Nutrition Commons^™

Knowledge, Attitudes And Practices Of Us-Based Registered Dietitians Regarding Vitamin D As A Key Nutrient In Public Health, Karen S. Basedow

UNF Graduate Theses and Dissertations

Abstract

The purpose of this study was to determine the knowledge, attitude and behavior influences of Registered Dietitians (RDNs) regarding Vitamin D (VD). An electronic questionnaire served as the data collection tool developed using previously validated questions and supplemented with behavior construct questions. Content and face validity was assessed by an expert panel; internal consistency was assessed using Cronbach’s Alpha. Scores were assessed for knowledge to determine dietitian awareness and competency about VD, attitudes of RDNs regarding importance and practices around VD, and influences on RDN behavior including by other healthcare providers (HCP). Relationships between scales for knowledge, attitude and …

Desired Resources For Changing Diet Among Persons With Multiple Sclerosis: Qualitative Inquiry Informing Future Dietary Interventions, Stephanie L Silveira, Emma V Richardson, Robert W Motl

Faculty, Staff and Student Publications

BACKGROUND: There are approximately 1 million adults in the United States with multiple sclerosis (MS). Persons with MS are interested in diet as a second-line therapy for improving MS symptoms and disease progression. Examination of desired resources regarding diet among persons with MS is necessary for supporting behavior change.

METHODS: Twenty-five adults with MS completed 1-on-1, online semistructured interviews. An inductive, 6-phase, semantic thematic analysis was applied to identify themes associated with participant preferences for dietary behavior change.

RESULTS: The research team crafted 4 key themes from the data that encompassed participants' desired resources for dietary behavior change. Theme 1, …

The Short- And Long-Term Effects On The Microbiome Of Infants Who Are Exposed To Opioids In Utero, Dawson Brown-Ezell

Undergraduate Honors Theses

Introduction: The gut microbiome is believed to have a significant impact on health throughout the lifespan, and the influence of infant nutrition and other environmental factors are of particular interest in its development. The aim of this research project was to learn more about the microbiome and short chain fatty acid (SCFA) composition of toddlers of differing weights, considering birth history, environment, and diet. In East Tennessee, opioid misuse is a growing issue, and a number of participants in this study were exposed in utero. We also hoped to identify related effects on infant’s SCFA composition. Finally, it is known …

Barriers To Summer Food Service Program (Sfsp) Implementation Before And After Covid-19: A Qualitative, Collective Case Study, Masoomeh Hajizadeh Oghaz, Falah N. Rashoka, Megan S. Kelley

Department of Nutrition and Health Sciences: Faculty Publications

Objectives: SFSP, as a federal food assistance program, could ensure that children have sufficient nutritious food during summer. According to a 2016 USDA report, only 0.4–0.6% of eligible children participated in this program in Nebraska, which makes for one of the lowest SFSP participation rates in the U.S. This study aims to better understand how the COVID-19 pandemic has impacted SFSP implementation in urban and rural settings across the state.

Conclusions: Insights from this study may inform the development of policies that expand food access to vulnerable families. On the organizational level, this includes providing participating kids and their parents …

Γ-Glutamyl Valine, Found In Dry Edible Beans, Is Anti-Diabetic In Db/Db Mice, Bikram Upadhyaya, Kaustav Majumder, Regis Moreau

Department of Nutrition and Health Sciences: Faculty Publications

Objectives: Dietary γ -glutamyl peptides (γ -GPs) found in dry edible beans exhibit biological activities (antioxidant, anti-inflammatory) with potential benefits against chronic metabolic disorders. γ -GPs are responsible for the desirable Kokumi flavor through allosteric activation of the Calcium Sensing Receptor (CaSR) present in multiple mammalian tissues. In this study, we investigated the metabolic effects of γ -glutamyl valine (γ -EV) in diabetic obese mice.

Conclusions: γ -EV improved the diabetic condition of db/db mice via modulation of glucose and lipid metabolism.

