Dietetics and Clinical Nutrition Commons^™

Weight Discrimination: Why Current Perceptions Need To Change, Kelsey Rae Eller

Undergraduate Honors Capstone Projects

Discrimination based on weight has been labeled the last form of socially acceptable prejudice. Weight discrimination is becoming more and more prevalent in schools, the workplace, social settings, the media, and even in healthcare. Overweight and obese individuals are often stereotyped as lazy, addicted to food, and lacking self-discipline and initiative, and as a result may struggle with decreased employment opportunities, fear and shame in public, attempting dangerous weight loss methods, or even eating disorders.

This project seeks to identify and examine research that has been done on this subject in order to increase awareness of weight bias and to …

An Investigation Of Dietary Supplementation As A Potential Source Of Nutrition Misinformation Hindering The Development Of Healthy Eating Habits In The College Population, Mary Dimmick

Undergraduate Honors Capstone Projects

Current dietary supplement legislation allows nutrition misinformation to flourish; misleading structure‐function and health‐claims now abound on supplement labels. Meanwhile, college students tend to be open to experimentation and exploration. Hence, this study’s objective was to discover if students at USU are being influenced by such claims to unjustifiably take dietary supplements in a manner which hinders the development of healthy eating habits. During August of 2009, 1,300 USU freshmen were invited to voluntarily participate in an on‐line survey concerning dietary patterns which included a section about dietary supplementation. Five‐hundred‐and‐twelve completed the survey after providing informed written consent to participate. The …

Significant Interactions With The Most Commonly Used Herbal And Nonherbal Supplements Impact Warfarin Safety And Efficacy, Brittany Jean Sagers

Undergraduate Honors Capstone Projects

Background: Nearly 20% of adult Americans used herbal therapies in 2007, but greater than two-thirds failed to report such use to their medical provider. Significant patient harm may occur when herbal supplements are taken in conjunction with warfarin; however, patients and medical providers may not be aware of these interactions and this may place patients at risk for life-threatening bleeds or thrombotic complications.

Methods: The authors determined the top 25 herbal and 25 nonherbal supplements used by Americans using sales data from 2008, and each product was reviewed for its potential to interact with warfarin. Electronic searches were conducted using …

Vitamin D Deficiency In The United States: How Common Is It?, Christine N. Arnold

Undergraduate Honors Capstone Projects

Background: Vitamin D deficiency in the US is more prevalent than before estimated. Given the numerous roles vitamin D plays in the body, it is becoming apparent that the need for adequate intake is vital. It is generally accepted that adults require 1,000 IU per day.

Methods: Electronic searches were conducted using Google Scholar and Elsevier databases. Search terms included “vitamin D deficiency”, “vitamin D deficiency US”, and “vitamin D screening”. Databases were reviewed for prevalence of vitamin D deficiency in the US.

Results: Populations at high risk for deficiency include the elderly, adolescents, people with darker skin, those who …

Evaluation And Validation Of Bodpod Body Scan Method As Compared To Dexa, Effect Of Calcium And Caloric Intake In Female Collegiate Track Athletes, Jennifer Day

Undergraduate Honors Capstone Projects

Purpose: This study was conducted to evaluate the validity of the BODPOD air displacement plethysmography as compared to the DEXA (dual energy x-ray absorptiometry) in testing body fat percentages in female collegiate runners. The link between caloric intake and body fat distribution, as well as the link between calcium and vitamin D intake and bone density was also evaluated.

