. We hypothesized that targeting the compromised gastrointestinal tract of HIV-infected individuals would result in systemic immunological benefits. Methods In a mult

  15. Nurse practitioners' attitudes to nutritional challenges dealing with the patients' nutritional needs and ability to care for themselves in a fast track program

    DEFF Research Database (Denmark)

    Graarup, Jytte; Pedersen, Preben Ulrich; Bjerrum, Merete

    2014-01-01

    that Nutritional Nurse Practitioners find it difficult to exemplify evidence-based nursing interventions for specific nutritional problems, makes the nursing profession imperceptible to patients, relatives and healthcare professionals as a resource within its own area of responsibility.......Background: Nutrition plays an important role to the success of fast track programs, but under nutrition are still reported. Nutritional care seems to be a low priority among nurses even though it is well-known that insufficient nutrition has severe consequences for the patients. The aim is to...... report to what extent a training program has made Nutritional Nurse Practitioners aware of the nutritional care for short-term hospitalized patients, and how they deal with patients’ nutritional needs and ability to provide self-care in the context of a fast track program. Methods: Deductive content...

  16. Enteral Nutrition in Dementia: A Systematic Review

    Directory of Open Access Journals (Sweden)

    Joanne Brooke

    2015-04-01

    Full Text Available The aim of this systematic review is to evaluate the role of enteral nutrition in dementia. The prevalence of dementia is predicted to rise worldwide partly due to an aging population. People with dementia may experience both cognitive and physical complications that impact on their nutritional intake. Malnutrition and weight loss in dementia correlates with cognitive decline and the progress of the disease. An intervention for long term eating difficulties is the provision of enteral nutrition through a Percutaneous Endoscopic Gastrostomy tube to improve both nutritional parameters and quality of life. Enteral nutrition in dementia has traditionally been discouraged, although further understanding of physical, nutritional and quality of life outcomes are required. The following electronic databases were searched: EBSCO Host, MEDLINE, PubMed, Cochrane Database of Systematic Reviews and Google Scholar for publications from 1st January 2008 and up to and including 1st January 2014. Inclusion criteria included the following outcomes: mortality, aspiration pneumonia, pressure sores, nutritional parameters and quality of life. Each study included separate analysis for patients with a diagnosis of dementia and/or neurological disease. Retrospective and prospective observational studies were included. No differences in mortality were found for patients with dementia, without dementia or other neurological disorders. Risk factors for poor survival included decreased or decreasing serum albumin levels, increasing age or over 80 years and male gender. Evidence regarding pneumonia was limited, although did not impact on mortality. No studies explored pressure sores or quality of life.

  17. Enteral nutrition in dementia: a systematic review.

    Science.gov (United States)

    Brooke, Joanne; Ojo, Omorogieva

    2015-04-01

    The aim of this systematic review is to evaluate the role of enteral nutrition in dementia. The prevalence of dementia is predicted to rise worldwide partly due to an aging population. People with dementia may experience both cognitive and physical complications that impact on their nutritional intake. Malnutrition and weight loss in dementia correlates with cognitive decline and the progress of the disease. An intervention for long term eating difficulties is the provision of enteral nutrition through a Percutaneous Endoscopic Gastrostomy tube to improve both nutritional parameters and quality of life. Enteral nutrition in dementia has traditionally been discouraged, although further understanding of physical, nutritional and quality of life outcomes are required. The following electronic databases were searched: EBSCO Host, MEDLINE, PubMed, Cochrane Database of Systematic Reviews and Google Scholar for publications from 1st January 2008 and up to and including 1st January 2014. Inclusion criteria included the following outcomes: mortality, aspiration pneumonia, pressure sores, nutritional parameters and quality of life. Each study included separate analysis for patients with a diagnosis of dementia and/or neurological disease. Retrospective and prospective observational studies were included. No differences in mortality were found for patients with dementia, without dementia or other neurological disorders. Risk factors for poor survival included decreased or decreasing serum albumin levels, increasing age or over 80 years and male gender. Evidence regarding pneumonia was limited, although did not impact on mortality. No studies explored pressure sores or quality of life. PMID:25854831

  18. Nutrition in cachexia: from bench to bedside.

    Science.gov (United States)

    Konishi, Masaaki; Ishida, Junichi; von Haehling, Stephan; Anker, Stefan D; Springer, Jochen

    2016-05-01

    As malnutrition is often present in cachexia, nutritional intervention has been one of the widely accepted strategies. A literature review of cachexia models with dietary interventions in the present issue of this journal pointed out that the majority of nutrient intervention studies were of n-3 fatty acid, mainly eicosapentaenoic acid and docosahexaenoic acid. Effect on protein catabolism and anti-inflammation are most pronounced benefits of n-3 fatty acid. The effectiveness of n-3 fatty acid may depend on control diet or even be attributed to the polyunsaturated fatty acid deficiency inadvertently produced in control group. However, there is not enough clinical evidence to support a benefit of n-3 fatty acid substitution in patients with cachexia. The second important result from this review is that the majority of studies did not provide information about dietary design or did not standardize design, content, source, and overall composition. To guide dietary design for researchers in preclinical studies, a model has been proposed in this review, which may be useful to predict the efficacy of new dietary intervention in cachexia science. From a clinical point of view, the limited effectiveness of nutritional support in cachexia may partly be explained by the multifactorial nature of this condition. Cachexia differs from malnutrition inasmuch as malnutrition can be reversed by adequate nutrition and/or by overcoming problems of absorption or utilization of nutrients, but cachexia cannot be successfully treated by nutrition alone. Multidisciplinary approach including the assessment and intervention in feeding, appetite, swallowing, exercise, psychosocial, and psychological issue may be needed to improve nutrition in patients with cachexia. PMID:27030816

  19. Comparative evaluation of nutritional status of elderly dentulous and completely edentulous patients wearing complete dentures

    OpenAIRE

    Bhumita R Makwana; Vijaya Agarwal; Rakesh Makwana

    2014-01-01

    Introduction: The scientific progress has reached a level where nutritional interventions may play a part in the prevention of degenerative conditions of age, improvement of quality of life and impact on health care burden and resources. Moreover a timely intervention can stop weight loss in elderly at risk of malnutrition or undernourished. Evaluation of nutritional status is important for any nutrition or dietary modification. We therefore did a comparative study of evaluation of nutritiona...

  20. Better Use of Data to Define Nutrition Priority and Action

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    Nutrition and dietary survey data has been useful in defining themagnitude of malnutrition and dietary deficit. Such information has been helpful in gaining attention to support or to do more to improve nutrition-advocacy. However, there are also greater opportunities to use the common data to guide the program action. In summary, we have plenty of good nutrition and dietary information available to us in the planning and operation of nutrition intervention program. If we go beyond the use of data to justify area or subject of engagement, we can also use the same data for more efficient and more effective program without additional cost to us.

  1. The food pyramid adapted to physically active adolescents as a nutrition education tool

    Directory of Open Access Journals (Sweden)

    Camila Brandão Gonçalves

    2014-03-01

    Full Text Available This study aimed to assess the understanding of the Food Pyramid Adapted to Physically Active Adolescents as an educational tool to improve nutrition knowledge. Adolescents engaged in sport training responded to a nutrition knowledge questionnaire before and after the intervention. The pyramid intervention group received the printed educational material, and the broad intervention group received the printed material followed by a lecture. As a result, mean initial nutrition knowledge was average (59.9 ± 18 points, increasing (p<0.001 after the intervention (69.1 ± 20 points without significant difference between interventions. In conclusion, adolescents' nutrition knowledge improved, even with the use of the Food Pyramid alone, indicating its use to promote nutritional knowledge.

  2. A Study of Nutrition in Entry-Level Dental Hygiene Education Programs.

    Science.gov (United States)

    Johnson, Deborah L; Gurenlian, JoAnn R; Freudenthal, Jacqueline J

    2016-01-01

    The aims of this study were to document the extent of nutritional content in U.S. dental hygiene program curricula; identify program directors' opinions, perceptions, and barriers to expanding nutritional content; and evaluate if a proposed nutrition curriculum model would be beneficial. This mixed methods study involved quantitative and qualitative aspects. An invitation letter was sent to all 335 directors of entry-level U.S. dental hygiene programs. In response, 55 directors submitted nutrition course syllabi from their programs (16.4% of the total) for the quantitative analysis. In addition, 14 nutrition instructors and ten program directors were interviewed regarding their perceptions and opinions of nutrition education for dental hygiene students. All aspects of the content analysis results revealed that nutrition content in entry-level dental hygiene programs is diverse. Some programs did not include nutrition content, while others provided oral and systemic nutrition intervention subject matter. Some programs offered multiple clinical nutrition applications and patient contact opportunities while most required none. The interview results disclosed a variety of opinions and perceptions of dental hygienists' role in nutrition. Several interviewees viewed dental hygienists' role in nutrition to be an integral part of patient care, while others indicated no role or providing caries prevention counseling only. Although dental hygienists are expected to provide nutrition assessments and interventions, no standards or standardized competencies exist for nutrition in dental hygiene education. A standardized nutrition model could be beneficial for entry-level programs to ensure dental hygienists possess basic knowledge to perform nutrition assessments and intervention to address Healthy People 2020's intervention initiatives. PMID:26729687

  3. Are Patients at Nutritional Risk More Prone to Complications after Major Urological Surgery?

    OpenAIRE

    Cerantola, Yannick; Valerio, Massimo; Hubner, Martin; Iglesias, Katia; Vaucher, Laurent; Jichlinski, Patrice

    2016-01-01

    Purpose The nutritional risk score is a recommended screening tool for malnutrition. While a nutritional risk score of 3 or greater predicts adverse outcomes after digestive surgery, to our knowledge its predictive value for morbidity after urological interventions is unknown. We determined whether urological patients at nutritional risk are at higher risk for complications after major surgery than patients not at nutritional risk. Materials and methods We performed a prospective observation...

  4. Smorgasbord or symphony? Assessing public health nutrition policies across 30 European countries using a novel framework

    OpenAIRE

    Lloyd-Williams, Ffion; Bromley, Helen; Orton, Lois; Hawkes, Corinna, ed.; Taylor-Robinson, David; O’Flaherty, Martin; McGill, Rory; Anwar, Elspeth; Hyseni, Lirije; Moonan, May; Rayner, Mike; Capewell, Simon

    2014-01-01

    Background Countries across Europe have introduced a wide variety of policies to improve nutrition. However, the sheer diversity of interventions represents a potentially bewildering smorgasbord. We aimed to map existing public health nutrition policies, and examine their perceived effectiveness, in order to inform future evidence-based diet strategies. Methods We created a public health nutrition policy database for 30 European countries . National nutrition policies were classified and assi...

  5. Frailty Intervention Trial (FIT

    Directory of Open Access Journals (Sweden)

    Lockwood Keri

    2008-10-01

    Full Text Available Abstract Background Frailty is a term commonly used to describe the condition of an older person who has chronic health problems, has lost functional abilities and is likely to deteriorate further. However, despite its common use, only a small number of studies have attempted to define the syndrome of frailty and measure its prevalence. The criteria Fried and colleagues used to define the frailty syndrome will be used in this study (i.e. weight loss, fatigue, decreased grip strength, slow gait speed, and low physical activity. Previous studies have shown that clinical outcomes for frail older people can be improved using multi-factorial interventions such as comprehensive geriatric assessment, and single interventions such as exercise programs or nutritional supplementation, but no interventions have been developed to specifically reverse the syndrome of frailty. We have developed a multidisciplinary intervention that specifically targets frailty as defined by Fried et al. We aim to establish the effects of this intervention on frailty, mobility, hospitalisation and institutionalisation in frail older people. Methods and Design A single centre randomised controlled trial comparing a multidisciplinary intervention with usual care. The intervention will target identified characteristics of frailty, functional limitations, nutritional status, falls risk, psychological issues and management of chronic health conditions. Two hundred and thirty people aged 70 and over who meet the Fried definition of frailty will be recruited from clients of the aged care service of a metropolitan hospital. Participants will be followed for a 12-month period. Discussion This research is an important step in the examination of specifically targeted frailty interventions. This project will assess whether an intervention specifically targeting frailty can be implemented, and whether it is effective when compared to usual care. If successful, the study will establish a

  6. MedlinePlus: Toddler Nutrition

    Science.gov (United States)

    ... Toddler Nutrition -- see more articles Reference Desk Toddler Nutrition and Health Resource List (Department of Agriculture) - PDF Find an ... Related Health Topics Child Nutrition Infant and Newborn Nutrition National Institutes of Health The primary NIH organization for research on Toddler ...

  7. Total parenteral nutrition

    Science.gov (United States)

    ... medlineplus.gov/ency/patientinstructions/000177.htm Total parenteral nutrition To use the sharing features on this page, please enable JavaScript. Total parenteral nutrition (TPN) will help you or your child get ...

  8. Nutrition and Myasthenia Gravis

    Science.gov (United States)

    Good nutrition is important for everyone. This is especially true when you have a chronic disorder like myasthenia gravis ( ... difficulty with chewing and swallowing may interfere with nutrition and create safety issues. Diet modifications may be ...

  9. Nutrition and athletic performance

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/article/002458.htm Nutrition and athletic performance To use the sharing features on this page, please enable JavaScript. Nutrition can help enhance athletic performance. An active lifestyle ...