“Many People Have No Idea”: A Qualitative Analysis Of Healthcare Barriers Among Yazidi Refugees In The Midwestern United States, Falah N. Rashoka, Megan S. Kelley, Jeong‑Kyun Choi, Marc A. Garcia, Weiwen Chai, Hazim N. Rashawka

Department of Nutrition and Health Sciences: Faculty Publications

Background: The COVID-19 pandemic has shed new light on inequities in healthcare access faced by immigrant and refugee communities. To address ongoing disparities, there is an urgent need for ecological approaches to better understand the barriers that hinder and resources that facilitate access to healthcare. This study investigates barriers to healthcare system access faced by Yazidi refugees in the Midwestern United States.

Methods: Informed by the Interpretative Phenomenological Approach, three focus group meetings with a community advisory board were conducted between September 2019 and January 2020. The nine-member focus group included social workers, healthcare providers, and members of the Yazidi …

The Impact Of Covid-19 On Perceived Barriers And Facilitators To The Healthfulness Of Communities With Low-Income, Elder Varela, Jamie Zeldman, Alison Kuch, Yanli Wang, Mohammad Shushari, Elizabeth L. Hall, Jade Mcnamara, Jesse Stabile Morrell, Terezie Tolar-Peterson, Onikia Brown, Melissa D. Olfert, Lisa Franzen-Castle, Tandalayo Kidd, Sarah Colby, Geoffrey Greene, Karla P. Shelnutt

Department of Nutrition and Health Sciences: Faculty Publications

Background: The COVID-19 pandemic brought new challenges affecting the wellbeing of individuals in communities with low income. Understanding where people live and how those environments can facilitate or hinder living a healthy lifestyle is essential for developing interventions that target behavior change and health promotion. Objective: This study compares Extension Nutrition Educators’ (NEs) perceptions of the barriers and facilitators impacting the healthfulness of the environment of communities with low income in eleven states before and during the COVID-19 pandemic.

Practices Of Vitamin D Supplementation Leading To Vitamin D Toxicity: Experience From A Low-Middle Income Country, Siraj Muneer, Imran Siddiqui, Hafsa Majid, Nawazish Zehra, Lena Jafri, Aysha Habib

Department of Pathology and Laboratory Medicine

Introduction: The trend of prescribing VD preparations for nonspecific body aches and self-medication has increased significantly. The importance of vitamin D toxicity (VDT) has been underestimated and under recognized. This study was done to determine the frequency toxicity (>150 ng/ml) in subjects for 25-hydroxyvitamin D (25OHD) and evaluate the vitamin D (VD) supplements used by these subjects.
Methodology: This descriptive cross-sectional study was conducted at the Section of Chemical Pathology, Aga Khan University Hospital Karachi from April 2020 to March 2021. Subjects with 25OHD toxicity were contacted and information related to history of calcium and VD supplementation were collected. …

Roles Of Regulated Cell Death In Cholangiocarcinoma And Pancreatic Ductal Adenocarcinoma, Thanpisit Lomphithak

Chulalongkorn University Theses and Dissertations (Chula ETD)

Cholangiocarcinoma (CCA) and pancreatic ductal adenocarcinoma (PDAC) are complex and heterogeneous cancers. Conventional therapy approaches often fail to elicit significant responses in patients, resulting in low survival rates compared to other cancer types. This could be due to their immunosuppressive and desmoplastic tumor microenvironment, which renders cancer cells resistant to conventional therapies, highlighting the urgent need for more effective therapeutic approaches. Regulated cell death pathways have been extensively studied in recent years as a promising target for developing new strategies in cancer treatment. Specifically, necroptosis and ferroptosis, two forms of regulated necrosis, hold promise as novel targets for treating cancer, …

Dietary Fiber-Rich Powder From Dragon Fruit Peel And Its Effects On Nutrient Digestion, Intestinal Function And Food Application, Siriwan Chumroenvidhayakul

Chulalongkorn University Theses and Dissertations (Chula ETD)

The Western diet, which is rich in refined carbohydrates and unhealthy fats but low in dietary fiber, has been linked to an increased risk of metabolic disorders and gut barrier dysfunction. In the present study, the dietary fiber-rich powder from dragon fruit (Hylocereus undatus) peel (DFP) was developed as a functional food ingredient. DFP contains high dietary fiber (65.2%), primarily cellulose and pectin, along with bioactive phytochemicals such as phenolic compounds and betacyanins. This study aimed to investigate the effect of DFP on in vitro starch digestibility, its application in bakery products, and its impact on intestinal permeability and gut …