Methods: Participants were 8 female collegiate athletes from the USU track team. A 3-day diet history was obtained from each participant and body fat test were performed using both the BODPOD and the DEXA scans within a four month period due …

To What Extent Do Local Farmers' Markets, Community Supported Agriculture Programs, And Community Gardens Help Low-Income Families Improve Access To Fresh, Local Produce?, Christy Gene Somsen

Undergraduate Honors Capstone Projects

Farmers’ Markets, Community Supported Agriculture (CSA) Programs, and Community Gardens have been developed to help farmers. Many times, they also aim to help low-income families improve access to fresh produce. Often, these programs may end up helping a larger amount of middle class families instead of lower class families. There have been many programs developed to try to better help low-income families such as the Women Infant and Children (WIC) Farmers’ Market Nutrition Program (FMNP) and allowing farmers to accept WIC Cash Value Vouchers (CVV), which allows WIC participants to buy fresh produce. Farm to School Programs have also been …

Glycemic Load And Risk Of Alzheimer's Disease: The Cache County Study On Memory, Health, And Aging, Eun Young Choi

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Carbohydrates are a major energy source for the human body and particularly glucose is the only energy source for the brain. Thus glucose metabolism is important to maintain normal brain function. Evidence showed insulin resistance and diabetes are associated with cognitive decline and a large amount of highly processed carbohydrate intake; in other words, a high glycemic load diet, which increases blood glucose faster and insulin demand, is associated with increased risk of insulin resistance and diabetes.

Based on this premise, the hypothesis that a high glycemic load (GL) diet increases the risk of incident Alzheimer’s disease (AD) was examined …

New Fruit And Vegetable Offerings And Challenges Increased Lunch-Time Fruit And Vegetable Consumption Among Fourth-Graders, Cory Ann Hansen

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Facilitating nutritional improvement in schools is an important strategy for reversing the alarming trends of overweight and undernourishment currently observed among children in the United States. Compared to national recommendations, many people in the United States under-consume nutrient-dense foods, such as fruits and vegetables. The objective of this study was to determine if various school-based interventions can increase fruit and vegetable consumption among 75 fourth-graders. Interventions included fruit and vegetable challenges, offering a new variety of fruit, and classroom nutrition education. To assess intake, photographs of students' school lunch trays were taken pre- and post-consumption and then analyzed to determine …

Does Glutamine Supplementation Contribute To The Incidence Of Diarrhea In Ventaltor Dependent Patients?, Justin Johnson

Undergraduate Honors Capstone Projects

In this project we investigated the incidence of diarrhea and its possible causes in ventilator dependent patients in the intensive care unit (ICU) at McKay-Dee Hospital. Chronic diarrhea has been a long time problem in the ICU, but the etiology has never been fully explored. High dose antibiotic therapy has been thought to be a potential risk factor. Another proposed risk has been the use of glutamine, a conditionally essential amino acid contained in some enteral products. Glutamine is commonly used in feeding critically ill patients because of its immune enhancing properties.

Currently, we have not established a correlation between …

Efficacy Of Heart Health Claims Regarding Trans Fat, Unsaturated Fat, And Stanols/Sterols, Elaine Watkins

Undergraduate Honors Capstone Projects

In the United States, nearly 80 million people have some form of cardiovascular disease (CVD). This amounts to one in three adults, making it the number one cause of death each year for over a century. Because of the high prevalence of CVD, it is a priority in the U.S. to decrease its morbidity and mortality. Extensive research has been dedicated to pinpointing risk factors, determining preventive techniques, and developing treatments. A major focus in this research is the role of nutrition in the pathogenesis of CVD. Quality of diet is an important factor in health and disease progression. To …

The Association Between Sleep And Body Mass Index (Bmi) In College Freshmen At Utah State University, Mary-Marie Austin Sullivan

Undergraduate Honors Capstone Projects

Background: Obesity has become a major health problem with increasing prevalence in the United States. Cases of obesity have increased at alarming rates and have almost doubled over the past 40 years. During this same period of time, sleep duration for all age groups has significantly declined. Because sleep duration is a potential mediator of energy metabolism and body weight, it is an important aspect of health. An association between short habitual sleep time and increased body mass index (BMI) has been reported in large population studies for US young adults. Freshmen college students may encounter many environmental and emotional …

Infant Feeding Practices: History, Nutrient Needs, Assessment Of Nutriture, And Special Concerns, Katy Lynn Bodily