  10. Cooking utensils and nutrition

    Science.gov (United States)

    ... gov/ency/article/002461.htm Cooking utensils and nutrition To use the sharing features on this page, ... Cooking utensils can have an effect on your nutrition. Function Pots, pans, and other tools used in ...

  11. Total parenteral nutrition - infants

    Science.gov (United States)

    Total parenteral nutrition (TPN) is a method of feeding that bypasses the gastrointestinal tract. Fluids are given into a vein to ... babies. It can provide a better level of nutrition than regular intravenous (IV) feedings, which provide only ...

  12. Toxic Amblyopia (Nutritional Amblyopia)

    Science.gov (United States)

    ... Sugar Control Helps Fight Diabetic Eye Disease Are 'Workaholics' Prone to OCD, Anxiety? ALL NEWS > Resources First ... exposure to toxic substances or take nutritional supplements. Causes Toxic amblyopia may be caused by a nutritional ...

  13. Nutrition and athletic performance

    Science.gov (United States)

    Nutrition can help enhance athletic performance. An active lifestyle and exercise routine, along with eating well, is ... al. American College of Sports Medicine position stand. Nutrition and athletic performance. Med Sci Sports Exerc . 2009 ...

  14. What Is Enteral Nutrition?

    Science.gov (United States)

    ... a Clinician Press Room Career Center Advertising and Sponsorship Join / Renew Donate Online Store Certification Claim CE Credits Clinical Nutrition Week eLearning Center Professional Development Webinars Calendar of Events What Is Enteral Nutrition ...

  15. Assessment of Nutritional Status in Children With Cancer and Effectiveness of Oral Nutritional Supplements.

    Science.gov (United States)

    Gürlek Gökçebay, Dilek; Emir, Suna; Bayhan, Turan; Demir, Hacı Ahmet; Gunduz, Mehmet; Tunc, Bahattin

    2015-01-01

    Malnutrition is a common consequence of cancer in children, but the most effective methods of nutrition intervention are under debate. We aimed to evaluate the nutritional status of children diagnosed with cancer, and to investigate the effect of oral nutritional supplements on anthropometric measurements, biochemical parameters, and outcome. A randomized clinical study of 45 newly diagnosed cancer patients was performed. Anthropometric and biochemical data and related factors were assessed at 0, 3, and 6 months after diagnosis. On initial anthropometric assessment, prevalence of malnutrition by weight or height was found to be lower as compared with body mass index (BMI), or weight for height (WFH), or arm anthropometry. Twenty-six of the patients (55%) received oral nutritional supplement. During the second 3 months after diagnosis, there was a statistically significant decrease in number of the patients with WFH children who were malnourished at the 6th month was significantly lower than that of well-nourished children (P = .003). On laboratory assessment, serum prealbumin levels of the all subjects were below normal ranges, but no relation was found for serum prealbumin or albumin levels in patients who were malnourished or not at diagnosis. Nutritional intervention is necessary to promote normal development and increase functional status as a child receives intensive treatment. Protein- and energy-dense oral nutritional supplements are effective for preventing weight loss in malnourished children. PMID:26418028

  16. Nutrition support in hospitals

    DEFF Research Database (Denmark)

    Kondrup, Jens

    2005-01-01

    Nutrition support in hospitals is becoming an area of focus because of the evidence showing improved clinical outcome with nutrition support, its status as a human rights issue and its integration into quality assurance.......Nutrition support in hospitals is becoming an area of focus because of the evidence showing improved clinical outcome with nutrition support, its status as a human rights issue and its integration into quality assurance....

  17. Nutrition for children with epidermolysis bullosa.

    Science.gov (United States)

    Haynes, Lesley

    2010-04-01

    Optimization of resistance to infection, growth, sexual maturation, wound healing, and provision of the best possible overall quality of life are important management goals in children with epidermolysis bullosa. However, all these goals rely on the maintenance of optimal nutritional status, and achieving this is extremely challenging in the severe types of the disease. Strategies to improve nutritional status have the best chance of success when the dietitian or nutritionist works as an integral member of the multidisciplinary team and is well informed of patients' situations, family dynamics, and prognoses. Even the best-coordinated dietetic interventions may exert only limited impact. PMID:20447494

  18. Nutrition Guide for Toddlers

    Science.gov (United States)

    ... Story" 5 Things to Know About Zika & Pregnancy Nutrition Guide for Toddlers KidsHealth > For Parents > Nutrition Guide ... español Guía de nutrición para sus hijos pequeños Nutrition Through Variety Growth slows somewhat during the toddler ...

  19. 78 FR 20411 - Supplemental Nutrition Assistance Program: Nutrition Education and Obesity Prevention Grant Program

    Science.gov (United States)

    2013-04-05

    ...-based nutrition education interventions, projects, or social marketing campaigns that fall within the... marketing campaigns where, in focusing efforts on the low-income population, they inevitably reach..., Theory, and Practice, Jones and Bartlett Publishers, 2011) The Agency also sought to describe...

  20. Nutrition and Chronic Wounds: Improving Clinical Outcomes.

    Science.gov (United States)

    Molnar, Joseph A; Vlad, Lucian G; Gumus, Tuna

    2016-09-01

    There is increasing awareness that chronic wound healing is very dependent on the patient's nutritional status, but there are no clearly established and accepted assessment protocols or interventions in clinical practice. Much of the data used as guidelines for chronic wound patients are extrapolated from acutely wounded trauma patients, but the 2 groups are very different patient populations. While most trauma patients are young, healthy, and well-nourished before injury, the chronic wound patient is usually old, with comorbidities and frequently malnourished. We suggest the assumption that all geriatric wound patients are malnourished until proved otherwise. Evaluation should include complete history and physical and a formal nutritional evaluation should be obtained. Laboratory studies can be used in conjunction with this clinical information to confirm the assessment. While extensive studies are available in relation to prevention and treatment of pressure ulcers and perioperative nutrition, less is known of the effect of nutritional deficits and supplementation of the diabetic foot ulcer and venous stasis ulcer patient. This does not necessarily mean that nutritional support of these patients is not helpful. In the pursuit of wound healing, we provide systemic support of cardiac and pulmonary function and cessation of smoking, improve vascular inflow, improve venous outflow, decrease edema, and treat with hyperbaric oxygen. If we address all of these other conditions, why would we not wish to support the most basic of organismal needs in the form of nutrition? PMID:27556777

  1. The effectiveness of nutrition education programme for primary school children.

    Science.gov (United States)

    Ruzita, A T; Wan Azdie, M Ab; Ismail, M N

    2007-03-01

    This study was conducted to determine changes in nutrition knowledge, attitude and practice of 8-year-old school children after receiving a nutrition education package. A total of 418 school children from urban and rural areas participated in this study. The intervention group consisted of 237 children while 181 children who did not receive the nutrition education package acted as controls. The nutrition education programme that was conducted for 3 weeks comprised of a video viewing session and a comic reading session followed by exercise questions as reinforcement for each session, and also classroom activities. Knowledge, attitude and practice questionnaires were distributed to the children before (pre-intervention) and after (postintervention) receiving the nutrition education programme. A follow-up visit was conducted six months after the programme had elapsed. The results obtained indicated that the nutrition knowledge score increased significantly in the intervention group from 48.3±13.2 at pre-test to 54.6±16.2 in post-test and 55.0±14.3 in follow-up test (ppositive impact whereby better nutrition knowledge, attitude and healthy eating habits in children were seen. It is hoped that the improvements would be sustained throughout their lives. PMID:22692188

  2. Perioperative Nutrition in Abdominal Surgery: Recommendations and Reality

    Directory of Open Access Journals (Sweden)

    Yannick Cerantola

    2011-01-01

    Full Text Available Introduction. Preoperative malnutrition is a major risk factor for increased postoperative morbidity and mortality. Definition and diagnosis of malnutrition and its treatment is still subject for controversy. Furthermore, practical implementation of nutrition-related guidelines is unknown. Methods. A review of the available literature and of current guidelines on perioperative nutrition was conducted. We focused on nutritional screening and perioperative nutrition in patients undergoing digestive surgery, and we assessed translation of recent guidelines in clinical practice. Results and Conclusions. Malnutrition is a well-recognized risk factor for poor postoperative outcome. The prevalence of malnutrition depends largely on its definition; about 40% of patients undergoing major surgery fulfil current diagnostic criteria of being at nutritional risk. The Nutritional Risk Score is a pragmatic and validated tool to identify patients who should benefit from nutritional support. Adequate nutritional intervention entails reduced (infectious complications, hospital stay, and costs. Preoperative oral supplementation of a minimum of five days is preferable; depending on the patient and the type of surgery, immune-enhancing formulas are recommended. However, surgeons' compliance with evidence-based guidelines remains poor and efforts are necessary to implement routine nutritional screening and nutritional support.

  3. Implementation of a nutrition education program in a handball team: consequences on nutritional status

    Directory of Open Access Journals (Sweden)

    Jorge Molina-López

    2013-08-01

    Full Text Available Objective: To evaluate nutritional status and dietary habits after implementation of a nutritional education program in professional handball players. Research methods and procedures: Longitudinal study of 14 handball players evaluated with 72-h recall, a questionnaire on food consumption and anthropometric measures during 4 months. The intervention consisted of a nutrition education program. Results: Energy intake was consistently below the recommended allowances. Macronutrient intakes as a percentage of total energy intake were below the recommended allowances for carbohydrates, and above recommended allowances for fats. Nutritional education was followed by a significant increase (p < 0.01 in total energy and macronutrient intakes, with no significant changes in macronutrient or micronutrient intakes after adjustment for energy intake. Discussion: The imbalance in nutrient intake in handball players suggests that detailed reanalysis is needed to determine specific recommendations for this population. Nutritional education with continuous follow-up to monitor athletes' dietary habits may lead them to adopt appropriate nutritional habits to optimize dietary intakes. The lack of specific recommendations for micronutrient intakes in athletes leads to confusion regarding appropriate intakes; biochemical tests that yield normal values (albeit approaching cut-off values for deficiency may disguise deficient status for some nutrients when strenuous exercise is involved. Conclusion: In-depth studies with nutrition education programs that include long-term follow-up are advisable to avoid deficiencies that can lead to irreversible damage in competitive athletes.

  4. Effect of a School-based Nutrition Education Program on the Nutritional Status of Primary School Children

    Directory of Open Access Journals (Sweden)

    Parisa Keshani

    2016-02-01

    Full Text Available Background and Objectives: Regarding the high prevalence of unhealthy food habits among Iranian children, we aimed to assess the effect of a school-based nutrition education program on nutritional status of primary school students in Shiraz. Materials and Methods: This randomized educational controlled trial was carried out on 221 primary school age children selected by cluster sampling in the elementary schools of Shiraz-Iran. The intervention consisted of 6 nutrition education sessions carried out through one year for children, using active learning methods. Mothers’ education was carried out in person in both lecture and question-answer sessions also via sending text messages and pamphlets. Weight, height and waist circumference (WC of children were measured before and after the intervention. Also a 168-item food frequency questionnaire was completed. Two separate nutrition knowledge questionnaires were filled up by children and their mothers. Data were analyzed using SPSS version 16. Results: 171 children (83 in the case and 88 in the control group, aged 9.5-10.5 years, completed the study. Anthropometric and nutritional knowledge of the participants in both the intervention and control groups was significantly increased. Weight, height, WC and nutritional knowledge increased significantly more in the intervention group compared to the controls. Consumption of fruits and vegetables decreased in the intervention group while plain sugar and fast foods intake increased among the controls. There were no significant differences between the changes in the intake of any of the food groups in the two groups. Conclusions: In conclusion, the designed nutrition education program could increase students’ nutritional knowledge, and lead to a non-significant change towards reducing the consumption of unhealthy foods such as fast foods, sweets and salty snacks.

  5. The Nutrition Transition in Africa: Can It Be Steered into a More Positive Direction?

    Directory of Open Access Journals (Sweden)

    Barrie M. Margetts

    2011-04-01

    Full Text Available The objective of this narrative review is to examine the nutrition transition and its consequences when populations in Africa modernize as a result of socio-economic development, urbanization, and acculturation. The focus is on the changes in dietary patterns and nutrient intakes during the nutrition transition, the determinants and consequences of these changes as well as possible new approaches in public health nutrition policies, interventions and research needed to steer the nutrition transition into a more positive direction in Africa. The review indicates that non-communicable, nutrition-related diseases have emerged in sub-Saharan Africa at a faster rate and at a lower economic level than in industrialized countries, before the battle against under-nutrition has been won. There is a putative epigenetic link between under- and over-nutrition, explaining the double burden of nutrition-related diseases in Africa. It is concluded that it is possible to steer the nutrition transition into a more positive direction, provided that some basic principles in planning public health promotion strategies, policies and interventions are followed. It is suggested that sub-Saharan African countries join forces to study the nutrition transition and implemented interventions on epidemiological, clinical and molecular (genetic level for better prevention of both under- and over-nutrition.