Identification Of Aroma Compounds In Thai Colored Rice Varieties, Supawat Jindawatt

Chulalongkorn University Theses and Dissertations (Chula ETD)

Consumers are interested in colored rice because its health benefits and its high fiber and protein content. Normally, the colored rice smell is generally not as strong as the jasmine rice. The first objective of this research was to investigate the proper preheated time and headspace incubation temperature to extract as many volatile compounds as possible from Thai-colored rice using the static headspace GC-MS approach. Secondly, this study aimed to identify the key volatile aroma compounds in Thai native-colored rice varieties. For optimum conditions, Red Hawm Rice (KDML105R-PSL-E-14) was used in this study. The optimal condition was preheated in a …

Development Of High Protein Beverage From Hydrolyzed Egg White, Nuntorn Charoensak

Chulalongkorn University Theses and Dissertations (Chula ETD)

The primary objective of this study was to examine the impact of enzymatic treatment on pasteurized egg white protein (EWP) and assess its influence on various physicochemical properties and antioxidant activity. Our findings revealed that the addition of SDAY10 enzymes led to a significant increase in lightness (L*), redness (a*), and yellowness (b*) parameters. Furthermore, higher concentrations of the enzyme resulted in a considerable reduction in pH, viscosity, and volume mean diameter (D4,3) of EWP protein compared to the control group (P < 0.05). Additionally, the application of SDAY10 enzyme (0.1-0.3% w/v) for EWP hydrolysis exhibited a noteworthy enhancement in antioxidant activity (measured by DPPH, ABTS, and FRAP assays) compared to lower enzyme concentrations. Notably, the 0.3% concentration of SDAY10 exhibited the highest release of amino acids during in vitro digestion and received the highest sensory evaluation score. Consequently, employing SDAY10 enzymes at a concentration of 0.3% w/v for EWP hydrolysis demonstrates significant potential for improving the physical properties of EWP and enhancing antioxidant activity. However, it is imperative to investigate the sensory evaluation with regards to the bitterness of the product developed using such enzymes.

Development And Validation Of Smartphone Nutrition Application For Supporting Dietetic Professional Practice, Thanasak Tantichaiyakul

Chulalongkorn University Theses and Dissertations (Chula ETD)

Advancements in technology have allowed for the development of applications for supporting the nutrition care process. The objectives of this study were to develop and validate a nutrition application incorporating the food and nutrtion databases, and to assess the satisfaction of dietitians toward the developed application. Seventy registered dietitians were recruited to evaluate two sets of the food photographs prepared based on Thai food exchange list (Thai FEL) and Thai food based dietary guideline (Thai FBDG) for three consecutive days. The participants estimated and calculated manually using calculators, following by using the application. The participants’ satisfaction indicated acceptance (overall score …

Implementation Of An Inpatient To Outpatient Communication Pathway To Improve Outcomes In High-Risk Oncology Patients., Kimberly Procaccino Mba, Rd, Ldn, Janine Gilboy Rd, Ldn, Jennifer Brennan Rd, Cso, Erin Levine Rd, Cso, Ldn, Amanda Stone, Alyse Wittman

Clinical Nutrition Service

No abstract provided.

Comparing Retrospective Psu Measurements With The Leep-Covid 2020 Study To Ascertain Similarities In Calories Per Kilogram Of Body Weight For Ventilator-Dependent Covid-19 Patients, Kimberly Cephas

Clinical Nutrition Service

No abstract provided.

Navigating The Perfect Storm: Staffing Crisis During The Pandemic, Melissa Faura Rd, Ldn, Ann Flickinger Ms, Rd, Ldn, Kimberly Procaccino Mba, Rd, Ldn

Clinical Nutrition Service

No abstract provided.