Undergraduate Honors Capstone Projects

Ideas regarding infant feeding practices have changed drastically over the past 100 years. Research discovered the composition of human milk, followed by the invention of human milk substitute (HMS). These discoveries lead to many changes in the way people feed infants. The macro and micronutrient needs of infants have been determined, and are used to develop ideal feeding practices for infants. There are many choices available for feeding infants including human milk, HMS, and solid foods. There are many guidelines available that provided suggestions on what to feed an infant, and at what age. Assessing the adequacy on infant feeding …

Celiac Disease: What Dietitians Can Do To Effectively Treat A Growing Problem, Meagan Roxanne Wade

Undergraduate Honors Capstone Projects

The symptomology of celiac disease, also known as gluten-sensitive enteropathy or celiac sprue, was first described in AD 50 by Aretaeus, a noted ancient Greek physician who specialized in isolating and explaining disease states. Clinical manifestations of the disease were distinctly defined by Samuel Gee in 1888 who theorized that diet therapy was likely the treatment for the disease: "the allowance of farinaceous must be small, but if the patient can be cured at all, it must be by means of diet." Farinaceous foods included those rich in starches or mealy in texture. Treatment at the time consisted of a …

Electroporation Of Pediococcus Pentosaceus And The Curing Rate Of Plasmids, Heidi E. Shields

Undergraduate Honors Capstone Projects

Genetic engineering is a relatively new process and is a major focus of research in various fields, such as medicine, plant genetics, and food science. The potential applications of genetic engineering include designer drug production, mass protein production, and enhanced food processing. Finding an appropriate host organism to be used in genetic engineering is an important preliminary step. Pediococcus pentosaceus has been suggested as a bacterial species with such potential. Since plasmids are often the vector of choice in genetic recombination, this research tests the ability of P. pentosaceus to take up and incorporate plasmids into its genome. Two plasmids …

Nutritional Concerns In Pediatric Renal Disease, Rachael Firmage

Undergraduate Honors Capstone Projects

Chronic kidney disease is a growing area of nutritional concern as the number of diagnosed cases increases. Children suffering from these renal diseases require special attention and medical nutrition therapy because of concerns and problems unique to this renal population. Uncontrolled kidney failure in pediatric patients can result in a number of consequences, such as growth retardation, anemia, metabolic imbalances, renal osteodystrophy, anorexia, and malnutrition. With the proper guidance, medical interventions, and dietary prescriptions, these untimely side effects can be reduced or avoided all together.

Refeeding Practices Of Malnourished Children, Marcianne Wittwer

Undergraduate Honors Capstone Projects

Over 200 million children in developing countries under the age of five are malnourished. Malnutrition contributes to more than half of the nearly 12 million under-five deaths in developing countries each year. The World Health Organization (WHO) defines malnutrition as "the cellular imbalance between the supply of nutrients and energy and the body's demand for them to ensure growth, maintenance, and specific functions." Because of the high demand for energy and essential nutrients, infants and children are at a particular risk for under-nutrition. Malnutrition is a condition that needs to be taken seriously and with proper treatment can save the …

The National School Lunch Program, Elizabeth Strasser

Undergraduate Honors Capstone Projects

The National School Lunch (NSLP) Program is a federally assisted meal program that began in 1946 and is designed to provide nutritionally balanced lunches to children. The program started slowly in 1853, in a few school districts around the United States. The efforts spread throughout different cities, and organizations were set in place to serve meals to children in schools under the supervision of the school boards.

The American Dietetic Association believes that all children and adolescents should have access to food and nutrition programs that ensure adequate food supply that promotes optimal physical. and social growth and development.