  6. Multi-modal intervention improved oral intake in hospitalized patients

    DEFF Research Database (Denmark)

    Holst, M; Beermann, T; Mortensen, M N;

    2015-01-01

    BACKGROUND: Good nutritional practice (GNP) includes screening, nutrition plan and monitoring, and is mandatory for targeted treatment of malnourished patients in hospital. AIMS: To optimize energy- and protein-intake in patients at nutritional risk and to improve GNP in a hospital setting. METHODS...... recall, patient interviews and staff questionnaire before and after the intervention. Interventions: Based on pre-measurements, nutrition support teams in each department made targeted action plans, supervised by an expert team. Education, diagnose-specific nutrition plans, improved menus and eating...... improved from 56% to 77% (p < 0.001), nutrition plans from 21% to 56% (p < 0.0001), and monitoring food intake from 29% to 58% (p < 0.0001). CONCLUSIONS: Intake of energy and protein as well as GNP improved using a multi-modal top-down and bottom-up approach....

  7. EFFECTS OF NUTRITION INTERVENTION COMBINED WITH AEROBATIC EXERCISE ON BODY MASS INDEX IN PATIENTS WITH SIMPLE OBESITY%营养干预结合有氧运动对单纯性肥胖患者体质指数的影响

    Institute of Scientific and Technical Information of China (English)

    黎艺

    2011-01-01

    [目的]探讨低能量膳食营养干预结合有氧运动的减肥方式对单纯性肥胖症患者体重和体质指数等的影响.[方法]40例营养咨询门诊就诊的单纯性肥胖症患者,未用任何减肥药物,在减肥治疗中采取低能量膳食营养干预结合有氧运动的减肥方式,比较在减肥治疗前后,患者体重(BW)、体质指数(BMI)、腰围(WC)、臀围(HC)、腰臀比(WHR)等的变化.[结果]所有患者经过3个月的减肥治疗,体重由(79.52±10.81)kg降至(68.95±9.50)kg(P<0.0001),体质指数由(29.72±2.11)kg/m2降至(25.77±1.84)kg/m2(P<0.0001),腰围由(94.82±8.14)cm降至(89.12±7.94)cm(P<0.0001),臀围由(92.82±6.24)cm降至(89.93-6.21)cm(P<0.0001),腰臀比由1.02±0.05降至0.99±0.06(P<0.0001),其差异具有统计学意义.[结论]单纯性肥胖症患者不使用减肥药物,通过低能量膳食营养干预结合有氧运动,即可获得明显的减肥效果.%[Objective] To evaluate the effects of low energy diet nutrition intervention combined with aerobatic exercise on body mass index in patients with simple obesity. [Methods] 40 patients with simple obesity in nutritional consulting clinic,without any anti-obesity agents therapy, were treated with nutrition intervention combined with aerobatic exercise. Body weight (BW), body mass index (BMI) , waist circumference (WC) , hip circumference (HC) and waist hip ratio (WHR) were compared before and after weight reduction treatments. [ Results] After three months weight reduction treatments, BW decreased from (79.52±l0.81) kg to (68.95±9.50) kg (P< 0.0001) ; BMI decreased from (29.72±2.11) kg/m2 to (25.77± 1.84) kg/m2 (P< 0.0001); WC decreased from (94.82±8.14) cm to (89.12±7.94) cm (P< 0.0001); HC decreased from (92.82±6.24) cm to (89.93±6.21) cm (P < 0.0001) ; WHR decreased from 1.02±0.05 to 0.99±0.06 (P< 0.0001) , with significant difference. [Conclusion] The evident weight loss can be achieved by low energy diet nutrition

  8. Assessing nutritional diversity of cropping systems in African villages.

    Directory of Open Access Journals (Sweden)

    Roseline Remans

    Full Text Available BACKGROUND: In Sub-Saharan Africa, 40% of children under five years in age are chronically undernourished. As new investments and attention galvanize action on African agriculture to reduce hunger, there is an urgent need for metrics that monitor agricultural progress beyond calories produced per capita and address nutritional diversity essential for human health. In this study we demonstrate how an ecological tool, functional diversity (FD, has potential to address this need and provide new insights on nutritional diversity of cropping systems in rural Africa. METHODS AND FINDINGS: Data on edible plant species diversity, food security and diet diversity were collected for 170 farms in three rural settings in Sub-Saharan Africa. Nutritional FD metrics were calculated based on farm species composition and species nutritional composition. Iron and vitamin A deficiency were determined from blood samples of 90 adult women. Nutritional FD metrics summarized the diversity of nutrients provided by the farm and showed variability between farms and villages. Regression of nutritional FD against species richness and expected FD enabled identification of key species that add nutrient diversity to the system and assessed the degree of redundancy for nutrient traits. Nutritional FD analysis demonstrated that depending on the original composition of species on farm or village, adding or removing individual species can have radically different outcomes for nutritional diversity. While correlations between nutritional FD, food and nutrition indicators were not significant at household level, associations between these variables were observed at village level. CONCLUSION: This study provides novel metrics to address nutritional diversity in farming systems and examples of how these metrics can help guide agricultural interventions towards adequate nutrient diversity. New hypotheses on the link between agro-diversity, food security and human nutrition are

  9. Barriers and catalysts of nutrition literacy among elderly Japanese people.

    Science.gov (United States)

    Aihara, Yoko; Minai, Junko

    2011-12-01

    Improving skills for accessing and utilizing diet/nutrition information is important for preventing non-communicable diseases and frailty among elderly people. With the rapidly increasing number of elderly people in the world, promoting nutrition literacy among them is a pivotal health policy for maintaining and promoting health. This article describes the barriers and catalysts of nutrition literacy among elderly Japanese people (aged ≥75 years). A cross-sectional analysis of the responses to a questionnaire administered to 678 study participants (men = 347, women = 331) was conducted. Logistic regression analysis revealed that more men had limited nutrition literacy than did women. After stratification by gender, the limited nutrition literacy group was associated with cognitive difficulty in men and women, visual impairment in men and hearing impairment in women. Lower education level and economic status were associated with limited nutrition literacy among women. Adjusted odds ratios (ORs) controlling for age, education level and economic status, as well as cognitive, visual and hearing function, indicated that informational support [OR = 5.59, 95% confidence interval (95% CI) = 1.28-24.49] and diet/nutrition information obtained from friends of the participants (OR = 2.16, 95% CI = 1.11-4.20) were both associated with adequate nutrition literacy among men, whereas diet/nutrition information from health professionals (OR = 3.96, 95% CI = 1.97-7.95) had a significant relation with adequate nutrition literacy among women. Moreover, in the adequate nutrition literacy group, men were more likely to be overweight (OR = 2.17, 95% CI = 1.20-3.91). These findings suggested that cognitive and sensory functions should be taken into account when diet information is provided to older adults. Enhancement of social networks is also a key point in improving nutrition literacy. An effective intervention to improve nutrition literacy in elderly people, particular old men

  10. Nutrition and Physical Activity in CKD patients

    Directory of Open Access Journals (Sweden)

    Adamasco Cupisti

    2014-07-01

    Full Text Available Chronic kidney disease (CKD patients are at risk for protein-energy wasting, abnormal body composition and impaired physical capacity. These complications lead to increased risk of hospitalization, morbidity and mortality.In CKD patient as well as in healthy people, there is a close association between nutrition and physical activity. Namely, inadequate nutrient (energy intake impairs physical performance thus favoring a sedentary lifestyle: this further contributes to loss of muscle strength and mass, which limit the quality of life and rehabilitation of CKD patients. In CKD as well as in end-stage-renal-disease patients, regular physical activity coupled with adequate energy and protein intake counteracts protein-energy wasting and related comorbidity and mortality. In summary, exercise training can positively influence nutritional status and the perception of well-being of CKD patients and may facilitate the anabolic effects of nutritional interventions.

  11. Health education and nutrition

    Directory of Open Access Journals (Sweden)

    Mpitsiori Ε.

    2016-04-01

    Full Text Available Introduction: Over the centuries both the medical and wider health sectors have developed and many new inventions and discoveries have been made; however, the health sector has never stopped to be a current issue. Every time a possible cure of a disease was found, another disease appeared and affected humans. Therefore, the requirement of our time focuses mainly on early diagnosis, immediate intervention and prevention. Objective: By using the structures and services of the Greek Public Health, this study aims to explore the ways through which models on nutrition can be developed so that human illnesses will be avoided. Methods: The material of this review is based on the printed Greek and international literature and in electronic databases. In parallel, a cheirodialogi books, articles and studies from libraries with the help of keywords. Results: The need of a system managing the huge amount of information and the different interrelated Public Health sectors is now more pressing than ever before. The Public Health interferes collectively with perpetual efforts in improving population health. As a result, its main objective is to focus on prevention and primary care. In addition, the dissemination of healthy eating habits is of primary importance for the Public Health. Conclusions: The radical change to modern lifestyle, along with the reduction in leisure time, the transformation of family structure and the subsequent adoption of new dietary habits leading to the consumption of ready and standardized food, is one of the most serious challenges for Public Health in today's era. The issue of nutrition policy is not only confined to its hygiene aspect, but it has many other important components. At first, this policy accounts for a large amount of the total economic activity of a country, concerning the primary, secondary and tertiary sector, while at the same time it absorbs a large proportion of idividual consumption. Furthermore, it is linked

  12. Nutrition and maternal, neonatal, and child health.

    Science.gov (United States)

    Christian, Parul; Mullany, Luke C; Hurley, Kristen M; Katz, Joanne; Black, Robert E

    2015-08-01

    This article reviews the central role of nutrition in advancing the maternal, newborn, and child health agenda with a focus on evidence for effective interventions generated using randomized controlled trials in low- and middle-income countries (LMIC). The 1000 days spanning from conception to 2 years of life are a critical period of time when nutritional needs must be ensured; failure to do so can lead to adverse impacts on short-term survival as well as long-term health and development [corrected]. The burden of maternal mortality continues to be high in many under-resourced settings; prenatal calcium supplementation in populations with low intakes can reduce the risk of pre-eclampsia and eclampsia morbidity and mortality and is recommended, and antenatal iron-folic acid use in many countries may reduce anemia, a condition that may be an underlying factor in postpartum hemorrhage. Sufficient evidence exists to promote multiple micronutrient supplementation during pregnancy to reduce fetal growth restriction and low birth weight. Early initiation of breastfeeding (within an hour), exclusive breastfeeding in the first 6 months of life, and vitamin A supplementation in the first few days of life in Asia (but not in Africa) reduce infant mortality. Biannual large-dose vitamin A supplements to children 6-59 months of age and zinc for treatment of diarrhea continue to be important strategies for improving child health and survival. Early nutrition and micronutrient status can influence child development but should be integrated with early responsive learning interventions. Future research is needed that goes beyond the 1000 days to ensure adequate preconceptional nutrition and health, with special emphasis on adolescents who contribute to a large proportion of first births in many LMIC. Thus, we make the case for integrating proven nutrition interventions with those for health in pregnant women, and with those for health and child development in neonates, infants, and

  13. 低血糖指数膳食对肾移植术后早期糖代谢异常患者干预效应%Nutrition intervention of low glycemic index foods in patients with glycometabolism disorder soon after renal transplantion

    Institute of Scientific and Technical Information of China (English)

    王环宇; 吕利; 王磊

    2012-01-01

    目的 探讨低血糖指数膳食对肾移植术后早期糖代谢异常患者干预效应.方法 分析2009-01至2011-02 100例肾移植术后早期患者糖代谢异常发生率,将糖代谢异常患者随机分为2组,每组27例,对照组自由膳食,干预组低血糖指数(glycemic index,GI)膳食,营养干预30 d,观察干预前后空腹血糖(fasting blood glucose,FPG)和餐后2 h血糖(2 h plasma glucose,2 h PG)的变化情况.结果 肾移植患者术后糖代谢异常发生率为54%,发生时间为术后15~180 d,前3个月发生率为44%.干预30 d后,干预组FPG和2 h PG恢复正常,与干预前比较差异有统计学意义(P<0.01),与对照组比较差异有统计学意义(P<0.01).结论 低GI膳食可以积极控制肾移植术后早期患者糖代谢异常.%Objective To investigate the effect of nutrition intervention based on low glycemic index (GI) foods on blood glucose in patients soon after renal trans pi ant ion. Methods 100 renal transplantion patients were enrolled, whose incidence of glycome-tabolism disorder was analyzed. Patients with glycometabolism disorder were randomly divided into two equal groups. One group was given low glycemic index foods while the other was given free foods as control. The duration of treatment for both groups was 30 days. Changes in fasting blood glucose and 2 h plasma glucose in patients were observed. Results The incidence of glycometabolism disorder was 54% , and the disorder occurred 15 days to 180 days after renal transplantion. After low glycemic index food intervention, fasting blood glucose and 2 h plasma glucose in the treatment group decreased significantly (P <0. 01) , much unlike control group (P <0. 01) . Conclusions Nutrition intervention based on low GI foods helps alleviate glycometabolism disorder soon after renal transplantion.