Underwater: Science & Story In Aquatic Communities, Lena J. Beck

Graduate Student Theses, Dissertations, & Professional Papers

How do we manage fish species, and how do fish, in turn, impact us? This portfolio of three stories will explore some of the ways in which humans interact with aquatic landscapes. First, we’ll go to Flathead Lake in Montana, where invasive lake trout have all but decimated native trout species, and learn what the Confederated Salish and Kootenai Tribes are doing to address the issue. Then, we’ll examine stories of a legendary Big Fish in Alaska’s Lake Iliamna, and think about what it means to scientifically prove something as real. The last story looks at the aquaculture industry in …

Internalization Of Appearance Ideals And Not Religiosity Indirectly Impacts The Relationship Between Acculturation And Disordered Eating Risk In South And Southeastern Asian Women Living In The United States, Sonakshi Negi, Erik M. Benau, Megan Strowger, Anne Claire Grammer, C. Alix Timko

Psychology Faculty Publications

Objective: Studies that examine disordered eating in samples of Asian individuals living in the United States frequently combine all individuals of Asian descent into a single group, which can obscure important differences between groups and their experiences of acculturation. The goal of the present study was to establish the relation of acculturation, internalization of appearance ideals, and religiosity as predicting body dissatisfaction and disordered eating in women of South and Southeast Asian (SSEA) descent.

Method: Women of SSEA descent (N = 112) aged 18–51 years (M = 23.10, SD = 6.4) completed a battery of questionnaires that inquire about these …

Rationale And Design Of An Ecological Momentary Assessment Study Examining Predictors Of Binge Eating Among Sexual Minority And Heterosexual Young Women: Protocol For The Health And Experiences In Real Life (Her Life) Study, Kristin E. Heron, Abby L. Braitman, Charlotte A. Dawson, Cassidy M. Sandoval, Lauren V. Butler, Alicia Moulder, Robin J. Lewis

Psychology Faculty Publications

Background: Previous research has identified health disparities between sexual minority and heterosexual women, including increased rates of obesity and binge eating in sexual minority women. Established predictors of binge eating behavior include negative emotions and sociocultural processes; however, these studies are generally conducted in samples of young women where sexual identity is not known or reported. There is a dearth of research evaluating how sexual minority–specific factors (eg, minority stress and connectedness to the lesbian, gay, bisexual, transgender, and queer community) may affect binge eating in sexual minority women. In addition, no studies have examined these processes in racially diverse …

Impact Of A Multidisciplinary Nutritional Support Team On Quality Improvement For Patients Receiving Home Parenteral Nutrition, Michael Rothkopf, Mohan Pant, Rebecca Brown, Jaime Haselhorst, Francine Gagliardotto, Allison Tallman, Debbie Stevenson, Andrew Depalma, Michael Saracco, Dan Rosenberg, Vladimir Proudan, Kishwar Shareef, Nudrat Ayub

EVMS School of Health Professions Faculty Publications

Introduction Home parenteral nutrition (HPN) is essential for patients with intestinal failure requiring long-term nutritional support. The Amerita Quality Improvement Project for HPN Patients (QIP-PN) explored the effect of a physician nutrition expert (PNE)-led multidisciplinary nutritional support team (MNST) on HPN care for patients under its service.

Objective To determine an MNST effect on adherence to protocols, outcomes and quality of life (QOL) in HPN.

Methods The study was divided into three phases: data review (phases 1a and 1b), observation (phase 2) and intervention (phase 3). Seven Amerita locations were selected as ‘study branches’ (population), from which all study patients …

Needs Assessment Of Diabetes Self-Management Education And Support Within West Virginia From Provider Viewpoints, Kasey M. Yost

Graduate Theses, Dissertations, and Problem Reports (ETD)

Diabetes is a chronic health condition that affects millions of Americans. It can have significant, lasting effects on an individual’s mental and physical wellbeing, especially when it goes unmanaged or untreated. Diabetes has been a growing problem in West Virginia (WV), which has the highest adult rate of diabetes at 15.7% in the US. Furthermore, WV has the highest mortality rate associated with diabetes at 36.2%. An effective method of management is through diabetes self-management education and support (DSMES). DSMES is a critical component of care for all individuals with diabetes. It is defined as the ongoing process of facilitating …

Psychosocial Influences On And Behavioral Characteristics Of Young Adult Food Addiction, Rachel A. Wattick

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction. Research on food addiction has increased in recent years, but there are few studies focusing on college-attending young adults, who may be at risk of developing food addiction due to the stress of the college environment. Additionally, causes and characteristics of food addiction are under-explored.

Aim. This dissertation aims to 1) determine the impact of adverse childhood experiences (ACEs) and other early life influences on the development of food addiction in college-attending young adults and 2) determine the psychosocial and behavioral characteristics of young adults with food addiction.

