Dietetics and Clinical Nutrition Commons^™

Relationship Of Omega-3 Fatty Acids On C-Reactive Protein And Homocysteine In Haitian And African Americans With And Without Type 2 Diabetes, Fatma G. Huffman, Joan A. Vaccaro, Joel C. Exebio, Sahar Ajabshir, Gustavo G. Zarini, Lemia H. Shaban

Department of Dietetics and Nutrition

Background: Omega-3 fatty acids (n-3) may be protective of cardiovascular risk factors for vulnerable populations. The purpose of this study was to assess the association between n-3 with, C-reactive protein (CRP), and homocysteine (HCY) in Black minorities with and without type 2 diabetes.

Methods: A cross-sectional study was conducted with 406 participants: Haitian Americans (HA): n=238. African Americans (AA): n=172. Participants were recruited from a randomly generated mailing lists, local diabetes educators, community health practitioners and advertisements from 2008-2010. Sociodemographics and anthropometrics were collected and used to adjust analyses. All dietary variables were collected using the semi-quantitative food frequency questionnaire …

أمراض الأطفال المزمنة, Suad Fahad Alferaih

Dr. Suad Fahad AlFuraih

No abstract provided.

Attitudes Of College Students In Relationship To Weight And Physical Activity, Emily N. Estes

Department of Nutrition and Health Sciences: Dissertations, Theses, and Student Research

Abstract

BACKGROUND: There is a limited amount of knowledge of the impact current and goal weights of college students have on their attitudes surrounding weight and physical activity.

OBJECTIVE: To examine weight/body image and physical activity attitudes of students and whether those attitudes correlate current and goal weights of students.

SETTING: The questionnaires utilized were completed between the years 2006-2011 at the University of Nebraska—Lincoln.

PARTICIPANTS: Male and female students from the University of Nebraska—Lincoln.

RESULTS: The mean BMI of all participants (n=2255) was 23.8 ± 4.1; for females (n=1403) 23.0 ± 4.0; and for males (n=852) 24.9 ± …

The Influence Of Dietary Variety And Course Sequence On Fruit Intake In Preschool-Aged Children, Chelsi Celcilia Cardoso

Masters Theses

Background: Fruit and vegetable (F&V) intake in preschool-aged children remains below recommendations. As the environment can affect food consumption, this study tested the effects of two environmental factors, dietary variety and course sequence, on fruit and overall intake of a snack in preschool-aged children. Methods: Using a 2 x 2 x 2 design (between-subjects factor of order and the within-subjects factors of dietary variety and courses), 16 children (4.1 + 0.7 years of age, 56.3% female, 75.0% White, 93.8% non-Hispanic or Latino, and 0.5 + 1.3 BMI z-score) from 2 preschool classrooms (classroom 1 [n = 7] and …

Nutrition Care Practices In Hospital Wards: Results From The Nutrition Care Day Survey 2010, Ekta Agarwal, Maree Ferguson, Merrilyn Banks, Marijka J. Batterham, Judith Bauer, Sandra Capra, Elizabeth Isenring

Liz Isenring

Eating Behaviors Of Older Adults Participating In Government-Sponsored Programs With Different Demographic Backgrounds, Yeon Bai, Shahla M. Wunderlich, Joseph Brusca, Johnson-Austin Marti, Michelle O'Malley

Department of Nutrition and Food Studies Scholarship and Creative Works

The purpose of this study was to determine the food behaviors of nutritionally high-risk seniors as a function of their racial background, gender, marital status, and education level. A total of 69 seniors were identified to be at high nutritional risk using the Nutrition Screening Initiative (NSI) checklist. A supplemental questionnaire (SQ) was created to examine the risk factors in relation to the participant’s demographic background. Key results indicated that Asians practiced healthy food behaviors and women were more likely to eat alone (p≤0.05). Married participants (90.9%) were most likely to consume 2 meals or more each day. College educated …

Early Versus Traditional Postoperative Feeding In Patients Undergoing Resectional Gastrointestinal Surgery: A Meta-Analysis, Emma Osland, Rossita Yunus, Shahjahan Khan, Muhammed Memon

Muhammed Ashraf Memon

Background: A meta-analysis evaluating surgical outcomes following nutritional provision provided proximal to the anastomosis within 24 hours of gastrointestinal surgery compared with traditional postoperative management was conducted.