  14. IAEA Nobel Peace fund schools for nutrition. Combating child malnutrition

    International Nuclear Information System (INIS)

    Full text: Dhaka, Bangladesh - Malnutrition remains the world's most serious health problem and the single biggest contributor to child deaths in the developing world, according to the World Bank. Now, the International Atomic Energy Agency (IAEA) is using its Nobel Peace Prize earnings to promote the use of nuclear techniques to combat malnutrition during the earliest years of life. 'One out of every ten children born in developing countries will die before his or her fifth birthday,' explains IAEA nutrition expert Lena Davidsson. 'That's more than 10 million dead children each year. And the vast majority of these child deaths in developing countries are preventable with a combination of good care, adequate nutrition and appropriate medical treatment,' explains Dr. Davidsson. 'This brings us hope that unacceptably high childhood mortality can be substantially reduced with effective and well-targeted nutritional interventions.' Undernutrition is an important factor in more than half of all child deaths worldwide. The high prevalence of infants born with low birth weight and undernutrition among Asian children, especially in South Asia, emphasizes the urgent need to develop effective nutrition interventions within 'the window of opportunity', i.e., to target young women before pregnancy as well as infants and young children during the first 2 years of life. The IAEA Nobel Peace Prize Fund School for Nutrition for Asia will be held in Dhaka, Bangladesh, April 22-26, 2007. It will focus on Interventions to combat undernutrition during early life and seeks to disseminate information about the usefulness of stable isotope techniques in intervention programs that reduce malnutrition, in particular in infants and children. The event is hosted by the Government of Bangladesh through the International Centre for Health and Population Research (ICDDR, B) and the Bangladesh Atomic Energy Commission (BAEC). The IAEA is assisting some of the world's poorest countries in their

  15. Social Cognitive Determinants of Nutrition and Physical Activity Among Web-Health Users Enrolling in an Online Intervention: The Influence of Social Support, Self-Efficacy, Outcome Expectations, and Self-Regulation

    OpenAIRE

    Anderson-Bill, Eileen Smith; Winett, Richard A; Wojcik, Janet R.

    2011-01-01

    Background The Internet is a trusted source of health information for growing majorities of Web users. The promise of online health interventions will be realized with the development of purely online theory-based programs for Web users that are evaluated for program effectiveness and the application of behavior change theory within the online environment. Little is known, however, about the demographic, behavioral, or psychosocial characteristics of Web-health users who represent potential p...

  16. Nutrition knowledge and food consumption: can nutrition knowledge change food behaviour?

    Science.gov (United States)

    Worsley, Anthony

    2002-01-01

    The status and explanatory role of nutrition knowledge is uncertain in public health nutrition. Much of the uncertainty about this area has been generated by conceptual confusion about the nature of knowledge and behaviours, and, nutrition knowledge and food behaviours in particular. So the paper describes several key concepts in some detail. The main argument is that 'nutrition knowledge' is a necessary but not sufficient factor for changes in consumers' food behaviours. Several classes of food behaviours and their causation are discussed. They are influenced by a number of environmental and intra-individual factors, including motivations. The interplay between motivational factors and information processing is important for nutrition promoters as is the distinction between declarative and procedural knowledge. Consideration of the domains of nutrition knowledge shows that their utility is likely to be related to consumers' and nutritionists' particular goals and viewpoints. A brief survey of the recent literature shows that the evidence for the influence of nutrition knowledge on food behaviours is mixed. Nevertheless, recent work suggests that nutrition knowledge may play a small but pivotal role in the adoption of healthier food habits. The implications of this overview for public health nutrition are: (i) We need to pay greater attention to the development of children's and adults' knowledge frameworks (schema building); (ii) There is a need for a renewed proactive role for the education sector; (iii) We need to take account of consumers' personal food goals and their acquisition of procedural knowledge which will enable them to attain their goals; (iv) Finally, much more research into the ways people learn and use food-related knowledge is required in the form of experimental interventions and longitudinal studies. PMID:12492651

  17. Child Nutrition in Rural India: Some Policy Priorities and Strategies

    OpenAIRE

    Vipin chandran, K.P; Mrs. P. Sandhya

    2010-01-01

    The most neglected form of human deprivation is malnutrition particularly among preschool children. Millions of Indian children are equally deprived of the rights to survival, health, nutrition, education and safe drinking water. Interventions for preschool children (Early Childhood Care and Development) in India must be broadly addressed in three dimensions: child health, child development/education and child nutrition. The specific objectives of the study are to examine the current picture ...

  18. Nutrition knowledge, diet quality and hypertension in a working population

    OpenAIRE

    Geaney, F.; Fitzgerald, S.; Harrington, J M; Kelly, C.; Greiner, B A; Perry, I J

    2015-01-01

    Objective: To examine if employees with higher nutrition knowledge have better diet quality and lower prevalence of hypertension. Method: Cross-sectional baseline data were obtained from the complex workplace dietary intervention trial, the Food Choice at Work Study. Participants included 828 randomly selected employees (18–64 years) recruited from four multinational manufacturing workplaces in Ireland, 2013. A validated questionnaire assessed nutrition knowledge. Food Frequency Questionna...

  19. Integrating local agriculture into nutrition programs can benefit children's health

    OpenAIRE

    Rachel E. Scherr; Cox, Rachel J; Feenstra, Gail; Zidenberg-Cherr, Sheri

    2013-01-01

    Childhood obesity has multiple interrelated causes and so should be addressed with multiple interventions, including innovative nutrition education programs that encourage healthy lifestyle choices in children. Research indicates that garden-based nutrition education increases fruit and vegetable preferences and consumption in children. Additionally, many reports on Farm to School programs indicate they promote both increased consumption of fruits and vegetables and participation in th...

  20. Nutritional Cognitive Neuroscience: Innovations for Healthy Brain Aging

    Directory of Open Access Journals (Sweden)

    Marta Karolina Zamroziewicz

    2016-06-01

    Full Text Available Nutritional cognitive neuroscience is an emerging interdisciplinary field of research that seeks to understand nutrition’s impact on cognition and brain health across the life span. Research in this burgeoning field demonstrates that many aspects of nutrition – from entire diets to specific nutrients – affect brain structure and function, and therefore have profound implications for understanding the nature of healthy brain aging. The aim of this Focused Review is to examine recent advances in nutritional cognitive neuroscience, with an emphasis on methods that enable discovery of nutrient biomarkers that predict healthy brain aging. We propose an integrative framework that calls for the synthesis of research in nutritional epidemiology and cognitive neuroscience, incorporating: (i methods for the precise characterization of nutritional health based on the analysis of nutrient biomarker patterns, along with (ii modern indices of brain health derived from high-resolution magnetic resonance imaging. By integrating cutting-edge techniques from nutritional epidemiology and cognitive neuroscience, nutritional cognitive neuroscience will continue to advance our understanding of the beneficial effects of nutrition on the aging brain and establish effective nutritional interventions to promote healthy brain aging.

  1. The Scientific Challenge of Expanding the Frontiers of Nutrition.

    Science.gov (United States)

    Rezzi, Serge; Solari, Soren; Bouche, Nicolas; Baetge, Emmanuel E

    2016-01-01

    Nutritional research is entering a paradigm shift which necessitates the modeling of complex interactions between diet, genetics, lifestyle, and environmental factors. This requires the development of analytical and processing capabilities for multiple data and information sources to be able to improve targeted and personalized nutritional approaches for the maintenance of health. Ideally, such knowledge will be employed to underpin the development of concepts that combine consumer and medical nutrition with diagnostic targeting for early intervention designed to maintain proper metabolic homeostasis and delay the onset of chronic diseases. Nutritional status is fundamental to any description of health, and when combined with other data on lifestyle, environment, and genetics, it can be used to drive stratified or even personalized nutritional strategies for health maintenance and preventive medicine. In this work, we will discuss the importance of developing new nutrient assessment methods and diagnostic capabilities for nutritional status to generate scientific hypotheses and actionable concepts from which to develop targeted and eventually personalized nutritional solutions for health protection. We describe efforts to develop algorithms for dietary nutrient intake and a holistic nutritional profiling platform as the basis of understanding the complex nutrition and health interactome. PMID:26764480

  2. Nutritional Cognitive Neuroscience: Innovations for Healthy Brain Aging

    Science.gov (United States)

    Zamroziewicz, Marta K.; Barbey, Aron K.

    2016-01-01

    Nutritional cognitive neuroscience is an emerging interdisciplinary field of research that seeks to understand nutrition's impact on cognition and brain health across the life span. Research in this burgeoning field demonstrates that many aspects of nutrition—from entire diets to specific nutrients—affect brain structure and function, and therefore have profound implications for understanding the nature of healthy brain aging. The aim of this Focused Review is to examine recent advances in nutritional cognitive neuroscience, with an emphasis on methods that enable discovery of nutrient biomarkers that predict healthy brain aging. We propose an integrative framework that calls for the synthesis of research in nutritional epidemiology and cognitive neuroscience, incorporating: (i) methods for the precise characterization of nutritional health based on the analysis of nutrient biomarker patterns (NBPs), along with (ii) modern indices of brain health derived from high-resolution magnetic resonance imaging (MRI). By integrating cutting-edge techniques from nutritional epidemiology and cognitive neuroscience, nutritional cognitive neuroscience will continue to advance our understanding of the beneficial effects of nutrition on the aging brain and establish effective nutritional interventions to promote healthy brain aging.

  3. A Qualitative Phenomenological Exploration of Teachers' Experience With Nutrition Education

    Science.gov (United States)

    Hall, Elisha; Chai, Weiwen; Albrecht, Julie A.

    2016-01-01

    Background: Nutrition education delivered by classroom teachers has become a popular intervention designed to combat childhood obesity. However, few qualitative studies have explored nutrition education with teachers Purpose: The purpose of this study was to explore how elementary teachers describe their experience with nutrition education. Methods: A qualitative phenomenological approach was used. Semistructured interviews, observations, and document analysis were conducted with 10 teachers who delivered nutrition education in their classrooms. Inductive coding was used to determine invariant constituents, reduce constituents to categories, and cluster categories into themes. Reliability and validity were accomplished through intercoder agreement, audio recording, triangulation, bracketing, and member checking. Results: Results identified 5 core themes related to roles teachers play in nutrition education, the importance placed upon nutrition, motivation for supplementary activities, barriers, and a triadic relationship between students, teachers, and curriculum. Discussion: Findings reveal interactions within the nutrition education experience in which teachers balance barriers with their value of nutrition education and motivation to help students make healthy choices. Translation to Health Education Practice: Health educators should work with classroom teachers at the program design, implementation, and evaluation stages of curriculum development to better address needs and facilitate the delivery of high-quality nutrition education for students. PMID:27226814

  4. Describing nutrition in spinal muscular atrophy: A systematic review.

    Science.gov (United States)

    Moore, Georgia E; Lindenmayer, Amara W; McConchie, Grace A; Ryan, Monique M; Davidson, Zoe E

    2016-07-01

    Spinal muscular atrophy (SMA) is an autosomal recessive neuromuscular disease of variable severity. Progressive muscle wasting and impairment in functional ability in SMA have a profound influence on nutritional outcomes. This systematic review summarises the existing evidence on nutrition in SMA. The search strategy was conducted across five databases in August 2014, and updated in March 2016, using key terms relating to growth, nutrition requirements, dietary intake and nutrition management. Studies were selected for inclusion using a two pass method, and data systematically extracted using standardised forms. Thirty-nine studies met eligibility criteria. Body composition is abnormal in patients with SMA, and feeding and swallowing issues are prevalent among sufferers of SMA types I and II. Nutritional management practices vary internationally. There is a paucity of literature regarding nutrition requirements in SMA, although it appears that energy expenditure may be reduced. Children with SMA require individualised nutritional management in order to address their growth and nutrition requirements. There is an urgent need for larger, coordinated, prospective intervention studies of nutrition in SMA. PMID:27241822

  5. A Holistic School-Based Nutrition Program Fails to Improve Teachers' Nutrition-Related Knowledge, Attitudes and Behaviour in Rural China

    Science.gov (United States)

    Wang, Dongxu; Stewart, Donald; Chang, Chun

    2016-01-01

    Purpose: The purpose of this paper is to examine the effectiveness of a holistic school-based nutrition programme using the health-promoting school (HPS) approach, on teachers' knowledge, attitudes and behaviour in relation to nutrition in rural China. Design/methodology/approach: A cluster-randomised intervention trial design was employed. Two…

  6. A survey of nutritional practices for children with cancer in India

    Directory of Open Access Journals (Sweden)

    A Sharma

    2015-01-01

    Full Text Available Background: Assessing nutritional status and delivering optimal nutritional care is a part of modern day treatment of children with cancer. The nutritional practices in India for these children have not been previously described. Aims: To describe the existing nutrition assessment and management practices for children with cancer in India. Methods: Attendees of the First International Society of Pediatric Oncology-Pediatric Oncology in Developing Countries workshop on nutrition in children with cancer organized in September 2014 at Tata Memorial Hospital, Mumbai, India were invited to complete a self-administered questionnaire related to three domains: nutritional assessment, intervention, and education. Results: Hundred and eight respondents from 42 health institutions and background in the health sector participated in the survey. There was variability in nutritional assessment, practice and education. Lack of resources and time are contributory. Conclusions: This assessment of nutritional services in India provided useful information to plan development of national guidelines, policy, and delivery of services.