Methods. A sequential explanatory mixed-methods design was used for aims 1 …

The Process And Case Study Approach To Implementing A Nutrition-Specific Dissemination And Implementation Science Training In Appalachia, Ayron E. Walker

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction: Nutrition professionals face implementation challenges due to their lack of knowledge to incorporate D&I science into intervention design. To improve intervention outcomes, nutrition professionals must be trained in D&I science, which are currently absent in the field.

Aims: To identify and assess nutrition educators and practitioners perceived motivations, self-efficacy, and attitudes in using D&I science to inform the educational design and strategies of a nutrition-specific D&I curriculum for nutrition educators. Then to test feasibility of the nutrition-specific curriculum in increasing knowledge, self-efficacy, and attitudes by a case study approach, pre/post intervention design.

Methods: First, scoping review methodology involved the …

Exploring Factors Associated With The Eating Behaviours And Influences On Food Choice In Irish Teens, Aisling Daly

Doctoral

Aim The aim of this research was to understand the eating behaviour traits and food choice motivations of Irish teens, and to investigate the social, psychological, and attitudinal determinants of these eating behaviour traits and influences on food choice.

Methods Mixed methods were used in this research, using quantitative analysis of data from the National Teens’ Food Survey II (NTFSII), a cross-sectional study of teens aged 13-18 years old (N=428). Data predominantly came from the TFEQ-r18 and VARSEEK tools for eating behaviour traits, and the FCQ tool for food choice motivations, as well as socio-demographics, anthropometrics, behaviour/attitudes and dietary intakes. …

Developing A Community-Based Rehabilitation Programs In Elderly Nursing Home: A Brief Descriptive Analysis, Melinda Harini, Dosmaria Dosmaria, Herry Herry, Lisa Emilda, Listyani Herman, Nelfidayani Nelfidayani, Putu K. Mahardini, Shynta D. Hantogo, Widya Meiliana, Ikhsan Johnson, Peggy Peggy, Wanarani Aries, Widjajalaksmi Kusumaningsih, Luh K. Wahyuni

ASEAN Journal of Community Engagement

The need for rehabilitation services in nursing homes (NH) for the elderly is increasing each year, and this need is fulfilled both with ordinary clinical rehabilitation center visits, as well as community-based rehabilitation (CBR) inside the facility. However, a proper situation analysis is needed to establish a well-delivered CBR program in the NH, a niche to be fulfilled in this study. This study used a descriptive measurement and cross-sectional design to target the elderly who are living in the NHs. Consecutive sampling was done in the largest NH in Jakarta, in Cipayung District. Participants who were dependently ambulated were assessed …

Nutritional Status Of Children Living Within Institution-Based Care: A Retrospective Analysis With Funnel Plots And Control Charts For Programme Monitoring, Emily Delacey, Evan Hilberg, Elizabeth Allen, Michael Quiring, Cally J. Tann, Nora Ellen Groce, James Vilus, Ethan A. Bergman, Merzel Demasu-Ay, Hang T. Dam, Marko Kerac

All Faculty Scholarship for the College of Education and Professional Studies

Objectives The aim of this study is to fill a key information gap on the nutrition-related epidemiology of orphaned and vulnerable children living within institution-based care (IBC) across six countries.

Design A retrospective analysis with Shewhart control charts and funnel plots to explore intersite and over time variations in nutritional status.

Setting We conducted a retrospective analysis of records from Holt International’s Child Nutrition Programme from 35 sites in six countries; Mongolia, India, Ethiopia, Vietnam, China and the Philippines.