School …

Prevalence Of Type 2 Diabetes In Youth And Adolescents, Julie Patterson

Undergraduate Honors Capstone Projects

Until recently, Type 2 diabetes was typically regarded as a disease of the middle-aged and elderly. While it is still true that this age group maintains a higher risk than younger adults, evidence is accumulating that onset in those of a much younger age. Children and adolescents are now part of this epidemic. This new phenomenon brings a serious new aspect to the global diabetes epidemic and heralds an emerging public health problem of major proportions. Prevention and treatment in these youth cannot be taken lightly. Prevention can be maintained through implementing exercise and balanced nutrition. It is essential to …

Health Promoting Aspects Of The Mediterranean Diet, Devrie Fielding

Undergraduate Honors Capstone Projects

In the 1960's information regarding the diet of the Mediterranean Regions was publicized as a healthful way of eating. Information was obtained from the Seven Countries Study conducted by Ancel Keys. This study revealed that residents of these regions had a lower incidence of coronary heart disease and increased longevity. Such health benefits were connected with low intakes of saturated fat. However, several other studies since then have found the Mediterranean dietary patterns to be more than cardioprotective. A decreased risk of cancer, reduced morbidity and mortality, and a decreased risk of several other diseases are also attributed to the …

Dietary Supplement Use Among The Elderly, Diana Kristine Keith

Undergraduate Honors Capstone Projects

Introduction: According to NHANES data from 1999-2000, 52% of US adults reported talcing a dietary supplement in the last month. Even greater use of dietary supplements is observed among older individuals. Dietary supplements contain a wide range of ingredients from vitamin and minerals (VM) to botanicals, herbs, amino acids, and other ingredients sometimes referred to as non-vitamin and minerals (NVM).

Methods: Data on VM and NVM supplement use was collected in a prospective study of elderly people living in Cache Valley, Utah. The reported supplements were researched to obtain ingredient information and then categorized into groups representing the types of …

An Analysis Of Nutritional Services Available For Persons With Developmental Disabilities, Dawnie Elzinga

Undergraduate Honors Capstone Projects

Developmental disabled (DD) individuals are living longer, more normal lives in the United States. There has been an influx of DD individuals living in residential settings instead of the more traditional institutional setting. Consequently, dietetic professionals will encounter persons with DD in every area of practice. Nutrition therapy is becoming more important in the multidisciplinary treatment of DD individuals. Governmental legislation and community programs have improved the treatment and rights of DD persons over the past decade. Even with these advocacy efforts, DD persons are often not receiving the nutritional treatment they need. Common nutritional problems encountered in the DD …

Motivation And The Dietitian: Dietitians Must Increase Their Efforts To Motivate And Bring About Long-Term Success In Their Clients, Cory Ann Hansen

Undergraduate Honors Capstone Projects

Perhaps the most difficult aspect of a dietitian's job is motivating clients to make necessary changes in their lives to benefit their health. Although most people are capable of enduring short-term attempts at healthy living, a lifetime of appropriate dietary habits is difficult for virtually everyone. One of the greatest challenges of long-term success is a lack of motivation. This signifies that it is not skills or knowledge that people lack in general. Therefore, dietitians must focus part of their efforts on motivation rather than simply teaching people what they need to do. Methods that have been found to be …

The National School Lunch Program: History Of The Past, Challenges Of The Present, Solutions For The Future, Hilary Annie Smith

Undergraduate Honors Capstone Projects

The National School Lunch Program (NSLP) was initially designed to provide nutritious meals to hungry schoolchildren. Over time, it seems as though this focus has shifted to serving as a source of proper nutrition in a society of over-fed yet undernourished children. The stated purpose of the NSLP is to "safeguard the health and well-being of the nation's children and to encourage the domestic consumption of nutritious agricultural commodities and other food." Currently, there are many challenges that the National School Lunch Program faces in meeting its goal of promoting healthful lifestyle practices among school-aged children. Three main challenges include …

Nutritional Perspective Of Systemic Lupus Erythematosus, Jessianna Rose

Undergraduate Honors Capstone Projects

Systemic Lupus Erythematosus (SLE) is a chronic, incurable, autoimmune disease that affects as many as two million persons in the United States. Current nutritional guidelines are very basic and revolve around specifics of the treatment of symptoms as seen with drug-nutrient interactions. Although current opinion does not directly see the onset of this disease linked to dietary factors, recent research may indicate that there is a link to a possible deficiency of pantothenic acid. This is not a widely accepted theory, but has some very unique observations which shed a new and interesting light on possible interventions through nutrition.