  7. Nutritional assessment and therapy in COPD: a European Respiratory Society statement.

    Science.gov (United States)

    Schols, Annemie M; Ferreira, Ivone M; Franssen, Frits M; Gosker, Harry R; Janssens, Wim; Muscaritoli, Maurizio; Pison, Christophe; Rutten-van Mölken, Maureen; Slinde, Frode; Steiner, Michael C; Tkacova, Ruzena; Singh, Sally J

    2014-12-01

    Nutrition and metabolism have been the topic of extensive scientific research in chronic obstructive pulmonary disease (COPD) but clinical awareness of the impact dietary habits, nutritional status and nutritional interventions may have on COPD incidence, progression and outcome is limited. A multidisciplinary Task Force was created by the European Respiratory Society to deliver a summary of the evidence and description of current practice in nutritional assessment and therapy in COPD, and to provide directions for future research. Task Force members conducted focused reviews of the literature on relevant topics, advised by a methodologist. It is well established that nutritional status, and in particular abnormal body composition, is an important independent determinant of COPD outcome. The Task Force identified different metabolic phenotypes of COPD as a basis for nutritional risk profile assessment that is useful in clinical trial design and patient counselling. Nutritional intervention is probably effective in undernourished patients and probably most when combined with an exercise programme. Providing evidence of cost-effectiveness of nutritional intervention is required to support reimbursement and thus increase access to nutritional intervention. Overall, the evidence indicates that a well-balanced diet is beneficial to all COPD patients, not only for its potential pulmonary benefits, but also for its proven benefits in metabolic and cardiovascular risk. PMID:25234804

  8. Optimizing patient nutrition

    DEFF Research Database (Denmark)

    Geiker, Nina Rica Wium

    (Paper I). The present study is, to my knowledge, the only study investigating the validity of performed nutritional risk screenings by comparing them with medical records. Eight per cent of patients were correctly screened for nutritional risk. A total of 24% of 2393 patients were nutritionally screened......Malnutrition, under-nutrition and/or obesity, may develop due to disease but may also cause disease. The prevalence of under-nutrition among hospitalized patients is high: 40-60% are either already under-nourished on admittance or at-risk of becoming malnourished. As in the general population...... of prescription medication, and take longer to recover. Acknowledging the adverse effects of malnutrition on health, since 2006 it has been mandatory to screen all patients for nutritional risk within 24 hours of admittance at all hospitals in the Capital Region, Denmark. The compliance to and the validity...

  9. Scaling up impact on nutrition: what will it take?

    Science.gov (United States)

    Gillespie, Stuart; Menon, Purnima; Kennedy, Andrew L

    2015-07-01

    Despite consensus on actions to improve nutrition globally, less is known about how to operationalize the right mix of actions-nutrition-specific and nutrition-sensitive-equitably, at scale, in different contexts. This review draws on a large scaling-up literature search and 4 case studies of large-scale nutrition programs with proven impact to synthesize critical elements for impact at scale. Nine elements emerged as central: 1) having a clear vision or goal for impact; 2) intervention characteristics; 3) an enabling organizational context for scaling up; 4) establishing drivers such as catalysts, champions, systemwide ownership, and incentives; 5) choosing contextually relevant strategies and pathways for scaling up, 6) building operational and strategic capacities; 7) ensuring adequacy, stability, and flexibility of financing; 8) ensuring adequate governance structures and systems; and 9) embedding mechanisms for monitoring, learning, and accountability. Translating current political commitment to large-scale impact on nutrition will require robust attention to these elements. PMID:26178028

  10. What is Nutrition & Metabolism?

    OpenAIRE

    Feinman Richard D; Hussain M Mahmood

    2004-01-01

    Abstract A new Open Access journal, Nutrition & Metabolism (N&M) will publish articles that integrate nutrition with biochemistry and molecular biology. The open access process is chosen to provide rapid and accessible dissemination of new results and perspectives in a field that is of great current interest. Manuscripts in all areas of nutritional biochemistry will be considered but three areas of particular interest are lipoprotein metabolism, amino acids as metabolic signals, and the effec...

  11. Cachexia: a nutritional syndrome?

    OpenAIRE

    Anker, Stefan D.; Morley, John E.

    2015-01-01

    Cachexia leads to nutritional deficits including anorexia and loss of fat and muscle mass. In persons with precachexia or early cachexia, for example, old persons with weight loss and chronic obstructive pulmonary disease, there is strong evidence that nutritional support improves outcomes. Limited evidence suggests that this may be true for heart failure and chronic kidney disease. The evidence for nutritional support in refractory cachexia is, not surprisingly, less dramatic. It would appea...

  12. Intensive nutritional support improves the nutritional status and body composition in severely malnourished children with cerebral palsy

    OpenAIRE

    Andrea A. García-Contreras; Edgar M Vásquez-Garibay; Enrique Romero-Velarde; Ana Isabel Ibarra-Gutiérrez; Rogelio Troyo-Sanromán; Imelda E. Sandoval-Montes

    2014-01-01

    Objective: To demonstrate that a nutritional support intervention, via naso-enteral tube-feeding or gastrostomy, has a significant impact on the nutritional status and body composition in severely malnourished children with cerebral palsy spastic quadriplegia Methods: Thirteen patients with moderate/severe malnutrition and cerebral palsy spastic quadriplegia who were fed via naso-enteral tube-feeding or gastrostomy were included in a cohort study. Anthropometric measurements and estimated bod...

  13. European consumers and nutrition labelling

    DEFF Research Database (Denmark)

    Wills, Josephine M.; Grunert, Klaus G.; Celemín, Laura Fernández;

    2009-01-01

    Nutrition labelling of food in Europe is not compulsory, unless a nutrition or health claim is made for the product. The European Commission is proposing mandatory nutrition labelling, even front of pack labelling with nutrition information. Yet, how widespread is nutrition labelling in the EU...

  14. Nutrition for Older Men

    Science.gov (United States)

    ... and Facts Fitness Fitness Find out more Categories Sports and Performance Training and Recovery Exercise Topics Fueling Your Workout Benefits of Physical Activity Exercise Nutrition Top Articles Man ...

  15. Anti-nutritional Factors.

    Science.gov (United States)

    2016-01-01

    Anti-nutritional factors such as trypsin inhibitor, phytic acid and cyanogen are as important as nutritional content of any edible plant part. The anti-nutritional factors can be defined as those substances generated in natural food substances by the normal metabolism of species and by different mechanisms (e.g. inactivation of some nutrients, diminution of the digestive process or metabolic utilization of feed) which exert effects contrary to optimum nutrition. Hence, trypsin inhibitor, phytic acid and cyanogens present in edibles with the methods in the chapter would be helpful. PMID:26939264

  16. School-Based Obesity Prevention Intervention in Chilean Children: Effective in Controlling, but not Reducing Obesity

    OpenAIRE

    2014-01-01

    Objective. To evaluate the effectiveness of a 12-month multicomponent obesity prevention intervention. Setting. 9 elementary schools in Santiago, Chile. Subjects. 6–8 y old low-income children (N = 1474). Design. Randomized controlled study; 5 intervention/4 control schools. We trained teachers to deliver nutrition contents and improve the quality of PE classes. We determined % healthy snacks brought from home, children's nutrition knowledge, nutritional status, duration of PE classes, and % ...

  17. Nutrition Transition in Rural Tanzania and Kenya.

    Science.gov (United States)

    Keding, Gudrun

    2016-01-01

    All three types of malnutrition - underweight, overweight and micronutrient deficiency - are experienced in countries undergoing a nutrition transition, and they can occur in parallel in one community or even one household. To combat this triple burden of malnutrition, a combination of different strategies will be necessary, including a focus on food-based strategies that promote the consumption of a wide range of foods across nutritionally distinct food groups. In addition to a literature review, data from our own nutrition studies in both Tanzania and Kenya are presented in this paper. The literature review revealed an average of 10% of children in urban areas of Kenya and Tanzania with overweight and obesity, which is an alarming trend, and it is suggested that interventions need to start not only at school but also with adolescent girls and pregnant women to target the '1,000-day window'. From own study data, dietary patterns were generated that included a 'purchase' pattern dominated by bought and processed foods, indicating a possible nutrition transition even in the rural areas of both countries. Vegetable and especially fruit consumption was low in both countries. In addition, in Kenya, study participants exceeded the suggested maximum level of sugar consumption per day, which will most likely contribute to increasing levels in overweight and obesity prevalence and other noncommunicable diseases in general. As sugar was mainly consumed in combination with black tea, next to eating habits, changing drinking habits is also an important part of the nutrition transition and needs to receive more attention. A 'healthy eating at school and at home strategy' is suggested, which needs the support of both schools and parents/caregivers. In general, to take countermeasures against the negative trends of nutrition transition, joint efforts from all players in the field - not only those in nutrition, health and medicine, but also those in education and agriculture

  18. Study of intervention of balanced nutrition in early period combined with ear acupuncture therapy for the mental and physical development of high-risk children%早期均衡营养联合耳穴疗法干预高危儿体智能发育的研究

    Institute of Scientific and Technical Information of China (English)

    黄成凤; 付蓉; 万虹; 胡国芳; 陈莉; 张萍; 史方菊; 李霞; 欧仁兵

    2012-01-01

    Objective To investigate the effect of balanced nutrition in early period combined with ear acupuncture therapy intervention on the mental and physical development of high-risk children.Methods One hundred and twenty-five cases of high-risk children were divided into two groups,intervention group of 62 patients and control group of 63 patients.On the basis of conventional therapy,children in control group only received guiding and assessing of general feeding knowledge.Children in intervention group recieved intervention of balanced nutrition education in early period combined with ear acupuncture therapy,and the parents in the family were guided to know how to make and arrange a restable balanced die for children,how to massage the whole ear and rub ear,intensive training.Guidance of dietary assessment,physical examination and mental development tests were regularly conducted.Results Physical development in intervention group was superior to control group,the height,weight and head circumference of intervention group were within the normal range,whereas there were 8 cases of malnutrition,19 cases of obesity,and the abnormal cases accounted for 42.9% in control group; Prevalence of anemia in children with one year old in the intervention group was 3.2% (2 cases),and was 50.8% (32 cases) in the control group,there was significant difference (P < 0.01).There were significant differences in the five functional areas and total development ratio between the two groups (P < 0.01),and the differences gradually increased with age increased.The incidences of retardation and sequelae in intervention group were significantly lower than those in the control group (P < 0.01).Conclusions Balanced nutrition in early period combined with ear acupuncture therapy is very effective.It can promote the intellectual development of high-risk children,reduce the incidence of neurological sequelae and improve the quality of children' s life.It is simple and should be promoted

  19. Nutrition in medical education: reflections from an initiative at the University of Cambridge

    Directory of Open Access Journals (Sweden)

    Ball L

    2014-05-01

    Full Text Available Lauren Ball,1 Jennifer Crowley,2 Celia Laur,3 Minha Rajput-Ray,3 Stephen Gillam,4 Sumantra Ray3 1Nutrition and Dietetics, School of Allied Health Sciences, Centre for Health Practice Innovation, Griffith University, Queensland, Brisbane, Australia; 2Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand; 3Need for Nutrition Education/Innovation Programme, Medical Research Council Human Nutrition Research, Cambridge, UK; 4Department of Public Health and Primary Care, Institute of Public Health, University of Cambridge, Cambridge, UK Abstract: Landmark reports have confirmed that it is within the core responsibilities of doctors to address nutrition in patient care. There are ongoing concerns that doctors receive insufficient nutrition education during medical training. This paper provides an overview of a medical nutrition education initiative at the University of Cambridge, School of Clinical Medicine, including 1 the approach to medical nutrition education, 2 evaluation of the medical nutrition education initiative, and 3 areas identified for future improvement. The initiative utilizes a vertical, spiral approach during the clinically focused years of the Cambridge undergraduate and graduate medical degrees. It is facilitated by the Nutrition Education Review Group, a group associated with the UK Need for Nutrition Education/Innovation Programme, and informed by the experiences of their previous nutrition education interventions. Three factors were identified as contributing to the success of the nutrition education initiative including the leadership and advocacy skills of the nutrition academic team, the variety of teaching modes, and the multidisciplinary approach to teaching. Opportunities for continuing improvement to the medical nutrition education initiative included a review of evaluation tools, inclusion of nutrition in assessment items, and further alignment of the Cambridge curriculum with the

  20. Guide and Position of the International Society of Nutrigenetics/Nutrigenomics on Personalised Nutrition: Part 1 - Fields of Precision Nutrition.