Methods: Databases were searched to identify randomized controlled trials comparing the outcomes of early and traditional postoperative feeding. Trials involving gastrointestinal tract resection followed by patients receiving nutritionally significant oral or enteral intake within 24 hours after surgery were included for analysis.

Results: Fifteen studies involving a total of 1240 patients were analyzed. A statistically significant reduction (45%) in relative odds of total postoperative complications was seen in patients receiving …

School Food Environment The Frontline For Childhood Obesity Prevention: A Mixed-Method Study Of Nutritional Competencies And Skills Of School Nutriiton Professionals In Nebraska, Zainab Rida

Department of Nutrition and Health Sciences: Dissertations, Theses, and Student Research

The purpose of this statewide study was to address the nutrition knowledge, attitudes, and perceptions of school foodservice personnel in Nebraska regarding offering/serving healthy school meals. Moreover, this study identified some potential barriers and avenues of action for offering/serving healthy school meals. Data obtained from this study indicates that there is a strong correlation (r= .103, p r .237, p< .01) between the foodservice staff’s self-efficacy and their practices of offering/serving healthy school meals. Fortunately, the relationship between foodservice staff practices of offering/serving healthy school meals and their self-efficacy was positive and significantly predicted practices scores, β =.237, P< 0.01. The finding of the present study also identifies many barriers including lack of time and support that face the foodservice personnel in offering/serving healthy school meals. The findings suggested that there is an urgent need of a full school approach to promote and encourage healthy eating habits among students. Future research is needed to evaluate school wellness policies regarding healthy eating practices in schools. Moreover, establish partnerships with communities and universities for intervention that target students and their parents.

Advisor: Wanda Koszewski

The National School Lunch Program: Local Implementation Of Federal Reform, Shannon Cagney

Professional Projects

This research study examined the National School Lunch Program and local implementation of federal reform in public and private schools in Milwaukee County, Wisconsin. The survey participants were selected by the way of purposeful sampling; interviews were conducted over the telephone; and a 90-minute focus group was held. Major themes from the study consist of the need for well-balanced meals in schools, concern regarding childhood obesity, and barriers of local implementation of federal guidelines. Many advocates expressed their concern regarding the calorie restrictions, specifically to the 850 kcal maximum for physically active students. This study provides insight on how the …

We Are… Bridging Medicine And Science Vol. 1, Issue 2, Fall 2012, Marshall University Biomedical Sciences

We Are... Bridging Medicine Science

No abstract provided.

Chhs October 2012 E-Newsletter, Dr. John Bonaguro, Dean, Vashon S. Wells, Editor, College Of Health And Human Services, Western Kentucky University

College of Health & Human Services Publications

No abstract provided.

A Review Of Health Literacy And Its Relationship To Nutrition Education, Heather Diane Gibbs, Karen Chapman-Novakofski

Faculty Scholarship – Family and Consumer Science

Health literacy has emerged as a focus of increasing research in the medical literature, yet it has received little attention in the nutrition literature. Because nutrition practice is an important sector of the health care environment and reduced health literacy confers known health consequences, dietitians should be equipped with an understanding of how health literacy extends to nutritional care. Identification instruments that are available fail to provide an understanding of nutrition literacy. Nutrition literacy may include knowledge of nutrition principles and nutrition skills. Additional research into the development of appropriate nutrition literacy tools and their application is needed.

Comparison Of Glucose Monitoring Methods During Steady-State Exercise In Women, Stefanie J. Herrington, David L. Gee, Shireen D. Dow, Keith A. Monosky, Erika Davis, Kelly Pritchett

All Faculty Scholarship for the College of the Sciences

Data from Continuous Glucose Monitoring (CGM) systems may help improve overall daily glycemia; however, the accuracy of CGM during exercise remains questionable. The objective of this single group experimental study was to compare CGM-estimated values to venous plasma glucose (VPG) and capillary plasma glucose (CPG) during steady-state exercise. Twelve recreationally active females without diabetes (aged 21.8 ± 2.4 years), from Central Washington University completed the study. CGM is used by individuals with diabetes, however the purpose of this study was to first validate the use of this device during exercise for anyone. Data were collected between November 2009 and April …

Relationship Of Lifestyle Medical Advice And Non-Hdl Cholesterol Control Of A Nationally Representative Us Sample With Hypercholesterolemia By Race/Ethnicity, Joan A. Vaccaro, Fatma G. Huffman

Department of Dietetics and Nutrition

Objective: The main purpose of this study was to evaluate the associations of lifestyle medical advice and non-HDL cholesterol control of a nationally representative US sample of adults with hypercholesterolemia by race/ethnicity.