Dysphagia And Nutrition In The Elderly, Amanda Panting

Undergraduate Honors Capstone Projects

Dysphagia and nutrition in the elderly go hand in hand. As age increases, bodily functions decrease. The loss of function causes an increased susceptibility to swallowing disorders and possible malnutrition. Dysphagia in the elderly increases mortality and morbidity rates (3). This paper discusses causes, symptoms and consequences of dysphagia. Swallow studies and various feeding techniques are examined. Alzheimer's disease, dementia and stroke are diseases that are commonly seen among patients with dysphagia (3, 10). Alternative nutrition via enteral feeding has been shown to increase survival rate (14, 15, 16). The ethics of prolonging death or prolonging life through nutrition support …

Food Insecurity And Hunger In America, Elizabeth Zufelt

Undergraduate Honors Capstone Projects

Studies have shown that about twelve percent (13.5 million) of American households experience at least some form of food insecurity in one year. Causes for food insecurity include disability, low income if employed, unemployment within the past six months, and retirement. Hunger and obesity are often seen in the same person at the same time, including children. The effects of hunger and food insecurity seen among children include: anemia, higher levels of anxiety, poorer performance on mathematical tests, depression, aggression, tardiness, a poorer sense of well-being, lower physical abilities, and lower psychosocial abilities. Food insecurity also affects the elderly population. …

Nutrition In Traumatic Brain Injuries, Jaylene Dalley

Undergraduate Honors Capstone Projects

Nutrition intervention and support is a critical part of caring for traumatic brain injury (TBI) patients. TBI patients have high energy and protein needs, as well as increased needs for some vitamins and minerals. There are a number of ways to assess energy and protein needs for TBI patients including indirect calorimetry, the Harrris-Benedict Equations and the Glasgow Coma Scale Equation. Most TBI patients are either non-responsive (comatose) or develop some form of dysphagia and, therefore, are unable to consume adequate amounts of nutrition via the oral route. Nutrition support through enteral or parenteral routes may improve the medical outcome …

Government Food Assistance Programs: A Nutritional Perspective, Marlee Harris

Undergraduate Honors Capstone Projects

Food security remains a problem in the United States. Historically, the government began to distribute excess agricultural goods to those in nutritional need. Efforts to provide food to people in need continue today through the Food Stamp Program (FSP) and the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). Nutrition status of participants in these programs demonstrates the nutritional effectiveness of these programs. These programs provide needed benefits and are making positive changes in food security, but improvements can be made to fully improve the nutrition status of these low-income participants. Nutrition professionals can be key in improving …

Cystic Fibrosis And Nutrition Risk, Kristen Rae Stokes

Undergraduate Honors Capstone Projects

Introduction: Cystic Fibrosis (CF) is an autosomal recessive disorder with serious pulmonary and nutritional implications. Nutrition status has a direct affect on lung function and longevity. Screening patients for growth velocity makes it possible to identify patients at nutritional risk. This identification is the first step towards appropriate nutritional interventions. The current screening tool used for children and adolescents with CF is not reliable and leaves too much room for clinical judgment. It is for this reason that a new screening tool was developed. Methods: The Cystic Fibrosis Foundation established a panel of experts for the purpose of developing an …

Diet And Nutritional Concerns Of Hispanic Americans, Valerie Rawlinson

Undergraduate Honors Capstone Projects

Hispanic Americans are the second largest ethnic minority group in the United States today, at 12.5% of the total U.S. population. They face considerable nutrition-related challenges, of which dietitians and other nutrition professionals who serve this population need to be aware. Their diet goes through drastic, rapid changes soon after immigration to the United States, many of which have a strong negative impact on their health, putting them at greater risk for obesity and chronic diseases than the general population. In addition to diet and disease, Hispanic Americans face other issues that hinder their ability to benefit from nutritional counseling, …