    Science.gov (United States)

    Ferguson, Lynnette R; De Caterina, Raffaele; Görman, Ulf; Allayee, Hooman; Kohlmeier, Martin; Prasad, Chandan; Choi, Myung Sook; Curi, Rui; de Luis, Daniel Antonio; Gil, Ángel; Kang, Jing X; Martin, Ron L; Milagro, Fermin I; Nicoletti, Carolina Ferreira; Nonino, Carla Barbosa; Ordovas, Jose Maria; Parslow, Virginia R; Portillo, María P; Santos, José Luis; Serhan, Charles N; Simopoulos, Artemis P; Velázquez-Arellano, Antonio; Zulet, Maria Angeles; Martinez, J Alfredo

    2016-01-01

    Diversity in the genetic profile between individuals and specific ethnic groups affects nutrient requirements, metabolism and response to nutritional and dietary interventions. Indeed, individuals respond differently to lifestyle interventions (diet, physical activity, smoking, etc.). The sequencing of the human genome and subsequent increased knowledge regarding human genetic variation is contributing to the emergence of personalized nutrition. These advances in genetic science are raising numerous questions regarding the mode that precision nutrition can contribute solutions to emerging problems in public health, by reducing the risk and prevalence of nutrition-related diseases. Current views on personalized nutrition encompass omics technologies (nutrigenomics, transcriptomics, epigenomics, foodomics, metabolomics, metagenomics, etc.), functional food development and challenges related to legal and ethical aspects, application in clinical practice, and population scope, in terms of guidelines and epidemiological factors. In this context, precision nutrition can be considered as occurring at three levels: (1) conventional nutrition based on general guidelines for population groups by age, gender and social determinants; (2) individualized nutrition that adds phenotypic information about the person's current nutritional status (e.g. anthropometry, biochemical and metabolic analysis, physical activity, among others), and (3) genotype-directed nutrition based on rare or common gene variation. Research and appropriate translation into medical practice and dietary recommendations must be based on a solid foundation of knowledge derived from studies on nutrigenetics and nutrigenomics. A scientific society, such as the International Society of Nutrigenetics/Nutrigenomics (ISNN), internationally devoted to the study of nutrigenetics/nutrigenomics, can indeed serve the commendable roles of (1) promoting science and favoring scientific communication and (2) permanently

  1. Monitoring and Nutritive Intervention of the Female Figure Skaters' Weight Control%女子花样滑冰运动员体重监控和营养干预

    Institute of Scientific and Technical Information of China (English)

    孙岩

    2011-01-01

    花样滑冰是技巧与艺术性结合的冰上项目,优美的形体是影响裁判员评分的重要因素,运动员长期面临控体重的任务。在保障训练效果的前提下,以体重、体脂百分比和生理生化指标监控为基础,科学合理控体重。花样滑冰运动员每日膳食摄入较少,通过科学搭配,保障蛋白质、碳水化合物、脂类、维生素、无机盐和水的合理摄入,帮助运动员科学控制体重。%As an ice sports event of combining skill and artistry,the figure skating requires the skaters to control their weight into a graceful shape which is an important factor influencing the referees' judgment.On condition of ensuring the training effect,it should scientifically control the weight by monitoring the weight,body fat,physiological and biochemical indexes.Because of the skaters' less intake from diurnal meals,it suggests helping their weight control with reasonable nutritive intake from scientific collocation of protein,carbohydrate,lipids,vitamin,inorganic salt and water.

  2. Graduate level training in nutrition: an integrated model for capacity building- a national report.

    Directory of Open Access Journals (Sweden)

    Robabeh Sheikholeslam

    2015-03-01

    Full Text Available Iran has been active in human nutrition training for the past five decades, but the existing curricular programs do not equip the graduates with the knowledge and skills required for solving food security and nutritional problems of the country. Given this, the Nutrition Department (ND of Iran's Ministry of Health and Medical Education (MOHME initiated a curricular reform to develop responsive graduate programs in key areas of nutrition that fill the existing gaps in nutrition training with the goal of improving nutrition policy-making and program development, implementation and evaluation. ND called for a request for proposals for a project entitled "Graduate Level Training in Nutrition". Specifically, with technical assistance from leading academic institutions in Asia, North America and UK, seven new graduate programs were housed in three separate institutions, but coordinated so that together they form a broad multidisciplinary resource for graduate education and research. These seven-degree programs are MSc and PhD in Molecular/Cellular Nutrition, MSc and PhD in Nutritional Epidemiology, MSc and PhD in Food Policy and Nutrition Intervention, and MSc in Community Nutrition. The programs were prepared in collaboration and active participation of selected faculty members of the three Iranian universities, International Union of Nutritional Sciences and the University of Philippines at Los Baños. The development of these programs was made possible through a loan from the World Bank, under the Second Primary Health and Nutrition Project in the MOHME.

  3. Effects of different nutrition intervention on alimentary tract reconstruction in knowledge and practice nutrition and efficacies of patients with type 2 diabetes mellitus%不同营养干预法对行胃转流术2型糖尿病患者营养知信行的影响和疗效观察

    Institute of Scientific and Technical Information of China (English)

    王自勤; 刘艳荣; 王霞; 刘红斌; 陈永春

    2014-01-01

    2009年10月至2011年3月在我院行胃转流术治疗的206例2型糖尿病患者,手术前行标准糖尿病膳食(156例,标准膳食组)与自主择食(50例,对照组),住院期间均①接受常规糖尿病营养宣教;②标准膳食组接受膳食实物法教育:以自深的标准膳食为参照,对比并掌握手术前后个体化食谱和摄食技巧;对照组依据宣教指导自行安排膳食.出院6个月后门诊随访进行糖尿病营养的知、信、行问卷调查:标准膳食组的认知平均总得分为(93.4±7.5)分、膳食治疗知识分为(13.8±1.6)分、态度分为(9.6±1.9)分、行为分为(32.2±3.9)分,和对照组相比差异均有统计学意义(均P<0.05).标准膳食组术后血糖异常和胃肠道梗阻等并发症发生率与对照组比较差异有统计学意义(均P <0.05).提示,膳食实物法联合常规糖尿病营养宣教能提高行胃转流术的2型糖尿病患者营养知、信、行的水平,有助于控制术后并发症的发生.%A total of 206 patients of type 2 diabetes mellitus (T2DM) were assigned into the trial group (n =156) and the control group (n =50) according to whether real object-based diabetic diet was provided.Traditional nutritional education for both groups during hospitalization.The patients in the trial group received a real object-based diabetic diet guided by a nutritionist who adjusted feeding regimens and skills before and after operation.The control group had a free access to a normal diet.The patient understanding of knowledge,attitude and practice (KAP) was examined by nutrition surveys.And their postoperative nutrition states and complications were assessed by questionnaires during a 6-month follow-up.The total average score of cognitive divided was 93.4 ± 7.5,the average score of diet therapy knowledge 13.8 ± 1.6 and the average scores of attitude and practice 9.6 ± 1.9 and 32.2 ±3.9.Significant differences existed between two groups (P < 0.05).The incidence rates of

  4. Undercovering the hidden links. Nuclear and isotope techniques target nutritional needs

    International Nuclear Information System (INIS)

    Global nutrition problems raise a host of questions and warrant action by the international community of scientists, nutritionists, physicians and other medical professionals. What steps should be taken to remedy this situation? How can this be accomplished economically? How can progress be monitored? What is the role of technology in the overall monitoring process? The last question, which is most relevant to this article, is of particular importance to the IAEA and its support of nutrition programmes. The IAEA's activities in human nutrition were initiated to apply nuclear and related isotopic techniques for solving problems prevalent in developing countries. Among the numerous applications available, isotopic techniques are uniquely well suited to targeting and tracking progress in food and nutrition development programmes. These are tools that help evaluate nutritional status of individuals and populations, measure nutrient requirements and the uptake and bio-availability of vitamins and minerals. The IAEA's efforts help to: verify the nature of the nutrition problem and the efficacy of specific interventions; implement nutrition intervention programmes by monitoring effectiveness and reducing programme costs; guide in the processing of local foods for optimal nutritional value; serve as early indicators of important long-term health improvements; and strengthen capacity building in developing countries. Among the numerous applications available, isotopic techniques are uniquely well suited to targeting and tracking progress in food and nutrition development programmes. These are tools that help evaluate nutritional status of individuals and populations, measure nutrient requirements and the uptake and bio-availability of vitamins and minerals. The IAEA's efforts help to: verify the nature of the nutrition problem and the efficacy of specific interventions; implement nutrition intervention programmes by monitoring effectiveness and reducing programme costs

  5. Geological impacts on nutrition

    Science.gov (United States)

    This chapter reviews the nutritional roles of mineral elements, as part of a volume on health implications of geology. The chapter addresses the absorption and post-absorptive utilization of the nutritionally essential minerals, including their physiological functions and quantitative requirements....

  6. Test Your Nutrition IQ

    Institute of Scientific and Technical Information of China (English)

    李井岗

    2004-01-01

    All of us eat every day, but most of us don't understand nutrition. How much do you know about good nutrition? Please answer these twelve questions based on current ideas about food and health. The answers may surprise you.

  7. Future of enteral nutrition.

    OpenAIRE

    Silk, D. B.

    1986-01-01

    Although there has been agreement that enteral nutrition remains an excellent means of providing nutritional support to malnourished patients with normal or near normal gastrointestinal function, it is clear that areas of controversy do exist, and attention needs to be directed towards these in the future.

  8. Nutrition and Learning.

    Science.gov (United States)

    Black, Susan

    2000-01-01

    Studies by Tufts University's Center on Hunger and Poverty show conclusive links between nutrition and children's cognitive development. Cognitive defects can result from complex interactions between malnutrition and "environmental insults" that come from living in poverty. Poor nutrition has longterm consequences. Print and web resources are…

  9. Indications for nutritional support.

    OpenAIRE

    Carpentier, Y A

    1986-01-01

    In this review different types of patients who usually require nutritional support are considered and recommendations made as to when nutritional support should be started, how long it should be continued, and which substrates should be preferentially used by which route.

  10. Physician nutrition education.

    Science.gov (United States)

    Kiraly, Laszlo N; McClave, Stephen A; Neel, Dustin; Evans, David C; Martindale, Robert G; Hurt, Ryan T

    2014-06-01

    Nutrition education for physicians in the United States is limited in scope, quality, and duration due to a variety of factors. As new data and quality improvement initiatives highlight the importance of nutrition and a generation of nutrition experts retire, there is a need for new physician educators and leaders in clinical nutrition. Traditional nutrition fellowships and increased didactic lecture time in school and postgraduate training are not feasible strategies to develop the next generation of physician nutrition specialists in the current environment. One strategy is the development of short immersion courses for advanced trainees and junior attendings. The most promising courses include a combination of close mentorship and adult learning techniques such as lectures, clinical experiences, literature review, curricular development, research and writing, multidisciplinary interactions, and extensive group discussion. These courses also allow the opportunity for advanced discourse, development of long-term collaborative relationships, and continued longitudinal career development for alumni after the course ends. Despite these curricular developments, ultimately the field of nutrition will not mature until the American Board of Medical Specialties recognizes nutrition medicine with specialty board certification. PMID:24690613

  11. Rural-urban disparities in child nutrition in Bangladesh and Nepal

    OpenAIRE

    Srinivasan, Chittur S.; Zanello, Giacomo; Shankar, Bhavani

    2013-01-01

    Background The persistence of rural-urban disparities in child nutrition outcomes in developing countries alongside rapid urbanisation and increasing incidence of child malnutrition in urban areas raises an important health policy question - whether fundamentally different nutrition policies and interventions are required in rural and urban areas. Addressing this question requires an enhanced understanding of the main drivers of rural-urban disparities in child nutrition outcomes especiall...

  12. Nutrition Education Based on Health Belief Model Improves Dietary Calcium Intake among Female Students of Junior High Schools

    OpenAIRE

    Naghashpour, Mahshid; Shakerinejad, Ghodratollah; Lourizadeh, Mohammad Reza; Hajinajaf, Saeedeh; Jarvandi, Farzaneh

    2014-01-01

    ABSTRACT This study examined the effects of a nutrition education programme based on the Health Belief Model (HBM) on knowledge, attitude, and practice (KAP) of dietary calcium in female students. In this interventional study, 188 students were placed into intervention (95) and control (93) groups. The intervention group participated in a nutrition education programme. Students in both the groups completed KAP and food frequency questionnaire (FFQ) at baseline and after two and three months o...

  13. Nutrition Care for Patients with Weight Regain after Bariatric Surgery

    Directory of Open Access Journals (Sweden)

    Carlene Johnson Stoklossa

    2013-01-01

    Full Text Available Achieving optimal weight outcomes for patients with obesity is important to the management of their chronic disease. All interventions present risks for weight regain. Bariatric surgery is the most efficacious treatment, producing greater weight losses that are sustained over more time compared to lifestyle interventions. However, approximately 20–30% of patients do not achieve successful weight outcomes, and patients may experience a regain of 20–25% of their lost weight. This paper reviews several factors that influence weight regain after bariatric surgery, including type of surgery, food tolerance, energy requirements, drivers to eat, errors in estimating intake, adherence, food and beverage choices, and patient knowledge. A comprehensive multidisciplinary approach can provide the best care for patients with weight regain. Nutrition care by a registered dietitian is recommended for all bariatric surgery patients. Nutrition diagnoses and interventions are discussed. Regular monitoring of weight status and early intervention may help prevent significant weight regain.

  14. Intervenção nutricional e prevenção primária do diabetes mellitus tipo 2: uma revisão sistemática Nutritional intervention and primary prevention of type 2 diabetes mellitus: a systematic review

    Directory of Open Access Journals (Sweden)

    Daniela Saes Sartorelli

    2006-01-01

    Full Text Available O diabetes mellitus tipo 2 pode ser considerado um dos principais problemas de saúde pública no mundo atual. A prevalência crescente em diversos países e o difícil controle metabólico dos indivíduos com a doença em evolução justificam o estudo de estratégias para prevenção primária do diabetes mellitus tipo 2. Ensaios clínicos aleatorizados controlados recentes sugerem um impacto importante da intervenção nutricional na redução do risco de desenvolvimento de diabetes mellitus tipo 2 entre indivíduos portadores de fatores de risco. O presente artigo de revisão descreve o impacto de programas de intervenção no estilo de vida em ensaios clínicos aleatorizados controlados para a prevenção primária do diabetes mellitus tipo 2.Type 2 diabetes mellitus is one of the most important public health problems in the world. Its increasing prevalence in several countries and the difficult metabolic control of individuals with the disease justify studying strategies for primary prevention. Recent randomized clinical trials suggest that nutritional intervention may have an important impact on risk reduction for type 2 diabetes mellitus among individuals at high risk. The present systematic review describes the effect of lifestyle intervention trials on primary prevention of type 2 diabetes mellitus.