Methods: Data were collected by appending sociodemographic, anthropometric, and laboratory data from two cycles of the National Health and Nutrition Survey (2007-2008 and 2009-2010). This study acquired data from male and female adults aged ≥ 20 years (N = 11,577), classified as either Mexican American (MA), (), other Hispanic (OH) (), Black non-Hispanic (BNH) (), or White non-Hispanic (WNH) ().

Results: Minorities were more likely to report having …

Use Of Hemoglobin A1c To Detect Haitian-Americans With Undiagnosed Type 2 Diabetes, Joel C. Exebio, Gustavo G. Zarini, Joan Vaccaro, Cristobal Exebio, Fatma G. Huffman

Department of Dietetics and Nutrition

OBJECTIVE: To evaluate the validity of hemoglobin A1C (A1C) as a diagnostic tool for type 2 diabetes and to determine the most appropriate A1C cutoff point for diagnosis in a sample of Haitian-Americans. SUBJECTS AND METHODS:

Subjects (n = 128) were recruited from Miami-Dade and Broward counties, FL. Receiver operating characteristics (ROC) analysis was run in order to measure sensitivity and specificity of A1C for detecting diabetes at different cutoff points.

RESULTS: The area under the ROC curve was 0.86 using fasting plasma glucose ≥ 7.0 mmol/L as the gold standard. An A1C cutoff point of 6.26% had sensitivity of …

Weaning Onto Solid Foods: Some Of The Challenges, Annemarie E. Bennett, Annalouise O'Connor, Nicola Canning, Alice Kenny, Edel Keaveney, Katherine Younger, Mary Flynn

Articles

Weaning - the transition from milk to solid food - influences life-long health. Dietary challenges during weaning include providing sufficient critical nutrients such as iron with minimal added sugar and fat and no added salt. This study assessed the inclusion of iron-containing red meat in infant diets before age one year, and the Irish commercial baby food environment. Of mothers with an infant under 30 months of age who were surveyed in shopping centres in Ireland (n195), 82% (n159) reported wanting more weaning information. A quarter (n24) of infants over age 12 months ( …

Validation Of Food Store Environment Secondary Data Source And The Role Of Neighborhood Deprivation In Appalachia, Kentucky, Alison A. Gustafson, Sarah Lewis, Corey Wilson, Stephanie Jilcott-Pitts

Dietetics and Human Nutrition Faculty Publications

BACKGROUND: Based on the need for better measurement of the retail food environment in rural settings and to examine how deprivation may be unique in rural settings, the aims of this study were: 1) to validate one commercially available data source with direct field observations of food retailers; and 2) to examine the association between modified neighborhood deprivation and the modified retail food environment score (mRFEI).

METHODS: Secondary data were obtained from a commercial database, InfoUSA in 2011, on all retail food outlets for each census tract. In 2011, direct observation identifying all listed food retailers was conducted in 14 …

Gut Microbiome Composition Is Linked To Whole Grain-Induced Immunological Improvements, Ines Martinez, James M. Lattimer, Kelcie L. Hubach, Jennifer A. Case, Junyi Yang, Casey G. Weber, Julie A. Louk, Devin J. Rose, Gayaneh Kyureghian, Daniel A. Peterson, Mark D. Haub, Jens Walter

Food for Health: Publications

The involvement of the gut microbiota in metabolic disorders, and the ability of whole grains to affect both host metabolism and gut microbial ecology, suggest that some benefits of whole grains are mediated through their effects on the gut microbiome. Nutritional studies that assess the effect of whole grains on both the gut microbiome and human physiology are needed. We conducted a randomized cross-over trial with four-week treatments in which 28 healthy humans consumed a daily dose of 60 g of whole-grain barley (WGB), brown rice (BR), or an equal mixture of the two (BR+WGB), and characterized their impact on …