Participants Deidentified health records from Holt International’s online nutrition screening database included records from 2926 children, 0–18 years old. Data were …

Hubungan Antara Riwayat Kunjungan Antenatal Care (Anc) Dengan Kejadian Lahir Mati Di Indonesia, Lila Kesuma Hairani, Asri Adisasmita Prof

Jurnal Epidemiologi Kesehatan Indonesia

Pada tahun 2015, sebanyak 65% dari total kelahiran mati diseluruh dunia disumbang oleh sepuluh negara dengan jumlah kelahiran mati terbanyak. Indonesia menempati posisi ke-8 dengan total sebanyak 73.400 kejadian dengan angka lahir mati (stillbirth rate/SBR) sebesar 13 per 1.000 kelahiran. Rendahnya cakupan layanan antenatal diduga berhubungan secara kuatdengan rendahnya lahir mati antepartum. Studi ini dilakukan dengan tujuan untuk melihat hubungan riwayat kunjungan antenatal (antenatal care/ANC) dengan kejadian lahir mati diIndonesia menggunakan data sekunder yang bersumber dari IFLS 5 tahun 2014. Desain penelitian ini berupa studi potonglintang dengan total sampel yang digunakan adalah sebesar 6.314 kelahiran. Analisis data dilakukan hingga tingkat …

Gambaran Epidemiologi Hepatitis A Berdasarkan Data Kejadian Luar Biasa Dan Data Kasus Di Kabupaten Bogor Tahun 2019, Nurjannah Nurjannah, Asri Adisasmita Prof

Jurnal Epidemiologi Kesehatan Indonesia

Kejadian luar biasa (KLB) Hepatitis A Kabupaten Bogor terus meningkat setiap tahunnya. Pada tahun 2018 terdapat 29 kasusdan pada tahun 2019 meningkat hingga 495 kasus. Penelitian ini bertujuan untuk menggambarkan epidemiologi berdasarkan orang, tempat, waktu. Hasil penelitian ini diharapkan dapat digunakan sebagai dasar upaya intevensi yang lebih optimaldan tepat sasaran. Data penelitian diambil dari laporan KLB dandari data kasus Hepatitis A di Dinas Kesehatan Kabupaten Bogor dari Januari-Desember 2019 dan didokumentasikan ke dalam tabel observasi, pengambilan data dilakukan pada Bulan Februari2020 dengan desain penelitian case series. Hasil penelitian ini menunjukkan dari 495 kasus yang mengalami gejala klinis,11,3% terkonfimasi positif, sebagian …

Hubungan Faktor Pejamu Dan Lingkungan Dengan Pneumonia Balita Di 5 Provinsi Di Pulau Sulawesi, Alfi Lailiyah, Nuning Maria Kiptiyah

Jurnal Epidemiologi Kesehatan Indonesia

Pneumonia merupakan penyakit menular yang menginfeksi paru-paru. Period prevalence pneumonia balita di 5 provinsi di Sulawesi lebih tinggi dibanding angka nasional. Penelitian ini bertujuan untuk mendapatkan gambaran dan faktor-faktor yang berhubungan dengan pneumonia balita di 5 Provinsi di Pulau Sulawesi. Data penelitian ini bersumber dari Survei Demografi dan Kesehatan Indonesia (SDKI) 2012. Desain dalam penelitian ini adalah cross-sectional dengan uji chi-square dan hasil ukur prevalence ratio (PR). Variabel pada penelitian ini adalah faktor pejamu (umur balita, jenis kelamin, berat badan lahir, pemberian vitamin A, status imunisasi campak dan DPT) dan faktor lingkungan (pendidikan ibu, tempat tinggal, bahan bakar memasak, keberadaan …

Hubungan Status Gizi Dengan Prestasi Belajar Siswa Kelas 1-3 Sekolah Dasar, Muhammad Hidayat Sahid, Asri Adisasmita Prof, Ratna Djuwita

Jurnal Epidemiologi Kesehatan Indonesia

Status gizi merupakan ukuran keberhasilan dalam pemenuhan nutrisi anak yang diukur berdasarkan berat badan dan tinggi badan anak. Data status gizi pada anak usia umur 5-12 tahun di DKI Jakarta menunjukkan underweight 14,0%, stunting 22,7%, wasting 9,9%, dan overweight 6,8%. Data secara spesifik untuk wilayah Jakarta Selatan adalah underweight 7,4%, stunting 17,8%, wasting 6,3%, dan overweight 7,3%. Dari data tersebut didapatkan gambaran mengenai permasalahan gizi yang terjadi di DKI Jakarta. Permasalahan gizi memiliki dampak pada tumbuh kembang anak. Gizi merupakan salah satu faktor penting yang berpengaruh terhadap prestasi akademik siswa. Tujuan dari penelitian ini adalah untuk mengetahui hubungan status gizi …