  15. The Child and Adult Care Food Program and the Nutrition of Preschoolers

    OpenAIRE

    Korenman, Sanders; Abner, Kristin S.; Kaestner, Robert; Gordon, Rachel A.

    2013-01-01

    Children spend a considerable amount of time in preschools and child care centers. As a result, these settings may have an influence on their diet, weight, and food security, and are potentially important contexts for interventions to address nutritional health. The Child and Adult Care Food Program (CACFP) is one such intervention. No national study has compared nutrition-related outcomes of children in CACFP-participating centers to those of similar children in non-participating centers. We...

  16. Fetal Alcohol Spectrum Disorders: Experimental Treatments and Strategies for Intervention

    OpenAIRE

    Idrus, Nirelia M.; Thomas, Jennifer D.

    2011-01-01

    Despite the known damaging effects of prenatal alcohol exposure, women continue to drink during pregnancy, creating a need for effective interventions and treatments for fetal alcohol spectrum disorders (FASD). Experimental models can be useful in identifying potential treatments, and this article describes the spectrum of experimental therapeutics that currently are being investigated, including pharmacological, nutritional, and environmental/behavioral interventions. Some treatments target ...

  17. Nutritional assessment in the critically ill.

    Science.gov (United States)

    Manning, E M; Shenkin, A

    1995-07-01

    Although many of the measurements and techniques outlined in this article may be epidemiologically useful and correlate with morbidity and mortality, no single indicator is of consistent value in the nutritional assessment of critically ill patients. Measurements such as anthropometrics, total body fat estimation, or delayed hypersensitivity skin testing either are liable to non-nutritional influences or lack accuracy and precision in individual patients. Plasma concentrations of hepatic proteins are affected significantly by the patient's underlying disease state and therapeutic interventions and therefore lack specificity. Although the measurement of these proteins is of little value in the initial nutritional assessment of the critically ill, serial measurement, particularly of plasma pre-albumin, may be useful in monitoring the response to nutritional support. Nitrogen balance is a widely used and valuable nutritional indicator in the critically ill. Direct measurement of urine nitrogen is the preferred test, although nitrogen excretion often is derived from 24-hour urine urea measurement, an inexpensive and easy procedure, but one that is less accurate. More accurate techniques of assessing change in nutritional status, such as IVNAA of total body nitrogen or isotopic measurement of exchangeable potassium or sodium, are more expensive, less available, unsuitable for repeated analyses, and less feasible in severely ill patients. Total body nitrogen measured using IVNAA and total-body potassium, however, are the most accurate ways of measuring body composition in the presence of large amounts of edema fluid. The application of body composition measurements to patient care remains poorly defined because of the many problems encountered with the various techniques, including cost, availability, and radiation exposure. Improved, more sensitive and, preferably, bedside methods for the measurement of body composition are needed. It is of paramount importance that

  18. CONFERENCE CHEVREUL Nutrition research: the industrial approach

    Directory of Open Access Journals (Sweden)

    Korver Onno

    2000-01-01

    Full Text Available The goal of nutrition research in an industrial setting is the marketing of products. Since consumers cannot see from the product whether it is healthy, communication to the consumer about the nutritional and health values of the products is essential. Industrial nutrition research therefore has to provide the scientific dossier to underpin the claims and other communication on and around the product as well as the scientific basis for the communication. These two lines are illustrated in figure 1. For scientific audiences the steps to collect the scientific evidence are obvious: first screening for new ideas on the basis of scientific developments and business options, then identifying ingredients that can deliver the health benefit, followed by mechanistic and bioavailability studies and finally human intervention trials. The communication line is less obvious for most scientifically oriented audiences. Experience has shown that an information cascade has to be followed: during the execution of the research work close contact with academic experts (a true dialogue is essential, when the research data are available information of a wide selection of health professionals (e.g. physicians, dieticians, science journalists is taking place and only after this step communication to the consumer starts. The communication with the scientific experts (the first step of the cascade obviously has to be in the hands of the nutrition research group of the industry involved. In Unilever this is the Unilever Nutrition Centre based in Vlaardingen in the Netherlands. Their role in the scientific dialogue is outlined in figure 2. The fact that the “Medaille Chevreul” has been awarded twice to members of the Unilever Nutrition Centre in the last two decades, illustrates that the UNC is considered to be a group with a truly scientific tradition.

  19. Nutrition notes for quick reference. Issues and perspectives reflecting the UN thinking on the global nutritional scenario and its relevance to the activities of NAHRES/NAHU

    International Nuclear Information System (INIS)

    Nutritional sciences are both complex and multidisciplinary in nature and will be more so in the coming years. Recent developments in nutrition extending into areas such as nutrient gene interactions, nutrient-pollutant interactions, nutritional physiology and preventive medicine among others, are emerging as new dimensions for our understanding the many relationships between nutrition and health on one hand. and nutrition and disease on the other. The future nutritional researcher should be prepared to address a range of scientific and clinical disciplines together. Food safety issues and factors that contribute to nutrient compositional changes are critical to several aspects surrounding the nutrition-health-disease domain, and will continue to attract much attention in the future. Nutritional toxicology too will become a major challenge in this context. New strategies are being sought to address micronutrient malnutrition (vitamin A and iron deficiencies in particular). The UN agencies are supporting several initiatives to alleviate micronutrient deficiencies as major public health problems in nutrition. The IAEA is contributing to these efforts by facilitating the development of a variety of isotope based techniques to improve nutrition monitoring techniques and to identify effective strategies in nutrition intervention schemes particularly among vulnerable groups in developing regions around the world

  20. Health education and medical behavior intervention among healthcare providers who manage diarrhea,rickets.pneumonia,and nutritional anemia in urban children%城区儿童"四病"防治中医护人员健康教育干预效果分析

    Institute of Scientific and Technical Information of China (English)

    赵红梅; 康如形

    2009-01-01

    于2006年10月至2008年12月在长沙市雨花区一省级医院医务人员120人,10个区卫生院、卫生站医务人员50人和<3岁婴幼儿腹泻、佝偻病、肺炎、营养性贫血"四病"患儿的看护人员共400人分组实施健康教育信息传播和治疗行为干预.结果 示干预后各级医务人员掌握婴幼儿"四病"防治措施的平均知识分数、口服补液盐使用率较干预前明显增高(P<0.05或0.01);母乳喂养普及率提高,辅食及时添加率及种类明显改善,抗生素使用率明显下降,给看护人建议增加,看护人"四病"知识合格率及相关治疗行为较十预前改善,均P<0.01.提示采用三级网络培训干预措施,对城区婴幼儿"四病"防治中医护人员进行健康教育信息传播和治疗行为干预,效果明显.%From October 2006 to December 2008,170 medical professionals(120 from a provincial hospital,and 50 from 10 district hospitals or hygiene stations),and 400 baby watchers who took care of children(aged<3 years)with diarrhea,rickets,pneumonia,or nutritional anemia were randomly assigned to reeeive health education or medical behavior intervention.The results showed that the basic knowledge on prevention and treatment of diarrhea,rickets,pneumonia,or nutritional anemia wad improved,and oral rehydration solution utility rate was significantly increased(P<0.05 or P<0.01).The rate of breast feeding was higher,and the use of auxiliary food became more proper and timely.The use of antibiotics decreased.The baby watchers got more suggestions,and their qualification rate of medical knowledge and disease.related treatment behaviors were improved(all P<0.01). Nerwork-based health education and medical behavior intervention may have significant effects on healthcare providers who look after urban children with diarrhea,rickets,pneumonia,or nutritional anemia.

  1. Nutritional Status and Nutritional Support Before and After Pancreatectomy for Pancreatic Cancer and Chronic Pancreatitis

    OpenAIRE

    Karagianni, Vasiliki Th.; Apostolos E. Papalois; Triantafillidis, John K.

    2012-01-01

    Cachexia, malnutrition, significant weight loss, and reduction in food intake due to anorexia represent the most important pathophysiological consequences of pancreatic cancer. Pathophysiological consequences result also from pancreatectomy, the type and severity of which differ significantly and depend on the type of the operation performed. Nutritional intervention, either parenteral or enteral, needs to be seen as a method of support in pancreatic cancer patients aiming at the maintenance ...

  2. Nutrition and pancreaticoduodenectomy.

    Science.gov (United States)

    Pappas, Sam; Krzywda, Elizabeth; McDowell, Nadine

    2010-06-01

    Pancreaticoduodenectomy (Whipple) is the surgical procedure of choice for curative resection of pancreatic head, periampullary, and distal bile duct cancers. This procedure involves removal of the pancreatic head, duodenum, distal common bile duct, and sometimes the pylorus and gastric antrum. The 2 most common complications are pancreatic fistula and delayed gastric emptying. Preoperative nutrition status has been shown to influence surgical outcomes. This technically demanding operation involves an extensive surgical resection and alters digestive processes, which can influence nutrition long term. This review article identifies the surgical and nutrition consequences associated with pancreaticoduodenectomy. PMID:20581316

  3. Nutrition and Imagenology

    International Nuclear Information System (INIS)

    In this article we present the close, although little explored, relationship between Nutrition and Imagenology, relying mainly on an important number of images which will allow us to explain all the ways an Imagenology can influence upon the nutritional support of a patient.We primarily emphasize the diagnostic aspects of non-operated patients, as well as of those who have undergone surgical treatment, by showing both normality and the resulting surgical complications. We finally describe several interventionist Imagenology techniques used to achieve an adequate enteral nutrition

  4. Nutritional Support in Cancer Patients: A Position Paper from the Italian Society of Medical Oncology (AIOM) and the Italian Society of Artificial Nutrition and Metabolism (SINPE).

    Science.gov (United States)

    Caccialanza, Riccardo; Pedrazzoli, Paolo; Cereda, Emanuele; Gavazzi, Cecilia; Pinto, Carmine; Paccagnella, Agostino; Beretta, Giordano Domenico; Nardi, Mariateresa; Laviano, Alessandro; Zagonel, Vittorina

    2016-01-01

    Malnutrition is a frequent problem in cancer patients, which leads to prolonged hospitalization, a higher degree of treatment-related toxicity, reduced response to cancer treatment, impaired quality of life and a worse overall prognosis. The attitude towards this issue varies considerably and many malnourished patients receive inadequate nutritional support. We reviewed available data present in the literature, together with the guidelines issued by scientific societies and health authorities, on the nutritional management of patients with cancer, in order to make suitable and concise practical recommendations for appropriate nutritional support in this patient population. Evidence from the literature suggests that nutritional screening should be performed using validated tools (the Nutritional Risk Screening 2002 [NRS 2002], the Malnutrition Universal Screening Tool [MUST], the Malnutrition Screening Tool [MST] and the Mini Nutritional Assessment [MNA]), both at diagnosis and at regular time points during the course of disease according to tumor type, stage and treatment. Patients at nutritional risk should be promptly referred for comprehensive nutritional assessment and support to clinical nutrition services or medical personnel with documented skills in clinical nutrition, specifically for cancer patients. Nutritional intervention should be actively managed and targeted for each patient; it should comprise personalized dietary counseling and/or artificial nutrition according to spontaneous food intake, tolerance and effectiveness. Nutritional support may be integrated into palliative care programs. "Alternative hypocaloric anti-cancer diets" (e.g. macrobiotic or vegan diets) should not be recommended as they may worsen nutritional status. Well-designed clinical trials are needed to further our knowledge of the nutritional support required in different care settings for cancer patients. PMID:26819635

  5. Effect of glutamine with auxiliary enteral and parenteral nutrition on feeding intolerance of low birth weight infants

    Institute of Scientific and Technical Information of China (English)

    Xiao-Dong Cai; Chun-Hong Chen; Yan-Fang Li

    2016-01-01

    Objective:To analyze the clinical effects of glutamine assisted enteral nutrition and parenteral nutrition on improving the feeding intolerance of low birth weight infants.Methods: A total of 40 cases of low birth weight infants (LBW) in our hospital from May 2013 to June 2015 were selected, which were divided equally into the observation group and the control group according to the different nutritional intervention methods. Patients in the control group received routine enteral nutrition and parenteral nutrition while children of observed group received glutamine assisted enteral and parenteral nutrition. Differences of children’s growth and development indicators, nutritional status and levels of calcium and phosphorus, gastrin and motilin levels, mucosal barrier and immune function were compared between two groups. Results:After receiving nutritional intervention, children in the observation group had higher levels of serum leptin, GH, IGF-I and adiponectin than the control group patients, while Cor values were lower. The observation group patients who received nutritional intervention had higher TSF, AMC, TP, ALB, calcium and phosphorus levels than the control group, while the ALP values were lower; children of observation group who received nutrition intervention had higher GAS and MOT levels than the control group; children of observation group after intervention had higher peripheral blood CD3+T, CD4+T and CD4+/CD8+ levels than the control group children, while D-lactic acid and blood ammonia levels were lower.Conclusion:Glutamine assisted enteral nutrition and parenteral nutrition could improve the feeding intolerance of low birth weight infants, and it improved the nutritional status as well as growth and development of children as a whole, and thus had positive clinical significance.