Nutritional Adequacy And Performance Of Raw Food Diets In Kittens, Beth Alair Hamper

Doctoral Dissertations

Feeding raw food diets to domestic cats is controversial. The objective of this study was to determine if raw feline diets were nutritionally adequate for kittens and whether they enhance immune function, reduce oxidative stress and improve digestibility. Twenty-four 9-week-old kittens underwent a 10-week growth feeding trial with two raw diet groups and one control group (commercial heat-processed canned diet) of eight kittens each. Anthropomorphic measurements, feed efficiency, oxidative stress, and blood biomarkers for innate and humoral immune function were evaluated. Additionally, 6 kittens and 4 adults participated in a 14 day digestibility trial using a 3 x 3 latin …

A Pilot Study: The Use Of A Survey To Assess The Food Knowledge Of Nutrition Students At Various Levels Of Nutrition Education, Chante Chambers

College of Education and Human Sciences: Dissertations, Theses, and Student Research

A working definition of a concept known as ‘food literacy’ encompasses using basic food preparation knowledge that has been learned, understood, and practiced to make better food decisions. To advance these skills for client service, a post-secondary nutrition program would need to include objectives that allow application of knowledge. For this reason, the purpose of this study was to determine the difference in knowledge and application among students in 100, 200 and 400 level college nutrition course(s). A survey was developed to measure the food knowledge of these college students as they prepare for careers as health care professionals. The …

Impact Of The Home Food Environment On Dietary Intake, Obesity And Cardiovascular Health Of U.S. Children And Adolescents, Aged 6-19, Melissa A. Masters

Department of Nutrition and Health Sciences: Dissertations, Theses, and Student Research

Youth obesity is an ongoing problem in the United States. Obese children and adolescents are likely to be obese as adults and have an increased risk of developing chronic diseases, including coronary heart disease, earlier in life. The multifactorial nature of obesity continues to challenge researchers and health professionals to determine methods for preventing and reducing childhood obesity. Research has suggested that obesity is a normal response to an “obesigenic” environment. Emerging as one of the most influential environments in obesity and behavior development is the home food environment. However, little is understood about the role of the home food …

Evaluation Of A Social Marketing Campaign: 4 Day Throw Away, Katie J. James

Department of Nutrition and Health Sciences: Dissertations, Theses, and Student Research

Children are at a heightened risk for foodborne illness. Handling leftover food safely was identified as a concern from focus groups with the main food preparer in families with young children in two Midwestern states. To design, implement, and evaluate a theory-based food safety education intervention to raise awareness of the USDA guideline for handling leftover food. The food safety social marketing campaign “4 Day Throw Away” launched in towns throughout Nebraska and Iowa. The campaign included both traditional and social media methods to relay the message of discarding leftovers after four days. A total of 600 guardians of young …

Dietary Protein Influences Paracellular Calcium Transport: Two Molecular Targets, Belinda M. Kotler

Master's Theses

The effect of dietary protein on bone health remains controversial. We have shown that increasing dietary protein increases calcium absorption in both humans and rats with no change in bone resorption. We used a rat model in which dietary protein increases intestinal calcium absorption and whole body calcium retention, to explore the molecular basis for this effect. Female Sprague-Dawley rats were fed a low (5%) or high (40%) protein diet for 7 days. On day 7, duodenal mucosa was harvested and total RNA isolated. Microarray analyses using these RNA samples identified 208 genes whose expression was at least 1.5 fold …

Dietitian’S Problem Solving Knowledge To Promote And Support Breastfeeding, Cassandra L. Dytrych

Department of Nutrition and Health Sciences: Dissertations, Theses, and Student Research

As a result of ongoing efforts in the U.S. to promote breastfeeding as the normal way to nourish an infant, breastfeeding initiation rates are higher than they have been in decades. As the experts on food and nutrition through the lifecycle, registered dietitians (RDs) should be knowledgeable to promote and support breastfeeding. It is not well known if RDs have this knowledge. The purpose of this study was to determine the current knowledge of RDs about breastfeeding, the types of professional opportunities RDs have to promote and support breastfeeding, and the level of education RDs have to deal with breastfeeding …

Over- And Underreporting Of Energy Intake By Patients With Metabolic Syndrome Using An Automated Dietary Assessment Website, Y. Probst, Linda C. Tapsell

L. C. Tapsell

Under- and overreporting of dietary intake in a face-to-face context is related to age, gender and body mass index. The use of computer technology in dietetic practice is restricted to analysis of nutrient data rather than assessment of the diet. DietAdvice, a website developed to allow patients with metabolic syndrome to self-report their dietary intake, has been developed in the Illawarra region of New South Wales, Australia. Patients are recruited by their general practitioner, and use the website, and the data are electronically fed to a dietitian for an individualised dietary prescription. The aim of the present study is to …

Computerized Dietary Assessments Compare Well With Interviewer Administered Diet Histories For Patients With Type 2 Diabetes Mellitus In The Primary Healthcare Setting, Y. C. Probst, S. Faraji, M. Batterham, D. G. Steel, Linda C. Tapsell

L. C. Tapsell

Using a context-based case-control trial, 41 adults with type 2 diabetes mellitus were randomized into four groups to complete dietary assessments (computerized or interviewer administered) at 0, 2 and 8 weeks and food records at 0 and 2 weeks. Repeatability of reported energy, total fat, saturated, polyunsaturated and monounsaturated fatty acids between the computerized and interviewer administered methods were assessed using repeated measures ANOVA. Paired t-tests and Pearson's correlations determined relative validity of the assessments.

Relationships Between Patient Age And Bmi And Use Of A Self-Administered Computerised Dietary Assessment In A Primary Healthcare Setting, Y. Probst, Linda C. Tapsell, M. Batterham

L. C. Tapsell

The objective of this paper was to determine relationships between patient age and BMI and use of a self-administered dietary assessment website in the primary healthcare setting. Chi- square and ordinal regression models were used to determine the relationships between age and BMI and computer experience, ownership, and usage from 188 patients using a self-administered dietary assessment website over 12 months. One hundred and twenty-five (66.5%) female and 63 (33.5%) male patients used the website. A total of 72.9% were overweight (BMI425 kg/m2). Advanced/intermediate computer users were 17.1 times more likely to own a computer than beginners or patients who …

Identification Of Food Groups For Use In A Self-Administered, Computer-Assisted Diet History Interview For Use In Australia, S. Burden, Y. C. Probst, D. G. Steel, Linda C. Tapsell

L. C. Tapsell

To develop a set of food groups for use in a self-administered, computer-assisted diet history interview for use in Australia by combining foods into groups so as to minimize database error in the macronutrient values for the groups. The program needs to appropriately balance the level of detail used with the load on respondents and errors associated with categorization of foods into groups.

Video Recorded Participant Behaviours: The Association Between Food Choices And Observed Behaviours From A Web-Based Diet History Interview, Yasmine C. Probst, K. Deagnoli, M. Batterham, Linda C. Tapsell

L. C. Tapsell

Automation of dietary assessments allow participant behaviour to be captured by video observation. They also allow clinicians to identify areas which effect reporting accuracy. This observational study describes the differences in behaviour according to the type of foods selected by participants using a dietary assessment website encompassing diet history methodology.

A Mixed Methods Approach To Food Safety Knowledge, Beliefs And Practices In Hispanic Families With Young Children In Nebraska, Kristen M. Stenger

College of Education and Human Sciences: Dissertations, Theses, and Student Research

This mixed methods study addresses food safety for Hispanic families with young children in Nebraska. A convergent mixed methods design was used, where qualitative and quantitative data were collected in parallel, analyzed separately and then merged in analysis and interpretation. A quantitative food safety knowledge survey (n=90, 52 from focus groups, 38 from piloting the survey), was used to assess the FightBac!™ concepts: Clean, Separate, Cook, Chill, and two additional concepts: foods that increase risk, and groups at increased risk. Qualitative focus groups explored food safety handling beliefs and practices through the lens of the Health Belief Model. Focus groups …