  6. The nature of the SDSS galaxies in various classes based on morphology, colour and spectral features -- I. Optical properties

    CERN Document Server

    Lee, Joon Hyeop; Park, Changbom; Choi, Yun-Young

    2008-01-01

    We present a comprehensive study of the nature of the SDSS galaxies divided into various classes based on their morphology, colour, and spectral features. The SDSS galaxies are classified into early-type and late-type; red and blue; passive, HII, Seyfert, and LINER, returning a total of 16 fine classes of galaxies. We examine the luminosity dependence of seven physical parameters of galaxies in each class. We find that more than half of red early-type galaxies (REGs) have star formation or AGN activity, and that these active REGs have smaller axis ratio and bluer outside compared to the passive REGs. Blue early-type galaxies (BEGs) show structural features similar to those of REGs, but their centres are bluer than REGs. HII BEGs are found to have bluer centres than passive BEGs, but HII REGs have bluer outside than passive REGs. Bulge-dominated late-type galaxies have red colours. Passive red late-types are similar to REGs in several aspects. Most blue late-type galaxies (BLGs) have forming stars, but a small...

  7. A class-based search for the in-core fuel management optimization of a pressurized water reactor

    International Nuclear Information System (INIS)

    The In-Core Fuel Management Optimization (ICFMO) is a prominent problem in nuclear engineering, with high complexity and studied for more than 40 years. Besides manual optimization and knowledge-based methods, optimization metaheuristics such as Genetic Algorithms, Ant Colony Optimization and Particle Swarm Optimization have yielded outstanding results for the ICFMO. In the present article, the Class-Based Search (CBS) is presented for application to the ICFMO. It is a novel metaheuristic approach that performs the search based on the main nuclear characteristics of the fuel assemblies, such as reactivity. The CBS is then compared to the one of the state-of-art algorithms applied to the ICFMO, the Particle Swarm Optimization. Experiments were performed for the optimization of Angra 1 Nuclear Power Plant, located at the Southeast of Brazil. The CBS presented noticeable performance, providing Loading Patterns that yield a higher average of Effective Full Power Days in the simulation of Angra 1 NPP operation, according to our methodology.

  8. A class-based search for the in-core fuel management optimization of a pressurized water reactor

    Energy Technology Data Exchange (ETDEWEB)

    Alvarenga de Moura Meneses, Anderson, E-mail: ameneses@lmp.ufrj.b [Federal University of Rio de Janeiro, COPPE, Nuclear Engineering Program, CP 68509, CEP 21.941-972, Rio de Janeiro, RJ (Brazil); Rancoita, Paola [IDSIA (Dalle Molle Institute for Artificial Intelligence), Galleria 2, 6982 Manno-Lugano, TI (Switzerland); Mathematics Department, Universita degli Studi di Milano (Italy); Schirru, Roberto [Federal University of Rio de Janeiro, COPPE, Nuclear Engineering Program, CP 68509, CEP 21.941-972, Rio de Janeiro, RJ (Brazil); Gambardella, Luca Maria [IDSIA (Dalle Molle Institute for Artificial Intelligence), Galleria 2, 6982 Manno-Lugano, TI (Switzerland)

    2010-11-15

    The In-Core Fuel Management Optimization (ICFMO) is a prominent problem in nuclear engineering, with high complexity and studied for more than 40 years. Besides manual optimization and knowledge-based methods, optimization metaheuristics such as Genetic Algorithms, Ant Colony Optimization and Particle Swarm Optimization have yielded outstanding results for the ICFMO. In the present article, the Class-Based Search (CBS) is presented for application to the ICFMO. It is a novel metaheuristic approach that performs the search based on the main nuclear characteristics of the fuel assemblies, such as reactivity. The CBS is then compared to the one of the state-of-art algorithms applied to the ICFMO, the Particle Swarm Optimization. Experiments were performed for the optimization of Angra 1 Nuclear Power Plant, located at the Southeast of Brazil. The CBS presented noticeable performance, providing Loading Patterns that yield a higher average of Effective Full Power Days in the simulation of Angra 1 NPP operation, according to our methodology.

  9. Nutritional intervention improves the caloric and proteic ingestion of head and neck cancer patients under radiotherapy La intervención nutricional mejora la ingestión calórica y proteica de los pacientes con cáncer de cabeza y cuello sometidos a radioterapia

    Directory of Open Access Journals (Sweden)

    M.ª C. Gonçalves Dias

    2005-10-01

    Full Text Available Malnutrition is commonly associated with head and neck cancer, due especially to anorexia, which is aggravated by radiotherapy. The objective of this study was to evaluate modifications to nutritional ingestion following three types of nutritional intervention. Sixty-four male out-patients (62.1 ± 1.5 years were divided into three groups: oral group, (n = 32 that received an adapted oral diet; feeding tube group, (n = 16 under home enteral nutrition via a nasoenteral feeding tube (6x/day; and supplement group, (n = 16 with oral diet associated to oral alimentary supplement between meals (3x/day. The groups were homogeneous and counseled to maintain a caloric ingestion of 40 kcal/kg. The diet for the oral group was adapted to the age and to the side effects of radiotherapyThe nutritional state of the three groups was evaluated for the caloric-proteic ingestion, anthropometric indicators (body weight, body mass index, triceps skinfold thickness, midarm muscle area, laboratorial indicators (total proteins, albumin, hematocrit, hemoglobin and total lymphocytes count, The results showed that all of the groups presented an increase in the ingestion of calories and proteins (p La malnutrición se asocia habitualmente con el cáncer de cabeza y cuello, especialmente debida a la anorexia, que se agrava por la radioterapia. El objetivo de este estudio fue evaluar las modificaciones de la ingestión nutricional tras tres tipos de intervención nutricional. Se dividió a 64 pacientes varones (62,1 ± 1,5 años en tres grupos: el grupo oral (n = 32, que recibió una dieta oral adaptada; el grupo con sonda de alimentación (n = 16, con nutrición enteral domiciliaria a través de una sonda nasoentérica de alimentación (6 veces/día; y el grupo con suplemento (n = 16 con dieta oral asociada a un suplemento alimenticio oral entre las comidas (3 veces/día. Los grupos eran homogéneos y orientados para mantener una ingestión calórica de 40 kcal/kg. La dieta

  10. Nutrition economics - Characterising the economic and health impact of nutrition

    OpenAIRE

    Lenoir-Wijnkoop, Irene; Dapoigny, M; Dubois, D; Ganse, Éric; Gutiérrez-Ibarluzea, Iñaki; Hutton, J.; Jones, P.; Mittendorf, Thomas; Poley, Marten; Salminen, Seppo; Nuijten, Mark

    2011-01-01

    textabstractThere is a new merging of health economics and nutrition disciplines to assess the impact of diet on health and disease prevention and to characterise the health and economic aspects of specific changes in nutritional behaviour and nutrition recommendations. A rationale exists for developing the field of nutrition economics which could offer a better understanding of both nutrition, in the context of having a significant influence on health outcomes, and economics, in order to est...

  11. Early Childhood Educator's Nutrition Handbook.

    Science.gov (United States)

    Olson, Christine; And Others

    This nutrition handbook is designed to provide enough information on nutrition and food habits to enable early childhood educators to add a nutrition dimension to children's learning activities. Topics covered are the role of nutrition in growth during the preschool years; nutrients and their functions; selecting a healthy diet; common nutritional…

  12. Nutrition for Children with Cancer

    Science.gov (United States)

    ... saved articles window. My Saved Articles » My ACS » Nutrition for Children with Cancer Download Printable Version [PDF] » ( En español ) Nutrition is ... Why good nutrition is important Benefits of good nutrition What children with cancer need: Nutrients How your child can take in ...

  13. Changes in nutritional status after liver transplantation.

    Science.gov (United States)

    Giusto, Michela; Lattanzi, Barbara; Di Gregorio, Vincenza; Giannelli, Valerio; Lucidi, Cristina; Merli, Manuela

    2014-08-21

    Chronic liver disease has an important effect on nutritional status, and malnourishment is almost universally present in patients with end-stage liver disease who undergo liver transplantation. During recent decades, a trend has been reported that shows an increase in number of patients with end-stage liver disease and obesity in developed countries. The importance of carefully assessing the nutritional status during the work-up of patients who are candidates for liver replacement is widely recognised. Cirrhotic patients with depleted lean body mass (sarcopenia) and fat deposits have an increased surgical risk; malnutrition may further impact morbidity, mortality and costs in the post-transplantation setting. After transplantation and liver function is restored, many metabolic alterations are corrected, dietary intake is progressively normalised, and lifestyle changes may improve physical activity. Few studies have examined the modifications in body composition that occur in liver recipients. During the first 12 mo, the fat mass progressively increases in those patients who had previously depleted body mass, and the muscle mass recovery is subtle and non-significant by the end of the first year. In some patients, unregulated weight gain may lead to obesity and may promote metabolic disorders in the long term. Careful monitoring of nutritional changes will help identify the patients who are at risk for malnutrition or over-weight after liver transplantation. Physical and nutritional interventions must be investigated to evaluate their potential beneficial effect on body composition and muscle function after liver transplantation. PMID:25152572

  14. Parenteral nutrition in patients with renal failure – Guidelines on Parenteral Nutrition, Chapter 17

    Science.gov (United States)

    Druml, W.; Kierdorf, H. P.

    2009-01-01

    Partial EN (enteral nutrition) should always be aimed for in patients with renal failure that require nutritional support. Nevertheless PN (parenteral nutrition) may be necessary in renal failure in patient groups with acute or chronic renal failure (ARF or CRF) and additional acute diseases but without extracorporeal renal replacement therapy, or in patients with ARF or CRF with additional acute diseases on extracorporeal renal replacement therapy, haemodialysis therapy (HD), peritoneal dialysis (PD) or continuous renal replacement therapy (CRRT), or in patients on HD therapy with intradialytic PN. Patients with renal failure who show marked metabolic derangements and changes in nutritional requirements require the use of specifically adapted nutrient solutions. The substrate requirements of acutely ill, non-hypercatabolic patients with CRF correspond to those of patients with ARF who are not receiving any renal replacement patients therapy (utilisation of the administered nutrients has to be monitored carefully). In ARF patients and acutely ill CRF patients on renal replacement therapy, substrate requirements depend on disease severity, type and extent/frequency of extracorporeal renal replacement therapy, nutritional status, underlying disease and complications occurring during the course of the disease. Patients under HD have a higher risk of developing malnutrition. Intradialytic PN (IDPN) should be used if causes of malnutrition cannot be eliminated and other interventions fail. IDPN should only be carried out when modifiable causes of malnutrition are excluded and enhanced oral (like i.e. additional energy drinks) or enteral supply is unsuccessful or cannot be carried out. PMID:20049069

  15. Cystic fibrosis - nutritional considerations

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/article/002437.htm Cystic fibrosis - nutritional considerations To use the sharing features on this page, please enable JavaScript. Cystic fibrosis (CF) is a life-threatening disease that causes ...

  16. Withdrawing Nutrition, Hydration

    Science.gov (United States)

    Module eleven of the EPEC-O Self-Study Original Version discusses the general aspects of withholding or withdrawing of life-sustaining therapies, and presents a specific application to artificial nutrition and hydration.

  17. Nutrition and Wellness

    Science.gov (United States)

    ... Ways to Give Get Involved Home Run Challenge Golf Programs Athletes for a Cure Movember Other Ways ... us how much more we have yet to learn about how key nutritional strategies can affect the ...

  18. Diet and Nutrition

    Science.gov (United States)

    ... need to know about Wilson Disease Diet and Nutrition Food . . . . Adherence to a low copper diet is ... and arthritis; cardiomyopathy, dysrhythmias; pancreatitis; hypoparathyroidism; menstrual irregularities: infertility, repeated miscarriages From: A Diagnostic Tool for Physicians ( ...

  19. Celiac disease - nutritional considerations

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/article/002443.htm Celiac disease - nutritional considerations To use the sharing features on this page, please enable JavaScript. Celiac disease is an immune disorder passed down through families. ...

  20. Nutritional rickets in Denmark

    DEFF Research Database (Denmark)

    Beck-Nielsen, Signe; Jensen, Tina Kold; Gram, Jeppe;

    2009-01-01

    girls older than 4 years of age, 78% were veiled. DISCUSSION: Nutritional rickets in Denmark is predominantly a disease among immigrants, but ethnic Danish patients comprised nearly half of all patients diagnosed before the age of 4 years, and they presented more frequently with hypocalcemic seizures......INTRODUCTION: This study describes clinical and biochemical characteristics of nutritional rickets and risk factors at diagnosis among children living in Denmark. All medical records from patients with rickets referred to or discharged from hospitals in Southern Denmark from 1985 to 2005 were...... identified by register search. MATERIALS AND METHODS: Patients included were younger than 15 years of age and fulfilled the diagnostic criteria of primary, nutritional rickets. A total of 112 patients with nutritional rickets were included: 29 were of ethnic Danish origin, and 83 were immigrants. RESULTS...